Abstract
The melanocortin receptors 3 and 4 control energy homeostasis, food-intake behavior, and correlated pathophysiological conditions. The melanocortin-4 receptor (MC4R) has been broadly investigated. In contrast, the knowledge related to physiological roles of the melanocortin-3 receptor (MC3R) is lacking because of the limited number of known MC3R selective ligands. Here, we report the design, synthesis, biological activity, conformational analysis, and docking with receptors of two potent and selective agonists at the human MC3 receptor.
Graphical Abstract
INTRODUCTION
The family of melanocortin receptors (MCRs) together with their endogenous ligands is engaged in the modulation of numerous pathophysiological pathways including feeding behavior and energy homeostasis, skin pigmentation, sexual function, as well as several other critical biological activities.1 The endogenous melanocortin agonists, also known as the melanocortin peptides, consist of α-, β-, and γ-melanocyte-stimulating hormones (MSH) and adrenocorticotropic hormone (ACTH).2 In humans, five different receptor subtypes, referred to as human melanocortin receptors 1–5 (hMC1–5R), have been discovered, to date. All of them belong to the rhodopsin family of seven-transmembrane-helix G protein-coupled receptors (GPCRs) and convey their effects in the cytosol by activating cAMP-dependent pathways, generating a cascade of specific intracellular events.3 All melanocortin peptides are agonists toward hMCRs, except for the hMC2R, which is exclusively recognized by ACTH that acts as a full agonist as well.4 In contrast, the endogenous hMCRs antagonists comprise the agouti signaling protein (hASIP, also known as the “agouti protein”), which mainly binds to the hMC1R and hMC4R but displaying lower affinity toward the hMC3R, and the agouti-related protein (hAGRP) that acts as selective ligand at the hMC3,4R subtypes.5 Intense efforts are addressed to the development of selective molecules active at the melanocortin receptors. In particular, shedding light on the role of melanocortin receptor subtypes expressed in the brain, i.e., hMC3R, hMC4R, and hMC5R, is intriguing considering the discovery that MC3R and MC4R are engaged in the control of food-intake behavior.5,6 Extensive structure–activity relationship studies (SARs) on melanocortins, particularly upon α-MSH, have turned out to be useful for the development of small cyclic peptides such as MT-II, Ac-Nle4-c[Asp5-His6-DPhe7-Arg8-Trp9-Lys10]-NH2,7 a potent but not selective agonist at the hMC1,3,4,5R, and SHU-9119, Ac-Nle4-c[Asp5-His6-D(2′)Nal7-Arg8-Trp9-Lys10]-NH2, a nonselective antagonist with high affinity at the hMC3,4R and an agonist at the hMC1,5R.8 Further structure–activity studies have revealed that exchanging the His residue in position 6 in both sequences of MT-II9 and SHU-911910 with Pro residue is well tolerated, generating cyclic peptides with similar/improved activity profiles compared to the corresponding parent peptide.
Herein, we report the synthesis, the biological activity at hMC1 and hMC3–5R, and the conformational analysis of a few analogues in which a Xaa6-Pro7 dipeptide replaced the His6 residue of MT-II or SHU9119 (Table 1), some of which resulted in potent and selective agonists at the human MC3 receptor.
Table 1.
