COMPOSITIONS AND METHODS FOR EDITING OF THE CDKL5 GENE

Abstract
A gene editing system is provided that comprises a first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein; and a second nucleotide molecule encoding at least one small guide RNA (sgRNA), comprising: a scaffold region and a spacer region, wherein the spacer region hybridizes to a nucleotide sequence complementary to a target sequence adjacent to a 5′-end of a protospacer adjacent motif (PAM), and wherein the target sequence and the PAM are located within 1 kilobase (kb) of the transcriptional start site (TSS) of the CDKL5 gene. Methods of making and using the system are further described herein.
Description
BACKGROUND

The following description of the background of the present technology is provided simply as an aid in understanding the present technology and is not admitted to describe or constitute prior art to the present technology. Throughout and within this disclosure technical and patent literature is referenced by an Arabic numeral or an identifying citation. The complete bibliographic citation for the literature referenced by an Arabic numeral can be found immediately preceding the claims.


Epigenetics is the study of mitotically and/or meiotically stable but reversible modifications to nucleotides or higher order chromatin structure that can alter expression patterns of genes in the absence of changes to the underlying DNA sequence (1). These modifications occur on multiple levels, such as 5-methyl-cytosine (5-meC) DNA methylation, post-translational modifications of histones bound by protein domains that serve as epigenetic writers, readers and erasers and noncoding RNAs that assist in the recruitment of chromatin modifying proteins to DNA (2). These epigenetic layers dynamically dictate the three-dimensional organization of the genome within the nuclear ultrastructure and orchestrate local accessibility for the eukaryotic transcriptional machinery (3). Because of this, epigenetic signatures play a crucial role in dictating cellular identity during development and throughout life in response to the environment (1), correlate with aging (4) and are linked to disease (5), for instance, Rett syndrome (RTT) and CDKL5 deficiency disorder (CDD), two rare X-linked developmental brain disorders associated with epigenetic modification. The neurodevelopmental disorder CDKL5 deficiency is caused by de novo mutations in the CDKL5 gene on the X chromosome (30). Due to random X-chromosome inactivation (XCI), females affected by the disorder form a mosaic of tissue with cells expressing either the mutant or wild type allele (31). Phenotypic variation observed between females in families with RTT are also ascribed to differences in X-inactivation patterns.


Accordingly, there is a need to improve our understanding of XCI and reactivation of X-linked genes, and a need for targeted approaches that result in specific gene reactivation. Targeted DNA demethylation of genes on the X chromosome would allow for a directed assessment of the causal role between DNA methylation and gene expression on the inactive X chromosome. Furthermore, the presence of coding SNPs that exist in clonally-derived female cell lines provides an allele-specific model to study escape from XCI induced by targeted epigenetic remodelling. There is also a need for potential therapeutic approaches that activate a silenced wild type allele of a gene such as CDKL5 in cells expressing the loss-of-function mutant allele.


This disclosure satisfies these needs and provides related advantages as well.


SUMMARY OF THE DISCLOSURE

The process of XCI epigenetically regulates the amount of transcriptionally active X-chromatin in somatic tissue as a dosage compensation mechanism to ensure equal expression levels of X-linked genes in males and females (6). In female somatic cells, one X chromosome randomly becomes inactive and is cytologically manifested during interphase as a perinuclear heterochromatic Barr body, which is then clonally maintained through mitosis (7, 8). This mechanism is mediated by the long noncoding RNA X-inactive specific transcript (XIST) expressed from the inactive X chromosome in cis (9), which serves as a guiding factor to tether Polycomb proteins for gene silencing to target sites on the X-chromatin (10). XIST induces the formation of repressive heterochromatin through histone deacetylation (11), DNA methylation of CpG-island (CGI) promoters (12), di- and trimethylation of histone 3 at lysine 9 (H3K9me2/3) (13), the deposition and spreading of H3K27me3 across the inactive X-chromatin (14) and the H2A histone variant macroH2A (15).


Gene expression data suggests there is an estimated 15-30% of human X-linked genes that escape XCI (16) at an arbitrary transcriptional threshold of 10% of the active allele (17). The level of escape from XCI is variable between genes and individuals (16), demonstrates tissue heterogeneity (18) and increases with age (19). X-escapees have a distinct epigenetic signature from genes that are subject to XCI, including enrichment of active and depletion of repressive histone marks, and generally reduced levels of DNA methylation near regulatory elements (17). In particular, the degree of CGI promoter 5meC DNA methylation has been demonstrated to be highly correlative with XCI (12, 20).


In line with the idea that DNA methylation forms an epigenetic barrier on the inactive X chromosome, the most potent X-reactivation to date has been achieved by treatment with 5-azacytidine, a global DNA hypomethylating agent in combination with X-wide genetic ablation of XIST (21). In addition, pharmacological and genetic screens aiming to identify trans-acting factors promoting XCI have identified the maintenance DNA methyltransferase DNMT1 as a key player in XCI (22, 23). However, previous studies aiming to elucidate the mechanism of XCI-escape, such as the aforementioned small molecule approaches, utilized untargeted approaches. While these studies have provided a significant foundation of knowledge, in particular demonstrating the importance of DNA methylation in our understanding of X-reactivation, the global side-effects of these types of approaches limit the study of specific gene reactivation.


Until recently, the lack of targeted approaches by which epigenetics can be modified has limited the studies of XCI mechanisms. With the availability of the RNA-guided clustered regularly interspaced palindromic repeats (CRISPR) system, catalytically inactive dCas9 fused to epigenetic effector domains has become the method of choice for targeted rewriting of the epigenome to further elucidate the causality between epigenetic marks and gene expression (24, 25). In particular, dCas9 fusions with the catalytic domain of ten-eleven translocation dioxygenase 1 (TET1) have gained prominence as a candidate to precisely demethylate gene promoters or enhancers for multiple gene targets (26-29). Synthetically inducing a gene escape from XCI via DNA methylation editing of a gene promoter using a dCas9 fusion proteins for targeted DNA demethylation has the potential for providing a much needed therapy for at least X-linked developmental brain disorders.


Building on these discoveries, Applicant provides the following aspects and disclosures.


In one aspect, the present disclosure provides a gene editing system comprising, or consisting essentially of or yet further consisting of: (i) a first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein, and (ii) a second nucleotide molecule encoding at least one single guide RNA (sgRNA), comprising, or consisting essentially of, or yet further consisting of a scaffold region and a spacer region; wherein the spacer region hybridizes to a nucleotide sequence complementary to a target sequence adjacent to a 5′-end of a protospacer adjacent motif (PAM); and wherein the target sequence and the PAM are located within about 1 kilobase (kb) of the transcriptional start site (TSS) of the cyclin dependent kinase-like 5 (CDKL5) gene.


In some embodiments, the spacer region comprises, or consists essentially of, or yet further consists of a spacer sequence provided in Table 1.


In some embodiments, the gene editing system further comprises a third nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator.


In some embodiments, the at least one transcriptional activator fused to the dCas9 protein that comprises, or consists essentially of or consists of VP64 or a fragment thereof.


In some embodiments, the target sequence for the sgRNA comprises, or consists essentially of, or consist of one or more of AGAGCATCGGACCGAAGCGG, GGGGGAGAACATACTCGGGG, and/or CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the at least one sgRNA comprises a first sgRNA, a second sgRNA, and a third sgRNA, wherein the target sequence for the first sgRNA comprises or consists essentially of, or yet further consists of AGAGCATCGGACCGAAGCGG, wherein the target sequence for the second sgRNA comprises or consists essentially of, or yet further consists of GGGGGAGAACATACTCGGGG, and wherein the target sequence for the third sgRNA comprises or consists essentially of, or yet further consists of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the first nucleotide molecule, the second nucleotide molecule, and the third nucleotide molecule are integrated into one or more viral or plasmid vectors.


In some embodiments, the viral vector is a selected from the group of a lentiviral vector, an adeno-associated viral (AAV) vector, or an adenoviral vector.


In one aspect, the disclosure provides a kit comprising the system as described herein and optional instructions for use in the methods as described herein.


In one aspect, the disclosure provides a host cell comprising the gene editing system.


In some embodiments, the host cell comprises a prokaryotic or a eukaryotic cell.


In some embodiments, the host cell comprises a mammalian or a human cell. In another aspect, the mammalian or host cell is a stem cell or progenitor cell, e.g., a iPSC, an embryonic stem cell or a stem cell with the capacity to differentiate into a specific lineage, e.g., neuronal lineage.


In some embodiments, the host cell as described herein has reduced CDKL5 gene expression and/or reduced DNA methylation in the CDKL5 promoter region.


In some embodiments, the host cell is a cultured cell or a primary cell.


In some embodiments, the host cell further comprising a therapeutic molecule.


In one aspect, the disclosure provides a pharmaceutical composition comprising the gene editing system, the vectors or the host cell comprising the gene editing system.


In some embodiments, the pharmaceutical composition comprises a carrier.


In some embodiments, the pharmaceutical composition comprises a pharmaceutically acceptable carrier or excipient.


In one aspect, the disclosure provides a method for increasing CDKL5 gene expression in a cell or subject in need thereof comprising or consists essentially of, or yet further consists of administering to the subject the gene editing system or the pharmaceutical composition comprising or consists essentially of, or yet further consists of the gene editing system.


In some embodiments, DNA methylation in a CDKL5 promoter region of the subject is methylated or hypermethylated, and in one aspect as compared to a non-silenced X-chromosome.


In some embodiments, the CDKL5 promoter region is located on a silenced X-chromosomal allele of the subject.


In some embodiments, the subject has been diagnosed with CDKL5 deficiency disorder (CDD).


In some embodiments, a cell is isolated from a subject having been diagnosed with CDD.


In some embodiments, the cell is a neuronal cell.


In some embodiments, the gene editing system or the pharmaceutical composition is administered to the subject by one or more of: an intravenous route, a subcutaneous route, an intramuscular route, an intradermal route, an intranasal route, an oral route, an intracranial route, an intrathecal route, an ocular route, an otic route, a rectal route, a vaginal route, an optic route, or an intraperitoneal route.


In some embodiments, the subject to be treated is a mammal.


In some embodiments, the mammal is a non-human fetus, an infant, a juvenile, or an adult.


In some embodiments, a biological sample from the subject is analyzed for CDKL5 gene expression, prior to and/or after treatment.


In some embodiments, CDKL5 gene expression is analyzed by quantitative PCR using exon-spanning primers for CDKL5 and for the reference gene GAPDH. Exemplary primer oligonucleotides for analyzing CDKL5 gene expression are provided in Table 1.


In one aspect, the disclosure provides a method for treating or preventing CDD in a subject in need thereof comprising administering to the subject the gene editing system or the pharmaceutical composition comprising the gene editing system. In one aspect, a biological system is analyzed for CDKL5 gene expression prior to or after treatment.


In some embodiments, DNA methylation in a CDKL5 promoter region of the subject is reduced, in one aspect, as compared to wild-type gene.


In some embodiments, the CDKL5 promoter region is located on a silenced X-chromosomal allele of the subject.


In some embodiments, the gene editing system or pharmaceutical composition is administered to the subject by one or more of: an intravenous route, a subcutaneous route, an intramuscular route, an intradermal route, an intranasal route, an oral route, an intracranial route, an intrathecal route, an ocular route, an otic route, a rectal route, a vaginal route, an optic route, or an intraperitoneal route.


In some embodiments, the subject is a mammal. In some embodiments, the mammal is a non-human fetus, an infant, a juvenile, or an adult.


In some embodiments, genomic DNA isolated from the subject is analyzed for targeted DNA methylation.


In some embodiments, targeted DNA methylation is analyzed by bisulfite-sequencing PCR. Exemplary primers for bisulfite-sequencing PCR are provided in Table 1.


In one aspect, the disclosure provides a vector encoding a sgRNA, wherein the sgRNA comprises a scaffold region and a spacer region, wherein the spacer region hybridizes to a nucleotide sequence complementary to a target sequence comprising, or consisting essentially of, or yet further consisting of one or more of AGAGCATCGGACCGAAGCGG, and/or GGGGGAGAACATACTCGGGG, and/or CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the spacer region comprises a spacer sequence provided in Table 1.


In some embodiments, the vector encodes a first sgRNA and a second sgRNA; wherein the first sgRNA and the second sgRNA each comprise (a) a scaffold region and (b) a spacer region that hybridizes to a nucleotide sequence complementary to a target sequence; and wherein: (i) the target sequence of the first sgRNA comprises or consists essentially of, or yet further consists of AGAGCATCGGACCGAAGCGG, and the target sequence of the second sgRNA comprises or consists essentially of, or yet further consists of GGGGGAGAACATACTCGGGG; (ii) the target sequence of the first sgRNA comprises or consists essentially of, or yet further consists of AGAGCATCGGACCGAAGCGG, and the target sequence of the second sgRNA comprises or consists essentially of, or yet further consists of CCCAGGTTGCTAGGGCTTGG; or (iii) the target sequence of the first sgRNA comprises or consists essentially of, or yet further consists of GGGGGAGAACATACTCGGGG, and the target sequence of the second sgRNA comprises or consists essentially of, or yet further consists of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the vector encodes a first sgRNA, a second sgRNA, and a third sgRNA, wherein the first sgRNA, the second sgRNA, and the third sgRNA each comprise (a) a scaffold region and (b) a spacer region that hybridizes to a nucleotide sequence complementary to a target sequence, wherein the target sequence of the first sgRNA comprises or consists essentially of, or yet further consists of AGAGCATCGGACCGAAGCGG, wherein the target sequence of the second sgRNA comprises or consists essentially of, or yet further consists of GGGGGAGAACATACTCGGGG, and wherein the target sequence of the third sgRNA comprises or consists essentially of, or yet further consists of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the vector further comprises a nucleotide molecule encoding a dCas9-TET1CD fusion protein.


In some embodiments, the vector further comprises a nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator.


In some embodiments, the vector further comprises a first nucleotide molecule encoding a dCas9-TET1CD fusion protein and a second nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator.


In some embodiments, the transcriptional activator fused to the dCas9 protein comprises VP64 or a fragment thereof. In some embodiments, the vector is a viral vector or a plasmid vector.


In some embodiments, the viral vector is a lentiviral vector, an AAV vector, or an adenoviral vector.


In one aspect, the disclosure provides a host cell comprising the vector.


In one aspect, the disclosure provides a pharmaceutical composition comprising the vector or the host cell comprising the vector.


In some embodiments, the pharmaceutical composition comprises a carrier.


In some embodiments, the pharmaceutical composition comprises a pharmaceutically acceptable carrier or excipient.





BRIEF DESCRIPTION OF THE DRAWINGS


FIGS. 1A-G show the programmable transcription of the CDKL5 gene.



FIG. 1A shows a schematic illustrating the University of California Santa Cruz (UCSC) genome browser snapshot of the target sites of six sgRNAs directed against the CDKL5 promoter on the X-chromosome (Xp22.13). FIG. 1A further shows DNase hypersensitive sites and H3K4me3, which are often found near promoters derived from ENCODE. Sense sgRNAs are 2, 6, and antisense sgRNAs are 1, 3, 4, and 5.



FIG. 1B shows a bar graph illustrating CDKL5 mRNA fold change relative to mock-treated cells in U87MG cells determined by RT-qPCR resulting from programmable transcription using a dCas9-no effector (dC) or dCas9-VP64 (dC-V) in combination with different pools of three to six sgRNAs targeted to the CDKL5 promoter 48 hours after transient transfection. #Significantly different from dCas9 sgRNAs 1-3, n=3 independent experiments, Tukey's HSD, p<0.05.



FIG. 1C shows a bar graph illustrating CDKL5 mRNA fold change relative to mock-treated cells in BE2C cells determined by RT-qPCR resulting from programmable transcription using dCas9-no effector or dCas9-VP64 co-expressed with sgRNAs 1-3 48 hours after transient transfection.



FIG. 1D shows a bar graph illustrating CDKL5 mRNA fold change relative to mock-treated cells in Lenti-X 293T determined by RT-qPCR resulting from programmable transcription using dCas9-no effector or dCas9-VP64 co-expressed with sgRNAs 1-3 48 hours after transient transfection. #Significantly different from dCas9 sgRNAs 1-3, n=3 independent experiments, Student t-test p<0.05.



FIG. 1E shows a bar graph illustrating Male-female expression differences in CDKL5 compared to a known X chromosome Inactivation (XCI) escape gene CA5B across 27 GTEx tissues.



FIG. 1F shows a bar graph illustrating the analysis of XCI status of CDKL5 compared to genes showing variable expression from the inactive X-chromosome using scRNA-seq from previously published data. #Significantly different from CA5B, p<0.05.



FIG. 1G shows a Sanger sequencing of genomic DNA and cDNA from SH-SY5Y illustrating that CDKL5 showed mono-allelic expression of a SNP, in contrast to an escape gene, CA5B, which showed expression from the escape allele.



FIGS. 2A-E show targeted reactivation of CDKL5 from the inactive X allele.



FIG. 2A shows a schematic illustrating the targeted reactivation of CDKL5 on the X-chromosome using a coding SNP in the CDKL5 gene.



FIG. 2B shows graphs illustrating a flow sort of cells purified to stably express dCas9 or dCas9-VP64 fused to a GFP via a T2A peptide or dCas9-TET1CD-P2A-BFP.



FIG. 2C shows a bar graph illustrating allele specific read counts for the mRNA expression of the active (Xa) or inactive (Xi) CDKL5 allele of mock-treated SH-SY5Y or after constitutive expression of dCas9 effector domains dCas9 (dC), dCas9-VP64 (dC-V), dCas9-TET1CD (dC-T) or a combination of dCas9-VP64 and dCas9-TET1CD (dC-V+dC-T) and sgRNAs 1-3 after 21 days post-transduction. #Significantly different from mock-treated, ‡significantly different from dCas9, n=3 independent experiments, Tukey's HSD, p<0.05.



FIG. 2D shows a bar graph illustrating the relative Xi CDKL5 mRNA expression of mock-treated or stably transduced SH-SY5Y relative to CDKL5 Xa mRNA expression of mock-treated cells as determined by allele-specific RT-qPCR after 21 days post-transduction. #Significantly different from dC, ‡significantly different from dC-V, †significantly different from dC-T, n=3 independent experiments, Tukey's HSD, p<0.05.



FIG. 2E shows a bar graph illustrating the relative Xa CDKL5 mRNA expression in mock-treated and stably transduced SH-SY5Y cells determined by allele-specific RT-qPCR after 21 days post-transduction. #Significantly different from mock-treated, †significantly different from dCas9, n=3 independent experiments, Tukey's HSD, all p<0.05.



FIGS. 3A-E show that dCas9-TET1CD caused removal of DNA methylation from the CDKL5 CGI promoter.



FIG. 3A shows a schematic illustrating a UCSC genome browser snapshot of the target sites of sgRNAs 1-3 directed against the CDKL5 promoter on Xp22.13 and a large CpG Island (>1 kb) spanning the transcriptional start site of CDKL5. The black box represents a >200 bp region assessed for targeted DNA methylation changes containing 24 individual CpG dinucleotides (drawn to scale).



FIG. 3B shows a scatter plot illustrating 5-methylcytosine levels in a CpG context (5meCG) over total CpG context as assessed by targeted bisulfite sequencing across 11 CpG dinucleotides in mock-treated cells or cells transduced to constitutively express dCas9-no effector (dC) or dCas9 fused to either VP64 (dC-V) or TET1CD (dC-T), a combination thereof (dC-V+dC-T) or a catalytically inactive TET1CD (dC-dT). X-axis depicts the individual CpG position relative to the amplicon (not drawn to scale).



FIG. 3C shows a bar graph illustrating the mean 5-methylcytosine levels in a CpG context over all 11 CpG dinucleotides in all treatment groups. #Significantly different from mock-treated cells, ‡significantly different from dCas9, †significantly different from dC-dT, ¥significantly different from dC-T, n=3 independent experiments, Tukey's HSD, all p<0.05.



FIG. 3D shows a scatter plot illustrating 5-methylcytosine levels in a CpG context (5meCG) over total CpG context as assessed by targeted bisulfite sequencing across CpG dinucleotides 12-24 in mock-treated cells or cells transduced to constitutively express dCas9-no effector (dC) or dCas9 fused to either VP64 (dC-V) or TET1CD (dC-T), a combination thereof (dC-V+dC-T) or a catalytically inactive TET1CD (dC-dT). X-axis depicts the individual CpG position relative to the amplicon (not drawn to scale).



FIG. 3E shows a bar graph illustrating the mean 5-methylcytosine levels in a CpG context over all 12 CpG dinucleotides in all treatment groups from FIG. 3D, n=3 independent experiments.



FIG. 3F shows a scatter plot of the combination of data from FIG. 3B and FIG. 3D, illustrating 5-methylcytosine levels in a CpG context (5meCG) over total CpG context as assessed by targeted bisulfite sequencing across CpG dinucleotides 1-24 in mock-treated cells or cells transduced to constitutively express dCas9-no effector (dC) or dCas9 fused to either VP64 (dC-V) or TET1CD (dC-T), a combination thereof (dC-V+dC-T) or a catalytically inactive TET1CD (dC-dT). X-axis depicts the individual CpG position relative to the amplicon (not drawn to scale).



FIG. 3G shows a bar graph illustrating the mean 5-methylcytosine levels in a CpG context over all 24 CpG dinucleotides in all treatment groups from FIG. 3E. #significantly different from mock-treated cells, ‡significantly different from dCas9, †significantly different from dC-dT, ¥significantly different from dC-T, n=3 independent experiments, Tukey's HSD, all p<0.05.



FIGS. 4A-F shows the depletion of the XCI hallmark histone modification H3K27me3.



FIG. 4A shows a University of California Santa Cruz (UCSC) genome browser snapshot of the target sites of sgRNAs 1-3 directed against the CDKL5 promoter on Xp22.13 and H3K27me3 peaks derived from ENCODE. Black boxes show the regions assessed by ChIP-qPCR



FIG. 4B shows a bar graph illustrating input normalized H3K27me enrichment levels determined by ChIP-qPCR in region A of the CDKL5 promoter in mock-treated cells or cells transduced to constitutively express dCas9-no effector (dC) or dCas9 fused to either VP64 (dC-V) or TET1CD (dC-T).



FIG. 4C shows a bar graph illustrating input normalized H3K27me enrichment levels determined by ChIP-qPCR in region B of the CDKL5 promoter.



FIG. 4D shows a bar graph illustrating input normalized H3K27me enrichment levels determined by ChIP-qPCR in region C of the CDKL5 promoter.



FIG. 4E shows a bar graph illustrating input normalized H3K27me enrichment levels determined by ChIP-qPCR in the promoter of the nearest neighboring gene, SCML2.



FIG. 4F shows a bar graph illustrating input normalized H3K27me enrichment levels determined by ChIP-qPCR in the promoter of a distal gene, MECP2, that serves as a negative control. #Significantly different from mock-treated cells, n=3 independent experiments, p<0.05.



FIGS. 5A-K show global DNA hypomethylation due to constitutive dCas9-TET1CD expression.



FIG. 5A shows a scatter plot illustrating 32 CpG positions shown with their respective location on the X-chromosome (hg19) from the 850K MethylationEPIC array across the CDKL5 promoter were used to assess gene-wide changes in DNA methylation levels represented as changes in the beta value of the TSS200, TSS1500, 5′UTR and gene body of CDKL5. In particular, FIG. 5A shows reduced DNA methylation levels in the TSS1500 and TSS200 region of cells transduced with dCas9-TET1CD found after the transduction with dCas9-no effector (dC), dCas9-TET1CD (dC-T) and a catalytically inactive TET1CD (dC-dT). The line above TSS1500 demonstrates the sgRNA binding sites in the CDKL5 promoter. *illustrates significantly differentially methylated positions for further assessment.



FIG. 5B shows a bar graph illustrating side-by-side assessment of significantly differentially methylated positions in the CDKL5 promoter with a mean difference in beta value of <0.05. #Significantly different from dC, †significantly different from dC-dT, n=2 independent experiments, FDR <5%.



FIG. 5C shows an histogram illustrating the number of genes by the number of significantly hypomethylated sites of dCas9-TET1CD transduced cells when compared to dCas9 or a catalytically inactive TET1 fused to dCas9 demonstrates that the majority of genes shows only a single probe falling within the respective promoter region.



FIG. 5D shows a bar graph illustrating side-by-side assessment of significantly differentially methylated positions in the COL9A3 promoter with a mean difference in beta value of <0.05. #significantly different from dC, \significantly different from dC-dT, n=2 independent experiments, FDR <5%.



FIG. 5E shows a Venn diagram illustrating shared genes between dCas9-TET1CD and dCas9 or a catalytically inactive TET1CD mutant, and shows an overlap of 48 genes between the two groups.



FIG. 5F shows a flow chart diagram representing the analysis pipeline for genome-wide methylation effects of dCas9-TET1CD, starting from a total number of probes, down to significantly differentially methylated sites and ultimately differentially methylated genes.



FIG. 5G shows QC analysis of 850K Methylation EPIC data illustrating a dendogram demonstrating that biological replicates clustered together and controls showed different hierarchies than dCas9-TET1CD.



FIG. 5H shows density plots of beta value distribution before and after normalization with preprocessNoob and preprocessFunNorm of the data of FIG. 5G.



FIG. 5I shows the total probe statistics by feature of the data of FIG. 5G.



FIG. 5J shows total number of hypermethylated differentially methylated positions by feature of the data of FIG. 5G.



FIG. 5K shows the total number of hypomethylated differentially methylated positions by feature of the data of FIG. 5G.



FIGS. 6A-E show Off-target analysis of CRISPR/dCas9 effectors by RNA-seq.



FIG. 6A shows a volcano plot illustrating significance (FDR adjusted p value) versus fold change for differential DESeq2 expression analysis of mock-treated, dCas9-VP64 (dC-V), dCas9-TET1CD (dC-T) or dCas9-VP64 and dCas9-TET1CD (dC-V+dC-T) guided by sgRNAs 1-3 to the CDKL5 promoter compared to a dCas9-no effector control (dC). Differentially expressed genes are illustrated by black dots (FDR <1%, log fold change >1), predicted CRISPR off-target sites are highlighted in blue and the CDKL5 target gene is highlighted in green. The number of downregulated genes is shown in the upper left of each panel, and the number of upregulated genes is shown in the upper right of each panel.



FIG. 6B shows a Venn diagram illustrating the overlap of differentially expressed genes between all conditions and the putative off-target list, and shows that a single gene, CNTNAP2, was shared between all four groups as a putative off-target.



FIG. 6C shows a Venn diagram illustrating the overlap between differentially expressed genes and differentially methylated positions identified in a comparison between dCas9-TET1CD and dCas9 and potential CRISPR off-targets.



FIG. 6D shows a bar graph illustrating the validation of the differentially expressed gene, CNTNAP, by RT-qPCR, and shows the relative CNTNAP2 mRNA levels in SH-SY5Y determined by RT-qPCR after constitutive expression of dCas9 (dC), dCas9-VP64 (dC-V), dCas9-TET1CD (dC-T) or a combination of dCas9-VP64 and dCas9-TET1CD (dC-V+dC-T) and sgRNAs 1-3 after 21 days post-transduction. #significantly different from dCas9, n=3 independent experiments, Tukey's HSD, p<0.05. #significantly different from dCas9 sgRNAs 1-3, n=3 independent experiments, Student t-test p<0.05.



FIG. 6E shows a bar graph illustrating the validation of the differentially expressed gene, HHIPL1, by RT-qPCR, and shows the relative HHIPL1 mRNA levels in SH-SY5Y determined by RT-qPCR after constitutive expression of dCas9 (dC) or dCas9-TET1CD (dC-T) and sgRNAs 1-3 after 21 days posttransduction. #significantly different from dCas9 sgRNAs 1-3, n=3 independent experiments, Student's t-test, p<0.05.



FIG. 7 shows a schematic illustrating a model of the programmable transcription of the CDKL5 gene using Cas9 effector domain fused to epigenetic effector domains from VSP64 or ten-eleven translocation dioxygenase 1 (TET1). In particular, DNA methylation editing of the CDKL5 promoter using a dCas9-TET1 fusion protein for targeted DNA demethylation resulted in a significant increase in allele-specific expression of the inactive allele of CDKL5 and a significant reduction in methylated CpG dinucleotides in the CGI core promoter. Moreover, while dCas9-VSP64 fusion protein had no effect alone, co-expression of dCas9-TET1 and a dCas9-VP64 transactivator has a synergistic effect on the reactivation of the inactive CDKL5 allele to levels above 60% of the active allele.





DETAILED DESCRIPTION

Embodiments according to the present disclosure are described more fully hereinafter. Aspects of the disclosure may, however, be embodied in different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. The terminology used in the description herein is for the purpose of describing particular embodiments only and is not intended to be limiting. Throughout and within this disclosure various technical and patent publications are references by a citation or an Arabic numeral. The full bibliographic citations for each reference identified by an Arabic numeral is found in the reference section, immediately preceding the claims.


It is to be appreciated that certain aspects, modes, embodiments, variations and features of the present methods are described below in various levels of detail in order to provide a substantial understanding of the present technology. The definitions of certain terms as used in the specification are provided below. Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. It will be further understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the present application and relevant art and should not be interpreted in an idealized or overly formal sense unless expressly so defined herein. While not explicitly defined below, such terms should be interpreted according to their common meaning.


The terminology used in the description herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. All publications, patent applications, patents and other references mentioned herein are incorporated by reference in their entirety.


The practice of the present technology will employ, unless otherwise indicated, conventional techniques of tissue culture, immunology, molecular biology, microbiology, cell biology, and recombinant DNA, which are within the skill of the art.


Unless the context indicates otherwise, it is specifically intended that the various features of the invention described herein can be used in any combination. Moreover, the disclosure also contemplates that in some embodiments, any feature or combination of features set forth herein can be excluded or omitted. To illustrate, if the specification states that a complex comprises components A, B and C, it is specifically intended that any of A, B or C, or a combination thereof, can be omitted and disclaimed singularly or in any combination. The term consisting of intends the recited elements and any additional elements that do not materially change of the function of the recited element or elements.


Unless explicitly indicated otherwise, all specified embodiments, features, and terms intend to include both the recited embodiment, feature, or term and biological equivalents thereof.


All numerical designations, e.g., pH, temperature, time, concentration, and molecular weight, including ranges, are approximations which are varied (+) or (−) by increments of 1.0 or 0.1, as appropriate, or alternatively by a variation of +/−15%, or alternatively 10%, or alternatively 5%, or alternatively 2%. It is to be understood, although not always explicitly stated, that all numerical designations are preceded by the term “about”. It also is to be understood, although not always explicitly stated, that the reagents described herein are merely exemplary and that equivalents of such are known in the art.


The practice of the present technology employs, unless otherwise indicated, conventional techniques of tissue culture, immunology, molecular biology, microbiology, cell biology, and recombinant DNA, which are within the skill of the art. See, e.g., Green and Sambrook eds. (2012) Molecular Cloning: A Laboratory Manual, 4th edition; the series Ausubel et al. eds. (2015) Current Protocols in Molecular Biology; the series Methods in Enzymology (Academic Press, Inc., N.Y.); MacPherson et al. (2015) PCR 1: A Practical Approach (IRL Press at Oxford University Press); MacPherson et al. (1995) PCR 2: A Practical Approach; McPherson et al. (2006) PCR: The Basics (Garland Science); Harlow and Lane eds. (1999) Antibodies, A Laboratory Manual; Greenfield ed. (2014) Antibodies, A Laboratory Manual; Freshney (2010) Culture of Animal Cells: A Manual of Basic Technique, 6th edition; Gait ed. (1984) Oligonucleotide Synthesis; U.S. Pat. No. 4,683,195; Hames and Higgins eds. (1984) Nucleic Acid Hybridization; Anderson (1999) Nucleic Acid Hybridization; Herdewijn ed. (2005) Oligonucleotide Synthesis: Methods and Applications; Hames and Higgins eds. (1984) Transcription and Translation; Buzdin and Lukyanov ed. (2007) Nucleic Acids Hybridization: Modern Applications; Immobilized Cells and Enzymes (IRL Press (1986)); Grandi ed. (2007) In Vitro Transcription and Translation Protocols, 2nd edition; Guisan ed. (2006) Immobilization of Enzymes and Cells; Perbal (1988) A Practical Guide to Molecular Cloning, 2nd edition; Miller and Calos eds, (1987) Gene Transfer Vectors for Mammalian Cells (Cold Spring Harbor Laboratory); Makrides ed. (2003) Gene Transfer and Expression in Mammalian Cells; Mayer and Walker eds. (1987) Immunochemical Methods in Cell and Molecular Biology (Academic Press, London); Lundblad and Macdonald eds. (2010) Handbook of Biochemistry and Molecular Biology, 4th edition; Herzenberg et al. eds (1996) Weir's Handbook of Experimental Immunology, 5th edition; and/or more recent editions thereof.


Definitions

As used herein, the singular forms “a,” “an” and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise.


As used herein, the term “about,” when referring to a measurable value such as an amount or concentration and the like, is meant to encompass variations of 20%, 10%, 5%, 1%, 0.5%, or even 0.1% of the specified amount.


As used herein, the terms or “acceptable,” “effective,” or “sufficient” when used to describe the selection of any components, ranges, dose forms, etc. disclosed herein intend that said component, range, dose form, etc. is suitable for the disclosed purpose.


As used herein, the term “adeno-associated virus” or “AAV” refers to a member of the class of viruses associated with this name and belonging to the genus dependoparvovirus, family Parvoviridae. Multiple serotypes of this virus are known to be suitable for gene delivery; all known serotypes can infect cells from various tissue types. At least 11 or 12, sequentially numbered, are disclosed in the prior art. Non-limiting exemplary serotypes useful in the gene editing systems, host cells, pharmaceutical compositions, vectors, and methods disclosed herein include any of the 11 or 12 serotypes, e.g., AAV2, AAV5, and AAV8, or variant serotypes, e.g. AAV-DJ. The AAV structural particle is composed of 60 protein molecules made up of VP1, VP2 and VP3. Each particle contains approximately 5 VP1 proteins, 5 VP2 proteins and 50 VP3 proteins ordered into an icosahedral structure.


As used herein, the term “administering” a compound or composition to a subject means delivering the compound to the subject. “Administering” includes prophylactic administration of the compound or composition (i.e., before the disease and/or one or more symptoms of the disease are detectable) and/or therapeutic administration of the composition (i.e., after the disease and/or one or more symptoms of the disease are detectable). The methods of the present technology include administering one or more compounds or agents.


If more than one compound is to be administered, the compounds may be administered together at substantially the same time, and/or administered at different times in any order.


Also, the compounds of the present technology may be administered before, concomitantly with, and/or after administration of another type of drug or therapeutic procedure (e.g., surgery).


As used herein, “ameliorate,” “ameliorating,” and the like, as used herein, refer to inhibiting, relieving, eliminating, or slowing progression of one or more symptoms.


As used herein, “and/or” refers to and encompasses any and all possible combinations of one or more of the associated listed items, as well as the lack of combinations when interpreted in the alternative (“or”).


As used herein, the term “aptamer” as used herein refers to single stranded DNA or RNA molecules that can bind to one or more selected targets with high affinity and specificity. Non-limiting exemplary targets include by are not limited to proteins or peptides.


As used herein, the term “Cas9” refers to a CRISPR-associated, RNA-guided endonuclease such as Streptococcus pyogenes Cas9 (spCas9) and orthologs and biological equivalents thereof. Biological equivalents of Cas9 include but are not limited to C2c1 from Alicyclobacillus acideterrestris and Cpf1 (which performs cutting functions analogous to Cas9) from various bacterial species including Acidaminococcus spp. and Francisella novicida U112. Cas9 may refer to an endonuclease that causes double stranded breaks in DNA, a nickase variant such as a RuvC or HNH mutant that causes a single stranded break in DNA, as well as other variations such as deadCas-9 or dCas9, which lack endonuclease activity. Cas9 may also refer to “split-Cas9” in which CAs9 is split into two halves—C-Cas9 and N-Cas9—and fused with a two intein moieties. See, e.g., U.S. Pat. No. 9,074,199 B1; Zetsche et al., Nat Biotechnol. 33(2):139-42 (2015); Wright et al., PNAS 112(10) 2984-89 (2015).


As used herein, the term “cell” or “host cell” may refer to either a prokaryotic or eukaryotic cell, optionally obtained from a subject or a commercially available source.


As used herein, the term “CRISPR” refers to Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR). CRISPR may also refer to a technique or system of sequence-specific genetic manipulation relying on the CRISPR pathway. A CRISPR recombinant expression system can be programmed to cleave a target polynucleotide using a CRISPR endonuclease and a guide RNA. A CRISPR system can be used to cause double stranded or single stranded breaks in a target polynucleotide. A CRISPR system can also be used to recruit proteins or label a target polynucleotide. In some aspects, CRISPR-mediated gene editing utilizes the pathways of nonhomologous end-joining (NHEJ) or homologous recombination to perform the edits. These applications of CRISPR technology are known and widely practiced in the art. See, e.g., U.S. Pat. No. 8,697,359, and Hsu et al., Cell 156(6): 1262-1278 (2014).


As used herein, the term “comprising” is intended to mean that the compositions and methods include the recited elements, but do not exclude others.


As used herein, the transitional phrase “consisting essentially of” (and grammatical variants) is to be interpreted as encompassing the recited materials or steps “and those that do not materially affect the basic and novel characteristic(s)” of the recited embodiment. Thus, the term “consisting essentially of” as used herein should not be interpreted as equivalent to “comprising.” “Consisting of” shall mean excluding more than trace elements of other ingredients and substantial method steps for administering the compositions disclosed herein. Aspects defined by each of these transition terms are within the scope of the present disclosure.


As used herein, the term “effective amount” or “therapeutically effective amount” refers to the amount of an agent that is sufficient to effect beneficial or desired results. The therapeutically effective amount may vary depending upon one or more of: the subject and disease condition being treated, the weight and age of the subject, the severity of the disease condition, the manner of administration and the like, which can readily be determined by one of ordinary skill in the art. The specific dose may vary depending on one or more of: the particular agent chosen, the dosing regimen to be followed, whether it is administered in combination with other compounds, timing of administration, the route of administration, and the physical delivery system in which it is carried.


In some embodiments, “effective amount” or “therapeutically effective amount” refers to a quantity sufficient to achieve a desired therapeutic and/or prophylactic effect, e.g., an amount which results in the full or partial amelioration of disease or disorders or symptoms associated with mitochondrial dysfunction, neurological disease, lack of energy, glycolytic process dysfunction or cellular respiration related dysfunction in a subject in need thereof. In the context of therapeutic or prophylactic applications, the amount of a composition administered to the subject will depend on the type and severity of the disease and on the characteristics of the individual, such as general health, age, sex, body weight and tolerance to drugs. It will also depend on the degree, severity and type of disease. A person of ordinary skill in the art will be able to determine appropriate dosages depending on these and other factors. The compositions can also be administered in combination with one or more additional compounds. Multiple doses may be administered. Additionally or alternatively, multiple therapeutic compositions or compounds may administered. In the methods described herein, the compounds may be administered to a subject having one or more signs or symptoms of a disease or disorder described herein.


As used herein, the term “encode” as it is applied to nucleic acid sequences refers to a polynucleotide which is said to “encode” a polypeptide if, in its native state or when manipulated by methods well known to those skilled in the art, can be transcribed and/or translated to produce the mRNA for the polypeptide and/or a fragment thereof. The antisense strand is the complement of such a nucleic acid, and the encoding sequence can be deduced therefrom.


As used herein, the term “endonuclease” refers to any suitable endonuclease enzyme protein or a variant thereof that will be specifically directed by the selected guide polynucleotide to enzymatically knock-out the target sequence of the guide polynucleotide.


As used herein, the term “variant thereof,” as used with respect to an endonuclease, refers to the referenced endonuclease in its enzymatically functional form expressed in any suitable host organism or expression system and/or including any modifications to enhance the enzymatic activity of the endonuclease.


