Inhibition of HIV early replication by the p53 and its downstream gene p21
The tumor suppressor gene p53 has been found to suppress HIV infection by various mechanisms, but the inhibition of HIV at an early stage of replication by host cell p53 and its downstream gene p21 has not been well studied.
VSV-G pseudotyped HIV-1 or HIV-2 viruses with GFP or luciferase reporter gene were used to infect HCT116 p53+/+ cells, HCT116 p53−/− cells and hMDMs. The infections were detected by flow cytometry or measured by luciferase assay. Reverse transcription products were quantified by a TaqMan real time PCR. siRNA knockdown experiments were applied to study potential roles of p53 and p21 genes in their restriction to HIV infection. Western blot experiments were used to analyze changes in gene expression.
The infection of HIV-1 was inhibited in HCT116 p53+/+ cells in comparison to HCT116 p53−/− cells. The fold of inhibition was largely increased when cell cycle switched from cycling to non-cycling status. Further analysis showed that both p53 and p21 expressions were upregulated in non-cycling HCT116 p53+/+ cells and HIV-1 reverse transcription was subsequently inhibited. siRNA knockdown of either p53 or p21 rescued HIV-1 reverse transcription from the inhibition in non-cycling HCT116 p53+/+ cells. It was identified that the observed restrictions by p53 and p21 were associated with the suppression of RNR2 expression and phosphorylation of SAMHD1. These observations were confirmed by using siRNA knockdown experiments. In addition, p53 also inhibited HIV-2 infection in HCT116 p53+/+ cells and siRNA knockdown of p21 increased HIV-2 infection in hMDMs. Finally the expressions of p53 and p21 were found to be induced in hMDMs shortly after HIV-1 infection.
The p53 and its downstream gene p21 interfere with HIV early stage of replication in non-cycling cells and hMDMs.
Keywordsp53 p21 HIV-1 HIV-2 Reverse transcription Cell cycle SAMHD1 RNR2
Fetal bovine serum
The human immunodeficiency virus type 1
The human immunodeficiency virus type 2
Human monocyte derived macrophages
long terminal repeat sequence
the cyclin-dependent kinase inhibitor p21Waf1/Cip1
Tumor protein p53
Double-stranded RNA (dsRNA)-dependent protein kinase
Ribonucleotide reductase subunit R2
HIV-1 reverse transcription
SAM domain and HD domain-containing protein 1
Vesicular stomatitis virus G-protein
The tumor suppressor gene p53 has been suggested to play an important role in the restriction of the human immunodeficiency virus type 1 (HIV-1) infection for decades. p53 is activated in human immune cells after HIV-1 infection [1, 2, 3], and p53 expression is induced by type I interferons (IFN-α/β) after viral infection [2, 4]. A variety of mechanisms have been proposed to reveal p53 mediated restrictions to HIV infection. Early studies found that p53 inhibited HIV-1 long terminal repeat (LTR) promoter activity and repressed transcription from the HIV-1 proviral genome [5, 6, 7]. p53 was also found to suppress Tat, a major transactivator of HIV-1 . More recently Yoon et al. reported that p53 induced the expression of PKR, and then PKR inactivated HIV-1 Tat by phosphorylation. Many other works reported that HIV-1 infection caused immune cell’s death by inducing p53 dependent apoptosis [1, 9, 10, 11, 12]. Additionally, it was postulated that p53 might impact HIV-1 reverse transcriptase function [13, 14], but detailed mechanism remains to be determined at the cellular level. The evidence that p53 inhibits HIV-1 at an early stage of replication has not been reported previously.
One of the p53 downstream genes, the cyclin-dependent kinase inhibitor p21Waf1/Cip1 (referred to hereafter as p21) has been documented for its role in antiretroviral infection [15, 16, 17, 18, 19, 20, 21]. The expression of p21 in human macrophages was induced after HIV-1 infection . Upregulation of p21 was also found in CD4+ T cells from elite controllers, a unique group of HIV-1–infected individuals with undetectable HIV-1 replication in the absence of antiretroviral therapy [18, 22]. siRNA knockdown of p21 resulted in increased HIV-1 infection . Both Allouch et al and Pauls et al showed that p21 inhibited HIV-1 reverse transcription in macrophages through regulating level of cellular dNTPs [17, 20]. Other data indicated that inhibition of HIV-1 reverse transcription by p21 might not be directly related with regulating the level of cellular dNTPs. Leng et al. showed that p21 inhibited CDK2-dependent phosphorylation of HIV-1 reverse transcriptase, which reduced the efficacy of HIV-1 reverse transcription . Zhang et al showed that p21 prevented viral DNA integration . Others reported that the restriction to HIV-1 infection by p21 was associated with viral protein Vpr [24, 25]. It was also found that p21 inhibited HIV-2 and SIV infection .
