Abstract
How embryonic stem cells (ESC) commit to specific cell lineages and ultimately yield all cell types of a fully formed organism remains a major question. ESC differentiation is accompanied by large-scale histone and DNA modifications, but the relations between these two categories of epigenetic changes are not understood. Here we demonstrate the hierarchical interplay between the histone deacetylase, sirtuin 6 (Sirt6), which targets acetylated histone H3 at lysines 9 and 56 (H3K9ac and H3K56ac), and the Tet (Ten-eleven translocation) enzymes, which convert 5-methylcytosine (5mC) into 5-hydroxymethylcytosine (5hmC). ESCs derived from Sirt6 knockout (S6KO) mice are skewed towards neuroectoderm development. This phenotype is associated with derepression of Oct4, Sox2 and Nanog, which in turn causes an upregulation of Tet enzymes and elevated production of 5hmC. Genome-wide analysis revealed an upregulation of neuroectoderm genes marked with 5hmC in S6KO ESCs, thereby implicating Tet enzymes in the neuroectoderm-skewed differentiation phenotype of S6KO ESCs, which is fully rescued upon knockdown of Tets. We demonstrate a new role for Sirt6 as a chromatin regulator safeguarding the balance between pluripotency and differentiation through Tet-dependent regulation of 5hmC levels.
INTRODUCTION
During early stages of development, embryonic stem cells (ESCs) proliferate and differentiate into all somatic cell types. ESC differentiation requires global changes of chromatin architecture to elicit specific epigenetic programs of gene expression associated to each somatic cell type. Chromatin alterations including changes in histone modifications and DNA methylation patterns play a critical role during the commitment, establishment and maintenance of a particular cell lineage during early embryogenesis (Chen and Dent, 2014). Notably, the interplay between these chromatin alterations, and how they execute epigenetic programs of gene expression during ESC differentiation remain largely unknown.
DNA methylation is usually linked to chromatin compaction and gene inactivation, which constitutes a critical process to establish cell lineage specification during ESC differentiation (Smith and Meissner, 2013). DNA methylation is a reversible process catalyzed by the Fe2+ and α-ketoglutarate-dependent dioxygenases, Tet enzymes (Iyer et al., 2009; Tahiliani et al., 2009). There are three Tet orthologues in the mouse, Tet1, Tet2 and Tet3. These enzymes revert the methylation status of DNA by successive oxidation of 5mC into 5hmC, 5-carboxycytosine (5caC) and 5-formylcytosine (5fC), which are intermediates of an active DNA demethylation mechanism (He et al., 2011; Ito et al., 2011). Increased levels in 5hmC are tightly associated to the maintenance of the pluripotency state of ESCs (Ficz et al., 2011; Williams et al., 2011; Wu et al., 2011). The expression of Tet1 and Tet2, maintained at high levels in ESCs, diminishes during differentiation, which correlates with repression of pluripotent genes and activation of developmental genes (Kriaoucionis and Heintz, 2009; Tahiliani et al., 2009; Ito et al., 2010; Ko et al., 2010; Szwagierczak et al., 2010). The Tet-dependent production of 5hmC has been implicated in cell lineage specification of ESCs (Koh et al., 2011). However, upstream regulatory mechanisms underlying the participation of Tet enzymes and the potential role of 5hmC as a direct epigenetic component regulating specific genes during ESC differentiation remain undetermined.
One of the histone modifications involved in ESC function is acetylation of lysine 56 in histone H3 (H3K56ac), which has been linked to the pluripotent transcriptional network in human ESCs (Xie et al., 2009). More specifically, H3K56ac levels correlates with the transcriptional activation of pluripotent genes, its levels diminishing significantly on those genes during ESC differentiation (Xie et al., 2009). How this mark is regulated during ESCs differentiation remained unclear. The NAD-dependent histone deacetylase Sirt6 was shown to target H3K56ac in mouse ESCs (Yang et al., 2009; Michishita et al., 2009), and is one of seven mammalian members of the sirtuin protein network, with roles in genome stability, glucose metabolism and tumor suppression (Mostoslavsky et al., 2006; Michishita et al., 2009; Yang et al., 2009; Zhong et al., 2010; Sebastian et al., 2012; Toiber et al., 2013). Because of its ability to specifically target H3K56ac, we investigated the potential participation of Sirt6 in ESC differentiation. Our results demonstrate that Sirt6 directly regulates the expression of the core pluripotent genes Oct4, Sox2 and Nanog, via deacetylation of H3K56ac, which in turn controls ESC differentiation through Tet-mediated oxidation of 5mC into 5hmC.
