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Viral Infection: Virus Entry and Subsequent Steps

Transcript of Part 3: Open Sesame: Cell Entry and Vaccinia Virus

00:00:02.04		My name is Ari Helenius and I'm from the Institute of Biochemistry
00:00:06.08		at ETH Zurich in Switzerland. In the last part of this seminar,
00:00:15.22		which I have entitled "Open Sesame: Cell Entry of Vaccinia Virus" the focus
00:00:24.06		will be now on the single virus and the virus and its entry into cells.
00:00:29.21		It illustrates what I will talk about, it illustrates many of the things
00:00:33.24		I have talked about before binding, signaling, endocytosis and so on,
00:00:40.03		but in a very dramatic way. This virus is rather unusual because it’s a
00:00:44.21		very big virus, it’s the most complicated virus family
00:00:49.06		known for animal cells because it belongs to the poxviruses.
00:00:55.21		Poxviruses are these giant viruses right here, they are enveloped
00:01:02.04		animal viruses and many of them cause diseases in different species.
00:01:07.05		Perhaps the best known is smallpox, which has been a major pathogen
00:01:15.01		in humans. In fact, between 1914 and 1978, when this virus
00:01:22.06		was finally eradicated it is estimated that some 300 million people died
00:01:26.26		of this virus. But as I mentioned it is now eradicated due to a worldwide,
00:01:32.18		sorry smallpox is eradicated due to a worldwide vaccination program
00:01:38.23		and in fact it is the only human virus that has been completely
00:01:44.23		eliminated from the population. Now the particle I will talk about
00:01:52.23		is a so-called "mature virion particle", because this virus
00:01:57.13		in its complexity comes in many forms or several different forms.
00:02:01.15		The mature virus, which you see in the electron micrograph in the back here,
00:02:06.13		is of Vaccinia virus. This is the vaccine strain of virus used to eradicate smallpox.
00:02:12.01		And it is the most abundant form of the infectious virus that exists after infection.
00:02:20.06		What you should know that it is an enveloped animal virus.
00:02:24.26		It has unlike the other forms of the virus only one single membrane,
00:02:28.22		You can see it at this light band here. It is a single lipid envelope.
00:02:35.00		It's a DNA virus. It's very big as you saw compared
00:02:40.13		to many other viruses, and it replicates in the cytoplasm, even though this
00:02:45.24		is unusual for a DNA virus. Receptors for this virus have not been
00:02:50.29		characterized in great detail yet, but it is already known that this
00:02:54.10		like many other viruses uses heparan sulfate proteoglycans as
00:03:00.17		an attachment factor. It is endocytosed like many other viruses
00:03:07.15		in large vesicles, one can see those by electron microscopy and it is known to
00:03:12.21		be acid activated so it has a membrane fusion protein complex,
00:03:18.17		which needs acid to work. So it looks like a normal virus, only
00:03:23.23		it's much bigger and more complicated.
00:03:25.27		So just to go through the early stages, which we are interested in here,
00:03:30.19		The virus binds to the cell surface like other viruses, it is then internalized in
00:03:35.28		large vacuoles. The acid inside these vacuoles after they have formed
00:03:40.18		then induces membrane fusion and the capsid which is this dumbbell
00:03:45.26		shaped structure in the middle, is released into the cytosol
00:03:49.18		where replication or transcription of the first viral protein.
00:03:54.15		The messenger RNA starts inside the capsid, later on further ones occur
00:03:59.21		from the naked DNA. So we are interested in how this virus enters cells.
00:04:07.13		The work started when Jason Mercer, a post-doctoral fellow
00:04:11.17		from the United States arrived in the lab and he had a viral particle
00:04:15.21		which was labeled such that it's fluorescent. One of the core proteins,
00:04:20.19		capsid proteins called A5 had a GFP, green fluorescent protein tag.
00:04:25.28		And the virus is perfectly infectious but fluorescent.
