Downregulating human leucocyte antigens on mesenchymal stromal cells by epigenetically repressing a β2-microglobulin super-enhancer

Immune rejection caused by mismatches in human leucocyte antigens (HLAs) remains a major obstacle to the success of allogeneic cell therapies. Current strategies for the generation of ‘universal’ immune-compatible cells, particularly the editing of HLA class I (HLA-I) genes or the modulation of prot...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Nature biomedical engineering 2024-12, Vol.8 (12), p.1682-1699
Hauptverfasser: Wang, Fei, Li, Ran, Xu, Jing Yi, Bai, Xiaoxia, Wang, Ying, Chen, Xu Ri, Pan, Chen, Chen, Shen, Zhou, Ke, Heng, Boon Chin, Wu, Xuewei, Guo, Wei, Song, Zhe, Jin, Shu Cheng, Zhou, Jing, Zou, Xiao Hui, Ouyang, Hong Wei, Liu, Hua
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1699
container_issue 12
container_start_page 1682
container_title Nature biomedical engineering
container_volume 8
creator Wang, Fei
Li, Ran
Xu, Jing Yi
Bai, Xiaoxia
Wang, Ying
Chen, Xu Ri
Pan, Chen
Chen, Shen
Zhou, Ke
Heng, Boon Chin
Wu, Xuewei
Guo, Wei
Song, Zhe
Jin, Shu Cheng
Zhou, Jing
Zou, Xiao Hui
Ouyang, Hong Wei
Liu, Hua
description Immune rejection caused by mismatches in human leucocyte antigens (HLAs) remains a major obstacle to the success of allogeneic cell therapies. Current strategies for the generation of ‘universal’ immune-compatible cells, particularly the editing of HLA class I (HLA-I) genes or the modulation of proteins that inhibit natural killer cells, often result in genomic instability or cellular cytotoxicity. Here we show that a β 2 -microglobulin super-enhancer (B2M-SE) that is responsive to interferon-γ is a critical regulator of the expression of HLA-I on mesenchymal stromal cells (MSCs). Targeted epigenetic repression of B2M-SE in MSCs reduced the surface expression of HLA-I below the threshold required to activate allogenic T cells while maintaining levels sufficient to evade cytotoxicity mediated by natural killer cells. In a humanized mouse model, the epigenetically edited MSCs demonstrated improved survival by evading the immune system, allowing them to exert enhanced therapeutic effects on LPS-induced acute lung injury. Targeted epigenetic repression of B2M-SE may facilitate the development of off-the-shelf cell sources for allogeneic cell therapy. The targeted epigenetic repression of a β 2 -microglobulin super-enhancer downregulates the expression of human leucocyte antigens on mesenchymal stromal cells, making the cells suitable for allogeneic cell therapy.
doi_str_mv 10.1038/s41551-024-01264-w
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3119192078</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3119192078</sourcerecordid><originalsourceid>FETCH-LOGICAL-c233t-e1a2e426e35d658ab2ba908587ef072b1fa8f41b50bd2a549a39fa3fea7fa36b3</originalsourceid><addsrcrecordid>eNp9kc1q3TAUhE1oISHJC3Ql6KYbtfq1rWVJ-geBbBLoThw7x74OsuRINhfv80R5kDxT5d5AQxdZzVl8M5xhiuIDZ585k_WXpLjWnDKhKOOiVHR_VJwIritaq_L3u1f3cXGe0j1jjBupTKVPisfLsPcR-8XBPPie7JYRPHG4tKFdZyTg56FHn0jwZMSEvt2tIziS5hg2bdG5RJqV4LRxOA8tOLeSiFPElLZIIM9Pgo5DG0PvQrO4wZO0TBgp-h34FuNZ8b4Dl_D8RU-L2-_fbi5-0qvrH78uvl7RVkg5U-QgUIkSpb4rdQ2NaMCwWtcVdqwSDe-g7hRvNGvuBGhlQJoOZIdQZSkbeVp8OuROMTwsmGY7DmlrAB7Dkqzk3HAjWFVn9ON_6H1Yos_fZUrVhpXayEyJA5W7pRSxs1McRoir5cxu29jDNjZvY_9uY_fZJA-mlGHfY_wX_YbrD4p9lsM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3148906593</pqid></control><display><type>article</type><title>Downregulating human leucocyte antigens on mesenchymal stromal cells by epigenetically repressing a β2-microglobulin super-enhancer</title><source>Nature</source><source>Springer Nature - Complete Springer Journals</source><creator>Wang, Fei ; Li, Ran ; Xu, Jing Yi ; Bai, Xiaoxia ; Wang, Ying ; Chen, Xu Ri ; Pan, Chen ; Chen, Shen ; Zhou, Ke ; Heng, Boon Chin ; Wu, Xuewei ; Guo, Wei ; Song, Zhe ; Jin, Shu Cheng ; Zhou, Jing ; Zou, Xiao Hui ; Ouyang, Hong Wei ; Liu, Hua</creator><creatorcontrib>Wang, Fei ; Li, Ran ; Xu, Jing Yi ; Bai, Xiaoxia ; Wang, Ying ; Chen, Xu Ri ; Pan, Chen ; Chen, Shen ; Zhou, Ke ; Heng, Boon Chin ; Wu, Xuewei ; Guo, Wei ; Song, Zhe ; Jin, Shu Cheng ; Zhou, Jing ; Zou, Xiao Hui ; Ouyang, Hong Wei ; Liu, Hua</creatorcontrib><description>Immune rejection caused by mismatches in human leucocyte antigens (HLAs) remains a major obstacle to the success of allogeneic cell therapies. Current strategies for the generation of ‘universal’ immune-compatible cells, particularly the editing of HLA class I (HLA-I) genes or the modulation of proteins that inhibit natural killer cells, often result in genomic instability or cellular cytotoxicity. Here we show that a β 2 -microglobulin super-enhancer (B2M-SE) that is responsive to interferon-γ is a critical regulator of the expression of HLA-I on mesenchymal stromal cells (MSCs). Targeted epigenetic repression of B2M-SE in MSCs reduced the surface expression of HLA-I below the threshold required to activate allogenic T cells while maintaining levels sufficient to evade cytotoxicity mediated by natural killer cells. In a humanized mouse model, the epigenetically edited MSCs demonstrated improved survival by evading the immune system, allowing them to exert enhanced therapeutic effects on LPS-induced acute lung injury. Targeted epigenetic repression of B2M-SE may facilitate the development of off-the-shelf cell sources for allogeneic cell therapy. The targeted epigenetic repression of a β 2 -microglobulin super-enhancer downregulates the expression of human leucocyte antigens on mesenchymal stromal cells, making the cells suitable for allogeneic cell therapy.</description><identifier>ISSN: 2157-846X</identifier><identifier>EISSN: 2157-846X</identifier><identifier>DOI: 10.1038/s41551-024-01264-w</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>13/100 ; 13/105 ; 13/107 ; 13/31 ; 13/51 ; 13/89 ; 14/1 ; 14/19 ; 14/5 ; 14/63 ; 38/23 ; 38/39 ; 38/77 ; 38/91 ; 42/109 ; 42/41 ; 45/41 ; 631/1647/1511 ; 631/532/2074 ; 631/61/2320 ; 64/60 ; Antigens ; Biocompatibility ; Biomedical and Life Sciences ; Biomedical Engineering/Biotechnology ; Biomedicine ; Cell survival ; Cell therapy ; Cytotoxicity ; Epigenetics ; Genomic instability ; Histocompatibility antigen HLA ; Immune system ; Leukocytes ; Lymphocytes ; Lymphocytes T ; Mesenchymal stem cells ; Natural killer cells ; Stromal cells ; Toxicity ; β2 Microglobulin ; γ-Interferon</subject><ispartof>Nature biomedical engineering, 2024-12, Vol.8 (12), p.1682-1699</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2024 Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>Copyright Nature Publishing Group Dec 2024</rights><rights>2024. The Author(s), under exclusive licence to Springer Nature Limited.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c233t-e1a2e426e35d658ab2ba908587ef072b1fa8f41b50bd2a549a39fa3fea7fa36b3</cites><orcidid>0000-0002-0922-4209 ; 0000-0002-2226-2613 ; 0000-0001-9563-0301 ; 0000-0001-6712-3468 ; 0000-0001-7729-1246</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41551-024-01264-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41551-024-01264-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids></links><search><creatorcontrib>Wang, Fei</creatorcontrib><creatorcontrib>Li, Ran</creatorcontrib><creatorcontrib>Xu, Jing Yi</creatorcontrib><creatorcontrib>Bai, Xiaoxia</creatorcontrib><creatorcontrib>Wang, Ying</creatorcontrib><creatorcontrib>Chen, Xu Ri</creatorcontrib><creatorcontrib>Pan, Chen</creatorcontrib><creatorcontrib>Chen, Shen</creatorcontrib><creatorcontrib>Zhou, Ke</creatorcontrib><creatorcontrib>Heng, Boon