Process Development Optimized Nutrient Additives for Fed-Batch Cultures utrient media designed for highdensity animal cell cultures have historically contained relatively high levels of glucose and glutamine, because those media constituents were presumed to be the primary metabolic energy sources. Yet rapid catabolism of these nutrients, particularly under conditions of inadequate oxygenation, leads to accumulation of lactate and ammonia — and these metabolic wastes can limit cell growth and productivity. Large-scale production of recombinant proteins often uses batch culture systems. Batch cultures are simpler and more reproducible than the more complex perfusion-culture systems. Nutrient supplements are frequently added to cell cultures used for biopharmaceutical production to extend culture life and improve yield. The productivity of fed-batch systems, however, can be limited by nutrient depletion or by a build-up of toxic metabolites or both. We developed a model fed-batch system for mammalian cell culture. By adapting cell lines to reduced glucose and glutamine medium and by optimizing the nutrient supplement, we were able to boost nutrient availability as the cells transitioned from growth to expression. Our model exhibited sustained maximal cell density and enhanced expression by reducing metabolic waste products, minimizing osmolality increases, and providing critical nutrients. N Stephen F. Gorfien, William Paul, David Judd, Lia Tescione, and David W. Jayme Cell density, longevity, and expression are the economics of cell cultures in biopharmaceutical production — and rich growth media are the investment. Glucose and glutamine are primary energy sources for culture growth, but their associated metabolic wastes can actually harm cell cultures. Adapting cell lines to reduced levels of glucose and glutamine, then feeding the cultures chemically defined nutrient supplements, increases cell viability, maximizes cell density, and increases product expression. Too Rich Can Be a Problem Corresponding author Stephen F. Gorfien is director of industrial applications; and William Paul is senior research associate, David Judd and Lia Tescione are scientists, and David W. Jayme is senior director in the cell culture R&D department at GIBCO Cell Culture R&D, Invitrogen Corporation, 3175 Staley Road, Grand Island, NY 14072, 800.828.6686 ext. 46633, fax 716.774.6996, [email protected], www.invitrogen.com. 34 BioPharm International APRIL 2003 Many serum-free and protein-free culture media are available commercially, and most are rich in nutrients — particularly in glucose and glutamine. However, as these nutrients feed the cells, the byproducts from the energy transfer can be detrimental to cell growth, and this may be particularly true of the byproducts of glucose and glutamine metabolism (1,2). Attempts at supplementing an already rich batchculture medium with additional glucose and glutamine can exacerbate the problem of potentially toxic metabolite accumulation (3). Figure 1 shows that media with reduced levels of glucose and glutamine prolonged viability by at least two days (Figure 1a) and improved r-galactosidase (rGal) expression in a recombinant Chinese hamster ovary (rCHO) cell line (Figure 1b). The problem with glucose. High levels of glucose can result in high levels of lactate through glycolysis. Lactate accumulation can reduce the pH throughout the culture, and that low pH can be detrimental to cell viability and productivity (1). This problem can be addressed by adding a base to the culture in a bioreactor. Within a pH-controlled bioreactor, neutralizing metabolic acids can increase osmolality. Although elevated osmolality has been shown to improve productivity in some mammalian systems (4), an osmolality increase that is too rapid and too high can negatively affect growth and protein expression, limiting bioreactor longevity in fed-batch mode. Figure 2a shows that far less lactate is produced when there is less glucose in the medium. Lactate in the low glucose and glutamine culture still increases because these cultures are fed with glucose to maintain the low level. The problem with glutamine. High levels of glutamine in culture media can cause ammonia to accumulate. The ammonia results from either metabolic hydrolysis to glutamic acid or from spontaneous deamidation as a result of medium storage. Reduced expression of recombinant tissue plasminogen activator (rtPA) has been associated with elevated ammonia