hMC1R | hMC3R | hMC4R | hMC5R | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
peptide (code) |
structure | IC50 (nM)a |
EC50 (nM)a |
Act%c | IC50 (nM)a |
EC50 (nM)b |
Act%c | IC50 (nM)a |
EC50 (nM)b |
Act%c | IC50 (nM)a |
EC50 (nM)b |
Act%c |
1 (PG-989) | Ac-Nle-c[D-P-P-DPhe-R-W-K]-NH2 | >5000 | 860 ± 100 | 100 ± 7 | 590 ± 12 | NAd | 1300 ± 11 | NAd | NBe | NAd | |||
2 (PG-990) | Ac-Nle-c[D-P-P-DNal(2′)-R-W-K]-NH2 | >5000 | 940 ± 100 | 100 ± 7 | 2.4 ± 0.1 | 1.9 ± 0.1 | 100 ± 7 | 190 ± 13 | >1000 | 300 ± 15 | 10.1 ± 0.1 | 100 ± 9 | |
3 (PG-991) | Ac-Nle-c[D-W-P-DPhe-R-W-K]-NH2 | >5000 | 26 ± 3 | 100 ± 8 | 580 ± 18 | >1000 | 0 | >1000 | 220 ± 11 | 84 ± 9 | >1000 | 73 ±9 | 89± 11 |
4 (PG-992) | Ac-Nle-c[D-W-P-DNal(2′)-R-W-K]-NH2 | NBe | >1000 | 100 ± 11 | 11.1 ± 0.1 | 42 ± 12 | 94 ± 8 | 950 ± 22 | >1000 | 580 ± 10 | 20 ± 4 | 100 ± 13 | |
MT-II | Ac-Nle-c[D-H-DPhe-R-W-K]-NH2 | 1.2 ± 0.2 | 1.8 ± 0.2 | 100 ± 8 | 1.2 ± 0.2 | 1.8 ± 0.2 | 100 ± 8 | 1.1 ± 0.3 | 2.9 ± 0.5 | 100 ± 12 | 7.5 ± 0.2 | 3.3 ± 0.7 | 100 ± 17 |
IC50 = concentration of peptide at 50% specific binding (N = 4).
EC50 = effective concentration of peptide that was able to generate 50% maximal intracellular cAMP accumulation (N = 4).
Act% max is ratio of the highest cAMP level triggered by peptides over the highest cAMP level triggered by MT-II. The peptides were tested at a range of concentrations from 10−10 to 10−5 M.
NA: 0% cAMP accumulation at 10−5 M.
NB: no binding at 10−5 M.
RESULTS AND DISCUSSION
Design of Novel Ligands
Starting from Pro6 analogue of both MT-II and SHU9119, novel derivatives were designed by the insertion of an additional residue before Pro6; in fact, the increase of ring size from 23- to 26-mer did not significantly affect the ligand binding at human melanocortin receptors in His6 as well as in Pro6 derivatives.11,12 It is well-known that l-proline residue in proteins and peptides has remarkable effects on their secondary structures. The presence of prolines induces unique properties to proteins due to their conformational restriction, lack of a hydrogen bond donor on the amide, and their propensity to form a cis amide bond, due mainly to the differential sterics of a secondary vs tertiary amide bond. In this context, residues preceding proline in Xaa-Pro influence the percentage of the cis Xaa-Pro bonds in peptides and proteins.13 In particular, Pro and Trp residues in the Xaa position gave the lowest (6%) and highest (37.7%) fraction of cis isomer, respectively. Hence we chose those two amino acids obtaining the analogues 1–4 (Table 1).
Peptide Synthesis
Peptides 1–4 were manually synthesized by adopting a solid-phase strategy and a Fmoc/tBu chemistry for orthogonal protection of functional groups. The physicochemical properties and purity of these peptides are reported in Table S1 and Figures S1–S4 (Supporting Information (SI)).
Biological Data
Table 1 summarizes the binding affinities of the novel analogues along with intracellular cAMP accumulation in cloned human MC1R, MC3R, MC4R, and MC5R. For comparison, MT-II data are also reported. The Pro6-Pro7-DPhe8 analogue (1) shows no appreciable binding at the hMC1R and hMC5R and low binding affinity at the hMC3R and hMC4R. Accordingly, low potency (hMC1R) or undetectable activity (hMC3–5Rs) is observed in functional assays. In contrast, the Pro6-Pro7-DNal(2′)8 analogue (2) shows strong binding affinity and selectivity for the hMC3R (Ki = 2.4 nM) vs the hMC1R and hMC4R–hMC5Rs by 2–3 orders of magnitude. It also displays potent activity at the hMC3R (EC50 = 1.9 nM) behaving as a full agonist and is about 10-fold more selective at this receptor compared with the hMC5R, whereas it does not increase cAMP through the hMC4R. The Trp6-Pro7-DPhe8 analogue (3) shows weak binding at the hMC3R and no affinity for the hMC1R, hMC4R–hMC5Rs (Table 1). It also exhibits no stimulation of cAMP accumulation at the hMC3R and weak and moderate activation of the hMC1R, hMC4R–hMC5Rs. To note, the Trp6-Pro7-DNal(2′)8 analogue (4) shows strong binding affinity and selectivity for the hMC3R (Ki = 11.0 nM) vs the hMC1R, hMC4R–hMC5Rs by at least 2 orders of magnitude. It also shows moderate activity at the hMC3R (EC50 = 42 nM) with a partial agonist behavior and is about 500-fold more selective at this receptor compared with the hMC4R while it also stimulates cAMP accumulation at hMC5R (EC50 = 20 nM). Hence, peptides 2 and 4 are potent and selective (at least considering hMC4R) agonists at the hMC3R. It is well-known that MC3R and MC4R agonist ligands reduce food intake.14 By the way, the use of selective agonists toward the hMC4R promotes hypertension because of a MC4R-mediated process that has not been completely figured out yet.15 Therefore, acting selectively at the hMC3R may be a more interesting target suitable for energy homeostasis therapies. Although the compounds 2 and 4 show an agonist activity at hMC5R, the low profile in binding affinity at this receptor limits their capability to be used as useful ligands at this receptor. The development of peptides 2 and 4 can thus prove to be very useful in the perspective of existence of very few selective and “clean” MC3R ligands that can be used to fully elucidate the receptor function.
