Signal
processing
by
the
endosomal
system
Roberto
Villasen˜or
1,
Yannis
Kalaidzidis
2and
Marino
Zerial
2Cellsneedtodecodechemicalorphysicalsignalsfromtheir
environmentinordertomakedecisionsontheirfate.Inthe
caseofsignallingreceptors,ligandbindingtriggersacascade
ofchemicalreactionsbutalsotheinternalizationofthe
activatedreceptorsintheendocyticpathway.Here,we
highlightrecentstudiesrevealinganewroleoftheendosomal
networkinsignalprocessing.Thediversityofentrypathways
andendosomalcompartmentsisexploitedtoregulatethe
kineticsofreceptortrafficking,andinteractionswithspecific
signallingadaptorsandeffectors.Bygoverningthe
spatio-temporaldistributionofsignallingmolecules,theendosomal
systemfunctionsanalogouslytoadigital-analoguecomputer
thatregulatesthespecificityandrobustnessofthesignalling
response.
Addresses
1RocheInnovationCenterBasel,Grenzacherstrasse,CH-4070Basel,
Switzerland
2Max-Planck-InstituteofMolecularCellBiologyandGenetics,
Pfotenhauerstr.108,01307Dresden,Germany
Correspondingauthors:Villasen˜or,Roberto
([email protected]),Kalaidzidis,Yannis ([email protected])andZerial,Marino([email protected])
CurrentOpinioninCellBiology2016,39:53–60
ThisreviewcomesfromathemedissueonCellregulation EditedbyManuelaBaccariniandIvanDikic
ForacompleteoverviewseetheIssueandtheEditorial Availableonline24thFebruary2016
http://dx.doi.org/10.1016/j.ceb.2016.02.002
0955-0674/#2016TheAuthors.PublishedbyElsevierLtd.Thisisan openaccessarticleundertheCCBYlicense(http://creativecommons. org/licenses/by/4.0/).
Introduction
to
signalling
and
endocytosis
Cellsconstantlyprocessinformationintheformof
chemi-cal or physical signals from the environment to make
decisionsontheirfate.Despiteagreatdealofmolecular
diversity, the communication of information based on
chemical signals follows general design principles that
canbedescribedwiththelanguageofinformationtheory
assource,channel,receiver,decoderanddestination[1,2]: (1)thesourceofsignalsarethecellsthatsecretesignalling
factors which are propagated by (2) the channel, the
extracellularmedium(e.g.blood,ECM).(3)Thereceiver
isthereceptorsonthetargetcells,where(4)thedecoder,
the intracellular signalling machinery transmits and
decodesthesignalsto(5)thedestination,thatis,thecell nucleustodeterminecellfate.Althoughintracellularsignal
transmissionanddecodingoccursimultaneously,theyare
distinctprocessthatcanbeuncoupled.A
well-character-izedexampleoftheseprocessesisthefamilyofreceptor
tyrosinekinases(RTKs).Inthiscase,signallingisinitiated byaligandbindingtoitsreceptor,whichleadstoreceptor activationandrecruitmentofintracellularscaffoldproteins [3]. Next, intracellular signalling scaffolds and kinases
amplify thesignal and finally, lead to changes in target
proteinsthatmodifythecellularstate[4].Forthispathway,
informationistransmittedanddecoded/processedthrough
phosphorylation[5],andotherpost-translational modifica-tionssuchasubiquitination[6,7]orSUMOylation[8].Key propertiesofsuchabiologicaldecoderare:(1)specificity,
which is the capacity to translate a given input into a
specific output; (2) multiplexing, which is the abilityto
processdifferentsignalsthrougharelativelylimited num-berofcorecomponentsinordertotransferinformation;(3)
robustness, which is the capacity to maintain signalling
functionsdespiteinternal(e.g.levelsofsignaltransducers) orexternal(e.g.levelsofsignallingmolecules)fluctuations;
(4) adaptation, which is the ability to adjust the signal
processingnetworkaccordingtothecellularcontext(cells withintheirtissue)andsignalsthatactconcomitantly.How
these properties arise from the cellular machinery and
contributeto cellhomeostasisandcell fateremainopen
questions.
