Macrophage sensing of single-walled carbon nanotubes via Toll-like receptors
Full text
1
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
www.na u e.com/scien i ic epo s
Mac ophage sensing o single-
walled ca bon nano ubes ia Toll-
like ecep o s
Sou a P. Mukhe jee1, Olesja Bonda enko1,2, Pekka Kohonen
1, Fe nando T. Andón1,3,
Táňa B zico á1,4, Isabel Gessne 5, Sanjay Ma hu 5, Massimo Bo ini6,7, Paolo Calliga i8,
Lo enzo S ella
8, Elena Kisin9, Anna Sh edo a9,10, Reija Au io11, Heli Salminen-Mankonen12,
Rii a Lahesmaa12 & Beng Fadeel1
Ca bon-based nanoma e ials including ca bon nano ubes (CNTs) ha e been shown o igge
in lamma ion. Howe e , how hese ma e ials a e ‘sensed’ by immune cells is no known. He e we
compa ed he e ec s o wo ca bon-based nanoma e ials, single-walled CNTs (SWCNTs) and g aphene
oxide (GO), on p ima y human monocy e-de i ed mac ophages. Genome-wide ansc ip omics
assessmen was pe o med a sub-cy o oxic doses. Pa hway analysis o he mic oa ay da a e ealed
p onounced e ec s on chemokine-encoding genes in mac ophages exposed o SWCNTs, bu no in
esponse o GO, and hese esul s we e alida ed by mul iplex a ay-based cy okine and chemokine
p o iling. Condi ioned medium om SWCNT-exposed cells ac ed as a chemoa ac an o dend i ic
cells. Chemokine sec e ion was educed upon inhibi ion o NF-κB, as p edic ed by ups eam egula o
analysis o he ansc ip omics da a, and Toll-like ecep o s (TLRs) and hei adap o molecule, MyD88
we e shown o be impo an o CCL5 sec e ion. Mo eo e , a speci ic ole o TLR2/4 was con i med by
using epo e cell lines. Compu a ional s udies o elucida e how SWCNTs may in e ac wi h TLR4 in he
absence o a p o ein co ona sugges ed ha binding is guided mainly by hyd ophobic in e ac ions. Taken
oge he , hese esul s imply ha CNTs may be ‘sensed’ as pa hogens by immune cells.
Ca bon-based nanoma e ials including ca bon nano ubes (CNTs) and g aphene oxide (GO) a e po en ial candi-
da es o a ious applica ions in medicine such as d ug deli e y and imaging1. Howe e , he success ul ansla ion
o nanoma e ials o biomedical applica ions equi es a de ailed unde s anding o he biological in e ac ions
o he ma e ials. In pa icula , in e ac ions o nanoma e ials wi h he immune sys em, he i s line o de ense
agains o eign in usion, a e o key impo ance2. The inna e immune sys em is deployed in de ense agains
mic oo ganisms and in ol es he ecogni ion o pa hogen-associa ed molecula pa e ns (PAMPs) by (PRRs)
on he su ace o phagocy ic cells. The immune sys em also esponds o issue damage, a p ocess ha is igge ed
by so-called dange o damage-associa ed molecula pa e ns (DAMPs)2. We p e iously hypo hesized ha nan-
opa icles migh be ecognized di ec ly as nanopa icle-associa ed molecula pa e ns o NAMPs by cells o he
immune sys em3. Howe e , expe imen al e idence o suppo his idea was la gely lacking. Hence, while he e
1Nanosa e y & Nanomedicine Labo a o y, Di ision o Molecula Toxicology, Ins i u e o En i onmen al Medicine,
Ka olinska Ins i u e , 17177, S ockholm, Sweden. 2Labo a o y o En i onmen al Toxicology, Na ional Ins i u e o
Chemical Physics and Biophysics, Tallinn, 12618, Es onia. 3Labo a o y o Cellula Immunology, Humani as Clinical
and Resea ch Ins i u e, 20089, Rozzano-Milano, I aly. 4Depa men o Gene ic Toxicology and Nano oxicology,
Ins i u e o Expe imen al Medicine AS CR, 14220, P ague, Czech Republic. 5Ino ganic and Ma e ials Chemis y,
Uni e si y o Cologne, 50939, Cologne, Ge many. 6Depa men o Expe imen al Medicine and Su ge y, Uni e si y
o Rome To Ve ga a, Rome, 00173, I aly. 7San o d Bu nham P ebys Medical Disco e y Ins i u e, La Jolla, CA, 92037,
USA. 8Depa men o Chemical Sciences and Technologies, Uni e si y o Rome To Ve ga a, Rome, 00133, I aly.
9Exposu e Assessmen B anch, Na ional Ins i u e o Occupa ional Sa e y and Heal h, Mo gan own, WV, 26505,
USA. 10Depa men Pha macology & Physiology, Wes Vi ginia Uni e si y, Mo gan own, WV, 26505, USA. 11Facul y
o Social Sciences, Uni e si y o Tampe e, 33014, Tampe e, Finland. 12Tu ku Cen e o Bio echnology, Uni e si y o
Tu ku, 20520 Tu ku, and Åbo Akademi Uni e si y, 20500, Tu ku, Finland. Sou a P. Mukhe jee and Olesja Bonda enko
con ibu ed equally o his wo k. Co espondence and eques s o ma e ials should be add essed o B.F. (email:
[email p o ec ed])
Recei ed: 10 May 2017
Accep ed: 3 Janua y 2018
Published: xx xx xxxx
OPEN
www.na u e.com/scien i ic epo s/
2
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
is an eme ging body o li e a u e on nanoma e ial e ec s on he immune sys em, he e a e ew i any s udies in
which e idence o speci ic ‘sensing’ o nanopa icles by immune-compe en cells has been p o ided. P e ious
wo k has shown ha p o eins adso bed on o he su ace o nanopa icles can ac i a e mac ophages ia su ace
ecep o s, esul ing in he sec e ion o p o-in lamma o y cy okines4, bu whe he nanoma e ials hemsel es a e
ecognized by immune cells h ough speci ic ecep o s is no known.
