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Logo of nihpaAbout Author manuscriptsSubmit a manuscriptHHS Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
Nat Commun. Author manuscript; available in PMC 2013 December 9.
Published in final edited form as:
PMCID: PMC3856317

Analysis of protein coding mutations in hiPSCs and their possible role during somatic cell reprogramming


Recent studies indicate that human induced pluripotent stem cells (hiPSCs) contain genomic structural variations and point mutations in coding regions. However, these studies have focused on fibroblast-derived hiPSCs, and it is currently unknown whether the use of alternative somatic cell sources with varying reprogramming efficiencies would result in different levels of genetic alterations. Here we characterize the genomic integrity of eight hiPSC lines derived from five different non-fibroblast somatic cell types. We show that protein-coding mutations are a general feature of the hiPSC state and are independent of somatic cell source. Furthermore, we analyze a total of 17 point mutations found in hiPSCs and demonstrate that they do not generally facilitate the acquisition of pluripotency and thus are not likely to provide a selective advantage for reprogramming.


The induction of pluripotency in human somatic cells by defined transcription factors represents a breakthrough in regenerative medicine15. The generation of patient-specific human induced pluripotent stem cells (hiPSCs) and their autologous cell derivatives would help to overcome the problems of immune rejection and tissue availability. However, the applications of cell therapies in human patients are subject to very stringent safety requirements, and there is a general concern in the field about the safety of hiPSCs.

Successful generation of hiPSCs depends on the complete reprogramming of the somatic epigenome to a pluripotent state while the genome remains unchanged. Although initial reports demonstrated that human embryonic stem cells (hESCs) and hiPSCs were very similar, recent reports have uncovered striking genetic and epigenetic differences between these two pluripotent cell types611. It has been shown that hiPSCs display protein-coding mutations, large-scale genomic rearrangements, persistent epigenetic marks from the somatic cell type of origin and aberrant methylation patterns6, 9, 11. These findings indicated that hiPSCs contain genomic defects that could preclude their use in stem cell therapies. However, most of these studies focused on fibroblast-derived hiPSCs and a more comprehensive analysis is essential to determine whether there are specific somatic cell types that may reprogram into hiPSCs with fewer (or perhaps none) of these aberrations. Additionally, it is unclear whether the protein-coding mutations found in hiPSCs provide any functional advantage and thus, are selected for during the process of reprogramming.

In this work, we characterize at single nucleotide resolution the genomic integrity of eight hiPSC lines derived from five different non-fibroblast somatic cell types with varied reprogramming efficiencies. Moreover, we functionally characterize the role of 17 point mutations found in hiPSCs for their ability to increase reprogramming efficiency. We demonstrate that the majority of these mutations do not favor the reprogramming process and suggest that most of them originated randomly or were initially present in the somatic population of origin. Our observations of the genetic abnormalities of hiPSCs will contribute to a deeper understanding of the reprogramming process.


hiPSC lines from varied cell types contain protein-coding mutations

We previously sequenced the protein-coding regions of 22 fibroblast-derived hiPSC lines and discovered that the hiPSCs analyzed carried between 2 and 14 point mutations in protein-coding regions6. In this study, we sought to determine if low reprogramming efficiency (and therefore a potentially higher level of selection pressure which could allow the fixation of advantageous mutations) or cell type of origin (as fibroblasts could possess a higher somatic mutation rate than other cell types) could contribute to the overall reprogramming-associated mutational load. To this end, we performed targeted exome sequencing on eight non-fibroblast derived hiPSC lines and their five somatic cell types of origin using an in-solution hybridization capture method (Supplementary Table S1). Somatic mutations in each hiPSC line were identified via pairwise comparison with the matched somatic cell of origin and independently confirmed with capillary Sanger sequencing. We identified a total of 40 point mutations throughout all the hiPSC lines analyzed, leading to an average of 5 coding mutations per line (Table 1). As we identified ~89% of expected total single nucleotide polymorphisms at high sequencing depth in protein-coding regions, this led to a projection of 45 total mutations in protein-coding regions, or approximately 6 coding mutations per cell line. The levels of mutational load from each individual somatic cell type were statistically indistinguishable, and within the range previously observed for fibroblast-derived hiPSC lines6 (Table 1). These results indicate that hiPSC-associated mutations cannot be avoided by using younger or potentially more genetically protected somatic cell sources as progenitor cells. Moreover, we determined that reprogramming efficiency, which varies between 0.001–3% for these cell types, did not seem to have a measurable effect on the hiPSC mutational load. Thus, reprogramming-associated point mutations appear to be a general feature of hiPSCs.