Recent results suggest that both thenetwork topology,
thatis,networkmotifssuchasfeedbackloops[9,10],and
the spatial organization of signalling components
(reviewed in [11]) regulate signalling specificity and
robustness.Animportantelementofthecellulardecoder
is endocytosis. Concomitant with receptor activation,
ligand binding also triggers the internalization of the
signallingreceptorsfromtheplasmamembraneintoearly
endosomes,wherereceptorsaresortedfordegradationto
late endosomes and lysosomes or recycled back to the
plasma membrane tobe reutilized(Figure 1). The
bal-ance among internalization, degradation, and recycling,
regulates the ratio of surface receptor and intracellular
pools, and, as such, the sensitivity of the cell to the
concentrationofligand.Thisparticularroleof
endocyto-sis on thelevels of surface receptors and its impact on
responsiveness to external signals has been extensively
reviewed (e.g. see [12,13]). Here, we focus on novel
insights into the role of the endocytic system as an
essential part of the cellular machinery that decodes
signals foraspecificcellfatedecision.
Compartmental
organization
of
the
endocytic
network
Tounderstandtheroleoftheendocyticsysteminsignal
entry routes and endosomal compartments that could
bestowregulationforthedecoder.Receptorsatthecell
surfacecanbeinternalizedthroughseveraldistinct
endo-cyticroutesandmechanisms([14]andDiFioreetal.,this
issue). The best-characterized pathway in molecular
terms is Clathrin-mediated endocytosis (CME). CME
requires theGTPaseDynamin.Reagentsthat blockits
GTPaseactivityinhibitCME.Note,however,that
Dyna-min is dispensable for other forms of endocytosis. In
additiontothewell-knownmacropinocytosisand
phago-cytosis,severalClathrin-independent endocytosis(CIE)
mechanismshavebeendiscoveredthatdifferonthebasis
ofmorphologicalfeatures,cargospecificity,andmolecular
requirements[14].Theseinclude Dynamin-dependent
mechanismssuchascaveolaeandRhoA-dependent
vesi-clesbutalsoavarietyofDynamin-independentvesicles,
such as Clathrin-independent tubulovesicular carriers
CLIC/GEECorvesiclesthataredifferentiallyregulated
either byCdc42, Arf6 and Flotillin[14]. Recently,the
protein endophilin, a component of CME, has been
implicated in a form of rapid CIE (Fast
endophilin-mediated endocytosis (FEME); [15]). CIE pathways
can contribute to RTK internalization. For example,
RTKscanbe internalizedbycaveolae [16] andFEME
[15].Thedifferentinternalizationpathwayscouldleadto
changesinsignallingoutput.Foradetaileddiscussionon
themechanismsofendocytosisandtheirroleinsignalling
seeDiFiore’sreview inthesameissue.
Allinternalizationpathwaysconverge attheearly
endo-some, where cargo is sorted and transported to
subse-quentcompartments(Figure1).Itisimportanttobearin
mind that these functions result from the collective
propertiesof several hundredsof individual endosomes
that form a dynamic network. One can view the
earlyendosomenetwork asafunnel-likesystem[17,18]
(Figure2).Endocyticcargosuchas RTKsprogressively
flowfromsmallendosomesatthecellperipherytolarge
endosomes in the centre,where eventuallyearly
endo-somes that are positive for the small GTPase Rab5
convertinto Rab7-positivelate endosomes [19,20].
Pro-gressively, the internalized receptors are incorporated
intointra-luminalvesicles(ILV),leadingtodegradation.
The endosomes undergo fusion and fission reactions,
whichshapethedistribution(inspace,numberandsize)
oftheorganellesand,thus,thekineticsandfateofcargo
transportin thenetwork.
This organization already provides a simple means to
regulate cargo flowthrough thenetworkby modulating
thekineticsoftransportand,consequently,theduration
of signalling beforedegradation [21].However, recent
Figure1 Recycling endosomes Rac1 APPL1 + EEA1 CME CIE Lysosome EEA1 Grb2 Shc1 Pyk2 Stat3 Rac1 endosomes Vav2 PTP1B Perinuclear APPL1 Akt GSK-3β Macropinosome LAMTOR2 K-Ras Late endosome
Current Opinion in Cell Biology
Modelofbasicorganizationoftheendocyticpathway.MoleculescanbeinternalizedfromtheplasmamembraneeitherbyCMEorvariousforms ofCIE,includingmacropinocytosis.TheycanbetransportedtotwodistincttypesofRab5-positiveearlyendosomes,distinguishedbythe presenceoftheRab5effectorsAPPL1orEEA1andPI(3)P.Thearrowsindicatethedirectionofcargoflowbetweendifferentendocytic compartments.ThetwoendosomescommunicatethroughadoubleAPPL1+EEA1-positivecompartment.Fromtheseendosomes,cargocan eitherberecycledtotheplasmamembraneviatubularcarriers,directlyorpassingthroughperinuclearrecyclingendosomes,ortransportedto lateendosomesandlysosomes.Inthecourseofthisprocess,cargoisincorporatedinintra-luminalvesicles(ILV)anddegraded.Themodel, whichishighlysimplified,emphasizesthediversityofendosomalcompartmentswheresignallingreceptorscantraffic,withdifferentkineticswhile encounteringdifferentadaptorsandeffectors.
