Abstract
Heterozygous mutations in PTEN, which encodes a negative regulator of the mTOR and β-catenin signaling pathways, cause macrocephaly/autism syndrome. However, the neurobiological substrates of the core symptoms of this syndrome are poorly understood. Here, we investigate the relationship between cerebral cortical overgrowth and social behavior deficits in conditional Pten heterozygous female mice (Pten cHet) using Emx1-Cre, which is expressed in cortical pyramidal neurons and a subset of glia. We found that conditional heterozygous mutation of Ctnnb1 (encoding β-catenin) suppresses Pten cHet cortical overgrowth, but not social behavioral deficits, whereas conditional heterozygous mutation of Mtor suppresses social behavioral deficits, but not cortical overgrowth. Neuronal activity in response to social cues and excitatory synapse markers are elevated in the medial prefrontal cortex (mPFC) of Pten cHet mice, and heterozygous mutation in Mtor, but not Ctnnb1, rescues these phenotypes. These findings indicate that macroscale cerebral cortical overgrowth and social behavioral phenotypes caused by Pten haploinsufficiency can be dissociated based on responsiveness to genetic suppression of Ctnnb1 or Mtor. Furthermore, neuronal connectivity appears to be one potential substrate for mTOR-mediated suppression of social behavioral deficits in Pten haploinsufficient mice.
Keywords: PTEN, macrocephaly, social behavior, synapses, network activity
Lay Summary:
A subgroup of individuals with autism display overgrowth of the head and the brain during development. Using a mouse model of an autism risk gene, Pten, that displays both brain overgrowth and social behavioral deficits, we show here that that these two symptoms can be dissociated. Reversal of social behavioral deficits in this model is associated with rescue of abnormal synaptic markers and neuronal activity.
Introduction
Autism spectrum disorder (ASD) is a group of neuro-developmental disorders characterized by deficits in social interaction and communication, as well as the presence of repetitive behaviors and restricted interests. It occurs in roughly 1% of general population [Lyall et al., 2017]. Although the cause of ASD is still unknown, the relative risks of individuals developing ASD are proportional to the percentage of genome shared with a person with ASD [Bourgeron, 2015]. Reports of relatively large head size in some children with autism date back to Leo Kanner’s original description of the disorder [Kanner, 1943], and increased head circumference is a replicated finding in a subset of individuals with ASD [Fidler, Bailey, & Smalley, 2000; Lainhart et al., 1997]. However, the relationship between brain overgrowth and the behavioral and cognitive symptoms of ASD is unclear.
Mutations in the tumor suppressor gene PTEN (phosphatase and tensin homolog) are a cause of autism and macrocephaly (head circumference > 2 SD above normal), with an incidence of ~7%–17% among individuals with autism and macrocephaly [Butler et al., 2005; Buxbaum et al., 2007; McBride et al., 2010; Varga, Pastore, Prior, Herman, & McBride, 2009]. The PTEN mutations identified to date are generally heterozygous mutations that reduce PTEN protein level [Frazier et al., 2015; Rodríguez-Escudero et al., 2011] and cause macrocephaly/autism syndrome (OMIM #605309) in an autosomal dominant manner. PTEN encodes a phosphatidylinositol-3,-4,5-triphosphate 3-phosphatase that acts as a negative regulator of the mTOR and β-catenin signaling pathways [Hay & Sonenberg, 2004; Persad et al., 2016; Zhang & Yu, 2010]. Both mTOR and β-catenin have independently been shown to regulate brain growth, as mice with conditional knockout of Mtor or Ctnnb1 exhibit brain undergrowth [Brault et al., 2001; Ka, Condorelli, Woodgett, & Kim, 2014]. We previously reported that both germline and conditional Pten haploinsufficient mice show brain overgrowth [Chen, Huang, Séjourné, Clipperton-Allen, & Page, 2015; Page, Kuti, Prestia, & Sur, 2009], and that this phenotype can be rescued by haploinsufficiency for Ctnnb1 [Chen et al., 2015]. In addition, we have also shown that Pten haploinsufficient mice have social behavioral deficits [Clipperton-Allen & Page, 2014; Huang, Chen, & Page, 2016; Page et al., 2009], and that reducing mTOR-S6K signaling rescues this phenotype [Huang et al., 2016]. One possible substrate for this effect is hyperconnectivity of projections from the medial prefrontal cortex (mPFC) to basolateral amygdala (BLA), and hyperactivity in response to social cues in the mPFC and BLA in Pten haploinsufficient mice [Huang et al., 2016].
