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News Round Up

On the gut-brain connection: Coverage by The New Yorker on "Neuroepithelial circuit formed by innervation of sensory enteroendocrine cells."

Potential Alzheimer's breakthrough: Coverage by Wave 3 News  on "Prostaglandin signaling suppresses beneficial microglial function in Alzheimer’s disease models."

New drug therapy for prevalent childhood cancer: Coverage by GEN on  "Recombinant human CD19L-sTRAIL effectively targets B cell precursor acute lymphoblastic leukemia."

Hunger hormones in infancy linked to adult obesity: Coverage by Inquisitir on "Neonatal ghrelin programs development of hypothalamic feeding circuits."

Laying a foundation for treating ALS, spinal cord injury: Coverage by University of Wisconsin-Madison News and Milwaukee-Wisconsin Journal Sentinel  on "Human-derived neural progenitors functionally replace astrocytes in adult mice."

New potential drug target for lung cancer: Coverage by HealthCanal  and Lung Cancer News Today  on "Pyruvate carboxylase is critical for non–small-cell lung cancer proliferation."

Scoliosis In Families Stems From One Gene Variation: Coverage by Medical Daily  on  "Functional variants of POC5 identified in patients with idiopathic scoliosis."

Greater potential risk for smokers with gene mutation:  Coverage by Science 2.0  on "Telomerase mutations in smokers with severe emphysema."

New insights into treating hypothyroidism: Coverage by Health Canal on "Differences in hypothalamic type 2 deiodinase ubiquitination explain localized sensitivity to thyroxine 8."

Groundbreaking study on treating blood cancers: Coverage by Cleveland Clinic  on "Clinical development of demethylating agents in hematology."

Published February 9, 2015, by Andy Koopmans

In the News

Related articles

Neuroepithelial circuit formed by innervation of sensory enteroendocrine cells
Diego V. Bohórquez, … , Fan Wang, Rodger A. Liddle
Diego V. Bohórquez, … , Fan Wang, Rodger A. Liddle
Published January 2, 2015
Citation Information: J Clin Invest. 2015;125(2):782-786. https://doi.org/10.1172/JCI78361.
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Brief Report Gastroenterology Article has an altmetric score of 197

Neuroepithelial circuit formed by innervation of sensory enteroendocrine cells

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Abstract

Satiety and other core physiological functions are modulated by sensory signals arising from the surface of the gut. Luminal nutrients and bacteria stimulate epithelial biosensors called enteroendocrine cells. Despite being electrically excitable, enteroendocrine cells are generally thought to communicate indirectly with nerves through hormone secretion and not through direct cell-nerve contact. However, we recently uncovered in intestinal enteroendocrine cells a cytoplasmic process that we named neuropod. Here, we determined that neuropods provide a direct connection between enteroendocrine cells and neurons innervating the small intestine and colon. Using cell-specific transgenic mice to study neural circuits, we found that enteroendocrine cells have the necessary elements for neurotransmission, including expression of genes that encode pre-, post-, and transsynaptic proteins. This neuroepithelial circuit was reconstituted in vitro by coculturing single enteroendocrine cells with sensory neurons. We used a monosynaptic rabies virus to define the circuit’s functional connectivity in vivo and determined that delivery of this neurotropic virus into the colon lumen resulted in the infection of mucosal nerves through enteroendocrine cells. This neuroepithelial circuit can serve as both a sensory conduit for food and gut microbes to interact with the nervous system and a portal for viruses to enter the enteric and central nervous systems.

Authors

Diego V. Bohórquez, Rafiq A. Shahid, Alan Erdmann, Alex M. Kreger, Yu Wang, Nicole Calakos, Fan Wang, Rodger A. Liddle

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Prostaglandin signaling suppresses beneficial microglial function in Alzheimer’s disease models
Jenny U. Johansson, … , Taylor Loui, Katrin I. Andreasson
Jenny U. Johansson, … , Taylor Loui, Katrin I. Andreasson
Published December 8, 2014
Citation Information: J Clin Invest. 2015;125(1):350-364. https://doi.org/10.1172/JCI77487.
View: Text | PDF
Research Article Neuroscience Article has an altmetric score of 108

Prostaglandin signaling suppresses beneficial microglial function in Alzheimer’s disease models