NMR Analysis
NMR spectra of active compounds 2 and 4 were collected in a 200 mM aqueous solution of DPC. For comparison purpose also inactive peptide 1 was studied by NMR. DPC micelle solutions were employed because they mimic membrane environments and are diffusely used for structural studies of peptide neurotransmitters and hormones.16 As a consequence of the conformational restrictions imposed by the cis/trans interconversion of the Pro amide bond, peptides 1–2 showed two slowly interchangeable conformational states (indicated as I and II) with populations of about 50 and 40% for state I in peptides 1 and 2, respectively. For both states, an almost complete assignment could be achieved for all proton resonances according to the Wüthrich17 strategy via the usual systematic application of DQF-COSY,18 TOCSY,19 and NOESY20 experiments with the support of the XEASY software package (Supporting Information, Tables S2–S5, SI). Sequential NOE connectivities of the α-protons of Asp5 and Pro6 with the δ-protons of Pro6 and Pro7, respectively, provide evidence that in state I both Xaa-Pro amide bonds have the trans configuration (I: trans–trans). Conversely, NOE connectivity between α-proton of residues Asp5 and the δ-protons of Pro6 and between α-protons of residues Pro6 and Pro7, indicates the trans–cis configurations of the consecutive Asp5-Pro6 and Pro6-Pro7 amide bonds in state II (II: trans–cis). Considering peptide 4, only one state could be observed which could be determined as the trans–cis state (SI, Table S6). Thus, according to the design strategy, a Trp residue preceding the Pro7 residue stabilized a cis amide bond. A single configuration state of 4 is observed also in water solution (data not shown) and supports the idea that the trans–cis state is the one interacting with the receptor. Chemical shift values of protons belonging to state I of peptides 1–2 (SI, Tables S2 and S4) proved to be very similar to those observed in random coil peptides (Δδ < 0.1 ppm),21 while proton resonances of state II of peptides 1–2 and of the unique signal system of peptide 4 (SI, Tables S3, S5, and S6) were significantly different (|Δδ| > 0.1 ppm for all the Hα-resonances), indicating a marked conformational stability of this state. The NOESY spectra of peptides 1, 2, and 4 are shown in SI, Figures S5–S7, respectively. Considering the state I of peptides 1–2, only intra-residue or sequential NOEs could be unambiguously assigned indicating random conformations associated with this isomer as indicated also by the chemical shift analysis. In contrast, several NMR parameters indicate that the cis Xaa6-Pro7 state of all the peptides is highly structured. In fact, 3JHN-Hα coupling constants (SI, Tables S3, S5 and S6), Hα CSI values21 (SI, Figure S8), and some NOE signals (SI, Table S7) point to a β-hairpin structure centered on the Xaa6-Pro7 β-turn. Diagnostic medium range NOE interactions dαN(i, i + 2) 6–8 observed in the NOESY spectra are typical of a β-turn structure.