Single-walled and mul i-walled CNTs as well as ca bon nano ibe s ha e been shown o induce
p o-in lamma o y and p o- ib o ic esponses, especially ollowing pulmona y exposu e5. Speci ically, exposu e
o SWCNTs was shown o elici acu e in lamma ion and ea ly-onse ib osis in he lungs o mice, wi h neu ophil
accumula ion, ollowed by mac ophage in lux, and an ea ly ele a ion o p o-in lamma o y cy okines ollowed
by p oduc ion o p o- ib o ic cy okines6. Mo eo e , ele a ed numbe s o dend i ic cells (DCs) a e ound in he
lungs o mice ollowing pha yngeal aspi a ion o SWCNTs7. Fu he mo e, based on he li e a u e a ailable a
he ime, ce ain igid and ‘needle-like’ MWCNTs we e classi ied by he In e na ional Agency o Resea ch on
Cance (IARC) as being po en ially ca cinogenic o humans8, and a mo e ecen , in-dep h examina ion o in i o
and in i o s udies has a i med he o iginal e alua ion ha some MWCNTs a e po en ially ca cinogenic, while
he da a a e inconclusi e o o he s9. Fo g aphene-based ma e ials, a consensus on oxici y o heal h isks has
ye o eme ge, al hough conside able e o s a e being in es ed in o de o add ess his ques ion in a sys ema ic
ashion10,11. In a ecen s udy, so-called g aphene nanopla ele s we e shown o induce pulmona y oxici y in mice
a high doses, bu no lung ib osis12. In ano he ecen inhala ion s udy in a s, g aphene nanopla ele s showed
low oxici y, wi h no dis inc pa hology o in lamma ion; he ma e ials we e inges ed by lung mac ophages13.
In a s udy on single-laye GO shee s wi h la e al dimensions below 500 nm, no signi ican cy o oxic esponses
we e no ed using A549 lung ca cinoma cells, and no in lamma ion o g anuloma o ma ion was obse ed in
i o ollowing in ape i oneal injec ion14, while a mo e ecen s udy sugges ed ha he impac o GO on human
pe iphe al blood-de i ed cells was dependen on he la e al dimensions o GO15.
He e we p esen de ailed mechanis ic in i o s udies o add ess he impac o well-cha ac e ized and
endo oxin- ee SWCNTs and GO on p ima y human mac ophages. Guided by global ansc ip omics analysis
o mac ophages exposed o hese ma e ials, we ocused ou s udies on chemokine signaling and could show ha
SWCNTs, bu no GO, induced chemokine sec e ion in mac ophages. Ou expe imen al esul s sugges ed ha
SWCNTs we e sensed by Toll-like ecep o s (TLRs), PRRs on he su ace o phagocy ic cells16. Cellula up ake o
SWCNTs was no equi ed o chemokine signaling in exposed mac ophages. Molecula docking sugges ed ha
SWCNTs may in e ac wi h TLR4 bo h ia he ip and he side-walls. These s udies indica e ha immune cells a e
able o ‘sense’ SWCNTs h ough speci ic immune ecep o s and as such a e ele an o ou unde s anding o he
impac o hese ma e ials on human heal h.
Resul s
Cha ac e iza ion o ca bon-based nanoma e ials. SWCNTs, p oduced by he high p essu e CO dis-
p opo iona ion p ocess (HiPco) echnique, and GO, syn hesized by a modi ied Humme ’s me hod, we e cha ac-
e ized using an a ay o analy ical echniques. T ansmission elec on mic oscopy (TEM) e ealed ha SWCNTs
had an a e age diame e o 1–4 nm and an a e age leng h o 0.5–2 µm, whe eas GO had an a e age diame e
(la e al size) o 1.1 ± 0.3 µm. The su ace cha ge (ζ-po en ial) was −42.3 ± 0.9 mV and −42.0 ± 1.2 mV o
SWCNTs and GO, espec i ely. The samples we e also cha ac e ized ollowing dispe sion in cell cul u e medium
(i.e., DMEM) wi h and wi hou 10% FBS (Fig.S3a–e). The ζ-po en ial emained nega i e in DMEM + FBS,
hough less nega i ely cha ged when compa ed o samples dispe sed in wa e . DLS measu emen s sugges ed ha
SWCNT and GO we e less agglome a ed in DMEM + FBS han in medium wi hou FBS, hough DLS esul s o
non-sphe ical objec s should be in e p e ed wi h cau ion.
Nanoma e ials a e equen ly con amina ed wi h lipopolysaccha ide (LPS) o endo oxin, he cell wall com-
ponen o G am-nega i e bac e ia17. The e o e, bo h ma e ials we e es ed by using he con en ional limulus
amoebocy e lysa e (LAL) assay and ound o be endo oxin- ee (da a no shown). Mo eo e , in o de o exclude
po en ial a e ac s due o in e e ence wi h he assay, which could skew he in e p e a ion o he biological da a,
we also pe o med a mac ophage ac i a ion es based on he e alua ion o TNF-α sec e ion by p ima y human
monocy e-de i ed mac ophages (HMDM) in he p esence and absence o a speci ic LPS inhibi o 18. LPS (100 ng/
mL) was included as a posi i e con ol. Using his app oach, he CNTs we e con i med o be endo oxin- ee, as
mac ophage sec e ion o TNF-α in esponse o CNTs was e y low and no a ec ed by polymyxin B (Fig.S1a–c).
Cy o oxici y assessmen and cellula up ake. We hen assessed bo h nanoma e ials o cy o ox-
ici y using he lac a e dehyd ogenase (LDH) elease assay. ZnO nanopa icles (100 µg/mL) which a e known
o be cy o oxic o mac ophages19, we e included as a posi i e con ol. SWCNT exposu e esul ed in a sligh ,
dose-dependen inc ease in LDH elease a 24 h (14–16% mo e LDH elease compa ed o he con ol a con-
cen a ions 30 and 100 µg/mL, espec i ely; p < 0.05), whe eas GO did no yield any cy o oxici y in HMDMs
(Fig.S1d). Nex , we assessed o cellula up ake o he nanoma e ials. TEM imaging con i med ha bo h nano-
ma e ials we e in e nalized by HMDM a 24 h (Fig.S2). SWCNTs and GO we e mos ly ound wi hin memb ane
enclosed acuoles, sugges ing ha he up ake had occu ed h ough an ac i e, mos likely endocy ic p ocess.
Engul men o GO changed i s appea ance om a 2D s uc u e o a densely packed s uc u e (Fig.S2).
