Abstract
During preclinical stages of cattle orally infected with bovine spongiform encephalopathy (BSE), the responsible agent is confined to ileal Peyer’s patches (IPP), namely in nerve fibers and in lymph follicles, before reaching the peripheral and central nervous systems. No infectivity has been reported in other bovine lymphoid organs, including jejunal Peyer’s patches (JPP). To determine the potential sites for prion neuroinvasion in IPP, we analyzed the mucosal innervation and the interface between nerve fibers and follicular dendritic cells (FDC), two dramatic influences on neuroinvasion. Bovine IPP were studied at three ages, viz., newborn calves, calves less than 12 months old, and bovines older than 24 months, and the parameters obtained were compared with those of JPP. No differences in innervation patterns between IPP and JPP were found. The major difference observed was that, in calves of less than 12 months, IPP were the major mucosal-associated lymphoid organ that possessed a large number of follicles with extended FDC networks. Using a panel of antibodies, we showed that PP in 24-month-old bovines were highly innervated at various strategic sites assumed to be involved in the invasion and replication of the BSE pathogen: the suprafollicular dome, T cell area, and germinal centers. In PP in calves of less than 12 months old, no nerve fibers positive for the neurofilament markers NF-L (70 kDa) and NF-H (200 kDa) were observed in contact with FDC. Thus, in view of the proportion of these protein subunits present in neurofilaments, the innervation of the germinal centers can be said to be an age-dependent dynamic process. This variation in innervation might influence the path of neuroinvasion and, thus, the susceptibility of bovines to the BSE agent.
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Introduction
Prion diseases, also known as transmissible spongiform encephalopathies (TSE), are invariably fatal neurodegenerative disorders affecting a broad spectrum of host species. According to the protein-only hypothesis, the causative agent, called a prion, is an abnormal conformer of a host-encoded membrane glycoprotein. Expression of this normal cellular protein (PrPC) is essential to TSE pathogenesis, as the basic pathogenic mechanism involves post-translational conversion of PrPC into the pathogenic conformer, scrapie PrP (PrPSc; Prusiner 1982; Legname et al. 2004). Therefore, PrPC expression controls both the site and the rate of PrPSc replication and influences the route of neuroinvasive infection, from the peripheral entry portal to and within the central nervous system (CNS; Brandner et al. 1996; Glatzel and Aguzzi 2000).
The feeding of contaminated meat and bone meal was soon recognized as the main mode of transmission of bovine spongiform encephalopathy (BSE) and variant Creutzfeldt Jakob disease (vCJD; Bruce et al. 1997). After an oral challenge, the TSE agent is probably carried from the gut lumen through the gastro-intestinal epithelium (Maignien et al. 2005). Uptake of the scrapie agent seems to occur via M cells (Heppner et al. 2001) at the level of Peyer’s patches (PP) located among the mucosa-associated lymphoid tissues (MALT).
In this lymphoid compartment, PrPSc accumulates inside the germinal centers (McBride et al. 1992) before spreading to sites of neuroinvasion. The cells implicated in early PrPSc accumulation are follicular dendritic cells (FDC), which are germinal center residing cells (McBride et al. 1992; Brown et al. 1999; Jeffrey et al. 2000). Mature FDC play an important part in scrapie pathogenesis since, in their absence, neuroinvasion following peripheral challenge is significantly impaired (Mabbott et al. 2000; Montrasio et al. 2000).
After peripheral infection, as a consequence of either high doses of the agent or exposure to a highly neuroinvasive strain, direct neuroinvasion via the peripheral nerves can appear (Race et al. 2000). Several nerve structures have been implicated in neuroinvasion: in addition to the ganglia of the submucosal and myenteric plexus, efferent fibers of the vagus nerve and both afferent and efferent fibers of the splanchnic nerve may be involved (McBride et al. 2001).
More generally, neuroinvasion by the pathogen is determined by the expression of PrPC in peripheral tissue (Blattler et al. 1997), i.e., nerve fibers in close vicinity to PrPSc replicating cells. Prinz et al. (2003a,b) have demonstrated that the proximity between FDC and sympathetic nerve endings affects the speed of scrapie neuroinvasion. A weak innervation of the secondary lymphoid organs could thus be a rate-limiting step to neuroinvasion.