evidence further suggests that early endosomes are a
heterogeneous populationof distinctorganellesin
com-munication with each other.The canonical early
endo-someisdefinedbythepresenceofRab5,anditseffectors,
such as EEA1, that are recruited to the membrane in
a phosphatidylinositol 3-phosphate PI(3)P-dependent
fashion [20,22]. Some Rab5-positive early endosomes
contain theeffectors APPL1 and APPL2. These
endo-somesareenrichedinthesub-corticalregionofthecell,
and are devoid of EEA1 and PI(3)P[23,24]. Afraction
(15–30%)ofendosomescontainbothAPPL1andEEA1
(APPL1+EEA1 endosomes [23,24]). It has been
pro-posed that, similar to Rab5-to-Rab7 conversion [19],
APPL1vesiclesaretransportintermediatesinthe
gener-ationofEEA1-positiveearlyendosomes[25,26].Recent
work, however, hasprovided evidence for APPL1- and
APPL1+EEA1andEEA1endosomesrepresenting
dis-tinctpopulationsofearlyendosomeswithdistinctspatial
distributionsandcargosortingactivity.Thepresenceof
distinct classes of early endosomes offers additional
modes of signalling regulation by RTKs, becauseeach
endosomeclasscansortcargospecificallyandprovidesa
distinct membrane platform for signalling adaptors and
effectors, before transport to late endosomes and
lyso-somes.
Signalling
from
endosomes
There is an ongoing debate whether signalling from
endosomes is actually required for the signalling
re-sponse. Cansignals propagate directly from the plasma
Figure2 endosome fusion endosome fission conversion RAB5 endosome RAB7 endosome CCVS RAB5 endosome recycling
Current Opinion in Cell Biology
Funnel-likeorganizationoftheearlyendosomalnetworkandsignallingquanta.EndocyticcargosuchasEGF-EGFRcomplexesinternalizedfrom thesurface,forexample,viaclathrin-coatedvesiclesCCVs,aretransportedtoRab5-positiveearlyendosomes(seeFigure1).Bytracking individualendosomesaswellasendosomalpopulations,itwasshownthatcargoprogressivelyflowsfrommanysmallearlyendosomesatthecell peripherytofewlargeendosomesatthecentre,resemblingafunnel-likeshapedistributionofendosomes.Thisisbecauseearlyendosomes progressivelyundergofusionandfissionreactions,propagatingwithtimecargotolargerendosomes.Thekineticsofthesetwoprocessesaswell asofmembranerecyclingtothesurfaceshapethedistributionofendosomesintermsofnumber,sizeandlocation.ThefewlargeRab5-positive earlyendosomesthataccumulateintheperinuclearregioneventuallyconvertintoRab7-positivelateendosomesleadingtocargodegradation. Duetothesefeatures,theearlyendosomalnetworkfunctionsasadigital-analoguecomputerthatregulatesspecificityandrobustnessofthe signallingresponse.Uponinternalization,activep-EGFR(singleEGF-EGFRred)isdistributedandpackagedinearlyendosomesassmallclusters orquantaofp-EGFR(tripleEGF-EGFRred),whereasunphosphorylatedEGFRisdistributedrandomly.Withtime,thenumberofendosomeswith p-EGFRquantadecreasesduetop-EGFRdephosphorylation(EGF-EGFRblack)andsequestrationintointra-luminalvesicle(ILV),leadingto degradationinlateendosomes/lysosomes(EGF-EGFRgrey).
membrane to thenucleus?Are endosomes essential for
signaldecoding?StudiesusingDynaminknock-out(KO)
cells showed that reduced endocytosis did not prevent
MAPKsignalling[27],suggestingthatendocytosisisnot
an absolute requirement for signal transmission to the
nucleus. However, stimulation with low (physiological)
concentrationsof EGF leadsto differentErkactivation
kineticsinDynaminKOcompared tocontrolcells[27].
