Due to difficulties in isolating clonal cell lines with the same levels of mutant EGFR expression, G719S is expressed at higher levels and D770_N771ins NPG at lower levels than the other mutant EGFR

Due to difficulties in isolating clonal cell lines with the same levels of mutant EGFR expression, G719S is expressed at higher levels and D770_N771ins NPG at lower levels than the other mutant EGFR. more sensitive to the irreversible inhibitor CL-387,785. Conclusion Oncogenic transformation of cells by different mutants causes differential sensitivity to gefitinib and erlotinib. Treatment of lung cancers harboring exon 20 insertions may therefore require the development of alternative kinase inhibition strategies. Introduction The human epidermal growth factor receptor gene product (EGFR), a member of the ErbB family of receptor tyrosine kinases, is an integral component of signaling in epithelial cell proliferation. Stimulation of the receptor with EGF or other cognate ligands induces receptor dimerization and autophosphorylation, providing docking sites for SH2-containing adaptor proteins that mediate the activation of intracellular signaling pathways [1C3]. Consistent with a role in proliferative signaling, the oncogenic potential of variants with deletions in the extracellular domain, including the oncogene of avian erythroblastosis virus and the vIII mutant found in human cancers, transforms vertebrate cells in the absence of exogenous EGF [4C7]. In contrast, overexpression of the wild-type gene can transform NIH-3T3 cells only upon EGF addition [8]. Kinase activity is required for ligand-independent transformation by both types of EGFR extracellular domain deletion mutant [9,10]. A series of novel kinase domain mutations observed in human lung adenocarcinomas has recently been described [11C16]. These mutations arise in four exons: substitutions for G719 in the nucleotide-binding loop of exon 18, in-frame deletions within exon 19, in-frame insertions within exon 20, and substitutions for L858 or L861 in the activation loop in exon 21. Tumors from patients with clinical responses to the EGFR inhibitors gefitinib or erlotinib have been shown to contain deletion mutations or substitution mutations [11,12,13,15], but no exon 20 insertion mutations have been reported in this group of clinical responders. Although exon 20 mutations were not widely reported at first, recently five large-scale studies that sequenced exons 18 through 21 RU43044 reported a total of 18 exon 20 insertions out of 350 mutations identified in 1,108 non-small-cell lung cancers [14C18]. Patients who responded to gefitinib and relapsed were found to have T790M supplementary mutations eventually, in exon 20 [19 also,20]. Although gefitinib treatment and little interfering RNA tests claim that cells expressing mutant are reliant on EGFR function for success [11,21,22], the immediate transforming potential from the mutations seen in lung adenocarcinoma is not described. Right here, we measure the ability of the kinase domains mutations to constitutively activate EGFR signaling and donate to tumorigenesis in model cell lifestyle systems. Strategies Cell Lifestyle NIH-3T3 cells attained fromATCC (Manassas, Virginia, USA) were preserved in DMEM (Cellgro/Mediatech, Herndon, Virginia, USA) supplemented with 10% leg serum (Gibco/Invitrogen, Carlsbad, California, USA) and penicillin/streptomycin (Gibco/Invitrogen). NCI-H3255 cells were preserved in ACL-4 media as described [11] previously. Unless noted otherwise, cells were put into media filled with 0.5% calf serum 24 h ahead of EGF (Biosource, Camarillo, California, USA) stimulation. hTBE cells expressing SV40 little T and huge T antigens as well as the individual telomerase catalytic subunit hTERT had been preserved in serum-free, described medium as defined [23]. Neutralizing antibodies had been added 3 h ahead of EGF arousal at the next concentrations: 12 g/ml anti-EGF (R&D Systems, Minneapolis, Minnesota, USA; #MAB636), 12 g/ml anti-TGF (R&D Systems; #AF-239-NA), and 12 g/ml anti-EGFR (Upstate, Waltham, Massachusetts, USA; #05C101). Gefitinib and erlotinib had been bought