Abstract
Rationale
Diacylglycerides (DAGs) and triacylglycerides (TAGs) are two important lipid classes present in all mammalian cells that share similar chemical structures but differ in biological function in cells and tissues. Differentiation of these two species during time of flight secondary ion mass spectrometry (ToF-SIMS) analysis is therefore important but has been difficult due to the formation of DAG-like ions during the ionization process of TAGs.
Methods
We investigated the use of salt adduct formation as a quick and simple method to determine the origin of the DAG-like ions in ToF-SIMS spectra. Sodium chloride was added to lipid standards of a DAG and a TAG and differences in fragmentation pattern were identified. Salt was then applied to prepared tissue samples by spraying with a saturated solution of NaCl in methanol and samples were analyzed with ToF-SIMS using a 40 keV (CO2)6k+ primary ion beam.
Results
A 40 Da. peak shift was observed in the DAG spectrum that was not observed in the TAG spectrum ([M+H-H2O]+ to [M+Na]+) while the isobaric [M-RCOO]+ peak did not shift allowing differentiation between the two species. Spraying NaCl on to tissue sections indicated that the DAG-like ions originated from TAGs.
Conclusions
With the method described in this paper, simple addition of salt by spraying on the sample leads to better interpretation of complex mass spectra from biological tissues samples, discriminating DAG and TAG fragment peaks.
Keywords: ToF-SIMS, salt addition, diacylglyceride, triacylglyceride, imaging, mass spectrometry
1. Introduction
Time-of-flight secondary ion mass spectrometry (ToF-SIMS) is a useful method for studying lipids due to the ionization and sputtering properties of lipid molecules. The use of energetic primary ions to eject secondary ions from the sample surface meant that for a long time SIMS fell into the hard ionization category but advances in ion beam technology have led to the introduction of polyatomic (e.g. C60+) and now gas cluster (e.g. Ar4000+) ion beams that produce spectra that while still containing many fragment species also include much more signal from intact pseudo-molecular ions, (normally [M±H]± and adduct species [M+Na/K]+ etc.) 1. Advances in the mass analyzer technology featured with SIMS instruments, either new types of ToF configuration2, or hybrid instruments incorporating analyzers normally associated with other types of MS3, 4, have improved mass accuracy to several ppm or better – compared with around 150 ppm for large molecular peaks on conventional SIMS instruments5. MS/MS capabilities are now also available on several types of SIMS instruments with numerous studies appearing in the literature6–9. However, due to the high cost of replacing or upgrading SIMS instruments the majority of the community is reliant on conventional systems where the complexity of biological samples combined with the complexity of imaging spectra makes peak identification difficult. In order to meet the demands associated with biological/clinical analysis, it is important that complex mass spectrometric data are accurately interpreted. Hence, new tools and methods that can be used for help with peak assignments, especially for biological samples, are needed.
Diacylglycerides (DAGs) and triacylglycerides (TAGs) are two major lipid classes that are present in all mammalian cells and most biological tissues where they serve as important components. They share similar structures but have different functions within the cell. DAGs are involved in a variety of metabolic pathways10. They are used as building blocks for glycerophospholipids and as components of cellular membranes11. Another important function for DAGs is as signaling molecules when they act as lipid secondary messengers12, 13. DAGs can be derived through either hydrolysis of phospholipids via specific enzymes that cleave the intact lipids or from de novo synthesis10. The accumulation of DAGs has been shown to be associated with diabetes14, carcinoma15, and coronary heart disease16. In contrast, the main function of TAGs is to serve as energy storage17, 18. TAGs are stored in lipid droplets within the cell and are used by the cell as energy or as a source of DAGs19. Since TAGs and DAGs exhibit different functions within a cell, it is important to be able to distinguish these two from each other during lipidomic analysis of different samples to obtain useful biological information that connects to the physiological differences between different samples.