InhibitionofreceptorCMEorubiquitinationchangesthe
EGF-inducedtranscriptionalresponse,similartoEGFR
overexpression[28].Interestingly,stimulatingcellswith
PMA,acompoundknowntorewirethesignaldecoding
network[10],causessubstantialchangesinthetemporal
pattern of the transcriptional response [28], similar to
thoseproducedbyinhibitionof receptorinternalization.
TheeffectofClathrinandDynamin-2knockdownisless
pronounced than thatof PMA, mostlikelybecausethe
block of EGFR CME can be compensated by CIE
mechanisms [14,29]. By contrast, reduction of EGFR
degradation by silencing components of the ESCRT
complex(TGS101,Alix)doesnotaffectthe
EGF-depen-denttranscriptionalresponse[28],arguingthatregulation
of signallingtransmission isnot dueto degradation but
takesplaceatapreviousstage(seebelow).Byblocking
(dynamin-dependent) endocytosis, the levels of active
receptorsaberrantlyincreaseatthecellsurface.Insuchan
artificial situation, both the precise temporal activation
patternofdownstreamsignallingmolecules[27]andthe
magnitudeofthetranscriptionalresponse[28]arealtered.
These changes can result in incorrect signal decoding
sinceitisknownthatalteringsignallingactivation
kinet-icsleadstosignallingnetworkrewiringandsignal
misin-terpretation[10]. Weconclude from these studiesthat,
although endocytosis may not be strictly necessary for
signal transmission per se, it appears to be required for
correctsignaldecoding.
Numerous studies have provided evidence that, under
normalconditions, signallingcontinues following
recep-torendocytosisinendosomes.Earlybiochemicalworkon
EGFR and insulin signalling revealed receptor
recruit-ment of adaptor proteins (SHC, GRB2 and mSOS) in
endosomes[30,31].Recently,differentquantitative
tech-niques have confirmed these initial observations.
Live-cellimagingrevealed sustainedlocalization of the
fluo-rescently-tagged signalling adaptor Grb2 to endosomes
[32].Phosphorylation of c-Met in endosomes leads to
recruitment of the guanine nucleotide exchange factor
Vav2andsustainedactivationofRac1[33].Workusinga
conformationspecificintracellularnanobodyshowedthat
activationoftheb2-adrenoceptorGPCR issustainedin
endosomes, contributing to the overall cyclic AMP
re-sponse [34].A recentstudy usingquantitative
immu-nofluorescenceandFRETshowedthatasub-population
ofEGFRremainsactivatedinearlyendosomeswhereit
recruits the signalling adaptor Shc [35]. Importantly,
thisstudyalsoshowedthatEGFRwasdephosphorylated
before sequestration into ILVs, arguing that signal
quenching(receptordephosphorylation)anddegradation
canbeuncoupled.By contrast todegradation,
de-phos-phorylationisareversibleprocessandcanbeexploitedto
fine-tunesignallingthroughtheendocyticsystem.
Alto-gether,thesefindingssupporttheconceptthatsignalling
isnotlimitedtotheplasmamembranebutcontinues in
endosomes,whichactas signallingplatforms.
Qualitative
regulation
of
signalling
specificity
by
endocytosis
Alargefractionofsignallingadaptorsidentifiedby
mass-spectrometry [36,37] is localized to endosomes (see
Table1).Arecentreviewofproteindatabasesidentified
nearly50endosomalscaffoldsthatcouldregulate
multi-plesignallingpathwaysincludingWnt,NotchandMAPK
[38].Furthermore,thesescaffoldsarelocalizedtospecific
endosomalcompartments.Forexample,thekinasePYK2
is recruited specifically to early endosomes, where it
sustains EGFR-mediated STAT3 activation [39]. The
LAMTOR complex is restricted to late endosomes,
where it regulates mTOR and MAPK signalling [40].
This organization allows for different mechanisms of
signalling regulation.For example, sorting of the same
receptortodifferentcompartmentscangiveriseto
sub-stantiallydifferentsignallingresponsesand cellular
out-comes. This is the case for the c-Met receptor, which
triggersacuteRac1activationwhentransported toearly
endosomes but leads to PI3K-dependent and
Vav2-de-pendentsustainedRac1activationonlyfromperinuclear
endosomes[33].Table1 summarizesthelocalizationof
signallingmolecules recentlyfoundin endosomes.
