Abstract
During wound healing, stem cells provide functional mature cells to meet acute demands for tissue regeneration1. Simultaneously, the tissue must maintain stem cells to sustain its future regeneration capability. However, how these requirements are balanced in response to injury is unknown. Here we demonstrate that after wounding or ultraviolet type B irradiation, melanocyte stem cells (McSCs) in the hair follicle2 exit the stem cell niche before their initial cell division. Upward migration of McSCs from the follicular niche occurs at the risk of stem cell depletion. McSCs migrate to the epidermis in a melanocortin 1 receptor (Mc1r)-dependent manner and differentiate into functional epidermal melanocytes, providing a pigmented protective barrier against ultraviolet irradiation over the damaged skin. These findings provide an example in which stem cell differentiation due to injury takes precedence over stem cell maintenance and show the potential for developing therapies for skin pigmentation disorders by manipulating McSCs.
Melanocytes produce pigment that is integral to both hair and skin color and that functions as a protective biological shield against harmful rays that cause DNA damage in skin cells3. Human skin contains melanocytes in the interfollicular epidermis, whereas epidermal melanocytes in mice skin disappear after birth and persist only in the hair follicle4. The bulge and secondary hair germ (sHG) of the hair follicle houses McSCs that are self maintaining, slow cycling and competent at repopulating bulb melanocytes during the growing phase of the hair cycle2,5. The idea that the skin may strategically reserve stem cells in a relatively protected niche that is far deeper than the skin surface was initially proposed in 19906, and previous studies have provided evidence that epithelial stem cells in the hair follicle migrate to the epidermis and contribute to wound healing7–9. Notably, clinical observations in human skin suggest that hair follicles may provide epidermal melanocytes in the process of recovery from vitiligo10,11, a hypopigmentation disease characterized by the loss of epidermal melanocytes. However, no experimental assays that model adult follicular melanocyte contribution currently exist. Consequently, no molecular mechanism has been identified that promotes this process. Elucidating ways to recruit melanocytes from the stem cell niche to the epidermis would have broad clinical utility for the treatment of pigmentary disorders such as vitiligo and piebaldism.
To determine whether McSCs in the hair follicle give rise to epidermal melanocytes, we monitored the movement of melanocytes after creating a 1-cm2 excisional wound in the back skin of adult mice. We used Trp2-LacZ reporter mice in which melanocytes are tagged by LacZ expression12. During the telogen phase, melanocytes were located exclusively in the bulge and sHG niche, which is composed primarily of epithelial cells2,13,14 (Fig. 1a). By 5 d after wounding, melanocytes began to migrate from the hair follicle niche through the upper follicular epithelium to the basal layer of the epidermis (Fig. 1a). We also observed the migration of melanocytes from the hair follicle to the epidermis by detecting Pax3, another marker that identifies McSCs and differentiated melanocytes15(Fig. 1b). This migration occurred only in the wound periphery and not in hair follicles far from the wound site (Supplementary Fig. 1). We also labeled McSCs with GFP as label-retaining cells (LRCs) by taking advantage of their slow cycling nature2 and using previously established mouse models8,16 (Fig. 1c). After wounding, LRCs migrated toward the epidermis (Fig. 1d). These results validate the notion that follicular McSCs move from the hair follicle to the epidermis after wounding.
The follicle-derived epidermal melanocytes were functional and had the ability to proliferate and express differentiation markers, including microphthalmia-associated transcription factor (MITF) and tyrosinase (Supplementary Fig. 2). Furthermore, ultraviolet type B (UVB) irradiation induced similar melanocyte migration, suggesting that McSCs residing in the hair follicle may contribute to ultraviolet light–induced skin tanning (Supplementary Fig. 3). We used UVB irradiation to induce similar melanocyte migration in mouse tail skin, where melanocytes are present in the epidermis. (Supplementary Fig. 3). We then used human scalp explant cultures to verify whether follicular melanocytes also migrate to the epidermis in human skin. We removed epidermal melanocytes by ablating the skin above the level of the sebaceous gland in the human scalp explants and then cultured the remaining denuded skin and analyzed whether follicular melanocytes can migrate to the re-epithelialized skin. By 8 d after culturing the explants, we found that melanocytes that were originally localized in the outer root sheath of the hair follicle migrated to the epidermis concomitant with re-epithelialization of the denuded skin (Supplementary Fig. 4). These observations are consistent with previous notions that human follicular melanocytes have the ability to populate the skin epidermis10,11.
