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PERSPECTIVE article

Front. Phys., 10 November 2023
Sec. High-Energy and Astroparticle Physics
This article is part of the Research Topic Science And Technology In Deep Underground Laboratories View all 19 articles

Overview of DISCOVER22 experiment in the framework of INFN-LNGS Cosmic Silence activity: challenges and improvements in underground radiobiology

  • 1INFN—Laboratori Nazionali del Gran Sasso, Assergi L’Aquila, Italy
  • 2Dipartimento di Medicina clinica, sanità pubblica, scienze della vita e dell’ambiente, Università degli Studi dell’Aquila, L’Aquila, Italy
  • 3Centro Nazionale di Tecnologie Innovative in Sanità Pubblica, Istituto Superiore di Sanità, Rome, Italy
  • 4INFN, Sezione di Roma1, Rome, Italy
  • 5Dipartimento di Scienze, Università degli Studi Roma Tre, Rome, Italy
  • 6INFN, Sezione di Roma3, Rome, Italy
  • 7Dipartimento di Fisica, Università degli Studi di Pavia, Pavia, Italy
  • 8INFN Pavia, Pavia, Italy
  • 9INFN—Laboratori Nazionali di Legnaro, Padova, Italy
  • 10INFN-Trento Institute for Fundamental Physics and Applications (TIFPA), Trento, Italy
  • 11Dipartimento di Scienze Cliniche Applicate e Biotecnologiche, Università degli Studi dell’Aquila, L’Aquila, Italy
  • 12CNR-SPIN, c/o Università degli Studi dell’Aquila, L’Aquila, Italy
  • 13European Center for Brain Research/IRCCS Santa Lucia Foundation, Rome, Italy
  • 14Servizio Tecnico Scientifico Grandi Strumentazioni e Core Facilities, Istituto Superiore di Sanità, Rome, Italy
  • 15Dipartimento Malattie Infettive, Istituto Superiore di Sanità, Rome, Italy

One of the most intriguing and still pending questions in radiobiology is to understand whether and how natural environmental background radiation has shaped Life over millions of years of evolution on Earth. Deep Underground Laboratories (DULs) represent the ideal below-background exposure facilities where to address such a question. Among the few worldwide DULs, INFN-Laboratorio Nazionale del Gran Sasso (LNGS) is one of the largest in terms of size and infrastructure. Designed and built to host neutrino and dark matter experiments, since the 1990 s the LNGS has been one of the first DULs to systematically host radiobiology experiments. Here we present the DISCOVER22 (DNA Damage and Immune System Cooperation in VEry low Radiation environment 2022) experiment recently started at LNGS. DISCOVER22 aims at investigating how the low radiation background modulates the Immune System (IS) response in in vitro and in vivo models. Underground radiobiology experiments are particularly complex and tricky to design and perform. In these studies, the accurate characterization of exposure scenarios is mandatory, but a challenging aspect is to understand how the very few ionizing tracks in the ultra-Low Radiation Environment (LRE) interact with the living matter in space and time in order to trigger different biological responses. In this Perspective, we describe these challenges and how we address them through a microdosimetric and a radiobiological approaches. We aim at linking physical microdosimetric measurements and the corresponding biological radiation responses by using radiation biophysical models that could shed light on many as yet unresolved questions.

Introduction

Natural Background Radiation (NBR), which is the sum of space radiations, reaching the Earth, and terrestrial radiation, from radionuclids present in rocks, is an inescapable abiotic factor to which all living organisms are exposed. NBR, which surrounds us and has always been present, has accompanied the evolution of Life on Earth. Important and fascinating questions remain open about its role in the metabolism of living beings and on their evolution. The first experiment conceived to answer these questions date back to the 1980. Planel et al. grew the protozoan Paramecium tetraurelia and the cyanobacterium Synechococcus lividus either in a shielded condition and in an underground laboratory located under 200 m of rock in the Pyrenees, demonstrating that “radiation can stimulate the proliferation of these two single-celled organisms” [1]. This study provided first evidences questioning the Linear No-threshold (LNT) model for Below-Background Radiation (BBR), suggesting a role for NBR in maintaining biological functions for microorganisms. Since then, further studies have been conducted on different living systems giving rise to a new and exciting area of research, the Underground Radiobiology (URb). So far, our and other groups have demonstrated that living organisms, from bacteria to multicellular organisms, sense and respond to BBR in different ways, highlighting a role of NBR in maintaining efficient defense responses [2]. Deep Underground Laboratories (DULs) represent the ideal location where to perform these investigations since the space radiation contribution is largely reduced. An overall view on the research activities in DULs around the world shows a growing interest for underground biology in the recent years, testified by many proposals, investment of dedicated spaces, funding and long-term biology programs. However, URb experiments are particularly complex. In addition to the logistical and technical issues that have to be addressed and that have been widely discussed in [24], an important aspect is the need for strict environmental control in both underground and reference laboratories in which the parallel cultures are maintained for biological tests. This tight control allows the observed biological differences to be attributed with reasonable certainty to the reduction of NBR in the underground environment.

