Abstract
Secondary metabolites from fungi, algae and lichens have remarkable biological activities as antibiotics, fungicides, antiviral drugs, and cancer therapeutics. This review focuses on the lichen-derived metabolite gyrophoric acid and other select secondary metabolites (e.g., usnic acid, salazinic acid, physodic acid, vulpinic acid ceratinalone, flavicansone, ramalin, physciosporin, tumidulin, atranorin, parmosidone) that modulate a number of cellular pathways relevant to several biomedical diseases and disorders, including cancer, diabetes and cardiovascular disease. We discuss the chemical structure and biochemical activities of gyrophoric acid and other compounds relative to the molecular mechanisms and cellular processes that these metabolites target in a distinct human and rodent cell types. The therapeutic promise of gyrophoric acid and similar lichen derived metabolites is associated with the chemical versatility of these compounds as polyaromatic depsides with functional carboxyl and hydroxyl side-groups that may permit selective interactions with distinct enzymatic active sites. Gyrophoric acid has been examined in a series of studies as an effective anticancer drug because it impinges on topoisomerase 1 activity, as well as causes cell cycle arrest, comprises cell survival, and promotes apoptosis. Because gyrophoric acid has cytostatic properties, its biological roles and possible medicinal utility may extend beyond effects on cancer cells and be relevant to any process that is controlled by cell growth and differentiation.
Keywords: Lichens, Gyrophoric Acid, Anticancer, Cardiovascular Diseases, Diabetes, Mechanism of Action, Secondary Metabolite, Depside, Topoisomerase, Proliferation, Apoptosis, Cancer Cytostatic, Cytotoxic
Introduction
Natural pharmacological compounds are used as therapies to treat a range of clinical conditions and disorders, including cancer. Many of these agents represent plant and fungus derived secondary metabolites such as polyphenols, such as flavonoids and phenolic acids [1–8]. A broad range of such secondary metabolites is produced by lichens, which represent a class of more than 10,000 symbiotic organisms consisting of fungi and photosynthetic algae [9] that are found in a wide variety of tropical and arctic environments with major differences in temperatures and sunlight [10]. More than 1,000 unique secondary metabolites including depsides, depsidones, dibenzofurans and chromones [11] are produced primarily by the fungal symbiont [12]. The considerable chemical diversity provides a major opportunity for the discovery of new compounds with different structural and cellular metabolic functions [13,14]. Unfractionated lichen extracts are bioactive against various microbial diseases such as bacterial, fungal and viral infections [15–20]. Production of secondary metabolites in lichens, which may enhance survival in ecologically diverse niches, may have evolved as part of biochemical defense mechanisms against other organisms such as bacteria and non-lichenized fungi [11,21–23].
This review discusses the secondary metabolite gyrophoric acid that has significant potential in medicinal applications. The purpose of this review paper is to provide an overview of current findings of gyrophoric acid, including its antitumor and antioxidant activities which render this compound attractive for applications as a chemotherapeutic agent to treat cancer cells, as well as inflammation and glycation in diabetes and cardiovascular disease. We also discuss published studies that focus on the mode of action of this compound in different cell types and physiological processes. These studies indicate that gyrophoric acid affects molecular mechanisms related to proliferation, apoptosis and enzyme inhibitory effects in different biological contexts. We discuss specific studies on the potential functions and mechanisms of action of gyrophoric acid in different biological contexts in greater detail. These studies provide the foundation for our current understanding of the utility of gyrophoric acid as a lead compound for further drug development and possible therapeutic applications. Although a full picture of its function has not yet emerged, considerable progress has been made that warrants further investigation.
Biomedical roles of lichen-derived secondary metabolites in medicine
Gyrophoric acid has been characterized in an extensive number of studies on the use of lichens as traditional medicine. It is one of many distinct metabolites present in lichens that has strong antimicrobial activities against several bacteria and fungi among which are human pathogens [24]. Gyrophoric acid and other lichen derived compounds have been investigated for possible use in anticancer therapies and inflammatory diseases based on cytostatic and cytotoxic effects. For example, lichen-derived secondary metabolites exert anti-proliferative effects in a variety of tumor cell types (e.g., breast, lung, melanoma and colon carcinomas) by modulating cell cycle progression, cell survival and/or cell death with concomitant alterations in distinct cell signaling pathways and changes in gene expression, based on in vitro studies using cell culture models and enzymes [25–34]. Beyond potential utility as cancer therapeutics, lichen extracts and purified lichen-derived metabolites have also possible uses for the treatment of cardiovascular diseases, asthma, pulmonary inflammation and gastrointestinal disorders [35–37]. Results on the biological activities of lichen extracts and metabolites have been sufficiently encouraging to permit further bio-screening of new lichen-derived natural products.