It was found previously by our group that p53 inhibited reverse transcription of MLV vector based retrovirus in non-cycling cells through its downstream gene p21 . It was investigated in this study whether the p53 dependent host restriction to retrovirus also applies to HIV infection by using human colorectal cancer HCT116 p53+/+ and HCT116 p53−/− cell lines and primary human monocyte derived macrophages (hMDMs). Interestingly, p53 and its downstream gene p21 were found upregulated in hMDMs shortly after HIV-1 infection. Our results strongly suggest their antiretroviral roles at an early stage of HIV replication.
Cell culture and cell viability
Human colorectal cancer HCT116 p53+/+ and HCT116 p53−/− cell lines were generous gifts from Dr. B. Vogelstein. HEK-293 cells and TZM-bl cells were obtained from NIH AIDS Reagent Program (Germantown, MD, USA). HCT116 p53+/+, HCT116 p53−/−, HEK-293 and TZM-bl were propagated in Dulbecco’s modified Eagle’s medium (DMEM) (Life Technologies, Grand Island, NY, USA) supplemented with 10% fetal bovine serum (FBS), 2 mM L-Glutamine, 100 units/ml of penicillin and 100 μg/ml of streptomycin at 37 °C with 5% CO2. A Countess II Automated Cell Counter (Thermos Fisher Scientific, Waltham, MA, USA) was used to count the number of cells in experiments as designed. Elutriated human monocytes were obtained from the University of Nebraska Medical Center. Donors were de-identified with consent procedures based on the anonymity. IRB approval has been obtained from the Committee on Research at Albany College of Pharmacy and Health Science. Monocytes were differentiated into macrophages (hMDMs) for 10–14 days in DMEM supplemented with 10% human AB serum (VWR, Radnor, PA, USA) by following procedures described previously . Non-cycling HCT116 p53+/+ and HCT116 p53−/− cells were prepared by 24 h serum starvation. Both cycling and non-cycling cells were tested for cell viability by using trypan blue exclusion assay, and cell death was also measured by WST-1 assay (Roche, Indianapolis, IN, USA). The percentage of live cells was counted by the Countess II Automated Cell Counter (Thermos Fisher Scientific, Waltham, MA, USA) after cells were stained by the Trypan Blue solution (Thermos Fisher Scientific, Waltham, MA, USA). WST-1 assay (Roche) was performed by following kit instruction and O.D. was measured by Eppendorf Plate Reader AF2200 (Eppendorf, Hamburg Germany).
Virus preparation and cell infection
HIV VSV-G-pseudotyped viruses were produced by transient cotransfection of HEK293 cells with proviral HIV-1 or HIV-2 plasmids together with a vesicular stomatitis virus G protein (VSV-G) expression vector pVSV-G (Clontech Laboratories, Inc., Mountain View, CA, USA) by using X-tremeGENE 9 DNA Transfection Reagent (Roche, Indianapolis, IN, USA). HIV-1 plasmids pNL4–3 env(−)nef(−)gfp(+) was a gift from Dr. Vicente Planelles, pNL4–3 env(−)nef(−)luc(+) was a gift from Dr. Nathaniel Landau and HIV-2 luc(+) was a gift from Dr. Lee Ratner. Supernatants containing pseudotyped viruses were harvested 48 h after transfection, passed through 0.45-nm-pore-size filters, and stored at − 80 °C. Viral titers were determined by serial dilution on the TZM-bl indicator cell line as previously described . 1 × 105 cells/well were seeded in a 24 well plate for infection of HCT116 p53+/+ and HCT116 p53−/− cells. For non-cycling cells, the complete medium was replaced with DMEM medium without FBS after 24 h, and cells were infected after another 24 h. For cycling cells the medium was replaced with fresh complete medium after 24 h. At time of the infection, cell numbers of paired HCT116 p53+/+ and HCT116 p53−/− cells were counted by a Countess II Automated Cell Counter (Thermos Fisher Scientific, Waltham, MA, USA), the same MOI was used for infection in both cells. 0.5 × 106 hMDMs cultured in 24 well plates were used for HIV infection and siRNA experiments. Azidothymidine (AZT) and Efavirenz (EFA) were obtained from NIH AIDS Reagent Program (Germantown, MD, USA) and were dissolved in dimethyl sulfoxide (DMSO) (Sigma-Aldrich, St. Louis, MO, USA). 50 μg/ml AZT or EFA was used in infection experiments as controls. Inactivated virus control was made by heating virus at 65 °C for 1 h.