Independently of this theorical scheme, and in regard to vCJD and BSE, the agent tropism for lymphoid tissues can be completely different, even if the infectious strain responsible is identical. During vCJD, the infectious agent, which apparently enters the organism via the oral route, crosses the digestive barrier and multiplies in lymphoid organs before progressively reaching the brain. Indeed, in vCJD, infectious prion accumulates in the ileum, tonsils, spleen, and appendix of infected individuals (Wadsworth et al. 2001; Joiner et al. 2005). In contrast, the agent responsible for BSE in cattle has a low affinity for lymphoid tissue and mainly accumulates in the nervous system (Farquhar et al. 1996; Somerville et al. 1997). During preclinical stages, infectivity, other than that in the peripheral nervous system (PNS) or CNS, is confined to the distal ileum of orally infected cattle (Wells et al. 1994, 1998). PrPSc is detected in follicles of ileal Peyer’s patches (IPP), and at a later stage of the disease, the proportion of immunostained follicles increases as the total number of follicles decrease with age (Terry et al. 2003).
The aim of our study has been to analyze the features limiting TSE infectivity to bovine IPP, bearing in mind that jejunal Peyer’s patches (JPP) are not infectious. We focus on mucosal innervation and the interface between nerve fibers and FDC. We have studied this property in bovine IPP and JPP immunolabeled cryosections in bovines of three ages: newborn calves, calves less than 12 months old, and bovines older than 24 months.
Materials and methods
Tissue specimens
JPP and IPP were obtained from clinically healthy bovines at local abattoirs. Three categories of animals were studied: newborn calves (n = 3), calves between 6 and 12 months old (n = 10), and bovines older than 24 months (n = 10). PP were found because of the turgescence of their surface tissue. In a 24-month-old bovine, IPP measured between 10 and 15 cm, whereas JPP did not exceed 5 cm (Fig. 1). The samples were roughly dissected, placed in phosphate-buffered saline (PBS), and kept on ice until precise dissection. Specimens were immersed in tissue-TEK OCT-embedding medium (Sakura, Zouterwoude, The Netherlands), snap-frozen, and stored at −20°C until used.
Cryosections
Sections (10 μm thick) were cut at −20°C (Microtom HM 500 OM), mounted on glass slides coated with poly-L-lysine (Sigma, St. Louis, Mo., USA), air-dried, fixed in acetone for 10 min at 4°C or in periodate lysine paraformaldehyde for 10 min at 4°C, and then stored at −20°C.
Immunofluorescence staining
Cryosections of PP were incubated in a range of primary antibodies directed against FDC or nerve fibers. These antibodies were revealed with a species-specific secondary antibody bearing a fluorescent label. In order to test the general specificity of the antibodies used, the samples were incubated with irrelevant antibodies (IgG2a antibody) or secondary antibodies biotinylated or conjugated with fluorescein isothiocyanate (FITC), phytoerythrin (PE), or tetramethylrhodamine isothiocyanate (TRITC). Negative controls were obtained by incubating samples with the secondary antibody only. All samples were mounted in a fluorescent mounting medium (Fluorescent Mounting Medium, DAKO, Glostrup, Denmark) and observed with a Leica (Belgium) TCS SL confocal microscope.
Immunostaining of FDC
FDC were stained by incubation with FDC-B1 monoclonal antibody (undiluted hybridoma supernatant; Mélot et al. 2004) for 1 h, followed by incubation for 30 min in the dark at room temperature, and labeled either with a goat anti-mouse antibody conjugated to Alexa 594 (Molecular Probes, Leiden, The Netherlands) or with a rabbit anti-mouse antibody conjugated to FITC (DAKO).
Immunostaining of nerve structures
In order to detect nerve endings and cells, we immunostained glial fibrillary acidic protein (GFAP), neurofilaments (NF), and tyrosine hydroxylase (TH). The antibodies used were rabbit anti-GFAP antibody (1/1,500; DAKO), rabbit anti-NF heavy antibody (1/100; Serotec, Oxford, England), rabbit anti-NF low antibody (1/200; Serotec), and rabbit anti-TH antibody (1/400; Chemicon International, Temecula, Calif., USA). Incubation was carried out for 1 h at room temperature. The preparations were then washed three times in PBS. A rhodamine-conjugated goat anti-rabbit secondary antibody (Molecular Probes, Leiden, The Netherlands) diluted 1/6,000 or an Alexa-488-conjugated goat anti-rabbit secondary antibody (Molecular Probes) diluted 1/6,000 was applied to the cryosections for 30 min at room temperature in the dark.
