Abstract
The nucleus, central to all cellular activity, relies on both direct mechanical input and its molecular transducers to sense and respond to external stimuli. While it has been shown that isolated nuclei can adapt to applied force ex vivo, the mechanisms governing nuclear mechanoadaptation in response to physiologic forces in vivo remain unclear. To investigate nuclear mechanoadaptation in cells, we developed an atomic force microscopy (AFM) based procedure to probe live nuclei isolated from mesenchymal stem cells (MSCs) following the application of low intensity vibration (LIV) to determine whether nuclear stiffness increases as a result of LIV. Results indicated that isolated nuclei were, on average, 30% softer than nuclei tested within intact MSCs prior to LIV. When the nucleus was isolated following LIV (0.7g, 90Hz, 20min) applied four times (4x) separated by 1h intervals, stiffness of isolated nuclei increased 75% compared to non-LIV controls. LIV-induced nuclear stiffening required functional Linker of Nucleoskeleton and Cytoskeleton (LINC) complex, but was not accompanied by increased levels of the nuclear envelope proteins LaminA/C or Sun-2. While depleting LaminA/C or Sun-1&2 resulted in either a 47% or 39% increased heterochromatin to nuclear area ratio in isolated nuclei, the heterochromatin to nuclear area ratio was decreased by 25% in LIV-treated nuclei compared to controls, indicating LIV-induced changes in the heterochromatin structure. Overall, our findings indicate that increased apparent cell stiffness in response to exogenous mechanical challenge of MSCs in the form of LIV is in part retained by increased nuclear stiffness and changes in heterochromatin structure.
Keywords: Mesenchymal Stem Cells, Nucleus, LINC complex, Low Intensity Vibration, Mechanical Signal
Introduction
Influence of the mechanical environment is perhaps most evident in resident stem cells which need to remodel their respective tissues in response to changing tissue mechanics (Rando and Ambrosio, 2018). For example, mesenchymal stem cells (MSCs) that replace and regenerate bone, when seeded into substrates with increasing stiffness tend to differentiate into bone lineage (Sun et al., 2018) through regulation of actin cytoskeleton dynamics and intra-nuclear Lamina (Buxboim et al., 2014; Swift et al., 2013). While cell structural changes and signaling events that take place within the focal adhesions and cytoskeletal compartments in response to environmental mechanical challenges are well studied (Lessey et al., 2012) the changes that occur inside the nucleus in response to physiological forces are less understood.
Dynamic forces applied to the exterior of the cell propagate through the cell via focal adhesions and cytoskeletal components, and reach the structural components at the outer and inner membranes of the nucleus, regulating nuclear structure (Martins et al., 2012). The nucleus is integrated within the cell structure through direct connections with cytoskeletal elements (Lombardi et al., 2011) through the LINC complexes (Linker of Nucleoskeleton and Cytoskeleton) composed of Nesprin and Sun subunits (Crisp et al., 2006). When forces are applied directly to the nucleus through LINC connections ex vivo, resulting in large strain deformations, nuclei stiffen via tyrosine phosphorylation of emerin (Guilluy et al., 2014) suggesting the nucleus is an active contributor to mechanotransduction. The nucleus also undergo structural re-organization in response to F-actin contractility by recruiting LINC complexes to apical stress fibers, leading to the accumulation of nuclear lamina element LaminA/C as well as changes in chromatin density under these stress fibers (Versaevel et al., 2014). At the level of DNA, forces applied at the cell membrane propagate through the cytoskeletal actin framework to cause deformations in chromatin (Tajik et al., 2016) and alter heterochromatin dynamics (Le et al., 2016). Nuclear stiffness is also in-part managed by the same toolset, Nesprins are anchored to the inner nuclear membrane through Sun-1&2 proteins that directly interact with structural elements such as nuclear pore complexes and LaminA/C (Hodzic et al., 2004; Padmakumar et al., 2005). Both Sun-1&2 and LaminA/C, play key roles in the structural integrity of the cell nucleus (Neelam et al., 2015). Inside the nucleus, both LaminA/C and chromatin have been shown to play independent roles in regulating nuclear mechanics (Stephens et al., 2017).