Luciferase Assay System (Promega, Madison, WI, USA) was used and luciferase assay was performed according to the manufacturer’s instructions. Cells infected with HIV-1 Luc+ virus were washed with PBS, and then lysed with lysis buffer. After centrifugation at 15,000×g for 1 min, 20 μl of sample supernatant was mixed with 100 μl of Luciferase Assay Reagent. Luciferase activity was measured in Relative Light Units (RLU) by using a GloMax®-Multi Jr Single Tube Multimode Reader (Promega, Madison, WI, USA).
Flow cytometry was used for both cell cycle analysis and quantification of infection. For cell cycle analysis by propidium iodide staining, cells were washed with PBS, fixed with ice-cold 70% ethanol, and stained with 0.1% (v/v) Triton X-100, 20 μg/ml propidium iodide (PI) (Sigma, St. Louis, MO, USA) and 100 μg/ml DNase-free RNase (Life Technologies, Grand Island, NY, USA). The Click-iT™ Plus EdU Flow Cytometry Assay Kit (Life Technologies, Grand Island, NY, USA) was also used to quantify S phase cells and the kit instruction was followed. For the infection assay, cells were disassociated by trypsin and washed with PBS. The infected GFP+ cells and uninfected cells were analyzed and quantified by a BD FACSVerse™ flow cytometer (BD Biosciences, San Jose, CA, USA). The FACSuite (BD Biosciences, San Jose, CA, USA) and the FlowJo (Ashland, OR, USA) software were used for data analysis.
Real time PCR
For the quantification of late reverse transcription (RT) products, DNA was extracted from infected cells by using DNeasy Blood & Tissue Kit (Qiagen, Hilden, Germany, USA). The early, intermediate, late RT products and HIV-1 2-LTR cycle DNA were quantified by a TaqMan real time PCR, and the relative copy numbers were normalized to reference gene PBGD by using the ΔΔCt method . The integrated HIV-1 provirus copy was also measured by a method described previously by our group. Sample DNA was amplified using the TaqMan Universal PCR Real time Reagent (Life Technologies, Grand Island, NY, USA) in a StepOne Plus real time PCR instrument (Life Technologies, Grand Island, NY, USA). StepOne software was used for quantitative analysis.
Proteins from cells were lysed with RIPA Lysis and Extraction Buffer (Thermos Fisher Scientific, Waltham, MA, USA). After being mixed with Laemmli buffer (BioRad, Hercules, CA, USA), protein samples were heated at 95 °C for 10 min. Protein samples were then separated by SDS-PAGE gel electrophoresis, and transferred onto PVDF membrane (Millipore, Billerica, MA, USA). After being probed with primary and secondary antibodies, protein bands in membranes were detected for chemiluminescence using SuperSignal™ West Pico Chemiluminescent Substrate (Thermo Fisher, Rockford, lL, USA). The primary antibodies used were: anti-p21Cip1 (#2947) and anti-phospho-SAMHD1 (Thr592) (#89930) (Cell Signaling Technologies, Danvers, MA, USA); anti-SAMHD1 (#12586–1-AP), anti-GAPDH (#60004–1-Ig) and anti-RRM2 (#11661–1-AP) (Proteintech Group, Inc. Rosemont, IL, USA); anti-p53 (#sc-126, Santa Crus, Dallas, TX, USA); anti-actin (#A5441, Sigma-Aldrich, St. Louis, MO, USA) and anti-tubulin (# N-356, Amersham, GE Healthcare, Pittsburgh, PA, USA). Western blot images were detected by the ChemiDoc XRS+ system (BioRad, Hercules, CA, USA), and image analysis was performed by using the Image Lab™ software (BioRad, Hercules, CA, USA).