In some adult stem cell systems, such as hematopoietic stem cells, a discrete subset of stem cells that rarely divide under normal homeostatic conditions become activated only after injury to produce progeny17. We thus studied whether epidermal melanocytes originate from McSCs that normally give rise to hair melanocytes or whether they arise from a subset of specialized McSCs that are activated exclusively after injury. To address this question, we labeled McSCs that proliferated for hair bulb repopulation during the anagen phase by continuous BrdU injection in wild type mice right after induction of the anagen phase by hair depilation (Fig. 1e). We then created a wound on the back skin. By 6 d after wounding, BrdU+ McSCs were mobilized to the epidermis, demonstrating the dual capacity of a population of McSCs to give rise to both hair and epidermal melanocytes (Fig. 1f–i).
During examination of the wound peripheral region where upward melanocyte migration occurs, we noted that there was a rare population of approximately 50 unpigmented hair follicles surrounding the wound (present in 100% of wound samples examined) that is not present in non wounded mice (Fig. 2a–c). These unpigmented hairs did not regain pigment in subsequent hair cycles (Fig. 2d). Whole-mount analyses of these unpigmented hair follicles from Trp2-LacZ mice revealed a lack of melanocytes (Fig. 2b), showing that unpigmented hair production was due to the loss of McSCs. Analyses of whole-mount hair follicles at the wound periphery at an earlier time point during melanocyte migration identified hair follicles with a lower number of McSCs that was associated with the upward migration of melanocytes (Supplementary Fig. 5). This McSC loss in response to wounding is intriguing, as by definition adult tissue stem cells have the ability to self renew and maintain themselves while they give rise to differentiated progeny for tissue regeneration18. To address the mechanisms behind McSC loss, we first examined how McSCs are renewed while they produce progeny after injury. We continuously injected BrdU after wounding to label McSCs that proliferated to generate epidermal melanocytes. We found very few BrdU+ McSCs in the niche even at 4 d after wounding, when melanocytes began to appear in the epidermis (Fig. 2e and j). More than 80% of melanocytes migrating from the upper follicle (above the niche) to the epidermis were negative for BrdU, in contrast to the extensive labeling in the adjacent epithelial cells (Fig. 2f–h,j). These results demonstrate that McSCs exited the niche directly without undergoing proliferation. Moreover, we observed no cell death (apoptosis) of melanocytes in the niche during upward migration (data not shown). These results show that McSC depletion and the resultant hair graying in the wound periphery is due primarily to direct migration of McSCs from their niche. Similarly, shortly after UVB irradiation, we observed direct McSC migration (Supplementary Fig. 6) that was associated with a reduction in the number of McSCs (Supplementary Fig. 7). However, we never observed complete McSC depletion in the niche in the UVB-irradiated area, and we consistently did not find unpigmented hair formation after UVB treatment, suggesting that the remaining stem cells can replenish their niche and function in the following hair cycles.
To investigate the mechanisms underlying upward McSC migration, we focused on MC1R, which has a vital role in skin and hair pigmentation due to its essential role in the production of eumelanin19,20. Furthermore, a recent report showed that Mc1r promotes melanoma cell migration in vitro21. Ligands of this pathway are stress hormones, including adrenocorticotropic hormone (ACTH) and melanin-stimulating hormone (MSH), that are encoded by the POMC gene. It was previously reported that the amounts of these stress hormones are systemically and locally regulated by both mental and physical stress22,23. Both human and mouse skin keratinocytes show an upregulation of POMC products, including ACTH and MSHs, after wounding or UVB irradiation24,25.
To determine the role of Mc1r in McSC migration, we created a wound on Mc1r mutant mice that express nonfunctional Mc1r (Mc1re/e mice19,25) and their littermate control mice (Mc1re/+ and Mc1r+/+ mice). After injury, both Mc1re/e mice and control littermates re-epithelialized their wounds within a similar time period (control mice, 12.2 ± 0.9 d; mutant mice, 12.5 ± 1.2 d, mean± s.d). Notably, Mc1re/e mice produced a lower number of epidermal melanocytes compared to control littermate mice (Fig. 3a–c). We also found that the number of McSCs that directly migrated to the epidermis without proliferation (BrdU incorporation) was lower in the mutant mice compared to in the control mice (Fig. 3d). Consistently, these mutant mice had less unpigmented hair, which was a result of McSC depletion in the wound periphery (Fig. 3e). Notably, Mc1re/e mice normally maintained McSCs (Supplementary Fig. 8) and repopulated hair melanocytes during the anagen phase in uninjured skin (Fig. 3f–h), showing that Mc1r is specifically required for the epidermal fate of McSCs.