Mic oa ay analysis o mac ophage esponses. To u he e alua e he impac o he wo nanoma e ials
on mac ophages, we pe o med ansc ip omics analyses ollowing exposu e o 6 h o 24 h o 10 o 30 µg/ml (i.e.,
sub-cy o oxic doses) o SWCNT o GO. A yme ix® GeneChip® Human Genome U219 a ays we e employed
o global assessmen o gene exp ession. The mic oa ay da a ha e been submi ed o he Gene Exp ession
Omnibus Da abase (GEO accession no. GSE83516). Few di e en ially exp essed genes we e no ed a 6 h (da a no
shown) and we he e o e ocused ou analysis on he 24 h exposu e ime-poin . The nanoma e ial exposu e a he
www.na u e.com/scien i ic epo s/
3
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
la e ime-poin esul ed in a speci ic ansc ip ional esponse wi h 52 di e en ially exp essed genes in esponse
o SWCNTs, while 7 genes we e di e en ially exp essed in esponse o GO (mul ig oup analysis by wo-way
ANOVA, p < 0.05, > 1.5- old change compa ed o con ols) (Fig.1a, and Supplemen a y Table1). In e es ingly,
he di e en ially exp essed genes showed no o e lap be ween he wo nanoma e ials. Subsequen canonical pa h-
way en ichmen analysis o di e en ially exp essed genes using he Molecula Signa u es Da abase showed ha
he h ee biological pa hways wi h he mos signi ican en ichmen we e hose in ol ed in cy okine-cy okine ecep-
o in e ac ion, chemokine signaling pa hway and chemokine ecep o binding pa hway (mul iple es ing co ec ed
p- alues lowe han 10−25) (Fig.1b, and Supplemen a y Table2). In addi ion, ou analysis showed en ichmen
o he NF-κB pa hway (comp ising 7 genes, q- alue 10−5.7). Indeed, analysis o ansc ip ional egula ion ne -
wo ks showed ha NF-κB was a cen al ne wo k connec ing up egula ed chemokines, and, mo eo e , ha se -
e al membe s and a ge s o he NF-κB pa hway we e signi ican ly modula ed in esponse o SWCNTs (Fig.2a).
Fu he mo e, ups eam egula o analysis using he Ingenui y Pa hway Analysis (IPA) so wa e showed ha he
mos signi ican ly modula ed NF-κB pa hway ne wo k membe s we e RELA (p65), IRF7 and NFKBIA (IκBα)
(Z-sco es 3.4, 2.9 and 2.4, espec i ely) (Fig.2b). No ably, acco ding o a ecen bioin o ma ics s udy, RELA and
NFKBIA a e bo h among he i e key genes media ing NF-κB pa hway- ela ed in lamma o y esponses and mac-
ophage ac i a ion20. Taken oge he , he ansc ip omics analysis sugges ed ha chemokine signaling pa hways
a e p ominen ly de egula ed by SWCNTs, bu no by GO, and ha NF-κB is a po en ial ups eam egula o o he
ansc ip ional esponses o SWCNTs.
Valida ing he ansc ip omics esul s. To alida e hese esul s, we assessed o mac ophage p oduc-
ion o chemokines. To his end, a mul iplexed immunoassay o he de ec ion o a de ined se o cy okines/
chemokines ollowing exposu e o SWCNTs o GO (10–100 µg/mL) was applied. We ocused he analysis on ou
chemokines (CCL3/MIP-1α, CCL5/RANTES, CXCL9 and CXCL10) based on he signi ican up egula ion o he
co esponding genes acco ding o ou ansc ip omics analysis (abo e). As shown in Fig.3a–d, SWCNT-exposed
cells p oduced high le els o all ou chemokines, while GO-exposed cells ailed o sec e e hese chemokines,
which is hus in acco dance wi h he mic oa ay esul s. The sec e ion o CCL3 and CCL5 in SWCNT-exposed
HMDM was dose-dependen (Fig.3e–h). These da a hus co obo a ed he ansc ip omics esul s. To u he
con ol o any po en ial endo oxin con amina ion, he CNTs we e subjec ed o calcina ion a 250 °C o emo e
Figu e 1. T ansc ip omics analysis o mac ophages exposed o ca bon-based nanoma e ials. Global gene
exp ession p o iling o human monocy e-de i ed mac ophages (HMDM) was conduc ed a e 24 h exposu e o
single-walled ca bon nano ubes (SWCNTs) o g aphene oxide (GO) (see Supplemen a y Table1). (a) Hea map
o di e en ly exp essed genes in esponse o 10 and 30 µg/mL GO (line 1 and 2, espec i ely) o 10 and 30 µg/
mL SWCNTs (line 3 and 4, espec i ely). Up egula ed ansc ip s a e p esen ed in ed and down egula ed
ansc ip s in g een (log2 old change > 0.75). The genes a ec ed upon exposu e o SWCNTs (n = 52) and
GO (n = 7) did no o e lap. (b) Canonical pa hways modula ed in HMDM a e exposu e o SWCNTs (see
Supplemen a y Table2); anking was pe o med acco ding o mul iple es ing co ec ed p- alue.
www.na u e.com/scien i ic epo s/
4
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
any esidual endo oxins. The samples we e echa ac e ized (in cell cul u e medium) and shown o display simila
ζ-po en ial alues while DLS measu emen s showed no signi ican changes (i.e., no agglome a ion) (Fig.S4a,b).
We hen moni o ed he p oduc ion o CCL5 in mac ophages ollowing exposu e o 12 h o calcined SWCNTs
(30 µg/mL) and ound ha he SWCNTs we e s ill capable o igge ing CCL5; mo eo e , his was no a ec ed by
polymyxin B, indica ing ha he obse ed e ec is in insic o he SWCNTs and no a esul o mic obial con am-
ina ion (Fig.S5a).
Dissec ing he signaling pa hway. As no ed abo e, ups eam egula o analysis o he mic oa ay da a
indica ed ha he NF-κB signaling pa hway was in ol ed in he ansc ip ional egula ion o chemokine exp es-
sion by SWCNTs. To alida e his in silico p edic ion, HMDM we e p e ea ed wi h he NF-κB inhibi o , Bay
11-7082, and chemokine sec e ion in esponse o SWCNT exposu e was de e mined. SWCNT-induced p oduc-
ion o CCL3 (Fig.4a) was signi ican ly educed upon p eincuba ion wi h Bay 11-7082 (10 µM) and he sec e ion
o CCL5 was comple ely blocked by he inhibi o (Fig.4b), hus con i ming a ole o NF-κB. Nex we aimed o
add ess how NF-κB is ac i a ed by SWCNTs.