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Abstract

Microglia, the innate immune cells of the CNS, perform critical inflammatory and noninflammatory functions that maintain normal neural function. For example, microglia clear misfolded proteins, elaborate trophic factors, and regulate and terminate toxic inflammation. In Alzheimer’s disease (AD), however, beneficial microglial functions become impaired, accelerating synaptic and neuronal loss. Better understanding of the molecular mechanisms that contribute to microglial dysfunction is an important objective for identifying potential strategies to delay progression to AD. The inflammatory cyclooxygenase/prostaglandin E2 (COX/PGE2) pathway has been implicated in preclinical AD development, both in human epidemiology studies and in transgenic rodent models of AD. Here, we evaluated murine models that recapitulate microglial responses to Aβ peptides and determined that microglia-specific deletion of the gene encoding the PGE2 receptor EP2 restores microglial chemotaxis and Aβ clearance, suppresses toxic inflammation, increases cytoprotective insulin-like growth factor 1 (IGF1) signaling, and prevents synaptic injury and memory deficits. Our findings indicate that EP2 signaling suppresses beneficial microglia functions that falter during AD development and suggest that inhibition of the COX/PGE2/EP2 immune pathway has potential as a strategy to restore healthy microglial function and prevent progression to AD.

Authors

Jenny U. Johansson, Nathaniel S. Woodling, Qian Wang, Maharshi Panchal, Xibin Liang, Angel Trueba-Saiz, Holden D. Brown, Siddhita D. Mhatre, Taylor Loui, Katrin I. Andreasson

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Recombinant human CD19L-sTRAIL effectively targets B cell precursor acute lymphoblastic leukemia
Fatih M. Uckun, … , Osmond J. D’Cruz, Hong Ma
Fatih M. Uckun, … , Osmond J. D’Cruz, Hong Ma
Published January 26, 2015
Citation Information: J Clin Invest. 2015;125(3):1006-1018. https://doi.org/10.1172/JCI76610.
View: Text | PDF
Research Article Oncology Article has an altmetric score of 77

Recombinant human CD19L-sTRAIL effectively targets B cell precursor acute lymphoblastic leukemia

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Abstract

Patients with B cell precursor acute lymphoblastic leukemia (BPL) respond well to chemotherapy at initial diagnosis; however, therapeutic options are limited for individuals with BPL who relapse. Almost all BPL cells express CD19, and we recently cloned the gene encoding a natural ligand of the human CD19 receptor (CD19L). We hypothesized that fusion of CD19L to the soluble extracellular domain of proapoptotic TNF-related apoptosis-inducing ligand (sTRAIL) would markedly enhance the potency of sTRAIL and specifically induce BPL cell apoptosis due to membrane anchoring of sTRAIL and simultaneous activation of the CD19 and TRAIL receptor (TRAIL-R) apoptosis signaling pathways. Here, we demonstrate that recombinant human CD19L-sTRAIL was substantially more potent than sTRAIL and induced apoptosis in primary leukemia cells taken directly from BPL patients. CD19L-sTRAIL effectively targeted and eliminated in vivo clonogenic BPL xenograft cells, even at femtomolar-picomolar concentrations. In mice, CD19L-sTRAIL exhibited a more favorable pharmacokinetic (PK) profile than sTRAIL and was nontoxic at doses ranging from 32 fmol/kg to 3.2 pmol/kg. CD19L-sTRAIL showed potent in vivo antileukemic activity in NOD/SCID mouse xenograft models of relapsed and chemotherapy-resistant BPL at nontoxic fmol/kg dose levels. Together, these results suggest that recombinant human CD19L-sTRAIL has clinical potential as a biotherapeutic agent against BPL.

Authors

Fatih M. Uckun, Dorothea E. Myers, Sanjive Qazi, Zahide Ozer, Rebecca Rose, Osmond J. D’Cruz, Hong Ma

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Neonatal ghrelin programs development of hypothalamic feeding circuits
Sophie M. Steculorum, … , Sven Klussmann, Sebastien G. Bouret
Sophie M. Steculorum, … , Sven Klussmann, Sebastien G. Bouret
Published January 20, 2015
Citation Information: J Clin Invest. 2015;125(2):846-858. https://doi.org/10.1172/JCI73688.
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Research Article Article has an altmetric score of 72