In some embodiments of the present disclosure, a suitable endonuclease includes a CRISPR-associated sequence 9 (Cas9) endonuclease or a variant thereof, a CRISPR-associated sequence 13 (Cas13) endonuclease or a variant thereof, CRISPR-associated sequence 6 (Cas6) endonuclease or a variant thereof, a CRISPR from Prevotella and Francisella 1 (Cpf1) endonuclease or a variant thereof, or a CRISPR from Microgenomates and Smithella 1 (Cms1) endonuclease or a variant thereof. In some embodiments of the present disclosure, a suitable endonuclease includes a Streptococcus pyogenes Cas9 (SpCas9), a Staphylococcus aureus Cas9 (SaCas9), a Francisella novicida Cas9 (FnCas9), or a variant thereof. Variants may include a protospacer adjacent motif (PAM) SpCas9 (xCas9), high fidelity SpCas9 (SpCas9-FIF1), a high fidelity SaCas9, or a high fidelity FnCas9.


In some embodiments of the present disclosure, the endonuclease comprises a Cas fusion nuclease comprising a Cas9 protein or a variant thereof fused with a Fok1 nuclease or variant thereof. Variants of the Cas9 protein of this fusion nuclease include a catalytically inactive Cas9 (e.g., dead Cas9). In some embodiments of the present disclosure, the endonuclease may be a Cas9, Cas1 3, Cas6, Cpf1, CMS1 protein, or any variant thereof that is derived or expressed from Methanococcus maripaludis C7, Corynebacterium diphtheria, Corynebacterium efficiens YS-314, Corynebacterium glutamicum (ATCC 13032), Corynebacterium glutamicum (ATCC 13032), Corynebacterium glutamicum R, Corynebacterium kroppenstedtii (DSM 44385), Mycobacterium abscessus (ATCC 19977), Nocardia farcinica IFM1 0 152, Rhodococcus erythropolis PR4, Rhodococcus jostii RFIA1, Rhodococcus opacus B4 (uid36573), Acidothermus cellulolyticus 11B, Arthrobacter chlorophenolicus A6, Kribbella flavida (DSM 17836, uid43465), Thermomonospora curvata (DSM431 83), Bifidobacterium dentium Bd1, Bifidobacterium longum DJO10A, Slackia heliotrinireducens (DSM 20476), Persephonella marina EX H1, Bacteroides fragilis NCTC 9434, Capnocytophaga ochracea (DSM 7271), Flavobacterium psychrophilum JIP02 86, Akkermansia muciniphila (ATCC BAA 835), Roseiflexus castenholzii (DSM 13941), Roseiflexus RS1, Synechocystis PCC6803, Elusimicrobium minutum Pei1 9 1, uncultured Termite group 1 bacterium phylotype Rs D 17, Fibrobacter succinogenes S85, Bacillus cereus (ATCC 10987), Listeria innocua, Lactobacillus casei, Lactobacillus rhamnosus GG, Lactobacillus salivarius UCC1 18, Streptococcus agalactiae-5-A909, Streptococcus agalactiae NEM316, Streptococcus agalactiae 2603, Streptococcus dysgalactiae equisimilis GGS 124, Streptococcus equi zooepidemicus MGCS1 0565, Streptococcus gallolyticus UCN34 (uid46061), Streptococcus gordonii Challis subst CH1, Streptococcus mutans NN2025 (uid46353), Streptococcus mutans, Streptococcus pyogenes M 1 GAS, Streptococcus pyogenes MGAS5005, Streptococcus pyogenes MGAS2096, Streptococcus pyogenes MGAS9429, Streptococcus pyogenes MGAS 10270, Streptococcus pyogenes MGAS61 80, Streptococcus pyogenes MGAS31 5, Streptococcus pyogenes SSI-1, Streptococcus pyogenes MGAS1 0750, Streptococcus pyogenes NZ1 3 1, Streptococcus thermophiles CNRZ1 066, Streptococcus thermophiles LMD-9, Streptococcus thermophiles LMG 1831 1, Clostridium botulinum A3 Loch Maree, Clostridium botulinum B Eklund 17B, Clostridium botulinum Ba4 657, Clostridium botulinum F Langeland, Clostridium cellulolyticum H 10, Finegoldia magna (ATCC 29328), Eubacterium rectale (ATCC 33656), Mycoplasma gallisepticum, Mycoplasma mobile 163K, Mycoplasma penetrans, Mycoplasma synoviae 53, Streptobacillus moniliformis (DSM 121 12), Bradyrhizobium BTAil, Nitrobacter hamburgensis X14, Rhodopseudomonas palustris BisB1 8, Rhodopseudomonas palustris BisB5, Parvibaculum lavamentivorans DS-1, Dinoroseobacter shibae. DFL 12, Gluconacetobacter diazotrophicus Pal 5 FAPERJ, Gluconacetobacter diazotrophicus Pal 5 JGI, Azospirillum B51 0 (uid46085), Rhodospirillum rubrum (ATCC 11170), Diaphorobacter TPSY (uid29975), Verminephrobacter eiseniae EFO1-2, Neisseria meningitides 053442, Neisseria meningitides alpha14, Neisseria meningitides Z2491, Desulfovibrio salexigens DSM 2638, Campylobacter jejuni doylei 269 97, Campylobacter jejuni 8 1116, Campylobacter jejuni, Campylobacter lari RM21 00, Helicobacter hepaticus, Wolinella succinogenes, Tolumonas auensis DSM 9 187, Pseudoalteromonas atlantica T6c, Shewanella pealeana (ATCC 700345), Legionella pneumophila Paris, Actinobacillus succinogenes 130Z, Pasteurella multocida, Francisella tularensis novicida U112, Francisella tularensis holarctica, Francisella tularensis FSC 198, Francisella tularensis, Francisella tularensis WY96-3418, or Treponema denticola (ATCC 35405).


As used herein, the terms “equivalent” or “biological equivalent” are used interchangeably when referring to a particular molecule, biological, or cellular material and intend those having minimal homology while still maintaining desired structure or functionality.


As used herein, the term “expression” refers to the process by which polynucleotides are transcribed into mRNA and/or the process by which the transcribed mRNA is subsequently being translated into peptides, polypeptides, or proteins. If the polynucleotide is derived from genomic DNA, expression may include splicing of the mRNA in a eukaryotic cell. The expression level of a gene may be determined by measuring the amount of mRNA or protein in a cell or tissue sample; further, the expression level of multiple genes can be determined to establish an expression profile for a particular sample.


As used herein, the term “functional” may be used to modify any molecule, biological, or cellular material to intend that it accomplishes a particular, specified effect.


As used herein, the term “guide polynucleotide” refers to a polynucleotide having a “synthetic sequence” capable of binding the corresponding endonuclease enzyme protein (e.g., Cas9) and a variable target sequence capable of binding the genomic target (e.g., a nucleotide sequence found in an exon of a target gene). In some embodiments of the present disclosure, a guide polynucleotide is a guide ribonucleic acid (gRNA). In some embodiments, the variable target sequence of the guide polynucleotide is any sequence within the target that is unique with respect to the rest of the genome and is immediately adjacent to a Protospacer Adjacent Motif (PAM). The exact sequence of the PAM sequence may vary as different endonucleases require different PAM sequences.


As used herein, “homology” or “identity” or “similarity” refers to sequence similarity between two peptides or between two nucleic acid molecules. Homology can be determined by comparing a position in each sequence which may be aligned for purposes of comparison. When a position in the compared sequence is occupied by the same base or amino acid, then the molecules are homologous at that position. A degree of homology between sequences is a function of the number of matching or homologous positions shared by the sequences. An “unrelated” or “non-homologous” sequence shares less than 40% identity, or alternatively less than 25% identity, with one of the sequences of the present invention.


As used herein, “hybridization” or “hybridizes” refers to a reaction in which one or more polynucleotides react to form a complex that is stabilized via hydrogen bonding between the bases of the nucleotide residues. The hydrogen bonding may occur by Watson-Crick base pairing, Hoogstein binding, or in any other sequence-specific manner. The complex may comprise two strands forming a duplex structure, three or more strands forming a multi-stranded complex, a single self-hybridizing strand, or any combination of these. A hybridization reaction may constitute a step in a more extensive process, such as the initiation of a PC reaction, or the enzymatic cleavage of a polynucleotide by a ribozyme.


Examples of stringent hybridization conditions include: incubation temperatures of about 25° C. to about 37° C.; hybridization buffer concentrations of about 6× saline-sodium citrate (“SSC”) to about 10×SSC; formamide concentrations of about 0% to about 25%; and wash solutions from about 4×SSC to about 8×SSC. Examples of moderate hybridization conditions include: incubation temperatures of about 40° C. to about 50° C.; buffer concentrations of about 9×SSC to about 2×SSC; formamide concentrations of about 30% to about 50%; and wash solutions of about 5×SSC to about 2×SSC. Examples of high stringency conditions include: incubation temperatures of about 55° C. to about 68° C.; buffer concentrations of about 1×SSC to about 0.1×SSC; formamide concentrations of about 55% to about 75%; and wash solutions of about 1×SSC, 0.1×SSC, or deionized water. In general, hybridization incubation times are from 5 minutes to 24 hours, with 1, 2, or more washing steps, and wash incubation times are about 1, 2, or 15 minutes. SSC is 0.15 M sodium chloride (“NaCl”) and 15 mM citrate buffer. It is understood that equivalents of SSC using other buffer systems can be employed.


As used herein, the term “isolated” as used herein refers to molecules or biologicals or cellular materials being substantially free from other materials.


As used herein, the term “lentivirus” refers to a member of the class of viruses associated with this name and belonging to the genus lentivirus, family Retroviridae. While some lentiviruses are known to cause diseases, other lentivirus are known to be suitable for gene delivery. See, e.g., Tomas et al. (2013) Biochemistry, Genetics and Molecular Biology: “Gene Therapy—Tools and Potential Applications,” ISBN 978-953-51-1014-9, DOI: 10.5772/52534.


As used herein, the terms “nucleic acid sequence,” “nucleotide sequence,” and “polynucleotide” are used interchangeably to refer to a polymeric form of nucleotides of any length, either ribonucleotides or deoxyribonucleotides. Thus, this term includes, but is not limited to, single-, double-, or multi-stranded DNA or RNA, genomic DNA, cDNA, DNA-RNA hybrids, or a polymer comprising purine and pyrimidine bases or other natural, chemically or biochemically modified, non-natural, or derivatized nucleotide bases.


As used herein, the term “organ” a structure which is a specific portion of an individual organism, where a certain function or functions of the individual organism is locally performed and which is morphologically separate. Non-limiting examples of organs include the skin, blood vessels, cornea, thymus, kidney, heart, liver, umbilical cord, intestine, nerve, lung, placenta, pancreas, thyroid and brain.


As used herein, the term “ortholog” is used in reference of another gene or protein and intends a homolog of said gene or protein that evolved from the same ancestral source.


Orthologs may or may not retain the same function as the gene or protein to which they are orthologous. Non-limiting examples of Cas9 orthologs include S. aureus Cas9 (“spCas9”), S. thermophiles Cas9, L. pneumophilia Cas9, N. lactamica Cas9, N. meningitides Cas9, B. longum Cas9, A. muciniphila Cas9, and O. laneus Cas9.


As used herein, “prevention,” “prevents,” or “preventing” of a disorder or condition refers to a compound that, in a statistical sample, reduces the occurrence of the disorder, symptom, or condition in the treated sample relative to a control subject, or delays the onset of one or more symptoms of the disorder or condition relative to the control subject.


As used herein, the term “promoter” as used herein refers to any sequence that regulates the expression of a coding sequence, such as a gene. refers to a region of DNA that initiates transcription of a particular gene. The promoter includes the core promoter, which is the minimal portion of the promoter required to properly initiate transcription and can also include regulatory elements such as transcription factor binding sites. The regulatory elements may promote transcription or inhibit transcription. Regulatory elements in the promoter can be binding sites for transcriptional activators or transcriptional repressors. A promoter can be constitutive or inducible. A constitutive promoter refers to one that is always active and/or constantly directs transcription of a gene above a basal level of transcription. An inducible promoter is one which is capable of being induced by a molecule or a factor added to the cell or expressed in the cell. An inducible promoter may still produce a basal level of transcription in the absence of induction, but induction typically leads to significantly more production of the protein. Promoters can also be tissue specific. A tissue specific promoter allows for the production of a protein in a certain population of cells that have the appropriate transcriptional factors to activate the promoter.


Promoters may be constitutive, inducible, repressible, or tissue-specific, for example. A “promoter” is a control sequence that is a region of a polynucleotide sequence at which initiation and rate of transcription are controlled. It may contain genetic elements at which regulatory proteins and molecules may bind such as RNA polymerase and other transcription factors. Non-limiting exemplary promoters include CDKL5 promoter, SCML2 promoter, COL9A3 promoter, MECP2, CMV promoter and U6 promoter, the phosphoglycerate kinase 1 (PGK) promoter; SSFV, CMV, MNDU3, SV40, Efla, UBC and CAGG. Non-limiting exemplary promoter sequences are provided herein below:


CMV Promoter


ATACGCGTTGACATTGATTATTGACTAGTTATTAATAGTAATCAATTACGG GGTCATTAGTTCATAGCCCATATATGGAGTTCCGCGTTACATAACTTACGGTAAA TGGCCCGCCTGGCTGACCGCCCAACGACCCCCGCCCATTGACGTCAATAATGACG TATGTTCCCATAGTAACGCCAATAGGGACTTTCCATTGACGTCAATGGGTGGAGT ATTTACGGTAAACTGCCCACTTGGCAGTACATCAAGTGTATCATATGCCAAGTAC GCCCCCTATTGACGTCAATGACGGTAAATGGCCCGCCTGGCATTATGCCCAGTAC ATGACCTTATGGGACTTTCCTACTTGGCAGTACATCTACGTATTAGTCATCGCTAT TACCATGGTGATGCGGTTTTGGCAGTACATCAATGGGCGTGGATAGCGGTTTGAC TCACGGGGATTTCCAAGTCTCCACCCCATTGACGTCAATGGGAGTTTGTTTTGGC ACCAAAATCAACGGGACTTTCCAAAATGTCGTAACAACTCCGCCCCATTGACGC AAATGGGCGGTAGGCGTGTACGGTGGGAGGTCTATATAAGCAGAGCTCGTTTAG TGAACCGTCAGATCGCCTGGAGACGCCATCCACGCTGTTTTGACCTCCATAGAAG ACACCGGGACCGATCCAGCCTCCGGACTCTAGAGGATCGAACCCTT, or a biological equivalent thereof.


U6 Promoter


GAGGGCCTATTTCCCATGATTCCTTCATATTTGCATATACGATACAAGGCT GTTAGAGAGATAATTAGAATTAATTTGACTGTAAACACAAAGATATTAGTACAA AATACGTGACGTAGAAAGTAATAATTTCTTGGGTAGTTTGCAGTTTTAAAATTAT GTTTTAAAATGGACTATCATATGCTTACCGTAACTTGAAAGTATTTCGATTTCTTG GCTTTATATATCTTGTGGAAAGGACGAAACACC, or a biological equivalent thereof.


A number of effector elements are disclosed herein for use in these vectors; e.g., a tetracycline response element (e.g., tetO), a tet-regulatable activator, T2A, VP64, RtA, KRAB, and a miRNA sensor circuit. The nature and function of these effector elements are commonly understood in the art and a number of these effector elements are commercially available. Non-limiting exemplary sequences thereof are disclosed herein and further description thereof is provided herein below.


As used herein, the term “protein”, “peptide” and “polypeptide” are used interchangeably and in their broadest sense to refer to a compound of two or more subunits of amino acids, amino acid analogs or peptidomimetics. The subunits may be linked by peptide bonds. In another aspect, the subunit may be linked by other bonds, e.g., ester, ether, etc. A protein or peptide must contain at least two amino acids and no limitation is placed on the maximum number of amino acids which may comprise a protein's or peptide's sequence. As used herein the term “amino acid” refers to either natural and/or unnatural or synthetic amino acids, including glycine and both the D and L optical isomers, amino acid analogs and peptidomimetics.


As used herein, “protospacer adjacent motif” (PAM) refers to a short nucleotide sequence adjacent to a target sequence (protospacer) that is recognized (targeted) by a sgRNA/Cas endonuclease system described herein. The sequence and length of a PAM herein can differ depending on the Cas protein or Cas protein complex used. The PAM sequence can be of any length but is typically 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 nucleotides long. The PAM sequence plays a key role in target recognition by licensing sgRNA base pairing to the protospacer sequence (Szczelkun et al., Proc. Natl. Acad. Sci. U.S.A 111: 9798-803 (2014)).


As used herein, the term “recombinant expression system” refers to a genetic construct for the expression of certain genetic material formed by recombination.


As used herein, the term “sgRNA” or “single guide RNA” as used herein refers to the guide RNA sequences used to target specific genes for correction employing the CRISPR technique. Techniques of designing sgRNAs and donor therapeutic polynucleotides for target specificity are well known in the art. For example, Doench et al., Nature Biotechnology 32(12):1262-7 (2014), Mohr et al., FEBS J. 283: 3232-38 (2016), and Graham et al., Genome Biol. 16:260 (2015). sgRNA comprises or alternatively consists essentially of, or yet further consists of a fusion polynucleotide comprising CRISPR RNA (crRNA; i.e., a scaffold region) and trans-activating CRIPSPR RNA (tracrRNA; i.e., a spacer region); or a polynucleotide comprising crRNA (i.e., a scaffold region) and tracrRNA (i.e., a spacer region). In some aspects, a sgRNA is synthetic (Kelley et al., J of Biotechnology 233:74-83 (2016).


As used herein, the terms “subject,” “individual,” or “patient” can be an individual organism, a vertebrate, a mammal, or a human. “Mammal” includes a human, non-human mammal, non-human primate, murine (e.g., mouse, rat, guinea pig, hamster), ovine, bovine, ruminant, lagomorph, porcine, caprine, equine, canine, feline, avis, etc. In any embodiment herein, the mammal is feline or canine. In any embodiment herein, the mammal is human.


As used herein, “target sequence” refers to a nucleotide sequence adjacent to a 5′-end of a protospacer adjacent motif (PAM). Being “adjacent” herein means being within 1 to 8 nucleotides of the site of reference, including being “immediately adjacent,” which means that there is no intervening nucleotides between the immediately adjacent nucleotide sequences and the immediately adjacent nucleotide sequences are within one nucleotide of each other.


As used herein, “target site” refers to a site of the target sequence including both the target sequence and its complementary sequence, for example, in double stranded nucleotides. The target site described herein may mean a nucleotide sequence hybridizing to a sgRNA spacer region, a complementary nucleotide sequence of the nucleotide sequence hybridizing to a sgRNA spacer region, and/or a nucleotide sequence adjacent to the 5′-end of a PAM. Full complementarity of a sgRNA spacer region with a target site is not necessarily required, provided there is sufficient complementarity to cause hybridization and promote formation of a CRISPR complex. A target sequence or target site may comprise any polynucleotide, such as DNA or RNA polynucleotides. In some embodiments, a target sequence or target site is located in the nucleus or cytoplasm of a cell. In some embodiments, the target sequence or target site may be within an organelle of a eukaryotic cell, for example, mitochondrion or chloroplast.


As used herein, the term “tissue” is used herein to refer to tissue of a living or deceased organism or any tissue derived from or designed to mimic a living or deceased organism. The tissue may be healthy, diseased, and/or have genetic mutations. The biological tissue may include any single tissue (e.g., a collection of cells that may be interconnected) or a group of tissues making up an organ or part or region of the body of an organism. The tissue may comprise a homogeneous cellular material or it may be a composite structure such as that found in regions of the body including the thorax which for instance can include lung tissue, skeletal tissue, and/or muscle tissue. Exemplary tissues include, but are not limited to those derived from liver, lung, thyroid, skin, pancreas, blood vessels, bladder, kidneys, brain, biliary tree, duodenum, abdominal aorta, iliac vein, heart and intestines, including any combination thereof.


As used herein, “treating” or “treatment” of a disease in a subject refers to (1) preventing the symptoms or disease from occurring in a subject that is predisposed or does not yet display symptoms of the disease; (2) inhibiting the disease or arresting its development; or (3) ameliorating or causing regression of the disease or the symptoms of the disease. As understood in the art, “treatment” is an approach for obtaining beneficial or desired results, including clinical results. For the purposes of the present technology, beneficial or desired results can include one or more, but are not limited to, alleviation or amelioration of one or more symptoms, diminishment of extent of a condition (including a disease), stabilized (i.e., not worsening) state of a condition (including disease), delay or slowing of condition (including disease), progression, amelioration or palliation of the condition (including disease), states and remission (whether partial or total), whether detectable or undetectable. In one aspect, the term “treatment” excludes prevention or prophylaxis.


As used herein, “stem cell” defines a cell with the ability to divide for indefinite periods in culture and give rise to specialized cells. At this time and for convenience, stem cells are categorized as somatic (adult) or embryonic. A somatic stem cell is an undifferentiated cell found in a differentiated tissue that can renew itself (clonal) and (with certain limitations) differentiate to yield all the specialized cell types of the tissue from which it originated. An embryonic stem cell is a primitive (undifferentiated) cell from the embryo that has the potential to become a wide variety of specialized cell types. An embryonic stem cell is one that has been cultured under in vitro conditions that allow proliferation without differentiation for months to years. A clone is a line of cells that is genetically identical to the originating cell; in this case, a stem cell.


A population of cells intends a collection of more than one cell that is identical (clonal) or non-identical in phenotype and/or genotype. A substantially homogenous population of cells is a population having at least 70%, or alternatively at least 75%, or alternatively at least 80%, or alternatively at least 85%, or alternatively at least 90%, or alternatively at least 95%, or alternatively at least 98% identical phenotype, as measured by pre-selected markers.


As used herein, “embryonic stem cells” refers to stem cells derived from tissue formed after fertilization but before the end of gestation, including pre-embryonic tissue (such as, for example, a blastocyst), embryonic tissue, or fetal tissue taken any time during gestation, typically but not necessarily before approximately 10-12 weeks gestation. Most frequently, embryonic stem cells are pluripotent cells derived from the early embryo or blastocyst. Embryonic stem cells can be obtained directly from suitable tissue, including, but not limited to human tissue, or from established embryonic cell lines. “Embryonic-like stem cells” refer to cells that share one or more, but not all characteristics, of an embryonic stem cell.


A neural stem cell is a cell that can be isolated from the adult central nervous systems of mammals, including humans. They have been shown to generate neurons, migrate and send out aconal and dendritic projections and integrate into pre-existing neuroal circuits and contribute to normal brain function. Reviews of research in this area are found in Miller (2006) The Promise of Stem Cells for Neural Repair, Brain Res. Vol. 1091(1):258-264; Pluchino et al. (2005) Neural Stem Cells and Their Use as Therapeutic Tool in Neurological Disorders, Brain Res. Brain Res. Rev., Vol. 48(2):211-219; and Goh, et al. (2003) Adult Neural Stem Cells and Repair of the Adult Central Nervous System, J. Hematother. Stem Cell Res., Vol. 12(6):671-679.


As use herein, the term “differentiation” describes the process whereby an unspecialized cell acquires the features of a specialized cell such as a heart, liver, or muscle cell. “directed differentiation” refers to the manipulation of stem cell culture conditions to induce differentiation into a particular cell type. “Dedifferentiated” defines a cell that reverts to a less committed position within the lineage of a cell. As used herein, the term “differentiates or differentiated” defines a cell that takes on a more committed (“differentiated”) position within the lineage of a cell. As used herein, “a cell that differentiates into a mesodermal (or ectodermal or endodermal) lineage” defines a cell that becomes committed to a specific mesodermal, ectodermal or endodermal lineage, respectively. Examples of cells that differentiate into a mesodermal lineage or give rise to specific mesodermal cells include, but are not limited to, cells that are adipogenic, leiomyogenic, chondrogenic, cardiogenic, dermatogenic, hematopoetic, hemangiogenic, myogenic, nephrogenic, urogenitogenic, osteogenic, pericardiogenic, or stromal.


As used herein, the term “differentiates or differentiated” defines a cell that takes on a more committed (“differentiated”) position within the lineage of a cell. “Dedifferentiated” defines a cell that reverts to a less committed position within the lineage of a cell. Induced pluripotent stem cells are examples of dedifferentiated cells.


As used herein, the “lineage” of a cell defines the heredity of the cell, i.e. its predecessors and progeny. The lineage of a cell places the cell within a hereditary scheme of development and differentiation.


A “multi-lineage stem cell” or “multipotent stem cell” refers to a stem cell that reproduces itself and at least two further differentiated progeny cells from distinct developmental lineages. The lineages can be from the same germ layer (i.e. mesoderm, ectoderm or endoderm), or from different germ layers. An example of two progeny cells with distinct developmental lineages from differentiation of a multilineage stem cell is a myogenic cell and an adipogenic cell (both are of mesodermal origin, yet give rise to different tissues). Another example is a neurogenic cell (of ectodermal origin) and adipogenic cell (of mesodermal origin).


A “precursor” or “progenitor cell” intends to mean cells that have a capacity to differentiate into a specific type of cell. A progenitor cell may be a stem cell. A progenitor cell may also be more specific than a stem cell. A progenitor cell may be unipotent or multipotent. Compared to adult stem cells, a progenitor cell may be in a later stage of cell differentiation. An example of progenitor cell includes, without limitation, a progenitor nerve cell.


A “parthenogenetic stem cell” refers to a stem cell arising from parthenogenetic activation of an egg. Methods of creating a parthenogenetic stem cell are known in the art. See, for example, Cibelli et al. (2002) Science 295(5556):819 and Vrana et al. (2003) Proc. Natl. Acad. Sci. USA 100 (Suppl. 1) 11911-6.


As used herein, a “pluripotent cell” defines a less differentiated cell that can give rise to at least two distinct (genotypically and/or phenotypically) further differentiated progeny cells. In another aspect, a “pluripotent cell” includes an Induced Pluripotent Stem Cell (iPSC) which is an artificially derived stem cell from a non-pluripotent cell, typically an adult somatic cell, that has historically been produced by inducing expression of one or more stem cell specific genes. Such stem cell specific genes include, but are not limited to, the family of octamer transcription factors, i.e. Oct-3/4; the family of Sox genes, i.e., Sox1, Sox2, Sox3, Sox 15 and Sox 18; the family of Klf genes, i.e. Klf1, Klf2, Klf4 and Klf5; the family of Myc genes, i.e. c-myc and L-myc; the family of Nanog genes, i.e., OCT4, NANOG and REX1; or LIN28. Examples of iPSCs are described in Takahashi et al. (2007) Cell advance online publication 20 Nov. 2007; Takahashi & Yamanaka (2006) Cell 126:663-76; Okita et al. (2007) Nature 448:260-262; Yu et al. (2007) Science advance online publication 20 Nov. 2007; and Nakagawa et al. (2007) Nat. Biotechnol. Advance online publication 30 Nov. 2007.


As used herein, the term “vector” refers to a nucleic acid molecule capable of transporting another nucleic acid to which it has been linked. Vectors include, but are not limited to, nucleic acid molecules that are single-stranded, double-stranded, or partially double-stranded; nucleic acid molecules that comprise one or more free ends, no free ends (e.g., circular); nucleic acid molecules that comprise DNA, RNA, or both; and other varieties of polynucleotides known in the art. One type of vector is a “plasmid,” which refers to a circular double stranded DNA loop into which additional DNA segments can be inserted, such as by standard molecular cloning techniques.


Another type of vector is a viral vector, wherein virally-derived DNA or RNA sequences are present in the vector for packaging into a virus (e.g., retroviruses, replication defective retroviruses, adenoviruses, replication defective adenoviruses, lentiviruses, replication defective lentiviruses, and adeno-associated viruses). Viral vectors also include polynucleotides carried by a virus for transfection into a host cell. Certain vectors are capable of autonomous replication in a host cell into which they are introduced (e.g., bacterial vectors having a bacterial origin of replication and episomal mammalian vectors). Other vectors (e.g., non-episomal mammalian vectors) are integrated into the genome of a host cell upon introduction into the host cell, and thereby are replicated along with the host genome. Moreover, certain vectors are capable of directing the expression of genes to which they are operatively linked. Such vectors are referred to herein as “expression vectors.” Common expression vectors of utility in recombinant DNA techniques are often in the form of plasmids. Recombinant expression vectors can comprise a nucleic acid of the invention in a form suitable for expression of the nucleic acid in a host cell, which means that the recombinant expression vectors include one or more regulatory elements, which may be selected on the basis of the host cells to be used for expression, that is operatively-linked to the nucleic acid sequence to be expressed. Within a recombinant expression vector, “operably linked” is intended to mean that the nucleotide sequence of interest is linked to the regulatory element(s) in a manner that allows for expression of the nucleotide sequence (e.g., in an in vitro transcription/translation system or in a host cell when the vector is introduced into the host cell). Advantageous viral expression vectors include retroviruses, replication defective retroviruses, adenoviruses, replication defective adenoviruses, lentiviruses, replication defective lentiviruses, and adeno-associated viruses.


It is to be inferred without explicit recitation and unless otherwise intended, that when the present disclosure relates to a polypeptide, protein, polynucleotide or antibody, a fragement an equivalent or a biologically equivalent of such is intended within the scope of this disclosure. As used herein, the term “biological equivalent thereof” is intended to be synonymous with “equivalent thereof” when referring to a reference protein, antibody, polypeptide or nucleic acid, intends those having minimal homology while still maintaining desired structure or functionality. Unless specifically recited herein, it is contemplated that any polynucleotide, polypeptide or protein mentioned herein also includes equivalents thereof. For example, an equivalent intends at least about 70% homology or identity, or at least 80% homology or identity and alternatively, or at least about 85%, or alternatively at least about 90%, or alternatively at least about 95%, or alternatively 98% percent homology or identity and exhibits substantially equivalent biological activity to the reference protein, polypeptide or nucleic acid. Alternatively, when referring to polynucleotides, an equivalent thereof is a polynucleotide that hybridizes under stringent conditions to the reference polynucleotide or its complement.


Applicants have provided herein the polypeptide and/or polynucleotide sequences for use in gene and protein transfer and expression techniques described below. It should be understood, although not always explicitly stated that the sequences provided herein can be used to provide the expression product as well as substantially identical sequences that produce a protein that has the same biological properties. These “biologically equivalent” or “biologically active” polypeptides are encoded by equivalent polynucleotides as described herein. They may possess at least 60%, or alternatively, at least 65%, or alternatively, at least 70%, or alternatively, at least 75%, or alternatively, at least 80%, or alternatively at least 85%, or alternatively at least 90%, or alternatively at least 95% or alternatively at least 98%, identical primary amino acid sequence to the reference polypeptide when compared using sequence identity methods run under default conditions. Specific polypeptide sequences are provided as examples of particular embodiments. Modifications to the sequences to amino acids with alternate amino acids that have similar charge. Additionally, an equivalent polynucleotide is one that hybridizes under stringent conditions to the reference polynucleotide or its complement or in reference to a polypeptide, a polypeptide encoded by a polynucleotide that hybridizes to the reference encoding polynucleotide under stringent conditions or its complementary strand. Alternatively, an equivalent polypeptide or protein is one that is expressed from an equivalent polynucleotide.


Pharmaceutically acceptable salts of compounds described herein are within the scope of the present technology and include acid or base addition salts which retain the desired pharmacological activity and is not biologically undesirable (e.g., the salt is not unduly toxic, allergenic, or irritating, and is bioavailable). When the compound of the present technology has a basic group, such as, for example, an amino group, pharmaceutically acceptable salts can be formed with inorganic acids (such as hydrochloric acid, hydroboric acid, nitric acid, sulfuric acid, and phosphoric acid), organic acids (e.g. alginate, formic acid, acetic acid, benzoic acid, gluconic acid, fumaric acid, oxalic acid, tartaric acid, lactic acid, maleic acid, citric acid, succinic acid, malic acid, methanesulfonic acid, benzenesulfonic acid, naphthalene sulfonic acid, and p-toluenesulfonic acid) or acidic amino acids (such as aspartic acid and glutamic acid). When the compound of the present technology has an acidic group, such as for example, a carboxylic acid group, or a hydroxyl group(s) it can form salts with metals, such as alkali and earth alkali metals (e.g. Na*, Li*, K*, Ca2+, Mg2+, Zn2+), ammonia or organic amines (e.g. dicyclohexylamine, trimethylamine, triethylamine, pyridine, picoline, ethanolamine, diethanolamine, triethanolamine) or basic amino acids (e.g. arginine, lysine and ornithine). Such salts can be prepared in situ during isolation and purification of the compounds or by separately reacting the purified compound in its free base or free acid form with a suitable acid or base, respectively, and isolating the salt thus formed.


Modes for Carrying Out the Disclosure Gene Editing Systems


The disclosure provides a gene editing systems comprising, or alternatively consisting essentially of, or yet further consisting of: (i) a first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein; and (ii) a second nucleotide molecule encoding at least one small guide RNA (sgRNA). In some embodiment, the second nucleotide molecule encoding at least one small guide RNA (sgRNA) comprises, or consists essentially of, or consisting of a scaffold region and a spacer region. In some embodiments, the scaffold region is an amino acid sequence that is necessary for dCas9 binding to the gRNA (addgene.org/guides/crispr/). In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence adjacent to a 5′-end of a protospacer adjacent motif (PAM). In some embodiments, the target sequence and the PAM are located at least about 2 or about 1 kilobase (kb), at least about 1.5 kb, at least about 1 kb, at least about 0.9 kb, at least about 0.8 kb, at least about 0.7 kb, at least about 0.6 kb, at least about 0.5 kb, at least about 0.4 kb, at least about 0.3 kb, at least about 0.2 kb, at least about 0.1 kb from the transcriptional start site (TSS) of the CDKL5 gene. While the target sequence and the PAM are in one aspect located can be located at least about 1 kb from the transcriptional start site, it is apparent to the skilled artisan that other ranges are within the scope of this invention, e.g., the target sequence and the PAM are located from about 2 kb, or from about 1 kb to about 0.1 kb.


In some embodiments, the first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein; and (ii) the second nucleotide molecule encoding at least one small guide RNA (sgRNA) induce DNA demethylation of CpGs (GC islands or region) at positions of at least about −1500, at least about −1000, at least about −500, at least about −200, at least about −148, at least about −66 and, at least about −19 relative to transcription start site.


In some embodiments, the first nucleotide and second nucleotide molecules permit the transcriptional reprogramming of a gene promoter by precisely demethylating gene promoters or enhancers for desired gene targets. Thus, in one aspect, as described herein, is a method for transcriptionally reprogramming a gene promoter in a cell in need thereof, by inserting into the cell, the system as disclosed herein. In some embodiments, DNA is methylated at 5-cytosine (5mC), and such methylation silence gene expression and is important for genomic imprinting, regulation of gene expression, chromatic architecture organization, and cell-fate determination. In some embodiments, gene demythylation is associated with gene activation and occurs either via passive demethylation or through the oxidation of the methyl group. In some embodiments, demethylation via oxidation is mediated by TET (ten-eleven translocation) dioxygenases that oxidizes 5 methyl cytosine (5mC) to 5-hydroxymethylcytosine (5-hmC), which is a critical step in the ultimate removal of the methyl group.


In some embodiments, the full-length TET1 protein comprises typical features of 20G-Fe(II) oxygenases, including conservation of residues predicted to be important for coordination of the cofactors Fe(II) and 20G. The full-length TET1 protein has 2136 amino acids, and comprises an N-terminal a helix followed by a continuous series of p strands, typical of the double-stranded 0 helix (DSBH) fold of the 20G-Fe(II) oxygenases, a unique conserved cysteine-rich region (amino acids 1418-1610 of the full-length human TET1 protein; MIM:607790; ENSG00000138336) that is contiguous with the N terminus of the DSBH region (amino acids 1611-2074), a CXXC-type zinc-binding domain (amino acids 584-624 of the full-length human TET1 protein) domain, binuclear Zn-chelating domain, and three bipartite nuclear localization signals (NLS) (66, 68). In some embodiments, TET1 catalytic domain (TET1CD) comprises, or consists essentially of, or consisting of amino acids 1418 to 2136 of the full-length TET1 protein, and encompasses the conserved cysteine-rich region and the DSBH domain (68). In some embodiments, the DSBH domain of the catalytic domain construct comprises a nuclear localization (NLS) sequence. In some embodiments, the DSBH domain of the catalytic domain construct does not comprise a NLS sequence.


In some embodiments, the dCas9-TET1 fusion protein facilitates the targeted demethylation of gene targets (24-29). In particular, dCas9-TET1 facilitates the targeted demethylation of gene targets selected from the group consisting of CDK5L, SCML2 (Scm Polycomb Group Protein Like 2), COL9A3, or Methyl-CpG Binding Protein 2 (MECP) as shown in the Examples below. In some embodiments, both (i) a first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein and (ii) a second nucleotide molecule encoding at least one small guide RNA (sgRNA), are required to target dCas9-Tetl to a specific locus to demethylate DNA without altering the DNA sequence.


In some embodiments, the dCas9 is a catalytically inactive Cas9 nuclease from the Clustered regularly interspaced palindromic repeats (CRISPR), a type II bacterial adaptive immune system that has been modified to target the dCas9 to a desired genomic loci using sequence-specific guide RNAs for genome editing. In some embodiments, the desired genomic loci include any genes, optionally CDK5L, SCML2 (Scm Polycomb Group Protein Like 2), COL9A3, or Methyl-CpG Binding Protein 2 (MECP). In some embodiments, CDKL5 sgRNAs 20-bp spacer sequences are selected within at least about about 1 kb or about 2 kb, at least about 1.5 kb, at least about 1 kb, at least about 0.9 kb, at least about 0.8 kb, at least about 0.7 kb, at least about 0.6 kb, at least about 0.5 kb, at least about 0.4 kb, at least about 0.3 kb, at least about 0.2 kb, at least about 0.1 kb of the CDKL5 TSS (chrX:18,443,725, hg19) using the CRISPR/Cas9 and TALEN online tool for genome editing, CHOPCHOP. In some embodiments, guide RNAs (sgRNAs) span DNase I hypersensitive sites and H3K4me3 peaks of the CDKL5 promoter within at least about 2 kb, at least about 1.5 kb, at least about 1 kb, at least about 0.9 kb, at least about 0.8 kb, at least about 0.7 kb, at least about 0.6 kb, at least about 0.5 kb, at least about 0.4 kb, at least about 0.3 kb, at least about 0.2 kb, at least about 0.1 kb of window on either side of the CDKL5 transcriptional start site. In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNA) used to create target-specific sgRNA expression vectors are listed in Table 1.


In some embodiments, the targeted sequence is a sequence in the gene promoter. The targeted sequence or a fragment thereof hybridizes to the corresponding gRNA. In one embodiment, the targeted sequence hybridizes to the corresponding gRNA without any mismatches. In another embodiment, the targeted sequence hybridizes to the corresponding gRNA with 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more mismatches. Based on the targeted sequence, the gRNA sequence can be determined. In one embodiment, a gRNA comprises, or consists essentially of, or yet further consists of a sequence complement to a targeted sequence, such as those as disclosed herein, or an equivalent that is capable of binding to the same targeted sequence but comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more mismatches. In another embodiment, a gRNA comprises, or consists essentially of, or yet further consists of a sequence reverse-complement to a targeted sequence, such as those as disclosed herein, or an equivalent that is capable of binding to the same targeted sequence but comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more mismatches. In yet another embodiment, a gRNA comprises, or consists essentially of, or yet further consists of a sequence reverse to a targeted sequence, such as those as disclosed herein, or an equivalent that is capable of binding to the same targeted sequence but comprises 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more mismatches.