Figu e 2. Ups eam egula o analysis o he ansc ip omics esul s. (a) The NF-κB ne wo k was iden i ied
as a po en ial ups eam egula o o SWCNT- igge ed esponses in HMDM acco ding o ups eam egula o
analysis (p < 0.01; Z-sco e > 2 S.D.). (b) Ups eam egula o analysis73 o he da a iden i ied he modula ion o
NF-κB ne wo k membe s in HMDM exposed o SWCNTs o 24 h. Da a we e analyzed h ough he use o IPA
(QIAGEN Inc., www.qiagenbioin o ma ics.com/p oduc s/ingenui y-pa hway-analysis).
www.na u e.com/scien i ic epo s/
5
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
Figu e 3. SWCNTs, bu no GO, igge mac ophage sec e ion o chemokines. Sec e ion o chemokines by
p ima y human mac ophages (HMDM) a e a 24 h exposu e o SWCNTs o GO as measu ed by a mul i-plex
immunoassay. (a–d) Exposu e o HMDM o 30 µg/mL SWCNTs showed a signi ican inc ease in CXCL9,
CXCL10, CCL3/MIP-1α, and CCL5/RANTES, while he e was no esponse in cells exposed o GO a he same
concen a ion. (e,g) Dose-dependen sec e ion o CCL3/MIP-1α, and CCL5/RANTES in cells exposed o
SWCNTs, while he e was no esponse o GO a any o he concen a ions es ed ( ,h). Da a a e shown as mean
alues ± S.D. o h ee independen expe imen s using cells om di e en dono s; p- alues by S uden ’s - es ,
* < 0.05; *** < 0.001.
www.na u e.com/scien i ic epo s/
6
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
The ecogni ion o so-called PAMPs by di e en amilies o e olu iona ily conse ed PRRs (PRRs) ini ia es a
signaling cascade ha leads o he ansc ip ion o in lamma o y cy okines and chemokines o elimina e pa ho-
gens and a ac o he immune cells o he si e o in ec ion21. In pa icula , Toll-like ecep o s (TLRs) play a key
ole in inna e immuni y16. TLRs ac i a e mul iple signaling pa hways by ec ui ing adap o p o eins, such as
myeloid di e en ia ion ac o 88 (MyD88), which ini ia e signal ansduc ion pa hways ha culmina e in he ac i-
a ion o ansc ip ion ac o s, eg., NF-κB, wi h ensuing cy okine/chemokine p oduc ion. TLR4 is a ecep o o
bac e ial LPS while TLR2 has speci ici y o mul iple mic obial componen s de i ed om bac e ia, ungi, i uses,
and mycoplasma21. The oxidized phospholipid, 1-palmi oyl-2-a achidonyl-sn-glyce o-3-phospho ylcholine
(oxPAPC) is known o inhibi LPS signaling ia TLR2 and TLR422. To assess whe he SWCNTs a e capable
o ac i a ing NF-κB ia TLRs, we p eincuba ed HMDM wi h oxPAPC (30 o 60 µg/mL) p io o exposu e o
SWCNTs (30 µg/mL). LPS (100 ng/mL) was included as a posi i e con ol. As shown in Fig.5a, oxPAPC signi i-
can ly educed LPS-induced sec e ion o CCL5. Mo eo e , SWCNT-induced p oduc ion o CCL5 was comple ely
blocked. Nex , we es ed whe he inhibi ion o he adap o p o ein, MyD88 would supp ess NF-κB ac i a ion. To
his end, cells we e p eincuba ed wi h Pepinh-MYD, a 26 aa pep ide ha blocks MyD88 signaling by inhibi ing i s
homodime iza ion23. Pepinh-Con ol, a con ol pep ide, was included as a nega i e con ol. Pepinh-MYD (25 µM)
signi ican ly educed LPS-induced NF-κB ac i a ion, as de e mined by he quan i ica ion o p65 phospho yla-
ion, and SWCNT-induced ac i a ion o NF-κB was also blocked by Pepinh-MYD, bu no by Pepinh-Con ol
(25 µM) (Fig.5b). Mo eo e , inhibi ion o MyD88 impeded chemokine p oduc ion in cells exposed o SWCNTs.
Thus, Pepinh-MYD (25 µM) signi ican ly educed LPS-induced CCL5 sec e ion, and SWCNT- igge ed elease
o CCL5 was also educed by Pepinh-MYD, bu no by he con ol pep ide (Fig.5c). These da a hus p o ided e i-
dence o TLR2/4-MyD88-NF-κB signaling in SWCNT-induced chemokine p oduc ion in human mac ophages.
SWCNTs a e in e nalized by HMDM a 24 h (Fig.S2) and we ecen ly p o ided e idence ha mac ophage
up ake o SWCNTs may occu al eady a e a ew hou s24. To assess whe he cellula up ake o SWCNTs is
equi ed o chemokine esponses, we de e mined he sec e ion o CCL5 in HMDM exposed o SWCNTs (30 µg/
mL) ollowing p eincuba ion wi h o wi hou cy ochalasin D (10 µM), an inhibi o o ac in polyme iza ion ha
blocks endocy osis24. As shown in Fig.5d, cy ochalasin D did no a ec LPS-induced o SWCNT-induced p o-
duc ion o CCL5, sugges ing ha his e en is elayed ia cell su ace signaling. We also cul i a ed mac ophages
in medium wi h o wi hou 10% FBS in o de o es whe he he e ec o SWCNTs on chemokine sec e ion was
in luenced by he p esence o se um p o eins. As shown in Fig.S5b, SWCNT- igge ed p oduc ion o CCL5 was
compa able in he p esence o absence o se um. LPS was included as a posi i e con ol.
