161. Sampling representational plasticity of simple imagined movements across days enables long-term neuroprosthetic control.
作者: Nikhilesh Natraj.;Sarah Seko.;Reza Abiri.;Runfeng Miao.;Hongyi Yan.;Yasmin Graham.;Adelyn Tu-Chan.;Edward F Chang.;Karunesh Ganguly.
来源: Cell. 2025年188卷5期1208-1225.e32页
The nervous system needs to balance the stability of neural representations with plasticity. It is unclear what the representational stability of simple well-rehearsed actions is, particularly in humans, and their adaptability to new contexts. Using an electrocorticography brain-computer interface (BCI) in tetraplegic participants, we found that the low-dimensional manifold and relative representational distances for a repertoire of simple imagined movements were remarkably stable. The manifold's absolute location, however, demonstrated constrained day-to-day drift. Strikingly, neural statistics, especially variance, could be flexibly regulated to increase representational distances during BCI control without somatotopic changes. Discernability strengthened with practice and was BCI-specific, demonstrating contextual specificity. Sampling representational plasticity and drift across days subsequently uncovered a meta-representational structure with generalizable decision boundaries for the repertoire; this allowed long-term neuroprosthetic control of a robotic arm and hand for reaching and grasping. Our study offers insights into mesoscale representational statistics that also enable long-term complex neuroprosthetic control.
162. From big data and experimental models to clinical trials: Iterative strategies in microbiome research.
作者: Sondra Turjeman.;Tommaso Rozera.;Eran Elinav.;Gianluca Ianiro.;Omry Koren.
来源: Cell. 2025年188卷5期1178-1197页
Microbiome research has expanded significantly in the last two decades, yet translating findings into clinical applications remains challenging. This perspective discusses the persistent issue of correlational studies in microbiome research and proposes an iterative method leveraging in silico, in vitro, ex vivo, and in vivo studies toward successful preclinical and clinical trials. The evolution of research methodologies, including the shift from small cohort studies to large-scale, multi-cohort, and even "meta-cohort" analyses, has been facilitated by advancements in sequencing technologies, providing researchers with tools to examine multiple health phenotypes within a single study. The integration of multi-omics approaches-such as metagenomics, metatranscriptomics, metaproteomics, and metabolomics-provides a comprehensive understanding of host-microbe interactions and serves as a robust hypothesis generator for downstream in vitro and in vivo research. These hypotheses must then be rigorously tested, first with proof-of-concept experiments to clarify the causative effects of the microbiota, and then with the goal of deep mechanistic understanding. Only following these two phases can preclinical studies be conducted with the goal of translation into the clinic. We highlight the importance of combining traditional microbiological techniques with big-data approaches, underscoring the necessity of iterative experiments in diverse model systems to enhance the translational potential of microbiome research.
163. MEER: Extraordinary flourishing ecosystem in the deepest ocean.
Here, we introduce the Mariana Trench Environment and Ecology Research (MEER) project, which provides the first systematic view of the ecosystem in the hadal zone.
164. In-cell structure and snapshots of copia retrotransposons in intact tissue by cryo-ET.
作者: Sven Klumpe.;Kirsten A Senti.;Florian Beck.;Jenny Sachweh.;Bernhard Hampoelz.;Paolo Ronchi.;Viola Oorschot.;Marlene Brandstetter.;Assa Yeroslaviz.;John A G Briggs.;Julius Brennecke.;Martin Beck.;Jürgen M Plitzko.
来源: Cell. 2025年188卷8期2094-2110.e18页
Long terminal repeat (LTR) retrotransposons belong to the transposable elements (TEs), autonomously replicating genetic elements that integrate into the host's genome. Among animals, Drosophila melanogaster serves as an important model organism for TE research and contains several LTR retrotransposons, including the Ty1-copia family, which is evolutionarily related to retroviruses and forms virus-like particles (VLPs). In this study, we use cryo-focused ion beam (FIB) milling and lift-out approaches to visualize copia VLPs in ovarian cells and intact egg chambers, resolving the in situ copia capsid structure to 7.7 Å resolution by cryoelectron tomography (cryo-ET). Although cytoplasmic copia VLPs vary in size, nuclear VLPs are homogeneous and form densely packed clusters, supporting a model in which nuclear import acts as a size selector. Analyzing flies deficient in the TE-suppressing PIWI-interacting RNA (piRNA) pathway, we observe copia's translocation into the nucleus during spermatogenesis. Our findings provide insights into the replication cycle and cellular structural biology of an active LTR retrotransposon.