In one aspect, this disclosure provides a third nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the fusion protein comprising the deactivated CRISPR-associated protein 9 (dCas9) with at least one tandem repeat of the transcriptional activator herpes simplex virus VP16 (i.e.VP64) induces transcriptional activation of endogenous of an endogenous gene. In some embodiments, the at least one transcriptional activator comprises VP64 or a biologically active fragment of VP16. Transcription factors act through a DNA-binding domain that localizes a protein to a specific site within the genome and through accessory effector domains that either activate or repress transcription at or near that site. Effector domains, such as the activation domain the herpes simplex virus VP16 (66) and the repression domain Kruppel-associated box (KRAB), are modular and retain their activity when they are fused to other DNA-binding proteins. In some embodiments, VP64 is the activation domain VP16 In some embodiments, VP64 is a recombinant tetrameric repeat of comprising the minimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises amino acids 413-489 of the VP16 protein (66). In some embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises, or consists essentially of, or yet further consists of the amino acid sequence DAL DDFDLDMIL (66) In some embodiments, a third nucleotide molecule encoding a dCas9 protein fused to at least one of dCas9-VP64, VP64-p65-Rta triparte fusion (addgene.org/99670/), and or SunTag. SunTag is a novel protein scaffold/tagging system with a repeating peptide array for signal amplification in gene expression.


In some embodiment, dCas9-VP64 fusion protein upregulates genes in an unmethylated chromatin context. In some embodiment combination of dCas9-VP64 fusion protein and dCas9-TET1CD shows a synergistic effect resulted in a greater than 60% expression of an inactive allele (i.e. silence allele). In some embodiments, expression of dCas9-VP64 fusion protein alone does not significantly increase the reactivation levels of the inactive allele. In some embodiments, dual expression of dCas9-VP64 fusion protein and dCas9-TET1CD resulted in the fewest number of differentially expressed genes in RNAseq analysis.


In some embodiments, gene activation requires several sgRNAs. In some embodiments, gene activation requires six sgRNAs. In some embodiments, gene activation requires at least about, 1-10, 1-5, 1-6, 1-3, 3-6, or 4-6 sgRNAs. In some embodiments, the target sequence for the sgRNA comprises or consists essentially of or consist of one or more of: AGAGCATCGGACCGAAGCGG, GGGGGAGAACATACTCGGGG, CCCAGGTTGCTAGGGCTTGG, ATCGCCTGAAACTTGTCCGG, CGAAAGGGTGTGAAAGAGGG, and/or TGGGGAAGGTAAAGCGGCGA. In some embodiments, the target sequence for the sgRNA comprises or consists essentially of or consist of AGAGCATCGGACCGAAGC. In some embodiments, the target sequence for the sgRNA comprises or consists essentially of or consist of GGGGGAGAACATACTCGGGG.


In some embodiments, the target sequence for the sgRNA comprises or consists essentially of or consist of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNA) comprises or consists essentially of or consist of at least three sgRNAs.


In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNA) comprises a first sgRNA, a second sgRNA, and a third sgRNA. In some embodiments, the target sequence for the first sgRNA comprises or consists essentially of or consist of AGAGCATCGGACCGAAGCGG. In some embodiments, the target sequence for the second sgRNA comprises or consists essentially of or consist of GGGGGAGAACATACTCGGGG. In some embodiments, the target sequence for the third sgRNA comprises or consists essentially of or consist of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the target sequence for the first sgRNA comprises or consists essentially of or consist of one or more of AGAGCATCGGACCGAAGCGG, GGGGGAGAACATACTCGGGG, and/or CCCAGGTTGCTAGGGCTTGG.


In one aspect, the present disclosure provides a gene editing system comprising, or consisting essentially of or yet further consisting of: a first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein, wherein the dCas9-TET1 fusion protein facilitates the targeted demethylation of a gene target selected from the group consisting of CDK5L, SCML2, COL9A3, or MECP. and a second nucleotide molecule encoding at least one single guide RNA (sgRNA), comprising, or consisting essentially of, or yet further consisting of a scaffold region and a spacer region; wherein the spacer region hybridizes to a nucleotide sequence complementary to a target sequence adjacent to a 5′-end of a protospacer adjacent motif (PAM); and wherein the target sequence and the PAM are located within about 2 or aboutl kilobase (kb) and ranges as described herein of the transcriptional start site (TSS) of the cyclin dependent kinase-like 5 (CDKL5) gene, and wherein the target sequence for the first sgRNA comprises or consists essentially of AGAGCATCGGACCGAAGCGG, the target sequence for the second sgRNA comprises or consists essentially of or consists of GGGGGAGAACATACTCGGGG, and the target sequence for the third sgRNA comprises or consists essentially of or consists of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the spacer region comprises, or consists essentially of, or yet further consists of a spacer sequence provided in Table 1.


In some embodiments, the gene editing system further comprises a third nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator.


In some embodiments, the at least one transcriptional activator fused to the dCas9 protein that comprises, or consists essentially of or consists of VP64 or a fragment thereof.


In some embodiments, the target sequence for the sgRNA comprises, or consists essentially of, or consist of one or more of AGAGCATCGGACCGAAGCGG, GGGGGAGAACATACTCGGGG, and/or CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the at least one sgRNA comprises a first sgRNA, a second sgRNA, and a third sgRNA, wherein the target sequence for the first sgRNA comprises or consists essentially of, or yet further consists of AGAGCATCGGACCGAAGCGG, wherein the target sequence for the second sgRNA comprises or consists essentially of, or yet further consists of GGGGGAGAACATACTCGGGG, and wherein the target sequence for the third sgRNA comprises or consists essentially of, or yet further consists of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the first nucleotide molecule, the second nucleotide molecule, and the third nucleotide molecule are integrated into one or more viral or plasmid vectors.


In some embodiments, the viral vector is a selected from the group of a lentiviral vector, an adeno-associated viral (AAV) vector, or an adenoviral vector.


In one aspect, the disclosure provides a kit comprising the system as described herein and optional instructions for use in the methods as described herein.


In one aspect, the disclosure provides a host cell comprising the gene editing system.


In one aspect, the disclosure provides a pharmaceutical composition comprising the gene editing system, the vectors or the host cell comprising the gene editing system.


In some embodiments, the pharmaceutical composition comprises a carrier.


In some embodiments, the pharmaceutical composition comprises a pharmaceutically acceptable carrier or excipient.


Vector Systems


In one aspect, the present disclosure provides is a vector comprising, or alternatively consisting essentially of, or yet further consisting of one or more of the nucleotide molecule(s) as disclosed herein. In one embodiment, provided is a vector comprising, or consisting essentially of, or yet further consisting of a nucleotide molecule(s) as disclosed herein or its complement or an equivalent of each thereof. Such equivalent hybridize to the same targeted sequence or encodes the same protein. In one embodiment, a nucleotide molecule(s) or a vector as provided herein may further comprises another sequence, such as one or more of a sequence identified above and/or listed as a feature in the tables or figures.


In some embodiments, the first nucleotide molecule, the second nucleotide molecule, and the third nucleotide molecule are inserted into and comprised as part of one or more viral or plasmid vectors. In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNAs) is inserted into, incorporated or cloned into a sgRNA expression vector. In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNAs) is cloned into a viral vector. In some embodiments, the viral vector is selected from the group of retroviral vectors, adenovirus vectors, adeno-associated virus vectors, or alphavirus vectors. Infectious tobacco mosaic virus (TMV)-based vectors can be used to manufacturer proteins and have been reported to express Griffithsin in tobacco leaves (O'Keefe et al. (2009) Proc. Nat. Acad. Sci. USA 106(15):6099-6104). Alphavirus vectors, such as Semliki Forest virus-based vectors and Sindbis virus-based vectors, have also been developed for use in gene therapy and immunotherapy. See, Schlesinger & Dubensky (1999) Curr. Opin. Biotechnol. 5:434-439 and Ying et al. (1999) Nat. Med. 5(7):823-827. In aspects where gene transfer is mediated by a retroviral vector, a vector construct refers to the polynucleotide comprising the retroviral genome or part thereof. Further details as to modern methods of vectors for use in gene transfer may be found in, for example, Kotterman et al. (2015) Viral Vectors for Gene Therapy: Translational and Clinical Outlook Annual Review of Biomedical Engineering 17. In some embodiments, the viral vector is a selected from the group of a lentiviral vector, an adeno-associated viral (AAV) vector, or an adenoviral vector.


In some embodiments, the viral vector is a lentiviral vector. In some embodiments, the lentiviral vector is an optimized lentiviral sgRNA cloning vector with MS2 loops at tetraloop and stemloop 2 and EFla-puro resistance marker.


In one aspect, the present disclosure provides a vector encoding a sgRNA. In some embodiments, the sgRNA comprises, or consists essentially of, or yet further consists of a scaffold region and a spacer region. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising, or consisting essentially of, or yet further consisting of one or more of GGGGGAGAACATACTCGGGG, AGAGCATCGGACCGAAGCGG, CCCAGGTTGCTAGGGCTTGG, ATCGCCTGAAACTTGTCCGG, CGAAAGGGTGTGAAAGAGGG, and/or TGGGGAAGGTAAAGCGGCGA. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of, or yet further consisting GGGGGAGAACATACTCGGGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of, or yet further consisting AGAGCATCGGACCGAAGCGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of, or yet further consisting CCCAGGTTGCTAGGGCTTGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of, or yet further consisting ATCGCCTGAAACTTGTCCGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of, or yet further consisting CGAAAGGGTGTGAAAGAGGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of, or yet further consisting TGGGGAAGGTAAAGCGGCGA.


In one aspect, the present disclosure provides a vector encoding a first sgRNA and a second sgRNA. In some embodiments, the first sgRNA comprises or consisting essentially of, or yet further consisting a scaffold region and a spacer region, and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or yet further consisting AGAGCATCGGACCGAAGCGG In some embodiments, the second sgRNA comprises or consisting essentially of, or yet further consisting a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or yet further consisting GGGGGAGAACATACTCGGGG.


In some embodiments, the vector encodes a first sgRNA and a second sgRNA. In some embodiments, the first sgRNA comprises or consists essentially of, or yet further consists a scaffold region and a spacer region and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or yet further consisting of AGAGCATCGGACCGAAGCGG. In some embodiments, the second sgRNA comprises or consists essentially of, or consists of a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or consisting of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, a vector encodes a first sgRNA and a second sgRNA. In some embodiments, the first sgRNA comprises or consists essentially of, or consists of a scaffold region and a spacer region and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or consisting of GGGGGAGAACATACTCGGGG. In some embodiments, the second sgRNA comprises or consists essentially of, or consists of a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or consisting of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, a vector encodes a first sgRNA, a second sgRNA, and a third sgRNA. In some embodiments, the first sgRNA comprises or consists essentially of, or consists of a scaffold region and a spacer region and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or consisting of AGAGCATCGGACCGAAGCGG. In some embodiments, the second sgRNA comprises or consists essentially of, or consists of a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or consisting of GGGGGAGAACATACTCGGGG. In some embodiments, the third sgRNA comprises or consists essentially of, or consists of a scaffold region and a spacer region, and the spacer region of the third sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or consisting of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, a vector encodes a sgRNA and the sgRNA comprises or consists essentially of, or consists of a scaffold region and a spacer region, and the spacer region hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of, or consisting of AGAGCATCGGACCGAAGCGG.


In one aspect, the present disclosure provides a vector encoding a first sgRNA, a second sgRNA, and/or a third sgRNA and further comprises a nucleotide molecule encoding a dCas9-TET1CD fusion protein. In some embodiments, the vector encoding a first sgRNA, a second sgRNA, and/or a third sgRNA and further comprises or consists essentially of, or consists of a nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the transcriptional activator comprises VP64 or a biologically equivalent fragment thereof. In some embodiments, VP64 is the activation domain VP16. In some embodiments, VP64 is a recombinamt tetrameric repeat of comprising the minimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises amino acids 413-489 of the VP16 protein. In another embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises or consists essentially of, or consists of the amino acid sequence DALDDFDLDML.


In some embodiments, the vector further comprises or consists essentially of, or consists of a first nucleotide molecule encoding a dCas9-TET1CD fusion protein and a second nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the transcriptional activator comprises VP64 or a fragment thereof. In some embodiments, VP64 fragment comprises the activation domain VP16. In some embodiments, VP64 is a recombinant tetrameric repeat of comprising or consisting essentially of or yet further consisting of the minimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises or consists essentially of, or consists of amino acids 413-489 of the VP16 protein. In another embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises or consists essentially of, or consists of the amino acid sequence DALDDFDLDML. In some embodiments, the vector is a viral vector or a plasmid vector. In some embodiments, the viral vector is a lentiviral vector, an AAV vector, or an adenoviral vector.


In a further aspect, the systems, nucleotides, nucleic acids or host cells as described herein are detectably labeled for research or other use. Detectable labels such as radionucleotides and fluorescent labels are commercially available and widely used.


Host Cells


The present disclosure provides an isolated or engineered host cell comprising any one or more of the polynucleotides, gene editing systems and/or any one or more of the vectors as disclosed herein. In some embodiments, the host cell produces the gene editing system, the nucleotide molecule(s) and/or the vector(s). Additionally or alternatively, the host cell is an insect cell, a mammalian cell, or a bacterial cell. In some embodiment, the host cell is selected from a stem cell, an embryonic stem cell (that in one aspect is from an established cultured cell line), a progenitor cell, an IPSC, a neuronal progenitor cell, a neuronal stem cell or a stem or progenitor cell with the ability to differentiate into a neuron. The host cell can also be an egg, a sperm, a zygote, or a germline cell. In yet a further embodiment, the host cell is a mammalian cell. In one aspect the cell is a culture or primary cell from a non-human host or subject. In one aspect, the cell is a cell in need of genetic correction, e.g., a cell with inactive gene expression, as described herein. In a further aspect, the cell is a neuronal cell with dysfunctional gene expression. The cells are useful in cell assay systems and therapies as described herein.


In some embodiments, the nucleotide molecule is engineered to one or more of the chromosome(s) or chromosome sites of the host cell. In some embodiments, the host cell comprises homozygous polynucleotides. In another embodiment, the host cell comprises a heterozygous polynucleotide. In some aspects and/or embodiments of the disclosure herein, the nucleotide molecule is engineered to one or more of the chromosome(s) or chromosome site(s) of the mammalian cell.


In some embodiments, the host cell comprises gene editing systems comprising, or alternatively consisting essentially of, or yet further consisting of: (i) a first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein; and (ii) a second nucleotide molecule encoding at least one small guide RNA (sgRNA). In some embodiment, the second nucleotide molecule encoding at least one small guide RNA (sgRNA) that comprises a scaffold region and a spacer region. In some embodiment, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence adjacent to a 5′-end of a protospacer adjacent motif (PAM). In some embodiments, the target sequence and the PAM are located at least 1 kilobase (kb) from the transcriptional start site (TSS) of the CDKL5 gene. In some embodiments, the first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein; and (ii) the second nucleotide molecule encoding at least one small guide RNA (sgRNA) induce DNA demethylation of CpGs (GC islands or region) at positions of at least about −1500, at least about −1000, at least about −500, at least about −200, at least about −148, at least about −66 and, at least about −19 relative to transcription start site.


In one aspect, the present disclosure provides a host cell expressing a third nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the fusion protein comprising the deactivated CRISPR-associated protein 9 (dCas9) with at least one tandem repeat of the transcriptional activator herpes simplex virus VP16 (i.e. VP64) induces transcriptional activation of endogenous of an endogenous gene. In some embodiments, the at least one transcriptional activator comprises VP64 or a fragment thereof. Transcription factors act through a DNA-binding domain that localizes a protein to a specific site within the genome and through accessory effector domains that either activate or repress transcription at or near that site. Effector domains, such as the activation domain the herpes simplex virus VP16 (4) and the repression domain Kruppel-associated box (KRAB), are modular and retain their activity when they are fused to other DNA-binding proteins. In some embodiments, VP64 is the activation domain VP16. In some embodiments, VP64 is a recombinant tetrameric repeat of comprising the mimimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises amino acids 413-489 of the VP16 protein. In another embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises the amino acid sequence DALDDFDLDML


In some embodiment, dCas9-VP64 fusion protein upregulates genes in the host cell in an unmethylated chromatin context. In some embodiment combination of dCas9-VP64 fusion protein and dCas9-TET1CD shows a synergistic effect resulted in a greater than 60% expression of an inactive allele (i.e. silence allele) in the host cell. In some embodiments, expression of dCas9-VP64 fusion protein alone does not significantly increase the reactivation levels of the inactive allele. In some embodiments, dual expression of dCas9-VP64 fusion protein and dCas9-TET1CD resulted in the fewest number of differentially expressed genes in RNAseq analysis.


In some embodiments, the host cell further expresses several sgRNAs. In some embodiments, the host cell expresses six sgRNAs. In some embodiments, the host cell expresses at least about, 1-10, 1-5, 1-6, 1-3, 3-6, or 4-6 sgRNAs. In some embodiments, the host cell expresses a target sequence that is complementary to a sgRNA sequence selected from the group consisting of AGAGCATCGGACCGAAGCGG, GGGGGAGAACATACTCGGGG, CCCAGGTTGCTAGGGCTTGG, ATCGCCTGAAACTTGTCCGG, CGAAAGGGTGTGAAAGAGGG, and TGGGGAAGGTAAAGCGGCGA. In some embodiments, the target sequence for the sgRNA comprises AGAGCATCGGACCGAAGC. In some embodiments, the target sequence for the sgRNA comprises GGGGGAGAACATACTCGGGG. In some embodiments, the target sequence for the sgRNA comprises CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the host cell expresses a second nucleotide molecule encoding at least one small guide RNA (sgRNA) that comprises at least three sgRNAs. In some embodiments, the host cell expresses a second nucleotide molecule encoding at least one small guide RNA (sgRNA) that comprises a first sgRNA, a second sgRNA, and a third sgRNA. In some embodiments, the target sequence for the first sgRNA comprises AGAGCATCGGACCGAAGCGG. In some embodiments, the target sequence for the second sgRNA comprises GGGGGAGAACATACTCGGGG. In some embodiments, the target sequence for the third sgRNA comprises CCCAGGTTGCTAGGGCTTGG. In some embodiments, the target sequence for the first sgRNA comprises AGAGCATCGGACCGAAGCGG, the target sequence for the second sgRNA comprises GGGGGAGAACATACTCGGGG, and the target sequence for the third sgRNA comprises CCCAGGTTGCTAGGGCTTGG.


In one aspect, the present disclosure provides a host cell genetically engineered to express a vector comprising, or alternatively consisting essentially of, or yet further consisting of one or more of the nucleotide molecule(s) as disclosed herein. In one embodiment, provided is a vector comprising, or consisting essentially of, or yet further consisting of a nucleotide molecule(s) as disclosed herein or its complement or an equivalent of each thereof. Such equivalent hybridize to the same targeted sequence or encodes the same protein. In one embodiment, a nucleotide molecule(s) or a vector as provided herein may further comprises another sequence, such as one or more of a sequence listed as a feature in the drawings.


In some embodiments, the host cell expresses a first nucleotide molecule, the second nucleotide molecule, and the third nucleotide molecule are cloned into one or more viral or plasmid vectors. In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNAs) is cloned into a sgRNA expression vector. In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNAs) is cloned into a viral vector. In some embodiments, the viral vector is selected from the group consisting of retroviral vectors, adenovirus vectors, adeno-associated virus vectors, and alphavirus vectors. Infectious tobacco mosaic virus (TMV)-based vectors can be used to manufacturer proteins and have been reported to express Griffithsin in tobacco leaves (O'Keefe et al. (2009) Proc. Nat. Acad. Sci. USA 106(15):6099-6104). Alphavirus vectors, such as Semliki Forest virus-based vectors and Sindbis virus-based vectors, have also been developed for use in gene therapy and immunotherapy. See, Schlesinger & Dubensky (1999) Curr. Opin. Biotechnol. 5:434-439 and Ying et al. (1999) Nat. Med. 5(7):823-827. In aspects where gene transfer is mediated by a retroviral vector, a vector construct refers to the polynucleotide comprising the retroviral genome or part thereof, and a therapeutic gene. Further details as to modern methods of vectors for use in gene transfer may be found in, for example, Kotterman et al. (2015) Viral Vectors for Gene Therapy: Translational and Clinical Outlook Annual Review of Biomedical Engineering 17. In some embodiments, the viral vector is a selected from the group of a lentiviral vector, an adeno-associated viral (AAV) vector, or an adenoviral vector, e.g., an Addgene plasmid available under 73797 or an equivalent thereof. In some embodiments, the viral vector is a lentiviral vector. In some embodiments, the lentiviral vector is an optimized lentiviral sgRNA cloning vector with MS2 loops at tetraloop and stemloop 2 and EFla-puro resistance marker.


In one aspect, the present disclosure provides a host cell engineered to express a vector encoding a sgRNA. In some embodiments, the sgRNA comprises a scaffold region and a spacer region. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG, AGAGCATCGGACCGAAGCGG, CCCAGGTTGCTAGGGCTTGG, ATCGCCTGAAACTTGTCCGG, CGAAAGGGTGTGAAAGAGGG, or TGGGGAAGGTAAAGCGGCGA. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of CCCAGGTTGCTAGGGCTTGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising ATCGCCTGAAACTTGTCCGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of CGAAAGGGTGTGAAAGAGGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of TGGGGAAGGTAAAGCGGCGA.


In one aspect, the present disclosure provides a host cell engineered to express a vector encoding a first sgRNA and a second sgRNA. In some embodiments, the host cell expresses a first sgRNA that comprises a scaffold region and a spacer region, and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG. In some embodiments, the host cell expresses a second sgRNA that comprises a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG.


In some embodiments, the host cell expresses a vector that encodes a first sgRNA and a second sgRNA. In some embodiments, the host cell expresses a first sgRNA that comprises a scaffold region and a spacer region and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG. In some embodiments, the host cell expresses a second sgRNA that comprises a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the host cell expresses a vector that encodes a first sgRNA and a second sgRNA. In some embodiments, the host cell expresses a first sgRNA comprises a scaffold region and a spacer region and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG. In some embodiments, the host cell expresses a second sgRNA comprises a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the host cell expresses a vector that encodes a first sgRNA, a second sgRNA, and a third sgRNA. In some embodiments, the first sgRNA comprises a scaffold region and a spacer region and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG. In some embodiments, the host cell expresses a second sgRNA comprises a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG. In some embodiments, the host cell expresses a third sgRNA comprises a scaffold region and a spacer region, and the spacer region of the third sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the host cell expresses a vector that encodes a sgRNA and the sgRNA comprises a scaffold region and a spacer region, and the spacer region hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG.


In one aspect, the present disclosure provides the host cell engineered to express a vector encoding a first sgRNA, a second sgRNA, and/or a third sgRNA and further comprises or consists essentially of or consists of a nucleotide molecule encoding a dCas9-TET1CD fusion protein. In some embodiments, the host cell expresses a vector encoding a first sgRNA, a second sgRNA, and/or a third sgRNA and further comprises a nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the transcriptional activator comprises VP64 or a biologically active fragment thereof. In some embodiments, the biologically active fragment of VP64 is the activation domain VP16. In some embodiments. VP64 is a recombinant tetrameric repeat of comprising the minimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises or consists essentially of or consists of amino acids 413-489 of the VP16 protein. In another embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises or consists essentially of or consists of the amino acid sequence DALDDFDLDML.


In some embodiments, the host cell expresses a vector that further comprises or consists essentially of or consists of a first nucleotide molecule encoding a dCas9-TET1CD fusion protein and a second nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the transcriptional activator comprises or consists essentially of or consists VP64 or a biologically active fragment thereof. In some embodiments, the biologically active fragment of VP64 is the activation domain VP16. In some embodiments, VP64 is a recombinant tetrameric repeat of comprising or consisting essentially of or consisting of the minimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises or consists essentially of or consists amino acids 413-489 of the VP16 protein. In another embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises or consists essentially of or consists of the amino acid sequence DALDDFDLDML In some embodiments, the vector is a viral vector or a plasmid vector. In some embodiments, the viral vector is a lentiviral vector, an AAV vector, or an adenoviral vector.


In one aspect, the present disclosure provides for a pharmaceutical composition comprising an isolated or engineered host cell comprising any one or more of the polynucleotides, systems, vectors or host cells alone or in combination with each other and optionally additional therapeutic agents, and a carrier, optionally a pharmaceutically acceptable carrier or excipient. In some embodiments, the host cell produces the gene editing system, the nucleotide molecule(s) and/or the vector(s).


In some embodiments, the pharmaceutical composition comprises a host cell comprising a gene editing systems comprising, or alternatively consisting essentially of, or yet further consisting of: (i) a first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein; and (ii) a second nucleotide molecule encoding at least one small guide RNA (sgRNA). In some embodiment, the second nucleotide molecule encoding at least one small guide RNA (sgRNA) that comprises a scaffold region and a spacer region. In some embodiments, the composition comprises a carrier, optionally a pharmaceutically acceptable carrier or excipient. In some embodiment, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence adjacent to a 5′-end of a protospacer adjacent motif (PAM). In some embodiments, the target sequence and the PAM are located at least 1 kilobase (kb) from the transcriptional start site (TSS) of the CDKL5 gene. In some embodiments, the first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein; and (ii) the second nucleotide molecule encoding at least one small guide RNA (sgRNA) induce DNA demethylation of CpGs (GC islands or region) at positions of at least about −1500, at least about −1000, at least about −500, at least about −200, at least about −148, at least about −66 and, at least about −19 relative to transcription start site.


In one aspect, the present disclosure provides a composition comprising a host cell as described herein and expressing a third nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the fusion protein comprising the deactivated CRISPR-associated protein 9 (dCas9) with at least one tandem repeat of the transcriptional activator herpes simplex virus VP16 (i.e.VP64) induces transcriptional activation of endogenous of an endogenous gene. In some embodiments, the at least one transcriptional activator comprises VP64 or a biologically active fragment thereof. Transcription factors act through a DNA-binding domain that localizes a protein to a specific site within the genome and through accessory effector domains that either activate or repress transcription at or near that site. Effector domains, such as the activation domain the herpes simplex virus VP16 (4) and the repression domain Kruppel-associated box (KRAB), are modular and retain their activity when they are fused to other DNA-binding proteins. In some embodiments, VP64 is the activation domain VP16. In some embodiments, VP64 is a recombinant tetrameric repeat of comprising the minimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises amino acids 413-489 of the VP16 protein. In another embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises the amino acid sequence DALDDFDL_DML.


In some embodiments, the composition comprises a host cell as described herein that further expresses several sgRNAs, also as described herein. In some embodiments, the host cell expresses six sgRNAs. In some embodiments, the host cell expresses at least about, 1-10, 1-5, 1-6, 1-3, 3-6, or 4-6 sgRNAs. In some embodiments, the host cell expresses a target sequence that is complementary to a sgRNA sequence selected from the group of AGAGCATCGGACCGAAGCGG, GGGGGAGAACATACTCGGGG, CCCAGGTTGCTAGGGCTTGG, ATCGCCTGAAACTTGTCCGG, CGAAAGGGTGTGAAAGAGGG, or TGGGGAAGGTAAAGCGGCGA. In some embodiments, the target sequence for the sgRNA comprises or consists essentially of or consists of AGAGCATCGGACCGAAGC. In some embodiments, the target sequence for the sgRNA comprises or consists essentially of or consists or GGGGGAGAACATACTCGGGG. In some embodiments, the target sequence for the sgRNA comprises or consists essentially of or consists or CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the pharmaceutical composition comprises a host cell as described herein that expresses a second nucleotide molecule encoding at least one small guide RNA (sgRNA) that comprises or consists essentially of or consists of at least three sgRNAs. In some embodiments, the host cell expresses a second nucleotide molecule encoding at least one small guide RNA (sgRNA) that comprises a first sgRNA, a second sgRNA, and a third sgRNA. In some embodiments, the target sequence for the first sgRNA comprises or consists essentially of or consists or AGAGCATCGGACCGAAGCGG. In some embodiments, the target sequence for the second sgRNA comprises or consists essentially of or consists or GGGGGAGAACATACTCGGGG. In some embodiments, the target sequence for the third sgRNA comprises or consists essentially of or consists or CCCAGGTTGCTAGGGCTTGG. In some embodiments, the target sequence for the first sgRNA comprises or consists essentially of or consists or AGAGCATCGGACCGAAGCGG, the target sequence for the second sgRNA comprises or consists essentially of or consists or GGGGGAGAACATACTCGGGG, and the target sequence for the third sgRNA comprises or consists essentially of or consists or CCCAGGTTGCTAGGGCTTGG.


In one aspect, the present disclosure provides a composition comprising a host cell as described herein genetically engineered to express a vector comprising, or alternatively consisting essentially of, or yet further consisting of one or more of the nucleotide molecule(s) as disclosed herein. In one embodiment, provided is a vector comprising, or consisting essentially of, or yet further consisting of a nucleotide molecule(s) as disclosed herein or its complement or an equivalent of each thereof. Such equivalent hybridize to the same targeted sequence or encodes the same protein. In one embodiment, a nucleotide molecule(s) or a vector as provided herein may further comprises another sequence, such as one or more of a sequence listed as a feature in the drawings.


In some embodiments, the composition comprises a host cell that expresses a first nucleotide molecule, the second nucleotide molecule, and the third nucleotide molecule are cloned into one or more viral or plasmid vectors. In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNAs) is cloned into a sgRNA expression vector. In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNAs) is cloned into a viral vector. In some embodiments, the viral vector is selected from the group consisting of retroviral vectors, adenovirus vectors, adeno-associated virus vectors, and alphavirus vectors.


In one aspect, the present disclosure provides a composition comprising a host cell engineered to express a vector encoding a sgRNA. In some embodiments, the sgRNA comprises a scaffold region and a spacer region. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG, AGAGCATCGGACCGAAGCGG, CCCAGGTTGCTAGGGCTTGG, ATCGCCTGAAACTTGTCCGG, CGAAAGGGTGTGAAAGAGGG, or TGGGGAAGGTAAAGCGGCGA. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG.


In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of CCCAGGTTGCTAGGGCTTGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of ATCGCCTGAAACTTGTCCGG. In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of CGAAAGGGTGTGAAAGAGGG.


In some embodiments, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence comprising or consisting essentially of or consisting of TGGGGAAGGTAAAGCGGCGA.


In one aspect, the present disclosure provides a composition comprising a host cell engineered to express a vector encoding a first sgRNA and a second sgRNA. In some embodiments, the host cell expresses a first sgRNA that comprises a scaffold region and a spacer region, and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG. In some embodiments, the host cell expresses a second sgRNA that comprises a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG.


In some embodiments, the composition comprisese host cell that expresses a vector that encodes a first sgRNA and a second sgRNA. In some embodiments, the host cell expresses a first sgRNA that comprises a scaffold region and a spacer region and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG. In some embodiments, the host cell expresses a second sgRNA that comprises a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the composition comprises a host cell that expresses a vector that encodes a first sgRNA and a second sgRNA. In some embodiments, the host cell expresses a first sgRNA comprises a scaffold region and a spacer region and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG. In some embodiments, the host cell expresses a second sgRNA comprises a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the composition comprises a host cell expresses a vector that encodes a first sgRNA, a second sgRNA, and a third sgRNA. In some embodiments, the first sgRNA comprises a scaffold region and a spacer region and the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG. In some embodiments, the host cell expresses a second sgRNA comprises a scaffold region and a spacer region, and the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of GGGGGAGAACATACTCGGGG. In some embodiments, the host cell expresses a third sgRNA comprises a scaffold region and a spacer region, and the spacer region of the third sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the composition comprises a host cell expresses a vector that encodes a sgRNA and the sgRNA comprises a scaffold region and a spacer region, and the spacer region hybridizes to a nucleotide sequence complementary to a target sequence comprising or consisting essentially of or consisting of AGAGCATCGGACCGAAGCGG.


In one aspect, the present disclosure provides a composition comprising a host cell engineered to express a vector encoding a first sgRNA, a second sgRNA, and/or a third sgRNA and further comprises a nucleotide molecule encoding a dCas9-TET1CD fusion protein. In some embodiments, the host cell expresses a vector encoding a first sgRNA, a second sgRNA, and/or a third sgRNA and further comprises a nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the transcriptional activator comprises VP64 or a biologically active fragment thereof. In some embodiments, the biologically active fragment of VP64 is the activation domain VP16. In some embodiments, VP64 is a recombinant tetrameric repeat of comprising the minimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises or consists essentially of or consists of amino acids 413-489 of the VP16 protein. In another embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises or consists essentially of or consists of the amino acid sequence DALDDFDLDML.


In some embodiments, the composition comprises a host cell that expresses a vector that further comprises a first nucleotide molecule encoding a dCas9-TET1CD fusion protein and a second nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the transcriptional activator comprises or consisting essentially of or consisting of VP64 or a biologically active fragment thereof. In some embodiments, VP64 fragment comprises, or consists essentially thereof or consists of the activation domain VP16 In some embodiments, VP64 is a recombinant tetrameric repeat of comprising the minimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises amino acids 413-489 of the VP16 protein. In another embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises or consists essentially of or consists of the amino acid sequence DALDDFDLDML. In some embodiments, the vector is a viral vector or a plasmid vector.


In some embodiments, the viral vector is a lentiviral vector, an AAV vector, or an adenoviral vector. In some embodiments, the composition comprises a carrier, optionally a pharmaceutically acceptable carrier or excipient.


Cell Assay Systems


The vectors, gene editing systems and host cells can be used as in vitro assays systems to test new therapies or additions to the vectors, gene editing systems or host cells as described herein. Thus, in one aspect, provided herein is a method for increasing a gene expression such as a CDKL5 gene expression in a cell, comprising inserting into the cell the vectors and/or gene editing systems as described above. In one aspect, the gene expression is lower than wildtype expression due to reduced DNA methylation of the CDKL5 promoter region. Although CDKL5 is used as an example of such as system, one skill in the art can apply the principles of this system to other genes wherein DNA methylation is reduced, and/or the promoter region is located on a silenced X-chromosomal allele of the cell. The cells can be samples isolated from subjects suspected of containing defective gene expression and/or a commercially available or laboratory generated cell line. The host cell can be a prokaryotic or a eukaryotic cell, non-limiting examples of such include an insect cell, a mammalian cell, or a bacterial cell. In some embodiment, the host cell is selected from an egg, a sperm, a zygote, or a germline cell. In yet a further embodiment, the host cell is a mammalian cell. In one aspect, the cell is a cell in need of genetic correction, e.g., a cell with dysfunctional gene expression, as described herein. In a further aspect, the cell is a neuronal cell with dysfunctional gene expression.


One of skill of the art can generate the host cell system with a cell or cells from a subject to determine if the therapy is useful for the subject. In additional or alternatively, additional therapies can be tested for combination therapy.


The insertion of the vectors and/or gene editing system can be in vitro, ex vivo or in vivo. When used in an animal, it can serve as an animal model to assay for combination therapies.


Therapeutic and Diagnostic Methods


The present disclosure provides a gene editing system comprising a first nucleotide encoding a dCas9-ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein and a second nucleotide encoding at least one small guide RNA (sgRNA) for targeting a nucleotide complementary sequence located within aboutl kilobase of the transcritptional start site (TSS) of the CDKL5 gene. Additional alterations and modifications to the systems are provided herein.


A significant number of X-linked genes escape from X chromosome inactivation and are associated with a distinct epigenetic signature. One epigenetic modification that strongly correlates with X-escape is reduced DNA methylation in promoter regions. Applicant created an artificial escape system by editing DNA methylation on the promoter of CDKL5, a gene causative for an infantile epilepsy, from the silenced X-chromosomal allele in human neuronal-like cells. The artificial system comprises a fusion of the catalytic domain of TET1 to dCas9 that is targeted to the CDKL5 promoter using three guide RNAs. This artificial system caused significant reactivation of the inactive CDKL5 allele in combination with removal of methyl groups from CpG dinucleotides. The artificial system also was further enhanced with co-expression of dCas9-TET1 fusion protein and a fusion protein comprising dCas9 and theVP64 transactivator. Together, these two dCas9 fusion proteins exhibited a synergistic effect on the reactivation of the inactive allele to levels above 60% of the active allele (FIG. 7). Applicant further used a multi-omics assessment to determine potential off-targets on the transcriptome and methylome, and found that synergistic delivery of dCas9 effectors is highly selective for the target site. Unexpectely, the application of this artificial system elucidated a causal role for reduced DNA methylation with escape from X chromosome inactivation. This novel artificial system has great potential for those suffering from X-linked disorders.


In particular, defects in epigenetics modification of ions channel in the nervous system are linked to Rett syndrome (RTT) and cyclin-dependent kinase-like 5 (CDKL5) deficiency disorder (CDD). RTT and CDKL5 deficiency disorder are two X-linked developmental brain disorders with overlapping but distinct phenotypic features. Mutations in the X-linked gene encoding methyl-CpG-binding protein 2 (MECP2) account for 90-95% of the case of classic Rett syndrome, and mutations in the X-linked gene encoding CDKL5 account from some cases of atypical RTT that manifest with early refractory epilepsy.


The neurodevelopmental disorder CDKL5 deficiency is caused by de novo mutations in the CDKL5 gene on the X chromosome (30). Due to random XCI, females affected by the disorder form a mosaic of tissue with cells expressing either the mutant or wild type allele (31). A potential therapeutic approach might be to activate the silenced wild type CDKL5 allele in cells expressing the loss-of-function mutant allele. Applicants synthetically induced escape of CDKL5 from the inactive X chromosome in the neuronal-like cell line SH-SY5Y via a DNA methylation editing of the CDKL5 promoter using a dCas9-TET1 fusion protein for targeted DNA demethylation. This artificial system/synthetic induction of CDKL5 escape from XCI, resulted in a significant increase in allele-specific expression of the inactive CDKL5 allele and correlated with a significant reduction in methylated CpG dinucleotides in the CGI core promoter.


The present disclosure demonstrates that dCas9-TET1 has a synergistic effect with the dCas9-VP64, thereby further increasing transcript levels from the inactive allele. The disclosure also provides describes whole-transcriptomic and genome-wide methylation data that illustrate the specificity of the novel artificial system for one target gene (CDKL5). As such, the disclosure demonstrates that loss of DNA methylation is crucial for inducing escape from the inactive X chromosome, and illustrates a novel therapeutic avenue for treatment subjects suffering from X-linked disorders generally.


In one aspect, the present disclosure provides a method for increasing CDKL5 gene expression in a cell or subject in need thereof comprising or consisting essentially of or consisting of administering to the cell or subject a system of gene editing systems comprising, or alternatively consisting essentially of, or yet further consisting of: (i) a first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein; and (ii) a second nucleotide molecule encoding at least one small guide RNA (sgRNA). In some embodiment, the second nucleotide molecule encoding at least one small guide RNA (sgRNA) that comprises a scaffold region and a spacer region. In some embodiment, the spacer region hybridizes to a nucleotide sequence that is complementary to a target sequence adjacent to a 5′-end of a protospacer adjacent motif (PAM). In some embodiments, the target sequence and the PAM are located at least 1 kilobase (kb) from the transcriptional start site (TSS) of the CDKL5 gene.