Nucleus labeling
In order to detect cell nuclei, TOPRO3 (Molecular Probes), a specific marker (diluted 1/400) was incubated on cryosections for 5 min at room temperature in the dark.
Immunostaining of cellular prion protein
In order to immunolabel PrPC, 6H4 and SAF34 antibodies (diluted 1/100) were incubated with cryosections for 1 h at room temperature. After three washes in PBS, primary antibodies were revealed with either an FITC-conjugated rabbit anti-mouse secondary antibody (DAKO) diluted 1/1,000 or a PE-conjugated rabbit anti-mouse secondary antibody (Molecular Probes) diluted 1/4,000 for 30 min at room temperature. Isotype controls, such as a mouse IgG2a conjugated to FITC (BD Pharmingen, Calif., USA), were also prepared.
Results
Innervation of JPP and IPP
We examined the topography of the enteric nervous system, a structure considered to be the site of the initial neuroinvasion of the infectious prion, and of both JPP and IPP at various ages (newborn calves, calves under 12 months, and bovines over 24 months old) by using a panel of antibodies. We hypothesized that the distribution of nerve fibers was a key factor for the implicated regions: lamina propria, suprafollicular dome, interfollicular zone, follicle, and submucosal layer. We also turned our attention to contacts between nerve fibers and FDC, the structures implicated in the retention and accumulation of major prion diseases.
In order to detect nerve fibers in PP, we used a variety of antibodies detecting either two protein subunits present in NF or a type-IV intermediate filament synthesized by non-myelin-forming Schwann cells and other glial cells surrounding nerve fibers. Antibodies directed against TH were also used in order specifically to highlight a rate-limiting enzyme in the synthesis of catecholamines. The general pattern of innervation is summarized in Table 1 for calves of less than 12 months and in Table 2 for bovines of more than 24 months. Contacts between FDC and nerves were evaluated as follows: very high labeling: present in each PP cryosection, contacts observed in each germinal center; high labeling: present in each PP cryosection, contacts observed in at least one germinal center; medium labeling: present in some PP cryosections, some contacts observed; weak labeling: contacts observed rarely; no labeling: contacts never observed.
Localization of NF-positive nerve fibers in bovine PP
NF-H-positive fibers and cells were mainly present in non-lymphoid compartments of PP, whatever the PP type (ileal or jejunal) or bovine age. Within PP compartments visualized by a nucleus specific marker (TOPRO3), Auerbach myenteric plexus and nervous extensions in the smooth muscle layers were positive (data not shown). Meissner’s submucous plexus, which was also NF-H-positive, was composed of two types of plexus, the external and the internal submucous plexus separated by submucous vascular arcades (Fig. 2a).
The three ganglionated subplexus of the internal submucous plexus were found around the follicles: between the base of the follicles and the submucous arcades, in the interfollicular zone, and in the mantle zone (Fig. 2a). Many NF-H-positive nervous extensions from these plexus infiltrated the interfollicular zone and the lamina propria inside the villi and around the crypts (Fig. 2b); little was detected in the suprafollicular dome. Nerve fibers were detected in the mantle zone, an area infiltrated by FDC cytoplasmic extensions (Fig. 2a,c). No NF-H-positive nerve fibers were observed in the follicles of calves less than 12 months old (Fig. 2a). In the PP of 24-month-old bovines, double-immunolabeling of the FDC network and NF-H nerve fibers allowed the observation of some contacts in the periphery of germinal centers (Fig. 2c).
Nerve structures positive for the NF-L subunit infiltrated the same areas as NF-H-positive nerve fibers within the PP of newborn calves and calves less than 12 months. In the IPP and JPP of the calves, the non-lymphoid compartments (nerve plexus, muscle layers, lamina propria inside the villi and around crypts) and the T cell area (the interfollicular zone and the suprafollicular dome) were rich in NF-L-positive nerve fibers (Fig. 2d). FDC were not found in contact with these nerve fibers (Fig. 2e).