The observation that haploinsufficiency for Ctnnb1 can suppress brain overgrowth in conditional Pten heterozygous mice (Pten cHet) prompted us to test whether this can also rescue social behavioral deficits. Here, we show that while cortical overgrowth in Pten cHet mice is rescued by haploinsufficiency for Ctnnb1, but not Mtor, the social behavioral deficit is rescued by haploinsufficiency for Mtor, but not Ctnnb1. This suggests that brain overgrowth and social behavioral phenotypes in Pten cHet mice are dissociable based on responsiveness to Ctnnb1 or Mtor mutations. Analysis of connectivity and activity in response to social cues in these mutant mice reveals that increased vGluT1 levels in the prefrontal cortex and the hyperactivity in response to social cues in the mPFC and BLA shown in Pten cHet mice are rescued by haploinsufficiency for Mtor, but not Ctnnb1. Taken together, our results indicate that increased mPFC activity in response to social cues and vGluT1 levels appear to be key substrates for social behavioral deficits in a mouse model of Pten haploinsufficiency.
Materials and Methods
Mice
All mouse lines were described previously and were obtained from the Jackson Laboratory. These include Emx1tm1(cre)Krj (Emx1-Cre+, stock number 005628), Ptentm1Hwu (Ptenloxp/loxp, stock number 006440), Mtortm1.2Koz (Mtorloxp/loxp, stock number 011009), and Ctnnb1tm2Kem (Ctnnb1loxp/loxp, stock number 004152). Male Ptenloxp/loxp; Mtorloxp/+ mice were crossed with female Emx1-Cre+/− mice to generate control, Pten cHet, and Pten; Ctnnb1 cHet mice. Mouse genotypes were confirmed by PCR using genomic DNA obtained from ear samples. Mice age 2–4 months old in a C57BL/6J background were used in this study. For all experiments, 2–3 cohorts of transgenic animals and littermate controls were used. All animal experiments were conducted in accordance with NIH and AAALAC guidelines and were approved by The Scripps Research Institute’s Institutional Animal Care and Use Committee. All mice used in this study were female.
Immunohistochemistry
Mice were perfused with 4%PFA, and brains were then postfixed in 4% PFA for overnight following by incubating in a 20% sucrose/PBS solution at 4 C for 3–5 days, and embedded in Tissue-Tek OCT compound (Sakura). Coronal sections were collected on Superfrost/Plus slides and immunostained with the following antibodies. Primary antibodies used in this study include vGluT1 (1:2,000, Millipore, AB5905) and vesicular GABA transporter (vGAT) (1:1,000, Synaptic System, 131013). Alexa Fluor 488, 594, and 647 conjugated secondary antibodies (Life Technologies) were used in this study. Immunofluorescent brain sections were counterstained with Prolong Gold with DAPI (Life Technologies). For c-fos staining, avidin-biotin complex (ABC) kit (Vector Lab, PK-6101) and 3,3′ Diaminobenzidine (DAB) (Life Technologies, #34001) were used. Images were obtained with an Olympus VS120 microscope and processed using the VS-DESKTOP software (Olympus).
c-fos immunoreactive neurons were quantified manually using the VS-DESKTOP software (Olympus) in the mPFC (prelimbic cortex, PrL) of coronal section (Bregma 1.98, 1.94, and 1.78), and in the BLA of coronal section (Bregma −1.46, −1.58, and −1.70). For each region, the number of c-fos+ cells was quantified in three coronal brain sections from both left and right hemispheres, and averaged within each animal.
vGluT1 and vGAT puncta were quantified using the ITCN plugin of ImageJ in layer 1 of mPFC and BLA. For each region, the number of vGluT1 and vGAT puncta was quantified in three coronal brain sections from both left and right hemispheres, and averaged within each animal.