Table 1
List of protein-coding mutations in hiPSC lines

We next investigated whether mutations in hiPSCs were either enriched or depleted in protein coding-regions. To this end, we examined additional non-coding regions captured in our sequencing analysis, and found a similar mutation rate per base pair analyzed for both coding and non-coding regions (Table 2). We also investigated whether point mutations in hiPSCs tended to occur in active/ubiquitous or silent/tissue-specific genes. Among a total of 132 mutated genes (from this study and Gore et al) annotated in the TiGER Database (TIssue-specific Gene Expression and Regulation)12, 37% of these genes showed tissue-specific expression, which is very similar to the overall level of tissue specificity observed in the genes annotated in the database (34%; p=0.4975), indicating that mutations are not preferentially occurring in silent genes. We additionally checked for any potential enrichment of mutations in active or inactive transcriptional regions of the genome13. We found that mutations were not significantly enriched in the active or inactive chromatin regions of fibroblasts (p-value=0.79), hESCs (p-value=0.29), or hiPSCs (p-value=0.07). Furthermore, only one gene (NTRK3) was found mutated in more than one independent hiPSC line and mutated genes did not cluster in a specific functional pathway (Gore et al6 and results herein). These combined findings suggest that mutations in hiPSCs are spread throughout both transcriptionally active and silent regions of the genome.

Table 2
List of candidate non-coding mutations in hiPSC lines. The mutation rate per base pair was similar for exonic and non-exonic regions.

hiPSC-point mutations do not favor the process of reprogramming

We previously showed that at least half of reprogramming-associated point mutations pre-exist in starting somatic cell populations at low frequency6. This leads to a hypothesis that a sub-population of somatic cells carrying certain mutations could be primed for reprogramming, which would be consistent with the elite model for reprogramming14. To investigate the functional potential of these mutations during reprogramming we first assessed whether mutated alleles were expressed in the hiPSC lines. We isolated RNA from 3 hiPSC lines, reverse-transcribed it into cDNA, and sequenced a total of 6 transcripts of randomly selected genes found mutated in these hiPSC lines. We detected heterozygous expression of both mutant and wild-type alleles in all cases (Fig. 1) indicating that mutated transcripts are expressed in hiPSCs.

Figure 1
Mutated alleles are expressed in hiPSC lines

We next sought to determine if reprogramming-associated mutations could contribute functionally in facilitating the acquisition of pluripotency during reprogramming. From a total of 164 different genes found mutated in hiPSC lines (Gore et al6 and this study), we assayed the function of 17 candidate genes and their mutated forms during reprogramming (Supplementary Table S2). These candidate genes were selected based on the likelihood of the mutation to change protein function, the mutation type (only nonsynonymous mutations were analyzed) and whether the gene was known to be related to the maintenance and/or acquisition of pluripotency6 (Table 1; Supplementary Fig. S1; Supplementary Table S2). We also analyzed the expression of these 17 genes in BJ fibroblasts, human umbilical vein endothelial cells (HUVEC), hESC and hiPSC lines to ensure gene expression in at least one of the somatic cell types used in this work (Supplementary Fig. S2). Due to the difficulty in predicting the functional consequences of each specific mutation, we first performed “loss-of-function” reprogramming experiments to mimic a possible diminished activity or protein instability of the mutated form. To this end, we designed a panel of lentiviruses encoding shRNAs against the selected genes (Supplementary Fig. S3a), and co-infected each separately with retroviruses expressing OCT4, SOX2, KLF4 and cMyc (OSKC) in BJ fibroblasts (Fig. 2a). Moreover, to determine whether these effects were cell-type specific we performed similar reprogramming experiments in HUVEC (Supplementary Fig. S4a). If a genetic mutation was selected for its ability to facilitate reprogramming due to a loss of protein function, it would be expected that down-regulation of the mutated gene would increase reprogramming efficiency. A decrease in reprogramming efficiency was detected after down-regulation of FAIM3, SAMD3, ZNF16, MARCKSL1, NRP1, TRAF6, GSG1 and HK1, whereas no significant changes were detected after down-regulation of all but one of the assayed genes, POLR1C (Fig. 2a, Supplementary Fig. 4a, Supplementary Fig. S4b). Interestingly, we observed that down-regulation of POLR1C in BJ fibroblasts, but not in HUVEC, resulted in an increased reprogramming efficiency. However, it is unclear if the specific reprogramming-associated mutation in POLR1C would result in the same phenotype. Overall, our data suggest that protein-coding point mutations generally do not prime rare cells for reprogramming through the loss-of-function mechanism.