The interdisciplinary Cosmic Silence Collaboration (CSC), as well as other groups conducting URb investigations, have been working hard in this direction, minimising environmental variables as much as possible and further reducing environmental radiation exposure through radon mitigation/abatement systems in the underground laboratory [57] and modulating the contribution of low-LET gamma rays with shielding and natural sources [2]. A precise and complete dosimetric characterisation of the radiation field is mandatory for optimising experiments and interpreting biological results correctly and in detail. DISCOVER22 (DNA Damage and Immune System Cooperation in VEry low Radiation environment 2022) is a three-year INFN-Interdisciplinary Scientific Commission 5 funded experiment, in the framework of CSC activities at INFN- Gran Sasso National Laboratory (LNGS). The experiment, started in the beginning of 2023, aims at investigating how BBR modulates the immune response in vitro and in vivo models. Here we present the DISCOVER22 experiment by describing the biological, microdosimetric, and modeling approaches used. We believe that applying the strategy of linking direct microdosimetric measurements with biological analysis through modelling will allow us to answer several open questions about the nature of interactions between ultra-low doses and living matter. To our knowledge, it is the first time that a direct microdosimetric measurement is applied to URb experiments, this aspect having been addressed so far only through the use of simulations [8].

DISCOVER 22-the biological question

To date, the study of biological responses below the NBR suggested that environmental radiation exposure is an essential stimulus to efficiently activate the stress-response capability in many living organisms (from protozoan to human cells) [918]. Most of these studies come from URb experiments conducted for more than 3 decades at LNGS facilities. However, to our knowledge, no data are available on the modulation of immunological responses in such conditions and further studies are needed.

The basic cellular and molecular mechanisms underlying the radiation-induced immune response are still largely unknown and research on this area is becoming a hot topic. Indeed, investigation of the Immune System (IS) response to Low Dose Radiation (LDR)/dose rates has been also identified as a priority in the Strategic Research Agenda (SRA) of Multidisciplinary European Low Dose Initiative (MELODI) [19].

LDR has been shown to modulate a variety of immune response processes [2022]. At low doses, the IS may be affected, leading to accelerated immune aging and increased risk of various health issues, such as age-related degenerative disorders and cancer. On the other hand, LDR therapy has been found to have positive effects on chronic inflammatory and degenerative diseases, including anti-inflammatory and pain-relieving properties [23]. Several studies have confirmed that the effect of LDR on innate and adaptive immunity depends on many factors, including status of immune cells, microenvironment, and immune cell-cell interaction, suggesting that it is a well-orchestrated phenomenon with clinical potential [2426]. Moreover, radiobiological data suggest that cytokines modulating immunological responses are differentially up- or downregulated with doses around 0.5 Gy [27, 28]. Furthermore, the anti-inflammatory versus pro-inflammatory responses at doses as low as 10 and 50 mGy are not clear-cut but rather the result of a balance between the two types of effect [29].