from WuXi Pharmatech (Shanghai, China) and diluted in DMSO towards the indicated concentrations. CL-387,785 was bought from Calbiochem (NORTH PARK, California, USA) and diluted in DMSO towards the indicated concentrations. Appearance Constructs was amplified from a cDNA template using the PCR primers 5-ATCGATATCTCATGCTCCAATAAATTC-3 and 5-GATGATATCATGCGACCCTCCGGGAC-3, digested with EcoRV, and placed in to the SnaB1 site of pBabe-Puro. Stage mutations, insertions, and deletions had been produced using the Quick-Change Mutagenesis XL package (Stratagene, La Jolla, California, USA) with the next oligonucleotide primers: 5-AAGATCACAGATTTTGGGAGGGCCAAACTGCTGGGTG-3 and 5-CACCCAGCAGTTTGGCCCTCCCAAAATCTGTGATCTT-3 for L858R; 5-CGAACGCACCGGAGCTCAGCACTTTGATCTT-3 and 5-AAGATCAAAGTGCTGAGCTCCGGTGCGTTCG-3 for G719S; 5-TGGCTGCCAGGGCGCGGTGCACC-3 and 5-GGTGCACCGCGCCCTGGCAGCCA-3 for D837A; 5-TTTCGGAGATGTTGGTTCCTTGATAGCGAC-3 and 5-GTCGCTATCAAGGAACCAACATCTCCGAAA-3 for L747_E749dun, A750P; 5-ACGTGGGGGTTGCCGGGGTTGTCCACGCTGGCC-3 and 5-GGCCAGCGTGGACAACCCCGGCAACCCCCACGT-3 for D770_N771insNPG. All constructs were sequenced fully. Transfection and An infection Replication incompetent retroviruses had been created from pBabe-Puro-based vectors either by cotransfection of 293T cells with pCL-Ampho (Imgenex, NORTH PARK, California, USA) or by transfection in to the Phoenix 293T product packaging cell series (Orbigen, NORTH PARK, California, USA) using Lipofectamine 2000 (Invitrogen). Cells had been contaminated with these retroviruses in the current presence of polybrene. Two times after an infection, puromycin (2 g/ml for NIH-3T3s or 0.5 g/ml for hTBE cells; Sigma, St. Louis, Missouri, USA) was added and pooled steady cell lines had been selected, that clonal cell lines had been produced. Soft Agar Anchorage-Independent Development Assay EGFR-expressing NIH-3T3 cells had been suspended in a high level of DMEM filled with 10%.Polyoma mT, NIH-3T3 cells infected with positive control pBabe-Puro retrovirus encoding the polyoma middle T antigen. (E) hTBE cells expressing the SV40 early region and hTERT were contaminated with control trojan pBabe-Puro (pBp) or with infections encoding the indicated alleles. of signaling in epithelial cell proliferation. Arousal from the receptor with EGF or various other cognate ligands induces receptor dimerization and autophosphorylation, offering docking sites for SH2-filled with adaptor protein that mediate the activation of intracellular signaling pathways [1C3]. In keeping with a job in proliferative signaling, the oncogenic potential of variations with deletions in the extracellular domains, like the oncogene of avian erythroblastosis trojan as well as the vIII mutant within individual malignancies, transforms vertebrate cells in the lack of exogenous EGF [4C7]. On the other hand, overexpression from the wild-type gene can transform NIH-3T3 cells just upon EGF addition [8]. Kinase activity is necessary for ligand-independent change by both types of EGFR extracellular domains deletion mutant [9,10]. Some novel kinase domains mutations seen in individual lung adenocarcinomas has been defined [11C16]. These mutations occur in four exons: substitutions for G719 in the nucleotide-binding loop of exon 18, in-frame deletions within exon 19, in-frame insertions within exon 20, and substitutions for L858 or L861 in the activation loop in exon 21. Tumors from sufferers with scientific responses towards the EGFR inhibitors gefitinib or erlotinib have already been proven to contain deletion mutations or substitution mutations [11,12,13,15], but no exon 20 insertion mutations have already been reported within this group of scientific responders. Although exon 20 mutations weren’t widely reported initially, lately five large-scale research that sequenced exons 18 through 21 reported a complete of 18 exon 20 insertions out of 350 mutations discovered in 1,108 non-small-cell lung malignancies [14C18]. Sufferers who taken care of immediately gefitinib and eventually relapsed were discovered to possess T790M supplementary mutations, also in exon 20 [19,20]. Although gefitinib treatment and little