This result was enforced by the registration of low value of the temperature coefficient for NH resonance of residue 8 (−Δδ/ΔT < 3.0 ppb/K). Large values of 3JHN-Hα coupling constants (3JHN-Hα > 8 Hz) of residues 5 and 8–9 and downfield shift of α-proton resonances of residues 4–5 and 8–10 flanking the β-turn together with long-range NOE’s between Hα of Nle4 and Hα of Trp10, Hα of Nle4, and HN of Lys11 point to a short antiparallel β-sheet structure along those residues. Different NOEs connected the Nle4 side chain with both DPhe8/DNal(2′)8 and Trp10 aromatic moieties pointing to spatial closeness of these side chains. NMR-derived constraints registered for the analyzed peptides (SI, Table S7) were used as the input data for a simulated annealing structure calculation. Only state II was considered for structure calculation of peptides 1 and 2. For each peptide, 10 calculated structures satisfying the NMR-derived constraints (violations smaller than 0.20 Å) were chosen (Figure 1a–c). All peptides show a distorted type VIa1 β-turn structure flanked by a short β-sheet encompassing residue 4–5 and 9–10 (backbone rmsd values are 0.41, 0.34, and 0.35 Å, for peptides 1, 2, and 4, respectively). Considering the side chains orientation, DNal(2′)8 showed a large preference for g+ rotamer of χ1 angle, thus closely interacting with Pro6 in peptide 2 (Figure 1b) or Trp6 in peptide 4 (Figure 1c). Moreover, the indole moiety of Trp6 of peptide 4 strongly interacts with the Pro7 side chain. These interactions give rise to the observed stability of Xaa-Pro7 cis amide bond. A consequence of such close proximity is the ring current effect on α-proton of residue 6 (Δδ Hα = −0.61, and −0.71 ppm for 2, and 4, respectively, compared to random coil peptides).21 Furthermore, in peptide 4, a dramatic upfield shift is observed for α- and β-protons of Pro7, shielded by Trp6 indole moiety (Δδ ~ −2 ppm), and for some protons of Trp6 indole itself (Δδ Hε3 = −1.39 ppm, Hζ3 = −0.67 ppm), shielded by DNal(2′)8 naphthyl moiety. In contrast, the DPhe8 side chain orientation of peptide 1 is less defined. In most cases (9/10), χ1 angle has a trans orientation placing the DPhe8 phenyl far from Pro6 (Figure 1a).
The peptides surface is amphipathic. As shown in Figure 1, considering the pseudoplane determined by the backbone atoms, the hydrophobic residues Nle4, Pro6/Trp6, DPhe8/DNal(2′)8, and Trp10 lie on one side (right) and the positively charged residue Arg9 lies on the other side. Such an amphipathic arrangement was already observed for the NMR structure of parent peptides MT-II and SHU-9119.16 For each peptide, ensembles of 10 NMR structures were submitted to the PDB (PDB ID: 2N7N, 1; 2N7O, 2; 2N7T, 4).
hMC3R and hMC4R Models and Docking
Three-dimensional models of hMC3R and hMC4R were generated based on the structure of other GPCR’s, using the I-TASSER server.22 Five models of both receptors were generated. I-TASSER output also contained top ranks of templates used for the structure prediction. The top template used is the high-resolution crystal structure of a human A2A adenosine receptor (PDB ID: 3EML).23 Statistical analyses on the obtained models are reported in SI, Table S8. Interestingly, the selected models maintain the molecular signatures which feature class A GPCRs,24 in fact, in both models are preserved 24 out of the 24 inter-TM contacts of the consensus network found in the GPCR structures. Peptide 2 NMR lowest energy structure was docked with both hMC3R and hMC4R models. Docking procedures using the program AUTODOCK25 clustered 100 poses in three clusters (80/100 poses in the first cluster) for the complexes 2/hMC3R and 100 poses in 11 clusters for 2/hMC4R (12/100 poses in the first cluster). Statistics and energy terms are reported in SI, Table S9.
Clearly, the high number of clusters and their high energy (SI, Table S9) indicate that docking did not provide a suitable 2/hMC4R complex in accordance with the binding data. In contrast, a high populated low energy cluster was obtained for 2/hMC3R complex, and the best scored pose is shown in Figure 2. The predicted binding site is placed among TM3/TM7, EL1, and EL3 (Figure 2a). Main interactions between the peptide and hMC3R are shown in Figure 2b. As shown, most of the peptide interactions are established with side chains of residues belonging to EL1 and EL3, whose sequences are less conserved between hMC3R and hMC4R compared to the TM’s regions, again in accordance with the observed selectivity. Moreover, many interactions are observed between the naphthyl group of DNal(2′)8 and the receptor. Hence, its replacement with a smaller phenyl group in peptide 1 as well as the different orientation of the same phenyl compared to the naphthyl can tentatively explain the observed inactivity of the DPhe8 containing peptide 1 (and 3).