Cell Size Analysis
Brain sections were stained with NeuroTrace green fluorescent Nissl stain (1:100 dilution). Regions of interest (ROIs) were cropped from the primary somatosensory cortex barrel field (coronal section) using Photoshop (Adobe). Each layer (layer II–IV, V, and VI) was further cropped according to anatomical boundaries as judged by fluorescent Nissl stain. Cell soma size of all neurons in layer V was measured using ImageJ (NIH). The freehand tool in ImageJ was used to contour the boundary of neuronal soma. Three ROIs were measured in each animal.
Mouse Behavior Tests
Female mice age 2–4 months old in C57BL6J background were used for behavioral tests. For all behavioral tests, 2–3 cohorts of transgenic animals and littermate controls were used. Each cohort was tested independently.
Three-chamber social approach test.
Female mice were housed under a reversed 12:12 hr light cycle for at least 2 weeks before testing. Mice were put into the apparatus for 5 min to habituate on each of the 2 days preceding the test, and then returned to the housing room. During the test, each mouse was put into the three-chamber apparatus for 5 min for habituation, followed by 10 min with a stimulus mouse inside a tube in one chamber and an empty tube in the chamber on the other side (the center chamber was left empty). The percent time spent in each of the three chambers, containing either a mouse in a tube, an empty tube, or nothing (in the center) was recorded during the 10-min social approach trial.
Social exposure.
Female mice were individually housed in a home cage containing a perforated acrylic tube for 7 days before the test. On the test day, a novel conspecific female mouse was placed in the tube within the home cage of the subject female mouse. The subject mouse was allowed to explore the stimulus mouse until it reached 30 sec of sniffing time. In this way, each mouse was engaged in a similar amount of social interaction time. After the stimulus mouse was removed, the subject mouse remained in the home cage for additional 2 hr before being perfused.
Statistical Analysis
Prior studies using similar experiments were used to determine sample size. One-way analyses of variance (ANOVAs) were used to assess genotype effects, and planned comparison independent-sample t-tests compared Emx1-Cre+; Ptenloxp/+ mice to each genotype, including control, Emx1-Cre+; Ptenloxp/+; Mtorloxp/+, and Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice. Tukey’s post hoc tests were used where appropriate. The significant or nonsignificant stats were illustrated in the graphs for the following comparisons. Control & Emx1-Cre+; Ptenloxp/+ mice. Emx1-Cre+; Ptenloxp/+ & Emx1-Cre+; Ptenloxp/+; Mtorloxp/+ mice. Emx1-Cre+; Ptenloxp/+ & Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice. For the three-chamber social approach test, paired-sample t-tests were used to compare time spent in the chambers containing a mouse in a tube and an empty tube separately for each genotype. All statistics were performed using Graphpad, with significance set at P < 0.05. Throughout the article, values represent means, error bars indicate SEMs, and N values refer to biological replicates. All measurements and testing were performed blind to genotype or experimental manipulations.
Results
Brain Overgrowth Is Rescued by Heterozygous Mutation in Ctnnb1
We used Emx1-Cre, which is broadly expressed in cerebral cortical pyramidal neurons, astrocytes, and oligodendrocytes [Gorski et al., 2002], to generate mice conditionally heterozygous (cHet) for Pten alone or with additional mutations in either Mtor or Ctnnb1. Our previous study showed that male Pten cHet mice (Emx1-Cre+; Ptenloxp/+) exhibit brain overgrowth, and that this phenotype is suppressed in male mice cHet for Pten and Ctnnb1 (Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+), but not for Pten and Mtor1 (Emx1-Cre+; Ptenloxp/+; Mtorloxp/+), while cHet for Ctnnb1 or Mtor alone has no significant effect on overall brain mass [Chen et al., 2015]. Although the brain over-growth phenotype is not suppressed by heterozygous deletion of Mtor, it is important to note that mTOR signaling, as reflected by p-S6, is transiently elevated in Pten Het mice and corrected by deleting one copy of Raptor [Huang et al., 2016], an essential component of mTOR complex. Since social approach deficits are most consistent in female Pten haploinsufficient mice in our experience [Huang et al., 2016; Page et al., 2009], we used female mice in the current study. Consistent with the results in male mice, we found that haploinsufficiency for Ctnnb1, but not Mtor, rescues brain overgrowth shown in female Pten cHet mice (Fig. 1), suggesting that the brain overgrowth phenotype, and its responsiveness to heterozygous Ctnnb1 mutation, is not sex-specific.
