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1.
Ultrasound Med Biol ; 47(12): 3480-3490, 2021 12.
Article in English | MEDLINE | ID: mdl-34507874

ABSTRACT

A change in elastin and collagen content is indicative of damage caused by hypertension, which changes the non-linear behavior of the vessel wall. This study was aimed at investigating the feasibility of monitoring the non-linear material behavior in an angiotensin II hypertensive mice model. Aortas from 13 hypertensive mice were imaged with pulse wave imaging (PWI) over 4 wk using a 40-MHz linear array. The pulse wave velocity was estimated using two wave features: (i) the maximum axial acceleration of the foot (PWVdia) and (ii) the maximum axial acceleration of the dicrotic notch (PWVend-sys). The Bramwell-Hill equation was used to derive the compliance at diastolic and end-systolic pressure. This study determined the potential of PWI in a hypertensive mouse model to image and quantify the non-linear material behavior in vivo. End-systolic compliance could differentiate between the sham and angiotensin II groups, whereas diastolic compliance could not, indicating that PWI can detect early collagen-dominated remodeling.


Subject(s)
Aorta, Abdominal , Hypertension , Animals , Aorta, Abdominal/diagnostic imaging , Blood Pressure , Feasibility Studies , Mice , Pulse Wave Analysis
2.
Cancer Immunol Res ; 9(10): 1141-1157, 2021 10.
Article in English | MEDLINE | ID: mdl-34376502

ABSTRACT

The use of cytokines for immunotherapy shows clinical efficacy but is frequently accompanied by severe adverse events caused by excessive and systemic immune activation. Here, we set out to address these challenges by engineering a fusion protein of a single, potency-reduced, IL15 mutein and a PD1-specific antibody (anti-PD1-IL15m). This immunocytokine was designed to deliver PD1-mediated, avidity-driven IL2/15 receptor stimulation to PD1+ tumor-infiltrating lymphocytes (TIL) while minimally affecting circulating peripheral natural killer (NK) cells and T cells. Treatment of tumor-bearing mice with a mouse cross-reactive fusion, anti-mPD1-IL15m, demonstrated potent antitumor efficacy without exacerbating body weight loss in B16 and MC38 syngeneic tumor models. Moreover, anti-mPD1-IL15m was more efficacious than an IL15 superagonist, an anti-mPD-1, or the combination thereof in the B16 melanoma model. Mechanistically, anti-PD1-IL15m preferentially targeted CD8+ TILs and single-cell RNA-sequencing analyses revealed that anti-mPD1-IL15m treatment induced the expansion of an exhausted CD8+ TIL cluster with high proliferative capacity and effector-like signatures. Antitumor efficacy of anti-mPD1-IL15m was dependent on CD8+ T cells, as depletion of CD8+ cells resulted in the loss of antitumor activity, whereas depletion of NK cells had little impact on efficacy. The impact of anti-hPD1-IL15m on primary human TILs from patients with cancer was also evaluated. Anti-hPD1-IL15m robustly enhanced the proliferation, activation, and cytotoxicity of CD8+ and CD4+ TILs from human primary cancers in vitro, whereas tumor-derived regulatory T cells were largely unaffected. Taken together, our findings showed that anti-PD1-IL15m exhibits a high translational promise with improved efficacy and safety of IL15 for cancer immunotherapy via targeting PD1+ TILs.See related Spotlight by Felices and Miller, p. 1110.


Subject(s)
CD8-Positive T-Lymphocytes/immunology , Colonic Neoplasms/therapy , Immunotherapy , Interleukin-15/therapeutic use , Melanoma, Experimental/therapy , Animals , Cell Line, Tumor , Colonic Neoplasms/immunology , Disease Models, Animal , Humans , Interleukin-15/immunology , Lymphocytes, Tumor-Infiltrating/immunology , Lymphocytes, Tumor-Infiltrating/metabolism , Melanoma, Experimental/immunology , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Programmed Cell Death 1 Receptor/immunology , Protein Engineering , Recombinant Fusion Proteins/immunology , Recombinant Fusion Proteins/therapeutic use
3.
Nature ; 574(7779): 553-558, 2019 10.
Article in English | MEDLINE | ID: mdl-31645721