Next, to examine whether a ligand for MC1R can promote the generation of epidermal melanocytes, we cultured skin explants harvested from Trp2-LacZ mice with the addition of ACTH. We irradiated skin explants with or without UVB (30 mJ cm−2) for 5 d in culture wells and assessed the number of epidermal melanocytes at 7 d after the start date of the culture (Fig. 3i). We found that although epidermal melanocytes were not produced in the absence of UVB irradiation even with the addition of ACTH (data not shown), ACTH markedly enhanced epidermal melanocyte production in the presence of UVB treatment compared to UVB-irradiated explants without the addition of ACTH. Conversely, ACTH had a significantly smaller effect on skin explants harvested from Mc1r e/e mice as compared to explants from control littermates (p<0.05). This suggests that ACTH may enhance melanocyte migration partly through Mc1r in this model. Notably, mouse melanocyte cultures with addition of ACTH had higher migration activity of melanocytes than cultures without addition of ACTH (Fig. 3j). Together these results suggest that ACTH can promote melanocyte migration and increase the number of epidermal melanocytes.
We then examined whether wound-induced epidermal melanocytes can revert back to follicular McSCs. We previously showed that after a large excision wound and subsequent re-epithelialization, de novo hair follicles develop in the center of the re-epithelialized wound in adult mice26. To examine whether melanocytes that migrated to the wound epidermis could populate neogenic follicles, we first assessed the location of epidermal melanocytes in the wound area. Distribution of tyrosinase-related protein 2 (Trp2)+ cells revealed that most of the epidermal melanocytes are limited to the wound periphery and do not reach the center of the wound, where new follicles develop (Fig. 4a). This result agrees with the previous observation that most neogenic follicles lack pigment26. Nevertheless, we found a few hair germs that developed in the outskirts of the cluster of de novo hair follicles that contained LacZ+ melanocytes (Fig. 4b–e). The reconstituted melanocytes in the bulge of neogenic hair follicles downregulated differentiation markers, including MITF, nuclear β-catenin and Mc1r, and had the ability to repopulate bulb melanocytes to sustain hair pigmentation in subsequent hair cycles, whereas unpigmented de novo hair follicles did not acquire pigment in the next hair cycle (Fig. 4f–h). This suggests that the melanocytes that repopulated the bulge are functionally equivalent to the original undifferentiated McSCs, and repopulation of the hair follicle niche by melanocytes probably occurs in concert with the development of hair follicles. In support of these findings, epidermal melanocytes derived from UVB-irradiated back skin from the Trp2-LacZ mice demonstrated the ability to become hair follicle bulge and bulb melanocytes in an ex vivo hair reconstitution assay (Fig. 4i,j) that includes processes analogous to hair follicle development27,28. Our results show that follicle-derived epidermal melanocytes have the ability to become hair melanocytes.
Mechanisms for wound healing are finely tuned between those that promote stem cell differentiation to meet acute demands for tissue regeneration and those that promote stem cell maintenance. In the follicular McSC system, we found that the balance between the two mechanisms is tuned to promote the production of differentiated melanocytes. This bias may be reasonable, as pigmentation can help block the penetration of ultraviolet rays into the skin, which contributes to tumorigenesis29,30. In adult mice, the hair coat shields the epidermis. It is possible that mice have evolved to acquire the ability to regenerate epidermal melanocytes to protect their skin in the event of injury or UVB irradiation.