concentration (5), and ammonium chloride was shown to inhibit multiplication of herpes simplex virus type 1 in Vero cells (6). Ammonia has also been shown to (a) (a) Catalog 1.20 Catalog Low glucose/Low glutamine 2.0 1.5 1.0 0.5 0.0 3 4 5 6 7 8 9 10 11 0.80 0.60 0.40 0.20 0.00 12 3 0.45 0.40 0.35 0.30 0.25 0.20 0.15 0.10 0.05 0.00 Catalog (b) Low glucose/Low glutamine 0.16 Ammonia (mg/106 Cells) rgal (U/mL) (b) Low glucose/Low glutamine 1.00 2.5 Lactate (mg/106 Cells) Viable Cell Density (106) 3.0 4 5 6 7 8 9 10 11 4 Catalog 5 6 7 8 7 8 Low glucose/Low glutamine 0.14 0.12 0.10 0.08 0.06 0.04 0.02 0.00 12 3 Day 4 5 6 Day Figure 1. Comparison of rCHO cultures adapted for growth in a Figure 2. Improved cell density and productivity of rCHO cultures reduced glucose and glutamine and a high glucose and glutamine (catalog control) media in (a) viable cell density and (b) rGal expression. Results show prolonged cell viability (days 10–12) and improved production throughout with the reduced glucose and glutamine mixture. adapted to a reduced glucose and glutamine medium show an associated, significant reduction in (a) lactate from glycolysis and (b) ammonia from metabolic hydrolysis to glutamic acid. affect glycosylation of a recombinant protein (7). Figure 2b shows the much smaller ammonia production from a medium that is low in glutamine. The benefit of partial nutrient supplements. To minimize these toxicity problems while increasing productivity, we simplified a chemically defined (CD), protein-free medium for CHO cells (CD CHO Medium) by reducing the levels of glucose and glutamine. We tested several approaches to providing rate-limiting nutrients to the cultures. We developed a concentrated, lowsalt, partial nutrient supplement (PNS) to improve nutrient availability to rCHO cells. Figure 3 shows, however, that feeding cells cultured in reduced glucose and glutamine CD CHO Medium with PNS on day 3 postplanting did not improve productivity or viability. (See the “Materials and Methods” sidebar for a complete description of the processes). The benefit of an optimized feed. By analyzing spent media, we identified the amino acids (asparagine or aspartic acid, glutamine or glutamic acid, and cystine) depleted during culture (Table 1). To minimize ammonia generation, we fed glutamic acid and aspartic acid to the cultures rather than glutamine and asparagine and added cystine as well. The addition of these glycogenic amino acids corrected the rate-limiting deficiencies (Table 1). We also analyzed shake flasks versus bioreactors, and whether more frequent feeding of the amino acid supplements (but at a lower concentration per feed) improved productivity (see the “Materials and Methods” sidebar). Feed Only What Is Needed We found that reducing glucose and glutamine extended rCHO cell viability and production levels in a fed-batch culture system and that adding a simple, optimized nutrient feed consisting of only three amino acids further enhanced total production. Zhou and coworkers have reported a metabolic shift in hybridoma cells adapted to grow in medium containing reduced levels of glucose and glutamine (8). Our studies — using rCHO cells engineered to overexpress rGal (9) (Figure 4) or human immunoglobulin G (rIgG) (Figure 5) and adapted to reduced glucose and glutamine conditions — confirm those observations and illustrate the benefits of fed-batch supplementation of a defined cocktail of nutrient additives to extend bioreactor longevity and enhance product yield. A metabolic shift model. CHO cells adapted to reduced glucose and glutamine conditions exhibit a reduced metabolic requirement for these nutrients. Reduced consumption is accompanied by a reduced accumulation of lactate and ammonia. Our study shows an increase in the production of rGal or rIgG under these growth conditions, which suggests a more efficient conversion of nutrient to product. This is in contrast to results described by Altamirano et al. (10) using a continuous culture of rCHO cells expressing rtPA. They found that rtPA production decreased as glucose supply to the culture was BioPharm International APRIL 2003 35 Process Development Materials and Methods Our goal was to determine if reduced glucose and glutamine extended recombinant Chinese hamster ovary (rCHO) growth and production in a fed-batch culture system. The materials and methods we used are described here; results are discussed in the text. Cells and media. Recombinant CHO cells engineered