BioSystems 83 (2006) 217–224 Spatiotemporal chemical dynamics in living cells: From information trafficking to cell physiology Howard R. Petty ∗ Departments of Ophthalmology and Visual Sciences and Microbiology and Immunology, The University of Michigan Medical School, 1000 Wall Street, Ann Arbor, MI 48105, USA Received 6 December 2004; received in revised form 15 April 2005; accepted 4 May 2005 Abstract Biological thought in the 20th century was dominated by the study of structures at increasingly minute levels. For biology to advance beyond structural reductionism and contribute its full measure to clinical care, living biological structures must be understood in the context of their collective chemical processes at the relevant chemical time-scales. Using high-speed fluorescence microscopy, we have studied intra- and inter-cellular signaling using shutter speeds (∼100 ns) that remove the effects of wave motion and diffusion from optical images. By collecting a series of such images, stop-action movies of signal trafficking in living cells are created; these have revealed a new level of spatiotemporal chemical organization within cells. Numerous types of chemical waves have been found in living cells expressing a great variety of physical properties. In this article I will review some of these basic findings, discuss these events in the context of information trafficking, and illustrate the potential implications of this work in medicine. © 2005 Elsevier Ireland Ltd. All rights reserved. Keywords: Cell signaling; Chemical waves; Calcium; Metabolism 1. Introduction Molecular sciences, including molecular biology, genomics, proteomics, and crystallography, have now described life in unprecedented depth and breadth. Yet these descriptions have not improved significantly the rate of drug discovery. The molecular defect in sickle cell anemia was discovered nearly a half-century ago, yet in 50 years what treatments has this knowledge yielded? The defects in oncogenes were found in the 1970s, and those in cystic fibrosis and Duchenne muscular dystrophy were discovered in the 1980s, but we have yet to see significant improvements in clinical care. Whatever scientific insights might have been gained, molecular sci- ∗ Tel.: +1 734 647 0384; fax: +1 734 936 3815. E-mail address: [email protected]. ence has not yielded sufficient insight to provide better care for patients. So what have we missed? By so thoroughly embracing structural reductionism, we have learned a great deal about the system’s parts without really understanding how the system works. For example, a list of the capacitors, resistors, and the other functional parts found in a television set are not sufficient to deduce how a television works. As the parts list of the human genome is much longer than that of a television set, and the behavior of its components more subtle, it is not surprising that molecular biology has not yielded the anticipated cornucopia of new drugs. Living cells require networks of enzymes and receptors with large numbers of feedback loops under conditions held far from thermodynamic equilibrium. Therefore, the properties of individual isolated components can never adequately model the dynamic chemical processes that underlie cell functions. The part cannot 0303-2647/$ – see front matter © 2005 Elsevier Ireland Ltd. All rights reserved. doi:10.1016/j.biosystems.2005.05.018 218 H.R. Petty / BioSystems 83 (2006) 217–224 explain the whole; to understand how all of the parts of a cell work in concert, the parts must be studied in their cell biological context at a time-scale relevant to the physico-chemical processes under study. I propose a paradigm shift in our understanding of how cells handle information from the present molecular/structural consensus to a more dynamic and integrative cellular approach. Using new imaging technology, my group has experimentally observed that mutations, drugs, leukocyte invasion of tissues and physical stresses perturb chemical wave patterns in cells and tissues. This approach, based upon biophysical dynamics of the chemical circuitry of cells, can and should be used to address key problems in medicine. 2. Background and approach Chemical waves of calcium ions were discovered by Ridgway et al. (1977) during studies of oocyte fertilization. These waves have been confirmed in many cell types (Jaffe, 2002), but the observations are restricted to very large cells (or cell arrays) such as oocytes and myocytes. This restriction is due to the fact that such waves cross typical individual cells (10–20 m in diameter) in periods of time that are short in comparison to the shutter speed of the detector. Hence, conventional imaging approaches have little to say about the existence of such waves in more representative cell types. To address this limitation, my laboratory recently developed high-speed microscopy, which reveals dynamic molecular signaling events in cells using very short shutter speed times, so short (e.g., 100 ns.) that small atoms and molecules cannot diffuse significant distances within a cell while the shutter is open. By taking these images in rapid succession (∼10 ms/frame), we obtain movies of how signals, metabolites, membrane potentials, and other chemical instabilities behave within cells (Petty, 2004a). High-speed