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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbio.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbio.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Research Foundation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2012.00129</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Agent-Based Modeling Approach of Immune Defense Against Spores of Opportunistic Human Pathogenic Fungi</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Tokarski</surname> <given-names>Christian</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001">&#x0002A;</xref>
<!-- http://www.frontiersin.org/Community/WhosWhoActivity.aspx?sname=ChristianTokarski&UID=45646 -->
</contrib>
<contrib contrib-type="author">
<name><surname>Hummert</surname> <given-names>Sabine</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Mech</surname> <given-names>Franziska</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<!-- http://www.frontiersin.org/Community/WhosWhoActivity.aspx?sname=FranziskaMech&UID=29502 -->
</contrib>
<contrib contrib-type="author">
<name><surname>Figge</surname> <given-names>Marc Thilo</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<!-- http://www.frontiersin.org/Community/WhosWhoActivity.aspx?sname=Marc_ThiloFigge&UID=29493 -->
</contrib>
<contrib contrib-type="author">
<name><surname>Germerodt</surname> <given-names>Sebastian</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<!-- http://www.frontiersin.org/Community/WhosWhoActivity.aspx?sname=SebastianGermerodt&UID=46533 -->
</contrib>
<contrib contrib-type="author">
<name><surname>Schroeter</surname> <given-names>Anja</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<!-- http://www.frontiersin.org/Community/WhosWhoActivity.aspx?sname=AnjaSchroeter&UID=45223 -->
</contrib>
<contrib contrib-type="author">
<name><surname>Schuster</surname> <given-names>Stefan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Bioinformatics, Friedrich Schiller University</institution> <country>Jena, Germany</country></aff>
<aff id="aff2"><sup>2</sup><institution>Research Group Applied Systems Biology, Leibniz Institute for Natural Product Research and Infection Biology&#x02013;Hans-Knoell-Institute</institution> <country>Jena, Germany</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: J&#x000F6;rg Linde, Leibniz-Institute for Natural Product Research and Infection Biology&#x02013;Hans-Knoell-Institute, Germany</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Hubertus Haas, Innsbruck Medical University, Austria; Dirk Dittmer, University of North Carolina at Chapel Hill, USA; Guoku Hu, Creighton University, USA</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Christian Tokarski, Department of Bioinformatics, Friedrich Schiller University, Ernst &#x02013; Abbe &#x02013; Platz 2, 07743 Jena, Germany. e-mail: <email>christian.tokarski&#x00040;uni-jena.de</email></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Frontiers in Microbial Immunology, a specialty of Frontiers in Microbiology.</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>04</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="collection">
<year>2012</year>
</pub-date>
<volume>3</volume>
<elocation-id>129</elocation-id>
<history>
<date date-type="received">
<day>23</day>
<month>12</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>03</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2012 Tokarski, Hummert, Mech, Figge, Germerodt, Schroeter and Schuster.</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://www.frontiersin.org/licenseagreement"><p>This is an open-access article distributed under the terms of the <uri xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">Creative Commons Attribution Non Commercial License</uri>, which permits non-commercial use, distribution, and reproduction in other forums, provided the original authors and source are credited.</p></license>
</permissions>
<abstract>
<p>Opportunistic human pathogenic fungi like the ubiquitous fungus <italic>Aspergillus fumigatus</italic> are a major threat to immunocompromised patients. An impaired immune system renders the body vulnerable to invasive mycoses that often lead to the death of the patient. While the number of immunocompromised patients is rising with medical progress, the process, and dynamics of defense against invaded and ready to germinate fungal conidia are still insufficiently understood. Besides macrophages, neutrophil granulocytes form an important line of defense in that they clear conidia. Live imaging shows the interaction of those phagocytes and conidia as a dynamic process of touching, dragging, and phagocytosis. To unravel strategies of phagocytes on the hunt for conidia an agent-based modeling approach is used, implemented in NetLogo. Different modes of movement of phagocytes are tested regarding their clearing efficiency: random walk, short-term persistence in their recent direction, chemotaxis of chemokines excreted by conidia, and communication between phagocytes. While the short-term persistence hunting strategy turned out to be superior to the simple random walk, following a gradient of chemokines released by conidial agents is even better. The advantage of communication between neutrophilic agents showed a strong dependency on the spatial scale of the focused area and the distribution of the pathogens.</p>
