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Community-specific cell death sustains bacterial expansion under phosphorus starvation

Abstract

Colony expansion is important for establishing territories. It is unclear to what extent bacteria can maintain colony expansion under nutrient limitation. Here, we found that Escherichia coli biofilms could maintain steady expansion for an extended period of time under severe phosphorus limitation. The expansion was supported by reactive-oxygen-species-mediated cell death within the biofilm. The cell death was spatially separated from the region of growth, resulting in cross-regional recycling of phosphorus from the lysed bacteria. The increase in cell death and the steady growth after phosphorus removal was community specific and was not observed in planktonic bacteria. Lastly, phosphorus had a unique role in the cell-death-mediated nutrient recycling, as the phenomenon described above was not observed under carbon or nitrogen starvation. Our work reveals how bacterial communities use spatially coordinated metabolism to cope with phosphorus limitation, which promotes robust expansion of the bacteria in fluctuating environments.

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Fig. 1: Expansion of E.coli biofilm.
Fig. 2: Phosphorus in the extracellular environment of the biofilm.
Fig. 3: Cell death in the biofilm after phosphorus removal.
Fig. 4: ROS in the biofilm after phosphate removal.
Fig. 5: Death and expansion after phosphate removal is biofilm and phosphorus specific.
Fig. 6: Scheme describing bacterial response to the removal of different nutrients.

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References

  1. Shi, H. et al. Starvation induces shrinkage of the bacterial cytoplasm. Proc. Natl Acad. Sci. USA 118, e2104686118 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Kolter, R., Siegele, D. A. & Tormo, A. The stationary phase of the bacterial life cycle. Annu. Rev. Microbiol. 47, 855–874 (1993).

    Article  CAS  PubMed  Google Scholar 

  3. Lewis, K. Persister cells, dormancy and infectious disease. Nat. Rev. Microbiol. 5, 48–56 (2007).

    Article  CAS  PubMed  Google Scholar 

  4. Chubukov, V., Gerosa, L., Kochanowski, K. & Sauer, U. Coordination of microbial metabolism. Nat. Rev. Microbiol. 12, 327–340 (2014).

    Article  CAS  PubMed  Google Scholar 

  5. Peterson, C. N., Mandel, M. J. & Silhavy, T. J. Escherichia coli starvation diets: essential nutrients weigh in distinctly. J. Bacteriol. 187, 7549–7553 (2005).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Bren, A., Hart, Y., Dekel, E., Koster, D. & Alon, U. The last generation of bacterial growth in limiting nutrient. BMC Syst. Biol. 7, 27 (2013).

    Article  PubMed  PubMed Central  Google Scholar 

  7. Kim, M. et al. Need-based activation of ammonium uptake in Escherichia coli. Mol. Syst. Biol. 8, 616 (2012).

    Article  PubMed  PubMed Central  Google Scholar 

  8. Hansen, S., Lewis, K. & Vulić, M. Role of global regulators and nucleotide metabolism in antibiotic tolerance in Escherichia coli. Antimicrob. Agents Chemother. 52, 2718–2726 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Schellhorn, H. E. Function, evolution, and composition of the RpoS regulon in Escherichia coli. Front. Microbiol. 11, 560099 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  10. Yoshida, H., Wada, A., Shimada, T., Maki, Y. & Ishihama, A. Coordinated regulation of Rsd and RMF for simultaneous hibernation of transcription apparatus and translation machinery in stationary-phase Escherichia coli. Front. Genet. 10, 1153 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Zhuang, X.-Y. et al. Live-cell fluorescence imaging reveals dynamic production and loss of bacterial flagella. Mol. Microbiol. 114, 279–291 (2020).

    Article  CAS  PubMed  Google Scholar 

  12. Schreiber, F. Phenotypic heterogeneity driven by nutrient limitation promotes growth in fluctuating environments. Nat. Microbiol. 1, 7 (2016).

    Article  Google Scholar 

  13. Ibáñez de Aldecoa, A. L., Zafra, O. & González-Pastor, J. E. Mechanisms and regulation of extracellular DNA release and its biological roles in microbial communities. Front. Microbiol. 8, 1390 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  14. Mulcahy, H., Charron-Mazenod, L. & Lewenza, S. Pseudomonas aeruginosa produces an extracellular deoxyribonuclease that is required for utilization of DNA as a nutrient source. Environ. Microbiol. 12, 1621–1629 (2010).