In DISCOVER22, experiments in BBR (LNGS underground laboratory) and in NBR (LNGS aboveground laboratory), will be carried out in parallel to investigate whether BBR:

1. Influences the activation of the cGAS/STING pathway following radiation-induced DNA damage in human keratinocytes (Figure 1. Panel 1);

2. Influences the ability of immature immune cells both to differentiate into macrophages (Mp) and neutrophils (Np) and to maintain their biological functions (Figure 1. Panel 2);

3. Modulates immuno-related gene expression in Drosophila melanogaster.

FIGURE 1
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FIGURE 1. Panel 1—Representative image of human keratinocytes stained with MN cGAS positive. The green color represents cGAS protein, in blue DNA and red the nuclear envelope. Panel 2—Image of AP HL60 (A), Np (B), and Mp (C). HL60 cells grow in suspension whereas Np and Mp grow in monolayer.

Regarding the first objective, the project will investigate whether human cells maintained in BBR for 2–4 weeks differently respond to a challenging ionizing radiation (IR) exposure in terms of Innate Immune Response (IRR) activation.

We hypothesize that permanence of cells in BBR could influence the activation of the innate IS induced by DNA damage. One potential outcome is that cells cultured in BBR may downregulate IS activation caused by DNA damage, resulting in reduced immune responsiveness to high doses of acute IR. Recent studies have provided mechanistic information on how DNA damage induces interferon (IFN) type I and other immuno-regulatory cytokines [30]. Among the different pathways, we decided to focus on the cGAS-STING that is activated by a protein called cycling-GMP-AMP synthase (cGAS) able to detect cytosolic DNA (e.g., viral DNA but also endogenous fragmented DNA originating from DNA damage) and synthesize cGAMP [31]. The second cGAMP messenger binds to a specific region of the STING protein resulting in a conformational change [32]. STING multimerizes and moves from endoplasmic reticulum to Golgi, where it binds and is phosphorylated by the dimer TANK-binding kinase 1 (TBK1), a serin-threonine kinase, or by the complex IKK (IκB kinase). Activation of STING-TBK1/IKK leads to phosphorylation of the transcription factor IRF3 (Interferon Regulatory Factor 3) resulting in dimerization [33] and activation of NF-kB, which enters the nucleus and binds to the promoter of the IFN beta, a type I-IFN, activating its transcription [34]. This pathway provides a direct link between IR-induced DNA damage and innate immunity activation and to our knowledge, no data are present in the literature on the modulation of the cGAS/STING pathway in BBR conditions.

Regarding the second objective, the influence of the BBR in modulating the differentiation capability will be evaluated using human promyeloblast leukemia (HL60) cells, a well-characterized cellular model of the IS. Although literature data are scarce in this field, some suggestion came from the study of Chun et al. showing that bone marrow cells from low-dose irradiated mice can differentiate into dendritic cells [34]. The HL60 cells [35] proliferate in suspension and can be induced to differentiate in vitro [36], using dimethyl sulphoxide [37] and 12-O-tetradecanoylphorbol-13-acetate (TPA) [38], into Np and Mp, respectively, similar in morphological and functional characteristics to those in vivo. HL60 cells will be induced to differentiate, after being grown in BBR and NBR. To study the differentiation, the expression of specific membrane antigens (CDs) and ROS level, will be analyzed by flow cytometry (FC) [39]. Any shift in CD expression, ROS level profiles, in BBR and NBR will be indicative of immune modulation. Finally, the capability of Np and Mp to maintain their phagocytic functions, that play a crucial role in host defenses against pathogens, will also be investigated. These functions will be studied through a quantitative colorimetric nitroblue tetrazolium assay [40], in Mp, and through an immunological mechanism called NETosis, in Np. Neutrophil Extracellular Traps (NETs) are web-like structures, consisting of a DNA core to which histones, proteins and enzymes are attached, through which neutrophils eliminate pathogens [41, 42]. In D. melanogaster, the response to an immune challenge mainly relies on two distinct pathways (Toll and Imd signaling pathways) where each of them comprises molecules that have a counterpart in mammalian signaling pathways activated during innate immune defenses. Like in human beings, in fruit flies the homeostasis of the IS is maintained through tissue communication making them a remarkable model for deciphering the IS at the organismal scale [43, 44]. Fruit flies have previously been successfully used as model organism in underground biology experiments [13, 15, 45]. Starting from a comparative transcriptomic experiments already performed (still unpublished) in the framework of LNGS-RENOIR experiment [2], the modulation of IRR will also be analyzed focusing on the pathways and factors analog to those found in vitro in the human counterpart [46]. New experiments will be carried out and a comprehensive real-time PCR analysis will be carried out on target genes. This approach will confirm and/or add new information at the whole organism scale.