microscopy sacrifices some spatial resolution to obtain very high temporal resolution whereas the complementary technique of scanning confocal microscopy sacrifices temporal for spatial information. This tool does for cell biology what patchclamping did for electrophysiology, but our method retains far more spatial information without wounding a cell. Calcium waves can be detected using high-speed fluorescence microscopy in combination with a dye such as indo-1. As imaging ratio is not yet possible at highspeed, it is important to use a dye, such as indo-1, that does not require ratio to detect calcium changes. Indo-1 has a Kd of 230 nm; it has very little dynamic range from 1 to 100 M calcium, which is the range associated with certain physiological events of neutrophils (e.g., Nusse et al., 1998; Smolen et al., 1986). Consequently, the images often appear rather binary in nature. On the other hand, an additional advantage of indo-1 is that it has a favorable forward rate constant, which allows quick detection of calcium entry into the cytosol of a cell. Fig. 1 shows how high-speed imaging and indo-1 can be combined to reveal spatiotemporal waves in a living cell. These waves constitute single temporal calcium “spike” observed using other microscopy methods. Calcium signals are seen to travel along the cell surface and from the surface to the two internal phagosomes. By labeling cells with reporters and using endogenous autofluorescent molecules, we have observed many kinds of chemical waves including calcium, pH, metabolic (NADPH and flavoproteins), membrane potentials, and others (Petty, 2005). These waves not only vary in their composition, but also in their shape, number, direction, velocity, and route (Fig. 2). Highspeed imaging allows us to follow signal circuits in living cells. For example, we have observed calcium waves traveling from the plasma membrane to the phagosome (Fig. 1), from the plasma membrane to the nucleus, from the nucleus to granules and along other routes. We have seen some waves annihilate when they come into contact with one another, and others that do not, depending upon the physiological context. There are an enormous variety of chemical waves in living cells, whose behavior suggests a novel biological code. The key to deciphering this code is the selection of a simple model system that can be experimentally manipulated. Cells that function semi-autonomously in vivo, such as leukocytes and tumor cells, are particularly good candidates for dynamic evaluation of their chemical behavior in vitro because their behavior is not strongly influenced by adjacent cells. To simplify the problem further while retaining the relevant chemical circuitry, we evaluate chemical waves of discrete, self-contained subsystems within a cell. A good example of such a subsystem is the glycolytic apparatus, which is composed of 10 enzymes with multiple feedback loops. This cellular subsystem has been shown to display temporal oscillations and traveling metabolic waves. One could study, for example, how drug-mediated chemical perturbations influence the propagation of chemical wavefronts of glycolytic activity. My laboratory has already shown that conventional drugs, such as indomethacin and dexamethasone, influence these waves. In this way, we focus on specific subsystems of certain semi-autonomous cells to develop new ways to perturb their systems behavior into a normal phenotype. H.R. Petty / BioSystems 83 (2006) 217–224 219 Fig. 1. High-speed microscopy reveals calcium signal trafficking in neutrophils labeled with a calcium-sensitive dye. A neutrophil has internalized two smaller cells (arrows). Note that the calcium wave travels about the perimeter of the cell. When the calcium wave passes by the region containing the phagocytosed cells, a calcium signal travels around both internalized targets (150 ns, 5 ms interval; ×1400). Fig. 2. Survey of waves in cells. A variety of chemical wave types have been found in eukaryotes; calcium and metabolic waves are illustrated. Waves can be constrained to a specific organelle, such as a phagosome, or not be geometrically constrained. 3. Specific examples As I have recently reviewed high-speed imaging methods and chemical waves (Petty, 2004a,b, 2005), only a few examples will be discussed below to illustrate certain biological principles. We will begin by discussing calcium waves. Calcium is a biologically important cation, which increases in concentration during many signaling events. For lack of a better model, most biologists envision this as a uniform rise and fall within the cytoplasm. This is far from what actually occurs: many cell functions are characterized by one or more calcium waves (Fig. 2). It should be clear that during chemical wave motion, such as a calcium wave, it is the perturbation in the excitable calcium matrix that is propagating long distances, but an individual calcium ion may not be traveling far. One may envision this as waves traveling on a body of water: the wave travels long distances, but a bobber just goes up and down. Similarly, an individual calcium ion may diffuse only a short distance before binding to a target site to induce calcium-induced calcium release or to be pumped out by a calcium-ATPase, but the wave (a chemical disturbance) may travel