165. CXCL12 drives natural variation in coronary artery anatomy across diverse populations.
作者: Pamela E Rios Coronado.;Jiayan Zhou.;Xiaochen Fan.;Daniela Zanetti.;Jeffrey A Naftaly.;Pratima Prabala.;Azalia M Martínez Jaimes.;Elie N Farah.;Soumya Kundu.;Salil S Deshpande.;Ivy Evergreen.;Pik Fang Kho.;Qixuan Ma.;Austin T Hilliard.;Sarah Abramowitz.;Saiju Pyarajan.;Daniel Dochtermann.; .;Scott M Damrauer.;Kyong-Mi Chang.;Michael G Levin.;Virginia D Winn.;Anca M Paşca.;Mary E Plomondon.;Stephen W Waldo.;Philip S Tsao.;Anshul Kundaje.;Neil C Chi.;Shoa L Clarke.;Kristy Red-Horse.;Themistocles L Assimes.
来源: Cell. 2025年188卷7期1784-1806.e22页
Coronary arteries have a specific branching pattern crucial for oxygenating heart muscle. Among humans, there is natural variation in coronary anatomy with respect to perfusion of the inferior/posterior left heart, which can branch from either the right arterial tree, the left, or both-a phenotype known as coronary dominance. Using angiographic data for >60,000 US veterans of diverse ancestry, we conducted a genome-wide association study of coronary dominance, revealing moderate heritability and identifying ten significant loci. The strongest association occurred near CXCL12 in both European- and African-ancestry cohorts, with downstream analyses implicating effects on CXCL12 expression. We show that CXCL12 is expressed in human fetal hearts at the time dominance is established. Reducing Cxcl12 in mice altered coronary dominance and caused septal arteries to develop away from Cxcl12 expression domains. These findings indicate that CXCL12 patterns human coronary arteries, paving the way for "medical revascularization" through targeting developmental pathways.
166. Mapping the landscape of social behavior.
作者: Ugne Klibaite.;Tianqing Li.;Diego Aldarondo.;Jumana F Akoad.;Bence P Ölveczky.;Timothy W Dunn.
来源: Cell. 2025年188卷8期2249-2266.e23页
Social interaction is integral to animal behavior. However, lacking tools to describe it in quantitative and rigorous ways has limited our understanding of its structure, underlying principles, and the neuropsychiatric disorders, like autism, that perturb it. Here, we present a technique for high-resolution 3D tracking of postural dynamics and social touch in freely interacting animals, solving the challenging subject occlusion and part-assignment problems using 3D geometric reasoning, graph neural networks, and semi-supervised learning. We collected over 110 million 3D pose samples in interacting rats and mice, including seven monogenic autism rat lines. Using a multi-scale embedding approach, we identified a rich landscape of stereotyped actions, interactions, synchrony, and body contacts. This high-resolution phenotyping revealed a spectrum of changes in autism models and in response to amphetamine not resolved by conventional measurements. Our framework and large library of interactions will facilitate studies of social behaviors and their neurobiological underpinnings.
167. Bacterial immunotherapy leveraging IL-10R hysteresis for both phagocytosis evasion and tumor immunity revitalization.
作者: Zhiguang Chang.;Xuan Guo.;Xuefei Li.;Yan Wang.;Zhongsheng Zang.;Siyu Pei.;Weiqi Lu.;Yang Li.;Jian-Dong Huang.;Yichuan Xiao.;Chenli Liu.
来源: Cell. 2025年188卷7期1842-1857.e20页
Bacterial immunotherapy holds promising cancer-fighting potential. However, unlocking its power requires a mechanistic understanding of how bacteria both evade antimicrobial immune defenses and stimulate anti-tumor immune responses within the tumor microenvironment (TME). Here, by harnessing an engineered Salmonella enterica strain with this dual proficiency, we unveil an underlying singular mechanism. Specifically, the hysteretic nonlinearity of interleukin-10 receptor (IL-10R) expression drives tumor-infiltrated immune cells into a tumor-specific IL-10Rhi state. Bacteria leverage this to enhance tumor-associated macrophages producing IL-10, evade phagocytosis by tumor-associated neutrophils, and coincidently expand and stimulate the preexisting exhausted tumor-resident CD8+ T cells. This effective combination eliminates tumors, prevents recurrence, and inhibits metastasis across multiple tumor types. Analysis of human samples suggests that the IL-10Rhi state might be a ubiquitous trait across human tumor types. Our study unveils the unsolved mechanism behind bacterial immunotherapy's dual challenge in solid tumors and provides a framework for intratumoral immunomodulation.