CONCLUSION
In conclusion, we have successfully developed two novel selective hMC3R agonists. These compounds will represent suitable pharmacological tools for elucidating the receptor functions and can be considered as lead compounds for the design of novel hMC3R ligands.
EXPERIMENTAL SECTION
Materials
Nα-Fmoc-protected amino acids, HBTU, and HOBt were purchased from Inbios (Naples, Italy). Rink amide resin was purchased from GL Biochem (Shanghai, China).
99.9% 2H2O were obtained from Aldrich (Milwaukee, USA), 98% DPC-d38 was obtained from Cambridge Isotope Laboratories, Inc. (Andover, USA), and [(2,2,3,3-tetradeuterio-3-(trimethylsilanyl)]-propionic acid (TSP) was obtained from MSD Isotopes (Montreal, Canada).
Synthesis
Synthesis of peptides 1–4 was performed by standard solid-phase peptide synthesis (SPPS) by using a Fmoc/tBu orthogonal strategy on a Rink amide resin as solid support.26 Further couplings were carried out with standard in situ activating reagents, such as uronium salts (HBTU), in the presence of a tertiary base (DIPEA), to generate HOBt esters. Lactam cyclization was performed on the resin after removal of the allyl-derived protecting groups employing the procedure described by Thieriet et al.27,28 All compounds were purified by RP-HPLC and verified by analytical UHPLC (SI). The physicochemical properties and purity (>95%) of these peptides were assessed by LC-MS and HRMS (SI, Table S1, Figures S1–S4).
Binding Assays
Competition binding experiments were performed on whole cells. Stably transfected HEK293 cell lines having the individual hMCRs29,30 were seeded on 96-well plate 48 h before the assay and grown to 100000 cells/well. For the assay, the medium was removed and cells were washed twice with a freshly prepared binding buffer containing 100% minimum essential medium with Earle’s salt (MEM, GIBCO), 25 mM HEPES (pH 7.4), 0.2% bovine serum albumin, 1 mM 1,10-phenanthrolone, 0.5 mg/L leupeptin, and 200 mg/L bacitracin. Cells were then incubated with different concentrations of unlabeled peptides and 125I-labeled [Nle4,DPhe7]-α-MSH (PerkinElmer Life Science, 100000 cpm/well, 0.1386 nM) for 40 min at 37 °C. The medium was subsequently removed, and each well was washed twice with the binding buffer. The cells were lysed by the addition of 250 µL of 0.1 mM NaOH and 250 µL of 1% Triton X-100. The lysed cells were transferred to the 12 mm × 75 mm glass tubes, and the radioactivity was measured using a Wallac 1470 WIZARD γ counter. Data were analyzed using Graphpad Prism 3.1 (Graphpad Software, San Diego, CA).
Adenylate Cyclase Assays
HEK 293 cells stably transfected with individual human melanocortin receptors29,30 were grown to confluence in MEM medium (GIBCO) containing 10% fetal bovine serum, 100 units/mL penicillin and streptomycin, and 1 mM sodium pyruvate. The cells were seeded on 96-well plates 48 h before assay and grown to 100000 cells/well. For the assay, the medium was removed and cells were rinsed with 1 mL of MEM buffer (GIBCO) or with Earle’s Balanced Salt Solution (EBSS, GIBCO). An aliquot (0.4 mL) of the Earle’s Balanced Salt Solution was placed in each well along with isobutylmethylxanthine (IBMX, 5 µL, 0.5 mM) for 1 min at 37 °C. Next, various concentrations of melanotropins (0.1 mL) were added and the cells were incubated for 3 min at 37 °C. The reaction was stopped by aspirating the buffer and adding ice-cold Tris/EDTA buffer to each well (0.15 mL). After the cells were dislodged with the help of trypsin, the cells were transferred to polypropylene micro-centrifuge tubes, capped, and placed in a boiling water bath for 15 min. The cell lysate was then centrifuged for 2 min (6500 rpm), and 50 µL of the supernatant was aliquoted into a clean Eppendorf tube. The total cAMP content was measured by competitive binding assay according to the assay kit instructions (TRK 432, Amersham Corp., Arlington Heights, IL
Data Analysis
IC50 and EC50 values represent the mean of duplicate experiments performed in triplicate. IC50 and EC50 estimates and their associated standard errors were determined by fitting the data using a nonlinear least-squares analysis, with the help of Graphpad Prism 3.1 (Graphpad Software, San Diego, CA).