A problem when analyzing DAG and TAG species with ToF-SIMS, is that it is difficult to distinguish between these species due to the formation of DAG-like ions via the fragmentation of TAG species during the ionization process. The DAG-like ions originating from a TAG species are isobaric with native DAG species, making the distinction between these species impossible without MS/MS20. Although there is evidence that the amount of DAGs are lower in many tissues compared to TAGs21–23, many ToF-SIMS studies identify these DAG-like ions as DAG species although it is more likely that the peaks arise from fragmentation of TAG species. Similar problems have been detected in other mass spectrometric methods such as matrix assisted laser desorption/ionization (MALDI), where the formation of pseudo-DAG fragments can also be observed24, 25. Studies using MALDI have led to speculation that DAG-like ions come from post source reformation of unstable protonated TAGs26. In another study, Gidden et al. used the addition of a base to the matrix to stop the formation of the protonated TAG and, therefore, the formation of the DAG-like ions27. In SIMS, the ion generation process is different from that in MALDI so to prevent the formation of the DAG-like ions a different approach is needed. Cations such as sodium are thought to interact with the oxygen on the carboxylic groups on the fatty acid chains altering the electron density, hence influencing fragmentation28.
In this paper, the use of salt addition to the sample to form distinctive fragmentation patterns for the DAG and TAG species by formation of salt adduct ions (e.g. [M+Na]+) is investigated. This allows determination of the species class from which the peak originates. The proposed method uses a simple setup for application of salt and interpretation of spectra is performed without the need for MS/MS capabilities on the SIMS instrument. Salt was first added to lipid standards of a DAG and a TAG and the fragmentation patterns evaluated. The salt was then applied to more complex biological tissues and the general applicability of the method determined with additional advantages or drawbacks assessed.
2. Experimental
2.1 Preparation of lipid standards
Lipid standards (Sigma-Aldrich, Sweden) were dissolved separately in chloroform to create lipid solutions. The lipid standards used were 1,2-dioleoyl-rac-glycerol (DAG) and 1,3-dioleoyl-2-palmitoyl-glycerol (TAG). For control samples, without salt addition, the lipid standard solution (1 mg/ml) was pipetted onto clean silicon wafers (30 minutes sonication in ethanol and then chloroform) and dried at room temperature in a fume hood. To ensure that the sample contained no salt, the sample was washed in deionized H2O and air dried before analysis. For the samples containing salt, salt solution was prepared by adding NaCl salt in deionized H2O to create a saturated salt solution. The salt solution was mixed with the lipid solutions (1:1 volume ratio) and pipetted onto clean silicon wafers and dried at room temperature in a fume hood.
2.2 Preparation of tissue slices
Tissue samples used for salt addition were rat brain and infarcted mouse hearts. A myocardial infarction was induced in the mouse hearts by a method described elsewhere29.
Thin slices of the tissues (6 μm for rat brain and 8 μm for mouse heart) were prepared for ToF-SIMS analysis by cryo-sectioning in an argon purged cryo-microtome (Leica CM1520, Germany) at −20°C and thaw mounted on to indium tin oxide (ITO) coated glass microscope slides. The tissue slices were sprayed with a saturated solution of NaCl in methanol using an airbrush supplied with nitrogen gas. The airbrush was optimized so that the methanol would evaporate before hitting the sample causing salt to land evenly on the surface of the sample without wetting the ITO glass slide and tissue section thus minimizing the risk of redistribution of small molecules in the tissue sample.
2.3 ToF-SIMS analysis
ToF-SIMS analysis was performed using a J105 – 3D Chemical Imager (Ionoptika Ltd, UK) that has been described in detail elsewhere2, 30. The instrument uses a quasi-continuous primary ion beam to bombard the sample to produce a stream of secondary ions that are bunched to produce a tight packet of ions at the entrance of a reflectron ToF analyzer. In this study, a 40 keV gas cluster ion beam (GCIB) was used. Clusters were formed by the expansion of CO2 (AGA Sweden) into a vacuum chamber at the back of the ion gun that were ionized by electron impact and size selected using a Wien filter31.
The spectra of the lipid standards were acquired over a 400 × 400 μm2 area. The primary ion dose density for each image was 2 × 1013 ions/cm2. The spectra from the mouse heart tissue sections were acquired over 6 × 6 mm2 (or 7.2 × 6 area mm2) at a spatial resolution of 20 μm/pixel. The primary ion dose density for each image was 1 × 1013 ions/cm2. For rat brain tissues sections, the spectra were acquired over 10.8 × 2.4 mm2 at a spatial resolution of 20 μm/pixel or over 1 × 1 mm2 at a spatial resolution of 4 μm/pixel. The primary ion dose density for the rat brain images was around 5 × 1013 ions/cm2. The continuous primary ion current measured into a Faraday cup was 26 pA. The J105 is fitted with an electron flood gun for charge compensation when needed but was not used in this study.