To con i m he indings ob ained in monocy e-de i ed mac ophages, and in o de o add ess he ole, i any,
o speci ic TLRs o he ‘sensing’ o SWCNTs, we used HEK293 cells s ably ans ec ed wi h human TLR2 o TLR4
and an NF-κB-inducible epo e gene25. Fu he mo e, in o de o asce ain whe he SWCNTs a e capable o TLR
ac i a ion pe se, o whe he he in e ac ion is due o se um p o eins adso bed on he su ace o he nanoma e-
ials26, we pe o med he expe imen s in epo e cell lines cul u ed in medium supplemen ed o no wi h 10%
e al bo ine se um (FBS). LPS (100 ng/mL) was used as a posi i e con ol. LPS igge ed p onounced ac i a ion
o TLR4 and a signi ican ac i a ion o TLR2 (Fig.6a). In e es ingly, SWCNTs also ac i a ed TLR4 and, o a lesse
deg ee, TLR2, and he le el o ac i a ion in he p esence and absence o FBS was indis inguishable. The la e
inding sugges ed ha SWCNTs a e sensed di ec ly by TLRs (Fig.6b).
Func ional ole o chemokine sec e ion. Chemokines (G eek: kinos, mo emen ) a e named o hei ole
in inducing di ec ed mig a ion o chemo axis in neighbo ing esponsi e cells. We he e o e add essed whe he
he condi ioned medium o mac ophages exposed o SWCNT e sus GO would ac as a chemoa ac an o o he
immune cells. Conside ing ha CCL3 and CCL5 a e he mos e ec i e chemoa ac an s o imma u e DCs27, we
s udied cell mig a ion using p ima y human monocy e-de i ed DCs e sus non-di e en ia ed p ima y human
monocy es. Su ace exp ession o he chemokine ecep o , CCR5 was highe o DCs han monocy es (Fig.7a),
Figu e 4. SWCNT- igge ed chemokine sec e ion is NF-κB-dependen . P e ea men wi h he NF-κB inhibi o ,
Bay 11-7082 (10 µM) o HMDM exposed o 30 µg/mL SWCNTs o medium alone educed he sec e ion o
CCL3 (a) and comple ely blocked he sec e ion o CCL5 (b), by mul i-plex assay. Da a a e mean alues ± S.D.
o h ee independen expe imen s using cells om di e en dono s; p- alues by S uden ’s - es , * < 0.05;
*** < 0.001.
www.na u e.com/scien i ic epo s/
7
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
in line wi h published esul s28. Fu he mo e, condi ioned medium o SWCNT-exposed HMDM was a weak
chemoa ac an o monocy es, bu p omo ed he mig a ion o DCs (p < 0.05) (Fig.7b). Thus, he condi ioned
medium se ed as a chemoa ac an o cells exp essing CCR5 and did no ema kably a ec he mig a ion o
cells ha exp essed low le els o CCR5. Howe e , condi ioned medium o GO-exposed HMDM did no p omo e
cell mig a ion (Fig.7b), in line wi h he obse a ion ha only SWCNTs igge ed chemokine sec e ion.
Molecula docking s udies. P e ious heo e ical s udies ha e sugges ed ha C60 ulle enes and CNTs may
block K+ channels29,30. In addi ion, ecen compu a ional s udies sugges ed ha he in e nal hyd ophobic pocke s
o some TLRs migh be capable o binding ca bon-based nanos uc u es31. We pe o med molecula modelling
o he TLR4:CNT complex o u he elucida e how TLRs can in e ac wi h he CNTs; he s udies we e done in
he absence o a p o ein co ona. To be e ep oduce he expe imen al condi ions, bo h p is ine and ca boxyla ed
CNTs we e modelled. The O:C a om a io co esponding o he expe imen al ze a po en ial was se o 0.1532,
which esul ed in 84 ca boxyl g oups. Docking simula ions o p is ine CNTs ga e ise o a unique clus e o
e y simila poses wi hin he p e-de ined ene gy ange (10 kcal/mol). Con e sely, ca boxyla ed CNTs showed
di e se binding modes, wi h in e ac ion ee ene gies di e ing only sligh ly (~1 kcal/mol). The bes sco ing bind-
ing mode, obse ed in bo h p is ine and ca boxyla ed CNTs, e ealed wo egions in TLR4, one in e ac ing wi h
he ip o he CNT and ano he in con ac wi h i s side-walls (Fig.8a,b). While he i s egion is localized in a
highly hyd ophobic a ea, which encompasses esidues om Ile108 o Asn265, he second is ound in he loops
a ound Ile412 and Leu434 (Fig.9a,b). In oxidized CNTs, His159 and A g264 a e also wi hin a dis ance o he
ca boxyl g oups ha is compa ible wi h sal b idge o ma ion. Al e na i ely, in he second egion, A g382, His431
and His458 a e close enough o o m ion-pai in e ac ions wi h ca boxyl g oups on he CNT side-walls. O e all,
he bes binding mode is essen ially guided by hyd ophobic con ac s be ween TLR4 and CNTs, bu in he case
o ca boxyla ed CNTs he in e molecula in e ac ion is s eng hened by sho - ange elec os a ics. The second
and hi d op binding modes o ca boxyla ed CNTs co espond o a comple ely di e en con igu a ion, in which
side-walls a e in close con ac wi h a la ge po ion ( om esidue 87 o 289) o he TLR pa allel be a-shee pa e n
Figu e 5. TLR2/4- and MyD88-dependen sec e ion o chemokines. (a) Signi ican educ ion o CCL5
sec e ion in HMDM a e 12 h exposu e o SWCNT (30 µg/mL) in he p esence o he TLR2/4 inhibi o ,
oxPAPC (30 o 60 µg/mL). oxPAPC also blocked CCL5 sec e ion igge ed by LPS (0.1 µg/mL) in a dose-
dependen manne . Fu he mo e, he MyD88 inhibi o , Pephinh-MYD (25 µM), bu no Pepinh-Con ol
(25 µM), educed NF-kB p65 phospho yla ion (b) and CCL5 exp ession (c) in cells exposed o SWCNT (30 µg/
mL) o 12 h. Pephinh-MYD (25 µM) also educed NF-kB ac i a ion and CCL5 sec e ion by LPS (0.1 µg/mL).