Several studies have reported interactions of APPL1
with specific receptors and components of signalling
pathwaysincludingadiponectinreceptors[41],TRAF2
Table1
Summaryofrecentlydiscoveredsignallingproteinslocalizedto distinctendosomecompartments
Protein Signalling pathway
Endosome compartment
Reference
Akt PI3K-Akt APPL+endosomes [44] GSK-3b PI3K-Akt,Wnt APPL+endosomes [44] GRB2 MAPK(EGFR) Earlyendosomes [32]
SHC1 MAPK(EGFR) Earlyendosomes [35] PYK2 JAK/STAT Earlyendosomes [39] LAMTOR2 MAPK,mTOR Lateendosomes [40] PTP1B Broadspectrum
phosphatase
ER-lateorrecycling endosomecontacts
[46,47,49]
VAV2 PI3K-Rac(c-Met) Uncharacterized perinuclearendosomes
[33]
KRas MAPK Lateendosomes [64]
STAT3 JAK/STAT Earlyendosomes [65]
Rac1 RTK Earlyendosomes [66]
Adenylyl Cyclase
cAMP(TSHR) Uncharacterized endosomes
in theNF-kbpathway [42], Akt[43,44],andTAK1 in
thep38MAPKpathway[45].Theseresultssuggestthat
APPL1endosomesplayaspecializedfunctionaspartof
thesignal decoder.Inaddition,RTKsentering APPL1
endosomescanbetemporarilyprotectedfrom
degrada-tion, asshownbythe enhancedERK activation
down-streamofEGFR[26].Changingtheproportionofcargo
flowbetweenAPPL1-earlyandEEA1-earlyendosomes
could thus result in changesin signalling.
The
endosomal
system
as
an
analogue-digital
computer
The cytoplasmisnothomogeneous,andthe
concentra-tionof moleculescanchangeinspace.Thismeansthat
thespatialdistributionofreceptorsinthecytoplasmcan
modulatesignalling.Forexample,deactivationof
signal-ling receptors is regulated by compartmentalization.
PTP1B,awell-characterizedphosphataseofEGFR,
loca-lizestotheER[46].ThisresultsinagradientofPTP1B
from the periphery to the perinuclear area of the cell
wheretheterminationofsignallingishigherinlate[47]or
recyclingendosomes[48].RecentstudiesonbothEphA2
[48] and EGFR [49] showed thatligand-independent
autonomousactivationwassuppressedviatransporttothe
phosphatase-richperinucleararea,whereasligand-bound
receptors were transported to early endosomes where
signalling was prolonged. This mechanism could have
a key role in signalling robustness as it allows high
sensitivitywhilesuppressing autonomousactivation.
Nano-clusters (less than ten molecules) of activated
receptors or of Ras at the plasma membrane regulate
intracellular signal transduction [50,51,52,53]. Recent
developments in quantitative microscopy revealed that
active (phosphorylated) EGFR forms small clusters of
80moleculesonearlyendosomes[35].Increasingthe
EGFconcentrationdoesnotproducelargerclustersbuta
higher number of clusters. Remarkably, increasing the
numberofclustersthroughamildreductioninendosome
fusion is sufficient to change the signalling outcome.
Theseclusterscanbeconsideredasquantaofsignalling
informationthatconferregulationandrobustnesstothe
cellularresponseagainstfluctuationsinligandorreceptor expression [35].
Experimental data suggest that quanta formation is an
emergent property of positive and negative feedback
loops between receptor activation and
de-phosphoryla-tion. Thepositive feedbackloop is dueto thecatalytic
auto-activation of receptors in a cluster [54,55]. The
activationofEGFRalsoleadsto
phosphotyrosine-medi-atedrecruitmentandlocalactivationofphosphatases(e.g.