to overexpress -galactosidase (9) or human rIgG (proprietary cell line) were rapidly adapted to growth in either CD CHO Medium (GIBCO, Invitrogen Corporation) supplemented with 8.0 mM glutamine or a modified CD CHO Medium prepared with 2.0 g/L glucose and supplemented with glutamine in varying concentrations between 2.0 and 8.0 mM. Nutrient supplements. A CD CHO Medium–based partial nutrient supplement (PNS) containing all the amino acids of the standard CD CHO Medium formulation, except glutamine, was prepared as a 100-fold acid-soluble concentrate. A companion basesoluble solution of sufficient concentration to neutralize the acid group was also prepared. Partial amino acid supplements consisting of amino acids determined to be necessary for continued growth or for protein expression were prepared as approximately 4,000–6,000-fold concentrates. A 30% glucose solution was prepared in distilled water (dH2O). A stock solution of 0.1 g NaCl/mL dH2O was used to adjust culture osmolality and volume in some control cultures non-PNS fed. Analytical assays. A precolumn derivatization (Accutag, Waters Corporation) followed by reverse-phase HPLC was used to quantitate amino acids and ammonia in culture media samples using a 474 scanning fluorescence detector (Waters). Glucose and lactate were measured by a YSI analyzer (YSI Inc.). reduced, and they postulated that the high growth rate imposed by the culture dilution rate in a continuous system forced the cells to derive energy sources at the expense of dispensable metabolites (such as rtPA). In our low glucose and glutamine system, cell growth rate in shake flasks was not increased over the high glucose and glutamine system, which supports a metabolic shift model. It is not clear from these results whether the reduced glucose 36 BioPharm International APRIL 2003 Recombinant -galactosidase (rGal) activity was measured in cell lysates using a modification of the methods described by Hall et al. (13) and Miller (14). Briefly, 1.0 mL of cell suspension was collected from each sample, subjected to four freeze–thaw cycles, and centrifuged. A rGal standard (0.0008 mg/mL) was added to the first two rows of a 96-well plate on ice to generate a standard curve of 0–8 ng/mL rGal (0–10 L of standard per well). Cell extract (10 L per well) was added to each of the remaining wells. Each well received 100 L of a cocktail consisting of 77 L of 0.1 M of sodium phosphate (pH 7.5) and 22 L of 4 mg/mL o-nitrophenyl--D-galactopyranoside (ONPG) at pH 7.5 and containing 2 mM of -mercaptoethanol and 1 L of 100-fold solution of 0.1 M MgCl2 and 4.5 M of -mercaptoethanol. A 26-minute incubation at 37°C was necessary for a bright yellow color to develop, and 150 L of 1 M sodium carbonate was added to each well to stop the reaction. A microplate reader measured absorbance at 405 nm (A405). rIgG analysis was performed using SDS-PAGE and image analysis. Samples were prepared according to manufacturers instructions (Invitrogen, gels and stains are also from this company) and separated on a 4–12% Bis–Tris acrylamide gradient gel at 200 V for 35 minutes. Gels were then washed three times in dH2O for five minutes and stained in SimplyBlue SafeStain for one hour. The gel was then washed for one hour in dH2O and then in a second wash of dH2O for 3–24 hours. Image analysis was performed using a MDS290 digital camera with a onedimensional (1-D) image analysis software and glutamine directly precipitate the metabolic shift or the effect is a result of reduced production of cytotoxic catabolites (principally ammonia). In bioreactors, cells adapted to reduced glucose and glutamine reached a higher peak viable cell density than cells adapted to high glucose and glutamine (Figure 4). This still suggests a metabolic shift model because the peak production levels did not package (both from Kodak Scientific Imaging Systems). Band densities were compared to band densities of a known standard. Cell cultures. rCHO cells were grown in an agitated suspension culture in 125-, 250-, or 500-mL shake flasks on orbital shaker platforms rotating at 120–130 rpm. Culture volumes varied from 20–200 mL, depending on the flask size. Cultures were incubated at 37°C in humidified atmosphere of 8% CO2 in air. Cells were seeded at a density of 2.0–3.0 105/mL and subcultured at intervals of three to four days. For low glucose and glutamine shake flask experiments, glucose was added daily to 1.0 or 1.5 g/L starting on day 3; no additional