Our results suggest that follicular McSCs may be an important source of epidermal melanocytes, which contribute to a wide range of skin pigmentation disorders when dysregulated, including postinflammatory hyperpigmentation, ultraviolet light–induced photodamage and melanoma. We demonstrated that McSCs in Mc1R mutant mice show profound defects in migration to the epidermis. This indicates that the Mc1R pathway, either intrinsically or extrinsically, has a vital role in the production of epidermal melanocytes from McSCs. Modulation of the Mc1R pathway may be a new target in the development of effective treatments for skin pigmentation disorders (including vitiligo, postinflammatory hypopigmentation and postinflammatory hyperpigmentation) by influencing McSCs. Notably, Mc1R ligands (stress hormones) are known to promote skin pigmentation25,31, yet paradoxically and anecdotally, they are believed to promote hair graying. We demonstrate that the same population of follicular McSCs can produce both hair and epidermal melanocytes and that the Mc1R pathway specifically promotes the epidermal fate of McSCs. Our results may provide insight into the relationship between stress hormones and hair graying and may serve as an initial step toward reconciling this paradox.
We expect that numerous other signals in addition to the ACTH-Mc1R pathway are involved in the regulation of McSC migration. Our characterization of McSC migration to the epidermis provides an important basis and opportunity to investigate the molecular mechanisms regulating the regeneration of epidermal melanocytes by follicular McSCs.
ONLINE METHODS
Mice
All animal protocols were approved by the Institutional Animal Care and Use Committee at NYU School of Medicine. Mc1re/e mice (C57BL/6 background) and Wnt1-Cre; Rosa-stop–yellow fluorescent protein (YFP) mice were obtained from Jackson Laboratories, and Trp2-LacZ transgenic mice were generated in the laboratory of P.O.12. For BrdU administration, mice were injected daily intraperitoneally with 10 mg ml−1 BrdU at 50 μg per g body weight. Mice were maintained in the Smilow Central Animal Facility at NYU Langone Medical Center. Both male and female mice were used for all experiments.
Wounding experiments
For excisional wounds, the dorsal fur of 3-week-old mice was clipped. After mice were anesthetized with a ketamine-xylazine cocktail, a 1 cm2 area of skin was excised. Mice were injected with the analgesic Buprenex. For epidermal ablation, after anesthesia, a 1-cm2 area of skin was depilated using Nair and stripped with scotch tape 20 times.
UVB exposure
Dorsal fur of 7- to 8-week-old mice was clipped, and mice were anesthetized with a ketamine-xylazine cocktail. Mice were treated with 200 mJ cm−2 UVB once daily for 5 consecutive days.
Detection of melanocyte LRCs
We adapted a method developed by Tumbar et al.8. Tyr-rtTA;tetO-H2B-GFP mice were maintained on 1mg/kg doxycycline-containing chow for 9 d starting at 1 d after birth. Label was chased by cessation of doxycycline treatment for 7 weeks.
X-gal staining and analyses
Wound epidermis or dorsal skin from Trp2-LacZ mice was harvested, and subcutaneous fat was removed using either scalpel blades or jewelers’ forceps. Tissues were fixed in 4% paraformaldehyde for 30 min at 4 °C, and whole-mount X-gal staining was performed as described26. We observed tissues every 30 min during X-gal incubation using a dissection microscope to terminate the X-gal reaction immediately after a clear signal was observed in the bulge and sHG area. The skin samples were analyzed either in whole-mount status using a dissection microscope or after sectioning the tissues and counterstaining with nuclear fast red. In whole-mount individual follicle analyses, X-gal–stained skin samples were incubated serially in 20% glycerol, 1% KOH, 50% glycerol, 1% KOH and 100% glycerol overnight at room temperature. Hair follicles were then isolated under a dissection microscope (Axiovision Discovery V12) after X-gal staining. Z-stack images of individual hair follicles were taken with a Nikon Eclipse Ti inverted microscope at various depths. These images were processed to create a focused image and are shown as a three-dimensional surface image using the Extended Depth of Focus (EDF) function in the NIS-Elements software (Nikon).
Dihydroxyphenylalaline (DOPA) staining
Whole-mount epidermal sheets from wound areas were prepared as previously described26. The epidermal sheets were incubated with DOPA for 6 h at 37 °C.