168. Spatiotemporal modeling of molecular holograms.
作者: Xiaojie Qiu.;Daniel Y Zhu.;Yifan Lu.;Jiajun Yao.;Zehua Jing.;Kyung Hoi Min.;Mengnan Cheng.;Hailin Pan.;Lulu Zuo.;Samuel King.;Qi Fang.;Huiwen Zheng.;Mingyue Wang.;Shuai Wang.;Qingquan Zhang.;Sichao Yu.;Sha Liao.;Chao Liu.;Xinchao Wu.;Yiwei Lai.;Shijie Hao.;Zhewei Zhang.;Liang Wu.;Yong Zhang.;Mei Li.;Zhencheng Tu.;Jinpei Lin.;Zhuoxuan Yang.;Yuxiang Li.;Ying Gu.;David Ellison.;Yuancheng Ryan Lu.;Qinan Hu.;Yuhui Hu.;Ao Chen.;Longqi Liu.;Jonathan S Weissman.;Jiayi Ma.;Xun Xu.;Shiping Liu.;Yinqi Bai.
来源: Cell. 2025年188卷6期1744页 169. A deep learning strategy to identify cell types across species from high-density extracellular recordings.
作者: Maxime Beau.;David J Herzfeld.;Francisco Naveros.;Marie E Hemelt.;Federico D'Agostino.;Marlies Oostland.;Alvaro Sánchez-López.;Young Yoon Chung.;Michael Maibach.;Stephen Kyranakis.;Hannah N Stabb.;M Gabriela Martínez Lopera.;Agoston Lajko.;Marie Zedler.;Shogo Ohmae.;Nathan J Hall.;Beverley A Clark.;Dana Cohen.;Stephen G Lisberger.;Dimitar Kostadinov.;Court Hull.;Michael Häusser.;Javier F Medina.
来源: Cell. 2025年188卷8期2218-2234.e22页
High-density probes allow electrophysiological recordings from many neurons simultaneously across entire brain circuits but fail to reveal cell type. Here, we develop a strategy to identify cell types from extracellular recordings in awake animals and reveal the computational roles of neurons with distinct functional, molecular, and anatomical properties. We combine optogenetics and pharmacology using the cerebellum as a testbed to generate a curated ground-truth library of electrophysiological properties for Purkinje cells, molecular layer interneurons, Golgi cells, and mossy fibers. We train a semi-supervised deep learning classifier that predicts cell types with greater than 95% accuracy based on the waveform, discharge statistics, and layer of the recorded neuron. The classifier's predictions agree with expert classification on recordings using different probes, in different laboratories, from functionally distinct cerebellar regions, and across species. Our classifier extends the power of modern dynamical systems analyses by revealing the unique contributions of simultaneously recorded cell types during behavior.
170. HIF regulates multiple translated endogenous retroviruses: Implications for cancer immunotherapy.
作者: Qinqin Jiang.;David A Braun.;Karl R Clauser.;Vijyendra Ramesh.;Nitin H Shirole.;Joseph E Duke-Cohan.;Nancy Nabilsi.;Nicholas J Kramer.;Cleo Forman.;Isabelle E Lippincott.;Susan Klaeger.;Kshiti M Phulphagar.;Vipheaviny Chea.;Nawoo Kim.;Allison P Vanasse.;Eddy Saad.;Teagan Parsons.;Melissa Carr-Reynolds.;Isabel Carulli.;Katarina Pinjusic.;Yijia Jiang.;Rong Li.;Sudeepa Syamala.;Suzanna Rachimi.;Eva K Verzani.;Jonathan D Stevens.;William J Lane.;Sabrina Y Camp.;Kevin Meli.;Melissa B Pappalardi.;Zachary T Herbert.;Xintao Qiu.;Paloma Cejas.;Henry W Long.;Sachet A Shukla.;Eliezer M Van Allen.;Toni K Choueiri.;L Stirling Churchman.;Jennifer G Abelin.;Cagan Gurer.;Gavin MacBeath.;Richard W Childs.;Steven A Carr.;Derin B Keskin.;Catherine J Wu.;William G Kaelin.