across the entire cell or tissue to carry a message. As neutrophils become morphologically polarized during migration, a calcium wave is ignited at the front, 220 H.R. Petty / BioSystems 83 (2006) 217–224 or lamellipodium of a cell, which then travels unidirectionally about a cell’s perimeter (Kindzelskii and Petty, 2003; Kindzelskii et al., 2004a,b). This wave is associated with plasma membrane calcium channels, as indicated by the ability of specific drugs to block its propagation. It is the spatiotemporal counterpart of the temporal calcium spike found for these cells using microfluorometry. This wave may, for example, participate in the restructuring of the cytoskeleton necessary for cell movement. This peripheral calcium wave is in agreement with the theoretical expectations of Simon and Llinas (1985), who predicted intense submembranous calcium release at submicrosecond time-scales. The wave is repetitively initiated at this same site as long as the cell is moving. Not only does the calcium ignition site correlate with the direction of cell migration, but also when a chemotactic signal is delivered to a cell in a direction perpendicular to the direction of migration, a new calcium wave ignition site is rapidly assembled at this location, long before the cell actually turns. Thus, the ignition site is linked with chemosensory perception and remembering directional cues. Phagocytosis also generates calcium waves (Kindzelskii and Petty, 2003; Worth et al., 2003). When a polarized neutrophil has internalized a target particle, a calcium wave splits off from the perimembrane wave mentioned above then travels from the plasma membrane to the phagosome (e.g., Fig. 1). This calcium wave promotes the fusion of phagosomes with lysosomes, leading to the destruction of the target. Using site-directed mutagenesis and transfection techniques, we found that a certain sequence of amino acids (L–T–L) with the phagocytosis receptor Fc␥RIIA is required to route calcium waves to the phagosome. We have built so-called “Trojan” peptides that will deliver the L–T–L sequence of amino acids to the inside of a cell. These Trojan peptides bind to the endoplasmic reticulum and block both calcium signal trafficking to the phagosome and phagolysosome fusion. Although it is doubtful that a drug designed to mimic this peptide’s action could be systemically administered, certain clinical conditions such as topical application in keratitis and intra-articular injections in arthritis might benefit from such a drug. Calcium waves are also found in migrating tumor cells, which may be relevant to the process of metastasis. We have observed that carboxyamido-triazole, an anti-metastatic drug currently in clinical trials, affects the calcium wave properties of a fibrosarcoma cell line and, in parallel, the migratory and invasive properties of these cells (Huang et al., 2004). As several gene products are necessary to support the formation of a calcium wave, we speculated that multiple drugs acting on differ- ent proteins contributing to the same wave might enhance the efficacy of the drugs. We found that multiple drugs acting on a single wave through different proteins could be used to reduce cell invasiveness. Hence, the performance of carboxyamido-triazole, might be improved by combining it with a drug active against other calcium channels. Indeed, it might be possible to examine numerous combinations of drugs to find more effective ways of managing many types of disease. A variety of calcium waves have been observed in other cell types. For example, calcium waves have also been observed in endothelial cells, mast cells, and lymphocytes (Petty, 2005 and unpublished data). We have observed a chorus of at least four different calcium waves during dendritic cell- and tumor cell-mediated antigen presentation to CD4-positive T lymphocytes (Li et al., 2005). Fig. 2 illustrates several of the calcium wave types discussed above as well as others we have found. For example, some waves are not geometrically constrained and travel throughout a cell whereas others may be limited to travel to or within a particular organelle. One type of non-geometrically constrained wave is the IP3dependent calcium wave, which has been shown to travel across a cell as a spherical wave. The physical properties of the wave, such as velocity, are in general agreement with theoretical expectations (Falcke, 2004; Goldbeter, 1996; Pencea and Hentschel, 2000). By studying and manipulating intracellular chemical circuits, it should be possible to devise better ways of treating patients. High-speed fluorescence microscopy has also been employed to study several self-organization of metabolic wave patterns in neutrophils. In this case, exogenous labels are not required because the metabolite NAD(P)H is fluorescent. To respond to a pathogen or other physiological perturbation, spherical neutrophils in the circulation must first adhere to blood vessel walls then migrate into the interstitial tissues. During adherence, a bright circular region of NAD(P)H forms in the neutrophil at the site of substrate contact (Petty and Kindzelskii, 2000). After the metabolic region reaches a critical size (r ∼1 m), a wave propagates from this site in the form of a target pattern inside the cell. The critical radius is in