Tyramide staining
Staining was performed with modification of the procedure of Han et al.33. Briefly, tissue samples were harvested in 70% ethanol. The tissues were then fixed in acetone and methanol (1:1) at −20 °C for 20 min. The tissues were incubated in 1× PBS for 5 min. Tissues were then incubated in a blocking solution of 3% hydrogen peroxide in 1× PBS at room temperature for 10 min and then in 5% goat serum in 1× PBS at room temperature for 20 min. Next, tissues were incubated in avidin solution followed by biotin solution at room temperature for 15 min each, with a wash in 0.1% Nonidet P-40 and PBS in between. Tissues were incubated in diluted biotinyl tyramide with amplification diluent (Perkin Elmer Life Science Products, Inc.) 1:50 at room temperature for 1 h and were then washed with 0.1% NP-40 and PBS. Tissues were incubated in horseradish peroxidase–conjugated streptavidin in 5% goat serum in 1× PBS (1:500) at room temperature for 1 h and then washed with 0.1% NP-40 and PBS. Tissues were then incubated in diaminobenzidine at room temperature for 10 min and then rinsed twice in distilled water. Tissues were stored in 50% glycerol at 4 °C.
Immunofluorescence
For paraffin sections, skin excised from mice was fixed overnight in 4% paraformaldehyde (USB Corporation, Cleveland, OH). After sequential dehydration in increasing concentrations of ethanol and xylene, the skin was embedded in paraffin. Paraffin sections were deparaffinized and microwaved in 10 mM Tris and 1 mM EDTA (pH 8.0) for antigen retrieval. For frozen sections, tissues were embedded in optimal cutting temperature (OCT) compound (Sakura, Torrance, CA) and stored at −80 °C. Sections were fixed in acetone and methanol for 10 min at −20 °C before immunostaining. For primary antibodies raised in mouse, sections were blocked for 1 h in blocking regent (M.O.M. kit, Vector Laboratories). Tissue sections were then incubated with the primary antibodies listed below, followed by incubation with biotin-conjugated (1:100, Vector Laboratories, CA. cat#BA-2000, BA-9400, BA-9500 ans BA-1000)or Alexa 488– or 594–conjugated secondary antibodies (Invitrogen, Carlsbad, CA. cat#A21202, A11005, A21206, A11055, A11058, A21208 and A21471). For the biotin-conjugated secondary antibodies, streptavidin conjugated to tetramethyl rhodamine isothiocyanate (TRITC) was used as the final amplification step. Sections were counterstained with DAPI (Vector Laboratories, Burlingame, CA). All immunofluoresence was observed and photographed on an upright Axioplan, LSM 510, 710 (Zeiss, Germany). The primary antibodies used were: goat antibody to mouse Trp2 (1:100, Santa Cruz. Cat#sc-10451), antibody to mouse BrdU (1:100, BD Bioscience, cat#347580), rabbit antibody to K14 (Covance, cat#PRB-155P-100), mouse antibody to β-catenin (1:500, Sigma, cat#c7207), rabbit antibody to mouse Ki67 (1:100, Abcam, cat#ab15580), antibody to mouse Pax3 (1:50, DSHB, cat#Pax3-c), rabbit antibody to mouse tyrosinase (1:50, P. Manga), antibody to mouse MITF (1:20, Vector Laboratories. cat#VP-M650), rabbit antibody to S100 (1:100, Dako. cat#Z0311) and antibody to Mc1R (1:50, Sigma. cat#M9193-50UL).
Mouse skin organ culture
Dorsal skin was collected from 21-day-old Trp2-LacZ mice, and connective tissue and subcutaneous fat were carefully removed using fine forceps and surgical blades. The skin was laid flat, dermis side down, on a nitrocellulose membrane with a 0.8-μm-diameter pore (Millipore). Four-millimeter skin punch biopsies were used for explants. Three explants were cultured per well of 24-well plates containing 500 μl of medium (DMEM, 10% FBS and 1× penicillin and streptomycin) at 37 °C. Explants were irradiated with 30 mJ cm−2 UVB once a day for 5 d starting on the first day of culture using a hand-held lamp with a 6-W, 312-nM UVB bulb (Spectronics Corporation). On the seventh day of culture, explants were harvested and stained whole mount with X-gal as described above. ACTH was added beginning on the first day of culture to a concentration of 10 or 100 μM and was replenished every day. Five fields were counted per explant to calculate the average number of epidermal melanocytes under a dissection microscope (Zeiss, Discovery V12). The experiment was performed in triplicate.