    Article  CAS  PubMed  Google Scholar 

  15. Pinchuk, G. E. et al. Utilization of DNA as a sole source of phosphorus, carbon, and energy by Shewanella spp.: ecological and physiological implications for dissimilatory metal reduction. Appl. Environ. Microbiol. 74, 1198–1208 (2008).

    Article  CAS  PubMed  Google Scholar 

  16. López, D., Vlamakis, H., Losick, R. & Kolter, R. Cannibalism enhances biofilm development in Bacillus subtilis. Mol. Microbiol. 74, 609–618 (2009).

    Article  PubMed  PubMed Central  Google Scholar 

  17. Popp, P. F. & Mascher, T. Coordinated cell death in isogenic bacterial populations: sacrificing some for the benefit of many? J. Mol. Biol. 431, 4656–4669 (2019).

    Article  CAS  PubMed  Google Scholar 

  18. Flemming, H.-C. & Wuertz, S. Bacteria and archaea on Earth and their abundance in biofilms. Nat. Rev. Microbiol. 17, 247–260 (2019).

    Article  CAS  PubMed  Google Scholar 

  19. Mukherjee, S. & Bassler, B. L. Bacterial quorum sensing in complex and dynamically changing environments. Nat. Rev. Microbiol. 17, 371–382 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Zhang, Y. et al. A microfluidic approach for quantitative study of spatial heterogeneity in bacterial biofilms. Small Sci. 2, 2200047 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Chalabaev, S. et al. Biofilms formed by Gram-negative bacteria undergo increased lipid a palmitoylation, enhancing in vivo survival. mBio 5, e01116-14 (2014).

    Article  PubMed  PubMed Central  Google Scholar 

  22. Grillo-Puertas, M., Rintoul, M. R. & Rapisarda, V. A. PhoB activation in non-limiting phosphate condition by the maintenance of high polyphosphate levels in the stationary phase inhibits biofilm formation in Escherichia coli. Microbiology 162, 1000–1008 (2016).

    Article  CAS  PubMed  Google Scholar 

  23. Raetz, C. R. & Dowhan, W. Biosynthesis and function of phospholipids in Escherichia coli. J. Biol. Chem. 265, 1235–1238 (1990).

    Article  CAS  PubMed  Google Scholar 

  24. Shibuya, I. Metabolic regulations and biological functions of phospholipids in Escherichia coli. Prog. Lipid Res. 31, 245–299 (1992).

    Article  CAS  PubMed  Google Scholar 

  25. Grimm, J. et al. The inner membrane protein YhdP modulates the rate of anterograde phospholipid flow in Escherichia coli. Proc. Natl Acad. Sci. USA 117, 26907–26914 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Low, W.-Y., Thong, S. & Chng, S.-S. ATP disrupts lipid-binding equilibrium to drive retrograde transport critical for bacterial outer membrane asymmetry. Proc. Natl Acad. Sci. USA 118, e2110055118 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

  27. Tang, X. et al. Structural insights into outer membrane asymmetry maintenance in Gram-negative bacteria by MlaFEDB. Nat. Struct. Mol. Biol. 28, 81–91 (2021).

    Article  CAS  PubMed  Google Scholar 

  28. Ekiert, D. C. et al. Architectures of lipid transport systems for the bacterial outer membrane. Cell 169, 273–285 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Malinverni, J. C. & Silhavy, T. J. An ABC transport system that maintains lipid asymmetry in the Gram-negative outer membrane. Proc. Natl Acad. Sci. USA 106, 8009–8014 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Oliverio, A. M. et al. The role of phosphorus limitation in shaping soil bacterial communities and their metabolic capabilities. mBio 11, e01718-20 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  31. Stewart, P. S. & Franklin, M. J. Physiological heterogeneity in biofilms. Nat. Rev. Microbiol. 6, 199–210 (2008).