00:04:29.17		So the first thing he saw was that this virus also surfs on filopodia. So the cell,
00:04:35.26		the host cell is up here and you can see the virus moving along filopodia
00:04:40.14		and for all we know this is also happening through actin retrograde flow
00:04:47.03		just like the papilloma virus, and this phenomenon as I said was first seen
00:04:53.18		by Walther Mothes and co-workers for other viruses. Here, however,
00:04:58.12		something else happens. Follow what happens when the virus
00:05:01.28		over here arrives at the cell surface. So this is speeded up, so after virus
00:05:13.03		arrival at the cell surface, a bleb forms from the plasma membrane
00:05:17.19		of the host cell. It grows for about 20-30 seconds and then in
00:05:22.09		the following 20-30 seconds it retracts. And the bleb forms first where
00:05:27.25		the virus is located and later on all along the cell surface. You can see
00:05:32.14		that spreading here again, the same virus is down here, and you can see
00:05:37.05		the blebs moving up the cell body. So the whole cell becomes globally modified.
00:05:42.18		The plasma membrane starts to blow out in blebs in many different places,
00:05:47.18		up to 120 blebs per cell. So obviously the virus here is inducing a change
00:05:53.20		in the bleb. It's probably inducing a signaling pathway activating
00:05:57.02		something which induces the formation of the membrane blebs.
00:06:01.04		Such blebs have been seen before in other situations
00:06:06.07		which do not involve viruses, but not for viruses. And what we know about
00:06:10.27		this blebbing is that it is very similar to what one finds during
00:06:14.01		cell division, apoptosis, cell motility. A new technique called FIB/SEM,
00:06:21.15		or electron microscopy has allowed our co-workers
00:06:24.21		at the ETH to look at this phenomenon in three dimension
00:06:28.09		using electron microscopy. And what you see here is going through
00:06:32.11		a thick section of cells with the viral particle shown
00:06:35.11		in quite the light color. It is better appreciated if we look
00:06:40.24		at it in three dimensions. The viruses have been pseudo-colored red here
00:06:45.24		and what you see is that the cell surface is modified, you have these blebs
00:06:51.07		forming, and the viral particles seem to be endocytosing on the back side
00:06:56.26		of the fat blebs into the cell. What you also can see here are the filopodia
00:07:01.10		which extend out along which the viruses move towards the cell.
00:07:05.17		So this is very unusual, but it enforces the idea that this virus
00:07:11.14		is triggering a change in its host cell, complex change. That change involves
00:07:17.09		actin, very clearly, because actin itself in this case RFP-labeled moves
00:07:23.16		into the blebs and so does many actin modifying
00:07:26.15		and actin regulating proteins. That is already known from bleb formation
00:07:31.11		in other systems. All we can conclude at the moment is that the virus
00:07:35.27		induces something that the cell also does under normal conditions.
00:07:39.20		At the same time as Jason was looking at this plasma membrane
00:07:48.05		phenomenology, he was collaborating with a group of Lucas Pelkmans in
00:07:54.02		our institute at the ETH in trying to identify the Vaccinia virus infectome,
00:08:00.28		as we call it. Basically to obtain a full list of cellular genes and
00:08:06.22		cellular proteins involved in assisting the virus through its replication cycle.
00:08:13.06		Particularly in this case through the early stages of the replication cycle.
00:08:17.19		So we wanted to have a full list of these Trojan people here who were
00:08:24.09		helping the virus, and we want to know exactly who they are,
00:08:27.03		what they are doing, and what their addresses are and so on. Find out
00:08:33.02		in  what way the molecular assistance given to the incoming virus happens.
00:08:38.26		To get such information today is possible due to two completely
00:08:44.19		spectacular events that have happened in the last 10 years.
00:08:47.12		First of all, we have now access to the human genome sequence.
00:08:51.13		Basically we have the names of the Trojans, and we have a new technology
00:08:59.12		which allows us to eliminate one gene at a time and then test the cells
00:09:05.02		for whether they can be infected or not, and that is using
00:09:07.28		high-throughput siRNA silencing in human cells. A screen in which we
00:09:13.20		silence genes one by one and test for infectivity. So this work has
00:09:20.08		to be done in an automated setting, and it was done together with
00:09:25.08		Lucas Pelkmans, Berend Snijder, and Raphael Sacher at the ETH.
00:09:31.05		So basically you need a robot to deal with the technology
00:09:35.29		also the infection all the work is done automatically and then we need
00:09:43.05		a library of siRNAs, in this case we used a library of 7,000 'druggable genes'.
00:09:50.28		They are selected as being more amenable to future drug development
00:09:57.13		than the others. So it’s not the whole genome. In 384 well plates
00:10:02.14		infection was tested, and we used 3 siRNAs per gene in triplicate.