DISCOVER 22-the microdosimetric approach

Traditional dosimetry primarily focuses on measuring the absorbed dose, which represents the total energy deposited in a given mass of tissue and is a macroscopic quantity. However, the biological effects of radiation are not solely determined by the absorbed dose. The spatial distribution and nature of energy deposition within cells and their microenvironments also play a crucial role. LDR exposures often involve stochastic effects, where the probability of biological damage occurring increases with dose but individual events are random and unpredictable. It is crucial to consider that even with the same absorbed dose, the microscopic patterns of energy deposition can vary. In general, an inhomogeneous pattern resulting from densely IR is more effective in terms of biological impact than a homogeneous pattern caused by sparsely IR. This highlights the importance of understanding the spatial distribution and nature of energy deposition at the microscopic level in order to fully comprehend the biological effects of irradiation [4, 8, 47, 48]. In the context of the dose rate of 27 nSv/h at the underground LNGS [“Sub-background radiation exposure at the LNGS underground laboratory: dosimetric characterization of the external and underground facilities” in Research Topic: Science and Technology In Deep Underground Laboratories. Frontiers in Physics currently under revision process], microdosimetry emerges as a valuable approach for gaining insights into the radiation field [49]. Figure 2A shows a typical microdosimetric spectrum measured in the NBR field at Legnaro National Laboratories of INFN (INFN-LNL), utilizing a tissue equivalent proportional counter (TEPC) that simulates a 1 µm site. Measurements were performed inside the office building at INFN-LNL and the spectrum was calibrated on the electron-edge [50]. The lineal energy variable, y, is defined as the energy imparted to the target site divided by the mean chord length of the site. The probability density function, d (y), signifies the likelihood that the absorbed dose results from events with a lineal energy ranging between y and y + dy. In Figure 2A’s layout, which is commonly employed to illustrate microdosimetric spectra, equal visual areas correspond to equal contributions to the total absorbed dose. Figure 2B presents the corresponding stochastic distribution of the conditional specific energy, z*, which represents the microdosimetric equivalent of absorbed dose, conditioned on the occurrence of at least one energy deposition event (sites that have at least one energy deposition event are called critical sites). At the extremely low dose levels relevant to this project (less than 10 µGy in 10 days), it is important to note that the likelihood of a critical subcellular structure being affected by an energy deposition event is extremely low, and the probability of more than one event is negligible. This makes microdosimetry a valuable approach for characterizing the radiation quality. From an experimental perspective, detecting events within a 1 µm diameter sphere poses a significant challenge due to the low dose rate, resulting in an expected count rate of only 5 × 10−7/h. However, this challenge can be overcome by replacing the 1 µm of biological tissue with a larger volume of low-density tissue-equivalent gas, which substantially increases the counting rate. This technique is commonly employed in ionization chambers and TEPCs, and it greatly enhances the sensitivity of radiation detection. To enable continuous monitoring of fluctuations in the radiation field, encompassing both dose and microdosimetric quantities, we propose the construction and use of a TEPC with a large sensitive volume. A diameter of 10 cm enables detection with an estimated count rate of 5,000 events per hour, resulting in 1.2 × 105 events detected in a single day. Thus, employing a 10 cm diameter TEPC allows for daily monitoring of both the dose and the microdosimetric spectrum with statistically significant data. The design and construction of the TEPC will be carried out leveraging the expertise and infrastructure available at INFN-LNL. Meanwhile, preliminary microdosimetric measurements will be carried out using a spherical TEPC with a segmented cathode, which has been previously developed at INFN-LNL [51]. The detector and data acquisition system will have local and remote-control capabilities, allowing real-time monitoring of the radiation field. Upon completion, the newly designed device will be installed in the underground laboratory of LNGS, enabling continuous monitoring of both dose and microdosimetric quantities in the radiation field.

