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Published in: Virology Journal 1/2010

Open Access 01-12-2010 | Research

Nipah virus infection and glycoprotein targeting in endothelial cells

Authors: Stephanie Erbar, Andrea Maisner

Published in: Virology Journal | Issue 1/2010

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Abstract

Background

The highly pathogenic Nipah virus (NiV) causes fatal respiratory and brain infections in animals and humans. The major hallmark of the infection is a systemic endothelial infection, predominantly in the CNS. Infection of brain endothelial cells allows the virus to overcome the blood-brain-barrier (BBB) and to subsequently infect the brain parenchyma. However, the mechanisms of NiV replication in endothelial cells are poorly elucidated. We have shown recently that the bipolar or basolateral expression of the NiV surface glycoproteins F and G in polarized epithelial cell layers is involved in lateral virus spread via cell-to-cell fusion and that correct sorting depends on tyrosine-dependent targeting signals in the cytoplasmic tails of the glycoproteins. Since endothelial cells share many characteristics with epithelial cells in terms of polarization and protein sorting, we wanted to elucidate the role of the NiV glycoprotein targeting signals in endothelial cells.

Results

As observed in vivo, NiV infection of endothelial cells induced syncytia formation. The further finding that infection increased the transendothelial permeability supports the idea of spread of infection via cell-to-cell fusion and endothelial cell damage as a mechanism to overcome the BBB. We then revealed that both glycoproteins are expressed at lateral cell junctions (bipolar), not only in NiV-infected primary endothelial cells but also upon stable expression in immortalized endothelial cells. Interestingly, mutation of tyrosines 525 and 542/543 in the cytoplasmic tail of the F protein led to an apical redistribution of the protein in endothelial cells whereas tyrosine mutations in the G protein had no effect at all. This fully contrasts the previous results in epithelial cells where tyrosine 525 in the F, and tyrosines 28/29 in the G protein were required for correct targeting.