Neonatal ghrelin programs development of hypothalamic feeding circuits

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Abstract

A complex neural network regulates body weight and energy balance, and dysfunction in the communication between the gut and this neural network is associated with metabolic diseases, such as obesity. The stomach-derived hormone ghrelin stimulates appetite through interactions with neurons in the arcuate nucleus of the hypothalamus (ARH). Here, we evaluated the physiological and neurobiological contribution of ghrelin during development by specifically blocking ghrelin action during early postnatal development in mice. Ghrelin blockade in neonatal mice resulted in enhanced ARH neural projections and long-term metabolic effects, including increased body weight, visceral fat, and blood glucose levels and decreased leptin sensitivity. In addition, chronic administration of ghrelin during postnatal life impaired the normal development of ARH projections and caused metabolic dysfunction. Consistent with these observations, direct exposure of postnatal ARH neuronal explants to ghrelin blunted axonal growth and blocked the neurotrophic effect of the adipocyte-derived hormone leptin. Moreover, chronic ghrelin exposure in neonatal mice also attenuated leptin-induced STAT3 signaling in ARH neurons. Collectively, these data reveal that ghrelin plays an inhibitory role in the development of hypothalamic neural circuits and suggest that proper expression of ghrelin during neonatal life is pivotal for lifelong metabolic regulation.

Authors

Sophie M. Steculorum, Gustav Collden, Berengere Coupe, Sophie Croizier, Sarah Lockie, Zane B. Andrews, Florian Jarosch, Sven Klussmann, Sebastien G. Bouret

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Human-derived neural progenitors functionally replace astrocytes in adult mice
Hong Chen, … , Melvin Ayala, Su-Chun Zhang
Hong Chen, … , Melvin Ayala, Su-Chun Zhang
Published February 2, 2015
Citation Information: J Clin Invest. 2015;125(3):1033-1042. https://doi.org/10.1172/JCI69097.
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Technical Advance Neuroscience Article has an altmetric score of 11

Human-derived neural progenitors functionally replace astrocytes in adult mice

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Abstract

Astrocytes are integral components of the homeostatic neural network as well as active participants in pathogenesis of and recovery from nearly all neurological conditions. Evolutionarily, compared with lower vertebrates and nonhuman primates, humans have an increased astrocyte-to-neuron ratio; however, a lack of effective models has hindered the study of the complex roles of human astrocytes in intact adult animals. Here, we demonstrated that after transplantation into the cervical spinal cords of adult mice with severe combined immunodeficiency (SCID), human pluripotent stem cell–derived (PSC-derived) neural progenitors migrate a long distance and differentiate to astrocytes that nearly replace their mouse counterparts over a 9-month period. The human PSC-derived astrocytes formed networks through their processes, encircled endogenous neurons, and extended end feet that wrapped around blood vessels without altering locomotion behaviors, suggesting structural, and potentially functional, integration into the adult mouse spinal cord. Furthermore, in SCID mice transplanted with neural progenitors derived from induced PSCs from patients with ALS, astrocytes were generated and distributed to a similar degree as that seen in mice transplanted with healthy progenitors; however, these mice exhibited motor deficit, highlighting functional integration of the human-derived astrocytes. Together, these results indicate that this chimeric animal model has potential for further investigating the roles of human astrocytes in disease pathogenesis and repair.

Authors

Hong Chen, Kun Qian, Wei Chen, Baoyang Hu, Lisle W. Blackbourn IV, Zhongwei Du, Lixiang Ma, Huisheng Liu, Karla M. Knobel, Melvin Ayala, Su-Chun Zhang

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Pyruvate carboxylase is critical for non–small-cell lung cancer proliferation
Katherine Sellers, … , Andrew N. Lane, Teresa W.-M. Fan
Katherine Sellers, … , Andrew N. Lane, Teresa W.-M. Fan
Published January 20, 2015
Citation Information: J Clin Invest. 2015;125(2):687-698. https://doi.org/10.1172/JCI72873.
View: Text | PDF
Research Article Article has an altmetric score of 80