Human scalp organ culture
We purchased deidentified human scalp skin from BIOPREDIC International (France). We also used deidentified human scalp skin that had been discarded anonymously after surgery. The procedure was approved by the Institutional Review Board of NYU as an exempt protocol. After cutting the scalp skin into 0.5 mm × 0.5 mm pieces, the skin surface above the sebaceous gland, including the epithelium, was removed using a surgical blade (Miltex, Inc.) under a dissection microscope (Zeiss, Discovery V12). Individual denuded scalp explants were cultured in 24-well plates containing 500 μl of medium (DMEM, 10% FBS and 1× penicillin and streptomycin) for 8 d at 37 °C. On the eighth day of culture, explants were harvested and processed for immunohistochemistry. The experiment was performed in triplicate.
Melanocyte migration assay
Melan-A cells32 (2.5 × 104) were suspended in mouse melanocyte starvation medium composed of DMEM with 0.5% FBS, 1% sodium pyruvate, 1% nonessential amino acids, 1× penicillin and streptomycin and 0.5% 12-O-tetradecanoylphorbol-13-acetate (TPA). The suspension was added to cell culture inserts (Falcon) containing a 8-μm polycarbonate filter. Cell culture inserts were transferred into 24-well plates containing complete mouse melanocyte medium composed of DMEM with 10% FBS, 1% sodium pyruvate, 1% nonessential amino acids, 1× penicillin and streptomycin and 0.5% TPA. ACTH (Phoenix pharmaceuticals) was added to a concentration of 1 or 10 μM to both the starvation and complete media. Cells were incubated at 37 °C in 5% CO2 for 20 h. After removal of nonmigrating cells from the upper surface of the insert membrane by scrubbing, inserts were incubated in 10% formalin for 10 min at room temperature. Migrating cells were visualized by staining with 0.5% crystal violet for 30 min at room temperature and then counted under an inverted microscope (Nikon, TMS-F). Experiments were performed in triplicate.
Hair reconstitution assay
Eight-week-old Trp2-LacZ mice were irradiated with UVB (200 mJ cm−2) for 5 d and euthanized at 3 d after the last day of UVB treatment. The fur was clipped, and the dorsal skin was harvested. After scraping the subcutaneous fat, the skin was cut into small pieces (0.5 cm2) and incubated in 20 mM EDTA for 15 min at 37 °C. The epidermis was separated using scalpel blades. This condition allows for the separation of the interfollicular epidermis and infundibulum above the sebaceous glands. The epidermis was chopped finely in MEM for suspension cultures with 5% FBS and 100 mg l−1 gentamycin sulfate. The epidermal mixture was stirred at room temperature for 20 min to detach basal cells. The obtained epidermal cell suspension was then filtered through 70-μm pores. The cells were combined with the neonatal epidermal (1 × 106 cells) and dermal (1 × 107 cells) preparations prepared according to the procedure of Prouty et al.28. The mixture of cells was centrifuged, and the pellet was resuspended in 30 μl to be intradermally inoculated into nude mice.
Quantification and statistical analyses
For analysis of the number of bulb melanocytes, the percentage of BrdU+ melanocyte or the number and the percentage of unpigmented hair, at least 20 follicles, melanocytes or hair shafts were analyzed in tissues from at least three replicates. Data were analyzed using Student’s t test.
Supplementary Material
Acknowledgments
Follicle-derived epidermal melanocytes were initially observed at G. Cotsarelis’ laboratory at the University of Pennsylvania, and this work benefited greatly from the mentorship and generosity of G. Cotsarelis. We thank P. Manga at NYU for valuable discussion and providing Melan-a cells and antibody to mouse tyrosinase. We thank E. Hernando’s lab at NYU for the protocol of the melanocyte migration assay. We thank the Microscopy Core of New York University (NYU) for use of confocal microscopes (NCRRS10 RR023704-01A1). M.T. is supported by the NYU Kimmel Stem Cell Center and NYSTEM training grant C026880. M.I. is supported by US National Institutes of Health National Institute of Arthritis and Musculoskeletal and Skin Diseases grant 1R01AR059768-01A1and the Ellison Medical Foundation.
Footnotes
Note: Supplementary information is available in the online version of the paper.
AUTHOR CONTRIBUTIONS
W.C. performed experiments, interpreted data and wrote the manuscript. M.T., P.R., H.H., Y.C. performed experiments and interpreted data. J.C. provided human skin and interpreted data. P.O. generated Trp2-LacZ mice and interpreted the data. M.I. performed experiments, interpreted data and wrote the manuscript.
COMPETING FINANCIAL INTERESTS
The authors declare no competing financial interests.
Reprints and permissions information is available online at http://www.nature.com/reprints/index.html.
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