00:10:08.24		Moreover, we expressed in this case mature virus of Vaccinia in which
00:10:16.04		the GFP was included so that it was expressed from
00:10:21.28		an early/intermediate promoter. So when the cell got infected, it became green.
00:10:27.03		And then our readout was using an automated fluorescence microscopy
00:10:31.26		set-up, where pictures were taken from all the wells and then you can see
00:10:36.22		in a moment how that can be used to detect infection.
00:10:41.13		So we defined hits as those which had 2 or 3 out of the 3 siRNAs
00:10:47.03		cause either 50% or less infection in cells compared to controls. This is how
00:10:55.15		it looks. Here is a cell culture, perhaps you can
00:10:59.11		see the blue Hoechst stained cell nuclei, and the green ones are the ones
00:11:05.08		which have been infected. This is in a control with a control siRNA
00:11:10.08		and about 10-15% of the cells are infected. Now in a few cases where we
00:11:15.22		looked at them, we found that there were more cells infected than
00:11:18.19		in the control, but this was not so common. In many cases the good hits,
00:11:24.08		the strong hits looked like this. You can still see a few infected cells,
00:11:28.00		but most of the cells are no longer infected in cells transfected
00:11:32.08		with this particular siRNA. In this particular case we have silenced
00:11:37.25		a kinase called PAK1 and I'll come back to that in a moment.
00:11:41.17		So in the hits we had 142 hits out of 7,000 with 3 siRNAs
00:11:52.19		and 284 with more than 2 or 3 of the siRNAs and then only 4 where
00:12:01.23		the infection was actually increased. Now what you get from this is
00:12:07.17		then a big list of gene names and there are many ways of looking at this.
00:12:12.11		One is to make tables and pi charts like this. You can see that when we
00:12:16.28		identify which families of proteins these hits fall into, there's practically
00:12:23.10		every family that cells have from transcription factors
00:12:27.26		to membrane transport factors, ion channels,
00:12:31.05		proteasome components, etc. So this is not particularly helpful except
00:12:36.24		it tells us that the background to this infection is complex. A little more
00:12:42.12		informative is if you combine a hit list with information known about
00:12:49.07		interactions between proteins and that can be done by
00:12:53.09		using this String.embl program, which allows you to take every hit,
00:12:58.21		which every little ball here is a hit and then see is that particular protein
00:13:03.13		known to interact with anything else. And now you can see already
00:13:06.29		some clusters forming. This cluster here has practically every subunit
00:13:12.24		of the proteasome complex. This one has many subunits of
00:13:17.10		the ribosome and then associated proteins and so on. So now we are
00:13:22.12		starting to see some contours of the biology, in
00:13:25.28		the intracellular virology of this virus. For every virus we have done this
00:13:31.22		it looks different. And we're coming back in a moment to this cluster
00:13:35.06		that has to do with tyrosine kinases and molecules
00:13:38.22		involved in regulating actin dynamics. But before that I'd like
00:13:44.10		to pause a bit and think about this approach because we
00:13:48.29		and others are taking it and I think it's going to mean a huge difference
00:13:53.08		in the infectious disease area. So we are now have been looking at
00:13:58.16		pathogen-host interactions using a systems biology approach and by doing
00:14:04.13		these screens and looking at which cellular components are important
00:14:07.29		in supporting the infection of a given pathogen, we arrive at a huge
00:14:12.24		information set which can if we can analyze it correctly, reveal critical
00:14:19.19		host factors and processes that support or inhibit infectious cycles
00:14:24.17		of a pathogen. We know already they look different
00:14:27.19		for different pathogens, but they are sometimes related.
00:14:32.08		This information also exposes new molecular mechanisms
00:14:36.29		in the replication cycle. We have never had a clue that the proteasome
00:14:42.10		was involved, as you saw there it's one of the major hits of the screen.
00:14:46.18		The data also provides a basis for a functional classification of pathogens.
00:14:53.04		We can now classify on the basis of these hit lists, viruses according
00:14:58.22		to their functions in the cell, different viruses. And it is also starting to give
00:15:05.11		us some information about cell and species tropism. Why are some cells
00:15:11.11		infected and others not. In addition, I think that the data
00:15:19.17		will start to show us new similarities between viruses and viral diseases.