Gyrophoric acid as a paradigm for bioactive polyphenolic compounds from lichen species
Gyrophoric acid is a prevalent secondary metabolite in lichens [38] (Figure 1). It has been detected in 31 out of 33 lichen species within the Umbilicaria genus [22], including Umbilicaria muhlenbergii, which is a common lichen species in North America. Gyrophoric acid is a polyphenolic depside that is characterized by three monocyclic aromatic rings [21] (Figure 1A). The aromatic rings in these phenolic compounds permit scavenging of free radicals consistent with a general anti-oxidant function. In addition, these aromatic rings provide a versatile scaffold that together with additional hydroxyl and methyl groups can dock with (and block) active sites within different enzymes and receptors [15]. This biochemical versatility of gyrophoric acid and other depsides permits consideration of their bioactivities in a range of biological activities [39,40].
Biological effects of gyrophoric acid on distinct cell types and biochemical effects on diverse enzymes
Gyrophoric acid may have evolved perhaps as a potential antimicrobial agent for non-lichen species based on its bioactivity as a cytotoxic or cytostatic agent in distinct eukaryotic cell types. Indeed, our current understanding of gyrophoric acid is that it suppresses mammalian cell cycle progression by blocking Topoisomerase 1 activity (encoded by the TOP1 gene). This inhibition is therefore expected to generate DNA strand breaks and activate the p53/p21 DNA damage pathway (encoded by the TP53 and CDKN1A genes, respectively) (Figure 1A). The resulting cell cycle arrest may occur concomitant with caspase activation and apoptosis if the genome is degraded to the point where it cannot be properly repaired.
Gyrophoric acid not only inhibits Topoisomerase I but also targets other enzymes including eukaryotic protein tyrosine phosphatases (e.g., PTP1B), the zinc-dependent metalloprotease neprilysin (i.e., MME), bacterial urease and enzymes that control glycation (Figure 1B). Several studies have defined the inhibitory concentration at which gyrophoric acid inhibits various enzymes from different biological sources (Fig. 1B). These studies revealed that the protein tyrosine phosphatase PTP1B is the most sensitive target with an IC50 below 5µM, while the half maximum inhibitory concentration for TOP1 is considerably higher (IC50>35µM) and yet even higher for other enzymes that have been studied [41] (Fig. 1B). Notably, enzymes targeted by gyrophoric acid are broadly conserved in eukaryotic species including fungi and yeast. Based on the phylogenetic conservation of its putative molecular targets, gyrophoric acid is predicted to have biological effects in organisms and cells ranging from yeast to man.
The biological effects of gyrophoric acid have also been investigated in a variety of distinct cell types in a dose and time dependent manner (Figure 2). The majority of studies have been performed with different tumor derived cell types (e.g., K562 and HL60 leukemia cells, A375 and A2780 ovarian cancer cells, HT29 and MCF7 breast cancer cells and HeLa cervical cancer cells). Additionally, gyrophoric acid has been tested in a very limited number of non-tumor cell types, such as immortalized Jurkat T lymphocytes, lymphocytes, keratinocytes and hepatocytes (Fig. 2). Our group has recently expanded these studies to include U2OS osteosarcoma cells and normal human mesenchymal stem cells (MSCs) derived from the perivascular stroma of adipose tissue (unpublished observations). Collectively, these studies reveal that different cells exhibit distinct sensitivities to different concentrations of gyrophoric acid in a variety of biological assays that examined the cellular mechanisms of action based on its versatile biochemical inhibitory activities. The overall conclusion is that gyrophoric acid affects human cell types within a fairly broad concentration range and has biological effects with micromolar doses between 50 and 500µM (Fig. 2). This concentration range is quite high and could suggest that gyrophoric acid does not target one or few specific enzymes with high affinity, but rather many enzymes with low affinity. The latter concept would be consistent with the idea that lichens generate gyrophoric acid as a protective pleiotropic compound that targets multiple conserved essential enzymes in other eukaryotic and microbial species.