ABSTRACT

Age-associated chronic inflammation (inflammageing) is a central hallmark of ageing1, but its influence on specific cells remains largely unknown. Fibroblasts are present in most tissues and contribute to wound healing2,3. They are also the most widely used cell type for reprogramming to induced pluripotent stem (iPS) cells, a process that has implications for regenerative medicine and rejuvenation strategies4. Here we show that fibroblast cultures from old mice secrete inflammatory cytokines and exhibit increased variability in the efficiency of iPS cell reprogramming between mice. Variability between individuals is emerging as a feature of old age5-8, but the underlying mechanisms remain unknown. To identify drivers of this variability, we performed multi-omics profiling of fibroblast cultures from young and old mice that have different reprogramming efficiencies. This approach revealed that fibroblast cultures from old mice contain 'activated fibroblasts' that secrete inflammatory cytokines, and that the proportion of activated fibroblasts in a culture correlates with the reprogramming efficiency of that culture. Experiments in which conditioned medium was swapped between cultures showed that extrinsic factors secreted by activated fibroblasts underlie part of the variability between mice in reprogramming efficiency, and we have identified inflammatory cytokines, including TNF, as key contributors. Notably, old mice also exhibited variability in wound healing rate in vivo. Single-cell RNA-sequencing analysis identified distinct subpopulations of fibroblasts with different cytokine expression and signalling in the wounds of old mice with slow versus fast healing rates. Hence, a shift in fibroblast composition, and the ratio of inflammatory cytokines that they secrete, may drive the variability between mice in reprogramming in vitro and influence wound healing rate in vivo. This variability may reflect distinct stochastic ageing trajectories between individuals, and could help in developing personalized strategies to improve iPS cell generation and wound healing in elderly individuals.


Subject(s)
Aging/metabolism , Cellular Reprogramming , Cellular Senescence/physiology , Fibroblasts/metabolism , Wound Healing , Animals , Cell Line , Cellular Reprogramming/drug effects , Culture Media, Conditioned/pharmacology , Cytokines/metabolism , Fibroblasts/cytology , Fibroblasts/drug effects , Humans , Induced Pluripotent Stem Cells/cytology , Induced Pluripotent Stem Cells/drug effects , Induced Pluripotent Stem Cells/metabolism , Inflammation Mediators/metabolism , Jews/genetics , Male , Mice , Mice, Inbred C57BL , Sequence Analysis, RNA , Signal Transduction/drug effects , Single-Cell Analysis , Stochastic Processes , Time Factors , Wound Healing/drug effects
4.
Genome Res ; 29(4): 697-709, 2019 04.
Article in English | MEDLINE | ID: mdl-30858345

ABSTRACT

Aging is accompanied by the functional decline of tissues. However, a systematic study of epigenomic and transcriptomic changes across tissues during aging is missing. Here, we generated chromatin maps and transcriptomes from four tissues and one cell type from young, middle-aged, and old mice-yielding 143 high-quality data sets. We focused on chromatin marks linked to gene expression regulation and cell identity: histone H3 trimethylation at lysine 4 (H3K4me3), a mark enriched at promoters, and histone H3 acetylation at lysine 27 (H3K27ac), a mark enriched at active enhancers. Epigenomic and transcriptomic landscapes could easily distinguish between ages, and machine-learning analysis showed that specific epigenomic states could predict transcriptional changes during aging. Analysis of data sets from all tissues identified recurrent age-related chromatin and transcriptional changes in key processes, including the up-regulation of immune system response pathways such as the interferon response. The up-regulation of the interferon response pathway with age was accompanied by increased transcription and chromatin remodeling at specific endogenous retroviral sequences. Pathways misregulated during mouse aging across tissues, notably innate immune pathways, were also misregulated with aging in other vertebrate species-African turquoise killifish, rat, and humans-indicating common signatures of age across species. To date, our data set represents the largest multitissue epigenomic and transcriptomic data set for vertebrate aging. This resource identifies chromatin and transcriptional states that are characteristic of young tissues, which could be leveraged to restore aspects of youthful functionality to old tissues.