In one aspect, the present disclosure provides a method for increasing CDKL5 gene expression in a cell or subject in need thereof comprising or consisting essentially of or consisting of administering to the cell or subject a system of gene editing further comprising, a third nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator. In some embodiments, the transcriptional activator comprises VP64 or a biologically active fragment thereof. In some embodiments, VP64 is the activation domain VP16. In some embodiments, VP64 is a recombinant tetrameric repeat of comprising or consisting essentially of or consisting of the minimal activation domain VP64. In some embodiments, the activation domain of VP16 comprises or consists essentially of or consists of amino acids 413-489 of the VP16 protein. In another embodiments, the recombinant tetrameric repeat of VP16's minimal activation domain comprises or consists essentially of or consists of the amino acid sequence DALDDFDLDML


In some embodiments, a method for increasing CDKL5 gene expression in a cell or subject in need thereof comprising or consisting essentially of or consisting of administering to the cell or subject a system of gene editing further comprising a sgRNA. In some embodiments, the system of gene editing system comprises at least about, 1-10, 1-5, 1-6, 1-3, 3-6, or 4-6 sgRNAs. In some embodiments, the system of gene editing system comprises consists essentially of or consists of a sgRNA selected from the group of AGAGCATCGGACCGAAGCGG, GGGGGAGAACATACTCGGGG, CCCAGGTTGCTAGGGCTTGG, ATCGCCTGAAACTTGTCCGG, CGAAAGGGTGTGAAAGAGGG, or TGGGGAAGGTAAAGCGGCGA. In some embodiments, the gene editing system comprises or consists essentially of or consists of a sgRNA with a sequence set forth as AGAGCATCGGACCGAAGC. In some embodiments, the gene editing system comprises or consists essentially of or consists of a sgRNA with a sequence set forth as GGGGGAGAACATACTCGGGG. In some embodiments, the gene editing system comprises a sgRNA with a sequence set forth as CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNA) comprises at least three sgRNAs. In some embodiments, the second nucleotide molecule encoding at least one small guide RNA (sgRNA) comprises a first sgRNA, a second sgRNA, and a third sgRNA. In some embodiments, the target sequence for the first sgRNA comprises or consists essentially of or consists of AGAGCATCGGACCGAAGCGG. In some embodiments, the target sequence for the second sgRNA comprises or consists essentially of or consists of GGGGGAGAACATACTCGGGG. In some embodiments, the target sequence for the third sgRNA comprises or consists essentially of or consists of CCCAGGTTGCTAGGGCTTGG.


In some embodiments, the target sequence for the first sgRNA comprises or consists essentially of or consists of AGAGCATCGGACCGAAGCGG, the target sequence for the second sgRNA comprises or consists essentially of or consists of GGGGGAGAACATACTCGGGG, and the target sequence for the third sgRNA comprises or consists essentially of or consists of CCCAGGTTGCTAGGGCTTGG.


In one aspect, the present disclosure provides a method for increasing CDKL5 gene expression in a cell or a subject in need thereof comprising administering to the cell or subject a pharmaceutical composition of the present disclosure. In some embodiments, administering to a subject a gene editing system or the pharmaceutical composition of the present invention reduces DNA methylation in a CDKL5 promoter region of the subject. In some embodiments, the CDKL5 promoter region is located on a silenced X-chromosomal allele of the subject. In some embodiments, the subject in need for increasing CDKL5 gene expression has been diagnosed with CDKL5 deficiency disorder (CDD). In some embodiments, the subject is a mammal or mammalian cell. In some embodiments, the mammal is a non-human fetus, an infant, a juvenile, or an adult.


In some embodiments, the system or pharmaceutical composition is administered to the subject by one or more of: an intravenous route, a subcutaneous route, an intramuscular route, an intradermal route, an intranasal route, an oral route, an intracranial route, an intrathecal route, an ocular route, an otic route, a rectal route, a vaginal route, an optic route, or an intraperitoneal route.


In one aspect, the present disclosure provides a method for treating or preventing CDD in a cell or subject in need thereof comprising administering to the cell or subject a gene editing system or the pharmaceutical composition of the present invention. In some embodiments, administering to a subject a gene editing system or the pharmaceutical composition of the present invention reduces DNA methylation in a CDKL5 promoter region of the subject. In some embodiments, the CDKL5 promoter region is located on a silenced X-chromosomal allele of the subject. In some embodiments, the subject is a mammal. In some embodiments, the mammal is a non-human fetus, an infant, a juvenile, or an adult. In some embodiments, the system or pharmaceutical composition is administered to the subject by one or more of: an intravenous route, a subcutaneous route, an intramuscular route, an intradermal route, an intranasal route, an oral route, an intracranial route, an intrathecal route, an ocular route, an otic route, a rectal route, a vaginal route, an optic route, or an intraperitoneal route.


Kits


In one aspect, the present invention provides a kit comprising or consisting essentially of, or yet further consisting of any one or more of the gene editing system, the vector, the host cell or the compositions and an optional instruction for use in activating a silenced X-chomosomal allele in a subject in need thereof. In some embodiments, the kit is used for increasing CDKL5 gene expression in a subject in need thereof. In some embodiments, the kit is used for treating or preventing CDD in a subject in need thereof. In some embodiments, a kit comprising the gene editing system of the present invention and optional instructions for use as described herein.


The following examples are provided to illustrate but not limit the aspects of this disclosure.


EXAMPLES

The examples herein are provided to illustrate advantages of the present technology and to further assist a person of ordinary skill in the art with preparing and/or using the compounds of the present technology. The examples herein are also presented in order to more fully illustrate the preferred aspects of the present technology. The examples should in no way be construed as limiting the scope of the present technology. The examples can include or incorporate any of the variations, aspects, or embodiments of the present technology described above. The variations, aspects, or embodiments described above may also further each include or incorporate the variations of any or all other variations, aspects or embodiments of the present technology.


Example 1: Material and Methods

Cloning ofsgRNAs. For the cloning of CDKL5 sgRNAs 20-bp spacer sequences were selected within ±1 kb of the CDKL5 TSS (chrX:18,443,725, hg19) using the online tool CHOPCHOP (Montague et al., Nucleic Acids Res. 42:W401-7 (2014)). For transient transfection experiments, sgRNAs were cloned into a sgRNA expression vector (Addgene plasmid #73797) following a previously published protocol (Mali et al., Science 339:823-826. (2013)). For transductions, sgRNAs were cloned into a lentiviral expression vector (Addgene plasmid #73797) as previously described (Joung et al., Nat. Protoc. 12:828-863 (2017)). Spacer sequences used to create target-specific sgRNA expression vectors are listed in Table 1. All constructs were sequence confirmed by Sanger sequencing (Genewiz, Inc, South Plainfield, N.J., USA) and chromatograms were analysed using SnapGene software (from GSL Biotech; available at snapgene.com).









TABLE 1







Spacer Sequences Used to Create Target-Specific sgRNA Expression Vectors.









Oligonucleotide Name
Function
5′−>3′ Sequence





CDKL5 sgRNA1
spacer sequence
AGAGCATCGGACCGAAGCGG





CDKL5 sgRNA2
spacer sequence
GGGGGAGAACATACTCGGGG





CDKL5 sgRNA3
spacer sequence
CCCAGGTTGCTAGGGCTTGG





CDKL5 sgRNA4
spacer sequence
ATCGCCTGAA ACTTGTCCGG





CDKL5 sgRNA5
spacer sequence
CGAAAGGGTGTGAAAGAGGG





CDKL5 sgRNA6
spacer sequence
TGGGGAAGGTAAAGCGGCGA





rsl808_gDNA_F
Sanger sequencing
GCTTGAGCAATTTCGGACCC





rsl808_gDNA_R
Sanger sequencing
TGTGTCTCTTGCTGGTACCG





rs35478150_gDNA_F
Sanger sequencing
TGAGCCTGTGCCAGAGGATA





rs35478150_gDNA_R
Sanger sequencing
TCAACTTTGATTGCCAAGTGCA





rs35478150_cDNA_F
Sanger sequencing
GAGCAGTTCTGGAACCAACC





rs35478150_cDNA_R
Sanger sequencing
TTGAGGCCGAAGAGAGATGT





rsl808_cDNA_F
Sanger sequencing
CCTTGTGGAATTTGGGTCAT





rsl808_cDNA_R
Sanger sequencing
TCAAATGCAGGCACTTAGAAT





CDKL5_AmpSeqF
Amplicon sequencing
CAAGGAAAAAGAGAAGCAAGGA





CDKL5_AmpSeqR
Amplicon sequencing
ATTTTAATGGCTGGCTTTGG





CDKL5_BSS_F
Amplicon sequencing
TTTTAGTTTAGGTTGTTAGGGTTTG





CDKL5_BSS_R
Amplicon sequencing
TAAAAAAACACCTCAAATTTTACCC





CDKL5_ChIP_AF
ChIP-qPCR
TCATCCTCCTTGGAAACCCG





CDKL5_ChIP_AR
ChIP-qPCR
GTCATCGCCCAACCAGTACA





CDKL5_ChIP_BF
ChIP-qPCR
AGCAGCAGCAATGGACTTCG





CDKL5_ChIP_BR
ChIP-qPCR
AGAAATACAGGATGGAGGATGGT





CDKL5_ChIP_CF
ChIP-qPCR
AAGCGCTTCCTCCTCATTGG





CDKL5_ChIP_CR
ChIP-qPCR
AAAGCACCTCAGGTTTTGCC





MECP2_ChIP_F
ChIP-qPCR
AGCTGTTGATTGGCTGCTTT





MECP2_ChIP_R
ChIP-qPCR
TTCAAATTOCGCCCACTAAA





ChIP_SCML2F
ChIP-qPCR
CACCTCCCAGCTTCACTCTC





ChIP_SCML2R
ChIP-qPCR
CTGCGGGTTCATCTAGTTCC





CDKL5_common_F
ChIP-qPCR
ACAACCAGCATTCGATCCAT





CDKL5_A_allele_R
ChIP-qPCR
GCTGTCGGAATTGGGTACTGTTT





CDKL5_C_allele_R
ChIP-qPCR
GCTGTCGGAATTGGGTACTGTTG





CDKL5_qPCR_F
RT-qPCR
AACTCTTACTTGGCGCTCCC





CDKL5_qPCR_R
RT-qPCR
CTGTCCATCGCTAAGCTCCC





GAPDH_qPCR_F
RT-qPCR
AATCCCATCACCATCTTCCA





GAPDH_qPCR_R
RT-qPCR
CTCCATGGTGGTGAAGACG









Transient transfection experiments. U87MG (ATCC, Manassas, Va.) and Lenti-X 293T (Takara Bio USA, Inc., Mountain View, Calif.) were grown in media containing high-glucose DMEM supplemented with 1% L-glutamine (Thermo Fisher Scientific, Waltham, Mass.) and 10% HyClone heat-inactivated FBS (Thermo Fisher Scientific). BE(2)C (ATCC) cells were grown in DME/F12 (Thermo Fisher Scientific) supplemented with 1% L-glutamine and 10% HyClone heat-inactivated FBS. For gene expression modulation experiments, cells per well were grown to 80% confluency and transfected within 24 hours of plating using Lipofectamine 3000 (Life Technologies) following the manufacturer's instructions with 3 ul of Lipofectamine 3000 reagent diluted in 500 ul Opti-MEM reduced serum media (Thermo Fisher Scientific). Transfections were performed in 12-well plates using either a mock-treatment (diluted transfection reagent) or 700 ng dCas9 expression vector (Fuw-dCas9-Tet1CD-P2A-BFP, Addgene plasmid #108245; Fuw-dCas9-Tet1CD_IM, Addgene plasmid #84479; pLV hUbC-dCas9-T2A-GFP, Addgene plasmid #53191; pLV hUbC-dCas9 VP64-T2A-GFP, Addgene plasmid #53192) and 300 ng of equimolar pooled sgRNA expression vectors. Transfection medium was replaced 24 hours post-transfection with complete growth medium.


48 hours post-transfection, cells were rinsed in 1×DPBS (Thermo) and lysed in the well using TriZol (Ambion, Austin, Tex.). Total RNA was extracted using the Direct-zol RNA Miniprep kit (Zymo Research, Irvine, Calif.) and 500 ng RNA was reverse transcribed using RevertAid First Strand cDNA Synthesis Kit according to the manufacturer's instructions using random hexamer primers. Real-time PCR was performed in triplicate with 20 ng of cDNA per reaction and PowerUp SYBR Green Master Mix (Thermo Fisher Scientific) using the StepOne Plus Real Time PCR system (Thermo Fisher Scientific) and the StepOne Plus software was used to extract raw CT values. Gene expression analysis was performed with GAPDH as a reference gene in three biological replicates using exon-spanning primers for CDKL5 and GAPDH. All primer oligonucleotides used in this study are listed in Supplementary Table 1. Fold change of gene expression was calculated as the delta delta CT between GAPDH and CDKL5 transcript levels normalized to Mock-treated relative CDKL5 transcript levels as the reference.


Integrative XCI status analysis of CDKL5. In order to determine the XCI status of CDKL5, publicly available data from GTEx (gtexportal.org) was used to determine the sex-biased expression using 27 GTEx v6p tissues and blood dendritic cells from a female of Asian ancestry (24A) to assess XCI status of CDKL5 (16). Publicly available microarray data was also used to identify a single nucleotide polymorphism (SNP) in the CDKL5 gene of SH-SHY5Y (Krishna et al., BMC Genomics 15:1154 (2014)). Genomic DNA was isolated from SH-SY5Y using the Quick-gDNA MiniPrep kit (Zymo Research). Total RNA was extracted using the Direct-zol RNA Miniprep kit (Zymo Research) and 500 ng RNA was reverse transcribed using RevertAid First Strand cDNA Synthesis Kit (Thermo Fisher Scientific). The presence of the coding SNPs rs34567810 in CDKL5 and rs1808 in the escape gene CA5B was confirmed via Sanger sequencing (Genewiz, Inc) of both genomic DNA and RNA. Chromatograms were analysed using SnapGene software (GSL Biotech).


Lentivirus production and purification. To produce lentiviral particles as described before (Pollock et al., Mol. Ther. 24:965-977 (2016)), a total of 50 million Lenti-X 293T cells were seeded into two T-225 flasks per viral packaging the day before transfection in high glucose DMEM supplemented with 10% fetal bovine serum and 1% L-glutamine. For each flask 25 μg of dC, dCV, dCT or sgRNA expression vector, 5 μg of pMD2.G (envelope, Addgene plasmid #12259), and 25 μg of psPAX2 (gag/pol, Addgene plasmid #12260) were complexed with 140 ul using TransIT-293 (Mirus, Madison, Wis.) according to the manufacturer's recommendation in OPTI-mem. 48 hours after transfection, media was changed to 15 mL of UltraCULTURE medium (Lonza, Basel, Switzerland).


Vector supernatants were collected 72 hours post-transfection. Supernatant is initially centrifuged at 1500 rpm to clarify media and then concentrated by centrifugation at 3,000 rpm using Centricon-Plus-70-Centrifugal-Filter-Units (MilliPoreSigma, Burlington, Mass.). Viral aliquots were stored at −80° C. Virus for the expression of dCas9 effectors was titered by transduction of Lenti-X 293T cells and analysed by flow cytometry for expression of GFP and BFP. All flow cytometry analyses were performed on the BD Fortessa at the UC Davis Flow Cytometry Shared Resource Core. Viral titers for the expression of sgRNAs were determined by using the qPCR lentivirus titration kit (Applied Biological Materials Inc., Richmond, BC). SH-SY5Y (ATCC) cells were grown in DME/F12 media containing 20% FBS and 1% L-glut. SH-SY5Y cells were seeded on 6-well plates at a density of 300,000 cells per well and co-transduced with equimolar levels of dCas9 lentiviral particles equivalent to one Lenti-X 293T and a volume of dCas9 lentivirus equivalent to one Lenti-X 293T transducing unit and 5×107 IU of each sgRNA expression vector in combination with 2.5 μg/ml protamine sulfate (Fresenius Kabi, Lake Zurick, Ill.). For cells co-transduced with dCas9-VP64 and dCas9-TET1CD lentiviral volumes equivalent to 0.5 Lenti-X 293T transducing units each were used. Cells were sorted 5 days post-transduction at passage 11 for expression of GFP and/or BFP using the Influx cell sorter at the UC Davis Flow Cytometry Shared Resource Core (Sacramento, Calif.) and further expanded for 3-4 passages for subsequent analysis.


Targeted X-reactivation analysis. SH-SY5Y cells from each FACS-isolated treatment group and unsorted cells were seeded at a density of 300,000 cells per well in 6-well plates and allowed to grow until approximately 70% confluency. Cells were then rinsed in 1× DPBS and lysed in the well using TriZol (Ambion). Total RNA was extracted using the Direct-zol RNA Miniprep kit (Zymo Research) and 500 ng RNA was reverse transcribed using RevertAid First Strand cDNA Synthesis Kit (Thermo Fisher Scientific). For X-reactivation analysis, 100 ng of cDNA from stable SH-SY5Y lines was used for PCR amplification using Phusion High Fidelity Mastermix (New England Biolabs, Ipswich, Mass.). Each forward primer contained a unique 5-bp barcode sequence at the 5′ end for multiplexing (Supplementary Table 1). All amplicons were gel extracted and purified using the Zymo Gel DNA Recovery kit (Zymo Research) and pooled at equal concentrations for Illumina sequencing.


Amplicon sequencing was performed by the CCIB DNA Core Facility at Massachusetts General Hospital (Cambridge, Mass.). Forward and reverse reads of raw sequencing data were merged into a single long read using FLASH2 and barcodes were demultiplexed using FASTX at the beginning or end of the sequence read, allowing for a single mismatch each, yielding a mean read depth of >10,000 reads per sample. Processed FASTQ files were then analysed for frequency of reads containing the reactivated C allele for the coding SNP rs35478150 identified in exon 16 of the CDKL5 gene with the grep function over the total number of matched reads, yielding the reactivation frequency. Allele-specific RT-qPCR was performed as described above using a common forward primer and allele-specific reverse primers for the same coding SNP as analysed by amplicon sequencing (Table 1). Reactivation percentage was calculated as the percentage of relative Xi CDKL5 expression over relative Xa CDKL5 expression from mock-treated cells, normalized to GAPDH.


Targeted DNA demethylation analysis. Genomic DNA from transduced and mock-treated cells was isolated using the Quick-gDNA MiniPrep kit (Zymo Research). Bisulfite conversion was performed using the EZ DNA Methylation-Lightning Kit (Zymo Research) following the manufacturer's instructions. Primers for bisulfite-sequencing PCR were designed using MethPrimer with default settings (Li and Dahiya, Bioinformatics 18:1427-1431 (2002)) and unique 5-bp barcode sequences were added at the 5′ end for multiplexing (Table 1). 100 ng of bisulfite converted DNA was used for PCR amplification with ZymoTaq polymerase (Zymo Research) and the 238-bp amplicon was purified with the QIAquick PCR Purification Kit (Qiagen, Hilden, Germany) and submitted for amplicon sequencing. Amplicon sequencing was performed by the CCIB DNA Core Facility at Massachusetts General Hospital (Cambridge, Mass.) and further processed as described above. Alignment of processed FASTQ files and read mapping to a 238 bp reference amplicon was performed using Bismark with default settings (Krueger et al., Bioinformatics 27:1571-1572 (2011)). Further analysis and methylation calling of sorted BAM files was performed using CGMapTools (Guo et al., Bioinformatics 34:381-387 (2018)).


Chromatin immunoprecipitation (ChIP) and ChIP-qPCR. ChIP was performed as previously described (O'Geen et al., Epigenetics Chromatin 12:26 (2019)). Mock-treated and transduced cells were cross-linked 3-4 passages after FACS as described above in 1% formaldehyde for 10 min at room temperature and the reaction was stopped with 0.125 M glycine. Cross-linked cells were lysed with ChIP lysis buffer (5 mM PIPES pH8, 85 mM KCl, 1% Igepal) with a protease inhibitor (PI) cocktail (Roche). Nuclei were collected by centrifugation at 2000 rpm for 5 min at 4° C. and lysed in nuclei lysis buffer (50 mM Tris pH8, 10 mM EDTA, 1% SDS) supplemented with PI cocktail. Chromatin was fragmented using the Bioruptor Pico (Diagenode, Denville, N.J.) and diluted with 5 volumes RIPA buffer (50 mM Tris pH 7.6, 150 mM NaCl, 1 mM EDTA pH8, 1% Igepal, 0.25% deoxycholic acid).


ChIP enrichment was performed by incubation with 3 μg H3K27me3 antibody (ab6002, Abcam, Cambridge, UK) or 2 μg normal rabbit IgG (ab46540, Abcam) for 16 h at 4° C. Immune complexes were bound to 20 μl magnetic protein A/G beads (Biorad, Hercules, Calif.) for 2 h at 4° C. Beads were washed 2× with RIPA (Thermo Fisher Scientific) and 3× with ChIP wash buffer (100 mM Tris pH8, 500 mM LiCl, 1% deoxycholic acid). The final wash was performed in ChIP wash buffer with 150 mM NaCl. Cross-links were then reversed by heating beads in 100 μl ChIP elution buffer (50 mM NaHCO3, 1% SDS) overnight at 65° C., and DNA was purified using the QIAquick PCR Purification Kit (Qiagen, Hilden, Germany). ChIP-qPCR was performed with PowerUp SYBR Green Master Mix (Thermo Fisher Scientific) using the StepOne Plus Real Time PCR system (Thermo Fisher Scientific) and the StepOne Plus software was used to extract raw CT values. ChIP enrichment was calculated relative to input samples using the delta CT method.


Whole-genome methylation analysis by Infinium MethylationEPIC array. Whole genome methylation analysis was performed following (O'Geen et al., supra). Briefly, 300,000 cells for each treatment group were seeded in 6-well plates and allowed to grow to approximately 70% confluency. Genomic DNA from transduced and mock-treated cells in biological duplicates was isolated using the Quick-gDNA MiniPrep kit (Zymo Research) and 500 ng submitted for bisulfite conversion and Illumina's Infinium MethylationEPIC BeadChip array by the Vincent J. Coates Genomics Sequencing Laboratory (Berkeley, Calif.). The minfi package (Aryee et al., Bioinformatics 30:1363-1369 (2014); Fortin et al., Bioinformatics 33:558-560 (2017)) was used to extract two channel raw data (RGChannelSet) from the IDAT files at the probe level for all 850,000 probes. The RGChannelSet was used for background subtraction using preprocessNoob (Triche et al., Nucleic Acids Res. 41:e90 (2013)) followed by preprocessFunnorm (Fortin et al., Genome Biol. 15:503 (2014)) to normalize the samples. Beta values for each site (beta=M/(M+U), where M and U denote the methylated and unmethylated signals) were extracted from the GenomicRatioSet, which is the data organized by the CpG locus level mapped to the genome. The ChAMP package (Tian et al., Bioinformatics 33:3982-3984 (2017)) was used to filter probes using default settings with filterXY set to false. The limma function within ChAMP was then used (Smyth et al., Stat. Appl. Genet. Mol. Biol. 3, Article3 (2004), Wettenhall et al., Bioinformatics, 20:3705-3706 (2004)) to detect differentially methylated positions at default settings and merged the output file with the individual FunNorm beta values. In order to determine differentially methylated promoter regions, CpG sites were selected for cgi.feat. TSS200-island and TSS1500-island and a mean difference in beta value of ±0.05. Differentially methylated genes were defined as genes with at least 3 differentially methylated positions in the promoter. Venn diagrams were generated using bioinformatics.psb.ugent.be/.


RNA-Seq Library Preparation and Analysis. Global changes to transcription were assessed using RNA-Seq. Briefly, 300,000 cells for each treatment group were seeded in 6-well plates and allowed to grow to approximately 70% confluency. Cells were then rinsed in 1×DPBS and lysed in the well using TriZol (Ambion). Total RNA was extracted using the Direct-zol RNA Miniprep kit (Zymo Research). RNA was quantified with Nanodrop and 1 ug of RNA was used for each library. RNA libraries were generated using the NEBNext Ultra II RNA Library Prep kit (NEB) following manufacturer's instructions. Libraries were multiplexed and pooled for a single lane of sequencing on a HiSeq4000. Sequencing reads were de-multiplexed and aligned to the Hg38 reference genome with STAR Universal Aligner version 2.5.3a using the following settings: Indexed Reference Genome: Ensembl reference genome and annotation files for Hg38 release 77 were downloaded and complied into a single file, Genome was indexed using the following arguments “STAR—runMode genomeGenerate--runThreadN 12-genomeDir/STAR_INDEX_HG38--genomeFastaFiles GRCh38_r77.all.fa--sjdbGTFfile Homo_sapiens.GRCh38.77.gtf-sjdbOverhang 149”; Sample Read Alignment: alignment of each sample's reads was performed with the following arguments: “STAR--runThreadN 24-genomeDir/STAR_INDEX_HG38--outFileNamePrefix/STAR/SampleName_--outSAMtype BAM SortedByCoordinate--outWigType bedGraph--quantMode TranscriptomeSAM GeneCounts--readFilesCommand zcat--readFilesIn Sample-R1.fastq.gz Sample-R2.fastq.gz”. Differential Expression (DE) analysis was performed with DESeq2 (Love et al., Genome Biol. 15:550 (2014)) software in R Studio. First, gene count files were combined into a single file. Then, normalization and DE analysis were performed using a dCas9 control. DE gene lists from pairwise comparisons were exported into .csv files and utilized for GO term analysis using DAVID (david.ncifcrf.gov). Volcano plots were generated using ggplot2 software in R studio.


Off-target analysis. Off-target analysis of CRISPR sgRNAs was performed using the CasOFFinder tool (www.rgenome.net/cas-offinder/) (Bae et al., Bioinformatics 30:1473-1475 (2014)). Briefly, 20 bp spacer sequences for the three top sgRNA candidates without PAM sequences were used as the query using hg38 as the reference genome for canonical SpCas9 PAM sites. The algorithm was executed using 3 or less mismatches and DNA and RNA bulge sizes of 1. In order to extend the list from off-target sites to potential off-target genes, genes in a ±5 kb window were included using the Table Browser function of the UCSC Genome Browser. The list of off-target genes was then overlapped with all differentially expressed genes from the three conditions as well as differentially methylated probes from the dCas9-TET1CD comparison with dCas9 catalytically inactive TET1.


Statistical analysis. Statistical analyses were performed in Prism 8 (GraphPad Software, San Diego, Calif.) and in R Studio 3.6.0. Statistics are presented as the mean f SD. Targeted assessments were performed in biological triplicates. Genome-wide assessment were performed in triplicates unless otherwise noted. Between-group differences were analysed using a One-way analysis of variance (ANOVA). When appropriate, a Tukey's post hoc test was performed. Statistical differences between the means of two groups were determined using an independent samples t Test. The p value cut-off for all targeted analyses was set at 0.05 for all analyses. Statistical analyses of differentially methylated sites were performed using the limma function embedded in ChAMP in R Studio 3.6.0. The null hypothesis was rejected for tests with FDR <5%. Statistical analyses of differentially expressed genes was performed using DESeq2 in R Studio 3.6.0. The null hypothesis was rejected for tests with FDR <1%.


Example 2: Programmable Transcription of the CDKL5 Gene

To investigate whether the CDKL5 gene is amenable to transcriptional reprogramming via dCas9 effector domains, U87MG cells were transiently co-transfected with dCas9 constructs and gRNA expression vectors. In particular, a dCas9-VP64 expression plasmid (dC-V) was used for the co-transfection. Plasmid expressing dCas9 without effector domain was used as a control (dC). 6 individual guide RNAs were design to span DNase I hypersensitive sites and H3K4me3 peaks of the CDKL5 promoter within a ±1 kb window on either side of the CDKL5 transcriptional start site (FIG. 1A). Because several guide RNAs are required for gene activation with dC-V, several combinations of 3-6 guide RNAs were tested. RT-qPCR was performed and significant activation of CDKL5 expression with the combination of guide RNAs 1-3 paired with dC-V targeting a region upstream of the transcriptional start site was observed (FIG. 1B). In particular, CDKL5 expression increased 1.6-fold in U87MG cells when compared to dC (p=0.023). However, no significant difference between dC and dC-V was observed with cells transfected with guide RNAs 1-6 or guide RNAs 4-6 (FIG. 1B). In concordance with U87MG cells, transfection with guide RNAs 1-3 and dC-V showed a 1.3-fold upregulation of CDKL5 in BE2C cells (p=0.0112, FIG. 1C) and a 1.6-fold upregulation of CDKL5 in HEK293 (p=0.0424, FIG. 1D), when compared to cells transfected with dC. Therefore, these results demonstrated the identification of a cis-regulatory element in the CDKL5 promoter that allows for programmable transcription.


Example 3: dCas9-TET1CD Significantly Reactivated Silenced CDKL5 Expression

Due to the lack of informative allele-specific polymorphisms in either U87MG, BE2C, and HEK cell lines, bi-allelic mRNA activation in female SH-SY5Y cells was examined in order to assess whether the increase in gene expression was due to superactivation of the active CDKL5 allele, reactivation of the silenced allele, or a combination of both. Comparative analysis across several GTEx tissues demonstrated that CDKL5 did not display female-biased expression, which served as a proxy for X-chromosome Inactivation (XCI) status when compared to the known escape gene CA5B (FIG. 1E). Analysis of XCI using pre-existing scRNA-seq data to assess allele-specific expression from lymphoblastoid cells further revealed that CDKL5 is monoallelically expressed only from the active X chromosome (FIG. 1F). In order to distinguish between the active and the inactive CDKL5 allele, the presence of a SNP (rs35478150) in the coding region of the CDKL5 gene in SH-SY5Y cells was determined. Sanger sequencing confirmed monoallelic expression of the active CDKL5 A allele and silencing of the C allele. Expression of a polymorphic site in CA5B was also examined, and the results showed bi-allelic expression from the active and escape allele (FIG. 1H).


Due to the importance of methylated CGI promoters in XCI, the role of a dCas9-TET1CD fusion protein for DNA methylation editing (dC-T) was investigated. In order to determine X chromosome reactivation efficiency, allele-specific activation facilitated by dC-V or dC-T was evaluated (FIG. 2A). SH-SY5Y cells were transduced with lentiviral particles encoding the dC fusion proteins and the three guide RNAs. dCas9 expression plasmids also encoded in-frame fluorescent markers GFP (dC and dC-V) or BFP (dC-T). Three days following transduction, transduced cells were selected by FACS based on the respective fluorescent marker (FIG. 2B).


To determine reactivation of the silenced CDKL5 allele with high sensitivity, amplicon-based targeted RNA-sequencing was performed. Targeting of dC to CDKL5 was sufficient to significantly reactivate expression of the silenced allele by greater than 11-fold to 8% of total allelic reads compared to mock-treated cells (p<0.0001; FIG. 2C). Transcriptional reprogramming using dC-V targeted to the CDKL5 promoter did not show a significant increase when compared to dC. Strikingly, cells transduced with dC-T showed a 20.7-fold increase when compared to mock (p<0.0001) and a significant 1.8-fold increase above dC (p<0.0001), leading to reactivation levels of up to 14.5% of total expression (FIG. 2C). Since dC-V increases total CDKL5 mRNA in other cell lines tested, a determination of whether multiplexing dCas9-VP64 and dCas9-TET1CD (dC-T+dC-V) to the same locus further potentiates CDKL5 reactivation was made. However, no significant difference was observed between dC-T and co-transduction of dC-T+dC-V in increasing the proportion of allelic reads derived from the inactive allele.


Due to the fact that the observed allelic reads via amplicon sequencing are a ratio of active versus silenced CDKL5 expression, allele-specific RT-qPCR was performed in order to compare reactivation levels from the inactive allele to the active allele baseline expression in SH-SY5Y (FIG. 2D). Similar to amplicon sequencing data, no expression of the inactive allele was observed above background (<1% Xi/Xa mock). Expression levels in cells transduced with dC of 14.8% Xi/Xa mock in cells treated with dC was observed (FIG. 2D). No statistically significant increase in Xi/Xa mock expression over dC was observed in cells treated with dC-V (27.3%) or dC-T (38.2%) (FIG. 2D). However, SH-SY5Y cells that were co-transduced with dC-V+dC-T showed a statistically significant increase of reactivation from the inactive allele (67.4%) when compared to dC (p=0.0004), dC-V (p=0.042) and dC-T (p=0.038) (FIG. 2D). These findings showed that SH-SY5Y that have been treated with the dCas9 effector domains reached close to equal bi-allelic expression due to a synergistic effect of dC-V and dC-T on the previously silent, reactivated allele.


For the expression of the active CDKL5 allele, no significant difference between dC and mock-treated cells was observed (FIG. 2E). Moreover, dC-V significantly upregulated mRNA expression from the active allele by 3.0-fold when compared to mock (p=0.0052) or 2.7-fold when compared to dC (p=0.0073; FIG. 2E). No significant difference was observed between mock cells versus dC-T or dC-V+dC-T and dC versus dC-T or dC-V+dC-T. Noticeably, targeting dC-T to the CDKL5 promoter did not significantly modulate active CDKL5 mRNA levels.


Example 4: dCT Significantly Reduced DNA Methylation

The status of XCI highly correlates to promoter CGI methylation. Due to the differences in targeted reactivation between effector domains, targeted bisulfite amplicon sequencing was performed in the CDKL5 core promoter region in order to identify the role of differential DNA methylation in X-reactivation between groups (FIG. 3A). PCR-based amplicons that allowed the measurement of the ratio of 5-meCG/totalCG at 24 CpG individual dinucleotides in the CDKL5 core promoter by deep sequencing was generated (FIGS. 3B, D-E). Due to the lack of a polymorphism in the promoter region, biallelic CpG methylation was assessed, assuming that DNA methylation was primarily present on the XCI silenced allele. Two segments of DNA methylation that were demarcated by a dip in methylation at CpG dinucleotide position 12 were observed. The first segment showed that the CDKL5 promoter was partially methylated in mock-treated SH-SY5Y (53% 5-meCG/CG±0.9%, FIG. 3B). The second segment showed a decreased baseline DNA methylation level and more variability of 5-meCG/CG (25.4% 5-meCG/CG 16.8%, FIGS. 3D-E), suggesting that partial methylation of the core region containing the first 11 CpGs was critical for regulation of CDKL5 transcription. Amplicon sequencing of bisulfite converted genomic DNA revealed the mean 5-meCG/totalCG ratio across the first 11 CpG sites was 53.3% in mock and 51.6% in dC transduced cells (FIG. 3C). A 17.5% decrease of 5-meCG/CG in cells transduced with dC-T compared to mock-treated cells (p<0.0001) and a 15.9% decrease to dC (p<0.0001) was observed. This effect was due to the catalytic activity of dC-T, since a catalytically inactive TET1 mutant (dC-dT) fails to disrupt methylation at 51% 5-meCG/CG (p<0.0001). The combinatorial treatment of dC-T+dC-V also showed a significant reduction in methylation levels of 14.3% compared to mock-treated cells (p<0.0001) and 12.6% compared to dC (p<0.0001). However, the combination of dC-T and dC-V had significantly higher levels of methylation when compared to dC-T alone. The combination of dC-T and dC-V had the greatest increase of the inactive allele. This might be due to TET1 achieving a level of demethylation that allowed for gene transcription. In fact, the addition of dC-V actually significantly decreased the amount of demethylation, indicating, that dC-V did not contribute to DNA demethylation as a mechanism of transcriptional activation.


Example 5: Targeted Loss of Repressive H3K27Me3 in the CDKL5 Promoter

Genes that escape from XCI show a specific epigenetic signature, such as the depletion of the repressive histone mark H3K27me3. Therefore, an investigation as to whether targeted reactivation of the observed allele coincided with a remodelling of heterochromatin was conducted. ChIP-qPCR was used to test three different regions within a 1-kb fragment upstream of the transcriptional start site for changes in the H3K27me3 mark that have strong signal enrichment in brain tissue as determined by ENCODE and overlap the guide RNA target sites (FIG. 4A). When compared to mock-treated cells, treatment with dC by itself depleted H3K27me3 signal 3.5-fold in region A (p=0.0073, FIG. 4B); 2.9-fold in region B (p=0.0002, FIG. 4C) and 1.5-fold in region C (p=0.00453, FIG. 4D). There was no significant difference between treatment with dC, dC-V or dCT. To understand the effect of histone-based feedback and spreading of the depletion of the histone mark across neighboring nucleosomes in our treated cells, the signal of H3K27me3 in distal neighboring regulatory regions was investigated. ChIP-qPCR was performed on the nearest neighboring gene to the CDKL5 promoter (−70 kb) and tested for H3K27me3 signal (FIG. 4E). There were no significant differences between groups for H3K27me3 signal in the promoter region of the SCML2 gene. Therefore, the results showed that the loss of H3K27me3 remained confined to the target site and was associated with gene reactivation. In addition, no significant difference between groups was observed for H3K27me3 signal at an unrelated negative control region in the MECP2 promoter on the long arm of the X chromosome (FIG. 4F).


Example 5: dCT Transduced Cells Showed Global Promoter Hypomethylation

To determine on- and off-target effects of dC-T on the DNA methylome in stably transduced SH-SY5Y cells, the Illumina Infinium HumanMethylationEPIC (EPIC) array was used to interrogate 764,090 CpG sites genome-wide (Tables 2-3, FIGS. 5G-K). A smaller subset of 147,870 probes (19.4%) within CpG islands was identified. Out of this subset, 59,264 probes were further enriched that were found within 1500 and 200 bp of the TSS. For a pairwise comparisons to determine differentially methylated (DM) positions between dC-T and dC-dT or dC, a cut-off of mean difference in beta value greater than 0.05 (FDR <5%) was set. To validate these criteria, all 32 methyl-probes mapping to the CDKL5 gene without filtering for probe features was analyzed (FIGS. 5A-B). In concordance with the targeted bisulfite approach, a partial methylation of the promoter region of control treated cells (dC, dC-dT), which was modestly but significantly reduced near the sgRNA target site (FIG. 5A, line above TSS1500) in cells transduced with dC-T was identified. DM positions in any of the other genic features was not identified. These results further demonstrated the highly distinctive role of DNA methylation signatures in CGI promoters. No DM positions were identified in the nearest neighboring gene to the CDKL5 promoter (SCML2) once again confirming that the dC-T-induced DNA demethylation was targeted to the CDKL5 promoter. In total, 795 or 747 differentially hypomethylated promoters (Table 2) and 34 or 26 differentially hypermethylated (Table 3) promoters for the comparison between dC-T and dC or dC-dT, respectively were identified. Due to the small number of differentially hypermethylated sites and the fact that gene repression due to off-target hypermethylation of TET1CD was unlikely, hypermethylated sites were omitted from further analysis. The majority of differentially hypomethylated sites in gene promoters due to the introduction dC-T showed only a single DM position (568 genes when compared to dC, 402 genes when compared to dC-dT), likely not eliciting an effect on transcription (FIG. 5C). Since CDKL5 had at least 3 differentially hypomethylated sites, genes with at least 3 DM sites were considered as a differentially hypomethylated gene promoter. The gene with the highest number of DM positions was COL9A3, showing eight hypomethylated sites within the promoter (FIG. 5D). A total of 69 or 81 genes were identified when compared to dC or dC-dT respectively. Forty-eight genes were conserved between the pairwise comparisons (FIG. 5E-F).