Pyruvate carboxylase is critical for non–small-cell lung cancer proliferation

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Abstract

Anabolic biosynthesis requires precursors supplied by the Krebs cycle, which in turn requires anaplerosis to replenish precursor intermediates. The major anaplerotic sources are pyruvate and glutamine, which require the activity of pyruvate carboxylase (PC) and glutaminase 1 (GLS1), respectively. Due to their rapid proliferation, cancer cells have increased anabolic and energy demands; however, different cancer cell types exhibit differential requirements for PC- and GLS-mediated pathways for anaplerosis and cell proliferation. Here, we infused patients with early-stage non–small-cell lung cancer (NSCLC) with uniformly 13C-labeled glucose before tissue resection and determined that the cancerous tissues in these patients had enhanced PC activity. Freshly resected paired lung tissue slices cultured in 13C6-glucose or 13C5,15N2-glutamine tracers confirmed selective activation of PC over GLS in NSCLC. Compared with noncancerous tissues, PC expression was greatly enhanced in cancerous tissues, whereas GLS1 expression showed no trend. Moreover, immunohistochemical analysis of paired lung tissues showed PC overexpression in cancer cells rather than in stromal cells of tumor tissues. PC knockdown induced multinucleation, decreased cell proliferation and colony formation in human NSCLC cells, and reduced tumor growth in a mouse xenograft model. Growth inhibition was accompanied by perturbed Krebs cycle activity, inhibition of lipid and nucleotide biosynthesis, and altered glutathione homeostasis. These findings indicate that PC-mediated anaplerosis in early-stage NSCLC is required for tumor survival and proliferation.

Authors

Katherine Sellers, Matthew P. Fox, Michael Bousamra II, Stephen P. Slone, Richard M. Higashi, Donald M. Miller, Yali Wang, Jun Yan, Mariia O. Yuneva, Rahul Deshpande, Andrew N. Lane, Teresa W.-M. Fan

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Functional variants of POC5 identified in patients with idiopathic scoliosis
Shunmoogum A. Patten, … , Florina Moldovan, Patrick Edery
Shunmoogum A. Patten, … , Florina Moldovan, Patrick Edery
Published February 2, 2015
Citation Information: J Clin Invest. 2015;125(3):1124-1128. https://doi.org/10.1172/JCI77262.
View: Text | PDF
Brief Report Genetics Article has an altmetric score of 153

Functional variants of POC5 identified in patients with idiopathic scoliosis

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Abstract

Idiopathic scoliosis (IS) is a spine deformity that affects approximately 3% of the population. The underlying causes of IS are not well understood, although there is clear evidence that there is a genetic component to the disease. Genetic mapping studies suggest high genetic heterogeneity, but no IS disease-causing gene has yet been identified. Here, genetic linkage analyses combined with exome sequencing identified a rare missense variant (p.A446T) in the centriolar protein gene POC5 that cosegregated with the disease in a large family with multiple members affected with IS. Subsequently, the p.A446T variant was found in an additional set of families with IS and in an additional 3 cases of IS. Moreover, POC5 variant p.A455P was present and linked to IS in one family and another rare POC5 variant (p.A429V) was identified in an additional 5 cases of IS. In a zebrafish model, expression of any of the 3 human IS-associated POC5 variant mRNAs resulted in spine deformity, without affecting other skeletal structures. Together, these findings indicate that mutations in the POC5 gene contribute to the occurrence of IS.

Authors

Shunmoogum A. Patten, Patricia Margaritte-Jeannin, Jean-Claude Bernard, Eudeline Alix, Audrey Labalme, Alicia Besson, Simon L. Girard, Khaled Fendri, Nicolas Fraisse, Bernard Biot, Coline Poizat, Amandine Campan-Fournier, Kariman Abelin-Genevois, Vincent Cunin, Charlotte Zaouter, Meijiang Liao, Raphaelle Lamy, Gaetan Lesca, Rita Menassa, Charles Marcaillou, Melanie Letexier, Damien Sanlaville, Jerome Berard, Guy A. Rouleau, Françoise Clerget-Darpoux, Pierre Drapeau, Florina Moldovan, Patrick Edery

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Telomerase mutations in smokers with severe emphysema
Susan E. Stanley, … , Kathleen C. Barnes, Mary Armanios
Susan E. Stanley, … , Kathleen C. Barnes, Mary Armanios
Published December 22, 2014
Citation Information: J Clin Invest. 2015;125(2):563-570. https://doi.org/10.1172/JCI78554.
View: Text | PDF
Research Article Pulmonology Article has an altmetric score of 91

Telomerase mutations in smokers with severe emphysema

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Abstract

Mutations in the essential telomerase genes TERT and TR cause familial pulmonary fibrosis; however, in telomerase-null mice, short telomeres predispose to emphysema after chronic cigarette smoke exposure. Here, we tested whether telomerase mutations are a risk factor for human emphysema by examining their frequency in smokers with chronic obstructive pulmonary disease (COPD). Across two independent cohorts, we found 3 of 292 severe COPD cases carried deleterious mutations in TERT (1%). This prevalence is comparable to the frequency of alpha-1 antitrypsin deficiency documented in this population. The TERT mutations compromised telomerase catalytic activity, and mutation carriers had short telomeres. Telomerase mutation carriers with emphysema were predominantly female and had an increased incidence of pneumothorax. In families, emphysema showed an autosomal dominant inheritance pattern, along with pulmonary fibrosis and other telomere syndrome features, but manifested only in smokers. Our findings identify germline mutations in telomerase as a Mendelian risk factor for COPD susceptibility that clusters in autosomal dominant families with telomere-mediated disease including pulmonary fibrosis.