0.75 × 105 HCT116 p53+/+ and HCT116 p53−/− cells were cultured a 24 well plate overnight, siRNA transfections were performed using Lipofectamine® RNAiMAX™ Transfection Reagent (Life Technologies, Grand Island, NY, USA) according to the manufacturer’s instructions. After transfected with siRNA for 2 days, cells were cultured in DMEM without FBS for another 24 h before infection. siRNA transfection of hMDMs was performed two times with a recovery period of two days between transfections to ensure knockdown of target mRNA. siRNA knockdown was confirmed by Western blot. The Silencer Select validated siRNA siRNA p21Cip1 (#4390824) and negative control non-target siRNA (#4392420) were purchased from Life Technologies (Life Technologies, Grand Island, NY). siRNA p21 has a sequence of 5’-UAAAAUGUCUGACUCCUUGTT-3’. The FlexiTube siRNA p53 (# SI02655170) was purchased from Qiagen (Qiagen, Hilden, Germany, USA) and has a sequence of 5’- ACUCCACACGCAAAUUUCCTT-3’.
The Student’s t-test was used to evaluate the difference in copy numbers of RT in real time PCR, data from luciferase assay in infection quantification, and protein levels in Western blot experiments. P-values between 0.01 and 0.05, and less than 0.01 were considered significant and highly significant, respectively.
The inhibition of HIV-1 infection in HCT116 p53+/+ was increased with cell cycle changed from cycling to non-cycling status
Both cycling and non-cycling HCT116 p53+/+ and HCT116 p53−/− cells were infected by 2.0 MOI VSV-G pseudotyped HIV-1 GFP+ virus (Fig. 1c and d). In cycling cell status both HCT116 p53+/+ and HCT116 p53−/− were highly permeable to HIV-1 infection, and the infection in HCT116 p53+/+ cells were inhibited by about 1.7 fold in comparison to HCT116 p53−/− cells. However the fold of inhibition in HCT116 p53+/+ increased to 4.6 times in non-cycling cells (Fig. 1c and d). To confirm this observation, both cycling and non-cycling HCT116 p53+/+ and HCT116 p53−/− cells were infected by 1.0 and 3.0 MOI of VSV-G pseudotyped HIV-1 Luc+ virus respectively. In 1.0 MOI HIV-1 infection, the inhibition changed from about 2.6 fold to 5.6 fold, and in 3.0 MOI infection, the observed inhibition in HCT116 p53+/+ cells increased from 3.6 fold to 9 fold in comparison to HCT116 p53−/− cells when cell cycle switched from cycling to non-cycling status (Fig. 1e). The amount of infection was dependent on virus dosage and no luciferase activities were detected in both uninfected cells and AZT treated cells. These results indicated the HIV-1 infection can be blocked by the presence of p53, and p53 dependent inhibition was increased with cell cycle change from cycling to non-cycling status.
In order to investigate whether HIV-2 infection is also inhibited by p53 dependent on cell cycle status, VSV-G pseudotyped HIV-2 Luc+ virus was used to infect both cycling and non-cycling HCT116 p53+/+ and HCT116 p53−/− cells (Fig. 1f). HIV-2 infection was significantly inhibited in HCT116 p53+/+ in comparison to HCT116 p53−/− cells. The inhibition in HCT116 p53+/+ was about 9 folds in cycling cells when infected with 1 x and 5 x HIV-2 Luc+ viruses respectively, and inhibition in HCT116 p53+/+ was about 20 and 15 folds in non-cycling cells when infected with 1 x and 5 x HIV-2 Luc+ viruses respectively (Fig. 1f). This finding suggested the inhibition to overall HIV-2 infection was increased compared to the inhibition to HIV-1 infection in HCT116 p53+/+, and the inhibition to HIV-2 was also increased with cell cycle change from cycle to non-cycling status.