Conclusion

We conclude that the NiV glycoprotein distribution is responsible for lateral virus spread in both, epithelial and endothelial cell monolayers. However, the prerequisites for correct protein targeting differ markedly in the two polarized cell types.
Appendix
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Literature
1.
go back to reference Mohd Nor MN, Gan CH, Ong BL: Nipah virus infection of pigs in peninsular Malaysia. Rev Sci Tech 2000, 19: 160-165.PubMed Mohd Nor MN, Gan CH, Ong BL: Nipah virus infection of pigs in peninsular Malaysia. Rev Sci Tech 2000, 19: 160-165.PubMed
2.
go back to reference Chua KB: Nipah virus outbreak in Malaysia. J Clin Virol 2003, 26: 265-275. 10.1016/S1386-6532(02)00268-8PubMedCrossRef Chua KB: Nipah virus outbreak in Malaysia. J Clin Virol 2003, 26: 265-275. 10.1016/S1386-6532(02)00268-8PubMedCrossRef
3.
go back to reference Chadha MS, Comer JA, Lowe L, Rota PA, Rollin PE, Bellini WJ, Ksiazek TG, Mishra A: Nipah virus-associated encephalitis outbreak, Siliguri, India. Emerg Infect Dis 2006, 12: 235-240.PubMedPubMedCentralCrossRef Chadha MS, Comer JA, Lowe L, Rota PA, Rollin PE, Bellini WJ, Ksiazek TG, Mishra A: Nipah virus-associated encephalitis outbreak, Siliguri, India. Emerg Infect Dis 2006, 12: 235-240.PubMedPubMedCentralCrossRef
4.
go back to reference Chua KB, Bellini WJ, Rota PA, Harcourt BH, Tamin A, Lam SK, Ksiazek TG, Rollin PE, Zaki SR, Shieh W, et al.: Nipah virus: a recently emergent deadly paramyxovirus. Science 2000, 288: 1432-1435. 10.1126/science.288.5470.1432PubMedCrossRef Chua KB, Bellini WJ, Rota PA, Harcourt BH, Tamin A, Lam SK, Ksiazek TG, Rollin PE, Zaki SR, Shieh W, et al.: Nipah virus: a recently emergent deadly paramyxovirus. Science 2000, 288: 1432-1435. 10.1126/science.288.5470.1432PubMedCrossRef
5.
go back to reference Wong KT, Shieh WJ, Kumar S, Norain K, Abdullah W, Guarner J, Goldsmith CS, Chua KB, Lam SK, Tan CT, et al.: Nipah virus infection: pathology and pathogenesis of an emerging paramyxoviral zoonosis. Am J Pathol 2002, 161: 2153-2167.PubMedPubMedCentralCrossRef Wong KT, Shieh WJ, Kumar S, Norain K, Abdullah W, Guarner J, Goldsmith CS, Chua KB, Lam SK, Tan CT, et al.: Nipah virus infection: pathology and pathogenesis of an emerging paramyxoviral zoonosis. Am J Pathol 2002, 161: 2153-2167.PubMedPubMedCentralCrossRef
6.
go back to reference Mellman I, Nelson WJ: Coordinated protein sorting, targeting and distribution in polarized cells. Nat Rev Mol Cell Biol 2008, 9: 833-845. 10.1038/nrm2525PubMedPubMedCentralCrossRef Mellman I, Nelson WJ: Coordinated protein sorting, targeting and distribution in polarized cells. Nat Rev Mol Cell Biol 2008, 9: 833-845. 10.1038/nrm2525PubMedPubMedCentralCrossRef
7.
go back to reference Bonaparte MI, Dimitrov AS, Bossart KN, Crameri G, Mungall BA, Bishop KA, Choudhry V, Dimitrov DS, Wang LF, Eaton BT, Broder CC: Ephrin-B2 ligand is a functional receptor for Hendra virus and Nipah virus. Proc Natl Acad Sci USA 2005, 102: 10652-10657. 10.1073/pnas.0504887102PubMedPubMedCentralCrossRef Bonaparte MI, Dimitrov AS, Bossart KN, Crameri G, Mungall BA, Bishop KA, Choudhry V, Dimitrov DS, Wang LF, Eaton BT, Broder CC: Ephrin-B2 ligand is a functional receptor for Hendra virus and Nipah virus. Proc Natl Acad Sci USA 2005, 102: 10652-10657. 10.1073/pnas.0504887102PubMedPubMedCentralCrossRef
8.
go back to reference Negrete OA, Chu D, Aguilar HC, Lee B: Single amino acid changes in the Nipah and Hendra virus attachment glycoproteins distinguish ephrinB2 from ephrinB3 usage. J Virol 2007, 81: 10804-10814. 10.1128/JVI.00999-07PubMedPubMedCentralCrossRef Negrete OA, Chu D, Aguilar HC, Lee B: Single amino acid changes in the Nipah and Hendra virus attachment glycoproteins distinguish ephrinB2 from ephrinB3 usage. J Virol 2007, 81: 10804-10814. 10.1128/JVI.00999-07PubMedPubMedCentralCrossRef