00:15:27.05		And hopefully we will find common cellular factors involved which may
00:15:32.23		allow us to approach antiviral agents so they can work on more
00:15:38.06		than one virus at a time. So of course it provides us new approaches
00:15:43.19		to perturb infection and obviously new potential targets
00:15:48.15		for antiviral strategies. So I think this systems biology approach
00:15:55.02		will be a key to a new stage in infection and disease. However, where we now are,
00:16:01.01		after we have the screen, we have to go back and do the cell biology
00:16:05.14		and the molecular biology. We have to validate the different hits
00:16:11.07		and clusters. So what we decided to do was to focus on
00:16:15.23		one of the clusters which we called the PAK1/RAC1 clusters. These are
00:16:20.05		various hits. PAK1 is a kinase known to be involved in regulating
00:16:26.09		the dynamics of actin in cells, and RAC1 is a GTPase that activates PAK1.
00:16:33.03		These other hits all make sense and they regulate also these
00:16:37.21		two components. Now the first thing to show of course is,
00:16:42.02		and I won't through more than very superficially, you have to use
00:16:47.14		other methods to show that PAK1 for example is a real hit.
00:16:51.04		You have to use additional siRNAs, you have to use specific inhibitors
00:16:56.10		which we luckily had obtained. You can then use dominant negative
00:17:01.24		constructs to look at it. All this has been done. You can demonstrate
00:17:06.16		that when you add the virus this PAK1 actually gets activated, and so on.
00:17:11.07		The main point here is that you have to move back at this stage
00:17:15.21		to the cell biology and the biochemistry of the system and then
00:17:20.09		in a tedious set of experiments analyze it from that point of view.
00:17:24.17		Here is just an example of what happens when you add the virus.
00:17:28.18		Then the PAK1-GFP, which is shown in green, moves,
00:17:35.25		this is a non-infected cell that's mainly cytosolic, now it moves into the blebs.
00:17:42.01		And is there as long as the bleb exists. So PAK1 is indeed activated here.
00:17:47.16		RAC1 is also activated. One can follow its activation already five minutes
00:17:53.24		after addition of the virus, RAC1 is activated very heavily for about half an hour.
00:17:59.12		Now you can then also look at what the blebbing means.
00:18:06.18		Is it essential for infection or not? And you can see if you
00:18:10.28		use a dominant negative RAC1 construct you block blebbing.
00:18:14.29		You also block infection, which is not shown here. If you have a
00:18:19.00		constitutively active RAC1, you increase blebbing and also infection.
00:18:25.16		Another approach is to use chemicals. I mentioned this in an earlier lecture
00:18:33.15		That's very powerful today. Inhibitors have their problems but taken
00:18:38.09		as one of many approaches they are powerful. Here, we are looking at
00:18:41.29		inhibitors of actin dynamics and inhibitors of different kinases here.
00:18:47.09		And you can then get a picture of which components in the cell
00:18:51.09		are important, which are not. All this can then be fitted in into the known
00:18:57.28		signaling pathways, and without going through any of the details here
00:19:02.11		I will just show you here a cartoon of the various signaling pathways
00:19:06.08		known or the components known to regulate actin modifications
00:19:13.06		down here by interactions happening at the cell surface.
00:19:17.05		So that can go through three classes of receptors,
00:19:20.20		receptor tyrosine kinases here, integrins and trimeric G-protein receptors here,
00:19:27.23		which feed into this complex network of signaling factors.
00:19:32.07		I'll just show you here which of these we already know from our work
00:19:35.17		and other people's work are involved in the activation of the blebbing
00:19:40.23		and the infection by Vaccinia mature particles. So it looks like it's coming
00:19:48.23		probably from the receptor tyrosine kinase pathway towards the actin.
00:19:54.23		This is obviously a cellular signaling pathway. The viruses are simply
00:20:02.05		using it to trigger this cascade of events that eventually leads
00:20:06.15		to their uptake. There are bacteria that also manipulate this same pathway
00:20:11.18		but they very often inject effector molecules into the cell,
00:20:16.12		which then directly interact with these pathways and modify them
00:20:20.23		so that they can be helpful to the bacteria. Viruses have nothing to inject.
00:20:28.27		They have to simply take advantage of the existing machinery and
00:20:33.15		this I think is an example of that. So what is the pathway like?