NMR Spectroscopy
The samples for NMR spectroscopy were prepared by dissolving the appropriate amount of peptides in 0.27 mL of 1H2O (pH 5.5) AND 0.03 mL of 2H2O to obtain a concentration 1–2 mM of peptide. For the sample in micelle solution, DPC-d38 was also added to a concentration of 200 mM. NMR spectra were recorded on a Varian INOVA 700 MHz spectrometer equipped with a z-gradient 5 mm triple-resonance probe head. 1D and 2D NMR spectra were recorded and processed as described in the SI.
Structural Determinations
The NOE-based distance restraints, obtained in DPC solution, were obtained from NOESY spectra collected with a mixing time of 100 ms. The NOE cross peaks were integrated with the XEASY program and were converted into upper distance bounds using the CALIBA program incorporated into the program package DYANA.31 Only NOE derived constraints (SI, Table S7) were considered in the annealing procedures. An ensemble of 100 structures was generated with the simulated annealing calculations followed by successive steps of restrained and unrestrained energy minimization using the Discover algorithm (Accelrys, San Diego, CA) as previously described.16 From the produced 100 conformation, 10 structures were chosen whose interproton distances best fitted NOE derived distances.
Receptor Models and Docking
Three-dimensional structure predictions of hMC3R and hMC4R were generated by I-TASSER server for protein structure and function prediction, which is based on a threading alignment algorithm.22 The best scored model for each receptor was used for docking studies (SI, Table S8). The initial poses for the hMCR–peptide 2 complex are generated by docking the lowest energy conformers of peptide 2 obtained by NMR to the hMC3R or hMC4R model using the program AUTODOCK 4.0.25 Only the side chain of Arg9 of peptide 2 was considered flexible in the docking procedure. Statistics are reported in SI, Table S9. Refinement of lowest energy pose of hMC3R–2 complex was achieved by in vacuo energy minimization with the Discover algorithm using the steepest descent and conjugate gradient methods until a RMSD of 0.05 kcal/mol per Å was reached. The backbone atoms of the TM and IL domains of the hMC3R were held in their position; the ligand and EL’s were free to relax.
Supplementary Material
Acknowledgments
This work was supported in part by a grant from the US Public Health Service, NIH IRO12M108040 and Italian grant, MIUR, PRIN2011, 2010MCLBCZ_002.
ABBREVIATIONS USED
- hMCR
human melanocortin receptor
- cAMP
cyclic adenosine monophosphate
- GPCR
G-protein-coupled receptor
- MSH
melanocyte stimulating hormones
- ACTH
adrenocorticotropic hormone
- POMC
proopiomelanocortin
- AGRP
agouti-related protein
- ASIP
agouti signaling protein
- DPC
dodecyl phosphocholine
- NMR
nuclear magnetic resonance
- DQF-COSY
double quantum filtered correlated spectroscopy
- TOCSY
total correlated spectroscopy
- NOESY
nuclear Overhauser enhancement spectroscopy
- NOE
nuclear Overhauser effect
- TSP
3-(trimethylsilanyl)propionic acid
- IL
intracellular loop
- EL
extracellular loop
- TM
trans-membrane domain
- Nal(2′)
(2′)-naphthylalanine
- Fmoc
9-fluorenylmethoxycarbonyl
- HBTU
N,N,N′,N′-tetramethyl-O-(1H-benzotriazol-1-yl)uroniumhexa-fluorophosphate
- HOBt
1-hydroxybenzotriazole
- DIPEA
N,N-diisopropylethylamine
- All
allyl
- Aloc
allyloxycarbonyl
- MALDI-TOF
matrix-assisted laser desorption ionization/time-of-flight mass spectrometry
- RP-HPLC
reversed-phase high performance liquid chromatography
- SPPS
solid-phase peptide synthesis
Footnotes
ASSOCIATED CONTENT
Supporting Information
The authors declare no competing financial interest.
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