Abstract
Dermcidin (DCD), an antimicrobial peptide that is secreted by sweat glands, is reportedly a human homolog of mouse proteolysis-inducing factor. This study was conducted to investigate the effect of DCD on body fat mobilization. The expression level of DCD in the livers of Ad-DCD-injected mice was higher than in those of Ad-β-galactosidase (Ad-β-gal)-injected mice 7 days after injection. In addition, injection with the Ad-DCD virus led to decreased body weight and epididymal fat mass when compared with controls. The plasma triglyceride level was decreased, whereas the free fatty acid and glycerol levels were increased in the Ad-DCD-injected group. Epididymal adipose tissues obtained from Ad-DCD-injected mice consisted of smaller adipocytes than tissues obtained from Ad-β-gal-injected mice. The gene expression profiles revealed an upregulation of hormone-sensitive lipase and adipose fatty acid-binding protein, both of which are involved in adipocyte lipolysis, in Ad-DCD-injected mice, and this lipolytic effect of DCD paralleled the increase of circulating tumor necrosis factor-α (TNF-α) level that was observed. The perilipin levels in adipose tissue were decreased in Ad-DCD-injected mice when compared with those of the control mice. Taken together, these results suggest that DCD-mediated body fat reduction might occur as a result of TNF-α-induced downregulation of perilipin in adipose tissue.
Introduction
Dermcidin (DCD) was originally identified as a gene that was responsible for the production of DCD-1, a proteolytically processed product of DCD secreted by eccrine sweat glands (Schittek et al. 2001). The full-length DCD gene consists of 110 amino acid (aa) residues, with an N-terminal 19 aa signal peptide that is characteristic of the secreted proteins (Fig. 1A). In eccrine sweat, differently processed DCD-derived C-terminal peptides comprising 48 aa residues (DCD-1L), 47 aa residues (DCD-1), and shorter fragments were detected (Flad et al. 2002), and additional studies confirmed the antimicrobial activity of DCD-1L and DCD-1 against a variety of pathogenic micro-organisms (Schittek et al. 2001, Vuong et al. 2004, Lai et al. 2005). Human sweat contains 1–10 μg/ml DCD-1, which is a concentration that is toxic to most micro-organisms that have been tested (Flad et al. 2002). Using serial analysis of gene expression, Porter et al. (2003) identified DCD as a candidate oncogene in breast cancer and suggested that DCD plays a role in tumorigenesis by enhancing cell growth and survival in a subset of breast carcinomas. In addition, others have recently reported that DCD might also function as an oncogene in hepatic cells (Lowrie et al. 2006) and prostate cancer cells (Stewart et al. 2007).
It has been reported that the N-terminal 30 amino acid peptide of DCD, which is known as either survival-promoting peptide, diffusible survival evasion peptide (DSEP), or Y-P 30 (Cunningham et al. 1998, 2002), promotes neural cell survival under oxidative conditions. Y-P 30 is a product of the same region of DCD as the core peptide of proteolysis-inducing factor (PIF) that has been identified as a cachectic factor that was purified from cachexia-inducing murine tumors and urine of patients with pancreatic cancer that experienced weight loss (Todorov et al. 1996, Wigmore et al. 2000). In addition, PIF elicits intense skeletal muscle catabolism in muscle cells and in animals (Lorite et al. 1997, 1998, Smith et al. 1999). DCD has been reported to be a human homolog of mouse PIF, based on a 90% amino acid similarity with the 20 amino acid sequence that has been described for mouse PIF and the N-terminal 20 amino acid sequence of DCD (Monitto et al. 2004). Although DCD has been identified as a human cachectic factor, the exact enzymes required to generate the different products produced by the DCD gene, as well as the precise nature of the post-translational modifications of human PIF, have not been fully elucidated. However, the different roles of the gene products of DCD suggest that DCD has antimicrobial and oncogenic functions, as well as a wide range of biological functions. Therefore, in this study, we investigated the effects of DCD in vivo when its systemic expression was increased in normal mice via adenovirus-mediated DCD gene transfer.