TABLE 2







dCT_to_dCdT_hypomethylated promoter










Genes
N












1
43718
2


2
43714
1


3
43716
1


4
AARS2
1


5
ABCA5
1


6
ABCC8
3


7
ABCG1
2


8
ABCG2
1


9
ABO
1


10
ACAA1
1


11
ACCN4
2


12
ACHE
1


13
ACOT4
1


14
ACP1
1


15
ACP5
2


16
ACSF3
1


17
ACSL1
1


18
ACSS1
1


19
ACTA1
1


20
ADAM11
1


21
ADAM12
3


22
ADAMTS16
1


23
ADD3
1


24
ADM
1


25
ADNP
1


26
ADRA2C
1


27
AEBP2
1


28
AHNAK
2


29
AJAP1
1


30
AK5
1


31
AKAP12
3


32
ALDH1A2
1


33
ALDH1A3
2


34
ALS2CL
3


35
ALX1
4


36
ALX4
2


37
ANK1
1


38
ANKDD1A
1


39
ANKRD30B
2


40
ANKS6
1


41
ANXA2
1


42
APOO
1


43
AQP5
1


44
ARAP1
1


45
ARFGAP3
1


46
ARFRP1
2


47
ARHGAP27
1


48
ARHGAP6
1


49
ARHGDIA
1


50
ARHGEF11
1


51
ARRDC2
1


52
ARX
1


53
ASAM
4


54
ASCL2
4


55
ASS1
1


56
ATOH8
6


57
ATP12A
1


58
ATP1A1
1


59
ATP1B1
2


60
ATP8B1
1


61
ATPAF1
1


62
B3GNT2
1


63
B3GNT7
1


64
B4GALT1
1


65
BAIAP2-AS1
1


66
BCAR1
1


67
BCL2
1


68
BEND4
2


69
BHLHA9
1


70
BHLHE23
2


71
BLVRA
2


72
BNIP3
1


73
BOLL
1


74
BRF1
1


75
BSPRY
1


76
BSX
1


77
BTG4
1


78
C10orf125
2


79
C10orf2
1


80
C10orf93
1


81
C11orf20
1


82
C11orf9
1


83
C11orf93
3


84
C12orf62
1


85
C14orf106
1


86
C14orf162
1


87
C14orf50
2


88
C15orf29
2


89
C15orf60
1


90
C16orf53
1


91
C16orf70
1


92
C16orf74
1


93
C17orf55
1


94
C17orf64
1


95
C18orf32
1


96
C19orf34
1


97
C19orf76
1


98
C19orf77
1


99
C1GALT1C1
1


100
C1orf113
1


101
C1orf133
1


102
C1orf167
1


103
C1orf70
2


104
C1QL1
3


105
C20orf166
2


106
C2orf55
1


107
C2orf70
1


108
C4orf44
1


109
C5orf32
1


110
C6orf1
1


111
C6orf150
1


112
C7orf20
2


113
C7orf26
1


114
CABP1
1


115
CACNA1B
1


116
CADM1
1


117
CAST
3


118
CAV1
1


119
CCDC134
1


120
CCDC42
1


121
CCDC78
1


122
CD151
4


123
CD274
1


124
CDC42EP1
3


125
CDC42EP4
1


126
CDH1
1


127
CDK6
1


128
CDKL5
6


129
CDS1
1


130
CELSR2
1


131
CENPV
1


132
CETN1
1


133
CHCHD10
1


134
CHD5
1


135
CHRNA4
2


136
CHRNB1
1


137
CHST13
1


138
CHST2
1


139
CHST8
3


140
CHST9
2


141
CILP2
1


142
CLCN5
2


143
CLIP4
4


144
CLSTN1
1


145
CNTFR
4


146
COBL
1


147
COCH
1


148
COL11A2
4


149
COL16A1
1


150
COL9A2
1


151
COL9A3
10


152
COX17
2


153
CPD
2


154
CPNE5
1


155
CPT1B
1


156
CRABP2
3


157
CRBN
1


158
CRHR1
1


159
CRHR2
1


160
CRYBA2
2


161
CSNK1G2
1


162
CSPG5
1


163
CSRNP1
1


164
CSRP1
1


165
CTBP2
1


166
CTDSP1
2


167
CTPS
1


168
CTPS1
1


169
CTPS2
1


170
CXCL12
1


171
CXCL2
1


172
CXorf39
1


173
CXorf41
1


174
CYGB
2


175
CYHR1
1


176
CYP1A1
3


177
D2HGDH
1


178
DACT2
1


179
DARS
1


180
DDX47
1


181
DECR2
3


182
DEF8
1


183
DENND1B
2


184
DENND2D
1


185
DGAT1
1


186
DGKZ
2


187
DIO3
3


188
DIRC3
5


189
DISP2
1


190
DKFZp686O24166
2


191
DLK1
2


192
DMRTC2
1


193
DNAJB6
1


194
DNASE1L2
1


195
DND1
1


196
DNLZ
1


197
DOC2B
1


198
DOK7
2


199
DRD1
1


200
DSCAM
1


201
DSCAML1
1


202
DSE
1


203
DTNB
1


204
DUS1L
1


205
DYDC2
1


206
DYRK3
1


207
E2F8
1


208
EBF2
1


209
ECEL1
3


210
EDN3
1


211
EEF1A1
2


212
EEF1D
1


213
EFCAB4B
4


214
EFNA1
1


215
EFNA4
3


216
EGFLAM
1


217
EHBP1L1
2


218
EHD2
1


219
EIF1B
1


220
EIF4EBP3
1


221
ELF4
1


222
ELK3
1


223
ELOVL2
1


224
EMID2
2


225
EMILIN3
1


226
EN1
2


227
ENDOD1
1


228
ENTPD2
1


229
EPB49
1


230
EPHA2
1


231
EPHA8
1


232
ERICH1
1


233
ETV7
2


234
F2R
1


235
FABP5
3


236
FADS6
1


237
FAM100A
1


238
FAM125B
1


239
FAM134B
1


240
FAM156A
1


241
FAM165B
1


242
FAM19A3
1


243
FAM19A4
1


244
FAM59A
3


245
FAM69C
1


246
FAM78A
2


247
FARP1
3


248
FASTK
6


249
FAT4
1


250
FBLN1
1


251
FBN1
1


252
FBXO44
1


253
FCHO2
2


254
FGF11
1


255
FGF8
1


256
FGFR3
1


257
FGFRL1
1


258
FHL2
2


259
FIGLA
1


260
FKBP4
3


261
FLI1
1


262
FLJ10357
1


263
FLJ39609
1


264
FLOT1
2


265
FMNL1
1


266
FOSL1
1


267
FOXD2
1


268
FOXD3
1


269
FREM3
1


270
FSCN2
4


271
FSTL1
1


272
FZD6
1


273
GAD1
1


274
GALNTL1
1


275
GAPDHS
1


276
GATAD2A
1


277
GDF1
2


278
GDF6
1


279
GDF7
1


280
GDPD5
1


281
GJB2
1


282
GJB6
1


283
GLT1D1
1


284
GLUL
1


285
GNG4
2


286
GNG8
1


287
GOLGA8B
1


288
GPC3
1


289
GPR101
1


290
GPR112
1


291
GPR120
1


292
GPR126
1


293
GPR26
1


294
GPRASP2
1


295
GPRC5B
1


296
GPRC5C
2


297
GPS1
1


298
GRM2
1


299
GRM4
1


300
GSC
1


301
GSDMD
1


302
GSN
1


303
GSTO2
1


304
HAGHL
2


305
HCN4
1


306
HDAC11
4


307
HHEX
1


308
HHIPL1
4


309
HIATL2
1


310
HIC1
2


311
HLCS
4


312
HMGA1
1


313
HMX3
1


314
HNRNPH1
1


315
HOXA5
2


316
HOXD11
1


317
HOXD12
2


318
HOXD4
1


319
HOXD8
3


320
HOXD9
2


321
HR
1


322
HRAS
1


323
HRH3
1


324
HS6ST1
3


325
HSBP1L1
1


326
HTR1A
1


327
HTRA4
1


328
HVCN1
1


329
ICOSLG
1


330
IFT57
1


331
IGF2BP1
1


332
IGFBP4
3


333
IGSF21
1


334
IKZF1
2


335
IL27RA
2


336
IL28RA
1


337
INPP5F
1


338
IRF8
1


339
IRS1
1


340
IRX4
1


341
IRX6
1


342
ISG15
1


343
ITM2B
1


344
JAZF1
1


345
KCNA4
1


346
KCNJ12
2


347
KCNK12
2


348
KCNK13
1


349
KCNK15
1


350
KCTD12
1


351
KDM2A
2


352
KHDRBS3
1


353
KHNYN
3


354
KIAA0146
1


355
KIAA0562
1


356
KIAA0895L
1


357
KIAA1161
2


358
KIAA1324
1


359
KIAA1609
1


360
KIF17
4


361
KIF2A
1


362
KIT
1


363
KITLG
2


364
KL
1


365
KLC1
3


366
KLF13
1


367
KLHDC7B
1


368
KLHL21
3


369
KREMEN2
1


370
KRTCAP3
1


371
L3MBTL1
2


372
LASS4
1


373
LAYN
1


374
LDLRAP1
1


375
LEF1
1


376
LGALS3
1


377
LINC01018
1


378
LINC01231
1


379
LIPG
1


380
LKAAEAR1
1


381
LOC100129697
1


382
LOC100130872
1


383
LOC101928134
1


384
LOC101929073
1


385
LOC101929353
1


386
LOC144571
2


387
LOC200726
1


388
LOC284798
1


389
LOC285830
1


390
LOC388965
1


391
LOC389333
1


392
LOC401052
1


393
LOC440982
1


394
LOC729467
1


395
LONRF3
1


396
LOXL2
1


397
LOXL3
1


398
LOXL4
3


399
LPAR2
1


400
LPIN3
1


401
LRAT
1


402
LRRC8E
1


403
LTBP4
2


404
LVRN
3


405
LY6G5C
1


406
LYN
1


407
LYPD4
1


408
LYPD5
1


409
MAD2L2
2


410
MADCAM1
1


411
MAGEB1
1


412
MAOB
1


413
MAP3K1
1


414
MAP4K5
1


415
MAP6D1
2


416
MAP7D2
1


417
MAPK4
1


418
MAPT
2


419
MBP
1


420
MCM2
3


421
MDFI
1


422
MDGA1
1


423
MDGA2
2


424
ME1
1


425
MECP2
1


426
MEGF8
1


427
MESP1
1


428
MESP2
1


429
METRN
1


430
MFSD2A
2


431
MGAT3
3


432
MGAT5B
1


433
MGC16275
1


434
MGC70857
1


435
MGMT
3


436
MICAL1
1


437
MIR1225
1


438
MIR1306
1


439
MIR149
1


440
MIR1909
1


441
MIR193B
1


442
MIR210
1


443
MIR3621
1


444
MIR574
3


445
MIR9-3
1


446
MIXL1
1


447
MLPH
1


448
MMP15
1


449
MMP17
1


450
MMP23B
1


451
MOGAT3
1


452
MPPED1
1


453
MPST
1


454
MRGPRE
3


455
MRPS6
1


456
MSI2
1


457
MT1G
2


458
MT1L
1


459
MT2A
1


460
MTMR10
1


461
MTSS1
1


462
MTSS1L
1


463
MTUS1
1


464
MYCBPAP
1


465
MYO15B
1


466
N6AMT2
1


467
NACC2
1


468
NANP
1


469
NAV1
1


470
NBL1
2


471
NCOR1
2


472
NDRG2
1


473
NDRG4
1


474
NDUFA13
1


475
NECAB1
2


476
NFYB
1


477
NGF
2


478
NIPAL4
3


479
NKX2-6
1


480
NKX6-2
3


481
NLRC5
1


482
NME3
2


483
NOTUM
1


484
NPR1
1


485
NR5A2
1


486
OLFM1
1


487
OOEP
1


488
OTOP2
2


489
OTOP3
2


490
OTP
1


491
OVOL1
1


492
OXCT1
1


493
P2RY2
3


494
P4HTM
1


495
PACS1
1


496
PACSIN1
1


497
PALD1
1


498
PALM
1


499
PAPSS2
1


500
PARP9
1


501
PARVA
2


502
PAX2
1


503
PAX6
3


504
PCDH19
1


505
PCGF3
1


506
PCSK6
1


507
PCSK9
2


508
PCYT1A
1


509
PDE4C
1


510
PDLIM1
2


511
PDX1
1


512
PDZRN3
1


513
PET117
1


514
PFN4
3


515
PHLDA1
2


516
PKIB
1


517
PKN1
1


518
PKP1
1


519
PLBD1
2


520
PLD6
2


521
PLEK2
1


522
PLEKHN1
3


523
PNLDC1
2


524
PNPLA5
2


525
PNPLA6
1


526
POMC
1


527
POU3F3
1


528
PPDPF
2


529
PPIE
1


530
PPM1F
2


531
PPM1M
1


532
PPP1R13B
2


533
PPP1R14A
1


534
PPP1R3F
1


535
PPP3CC
1


536
PRDM14
1


537
PRDM8
1


538
PRIC285
1


539
PRMT6
1


540
PROK2
1


541
PRR15
1


542
PRR18
1


543
PRR22
1


544
PRRX2
1


545
PRRX2-AS1
1


546
PRSS23
1


547
PSMB9
2


548
PTF1A
1


549
PTPLA
1


550
PTPN13
1


551
PTPN18
1


552
PTPRJ
1


553
PTRF
1


554
PURA
1


555
PUS3
1


556
PXYLP1
1


557
PYCR2
1


558
RAB32
1


559
RAB4A
1


560
RAB6B
1


561
RAP1GAP
2


562
RARRES1
1


563
RASD2
1


564
RASL10A
2


565
RASL12
1


566
RASSF1
2


567
RASSF7
1


568
RBM20
1


569
RBM24
2


570
RBM43
2


571
RBM47
2


572
RBP7
1


573
RCAN1
1


574
RGL3
1


575
RGMA
1


576
RGS19
2


577
RHBDD1
1


578
RHEB
1


579
RLTPR
1


580
RNASEH2A
2


581
RNF165
1


582
RNF213
1


583
ROBO3
1


584
RPL10A
1


585
RSPH1
1


586
RTEL1
1


587
RUNX3
3


588
RXRA
1


589
RYR3
1


590
S1PR4
1


591
SALL1
2


592
SALL3
1


593
SAMD5
1


594
SAP130
1


595
SAP25
2


596
SAT1
1


597
SCARB2
2


598
SCTR
1


599
SDC1
1


600
SDHAF1
2


601
SDHC
1


602
SEL1L3
2


603
SEMA5A
1


604
SERF2
1


605
SFRP5
2


606
SGIP1
4


607
SGPL1
2


608
SH3BP2
1


609
SH3GLB1
1


610
SHB
2


611
SHISA9
1


612
SIM2
1


613
SIX2
2


614
SLC10A3
1


615
SLC12A4
1


616
SLC16A12
1


617
SLC16A3
1


618
SLC16A5
1


619
SLC16A6
1


620
SLC22A16
1


621
SLC22A23
1


622
SLC25A13
1


623
SLC25A39
2


624
SLC26A10
3


625
SLC27A3
1


626
SLC2A4RG
1


627
SLC30A2
1


628
SLC35A3
1


629
SLC45A3
1


630
SLC47A1
3


631
SLC5A7
1


632
SLC6A11
1


633
SLCO4C1
4


634
SLFN5
1


635
SLMAP
1


636
SMAD3
1


637
SNORD1C
1


638
SNPH
2


639
SNRPF
1


640
SNX31
1


641
SNX9
1


642
SORBS3
1


643
SOX3
1


644
SOX8
1


645
SPG7
1


646
SPINT1
2


647
SPOP
1


648
SRD5A2
1


649
SRPK3
1


650
SSBP4
1


651
ST6GAL2
1


652
STAG2
1


653
STAG3
1


654
STARD8
1


655
STEAP3
2


656
STK38L
1


657
STMN1
1


658
STXBP2
1


659
SULF2
1


660
SUSD3
1


661
SV2B
2


662
SYNJ2
2


663
SYT10
1


664
SYT9
2


665
TAB2
1


666
TAGLN2
1


667
TBX5
2


668
TBXA2R
1


669
TCEA2
2


670
TCIRG1
1


671
TCONS_00029157
1


672
TERC
1


673
TGFB3
1


674
TGIF2
3


675
THBS4
1


676
THRB
3


677
TJP2
1


678
TLCD2
2


679
TMED1
1


680
TMEM106A
1


681
TMEM171
3


682
TMEM200B
1


683
TMEM238
1


684
TMEM87A
1


685
TMEM90A
2


686
TMEM92
2


687
TNFRSF10A
1


688
TNFRSF10B
1


689
TNK2
2


690
TOX2
2


691
TP53I11
2


692
TP53INP1
3


693
TPPP3
2


694
TRH
2


695
TRIL
1


696
TRIM45
1


697
TRIM65
3


698
TRPC4AP
1


699
TSNARE1
1


700
TTC22
1


701
TTC23L
1


702
TTYH2
2


703
TWIST2
2


704
UBC
1


705
UBE2E2
1


706
UCK1
2


707
UCN
3


708
UCP1
2


709
UGT8
1


710
UHRF1
1


711
ULK2
1


712
UNC5D
1


713
UNKL
1


714
UPP1
3


715
UQCRC1
1


716
USH1C
1


717
USP44
1


718
UTP11L
1


719
VAMP5
1


720
VARS2
5


721
VDAC1
2


722
VENTX
1


723
VENTXP1
1


724
VIPR2
1


725
VWCE
2


726
WIPF3
2


727
WNT2
2


728
WNT9A
2


729
WNT9B
1


730
YPEL1
1


731
ZBTB16
1


732
ZBTB48
1


733
ZC3HAV1L
1


734
ZFP41
1


735
ZIM2
1


736
ZMIZ1
1


737
ZMYM2
1


738
ZNF238
1


739
ZNF341
1


740
ZNF513
1


741
ZNF518B
1


742
ZNF578
1


743
ZNF586
1


744
ZNF592
1


745
ZNF703
1


746
ZNF783
1


747
ZNF860
1
















TABLE 3







dCT_to_dCdT_hypermethylated promoter










Gene
N












1
CXorf39
1


2
CYGB
1


3
DENND1B
1


4
DKFZp686O24166
1


5
EBF2
1


6
EDN3
1


7
EEF1A1
2


8
GJB6
1


9
GPR26
1


10
HIATL2
1


11
IFT57
1


12
IRS1
1


13
LRAT
1


14
LVRN
2


15
LYPD5
1


16
MAP7D2
1


17
MEGF8
1


18
MIR9-3
1


19
MT1G
2


20
PFN4
3


21
POU3F3
1


22
PRR15
1


23
UTP11L
1


24
VIPR2
1


25
ZC3HAV1L
1


26
ZIM2
1









Example 7: Specificity of CDKL5 sgRNAs and dCas9 Effector Domains

To evaluate the effect of targeting CDKL5 with dCas9 effector fusions on global gene expression, RNA-seq was performed in stably transduced SH-SY5Y. As shown in FIG. 6A and Tables 4-7, the introduction of dC alone causes 208 differentially expressed (DE) genes when compared to mock-treated cells, likely due to the introduction of the lentiviral machinery (66 up- and 142 downregulated genes). Accordingly, pairwise comparisons with dC as the control was performed. When compared to cells transduced with dC, cells transduced with dC-V or dC-V+dC-T targeted to CDKL5 specifically increased CDKL5 expression without altering expression of adjacent transcripts (nearest neighboring genes upstream and downstream of CDKL5). No significant upregulation of CDKL5 was detected in cells treated with dCas9-TET1CD.


Four genes containing heterozygous SNPs in the coding region within a ±2 Mb range of the CDKL5 target site were identified (MAP3K15, RAI2, NHS and BEND2, Tables 4-7). However, mean read counts for these genes were generally unchanged from the mock-treated group, albeit 3 out of 4 genes were lowly or not expressed. Regardless, since the mean read counts for these gene were not significantly altered, the results showed that the X-chromosomal genes were not reactivated. In total, 274 differentially expressed (DE) genes in dC-V (100 up- and 174 downregulated genes), 84 DE genes in dC-T (n=29 up- and n=55 downregulated) and 43 DE genes in dC-V+dC-T (13 up- and 30 downregulated genes) were identified. In general, a greater number of differentially downregulated genes in transduced cells was observed, which was attributed to off-target binding of the constructs as both effector domains conferred transcriptional activation to direct targets, not repression.


Although CDKL5 sgRNA sequences were designed to target a unique site in the human genome, it was possible that the sgRNAs could tolerate mismatches leading to off-target binding. To address this issue, a search for potential off-target (OT) sites with up to 3 mismatches within the sgRNA sequences using CasOFF-Finder was conducted. CasOFF-Finder scane for both nucleotide mismatches and bulges in the sequence, thereby making it a comprehensive in silico prediction tool for OT analysis. To include OT sites that fell within intergenic regions, the targets was extended by ±5 kb from the predicted OT site to include neighboring transcripts and identified a total of 30 predicted OT genes (Tables 4-7).


The majority of OT sites required at least 2 mismatches, with sgRNA 2 only being permissive for OT sites with 3 mismatches in the sequence. Out of 30 OT genes, a single target, CNTNAP2, that was downregulated in dC-V, dC-T and dC-V+dC-T in all three conditions was identified. While the predicted OT site for CNTNAP2 falls within an intronic sequence of the gene, the fact that that the differential expression was a consequence of off-target binding of the dCas9 effector domain could not be precluded. Cells transduced with dC-V showed the highest number of unique differentially expressed transcripts (n=223), followed by dC-T (n=58) and dC-V+dC-T (n=10). As shown in FIG. 6B, a total of 16 differentially expressed genes were shared between the three conditions. A gene ontology analysis did not reveal significant enrichment of terms, indicating that the set of DE genes did not share a common pathway.


To assess whether the observed global changes in DNA methylation in cells transduced with dC-T were associated with altered transcript levels, the overlap between all 81 differentially hypomethylated genes in CGI promoter regions with greater than 3 DM positions was investigated. As shown in FIG. 6C, all 84 DE genes and the predicted 30 OT genes. Overall, a single gene (HHIPL1) that showed association between differentially methylation and expression was identified (FIGS. 6D-E). However, genes overlapping the OT genes and DM positions were not identified. These results showed that the observed global DNA hypomethylation of promoters poorly correlated with gene expression.


Experimental Discussion

A significant number of X-linked genes escape XCI and are expressed from the inactive X chromosome (16). Whether or not the epigenetic signature associated with these escapees is a cause or merely a consequence of expression from otherwise transcriptionally inert X-chromatin remains to be elucidated (17). The present disclosure demonstrates for one such epigenetic barrier in a specific gene context, that removal of CGI methylation from the promoter of the X-chromosomal gene CDKL5 by directing a fusion of the catalytic domain of TET1 to dCas9 results in reactivation of gene expression in a targeted manner. In addition, employment of a strong transcriptional activator further increased the degree of escape in a synergistic fashion, resulting in expression levels in excess of 60% of the inactive allele when compared to the active allele.


The present disclosure further demonstrates that programmable transcription using a transactivator achieved a moderate but significant CDKL5 upregulation that was achieved across several cell lines. However, the effect of the VP64 transactivator was mainly due to superactivation of the already active allele, demonstrating that the epigenetic landscape of active X-chromatin presented a chromatin state more permissive for programmable transcription. Unexpectedly, the present invention identified that binding of dCas9 with no effector was capable of reactivating CDKL5 expression from the silent allele. This may be due to the large dCas9 protein serving as a pioneer factor when constitutively expressed and targeted to transcriptionally inactive X-chromatin, thereby causing limited gene reactivation on its own. In contrast to previous studies (52, 53), the present invention did not show any hindrance of dCas9 binding to regions largely embedded in CpG-dense hypermethylated CGI promoters. However, that binding of a sgRNA outside of the methylated region on the inactive X chromosome could, at least in part, be causative for the observed effect. The limited but significant reactivation was associated with the loss of the repressive histone mark H3K27me3 in the core promoter of CDKL5. While the direct role between dCas9 binding and depletion of the histone mark is not well understood, it is possible that binding of dCas9 causes displacement of the nucleosome, resulting in the loss of H3K27me3 and enhanced chromatin accessibility (54, 55). In the present disclosure, H3K27me3 was assessed due to its role in XCI. However, future studies to investigate dCas9 effect on nucleosome rearrangement would require the assessment of multiple histone subunits. In line with previous findings (2), a spread of heterochromatin loss to the nearest neighboring gene, which may suggest a targeted effect of dCas9 binding was not observed.


Previous studies suggested that nucleosome occupancy strongly impeded binding of (d)Cas9 (56, 57). However, considering that the disclosed sgRNA design takes DNase hypersensitive sites into account, and considering the finding that the inactive X-allele is approximately 1.2 fold more compact than the active allele (58), the present disclosure demonstrates that a promoter of a gene on the inactive X-chromatin is generally targetable by dCas9. In addition, the accessibility of CDKL5 can be further attributed to the location of the gene on a chromosomal segment that is part of a younger evolutionary strata of the X chromosome (17). Indeed, the majority of facultative and constitutive escape genes are located on the short arm of the X chromosome (17). Therefore, the chromosomal location of CDKL5 might be favourable to induce an artificial escape. The fusion of VP64 to dCas9 did not further increase the observed reactivation, further supporting a steric effect primarily attributed to the large size of dCas9 that is not augmented by the addition of a small transactivator. The indirect recruitment of transcription factors by VP64 did not result in higher reactivation levels and may be due to the chromatin microenvironment, specifically the presence of DNA methylation as an epigenetic barrier that does not permit abundant transcription via VP64.


Changing the chromatin microenvironment via the introduction of TET1CD resulted in decreased DNA methylation of around 15% in the CDKL5 core promoter and significantly reactivated XCI-silenced CDKL5, thereby creating an artificial escape gene as previously defined at expression levels of at least 10% of the active allele (17). Likely due to the depletion of 5-methylcytosine substrate in the promoter of the active allele, recruitment of TET1CD to this region did not result in superactivation of the allele on the active X chromosome. Due to a lack of polymorphisms in the CDKL5 promoter of SH-SY5Y cells, the working model system of the present disclosure did not allow for testing for allele specific changes of the epigenetic signature. Rather, the working model was reliant on the assessment of total changes in DNA methylation in light of the fact that CGI methylation is highly correlative with the inactive X allele. Furthermore, a recent genome-wide assessment revealed global DNA hypomethylation of CGI promoters following TET1CD overexpression via lentiviral integration (29). However, the genome-wide assessment of promoter regions did not identify a strong correlation between reduced methylation of CpG sites in and changes in transcription by RNA-seq. This is likely because the vast majority of genes identified only contain a single differentially methylated site indicative of one CpG site, and the generally small effect size of the measured changes of DNA methylation. The change of a single CpG site in a promoter which typically contains multiple CpG sites likely would not result in biological significance, thus the lack of correlation with transcriptional activation.


Since CGI promoters on the inactive X allele frequently show higher methylation levels than on the active X allele, targeted reduction of CpG methylation is directed to a single allele, unlike the case for autosomal genes. For example, in an autosomal setting, directed epigenetic editing may confer small changes to methylation levels of both alleles. These small changes do not necessarily translate to an additive effect on transcription if neither of the alleles reaches a threshold of biological significance. However, targeting a single X-chromosomal allele of a gene has the potential to concentrate the effects of epigenetic editing that would otherwise be divided over two alleles, increasing its potential to pass this arbitrary biological threshold. Thus, a decrease of DNA methylation on the inactive X chromosome can have a broader implication for regulation of gene expression. In future studies, it will be crucial to test whether a more transient delivery of TET1CD impacts the amount of observed methylation changes. While it was suggested that the effects of dCas9-TET1CD are specific (26), the present disclosure demonstrates global DNA methylome changes (29). Similar findings have been demonstrated for genome-wide DNA methylation changes with fusions of the DNA methyltransferase DNMT3A to dCas9 (59), likely attributed to the high substrate abundance of methylated cytosines for constitutively expressed TET1CD. This highlights the need to assess transient exposure of dCas9-effectors to the CDKL5 promoter in order to reduce potential off-target effects in future studies.


Due to the strong effect of VP64 on upregulating genes in an unmethylated chromatin context, a combination of TET1CD and VP64 targeted to CDKL5 via dCas9 was assessed. A synergistic effect between removal of DNA methylation and strong transcriptional activation that resulted in a greater than 60% expression from the inactive allele was observed. Since the employment of VP64 alone did not significantly increase reactivation levels, it is most likely that the introduction of dCas9-TET1CD causes a dynamic reprograming in which methyl groups are removed from CpG dinucleotides, thus allowing for further binding of transcription factors to the inactive chromatin via an indirect recruitment from VP64. The present disclosure supports a synergistic effect between TET1CD and transactivators that have recently been supported by others (28, 29). In alternative aspect, the effect of improved transcriptional activators, such as the VP64-p65-Rta tripartite fusion (60) or the use of the SunTag (61) system can be harnessed to further potentiate the expression of XCI silenced CDKL5 in combination with TET1CD.


Interestingly, following dual expression of VP64 and TET1CD resulted in the fewest number of DE genes in RNAseq analysis. In silico analysis provided a predicted list of potential off-target genes either through base-pair mismatches or bulges in the gRNA. Only a single gene from the predicted off-target list, CNTNAP2, a gene implicated in autism-spectrum disorders (68), demonstrated differential expression following genome wide transcriptomics. Novel methodologies have been proposed to alter the binding specificities of sgRNAs in order to reduce off-target binding, such as engineering a hairpin secondary structure onto the sgRNA spacer region (66), and will be explored in future studies.


Up until recently, technical hurdles have hampered the assessment of the role of epigenetic heterogeneity in biological systems. One challenge that remains is whether the observed reactivation levels of CDKL5 are due to a limited or partial reactivation at the population-wide level or if the observed effects are specific to a fully reactivated subgroup of cells. Recent evidence suggests that there are specific populations of cells that are more responsive to targeted effects, which will then drive the phenotype at the bulk level (28). It is possible that there are different kinds of responders to the epigenetic edits in our tested culture system and future studies will need to address this mechanistic question. Most likely this biological inquiry will need to be answered at a single cell level in future studies.


Reactivation strategies hold great promise for individuals suffering from X-linked disorders. In contrast to pharmacological inhibition of DNMT1, which postulates the need for mitosis, TET1CD might be a promising tool for demethylation in quiescent tissues that have been traditionally more difficult to target, such as the brain (27). In addition, superactivation by VP64 of the already active CDKL5 allele needs to be carefully assessed due to the fact that Xp22 duplications containing the CDKL5 gene have been described as pathogenic variants (67). Interestingly, Applicant identified that epigenetic editing of dCas9-TET1 does not exceed super-physiological levels of an X-linked target gene, further making this approach favorable in the light of a dosage sensitive gene.