Subject(s)
Aging/genetics , Epigenesis, Genetic , Immunity, Innate/genetics , Transcriptome , Animals , Histone Code , Inflammation/genetics , Interferons/genetics , Male , Mice , Mice, Inbred C57BL
5.
Nat Cell Biol ; 21(1): 32-43, 2019 01.
Article in English | MEDLINE | ID: mdl-30602763

ABSTRACT

Ageing is associated with the functional decline of all tissues and a striking increase in many diseases. Although ageing has long been considered a one-way street, strategies to delay and potentially even reverse the ageing process have recently been developed. Here, we review four emerging rejuvenation strategies-systemic factors, metabolic manipulations, senescent cell ablation and cellular reprogramming-and discuss their mechanisms of action, cellular targets, potential trade-offs and application to human ageing.


Subject(s)
Aging/physiology , Cellular Reprogramming/physiology , Cellular Senescence/physiology , Rejuvenation/physiology , Animals , Humans , Induced Pluripotent Stem Cells/cytology , Induced Pluripotent Stem Cells/metabolism , Induced Pluripotent Stem Cells/physiology , Longevity/physiology , Models, Biological
6.
Sci Rep ; 8(1): 17747, 2018 12 10.
Article in English | MEDLINE | ID: mdl-30532037

ABSTRACT

Lipidomics - the global assessment of lipids - can be performed using a variety of mass spectrometry (MS)-based approaches. However, choosing the optimal approach in terms of lipid coverage, robustness and throughput can be a challenging task. Here, we compare a novel targeted quantitative lipidomics platform known as the Lipidyzer to a conventional untargeted liquid chromatography (LC)-MS approach. We find that both platforms are efficient in profiling more than 300 lipids across 11 lipid classes in mouse plasma with precision and accuracy below 20% for most lipids. While the untargeted and targeted platforms detect similar numbers of lipids, the former identifies a broader range of lipid classes and can unambiguously identify all three fatty acids in triacylglycerols (TAG). Quantitative measurements from both approaches exhibit a median correlation coefficient (r) of 0.99 using a dilution series of deuterated internal standards and 0.71 using endogenous plasma lipids in the context of aging. Application of both platforms to plasma from aging mouse reveals similar changes in total lipid levels across all major lipid classes and in specific lipid species. Interestingly, TAG is the lipid class that exhibits the most changes with age, suggesting that TAG metabolism is particularly sensitive to the aging process in mice. Collectively, our data show that the Lipidyzer platform provides comprehensive profiling of the most prevalent lipids in plasma in a simple and automated manner.


Subject(s)
Aging/blood , Aging/metabolism , Lipids/blood , Plasma/metabolism , Animals , Chromatography, Liquid/methods , Evaluation Studies as Topic , Male , Mice , Mice, Inbred C57BL , Tandem Mass Spectrometry/methods , Triglycerides/blood
8.
Science ; 359(6381): 1277-1283, 2018 03 16.
Article in English | MEDLINE | ID: mdl-29590078

ABSTRACT

In the adult brain, the neural stem cell (NSC) pool comprises quiescent and activated populations with distinct roles. Transcriptomic analysis revealed that quiescent and activated NSCs exhibited differences in their protein homeostasis network. Whereas activated NSCs had active proteasomes, quiescent NSCs contained large lysosomes. Quiescent NSCs from young mice accumulated protein aggregates, and many of these aggregates were stored in large lysosomes. Perturbation of lysosomal activity in quiescent NSCs affected protein-aggregate accumulation and the ability of quiescent NSCs to activate. During aging, quiescent NSCs displayed defects in their lysosomes, increased accumulation of protein aggregates, and reduced ability to activate. Enhancement of the lysosome pathway in old quiescent NSCs cleared protein aggregates and ameliorated the ability of quiescent NSCs to activate, allowing them to regain a more youthful state.


Subject(s)
Aging/physiology , Cell Division , Cellular Senescence , Lysosomes/physiology , Neural Stem Cells/physiology , Animals , Mice , Mice, Inbred C57BL
9.
Cell ; 167(7): 1672-1674, 2016 12 15.
Article in English | MEDLINE | ID: mdl-27984716

ABSTRACT

In a thought-provoking study, Ocampo et al. show that the cyclic expression of stem cell reprogramming factors in vivo increases the lifespan of a mouse model of premature aging and provides health benefits to chronologically old, normal mice.