MSMS was performed on the J105 as described and demonstrated previously2, 6, 7, 20. Briefly, the MSMS is performed in a ToF-ToF configuration with collisional induced dissociation (CID) occurring in a short field free region between the buncher and the reflectron mass analyser where N2 gas was injected. Precursor ions have energies in the range 0.5–5 keV depending on their position in the buncher when the bunching voltage was applied. Precursor and corresponding product ions are selected using a timed ion gate at a time focus at the entrance to the mass analyser.
3. Results and discussion
3.1 Analysis of standards
To study the differences in fragmentation pattern between DAGs and TAGs two different lipid standards were analyzed with and without the addition of salt. The lipid standards; DAG (1,2-Dioleoyl-rac-glycerol) and TAG (1,3-Dioleoyl-2-palmitoyl-glycerol) were chosen due to their similar fatty acid content and therefor created similar fragment peaks.
Mass spectra of the chosen DAG and TAG standards without addition of salt are shown in Figure 1. The DAG spectrum shows a strong peak at m/z 603.5, assigned to the [M+H-H2O]+ fragment from the DAG. A smaller [M+H]+ ion at m/z 621.5 can also be seen, but at lower abundance than the [M+H-H2O]+ ion. For TAG, the two major peaks in the spectrum are the DAG-like ions [M-RCOO]+ at m/z 577.5 and m/z 603.5 due to the loss of either “R1COO” or “R2COO”, respectively. The molecular ion of the TAG [M+H]+ can be found at m/z 859.6. The peak at m/z 577.5 is the [M-R1COO]+ ion, where R1 is for the C18:1 species and it is about 3 times as high as the [M-R2COO]+ ion at m/z 603.5, where R2 is the C16:0. This is due to the fact that the TAG standard chosen has two fatty acid chains with C18:1 and one fatty acid chain with C16:0. The chance of fragmentation by losing the FA(18:1) is therefor higher than losing a FA(16:0). Inspection of the lower mass region of the spectra (Figure S1) shows that the DAG also fragments by loss of RCOO to produce a strong monoacylglyceride (MAG)-like ion at m/z 339 that is more intense than the [M+H-H2O]+. In the TAG spectrum similar ions are detected but in much lower relative abundance. In relatively simple samples the ratio of the MAG/DAG-type ions may provide an indication as to the presence of DAG or TAG molecules but due to many isobaric interferences at this lower mass range it is not likely to be practical on complex biological samples such as cells and tissue.
Figure 1.

Spectra from ToF-SIMS analysis in positive ion mode of a DAG standard (top) and TAG standard (bottom) washed in H2O using 40 keV (CO2)6k+ at a primary ion dose of 2 × 1013 ions/cm2.
The TAG [M-RCOO]+ ion is isobaric with the DAG [M+H-H2O]+ ion making discrimination of these in biological samples where both DAGs and TAGs might be present impossible without MS/MS, as mentioned above 20.
Figure 2 shows the DAG region (m/z 550–650) of the mass spectra of DAG and TAG standards after addition of salt. When salt is added to the DAG standard a peak at m/z 643.5 appears. This new peak, shifted by 40 Da. from the [M+H-H2O]+ ion is assigned to the sodium adduct of the DAG species [M+Na]+. For the TAG standard, however, the only peaks that are observed in this region are those at m/z 577.5 (not shown) and m/z 603.5 (the [M-RCOO]+ for the TAG that is isobaric with the [M+H-H2O]+ for the DAG). No peak at m/z 643.5 is detected in the TAG analysis. Hence, by adding salt to the sample, it is possible to differentiate between the DAG and TAG species by the 40 Da. peak shift that is only observed for DAGs. If the [M+Na]+ ion is generated, the species originates from a DAG. If no [M+Na]+ is found in the “DAG” region, the original species is a TAG. Other peaks, in the TAG molecular ion region, that can be found in the TAG spectrum are the [M+H]+ and the new [M+Na]+, where the protonated ion is much smaller than the sodiated ion (see Figure S2).
Figure 2.