    Article  CAS  PubMed  Google Scholar 

  32. Dal Co, A., Ackermann, M. & van Vliet, S. Metabolic activity affects the response of single cells to a nutrient switch in structured populations. J. R. Soc. Interface 16, 20190182 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  33. Kohanski, M. A., Dwyer, D. J., Hayete, B., Lawrence, C. A. & Collins, J. J. A common mechanism of cellular death induced by bactericidal antibiotics. Cell 130, 797–810 (2007).

    Article  CAS  PubMed  Google Scholar 

  34. Hong, Y., Li, L., Luan, G., Drlica, K. & Zhao, X. Contribution of reactive oxygen species to thymineless death in Escherichia coli. Nat. Microbiol. 2, 1667–1675 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Lobritz, M. A. et al. Antibiotic efficacy is linked to bacterial cellular respiration. Proc. Natl Acad. Sci. USA 112, 8173–8180 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Hong, Y., Zeng, J., Wang, X., Drlica, K. & Zhao, X. Post-stress bacterial cell death mediated by reactive oxygen species. Proc. Natl Acad. Sci. USA 116, 10064–10071 (2019).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Borisov, V. B. et al. Aerobic respiratory chain of Escherichia coli is not allowed to work in fully uncoupled mode. Proc. Natl Acad. Sci. USA 108, 17320–17324 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Benov, L. T. & Fridovich, I. Escherichia coli expresses a copper- and zinc-containing superoxide dismutase. J. Biol. Chem. 269, 25310–25314 (1994).

    Article  CAS  PubMed  Google Scholar 

  39. Khademian, M. & Imlay, J. A. How microbes evolved to tolerate oxygen. Trends Microbiol. 29, 428–440 (2021).

    Article  CAS  PubMed  Google Scholar 

  40. Repine, J. E., Pfenninger, O. W., Talmage, D. W., Berger, E. M. & Pettijohn, D. E. Dimethyl sulfoxide prevents DNA nicking mediated by ionizing radiation or iron/hydrogen peroxide-generated hydroxyl radical. Proc. Natl Acad. Sci. USA 78, 1001–1003 (1981).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Zeng, J. et al. A broadly applicable, stress-mediated bacterial death pathway regulated by the phosphotransferase system (PTS) and the cAMP–Crp cascade. Proc. Natl Acad. Sci. USA 119, e2118566119 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Biber, J., Hernando, N. & Forster, I. Phosphate transporters and their function. Annu. Rev. Physiol. 75, 535–550 (2013).

    Article  CAS  PubMed  Google Scholar 

  43. Tapia-Torres, Y. et al. How To live with phosphorus scarcity in soil and sediment: lessons from bacteria. Appl. Environ. Microbiol. 82, 4652–4662 (2016).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Bertilsson, S., Berglund, O., Karl, D. M. & Chisholm, S. W. Elemental composition of marine Prochlorococcus and Synechococcus: implications for the ecological stoichiometry of the sea. Limnol. Oceanogr. 48, 1721–1731 (2003).

    Article  CAS  Google Scholar 

  45. Huang, L., Zhang, Y., Du, X., An, R. & Liang, X. Escherichia coli can eat DNA as an excellent nitrogen source to grow quickly. Front. Microbiol. 13, 894849 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  46. Liu, J. et al. Metabolic co-dependence gives rise to collective oscillations within biofilms. Nature 523, 550–554 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Prindle, A. et al. Ion channels enable electrical communication in bacterial communities. Nature 527, 59–63 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Lee, E. D., Kempes, C. P. & West, G. B. Growth, death, and resource competition in sessile organisms. Proc. Natl Acad. Sci. USA 118, e2020424118 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Liu, W., Tokuyasu, T. A., Fu, X. & Liu, C. The spatial organization of microbial communities during range expansion. Curr. Opin. Microbiol. 63, 109–116 (2021).

    Article  CAS  PubMed  Google Scholar 

  50. Zambrano, M. M., Siegele, D. A., Almirón, M., Tormo, A. & Kolter, R. Microbial competition: Escherichia coli mutants that take over stationary phase cultures. Science 259, 1757–1760 (1993).

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

We thank L. Ma, M. Asally, Y. Wang and members of the J.L. lab for helpful discussions. We thank the Tsinghua University Center of Pharmaceutical Technology for assistance on the metabolomics experiments. J.L. was supported by the National Key R&D Program of China (2023YFC2306300), the National Natural Science Foundation of China (32170099), the Tsinghua University Dushi Program (20221080020 and 20231080040) and the Tsinghua–Peking Center for Life Sciences.