Materials and Methods
Preparation of the recombinant adenovirus
The E1/E3-deleted replication-deficient recombinant adenovirus was constructed using the AdEasy system (Quantum Biotechnologies, Montreal, Canada) following the method described by He et al. (1998). Briefly, the full-sequence fragment of DCD, including the secretion signal, was ligated into pShuttle cytomegalovirus (CMV). Recombination into the pAdEasy viral backbone was then accomplished in bacteria (Escherichia coli, strain BJ5183, which is recombination deficient) according to the manufacturer's instructions. Next, the recombination was verified, and the adenoviral recombinant DNA was then transferred to a regular E. coli strain (DH5α), which generated greater yields of DNA. Recombinant pAdEasy plasmids containing CMV-cDNA inserts were then purified using Qiagen columns (Qiagen) and 5 μg PacI-digested DNA was then used to transfect QBI-293A cells by the calcium phosphate method (Promega). This process generated recombinant viruses that were termed Ad-DCD. A virus containing the bacterial β-galactosidase (β-gal) gene under the control of the cytomegalovirus promoter (Ad-β-gal) was then prepared, purified, and titrated as described previously (Kim et al. 2007).
Animals
All experimental procedures were approved by the Institutional Animal Care and Use Committee at Chonbuk National University. Pathogen-free male ICR mice, purchased from the Korean Research Institute of Chemical Technology (Daejon, South Korea), housed in our animal facility and maintained with access to standard mouse food (5% (w/w) fat, 48% carbohydrate, and 18% protein) and water ad libitum. A total of 3×1011 plaque-forming units of adenovirus were then administered intravenously to 5-week-old mice weighing ∼20 g that had been anesthetized with xylazine and ketamine–HCl. The food intake and body weight were then measured daily and every 2 days respectively for 7 days. All animals were killed under sodium pentobarbital anesthesia, after which their tissues were dissected immediately, weighed, and placed in half-strength Karnovsky's solution (1.6% paraformaldehyde and 1.7% glutaraldehyde in 0.1 M PBS (pH 7.4)) for adipocyte morphometry or frozen in liquid nitrogen for RNA extraction and western blot analysis.
Cell culture
Dr Orlicky (University of Colorado, Denver) provided 3T3-L1CARΔ1 cells (expressing the coxsackie-adenovirus receptor that improves adenoviral transduction efficiency; Orlicky et al. 2001). 3T3-L1CARΔ1 preadipocytes were cultured in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 100 μg/ml streptomycin, and 100 units/ml penicillin in humidified environment of 5% CO2/95% air at 37 °C. Differentiation of confluent preadipocyte cultures was induced using DMEM containing 10% FBS, 1 μM dexamethasone, 10 μg/ml insulin, and 0.5 mM isobutylmethylxanthine. On day 2, the medium was replaced with standard medium containing 5 μg/ml insulin and changed every other day for the following 4 days. To evaluate the direct effect of DCD on lipolysis, fully differentiated 3T3-L1CARΔ1 cells were incubated with Ad-β-gal or Ad-DCD for 48 h, and then TG hydrolysis was determined by measuring glycerol levels in culture media using Glycerol Reagent A (Zen-bio, Research Triangle Park, NC, USA).
Locomotor activity
Locomotor activity was determined by an automated activity monitoring system (Smart-CS, Penlab, Spain). Mice were acclimated for 3 days to the polycarbonate cages (15 cm×20 cm×15 cm) before locomotor behavior was quantified. At experimental day, mice were re-acclimated for 60 min and horizontal locomotor activity was quantified for 60 min.
Plasma measurements
Plasma triglyceride (TG) was measured using a glycerol phosphate oxidase-Trinder TG kit (Sigma). Plasma free fatty acid (FFA) and glycerol were measured using a Wako NEFA kit (Wako, Osaka, Japan) and Glycerol Reagent A (Zen-bio) respectively. Plasma insulin was measured using an RIA kit (Linco Research, St Charles, MO, USA). Plasma tumor necrosis factor-α (TNF-α) was assayed using the ELISA for TNF-α (R&D Systems, Minneapolis, MN, USA).
Adipocyte morphometry
Epididymal adipose tissues were placed in half-strength Karnovsky's solution overnight, washed in 0.1 M PBS, and then cut into ∼4 mm blocks and dehydrated using graded acetone and embedded glycol methacrylate (EBSciences, East Granby, CT, USA). Once embedded, the sections (2 μm thick) were cut and stained with hematoxylin and eosin. To measure the adipocyte area, the sections were observed under an Axiophot microscope (Carl Zeiss, Oberkochen, Germany) and measured using analySIS 3.2 software (Soft-Imaging System, Muenster, Germany).