Spectra from ToF-SIMS analysis in positive ion mode of a DAG (positive) and TAG (negative) standards, both mixed with a saturated NaCl solution. Zoom in shows that the m/z 643.5 peak is only detected during the DAG analysis. Intensities were normalized to the intensity of the m/z 603.5 peak in both spectra. Analysis is done with using 40 keV (CO2)6k+ ion beam at a primary ion dose of 2 × 1013 ions/cm2.
3.2 Applications: Analysis of tissues
As SIMS is commonly used in imaging mode for the analysis of biological samples, animal tissue slices were used to further study the use of salt as an approach to determine the origin of different peaks in the mass spectra. Tissue slices were sprayed with a saturated solution of NaCl in methanol (selected instead of water to minimise sample wetting) to create a uniform layer of salt on top of the sample and the difference between the spectra before and after addition of salt were compared. To get an even distribution of salt without wetting the sample, different distances between the sprayer and the sample were tested. If the sample was too close to the sprayer, the NaCl spray wetted the samples, causing lipid species within the sample to migrate (see Figure S3). The optimal distance was found when the samples were not wetted by the spray and enough salt was added to the sample to convert most of the peaks to [M+Na]+ ions (see Figure S4).
3.2.1 Mouse heart tissue
The salt spray was applied to mouse heart slices in order to determine the origin of the peaks in the DAG region of the spectra. Salt was applied in a uniform layer with some salt crystal formation on the surface (see overlay image in Figure 5 showing the distribution of the [K2Cl]+ ion in blue). Potential DAG species were identified at m/z 551.5, m/z 573.5, m/z 599.5 and m/z 627.5 and assigned to the DAG-like ions; “DAG”(32:0), “DAG”(34:3), “DAG”(36:4) and “DAG”(38:4), respectively, as shown in Figure 3. No 40 Da. shift in peaks was detected upon addition of NaCl. It can also be observed that the DAG-like ions show the same relative intensity pattern both before and after addition of salt, indicating that the peaks originate from fragmentation of TAG species and not DAG species. While no [M+Na]+ DAG ions were observed in the spectra of the NaCl treated sample in Figure 3, three additional peaks appear after addition of salt at m/z 621.5, m/z 645.5 and m/z 649.5. These are possibly sodium adducts of chemical species that were of too low abundance to be detected before addition of salt.
Figure 5.
Mass spectrometric images of infarcted mouse heart with after addition of salt. Infarcted area is shown with dashed lines in the first image. Overlaid image shows m/z 780.6 (PC(34:2)) in green, m/z 782.6 (PC(34:1)) in red and m/z 112.9 (K2Cl) in blue. Ion images were acquired using a 40 kV (CO2)6k+ ion beam with primary ion dose density of 1 × 1013 ions/cm2. All images are 6 mm in width. Scale bar in top left image is 1 mm and applies to all subsequent single ion images. Signal intensity is displayed on a thermal scale as shown on the left.
Figure 3.
Mass spectra of the DAG region from mouse heart samples with (bottom) and without (top) the addition of salt. Asterix (*) indicates peaks that show increase in the NaCl sample. All the “DAG” labeled peaks are [M+H-H2O]+/[M-RCOO]+ ions. Intensities are normalized to the number of pixels selected for total area. Analyses were carried out using a 40 keV (CO2)6k+ ion beam at a primary ion dose of 1 × 1013 ions/cm2.
In a recent study in our laboratory, mouse hearts were shown to exhibit changes in the cation distribution following surgically induced infarction29. The sodium level in the damaged/infarcted part of the heart was greater than in the non-infarcted heart tissue, while the potassium levels were greater in the non-infarcted part compared to the damaged/infarcted part as indicated by preferential adduct ion formation of the phosphatidylcholine (PC) lipids. This represents a challenge for interpretation of the mass spectrometry imaging data. The sodiated lipid peaks show accumulation in one part of the heart, whereas the potassiated lipid peaks are correlated to the other part. However, the actual lipid levels may not have changed, only the relative salt levels 32. For this particular sample, it was hypothesized that the salt addition might provide not only a means to quickly discriminate DAG/TAG fragments, but also to overcome some of the cation related matrix effect if the Na+ displaced the K+. Figure 4 shows mass spectrometry images before and after addition of sodium chloride. The sodiated peaks ([M+Na-TMA]+ and [M+Na]+) of PC(32:0) and PC(34:1) show clear localization to the infarcted region of the heart in the control samples (infarcted region is marked with dashed lines in the images in the first column in Figure 4). TMA is the (59 Da) trimethylamine group at the end of the phospholipid head group. After addition of salt, the distribution of these ions becomes more even over the entire tissue slice. The potassiated ions ([M+K-TMA]+ and [M+K]+) of the same lipids, show clear localization to the normal tissue region (non-infarcted region) for the control samples, but after salt addition a more even distribution is found. This indicates that salt addition can be used in order to overcome some of the differences in cation levels within the tissue during imaging of specific lipid species and improve relative quantification.