Social Behavioral Deficits Are Rescued by Heterozygous Mutation of Mtor
We have previously shown that Emx1-Cre+; Ptenloxp/+ mice exhibit both brain overgrowth and social behavioral deficits [Chen et al., 2015; Huang et al., 2016], and these were confirmed in the current study (Figs. 1 and 2). Moreover, the brain overgrowth shown in Emx1-Cre+; Ptenloxp/+ mice was suppressed in Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice, prompting us to test whether social behavioral deficits are also suppressed in these animals. We therefore used the three-chamber social approach assay to test social behavior in the following genotypes: Emx1-Cre+; Ptenloxp/+, Emx1-Cre+; Ptenloxp/+; Mtorloxp/+, and Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice. We found that the three-chamber social approach deficit shown in Emx1-Cre+; Ptenloxp/+ mice was rescued in Emx1-Cre+; Ptenloxp/+; Mtorloxp/+, but not Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice (Fig. 2A,B). This suggests that brain overgrowth and social behavioral deficits caused by Pten mutation are genetically dissociable phenotypes. To test for a possible confounding factor of abnormal locomotion, we measured the average velocity of the mice during the 10 min social approach test. Basic locomotion was not altered among genotypes, as reflected by velocity (Fig. 2C).
Elevated vGluT1 Puncta in Pten Mutant mPFC Is Rescued by Heterozygous Mutation of Mtor
We have previously reported evidence for structural hyperconnectivity between the prefrontal cortex (PFC) and amygdala, brain regions implicated in social information processing [Adolphs, 2010; Grossmann, 2013] and ASDs [Amaral, Schumann, & Nordahl, 2008; Donovan & Basson, 2017], and we found that suppressing the activity of neurons that project from the PFC to the amygdala can rescue social behavioral deficits in Pten haploinsufficient mice [Huang et al., 2016]. To determine whether markers of synaptic vesicle proteins are altered in Pten cHet mice, we immunostained for vesicular glutamate transporter 1 (vGluT1), a marker for excitatory synapses, and vGAT, a marker for inhibitory synapses, in the PrL and BLA. Layer 1 of the PrL, where the apical dendrites of layer 5 neurons receive presynaptic inputs, was selected to perform the analysis. Measuring vGluT1 and vGAT puncta in layer 1 of the PrL (Fig. 3A), we found that Emx1-Cre+; Ptenloxp/+ mice exhibited elevated density ofvGluT1, but not vGAT, puncta in outer layer 1 (Fig. 3B–F), and that this phenotype is rescued in Emx1-Cre+; Ptenloxp/+; Mtorloxp/+, but not Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice(Fig. 3B–F). This suggests that the excitatory synaptic vesicle proteins are likely elevated in response to Pten mutation, and that reducing mTOR, but not β-catenin, levels rescues the elevated excitatory synaptic vesicle proteins. We also measured vGluT1 and vGAT puncta in the BLA (Fig. 3G), and found that neither vGluT1 nor vGAT puncta are altered across genotypes (Fig. 3H,I). In summary, elevated vGluT1 level in the prefrontal cortex of Emx1-Cre+; Ptenloxp/+ mice is rescued by reducing mTOR, but not β-catenin, levels. This is consistent with the rescue of social behavioral deficits in Emx1-Cre+; Ptenloxp/+; Mtorloxp/+, but not Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice, suggesting that altered synaptic connectivity, including in the mPFC, may be a substrate for mTOR-mediated rescue of social behavioral deficits in Pten cHet mice.