TABLE 4







Differential gene Expression_DESeq2_dCV_dC















Log2 fold







Base Mean
Change
Lfcse
Stat
Pvalue
Padj

















ENSG00000272438
75.1005163
0.77249714
0.22730244
3.39854307
0.00067746
0.02210652


ENSG00000230699
331.314838
0.80337956
0.19999797
4.01693864
5.90E−05
0.00288589


ENSG00000223764
513.919766
0.94537388
0.13695229
6.90294309
5.09E−12
1.26E−09


ENSG00000187634
1066.25504
1.35934148
0.19351993
7.02429712
2.15E−12
5.60E−10


ENSG00000221978
4011.35976
0.30216435
0.09666954
3.12574518
0.00177355
0.04718708


ENSG00000149527
355.820637
−0.6117443
0.19585721
−3.1234199
0.00178763
0.04737916


ENSG00000142606
19.2151287
−1.3757152
0.42886751
−3.2077861
0.00133761
0.03806846


ENSG00000171608
251.374075
−0.9915808
0.17039503
−5.8193058
5.91E−09
7.68E−07


ENSG00000219481
2511.36484
0.429801
0.12964489
3.3152175
0.00091572
0.02834433


ENSG00000070886
191.138666
−0.7071598
0.22704409
−3.1146367
0.00184172
0.04849616


ENSG00000185436
13.4244455
−1.9386401
0.60983881
−3.1789386
0.00147815
0.04120305


ENSG00000182749
261.26814
−0.6267173
0.17216027
−3.6403135
0.00027231
0.01037502


ENSG00000176092
50.5455561
−1.4264293
0.28729244
−4.9650777
6.87E−07
5.83E−05


ENSG00000060656
850.414466
−0.5830075
0.16179368
−3.6034011
0.00031408
0.01174786


ENSG00000168528
207.775925
−1.4033851
0.18780225
−7.4726745
7.86E−14
2.59E−11


ENSG00000220785
62.5325212
−1.471762
0.26551483
−5.54305
2.97E−08
3.38E−06


ENSG00000183615
30.4313561
−1.7496948
0.39227403
−4.4603891
8.18E−06
0.00053138


ENSG00000162522
693.212725
−0.5379417
0.17260681
−3.1165729
0.00182966
0.04836554


ENSG00000160097
171.344295
0.75770485
0.16953068
4.46942619
7.84E−06
0.00051104


ENSG00000171812
35.0090492
−1.3670288
0.35503132
−3.8504457
0.0001179 
0.00520183


ENSG00000183317
169.763339
−0.628568
0.18790049
−3.3452176
0.00082218
0.02583996


ENSG00000116990
137.955411
−0.6875084
0.20746986
−3.3137748
0.00092046
0.02844793


ENSG00000049089
101.540544
−1.5436111
0.24218583
−6.373664
1.85E−10
3.31E−08


ENSG00000117016
1948.07408
−0.5122385
0.14737623
−3.4757199
0.00050948
0.01757849


ENSG00000085831
24.8222194
−1.8499953
0.39214209
−4.7176659
2.39E−06
0.00017945


ENSG00000116157
224.270938
−1.1015917
0.18777961
−5.8664075
4.45E−09
5.92E−07


ENSG00000162407
227.302124
−1.1968103
0.17828526
−6.7128955
1.91E−11
4.24E−09


ENSG00000134709
260.419574
−0.6837188
0.21181313
−3.2279342
0.00124688
0.03603262


ENSG00000079739
1479.42399
−0.3549829
0.10976969
−3.2338879
0.00122117
0.03549036


ENSG00000178965
215.550561
1.32020028
0.21496676
6.1414159
8.18E−10
1.24E−07


ENSG00000154027
771.147547
0.64730674
0.10904752
5.93600596
2.92E−09
4.04E−07


ENSG00000162614
30.4035506
1.20877111
0.37797299
3.19803572
0.00138367
0.03899438


ENSG00000153904
1124.74806
−0.7647522
0.14685222
−5.207631
1.91E−07
1.91E−05


ENSG00000142871
226.188748
0.81280125
0.15791058
5.14722469
2.64E−07
2.54E−05


ENSG00000143013
215.289297
1.55733234
0.18850702
8.26140258
1.44E−16
7.55E−14


ENSG00000137962
326.475887
−0.6615784
0.19483776
−3.3955347
0.00068495
0.02227983


ENSG00000143036
29.7039746
−1.5413893
0.36064996
−4.2739205
1.92E−05
0.00110695


ENSG00000235501
142.188258
−0.7357623
0.18305032
−4.0194536
5.83E−05
0.00286211


ENSG00000237954
49.4200112
−2.5496541
0.3302849
−7.7195598
1.17E−14
4.42E−12


ENSG00000188641
587.752757
−0.7854787
0.15157426
−5.1821375
2.19E−07
2.16E−05


ENSG00000099260
36.5706791
1.50257577
0.34248783
4.38723839
1.15E−05
0.00070747


ENSG00000060718
173.362961
0.76164448
0.19779604
3.85065582
0.0001178 
0.00520183


ENSG00000162631
78.5574294
0.72643617
0.23257831
3.12340458
0.00178772
0.04737916


ENSG00000116299
132.548918
−0.9225008
0.20488665
−4.5024934
6.72E−06
0.00044906


ENSG00000116396
116.688511
−0.8469357
0.19989392
−4.236926
2.27E−05
0.00127021


ENSG00000184260
21.3807733
−1.7115205
0.51684206
−3.3114962
0.00092798
0.02863736


ENSG00000143375
44.639474
−1.000113
0.2985522
−3.3498764
0.00080848
0.02548755


ENSG00000197956
191.522187
−1.7935013
0.25534976
−7.0237045
2.16E−12
5.60E−10


ENSG00000188643
39.3441516
1.47604917
0.35377152
4.1723234
3.02E−05
0.00163198


ENSG00000160691
5930.36505
−0.4924226
0.14763161
−3.3354822
0.00085152
0.02651753


ENSG00000169231
355.727203
0.50904197
0.13803386
3.68780495
0.0002262 
0.00884893


ENSG00000143320
527.431765
−0.8420782
0.19303794
−4.3622418
1.29E−05
0.00077927


ENSG00000198400
692.709832
0.85900243
0.18968188
4.52864789
5.94E−06
0.00040084


ENSG00000027644
343.378514
1.04954824
0.1912049
5.48912848
4.04E−08
4.47E−06


ENSG00000183853
114.745305
1.12890056
0.24950275
4.52460164
6.05E−06
0.00040724


ENSG00000163565
6.18083359
3.27474808
0.89391869
3.66336235
0.00024893
0.00951967


ENSG00000158710
3326.71326
−0.6361403
0.13290107
−4.7865704
1.70E−06
0.00013001


ENSG00000158769
113.1722
−0.8836379
0.19885072
−4.4437247
8.84E−06
0.0005653 


ENSG00000162755
53.4411614
−1.5175311
0.3079957
−4.9271178
8.35E−07
6.94E−05


ENSG00000158859
262.427965
−0.5608108
0.16171719
−3.4678491
0.00052464
0.01795012


ENSG00000143153
3963.35425
−0.5784174
0.08874362
−6.517848
7.13E−11
1.38E−08


ENSG00000230630
286.12763
0.82944942
0.21170255
3.91799455
8.93E−05
0.00408691


ENSG00000235750
31.4874011
−1.554971
0.37241342
−4.1753893
2.97E−05
0.00161442


ENSG00000116183
13.6309095
−1.9380922
0.50217615
−3.8593872
0.00011367
0.005078 


ENSG00000143340
1247.03673
−0.9035968
0.13779142
−6.5577144
5.46E−11
1.13E−08


ENSG00000229407
165.529278
−1.0325701
0.17828296
−5.7917488
6.97E−09
8.96E−07


ENSG00000143333
849.829044
0.74708099
0.15431343
4.8413218
1.29E−06
0.00010308


ENSG00000135829
7804.95605
0.36016903
0.10226981
3.52175333
0.0004287 
0.01514898


ENSG00000117266
254.232911
−0.5814394
0.15189338
−3.8279441
0.00012922
0.00560128


ENSG00000276600
45.0864726
1.23876467
0.29089395
4.25847524
2.06E−05
0.00116654


ENSG00000123689
51.9610231
−1.178139
0.34897806
−3.3759687
0.00073556
0.02366292


ENSG00000117595
223.578204
1.08041183
0.15815525
6.83133707
8.41E−12
1.96E−09


ENSG00000198570
186.006471
−1.3665342
0.18376095
−7.4364775
1.03E−13
3.25E−11


ENSG00000230461
309.632859
−0.8319628
0.17281017
−4.8143164
1.48E−06
0.00011668


ENSG00000152104
175.493759
0.91107076
0.19443802
4.68566166
2.79E−06
0.00020612


ENSG00000196660
24.119524
−2.4664167
0.43702635
−5.6436339
1.66E−08
1.98E−06


ENSG00000186205
747.6129
−0.472508
0.12250272
−3.8571226
0.00011473
0.00511409


ENSG00000143674
222.777063
−1.0716963
0.16940918
−6.3260817
2.51E−10
4.44E−08


ENSG00000135750
464.866573
−0.5879712
0.15010417
−3.9170878
8.96E−05
0.00409315


ENSG00000183780
100.874409
−0.8786935
0.21994091
−3.9951345
6.47E−05
0.00312003


ENSG00000180875
343.86164
2.23438796
0.15030124
14.8660646
5.47E−50
1.87E−46


ENSG00000221953
67.655217
−0.8210563
0.26359016
−3.1148976
0.00184009
0.04849616


ENSG00000115738
2503.56412
1.01212248
0.13866121
7.2992472
2.89E−13
8.34E−11


ENSG00000071575
2429.92788
0.6445455
0.09557143
6.74412335
1.54E−11
3.46E−09


ENSG00000132031
121.91475
−1.8297283
0.20564518
−8.8975014
5.71E−19
3.90E−16


ENSG00000075426
608.189644
0.54286099
0.1675026
3.24091081
0.00119148
0.03487521


ENSG00000049323
298.697547
0.85057775
0.15332553
5.54752866
2.90E−08
3.33E−06


ENSG00000150938
154.566282
1.83463152
0.19670031
9.32703943
1.09E−20
9.28E−18


ENSG00000183023
317.349215
0.73147755
0.16544517
4.42126878
9.81E−06
0.00061394


ENSG00000119866
103.009948
1.15165476
0.22793302
5.05260167
4.36E−07
3.93E−05


ENSG00000169604
2559.81655
0.64706992
0.1797601
3.59963048
0.00031867
0.01189778


ENSG00000196975
303.681175
−0.9252243
0.14125909
−6.5498395
5.76E−11
1.16E−08


ENSG00000144043
899.665797
0.49608003
0.12685306
3.91066667
9.20E−05
0.00419415


ENSG00000163017
150.638098
1.41120579
0.21650226
6.51820343
7.12E−11
1.38E−08


ENSG00000144045
888.856109
0.49836485
0.12593391
3.95735241
7.58E−05
0.00356451


ENSG00000168874
141.952709
1.0196973
0.21981506
4.63888724
3.50E−06
0.00024972


ENSG00000232931
121.166214
0.85598724
0.22350352
3.82986016
0.00012822
0.00558149


ENSG00000158050
128.21304
1.39424329
0.23542128
5.92233326
3.17E−09
4.36E−07


ENSG00000228873
25.803018
1.57019786
0.39163382
4.00935206
6.09E−05
0.002966 


ENSG00000235597
68.7680782
−0.8145127
0.26041944
−3.1276953
0.00176183
0.04693617


ENSG00000115665
148.208812
0.77447285
0.18889015
4.10012293
4.13E−05
0.00212736


ENSG00000175497
263.30137
−1.3861259
0.14145985
−9.7987232
1.14E−22
1.23E−19


ENSG00000235026
31.7456225
−1.3636107
0.34406122
−3.9632792
7.39E−05
0.00349319


ENSG00000155052
10.2336296
−2.3273893
0.66159788
−3.5178307
0.00043509
0.01534817


ENSG00000152076
335.354352
0.62047178
0.16544886
3.75023313
0.00017667
0.00720054


ENSG00000176771
102.435685
−0.7449704
0.22848377
−3.2604958
0.00111218
0.03278837


ENSG00000150540
29.7334973
1.44921521
0.42239664
3.43093453
0.00060151
0.02014207


ENSG00000168702
56.670944
1.1357534
0.27674264
4.10400578
4.06E−05
0.00211937


ENSG00000115963
1038.96493
−0.6808378
0.13515086
−5.0376135
4.71E−07
4.16E−05


ENSG00000115159
242.299623
−1.7817162
0.17488857
−10.187723
2.25E−24
3.07E−21


ENSG00000115170
602.735932
0.40266749
0.12235564
3.29095971
0.00099846
0.03021973


ENSG00000169432
803.237788
1.04294081
0.20234889
5.1541712
2.55E−07
2.46E−05


ENSG00000128683
9.89148776
−3.5843839
0.7000349
−5.1202931
3.05E−07
2.85E−05


ENSG00000091428
1693.26457
0.59237223
0.13184599
4.49291059
7.03E−06
0.00046477


ENSG00000144354
1393.70125
0.34136556
0.10768122
3.17014935
0.00152361
0.0420121 


ENSG00000162992
38.6545046
−1.1811749
0.31621926
−3.7353035
0.00018749
0.00759609


ENSG00000162998
57.6370134
−1.9117796
0.27813104
−6.873665
6.26E−12
1.49E−09


ENSG00000168542
4165.10392
0.66800551
0.1133657
5.89248373
3.80E−09
5.15E−07


ENSG00000204262
91.0074667
0.74035913
0.21402292
3.45925155
0.00054168
0.01837935


ENSG00000151689
143.902812
−1.3347677
0.17981794
−7.4228838
1.15E−13
3.55E−11


ENSG00000196141
776.601835
0.6862066
0.11103051
6.18034291
6.40E−10
1.01E−07


ENSG00000003402
167.088291
−0.8242409
0.18166296
−4.5371987
5.70E−06
0.00038878


ENSG00000118257
75.9005249
0.82085033
0.24948253
3.29021171
0.00100112
0.03025542


ENSG00000114948
1272.75094
0.61792995
0.12138006
5.0908688
3.56E−07
3.27E−05


ENSG00000115414
1669.50945
0.90122477
0.22327849
4.03632588
5.43E−05
0.00268976


ENSG00000115461
5652.74255
1.36118487
0.17088724
7.96539804
1.65E−15
6.88E−13


ENSG00000171951
3148.1728
0.54333057
0.12267456
4.42904039
9.47E−06
0.00059957


ENSG00000163053
251.218806
−0.5048124
0.15212136
−3.3184843
0.00090507
0.02805729


ENSG00000135899
47.8778709
1.19531363
0.29797971
4.01139274
6.04E−05
0.00294749


ENSG00000188042
404.773974
−0.5359039
0.14160676
−3.7844515
0.00015405
0.00645865


ENSG00000132329
241.770148
−1.5344824
0.25677514
−5.9759774
2.29E−09
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ENSG00000176720
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ENSG00000134121
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ENSG00000196220
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ENSG00000196639
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ENSG00000163520
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ENSG00000131378
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ENSG00000228956
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ENSG00000173705
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ENSG00000187091
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ENSG00000182983
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ENSG00000181585
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ENSG00000007402
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ENSG00000163932
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ENSG00000163689
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ENSG00000163638
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ENSG00000121440
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ENSG00000185008
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ENSG00000168386
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ENSG00000170017
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ENSG00000144824
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ENSG00000172020
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ENSG00000144843
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ENSG00000138495
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ENSG00000082684
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ENSG00000065534
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ENSG00000206384
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ENSG00000196353
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ENSG00000154917
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ENSG00000114054
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ENSG00000158234
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ENSG00000163762
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ENSG00000174899
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ENSG00000169255
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ENSG00000114200
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ENSG00000085276
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ENSG00000154310
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ENSG00000169760
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ENSG00000145198
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ENSG00000073849
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ENSG00000145012
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ENSG00000180611
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ENSG00000163975
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ENSG00000145217
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ENSG00000127418
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ENSG00000178222
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ENSG00000181215
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ENSG00000074211
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ENSG00000179299
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ENSG00000188848
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ENSG00000145244
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ENSG00000163293
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ENSG00000074966
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ENSG00000163071
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ENSG00000226887
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ENSG00000157404
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ENSG00000109255
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ENSG00000084093
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ENSG00000145284
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ENSG00000138640
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ENSG00000138696
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ENSG00000155011
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ENSG00000138795
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ENSG00000005059
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ENSG00000205403
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ENSG00000178403
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ENSG00000145349
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ENSG00000180801
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ENSG00000174607
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ENSG00000164111
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ENSG00000164056
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ENSG00000164070
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ENSG00000236296
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ENSG00000151615
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ENSG00000151617
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ENSG00000280219
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ENSG00000181541
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ENSG00000145428
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ENSG00000164116
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ENSG00000061918
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ENSG00000164125
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ENSG00000168843
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ENSG00000218336
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ENSG00000153404
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ENSG00000225138
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ENSG00000206077
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ENSG00000250056
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ENSG00000112902
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ENSG00000176788
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ENSG00000113494
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ENSG00000145623
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ENSG00000016082
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ENSG00000164294
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ENSG00000145632
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ENSG00000113448
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ENSG00000214944
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ENSG00000145703
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ENSG00000164220
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ENSG00000145685
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ENSG00000038427
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ENSG00000245526
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ENSG00000113532
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ENSG00000152503
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ENSG00000184838
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ENSG00000248927
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ENSG00000229855
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ENSG00000113083
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ENSG00000113396
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ENSG00000066583
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ENSG00000145808
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ENSG00000164616
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ENSG00000152377
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ENSG00000146013
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ENSG00000120322
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ENSG00000145819
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ENSG00000183775
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ENSG00000156475
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ENSG00000157510
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ENSG00000164591
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ENSG00000135074
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ENSG00000275038
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ENSG00000164438
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ENSG00000214357
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ENSG00000120149
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ENSG00000145920
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ENSG00000113763
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ENSG00000054598
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ENSG00000021355
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ENSG00000260604
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ENSG00000124782
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ENSG00000111859
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ENSG00000124788
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ENSG00000112183
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ENSG00000172201
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ENSG00000152954
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ENSG00000112294
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ENSG00000168405
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ENSG00000079689
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ENSG00000168298
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ENSG00000278588
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ENSG00000276368
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ENSG00000184357
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ENSG00000219891
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ENSG00000280128
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ENSG00000048545
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ENSG00000008196
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ENSG00000151917
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ENSG00000079841
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ENSG00000118407
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ENSG00000065833
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ENSG00000112837
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ENSG00000168830
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ENSG00000132429
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ENSG00000111885
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ENSG00000118523
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ENSG00000182747
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ENSG00000016402
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ENSG00000236366
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ENSG00000001036
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ENSG00000152818
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ENSG00000146469
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ENSG00000029639
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ENSG00000092820
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ENSG00000176381
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ENSG00000164850
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ENSG00000003147
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ENSG00000106537
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ENSG00000173452
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ENSG00000136235
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ENSG00000122585
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ENSG00000214870
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ENSG00000122574
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ENSG00000164619
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ENSG00000002746
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ENSG00000058404
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ENSG00000146674
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ENSG00000132436
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ENSG00000165215
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ENSG00000223705
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ENSG00000188372
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ENSG00000186088
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ENSG00000005471
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ENSG00000157240
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ENSG00000177409
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ENSG00000105825
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ENSG00000164692
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ENSG00000106236
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ENSG00000166448
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ENSG00000087085
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ENSG00000106366
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ENSG00000232445
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ENSG00000128606
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ENSG00000091129
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ENSG00000173114
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ENSG00000135269
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ENSG00000105976
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ENSG00000106025
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ENSG00000008311
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ENSG00000234224
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ENSG00000179603
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ENSG00000128510
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ENSG00000128567
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ENSG00000221866
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ENSG00000181072
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ENSG00000105894
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ENSG00000122779
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ENSG00000174469
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ENSG00000127399
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ENSG00000188707
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ENSG00000101846
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ENSG00000047648
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ENSG00000188158
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ENSG00000008086
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ENSG00000130066
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ENSG00000198947
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ENSG00000047597
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ENSG00000189221
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ENSG00000069535
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ENSG00000102007
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ENSG00000189299
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ENSG00000242732
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ENSG00000122145
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ENSG00000126947
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ENSG00000184905
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ENSG00000077279
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ENSG00000260802
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ENSG00000131724
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ENSG00000174460
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ENSG00000125354
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ENSG00000125675
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ENSG00000009694
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ENSG00000122121
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ENSG00000147256
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ENSG00000171004
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ENSG00000223749
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ENSG00000155495
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ENSG00000183837
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ENSG00000168939
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ENSG00000176595
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ENSG00000173281
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ENSG00000171056
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ENSG00000269918
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ENSG00000164733
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ENSG00000036565
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ENSG00000061337
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ENSG00000168546
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ENSG00000158856
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ENSG00000168490
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ENSG00000277586
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ENSG00000120915
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ENSG00000171320
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ENSG00000120875
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ENSG00000251191
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ENSG00000133878
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ENSG00000168619
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ENSG00000104332
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ENSG00000104368
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ENSG00000104738
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ENSGO0000019549
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ENSG00000254087
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ENSG00000198846
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ENSG00000104313
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ENSG00000250979
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ENSG00000121039
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ENSG00000164687
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ENSG00000164949
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ENSG00000169439
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ENSG00000104361
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ENSG00000164920
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ENSG00000174417
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ENSG00000147642
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ENSG00000136960
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ENSG00000170961
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ENSG00000156804
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ENSG00000169427
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ENSG00000184489
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ENSG00000204791
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ENSG00000120217
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ENSG00000178445
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ENSG00000153707
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ENSG00000265735
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ENSG00000147872
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ENSG00000137142
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ENSG00000119139
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ENSG00000107282
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ENSG00000198963
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ENSG00000106829
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ENSG00000165118
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ENSG00000148053
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ENSG00000213694
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ENSG00000165025
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ENSG00000106785
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ENSG00000106789
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ENSG00000095203
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ENSG00000165124
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ENSG00000198121
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ENSG00000259953
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ENSG00000106868
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ENSG00000196739
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ENSG00000136869
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ENSG00000078725
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ENSG00000167081
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ENSG00000095370
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ENSG00000106991
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ENSG00000148357
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ENSG00000197859
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ENSG00000196990
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1.71E−05


ENSG00000123454
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1.08E−13


ENSG00000130635
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ENSG00000176884
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ENSG00000233198
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ENSG00000148408
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ENSG00000142102
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ENSG00000177106
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ENSG00000130600
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ENSG00000167244
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ENSG00000180176
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ENSG00000170743
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ENSG00000148926
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ENSG00000072952
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ENSG00000050165
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ENSG00000133816
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ENSG00000197702
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ENSG00000133794
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ENSG00000110693
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ENSG00000187486
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ENSG00000165973
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ENSG00000066382
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ENSG00000148948
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ENSG00000134569
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ENSG00000134574
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ENSG00000149131
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ENSG00000166801
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ENSG00000124942
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ENSG00000168539
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ENSG00000176485
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ENSG00000245532
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ENSG00000179292
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ENSG00000069482
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ENSG00000132749
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ENSG00000168010
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ENSG00000175567
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ENSG00000171533
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ENSG00000151376
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ENSG00000150687
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ENSG00000174804
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ENSG00000134627
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ENSG00000184384
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ENSG00000137693
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ENSG00000204381
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ENSG00000149295
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ENSG00000236437
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ENSG00000149591
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ENSG00000110400
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ENSG00000149403
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ENSG00000255248
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ENSG00000255545
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ENSG00000185736
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ENSG00000134463
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ENSG00000151468
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ENSG00000065809
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ENSG00000026025
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ENSG00000120594
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ENSG00000099256
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ENSG00000095739
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ENSG00000165757
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ENSG00000099250
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ENSG00000177283
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ENSG00000107562
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ENSG00000204175
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ENSG00000128805
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ENSG00000165633
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ENSG00000165606
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ENSG00000226389
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ENSG00000166228
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ENSG00000107742
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ENSG00000185737
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ENSG00000198682
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ENSG00000171862
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ENSG00000107796
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ENSG00000119917
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ENSG00000148677
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ENSG00000138119
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ENSG00000138193
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ENSG00000187122
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ENSG00000107521
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ENSG00000119946
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ENSG00000099194
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ENSG00000235823
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ENSG00000156398
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ENSG00000156395
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ENSG00000150594
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ENSG00000148737
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ENSG00000165868
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ENSG00000187164
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ENSG00000119973
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ENSG00000188613
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ENSG00000198873
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ENSG00000066468
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ENSG00000166033
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ENSG00000148848
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ENSG00000132334
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ENSG00000227076
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ENSG00000188385
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ENSG00000111664
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ENSG00000139112
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ENSG00000261324
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ENSG00000197837
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ENSG00000084453
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ENSG00000121361
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ENSG00000111728
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ENSG00000123094
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ENSG00000029153
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ENSG00000151233
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ENSG00000139174
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ENSG00000184613
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ENSG00000186897
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ENSG00000135472
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ENSG00000111057
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ENSG00000161638
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ENSG00000139263
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ENSG00000153179
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ENSG00000111490
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ENSG00000127328
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ENSG00000139329
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ENSG00000011465
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ENSG00000139352
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ENSG00000171310
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ENSG00000074590
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ENSG00000151136
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ENSG00000139445
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ENSG00000111331
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ENSG00000135111
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ENSG00000089250
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ENSG00000152137
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ENSG00000135127
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ENSG00000151948
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ENSG00000125207
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ENSG00000165480
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ENSG00000133121
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ENSG00000133101
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ENSG00000120693
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ENSG00000183722
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ENSG00000120675
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ENSG00000136161
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ENSG00000184226
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ENSG00000178695
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ENSG00000136158
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ENSG00000184564
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ENSG00000165300
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ENSG00000224394
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ENSG00000139800
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ENSG00000043355
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ENSG00000125266
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ENSG00000204442
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ENSG00000274718
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ENSG00000126218
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ENSG00000129474
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ENSG00000100473
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ENSG00000129493
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ENSG00000259017
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ENSG00000168348
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1.69E−64


ENSG00000139926
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ENSG00000020577
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ENSG00000131979
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8.52E−19


ENSG00000131981
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ENSG00000184302
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ENSG00000126803
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ENSG00000070182
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ENSG00000197555
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ENSG00000184227
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ENSG00000119673
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ENSG00000119630
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ENSG00000119699
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ENSG00000021645
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ENSG00000119714
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ENSG00000100604
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ENSG00000250366
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ENSG00000140057
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ENSG00000182218
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ENSG00000183092
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ENSG00000259031
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ENSG00000185559
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ENSG00000254656
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ENSG00000221077
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ENSG00000197406
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ENSG00000182636
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ENSG00000224078
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ENSG00000166922
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ENSG00000166923
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ENSG00000248905
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ENSG00000198838
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ENSG00000175265
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ENSG00000215252
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ENSG00000166073
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ENSG00000104081
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ENSG00000166145
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ENSG00000171766
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ENSG00000137872
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ENSG00000140285
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ENSG00000140284
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ENSG00000140416
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ENSG00000166831
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ENSG00000103742
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ENSG00000137834
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ENSG00000137809
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ENSG00000187720
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ENSG00000129009
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ENSG00000137868
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ENSG00000140538
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ENSG00000166825
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ENSG00000182175
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ENSG00000140563
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ENSG00000182253
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ENSG00000140470
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ENSG00000154237
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ENSG00000076344
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ENSG00000162004
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ENSG00000162039
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ENSG00000127561
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ENSG00000183971
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ENSG00000184697
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ENSG00000118898
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ENSG00000263013
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ENSG00000156968
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ENSG00000103528
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ENSG00000280180
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ENSG00000261010
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ENSG00000260153
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ENSG00000103546
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ENSG00000278928
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ENSG00000159713
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ENSG00000103154
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ENSG00000003249
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ENSG00000183688
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ENSG00000083454
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ENSG00000108515
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ENSG00000129250
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ENSG00000179111
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ENSG00000179277
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ENSG00000265519
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ENSG00000072310
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ENSG00000166482
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ENSG00000109107
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ENSG00000131242
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ENSG00000270765
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ENSG00000271447
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ENSG00000141744
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ENSG00000141753
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ENSG00000167920
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ENSG00000126561
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ENSG00000177469
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ENSG00000214578
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ENSG00000197291
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ENSG00000131477
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ENSG00000108828
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ENSG00000108830
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ENSG00000108861
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ENSG00000131094
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ENSG00000186868
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ENSG00000064300
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ENSG00000108846
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ENSG00000141179
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ENSG00000008283
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ENSG00000265971
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ENSG00000159640
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ENSG00000173826
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ENSG00000108370
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ENSG00000075461
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ENSG00000264491
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ENSG00000125398
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ENSG00000180616
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ENSG00000167861
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ENSG00000073350
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ENSG00000092929
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ENSG00000161544
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ENSG00000167281
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ENSG00000266074
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ENSG00000132205
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ENSG00000088756
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ENSG00000141441
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ENSG00000101489
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ENSG00000184828
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ENSG00000141639
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ENSG00000041353
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ENSG00000141668
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ENSG00000101282
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ENSG00000101361
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ENSG00000088836
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ENSG00000205181
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ENSG00000089199
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ENSG00000132639
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ENSG00000089177
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ENSG00000204103
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ENSG00000124191
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ENSG00000101104
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ENSG00000124212
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ENSG00000124216
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ENSG00000101115
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ENSG00000054803
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ENSG00000174403
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ENSG00000101187
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ENSG00000092758
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ENSG00000196132
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ENSG00000064666
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ENSG00000130270
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ENSG00000167476
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ENSG00000104953
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ENSG00000105278
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ENSG00000167664
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ENSG00000205744
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ENSG00000198723
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ENSG00000105514
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ENSG00000179284
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ENSG00000160951
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ENSG00000105639
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ENSG00000130513
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ENSG00000250067
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ENSG00000231205
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ENSG00000261754
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ENSG00000167641
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ENSG00000196218
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ENSG00000187994
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ENSG00000161243
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ENSG00000090932
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ENSG00000275395
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1.49E−09


ENSG00000243137
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ENSG00000125746
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ENSG00000124440
96.4992964
−0.955677
0.20486689
−4.664868
3.09E−06
0.00022406


ENSG00000160013
36.813057
−1.3557039
0.3567417
−3.8002395
0.00014456
0.00612276


ENSG00000167414
257.61609
−1.2303575
0.2956618
−4.1613678
3.16E−05
0.00169436


ENSG00000074219
391.268339
0.5136593
0.14445834
3.55576071
0.00037689
0.01355204


ENSG00000204653
169.900402
−0.7710543
0.23061805
−3.3434256
0.00082751
0.02596753


ENSG00000275183
29.2467052
−1.4714434
0.35885946
−4.1003333
4.13E−05
0.00212736


ENSG00000131037
204.894485
−0.9687742
0.23634168
−4.0990409
4.15E−05
0.00212736


ENSG00000105048
173.165797
−0.9572987
0.23498806
−4.0738184
4.62E−05
0.00233641


ENSG00000080031
86.901619
−0.7258848
0.20856836
−3.4803209
0.00050081
0.01733781


ENSG00000179954
55.6317859
1.0846854
0.31350082
3.45991242
0.00054035
0.01837102


ENSG00000100302
19.0976883
−1.5541959
0.48311005
−3.2170639
0.0012951 
0.0373207 


ENSG00000189060
5799.93036
−0.4634447
0.10730366
−4.3190015
1.57E−05
0.00092683


ENSG00000177096
33.4478452
−2.2197407
0.44748746
−4.9604533
7.03E−07
5.93E−05


ENSG00000188677
317.190454
−0.6567941
0.15187949
−4.3244422
1.53E−05
0.00090687


ENSG00000278189
13.0780688
−3.4486194
0.69973517
−4.9284637
8.29E−07
6.92E−05


ENSG00000280081
14.9529678
1.81640418
0.51991611
3.4936486
0.00047647
0.01666415


ENSG00000154642
221.416533
0.79060934
0.24582641
3.21612853
0.00129933
0.03737369


ENSG00000273492
22.4154376
−1.5294511
0.44885919
−3.4074184
0.00065581
0.02164157


ENSG00000154734
2372.64189
−0.3821058
0.10219933
−3.7388286
0.00018488
0.00750524


ENSG00000160179
150.495894
−0.9031405
0.20447781
−4.4168142
1.00E−05
0.00062482


ENSG00000228709
459.974012
−0.888286
0.21034508
−4.2229942
2.41E−05
0.00134034


ENSG00000175894
596.369164
−0.7783842
0.17881667
−4.3529735
1.34E−05
0.00080112


ENSG00000235890
709.057452
−0.9708052
0.23680369
−4.0996204
4.14E−05
0.00212736


ENSG00000182912
1286.0869
−0.9966493
0.15289097
−6.5186925
7.09E−11
1.38E−08


ENSG00000233922
219.026482
−0.6673587
0.17677285
−3.775233
0.00015986
0.00660747
















TABLE 5







Differential gene Expression_DESeq2_dCT_dC















Log2 Fold







Base Mean
Change
Lfcse
Stat
Pvalue
Padj

















ENSG00000223764
513.919766
0.76980793
0.15330087
5.0215498
5.13E−07
0.00014386


ENSG00000187634
1066.25504
1.26443382
0.21617229
5.84919485
4.94E−09
2.16E−06


ENSG00000242485
937.600436
0.84197842
0.24250924
3.4719436
0.0005167 
0.02318184


ENSG00000160072
699.547282
0.63749214
0.20079995
3.17476243
0.00149959
0.04618309


ENSG00000171608
251.374075
−0.8171353
0.19083633
−4.2818643
1.85E−05
0.00215788


ENSG00000053372
1048.70128
0.69168747
0.19067769
3.62752167
0.00028615
0.01532705


ENSG00000007968
639.194696
0.44698203
0.1423607
3.13978537
0.00169072
0.04970239


ENSG00000117318
1362.20122
1.07048765
0.25551645
4.1895058
2.80E−05
0.00288784


ENSG00000127423
102.054816
0.92941382
0.23557711
3.9452637
7.97E−05
0.0058991 


ENSG00000198830
7194.36677
0.53039221
0.13845409
3.83081642
0.00012772
0.00859646


ENSG00000117748
1234.30582
0.49178296
0.14364896
3.42350526
0.00061819
0.02578337


ENSG00000130770
1000.4386
0.77764761
0.21401401
3.63362947
0.00027946
0.01511636


ENSG00000092853
835.308296
0.91973439
0.18663711
4.9279288
8.31E−07
0.00020266


ENSG00000168389
269.923372
0.48390572
0.14977012
3.23098977
0.00123362
0.04086893


ENSG00000117016
1948.07408
−0.5641935
0.1651002
−3.4172791
0.0006325 
0.02578337


ENSG00000171960
754.463631
0.62482448
0.18984522
3.29123101
0.0009975 
0.03558227


ENSG00000117395
1578.53292
0.66051232
0.18856754
3.50278902
0.00046041
0.02140206


ENSG00000132773
227.758077
0.66942488
0.17450809
3.83606798
0.00012502
0.00845304


ENSG00000132780
6332.75757
0.45771822
0.12440385
3.67929305
0.00023388
0.01343238


ENSG00000162407
227.302124
−0.9493862
0.19901447
−4.7704383
1.84E−06
0.00035979


ENSG00000116678
150.314744
−0.9495469
0.27524424
−3.4498338
0.00056093
0.02421955


ENSG00000178965
215.550561
1.447095
0.23814934
6.07641825
1.23E−09
6.57E−07


ENSG00000153904
1124.74806
−0.9168102
0.16519596
−5.5498342
2.86E−08
1.12E−05


ENSG00000143013
215.289297
1.01913562
0.2120571
4.80594899
1.54E−06
0.00033203


ENSG00000171488
707.048687
−0.6188787
0.18949378
−3.2659577
0.00109095
0.03747762


ENSG00000137962
326.475887
−1.0095764
0.22140045
−4.5599564
5.12E−06
0.00081115


ENSG00000143036
29.7039746
−1.5222352
0.41188376
−3.6957884
0.00021921
0.01304273


ENSG00000237954
49.4200112
−2.7360661
0.3903875
−7.0085905
2.41E−12
2.39E−09


ENSG00000188641
587.752757
−0.6591941
0.1698228
−3.8816586
0.00010375
0.00732801


ENSG00000116299
132.548918
−0.754858
0.22940468
−3.2905085
0.00100006
0.03558843


ENSG00000116396
116.688511
−1.2220596
0.2329504
−5.2460077
1.55E−07
5.14E−05


ENSG00000092621
3312.3205
0.64433787
0.15908223
4.05034468
5.11E−05
0.00430393


ENSG00000265972
8541.57977
−0.5527295
0.1318549
−4.1919523
2.77E−05
0.00287685


ENSG00000203814
22.7288953
−1.759948
0.49148253
−3.5808963
0.00034242
0.01744336


ENSG00000160691
5930.36505
−0.7245695
0.1652421
−4.3848966
1.16E−05
0.00148802


ENSG00000160783
229.624984
1.042331
0.26479689
3.93634154
8.27E−05
0.00609236


ENSG00000160818
1077.22567
0.72275711
0.19868605
3.63768419
0.0002751 
0.01493474


ENSG00000143153
3963.35425
−0.4387341
0.09927266
−4.4194861
9.89E−06
0.00131399


ENSG00000116147
2240.0628
−1.3232232
0.26419504
−5.0085089
5.49E−07
0.00014835


ENSG00000186283
539.344545
0.51020265
0.13964818
3.65348593
0.0002587 
0.01443492


ENSG00000143333
849.829044
1.04271683
0.17178962
6.06973135
1.28E−09
6.57E−07


ENSG00000135829
7804.95605
0.3790856
0.11434844
3.3151793
0.00091584
0.03347217


ENSG00000159176
579.821256
0.5644383
0.16223459
3.47914899
0.00050301
0.02303701


ENSG00000077152
1335.13612
0.65522593
0.2047729
3.19976878
0.00137538
0.04367845


ENSG00000117139
5294.066
−0.5694656
0.16508884
−3.4494495
0.00056173
0.02421955


ENSG00000143847
412.507564
−0.673461
0.18658983
−3.6093124
0.00030701
0.01619072


ENSG00000058668
874.427613
−0.7451126
0.20947768
−3.5570022
0.00037511
0.01866146


ENSG00000257315
289.822318
−1.0479793
0.31454434
−3.3317379
0.00086306
0.03206236


ENSG00000162889
3007.29034
0.52005291
0.13734156
3.7865661
0.00015274
0.00979336


ENSG00000162894
96.626403
1.07392375
0.25491701
4.21283676
2.52E−05
0.00267945


ENSG00000117595
223.578204
0.88397992
0.17692829
4.99626113
5.85E−07
0.00015526


ENSG00000143473
148.877934
−0.9436216
0.26588364
−3.5490021
0.00038669
0.0190466 


ENSG00000143476
1826.89204
0.4559828
0.13953134
3.2679598
0.00108326
0.03738621


ENSG00000230461
309.632859
−0.890464
0.19530354
−4.5593849
5.13E−06
0.00081115


ENSG00000196660
24.119524
−1.5884344
0.44595327
−3.5618853
0.0003682 
0.01837917


ENSG00000143674
222.777063
−0.6145431
0.18669768
−3.2916482
0.00099602
0.03558227


ENSG00000133019
74.6453602
−1.3749338
0.30140234
−4.5617886
5.07E−06
0.00081115


ENSG00000180875
343.86164
1.04236376
0.17172207
6.07006277
1.28E−09
6.57E−07


ENSG00000174371
1592.46943
0.43576552
0.13900854
3.13481109
0.00171965
0.04996048


ENSG00000225234
112.157611
−0.7616738
0.24274742
−3.1377215
0.00170267
0.04985661


ENSG00000182551
750.125674
0.50457897
0.15623601
3.22959461
0.00123966
0.0409776 


ENSG00000115738
2503.56412
1.10723857
0.15484456
7.15064546
8.64E−13
1.07E−09


ENSG00000171848
2200.77166
0.64931334
0.13651121
4.75648369
1.97E−06
0.00037092


ENSG00000071575
2429.92788
0.3718491
0.1071611
3.47000064
0.00052046
0.02324865


ENSG00000151779
1427.46586
−0.6080425
0.16615879
−3.6594061
0.0002528 
0.01424396


ENSG00000115129
234.456911
0.78624126
0.19791795
3.97256169
7.11E−05
0.00554657


ENSG00000171094
4727.26929
−0.7202833
0.22425385
−3.2119104
0.00131855
0.04256685


ENSG00000158089
201.028778
0.74520599
0.18855407
3.95221377
7.74E−05
0.00580972


ENSG00000279873
43.0997205
−1.1538846
0.34620302
−3.3329709
0.00085924
0.03206236


ENSG00000225156
452.420714
−0.5153001
0.14016066
−3.6764957
0.00023646
0.0134764 


ENSG00000196975
303.681175
−0.528043
0.15607401
−3.3832857
0.00071624
0.02793239


ENSG00000143977
1002.26131
0.66276371
0.21044039
3.14941306
0.00163599
0.04857349


ENSG00000163017
150.638098
0.86651521
0.24592205
3.523536
0.00042583
0.01995209


ENSG00000065911
1623.56559
0.44871115
0.1291569
3.47415541
0.00051246
0.02314402


ENSG00000115350
195.928217
0.98365934
0.29956533
3.28362215
0.00102482
0.03629579


ENSG00000168874
141.952709
0.99816553
0.24455964
4.081481
4.47E−05
0.00395271


ENSG00000158050
128.21304
1.54191901
0.25992374
5.93219772
2.99E−09
1.39E−06


ENSG00000115539
510.529031
0.58626612
0.17591865
3.33259779
0.00086039
0.03206236


ENSG00000198075
351.465285
−0.7910761
0.2275486
−3.476515
0.00050798
0.02303701


ENSG00000175497
263.30137
−1.4091044
0.16144183
−8.7282482
2.59E−18
7.69E−15


ENSG00000152076
335.354352
0.88835786
0.18349553
4.84130512
1.29E−06
0.00029071


ENSG00000076003
2658.18865
0.51145597
0.12594971
4.06079506
4.89E−05
0.00420506


ENSG00000144354
1393.70125
0.48068394
0.12016713
4.00012813
6.33E−05
0.00511799


ENSG00000162998
57.6370134
−0.9851355
0.28812404
−3.4191367
0.0006282 
0.02578337


ENSG00000168542
4165.10392
−0.6108353
0.12797584
−4.7730518
1.81E−06
0.00035979


ENSG00000138411
163.320451
−0.8251524
0.23992256
−3.4392447
0.00058334
0.02482143


ENSG00000196141
776.601835
0.46383063
0.12472461
3.7188382
0.00020014
0.01210203


ENSG00000055044
1896.83989
0.66236518
0.17610018
3.7612975
0.00016903
0.01065417


ENSG00000116117
65.0265805
−1.0333628
0.32674923
−3.1625561
0.00156391
0.04728273


ENSG00000118263
2447.22833
−0.5478006
0.13428828
−4.0792881
4.52E−05
0.00395271


ENSG00000144406
626.451526
−0.7916602
0.2247059
−3.5230947
0.00042654
0.01995209


ENSG00000171951
3148.1728
0.47712095
0.13720119
3.47752791
0.00050606
0.02303701


ENSG00000273301
104.498087
−1.0356249
0.31587453
−3.2785957
0.00104325
0.03659986


ENSG00000187514
20408.7226
0.69575431
0.19899559
3.49633025
0.0004717 
0.02185858


ENSG00000168918
110.553766
−1.411906
0.23366014
−6.0425624
1.52E−09
7.52E−07


ENSG00000157985
2859.85883
−0.6823709
0.21327464
−3.199494
0.00137669
0.04367845


ENSG00000132323
445.730334
0.60507198
0.19189739
3.15310163
0.00161546
0.04825281


ENSG00000172428
553.272584
1.00763784
0.30318821
3.32347305
0.00088904
0.03268642


ENSG00000168393
810.168786
0.85459423
0.22698553
3.76497236
0.00016657
0.01054337


ENSG00000150995
1034.41494
−0.7107063
0.2080493
−3.4160475
0.00063537
0.02582282


ENSG00000134107
31.9094537
−1.4393424
0.39883254
−3.6088892
0.00030751
0.01619072


ENSG00000196277
105.550395
−0.7702413
0.22748137
−3.3859533
0.00070931
0.02783919


ENSG00000196220
217.688378
−0.849683
0.20548139
−4.1350847
3.55E−05
0.00343559


ENSG00000196639
44.106565
1.08609114
0.32443863
3.3476012
0.00081514
0.03101084


ENSG00000170860
831.048559
0.69254773
0.21460023
3.22715283
0.00125029
0.04114605


ENSG00000131389
721.177494
−0.7824407
0.24358621
−3.2121716
0.00131736
0.04256685


ENSG00000263740
23.322155
−1.8340462
0.55054559
−3.3313249
0.00086434
0.03206236


ENSG00000183960
212.465307
−0.9145704
0.22133427
−4.1320779
3.59E−05
0.003442 


ENSG00000144681
753.216253
−0.6047163
0.13842166
−4.3686534
1.25E−05
0.0015894 


ENSG00000187091
337.443417
−0.5262044
0.1579152
−3.3321963
0.00086163
0.03206236


ENSG00000163820
282.814221
−0.8735319
0.25756217
−3.3915379
0.00069502
0.02744799


ENSG00000164045
875.156728
0.53146716
0.12897206
4.12079288
3.78E−05
0.00355466


ENSG00000007402
2567.3274
−0.7700611
0.20657154
−3.727818
0.00019314
0.01177471


ENSG00000145050
707.92096
0.57887721
0.18367749
3.15159588
0.00162381
0.04840511


ENSG00000163932
223.486999
−0.6402309
0.17376765
−3.6844079
0.00022923
0.01333091


ENSG00000163638
4307.60544
−0.6155299
0.17360563
−3.545564
0.00039177
0.01923312


ENSG00000185008
288.228115
−1.8676246
0.23470369
−7.9573718
1.76E−15
3.73E−12


ENSG00000170017
4114.91898
−1.1437208
0.15344839
−7.4534557
9.09E−14
1.35E−10


ENSG00000185565
3158.49177
−0.6323959
0.18352377
−3.445853
0.00056926
0.02440272


ENSG00000082684
103.315161
−1.1160056
0.27139711
−4.1120762
3.92E−05
0.00364546


ENSG00000114491
642.82753
0.67426126
0.16639002
4.05229383
5.07E−05
0.00430393


ENSG00000074416
94.6433098
−0.890713
0.26154477
−3.4055851
0.00066022
0.02661473


ENSG00000196353
31.7262009
−1.4041893
0.40680402
−3.4517586
0.00055695
0.02415326


ENSG00000154917
627.542444
−0.7907312
0.16136158
−4.9003688
9.57E−07
0.00022586


ENSG00000163762
51.0116089
−8.8381156
1.34792832
−6.5568142
5.50E−11
4.09E−08


ENSG00000163661
64.2209448
1.11998448
0.29900913
3.74565307
0.00017993
0.01122584


ENSG00000085276
32.5717915
−1.7007012
0.35853892
−4.7434215
2.10E−06
0.00039073


ENSG00000145198
111.716628
−1.0564488
0.24943274
−4.2354055
2.28E−05
0.00249528


ENSG00000163918
793.332914
0.71780909
0.1718918
4.17593571
2.97E−05
0.00302353


ENSG00000114315
101.78102
1.17100092
0.33214596
3.52556122
0.00042259
0.01995209


ENSG00000178222
177.567133
−0.9237471
0.18177823
−5.0817258
3.74E−07
0.00010909


ENSG00000163950
1395.33351
0.65212578
0.1711521
3.81021204
0.00013885
0.0091624 


ENSG00000091490
80.3496775
−0.8932591
0.27578717
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ENSG00000124406
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ENSG00000156140
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ENSG00000138769
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ENSG00000138759
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ENSG00000138668
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ENSG00000184305
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ENSG00000182168
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ENSG00000271474
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ENSG00000164032
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ENSG00000138795
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ENSG00000164109
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ENSG00000164167
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ENSG00000151617
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ENSG00000137460
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ENSG00000168843
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ENSG00000251216
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ENSG00000151725
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ENSG00000071539
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ENSG00000215218
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ENSG00000113494
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ENSG00000112936
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ENSG00000259663
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ENSG00000130449
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ENSG00000214944
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ENSG00000228716
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ENSG00000164176
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ENSG00000129595
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ENSG00000113368
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ENSG00000066583
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ENSG00000145833
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ENSG00000152377
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ENSG00000044115
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ENSG00000145819
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ENSG00000113657
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ENSG00000184347
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ENSG00000120149
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ENSG00000087116
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ENSG00000054598
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ENSG00000112312
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ENSG00000026950
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ENSG00000137310
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ENSG00000096433
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ENSG00000112081
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ENSG00000112576
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ENSG00000180992
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ENSG00000008196
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ENSG00000112118
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ENSG00000202198
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ENSG00000272316
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ENSG00000230910
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ENSG00000135298
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ENSG00000079841
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ENSG00000112367
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ENSG00000155115
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ENSG00000146352
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ENSG00000203760
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ENSG00000118515
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1.52E−05


ENSG00000146469
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ENSG00000153721
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ENSG00000029639
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ENSG00000185345
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ENSG00000164850
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ENSG00000122687
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ENSG00000048052
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ENSG00000105855
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ENSG00000122585
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ENSG00000070882
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ENSG00000122574
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ENSG00000122641
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ENSG00000272655
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ENSG00000146674
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9.71E−22


ENSG00000225648
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ENSG00000049540
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ENSG00000049541
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ENSG00000186088
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ENSG00000075223
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ENSG00000164692
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ENSG00000166508
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ENSG00000077080
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ENSG00000164597
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ENSG00000173114
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ENSG00000135269
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ENSG00000179603
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ENSG00000128596
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ENSG00000128567
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ENSG00000105894
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ENSG00000090266
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ENSG00000159784
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ENSG00000174469
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ENSG00000106462
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ENSG00000197558
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ENSG00000198947
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ENSG00000147155
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ENSG00000274588
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ENSG00000072506
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ENSG00000133169
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ENSG00000077279
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ENSG00000260802
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ENSG00000125354
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ENSG00000009694
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ENSG00000147256
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ENSG00000171004
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ENSG00000184785
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ENSG00000124260
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ENSG00000221867
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ENSG00000198930
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ENSG00000197172
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ENSG00000182492
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ENSG00000176595
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ENSG00000173281
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ENSG00000269918
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ENSG00000104722
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ENSG00000171320
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ENSG00000120875
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8.99E−08