reasonable agreement with the size anticipated by the physical properties of the system (Petty and Kindzelskii, 2000; Tyson and Keener, 1988). Morphologically polarized neutrophils exhibit a single longitudinal wave of NAD(P)H autofluorescence propagating from the tail to the front of a cell (Petty et al., 2000). Thus, the redox conditions within a cell vary in a spatiotemporal fashion and are oriented in the direction of cell migration. Moreover, the properties of H.R. Petty / BioSystems 83 (2006) 217–224 these metabolic waves respond to receptor stimulation (Petty and Kindzelskii, 2001). When activating factors, such as bacterial lipopolysaccharide and N-formyl-metleu-phe, are incubated with neutrophils, two longitudinal waves moving in opposite directions are observed. Thus, metabolic patterns respond to cell activation. One of the primary functions of neutrophils is to produce superoxide anions, which participate in host defense. Superoxide anions are produced by the NADPH oxidase, whose substrate is NADPH. By including a molecule in the buffer that becomes fluorescent upon reaction with superoxide, we have shown that substantial quantities of superoxide are produced only when the NAD(P)H wave (substrate) reaches the front of the cell (Kindzelskii and Petty, 2002). Wave arrival at this location provides NADPH (or electrons) to the NADPH oxidase thereby promoting the formation of superoxide (product). Thus, the spatiotemporal dynamics of the substrate-to-product transformation in living cells by the NADPH oxidase have been revealed. Moreover, these metabolic waves allow a neutrophil to aim at a target cell. By orienting the release of superoxide, a cell maximizes superoxide delivery to the target while minimizing collateral damage. By focusing superoxide delivery into a brief period of time, maximal target damage is achieved via very high local concentrations at a target; damaging chemical reactions likely occur before a target cell’s systems have time to adapt. High-speed microscopy studies have also revealed that neutrophils from pregnant women do not undergo changes in metabolic wave patterns upon stimulation with various activating substances. As superoxide production is depressed in pregnancy neutrophils, this ties the status of chemical waves to cell physiological states. These changes are of clinical importance as obstetricians have known for many years that pregnancy is often accompanied by remission of autoimmune disease and increased risk of certain infectious diseases (Kindzelskii et al., 2002, 2004a,b). About 70% of women with multiple sclerosis, arthritis, uveitis, and other autoimmune diseases driven by type 1 T helper cells experience disease remission during pregnancy, but relapse after delivery. Prior modeling studies have suggested that the intracellular disposition of metabolic enzymes may influence spatiotemporal metabolic properties (Marmillot et al., 1992). Relying upon our dynamic methods as well as conventional imaging techniques, we showed that enzymes of the hexose monophosphate shunt, which are found at the periphery of leukocytes from non-pregnant women, underwent translocation to the center of cells in pregnant women (Huang et al., 2005; Kindzelskii et al., 2002, 2004a,b). In this way the shunt’s supply of 221 glucose-6-phosphate becomes unavailable to the hexose monophosphate shunt as it is metabolized by glycolytic enzymes at the cell periphery. Consequently, less NADPH is available to support superoxide production and, therefore, less robust autoimmune and host defense responses may be found in pregnant women. However, detailed computational modeling of metabolic compartmentalization in pregnancy has not yet been performed. It seems likely that solving the dynamic regulatory chemical codes of pregnancy will provide new tools to treat certain autoimmune and inflammatory diseases. On the basis of the behavior of single cells, our new paradigm anticipates phenomena such as intercellular synchronization among populations of cells. For example, it has been known for many years that when two cells collide on a tissue culture plate, the pathways they follow as they migrate away from each other are mirror images. Although this has never been adequately explained by conventional biology, wave ignition and interference properties account for this phenomenon (Petty, 2005). I postulate that in vivo inflammatory cell populations exhibit coherent biochemical reactions thereby acting as a self-organizing community to benefit the host. One can imagine neutrophils entering an inflammatory site, touching one another, and then temporally organizing their biochemical reaction dynamics (and consequently their physiological processes) leading to dynamic intercellular cooperation to destroy targets, a clear physiological advantage for the host. For clarity, I have focused on just one type of chemical wave in each paragraph above. The biological setting, however, is quite different: there are likely dozens, if not hundreds, of chemical waves darting about a cell, each with embedded information or commands. Just as a symphony emerges from hundreds of musicians each playing their scores, biology emerges from numerous chemical waves traveling simultaneously to perform chemically based calculations and distribute decisions. Since the function of individual enzymes may depend upon numerous chemicals (pH, ATP, calcium, etc.), novel spatiotemporal structures, such as nodes, may emerge. Phenomena such as wave annihilation have been observed, which is anticipated by theory (Tyson and Keener, 1988). Other more complex biological wave phenomena such as the overt lack of annihilation (Kindzelskii and Petty, 2003), wave cascades (Li et al., 2005), and wave hierarchies (two waves colliding with only one being annihilated) (unpublished data) represent fertile new ground for combined experimental and theoretical inquiry. As these dynamic biological codes become understood, bewilderingly complex biological and clinical problems may become astoundingly simple. 