来源: Cell. 2025年188卷7期1807-1827.e34页
Clear cell renal cell carcinoma (ccRCC), despite having a low mutational burden, is considered immunogenic because it occasionally undergoes spontaneous regressions and often responds to immunotherapies. The signature lesion in ccRCC is inactivation of the VHL tumor suppressor gene and consequent upregulation of the HIF transcription factor. An earlier case report described a ccRCC patient who was cured by an allogeneic stem cell transplant and later found to have donor-derived T cells that recognized a ccRCC-specific peptide encoded by a HIF-responsive endogenous retrovirus (ERV), ERVE-4. We report that ERVE-4 is one of many ERVs that are induced by HIF, translated into HLA-bound peptides in ccRCCs, and capable of generating antigen-specific T cell responses. Moreover, ERV expression can be induced in non-ccRCC tumors with clinical-grade HIF stabilizers. These findings have implications for leveraging ERVs for cancer immunotherapy.
171. Safeguarding the future of biomedical science in the United States.
NIH's abrupt decision to cap indirect cost reimbursement at 15% threatens the critical infrastructure supporting groundbreaking biomedical research in the United States. This policy jeopardizes America's global leadership in science and medicine. Urgent action is needed to advocate for its immediate and permanent reversal to protect the future of science.
172. Lysine vitcylation is a vitamin C-derived protein modification that enhances STAT1-mediated immune response.
作者: Xiadi He.;Qiwei Wang.;Xin Cheng.;Weihua Wang.;Yutong Li.;Yabing Nan.;Jiang Wu.;Bingqiu Xiu.;Tao Jiang.;Johann S Bergholz.;Hao Gu.;Fuhui Chen.;Guangjian Fan.;Lianhui Sun.;Shaozhen Xie.;Junjie Zou.;Sheng Lin.;Yun Wei.;James Lee.;John M Asara.;Ke Zhang.;Lewis C Cantley.;Jean J Zhao.
来源: Cell. 2025年188卷7期1858-1877.e21页
Vitamin C (vitC) is essential for health and shows promise in treating diseases like cancer, yet its mechanisms remain elusive. Here, we report that vitC directly modifies lysine residues to form "vitcyl-lysine"-a process termed vitcylation. Vitcylation occurs in a dose-, pH-, and sequence-dependent manner in both cell-free systems and living cells. Mechanistically, vitC vitcylates signal transducer and activator of transcription-1 (STAT1)- lysine-298 (K298), impairing its interaction with T cell protein-tyrosine phosphatase (TCPTP) and preventing STAT1-Y701 dephosphorylation. This leads to enhanced STAT1-mediated interferon (IFN) signaling in tumor cells, increased major histocompatibility complex (MHC)/human leukocyte antigen (HLA) class I expression, and activation of anti-tumor immunity in vitro and in vivo. The discovery of vitcylation as a distinctive post-translational modification provides significant insights into vitC's cellular function and therapeutic potential, opening avenues for understanding its biological effects and applications in disease treatment.
173. RNA-binding proteins and glycoRNAs form domains on the cell surface for cell-penetrating peptide entry.
作者: Jonathan Perr.;Andreas Langen.;Karim Almahayni.;Gianluca Nestola.;Peiyuan Chai.;Charlotta G Lebedenko.;Regan F Volk.;Diego Detrés.;Reese M Caldwell.;Malte Spiekermann.;Helena Hemberger.;Namita Bisaria.;Toshihiko Aiba.;Francisco J Sánchez-Rivera.;Konstantinos Tzelepis.;Eliezer Calo.;Leonhard Möckl.;Balyn W Zaro.;Ryan A Flynn.