9.
go back to reference Negrete OA, Levroney EL, Aguilar HC, Bertolotti-Ciarlet A, Nazarian R, Tajyar S, Lee B: EphrinB2 is the entry receptor for Nipah virus, an emergent deadly paramyxovirus. Nature 2005, 436: 401-405.PubMed Negrete OA, Levroney EL, Aguilar HC, Bertolotti-Ciarlet A, Nazarian R, Tajyar S, Lee B: EphrinB2 is the entry receptor for Nipah virus, an emergent deadly paramyxovirus. Nature 2005, 436: 401-405.PubMed
10.
go back to reference Negrete OA, Wolf MC, Aguilar HC, Enterlein S, Wang W, Muhlberger E, Su SV, Bertolotti-Ciarlet A, Flick R, Lee B: Two key residues in ephrinB3 are critical for its use as an alternative receptor for Nipah virus. PLoS Pathog 2006, 2: e7. 10.1371/journal.ppat.0020007PubMedPubMedCentralCrossRef Negrete OA, Wolf MC, Aguilar HC, Enterlein S, Wang W, Muhlberger E, Su SV, Bertolotti-Ciarlet A, Flick R, Lee B: Two key residues in ephrinB3 are critical for its use as an alternative receptor for Nipah virus. PLoS Pathog 2006, 2: e7. 10.1371/journal.ppat.0020007PubMedPubMedCentralCrossRef
11.
go back to reference Carbone KM, Wolinsky JS: Mumps virus. Fields Virology. 4th edition. Philadelphia, Pa.: Lippincott Williams and Wilkins; 2001:1381-1400. Carbone KM, Wolinsky JS: Mumps virus. Fields Virology. 4th edition. Philadelphia, Pa.: Lippincott Williams and Wilkins; 2001:1381-1400.
12.
go back to reference Diederich S, Moll M, Klenk HD, Maisner A: The nipah virus fusion protein is cleaved within the endosomal compartment. J Biol Chem 2005, 280: 29899-29903. 10.1074/jbc.M504598200PubMedCrossRef Diederich S, Moll M, Klenk HD, Maisner A: The nipah virus fusion protein is cleaved within the endosomal compartment. J Biol Chem 2005, 280: 29899-29903. 10.1074/jbc.M504598200PubMedCrossRef
13.
go back to reference Diederich S, Thiel L, Maisner A: Role of endocytosis and cathepsin-mediated activation in Nipah virus entry. Virology 2008, 375: 391-400. 10.1016/j.virol.2008.02.019PubMedCrossRef Diederich S, Thiel L, Maisner A: Role of endocytosis and cathepsin-mediated activation in Nipah virus entry. Virology 2008, 375: 391-400. 10.1016/j.virol.2008.02.019PubMedCrossRef
14.
go back to reference Pager CT, Craft WW Jr, Patch J, Dutch RE: A mature and fusogenic form of the Nipah virus fusion protein requires proteolytic processing by cathepsin L. Virology 2006, 346: 251-257. 10.1016/j.virol.2006.01.007PubMedCrossRef Pager CT, Craft WW Jr, Patch J, Dutch RE: A mature and fusogenic form of the Nipah virus fusion protein requires proteolytic processing by cathepsin L. Virology 2006, 346: 251-257. 10.1016/j.virol.2006.01.007PubMedCrossRef
15.
go back to reference Vogt C, Eickmann M, Diederich S, Moll M, Maisner A: Endocytosis of the Nipah virus glycoproteins. J Virol 2005, 79: 3865-3872. 10.1128/JVI.79.6.3865-3872.2005PubMedPubMedCentralCrossRef Vogt C, Eickmann M, Diederich S, Moll M, Maisner A: Endocytosis of the Nipah virus glycoproteins. J Virol 2005, 79: 3865-3872. 10.1128/JVI.79.6.3865-3872.2005PubMedPubMedCentralCrossRef
16.
go back to reference Middleton DJ, Westbury HA, Morrissy CJ, van der Heide BM, Russell GM, Braun MA, Hyatt AD: Experimental Nipah virus infection in pigs and cats. J Comp Pathol 2002, 126: 124-136. 10.1053/jcpa.2001.0532PubMedCrossRef Middleton DJ, Westbury HA, Morrissy CJ, van der Heide BM, Russell GM, Braun MA, Hyatt AD: Experimental Nipah virus infection in pigs and cats. J Comp Pathol 2002, 126: 124-136. 10.1053/jcpa.2001.0532PubMedCrossRef
17.