222 H.R. Petty / BioSystems 83 (2006) 217–224 4. Biological implications Chemical waves and their interactions within cells have revolutionary implications in both basic science and clinical medicine. It should be possible to derive robust mathematical models of spatiotemporal waves within and among cells, as we and our colleagues have done previously for temporal chemical oscillations (Olsen et al., 2003). This approach will allow us to predict the actions of drugs on waves and their downstream physiological responses, which would launch the field of clinical systems biology. Moreover, our new paradigm and its instrumental methods are generally applicable to biomedical research. High-speed imaging can be used at the tissue and organism level in addition to the cellular level. This allows for the evaluation of numerous physiological pathways and disease states. The great variety of chemical waves, their locations, and physical behaviors lead to the speculation that cells and tissues perform various sorts of analog chemical computations. For example, depending upon the underlying biochemical pathways and kinetics, chemical waves may lead to the null (1 + 1 = 0), identity (1 + 1 = 1 + 1), and additive (1 + 1 = 2) solutions, which in turn lead to physiological responses or the lack thereof. Numerous theoretical and experimental studies have explored the use of excitable chemical media in unconventional computation (e.g., Adamatzky et al., 2002; Hjelmfelt et al., 1991; Kuhnert et al., 1989; Sielewiesiuk and Górecki, 2002; Steinbock et al., 1995). Chemical dynamics are not only the language of signaling, but likely represent how cells process information, compute solutions and distribute decisions. This is how cells think; it is the next biological code to be broken. Although these waves are the physico-chemical embodiment of signaling and are required for cell functions, it may seem difficult to understand how such waves could affect biological processes taking place at longer time-scale. Let us begin with a familiar example of a depolarization wave traveling along a neuron. In this trivial case, the waves are driven by voltage changes; hence, the waves certainly form at the time-scale of ion channel conformational changes. It seems safe to say that these rapidly propagating (∼10 m/s) depolarization waves lead to important physiological outputs at longer time-scale, like motor neuron function and consciousness. If voltage-gated waves are physiologically relevant, it is perhaps not so difficult to believe that chemical waves, traveling 10,000 times slower provide physiologically relevant information as well. Consider a wave 0.5 m in width traveling near a membrane with a veloc- ity of 50 m/s. As such a wave would pass by a stationary point in only 10 ms, how could this have any biological effect? One must consider the relevant time-scale of protein conformational changes. NMR spectroscopy has revealed that several signaling proteins participating in protein–protein binding, phosphorylation and calcium binding undergo conformational changes relevant to protein activation on a time-scale of s-to-ms. (Feher and Cavanagh, 1999; Malmendal et al., 1999; Volkman et al., 2001; Wand, 2001). Hence, it is not unreasonable to suggest that chemical waves might influence the behavior of nearby proteins. Indeed, it is possible that different wave velocities select different protein functions on the basis of the characteristic time-scale of their conformational changes. The transient or permanent activation of proteins then leads to longer time-scale changes. For example, the transient calcium wave of Fig. 1 leads to the fusion of lysosomes with phagosomes resulting in the permanent digestion of phagosome contents. Although calcium waves have been previously demonstrated in oocytes and myocytes (Engel et al., 1995; Jaffe, 2002), calcium signaling in most cell types is envisioned as a uniform signal emanating from the site of receptor activation. Our high-speed microscopy experiments have shown that signals are not distributed uniformly within cells, but what biological advantages might waves provide to cells? To begin with the example of Fig. 1, the calcium signal travels from the plasma membrane to the phagosome, thus providing synapticlike specificity to the fusion of lysosomes with phagosomes (Table 1). This, of course, minimizes the chaos and destruction that might ensue if such signals were uniformly distributed within cells. In contrast, certain other signals travel as waves uniformly throughout cells in a rather endocrine-like