In the IPP and JPP of 24-month-old bovines, only NF-L-positive labeling inside the lymphoid compartment differed. NF-L-positive nerve fibers were present in the T cell zones but also inside the follicles (Fig. 2f). Double-immunolabeling with anti-NF-L and FDC-B1 antibodies showed that these nerve fibers established close connections with FDC extensions in the germinal center (Fig. 2g).
Localization of GFAP-positive nerve fibers in bovine PP
The labeling of non-myelinating Schwann cells and satellite cells with anti-GFAP enabled us to visualize indirectly the presence of amyelinic nerve fibers in villi, around crypts, in the suprafollicular dome, in follicles, and in the nerve plexus (Meissner’s and Auerbach’s plexus; data not shown). More specifically, these fibers penetrated the mantle zone of the follicles in which they established contacts with FDC extensions. GFAP-positive nerve fibers infiltrated germinal centers and were invariably in contact with FDC in the IPP and JPP of calves (newborn and <12 months old; Fig. 3a) and in 24-month-old bovines (Fig. 3b).
Localization of TH-positive nerve fibers in bovine PP
The antibody raised against TH, a catecholaminergic marker, showed extensive labeling in bovine IPP and JPP, in villi, around crypts, in the suprafollicular dome, in the interfollicular zone, in the nerve plexus, and inside the follicle (in the mantle zone and inside the germinal center; Fig. 4a). TH-positive nerve fibers were invariably observed in the vicinity of the FDC and tingible body macrophages (TBM; autofluorescent dense bodies in Fig. 4a,b).
Expression of cellular prion protein on nerve fibers in bovine PP
The expression of normal cellular prion protein, which plays a role in both the rate and the route of neuroinvasive infection from the peripheral entry portal to the CNS, was studied in bovine JPP and IPP. In order to identify more specifically these nerve fibers expressing PrPC, we immunostained GFAP or NF (low and heavy subunits) and PrPC by using double-fluorescent immunolabeling. Use of combinations of antibodies raised against GFAP, NF-L, SAF34, and 6H4In (Fig. 5a,b) allowed the superposition of two fluorochromes and hence the identification of nerve fibers, neurons, and glial cells expressing PrPC. Satellite cells in plexus and Schwann cells in nerves, which were immunostained with GFAP antibody, were also PrPC-positive. Nevertheless, some nerve fibers located in the periphery of germinal centers clearly appeared to be negative for PrPC labeling. We observed the same results with a combination of other antibodies (NF-H, TH, SAF84, and 12F10). As a control, the anti-GFAP antibody and a mouse IgG2a labeled with FITC were incubated on sections together. The submucosal plexus was only stained with the anti-GFAP antibody. In the germinal center, the FDC network (generally PrPc-positive) appeared negative. Only autofluorescent tingible macrophages were observed. (Fig. 5c).
Discussion
The oral route is considered the most likely pathway of contamination in natural TSEs such as scrapie (Hadlow et al. 1982), BSE, or vCJD (Collinge 1999). The phases from the initial uptake of the agent to neuroinvasion can take place inside the MALT, especially at the level of the PP. This applies to several species but has been most extensively investigated in sheep for which Western blot analyses and bioassays have shown that PP accumulate PrPSc and contain high titers of prion infectivity (Heggebo et al. 2000; Andreoletti et al. 2000). This is also true in the mouse model of scrapie: administration of a mouse-adapted scrapie prion strain (RML) has been shown to induce a surge in intestinal prion infectivity during the first few days after inoculation (Prinz et al. 2003a,b). In vCJD, infectious prion also accumulates in the tonsils, in PP, and in the appendix of infected individuals (Bruce et al. 1997, 2001; Wadsworth et al. 2001; Joiner et al. 2005). In contrast to vCJD, the BSE infectious agent, which is the same strain as that implicated in vCJD (Bruce et al. 1997), appears to have a low affinity for bovine lymphoid tissues and is confined to the nervous system of naturally infected cattle. However, in experimentally infected cows, limited amounts of infectivity have been detected in the PP of the terminal ileum (undoubtedly attributable to higher doses of inoculation; Terry et al. 2003).