interfering RNA tests claim that cells expressing mutant are reliant on EGFR function for success [11,21,22], the immediate transforming potential from the mutations seen in lung adenocarcinoma is not described. Right here, we measure the ability of the kinase domains mutations to constitutively activate EGFR signaling and donate to tumorigenesis in model cell lifestyle systems. Strategies Cell Lifestyle NIH-3T3 cells attained fromATCC (Manassas, Virginia, USA) were preserved in DMEM (Cellgro/Mediatech, Herndon, Virginia, USA) supplemented with 10% leg serum (Gibco/Invitrogen, Carlsbad, California, USA) and penicillin/streptomycin (Gibco/Invitrogen). NCI-H3255 cells had been preserved in ACL-4 mass media as previously defined [11]. Unless usually noted, cells had been placed in mass media filled with 0.5% calf serum 24 h ahead of EGF (Biosource, Camarillo, California, USA) stimulation. hTBE cells expressing SV40 little T and huge T antigens as well as the individual telomerase catalytic subunit hTERT had been preserved in serum-free, described medium as defined [23]. Neutralizing antibodies had been added 3 h ahead of EGF arousal at the next concentrations: 12 g/ml anti-EGF (R&D Systems, Minneapolis, Minnesota, USA; #MAB636), 12 g/ml anti-TGF (R&D Systems; #AF-239-NA), and 12 g/ml anti-EGFR (Upstate, Waltham, Massachusetts, USA; #05C101). Gefitinib and erlotinib had been bought from WuXi Pharmatech (Shanghai, China) and diluted in DMSO towards the indicated concentrations. CL-387,785 was bought from Calbiochem (NORTH PARK, California, USA) and diluted in DMSO towards the indicated concentrations. Appearance Constructs was amplified from a cDNA template using the PCR primers 5-GATGATATCATGCGACCCTCCGGGAC-3 and 5-ATCGATATCTCATGCTCCAATAAATTC-3, digested with EcoRV, and placed in to the SnaB1 site of pBabe-Puro. Stage mutations, insertions, and deletions had been produced using the Quick-Change Mutagenesis XL package (Stratagene, La Jolla, California, USA) with the next oligonucleotide primers: 5-AAGATCACAGATTTTGGGAGGGCCAAACTGCTGGGTG-3 and 5-CACCCAGCAGTTTGGCCCTCCCAAAATCTGTGATCTT-3 for L858R; 5-AAGATCAAAGTGCTGAGCTCCGGTGCGTTCG-3 and 5-CGAACGCACCGGAGCTCAGCACTTTGATCTT-3 for G719S; 5-GGTGCACCGCGCCCTGGCAGCCA-3 and 5-TGGCTGCCAGGGCGCGGTGCACC-3 for D837A; 5-GTCGCTATCAAGGAACCAACATCTCCGAAA-3 and 5-TTTCGGAGATGTTGGTTCCTTGATAGCGAC-3 for L747_E749dun, A750P; 5-GGCCAGCGTGGACAACCCCGGCAACCCCCACGT-3 and 5-ACGTGGGGGTTGCCGGGGTTGTCCACGCTGGCC-3 for D770_N771insNPG. All constructs had been completely sequenced. Transfection and An infection Replication incompetent retroviruses had been created from pBabe-Puro-based vectors either by cotransfection of 293T cells with pCL-Ampho (Imgenex, NORTH PARK, California, USA) or by transfection in to the Phoenix 293T product packaging cell series (Orbigen, NORTH PARK, California, USA) using Lipofectamine 2000 (Invitrogen). Cells.EGFR appearance amounts were approximately identical for every pooled stably-transfected cell population (Amount 1B). mutants confers on cells awareness to erlotinib and gefitinib, change by an exon 20 insertion makes cells resistant to these inhibitors but even more sensitive towards the irreversible inhibitor CL-387,785. Bottom line Oncogenic change of cells by different mutants causes differential awareness to gefitinib and erlotinib. Treatment of lung malignancies harboring exon 20 insertions may as a result require the introduction of choice kinase inhibition strategies. Launch The individual epidermal growth aspect receptor gene item (EGFR), an associate from the ErbB category of receptor tyrosine kinases, can be an integral element of signaling in epithelial cell proliferation. Arousal from the receptor with EGF or various other cognate ligands induces receptor dimerization and autophosphorylation, offering docking sites for SH2-filled with adaptor protein that mediate the activation of intracellular signaling pathways [1C3]. In keeping with a job in proliferative signaling, the oncogenic potential of variations with deletions in the extracellular domains, like the oncogene of avian erythroblastosis trojan as well as the vIII mutant within