ENSG00000156687
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ENSG00000104738
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ENSG00000019549
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ENSG00000254087
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ENSG00000104313
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4.13E−07


ENSG00000250979
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ENSG00000121039
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0.00341233


ENSG00000164684
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ENSG00000136982
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ENSG00000147684
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ENSG00000178896
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ENSG00000160957
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ENSG00000178445
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ENSG00000147889
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ENSG00000165264
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ENSG00000107262
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6.98E−05
0.00552576


ENSG00000137100
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0.04016245


ENSG00000221829
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ENSG00000119139
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ENSG00000135069
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ENSG00000148053
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ENSG00000213694
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0.00204963


ENSG00000165244
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ENSG00000136943
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ENSG00000136938
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ENSG00000165185
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ENSG00000119421
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ENSG00000136828
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ENSG00000136854
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ENSG00000106991
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7.07E−05
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ENSG00000123454
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ENSG00000187796
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ENSG00000148400
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ENSG00000130600
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ENSG00000167244
350.661076
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1.82E−24
9.04E−21


ENSG00000166483
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ENSG00000133812
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ENSG00000050165
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0.00037092


ENSG00000109881
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0.04704749


ENSG00000066382
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0.00054017


ENSG00000026508
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0.01170273


ENSG00000157570
2075.93207
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0.16935716
−4.2287399
2.35E−05
0.0025331 


ENSG00000134569
315.67573
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0.24365227
−4.2607638
2.04E−05
0.00233114


ENSG00000165916
1906.89858
0.55497284
0.16412189
3.38146751
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0.02793239


ENSG00000255433
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ENSG00000134809
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ENSG00000189057
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ENSG00000166900
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ENSG00000168496
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ENSG00000168003
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ENSG00000146670
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ENSG00000014138
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ENSG00000172922
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ENSG00000132749
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ENSG00000033327
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ENSG00000182103
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ENSG00000150687
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ENSG00000137727
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ENSG00000109846
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ENSG00000150779
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ENSG00000188486
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ENSG00000149403
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ENSG00000137642
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ENSG00000154146
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ENSG00000149557
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ENSG00000166105
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ENSG00000255545
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ENSG00000197308
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ENSG00000151468
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ENSG00000065328
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ENSG00000078114
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ENSG00000095739
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ENSG00000165633
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ENSG00000122952
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ENSG00000138336
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ENSG00000156515
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ENSG00000107742
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ENSG00000156113
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ENSG00000187122
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ENSG00000095713
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ENSG00000099194
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ENSG00000156398
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ENSG00000108018
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ENSG00000150594
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ENSG00000165868
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ENSG00000187164
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ENSG00000119973
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ENSG00000198873
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ENSG00000148848
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ENSG00000108010
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ENSG00000188385
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ENSG00000182326
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ENSG00000139182
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ENSG00000172572
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ENSG00000084453
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ENSG00000111728
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ENSG00000057294
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ENSG00000173208
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ENSG00000018236
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ENSG00000184613
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ENSG00000170627
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ENSG00000123374
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ENSG00000011465
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ENSG00000151136
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ENSG00000076248
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ENSG00000076555
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ENSG00000060709
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ENSG00000196199
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ENSG00000165480
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ENSG00000133083
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ENSG00000276644
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ENSG00000178695
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ENSG00000088387
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ENSG00000102466
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ENSG00000125266
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ENSG00000204442
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ENSG00000274718
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ENSG00000198176
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ENSG00000259017
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ENSG00000168348
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ENSG00000174373
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ENSG00000100479
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ENSG00000020577
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ENSG00000131979
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ENSG00000070182
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ENSG00000274330
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ENSG00000119681
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ENSG00000100604
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ENSG00000182218
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ENSG00000183092
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ENSG00000259031
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ENSG00000185559
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ENSG00000254656
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ENSG00000221077
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ENSG00000080824
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ENSG00000258986
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ENSG00000184601
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ENSG00000184990
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ENSG00000185347
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ENSG00000175344
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ENSG00000051180
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ENSG00000128965
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ENSG00000137825
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ENSG00000128951
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ENSG00000138587
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ENSG00000140416
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ENSG00000166803
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ENSG00000137834
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ENSG00000128973
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ENSG00000259781
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ENSG00000140365
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ENSG00000161980
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ENSG00000161981
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ENSG00000182685
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ENSG00000162062
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ENSG00000118898
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ENSG00000175643
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ENSG00000149929
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ENSG00000179958
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ENSG00000089280
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ENSG00000091651
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ENSG00000125148
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ENSG00000125170
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ENSG00000181938
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ENSG00000140937
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ENSG00000103154
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ENSG00000103187
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ENSG00000131153
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ENSG00000167523
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ENSG00000129235
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ENSG00000129255
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ENSG00000179111
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ENSG00000172301
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ENSG00000267321
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ENSG00000173991
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ENSG00000094804
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ENSG00000167920
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ENSG00000108861
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ENSG00000186868
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ENSG00000108465
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ENSG00000239672
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ENSG00000087191
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ENSG00000154229
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ENSG00000075461
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ENSG00000180616
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6.03E−05


ENSG00000125450
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ENSG00000161547
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ENSG00000167900
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ENSG00000089685
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ENSG00000224877
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ENSG00000183048
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ENSG00000183684
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ENSG00000176890
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ENSG00000080986
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ENSG00000173482
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2.31E−07


ENSG00000141441
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8.17E−06


ENSG00000166974
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ENSG00000184828
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3.61E−05
0.003442 


ENSG00000125835
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0.01995209


ENSG00000101361
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ENSG00000088854
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ENSG00000132646
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0.00030985


ENSG00000089199
2028.44486
−0.4624342
0.10694522
−4.3240292
1.53E−05
0.00191506


ENSG00000125869
699.512665
0.75680214
0.15791217
4.79255109
1.65E−06
0.00033966


ENSG00000101003
620.311777
0.61423161
0.17757843
3.45893141
0.00054232
0.02380678


ENSG00000125968
1196.66942
1.11910003
0.25048065
4.46781039
7.90E−06
0.00107843


ENSG00000101412
1344.81629
0.9013056
0.18209809
4.94956093
7.44E−07
0.00018536


ENSG00000149636
402.47954
0.64129764
0.18053586
3.55218977
0.00038204
0.01887985


ENSG00000204103
312.707527
1.01322919
0.20710462
4.89235429
9.96E−07
0.00023158


ENSG00000101057
3301.17794
0.58238583
0.14275871
4.07951169
4.51E−05
0.00395271


ENSG00000124191
489.704233
−0.6690915
0.21208494
−3.1548279
0.00160593
0.04811176


ENSG00000158445
255.203877
−0.8840059
0.21373521
−4.1359862
3.53E−05
0.00343559


ENSG00000124216
355.278159
0.60791364
0.178643
3.40295252
0.00066662
0.02679987


ENSG00000054803
24.1796649
−5.4271565
0.87599697
−6.1954056
5.81E−10
3.60E−07


ENSG00000101144
48.55399
−1.6046206
0.34449964
−4.6578295
3.20E−06
0.00054017


ENSG00000130270
92.4956445
−1.1886052
0.25172617
−4.7218183
2.34E−06
0.00042402


ENSG00000167670
1247.79762
0.78632178
0.14859148
5.29183615
1.21E−07
4.19E−05


ENSG00000280239
22.7532849
1.80912674
0.52941651
3.41720875
0.00063267
0.02578337


ENSG00000276043
1534.19026
0.63364712
0.17945889
3.53087611
0.00041419
0.01993855


ENSG00000205744
120.232388
−0.9127556
0.21500764
−4.2452241
2.18E−05
0.00244235


ENSG00000099783
5464.83442
0.73425565
0.16198722
4.53280002
5.82E−06
0.00087457


ENSG00000198258
2152.44738
0.82647776
0.25993986
3.17949609
0.00147531
0.04571935


ENSG00000161888
510.174599
0.89862706
0.18881165
4.75938348
1.94E−06
0.00037092


ENSG00000104889
1000.50637
0.97653266
0.21709208
4.49824182
6.85E−06
0.00098  


ENSG00000105011
508.492535
0.60175125
0.13966832
4.30843045
1.64E−05
0.00201553


ENSG00000123136
1562.21912
0.64280099
0.19636018
3.27358113
0.00106194
0.03689199


ENSG00000105393
339.472345
0.81760884
0.23789844
3.4367978
0.00058863
0.02487484


ENSG00000105639
119.482856
−0.6959122
0.20711653
−3.360003
0.00077942
0.02980415


ENSG00000160161
160.686702
−0.8488872
0.27069402
−3.135966
0.00171289
0.04986371


ENSG00000269416
339.54691
0.55676136
0.16226372
3.43121288
0.00060089
0.02532074


ENSG00000105173
388.91138
0.5935736
0.17087936
3.47364121
0.00051345
0.02314402


ENSG00000124302
560.471054
0.88562478
0.23903602
3.70498458
0.0002114 
0.01267995


ENSG00000011332
433.045432
1.05552553
0.25954641
4.06680838
4.77E−05
0.00412188


ENSG00000125746
301.72452
−0.5722012
0.17867924
−3.2023933
0.00136291
0.0435984 


ENSG00000124440
96.4992964
−0.9911026
0.23337901
−4.2467513
2.17E−05
0.00244235


ENSG00000105281
1168.99505
0.57324549
0.16717933
3.42892568
0.00060598
0.02546295


ENSG00000142230
2731.46721
0.46645985
0.13754663
3.39128528
0.00069566
0.02744799


ENSG00000142552
199.303656
0.76675578
0.23873334
3.21176669
0.00131921
0.04256685


ENSG00000167747
881.673158
0.64272983
0.18078146
3.55528613
0.00037757
0.01872108


ENSG00000093009
724.72203
0.82476769
0.13920431
5.92487167
3.13E−09
1.41E−06


ENSG00000099901
3673.15568
0.77991822
0.20247097
3.85200026
0.00011716
0.00813329


ENSG00000100024
27.9159568
−1.4583038
0.42006906
−3.471581
0.0005174 
0.02318184


ENSG00000100297
1649.10322
0.63730239
0.16087195
3.96155064
7.45E−05
0.00570959


ENSG00000128283
159.970264
0.82604698
0.25799726
3.20176645
0.00136588
0.04359961


ENSG00000100129
6351.35552
−0.3862673
0.11777819
−3.2796165
0.00103948
0.03655391


ENSG00000128272
3378.9489
0.55078505
0.15552104
3.54154688
0.00039779
0.01933692


ENSG00000100162
136.328755
1.06903064
0.23549028
4.5395956
5.64E−06
0.0008555 


ENSG00000202058
21.2434535
−2.243459
0.69931859
−3.2080643
0.00133632
0.04283988


ENSG00000100416
916.810683
0.49944145
0.1452633
3.43818067
0.00058564
0.02482143


ENSG00000025770
880.821129
0.67878568
0.17486319
3.8818101
0.00010368
0.00732801


ENSG00000277437
53.4048221
−3.7452416
1.01544642
−3.688271
0.00022578
0.0132748 


ENSG00000277105
13850.374
−3.4915696
0.97906668
−3.5662225
0.00036216
0.01813868


ENSG00000276737
409.786811
−3.769321
1.06949845
−3.5243819
0.00042447
0.01995209


ENSG00000274735
322.607828
−3.7608853
0.88845644
−4.2330554
2.31E−05
0.0025031 


ENSG00000279718
56.5409922
−0.9916965
0.30114366
−3.2931011
0.00099089
0.03558227


ENSG00000154734
2372.64189
−0.5189089
0.11470966
−4.5236717
6.08E−06
0.00090404


ENSG00000154736
211.849603
−1.0613665
0.2198382
−4.8279438
1.38E−06
0.00030627


ENSG00000159055
372.534032
0.76630863
0.20427096
3.75143207
0.00017583
0.01103558


ENSG00000159259
510.048758
0.4961973
0.14038957
3.53443137
0.00040865
0.01973611


ENSG00000183527
375.521209
0.52270312
0.16354557
3.19607026
0.00139313
0.0437839 


ENSG00000160179
150.495894
−0.8244522
0.23019332
−3.5815644
0.00034154
0.01744336


ENSG00000228709
459.974012
−0.8662752
0.23605303
−3.6698332
0.00024271
0.01372735


ENSG00000175894
596.369164
−0.7936253
0.20072974
−3.9537004
7.70E−05
0.00580972


ENSG00000235890
709.057452
−1.2116973
0.26600638
−4.5551437
5.23E−06
0.00081115


ENSG00000182912
1286.0869
−1.0172503
0.17149546
−5.9316459
3.00E−09
1.39E−06
















TABLE 6







Differential gene Expression_DESeq2_dCVdCT_dC















Log2 Fold







Base Mean
Change
Lfcse
Stat
Pvalue
Padj

















ENSG00000223764
513.919766
0.10910155
0.1408231
0.77474189
0.43849219
0.9694822


ENSG00000187634
1066.25504
0.26490854
0.19532773
1.35622596
0.17502728
0.94056812


ENSG00000242485
937.600436
0.04109376
0.21822692
0.18830746
0.85063564
0.99145366


ENSG00000160072
699.547282
−0.1739675
0.18189009
−0.956443
0.33884844
0.96302041


ENSG00000171608
251.374075
−0.4030591
0.16829058
−2.3950189
0.01661951
0.60525335


ENSG00000053372
1048.70128
0.1041349
0.17179396
0.60616161
0.54440744
0.97648438


ENSG00000007968
639.194696
0.22158022
0.1289021
1.71898077
0.08561787
0.92973396


ENSG00000117318
1362.20122
0.10339611
0.22960672
0.45031831
0.65248094
0.98262846


ENSG00000127423
102.054816
0.39547585
0.21988282
1.79857552
0.07208585
0.92327552


ENSG00000198830
7194.36677
0.2001733
0.1240174
1.6140743
0.10651131
0.92973396


ENSG00000117748
1234.30582
0.26772624
0.129311
2.07040574
0.03841436
0.81443841


ENSG00000130770
1000.4386
0.15493362
0.19260803
0.80439856
0.42116683
0.9694822


ENSG00000092853
835.308296
0.27129091
0.16879685
1.60720362
0.10800971
0.92973396


ENSG00000168389
269.923372
0.35160485
0.136541
2.57508624
0.01002151
0.48129017


ENSG00000117016
1948.07408
−0.213792
0.1474137
−1.4502862
0.14697873
0.9339277


ENSG00000171960
754.463631
0.11289011
0.17134864
0.65883285
0.51000311
0.97158774


ENSG00000117395
1578.53292
0.20147084
0.1693802
1.18945922
0.23425901
0.95658313


ENSG00000132773
227.758077
0.16494205
0.16135103
1.02225589
0.30665981
0.96279754


ENSG00000132780
6332.75757
0.23516091
0.1114675
2.10968139
0.03488581
0.7877789


ENSG00000162407
227.302124
0.26924448
0.17014406
1.58245012
0.11354685
0.92973396


ENSG00000116678
150.314744
−0.0602709
0.23891951
−0.2522643
0.8008368 
0.98975709


ENSG00000178965
215.550561
0.59259332
0.22058235
2.6864947
0.00722061
0.41123929


ENSG00000153904
1124.74806
−0.4531148
0.1468771
−3.0849925
0.00203557
0.20012214


ENSG00000143013
215.289297
0.80017152
0.19354513
4.134289
3.56E−05
0.01046357


ENSG00000171488
707.048687
−0.2995185
0.16886091
−1.773759
0.07610303
0.92973396


ENSG00000137962
326.475887
−0.4236925
0.19514968
−2.1711156
0.02992243
0.76376729


ENSG00000143036
29.7039746
−1.1463815
0.35469311
−3.2320377
0.00122911
0.14448171


ENSG00000237954
49.4200112
−1.0893535
0.2990241
−3.6430292
0.00026945
0.05048406


ENSG00000188641
587.752757
−0.3042693
0.1509957
−2.015086
0.04389564
0.83825609


ENSG00000116299
132.548918
−0.1839682
0.19981868
−0.9206756
0.35721979
0.96401724


ENSG00000116396
116.688511
−0.6477082
0.20050246
−3.2304252
0.00123606
0.14449638


ENSG00000092621
3312.3205
0.33707206
0.14263251
2.36322053
0.01811689
0.6253289


ENSG00000265972
8541.57977
−0.1415965
0.1178511
−1.2014862
0.22956264
0.95487879


ENSG00000203814
22.7288953
−0.7957932
0.39852905
−1.9968261
0.04584407
0.84643522


ENSG00000160691
5930.36505
−0.1988347
0.1476468
−1.3466912
0.1780797 
0.94056812


ENSG00000160783
229.624984
0.18977057
0.24200113
0.78417227
0.43293903
0.9694822


ENSG00000160818
1077.22567
0.16254477
0.17884887
0.90883867
0.36343529
0.96401724


ENSG00000143153
3963.35425
−0.2819938
0.08877232
−3.1765964
0.00149014
0.16421838


ENSG00000116147
2240.0628
−0.5797846
0.23575895
−2.4592262
0.01392369
0.56146632


ENSG00000186283
539.344545
0.18012443
0.12716145
1.41650178
0.15662864
0.93425563


ENSG00000143333
849.829044
0.43602237
0.15551982
2.80364505
0.00505285
0.34463288


ENSG00000135829
7804.95605
0.27277816
0.1024104
2.66357863
0.00773143
0.42645043


ENSG00000159176
579.821256
0.42778133
0.14655681
2.91887727
0.00351295
0.28401271


ENSG00000077152
1335.13612
0.30360878
0.18383289
1.6515477
0.09862679
0.92973396


ENSG00000117139
5294.066
0.02259587
0.147467
0.15322659
0.87821959
0.99182259


ENSG00000143847
412.507564
−0.4176081
0.16610762
−2.5140818
0.01193428
0.52421373


ENSG00000058668
874.427613
−0.094336
0.18613459
−0.506816
0.61228396
0.98176061


ENSG00000257315
289.822318
−0.1473491
0.27710065
−0.5317528
0.59489719
0.97969186


ENSG00000162889
3007.29034
0.09289642
0.12334651
0.75313371
0.45136957
0.97027581


ENSG00000162894
96.626403
0.26714668
0.2387629
1.11887855
0.26319196
0.96256622


ENSG00000117595
223.578204
0.68760595
0.16229199
4.23684464
2.27E−05
0.00750429


ENSG00000143473
148.877934
−0.1086743
0.23070724
−0.4710484
0.63760614
0.98262846


ENSG00000143476
1826.89204
0.42557852
0.12519404
3.3993512
0.00067546
0.09722477


ENSG00000230461
309.632859
−0.1024844
0.17055613
−0.6008835
0.54791758
0.9765894


ENSG00000196660
24.119524
−0.8321958
0.36929656
−2.2534622
0.02423002
0.70499023


ENSG00000143674
222.777063
−0.3199917
0.16541661
−1.9344591
0.05305671
0.86173331


ENSG00000133019
74.6453602
−0.7431139
0.25674267
−2.8943917
0.00379894
0.30105524


ENSG00000180875
343.86164
1.03268203
0.15657868
6.5952914
4.24E−11
9.98E−08


ENSG00000174371
1592.46943
0.29016299
0.12493417
2.32252716
0.02020457
0.64791538


ENSG00000225234
112.157611
−0.2856763
0.21163339
−1.3498642
0.17705956
0.94056812


ENSG00000182551
750.125674
0.22985713
0.1410905
1.62914669
0.10328197
0.92973396


ENSG00000115738
2503.56412
0.56408418
0.13922222
4.05168222
5.09E−05
0.01361962


ENSG00000171848
2200.77166
0.47956511
0.12258837
3.9119951
9.15E−05
0.02130813


ENSG00000071575
2429.92788
0.36676558
0.09617239
3.81362633
0.00013694
0.029567


ENSG00000151779
1427.46586
−0.0014759
0.14789427
−0.0099792
0.99203792
0.99924816


ENSG00000115129
234.456911
0.28480098
0.18183854
1.56622999
0.11729478
0.92973396


ENSG00000171094
4727.26929
−0.217987
0.20044254
−1.0875286
0.27680327
0.96279754


ENSG00000158089
201.028778
0.93961146
0.16977778
5.53436067
3.12E−08
2.64E−05


ENSG00000279873
43.0997205
−0.4692347
0.29098745
−1.6125601
0.10684012
0.92973396


ENSG00000225156
452.420714
−0.3554522
0.12505152
−2.8424464
0.00447688
0.322198


ENSG00000196975
303.681175
−0.2730273
0.13856631
−1.9703728
0.04879567
0.85207236


ENSG00000143977
1002.26131
0.26310509
0.18913889
1.39106813
0.16420477
0.94056812


ENSG00000163017
150.638098
0.78714607
0.22660598
3.47363326
0.00051346
0.07816078


ENSG00000065911
1623.56559
0.40118217
0.11599719
3.45855086
0.00054309
0.08092419


ENSG00000115350
195.928217
0.03133229
0.2734579
0.11457811
0.90877953
0.9951783


ENSG00000168874
141.952709
0.33367773
0.22749085
1.46677427
0.14243747
0.9324271


ENSG00000158050
128.21304
0.08812781
0.24929679
0.35350559
0.72370944
0.98450389


ENSG00000115539
510.529031
0.16486157
0.15954114
1.03334834
0.30144091
0.96279754


ENSG00000198075
351.465285
0.15572227
0.19966651
0.77991181
0.43544278
0.9694822


ENSG00000175497
263.30137
−0.4525389
0.13568956
−3.3351046
0.00085267
0.11622376


ENSG00000152076
335.354352
0.1139713
0.16919723
0.6736003
0.50056547
0.97128468


ENSG00000076003
2658.18865
0.36393143
0.1130582
3.21897417
0.0012865 
0.14718363


ENSG00000144354
1393.70125
0.23222778
0.10842729
2.1417834
0.03221092
0.77572832


ENSG00000162998
57.6370134
−0.941783
0.25723544
−3.6611714
0.00025106
0.04873649


ENSG00000168542
4165.10392
0.17383754
0.11383553
1.52709391
0.12673766
0.92973396


ENSG00000138411
163.320451
−0.3615723
0.21080198
−1.7152226
0.08630442
0.92973396


ENSG00000196141
776.601835
0.63663252
0.11192759
5.68789627
1.29E−08
1.24E−05


ENSG00000055044
1896.83989
0.24357604
0.15815339
1.54012531
0.12352981
0.92973396


ENSG00000116117
65.0265805
−0.3488121
0.27995583
−1.2459542
0.21278121
0.94620299


ENSG00000118263
2447.22833
−0.2491948
0.11991325
−2.0781254
0.03769781
0.80640746


ENSG00000144406
626.451526
−0.3851756
0.20013181
−1.9246096
0.05427822
0.86173331


ENSG00000171951
3148.1728
0.23549216
0.12309774
1.91305032
0.05574161
0.86491665


ENSG00000273301
104.498087
−0.665896
0.27838202
−2.3920223
0.01675582
0.60708299


ENSG00000187514
20408.7226
0.18264609
0.17804369
1.02584984
0.30496237
0.96279754


ENSG00000168918
110.553766
−0.0686662
0.18801429
−0.3652181
0.7149486 
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ENSG00000170860
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ENSG00000138668
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ENSG00000184305
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ENSG00000182168
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ENSG00000138795
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ENSG00000164109
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ENSG00000164167
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ENSG00000151617
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ENSG00000168843
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ENSG00000151725
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ENSG00000071539
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ENSG00000112936
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ENSG00000228716
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ENSG00000164176
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ENSG00000129595
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ENSG00000113368
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ENSG00000066583
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ENSG00000145833
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ENSG00000152377
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ENSG00000113657
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ENSG00000184347
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ENSG00000120149
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ENSG00000087116
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ENSG00000054598
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ENSG00000112312
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ENSG00000026950
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ENSG00000137310
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ENSG00000096433
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ENSG00000112081
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ENSG00000112576
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ENSG00000180992
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ENSG00000008196
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ENSG00000112118
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ENSG00000202198
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ENSG00000272316
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ENSG00000230910
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ENSG00000135298
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ENSG00000079841
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ENSG00000112367
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ENSG00000155115
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ENSG00000146352
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ENSG00000203760
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ENSG00000118515
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ENSG00000146469
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ENSG00000164850
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ENSG00000122687
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ENSG00000105855
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ENSG00000122585
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ENSG00000070882
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ENSG00000122574
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ENSG00000122641
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ENSG00000272655
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ENSG00000146674
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ENSG00000225648
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ENSG00000049540
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ENSG00000186088
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ENSG00000075223
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ENSG00000164692
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ENSG00000166508
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ENSG00000173114
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ENSG00000135269
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ENSG00000179603
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ENSG00000128596
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ENSG00000128567
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ENSG00000105894
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ENSG00000090266
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ENSG00000159784
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ENSG00000174469
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ENSG00000106462
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ENSG00000197558
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ENSG00000198947
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ENSG00000147155
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ENSG00000072506
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ENSG00000133169
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ENSG00000077279
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ENSG00000260802
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ENSG00000125354
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ENSG00000009694
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ENSG00000147256
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ENSG00000171004
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ENSG00000184785
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ENSG00000124260
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ENSG00000221867
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ENSG00000198930
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ENSG00000197172
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ENSG00000182492
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ENSG00000176595
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ENSG00000173281
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ENSG00000269918
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ENSG00000104722
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ENSG00000171320
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ENSG00000120875
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ENSG00000156687
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ENSG00000104738
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ENSG00000019549
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ENSG00000254087
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ENSG00000104313
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ENSG00000250979
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ENSG00000136982
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ENSG00000147684
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ENSG00000147889
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ENSG00000165264
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ENSG00000107262
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ENSG00000137100
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ENSG00000221829
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ENSG00000119139
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ENSG00000135069
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ENSG00000148053
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ENSG00000213694
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ENSG00000165244
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ENSG00000136943
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ENSG00000136938
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ENSG00000119421
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ENSG00000136828
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ENSG00000136854
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ENSG00000187796
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ENSG00000148400
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ENSG00000130600
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ENSG00000167244
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ENSG00000166483
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ENSG00000133812
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ENSG00000050165
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ENSG00000109881
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ENSG00000157570
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ENSG00000134569
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ENSG00000165916
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ENSG00000255433
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ENSG00000134809
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ENSG00000189057
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ENSG00000168003
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ENSG00000146670
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ENSG00000172922
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ENSG00000132749
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ENSG00000033327
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ENSG00000182103
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ENSG00000150687
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ENSG00000137727
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ENSG00000109846
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ENSG00000150779
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ENSG00000188486
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ENSG00000149403
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ENSG00000137642
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ENSG00000154146
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ENSG00000149557
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ENSG00000166105
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ENSG00000255545
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ENSG00000197308
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ENSG00000151468
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ENSG00000065328
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ENSG00000078114
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ENSG00000095739
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ENSG00000165633
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ENSG00000122952
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ENSG00000138336
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ENSG00000156515
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ENSG00000107742
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ENSG00000156113
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ENSG00000187122
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ENSG00000095713
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ENSG00000099194
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ENSG00000156398
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ENSG00000108018
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ENSG00000150594
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ENSG00000165868
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ENSG00000187164
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ENSG00000119973
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ENSG00000198873
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ENSG00000148848
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ENSG00000108010
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ENSG00000188385
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ENSG00000182326
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ENSG00000139182
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ENSG00000172572
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ENSG00000084453
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ENSG00000111728
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ENSG00000057294
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ENSG00000173208
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ENSG00000018236
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ENSG00000184613
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ENSG00000170627
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ENSG00000123374
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ENSG00000011465
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ENSG00000151136
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ENSG00000076248
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ENSG00000076555
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ENSG00000060709
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ENSG00000196199
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ENSG00000165480
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ENSG00000133083
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ENSG00000276644
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ENSG00000178695
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ENSG00000088387
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ENSG00000102466
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ENSG00000125266
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ENSG00000204442
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ENSG00000274718
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ENSG00000198176
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ENSG00000259017
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ENSG00000168348
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ENSG00000174373
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ENSG00000100479
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ENSG00000020577
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ENSG00000131979
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ENSG00000070182
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ENSG00000274330
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ENSG00000119681
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ENSG00000100604
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ENSG00000182218
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ENSG00000183092
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ENSG00000259031
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ENSG00000185559
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ENSG00000254656
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ENSG00000221077
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ENSG00000080824
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ENSG00000258986
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ENSG00000184601
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ENSG00000184990
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ENSG00000185347
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ENSG00000175344
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ENSG00000051180
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ENSG00000128965
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ENSG00000137825
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ENSG00000128951
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ENSG00000138587
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ENSG00000140416
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ENSG00000166803
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ENSG00000137834
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ENSG00000128973
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ENSG00000259781
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ENSG00000140365
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ENSG00000161980
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ENSG00000161981
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ENSG00000182685
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ENSG00000162062
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ENSG00000118898
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ENSG00000175643
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ENSG00000149929
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ENSG00000179958
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ENSG00000089280
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ENSG00000091651
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ENSG00000125148
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ENSG00000125170
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ENSG00000181938
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0.14397329
0.9324271