Subject(s)
Aging/metabolism , Cellular Reprogramming , Animals , Mice
12.
Cell ; 158(3): 673-88, 2014 Jul 31.
Article in English | MEDLINE | ID: mdl-25083876

ABSTRACT

Trimethylation of histone H3 at lysine 4 (H3K4me3) is a chromatin modification known to mark the transcription start sites of active genes. Here, we show that H3K4me3 domains that spread more broadly over genes in a given cell type preferentially mark genes that are essential for the identity and function of that cell type. Using the broadest H3K4me3 domains as a discovery tool in neural progenitor cells, we identify novel regulators of these cells. Machine learning models reveal that the broadest H3K4me3 domains represent a distinct entity, characterized by increased marks of elongation. The broadest H3K4me3 domains also have more paused polymerase at their promoters, suggesting a unique transcriptional output. Indeed, genes marked by the broadest H3K4me3 domains exhibit enhanced transcriptional consistency and [corrected] increased transcriptional levels, and perturbation of H3K4me3 breadth leads to changes in transcriptional consistency. Thus, H3K4me3 breadth contains information that could ensure transcriptional precision at key cell identity/function genes.


Subject(s)
Cells/metabolism , Histone Code , Histones/metabolism , Transcription, Genetic , Animals , Artificial Intelligence , Genomics , Humans , Lysine/metabolism , Methylation , Mice, Inbred C57BL , Neural Stem Cells/metabolism , RNA Polymerase II/metabolism
13.
EMBO Mol Med ; 5(7): 1067-86, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23776131

ABSTRACT

SCF (Skp1/Cul1/F-box) ubiquitin ligases act as master regulators of cellular homeostasis by targeting key proteins for ubiquitylation. Here, we identified a hitherto uncharacterized F-box protein, FBXO28 that controls MYC-dependent transcription by non-proteolytic ubiquitylation. SCF(FBXO28) activity and stability are regulated during the cell cycle by CDK1/2-mediated phosphorylation of FBXO28, which is required for its efficient ubiquitylation of MYC and downsteam enhancement of the MYC pathway. Depletion of FBXO28 or overexpression of an F-box mutant unable to support MYC ubiquitylation results in an impairment of MYC-driven transcription, transformation and tumourigenesis. Finally, in human breast cancer, high FBXO28 expression and phosphorylation are strong and independent predictors of poor outcome. In conclusion, our data suggest that SCF(FBXO28) plays an important role in transmitting CDK activity to MYC function during the cell cycle, emphasizing the CDK-FBXO28-MYC axis as a potential molecular drug target in MYC-driven cancers, including breast cancer.


Subject(s)
Breast Neoplasms/metabolism , Breast/pathology , CDC2 Protein Kinase/metabolism , Cyclin-Dependent Kinase 2/metabolism , Proto-Oncogene Proteins c-myc/metabolism , SKP Cullin F-Box Protein Ligases/metabolism , Amino Acid Sequence , Breast/metabolism , Breast Neoplasms/diagnosis , Breast Neoplasms/genetics , Breast Neoplasms/pathology , Cell Line, Tumor , Cell Proliferation , Female , Gene Expression Regulation, Neoplastic , Humans , Molecular Sequence Data , Phosphorylation , Prognosis , Promoter Regions, Genetic , Proteolysis , SKP Cullin F-Box Protein Ligases/analysis , SKP Cullin F-Box Protein Ligases/genetics , Signal Transduction , Survival Analysis , Transcriptional Activation , Ubiquitination
14.
Curr Opin Cell Biol ; 24(6): 744-56, 2012 Dec.
Article in English | MEDLINE | ID: mdl-23146768

ABSTRACT

Aging is accompanied by the functional decline of cells, tissues, and organs, as well as a striking increase in a wide range of diseases. The reprogramming of somatic cells to induced pluripotent stem cells (iPSCs) opens new avenues for the aging field and has important applications for therapeutic treatments of age-related diseases. Here we review emerging studies on how aging and age-related pathways influence iPSC generation and property. We discuss the exciting possibility that reverting to a pluripotent stem cell stage erases several deficits associated with aging and offers new strategies for rejuvenation. Finally, we argue that reprogramming provides a unique opportunity to model aging and perhaps exceptional longevity.