NF-kB p65 phospho yla ion and CCL5 exp ession was de e mined by ELISA. (d) Cy ochalasin D (10 μM), an
inhibi o o ac in polyme iza ion, does no a ec CCL5 sec e ion in HMDM exposed o 12 h o SWCNT (30 µg/
mL). LPS (0.1 µg/mL) was included as a con ol. CCL5 le els we e de e mined by ELISA. Da a shown in panels
a o d a e epo ed as mean alues ± S.D. o a leas h ee independen expe imen s using cells om di e en
dono s. p* < 0.05; ** < 0.01; *** < 0.001 (one-way ANOVA wi h pos -hoc ukey’s es ).
www.na u e.com/scien i ic epo s/
8
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
in he inne pa o he p o ein (Fig.8c– , Fig.9a,b). In e es ingly, he a ea o in e ac ion o hese poses in e sec s
one o he wo egions al eady obse ed o he bes pose. This inding is consis en wi h he negligible ene gy
di e ence o hese binding modes wi h espec o he bes sco ing mode. Ne e heless, as opposed o he la e ,
hese wo classes o poses a e clea ly domina ed by elec os a ic in e ac ions, as shown by he dis ances be ween
he ca boxyl g oups and some cha ged esidues (His179, A g257, A g289, A g355), which a e compa ible wi h he
p esence o s abilizing ion-pai in e ac ions.
Discussion
The inna e immune sys em does no espond o mic obes in a nonspeci ic manne ; in ac , pa hogen ecogni-
ion by he inna e immune sys em is speci ic, elying on PRRs ha ha e e ol ed o de ec molecula signa u es
known as PAMPs21. Thus, a ela i ely small numbe o immune ecep o s a e employed by mac ophages and
o he immune cells o de ec a as a ay o mic oo ganisms; i is in iguing o specula e ha simila p inciples
o mechanisms migh be deployed o immune ecogni ion o a ious classes o nanopa icles33. Howe e , o
da e, he e a e ew i any examples o speci ic immune sensing o enginee ed nanoma e ials and he p oblem
is con ounded by a numbe o ac o s. Fi s , many s udies a e pe o med using nanopa icles ha a e no well
Figu e 6. SWCNTs igge TLR2 and TLR4 ac i a ion. (a) HEK 293 cells co- ans ec ed wi h human TLR2
(HEK-Blue™ hTLR2) o TLR4 (HEK-Blue™ hTLR4 cells) and an NF-κB/AP-1-sec e ed emb yonic alkaline
phospha ase (SEAP) epo e gene we e exposed o SWCNT (30 µg/mL) o 12 h in he p esence o absence
o 10% FBS. LPS (0.1 µg/mL) was included as a posi i e con ol. SWCNTs ac i a ed TLR2/4 independen ly
o he p esence o se um in he cul u e medium. Da a a e shown as mean alues ± S.D. o h ee independen
expe imen s. (b) Schema ic diag am showing he ‘sensing’ o SWCNTs by HMDMs ia TLR ecep o s esul ing
in MyD88-dependen ac i a ion o NF-kB leading o nuclea ansloca ion o NF-kB wi h ansc ip ion and
sec e ion o CCL5. The sec e ed chemokine(s) induce chemo axis o immune cells bea ing he co esponding
ecep o (s).
Figu e 7. Mac ophage sec e ed ac o s p omo e mig a ion o DCs. (a) Exp ession o he chemokine ecep o
CCR5 in p ima y human monocy es (Mo) and monocy e-de i ed dend i ic cells (DCs) was de e mined by low
cy ome y. The a e age exp ession o CCR5 in cells om h ee di e en dono s is depic ed. (b) Mig a ion o
monocy es (Mo) and DCs in esponse o condi ioned medium (CM) o human monocy e-de i ed mac ophages
(HMDM) exposed o 100 µg/mL SWCNT (CM-SWCNT) o 100 µg/mL GO (CM-GO). Cell mig a ion (3 h
pe iod) was de e mined by using answell chemo axis mic ochambe s. Da a a e shown as mean alues ± S.D.
o h ee independen expe imen s; p* < 0.05, S uden ’s - es .
www.na u e.com/scien i ic epo s/
9
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
cha ac e ized, o no uni o m in appea ance wi hin he same sample, making i di icul o d aw conclusions
ega ding speci ic p ope ies o nanopa icles and hei biological beha io 34. In addi ion, nanopa icles a e e-
quen ly con amina ed wi h bac e ial endo oxin, as may be he case o o he bioma e ials, leading po en ially o
e oneous esul s, especially when s udying in e ac ions wi h immune-compe en cells17. Fu he mo e, nanopa -
icles a e known o apidly adso b p o eins and o he biomolecules, and his is hough o endow he nanopa i-
cles wi h a new, biological ‘iden i y’ such ha hese adso bed biomolecules could dic a e biological in e ac ions:
cells may no ‘see’ he p is ine nanopa icle su aces35. In addi ion o hese conside a ions, i has been a gued
ha he e a e no nano-speci ic (i.e., size-dependen ) biological e ec s o nanopa icles, and he e o e no no el
e ec s a e o be expec ed36. Howe e , i is wo h no ing ha many biological p ocesses anspi e a he nano-scale.
Thus, i ollows om his a gumen ha nanopa icles, as a unc ion o hei small size, may in e e e wi h bio-
logical p ocesses in a manne no seen o la ge pa icles37. Pa k e al.29 showed ha pu i ied SWCNTs blocked
Figu e 8. Molecula docking o CNTs and TLR4. Resul s o docking simula ions o p is ine and ca boxyla ed
CNTs and TLR4. (a) The bes binding mode o p is ine CNT. (b) bes binding mode o ca boxyla ed CNT. (c)
la e al iew o he second op binding pose o ca boxyla ed CNT. (d) la e al iew o he hi d op binding pose
o he same CNT. (e) op iew o he same con igu a ion as in (c). ( ) op iew o he same con igu a ion as in
(d). The mechanism in ol es in e ac ions o he a ge p o ein wi h bo h he ip and side-wall o CNTs.
www.na u e.com/scien i ic epo s/
16
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
34. Fadeel, B., Fo na a, A., Top ak, M. S. & Bha acha ya, K. Keeping i eal: he impo ance o ma e ial cha ac e iza ion in
nano oxicology. Biochem Biophys Res Commun 468, 498–503 (2015).