The elastic modulus of a cell nucleus can also be a marker of cell health. For example, it has been reported that the nuclei of Hepatitis C-infected cells are significantly softer than healthy controls, which was paralleled by downregulation of LaminA/C paired with upregulation of β-actin (Balakrishnan et al., 2019). Likewise, breast cancer cells exhibit large decreases in nuclear stiffness relative to healthy controls, showing downregulation of both LaminA/C and Sun-1&2 (Matsumoto et al., 2015). Furthermore, coinciding research showed heterochromatin decondensation as an additional component in highly metastatic cancer cells (Khan et al., 2018).
The nuclear envelope is subject to F-actin generated tension through LINC complex connections (Arsenovic et al., 2016). While cyto-mechanical forces can be generated in a multitude of ways, our group has focused on low intensity vibrations (LIV). LIV is a mechanical regime modeled after physiological, high frequency muscle contractions (Ozcivici et al., 2010). In MSCs, LIV promotes proliferation and osteogenic differentiation (Uzer et al., 2013) as well as increasing cell contractility by promoting GTP-bound RhoA (Ras homolog family member A)(Uzer et al., 2015). While we have further reported that daily LIV application up to 14 days increases stiffness of F-actin struts and results in increased mRNA expression of the LINC-related genes Nesprin-1&2, Sun-1&2, and LaminA/C in MSCs (Pongkitwitoon et al., 2016), the role of short term acute LIV application on the nuclear structural properties remains unknown.
Therefore, in this study we utilized AFM (atomic force microscopy) based nanoindentation measurements, immunostaining, and quantification of nuclear structural proteins to probe nuclear mechanical properties and morphology in response to acute bouts of LIV. We hypothesized that application of LIV to MSCs will increase nuclear stiffness.
Results
Cytoskeletal tension alters nuclear shape
We first investigated nuclear shape before and after our nuclear isolation protocol. Fig. 1a shows intact MSC (top) and isolated nuclei (bottom) after Hoechst 33342 staining to label DNA. As shown in Fig. 1a, the areas of isolated nuclei were visibly smaller than that of nuclei inside intact MSCs. As shown in Figures 1b & S1, DNA structure and LaminA/AC organization remained intact within the isolated nuclei. We next evaluated the relative circularity of intact MSC nuclei versus isolated nuclei by measuring their XY (top view), XZ (side view), and YZ (side view) areas and combining these three-dimensional measurements to evaluate overall sphericity (Fig. 1c). In the XY plane (i.e., the horizontal plane of the cell culture dish), intact and isolated nuclei showed no circularity differences. The isolated nuclei were 52% and 45% more circular than the nuclei of intact MSCs in the vertical XZ and YZ planes, respectively (p<.001). Combining the circularity values for each plane, the average circularity (i.e., sphericity) of the isolated nuclei was 0.809, which was significantly higher than that of the intact MSC nuclei (0.612, p<.001). Measures of nuclear height and volume (Figures 1d & 1e) showed that following nuclear isolation, height approximately doubled, increasing by 105% (p<.001) , while overall volume decreased by 44% (p<.001).
Nucleus significantly contributes to AFM-measured MSC stiffness
To investigate the mechanical properties of the nucleus, AFM-based nanoindentation was used to measure and compare elastic moduli values of intact MSC nuclei and isolated cell nuclei (Fig.2a). Prior to testing, tipless AFM MLCT-D probes were functionalized with 10 μm glass beads (Thermo Scientific 9010, Figures 2b & S2a). Nuclei of intact MSCs and isolated nuclei were probed at the nuclear center visible in the XY plane (Fig.2a). To test whether fixation methods preserve nuclear stiffness, isolated nuclei were fixed in 2% paraformaldehyde (PFA) for 10 minutes and compared to untreated live controls. As shown in Fig.2c, the results indicated a 4-fold increase in stiffness between PFA-treated and control nuclei (p<.01).
With fixation having been shown to significantly impact measured stiffness, we next determined the time window during which stiffness of live cell nuclei remains stable. Moduli of isolated live nuclei were measured across 3 one-hour time blocks, namely 0 to 1 hour, 1 to 2 hours, and 2 to 3 hours following isolation. Fig. 2d indicates that no change was observed in the mechanical properties of isolated nuclei up to two hours post-isolation, after which a large spike in stiffness occurred 2–3 hours following isolation (+406%, p<.01). Accordingly, a one hour post-isolation window for AFM-based nanoindentation testing was deemed safe and unlikely to skew the results. With this protocol established, we compared the stiffness of intact MSC nuclei (tested in the center of the nucleus) versus isolated nuclei within 1 hr of isolation. As shown in Fig. 2e, the average modulus of the isolated nuclei (1.5 kPa) was significantly softer than that obtained for the nuclei of intact MSCs (2.19 kPa, p<.05), indicating that the nucleus itself accounted for 69.7% of the overall MSC stiffness.