individual malignancies, transforms vertebrate cells in the lack of exogenous EGF [4C7]. On the other hand, overexpression from the wild-type gene can transform NIH-3T3 cells just upon EGF addition [8]. Kinase activity is necessary for ligand-independent change by both types of EGFR extracellular domains deletion mutant [9,10]. Some novel kinase domains mutations seen in individual lung adenocarcinomas has been defined [11C16]. These mutations occur in four exons: substitutions for G719 in the nucleotide-binding loop of exon 18, in-frame deletions within exon 19, in-frame insertions within exon 20, and substitutions for L858 or L861 in the activation loop in exon 21. Tumors from sufferers with scientific responses towards the EGFR inhibitors gefitinib or erlotinib have already been proven to contain deletion mutations or substitution mutations [11,12,13,15], but no exon 20 insertion mutations have already been reported within this group of scientific responders. Although exon 20 mutations weren’t widely reported initially, lately five large-scale research that sequenced exons 18 through 21 reported a complete of 18 exon 20 insertions out of 350 mutations discovered in 1,108 non-small-cell lung malignancies [14C18]. Sufferers who taken care of immediately gefitinib and eventually relapsed were discovered to possess T790M supplementary mutations, also in exon 20 [19,20]. Rabbit polyclonal to PABPC3 Although gefitinib treatment and little interfering RNA tests claim that cells expressing mutant are reliant on EGFR function for success [11,21,22], the immediate transforming potential from the mutations seen in lung adenocarcinoma is not described. Right here, we measure the ability of the kinase domains mutations to constitutively activate EGFR signaling and donate to tumorigenesis in model cell lifestyle systems. Strategies Cell Lifestyle NIH-3T3 cells attained fromATCC (Manassas, Virginia, USA) were preserved in DMEM (Cellgro/Mediatech, Herndon, Virginia, USA) supplemented with 10% leg serum (Gibco/Invitrogen, Carlsbad, California, United States) and penicillin/streptomycin (Gibco/Invitrogen). NCI-H3255 cells were managed in ACL-4 media as previously explained [11]. Unless normally noted, cells were placed in media made up of 0.5% calf serum 24 h prior to EGF (Biosource, Camarillo, California, United States) stimulation. hTBE cells expressing SV40 small T and large T antigens and the human telomerase catalytic subunit hTERT were managed in serum-free, defined medium as explained [23]. Neutralizing antibodies were added 3 h prior to EGF activation at the following concentrations: 12 g/ml anti-EGF (R&D Systems, Minneapolis, Minnesota, United States; #MAB636), 12 g/ml anti-TGF (R&D Systems; #AF-239-NA), and 12 g/ml anti-EGFR (Upstate, Waltham, Massachusetts, United States; #05C101). Gefitinib and erlotinib were purchased from WuXi Pharmatech (Shanghai, China) and diluted in DMSO to the indicated concentrations. CL-387,785 was purchased from Calbiochem (San Diego, California, United States) and diluted in DMSO to the indicated concentrations. Expression Constructs was amplified from a cDNA template with.In addition, injection of clonal, transformed NIH-3T3 fibroblasts expressing L858R and G719S into immunocompromised mice led to the formation of tumors (Table 2). of signaling in epithelial cell proliferation. Activation of the receptor with EGF or other cognate ligands induces receptor dimerization and autophosphorylation, providing docking sites for SH2-made up of adaptor proteins that mediate the activation of intracellular signaling pathways [1C3]. Consistent with a role in proliferative signaling, the oncogenic potential of variants with deletions in the extracellular domain name, including the oncogene of avian erythroblastosis computer virus and the vIII mutant found in human cancers, transforms vertebrate cells in the absence of exogenous EGF [4C7]. In contrast, overexpression of the wild-type gene can transform NIH-3T3 cells only upon EGF addition [8]. Kinase activity is required for ligand-independent transformation by both types of EGFR extracellular domain name deletion mutant [9,10]. A