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Z.W. and J.L. designed the research. Z.W., L.Z. and S.H. performed the experiments for the initial submission. Z.W., S.H. and Q.H. performed the experiments for the revision. Z.W., S.H., L.Z. and J.L. analyzed the data. Y.Z. assisted with making the microfluidic chip during the early stage of the project. Z.W. and J.L. wrote the manuscript.

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Correspondence to Jintao Liu.

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Nature Chemical Biology thanks Fan Jin, Jing Yan and the other, anonymous reviewer(s) for their contribution to the peer review of this work.

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Extended data

Extended Data Fig. 1 Verification of phosphorus-free medium.

a, Schematic of the procedure for planktonic culture. The bacteria were first cultured to log phase in normal M63B1, then we centrifuged and washed the bacteria using phosphorus-free M63B1 for 3 times, and resuspended the bacteria in phosphorus-free M63B1. The resuspended medium was further cultured for another 24 h, then centrifuged and washed using phosphorus-free M63B1 for 3 times before inoculating into M63B1 containing different levels of phosphate. b, Growth curves of planktonic bacteria (prepared according to a) in M63B1 with different levels of phosphate. The bar plot shows OD600 at 24 h. Three biological replicates. Error bars indicate mean values ± SD. Statistical significance was determined by two-sided Student’s t-test.

Source data

Extended Data Fig. 2 The sustained biofilm expansion after phosphate removal was not due to the microfluidics or phosphorus storage.

a-c, To confirm the effectiveness of phosphorus removal, we examined the existence of potential phosphorus sources in the microfluidic chamber. First, we collected the output wastes from the microfluidic chip before and after phosphorus removal, and sent for ion chromatography test (a). Before phosphorus removal, the signal of phosphate could be detected (indicated by the standard sample, phosphoric acid, arrow). After phosphorus removal, no signal of phosphate could be detected. Second, bovine serum albumin (BSA) was used to coat the microfluidic chamber before bacterial loading (Methods). Biofilm expansion rates before and after phosphorus removal were not affected by BSA coating (n = 3 for -BSA group, n = 6 for +BSA group). These results ruled out the possibility of incomplete phosphorus removal from the microfluidic chamber. d-e, Expansion rates of wild type (n = 6 biological replicates), Δppk, Δppx (n = 3 biological replicates) biofilms before and after phosphorus removal. The data points are biological replicates. Statistical significance in relevant panels was determined by two-sided Student’s t-test: ns, not significant, P ≥ 0.05.

Source data

Extended Data Fig. 3 Recycling of phospholipids by the biofilm.

a, Expansion rates of wild type (n = 6 biological replicates), ΔmlaA and ΔyhdP (n = 3 biological replicates) biofilms before phosphorus removal. b, Growth curves of wild type and ΔmlaA in planktonic culture. Six biological replicates. c, Glycerol was used as the solvent for PE stocks. To verify that the glycerol had no effect, we compared biofilm expansion after phosphorus removal with or without 0.5% glycerol (n = 3 for -glycerol group, n = 6 for +glycerol group), and the results showed that supplementation of glycerol had no significant effect on biofilm expansion rate. d-e, Expansion rates of wild type biofilms (n = 6 biological replicates) and knockout strains (ΔpldA, ΔlplT, ΔglpT, ΔugpB, n = 2 biological replicates) related to transport of phospholipid degradation products before and after phosphorus removal. The data points are biological replicates. Statistical significance was determined by two-sided Student’s t-test; ns, not significant, P ≥ 0.05.

Source data

Extended Data Fig. 4 LC-MS/MS results of the abundance of the main phosphorus-containing metabolites in the biofilm supernatant.

a, With or without phosphoserine removal, n = 2 biological replicates. b, With or without 2-AEP removal, n = 2 biological replicates. c, Fold change of phospholipids in biofilm supernatant induced by three types of phosphorus removal (n = 3 for phosphate removal, n = 2 for phosphoserine or 2-AEP removal), 24 h after removal vs. before removal. The data points are biological replicates.