Subject(s)
Aging , Cellular Reprogramming , Cellular Senescence , Aging/genetics , Aging/metabolism , Animals , Cellular Senescence/genetics , Epigenesis, Genetic , Humans , Induced Pluripotent Stem Cells/cytology , Induced Pluripotent Stem Cells/metabolism , Longevity , Rejuvenation
16.
PLoS Biol ; 8(11): e1000521, 2010 Nov 02.
Article in English | MEDLINE | ID: mdl-21072240

ABSTRACT

The WRAP53 gene gives rise to a p53 antisense transcript that regulates p53. This gene also encodes a protein that directs small Cajal body-specific RNAs to Cajal bodies. Cajal bodies are nuclear organelles involved in diverse functions such as processing ribonucleoproteins important for splicing. Here we identify the WRAP53 protein as an essential factor for Cajal body maintenance and for directing the survival of motor neuron (SMN) complex to Cajal bodies. By RNA interference and immunofluorescence we show that Cajal bodies collapse without WRAP53 and that new Cajal bodies cannot be formed. By immunoprecipitation we find that WRAP53 associates with the Cajal body marker coilin, the splicing regulatory protein SMN, and the nuclear import receptor importinß, and that WRAP53 is essential for complex formation between SMN-coilin and SMN-importinß. Furthermore, depletion of WRAP53 leads to accumulation of SMN in the cytoplasm and prevents the SMN complex from reaching Cajal bodies. Thus, WRAP53 mediates the interaction between SMN and associated proteins, which is important for nuclear targeting of SMN and the subsequent localization of the SMN complex to Cajal bodies. Moreover, we detect reduced WRAP53-SMN binding in patients with spinal muscular atrophy, which is the leading genetic cause of infant mortality worldwide, caused by mutations in SMN1. This suggests that loss of WRAP53-mediated SMN trafficking contributes to spinal muscular atrophy.


Subject(s)
Cell Survival/physiology , Coiled Bodies/physiology , Motor Neurons/cytology , Telomerase/physiology , Cell Line , Humans , Molecular Chaperones , Muscular Atrophy, Spinal/metabolism , SMN Complex Proteins/metabolism
17.
Int J Oncol ; 37(1): 15-20, 2010 Jul.
Article in English | MEDLINE | ID: mdl-20514392

ABSTRACT

The multiple tyrosine kinase inhibitor sorafenib has recently demonstrated clinical effects in patients with androgen-independent prostate cancer. These observations provided the rational for investigating the anti-tumoral properties of this compound on prostate cancer cell lines at the molecular level. Two hormone refractory (PC3 and DU145) and one hormone responsive cell line (22Rv1) were used. By use of a panel of cell biology techniques such as immunoblotting, flow cytometry and immunocytochemistry, effects on the MAPK pathway and induction of apoptosis and autophagy were evaluated. We demonstrate that sorafenib reduced cell viability in a dose-dependent manner, induced apoptosis and inactivated the MAPK pathway. Moreover, we show for the first time, that sorafenib treatment of prostate cancer cells also induces cellular autophagy. This feature is in accordance with the anticancer potential of sorafenib and adds another important effector mechanism of this compound. These observations may open potentially interesting treatment combinations that may augment the effect of sorafenib, either by drugs that promote autophagy such as the rapalogues, or by combining sorafenib with compounds that specifically inhibit the autophagic process.


Subject(s)
Apoptosis/drug effects , Autophagy/drug effects , Benzenesulfonates/pharmacology , Carcinoma/pathology , Prostatic Neoplasms/pathology , Pyridines/pharmacology , Antineoplastic Agents/pharmacology , Apoptosis/genetics , Carcinoma/genetics , Carcinoma/metabolism , Drug Evaluation, Preclinical , Extracellular Signal-Regulated MAP Kinases/metabolism , Gene Expression Regulation, Neoplastic/physiology , Genes, bcl-2/physiology , Humans , Male , Niacinamide/analogs & derivatives , Phagosomes/drug effects , Phagosomes/metabolism , Phenylurea Compounds , Phosphorylation/drug effects , Prostatic Neoplasms/genetics , Prostatic Neoplasms/metabolism , Sorafenib , Transfection , Tumor Cells, Cultured
18.
Carcinogenesis ; 31(6): 1045-53, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20427345

ABSTRACT

The p53 tumor suppressor gene is inactivated by point mutation in a large fraction of human tumors, allowing evasion of apoptosis and tumor progression. p53 mutation is often associated with increased resistance to therapy. Pharmacological reactivation of mutant p53 is an attractive therapeutic strategy. We previously identified p53 reactivation and induction of massive apoptosis, a low-molecular weight compound that suppresses the growth of cancer cells in a mutant p53-dependent manner. Here, we report the identification and characterization of an extract from the terrestrial plant Brachylaena ramiflora (Asteraceae) that preferentially induces apoptosis in human tumor cells expressing mutant p53. Further analysis of this extract and identification of active compounds may provide novel structural scaffolds for the development of mutant p53-targeting anticancer drugs.