Chin</creatorcontrib><creatorcontrib>Wu, Xuewei</creatorcontrib><creatorcontrib>Guo, Wei</creatorcontrib><creatorcontrib>Song, Zhe</creatorcontrib><creatorcontrib>Jin, Shu Cheng</creatorcontrib><creatorcontrib>Zhou, Jing</creatorcontrib><creatorcontrib>Zou, Xiao Hui</creatorcontrib><creatorcontrib>Ouyang, Hong Wei</creatorcontrib><creatorcontrib>Liu, Hua</creatorcontrib><title>Downregulating human leucocyte antigens on mesenchymal stromal cells by epigenetically repressing a β2-microglobulin super-enhancer</title><title>Nature biomedical engineering</title><addtitle>Nat. Biomed. Eng</addtitle><description>Immune rejection caused by mismatches in human leucocyte antigens (HLAs) remains a major obstacle to the success of allogeneic cell therapies. Current strategies for the generation of ‘universal’ immune-compatible cells, particularly the editing of HLA class I (HLA-I) genes or the modulation of proteins that inhibit natural killer cells, often result in genomic instability or cellular cytotoxicity. Here we show that a β 2 -microglobulin super-enhancer (B2M-SE) that is responsive to interferon-γ is a critical regulator of the expression of HLA-I on mesenchymal stromal cells (MSCs). Targeted epigenetic repression of B2M-SE in MSCs reduced the surface expression of HLA-I below the threshold required to activate allogenic T cells while maintaining levels sufficient to evade cytotoxicity mediated by natural killer cells. In a humanized mouse model, the epigenetically edited MSCs demonstrated improved survival by evading the immune system, allowing them to exert enhanced therapeutic effects on LPS-induced acute lung injury. Targeted epigenetic repression of B2M-SE may facilitate the development of off-the-shelf cell sources for allogeneic cell therapy. The targeted epigenetic repression of a β 2 -microglobulin super-enhancer downregulates the expression of human leucocyte antigens on mesenchymal stromal cells, making the cells suitable for allogeneic cell therapy.</description><subject>13/100</subject><subject>13/105</subject><subject>13/107</subject><subject>13/31</subject><subject>13/51</subject><subject>13/89</subject><subject>14/1</subject><subject>14/19</subject><subject>14/5</subject><subject>14/63</subject><subject>38/23</subject><subject>38/39</subject><subject>38/77</subject><subject>38/91</subject><subject>42/109</subject><subject>42/41</subject><subject>45/41</subject><subject>631/1647/1511</subject><subject>631/532/2074</subject><subject>631/61/2320</subject><subject>64/60</subject><subject>Antigens</subject><subject>Biocompatibility</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedical Engineering/Biotechnology</subject><subject>Biomedicine</subject><subject>Cell survival</subject><subject>Cell therapy</subject><subject>Cytotoxicity</subject><subject>Epigenetics</subject><subject>Genomic instability</subject><subject>Histocompatibility antigen HLA</subject><subject>Immune system</subject><subject>Leukocytes</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Mesenchymal stem cells</subject><subject>Natural killer cells</subject><subject>Stromal cells</subject><subject>Toxicity</subject><subject>β2 Microglobulin</subject><subject>γ-Interferon</subject><issn>2157-846X</issn><issn>2157-846X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kc1q3TAUhE1oISHJC3Ql6KYbtfq1rWVJ-geBbBLoThw7x74OsuRINhfv80R5kDxT5d5AQxdZzVl8M5xhiuIDZ585k_WXpLjWnDKhKOOiVHR_VJwIritaq_L3u1f3cXGe0j1jjBupTKVPisfLsPcR-8XBPPie7JYRPHG4tKFdZyTg56FHn0jwZMSEvt2tIziS5hg2bdG5RJqV4LRxOA8tOLeSiFPElLZIIM9Pgo5DG0PvQrO4wZO0TBgp-h34FuNZ8b4Dl_D8RU-L2-_fbi5-0qvrH78uvl7RVkg5U-QgUIkSpb4rdQ2NaMCwWtcVdqwSDe-g7hRvNGvuBGhlQJoOZIdQZSkbeVp8OuROMTwsmGY7DmlrAB7Dkqzk3HAjWFVn9ON_6H1Yos_fZUrVhpXayEyJA5W7pRSxs1McRoir5cxu29jDNjZvY_9uY_fZJA-mlGHfY_wX_YbrD4p9lsM</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Wang, Fei</creator><creator>Li, Ran</creator><creator>Xu, Jing