00:20:37.26		We have a rudimentary picture. The receptors are not clear perhaps
00:20:42.05		they involve to some extent EGF receptor, because it gets activated then
00:20:46.27		there are serine/threonine kinases, PI3 kinases, sodium/proton exchanger
00:20:52.15		required at the next stage. Activation of RAC occurs, PAK is activated
00:20:57.27		and then another set of kinases and other factors are involved.
00:21:02.01		Eventually then actin and actin associating proteins get activated,
00:21:07.10		myosin II is involved. And then that leads to blebbing and blebbing leads to
00:21:12.14		endocytosis and that in turn leads to infection by Vaccinia virus.
00:21:20.01		Now what type of endocytosis is this? Is there anything similar known?
00:21:27.20		One clue is that when you add the virus to cells, it starts to gulp in fluid.
00:21:33.25		Just liquid from the outside. It is the yellow line here. Normally these cells
00:21:39.03		are all the time internalizing some liquid but when you add the virus or
00:21:44.24		macropinocytosis activator, PMA, you get this huge increase in
00:21:54.03		uptake of fluid. So that starts to argue that what we are looking at here is
00:22:00.09		macropinocytosis. An endocytic mechanism that has been described
00:22:05.09		already some time ago and is now more and more coming into focus.
00:22:09.22		So what is macropinocytosis? It's a signal induced transient
00:22:14.20		endocytic pathway in most cells. It only occurs for half an hour or so.
00:22:19.21		It involves ruffling and blebbing, in our case it's blebbing,
00:22:24.01		in other cases it's simply ruffling of the cell surface. Those lamellipodia,
00:22:28.20		you saw in previous lectures, are a part of this ruffling event. The ruffles
00:22:34.20		and the blebs when they come back to the membrane and encase
00:22:40.08		some fluid space vesicles so it's an increase fluid phase uptake.
00:22:46.18		All of it absolutely actin dependent. And it's characterized
00:22:51.07		by dependence on RAC1/Cdc42, and PAK1 and so on.
00:22:57.09		Many of these or all of these were also found in our studies.
00:23:01.06		So there is already a sort of diagnostic set of features, which we know.
00:23:06.03		And all of them fit with the uptake of Vaccinia virus. So just to go back
00:23:10.29		to this one here, you see here is the macropinocytosis uptake process
00:23:16.28		right here, and used by Vaccinia. We also know from other people's work
00:23:22.11		it is used by adenovirus B and perhaps in some cases even
00:23:26.20		herpes simplex virus. Okay. What is there in the virus particle
00:23:33.09		that triggers all this? How does it actually manage to fool the cell into
00:23:39.12		endocytosis by macropinocytic uptake? It turns out that
00:23:44.10		the plasma membrane of Vaccinia virus is extremely rich in a phospholipid
00:23:49.21		called phosphatidylserine. It's a lipid that is present in the plasma membrane
00:23:54.29		of all cells, but it's in the inner leaflet. It's not exposed to the outside.
00:23:59.09		It is known to be, however, exposed when cells undergo apoptosis.
00:24:05.23		Exposed on the remnants of the cell in the so-called apoptotic bodies
00:24:10.17		have exposed phosphatidylserine, and there it serves
00:24:14.01		as the eat-me signal. A signal that induces macropinocytotic
00:24:20.09		and sometimes phagocytic uptake of those remnants by neighboring cells.
00:24:25.06		So when a cell dies, the remnants of that cell are eaten up by
00:24:30.10		neighboring cells and that uptake process very often involves
00:24:34.00		macropinocytosis. So here the virus also seems to contain
00:24:39.04		phosphatidylserine and if one blocks the phosphatidylserine
00:24:42.20		with a phosphatidylserine binding protein, Annexin-5,
00:24:45.16		then the virus can no longer infect. And moreover, if you exchange
00:24:50.14		the virus lipids, which you can do by first solubilizing away the other one,
00:24:57.14		the original ones, and then add new ones back on the virus, you can see that
00:25:02.02		if you don't add any lipids you lose infectivity completely. If you add
00:25:08.07		lipids without phosphatidylserine present you have also practically
00:25:13.08		no infection, but if you put the phosphatidylserine back again
00:25:15.26		you can then practically rescue full infectivity again. So this and other
00:25:22.01		studies show that the phosphatidylserine is critical for inducing
00:25:26.19		the blebbing, for activating the PAK, etc., and also for infection.
