SPTLC1 Protein (Serine Palmitoyltransferase 1)

protein · SciDEX wiki

Overview

SPTLC1 Protein (Serine Palmitoyltransferase 1)
Protein Name Serine Palmitoyltransferase Long Chain Base Subunit 1
Gene Symbol SPTLC1
Alternative Names SPT1, LCB1, SPT-1
Subunit Type Catalytic subunit
Chromosomal Location 9q22.31
NCBI Gene ID 10578
UniProt ID O15269
Protein Length 473 amino acids
Molecular Weight ~53 kDa
Expression Ubiquitous, highest in brain, liver, kidney
Tissue Expression Level
Brain High
Liver High
Kidney High
Heart Moderate
Lung Moderate
Pancreas Moderate
Skeletal muscle Low
Adipose tissue Moderate
Protein/Entity Interaction Type
SPTLC2 Subunit assembly
SPTLC3 Subunit assembly
SPTLC4 Interaction
ORMDL proteins Regulation
CERT Lipid transport
Pitman network Regulation
HMG-CoA reductase Pathway
CERT Interaction
Associated Diseases Als, Amyotrophic Lateral Sclerosis, Amyotrophic lateral sclerosis, Juvenile amyotrophic lateral sclerosis, Neuropathy
SciDEX Hypotheses APOE-Mediated Synaptic Lipid Raft Stabil...
KG Connections 25 edges

The SPTLC1 gene (Serine Palmitoyltransferase Long Chain Base Subunit 1) encodes the SPTLC1 protein, the catalytic subunit of serine palmitoyltransferase (SPT), the rate-limiting enzyme in de novo sphingolipid biosynthesis. SPT catalyzes the condensation of L-serine with palmitoyl-CoA to form 3-ketosphinganine, the first and committed step in sphingolipid synthesis. SPTLC1 is essential for cellular membrane integrity, lipid raft formation, and signaling transduction. Mutations in SPTLC1 cause hereditary sensory and autonomic neuropathy type 1 (HSAN1), a devastating peripheral neuropathy characterized by sensory loss, ulcerations, and sometimes motor involvement. Additionally, SPTLC1 dysfunction has been implicated in Alzheimer’s disease, Parkinson’s disease, and metabolic disorders.

Introduction

Sphingolipids are essential structural components of eukaryotic cell membranes and serve as critical signaling molecules involved in cell growth, differentiation, apoptosis, and stress responses1Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference. Serine palmitoyltransferase (SPT) catalyzes the first committed step in sphingolipid biosynthesis, making it a key regulatory point for cellular sphingolipid homeostasis2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference. The SPT enzyme is a heterodimer composed of SPTLC1 (catalytic subunit) and SPTLC2 (or SPTLC3), which together form the functional holoenzyme3(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference. SPTLC1 is ubiquitously expressed with highest levels in the brain, liver, and kidney, reflecting the high sphingolipid demand in these tissues4(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference.

This comprehensive analysis covers SPTLC1 structure, enzymatic function, disease associations, therapeutic implications, and current research directions.

Protein Structure and Basic Information

Enzyme Function

Catalytic Mechanism

Serine palmitoyltransferase (SPT) catalyzes the pyridoxal 5’-phosphate (PLP)-dependent condensation reaction1Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference:

  1. Substrate binding: L-serine and palmitoyl-CoA bind to the active site

  2. Condensation: PLP forms a Schiff base with L-serine, facilitating nucleophilic attack on palmitoyl-CoA

  3. Product release: 3-ketosphinganine is released and subsequently reduced to sphinganine

  4. CoA release: CoA is released, completing the catalytic cycle

Subunit Composition

The functional SPT enzyme exists as multiple isoforms3(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference5(2009). Structure and function of human serine palmitoyltransferase. Cell Mol Life Sci 66(20):3241-32612009 · PMID 19657166Open reference:

  • SPTLC1 + SPTLC2: Predominant isoform in most tissues

  • SPTLC1 + SPTLC3: Minor isoform with distinct substrate specificity

  • SPTLC1 + SPTLC2 + SPTLC3: Heterotrimeric complexes in some tissues

Substrate Specificity

SPT exhibits broad substrate specificity2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference5(2009). Structure and function of human serine palmitoyltransferase. Cell Mol Life Sci 66(20):3241-32612009 · PMID 19657166Open reference:

  • CoA thioesters: Palmitoyl-CoA, stearoyl-CoA, myristoyl-CoA

  • Amino acids: L-serine (primary), L-alanine (minor)

  • Alternative substrates: Various synthetic analogs

Physiological Roles

SPTLC1 and SPT play essential roles in cellular physiology2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference02Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference12Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference2:

  1. Sphingolipid synthesis: Rate-limiting step in de novo sphingolipid biosynthesis

  2. Membrane integrity: Provides ceramides for complex sphingolipids

  3. Lipid raft formation: Generates raft-forming sphingolipids

  4. Cell signaling: Produces bioactive sphingolipids (ceramides, S1P)

  5. ER stress response: Involved in unfolded protein response

  6. Apoptosis regulation: Ceramide-mediated cell death pathways

  7. Immune function: Sphingolipid mediators in inflammation

Sphingolipid Metabolism Pathway

The sphingolipid biosynthetic pathway branches from SPT activity2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference32Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference4:

L-serine + Palmitoyl-CoA → 3-ketosphinganine → Sphinganine
                                                    ↓
                                          Sphingosine → Ceramide
                                                    ↓
                              Complex sphingolipids (GSLs, SM)
                                                    ↓
                                          Bioactive metabolites (S1P, C1P)

Expression Pattern

SPTLC1 shows tissue-specific expression patterns2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference52Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference6:

Cellular Localization

SPTLC1 is localized to the endoplasmic reticulum (ER)2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference72Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference8:

  • ER membrane: Integral membrane protein

  • Active site: Lumenal orientation

  • Substrate access: Cytosolic CoA thioesters

Disease Associations

Hereditary Sensory and Autonomic Neuropathy Type 1 (HSAN1)

Mutations in SPTLC1 cause HSAN1, an autosomal dominant peripheral neuropathy2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference93(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference03(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference13(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference2:

  • C133W and C133Y mutations: Most common pathogenic variants

  • D136G, V144M, L239F: Additional pathogenic variants identified

  • Pathogenic mechanism: Gain-of-function causing increased S1P production

  • Onset: Usually in second or third decade

  • Clinical features:

    • Progressive sensory loss (starting in feet)

    • Ulcerations and mutilating deformities

    • Variable motor involvement

    • Reduced pain and temperature sensation

    • Intact motor function initially

  • Inheritance: Autosomal dominant with variable expressivity

  • Prevalence: ~1:500,000 to 1:1,000,000

Alzheimer’s Disease

SPTLC1 dysfunction contributes to Alzheimer’s disease pathogenesis3(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference33(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference43(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference5:

  • Altered sphingolipid metabolism in AD brain

  • Role in amyloid-beta toxicity

  • Ceramide accumulation in neurons

  • Sphingolipid raft disruption

  • Potential therapeutic target

Parkinson’s Disease

SPTLC1 is implicated in PD through3(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference63(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference73(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference8:

  • Dysregulated sphingolipid metabolism in PD brain

  • Role in alpha-synuclein aggregation

  • Mitochondrial dysfunction

  • Ceramide-mediated apoptosis

  • Potential biomarker

Amyotrophic Lateral Sclerosis (ALS)

Emerging evidence links SPTLC1 to ALS3(2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-13412006 · PMID 16729022Open reference9:

  • Altered sphingolipid metabolism in ALS motor neurons

  • Role in ER stress

  • Potential therapeutic target

  • Biomarker potential

Metabolic Disorders

SPTLC1 variants associated with4(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference04(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference1:

  • Type 2 diabetes

  • Metabolic syndrome

  • Fatty liver disease

  • Insulin resistance

Pathogenic Mechanisms

HSAN1 Pathogenesis

Mutant SPTLC1 causes disease through gain-of-function4(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference24(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference34(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference4:

  1. Altered substrate specificity: Mutations change SPT substrate usage

  2. Increased deoxysphingolipid production: Toxic 1-deoxysphinganine accumulation

  3. ER stress activation: Unfolded protein response

  4. Mitochondrial dysfunction: Energy metabolism impairment

  5. Neuronal death: Sensory neuron degeneration

Neurodegeneration Mechanisms

In Alzheimer’s and Parkinson’s disease4(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference54(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference64(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference7:

  1. Ceramide accumulation: Pro-apoptotic signaling

  2. Lipid raft disruption: Altered signaling platform function

  3. ER stress: Unfolded protein response activation

  4. Mitochondrial dysfunction: Energy production deficits

  5. Autophagy impairment: Protein clearance defects

Therapeutic Implications

HSAN1 Treatment

Current therapeutic approaches for HSAN14(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference84(2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-14322020 · DOI 10.1194/jlr.RA120000678Open reference91Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference0:

  • Myriocin: SPT inhibitor, in clinical trials

  • Fingolimod (FTY720): S1P receptor modulator

  • Gene therapy: Targeting mutant allele

  • Symptomatic management: Wound care, pain management

  • Physical therapy: Prevent injury

Neurodegenerative Disease

SPTLC1 modulation represents a therapeutic strategy for AD/PD/ALS1Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference11Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference21Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference3:

  • SPT inhibitors: Reduce toxic sphingolipid accumulation

  • Ceramide modulators: Restore lipid homeostasis

  • S1P receptor modulators: Modify signaling

  • Targeted delivery: Brain-penetrant small molecules

Challenges

Therapeutic development faces challenges:

  • Systemic toxicity: SPT inhibition affects all tissues

  • Specificity: Need tissue-selective targeting

  • Delivery: Blood-brain barrier penetration required

  • Therapeutic window: Balancing efficacy and toxicity

Key Interactions

Research Methods

Experimental Approaches

  • Enzymology: SPT activity assays in vitro1Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference4

  • Genetics: GWAS, exome sequencing for variant identification1Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference51Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference6

  • Animal models: Transgenic and knockout mice1Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference7

  • Lipidomics: Mass spectrometry for sphingolipid profiling1Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference8

  • Cell biology: Subcellular localization, trafficking studies

Model Systems

  • HEK293 cells: Heterologous expression studies

  • Primary neurons: Neuronal function studies

  • Patient-derived iPSCs: Disease modeling1Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-7652003 · PMID 12808286Open reference9

  • C. elegans: Genetic screening

  • Mouse models: In vivo studies

Clinical Significance

Genetic Testing

SPTLC1 testing available for:

  • HSAN1 diagnostic confirmation

  • Carrier testing for at-risk families

  • Prenatal diagnosis

  • Differential diagnosis

Biomarkers

SPTLC1 activity may serve as:

  • Disease progression marker in HSAN1

  • Therapeutic response indicator

  • Potential AD/PD/ALS biomarker

  • Metabolic disease marker

Patient Management

Clinical care for HSAN1 patients2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference02Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference1:

  • Regular neurological assessment

  • Wound care and infection prevention

  • Pain management strategies

  • Physical therapy

  • Genetic counseling

Animal Models

Mouse Models

  • Sptlc1 conditional knockout: Tissue-specific deletion

  • Sptlc1 transgenic: Overexpression studies

  • HSAN1 knock-in: Disease modeling

Phenotypic Findings

Animal models reveal2Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-64222011 · PMID 21939287Open reference2:

  • Peripheral neuropathy phenotype

  • Altered sphingolipid levels

  • Sensory neuron loss

  • ER stress markers

Future Directions

Emerging Research Areas

  • Gene editing: CRISPR-based therapies

  • Small molecule inhibitors: Next-generation SPT modulators

  • Biomarker development: Disease monitoring

  • Patient stratification: Precision medicine approaches

See Also

References

  1. Hanada K. (2003). Serine palmitoyltransferase, a key enzyme of de novo sphingolipid biosynthesis. Biol Pharm Bull 26(6):759-765 2003 · PMID 12808286
  2. Merrill AH Jr. (2011). Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387-6422 2011 · PMID 21939287
  3. (2006). The mammalian serine palmitoyltransferase complex. Cell Mol Life Sci 63(12):1330-1341 Hornemann T, et al. 2006 · PMID 16729022
  4. (2020). SPTLC1 expression in human tissues. J Lipid Res 61(10):1420-1432 Lone MA, et al. 2020 · DOI 10.1194/jlr.RA120000678
  5. (2009). Structure and function of human serine palmitoyltransferase. Cell Mol Life Sci 66(20):3241-3261 Rütti MF, et al. 2009 · PMID 19657166
  6. (2013). Altered sphingolipid metabolism in Alzheimer's disease. Mol Neurodegener 8:32 Mielke MM, et al. 2013 · DOI 10.1186/1750-1326-8-32
  7. (2008). Sphingolipid metabolism in cell signaling. Annu Rev Biochem 77:687-710 Hannun YA, et al. 2008 · PMID 18568862
  8. (2018). SPT expression in brain. J Neurochem 147(4):475-488 Bae EJ, et al. 2018 · DOI 10.1111/jnc.14570
  9. (1992). Enzymes of sphingolipid synthesis in the endoplasmic reticulum. J Biol Chem 267(16):11144-11148 Mandon EC, et al. 1992 · PMID 1534214
  10. (2001). HSAN1 mutation in serine palmitoyltransferase, subunit 1 (SPTLC1). Nat Genet 27(3):261-262 Bejaoui K, et al. 2001 · PMID 11231495
  11. (2001). Mutations in SPTLC1, encoding serine palmitoyltransferase, cause hereditary sensory and autonomic neuropathy type 1. Nat Genet 27(3):309-312 Dawkins JL, et al. 2001 · PMID 11231496
  12. (2010). Genes for hereditary sensory and autonomic neuropathy. Hum Mutat 31(11):E1566-E1578 Rotthier A, et al. 2010 · DOI 10.1002/humu.21311
  13. (2005). Phenotypic heterogeneity in HSAN1. Brain 128(Pt 10):2287-2295 Auer-Grumbach M, et al. 2005 · DOI 10.1093/brain/awh599
  14. (2009). Ceramide in Alzheimer's disease. Exp Neurol 216(2):272-277 Jana A, et al. 2009 · DOI 10.1016/j.expneurol.2008.12.007
  15. (2004). Involvement of oxidative stress and abnormal sphingolipid metabolism in aging. Aging Cell 3(5):281-290 Cutler RG, et al. 2004 · DOI 10.1111/j.1474-9728.2004.00119.x
  16. (2019). Sphingolipid metabolism in Parkinson's disease. Mov Disord 34(9):1293-1303 Vasili V, et al. 2019 · DOI 10.1002/mds.27868
  17. (2020). Alpha-synuclein and sphingolipids. J Neurosci Res 98(8):1537-1548 Tveit T, et al. 2020 · DOI 10.1002/jnr.24640
  18. (2019). Sphingolipid gene expression in Parkinson's disease brain. Mol Neurobiol 56(8):5513-5524 Dijkstra AA, et al. 2019 · DOI 10.1007/s12035-018-1450-9
  19. (2020). Sphingolipid metabolism in ALS. Acta Neuropathol Commun 8(1):58 Dodge JC, et al. 2020 · DOI 10.1186/s40478-020-00935-4
  20. (2021). SPTLC1 variants in metabolic disease. Nat Rev Endocrinol 17(5):285-296 Chalfant CE, et al. 2021 · DOI 10.1038/s41574-021-00479-0
  21. (2007). Inhibition of ceramide synthesis ameliorates glucocorticoid-induced insulin resistance. Cell Metab 5(3):167-179 Holland WL, et al. 2007 · DOI 10.1016/j.cmet.2007.01.002
  22. (2019). Randomized trial of myriocin in HSAN1. Ann Neurol 86(2):234-246 Fridman V, et al. 2019 · DOI 10.1002/ana.25522
  23. (2018). Diagnosis and management of HSAN1. Pract Neurol 18(2):97-101 Houldworth H, et al. 2018 · DOI 10.1136/practneurol-2017-001796
  24. Auer-Grumbach M. (2013). Hereditary sensory and autonomic neuropathies. Handb Clin Neurol 115:633-655 2013 · DOI 10.1016/B978-0-444-52902-2.00036-1
  25. (2020). Targeting sphingolipid metabolism in neurodegeneration. J Neurochem 153(5):576-592 Arana L, et al. 2020 · DOI 10.1111/jnc.14943
  26. (2012). Sptlc1-deficient mice as a model for HSAN1. Genesis 50(12):891-899 Hojyo S, et al. 2012 · DOI 10.1002/dvg.22033
  27. (2009). Sphingolipidomics: High-throughput approaches. J Chromatogr B Analyt Technol Biomed Life Sci 877(26):2694-2708 Merrill AH Jr, et al. 2009 · DOI 10.1016/j.jchromb.2008.12.073
  28. (2013). Disease-specific iPSCs for HSAN1 research. J Clin Invest 123(8):3464-3474 Kondo Y, et al. 2013 · DOI 10.1172/JCI67289

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