Yi</creator><creator>Bai, Xiaoxia</creator><creator>Wang, Ying</creator><creator>Chen, Xu Ri</creator><creator>Pan, Chen</creator><creator>Chen, Shen</creator><creator>Zhou, Ke</creator><creator>Heng, Boon Chin</creator><creator>Wu, Xuewei</creator><creator>Guo, Wei</creator><creator>Song, Zhe</creator><creator>Jin, Shu Cheng</creator><creator>Zhou, Jing</creator><creator>Zou, Xiao Hui</creator><creator>Ouyang, Hong Wei</creator><creator>Liu, Hua</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0922-4209</orcidid><orcidid>https://orcid.org/0000-0002-2226-2613</orcidid><orcidid>https://orcid.org/0000-0001-9563-0301</orcidid><orcidid>https://orcid.org/0000-0001-6712-3468</orcidid><orcidid>https://orcid.org/0000-0001-7729-1246</orcidid></search><sort><creationdate>20241201</creationdate><title>Downregulating human leucocyte antigens on mesenchymal stromal cells by epigenetically repressing a β2-microglobulin super-enhancer</title><author>Wang, Fei ; Li, Ran ; Xu, Jing Yi ; Bai, Xiaoxia ; Wang, Ying ; Chen, Xu Ri ; Pan, Chen ; Chen, Shen ; Zhou, Ke ; Heng, Boon Chin ; Wu, Xuewei ; Guo, Wei ; Song, Zhe ; Jin, Shu Cheng ; Zhou, Jing ; Zou, Xiao Hui ; Ouyang, Hong Wei ; Liu, Hua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c233t-e1a2e426e35d658ab2ba908587ef072b1fa8f41b50bd2a549a39fa3fea7fa36b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>13/100</topic><topic>13/105</topic><topic>13/107</topic><topic>13/31</topic><topic>13/51</topic><topic>13/89</topic><topic>14/1</topic><topic>14/19</topic><topic>14/5</topic><topic>14/63</topic><topic>38/23</topic><topic>38/39</topic><topic>38/77</topic><topic>38/91</topic><topic>42/109</topic><topic>42/41</topic><topic>45/41</topic><topic>631/1647/1511</topic><topic>631/532/2074</topic><topic>631/61/2320</topic><topic>64/60</topic><topic>Antigens</topic><topic>Biocompatibility</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedical Engineering/Biotechnology</topic><topic>Biomedicine</topic><topic>Cell survival</topic><topic>Cell therapy</topic><topic>Cytotoxicity</topic><topic>Epigenetics</topic><topic>Genomic instability</topic><topic>Histocompatibility antigen HLA</topic><topic>Immune system</topic><topic>Leukocytes</topic><topic>Lymphocytes</topic><topic>Lymphocytes T</topic><topic>Mesenchymal stem cells</topic><topic>Natural killer cells</topic><topic>Stromal cells</topic><topic>Toxicity</topic><topic>β2 Microglobulin</topic><topic>γ-Interferon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Fei</creatorcontrib><creatorcontrib>Li, Ran</creatorcontrib><creatorcontrib>Xu, Jing Yi</creatorcontrib><creatorcontrib>Bai, Xiaoxia</creatorcontrib><creatorcontrib>Wang, Ying</creatorcontrib><creatorcontrib>Chen, Xu Ri</creatorcontrib><creatorcontrib>Pan, Chen</creatorcontrib><creatorcontrib>Chen, Shen</creatorcontrib><creatorcontrib>Zhou, Ke</creatorcontrib><creatorcontrib>Heng, Boon Chin</creatorcontrib><creatorcontrib>Wu, Xuewei</creatorcontrib><creatorcontrib>Guo, Wei</creatorcontrib><creatorcontrib>Song, Zhe</creatorcontrib><creatorcontrib>Jin, Shu Cheng</creatorcontrib><creatorcontrib>Zhou, Jing</creatorcontrib><creatorcontrib>Zou, Xiao Hui</creatorcontrib><creatorcontrib>Ouyang, Hong Wei</creatorcontrib><creatorcontrib>Liu, Hua</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nature biomedical engineering</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Fei</au><au>Li, Ran</au><au>Xu, Jing Yi</au><au>Bai, Xiaoxia</au><au>Wang, Ying</au><au>Chen, Xu Ri</au><au>Pan, Chen</au><au>Chen, Shen</au><au>Zhou, Ke</au><au>Heng, Boon Chin</au><au>Wu, Xuewei</au><au>Guo, Wei</au><au>Song, Zhe</au><au>Jin, Shu Cheng</au><au>Zhou, Jing</au><au>Zou, Xiao Hui</au><au>Ouyang, Hong