Our previous study showed that reducing mTOR signaling rescued hypertrophy in layer 5 cells in germline Pten haploinsufficient mice [Huang et al., 2016]. To determine whether layer 5 cells are hypertrophic in the genotypes used in the current study, we performed fluorescent Nissl staining and measured soma size in layer 5 cells. We found that layer 5 cell soma size was enlarged in Emx1-Cre+; Ptenloxp/+ mice (Fig. 3J,K), and that this phenotype was rescued in both Emx1-Cre+; Ptenloxp/+; Mtorloxp/+ and Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice (Fig. 3J,K).Since social behavioral deficits are present in Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice, but not Emx1-Cre+; Ptenloxp/+; Mtorloxp/+ mice, this result indicates that hypertrophy of layer 5 neuron soma may be dissociable from social behavioral deficits caused by Pten haploinsufficiency.
Neuronal Hyperactivity in Response to Social Cues Is Rescued by Heterozygous Mutation in Mtor
Our previous study showed that germline Pten haploinsufficient mice display neuronal hyperactivity in the PFC and amygdala in response to social cues [Huang et al., 2016]. To investigate neuronal activity in response to social cues in the genotypes used in this study, we exposed subject mice to novel stimulus mice, and measured the c-fos+ neurons in the PrL and BLA (Fig. 4A). Since our previous study found that the number of c-fos+ neurons in the PFC and amygdala was correlated with social interaction time [Huang et al., 2016], as reflected by sniffing time, we controlled the sniffing time during the social exposure period, restricting it to 30 sec (Fig. 4A). We found that the number of c-fos+ cells is elevated in Emx1-Cre+; Ptenloxp/+ mice compared to control mice in the PrL and BLA (Fig. 4B–D), and that this phenotype is rescued in Emx1-Cre+; Ptenloxp/+; Mtorloxp/+, but not Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice (Fig. 4B–D). This is consistent with the rescue of social behavioral deficits in Emx1-Cre+; Ptenloxp/+; Mtorloxp/+, but not Emx1-Cre+; Ptenloxp/+; Ctnnb1loxp/+ mice, indicating that, like social behavioral deficits, the phenotype of increased c-fos+ cells in response to social cues in the PFC and amygdala of Pten cHet mice displays differential responsiveness to Mtor or Ctnnb1 mutations.
Discussion
Macrocephaly and brain overgrowth are replicated findings in a subset of individuals with ASD. Studies have suggested that brain size is positively correlated with the severity of behavioral phenotypes in individuals with ASD [Courchesne, Carper, & Akshoomoff, 2003; Sacco et al., 2007]. In addition to macrocephaly, altered functional connectivity and activity in response to social cues are also well-replicated findings in individuals with ASD [Ashwin, Baron-Cohen, Wheelwright, O’Riordan, & Bullmore, 2007; Bookheimer, Wang, Scott, Sigman, & Dapretto, 2008; Corbett et al., 2009; Dalton et al., 2005; Hadjikhani, Joseph, Snyder, & Tager-Flusberg, 2007; Monk et al., 2010; Weng et al., 2011]. In fact, among the ASD risk genes, a large fraction of them are directly involved in regulating synaptic function, suggesting that altered synaptic connectivity might be a proximal cause of ASD in some cases [Bourgeron, 2015; Delorme et al., 2013]. Studies from mouse models of ASD risk genes reveal that abnormal structural and functional connectivity can cause ASD-relevant circuit dysfunction and behavioral phenotypes [e.g., Huang et al., 2016; Peça et al., 2011; Rothwell et al., 2014]. On the other hand, studies have reported that transient early brain overgrowth is sufficient to cause ASD-relevant behavioral phenotypes (e.g., [Belinson et al., 2016; Fang et al., 2014]. Here, we showed that Pten cHet brain overgrowth can be rescued by a heterozygous mutation in Ctnnb1, but not Mtor; however, the increased potential excitatory connectivity (measured by vGluT1 puncta) and social behavioral deficits can be rescued by a heterozygous mutation in Mtor, but not Ctnnb1. This suggests that brain overgrowth and social behavioral deficits may be dissociable phenotypes in mature animals, and that altered connectivity may be a substrate of social behavioral deficits in a mouse model of Pten haploinsufficiency. Our findings here are consistent with previous studies showing mutations in Pten result in altered synaptic connectivity, which can be rescued by reducing mTOR activity and signaling [Huang et al., 2016; Kwon et al., 2006; Zhou et al., 2009].