Disruption of LaminA/C decreases nuclear stiffness and increases heterochromatin area in isolated nuclei
We next probed the effects of depleting known structural members in the nuclear membrane: Nuclear Lamina element, LaminA/C, and LINC complex elements Sun-1 and Sun-2 (Fig. 3a). Following siRNA depletion of LaminA/C (siLmn), co-depletion of Sun-1&2 (siSun), or control siRNA (siCntrl), groups were divided into either intact MSCs or underwent the nuclear isolation protocol. The siLmn group showed a 63.2% and 49.7% modulus decrease in intact MSCs (p<.05) and isolated nuclei (p<.01), respectively (Fig. 3b). Likewise, siSun treatment resulted in 50.7% and 27.7% decreased modulus for intact MSCs and isolated nuclei, respectively, but changes remained not significant compared to siCntrl (Fig. 3b).
Hoechst staining of DNA can be used to identify heterochromatin (Imai et al., 2017). We therefore quantified average heterochromatin size following LaminA/C or Sun-1&2 depletion using Hoechst 33342 and epifluorescence imaging (Fig. 3c). As shown in Fig. 3d, nuclear area increased 33% in siLmn MSCs (p<.001), but not in siSun MSCs. While overall nuclear area was smaller in isolated nuclei, no differences were observed in nuclear area between controls and isolated nuclei subjected to siRNA treatments (Fig. 3d). Combining the results presented in Fig. 3c and 3d, the ratio of heterochromatin area to nuclear area was calculated to investigate possible changes in the heterochromatin condensation, with the results normalized relative to the intact MSC siCtrl condition. As shown in Fig. 3e, measurement of the heterochromatin area to nuclear area ratio (referred to hereinafter as chromatin-to-nuclear area ratio) of intact MSCs showed no changes between the control and siRNA-treated groups. In contrast, a comparison of the chromatin-to-nuclear area ratio of isolated nuclei showed significantly larger ratios compared to siCntrl for both the siLmn group (47.2% increase, p<.001) and the siSun group (39.1% increase p<.001).
Low Intensity Vibration (LIV) stiffens MSCs and isolated nuclei
To evaluate nuclear mechanics following LIV, we subjected intact MSCs to either 2x or 4x low intensity vibration protocols. The LIV regimen is illustrated in Fig. 4a. As shown in Figures 4b and 4c, following 2x LIV, intact MSCs showed a 71% increase in stiffness (p<.05), but there was no significant change in nuclear stiffness for isolated nuclei that underwent the same vibration protocol. In contrast, application of 4x LIV significantly increased the elastic modulus of both intact MSCs (419% increase, p<.001) and isolated nuclei (75%, p<.05).
To investigate the source of the observed changes in mechanical properties following LIV, the cytoplasmic and nuclear compartments were probed via western blotting. LaminA/C and Sun-2 protein levels following the 4x LIV protocol was quantified to test whether LIV results in upregulation of either protein. These protein levels were then compared to PARP and GAPDH as control markers. Fig. 4d shows no significant differences were observed in LaminA/C or Sun-2 protein levels, either in the cytoplasmic or nuclear fractions, following a 4x LIV protocol.
Isolated nuclei maintain a smaller chromatin-to-nuclear area ratio after vibration
As LIV-induced stiffness increase was not accompanied by changes in LaminA/C or Sun-2 proteins, we probed possible changes in heterochromatin by comparing the chromatin-to-nuclear area ratio between 4x LIV and control samples for intact and isolated nuclei (Fig 5a). As shown in Fig.5b, intact MSCs subjected to 4x LIV showed no difference in nuclear area compared to controls. Likewise, there was no difference in nuclear area between isolated nuclei subjected to 4x LIV and the corresponding controls. As shown in Fig.5c, intact MSCs subject to 4x LIV showed no difference in chromatin-to-nuclear area ratio compared to controls. In contrast to LaminA/C and Sun-1&2 depleted nuclei (Fig.3e) which showed higher chromatin-to-nuclear area ratio compared to control siRNA, isolated nuclei subjected to 4x LIV, showed a 25.4% decrease in chromatin-to-nuclear area ratio compared to non-LIV controls (p<.05).