来源: Cell. 2025年188卷7期1878-1895.e25页
The composition and organization of the cell surface determine how cells interact with their environment. Traditionally, glycosylated transmembrane proteins were thought to be the major constituents of the external surface of the plasma membrane. Here, we provide evidence that a group of RNA-binding proteins (RBPs) is present on the surface of living cells. These cell-surface RBPs (csRBPs) precisely organize into well-defined nanoclusters enriched for multiple RBPs and glycoRNAs, and their clustering can be disrupted by extracellular RNase addition. These glycoRNA-csRBP clusters further serve as sites of cell-surface interaction for the cell-penetrating peptide trans-activator of transcription (TAT). Removal of RNA from the cell surface, or loss of RNA-binding activity by TAT, causes defects in TAT cell internalization. Together, we provide evidence of an expanded view of the cell surface by positioning glycoRNA-csRBP clusters as a regulator of communication between cells and the extracellular environment.
174. The International Space Station has a unique and extreme microbial and chemical environment driven by use patterns.
作者: Rodolfo A Salido.;Haoqi Nina Zhao.;Daniel McDonald.;Helena Mannochio-Russo.;Simone Zuffa.;Renee E Oles.;Allegra T Aron.;Yasin El Abiead.;Sawyer Farmer.;Antonio González.;Cameron Martino.;Ipsita Mohanty.;Ceth W Parker.;Lucas Patel.;Paulo Wender Portal Gomes.;Robin Schmid.;Tara Schwartz.;Jennifer Zhu.;Michael R Barratt.;Kathleen H Rubins.;Hiutung Chu.;Fathi Karouia.;Kasthuri Venkateswaran.;Pieter C Dorrestein.;Rob Knight.
来源: Cell. 2025年188卷7期2022-2041.e23页
Space habitation provides unique challenges in built environments isolated from Earth. We produced a 3D map of the microbes and metabolites throughout the United States Orbital Segment (USOS) of the International Space Station (ISS) with 803 samples collected during space flight, including controls. We find that the use of each of the nine sampled modules within the ISS strongly drives the microbiology and chemistry of the habitat. Relating the microbiology to other Earth habitats, we find that, as with human microbiota, built environment microbiota also align naturally along an axis of industrialization, with the ISS providing an extreme example of an industrialized environment. We demonstrate the utility of culture-independent sequencing for microbial risk monitoring, especially as the location of sequencing moves to space. The resulting resource of chemistry and microbiology in the space-built environment will guide long-term efforts to maintain human health in space for longer durations.
175. Rift Valley fever virus coordinates the assembly of a programmable E3 ligase to promote viral replication.
作者: Huiling Li.;Yulan Zhang.;Guibo Rao.;Chongtao Zhang.;Zhenqiong Guan.;Ziyan Huang.;Shufen Li.;Pierre-Yves Lozach.;Sheng Cao.;Ke Peng.
来源: Cell. 2025年188卷6期1743页 176. A nucleosome switch primes hepatitis B virus infection.
作者: Nicholas A Prescott.;Tracy Biaco.;Andrés Mansisidor.;Yaron Bram.;Justin Rendleman.;Sarah C Faulkner.;Abigail A Lemmon.;Christine Lim.;Rachel Tiersky.;Eralda Salataj.;Liliana Garcia-Martinez.;Rodrigo L Borges.;Lluis Morey.;Pierre-Jacques Hamard.;Richard P Koche.;Viviana I Risca.;Robert E Schwartz.;Yael David.
来源: Cell. 2025年188卷8期2111-2126.e21页
Chronic hepatitis B virus (HBV) infection is an incurable pathogen responsible for causing liver disease and hepatocellular carcinoma. During the genesis of infection, HBV establishes an independent minichromosome consisting of the viral covalently closed circular DNA (cccDNA) genome and host histones. The viral X gene must be expressed immediately upon infection to induce degradation of the host silencing factor, the Smc5/6 complex. However, the relationship between cccDNA chromatinization and X gene transcription remains poorly understood. By establishing a reconstituted viral minichromosome platform, we found that nucleosome occupancy in cccDNA regulates X transcription. We corroborated these findings in situ and further showed that the chromatin-destabilizing molecule CBL137 inhibits full-length X transcription and HBV infection in primary human hepatocytes. Our results shed light on a long-standing paradox and represent a potential therapeutic approach for the treatment of chronic HBV infection.