FIGURE 2
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FIGURE 2. (A) The microdosimetric spectrum measured in a 1 μm sensitive site in the background environmental radiation field at INFN-LNL. Equal visual areas correspond to equal contributions to the total absorbed dose. The thick line shows the sampled data, the thin light-lines represent statistical uncertainties as 2 standard deviations. (B) The specific energy for critical sites, z*, as a function of the macroscopic absorbed dose D. Results correspond to the radiation field shown in Figure 2. The dashed red line depicts the probability of a 1 µm site being affected by more than one energy deposition event. The thick black line represents the mean value of the conditional specific energy, while the shadow area indicates the fluctuations of z* considering one standard deviation. The dashed red line depicts the probability of a 1 µm site being affected by more than one energy deposition event. Calculation was performed following the method described in [52].

DISCOVER 22-the biophysical model

Cell-cycle models are a valid tool to identify and quantify differences—if any—in the progression through the replicative cycle and, more in general, in the radiation response of cells grown in different background-radiation conditions [53, 54]. To this aim, we will reproduce with a deterministic compartmental model the cell-cycle progression of human keratinocytes, both for the BBR and NBR conditions. Experimental model inputs are cell-cycle time; FC data on cell percentages in G1, S, and G2/M phases. Model parameters represent transition rates between phases [55, 56]. The correlations between model parameters and microdosimetric quantities characterizing the radiation environment will be explored. The model will then be adapted to describe the cell-cycle perturbation for cells grown in BBR and NBR and exposed to the challenging 2 Gy X-ray dose, using FC data at different post-irradiation times (e.g., 6, 24, and 48 h). In the irradiated condition, the expected induction of DNA breaks per unit dose and the probability of their spatial proximity will be considered. Given the transition rate through mitosis of cells harboring lesions that can lead to incorrect segregation of the genomic material, the model will be developed to define the probabilities of: survival with Micronuclei (MN) formation; MN rupture activating the IRR via the cGAS-STING pathway. In such a way, it will be tuned to reproduce the experimental yield of radiation-induced MN, the expected fraction of micronucleated cells, and the observed fraction of cGAS-positive MN. Again, differences in the behaviour of BBR vs. NBR-grown cells, if any, will be quantified and interpreted based on model parameter values. One of the risk of URb studies is that changes in any cell behaviour, which can undoubtedly be attributed to the different background-radiation conditions, might be subtle, masked by biological variability or variation in the radiation environment, and therefore difficult to identify. To this aim, a good strategy is represented by the integration of datasets on different endpoints, resorting to data analysis techniques based on machine learning algorithms. In the project, all different data obtained with the in vitro HL60 cell model grown in BBR and NBR conditions (CD markers, ROS level, and cell-cycle data, etc.,) will be integrated and analysed through techniques based on data dimensionality reduction, such as PCA (Principal Component Analysis) or t-SNE (t-distributed Stochastic Neighbor Embedding) will be used (see, e.g., [57] for a more classical application to–omics dataset; [58] for PCA applied to identify changes in in vitro immune response to radiation). The new parametrizations of the dataset, obtained as linear/non-linear transformations of physical and biological parameters, would possibly be better suited to highlight changes between the two conditions.

Discussion and conclusion

Radiobiological experiments performed in DULs have been important to challenge the LNT model used in radiation protection, showing that the permanence below the environmental radiation increases the radiation response. To date, modulation of immunological responses to LDR represents an unexplored aspect in URb. The objective of the DISCOVER22 project is to dissect this topic by analyzing it at both cellular and organismal levels, gaining insights into radiation exposure-dependent immune response modulation. Specifically, we aim at providing in vitro data on the effect of the permanence of human cells in LRE in terms of the activation of the innate IS in response to radiation induced DNA damage, as well as the differentiation of immature into specialized immune cells. Furthermore, comparative gene expression analysis in flies grown in LRE and RRE will significantly contribute to a better understanding of the role of NRB in the modulation of IRR in vivo. A big challenge in LDR exposure is to perform direct microdosimetric measurements. The proposed TEPC, with its large site diameter, will enable daily assessment of both dose and microdosimetric spectrum with statistically significant data, enabling better characterisation of environmental radiation. By quantifying microdosimetric quantities, microdosimetry provides insights into the probability and nature of radiation interactions at the cellular and subcellular levels. This information is valuable for understanding the entity and the underlying mechanism (s) leading biological effects induced by LDR. Finally, the application of modelling will link physical and biological parameters, and allow to extract quantitative indicators to describe and interpret the response of the biological system, and the application of analysis techniques based on machine learning algorithms and data integration will help identify changes in such response that can be attributed to the different background radiation levels. We believe that the approach of the DISCOVER22 experiment represents a further step in URb to define both the priority aspect of microdosimetric characterisation of the radiation field in BBR environment and the understanding of the interactions between radiation and living matter at such ultra LDR in modulation of DNA damage and immune response.