ENSG00000140937
877.908772
−0.3842318
0.12933125
−2.970912
0.00296917
0.25853758


ENSG00000103154
145.991349
0.7941523
0.2385033
3.329733
0.00086929
0.11715522


ENSG00000103187
323.892506
0.5198921
0.18545096
2.80339405
0.00505678
0.34463288


ENSG00000131153
656.796472
0.275189
0.16830245
1.6350861
0.102031 
0.92973396


ENSG00000167523
188.06405
0.42695575
0.17940157
2.37988856
0.01731787
0.6160856


ENSG00000129235
583.92011
0.10292859
0.22814813
0.45114806
0.65188284
0.98262846


ENSG00000129255
781.585056
0.24381096
0.15807898
1.54233637
0.12299188
0.92973396


ENSG00000179111
51.1174922
−1.1130669
0.30901508
−3.6019825
0.0003158 
0.05303179


ENSG00000172301
496.16905
0.0114348
0.19739875
0.0579274
0.95380646
0.99775935


ENSG00000267321
129.437949
0.4429854
0.23943359
1.85013891
0.06429353
0.89893273


ENSG00000173991
58.3180863
0.09961797
0.26687803
0.37327154
0.70894636
0.98450389


ENSG00000094804
869.943664
0.47947377
0.13396667
3.57905283
0.00034484
0.05700396


ENSG00000167920
98.9983987
0.74315315
0.22333709
3.32749538
0.0008763 
0.11735269


ENSG00000108861
614.956278
−0.2113875
0.11776424
−1.795006
0.07265275
0.92346595


ENSG00000186868
1366.26959
−0.194091
0.12898464
−1.5047604
0.13238568
0.92973396


ENSG00000108465
1821.35087
−0.2405867
0.14306775
−1.6816279
0.09264102
0.92973396


ENSG00000239672
595.254447
0.21847413
0.24155497
0.90444891
0.36575741
0.96401724


ENSG00000087191
1942.01786
0.114369
0.14891412
0.7680199
0.44247536
0.9694822


ENSG00000154229
11045.3539
−0.2440105
0.16686212
−1.4623481
0.14364586
0.9324271


ENSG00000075461
5066.4808
−0.4208653
0.14321409
−2.9387145
0.00329576
0.27454758


ENSG00000180616
156.262292
0.53096895
0.20701024
2.56494053
0.01031935
0.48686308


ENSG00000125450
964.009726
0.10488054
0.11769573
0.891116
0.37286694
0.96401724


ENSG00000161547
3572.4897
0.20695768
0.18429832
1.12294933
0.26145901
0.96256622


ENSG00000167900
835.760296
0.26905863
0.17402506
1.54609124
0.12208253
0.92973396


ENSG00000089685
1727.20212
0.11980298
0.14319729
0.83662885
0.40280122
0.9694822


ENSG00000224877
917.86588
−0.0058616
0.26617762
−0.0220215
0.98243081
0.9985054


ENSG00000183048
119.565826
−0.1171642
0.29644942
−0.3952248
0.69267697
0.98450389


ENSG00000183684
2016.78563
0.12190535
0.2146526
0.56791925
0.5700898 
0.97809273


ENSG00000176890
588.137002
0.30168047
0.16073557
1.87687433
0.06053532
0.88626863


ENSG00000080986
668.269042
0.21836165
0.16801893
1.29962528
0.19372943
0.94056812


ENSG00000173482
140.970869
−0.4488115
0.17756567
−2.5275803
0.01148516
0.51595416


ENSG00000141441
565.882074
−0.4808479
0.15398766
−3.1226391
0.00179237
0.18233093


ENSG00000166974
675.182292
−0.0130867
0.13634286
−0.0959838
0.92353347
0.99569987


ENSG00000184828
82.934306
−0.6538893
0.21403185
−3.0551025
0.00224984
0.21171292


ENSG00000125835
2607.27947
0.03798674
0.20873987
0.18198124
0.85559744
0.99145366


ENSG00000101361
2102.08274
0.18117959
0.10788305
1.67940736
0.09307268
0.92973396


ENSG00000088854
738.906445
−0.0951501
0.13527763
−0.703369
0.48182581
0.97128468


ENSG00000132646
3349.40447
0.37415017
0.16197519
2.30992266
0.02089244
0.66157976


ENSG00000089199
2028.44486
−0.347687
0.09566941
−3.6342546
0.00027879
0.0512941


ENSG00000125869
699.512665
0.42043807
0.14282315
2.94376702
0.00324244
0.27224915


ENSG00000101003
620.311777
0.42742383
0.16010918
2.66957724
0.00759468
0.42177386


ENSG00000125968
1196.66942
−0.0280856
0.22547338
−0.1245627
0.90086975
0.99474038


ENSG00000101412
1344.81629
0.19732817
0.16408712
1.20258172
0.22913823
0.95445475


ENSG00000149636
402.47954
0.18243322
0.16447072
1.10921398
0.26733788
0.96256622


ENSG00000204103
312.707527
0.19095551
0.19120692
0.99868514
0.31794724
0.96279754


ENSG00000101057
3301.17794
0.16118452
0.12814535
1.2578258
0.20845476
0.9423199


ENSG00000124191
489.704233
−0.2269958
0.18862065
−1.2034513
0.22880173
0.95445475


ENSG00000158445
255.203877
−0.2688332
0.18738444
−1.4346615
0.15138358
0.9339277


ENSG00000124216
355.278159
0.04686198
0.16402772
0.28569551
0.77511135
0.98663988


ENSG00000054803
24.1796649
−2.6049882
0.50740764
−5.133916
2.84E−07
0.00018356


ENSG00000101144
48.55399
−1.8673004
0.31487404
−5.9303091
3.02E−09
3.37E−06


ENSG00000130270
92.4956445
−0.7382357
0.21784803
−3.3887647
0.00070208
0.09880993


ENSG00000167670
1247.79762
0.2590725
0.13421422
1.93029095
0.0535708 
0.86173331


ENSG00000280239
22.7532849
0.63388466
0.50842516
1.24676098
0.21248515
0.94608273


ENSG00000276043
1534.19026
0.23078829
0.16128597
1.43092601
0.15245142
0.93425563


ENSG00000205744
120.232388
−0.4754966
0.18707825
−2.5416988
0.01103152
0.50944234


ENSG00000099783
5464.83442
0.15337458
0.1451777
1.05646099
0.29075765
0.96279754


ENSG00000198258
2152.44738
0.00906974
0.23304084
0.03891912
0.96895487
0.99796143


ENSG00000161888
510.174599
0.26072265
0.17160437
1.51932411
0.12868093
0.92973396


ENSG00000104889
1000.50637
0.14939857
0.19562156
0.76371222
0.44503876
0.9694822


ENSG00000105011
508.492535
0.23692308
0.12747069
1.85864754
0.06307711
0.89393747


ENSG00000123136
1562.21912
−0.0018301
0.17650759
−0.0103686
0.9917272 
0.99915206


ENSG00000105393
339.472345
0.05673895
0.21631484
0.26229799
0.79309171
0.98801156


ENSG00000105639
119.482856
−0.6120881
0.18492117
−3.3099949
0.00093298
0.12037108


ENSG00000160161
160.686702
−0.6778684
0.24125684
−2.8097375
0.00495819
0.34284437


ENSG00000269416
339.54691
0.30783494
0.1478261
2.08241263
0.0373048 
0.80450709


ENSG00000105173
388.91138
0.26403937
0.15536367
1.69949236
0.08922645
0.92973396


ENSG00000124302
560.471054
0.11826319
0.21629216
0.5467752
0.58453318
0.97969186


ENSG00000011332
433.045432
0.06655107
0.23544038
0.28266634
0.77743262
0.98663988


ENSG00000125746
301.72452
−0.3897162
0.1592941
−2.4465203
0.01442427
0.57261359


ENSG00000124440
96.4992964
−0.5963667
0.2030197
−2.9374819
0.00330889
0.2745604


ENSG00000105281
1168.99505
0.0804705
0.15071729
0.53391686
0.59339906
0.97969186


ENSG00000142230
2731.46721
0.20895398
0.12344512
1.6926872
0.09051502
0.92973396


ENSG00000142552
199.303656
−0.0406611
0.21952019
−0.1852271
0.85305091
0.99145366


ENSG00000167747
881.673158
0.04936715
0.16329587
0.30231717
0.76241029
0.98663988


ENSG00000093009
724.72203
0.33752276
0.12681742
2.66148581
0.00777966
0.42645043


ENSG00000099901
3673.15568
0.19665008
0.18143211
1.08387694
0.27841937
0.96279754


ENSG00000100024
27.9159568
−1.1135486
0.36160379
−3.0794715
0.00207368
0.2012708


ENSG00000100297
1649.10322
0.14522839
0.14478781
1.00304288
0.31584017
0.96279754


ENSG00000128283
159.970264
0.33172317
0.23603595
1.40539256
0.15990458
0.93901912


ENSG00000100129
6351.35552
0.00738734
0.10523472
0.07019867
0.94403553
0.99699764


ENSG00000128272
3378.9489
0.27211054
0.1394185
1.95175351
0.05096748
0.85628493


ENSG00000100162
136.328755
0.15377922
0.22082824
0.69637481
0.48619413
0.97128468


ENSG00000202058
21.2434535
−3.4772339
0.6889469
−5.0471726
4.48E−07
0.00027107


ENSG00000100416
916.810683
−0.0377248
0.13167796
−0.2864928
0.77450072
0.98663988


ENSG00000025770
880.821129
0.07351208
0.15808084
0.46502838
0.64191113
0.98262846


ENSG00000277437
53.4048221
−4.3616282
0.92575931
−4.7114062
2.46E−06
0.00126961


ENSG00000277105
13850.374
−3.7359464
0.87572583
−4.2661142
1.99E−05
0.00689946


ENSG00000276737
409.786811
−4.1856208
0.95803671
−4.3689566
1.25E−05
0.00463425


ENSG00000274735
322.607828
−3.5733746
0.79355053
−4.5030208
6.70E−06
0.00283507


ENSG00000279718
56.5409922
−0.4562904
0.25764509
−1.7710037
0.07656009
0.92973396


ENSG00000154734
2372.64189
−0.181198
0.10233728
−1.7705962
0.07662787
0.92973396


ENSG00000154736
211.849603
−0.6338525
0.19320165
−3.2807818
0.0010352 
0.1288456


ENSG00000159055
372.534032
−0.0273056
0.18661563
−0.1463199
0.88366889
0.99281445


ENSG00000159259
510.048758
0.29548622
0.12747487
2.31799588
0.02044954
0.65251636


ENSG00000183527
375.521209
0.25103341
0.14870492
1.68813121
0.09138605
0.92973396


ENSG00000160179
150.495894
−0.0435039
0.19922442
−0.2183661
0.82714385
0.99145366


ENSG00000228709
459.974012
−0.3256038
0.20961332
−1.5533546
0.12033844
0.92973396


ENSG00000175894
596.369164
−0.543398
0.17905007
−3.0348942
0.0024062 
0.22040175


ENSG00000235890
709.057452
−0.6104192
0.23675801
−2.5782408
0.00993048
0.48082139


ENSG00000182912
1286.0869
−0.5044724
0.15264589
−3.3048541
0.00095026
0.12185769
















TABLE 7







Differential gene Expression_DESeq2_dC_Mock















Log2 Fold







Base Mean
Change
Lfcse
Stat
Pvalue
Padj

















ENSG00000227232
150.313092
−0.6637818
0.2201574
−3.0150331
0.00256951
0.04770747


ENSG00000228794
421.20101
0.42393973
0.14148654
2.99632562
0.00273254
0.0498616 


ENSG00000221978
4011.35976
−0.3568485
0.1083594
−3.2931936
0.00099056
0.02344469


ENSG00000171680
539.748302
−0.7637991
0.23686928
−3.2245594
0.00126167
0.02798757


ENSG00000049249
11.137498
3.05237817
0.69290435
4.40519413
1.06E−05
0.00065939


ENSG00000171608
251.374075
−0.6182372
0.18656927
−3.3137139
0.00092066
0.0222241 


ENSG00000116661
127.72285
−0.8718779
0.24665415
−3.5348196
0.00040805
0.0124098 


ENSG00000177000
373.463612
−0.4942737
0.15028511
−3.288907
0.00100577
0.02363921


ENSG00000070886
191.138666
−0.9506329
0.25467523
−3.7327261
0.00018942
0.00666895


ENSG00000249087
124.251797
−0.723928
0.22711975
−3.1874285
0.00143544
0.03075569


ENSG00000007968
639.194696
0.69034806
0.14061242
4.90958086
9.13E−07
8.28E−05


ENSG00000169504
3161.94974
0.55711554
0.17282768
3.2235319
0.0012662 
0.0280515 


ENSG00000127423
102.054816
0.70556844
0.23455072
3.00817008
0.00262826
0.0483224 


ENSG00000117748
1234.30582
0.45715662
0.14313938
3.19378647
0.0014042 
0.03043329


ENSG00000134684
2095.07881
0.37255086
0.11130168
3.34721692
0.00081627
0.02052171


ENSG00000092853
835.308296
0.91142759
0.18609809
4.89756559
9.70E−07
8.71E−05


ENSG00000183317
169.763339
−0.7525365
0.20976424
−3.587535
0.00033382
0.01051003


ENSG00000116990
137.955411
−0.722962
0.23059006
−3.1352697
0.00171696
0.0347695 


ENSG00000132780
6332.75757
0.53919787
0.12424234
4.33988806
1.43E−05
0.00085786


ENSG00000085999
325.676153
0.521018
0.16537993
3.15043059
0.0016303 
0.03349066


ENSG00000123473
504.833466
0.61162574
0.18990419
3.22070691
0.00127875
0.02821894


ENSG00000162374
10995.5619
0.5332
0.1569422
3.39742905
0.00068022
0.01806474


ENSG00000169213
192.784416
0.6366386
0.20769573
3.06524641
0.00217491
0.04184601


ENSG00000085840
357.351495
0.84352107
0.16627919
5.07292036
3.92E−07
4.00E−05


ENSG00000116133
1258.35855
0.7276945
0.12826784
5.67324211
1.40E−08
2.24E−06


ENSG00000162407
227.302124
−1.2332801
0.19863204
−6.208868
5.34E−10
1.15E−07


ENSG00000162607
1756.01494
0.65180864
0.16593353
3.92813098
8.56E−05
0.00359611


ENSG00000172380
750.651241
0.67028482
0.20084746
3.33728296
0.00084602
0.0210512 


ENSG00000024526
760.935777
0.66962508
0.21213703
3.15656854
0.00159637
0.03307749


ENSG00000172260
196.886238
0.77155651
0.22426731
3.44034313
0.00058098
0.01603119


ENSG00000178965
215.550561
1.2174429
0.23760781
5.12374941
3.00E−07
3.20E−05


ENSG00000162614
30.4035506
1.75610244
0.40102143
4.37907384
1.19E−05
0.00073816


ENSG00000142871
226.188748
1.71192707
0.16864262
10.1512123
3.27E−24
3.27E−21


ENSG00000143013
215.289297
−0.8542431
0.23033505
−3.7086977
0.00020833
0.0072594 


ENSG00000197147
789.695287
0.62936817
0.1889682
3.33055062
0.00086674
0.02137885


ENSG00000162664
1022.08734
0.60869157
0.15761332
3.86192988
0.00011249
0.00450245


ENSG00000223745
331.552952
−0.6510476
0.15866507
−4.1032823
4.07E−05
0.00200359


ENSG00000237954
49.4200112
−2.2651139
0.357457
−6.3367452
2.35E−10
5.46E−08


ENSG00000228971
282.287961
−0.7247427
0.20674774
−3.5054442
0.00045585
0.01348914


ENSG00000099260
36.5706791
2.00301986
0.36203884
5.53261047
3.15E−08
4.50E−06


ENSG00000156876
473.837278
0.6729561
0.17552947
3.83386399
0.00012615
0.00491465


ENSG00000162692
19.5290366
2.97446941
0.47228842
6.29799352
3.02E−10
6.73E−08


ENSG00000060718
173.362961
1.33086064
0.21521833
6.1837699
6.26E−10
1.31E−07


ENSG00000184371
88.1023102
1.43386743
0.26377725
5.43590256
5.45E−08
7.23E−06


ENSG00000116396
116.688511
−0.8577976
0.22182262
−3.8670429
0.00011016
0.00441954


ENSG00000116774
73.1656435
0.83557761
0.25032969
3.33790849
0.00084412
0.0210512 


ENSG00000183508
36.5158056
1.53956072
0.33886134
4.54333539
5.54E−06
0.00037737


ENSG00000092621
3312.3205
0.54052143
0.15894843
3.40060876
0.00067236
0.017912 


ENSG00000265972
8541.57977
−0.9091396
0.13185748
−6.8948658
5.39E−12
1.91E−09


ENSG00000162836
280.765018
−0.5545233
0.16024495
−3.4604731
0.00053923
0.01517527


ENSG00000203814
22.7288953
−1.915018
0.4836941
−3.959151
7.52E−05
0.00327289


ENSG00000184678
208.124549
−0.7327504
0.21564337
−3.3979733
0.00067887
0.0180571 


ENSG00000143401
4332.62512
0.6869099
0.16035718
4.28362434
1.84E−05
0.00103665


ENSG00000197747
13.5573855
2.25415276
0.59308008
3.80075617
0.00014426
0.00546431


ENSG00000143578
311.463247
−0.7392861
0.16916428
−4.3702258
1.24E−05
0.00076039


ENSG00000160691
5930.36505
−0.6437534
0.16505204
−3.9003055
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ENSG00000143320
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ENSG00000143303
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ENSG00000198400
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ENSG00000027644
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ENSG00000183853
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ENSG00000158710
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ENSG00000162745
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1.87E−06


ENSG00000000460
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ENSG00000135829
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ENSG00000198860
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ENSG00000135842
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ENSG00000118193
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ENSG00000159176
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ENSG00000163431
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ENSG00000228288
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ENSG00000143847
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ENSG00000163545
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ENSG00000143486
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ENSG00000076356
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ENSG00000117595
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ENSG00000198570
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ENSG00000170385
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ENSG00000143476
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ENSG00000152104
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ENSG00000117724
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ENSG00000092969
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ENSG00000163050
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ENSG00000181218
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ENSG00000196890
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ENSG00000168264
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ENSG00000180875
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ENSG00000174371
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2.25E−06


ENSG00000115738
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ENSG00000171848
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5.50E−09


ENSG00000178295
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ENSG00000138092
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ENSG00000234072
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ENSG00000075426
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ENSG00000213626
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ENSG00000172954
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ENSG00000049323
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6.32E−14


ENSG00000150938
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ENSG00000152133
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ENSG00000225156
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ENSG00000116016
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ENSG00000234690
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ENSG00000095002
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ENSG00000116062
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ENSG00000143942
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ENSG00000173209
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ENSG00000169764
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ENSG00000115902
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ENSG00000144043
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ENSG00000163017
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7.73E−56


ENSG00000065911
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ENSG00000115363
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ENSG00000168874
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ENSG00000068615
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ENSG00000121152
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8.21E−06


ENSG00000115073
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ENSG00000170500
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ENSG00000228528
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ENSG00000115665
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ENSG00000169679
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ENSG00000169607
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ENSG00000175497
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ENSG00000076003
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6.17E−09


ENSG00000150540
29.7334973
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0.0020618 


ENSG00000144227
25.9240804
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ENSG00000187123
361.932957
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ENSG00000123610
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ENSG00000115159
242.299623
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8.63E−05
0.00361403


ENSG00000152253
385.895688
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ENSG00000128683
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ENSG00000071967
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ENSG00000128708
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ENSG00000091436
817.824625
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0.04219952


ENSG00000144354
1393.70125
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ENSG00000170144
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ENSG00000138448
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ENSG00000168542
4165.10392
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7.83E−23


ENSG00000144395
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ENSG00000163535
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ENSG00000155755
1144.77411
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0.0046464 


ENSG00000155760
1477.73117
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1.60E−08
2.51E−06


ENSG00000118257
75.9005249
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9.24E−05
0.00382444


ENSG00000114948
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ENSG00000115414
1669.50945
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3.64E−11
1.06E−08


ENSG00000279348
252.769425
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0.00625206


ENSG00000260804
562.956932
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0.00024996


ENSG00000115461
5652.74255
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0.00148318


ENSG00000163516
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ENSG00000237732
191.314287
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0.0435345 


ENSG00000163082
260.376734
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2.73E−09
4.98E−07


ENSG00000123983
1337.59815
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7.04E−05
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ENSG00000182600
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ENSG00000168918
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ENSG00000123485
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ENSG00000132329
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ENSG00000134121
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ENSG00000180914
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0.02784906


ENSG00000070950
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ENSG00000196220
217.688378
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ENSG00000214021
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ENSG00000144554
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ENSG00000196639
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ENSG00000263740
23.322155
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ENSG00000129810
196.192927
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0.02336501


ENSG00000173705
34.9328488
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ENSG00000229589
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ENSG00000144655
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ENSG00000163808
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ENSG00000164045
875.156728
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5.32E−08
7.11E−06


ENSG00000270441
40.8459775
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0.02351022


ENSG00000164062
1833.36451
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ENSG00000230454
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ENSG00000012171
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ENSG00000164082
145.409554
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0.00270244


ENSG00000163932
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ENSG00000144730
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0.03685085


ENSG00000163376
92.3624215
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1.58E−05
0.00092263


ENSG00000185008
288.228115
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3.32E−06


ENSG00000057019
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0.02363921


ENSG00000168386
165.338596
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2.86E−29
4.85E−26


ENSG00000154175
82.9068122
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7.39E−05
0.00322534


ENSG00000163507
633.826231
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1.12E−06
9.74E−05


ENSG00000144824
167.235802
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2.38E−12
8.77E−10


ENSG00000091986
104.099881
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8.42E−05


ENSG00000121579
2105.59893
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0.01371601


ENSG00000185565
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0.04823232


ENSG00000163430
2754.92815
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7.27E−10
1.49E−07


ENSG00000051341
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0.00543576


ENSG00000173193
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ENSG00000206527
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ENSG00000065534
344.220933
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5.4018652
6.60E−08
8.31E−06


ENSG00000082781
140.579635
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0.20867305
3.48258868
0.00049659
0.0142833 


ENSG00000173706
208.19034
1.25219745
0.20437393
6.12699217
8.96E−10
1.77E−07


ENSG00000073111
2721.55265
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4.01739254
5.88E−05
0.00272101


ENSG00000114626
218.588082
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0.01675105


ENSG00000206384
24.5615613
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4.00829116
6.12E−05
0.00276032


ENSG00000163710
29.8041431
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0.03163106


ENSG00000144891
30.9187812
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0.00114505
0.0260126 


ENSG00000163762
51.0116089
−10.517562
1.46961191
−7.1566936
8.26E−13
3.34E−10


ENSG00000163661
64.2209448
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4.88800169
1.02E−06
9.00E−05


ENSG00000113810
3427.02789
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3.78304916
0.00015492
0.00577796


ENSG00000169255
181.053948
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0.23833334
5.63189518
1.78E−08
2.75E−06


ENSG00000114200
65.2453712
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1.82E−09
3.40E−07


ENSG00000085276
32.5717915
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0.48312474
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9.54E−15
4.91E−12


ENSG00000114346
1589.61263
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0.17983876
4.15002278
3.32E−05
0.00169926


ENSG00000169760
116.220914
1.01616911
0.25491445
3.98631421
6.71E−05
0.00300479


ENSG00000145198
111.716628
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0.24809272
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2.18E−07
2.45E−05


ENSG00000145012
53.354428
2.39774782
0.33952184
7.06213132
1.64E−12
6.32E−10


ENSG00000180611
152.301745
0.75071122
0.20264291
3.70460138
0.00021172
0.0073626 


ENSG00000114315
101.78102
1.01011815
0.33084799
3.05311862
0.00226476
0.04308497


ENSG00000072274
3124.46183
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0.16596189
4.28615219
1.82E−05
0.00103179


ENSG00000119227
93.266148
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0.25853396
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0.00067018
0.01788196


ENSG00000163975
350.262103
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0.23034077
−3.3731198
0.00074322
0.01925554


ENSG00000186777
49.3564808
1.19327385
0.30266105
3.94260792
8.06E−05
0.00346695


ENSG00000215375
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ENSG00000127415
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ENSG00000168936
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ENSG00000123933
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ENSG00000181215
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ENSG00000178163
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1.74E−05
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ENSG00000109805
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7.32E−06
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ENSG00000038210
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ENSG00000091490
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ENSG00000163394
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ENSG00000163697
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ENSG00000188848
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ENSG00000145248
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ENSG00000134853
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ENSG00000174799
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ENSG00000084092
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ENSG00000138758
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ENSG00000138675
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8.19E−05


ENSG00000189308
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ENSG00000184305
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ENSG00000163110
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ENSG00000155011
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ENSG00000138795
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ENSG00000138658
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ENSG00000172403
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ENSG00000145390
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ENSG00000138735
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ENSG00000164109
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ENSG00000164111
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ENSG00000145386
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ENSG00000142731
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ENSG00000151012
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ENSG00000061918
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ENSG00000168843
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ENSG00000245213
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ENSG00000237125
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ENSG00000250043
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ENSG00000251216
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ENSG00000151725
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ENSG00000071539
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ENSG00000215218
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ENSG00000112977
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ENSG00000145569
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ENSG00000250448
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ENSG00000113407
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ENSG00000039560
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ENSG00000113594
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ENSG00000145623
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ENSG00000112936
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ENSG00000198865
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ENSG00000250722
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ENSG00000112972
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ENSG00000259663
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ENSG00000016082
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ENSG00000164171
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ENSG00000123219
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ENSG00000145675
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ENSG00000131711
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ENSG00000171617
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ENSG00000145703
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ENSG00000145685
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ENSG00000113273
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ENSG00000228716
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ENSG00000038427
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ENSG00000164176
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ENSG00000245526
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ENSG00000133302
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ENSG00000113083
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ENSG00000113368
2767.97899
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ENSG00000064651
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ENSG00000113396
153.87229
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6.30E−07
6.00E−05


ENSG00000170606
4602.42671
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0.03591476


ENSG00000145833
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ENSG00000164616
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ENSG00000120708
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ENSG00000271824
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ENSG00000146013
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ENSG00000228672
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ENSG00000113070
183.892498
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1.79E−16


ENSG00000113108
340.549821
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ENSG00000113657
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ENSG00000178776
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3.01E−07
3.20E−05


ENSG00000113140
2152.72916
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8.16E−21
6.92E−18


ENSG00000145907
3028.78286
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ENSG00000164574
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ENSG00000135074
340.949329
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ENSG00000172548
15.9517673
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ENSG00000164330
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ENSG00000040275
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0.00249034


ENSG00000175309
354.770726
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ENSG00000087116
228.336828
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ENSG00000233937
59.0548755
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ENSG00000168994
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ENSG00000270504
21.8859549
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2.49E−05
0.00135438


ENSG00000260604
17.1382489
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7.07E−07
6.67E−05


ENSG00000111859
386.637165
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ENSG00000212802
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ENSG00000007944
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ENSG00000124795
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ENSG00000172201
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ENSG00000152954
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ENSG00000274267
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ENSG00000180573
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ENSG00000168298
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ENSG00000197409
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ENSG00000276966
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ENSG00000184357
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0.00904198


ENSG00000137310
490.430255
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ENSG00000168394
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ENSG00000096060
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ENSG00000124762
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ENSG00000124587
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ENSG00000044090
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ENSG00000008196
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3.05E−06


ENSG00000112118
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7.37E−10


ENSG00000202198
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ENSG00000112208
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ENSG00000146143
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ENSG00000230910
192.275141
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3.84E−08


ENSG00000135298
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ENSG00000118407
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3.91E−06
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ENSG00000065609
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ENSG00000203877
459.938972
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4.43E−05
0.0021518 


ENSG00000112837
24.706155
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3.29E−06
0.0002447 


ENSG00000135318
28.0498738
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0.03257065


ENSG00000146278
954.306545
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ENSG00000118412
789.235539
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3.46480672
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0.0150075 


ENSG00000146263
618.483005
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3.45678532
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0.01534913


ENSG00000184486
214.087184
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3.70E−05
0.00183385


ENSG00000135596
1851.24624
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0.00016044
0.0059187 


ENSG00000111885
533.905017
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0.19628127
4.22901092
2.35E−05
0.00128907


ENSG00000118515
1176.5287
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8.86047505
7.97E−19
5.88E−16


ENSG00000118513
130.754024
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4.67E−05
0.00225587


ENSG00000171408
347.278409
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3.5409961
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0.0122325 


ENSG00000029363
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3.31958375
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0.02188663


ENSG00000051620
46.3131638
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ENSG00000118495
364.227032
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ENSG00000120256
423.229688
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0.00103271
0.02403999


ENSG00000131016
4998.17369
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3.11288179
0.0018527 
0.03694519


ENSG00000146469
906.476132
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0.2017947
4.53102817
5.87E−06
0.00039216


ENSG00000112029
967.627312
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4.87620974
1.08E−06
9.51E−05


ENSG00000078269
182.866354
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0.21077641
5.71436634
1.10E−08
1.83E−06


ENSG00000026297
176.18014
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0.00208614
0.04037148


ENSG00000164850
182.544241
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0.04203154


ENSG00000164638
2955.51358
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0.00035799
0.01106566


ENSG00000003147
2985.59074
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0.12846535
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3.99E−08
5.64E−06


ENSG00000006468
321.62806
0.6443321
0.18262218
3.52822485
0.00041836
0.0126777 


ENSG00000173452
8.76484616
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0.77944109
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0.00012069
0.00472993


ENSG00000122566
22454.8179
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3.49226401
0.00047894
0.01389349


ENSG00000255690
744.770647
−0.6351112
0.1480364
−4.2902364
1.78E−05
0.0010164 


ENSG00000106066
21.0391635
1.36076094
0.44020713
3.0911833
0.00199361
0.03910311


ENSG00000106105
4400.30784
0.56415584
0.10387851
5.43091983
5.61E−08
7.38E−06


ENSG00000164619
74.6718287
1.06222536
0.26439031
4.01764097
5.88E−05
0.00272101


ENSG00000011426
1657.71398
0.61812924
0.17639289
3.50427527
0.00045785
0.01348914


ENSG00000164543
624.32484
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0.17026889
3.22647858
0.00125324
0.02786035


ENSG00000105968
4061.78086
0.36800262
0.11569985
3.18066619
0.00146937
0.0312863 


ENSG00000146674
5646.90033
0.52960291
0.09681834
5.47006794
4.50E−08
6.26E−06


ENSG00000136205
329.545343
0.83618366
0.23346419
3.58163572
0.00034145
0.01067947


ENSG00000132436
873.350924
0.72347195
0.17316039
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ENSG00000132437
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ENSG00000146648
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ENSG00000154978
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ENSG00000196247
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ENSG00000234215
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ENSG00000009954
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ENSG00000176428
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ENSG00000165171
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ENSG00000049540
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ENSG00000223705
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ENSG00000153993
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ENSG00000105810
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ENSG00000177409
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ENSG00000105825
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ENSG00000164692
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ENSG00000242265
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ENSG00000158560
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ENSG00000105880
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ENSG00000070669
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ENSG00000197093
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ENSG00000213420
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ENSG00000106366
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ENSG00000128606
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ENSG00000173114
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ENSG00000071243
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ENSG00000106034
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ENSG00000273329
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ENSG00000128510
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ENSG00000106484
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ENSG00000122786
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ENSG00000105894
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ENSG00000106462
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ENSG00000197558
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ENSG00000127399
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ENSG00000188707
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ENSG00000187260
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ENSG00000239911
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ENSG00000261455
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ENSG00000196584
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ENSG00000273344
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ENSG00000146918
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ENSG00000101846
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ENSG00000101871
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ENSG00000205542
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ENSG00000181544
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ENSG00000184368
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ENSG00000101868
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ENSG00000069535
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ENSG00000102317
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ENSG00000274588
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ENSG00000184194
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ENSG00000072501
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ENSG00000090889
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ENSG00000186871
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ENSG00000102384
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ENSG00000147224
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ENSG00000101888
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ENSG00000102024
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ENSG00000147251
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ENSG00000131724
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ENSG00000101972
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ENSG00000009694
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ENSG00000147256
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8.58E−48


ENSG00000171004
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ENSG00000076716
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4.65E−05


ENSG00000147257
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ENSG00000223749
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ENSG00000184785
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ENSG00000178947
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ENSG00000022267
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ENSG00000155495
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ENSG00000029993
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ENSG00000124260
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ENSG00000154319
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ENSG00000036565
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ENSG00000168490
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ENSG00000134013
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ENSG00000104722
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ENSG00000184661
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ENSG00000120885
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ENSG00000168077
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ENSG00000171320
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ENSG00000120875
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ENSG00000133863
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ENSG00000147526
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ENSG00000168615
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ENSG00000176907
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ENSG00000104332
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ENSG00000147536
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ENSG00000104368
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ENSG00000104738
3569.65926
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ENSG00000137563
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ENSG00000185697
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ENSG00000121039
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ENSG00000123119
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ENSG00000175305
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ENSG00000156466
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ENSG00000132561
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ENSG00000253948
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ENSG00000136960
2294.842
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ENSG00000136982
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ENSG00000170961
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ENSG00000156802
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ENSG00000173334
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ENSG00000136997
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ENSG00000155897
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ENSG00000104419
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ENSG00000008513
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ENSG00000198576
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ENSG00000253716
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ENSG00000181085
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ENSG00000261150
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ENSG00000255182
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ENSG00000107249
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ENSG00000120217
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ENSG00000147872
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ENSG00000086062
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ENSG00000186638
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ENSG00000165304
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ENSG00000198963
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ENSG00000148019
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ENSG00000135069
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ENSG00000178966
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ENSG00000213694
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ENSG00000165244
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ENSG00000136943
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ENSG00000136824
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ENSG00000148219
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ENSG00000056558
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ENSG00000148175
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2.45E−05


ENSG00000185585
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ENSG00000171097
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ENSG00000130635
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7.21E−08


ENSG00000187609
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ENSG00000069696
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0.03685085


ENSG00000177106
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ENSG00000255284
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ENSG00000226416
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ENSG00000232987
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ENSG00000130600
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ENSG00000167244
350.661076
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1.89E−18


ENSG00000110628
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ENSG00000167325
2385.72357
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0.00014732


ENSG00000132256
29.9547956
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0.02363921


ENSG00000166483
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4.2206807
2.44E−05
0.00133333


ENSG00000133816
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10.351869
4.10E−25
4.64E−22


ENSG00000197702
102.892164
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3.93069072
8.47E−05
0.00357561


ENSG00000133794
724.030193
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ENSG00000187486
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ENSG00000270607
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ENSG00000198168
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0.03279657


ENSG00000066382
443.273746
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1.81E−10
4.26E−08


ENSG00000085063
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0.00141531
0.03059591


ENSG00000166016
182.792179
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0.00183194
0.0366605 


ENSG00000026508
193.463753
1.52944934
0.19304153
7.92290325
2.32E−15
1.31E−12


ENSG00000175097
8.72479401
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1.61234436
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0.01408495


ENSG00000148948
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0.00205155
0.03997111


ENSG00000134574
534.744597
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ENSG00000255433
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ENSG00000189057
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ENSG00000168496
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ENSG00000124942
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ENSG00000068831
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ENSG00000146670
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ENSG00000014138
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ENSG00000172803
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ENSG00000179292
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ENSG00000006534
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ENSG00000132749
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ENSG00000110092
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ENSG00000162344
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ENSG00000171631
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ENSG00000165490
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ENSG00000151376
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ENSG00000150687
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ENSG00000174804
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ENSG00000149218
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ENSG00000184384
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ENSG00000137727
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ENSG00000204381
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ENSG00000109846
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ENSG00000250303
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ENSG00000149591
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ENSG00000184232
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ENSG00000149403
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ENSG00000154146
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ENSG00000149548
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ENSG00000149554
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ENSG00000067082
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ENSG00000173848
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ENSG00000065328
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ENSG00000026025
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ENSG00000120594
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ENSG00000078114
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ENSG00000204682
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ENSG00000099256
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ENSG00000231976
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ENSG00000120539
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ENSG00000099250
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ENSG00000107562
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ENSG00000197444
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ENSG00000107984
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ENSG00000122952
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ENSG00000165443
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ENSG00000182010
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ENSG00000138346
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ENSG00000165655
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ENSG00000156113
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ENSG00000198682
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ENSG00000227268
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ENSG00000107796
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ENSG00000148677
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ENSG00000138160
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ENSG00000138119
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ENSG00000119969
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ENSG00000107438
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ENSG00000236552
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ENSG00000235823
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ENSG00000166169
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ENSG00000156374
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ENSG00000065613
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ENSG00000108055
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ENSG00000198825
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ENSG00000166033
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ENSG00000227076
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ENSG00000188385
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ENSG00000171798
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ENSG00000165828
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ENSG00000111206
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ENSG00000130038
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ENSG00000111247
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ENSG00000111653
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ENSG00000139182
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ENSG00000111341
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ENSG00000172572
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ENSG00000004700
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ENSG00000121361
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ENSG00000111728
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ENSG00000060982
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ENSG00000211455
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ENSG00000029153
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ENSG00000064763
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ENSG00000151233
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ENSG00000173157
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ENSG00000139636
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ENSG00000161800
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ENSG00000050426
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ENSG00000139629
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ENSG00000050438
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ENSG00000161835
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ENSG00000111057
42.6287927
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ENSG00000012822
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ENSG00000161638
36.0053856
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ENSG00000170627
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ENSG00000182796
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ENSG00000111602
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ENSG00000174099
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ENSG00000127324
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ENSG00000139278
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ENSG00000165891
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ENSG00000070961
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ENSG00000011465
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ENSG00000198431
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ENSG00000136010
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ENSG00000074590
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ENSG00000151136
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ENSG00000111249
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ENSG00000111271
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ENSG00000135111
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ENSG00000111445
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ENSG00000139725
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ENSG00000212694
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ENSG00000184445
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ENSG00000188026
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ENSG00000184992
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ENSG00000060709
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ENSG00000165480
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ENSG00000127863
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ENSG00000151849
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ENSG00000120694
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ENSG00000139618
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ENSG00000133119
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ENSG00000180660
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ENSG00000120693
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ENSG00000150907
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ENSG00000139687
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ENSG00000136108
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ENSG00000139734
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ENSG00000276644
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ENSG00000152193
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ENSG00000102580
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ENSG00000043355
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ENSG00000204442
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7.71E−05


ENSG00000274718
105.845859
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ENSG00000187498
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ENSG00000126218
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ENSG00000198176
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ENSG00000100968
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ENSG00000259017
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0.04986004


ENSG00000168348
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7.73E−06


ENSG00000100479
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0.00093244


ENSG00000100504
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ENSG00000073712
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ENSG00000131979
905.131557
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ENSG00000198554
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5.58E−05


ENSG00000131981
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0.00086214


ENSG00000184302
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0.00596452


ENSG00000179841
150.955423
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6.87E−09
1.20E−06


ENSG00000126803
367.472833
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3.98119032
6.86E−05
0.0030542 


ENSG00000100678
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ENSG00000205683
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ENSG00000119599
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0.02722932


ENSG00000119699
49.5649341
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0.00113522


ENSG00000100604
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2.45E−08


ENSG00000165943
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ENSG00000012963
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ENSG00000188488
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ENSG00000235706
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ENSG00000168398
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ENSG00000100749
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ENSG00000182218
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ENSG00000066629
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ENSG00000140105
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ENSG00000259031
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ENSG00000185559
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ENSG00000258913
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ENSG00000198826
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ENSG00000166923
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ENSG00000176454
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ENSG00000137801
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ENSG00000166073
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ENSG00000156970
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ENSG00000137812
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ENSG00000245849
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ENSG00000051180
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ENSG00000137804
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ENSG00000092470
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ENSG00000259520
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ENSG00000166147
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ENSG00000244879
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ENSG00000069869
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ENSG00000128923
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ENSG00000182718
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ENSG00000259370
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ENSG00000140416
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ENSG00000166803
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ENSG00000174442
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ENSG00000137834
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ENSG00000188779
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ENSG00000128973
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ENSG00000137809
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ENSG00000137807
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ENSG00000187720
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ENSG00000179335
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ENSG00000178802
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ENSG00000140398
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ENSG00000140400
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ENSG00000103888
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ENSG00000140525
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ENSG00000166825
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ENSG00000242498
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ENSG00000197299
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ENSG00000198901
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ENSG00000140450
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ENSG00000182253
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ENSG00000172366
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ENSG00000162004
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ENSG00000103227
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ENSG00000206053
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ENSG00000172382
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ENSG00000276791
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ENSG00000006327
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ENSG00000008517
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ENSG00000263013
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ENSG00000103540
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ENSG00000167191
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ENSG00000140743
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ENSG00000077238
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ENSG00000149922
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ENSG00000261474
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ENSG00000260267
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ENSG00000260153
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ENSG00000171241
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ENSG00000091651
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ENSG00000278928
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ENSG00000125148
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ENSG00000125170
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ENSG00000181938
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ENSG00000067955
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ENSG00000103044
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ENSG00000181019
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ENSG00000168411
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ENSG00000171724
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ENSG00000103154
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ENSG00000103187
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ENSG00000131153
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ENSG00000103257
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ENSG00000187741
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ENSG00000132386
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ENSG00000132535
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ENSG00000072818
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ENSG00000179111
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ENSG00000133026
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ENSG00000221926
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ENSG00000175061
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ENSG00000108448
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ENSG00000128487
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ENSG00000109084
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ENSG00000076382
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ENSG00000176658
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ENSG00000108691
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ENSG00000277161
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ENSG00000141736
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ENSG00000094804
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ENSG00000131747
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ENSG00000187595
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ENSG00000167925
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ENSG00000177469
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ENSG00000108785
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ENSG00000012048
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ENSG00000108309
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ENSG00000182963
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ENSG00000181513
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ENSG00000263412
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ENSG00000108821
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ENSG00000136444
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ENSG00000136449
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ENSG00000006282
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ENSG00000108846
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ENSG00000229980
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ENSG00000166292
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ENSG00000141179
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ENSG00000182628
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ENSG00000136492
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ENSG00000008283
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ENSG00000182481
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ENSG00000180616
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ENSG00000172794
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ENSG00000109065
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ENSG00000167861
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ENSG00000073350
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ENSG00000266714
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ENSG00000108469
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ENSG00000141524
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ENSG00000167900
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ENSG00000035862
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ENSG00000167280
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ENSG00000169660
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ENSG00000176890
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ENSG00000173482
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ENSG00000168461
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ENSG00000132872
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ENSG00000184828
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ENSG00000166845
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ENSG00000081923
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ENSG00000125895
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ENSG00000088836
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ENSG00000101265
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ENSG00000132646
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ENSG00000089199
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ENSG00000125885
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0.0012366 


ENSG00000101384
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ENSG00000101003
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ENSG00000088325
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ENSG00000101412
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ENSG00000088340
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0.00258319


ENSG00000214078
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ENSG00000118707
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ENSG00000149636
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ENSG00000101347
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ENSG00000080839
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0.00075264


ENSG00000198959
123.91911
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4.28E−11
1.21E−08


ENSG00000101445
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0.02886525


ENSG00000101057
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1.94E−06
0.00015679


ENSG00000124207
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EQUIVALENTS

The present technology is not to be limited in terms of the particular embodiments described in this application, which are intended as single illustrations of individual aspects of the present technology. Many modifications and variations of this present technology can be made without departing from its spirit and scope, as will be apparent to those skilled in the art. Functionally equivalent methods and apparatuses within the scope of the present technology, in addition to those enumerated herein, will be apparent to those skilled in the art from the foregoing descriptions. Such modifications and variations are intended to fall within the scope of the present technology. It is to be understood that this present technology is not limited to particular methods, reagents, compounds compositions or biological systems, which can, of course, vary. It is also to be understood that the terminology used herein is for the purpose of describing particular embodiments only, and is not intended to be limiting.


The inventions illustratively described herein may suitably be practiced in the absence of any element or elements, limitation or limitations, not specifically disclosed herein. Thus, for example, the terms “comprising,” “including,” “containing,” etc. shall be read expansively and without limitation. Additionally, the terms and expressions employed herein have been used as terms of description and not of limitation, and there is no intention in the use of such terms and expressions of excluding any equivalents of the features shown and described or portions thereof, but it is recognized that various modifications are possible within the scope of the invention claimed.


Thus, it should be understood that the materials, methods, and examples provided here are representative of preferred embodiments, are exemplary, and are not intended as limitations on the scope of the invention.


The invention has been described broadly and generically herein. Each of the narrower species and sub-generic groupings falling within the generic disclosure also form part of the invention. This includes the generic description of the invention with a proviso or negative limitation removing any subject matter from the genus, regardless of whether or not the excised material is specifically recited herein.


In addition, where features or aspects of the disclosure are described in terms of Markush groups, those skilled in the art will recognize that the disclosure is also thereby described in terms of any individual member or subgroup of members of the Markush group.


As will be understood by one skilled in the art, for any and all purposes, particularly in terms of providing a written description, all ranges disclosed herein also encompass any and all possible subranges and combinations of subranges thereof. Any listed range can be easily recognized as sufficiently describing and enabling the same range being broken down into at least equal halves, thirds, quarters, fifths, tenths, etc. As a non-limiting example, each range discussed herein can be readily broken down into a lower third, middle third and upper third, etc. As will also be understood by one skilled in the art all language such as “up to,” “at least,” “greater than,” “less than,” and the like, include the number recited and refer to ranges which can be subsequently broken down into subranges as discussed above. Finally, as will be understood by one skilled in the art, a range includes each individual member. Thus, for example, a group having 1-3 cells refers to groups having 1, 2, or 3 cells. Similarly, a group having 1-5 cells refers to groups having 1, 2, 3, 4, or 5 cells, and so forth.


Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.


All patents, patent applications, provisional applications, and publications referred to or cited herein are incorporated by reference in their entirety, including all figures and tables, to the extent they are not inconsistent with the explicit teachings of this specification. In case of conflict, the present specification, including definitions, will control.


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Claims
  • 1. A gene editing system comprising: (i) a first nucleotide molecule encoding a dCas9-Ten-Eleven Translocation methylcytosine dioxygenase 1 catalytic domain (TET1CD) fusion protein; and(ii) a second nucleotide molecule encoding at least one small guide RNA (sgRNA), comprising: a scaffold region and a spacer region, wherein the spacer region hybridizes to a nucleotide sequence complementary to a target sequence adjacent to a 5′-end of a protospacer adjacent motif (PAM), and wherein the target sequence and the PAM are located within 1 kilobase (kb) of the transcriptional start site (TSS) of the CDKL5 gene.
  • 2. The system of claim 1, further comprising a third nucleotide molecule encoding a dCas9 protein fused to at least one transcriptional activator.
  • 3. The system of claim 2, wherein the at least one transcriptional activator comprises VP64.
  • 4. The system of claim 1, wherein the target sequence for the sgRNA comprises AGAGCATCGGACCGAAGCGG, or
  • 5-6. (canceled)
  • 7. The system of claim 1, wherein the at least one sgRNA comprises a first sgRNA, a second sgRNA, and a third sgRNA, wherein the target sequence for the first sgRNA comprises AGAGCATCGGACCGAAGCGG, wherein the target sequence for the second sgRNA comprises GGGGGAGAACATACTCGGGG, and wherein the target sequence for the third sgRNA comprises CCCAGGTTGCTAGGGCTTGG.
  • 8. The system of claim 2, wherein the first nucleotide molecule, the second nucleotide molecule, and the third nucleotide molecule are integrated into one or more viral or plasmid vectors.
  • 9. The system of claim 8, wherein the viral vector is a lentiviral vector, an adeno-associated viral (AAV) vector, or an adenoviral vector.
  • 10. A vector encoding a sgRNA, wherein the sgRNA comprises a scaffold region and a spacer region, wherein the spacer region hybridizes to a nucleotide sequence complementary to a target sequence comprising AGAGCATCGGACCGAAGCGG, or
  • 11-12. (canceled)
  • 13. A vector encoding a first sgRNA and a second sgRNA, wherein the first sgRNA comprises a scaffold region and a spacer region, wherein the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising AGAGCATCGGACCGAAGCGG, or
  • 14-15. (canceled)
  • 16. A vector encoding a first sgRNA, a second sgRNA, and a third sgRNA, wherein the first sgRNA comprises a scaffold region and a spacer region, wherein the spacer region of the first sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising AGAGCATCGGACCGAAGCGG, wherein the second sgRNA comprises a scaffold region and a spacer region, wherein the spacer region of the second sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising GGGGGAGAACATACTCGGGG, wherein the third sgRNA comprises a scaffold region and a spacer region, and wherein the spacer region of the third sgRNA hybridizes to a nucleotide sequence complementary to a target sequence comprising CCCAGGTTGCTAGGGCTTGG.
  • 17-23. (canceled)
  • 24. A host cell comprising the system of claim 1.
  • 25-29. (canceled)
  • 30. A pharmaceutical composition comprising the host cell of claim 24 and a carrier, optionally a pharmaceutically acceptable carrier or excipient.
  • 31. A method for increasing CDKL5 gene expression in a cell or subject comprising administering to the cell or subject the system of claim 1.
  • 32. The method of claim 31, wherein the cell or subject is in need of increased CDLK5 gene expression.
  • 33. The method of claim 32, wherein cell or subject has a methylated or a hypermethylated CDKL5 promoter region as compared to a CDKL5 promoter on a non-silenced X-chromosome.
  • 34. The method of claim 33, wherein the CDKL5 promoter region in the cell or subject is located on a silenced X-chromosomal allele of the subject.
  • 35. The method of claim 31, wherein the subject has been diagnosed with CDKL5 deficiency disorder (CDD) or the cell is isolated from a subject having been diagnosed with CDD.
  • 36. The method of claim 31, wherein the cell is a neuronal cell.
  • 37-41. (canceled)
  • 42. A method for treating or preventing CDD in a subject in need thereof comprising administering to the subject the system of claim 1.
  • 43-49. (canceled)
  • 50. A kit comprising the system of claim 1 and optional instructions for use.
CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims priority to U.S. Provisional Application No. 62/924,141, filed Oct. 21, 2019, and U.S. Provisional Application No. 62/925,731, filed Oct. 24, 2019, the entire contents of each of which are incorporated herein by reference.

STATEMENT OF U.S. FEDERALLY FUNDED RESEARCH

This invention was made with government support under Grant No. P30 CA093373 awarded by the National Cancer Institute; and under Grant Nos. NCRR C06-RR12088, S10 OD018223, S10 RR12964, S10 RR 026825, and 1S100D010786-01 awarded by the National Institute of Health. The government has certain rights in the invention.

PCT Information
Filing Document Filing Date Country Kind
PCT/US2020/056726 10/21/2020 WO
Provisional Applications (2)
Number Date Country
62924141 Oct 2019 US
62925731 Oct 2019 US