Wei</au><au>Liu, Hua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Downregulating human leucocyte antigens on mesenchymal stromal cells by epigenetically repressing a β2-microglobulin super-enhancer</atitle><jtitle>Nature biomedical engineering</jtitle><stitle>Nat. Biomed. Eng</stitle><date>2024-12-01</date><risdate>2024</risdate><volume>8</volume><issue>12</issue><spage>1682</spage><epage>1699</epage><pages>1682-1699</pages><issn>2157-846X</issn><eissn>2157-846X</eissn><abstract>Immune rejection caused by mismatches in human leucocyte antigens (HLAs) remains a major obstacle to the success of allogeneic cell therapies. Current strategies for the generation of ‘universal’ immune-compatible cells, particularly the editing of HLA class I (HLA-I) genes or the modulation of proteins that inhibit natural killer cells, often result in genomic instability or cellular cytotoxicity. Here we show that a β 2 -microglobulin super-enhancer (B2M-SE) that is responsive to interferon-γ is a critical regulator of the expression of HLA-I on mesenchymal stromal cells (MSCs). Targeted epigenetic repression of B2M-SE in MSCs reduced the surface expression of HLA-I below the threshold required to activate allogenic T cells while maintaining levels sufficient to evade cytotoxicity mediated by natural killer cells. In a humanized mouse model, the epigenetically edited MSCs demonstrated improved survival by evading the immune system, allowing them to exert enhanced therapeutic effects on LPS-induced acute lung injury. Targeted epigenetic repression of B2M-SE may facilitate the development of off-the-shelf cell sources for allogeneic cell therapy. The targeted epigenetic repression of a β 2 -microglobulin super-enhancer downregulates the expression of human leucocyte antigens on mesenchymal stromal cells, making the cells suitable for allogeneic cell therapy.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><doi>10.1038/s41551-024-01264-w</doi><tpages>18</tpages><orcidid>https://orcid.org/0000-0002-0922-4209</orcidid><orcidid>https://orcid.org/0000-0002-2226-2613</orcidid><orcidid>https://orcid.org/0000-0001-9563-0301</orcidid><orcidid>https://orcid.org/0000-0001-6712-3468</orcidid><orcidid>https://orcid.org/0000-0001-7729-1246</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 2157-846X
ispartof Nature biomedical engineering, 2024-12, Vol.8 (12), p.1682-1699
issn 2157-846X
2157-846X
language eng
recordid cdi_proquest_miscellaneous_3119192078
source Nature; Springer Nature - Complete Springer Journals
subjects 13/100
13/105
13/107
13/31
13/51
13/89
14/1
14/19
14/5
14/63
38/23
38/39
38/77
38/91
42/109
42/41
45/41
631/1647/1511
631/532/2074
631/61/2320
64/60
Antigens
Biocompatibility
Biomedical and Life Sciences
Biomedical Engineering/Biotechnology
Biomedicine
Cell survival
Cell therapy
Cytotoxicity
Epigenetics
Genomic instability
Histocompatibility antigen HLA
Immune system
Leukocytes
Lymphocytes
Lymphocytes T
Mesenchymal stem cells
Natural killer cells
Stromal cells
Toxicity
β2 Microglobulin
γ-Interferon
title Downregulating human leucocyte antigens on mesenchymal stromal cells by epigenetically repressing a β2-microglobulin super-enhancer
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T11%3A36%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Downregulating%20human%20leucocyte%20antigens%20on%20mesenchymal%20stromal%20cells%20by%20epigenetically%20repressing%20a%20%CE%B22-microglobulin%20super-enhancer&rft.jtitle=Nature%20biomedical%20engineering&rft.au=Wang,%20Fei&rft.date=2024-12-01&rft.volume=8&rft.issue=12&rft.spage=1682&rft.epage=1699&rft.pages=1682-1699&rft.issn=2157-846X&rft.eissn=2157-846X&rft_id=info:doi/10.1038/s41551-024-01264-w&rft_dat=%3Cproquest_cross%3E3119192078%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3148906593&rft_id=info:pmid/&rfr_iscdi=true