LINC function is required for LIV-induced nuclear stiffening
To test the requirement of cytoskeletal connections to the nucleus in the LIV response, we used LINC-compromised MSCs (referred to as +KASH). As depicted in Fig.6a, using previously established methods (Uzer et al., 2015), LINC complex function was disrupted by overexpressing a dominant negative form of the Nesprin KASH domain (pCDH-EF1-MSC1-puro-mCherry-Nesprin-1αKASH), which serves to disrupt the connection between Nesprin and Sun proteins via competitive binding to Sun proteins. Compared to empty control plasmid (pCDH-EF1-MSC1-puro-mCherry, referred to as mCherry), LINC-disrupted intact cells and isolated nuclei did not show any changes in stiffness (Fig.S3). As shown in Figures 6b and 6c, comparing intact MSC and isolated nuclear stiffness with or without 4x LIV showed no significant changes in elastic modulus between non-vibrated and vibrated MSCs with +KASH insertion. Further, neither mCherry nor KASH-expressing MSCs showed significant differences between intact MSC and isolated nuclei stiffness.
Discussion
Here we investigated the effects of a low magnitude, low intensity vibration (LIV) protocol on mesenchymal stem cell nuclei mechanical properties. Our results show that nucleus retains about 70% of its mechanical properties when isolated. Reduced nuclear stiffness was also reported in fibroblastic cells (Liu et al., 2014). Further, the nucleus responds to low intensity vibration by increasing its apparent stiffness, not due to an increase in LaminA/C or Sun-2 protein amounts, but instead perhaps through changes in heterochromatin organization. When cyto-mechanical forces that keep nucleus elongated was removed during nuclear isolation, isolated nuclei changed shape from 60% to 80% sphericity (Fig. 1c). We also observed a reduction in nuclear volume post isolation. While cytoskeletal force may, in part, account for the observed volume changes, nuclear volume depends on other factors including changes in pH, salt conditions, and temperature (Chan et al., 2017). Additionally, loss of protein structures during nuclear isolation has been reported (Paine et al., 1983). Although a potential limitation exist in the isolation technique, we confirmed changes in isolated nuclei stiffness via AFM-based measurements of elastic modulus (Fig. 4c).
When MSCs treated with siRNA protocols, both intact MSC and isolated nuclei modulus were consistently lower than non-siRNA counterparts (Fig. 3b), similar batch effects are also seen in KASH inserted MSCs (Fig.6). Increased stiffness of KASH inserted MSCs is probably due to extended culturing period during puromycin mediated selection process (see supplementary methods) as later passage MSCs were stiffer (Fig. S4). Our results in Fig. 6 show that there was no significant difference between intact MSCs and isolated nuclei stiffness. While we do not know the exact reason why these findings do not agree with the data presented in Fig 2, we can make two observations. First, nuclei were softer at early passages when compared to intact cells in three separate data sets (Figs. 2e, 3b, and 4b–c); when plasmid expressions (i.e., later passages) were used, this difference between intact MSC and isolated nuclei stiffness was less and non-significant (Figs. 6b–c and S3). Second, overexpressed KASH fragments localize to the nuclear envelope (Uzer et al., 2015), and our data shown in Fig. S3 indicates that overexpressing KASH or empty mCherry plasmid does not make a difference in either intact cell or isolated nuclei stiffness. Therefore, the lack of stiffness difference between intact cells and isolated nuclei cannot simply be explained by the presence of the KASH fragment. Accordingly, while the observations in each figure were made across groups at the same cell passage to ensure self-consistency, due to the observed global shift in stiffness in later passages (Fig. S4), we cannot rule out the possibility that the lack of stiffness difference between intact cells and isolated nuclei as well as the lack of LIV-induced stiffening in KASH-expressing MSCs were simply due to increased cell passage. While this global shift in stiffness under siRNA treatment and plasmid overexpression remains as a limitation, in agreement with literature, depletion of LaminA/C showed significantly lower modulus compared to control siRNA (Lammerding et al., 2006; Schäpe et al., 2009). Similar to Lamin depletion studies in mouse embryonic fibroblasts (Kim et al., 2017), softer nuclei, due to LaminA/C depletion, also resulted in increased nuclear area in MSCs (Fig.3d). This softening and concomitant increased nuclear area points to a weakening of nuclear structure. As expected, when Sun-1&2 were co-depleted, we did not observe any changes in the nuclear area of intact MSCs (Fig.3d), owing to an absence of cytoskeletal connections (Uzer et al., 2018). Following nuclear isolation (i.e. in the absence of cytoskeletal connections), both LaminA/C and Sun-1&2 depleted nuclei showed large increases in heterochromatin area. This observation suggests that in the absence of cytoskeletal constraints, nuclear Lamina and Sun proteins can have secondary effects on heterochromatin structure.