In this study, we have used heterozygous mutations to suppress, but not abolish, the expression of β-Catenin and mTOR. This is because full knockout of Ctnnb1 or Mtor leads to severe cell death and differentiation phenotypes that would make interpretation of effects on the more subtle Pten cHet brain overgrowth and social behavioral phenotypes difficult. Although we found that heterozygous deletion of Mtor does not rescue the brain overgrowth shown in Pten cHet mice, this is likely due to gene dosage effects of Mtor. In fact, our previous study showed that heterozygous deletion of Mtor alone does not alter brain mass [Chen et al., 2015]. Given that conditional homozygous mutation of Mtor has been shown to reduce brain size [Ka et al., 2014], and that mTOR acts downstream of Pten, we predict that conditional homozygous mutation of Mtor in Pten heterozygous mice would result in brain undergrowth. Therefore, our results indicate that mTOR does not modify Pten-dependent brain overgrowth when only one copy of Mtor is deleted, but will likely modify this phenotype upon homozygous deletion of Mtor. Likewise, our results reveal that heterozygous deletion of Ctnnb1 does not rescue connectivity phenotypes and social behavioral deficits, but this could also be due to dosage. Studies have shown that knockout of Ctnnb1 leads to decreased dendritic arborization [Gao, Arlotta, Macklis, & Chen, 2007], and expression of stabilized β-catenin can increase dendritic complexity and the number of dendritic spines [Durak et al., 2016]. Thus, we suspect that knockout of Ctnnb1 in Pten heterozygous mice might modify the connectivity phenotype, although this would require an approach that bypasses the role of β-catenin in regulating cell proliferation and neurogenesis [Chen et al., 2015; Chenn & Walsh, 2002; Groszer et al., 2001], such as knockout of Ctnnb1 in postmitotic neurons of Pten heterozygous mice.
Our previous study showed evidence of hyperconnectivity from mPFC projections to the BLA in germline Pten heterozygous mice [Huang et al., 2016]. In the present study, we did not find evidence of increased vGluT1 or vGAT puncta in the BLA of Pten cHet mice (Emx1-Cre+; Ptenloxp/+). This suggests that the increased synaptic boutons from mPFC projections to the BLA shown in germline Pten heterozygous mice may be due to non-cell autonomous function of Pten. For example, the increased connectivity in the BLA may require deletion of Pten in neurons other than those in the Emx1-Cre-expressing lineage, or in microglia and astrocytes, which have been shown to play roles in sculpting synapse development and function [Allen & Eroglu, 2017; Paolicelli et al., 2011; Weinhard et al., 2018]. In the present study, we generated conditional heterozygosity for Pten using Emx1-Cre, which is primarily restricted in expression to cortical pyramidal neurons and some glia cells [Gorski et al., 2002]. Nevertheless, we found evidence of increased excitatory connectivity in the mPFC of Pten cHet mice, and that normalizing this phenotype by reduction of mTOR rescues the social behavioral deficit.
In the present study, we examined Pten cHet mice, which exhibit brain overgrowth, elevated c-Fos reactivity in response to social cues and vGluT1 puncta in the mPFC, and social behavioral deficits. We found that macroscale brain overgrowth and social behavioral deficits are dissociable phenotypes in Pten cHet mice. We also found that the increased neuronal activity in response to social cues and vGluT1 puncta in the mPFC coincide with social behavioral deficits in Pten cHet mice. While the contribution of transient early brain overgrowth caused by Pten haploinsufficiency to these phenotypes remains to be explored, our results are consistent with the possibility that mTOR-mediated microscale neuronal growth and connectivity is likely a key substrate for social behavioral deficits in Pten haploinsufficient mice.
Acknowledgments
We thank members in the Page laboratory (Amy Clipperton-Allen, Julien Sejourne, Ori Cohen, Aya Zucca, and Jenna Levy) for helpful feedback on this manuscript. This research was supported by gift funds from Ms. Nancy Lurie Marks, National Institute of Health (NIH) Grant R01MH105610, the Fraternal Order of Eagles, The American Honda and Children’s Healthcare Charity Inc., and an anonymous donor.
Footnotes
Conflict of Interest
The authors declare that they have no conflict of interest to declare.
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