00:25:31.13		So the conclusion from this, and I'm almost at the end, is that the virus
00:25:36.15		here enters by apoptotic mimicry. It is mimicking an apoptotic body
00:25:44.10		and in that way triggering the response in this case tissue culture cells
00:25:50.27		which they normally will have the apoptotic bodies, which would involve
00:25:54.28		all these complex events including blebbing and endocytosis.
00:25:59.04		So the virus mimics an apoptotic body. So if we go now through
00:26:04.17		step-by-step what happens here, the MVs, these are the mature virus particles
00:26:11.03		bind to filopodia and surf along those filopodia to the cell body,
00:26:15.22		probably using retrograde actin flow. The exposed phosphatidylserine
00:26:22.08		then activates a signaling pathway, which involves RAC1, PAK1,
00:26:27.11		and other components, and the result of that activation is
00:26:32.07		that blebbing occurs, first at the sight of the virus attachment but then
00:26:37.05		globally around the whole cell. And then as the blebs are retracting,
00:26:47.17		our view is that membrane is being internalized by macropinocytosis
00:26:52.29		and that brings in some of the viral particles. Once they are in
00:26:57.00		the macropinosome, the vacuole that is formed, acidification takes place
00:27:03.04		and then the acid activated fusion takes place in the macropinosome.
00:27:09.01		So here is an example of a virus that does pretty much what I've been
00:27:13.00		telling you. It activates the cell, without this activation endocytosis
00:27:17.22		would not occur and it basically uses complex cellular machinery
00:27:23.29		intended for something else to enter cells. It is also interesting
00:27:28.23		and important that macropinocytosis, unlike phagocytosis is known
00:27:32.27		to suppress native immune responses. That means that the immune
00:27:37.29		response for the incoming virus is probably reduced, and that of course
00:27:42.14		is in the interest of the virus. It's also maybe true that this virus
00:27:48.24		being so big has had to evolve this different entry pathway because
00:27:53.13		it cannot use clathrin coated pits and so on. Okay, so I'd like to finish off
00:28:00.22		by going through perhaps the most important implications
00:28:05.20		of what I have been saying. The fact that viruses are Trojan horses
00:28:10.20		means that they depend on the host cell for infection at every stage, from
00:28:16.02		the early stages to the synthesis and also for final assembly of new particles.
00:28:24.22		So what will happen if we would now start instead of using antiviral agents,
00:28:31.20		developing them against the viral components, try to focus on making drugs
00:28:38.06		which prevent the cell components from doing their job. We would then
00:28:42.29		be able to block infection like we did with many of these drugs shown here
00:28:49.07		and we would have a totally new situation, because viruses normally
00:28:56.03		circumvent the action of antiviral drugs simply by mutating and
00:29:02.29		becoming resistant to those drugs. It's clear here I think that it is very much
00:29:08.02		more difficult for the virus to mutate in such a way that it can escape
00:29:13.02		the use of critical cell components. Another good thing is that the cell
00:29:18.23		provides many targets, hundreds of different proteins are needed for any
00:29:23.04		given virus. Any one of those in principle could be a an antiviral target.
00:29:27.06		We already know that if we look at the lists of these infectomes
00:29:31.21		some drugs already exist to some of them, and they may be developed
00:29:35.19		further to have antiviral agents. Some of these targets are clearly present
00:29:42.05		in the infectomes of more than one virus so maybe it's possible to imagine
00:29:47.13		in the future drugs which block a whole group of viruses at the same time.
00:29:52.17		And it will also be possible to have drugs hopefully, which block each of
00:30:00.09		the entry pathways for example so that when a newly emerging virus
00:30:05.21		comes into the picture, the drug or set of drugs maybe already exists,
00:30:10.13		which blocks its entry pathway, because it will have to use one or the other
00:30:15.14		of the known pathways. So I will stop there and thank you very much.

This material is based upon work supported by the National Science Foundation and the National Institute of General Medical Sciences under Grant No. 2122350 and 1 R25 GM139147. Any opinion, finding, conclusion, or recommendation expressed in these videos are solely those of the speakers and do not necessarily represent the views of the Science Communication Lab/iBiology, the National Science Foundation, the National Institutes of Health, or other Science Communication Lab funders.

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