series of novel kinase domain name mutations observed in human lung adenocarcinomas has recently been explained [11C16]. These mutations arise in four exons: substitutions for G719 in the nucleotide-binding loop of exon 18, in-frame deletions within exon 19, in-frame insertions within exon 20, and substitutions for L858 or L861 in the activation loop in exon 21. Tumors from patients with clinical responses to the EGFR inhibitors gefitinib or erlotinib have been shown to contain deletion mutations or substitution mutations [11,12,13,15], but no exon 20 insertion mutations have been reported in this group of clinical responders. Although exon 20 mutations were not widely reported at first, recently five large-scale studies that sequenced exons 18 through 21 reported a total of 18 exon 20 insertions out of 350 mutations recognized in 1,108 non-small-cell lung cancers [14C18]. Patients who responded to gefitinib and subsequently relapsed were found to have T790M secondary mutations, also in exon 20 [19,20]. Although gefitinib treatment and small interfering RNA experiments suggest that cells expressing mutant are dependent on EGFR function for survival [11,21,22], the direct transforming potential of the mutations observed in lung adenocarcinoma has not been described. Here, we assess the ability of these kinase domain name mutations to constitutively activate EGFR signaling and contribute to tumorigenesis in model cell culture systems. Methods Cell Culture NIH-3T3 cells obtained fromATCC (Manassas, Virginia, United States) were managed in DMEM (Cellgro/Mediatech, Herndon, Virginia, United States) supplemented with 10% calf serum (Gibco/Invitrogen, Carlsbad, California, United States) and penicillin/streptomycin (Gibco/Invitrogen). NCI-H3255 cells were managed in ACL-4 media as previously explained [11]. Unless normally noted, cells were placed in media made up of 0.5% calf serum 24 h prior to EGF (Biosource, Camarillo, California, United States) stimulation. hTBE cells expressing SV40 small T and large T antigens and the human telomerase catalytic subunit hTERT were managed in serum-free, defined medium as explained [23]. Neutralizing antibodies were added 3 h prior to EGF activation at the following concentrations: 12 g/ml anti-EGF (R&D Systems, Minneapolis, Minnesota, United States; #MAB636), 12 g/ml anti-TGF (R&D Systems; #AF-239-NA), and 12 g/ml anti-EGFR (Upstate, Waltham, Massachusetts, United States; #05C101). Gefitinib and erlotinib were purchased from WuXi Pharmatech (Shanghai, China) and diluted in RU43044 DMSO to the indicated concentrations. CL-387,785 was purchased from Calbiochem (San Diego, California, United States) and diluted in DMSO to the indicated concentrations. Expression Constructs was amplified from a cDNA template with the PCR primers 5-GATGATATCATGCGACCCTCCGGGAC-3 and 5-ATCGATATCTCATGCTCCAATAAATTC-3, digested with EcoRV, and inserted into the SnaB1 site of pBabe-Puro. Point mutations, insertions, and deletions were made using the Quick-Change Mutagenesis XL kit (Stratagene, La Jolla, California, United States) with the following oligonucleotide primers: 5-AAGATCACAGATTTTGGGAGGGCCAAACTGCTGGGTG-3 and 5-CACCCAGCAGTTTGGCCCTCCCAAAATCTGTGATCTT-3 RU43044 for L858R; 5-AAGATCAAAGTGCTGAGCTCCGGTGCGTTCG-3 and 5-CGAACGCACCGGAGCTCAGCACTTTGATCTT-3 for G719S; 5-GGTGCACCGCGCCCTGGCAGCCA-3 and 5-TGGCTGCCAGGGCGCGGTGCACC-3 for D837A; 5-GTCGCTATCAAGGAACCAACATCTCCGAAA-3 and 5-TTTCGGAGATGTTGGTTCCTTGATAGCGAC-3 for L747_E749del, A750P; 5-GGCCAGCGTGGACAACCCCGGCAACCCCCACGT-3 and 5-ACGTGGGGGTTGCCGGGGTTGTCCACGCTGGCC-3 for D770_N771insNPG. All constructs were fully sequenced. Transfection and Infection Replication incompetent retroviruses were produced from pBabe-Puro-based vectors either. Shc constitutively coimmunoprecipitates with the L858R EGFR but not the wild-type EGFR. the ErbB family of receptor tyrosine kinases, is an integral component of signaling in epithelial cell proliferation. Stimulation of the receptor with EGF or other cognate ligands induces receptor dimerization and autophosphorylation, providing docking sites for SH2-containing adaptor proteins that mediate the activation