RESULTS
Sirt6 Deletion Skews Embryonic Stem Cell Differentiation Potential Towards Neuroectoderm
ESCs derived from S6KO mouse embryos showed skewed differentiation compared to those derived from their WT littermates. When cultured to form embryoid bodies (EBs), S6KO EBs from three different ESC lines were significantly smaller in size compared to their WT counterparts (Figure 1A). Immunofluorescence (IF) analysis showed expression of the endoderm marker Gata4 to be downregulated in S6KO EBs, while expression of the neuroectoderm marker Gfap was upregulated (Figure 1B). Gfap is also upregulated in EBs derived from S6KO iPSCs (Figure S1A). The skewing of S6KO EBs towards neuroectoderm and away from endoderm, mesoderm and trophoectoderm was confirmed by examining the expression of additional markers (Figures 1C and S1B). Moreover, when we subjected ESCs to an in vitro neurogenesis protocol, we found a striking increase in the number of Nestin and β-III-Tubulin expressing neurons in S6KO versus WT controls (Figures 1D, S1C and S1D). The expression on Nestin was upregulated in S6KO EBs even under normal culturing conditions (Figure S1E). Notably, even prior to differentiation, S6KO ESCs exhibited a downregulation of genes associated with endoderm, mesoderm and trophectoderm, while neuroectoderm related genes were upregulated, consistent with a primed differentiation state in the absence of Sirt6 (Figure 1E and S1F). These results point towards a previously unidentified role for Sirt6 in regulating cell lineage specification during ESC differentiation.
Pluripotent genes are not Repressed During Differentiation of ESCs Lacking Sirt6
Persistent expression of Oct4, Sox2 and Nanog is critical to maintain the pluripotency state, but it needs to be silenced upon ESC differentiation (Young, 2011). However, during early stages of ESC differentiation, Oct4 and Sox2 were shown to orchestrate germ layer fate decisions. Oct4 was found to suppress neuroectoderm differentiation while promoting development of the mesoderm. Divergently, Sox2 inhibits mesodermal differentiation, but promotes the development of neuroectoderm. An overall downregulation of Nanog is a causal event to impel the differentiation state (Thomson et al., 2011). Thus, we assessed whether lack of Sirt6 could alter expression of these pluripotent genes following differentiation. Notably, Sirt6 deficiency was characterized by persistent expression of the core pluripotency genes Oct4, Sox2 and Nanog and their protein products in both ESCs and EBs (Figures 1F–1I). Using an alternative differentiation protocol (retinoic acid) we find that even though Oct4 was normally repressed, the expression of Sox2 and Nanog persisted upon forced differentiation (Figure S1G). These data suggest that Sirt6 negatively regulates the expression of these core pluripotent genes to achieve proper ESC differentiation.
Sirt6 Regulates Levels of H3K56ac and H3K9ac at the Promoters of Oct4, Sox2 and Nanog
To determine the mechanism by which Sirt6 regulates expression of the core pluripotent genes, we subjected ESCs from both S6KO and WT to chromatin immunoprecipitation (ChIP) before and after differentiation. We first assessed binding of SIRT6 to the pluripotent genes. Notably, Sirt6 was found at the promoter regions of Oct4, Sox2 and Nanog both before and after differentiation (Figure 2A). We then tested for the presence of H3K56Ac, one of the SIRT6 substrates previously linked to pluripotent gene expression (Xie et al., 2009). Consistently, the levels of H3K56ac at these promoters were increased in S6KO compared to WT ESCs and EBs (Figure 2B). Additionally, another Sirt6 substrate, H3K9ac, was also increased at the promoter regions of these core pluripotent genes in S6KO versus WT ESCs (Figure 2C). Furthermore, the recruitment of Sirt6 was extended inside the Oct4 locus, showing maximum binding at the promoter (primers A and B, at −195 and −13 positions, respectively) and towards the 3′ end of exon 1 (primer C at position +719) before and after differentiation (Figures 2D and 2E), which is paralleled by an increase in H3K56ac in S6KO versus WT EBs (Figure 2F). The recruitment of Sirt6 was not apparent at position +4220 (primer D, between exons 4 and 5) towards the end of Oct4 paralleling the unchanged levels of H3K56ac between WT and S6KO EBs. Moreover, Sirt6-dependent deacetylation of both H3K9ac and H3K56ac on the Oct4, Sox2 and Nanog loci was confirmed by genome wide analyses (Figures 2G and 2H). Notably, an increase on these histone modifications is retained after RA-dependent differentiation, particularly at the Sox2 locus (Figure S1H). These results support the idea that Sirt6 negatively regulates expression of the core pluripotency genes Oct4, Sox2 and Nanog, thereby emphasizing a new role for Sirt6 in stem cell function. The inability to suppress these core pluripotent genes might in part account for the skewed differentiation towards the neural lineage in S6KO compared to WT ESCs and iPSCs.