RNA extraction, RT-PCR, and real-time PCR
Total RNA was extracted from homogenized tissue using TRI reagent (Molecular Research Center, Cincinnati, OH, USA) according to the manufacturer's instructions. Reverse transcription (RT) was then performed in a mixture (final volume, 10 μl) that contained 2 μg RNA and 2.5 U Avian myeloblastosis virus reverse transcriptase (Takara, Shiga, Japan) at 42 °C for 60 min. Real-time PCR was performed using the LightCycler rapid thermal cycler system (Roche) according to the manufacturer's instructions, using specific primers for each gene (Table 1) that were designed using the LightCycler software 4 (Roche). Real-time PCR was conducted using a 20 μl reaction mixture containing 100 ng reverse transcribed total RNA, 500 nM the forward and reverse primers, and 14 μl of 2×SYBR green buffer (Roche). The reaction consisted of a 10 min pre-incubation step at 95 °C, followed by 45 cycles of denaturation at 95 °C for 10 s, annealing at 58 (fatty acid synthase (FAS), hormone-sensitive lipase (HSL), adipose fatty acid-binding protein (aFABP/aP2), and TNF-α) or 63 °C (β-actin) for 5 s, and elongation at 72 °C for 10 s. The relative concentrations of PCR product derived from the target gene were then calculated using the LightCycler System software. Results were expressed relative to the number of β-actin transcripts used as an internal control. All experiments were performed in triplicate.
Sequences and accession numbers for primers (forward, FOR, and reverse, REV) used in real-time RT-PCR
Sequences for primers | Accession no. | |
---|---|---|
Gene | ||
β-actin | FOR: 5′-GTGCTATGTTGCTCTAGACT-3′ | NM_007393.1 |
REV: 5′-CACAGGATTCCATACCCAAG-3′ | ||
FAS | FOR: 5′-TGATGTGGAACACAGCAAGG-3′ | BC046513 |
REV: 5′-GGCTGTGGTGACTCTTAGTGATAA-3′ | ||
HSL | FOR: 5′-GTTACCACCCTGCAGTCCTC-3′ | BC021642 |
REV: 5′-AATGGTCCTCTGCCTCTGTC-3′ | ||
aFABP/aP2 | FOR: 5′-AGCCTTTCTCACCTGGAAGA-3′ | BC054426 |
REV: 5′-TTGTGGCAAAGCCCACTC-3′ | ||
TNF-α | FOR: 5′-TCTTCTCATTCCTGCTTGTGG-3′ | NM_013693.1 |
REV: 5′-GGTCTGGGCCATAGAACTGA-3′ | ||
Dermcidin | FOR: 5′-GTTAGCCAGACAGGCACCA-3′ | NM_053283 |
REV: 5′-CTCCGTCTAGGCCTTTTTCC-3′ |
Western blot analysis
The cells were homogenized in 100 μl ice-cold lysis buffer (20 mM HEPES (pH 7.2), 1% Triton X-100, 10% glycerol, 1 mM phenylmethylsulfonyl fluoride, 10 μg/ml leupeptin, and 10 μg/ml aprotinin). Next, the homogenates, which contained 20 μg protein, were separated by SDS-PAGE using a 10% acrylamide resolving and a 3% stacking gel, and then transferred to nitrocellulose sheets in a western blot apparatus (Bio-Rad). The nitrocellulose paper was blocked with 2% BSA and then incubated for 4 h with 1 μg/ml primary antibody for perilipin (Sigma) or DCD (Santa Cruz Biotechnology, Santa Cruz, CA, USA). Horseradish peroxidase-conjugated IgG (Zymed, South San Francisco, CA, USA) was used as the secondary antibody. The protein expression levels were then determined by analyzing the signals captured on the nitrocellulose membranes using a Chemi-doc image analyzer (Bio-Rad).