PTPN11/SHP2)in theclusters,thusforminganegative
feed-back loop [35,56]. Mathematical simulations
showed thatsuchanauto-inhibitoryloop,together with
fast phosphatase diffusioninto thecytosolcangiverise
to self-organized clusters of activated receptors of a
characteristic size [55], a mechanism first described
byTuring[57].Sinceitisknownthatmultiplereceptors canrecruitphosphatasestotheircytoplasmictails,quanta formationisinalllikelihoodageneralpropertyof
signal-lingreceptorsinendosomes.The formationofp-EGFR
quanta on endocyticmembranes by Turingmechanism
has interesting consequences. The endosomal quanta
behave as a digital-analogue computer. Clustering of
activated EGFRonendosomes isequivalent to an
ana-logue-to-digitalconversionofsignalling.Thebasic
prop-erties of the endosomal network, such as endosome
fusion, fission and sequestration of receptors into ILV
(Figure2)allowperformingcalculusoperations(addition
and subtraction) on quanta. For example, the Turing
mechanism ensures that the fusion of two endosomes
eachcontainingap-EGFRclusterdoesnotresultintwo
quanta or a cluster of double size, but keeps only one
quantumperendosome.Thisissimilartothebitsaddition
insingle-bitprocessors(digitalsummationbymodule2).
Therefore, the kineticsof endosome fusion and fission
(theanaloguecomponent)regulatesthenumberand
life-timeofthequanta,whichinturnmodulatessignal
decod-ing[35].
Feed-back
regulation
of
endocytosis
The previous examples underscore the importance of
endosomal sortingforsignaltransduction.Anadditional
levelofregulationcomesfromthefeedbackthat
signal-ling pathways exert on the endosomal system itself
(reviewedin[58]).Phospho-proteomicanalysisofEGFR
downstream targets identified multiple endosomal
pro-teins [37]. Phosphorylation of endosomal proteins can
leadto substantialchangesin cargo uptakeand sorting.
For example, Akt-mediated phosphorylation of
PIK-FYVE regulates EGFR degradation [59], whereas
p38-mediatedphosphorylationofEEA1promotesearly
endo-somefusion[60].Butevenmoreimpressiveistheextent
towhichsignallingpathwaysregulatetheendocytic
sys-tem. Genomicsurveys by RNAinterference revealed a
profound influence on endocytosis and the endosomal
network by avariety of signalling pathways (e.g. MAP
Kinase,Notch,Wnt,TGFb,amongothers.)[18,61].
Sig-nallingmoleculescanthusmodifytheendosomalsystem
by causing specific changes in endosome fusion and
fission, which implychangesin number, size and
intra-cellularpositionoftheendosomes,andconsequently,in
the trafficking fate of signalling molecules themselves
[35,62]. The combined action of simultaneous
signal-ling pathways can lead to a specific spatio-temporal
organization of endosomes that, in turn, can regulate
signallingspecificityandresponsiveness.Thismeansthat
re-adjustmentoftheendocyticsystemdependingonthe
cell state canmodify the decoding of signals. Through
thismechanism,endosomes allowformultiplexing, that
is, a weighted integration of different types of signals
whichshareacommondown-streamsignallingmolecular
Concluding
remarks
Our understanding of signalling endosomes, first
de-scribedusing biochemical techniques, hasbeen greatly
expanded due to the advancement in high-resolution
quantitative microscopy applied to single cells or
sub-cellularstructures.Abetterunderstandingofthese
mech-anismswillrequirefastlive-cellimagingtostudy
spatio-temporal dynamics with sufficient precision but also
resolving molecular nano-clusters below the diffraction
limit. A current limitation, however, is that signalling
moleculesonendosomeshavebeen exploredmainly in
cellculturesystems. Inthecontext ofmulticellular
sys-tems, the bidirectional regulation of endocytosis and
signallingmay leadto a more complex signaldecoding
thanappreciatedsofar.Forexample,thespatial
regula-tionofVEGFRendocytosisbyPKCinretinalvasculature
leadstoanendocytosisgradientthatisrequiredforvessel patterning[63].Therefore,amajorchallengewillbeto
studytheroleplayedbyendosomalsignallingquantaand
otherregulatorymechanismsinphysiologicalprocessesin
vivo.
Acknowledgements
WethankDrsKonstantinaDiamantaraandFoShengHsuforcritical readingofthemanuscript.
Theauthorscommentedonpublishedworkfinanciallysupportedbythe VirtualLiverinitiative(www.virtual-liver.de)fundedbytheMaxPlanck Society(MPG),theGermanFederalMinistryofResearchandEducation (BMBF)andtheGermanResearchFoundation(DFG)andtheGottlieb DaimlerundKarlBenzStiftung.
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