go back to reference Weingartl H, Czub S, Copps J, Berhane Y, Middleton D, Marszal P, Gren J, Smith G, Ganske S, Manning L, Czub M: Invasion of the central nervous system in a porcine host by nipah virus. J Virol 2005, 79: 7528-7534. 10.1128/JVI.79.12.7528-7534.2005PubMedPubMedCentralCrossRef Weingartl H, Czub S, Copps J, Berhane Y, Middleton D, Marszal P, Gren J, Smith G, Ganske S, Manning L, Czub M: Invasion of the central nervous system in a porcine host by nipah virus. J Virol 2005, 79: 7528-7534. 10.1128/JVI.79.12.7528-7534.2005PubMedPubMedCentralCrossRef
18.
go back to reference Weise C, Erbar S, Lamp B, Vogt C, Diederich S, Maisner A: Tyrosine residues in the cytoplasmic domains affect sorting and fusion activity of the Nipah virus glycoproteins in polarized epithelial cells. J Virol 2010. Weise C, Erbar S, Lamp B, Vogt C, Diederich S, Maisner A: Tyrosine residues in the cytoplasmic domains affect sorting and fusion activity of the Nipah virus glycoproteins in polarized epithelial cells. J Virol 2010.
19.
go back to reference Huber JD, Egleton RD, Davis TP: Molecular physiology and pathophysiology of tight junctions in the blood-brain barrier. Trends Neurosci 2001, 24: 719-725. 10.1016/S0166-2236(00)02004-XPubMedCrossRef Huber JD, Egleton RD, Davis TP: Molecular physiology and pathophysiology of tight junctions in the blood-brain barrier. Trends Neurosci 2001, 24: 719-725. 10.1016/S0166-2236(00)02004-XPubMedCrossRef
20.
go back to reference Zhang Y, Li CS, Ye Y, Johnson K, Poe J, Johnson S, Bobrowski W, Garrido R, Madhu C: Porcine brain microvessel endothelial cells as an in vitro model to predict in vivo blood-brain barrier permeability. Drug Metab Dispos 2006, 34: 1935-1943. 10.1124/dmd.105.006437PubMedCrossRef Zhang Y, Li CS, Ye Y, Johnson K, Poe J, Johnson S, Bobrowski W, Garrido R, Madhu C: Porcine brain microvessel endothelial cells as an in vitro model to predict in vivo blood-brain barrier permeability. Drug Metab Dispos 2006, 34: 1935-1943. 10.1124/dmd.105.006437PubMedCrossRef
21.
go back to reference Feldmann H, Bugany H, Mahner F, Klenk HD, Drenckhahn D, Schnittler HJ: Filovirus-induced endothelial leakage triggered by infected monocytes/macrophages. J Virol 1996, 70: 2208-2214.PubMedPubMedCentral Feldmann H, Bugany H, Mahner F, Klenk HD, Drenckhahn D, Schnittler HJ: Filovirus-induced endothelial leakage triggered by infected monocytes/macrophages. J Virol 1996, 70: 2208-2214.PubMedPubMedCentral
22.
go back to reference Erbar S, Diederich S, Maisner A: Selective receptor expression restricts Nipah virus infection of endothelial cells. Virol J 2008, 5: 142. 10.1186/1743-422X-5-142PubMedPubMedCentralCrossRef Erbar S, Diederich S, Maisner A: Selective receptor expression restricts Nipah virus infection of endothelial cells. Virol J 2008, 5: 142. 10.1186/1743-422X-5-142PubMedPubMedCentralCrossRef
23.
go back to reference Thiel L, Diederich S, Erbar S, Pfaff D, Augustin HG, Maisner A: Ephrin-B2 expression critically influences Nipah virus infection independent of its cytoplasmic tail. Virol J 2008, 5: 163. 10.1186/1743-422X-5-163PubMedPubMedCentralCrossRef Thiel L, Diederich S, Erbar S, Pfaff D, Augustin HG, Maisner A: Ephrin-B2 expression critically influences Nipah virus infection independent of its cytoplasmic tail. Virol J 2008, 5: 163. 10.1186/1743-422X-5-163PubMedPubMedCentralCrossRef
24.
go back to reference Camerer E, Pringle S, Skartlien AH, Wiiger M, Prydz K, Kolsto AB, Prydz H: Opposite sorting of tissue factor in human umbilical vein endothelial cells and Madin-Darby canine kidney epithelial cells. Blood 1996, 88: 1339-1349.PubMed Camerer E, Pringle S, Skartlien AH, Wiiger M, Prydz K, Kolsto AB, Prydz H: Opposite sorting of tissue factor in human umbilical vein endothelial cells and Madin-Darby canine kidney epithelial cells. Blood 1996, 88: 1339-1349.PubMed
25.