Acute application of LIV caused a significant increase in stiffness for both intact MSC nuclei and isolated nuclei (Fig.4b), suggesting that the changes in cellular stiffness and cytoskeletal tension (Pagnotti et al., 2019) in response to LIV were in-part retained by nucleus as increased stiffness even after nuclear isolation protocol. Though the stiffness was increased, there were no short-term changes in the levels LaminA/C and Sun-2 (Fig.4c). As the LIV-induced stiffening of isolated nuclei were lower than that of intact MSCs, our findings suggests other mechanisms responsible for MSC stiffening in response to LIV, such as the cytoskeletal connections to the nucleus. Additionally, disrupting the LINC complex connections and applying the same 4x LIV protocol showed no changes in elastic modulus. This further suggests that cytoskeletal components contribute to the overall stiffening response of both intact MSCs and isolated nuclei.
Image analysis indicated a retention of chromatin-to-nuclear area ratio in LIV treated MSC nuclei post nuclear isolation (Fig. 5c). When cytoskeletal constraints were removed during nuclear isolation, chromatin-to-nuclear area ratio was increased in both control and LIV treated MSC nuclei, although nuclei subjected to 4x LIV showed significantly smaller, or more condensed heterochromatin compared to controls. These findings show that the effects of LIV were maintained by heterochromatin after the nucleus was mechanically separated from the cytoskeleton. While the mechanism by which this happens is again outside the scope of this current work, differences in DNA organization between isolated nuclei subject to LIV vs non-LIV counterparts may contribute to the increased stiffening of the nucleus (Stephens et al., 2018), suggesting that DNA organization plays a role in LIV-induced mechanoadaptation. Consequently LIV-induced decrease in the chromatin-to-nuclear area ratio post-isolation can potentially be a marker of altered gene access in response to environmental factors (Miroshnikova et al., 2017; Rubin et al., 2018).
Until now, it was previously unknown whether the nucleus responds to low intensity vibration in living cells. Our findings show that the nucleus is a mechanoresponsive element and responds to low intensity vibration by increasing its stiffness as confirmed by elastic modulus measurements. The mechanism(s) responsible for this stiffness regulation are not fully known, but our findings suggest that heterochromatin structure and cytoskeletal connections likely play a role in nuclear stiffening in response to LIV. Thus future studies aimed at understanding how LIV and other forms of mechanical signals regulate the mechanics of nucleoskeletal and heterochromatin structures may uncover new mechanisms by which forces regulate gene expression and cellular decisions.
Materials and Methods
Low Intensity Vibration (LIV) Protocol
Vibrations were applied with a peak magnitude of 0.7g, where g was defined as the acceleration due to earth’s gravitational field (9.81 m/s2). These dynamic accelerations were induced in the vertical direction via a sine wave oscillating at 90 Hz. Application of this sine wave excitation to the entire plate results in three types of forces: dynamic acceleration, vibration-induced fluid shear, and substrate deformation. In vivo, application of LIV results in bone deformations of 5–10 με, fluid shear stress of 0.5–1 Pa at the bone/bone marrow interface, and peak acceleration of 0.7 g (Chan et al., 2013). In vitro, we have shown that LIV response generates <10 με substrate deformation (Sen et al., 2011). Further, by modulating cell culture viscosity, we have reported that the cell response to LIV is independent of fluid shear as two conditions that generate 2 Pa and 0.015 Pa fluid shear, respectively, generated the same amount of osteogenic differentiation in MSCs (Uzer et al., 2013). In the current situation, where LIV was applied in the vertical direction, we have estimated fluid shear to be as small as 0.0008 Pa (Uzer et al., 2015). In light of the extremely small substrate strains and fluid shear, we report acceleration magnitude and frequency in the vertical direction as the primary mechanical signal. Controls were handled the same way, but the LIV device was not turned on. LIV was applied as either, two (2x) or four (4x), twenty-minute vibration periods with one-hour rest in-between.