glutamine was supplemented. Various amino acid supplements were initially added on day 3 or day 4 when the viable cell density had reached at least 1 106/mL. In some experiments, a sterile saline solution was added to control cultures to adjust osmolality and volume so that it was similar to that of PNS-fed cultures. Cell densities were determined using an electronic particle counter (Coulter Electronics). Cell viabilities were estimated by trypan blue exclusion. Results are expressed as mean standard deviation () for replicate cultures. For some experiments, cells were cultured in a 7.5-L (4-L working volume) CelliGen Plus bioreactor (New Brunswick Scientific). Initial bioreactor control parameters were set at pH 7.3, dissolved oxygen at 50% air saturation, and impeller speed at 60 rpm. Glucose was maintained in low glucose, low glutamine bioreactors at 0.1 g/L by automatic addition of glucose concentrate when triggered by YSI measurement. occur until after the cells had reached peak density. Future experiments will include ammonia measurement in bioreactor cultures. Defining the right nutrient cocktails. Many fedbatch additives have been reported to boost cell density or production (11). These nutrient cocktails often contain a complete basal formulation without the principal inorganic salt constituents (12). Our data suggest that for some cell systems, such a Table 1. Spent media was analyzed to identify the amino acids depleted during culture. Cells adapted to reduced glucose and glutamine and grown in a stirred tank reactor showed improved growth and production compared to shake flask cultures. complex nutrient feed may be suboptimal and may even inhibit both cell proliferation and protein production. Analysis of spent culture fluids (Table 1) illustrates that a simple cocktail of three amino acids (glutamate, aspartate, and cystine) sustains cell viability and productivity under constant low glucose conditions without further addition of glutamine (minimal residual levels of glutamine remain after a seven-day incubation at elevated cell density). Following transamination to tricarboxylic acid (TCA) cycle intermediates, the carbohydrate backbones of aspartate and glutamate may be efficiently aerobically metabolized. Studies are in progress to investigate coordinate induction of glutamine synthetase, glutamate dehydrogenase, or other relevant enzyme systems under these culture conditions. In the cell system we used, adding aspartate and glutamate was necessary but insufficient for optimal protein yield. Spent medium analysis indicated that exogenous cystine was also required. The nutrient additive containing all three amino acids yielded significantly higher Amino Acid Profilea PNS A/G A/G/C 62 153 79 82 8 96 6 7 acid 49 162 121 124 2HCl 0 81 0 79 8 14 7 7 L-arginine L-aspartic L-cystine Control HCl L-asparagine H2O L-glutamine L-glutamic acid 58 158 148 150 L-histidine HCl H2O 64 162 99 100 Hydroxy-L-proline 74 177 142 147 L-isoleucine 65 159 69 72 L-leucine 62 152 64 67 L-lysine 79 169 55 54 HCl L-methionine 61 160 71 73 1,372 1,599 1,305 1.323 L-phenylalanine 57 168 90 93 L-proline 72 161 108 109 L-serine 46 134 39 40 Ammonia a Amino acids are presented as a percentage of the base media. (a) Viable Cell Density (106 Cells) Peak cell density and rGal expression were improved when the reduced glucose and glutamine cultures were fed a supplement of three amino acids (glutamate, aspartate, and cystine). Feeding the three amino acids more frequently (but at a lower concentration per feed) resulted in a slightly greater production improvement than a less frequent, higher concentration per feed strategy. These data present the amino acid profile on day 7 for reduced glucose and glutamine cultures that were unsupplemented (control), supplemented with partial nutrient supplement (PNS), supplemented with aspartic and glutamic acid (A/G), and supplemented with aspartate, glutamate, and cystine (A/G/C). (b) rGal (U/mL) Results are discussed more fully in the text. To summarize, reducing the concentration of glucose and glutamine in CD CHO Medium increased cell viability and improved production in an rCHO cell line. The improved performance was associated with a reduction of lactate and ammonia metabolic wastes. Catalog PNS d3 Low glucose/low glutamine PNS d3 Catalog control Low glucose/low glutamine control 3.0 2.5 2.0 1.5 1.0 0.5 0.0 3 0.45 0.40 0.35 0.30 0.25 0.20 0.15 0.10 0.05 0.00 4 5 6 Catalog control Low glucose/low