Source data

Extended Data Fig. 5 Control experiments for DCFH-DA and PI.

a, Snapshots of phase contrast (PH), DCFH-DA fluorescence (YFP) and PI fluorescence (mCherry) with or without the addition of DCFH-DA and PI. The white lines indicate the locations of biofilm edge. Scale bar, 100 μm. b, Effect of DCFH-DA and PI on biofilm expansion rate. n = 4 biological replicates. Error bars indicate mean values ± SD. Statistical significance was determined by two-sided Student’s t-test; ns, not significant, P ≥ 0.05.

Source data

Extended Data Fig. 6 ROS-related genetic or chemical perturbations did not affect ROS accumulation, cell death or biofilm expansion rate in normal medium.

a-c, Average DCFH-DA fluorescence (n = 3), PI fluorescence (n = 3), and biofilm expansion rates (n = 6 for wild type biofilms, n = 3 for mutant strains and +DMSO group) before phosphate removal. All data points were biological replicates. d-f, Average DCFH-DA fluorescence, PI fluorescence, and biofilm expansion rate 24 h after 2-AEP removal. n = 2 biological replicates. g-i, Average DCFH-DA fluorescence, PI fluorescence, and biofilm expansion rate before 2-AEP removal. n = 2 biological replicates. Error bars indicate mean values ± SD. Statistical significance in relevant panels was determined by two-sided Student’s t-test; ns, not significant, P ≥ 0.05.

Source data

Extended Data Fig. 7 Cell death after phosphorus reduction.

Average PI fluorescence after various levels of phosphate reduction (for 24 h). The data points are biological replicates.

Source data

Extended Data Fig. 8 Counting percentage of cell death after phosphorus removal.

Bacteria from biofilm or planktonic culture were stained with the fluorescent death marker PI, imaged by fluorescence microscopy. The images are shown under the same contrast setting; representative of 3 biological replicates. Reference dead bacteria (the image on the right) were obtained by killing the bacteria in 80 °C water bath for 20 min. The percentage of cells with high PI fluorescence was calculated at various time points after phosphorus removal. For each condition and time point, > 300 bacteria were counted. Scale bar, 10 μm.

Extended Data Fig. 9 Growth of planktonic bacteria after phosphorus removal.

a, Bacterial dry weight is proportional to the optical density (OD) of the culture, both in normal and in phosphorus-free media. The data points are biological replicates. b, Growth curves of planktonic bacteria. Phosphate was removed at t = 0. This result was used to calculate the corresponding biomass change in Fig. 5d. c, Area of biofilm over time with and without phosphate removal. Arrow indicates the time of phosphorus removal. This result was used to compare with the biomass change of planktonic culture in Fig. 5d. d, Growth curves of bacteria taken from biofilm under normal medium and physically dispersed into individual cells; phosphate was removed at t = 0; this result was used to calculate the corresponding biomass change in Fig. 5d. The fluctuation was due to limited amount of bacteria extracted from the microfluidic chamber. e, PI fluorescence of bacteria cultured in phosphorus-free medium. The definition of planktonic, biofilm to planktonic and biofilm is the same as b-d. These results are representative of 3 biological replicates.

Source data

Extended Data Fig. 10 Validation of biofilm responses after nutrient removal.

a, Confocal images of E. coli biofilms cultivated in flow cell. To help visualize biomass, we constitutively expressed the fluorescent protein sfGFP (green) in the bacteria. Cell death is indicated by PI fluorescence (red). We first cultured the biofilms in normal medium for ~20 h, then switched to medium without phosphate, glucose, or ammonium, respectively. The snapshots shown here were taken right before and 24 h after nutrient removal, respectively (except for the control group). All the snapshots are displayed using the same contrast settings. b-c, Temporal profiles of total PI fluorescence in the biofilm and average biofilm thickness before and after nutrient removal. d, Snapshots of DCFH-DA fluorescence in the biofilm 24 h after nutrient removal. The images are displayed using the same contrast setting as in Fig. 4a. All the results are representative of 3 biological replicates. Scale bar, 100 μm.

Source data

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Wang, Z., Zeng, L., Hu, S. et al. Community-specific cell death sustains bacterial expansion under phosphorus starvation. Nat Chem Biol 21, 867–875 (2025). https://doi.org/10.1038/s41589-024-01796-x

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