Impact and possible implications of this study are mainfold: 1) providing information useful for the understanding of the relationship between radiation exposure and immune response also in view of possible implications in LDR therapy. 2) clarifying the influence of cosmic radiation on the IS, that may be also relevant for deep space exploration, pointing to possible immunosuppressive effects of shielding, such as in the case of habitation modules built in caves as proposed for Mars colonization 3) obtaining clues to more fundamental topics, such as the adaptation of Life during the evolution of living organisms.

Data availability statement

The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding author.

Author contributions

PM: Conceptualization, Methodology, Supervision, Visualization, Writing–original draft, Writing–review and editing. VD: Conceptualization, Methodology, Writing–original draft, Writing–review and editing, Visualization. FrB: Writing–review and editing. GB: Methodology, Writing–original draft, Writing–review and editing. VC: Methodology, Writing–original draft, Writing–review and editing, Visualization. IU: Writing–review and editing. FeB: Writing–review and editing. JM: Writing–review and editing. PA: Writing–review and editing. AA: Writing–review and editing. MT: Writing–review and editing. ASe: Writing–review and editing. SC: Writing–review and editing. AB: Writing–review and editing. IG: Writing–review and editing. LL: Writing–review and editing. ES: Writing–review and editing. ML: Writing–review and editing. MB: Writing–review and editing. FF: Writing–review and editing. DG: Writing–review and editing. AG: Writing–review and editing. MM: Writing–review and editing. VT: Writing–review and editing. FG: Writing–review and editing. MS: Writing–review and editing. ASg: Conceptualization, Funding acquisition, Methodology, Writing–original draft, Writing–review and editing, Visualization.

Funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work is supported by INFN-CSN5 (DISCOVER22 Experiment 2023-2025) and by a grant from INFN- Laboratori Nazionali del Gran Sasso (C.A. 04.03.01.05.03.)

Acknowledgments

The Cosmic Silence Collaboration would like to thank LNGS and all technical Services for their skilled assistance and support for the experiment.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.

Publisher’s note

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Keywords: underground radiobiology, deep underground laboratories, environmental radiation, immune response, low radiation, microdosimetry, biophysical model

Citation: Morciano P, Dini V, Berardinelli F, Baiocco G, Conte V, Udroiu I, Barbato F, Marinaccio J, Anello P, Antoccia A, Tabocchini MA, Selva A, Canella S, Bianchi A, Guardamagna I, Lonati L, Scifoni E, Laubenstein M, Balata M, Ferella F, Grifoni D, Galante A, Maccarrone M, Tirelli V, Grasso F, Sanchez M and Sgura A (2023) Overview of DISCOVER22 experiment in the framework of INFN-LNGS Cosmic Silence activity: challenges and improvements in underground radiobiology. Front. Phys. 11:1263338. doi: 10.3389/fphy.2023.1263338

Received: 19 July 2023; Accepted: 30 October 2023;
Published: 10 November 2023.

Edited by:

Carlos Peña Garay, Laboratorio Subterráneo de Canfranc, Spain

Reviewed by:

Giulia Festa, Museo Storico della Fisica e Centro Studi e Ricerche Enrico Fermi, Italy

Copyright © 2023 Morciano, Dini, Berardinelli, Baiocco, Conte, Udroiu, Barbato, Marinaccio, Anello, Antoccia, Tabocchini, Selva, Canella, Bianchi, Guardamagna, Lonati, Scifoni, Laubenstein, Balata, Ferella, Grifoni, Galante, Maccarrone, Tirelli, Grasso, Sanchez and Sgura. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Patrizia Morciano, cGF0cml6aWEubW9yY2lhbm9AbG5ncy5pbmZuLml0

These authors share first authorship

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