Figure 2
Evaluation of the functional effect of hiPSC mutations on reprogramming efficiency

Next, we performed “gain-of-function” reprogramming experiments to determine whether expression of the mutated form facilitated cell reprogramming. To this end, we designed a panel of retroviruses encoding both the wild type form and the corresponding mutated form found in hiPSCs of each specific gene (see specific mutations in Supplementary Table S2; Supplementary Fig. S3b), and co-expressed them with OSKC in BJ fibroblasts and HUVEC (Fig. 2b, Supplementary Fig. S4c). If a mutation were selected during reprogramming due to a gain-of-function, it would be expected that expression of the mutated form would increase the reprogramming efficiency. We observed that only the expression of HK1 slightly increased reprogramming efficiency (Fig. 2b and Supplementary Fig. S4c). Importantly, we did not observe significant differences in reprogramming efficiency between cells over-expressing the mutated forms and cells over-expressing their respective wild-type forms (Fig. 2b), indicating that the presence of the mutated protein does not increase reprogramming efficiency.

We have previously shown that both the mutant allele and the wild-type allele are expressed in hiPSCs (Fig. 1). However, it is possible that a similar level of expression of the wild-type and mutant protein forms is necessary in order for the mutation to influence reprogramming efficiency in a gain-of-function manner. To clarify this, we performed a reprogramming experiment where OSKC were co-expressed together with a similar total amount of retrovirus encoding either only the wild type form or both the wild-type (wt) and mutant (mut) forms of a mutated gene in an equal ratio (1:1). Using this strategy, we were able to compare the reprogramming efficiency of cells over-expressing wild-type and mutated protein (wt/mut) in equal amounts with that of cells over-expressing wild-type protein alone (wt/wt). Interestingly, we did not observe any difference in reprogramming efficiency between cells over-expressing the wt/wt and wt/mut proteins (Fig. 3a). Finally, we investigated whether silencing of retroviral transgenes during reprogramming could mask a gain-of-function effect of the mutated genes at a later stage of reprogramming. To this, we analyzed the reprogramming efficiency of cells infected with retroviruses expressing OSKC, the wild type or mutated forms of the genes evaluated in this study, and a red fluorescent protein (RFP) reporter gene to monitor transgene silencing. Reprogramming efficiency was evaluated based on the number of Tra-1-60+/RFP+ colonies present at day 14. These colonies represent putative bona-fide hiPSC colonies, as they express the stem cell marker Tra-1-60 but lack silencing of the exogenous transgenes. Thus, we only considered reprogramming events where transgene expression was still active. Importantly, we did not observe differences in reprogramming efficiency between cells over-expressing the mutated forms and cells over-expressing their respective wild-type forms (Fig. 3b). Furthermore, we also evaluated reprogramming efficiency in the same experiment at day 14 by analyzing the number of Tra-1-60+/RFP colonies (evaluating putative bona-fide hiPSC colonies where transgene silencing occurred), and obtained a similar result (data not shown). Overall, these data suggest that most of these mutated genes do not facilitate reprogramming through a gain-of-function or loss-of-function mechanism.

Figure 3
Retroviral silencing or wild-type/mutant gene ratio do not alter reprogramming efficiency


Our work demonstrates that hiPSCs contain protein-coding mutations independent of the cell type of origin (as we analyzed hiPSC lines derived from five tissue types). Moreover, we determined that reprogramming efficiency, and therefore the level of selection pressure which could allow the fixation of advantageous mutations, did not to have a measurable effect on the hiPSC mutational load. Although the functional consequences of individual protein-coding mutations detected in hiPSCs remain to be characterized, these alterations could potentially contribute to the functional differences observed between hiPSC lines1517. Two independent groups have recently reported the whole genome sequencing of human and murine iPSC lines and their corresponding somatic cell lines1819. They identified hundreds of single nucleotide variants (SNVs) in non-coding regions as well as an average of 6–12 SNVs in coding regions1819, which is consistent with our results6. Importantly, their data suggest that much of the genetic variation in iPSC clones pre-exists in the somatic population of origin and is fixed as a consequence of cloning individual cells during iPSC generation1819. Although these reports supported previous observations6, they did not investigate whether identified mutations contribute functionally to facilitate the acquisition of pluripotency during reprogramming.