Figure 4.
Mass spectrometric images of infarcted mouse heart with and without addition of salt. Infarcted areas are shown with dashed lines in images in the first column. Ion images were acquired using a 40 kV (CO2)6k+ ion beam with primary ion dose density of 1 × 1013 ions/cm2. All images are 6 mm in width. Scale bar in top left image is 1 mm and applies to all subsequent images. Signal intensity is displayed on a thermal scale as shown on the right.
An interesting observation was that once the salt effect is reduced, smaller differences in distribution of specific lipids are found that were previously obscured by the larger salt differences. In our previous study, changes in relative saturation states of fatty acids ([RCOO]− ions) were observed in infarcted heart tissue compared with non-infarcted tissue 29. These differences in saturation states were not identified for intact PC lipid molecules in positive ion mode as the huge differences arising from different cationization masked theses subtleties. Once salt was added, differences in distribution between differently saturated lipids with the same number of carbons became apparent (see Figure 5). The mass spectrometric image of m/z 780.6 (PC(34:2), [M+Na]+) shows higher intensity in the infarcted region than the more saturated species at m/z 782.6 (PC(34:1), [M+Na]+), which is more evenly distributed across the heart tissue. The completely saturated species PC(34:0), [M+Na]+ at m/z 784.6, shows even stronger correlation to the infarcted region. The same is observed for the species at m/z 808.6 (PC(36:2), [M+Na]+) and m/z 810.6 (PC(36:1), [M+Na]+), which shows that the less saturated lipids are correlated to the infarcted region. The completely saturated species at m/z 812.6 (PC(36:0), [M+Na]+) is highly localized to the infarcted region. These results are in agreement with the previous study of infarcted mouse hearts where the saturated fatty acids were correlated with the infarction region, and it was hypothesized to be due to disruption of the normal β-oxidation processes in the tissue during infarction29. The differences in distribution observed between intact lipid species with one and two double bonds were, however, not identified previously.
3.2.2 Brain tissue
Salt was applied to rat brain tissue similarly to the heart tissue, in order to determine the origin of the DAG-like ions in the spectra from the brain. Salt was successfully added as a uniform layer on top of the brain slices, which is shown in Figure S5. Inspection of the control brain mass spectrometry images does not show any formation of salt crystals on top of the tissue. On the slices where salt was added, salt signals were detected at m/z 80.9, [Na2Cl]+, and m/z 112.9, [K2Cl]+ suggesting some crystal formation on the tissue. Figure S4 shows the difference between the spectra from brain samples with and without the addition of salt. ToF-SIMS analysis of rat brain shows strong spectral differences between the grey and white matter regions of the brain with the white matter regions dominated by a strong cholesterol signal due to migration of this species during sample preparation and exposure to the vacuum environment of the mass spectrometer. This is an effect that is removed by frozen hydrated analysis or TFA (trifluoroacetic acid) 33, 34. For this reason, in the comparison shown here, signal was extracted from predominantly grey matter areas of the tissue. To account for small differences in the amount of white/grey matter included in the comparison spectra the signals were normalized using the cholesterol peak at m/z 369.3. The control brain spectrum (top spectrum in Figure S4) is dominated by potassiated ions, such as the [M+K]+ and [M-TMA+K]+. After application of NaCl by spraying, the majority of the peaks shift towards the [M+Na]+ and the [M-TMA+Na]+ peaks (bottom spectrum in Figure S4) confirming successful salt addition to the sample.