Global increase of Tet expression and 5hmC in S6KO versus WT ESCs
Tet1 and Tet2 genes are postulated targets of Oct4 and Sox2 (Koh et al., 2011; Wu et al., 2013). Strikingly, we observed significant upregulation of Tet1 and Tet2 expression in S6KO compared to WT ESCs, at both mRNA and protein levels (Figures 3A, 3B). Slot blot analysis showed a striking global increase of 5hmC in S6KO compared to WT ESCs, without a global alteration in the levels of 5mC (Figures 3C, 3D). Concordantly to the upregulation of Tet genes in S6KO, we found an increased recruitment of Oct4 and Sox2 to both Tet1 and Tet2 genes in S6KO versus WT ESCs by ChIP analysis, using primers for previously identified Oct4:Sox2 consensus binding sites (Koh et al., 2011; Figures 3E, 3F). Additionally, Oct4 and Sox2 binding to their own genes were enhanced in S6KO versus WT ESCs (Figure 3G). These data support a positive role for Oct4:Sox2-dependent regulation of Tet expression, which is enhanced in S6KO compared to WT ESCs, and thereby suggest a novel function for Sirt6, as a potential regulator of a Tet-dependent mechanism associated with ESC differentiation.
Depletion of Tet1 or Tet2 Rescues the Differentiation Phenotype in S6KO ESCs
The upregulation of Tets and 5hmC production in S6KO led us to examine the genetic interaction between Sirt6 and Tets in ESCs. Strikingly, shRNA-mediated depletion of either Tet1 or Tet2 (Koh et al., 2011) fully rescued not only the abnormal morphology of EBs derived from S6KO ESCs (Figure 4A), but also the skewed differentiation, as demonstrated by the normalized expression of the neuroectoderm marker Gfap (Figures 4B and 4C). Furthermore, the expression of additional germ layer markers – the neuroectoderm markers Fgf4 and Nestin and the endoderm markers Gata4 and Gata6 was restored upon Tet knockdown (Figure 4D). As expected, the levels of Tet1 and Tet2 transcripts, as well as Oct4 and Nanog transcripts, were brought back to near WT levels upon Tet knockdown in S6KO EBs (Figure 4E), as were the elevated levels of 5hmC in S6KO ESCs (Figure 4F, 4G). Interestingly, knockdown of either Tet1 or Tet2 caused downregulation of both Tet genes (Figure 4E), thereby implicating both Tets in the S6KO differentiation phenotype. These results further support a role for Sirt6 in suppressing expression of the core pluripotent genes in both pluripotent and differentiating ESC, thus indirectly, controlling the levels of Tet enzymes to facilitate proper differentiation.