In this work, we show evidence suggesting that most reprogramming-associated point mutations do not provide a detectible selective advantage towards a reprogrammed state. Since inhibiting wild type POLR1C expression had a positive impact on reprogramming efficiency, we cannot rule out a potential role of the mutation found in POLR1C in facilitating reprogramming. If this is the case, the fact that down-regulation of POLR1C increases reprogramming efficiency in fibroblasts but not in HUVEC could indicate the existence of tissue-specific mutations affecting reprogramming efficiency, as PORL1CP278R was found in one hiPSC line derived from human fibroblasts. Although it remains possible that untested mutated genes or a combination of mutations in a certain cellular context could play a role, the findings that only one gene (NTRK3) was found mutated in 2 out of 30 independent hiPSC lines, that mutated genes do not cluster in a specific functional pathway that could explain their selection during the reprogramming process, and that non-coding regions showed a similar mutational load, indicate that reprogramming-associated mutations seem to occur through a random process without selection and/or be initially present in the somatic population of origin1819. It has been suggested that genomic alterations (i.e. duplications, deletions and mutations) are selected for during reprogramming, yet this has not been demonstrated611. In contrast to well-established recurrent genomic aberrations (e.g. chromosome 12 duplications) present in hESC or hiPSC lines that are functionally selected upon prolonged culture8, our results suggest that reprogramming-associated point mutations generally do not affect reprogramming efficiency although there could be exceptions. To our knowledge, the data provided herein provides for the first time a functional analysis of the role of specific genomic alterations (i.e. point mutations in coding regions) on the reprogramming process and have potential implications for the future of the hiPSC field in regenerative medicine.


Cell culture

The hiPSC lines ASThiPS4F4, ASThiPS4F5, HUVhiPS4F1, HUVhiPS4F3, FhiPS4F7, NSChiPS2F and FhiPS3F1 were already described6, 2022, and obtained from existing cultures. The hiPSC lines MSChiPS4F4, MSChiPS4F8 and KhiPS4F8 show all the requirements (morphology, pluripotent gene expression, normal karyotype and in vivo differentiation by teratoma formation) to define them as hiPSC cell lines. Derived hiPSCs were cultured as described24. 293T cells and BJ human fibroblasts (ATCC, CRL-2522) were cultured in DMEM (Invitrogen) supplemented with 10% FBS and 0.1 mM non-essential aminoacids. HUVEC cells were obtained from Lonza (C-2519A) and grown with EGM-2 media (Lonza) as recommended. MSCs were kindly provided by Cécile Volle (Sanofi-Aventis) and grown in α-MEM (Invitrogen) containing 10% FBS (Hyclone), penicillin/streptomycin, sodium pyruvate, nonessential amino acids, and L-glutamine (all from Invitrogen). Human keratinocytes were obtained and cultured as previously described23.

hiPSC generation

To generate hiPSCs (KhiPS4F8, MSChiPS4F4 and MSChiPS4) or to evaluate reprogramming efficiency, experiments were performed as described with minor modifications24. Briefly, BJ fibroblasts, keratinocytes, MSCs or HUVEC cells were infected with an equal ratio of retroviruses or retroviruses plus lentiviruses by spinfection of the cells at 1850 rpm for 1 hour at room temperature in the presence of polybrene (4 μg/ml). After one (in case of the HUVEC cells), two (in case of the BJs fibroblasts or keratinocytes) or three (in case of the MSCs) viral infections viral infections, cells were trypsinized and transferred onto fresh irradiated mouse embryonic or human fibroblasts (iMEFs or iHFs) where correspond. One day after, cells were switched to hES cell medium (DMEM/F12 or KO-DMEM (Invitrogen) supplemented with 20% Knockout Serum Replacement (Invitrogen), 1 mM L-glutamine, 0.1 mM non-essential amino acids, 55 μM β-mercaptoethanol and 10 ng/ml bFGF (Joint Protein Central)). Depending on the cell type of origin, colonies were stained for Nanog expression at day 18 (in the case of HUVEC-derived hiPS cells) or 24 (in the case of BJ fibroblasts-derived hiPS cells) or isolated to establish cell lines. To calculate the efficiency of reprogramming, we plated the same number of infected HUVEC or BJ fibroblasts cells on iMEFs after the infection and the relative percentage of Nanog+ colonies to the value of the number of colonies generated with HUVEC or BJ fibroblasts cells infected with pLVTHM lentiviruses or GFP-expressing retroviruses correspondingly is shown.