Cytostatic effects of gyrophoric acid on tumor cell lines
The cell cycle in proliferating tumor cells is controlled by checkpoints that ensure replication of the genome during S phase and proper separation of the two daughter cells during the mitotic process of cell division [42]. Deregulation in cell cycle progression dysregulates proliferation of cells resulting in the unconstrained growth observed in tumor cells [43]. Many natural compounds produced by plants and lichens exhibit the ability to inhibit cancer cell proliferation by controlling cell cycle progression during G1, S and G2 phases or mitosis, and any such compounds could potentially be considered for chemotherapeutic strategies [44]. Gyrophoric acid has clear effects on the p53/p21 (TP53/CDKN1A) pathway as discussed above in different cancer cell types. For example, Fem-X and K562 cell lines exhibit apoptosis after exposure to gyrophoric acid as reflected by increased numbers of cells in the sub-G1 phase and decreased percentages of cells in G0/G1 and S/G2/M phases [12]. Gyrophoric acid is also known to exert inhibitory effects on proliferation by provoking cell cycle arrest at the quiescence related checkpoints at G0/G1 in A2780, HCT-116-p53+/+, HCT-116-p53−/− and HL-60 cells [45]. In addition, gyrophoric acid triggers a cell cycle arrest in S phase in both HT-29 and A2780 cells [29], while causing a G0/G1 arrest in HeLa cells under different treatment conditions. Consistent with the cytostatic effects of gyrophoric acid, this compound inhibits colony formation in SK-BR-3 breast cancer cells, even though this result was not replicated in HT-29 and HCT-116 colon carcinomas or A2780 ovarian carcinoma cells [45]. Thus, gyrophoric acid has pleiotropic and inhibitory effects on cell cycle progression in a broad range of tumor cell types. These effects depend on the tumor type, perhaps because the pharmacokinetics of gyrophoric acid may differ in different cell types. For example, the potency and bioavailability of gyrophoric acid may differ in different cell types due to conversion of gyrophoric acid by cytochrome P450 monooxygenases that target xenobiotics, removal of gyrophoric acid by ATP sodium-potassium exchange pumps, or yet other cellular mechanisms.
Beyond cell cycle effects, gyrophoric acid also may affect oxidative processes and cell metabolism. One study focused on the role of gyrophoric acid as an antioxidant that provides UV protection in skin-related melanoma cells [46]. In addition, A375 melanoma cells treated with gyrophoric acid show induction of lactate dehydrogenase which is secreted into the culture media as an indicator of cytotoxicity [47], although no release was observed in hepatocyte cells [48]. When exposed to gyrophoric acid, the keratinocytic HaCaT cell line also releases lactates dehydrogenase into media as a marker of cellular damage [49]. These effects on HaCaT keratinocytes are primarily cytostatic rather than cytotoxic in nature [50]. Effective concentrations of gyrophoric acid that decrease proliferation also affect cell metabolic activity of HeLa cells, MCF-7 and A549 cells [14]. These metabolic effects of gyrophoric acid could be direct by interfering with one or more uncharacterized enzymes that have key metabolic functions, or perhaps be the secondary consequence of reduced energy requirements that accompany a block in cell cycle progression.