go back to reference Roberts RL, Fine RE, Sandra A: Receptor-mediated endocytosis of transferrin at the blood-brain barrier. J Cell Sci 1993,104(Pt 2):521-532.PubMed Roberts RL, Fine RE, Sandra A: Receptor-mediated endocytosis of transferrin at the blood-brain barrier. J Cell Sci 1993,104(Pt 2):521-532.PubMed
26.
go back to reference Su T, Stanley KK: Opposite sorting and transcytosis of the polymeric immunoglobulin receptor in transfected endothelial and epithelial cells. J Cell Sci 1998,111(Pt 9):1197-1206.PubMed Su T, Stanley KK: Opposite sorting and transcytosis of the polymeric immunoglobulin receptor in transfected endothelial and epithelial cells. J Cell Sci 1998,111(Pt 9):1197-1206.PubMed
27.
go back to reference Hooper P, Zaki S, Daniels P, Middleton D: Comparative pathology of the diseases caused by Hendra and Nipah viruses. Microbes Infect 2001, 3: 315-322. 10.1016/S1286-4579(01)01385-5PubMedCrossRef Hooper P, Zaki S, Daniels P, Middleton D: Comparative pathology of the diseases caused by Hendra and Nipah viruses. Microbes Infect 2001, 3: 315-322. 10.1016/S1286-4579(01)01385-5PubMedCrossRef
28.
go back to reference Griffin DE: Measles virus. Fields Virology. 4th edition. Philadelphia, Pa.: Lippincott Williams and Wilkins; 2001:1401-1441. Griffin DE: Measles virus. Fields Virology. 4th edition. Philadelphia, Pa.: Lippincott Williams and Wilkins; 2001:1401-1441.
29.
go back to reference Rudd PA, Bastien-Hamel LE, von Messling V: Acute canine distemper encephalitis is associated with rapid neuronal loss and local immune activation. J Gen Virol 2010, 91: 980-989. 10.1099/vir.0.017780-0PubMedCrossRef Rudd PA, Bastien-Hamel LE, von Messling V: Acute canine distemper encephalitis is associated with rapid neuronal loss and local immune activation. J Gen Virol 2010, 91: 980-989. 10.1099/vir.0.017780-0PubMedCrossRef
30.
go back to reference Williamson MM, Hooper PT, Selleck PW, Westbury HA, Slocombe RF: A guinea-pig model of Hendra virus encephalitis. J Comp Pathol 2001, 124: 273-279. 10.1053/jcpa.2001.0464PubMedCrossRef Williamson MM, Hooper PT, Selleck PW, Westbury HA, Slocombe RF: A guinea-pig model of Hendra virus encephalitis. J Comp Pathol 2001, 124: 273-279. 10.1053/jcpa.2001.0464PubMedCrossRef
31.
go back to reference Cosby SL, Brankin B: Measles virus infection of cerebral endothelial cells and effect on their adhesive properties. Vet Microbiol 1995, 44: 135-139. 10.1016/0378-1135(95)00006-VPubMedCrossRef Cosby SL, Brankin B: Measles virus infection of cerebral endothelial cells and effect on their adhesive properties. Vet Microbiol 1995, 44: 135-139. 10.1016/0378-1135(95)00006-VPubMedCrossRef
32.
go back to reference Dittmar S, Harms H, Runkler N, Maisner A, Kim KS, Schneider-Schaulies J: Measles virus-induced block of transendothelial migration of T lymphocytes and infection-mediated virus spread across endothelial cell barriers. J Virol 2008, 82: 11273-11282. 10.1128/JVI.00775-08PubMedPubMedCentralCrossRef Dittmar S, Harms H, Runkler N, Maisner A, Kim KS, Schneider-Schaulies J: Measles virus-induced block of transendothelial migration of T lymphocytes and infection-mediated virus spread across endothelial cell barriers. J Virol 2008, 82: 11273-11282. 10.1128/JVI.00775-08PubMedPubMedCentralCrossRef
33.
go back to reference Fields IC, King SM, Shteyn E, Kang RS, Folsch H: Phosphatidylinositol 3,4,5-trisphosphate localization in recycling endosomes is necessary for AP-1B-dependent sorting in polarized epithelial cells. Mol Biol Cell 2010, 21: 95-105. 10.1091/mbc.E09-01-0036PubMedPubMedCentralCrossRef Fields IC, King SM, Shteyn E, Kang RS, Folsch H: Phosphatidylinositol 3,4,5-trisphosphate localization in recycling endosomes is necessary for AP-1B-dependent sorting in polarized epithelial cells. Mol Biol Cell 2010, 21: 95-105. 10.1091/mbc.E09-01-0036PubMedPubMedCentralCrossRef
34.