Plasmid construction

The reprogramming plasmids pMX-OCT4, pMX-SOX2, pMX-KLF4, pMX-cMyc together with pLVTHM were obtained from Addgene (plasmids 17217, 17218, 17219, 17220 and 12247 respectively). For the construction of pMX-NTRK3, pMX-FAIM3, pMX-POLR1C, pMX-GDF3 and pMX-HK1 (fragment corresponding to the nucleotides 277-2753), specific coding region sequences were amplified by PCR from Human ORFeome library plasmids containing the corresponding cDNAs. cDNA fragments were digested with adequate restriction enzymes, purified and subcloned into linearized pMX plasmid. For the construction of pMX-CCKBR, pMX-SAMD3, pMX-UBA2, pMX-TRAF6, pMX-MARCKSL1, pMX-CD1B, pMX-GSG1, pMX-NRP1, pMX-NEK11, pMX-CTSL1, pMX-ASB3 and pMX-ZNF16, specific pDONR223 plasmids from Human ORFeome library containing the corresponding cDNAs were used to transfer the cDNAs to the vector pMX-GW (Addgene, 18656). The transfer was achieved by using the Gateway LR Clonase enzyme mix (Invitrogen). The plasmids pMX-p16, pMX-CDK4, pMX-CycD1, pLVTHM-CycE and pLVTHM-p53 were generated as described24, 25. The plasmid pMX-RFP was kindly provided by Dr. Guanghui Liu (Gene Expression Laboratory, The SALK Insitute, La Jolla, CA). For the introduction of specific point mutations in the coding sequences of the above genes (see Supplementary Table S2 for specific mutations) the QuickChange Site-Directed Mutagenesis kit was used (Stratagene; see Supplementary Table S3 for specific primers). For the generation of plasmids encoding shRNAs against the genes used in this study, specific oligos (see Supplementary Table S3 for specific primers) were annealed, phosphorylated with T4 kinase and ligated into MluI/ClaI-linearized pLTVHM plasmid. The design of 3 different pairs of shRNAs was carried out using the SFold software ( and knockdown efficiency was assayed in 293T cells. The most efficient pairs of shRNAs were assayed in HUVEC or BJ fibroblasts cell (Supplementary Fig. S1a) and used in the corresponding experiments. All constructs generated were subjected to direct sequencing to rule out the presence of mutations.

Retroviral and lentiviral production

Moloney-based retroviral vectors (pMX and derived) and second generation lentiviral vectors (pLVTHM and derived) were co-transfected with packaging plasmids to generate viral particles in 293T cells using Lipofectamine (Invitrogen) as previously described24.


Imnunofluorescence analysis for the detection of pluripotent markers in hiPSCs or for the detection of differentiation-associated markers in teratomas were performed as described22. Immunohistochemical/immunoflorescence detection of Nanog or Tra-1-60 was performed as described24.

RNA isolation and real time-PCR analysis

Total RNA was isolated using Trizol Reagent (Invitrogen) according to the manufacturer’s recommendations. cDNA was synthesized using the SuperScript II Reverse Transcriptase kit for RT-PCR (Invitrogen) or the RT Supermix M-MuLV kit (BioPioneer). Real-time PCR was performed using the SYBR-Green PCR Master mix (Applied Biosystems) in the ViiA 7 Real Time PCR System (Applied Biosystems). GAPDH expression was used to normalize values of gene expression and data is shown as fold change relative to the value of the sample control. All the samples were done in triplicate. Primers used for real time-PCR experiments are listed in Supplementary Table S3.

Whole genome library construction

Library construction was performed as previously described6, 26. Briefly, for each sample, roughly 1.5 to 3 μg of genomic DNA (in 100 μl volumes) was sheared with a Covaris AFA. The fragmented genomic DNA was end repaired, A-tailed, and ligated to sequencing adaptors, with a purification step between each process. The purified ligated products were then amplified by PCR to generate whole-genome libraries.