SIRT6 Controls Levels of 5hmC of Genes Associated with Neuroectoderm
To elucidate the role of Tet proteins in WT and S6KO ESCs, we analyzed the genome-wide distribution of 5hmC in WT and S6KO ESCs by CMS-IP (Pastor et al., 2011). We then compared 5hmC levels in adjacent, non-overlapping 500-bp windows genome-wide (Lienhard et al., 2014). S6KO ESCs showed significant (p<1.e-3) gain of 5hmC at more windows (2,218) than lost 5hmC (1,562 windows; (Supplemental Table S1), confirming at a genome-wide level the overall gain of 5hmC observed by dot blot analysis (Figures 3C, 3D). Differentially hydroxymethylated regions (DHMRs) with gain of 5hmC were enriched over DHMRs with loss of 5hmC at promoters (p<1.3e-252 and p<6.3e-16, respectively) as well as CpG islands (p<1.4e-269 and p<1.2e-48, respectively) (Figure 5A). By grouping gene promoters according to their CpG densities (+/− 1kb around their transcription start sites), we found DHMRs to be equally enriched in low (LCP) as well as high (HCP) CpG density promoters (Figure 5A). However, gain of 5hmC within exons was preferentially observed at genes important for regulation of transcription and neuronal differentiation (Figure 5B, Supplemental Table S2) (Figures S2, S3). Notably, the presence of 5hmC at exons was recently shown to positively correlate with gene expression (Huang et al., 2014). Particularly, the Hoxa gene cluster, which is implicated in neural crest development, displays a significant enrichment of 5hmC, along with Gata2 and Pax6, also implicated in neurogenesis (Figure 5C). However, the housekeeping gene β-glucuronidase (Gusb) shows no difference in 5hmC levels between WT and S6KO ESCs (Figure 5C), which ensures specificity on this analysis. By correlating gain or loss of 5hmC with publically available data on histone marks, bisulfite derived methylation, and transcription factor binding data (Supplemental Table S3), we found that regions that gained 5hmC in S6KO compared to WT ESCs were also enriched in H3K4me2, an epigenetic mark associated with both promoters and enhancers that is involved in transcriptional activation and the binding of Tet1 (Figure 5D). Interestingly, the gain of 5hmC in S6KO, compared to WT ESCs, occurs at regions with low 5mC in WT ESC (Figure 5D), confirming an important role of Sirt6 in regulating 5hmC at low methylated regions (LMRs) which have been previously associated with distal regulatory elements (Stadler et al., 2011) (Figure 5D). Concomitant to the enrichment of 5hmC and H3K4me2, we found the expression of the Hoxa gene cluster together with Gata2 and Pax6, along with other genes of the neural lineage to be upregulated in S6KO versus WT ESCs (Figures 6A, S4A). Importantly, the upregulation of these genes was rescued upon Tet1 or Tet2 knockdown (Figures 6A, S4A). The association between 5hmC and H3K4me2 was further evaluated by correlation with public data as described above, on a set of genes from the neural lineage whose expression is upregulated in S6KO and rescued upon Tet knockdown (Figure 6B). This analysis shows a strong association between 5hmC with H3K4me2 within neuroectoderm genes whose expression is increased in S6KO versus WT ESCs (Figures 6A, 6B). We also address any potential interplay between 5hmC with H3K9ac and/or H3K56ac by genome wide analyses. Consistent with our previous work, we found a global elevation of both H3K56ac and H3K9ac at various genomic regions in ESCs, which is maintained after RA-dependent differentiation (Figure S7). We found Sirt6 and its histone targets, H3K56ac and H3K9ac, to mark genes involved in transcription, metabolism, RNA processing, cell cycle, chromatin organization, DNA repair as well as ESC marker genes associated with the maintenance of pluripotency (Tables S4–8). Notably, we found no significant correlation on the enrichments of 5hmC, H3K56ac, H3K9ac, as well as SIRT6 binding in S6KO versus WT ESCs (Figures 6C, 6D, S8A–D). Additionally, we evaluated the role of Sox2, which was shown to promote expression of the neural lineage (Thomson et al., 2011), by comparing the genomic regions enriched for 5hmC with the Sox2 ChIP-seq data set from Lodato and colleagues (Lodato et al., 2013), and found no significant correlation with the gain of 5hmC in S6KO versus WT ESCs (Figures 6C, 6D). Additionally, we found no correlation between H3K56ac and H3K9ac with Sox2 targets (Figure S8, Table S9). Overall, these data indicate that enrichment of 5hmC in S6KO is not directly interlocked with H3K56ac and/or H3K9ac, as well as Sirt6 or Sox2 targeted genomic regions. Therefore, Sirt6 plays a hierarchical role in regulating ESC differentiation by modulating Tet-dependent production of 5hmC through direct repression of the core pluripotent gene network via deacetylation of H3K56ac and H3K9ac. Furthermore, these data strongly suggest that 5hmC may functions as a positive transcriptional determinant to control the expression of genes associated with neuroectoderm development.