The ability of BSE infectious agent to cross species barriers is highly variable depending on different species parameters. Transmission of BSE to mice requires 1,000 times more infectious material than transmission between cattle (Bradley 1999). Host properties allow or hinder the crossing of the species barrier and also determine the accumulation (or not) of the infectious agent responsible for BSE at the level of lymphoid organs. In this study, we have focused on one bovine host property at the level of JPP and IPP, the mucosal innervation and the interface between nerve fibers and FDC dramatically influencing neuroinvasion. We have studied this property at three bovine ages, viz., newborn calves, calves less than 12 months, and bovines older than 24 months, knowing that (1) IPP and JPP have immunological differences that change with age (Yasuda et al. 2004); (2) in BSE orally infected bovines, PrPSc is detected in the follicles of IPP; (3) at a later stage of the disease, the proportion of immunostained follicles increases as the total number of follicles decrease with age (Terry et al. 2003).
The selective expression of PrPC in peripheral tissues has important implications for understanding not only the normal function of this protein, but also the way that prion infection is propagated and transmitted from peripheral sites of entry to the CNS. Glatzel and Aguzzi (2000) have shown that PrPC expression in the PNS plays a central role in prion neuroinvasion; notably, in mice, overexpression of PrPC can strictly affect intranerval neuroinvasion and lead to the bypassing of the immune system. One may consider whether similar phenomena underline bovine neuroinvasion by the BSE agent, which appears to bypass the lymph organs except for IPP. Lymphoid cells and FDC from bovine lymphoid tissues have been reported to express a peculiar prion protein (Mélot et al. 2002; Thielen et al. 2001). In the non-lymphoid compartment, PrPC, revealed by all antibodies, is largely expressed by nerve and glial cells of bovine PP. PrPC-positive nerve structures might represent a means of invasion, since PrPC expression in peripheral nerves is sufficient for the successful infection of the brain in mice with scrapie administered both orally and intraperitoneally (Race et al. 2000).
Various markers have been used to immunostain nerve fibers in PP with respect to TSE pathogenesis. Nerve fiber topography in PP and the co-localization of nerve fibers and FDC has allowed us to establish hypothetical schemes of lymphoinvasion and neuroinvasion in natural BSE (see below).
High innervation in traffic areas as hypothetical ways of neuroinvasion
Nerve fibers are widely distributed in the lamina propria, in the interfollicular zones, and in the suprafollicular domes. In these trafficking areas, immune mobile cells might import PrPSc from the epithelium (Defaweux et al. 2005) and transfer it to nerve fibers without an accumulation on the FDC surface (Glatzel and Aguzzi 2000). This proposal is supported by the absence of PrPSc staining at the FDC surface during the preclinical phase of natural BSE in orally exposed cattle (Terry et al. 2003).
Differential innervation of germinal centers in relation to bovine ages
We have shown that the intensity of the innervation of the germinal centers and the frequency of contacts between the FDC and nerve fibers depend upon the age of the bovines. Germinal centers from calves of less than 12 months old contain few (if any) NF-H-positive and NF-L-positive nerve fibers, in contrast to germinal centers from older bovines (more than 24 months), which contain numerous NF-L-positive and some NF-H-positive nerve fibers in contact with FDC. Innervation differences of lymphoid organs at various ages have been reported in mice and rats (Madden et al. 1998). For example, Madden et al. (1997) have shown that, with increasing age and thymic involution, noradrenergic fibers increase in density in the thymic parenchyma. An increase in fibers containing catecholamine and norepinephrine in the white pulp of the spleen of aging mice has also been reported by these authors. Because the FDC-nerve interface plays a key role in TSE pathogenesis (Prinz et al. 2003a,b), and because germinal center innervation is a dynamic process, this could influence PrPSc accumulation.
In a BSE experimental disease in cattle described by Wells et al. (1998), PrPSc was first detected in the PP at 6 months after oral inoculation. Terry et al. (2003) found that the early accumulation of PrPSc probably occurred at the level of TBM and after 36 months post-inoculation; PrPSc labeling corresponded to the distribution of the FDC network. Terry et al. (2003) proposed that this could have been attributable to the typical species distribution of FDC. We showed that FDC-B1 labeling (Mélot et al. 2004) was not modified by aging or by the type of PP. With age, follicles decreased in size and extension in IPP, but their FDC network preserved its typical network-shaped distribution.