177. Plasmodesmata act as unconventional membrane contact sites regulating intercellular molecular exchange in plants.
作者: Jessica Pérez-Sancho.;Marija Smokvarska.;Gwennogan Dubois.;Marie Glavier.;Sujith Sritharan.;Tatiana S Moraes.;Hortense Moreau.;Victor Dietrich.;Matthieu P Platre.;Andrea Paterlini.;Ziqiang P Li.;Laetitia Fouillen.;Magali S Grison.;Pepe Cana-Quijada.;Françoise Immel.;Valerie Wattelet.;Mathieu Ducros.;Lysiane Brocard.;Clément Chambaud.;Yongming Luo.;Priya Ramakrishna.;Vincent Bayle.;Linnka Lefebvre-Legendre.;Stéphane Claverol.;Matej Zabrady.;Pascal G P Martin.;Wolfgang Busch.;Marie Barberon.;Jens Tilsner.;Yrjö Helariutta.;Eugenia Russinova.;Antoine Taly.;Yvon Jaillais.;Emmanuelle M Bayer.
来源: Cell. 2025年188卷4期958-977.e23页
Membrane contact sites (MCSs) are fundamental for intracellular communication, but their role in intercellular communication remains unexplored. We show that in plants, plasmodesmata communication bridges function as atypical endoplasmic reticulum (ER)-plasma membrane (PM) tubular MCSs, operating at cell-cell interfaces. Similar to other MCSs, ER-PM apposition is controlled by a protein-lipid tethering complex, but uniquely, this serves intercellular communication. Combining high-resolution microscopy, molecular dynamics, and pharmacological and genetic approaches, we show that cell-cell trafficking is modulated through the combined action of multiple C2 domains transmembrane domain proteins (MCTPs) 3, 4, and 6 ER-PM tethers and phosphatidylinositol-4-phosphate (PI4P) lipid. Graded PI4P amounts regulate MCTP docking to the PM, their plasmodesmata localization, and cell-cell permeability. SAC7, an ER-localized PI4P-phosphatase, regulates MCTP4 accumulation at plasmodesmata and modulates cell-cell trafficking capacity in a cell-type-specific manner. Our findings expand MCS functions in information transmission from intracellular to intercellular cellular activities.
178. Advances in the study and treatment of genetic cardiomyopathies.
作者: Victoria N Parikh.;Sharlene M Day.;Neal K Lakdawala.;Eric D Adler.;Iacopo Olivotto.;Christine E Seidman.;Carolyn Y Ho.
来源: Cell. 2025年188卷4期901-918页
Cardiomyopathies are primary disorders of the heart muscle. Three key phenotypes have been defined, based on morphology and arrhythmia burden: hypertrophic cardiomyopathy (HCM), with thickened heart muscle and diastolic dysfunction; dilated cardiomyopathy (DCM), with left ventricular enlargement and systolic dysfunction; and arrhythmogenic cardiomyopathy (ACM), with right, left, or biventricular involvement and arrhythmias out of proportion to systolic dysfunction. Genetic discoveries of the molecular basis of disease are paving the way for greater precision in diagnosis and management and revealing mechanisms that account for distinguishing clinical features. This deeper understanding has propelled the development of new treatments for cardiomyopathies: disease-specific, mechanistically based medicines that counteract pathophysiology, and emergent gene therapies that aim to intercept disease progression and restore cardiac physiology. Together, these discoveries have advanced fundamental insights into cardiac biology and herald a new era for patients with cardiomyopathy.
179. Cellular responses to RNA damage.
RNA plays a central role in protein biosynthesis and performs diverse regulatory and catalytic functions, making it essential for all processes of life. Like DNA, RNA is constantly subjected to damage from endogenous and environmental sources. However, while the DNA damage response has been extensively studied, it was long assumed that RNA lesions are relatively inconsequential due to the transient nature of most RNA molecules. Here, we review recent studies that challenge this view by revealing complex RNA damage responses that determine survival when cells are exposed to nucleic acid-damaging agents and promote the resolution of RNA lesions.
180. Solute carriers: The gatekeepers of metabolism.
Solute carrier (SLC) proteins play critical roles in maintaining cellular and organismal homeostasis by transporting small molecules and ions. Despite a growing body of research over the past decade, physiological substrates and functions of many SLCs remain elusive. This perspective outlines key challenges in studying SLC biology and proposes an evidence-based framework for defining SLC substrates. To accelerate the deorphanization process, we explore systematic technologies, including human genetics, biochemistry, and computational and structural approaches. Finally, we suggest directions to better understand SLC functions beyond substrate identification in physiology and disease.
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