In-Solution Hybridization capture with DNA baits

Liquid exome capture was performed as previously described6.

Consensus sequence generation and variant calling

Variant calling was performed as previously described6. Briefly, reads obtained from the Illumina Genome Analyzer were post-processed and quality filtered using GERALD, mapped to the genome using BWA, downsampled using Picard, and used to generate a consensus sequence for each sample using GATK. The consensus sequences were then compared to find candidate novel mutations in hiPSCs6. Sites where each hiPSC line showed heterozygous SNPs not observed in the progenitor line were considered as candidate mutations if no allelic content was present in the somatic progenitor and if the candidate mutation had not previously been observed in other samples or the dbSNP database.

Sanger validation of candidate mutations

Genomic DNA of both the hiPSC line and its somatic progenitor (6 ng each) was amplified in separate 50 μl PCR reactions with 100 nM of specifically designed forward and reverse primers around the mutation site (primers available under request) and 25 μl of Taq 2x master mix (NEB) at 94 °C for 2 minutes, followed by 35 cycles of 94 °C for 30 seconds; 57 °C for 30 seconds; and 72 °C for 30 seconds, and final extension at 72 °C for 3 minutes. The PCR products were then purified with Qiagen Qiaquick columns, and 10 ng of purified DNA was pre-mixed with 25 pmol of the forward primer for Sanger sequencing at Genewiz Inc.

Statistical Analysis/TiGER Database

To check for enrichment of reprogramming-associated mutations in genes that are expressed in a tissue-specific manner, the fraction of UniGene IDs corresponding to mutated genes called as “tissue-specific” in the TiGER database was identified as 49/132 (37%). As 6,699/19,526 (34%) of the genes annotated in the TiGER database are considered to be tissue-specific, a χ2 test with one degree of freedom can be used to test for equivalency of distribution. The obtained χ2 value is 0.460, indicating that the fraction of mutated hiPSC genes that are tissue-specific is not significantly different than that found in a random sample of genes (P-value = 0.4975). Reprogramming-associated mutations therefore do not appear to be enriched in tissue-specific genes.

Statistical Analysis/Active and Inactive Chromatin States

To check for enrichment of reprogramming-associated mutations in active or inactive chromatin, we utilized a χ2 test with three degrees of freedom to test for equivalency of distribution. We identified the chromatin state of each mutated gene using previously published data13. This data divided each gene into one of four categories: no trimethylation, H3K4 Trimethylation, H3K27 Trimethylation, or both. We compared the distribution of mutated genes across each of these four categories with the expected distribution for all genes in three cell types: Fibroblasts, ESCs, and iPSCs13. The obtained χ2 values were 1.03 (p-value=0.79), 3.78 (p-value=0.29), and 6.97 (p-value=0.07), respectively, indicating that the distribution of mutated hiPSC genes in each chromatin region is not significantly different than expected by random chance (alpha=0.01). Reprogramming-associated mutations therefore do not appear to be enriched in active or inactive chromatin states.

Non-coding versus Coding mutations

To compare the mutation rates per base pair in coding and non-coding regions of the genome, variant calling was performed as above on non-coding regions of the genome surviving library enrichment in eight hiPSC lines and their progenitor lines. The mutation rate per base pair was then estimated by dividing the number of candidate coding and non-coding mutations by the number of exomic and non-coding base pairs covered. The average coding and non-coding mutation rates were compared.

Supplementary Material


We express our gratitude to Travis Berggren, Margaret Lutz and Veronica Modesto for their support at the Salk Institute-Stem Cell Core, to Joaquin Sebastian for critically reading the manuscript, to Guanghui Liu for sharing reagents and to the rest of the Belmonte lab. AG was supported by the Focht-Powell Fellowship and a CIRM predoctoral fellowship. Work in this manuscript was supported by grants from Fundacion Cellex, TERCEL-ISCIII-MINECO, Sanofi, National Institutes of Health and the G. Harold and Leila Y. Mathers Charitable Foundation.



SR, AG, KZ and JCIB designed the experiments. SR, AG, NM, AGi, JB, ADP, ZL, HF and EMB carried out experiments. HZ and HS helped with procedures. SR, AG, ADP, KZ and JCIB wrote the manuscript. KZ and JCBI directed the project and revised the manuscript. All authors provided detailed comments.


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