Immunohistochemistry for macrophage infiltration
For immunohistochemical staining of epididymal adipose tissue to detect macrophages, the DAKO Envision system, which uses dextran polymers conjugated with horseradish peroxidase (DAKO, Carpinteria, CA, USA), was performed. The sections were incubated for 2 h at room temperature with anti-macrophage antibody (CD68, DAKO). The peroxidase activity was detected with the enzyme substrate 3-amino-9-ethyl carbazole. For the negative controls, the sections were treated the same way except that they were incubated with Tris-buffered saline without the primary antibody.
Statistical analysis
All results are expressed as mean±s.e.m., and the difference between groups was calculated using Student's t-test. Differences with a P<0.05 were considered to be statistically significant.
Results
Expression of DCD in liver after Ad-DCD virus injection
In previous studies in which recombinant adenoviruses were administered to intact rodents, the reporter gene was primarily expressed in the liver (Herz & Gerard 1993, Chen et al. 1996, Park et al. 2006). We used real-time PCR and western blot analysis to examine the expression of DCD in various tissues of normal 5-week-old mice that had been injected with either Ad-β-gal or Ad-DCD virus. Seven days after the virus was injected, DCD expression level was strongly increased in the liver of Ad-DCD-injected mice, whereas it was negligible in Ad-β-gal-injected mice indicating that the DCD gene is mainly expressed in the liver (Fig. 1B).
Effect of DCD on food intake, body weight, and epididymal fat pad weight
Adenovirus-mediated expression of DCD or β-gal in the liver had no effect on food intake 7 days after injection of the virus (Fig. 1D). However, the body weight gain in Ad-DCD-injected mice averaged 3.01±1.73 g per 7 days, whereas it averaged 4.71±1.48 g in Ad-β-gal-injected mice (Fig. 1C). Furthermore, the epididymal adipose weight, as well as the ratio of epididymal fat pad weight to body weight, was lower in Ad-DCD-injected animals (Fig. 1E and F), indicating that body weight and body fat are significantly decreased in normal mice that received the DCD virus. When locomotor activity was measured to investigate whether changes in physical activity could account for the lower body weight and adiposity observed in Ad-DCD-injected mice, there was no difference between Ad-β-gal-injected and Ad-DCD-injected mice (Fig. 1G).
Effect of DCD on plasma TG, FFA, and glycerol levels
The circulating TG concentrations were lower in Ad-DCD-injected mice than in Ad-β-gal-injected mice 7 days after injection of the virus (Fig. 2A). However, significant increases in the FFA and glycerol levels were observed in Ad-DCD-injected mice (Fig. 2B and C), suggesting that the increase of FFA and glycerol flux is resulted from the increased lipolysis in adipose tissue. Plasma insulin levels of Ad-β-gal- and Ad-DCD-injected mice averaged 0.58±0.21 and 0.41±0.21 ng/ml (P=0.104, n=12) respectively, indicating that DCD has no effect on plasma insulin levels.
Effect of DCD on fat cell size
The size of the fat cells in the epididymal fat is displayed in Fig. 3. The epididymal fat cells were smaller in Ad-DCD-injected mice than in Ad-β-gal-injected mice 7 days after the virus was injected.
Effects of DCD on the expression of genes involved in lipid metabolism in adipose tissue
To determine whether the effect of DCD on body fat reduction is related to the modified expressions of proteins that regulate lipid metabolism, we isolated epididymal fat from Ad-DCD- or Ad-β-gal-injected mice, and then measured the mRNA levels. Adenovirus-mediated expression of DCD had no effect on the expression of FAS mRNA. However, mRNA levels of HSL and aFABP/aP2 were increased in mice that were injected with DCD virus (Fig. 4A). These observations suggest that DCD is involved in the activation of lipolysis through the increased levels of lipolytic gene expression in adipose tissue.