In Figure 6, the spectra from the DAG region are shown for the rat brain before and after the addition of NaCl. Peaks are observed at m/z 551.5, m/z 571.5, m/z 573.5, m/z 577.5, m/z 599.5, m/z 605.5 and m/z 627.5 and assigned to the DAG-like ions; “DAG”(32:0), “DAG”(34:4), “DAG”(34:3), “DAG”(34:1), “DAG”(36:4), “DAG”(36:1) and “DAG”(38:4), respectively. The top spectrum shows the peaks from the control samples, without the addition of salt. When adding salt, some peaks disappear from the spectrum (peaks marked with * in top spectrum in Figure 3). MS/MS analysis of the disappearing peaks (control tissue section) showed that they originate from potassiated ions. After addition of salt the potassiated peaks are no longer observed and sodiated peaks (−16 m/z) are detected instead, as observed in the spectrum of the intact lipid region. The peaks at m/z 551.5, m/z 571.5, m/z 573.5, m/z 577.5, m/z 605.5 and m/z 627.5 do not change relative to each other between the sample with salt and the control sample. Since no shift was observed and no new peaks 40 Da higher detected, we conclude that the peaks belong to [M-RCOO]+ fragments of TAG species and not [M+H-H2O]+ ions of DAGs.
Figure 6.
Mass spectra of the DAG region from rat brain samples with (bottom) and without (top) the addition of salt. Asterix (*) indicates peaks that were only found in the control sample. All the “DAG” labeled peaks are [M+H-H2O]+/[M-RCOO]+ ions. Intensities are normalized to the number of pixels selected in the image and the cholesterol peak at m/z 369.3. Analysis were done using a 40 keV (CO2)6k+ ion beam at a primary ion dose of 5 × 1013 ions/cm2.
During analysis of the heart tissue, the peak at m/z 599.5 increased in height after addition of NaCl (see Figure 3). MS/MS analysis of this peak identifies this species as a sodiated ion, which explains why the peak is higher after salt addition. Usually the m/z 599.5 peak is assigned as a [M+H-H2O]+ fragment of a DAG species, but since this peak is enhanced after addition of salt we now suspect that there is a previously unreported isobaric interference at this m/z value, one DAG-like ion and one sodiated lipid species. In Figure 6, a peak at m/z 615.5 is observed in the control brain tissue sample spectrum but not in the NaCl-treated sample spectrum. This is likely a potassiated ion that after salt addition is replaced by a sodiated ion causing the peak to shift to m/z 599.5.
4. Conclusions
By addition of salt to the surface of lipid samples, new information about the different samples analyzed can be identified and the method has been shown to be helpful for interpretation of complex mass spectra for two different kinds of tissues, heart and brain. The SIMS fragmentation pattern differs between DAGs and TAGs in the presence of salt and can be used to determine the origin of the species. Only DAGs form the sodiated ion so this peak can confirm the presence of DAGs in samples including those containing combinations of DAGs and TAGs. At present, we do not have a way of determining the relative abundance of DAG versus TAG in mixed samples as in such cases the isobaric DAG-like ions will still be present along with the adduct ions. Our analysis reveals that all the DAG-like ions we identify in the spectra, from both types of tissues, originate from TAG species that have fragmented into DAG-like ions during the ionization process. This has been hypothesized for SIMS data based on the relative biological abundance of the two lipid classes21–23, but never clearly demonstrated. MS/MS analysis of the brain tissue as well as LC-MS analysis of the infarcted heart tissue also showed that the peaks are more likely fragmentation ions from TAG (see Figure S6 and S7). The method could also be used to identify the peaks that are salt adducts without the need for using MS/MS, which is often not available in most ToF-SIMS laboratories. Further, salt addition might be used as a way of minimizing the differences in salt levels within infarcted hearts or similar samples that have been shown to exhibit differences in Na+ and K+ levels across the tissue matrix. When the differences in cation concentration are diminished, smaller differences masked under the salt differences are found, such as differences in saturation levels between infarcted and non-infarcted areas.
Supplementary Material
Acknowledgments
The imaging mass spectrometry experiments were performed at Go:IMS at the University of Gothenburg and Chalmers University of Technology in Gothenburg, Sweden. The authors would like to thank Marwa Munem and Amir Saeid Mohammadi (University of Gothenburg) for constructive comments and help in slicing of rat brains, respectively. Also, we thank Jan Borén (Wallenberg Centre for Cardiovascular Research, University of Gothenburg) for collaboration on the mouse heart study and providing LC-MS data. The authors also acknowledge financial support from the Swedish Research Council, The Knut and Alice Wallenberg Foundation and the National Institutes of Health.
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