SIRT6 Regulates Developmental Programs In Vivo
To further evaluate the role of Sirt6 in ESC differentiation in vivo, we injected S6KO and WT ESCs subcutaneously into immunodeficient mice and followed teratoma formation. Teratomas derived from S6KO were significantly smaller compared to their WT counterparts (Figure 7A). The neuroectoderm marker β-III Tubulin as well as Oct4 were expressed at elevated levels in S6KO-derived teratomas (Figure 7B). Remarkably, knocking down either Tet1 or Tet2 rescued the smaller size of teratomas derived from S6KO ESCs (Figures 7C). Additionally, the upregulation of Oct4, β-III Tubulin and Gfap expression was also rescued upon either Tet1 or Tet2 knockdown (Figures 7D, 7E). To explore this phenotype further, we integrated a GFP-encoding gene within the Rosa locus in both WT and S6KO iPSCs. These cells were then injected into mouse blastocysts and chimerism was determined in mid-gestation (E12.5) embryos by immunohistochemistry using an anti-GFP antibody. As expected, WT GFP-iPSCs gave raise to most if not all tissues of the GFP chimeras (Figure 8A, Table 8B). However, mice originated from blastocysts injected with S6KO iPSCs exhibited a weak GFP staining and in some cases almost exclusively in tissues of the central nervous system, such as diencephalon and partial regions of the neural cord (marked by yellow arrows) (Figure 8A, Table 8B).
Depletion of Sirt6 in hESCs Leads to a Differentiation Defect Similarly to Mouse S6KO ESCs
To assess whether this Sirt6-dependent developmental mechanism is evolutionarily conserved, we explored the differentiation capacity of human ESCs (hESCs) upon shRNA-mediated depletion of Sirt6, and found that Sirt6-depleted human EBs (hEBs) were significantly smaller compared to their controls (Figure 8C). Furthermore, the expression of Tet1, Tet2 and Oct4 was elevated in Sirt6-depleted hESCs (Figure 8D). Paralleling the role of Sirt6 in mouse ESC, we found from genome-wide analysis by Ram and colleagues (Ram et al., 2011) that human Sirt6 is recruited at human Oct4 and Sox2 genes (Figure S4B), supporting an evolutionarily conserved role for Sirt6 in regulating the core pluripotent genes. Consistently, we found minimal or no binding of SIRT6 to the Tet genes (Figure S4C), again suggesting that SIRT6 modulates Tet-dependent 5hmC indirectly. Additionally, the neuroectoderm marker Nestin was upregulated in Sirt6-deficient hESCs (Figure 8D), supporting the predisposition towards the neural cell lineage in the absence of Sirt6. Hence, we propose a model whereby Sirt6 controls ESC differentiation by repressing the expression of Oct4 and Sox2, consequently diminishing the Oct4:Sox2-activated expression of Tet enzymes, and thereby limiting the levels of 5hmC at specific genomic regions to allow balanced transcription of developmentally regulated genes (Figure 8E).
DISCUSSION
A critical step during ESC differentiation involves the silencing of the pluripotent gene network to allow expression of cell lineage specific genes. The core pluripotent genes Oct4 and Nanog undergo transcriptional silencing through DNA methylation at their regulatory regions, which is maintained in differentiated somatic cells (Epsztejn-Litman et al., 2008; Li et al., 2007). Our work demonstrates an additional mechanism to repress expression of the core pluripotent genes during ESC differentiation, which involves the histone deacetylase Sirt6. Previous studies showed that Sirt6 is a critical modulator of glycolytic metabolism, DNA repair and cancer (Mostoslavsky et al., 2006; Zhong et al., 2010; Sebastian et al., 2012; Toiber et al., 2013). Our work determines a novel function for Sirt6 as a key regulator of ESC differentiation, by repressing the expression of Oct4, Sox2 and Nanog. Importantly, derepression of these core pluripotent genes in S6KO during ESC differentiation suggests that lack of Sirt6 could potentially increase efficiency of reprogramming. Indeed, we found a ~10-fold increase in iPSC formation during reprogramming of mouse neural progenitor cells (NPCs) derived from S6KO mice compared to WT controls (Figure S5F–H).
Somatic cells switch from an oxidative metabolic state to a glycolytic state during reprogramming to iPSCs (Folmes et al., 2011; Panopoulos et al., 2012; Prigione and Adjaye, 2012; Varum et al., 2011; Zhou et al., 2012). Furthermore glycolysis is critical for the maintenance of pluripotency (Zhang et al., 2012). Both MEFs and ESCs lacking Sirt6 exhibit a higher rate of glycolysis compared to WT (Zhong et al., 2009). However, the differentiation phenotype of S6KO EBs was not rescued upon glycolysis inhibition, by knocking down Pdk1 (Figure S5A). These data suggest a predominant role for Sirt6 in regulating expression of pluripotent genes and 5hmC levels, independent of its function in metabolism, during ESC differentiation. Importantly, ectopic expression of human Sirt6 rescues the differentiation phenotype of S6KO EBs, thereby establishing specificity for the role of Sirt6 on the S6KO differentiation phenotype as well as its conserved role between mouse and human (Figure S6A–C).