go back to reference Bowman PD, Ennis SR, Rarey KE, Betz AL, Goldstein GW: Brain microvessel endothelial cells in tissue culture: a model for study of blood-brain barrier permeability. Ann Neurol 1983, 14: 396-402. 10.1002/ana.410140403PubMedCrossRef Bowman PD, Ennis SR, Rarey KE, Betz AL, Goldstein GW: Brain microvessel endothelial cells in tissue culture: a model for study of blood-brain barrier permeability. Ann Neurol 1983, 14: 396-402. 10.1002/ana.410140403PubMedCrossRef
35.
go back to reference Moll M, Diederich S, Klenk HD, Czub M, Maisner A: Ubiquitous activation of the Nipah virus fusion protein does not require a basic amino acid at the cleavage site. J Virol 2004, 78: 9705-9712. 10.1128/JVI.78.18.9705-9712.2004PubMedPubMedCentralCrossRef Moll M, Diederich S, Klenk HD, Czub M, Maisner A: Ubiquitous activation of the Nipah virus fusion protein does not require a basic amino acid at the cleavage site. J Virol 2004, 78: 9705-9712. 10.1128/JVI.78.18.9705-9712.2004PubMedPubMedCentralCrossRef
36.
go back to reference Fuller T, Korff T, Kilian A, Dandekar G, Augustin HG: Forward EphB4 signaling in endothelial cells controls cellular repulsion and segregation from ephrinB2 positive cells. J Cell Sci 2003, 116: 2461-2470. 10.1242/jcs.00426PubMedCrossRef Fuller T, Korff T, Kilian A, Dandekar G, Augustin HG: Forward EphB4 signaling in endothelial cells controls cellular repulsion and segregation from ephrinB2 positive cells. J Cell Sci 2003, 116: 2461-2470. 10.1242/jcs.00426PubMedCrossRef
37.
go back to reference Emi N, Friedmann T, Yee JK: Pseudotype formation of murine leukemia virus with the G protein of vesicular stomatitis virus. J Virol 1991, 65: 1202-1207.PubMedPubMedCentral Emi N, Friedmann T, Yee JK: Pseudotype formation of murine leukemia virus with the G protein of vesicular stomatitis virus. J Virol 1991, 65: 1202-1207.PubMedPubMedCentral
38.
go back to reference Soneoka Y, Cannon PM, Ramsdale EE, Griffiths JC, Romano G, Kingsman SM, Kingsman AJ: A transient three-plasmid expression system for the production of high titer retroviral vectors. Nucleic Acids Res 1995, 23: 628-633. 10.1093/nar/23.4.628PubMedPubMedCentralCrossRef Soneoka Y, Cannon PM, Ramsdale EE, Griffiths JC, Romano G, Kingsman SM, Kingsman AJ: A transient three-plasmid expression system for the production of high titer retroviral vectors. Nucleic Acids Res 1995, 23: 628-633. 10.1093/nar/23.4.628PubMedPubMedCentralCrossRef
39.
go back to reference Han X, Fang Q, Yao F, Wang X, Wang J, Yang S, Shen BQ: The heterogeneous nature of polyethylenimine-DNA complex formation affects transient gene expression. Cytotechnology 2009, 60: 63-75. 10.1007/s10616-009-9215-yPubMedCentralCrossRef Han X, Fang Q, Yao F, Wang X, Wang J, Yang S, Shen BQ: The heterogeneous nature of polyethylenimine-DNA complex formation affects transient gene expression. Cytotechnology 2009, 60: 63-75. 10.1007/s10616-009-9215-yPubMedCentralCrossRef
40.
go back to reference Runkler N, Dietzel E, Carsillo M, Niewiesk S, Maisner A: Sorting signals in the measles virus wild-type glycoproteins differently influence virus spread in polarized epithelia and lymphocytes. J Gen Virol 2009, 90: 2474-2482. 10.1099/vir.0.012575-0PubMedCrossRef Runkler N, Dietzel E, Carsillo M, Niewiesk S, Maisner A: Sorting signals in the measles virus wild-type glycoproteins differently influence virus spread in polarized epithelia and lymphocytes. J Gen Virol 2009, 90: 2474-2482. 10.1099/vir.0.012575-0PubMedCrossRef
Metadata
Title
Nipah virus infection and glycoprotein targeting in endothelial cells
Authors
Stephanie Erbar
Andrea Maisner
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Virology Journal / Issue 1/2010
Electronic ISSN: 1743-422X
DOI
https://doi.org/10.1186/1743-422X-7-305

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