glutamine control 4 5 6 7 8 9 10 11 12 Catalog PNS d3 Low glucose/low glutamine PNS d3 7 8 Day 9 10 11 12 Figure 3. Feeding a partial nutrient supplement (containing all amino acids, except glutamine, in a standard media formulation) to cells adapted to low glucose and glutamine did not significantly improve (a) cell density or (b) product expression when compared with cells similarly adapted without the supplement suggesting that the supplement may contain unnecessary or inhibitory components that adversely affect growth and production. BioPharm International APRIL 2003 37 Process Development rGal (U/mL) (b) 3.0 Catalog bioreactor 3 amino acids 2.5 Low glucose/Low glutamine bioreactor 3 amino acids (a) 1.5 1.0 0.5 0.0 3 4 5 6 7 8 9 2.5 Catalog bioreactor 3 amino acids 2.0 Low glucose/Low glutamine bioreactor 3 amino acids 10 11 12 (b) 1.5 1.0 0.5 10 Viable Cell Density (106 ) 2.0 Catalog shake flask Low glucose/Low glutamine bioreactor IgG Low glucose/Low glutamine shake flask 8 6 4 2 0 Recombinant Immunoglobolin (g/mL) Viable Cell Density (106 ) (a) 160 140 120 100 80 60 40 20 0 2 3 4 5 6 7 8 9 10 11 2 3 reduced glucose and glutamine medium improved in (a) cell density and longevity, and in (b) rGal expression when fed a nutrient supplement of three amino acids in comparison to a catalog (high glucose and glutamine) medium fed with the same three amino acids. Bioreactors versus shake flask cultures. Improved peak cell density and production in a stirred-tank bioreactor system compared to shake flask cultures illustrate the importance of pH and dissolved oxygen control in nutrient use (Figure 5). Shifting cells to more efficient aerobic metabolism through adaptation to reduced glucose and glutamine conditions would be expected to increase the requirement for aspartate and glutamate as precursors to 38 BioPharm International APRIL 2003 7 8 9 10 11 4 5 6 7 8 9 10 11 Figure 5. Cells grown in a reduced glucose and glutamine Figure 4. Recombinant CHO cultures grown in bioreactors in performance than cocktails of the full basal constituent mixture or of aspartate and glutamate alone. Delivery frequency also contributes to an optimal biological performance. With total molar amounts of aspartate and glutamate kept constant, protein production was improved when the supplement was delivered more frequently in smaller doses rather than in two larger additions (Figure 6a). We further demonstrated (using a saline control) that the enhanced productivity from the simple amino acid cocktail was not simply a consequence of an osmotic boost (Figure 6b). 6 Day 12 Day 5 Catalog shake flask Low glucose/Low glutamine bioreactor IgG Low glucose/Low glutamine shake flask 0.0 3 4 chemically defined CHO medium and fed a nutrient supplement of only three amino acids show (a) improved growth and (b) increased rIgG production when grown in shake flasks and even greater improvement in (a) density and (b) expression when grown in a bioreactor in comparison to cells grown in shake flasks in a chemically defined CHO medium (catalog) with high glucose and glutamine fed with the same three amino acids. TCA cycle intermediates. In the presence of adequate levels of aspartate and glutamate, oxygen availability would then become the rate-limiting factor. We plan further studies examining oxygen and amino acid consumption rates to address this issue. Simpler and More Productive Our data suggest a qualitative difference in the design of nutrient media intended for fedbatch (and perhaps perfusion) culture applications and reinforce the potential benefit of adapting production cells, master cell banks, and master working cell banks to low glucose and glutamine culture conditions. Using an iterative approach, we developed a model fed-batch system for mammalian cell culture. Recombinant CHO cell lines that express rGal or human rIgG were adapted to a chemically defined, protein-free medium (CD CHO Medium). A low salt, concentrated supplement containing selected nutrients was added to boost nutrient availability as the cells transitioned from growth to expression. Two presolubilized feed subgroups were combined immediately before being added to the culture. Nutrient use was determined by analysis of spent media samples to simplify the feed supplement. Cells adapted to reduced levels of glucose and glutamine exhibited sustained maximal cell density and enhanced expression. We added a simplified supplement (glutamate, aspartate, and cystine) at various times to