Apoptosis related effects of gyrophoric acid
Gyrophoric acid is known to trigger programmed cell death. Apoptosis of cells damaged by this compound occurs concomitant with changes in nuclear morphology (‘blebbing’), breakdown of cellular components and production of paracrine signals that recruit macrophages. Gyrophoric acid may in principle cause apoptosis via intrinsic or extrinsic apoptotic pathways that involve different networks of proteins (Figure 3). The intrinsic pathway is associated with mitochondria and is linked to the ratio between mitochondrial BCL2 proteins and the antagonist BAX proteins that together control cytochrome C retention [42]. This intrinsic pathway is regulated by the nuclear transcription factor p53/TP53, which is activated by DNA damage. Increased levels of BAX and/or reduced levels of BCL2 activate death signals in mitochondria and release cytochrome C into the cytoplasm. Extrinsic receptor mediated pathways are initiated by the binding of pro-apoptotic ligands (e.g., TNF-α) to their cognate cell death receptors (e.g., the TNF-α receptor TNFR1/TNFRSF1A). Activation of cell death receptors induces caspases that represent key proteases mediating apoptosis [51]. It has been established that natural lichen derived metabolites may promote formation of reactive oxygen species (ROS) as part of an apoptotic process that (i) decreases mitochondrial membrane potential, (ii) decreases the BCL2/BAX ratio and (iii) increases the activity of the caspase cascade (i.e., CASP3, CASP8 and CASP9) [52–57]. These events ultimately promote DNA fragmentation and disintegration of cells. Hence, gyrophoric acid may have a significant role in both intrinsic and extrinsic apoptotic pathways. Many different cancer cell types have been investigated for responsiveness to gyrophoric acid at different doses and multiple time points (Figure 2). Apoptotic effects of gyrophoric acid are observed between 50 to 200µM as reflected by upregulation of established markers of apoptosis, such as ROS induction and caspase pathways (Figure 2). The ability of gyrophoric acid to induce programmed cell death is consistent with its promising potential as an apoptosis-inducing agent that can be used to decrease tumor cells.
Enzyme inhibitory effect of gyrophoric acid in diabetes and chronic heart failure
Beyond the bioactivity of gyrophoric acid as a potential anti-cancer agent, this compound also may have important medicinal potential by inhibiting glycation related enzymes and enzyme inhibitors [58]. The clinical significance of these findings is that many age-related diseases are related to glycation including diabetes, kidney diseases, inflammatory processes and other degenerative disorders (e.g., atherosclerosis, osteoporosis, neurodegenerative disease) [59]. Consistent with these studies, gyrophoric acid may be effective in diabetes [31,58,60] and chronic heart disease [61]. Anti-diabetic therapies could be developed based on the ability of gyrophoric acid to inhibit diabetes related enzymes as α-amylase [58] phosphatase PTP1B [41], and enzymes supporting glycation. Lichen species and derived metabolites like gyrophoric acid decrease glycation and reduce pathological parameters of diabetes which may be related to the versatile aromatic structures and associated functional groups of gyrophoric acid (e.g., carboxy and hydroxyl groups) that permit binding to different types of active sites in distinct enzymes [62] (summarized in Figure 1). In vitro screening has revealed that gyrophoric acid has antiglycation activity on bovine serum albumin and inhibits the microbial enzyme urease. The inhibitory effects of gyrophoric acid on PTP1B may be related to the role of this intracellular phosphatase in suppression of insulin production [63]. The inhibitory effects of gyrophoric acid on PTP1B and glycation suggest that this compound could be considered for potential pharmacotherapies to decrease the clinical complications of diabetes. Beyond gyrophoric acid, other studies have examined the inhibitory effect of lichen substances on α-glucosidase, an enzyme that converts glycogen and disaccharides to α-glucose. Two of these studies focused on the depsidone, parmosidone, and new meta-depsidone, parmosidone K, from the lichen Parmotrema tsavoense which revealed that these compounds inhibit glucosidase activity within the micromolar range (respectively, IC50 values in the range of 10.7 to 17.6 μM [64] and 3.12 µM) [65].
The combined knowledge of traditional and modern pharmacology has led to consideration of gyrophoric acid as a novel potential therapeutic for heart disease. Multi-target inhibitory modeling was performed in silico to assess new strategies for reducing pathological manifestations of chronic heart failure. In one study, gyrophoric acid was tested for its ability to block the activity of angiotensin II type 1 receptor (AT1/AGTR1), which regulates blood pressure in the cardiovascular system together with the kidney related protease neprilysin (NEP) [61]. Improvements in cardiovascular disease and death due to heart failure can be achieved by combination treatment that targets both AGTR1 and NEP. Multi-drug target modeling studies were performed to suggest that gyrophoric acid may directly interact with AGTR1, while subsequent biological screening revealed that gyrophoric acid may antagonize AGTR1 as predicted [61]. Hence, gyrophoric acid may have potential in cardiovascular disease and this interesting suggestion warrants further exploration.