35. Wes meie , D., Knaue , S. K., S aube , R. H. & Doc e , D. Bio-Nano In e ac ions. In: Ad e se E ec s o Enginee ed Nanoma e ials:
Exposu e, Toxicology and Impac on Human Heal h (Second Edi ion). Eds. Fadeel, B., Pie oius i, A. & Sh edo a A. pp. 3–14. Else ie
(2017).
36. Donaldson, K. & Poland, C. A. Nano oxici y: challenging he my h o nano-speci ic oxici y. Cu Opin Bio echnol 24, 724–734 (2013).
37. Gallud, A. & Fadeel, B. Keeping i small: owa ds a molecula de ini ion o nano oxicology. Eu . J. Nanomed 7, 143–151 (2015).
38. Mia o, Y. e al. Nanopa icle as signaling p o ein mimic: obus s uc u al and unc ional modula ion o CaMKII upon speci ic
binding o ulle ene C60 nanoc ys als. ACS Nano 8, 6131–6144 (2014).
39. Ko dali, V. e al. Dys egula ion o mac ophage ac i a ion p o iles by enginee ed nanopa icles. ACS Nano 7, 6997–7010 (2013).
40. Fa e a, C. & Fadeel, B. I akes wo o ango: unde s anding he in e ac ions be ween enginee ed nanoma e ials and he immune
sys em. Eu J Pha m Biopha m 95, 3–12 (2015).
41. Ho, C. C. e al. Quan um do s induced monocy e chemo ac ic p o ein-1 exp ession ia MyD88-dependen Toll-like ecep o
signaling pa hways in mac ophages. Toxicology 308, 1–9 (2013).
42. Shokouh i, B. e al. The ole o mul iple oll-like ecep o signalling cascades on in e ac ions be ween biomedical polyme s and
dend i ic cells. Bioma e ials 31, 5759–5771 (2010).
43. Dumo ie , H. When ca bon nano ubes encoun e he immune sys em: desi able and undesi able e ec s. Ad D ug Deli Re 65,
2120–2126 (2013).
44. Q u, G. e al. G aphene oxide induces oll-like ecep o 4 (TLR4)-dependen nec osis in mac ophages. ACS Nano 7, 5732–5745 (2013).
45. Ha i, A. e al. Ac i a ion o NLRP3 in lammasome by c ys alline s uc u es ia cell su ace con ac . Sci Rep 4, 7281 (2014).
46. Ma, J. e al. C ucial ole o la e al size o g aphene oxide in ac i a ing mac ophages and s imula ing p o-in lamma o y esponses in
cells and animals. ACS Nano 9, 10498–10515 (2015).
47. McIn y e, J. e al. A compa ison o ca abolic pa hways induced in p ima y mac ophages by p is ine single walled ca bon nano ubes
and p is ine g aphene. RSC Ad 6, 65299–65310 (2016).
48. Fleische , C. C. & Payne, C. K. Seconda y s uc u e o co ona p o eins de e mines he cell su ace ecep o s used by nanopa icles. J
Phys Chem B 118, 14017–14026 (2014).
49. Shannahan, J. H. e al. Compa ison o nano ube-p o ein co ona composi ion in cell cul u e media. Small 9, 2171–2181 (2013).
50. O’Connell, D. J. e al. Cha ac e iza ion o he bionano in e ace and mapping ex insic in e ac ions o he co ona o nanoma e ials.
Nanoscale 7, 15268–15276 (2015).
51. Saha, K. e al. Regula ion o mac ophage ecogni ion h ough he in e play o nanopa icle su ace unc ionali y and p o ein co ona.
ACS Nano 10, 4421–4430 (2016).
52. Simbe g, D. e al. Di e en ial p o eomics analysis o he su ace he e ogenei y o dex an i on oxide nanopa icles and he
implica ions o hei in i o clea ance. Bioma e ials 30, 3926–3933 (2009).
53. Mu, Q. e al. P o ein binding by unc ionalized mul iwalled ca bon nano ubes is go e ned by he su ace chemis y o bo h pa ies
and he nano ube diame e . J. Phy. Chem C 112, 3300–3307 (2008).
54. Ca i, X. e al. Cha ac e iza ion o ca bon nano ube p o ein co ona by using quan i a i e p o eomics. Nanomedicine 9, 583–593
(2013).
55. Zhao, X. e al. Explo ing he diame e and su ace dependen con o ma ional changes in ca bon nano ube-p o ein co ona and he
ela ed cy o oxici y. J Haza d Ma e 292, 98–107 (2015).
56. Zlo nik, A. & Yoshie, O. Chemokines: a new classi ica ion sys em and hei ole in immuni y. Immuni y 12, 121–127 (2000).
57. Bha acha ya, K., Andón, F. T., El-Sayed, R. & Fadeel, B. Mechanisms o ca bon nano ube-induced oxici y: ocus on pulmona y
in lamma ion. Ad D ug Deli Re 65, 2087–2097 (2013).
58. Pa k, E. J. e al. CCR5 plays an impo an ole in esol ing an in lamma o y esponse o single-walled ca bon nano ubes. J Appl
Toxicol 33, 845–853 (2013).
59. F ank, E. A., Bi ch, M. E. & Yada , J. S. MyD88 media es in i o e ec o unc ions o al eola mac ophages in acu e lung
in lamma o y esponses o ca bon nano ube exposu e. Toxicol Appl Pha macol 288, 322–329 (2015).
60. Fuji a, K. e al. In a acheal ins illa ion o single-wall ca bon nano ubes in he a lung induces ime-dependen changes in gene
exp ession. Nano oxicology 9, 290–301 (2015).
61. Kina e , P. e al. Inhala ion and o opha yngeal aspi a ion exposu e o od-like ca bon nano ubes induce simila ai way in lamma ion
and biological esponses in mouse lungs. ACS Nano 11, 291–303 (2017).
62. Chen, S. e al. No in ol emen o al eola mac ophages in he ini ia ion o ca bon nanopa icle induced acu e lung in lamma ion in
mice. Pa Fib e Toxicol 13, 33 (2016).
63. Ka wa, P. e al. A ca bon nano ube oxici y pa adigm d i en by mas cells and he IL-33/ST2 axis. Small 8, 2904–2912 (2012).
64. Shi, J. e al. Mic osomal glu a hione ans e ase 1 p o ec s agains oxici y induced by silica nanopa icles bu no by zinc oxide
nanopa icles. ACS Nano 6, 1925–1938 (2012).