Subject(s)
Apoptosis/drug effects , Asteraceae/chemistry , Mutation , Plant Extracts/pharmacology , Tumor Suppressor Protein p53/genetics , Caspases/metabolism , Cell Line, Tumor , Enzyme Activation , Flow Cytometry , Humans , Reactive Oxygen Species/metabolism , Reverse Transcriptase Polymerase Chain Reaction
19.
Proc Natl Acad Sci U S A ; 106(37): 15756-61, 2009 Sep 15.
Article in English | MEDLINE | ID: mdl-19805223

ABSTRACT

The p53 target gene Wig-1 encodes a double-stranded-RNA-binding zinc finger protein. We show here that Wig-1 binds to p53 mRNA and stabilizes it through an AU-rich element (ARE) in the 3' UTR of the p53 mRNA. This effect is mirrored by enhanced p53 protein levels in both unstressed cells and cells exposed to p53-activating stress agents. Thus, the p53 target Wig-1 is a previously undescribed ARE-regulating protein that acts as a positive feedback regulator of p53, with implications both for the steady-state levels of p53 and for the p53 stress response. Our data reveal a previously undescribed link between the tumor suppressor p53 and posttranscriptional gene regulation via AREs in mRNA.


Subject(s)
Carrier Proteins/metabolism , Nuclear Proteins/metabolism , RNA Stability , RNA, Messenger/genetics , RNA, Messenger/metabolism , Tumor Suppressor Protein p53/metabolism , 3' Untranslated Regions , Animals , Base Composition , Carrier Proteins/antagonists & inhibitors , Carrier Proteins/genetics , Cell Line , Cell Nucleus/metabolism , Cytoplasm/metabolism , Feedback, Physiological , Genes, p53 , Humans , Mice , NIH 3T3 Cells , Nuclear Proteins/antagonists & inhibitors , Nuclear Proteins/genetics , RNA, Messenger/chemistry , RNA, Small Interfering/genetics , RNA-Binding Proteins , Stress, Physiological
20.
Mol Cell ; 33(4): 462-71, 2009 Feb 27.
Article in English | MEDLINE | ID: mdl-19250907

ABSTRACT

Antisense transcription is a widespread phenomenon in the mammalian genome. It is thought to play a role in regulation of gene expression, but its exact functional significance is largely unknown. We have identified a natural antisense transcript of p53, designated Wrap53, that regulates endogenous p53 mRNA levels and further induction of p53 protein by targeting the 5' untranslated region of p53 mRNA. siRNA knockdown of Wrap53 results in significant decrease in p53 mRNA and suppression of p53 induction upon DNA damage. Conversely, overexpression of Wrap53 increases p53 mRNA and protein levels. Blocking of potential Wrap53/p53 RNA hybrids reduces p53 levels nearly as efficiently as Wrap53 knockdown, strongly suggesting that Wrap53 regulates p53 via Wrap53/p53 RNA interaction. Furthermore, induction of Wrap53 sensitizes cells for p53-dependent apoptosis. This discovery not only reveals a regulatory pathway for controlling p53, but also proposes a general mechanism for antisense-mediated gene regulation in human cells.


Subject(s)
DNA Damage/genetics , RNA, Antisense/metabolism , Telomerase/genetics , Tumor Suppressor Protein p53/genetics , Tumor Suppressor Protein p53/metabolism , Animals , Cell Nucleus/metabolism , Cells, Cultured , Cytoplasm/metabolism , Gene Expression Regulation , HCT116 Cells , Humans , Mice , Models, Genetic , Molecular Chaperones , Molecular Sequence Data , RNA Interference , RNA, Antisense/genetics , RNA, Messenger/genetics , Telomerase/metabolism
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