Beyond gyrophoric acid: biological effects of other lichen-derived compounds
Apart from gyrophoric acid as a prominent secondary metabolite, drug discovery searches with lichen extracts have results in identification of other lichen-derived chemical entities with antioxidant, anti-cancer and anti-inflammatory agents. For example, usnic acid is a dibenzofuran compound that has been isolated from extracts of the lichen Usnea barbata [30,66], Niebla homalea and other lichen species and has demonstrated activity against cancer cell proliferation. Usnic acid has modest antiproliferative effects in A2780 ovarian and MCF7 breast cancer cell lines in the micromolar range (IC50 values of, respectively, 3.8 μM and 6.8 μM) [67]. Mechanistically, this compound induces apoptosis in human lung cancer cells in a time and concentration dependent manner via effects on mitochondrial membrane depolarization [68]. In addition, usnic acid deregulates the cytoprotective p53 (TP53) gene and the pro-apoptotic genes BCL2 and BAX in both non-malignant (Vero, L929) and cancer-derived (CaCo2, RD, Hep2C, HepG2, Wehi) cell lines [55]. Similar mechanisms were examined in human HCT116 colorectal cancer cells where usnic acid suppresses BCL2-related antiapoptotic genes (e.g., MCL1), while inducing apoptotic genes (e.g., BAX, TP53, CDKN1A/p21) in a concentration-dependent manner [69]. Usnic acid is also known to inhibit mTOR/MTOR activity by suppressing protein kinase C alpha type (PKC-A/ PRKCA) and increasing LDH release in human colorectal cancer (HCT116, LS174) cells [70]. Furthermore, this compound mediates anti-proliferative effects via miRNA dependent mechanisms that target Hedgehog, TGF- and MAPK apoptosis pathways in human breast cancer cell lines (MDA-MB-231, BT-474, and MCF7 cells) [71], while synergizing with tamoxifen to suppress proliferation of MCF7 cells [72]. Usnic acid also suppresses proliferation of both normal fibroblasts (V79) and oral squamous carcinoma cells (CAL-27) [30], as well as cervical cancer cells by inhibiting PD-L1 expression and enhancing T-lymphocyte activity towards tumors [73]. This compound also reduced cell survival and increased programmed cell death in LUSC lung carcinoma cells by reactive oxygen species (ROS) produced by mitochondrial respiratory chain, which then reduces NRF2 stability through deregulation of the PI3K/AKT pathway [69].
The number of lichen species that has been examined for bioactive compounds that potential medicinal properties in blocking cancer cell growth continues to expand rapidly. Apart from gyrophoric acid and usnic acid, many other potential anti-proliferative compounds have been extracted from lichens, including salazinic acid, physodic acid, and tumidulin (from Niebla homalea [67,74] or Pseudevernia furfuracea [75]), ceratinalone (a depsidone secondary metabolite from Usnea ceratina) [64], flavicansone (a depsidone from Teloschistes flavicans) [76], uncharacterized methanol-extractable compounds (from Physconia hokkaidensis) [56], diphenyl ethers lichen-derived praesorethers E, F and G [77], as well as a series of identified secondary metabolites such as vulpinic acid [78], atranorin [79], ramalin [80], and physciosporin [81]. Similar to the many studies focusing on gyrophoric acid, these lichen crude extracts or their purified metabolites were investigated for apoptotic and anti-proliferative effects in a wide variety of different cancer cell lines. Two systematic studies examined the antitumor activities of extracts from a panels containing about a dozen distinct lichen species [29,82]
Each of these compounds and extracts was examined for cytotoxic and cytostatic properties in many different cancer cell lines, similar to studies on the molecular mechanism of gyrophoric action discussed above. The list of cancer cell lines that were tested for sensitivity to lichen compounds were derived from patients with colorectal and stomach tumors (DLD-1, HCT116 and AGS), hematopoietic cancer (HL-60), lung cancer (A549), cervical carcinoma (HeLa), hepatoma (HepG2), and breast cancer (MDA-MB-231 and MCF-7) [32,56]. Similar to gyrophoric acid, these studies revealed that lichen derived compounds can increase p53 expression [78], as well as suppress pro-proliferative WNT/β-catenin (CTNNB1) and AP1 (FOS/JUN) related pathways that control cell growth regulatory factors such as cyclin-D1 and c-myc [31]. In addition, several of these studies also revealed that lichen extracts or compounds can trigger detoxification and antioxidant defense mechanisms involving transcription factor NRF2 and its downstream target genes, while suppressing inflammation related pathways (e.g., NFKB1 and STAT3) [32] and the TGF-β (TGFB1/SMAD2/SMAD3) pathway [75].