HIV-1 reverse transcription was inhibited in HCT116 p53+/+ cells compared to HCT116 p53−/− cells in non-cycling cell cycle status
The p53 and its downstream gene p21 proteins were increased in HCT116 p53+/+ when cell cycle was changed from cycling to non-cycling status
The analysis of restriction to HIV-1 infection by p53 and p21 in non-cycling HCT116 p53+/+ cells
siRNA knockdown of either p53 or p21 rescued HIV-1 reverse transcription from the inhibition in non-cycling HCT116 p53+/+ cells
The inhibition of HIV infection by p53 and its downstream gene p21 in hMDMs
The function of p53 and p21 in HIV-1 infection was further examined by siRNA experiments. After the siRNA transfection, p21 protein level dropped about 28% in cultured hMDMs (Fig. 6c and d). The knockdown of p21 increased both RNR2 and pSAMHD1(T592), and HIV-1 infection increased significantly (Fig. 6c and e). After siRNA transfection, p53 protein level dropped about 40% in cultured hMDMs. The knockdown of p53 increased pSAMHD1(T592), and HIV-1 infection was increased but not statistically significant (Fig. 6c-e). There were no obvious changes in RNR2 protein levels after knockdown of p53, and knockdown of either p21 or p52 did not alter total SAMHD1 protein levels.
p21 was previously found to restrict HIV-2 infection [15, 16]. The Vpx protein from HIV-2 is able to degrade cellular restriction factor SAMHD1 , while p21 can inactivate SAMHD1 by phosphorylation . To investigate the role of p21 in HIV-2 infection, hMDMs were transfected with p21 siRNA, then infected by HIV-2 Luc+ virus. In this experiment siRNA transfection was able to knockdown p21 to about 52% (Fig. 6f, g). In control hMDMs transfected with non-targeting siRNA, HIV-2 infection resulted in the decrease in SAMHD, and the levels of pSAMHD1 (T592) were almost undetectable before and after HIV-2 infection (Fig. 6f). p21 siRNA knockdown did not change SAMHD1 levels but greatly increased pSAMHD1 (T592) in both HIV-2 infected and uninfected hMDMs (Fig. 6f). Finally it was found that knockdown p21 in hMDMs significantly increased HIV-2 infection (Fig. 6h). This result also suggested that the degradation of SAMHD by HIV-2 Vpx was independent from phosphorylation of SAMHD1 resulted from p21 knockdown by siRNA in hMDMs.
The permissiveness of HIV infection is dependent on the host cell’s cell cycle status. Activated macrophages and proliferating CD4+ T lymphocytes are highly susceptible to infection, however resting CD4+ T cells and quiescent macrophages are largely non-permissive to HIV-1 replication [31, 32, 33]. Early studies demonstrated that restriction to HIV-1 infection in non-cycling quiescent macrophages and resting CD4+ T cells occurred during reverse transcription [33, 34, 35]. Korin found HIV infection was successful only in CD4+ T cells that transited into the G1b phase of the cell cycle . Mlcochova et al.... reported recently that HIV-1 infection was highly susceptible in stimulated G1-like phase macrophages, which are characterized by an increase in D-type cyclins, upregulation of CDK1 with subsequent SAMHD1 T592 phosphorylation . Histone deacetylase inhibitors (HDACi) treatment blocked the transition from G1-like phase to a non-permissive state. The block by HDACi in hMDMs was associated with increased expression of p53 . p21 is a well-known CDK inhibitor, and it functions to block cell cycle transition at G1 when being activated . Our results suggest that the response of p53 and its downstream gene p21 to cell cycle status changes will significantly impacted the host cell’s permissiveness to HIV-1 infection.
We found that HIV-1 infection was inhibited in HCT p53+/+ cells in comparison to HCT p53−/− cells. In cycling cells inhibitions to HIV-1 infection were 1.7 fold (2.0 MOI HIV-1 GFP+), 2.6 fold (1.0 MOI HIV-1 Luc+) and 3.6 fold (3 MOI HIV-1 Luc+) respectively, while in non-cycling cells inhibitions were more than doubled, i.e. 4.6 fold (2.0 MOI HIV-1 GFP+), 5.6 fold (1.0 MOI HIV-1 Luc+) and 9.0 fold (3.0 MOI HIV-1 Luc+) respectively. It has been known that p53 inhibits HIV-1 infection at transcription level [3, 5, 6], which is the inhibition to the late stage of HIV replication and will applies to HIV-1 infections in both cycling and non-cycling cells. Our findings pointed out that the increased inhibition in HCT p53+/+ non-cycling cells was due to the additional block in the reverse transcription.
p53 expression was elevated when the cell cycle switched from cycling to non-cycling after serum starvation (Fig. 3), which agrees with the previous findings by both Shang et al... and Shi et al that serum starvation can induce p53 expression [39, 40]. The increased p53 expression subsequently induced the expression of its downstream gene p21. The siRNA knockdown experiment confirmed that p53 and p21 were responsible for the observed inhibition in HIV-1 reverse transcription (Fig. 4). We also found for the first time that p53 and p21 increased at protein level in hMDMs at very early time (from 1 to 8 h after infection) during HIV-1 infection. These data strongly indicated that p53 and its downstream gene p21 play an important role in the restriction of HIV-1 early stage replication in natural host cells.