65. Go elik, O., Nikolae , P. & A epalli, S. Pu i ica ion p ocedu es o single-walled ca bon nano ubes. NASA con ac o epo . NASA/
CR-2000–208–926; Documen ID 20040200957, NASA Technical Repo s Se e (NTRS) 2000 [h p://n s.nasa.go ].
66. Ma cano, D. C. e al. Imp o ed syn hesis o g aphene oxide. ACS Nano 4, 4806–4814 (2010).
67. Mukhe jee, S.P., Kos a elos, K. & Fadeel, B. Cy okine p o iling o p ima y human mac ophages exposed o endo oxin- ee g aphene
oxide: size-independen NLRP3 in lammasome ac i a ion. Ad Heal hc Ma e 2017 Dec 21. h ps://doi.o g/10.1002/
adhm.201700815. [Epub ahead o p in ].
68. Feliu, N. e al. S abili y and biocompa ibili y o a lib a y o polyes e dend ime s in compa ison o polyamidoamine dend ime s.
Bioma e ials 33, 1970–1981 (2012).
69. I iza y, R. A. e al. Explo a ion, no maliza ion, and summa ies o high densi y oligonucleo ide a ay p obe le el da a. Bios a is ics
4, 249–264 (2003).
70. Dai, M. e al. E ol ing gene/ ansc ip de ini ions signi ican ly al e he in e p e a ion o GeneChip da a. Nucleic Acids Res 33, e175
(2005).
71. Hube , W. e al. O ches a ing high- h oughpu genomic analysis wi h Bioconduc o . Na Me hods 12, 115–121 (2015).
72. Wang, J., Duncan, D., Shi, Z. & Zhang, B. WEB-based GEne SeT AnaLysis Toolki (WebGes al ): upda e 2013. Nucleic Acids Res 41,
W77–83 (2013).
73. K äme , A., G een, J., Polla d, J. & Tugend eich, S. Causal analysis app oaches in Ingenui y Pa hway Analysis. Bioin o ma ics 30,
523–530 (2014).
74. Gallud, A. e al. Mac ophage ac i a ion s a us de e mines he in e naliza ion o mesopo ous silica pa icles o di e en sizes:
explo ing he ole o di e en pa e n ecogni ion ecep o s. Bioma e ials 121, 28–40 (2017).
75. T o , O. & Olson, A. J. Au oDock Vina: Imp o ing he speed and accu acy o docking wi h a new sco ing unc ion, e icien
op imiza ion, and mul i h eading. J Compu Chem 31, 455–461 (2009).
76. F ey, J.T. & Do en, D.J. TubeGen 3.4. Uni e si y o Delawa e, Newa k DE. A ailable a : h p:// u in.nss.udel.edu/ esea ch/
ubegenonline.h ml (2011).
77. Humph ey, W., Dalke, A. & Schul en, K. VMD–Visual Molecula Dynamics. J Mol G aph 14, 33–38 (1996).
78. Mo is, G. e al. Au oDock4 and Au oDockTools4: au oma ed docking wi h selec i e ecep o lexibili y. J Compu Chem 30,
2785–2791 (2009).
www.na u e.com/scien i ic epo s/
17
SCIENTIFIC REPORTS | (2018) 8:1115 | DOI:10.1038/s41598-018-19521-9
Acknowledgemen s
This wo k was suppo ed by he Eu opean Commission unded p ojec s, FP7-NANOMMUNE (g an ag eemen
no. 214281), FP7-MARINA (g an ag eemen no. 263215), FP7-NANOSOLUTIONS (g an ag eemen no.
309329), Flagship P ojec GRAPHENE (g an ag eemen s no. 604391 and 696656), and COST Ac ion MODENA
(TD1204) (schola ship awa ded o T.B.). F.T.A. was suppo ed, in pa , h ough a pos doc ellowship om he
Galician Go e nmen , Spain (Resolu ion 21, Ma ch 2013). We hank D . Kjell Hul enby, Elec on Mic oscopy
Co e Facili y, Ka olinska Ins i u e , o echnical assis ance.
Au ho Con ibu ions
S.P.M. and O.B. pe o med in i o expe imen s and analyzed da a; F.T.A. and T.B. con ibu ed o in i o
expe imen s and da a analysis; I.G. cha ac e ized he SWCNT and GO samples, supe ised by S.M., E.K., M.B.,
and A.S. con ibu ed o he ma e ial cha ac e iza ion o he SWCNT samples; P.C. and L.S. pe o med he
molecula docking s udies; H.S.M. and R.A. pe o med he mic oa ay expe imen s, supe ised by R.L., and P.K.
conduc ed he downs eam da a analysis; B.F. concei ed and coo dina ed he s udy, and w o e he pape wi h
S.P.M. and O.B.; all au ho s app o ed he inal e sion o he pape .
Addi ional In o ma ion
Supplemen a y in o ma ion accompanies his pape a h ps://doi.o g/10.1038/s41598-018-19521-9.
Compe ing In e es s: The au ho s decla e ha hey ha e no compe ing in e es s.
Disclaime : The indings and conclusions in his epo a e hose o he au ho s and do no ep esen he iews
o he Na ional Ins i u e o Occupa ional Sa e y and Heal h o he Uni ed S a es.
Publishe 's no e: Sp inge Na u e emains neu al wi h ega d o ju isdic ional claims in published maps and
ins i u ional a ilia ions.
Open Access This a icle is licensed unde a C ea i e Commons A ibu ion 4.0 In e na ional
License, which pe mi s use, sha ing, adap a ion, dis ibu ion and ep oduc ion in any medium o
o ma , as long as you gi e app op ia e c edi o he o iginal au ho (s) and he sou ce, p o ide a link o he C e-
a i e Commons license, and indica e i changes we e made. The images o o he hi d pa y ma e ial in his
a icle a e included in he a icle’s C ea i e Commons license, unless indica ed o he wise in a c edi line o he
ma e ial. I ma e ial is no included in he a icle’s C ea i e Commons license and you in ended use is no pe -
mi ed by s a u o y egula ion o exceeds he pe mi ed use, you will need o ob ain pe mission di ec ly om he
copy igh holde . To iew a copy o his license, isi h p://c ea i ecommons.o g/licenses/by/4.0/.
© The Au ho (s) 2018