Atomic Force Microscopy (AFM)
Force-displacement curves for both intact MSC nuclei and isolated nuclei were acquired using a Bruker Dimension FastScan Bio AFM. Tipless MLCT-D probes (0.03 N/m spring constant) were functionalized with 10 μm diameter borosilicate glass beads (Thermo Scientific 9010, 10.0 ± 1.0 μm NIST-traceable 9000 Series Glass Particle Standards) prior to AFM experiments using UV-curable Norland Optical Adhesive 61 (Fig. S2a). To ensure accurate force measurements, each probe was individually calibrated. Accordingly, a thermal tune was conducted on each probe immediately prior to use to determine its spring constant and deflection sensitivity (Fig. S2b). MSCs and nuclei were located using the AFM’s optical microscope and engaged on using a minimal force setpoint (2–3 nN) to ensure contact while minimizing applied force and resultant deformation prior to testing. Ramps were performed over the approximate center of each nucleus for all samples. After engaging on a selected nucleus to ensure probe/nucleus contact as described above, force curve ramping was performed at a rate of 2 μm/sec over 2 μm total travel (1 μm approach, 1 μm retract; Fig. S2c). Three replicate force-displacement curves were acquired and saved for each nucleus tested, with at least 3 seconds of rest between conducting each test. Measurements that showed less than 600 nm contact with the nucleus were discarded.
Measured force-displacement curves were analyzed assuming Hertzian (spherical contact) mechanics (Guo et al., 2012), employing Bruker’s Nanoscope Analysis software package v1.8 to obtain the elastic modulus of the samples. Accordingly, MSC and nuclear stiffness were quantified in Nanoscope Analysis using a best-fit curve to a Hertzian model, with the point of initial contact was visually selected. While visual selection of the initial contact point can potentially lead to variability in the resultant calculated elastic modulus, averaging of three consecutive measurements was employed to minimize introduction of error due to selection uncertainties. The fitted curves were analyzed until the R2 value was greater than 0.95 (p<0.05). To examine the effect of Poisson’s ratio (which can vary and is not precisely known for MSC nuclei) on the calculated modulus, values of both 0.3 (a common default for unknown materials that assumes some degree of compressibility) and 0.5 (corresponding to purely elastic deformation of an incompressible isotropic solid) were tested for the sample Poisson’s ratio. We found that the group differences were unaltered by the choice of Poisson’s ratio (data not shown). Therefore, due to limitations of the Hertzian contact model and the inability to measure experimental deformations, we did not employ a variable Poisson’s ratio, instead utilizing a value of 0.5 throughout the study as a best estimate for the effective Poisson’s ratio of the cells. While these simplifications may not be completely realistic, we additionally kept our deformation small (i.e., <1 μm) in order to avoid non-linear effects and changes in Poisson’s ratio. The modulus of each individual sample (i.e., intact MSC or isolated nucleus) was reported as the average of three consecutive force curve measurements. Group averages were then obtained from the average values for the individual samples.
Statistical Analysis
Unless indicated otherwise in figure legends, results are expressed as mean ± standard error of the mean throughout. All experiments were replicated at least three times to ensure reproducibility. Densitometry and other analyses were performed on at least three independent experiments. As we previously reported (Uzer et. al 2018, Touchstone et al. 2019), for western blot data, differences between treatments within each biological replicate were assumed to follow a normal distribution due to large mean sample; thus for these comparisons, we have used two-tailed un-paired T-tests (Figure 4d). For other comparisons, we used a non-parametric two-tailed Mann-Whitney U-test (Figures 1, 2c, 2e, 5, 6, S3 and S4) or Kruskal-Wallis test followed by Tukey multiple comparison (Figures 2d, 3 and 4b). P-values of less than 0.05 were considered significant.
Supplementary Material
Acknowledgments
Funding support: This study was supported by NIH R01AG059923, 5P2CHD086843–03, P20GM109095, and P20GM103408 and NSF 1929188.
Footnotes
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The author(s) declare no competing financial interests
Conflict of Interest
The author(s) declare no conflict of interest, financial or otherwise.
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