of intracellular signaling pathways [1C3]. Consistent with a role in proliferative signaling, the oncogenic potential of variants with deletions in the extracellular domain, including the oncogene of avian erythroblastosis virus and the vIII mutant found in human cancers, transforms vertebrate cells in the absence of exogenous EGF [4C7]. In contrast, overexpression of the wild-type gene can transform NIH-3T3 cells only upon EGF addition [8]. Kinase activity is required for ligand-independent transformation by both types of EGFR extracellular domain deletion mutant [9,10]. A series of novel kinase domain mutations observed in human lung adenocarcinomas has recently been described [11C16]. These mutations arise in four exons: substitutions for G719 in the nucleotide-binding loop of exon 18, in-frame deletions within exon 19, in-frame insertions within exon 20, and substitutions for L858 or L861 in the activation loop in exon 21. Tumors from patients with clinical responses to the EGFR inhibitors gefitinib or erlotinib have been shown to contain deletion mutations or substitution mutations [11,12,13,15], but no exon 20 insertion mutations have been reported in this group of clinical responders. Although exon 20 mutations were not widely reported at first, recently five large-scale studies that sequenced exons 18 through 21 reported a total of 18 exon 20 insertions out of 350 mutations identified in 1,108 non-small-cell lung cancers [14C18]. Patients who responded to gefitinib and subsequently relapsed were found to have T790M secondary mutations, also in exon 20 [19,20]. Although gefitinib treatment and small interfering RNA experiments suggest that cells expressing mutant are dependent on EGFR function for survival [11,21,22], the direct transforming potential of the mutations observed in lung adenocarcinoma has not been described. Here, we assess the ability of these kinase domain mutations to constitutively activate EGFR signaling and contribute to tumorigenesis in model cell culture systems. Methods Cell Culture NIH-3T3 cells obtained fromATCC (Manassas, Virginia, United States) were maintained in DMEM (Cellgro/Mediatech, Herndon, Virginia, United States) supplemented with 10% calf serum (Gibco/Invitrogen, Carlsbad, California, United States) and penicillin/streptomycin (Gibco/Invitrogen). NCI-H3255 cells were maintained in ACL-4 media as previously described [11]. Unless otherwise noted, cells were placed in media containing 0.5% calf serum 24 h prior to EGF (Biosource, Camarillo, California, United States) stimulation. hTBE cells expressing SV40 small T and large T antigens and the human telomerase catalytic subunit hTERT were maintained in serum-free, defined medium as described [23]. Neutralizing antibodies were added 3 h prior to EGF stimulation at the following concentrations: 12 g/ml anti-EGF (R&D Systems, Minneapolis, Minnesota, United States; #MAB636), 12 g/ml anti-TGF (R&D Systems; #AF-239-NA), and 12 g/ml anti-EGFR (Upstate, Waltham, Massachusetts, United States; #05C101). Gefitinib and erlotinib were purchased from WuXi Pharmatech (Shanghai, China) and diluted in DMSO to the indicated concentrations. CL-387,785 was purchased from Calbiochem (San Diego, California, United States) and diluted in DMSO to the indicated concentrations. Expression Constructs was amplified from a cDNA template with the PCR primers 5-GATGATATCATGCGACCCTCCGGGAC-3 and 5-ATCGATATCTCATGCTCCAATAAATTC-3, digested with EcoRV, and inserted into the SnaB1 site of pBabe-Puro. Point mutations, insertions, and deletions were made using the Quick-Change Mutagenesis XL kit (Stratagene, La Jolla, California, United States) with the following oligonucleotide primers: 5-AAGATCACAGATTTTGGGAGGGCCAAACTGCTGGGTG-3 and 5-CACCCAGCAGTTTGGCCCTCCCAAAATCTGTGATCTT-3 for L858R; 5-AAGATCAAAGTGCTGAGCTCCGGTGCGTTCG-3 and 5-CGAACGCACCGGAGCTCAGCACTTTGATCTT-3 for G719S; 5-GGTGCACCGCGCCCTGGCAGCCA-3 and 5-TGGCTGCCAGGGCGCGGTGCACC-3 for D837A; 5-GTCGCTATCAAGGAACCAACATCTCCGAAA-3 and 5-TTTCGGAGATGTTGGTTCCTTGATAGCGAC-3 for L747_E749del, A750P; 5-GGCCAGCGTGGACAACCCCGGCAACCCCCACGT-3.

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