Effects of DCD on TNF-α and perilipin levels
The adenovirus-mediated DCD overexpression in the liver was shown to induce lipolysis in adipose tissue; therefore, we conducted experiments to determine whether a direct effect of DCD on lipolysis could be observed in vitro. When differentiated adipocytes obtained from 3T3-L1 preadipocyte were infected with Ad-DCD virus, no change in glycerol release as a result of TG hydrolysis was observed, although the mRNA level of DCD in the differentiated adipocytes was increased 3 days after infection (data not shown). Concentration-dependent stimulation of lipolysis by TNF-α has been demonstrated in rodent and human fat cells (Green et al. 1994, Ryden et al. 2002); therefore, we next evaluated the TNF-α levels in plasma as well as TNF-α mRNA levels in adipose tissue to further investigate the molecular mechanism by which DCD increased lipolysis. As shown in Fig. 4A and B, both the mRNA levels of TNF-α in adipose tissue and the circulating TNF-α levels in plasma were increased in Ad-DCD-injected mice. It is not clear how TNF-α activates lipolysis; however, recent studies conducted on 3T3-L1 cells have shown that TNF-α downregulates the expression of the lipid droplet-associated protein, perilipin, which is thought to modulate the accession of HSL to the surface of the fat droplet (Souza et al. 1998, 2003). As shown in Fig. 4C, protein levels of perilipin in adipose tissue were lower in Ad-DCD-injected mice than in control mice, suggesting that DCD-mediated body fat reduction might occur as a result of TNF-α-induced lipolysis by perilipin downregulation in adipose tissue. Since TNF-α is mainly produced by macrophage (Ryden & Arner 2007), we asked whether Ad-DCD injection could affect macrophage infiltration into adipose tissue. The degree of macrophage infiltration in epididymal fat was determined by examining the immunohistochemistry of anti-CD68 staining under microscopy. Immunohistochemistry of Ad-DCD-injected mice showed that numerous CD68 positive macrophages were found in perivascular area of epididymal fat (Fig. 5A). However, it was hard to observe macrophages in epididymal adipose tissue of Ad-β-gal-injected mice (Fig. 5B).
Discussion
DCD contains the PIF core peptide; therefore, it is considered to be a human homolog of mouse PIF, which is identified as a cachectic factor that was purified in cachexia-inducing murine tumors and urine of weight-losing patients with cancer (Todorov et al. 1996, Wigmore et al. 2000, Monitto et al. 2004). One of the most devastating effects of cachexia is a progressive loss of body weight, which results in severe depletion of both adipose tissue and skeletal muscle (Tisdale 2005). Weight-losing cancer patients show an increased turnover of fatty acids when compared with cancer patients without weight loss (Legaspi et al. 1987, Shaw & Wolfe 1987). In this study, we observed that body weight gain, as well as epididymal fat weight, was significantly decreased in Ad-DCD-injected mice without any change in food intake or physical activity. We also found the smaller epididymal fat cell size and the higher plasma FFA and glycerol in Ad-DCD-injected mice, suggesting increased lipolysis in adipose tissue.
Catecholamines bind to β-adrenergic receptors on adipocytes, resulting in upregulation of adenylate cyclase, activation of cAMP-dependent protein kinase (PKA), and activation of HSL (Belfrage et al. 1982). In addition to the activation of HSL, PKA also modulates the action of lipid droplet-associated phosphoprotein, perilipin (Tansey et al. 2004, Miyoshi et al. 2007). Perilipin A is the most prevalent PKA substrate found in adipocytes. In the basal state, perilipin acts as a barrier to lipases, thereby maintaining a low rate of basal lipolysis. However, upon phosphorylation by PKA, perilipin facilitates the accessibility of lipases to lipid stores, thereby promoting lipolysis (Brasaemle et al. 2000, Martinez-Botas et al. 2000, Tansey et al. 2001, Souza et al. 2002, Zhang et al. 2003, Marcinkiewicz et al. 2006). In the current study, the mRNA level of HSL was increased, whereas the protein level of perilipin was decreased in Ad-DCD-injected mice. Therefore, it is likely that DCD induced the activation of lipolysis by increasing the expression of lipolytic enzyme (HSL) and by decreasing the expression of the lipase barrier (perilipin), both of which can promote TG hydrolysis, and consequently decrease body fat mass. Additionally, the mRNA level of FABP was increased in the adipose tissue of Ad-DCD-injected mice. Cytosolic FABPs form complex with HSL and provide solubility and intracellular trafficking of long-chain fatty acids (Coe et al. 1999, Zimmerman & Veerkamp 2002). Actually, a knockout of adipocyte FABP (aFABP/aP2) was shown to decrease the in vivo lipolysis rate (Scheja et al. 1999, Baar et al. 2005). Therefore, the Ad-DCD-induced increase in the aFABP/aP2 mRNA level appeared to be involved in the increased lipolysis of adipose tissue in DCD virus-injected mice.