determine the optimal conditions for protein expression. The reduced glucose and glutamine CD CHO Medium reduced metabolic waste products (ammonia and lactate) and minimized osmolality increases. The ability of rCHO cells to grow and express well in a low glutamine basal medium fed only with glutamate, aspartate, and cystine suggests that alternate metabolic pathways can be exploited to improve culture performance. Additional efficiencies may be possible by further simplifying the basal medium or modifying the feeding schedule. BPI Process Development Gal - A/G/C (.5x) d3,6 vc/mL - Control vc/mL - A/G (.25x) d3,4,6,8/C (1x) d3,6 Gal - control Gal - A/G (.25x)d3,4,6,8/C(1x) d3,6 vc/mL - A/G/C (.5x) d3,6 (a) 0.6 2.5 0.5 2.0 Acknowledgments The authors wish to thank the members of the Invitrogen Media Analytical Services Laboratory for their assistance in nutrient quantitation. References (1) Hassell, T., Gleave, S., and Butler, M., “Growth Inhibition in Animal Cell Culture: The Effect of Lactate and Ammonia,” Appl. Biochem. Biotechnol. 30, 29–41 (1991). (2) Heeneman, S., Deutz, N.E.P., and Buurman, W.A. “The Concentrations of Glutamine and Ammonia in Commercially Available Cell Culture Media,” J. Immunol. Methods 166, 85–91 (1993). (3) Fike, R. et al., “Feeding Strategies for Enhanced Hybridoma Productivity: Automated Concentrate Supplementation,” BioPharm 6(8), 49–54 (1993). (4) Chua, F.K., Yap, M.G., and Oh, S.K., “Hyperstimulation of Monoclonal Antibody Production by High Osmolarity Stress in eRDF Medium,” J. Biotechnol. 37(3), 265–275 (15 November 1994). 40 BioPharm International APRIL 2003 1.0 0.2 0.5 0.1 0.0 3 4 5 6 7 8 9 10 11 0.0 12 Day Gal (Saline d3,6) vc/mL (Saline d3,6) 2.5 Gal (PNS d3,6) vc/mL (PNS d3,6) 0.20 2.0 0.15 1.5 0.10 1.0 0.05 0.5 0.00 3 4 5 6 7 8 9 10 11 12 13 vc/mL 106 (b) 0.25 Gal U/mL Figure 6. (a) We have done some work on the effect of more frequent, but quantitatively less, nutrient feeding: These preliminary data show that cultures fed a supplement of three amino acids (aspartate, glutamate, and cystine) at onequarter strength on four days (with cystine only added twice) performed better than the two-day feeding of the three amino acids, and both showed better density (lines) and expression (bars) than the control (unsupplemented); and (b) to confirm that the boost in expression (bars) and cell density (lines) was a result of the nutrient supplement and not a result of the increased osmolality (salt concentration), we used cells adapted to reduced glucose and glutamine and compared cultures fed saline with those fed a partial nutrient supplement: These data show that the improved culture performance was not a result of increased osmolality. 1.5 0.3 vc/mL 106 Gal U/mL 0.4 0.0 Day (5) Hansen, H.A. and Emborg, C., “Influence of Ammonium on Growth, Metabolism, and Productivity of a Continuous Suspension Chinese Hamster Ovary Cell Culture,” Biotechnol. Prog. 10, 121–124 (1994). (6) Koyama, A.H. and Uchida, T., “The Effect of Ammonium Chloride on the Multiplication of Herpes Simplex Virus Type 1 in Vero Cells,” Virus Res. 13(4), 271–281 (1988). (7) Yang, M. and Butler, M., “Effect of Ammonia on the Glycosylation of Human Recombinant Erythropoietin in Culture,” Biotechnol. Prog. 16, 751–759 (2000). (8) Zhou, W. et al., “Alteration of Mammalian Cell Metabolism by Dynamic Nutrient Feeding,” Cytotechnol. 24, 99–108 (1997). (9) Gorfien, S.F. et al., “Recombinant Protein Production by CHO Cells Cultured in a Chemically Defined Medium,” Animal Cell Technology: Basic and Applied Aspects, Vol. 9, K. Nagai and M. Wachi Eds. (Kluwer Academic Publishers, New York, 1998), pp. 247–252. (10) Altamirano, C. et al., “Analysis of CHO Cells Metabolic Redistribution in a Glutamate-Based (11) (12) (13) (14) Defined Medium in Continuous Culture,” Biotechnol. Prog. 17, 1032–1041 (2001). Bibila, T.A. and Robinson, D.K., “In Pursuit of the Optimal Fed-Batch Process for Monoclonal Antibody Production,” Biotechnol. Prog. 11(1), 1–13 (January–February 1995). Sauer, P.W. et al., “A High-Yielding, Generic Fed-Batch Cell Culture Process for Production of Recombinant Antibodies,” Biotechnol. Bioeng. 67(5), 585–597 (2000). Hall, C.V. et al., “Expression and Regulation of Escherichia Coli LacZ Gene Fusions in Mammalian Cells,” J. Mol. Appl. Genetics 2, 101–109 (1983). Miller, J.H., “Experiments in Molecular Genetics,” (Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, 1972).
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