fashion, as if no organelles were present (Petty and Kindzelskii, 2001). In another Table 1 Biological advantages of chemical waves vs. the uniform signaling paradigm 1 2 3 4 5 6 7 Synaptic level specificity in information transfer between organelles (e.g., plasma membrane–lysosome communication) Longitudinal NAD(P)H waves allow neutrophils to aim superoxide at targets; calcium waves of CD8+ lymphocytes aim granules at tumor cells Ignition sites constitute directional memory (e.g., chemotaxis) System adaptability (e.g., different spatial patterns elicit different patterns of cytokine production) Perform mathematical logic operations Multiple dynamic states allow multiple outputs from the same number of genes (e.g., eukaryote complexity) Explains how one signal such as calcium can perform so many different operations H.R. Petty / BioSystems 83 (2006) 217–224 example of information distribution, waves have clearly defined directional properties. Longitudinal NAD(P)H waves allow neutrophils to aim superoxide production in the direction of target cells (Kindzelskii and Petty, 2002). In this case the cell surface enzyme NADPH oxidase directly converted local NADPH into superoxide anions. Similarly, vectorial calcium waves in CD8+ T cells allow these cells to aim their granules at specific antigen-presenting tumor cells (unpublished data). Again, dynamic wave features are linked to the locations of the cell physiological outputs. Due to their physical nature, waves are also characterized by ignition sites. In neutrophils, one calcium ignition site has been found to be the lamellipodium. As calcium waves are repetitively triggered from this site, it displays a rudimentary form of cell memory. Depending upon the latest direction cue, this ignition site can reorganize at different locations on the plasma membrane. Although E. coli also possesses strategically clustered chemosensory receptors, these structures do not reorganize at the surface. The adaptability of eukaryotic systems is also illustrated by the ability of the phagosome-associated calcium wave to disappear after prolonged incubation, thus ending phagolysosome formation, and the ability of different calcium wave patterns to elicit different cytokine profiles in T helper cells (unpublished data). In addition to information transduction and routing, we have proposed that chemical waves may perform logic operations in living cells, a feature inconsistent with a uniform signaling paradigm. The presence or absence of a wave corresponds to logic states of 1 and 0. As the waves may annihilate, have no effect on one another, or create new waves of unique properties, novel intracellular processing events are likely taking place in certain cells. Thus, the processes underlying cell behavior more closely resemble the decision-making processes of a computer than the dynamics of a stirred chemical reactor. Chemical waves may also explain several biological puzzles. As illustrated by our work, chemical waves can be made of different chemicals, have different ignition sites, numbers and shapes, travel to different organelles, possess various speeds, etc. Thus, just one signal can be described by an enormous number of dynamical states. As these dynamical states are linked with cell function, one can get similarly large numbers of physiological outputs. Consequently, chemical waves may explain why eukaryotes are far more complex that prokaryotes whereas the numbers of genes may be comparable. In addition, calcium has been linked with a great variety of cell functions, which has led to the puzzle of how one signal could perform so many different operations. The heterogeneity of calcium waves and their spatiotemporal 223 dynamics can certainly account for the breadth of these responses. 5. Conclusions Biological thought has not advanced much in the past 50 years. In the 1950s and 1960s biologists were using electron microscopy to discover new cellular structures and organelles, such as microtubules, coated pits, endoplasmic reticulum, and the Golgi. Components were named, studied, categorized and then pigeon-holed. In the 1980s and 1990s scientists were finding new genes, sequencing them, knocking them in and out, mutating them, categorizing them, and still pigeon-holing their findings. Resources have been spent on a vast scale in these reductionist frameworks, and they have generated an equally vast base of knowledge — but one that is currently of little use to a patient in need of clinical care. Cell biology’s next step is into the great void between its current time-scale measured in seconds, and the physicist’s time-scale measured in nanoseconds. By understanding how cells make decisions based upon their dynamic chemical circuitry, we may be able to trick them into doing our bidding. For example, it seems likely that a leukocyte can be fooled into thinking that its host is pregnant and to disrupt elements of its signaling circuits using Trojan peptides, thereby modifying host inflammatory programs. Imagine what such a revolutionary re-programming could do in diseases such as cancer, multiple sclerosis, sepsis (e.g., bacterial infections including bioterrorism) and ischemia-reperfusion injury (e.g., due to organ transplantation or heart attacks). 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