TNF-α plays an important role among the factors believed to be involved in the development of cancer cachexia. TNF-α has been identified as a polypeptide responsible for cachexia (hence the alternative name is cachectin; Beutler et al. 1985). Circulating TNF-α levels are elevated in plasma obtained from patients with cachectic states caused by parasitic infections, bacterial septicemia, and several forms of cancer (Ryden & Arner 2007). Furthermore, in vitro studies in both rodents and humans have demonstrated that TNF-α stimulates adipocyte lipolysis (Green et al. 1994, Ryden et al. 2002). In adipocyte cell culture, TNF-α stimulation of lipolysis is only observed after 6–12 h and is therefore dependent on altered gene transcription and/or protein expression (Gasic, et al. 1999). TNF-α activation has been shown to lead to downregulation of perilipin (Ryden et al. 2002, 2004, Zhang et al. 2002). This effect is dependent upon the stimulation of the mitogen-activated protein kinases, p44/42, and the NH2-terminal jun kinase (Zhang et al. 2002, Ryden et al. 2004). The present study demonstrated that injection with the Ad-DCD virus induced an increase in the concentration of the circulating TNF-α. In addition, the finding that a lower expression level of perilipin protein occurred in Ad-DCD-injected mice suggests that TNF-α may be one of the important candidates involved in the DCD-mediated increase of lipolysis through decreasing perilipin expression.
In the present study, Ad-DCD injection into mice caused an increase in the TNF-α mRNA level in adipose tissue. However, in differentiated 3T3-L1 adipocytes infected with the Ad-DCD virus, we could not find any changes in the amount of glycerol released from TG droplets, even though the mRNA level of DCD in differentiated adipocytes was significantly increased 3 days after infection (data not shown). In addition, we could not find any changes in mRNA level of TNF-α in differentiated adipocytes and concentration of TNF-α in culture media (data not shown). This discrepancy between the in vivo and in vitro results may be due to the source of TNF-α. Adipose tissue contains a variety of inflammatory cells in addition to adipocytes. Infiltrating macrophage is known as the major source of TNF-α production in adipose tissue. Indeed, immunohistochemistry of anti-CD68 staining showed that CD68 positive macrophages were found in perivascular area of epididymal fat from Ad-DCD-injected mice. These data suggest that the effect of DCD on lipolysis is through its action for increasing macrophage infiltration and TNF-α levels in adipose tissue. The macrophage infiltration has been reported in adipose tissue of obese patients and overproduction of TNF-α by adipose tissue from obese animal models has been considered to play a major role in the pathophysiology of insulin resistance (Hotamisligil et al. 1993, Weisberg et al. 2003, Cancello et al. 2005, Cinti et al. 2005). Therefore, the possible role of DCD in the development of insulin resistance requires further investigation.
DCD protein was composed of several different peptides, including the PIF core peptide and DCD-1. Although it is not clear how these polypeptides are produced from the entire DCD protein, it is likely that differential proteolysis is responsible for the production of the different DCD peptides. Four different peptides have been identified in sweat, and all of these peptides appear to be proteolytic products (Flad et al. 2002). However, the specific proteases involved in differential proteolysis remain to be determined. In the present study, we demonstrated that, in addition to its functions as an antimicrobial peptide and a survival factor in cancer cells, DCD has a potential effect on adipocyte lipolysis. However, because we used the full sequence of DCD in this study, the precise domain of DCD that is responsible for its role in adipocyte lipolysis remains to be determined.
In summary, we have shown that, in vivo, an adenovirus-mediated increase in DCD expression induced adipose tissue lipolysis, and this occurred partly through TNF-α-dependent mechanisms. The increased lipolysis in DCD-injected animals may be responsible for the decreased body fat mass. Although the factors underlying the loss of muscle mass that occurs in cachexia have been intensively investigated, little is known about the factors that cause the loss of fat mass that precedes muscle wasting. The results of this study indicate that DCD may serve as a factor in the mobilization of body fat, and that DCD contributes to the substantial reduction of adipose tissue that occurs in cases of cancer cachexia.
Declaration of Interest
The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.
Funding
This work was supported by the Korea Research Foundation Grant (KRF-2005-042-E00005).
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(K-A Kim and S-O Ka contributed equally to this work)