Authors

Susan E. Stanley, Julian J.L. Chen, Joshua D. Podlevsky, Jonathan K. Alder, Nadia N. Hansel, Rasika A. Mathias, Xiaodong Qi, Nicholas M. Rafaels, Robert A. Wise, Edwin K. Silverman, Kathleen C. Barnes, Mary Armanios

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Differences in hypothalamic type 2 deiodinase ubiquitination explain localized sensitivity to thyroxine
Joao Pedro Werneck de Castro, … , Balazs Gereben, Antonio C. Bianco
Joao Pedro Werneck de Castro, … , Balazs Gereben, Antonio C. Bianco
Published January 2, 2015
Citation Information: J Clin Invest. 2015;125(2):769-781. https://doi.org/10.1172/JCI77588.
View: Text | PDF
Research Article Endocrinology Article has an altmetric score of 45

Differences in hypothalamic type 2 deiodinase ubiquitination explain localized sensitivity to thyroxine

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Abstract

The current treatment for patients with hypothyroidism is levothyroxine (L-T4) along with normalization of serum thyroid-stimulating hormone (TSH). However, normalization of serum TSH with L-T4 monotherapy results in relatively low serum 3,5,3′-triiodothyronine (T3) and high serum thyroxine/T3 (T4/T3) ratio. In the hypothalamus-pituitary dyad as well as the rest of the brain, the majority of T3 present is generated locally by T4 deiodination via the type 2 deiodinase (D2); this pathway is self-limited by ubiquitination of D2 by the ubiquitin ligase WSB-1. Here, we determined that tissue-specific differences in D2 ubiquitination account for the high T4/T3 serum ratio in adult thyroidectomized (Tx) rats chronically implanted with subcutaneous L-T4 pellets. While L-T4 administration decreased whole-body D2-dependent T4 conversion to T3, D2 activity in the hypothalamus was only minimally affected by L-T4. In vivo studies in mice harboring an astrocyte-specific Wsb1 deletion as well as in vitro analysis of D2 ubiquitination driven by different tissue extracts indicated that D2 ubiquitination in the hypothalamus is relatively less. As a result, in contrast to other D2-expressing tissues, the hypothalamus is wired to have increased sensitivity to T4. These studies reveal that tissue-specific differences in D2 ubiquitination are an inherent property of the TRH/TSH feedback mechanism and indicate that only constant delivery of L-T4 and L-T3 fully normalizes T3-dependent metabolic markers and gene expression profiles in Tx rats.

Authors

Joao Pedro Werneck de Castro, Tatiana L. Fonseca, Cintia B. Ueta, Elizabeth A. McAninch, Sherine Abdalla, Gabor Wittmann, Ronald M. Lechan, Balazs Gereben, Antonio C. Bianco

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Clinical development of demethylating agents in hematology
Shyamala C. Navada, … , Michael Lübbert, Lewis R. Silverman
Shyamala C. Navada, … , Michael Lübbert, Lewis R. Silverman
Published January 2, 2014
Citation Information: J Clin Invest. 2014;124(1):40-46. https://doi.org/10.1172/JCI69739.
View: Text | PDF
Review Series Article has an altmetric score of 6

Clinical development of demethylating agents in hematology

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Abstract

The term epigenetics refers to the heritable changes in gene expression that are not associated with a change in the actual DNA sequence. Epigenetic dysregulation is linked to the pathogenesis of a number of malignancies and has been studied extensively in myelodysplastic syndromes and acute myeloid leukemia. DNA methylation is frequently altered in cancerous cells and likely results in transcriptional silencing of tumor suppressor genes. Re-expression of these genes by inhibition of the DNA methyltransferases has been successful in the treatment of benign and malignant disease. In this Review, we discuss the clinical development of demethylating agents in hematology, with a focus on azacitidine and decitabine.

Authors

Shyamala C. Navada, Juliane Steinmann, Michael Lübbert, Lewis R. Silverman

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