The biological significance of Tet-mediated 5mC oxidations in epigenetic regulation remains poorly understood, especially with regard to its relevance during ESC differentiation, whereby pluripotent cells commit to specific cell lineages. In addition to be a DNA demethylation intermediate, 5hmC is recognized by chromatin regulatory proteins and therefore postulated to function as an epigenetic mark (Spruijt et al., 2013). However, specific target genes, whose expression is associated to 5hmC as an epigenetic determinant of cell lineage specification during ESC differentiation, are unknown. We identified genes associated to the neural lineage whose expression is directly correlated with an enrichment of 5hmC at promoters and exons in S6KO ESCs (Figures 5A–C). Furthermore, the enrichment of 5hmC in these genes occurs near H3K4me2 mark, an epigenetic signature involved in transcription activation (Figures 5D and 6B). The upregulated expression of Tet enzymes in S6KO ESCs suggests a potential increase in further oxidized forms of 5mC. Indeed, we detected elevated levels of 5caC in S6KO versus WT ESCs by slot blot analysis, which are rescued upon Tet1 or Tet2 knockdown (Figures S5B–E). Therefore, S6KO ESCs represents a relevant biological system to further analyze the importance of Tet-mediated DNA oxidation during cell fate choices.
Recent studies have shown that Tet1/Tet2 double knockout ESCs are depleted of 5hmC, which correlates with developmental defects in teratomas and chimeric embryos (Dawlaty et al., 2013). Tet1/Tet2-deficient mice were obtained at lower frequency indicating a phenotype of partial lethality and thereby supporting the critical role of Tet enzymes in embryonic development (Dawlaty et al., 2013). In this context, Sirt6 deficiency in specific genetic backgrounds also causes partial embryonic lethality (data not shown), further supporting that imbalanced levels of Tet proteins impair embryonic development.
Changes in overall chromatin architecture are required during the transition from pluripotency to differentiated states. However, the interplay between chromatin regulators and epigenetic determinants associated with the establishment of transcriptional programs during cell fate choices remain poorly understood. Our work identify the chromatin enzyme Sirt6 as a key regulator of ESC differentiation, acting through sequential regulation of the core pluripotent genes and Tet-mediated production of 5hmC to control expression of genes involved in neural cell fate. Thus, in the absence of Sirt6, neural-related genes are marked with elevated levels of 5hmC, suggesting that this modification might function as either an epigenetic determinant or a facilitator of local DNA demethylation that channels ESC commitment to the neural cell lineage. Interestingly, Tet2-dependent hydroxylation of 5mC was also found to be required for the transcriptional activation of the Hoxa cluster, which is critical for cell lineage specification in NT2 cells, an embryonic carcinoma cell line that can be differentiated with retinoic acid (RA) into neural cells (Bocker et al., 2012). Together, our data argue that the differentiation defect we observe in S6KO EBs is linked to Tet function, resulting in a predisposition towards a neuroectoderm developmental pathway.
Collectively, our studies unravel a molecular mechanism implicating Sirt6 as a critical regulator of ESC differentiation that involves the core pluripotent genes and Tet-dependent production of 5hmC. Future studies will determine, at a gene-by-gene level, whether 5hmC and its further oxidized forms 5fC and 5caC participates in gene expression and ESC differentiation as molecular intermediates in the process of DNA demethylation, as epigenetic marks that recruits chromatin and transcriptional regulators to gene regulatory regions, or whether both mechanisms apply.
Supplementary Material
Acknowledgments
This work was supported in part by NIH grants GM093072-01, DK088190-01A1 (R.M.), HD065812 and CA151535 (to A.R). R.M. is the Kristine and Bob Higgins MGH Research Scholar, the Warshaw Institute Fellow, and a Howard Goodman Awardee. L.C. is the recipient of a Feodor Lynen Research Fellowship from the Alexander von Humboldt Foundation. Y.H. is supported by a postdoctoral fellowship from the Leukemia and Lymphoma Society. C.A.S. is the recipient of the Evans Center Fellow Award.
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