In this study we also investigated the host cell’s restriction to HIV infection by regulating the level of cellular dNTPs. SAMHD1 is a cellular dNTPase that restricts HIV infection by lowering cellular dNTPs to a level required for reverse transcription. RNR2 is responsible for the de novo synthesis of dNTPs. The two main enzymes controlling dNTP pool sizes are adjusted to the requirements of DNA replication following cell cycle in mammalian cells . Allouch et al.... reported after p21 was induced by immune complex aggregation of FcγRs in macrophages, it restricted HIV reverse transcription by blocking the synthesis of dNTPs through the inhibition of the expression of RNR2 [17, 21]. Pauls et al found that in macrophages differentiated by M-CSF p21 blocked the phosphorylation of SAMHD1 . Phosphorylation inactivates the dNTPase activity of SAMHD1 . We found that the knockout of p53, and siRNA knockdown of p53 and p21 were associated with the increase protein levels of both RNR2 and pSAMHD1 (T592) in non-cycling HCT116 p53+/+ cells (Figs. 4 and 5). Furthermore, the siRNA knockdown of p21 in hMDMs increased protein levels of both RNR2 and pSAMHD1 (T592) (Fig. 6c). Our data highly suggested that p21 could suppress the expression of RNR2 and block the phosphorylate SAMHD1 simultaneously in non-cycling cells so as to restrict HIV-1 infection through regulating cellular dNTPs. We also found that siRNA knockdown of p53 induced pSAMHD1 (T592) in both HCT116 p53+/+ cells and hMDMs. (Figs. 5 and 6c). Micochova reported recently that HDACi can block HIV-1 infection by inhibiting phosphorylation of SAMHD1 via p53 activation . It remains to be elucidated whether p53 can inhibit the phosphorylation of SAMHD1 independent of p21.
p21 may also inhibit HIV infection by pathways other than through regulating the cellular level of dNTPs. p21 was found to inhibit reverse transcription by phosphorylating HIV-1 reverse transcriptase . Others showed that the restriction to HIV infection by p21 was associated with Vpr [42, 43, 44]. We found that p53 and p21 inhibited HIV-2 infection in both cycling and non-cycling HCT116 p53+/+ cells, and the siRNA knockdown of p21 increased HIV-2 infection in hMDMs. These results agrees with the findings by Bergamaschi et al and Allouch et al that p21 restricted HIV-2 and SIV infection [16, 17]. Since Vpx proteins in HIV-2 and SIV are able to target SAMHD1 for proteasomal degradation [30, 45, 46], the p21 dependent block of HIV-2 in hMDMs suggested a mechanism of host restriction that is less dependent on the level of cellular dNTPs.
HIV infection in macrophages is highly relevant to AIDS pathogenesis. Human macrophages have been described as a durable reservoir of HIV-1 characterized by the persistence of viral replication and the poor susceptibility to antiviral therapy [47, 48]. The transmission of HIV-1 from macrophages to CD4+ T lymphocytes can be achieved by efficient cell-to-cell transmission even when there is inadequate amount of cell-free virus in environment . Here we show for the first time that p53 and its downstream gene p21 were induced in hMDMs in the early stage of HIV infection, and the elevated p53 and p21 inhibited reverse transcription. The underlined mechanism obtained in this study will shed light on the understanding of HIV pathogenesis, and control and management of AIDS disease.
We thank Dr. Eric Yager at Albany College of Pharmacy and Health Sciences for the discussion of this work and the assistance with flow cytometry analysis. We also would like to thank Dr. Timothy LaRocca at Albany College of Pharmacy and Health Sciences for assistance in cell viability experiments.
This study was supported by the startup fund and the scholarship of discovery intramural research grant to Dr. Binshan Shi by Albany College of Pharmacy and Health Sciences.
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BS, HS, SD, MK and KM performed experiments. BS and HS completed the manuscript. HW and CD provided important guidance and advice in this study. All authors read and approved the final manuscript.
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