While studies on lichens extracts and/or isolated lichen metabolites has provided insight into their potential use as anticancer agents, clinical investigations will be required to obtain a comprehensive understanding of these lichen derived compounds in cancer patients. The current body of work on lichen species studies is definitely very encouraging and indicates that compounds from lichen species are quite adaptable and may be useful for potential therapeutic strategies for cancer treatment in the clinic.
Conclusions
The general conclusion that is apparent from all studies on gyrophoric acid is that this secondary metabolite from lichens is an extraordinarily versatile polyaromatic depside that has broad biological activity in a number of biological contexts. The compound has been most often studied as an inhibitory agent that constrains tumor growth by blocking topoisomerase I activity, inducing p53-dependent DNA damage pathways and provoking apoptosis networks including the proteolytic caspase cascade (Figure 3). Beyond these anti-tumor effects, gyrophoric acid may also affect enzymes and pathways related to diabetes and cardiovascular disease. The biological versatility gyrophoric acid is linked to its ability to target and inhibit multiple different enzymes at micromolar concentrations. This ability to bind many targets is based on its unique chemical structure that contains a polyaromatic scaffold with functional side groups that permit interactions with diverse active sites. It can certainly not be ruled out that gyrophoric acid may target additional enzymes that have not yet been examined. While several potential mechanisms of action for gyrophoric acid have been described, these inhibitory activities must be further defined and refined. Another interesting concept is the development of drug combination of the secondary metabolite gyrophoric acid with other lichen isolated metabolites or conventional chemotherapeutic drugs. Combination therapies could be considerably more effective compared to treatment with single anticancer compounds. Furthermore, lichen-derived anticancer substances could be combined with small molecules that affect genetic and epigenetic pathways, including DNA methylation, histone modification and non-coding RNA expression (e.g., miRNAs and LNCRNAs). Therefore, further investigations at the biochemical, molecular, cellular and biological levels in both in vitro and in vivo models will undoubtedly increase our understanding of the biological actions of this promising agent in drug design and pharmacotherapies for a broad range of medical conditions.
Highlights.
Lichen-derived metabolites inhibit clinically relevant cellular pathways
Gyrophoric acid targets many distinct enzymes with low affinity
Gyrophoric acid has cytostatic effects by blocking key cellular pathways
Cytostatic effects of gyrophoric acid may have use in cancer treatment
Acknowledgments
We thank Roman Thaler, Amel Dudakovic and Noelle Larson for stimulating discussions.
Funding
This work was supported by Mitacs (#FR37889)(to MM) and the National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01 AR049069 to AvW). We also thank William and Karen Eby for generous philanthropic support.
Abbreviations:
- AGTR1
Angiotensin II Receptor Type 1
- AT1
Angiotensin II Type 1 Receptor
- ATP
Adenosine Triphosphat
- BAX
BCL2 Associated X, Apoptosis Regulator
- BCL2
B-Cell CLL/Lymphoma 2 Apoptosis Regulator
- CASP3
Caspase 3
- CASP8
Caspase 8
- CASP9
Caspase 9
- CDKN1A
Cyclin Dependent Kinase Inhibitor 1A
- CHF
Congestive Heart Failure
- DNA
Deoxyribonucleic Acid
- FTIR
Fourier-Transform Infrared
- IC
Inhibitory Concentration
- MME
Membrane Metalloendopeptidase
- MS
Mass
- MSC
Mesenchymal stem cell
- NEP
Neutral Endopeptidase
- NMR
Nuclear Magnetic Resonance
- PARP1
Poly(ADP-Ribose) Polymerase 1
- PARP2
Poly(ADP-Ribose) Polymerase 2
- PARP3
Poly(ADP-Ribose) Polymerase 3
- PTP1B
Protein-Tyrosine Phosphatase 1B
- ROS
Reactive Oxygen-Containing Species
- TNF
Tumor Necrosis Factor
- TNFRSF1A
TNF Receptor Superfamily Member 1A
- TOP1
DNA Topoisomerase I
- TP53
Tumor Protein P53
- UV
Ultraviolet
- μM
Micromolar
Footnotes
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Conflicts of interest
The authors declare no conflicts of interest.
Declaration of interests
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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