IPP forms a long continuous lymphoid aggregate that extends from the distal jejunum through the ileum into the ileo-cecal opening. JPP is composed of smaller discrete lymphoid aggregates along the jejunum. The IPP function as a primary lymphoid organ, being responsible for the generation of B cells and the diversification of the pre-immune antibody repertoire (Reynaud et al. 1995). Like the thymus, which is a primary lymphoid tissue responsible for the production of T cells, IPP undergo involution at the time of sexual maturity. During adult life, IPP regresses, but both IPP and JPP persist and have been ascribed a role in mucosal immunity, like the other peripheral lymphoid organs (Mutwiri et al. 1999). Thus, in studies of bovines orally infected with BSE agent, the observation that only IPP are infectious but not JPP might be explained by the findings that, up to the age of 12 months, IPP represent the major gut-associated bovine lymphoid tissue that possesses an extensive bed of FDC and a specialized epithelium actively engaged in uptake and trancytosis from the gut. In future studies of BSE-infected cattle, PrPSc detection within the smaller lymphoid follicles in the jejunum should be analyzed more precisely.
Other hypothetical schemes of neuroinvasion
Our study has addressed the precise distribution of nerve structures in bovine PP and, more precisely, the contacts between nerve fibers and FDC. Other studies have focused on mice (Defaweux et al. 2005), cattle (Balemba et al. 1999), and pigs (Krammer and Kühnel 1993) but have failed to reveal any nerve fibers in lymphoid follicles. However, studies on cats (Feher et al. 1992), pigs (Kulkarni-Narla et al. 1999), hamsters (Pfoch and Unsicker 1972), and sheep (Heggebo et al. 2003) have demonstrated nerve fibers in lymph follicles. Labeling with anti-GFAP, revealing the presence of non-myelinating Schwann cells, has enabled us to visualize indirectly the presence of nerve fibers in the follicles. We have invariably and clearly identified many GFAP-positive fibers in contact with the FDC network. We wish to underline here that Schwann cells have been implicated in prion propagation. Indeed, Follet et al. (2002) have described PrPSc replication and infection in a peripheral glial cell line. Thus, potentially, PrPSc could have access to axons, either at naked nerve endings (Ingrosso et al. 1999) or by transfer from Schwann cells (Groschup et al. 1999).
In our study, the general pattern of innervation has been revealed by anti-NF antibodies, but the sympathetic nerves have been specifically labeled with an antibody raised against TH, a rate-limiting enzyme in the synthesis of catecholamines. We have chosen to mark these fibers because, following intraperitoneal administration of the agent, both chemical and immunological sympathectomy prevents or delays scrapie. Prion titers have been shown to be dramatically reduced in the spinal cords of mice sympathectomized at early time points after inoculation, whereas for transgenic mice whose organs are hyperinnervated by sympathetic nerves, a reduction in scrapie incubation time has been observed (Glatzel et al. 2001). Haik et al. (2003) have also pointed out the role of the sympathetic nervous system in vCJD following oral contamination. Here, we have immunostained TH-containing nerve fibers in the functional areas of bovine PP: in trafficking areas and invariably in lymphoid follicles. TH-positive fibers have been found in contact with FDC and with TBM. This new observation allows us to postulate potential transfer of infectious agent between TBM and sympathetic nerve fibers. TBM have been described as the first sites of PrPSc accumulation in BSE-affected bovines. An early accumulation of PrPSc in TBM has also been observed in tonsils from sheep orally infected with BSE (Thuring et al. 2005). Thus, this route of neuroinvasion mediated by TBM should be considered in addition to the transfer from FDC to nerve fibers or from mobile cells in the interfollicular zone or in the suprafollicular dome.
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Acknowledgements
The SAF 32 antibody was kindly provided by Jacques Grassi. We thank Dr. P. Lausberg for allowing samples to be collected at the local abattoir.
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This work was supported by the Région Wallonne and by the Leon Frederiq Foundation.
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Defaweux, V., Dorban, G., Antoine, N. et al. Neuroimmune connections in jejunal and ileal Peyer’s patches at various bovine ages: potential sites for prion neuroinvasion. Cell Tissue Res 329, 35–44 (2007). https://doi.org/10.1007/s00441-007-0396-4
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DOI: https://doi.org/10.1007/s00441-007-0396-4