</abstract>
<kwd-group>
<kwd>agent-based modeling</kwd>
<kwd>individual-based modeling</kwd>
<kwd>host-pathogen interaction</kwd>
<kwd>immune defense</kwd>
<kwd>opportunistic pathogenic fungi</kwd>
<kwd>pathogenic fungi</kwd>
<kwd>chemotaxis</kwd>
<kwd>video analysis of life cell imaging</kwd>
</kwd-group>
<counts>
<fig-count count="12"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="24"/>
<page-count count="13"/>
<word-count count="5849"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="introduction">
<label>1</label> <title>Introduction</title>
<p>The immune system of healthy humans successfully defends them against ubiquitous fungi like <italic>Aspergillus fumigatus</italic>, <italic>Candida albicans</italic>, and <italic>Cryptococcus neoformans</italic>. A weakened immune defense, due to diseases like infection with human immunodeficiency virus (HIV) or in the course of medical treatment, is compromised in the ability to repel those opportunistic fungal pathogens (Richardson, <xref ref-type="bibr" rid="B17">2005</xref>; Karkowska-Kuleta et al., <xref ref-type="bibr" rid="B12">2009</xref>). The recent medical progress especially in immune therapy, transplantation therapy, and life-prolonging measures leads to a growing number of susceptible patients (Richardson, <xref ref-type="bibr" rid="B17">2005</xref>; Karkowska-Kuleta et al., <xref ref-type="bibr" rid="B12">2009</xref>). Invasive mycoses caused by <italic>A. fumigatus</italic> lead to mortality rates of 60&#x02013;90% (Karkowska-Kuleta et al., <xref ref-type="bibr" rid="B12">2009</xref>). Thus, understanding infection dynamics and the response of the immune system to invading fungi is an essential step on the way to stop the opportunistic pathogens from taking over.</p>
<p>Inhaled conidia of <italic>A. fumigatus</italic> that are not repelled by respiratory tract mucociliary defenses lead to a complex response of the immune system (Shoham and Levitz, <xref ref-type="bibr" rid="B19">2005</xref>). Here, we focus on the role of neutrophil granulocytes (neutrophils). These phagocytes are recruited by chemokines like IL-8 to the site of infection (Shoham and Levitz, <xref ref-type="bibr" rid="B19">2005</xref>). In case of getting in contact with fungal conidia, phagocytes can engulf, and degrade them. The recruitment of neutrophils occurs within 4&#x02013;8&#x02009;h of intratracheal conidial infection, the same time <italic>A. fumigatus</italic> needs for conidial germination and hyphal formation (Hohl, <xref ref-type="bibr" rid="B10">2009</xref>). Hyphae can invade pulmonary tissues, enter the bloodstream, and disseminate to remote tissues, leading to life-threatening systemic infections. Thus, clearance of fungal conidia should occur rapidly. To elucidate the dynamics of the interaction of <italic>A. fumigatus</italic> conidia and neutrophils live imaging data have been recorded and analyzed (Behnsen et al., <xref ref-type="bibr" rid="B3">2007</xref>).</p>
<p>The goal of the present paper is to make a first step in analyzing these data by computer simulations. Computational immunology as a method to complement wet lab immunology comprises several mathematical methods (for a review see reference Forrest and Beauchemin, <xref ref-type="bibr" rid="B7">2007</xref>). While game-theoretic models of immunological aspects are focused on states of equilibrium (Hummert et al., <xref ref-type="bibr" rid="B11">2010</xref>), agent-based models (ABMs) are well-suited to model spatially heterogeneous, dynamic processes like interactions of immune cells with conidia. The main feature of ABMs is that a complex system&#x02019;s behavior is modeled by actions and interactions of entities called agents which themselves behave according to rules.</p>
<p>In theoretical immunology, models are composed of agents belonging to immune defense, e.g., phagocytes, as well as agents representing evading pathogens, e.g., fungal or bacterial cells. Behavioral rules of agents are based on experimental findings complemented by hypothetical properties. Thus, the impact of hypothetical properties on the system&#x02019;s behavior can be tested, predictions can be made and for validation, the system&#x02019;s behavior <italic>in silico</italic> can be compared with the experimentally observed one. For reviews on ABMs in theoretical immunology see references Bauer et al. (<xref ref-type="bibr" rid="B2">2009</xref>), Chavali et al. (<xref ref-type="bibr" rid="B6">2008</xref>).</p>
<p>We implemented an ABM in NetLogo (Wilensky, <xref ref-type="bibr" rid="B22">1999</xref>) to test the impact of different hunting strategies of neutrophils on their phagocytosis efficiency. A central question tackled in this work is whether chemical communication and chemotaxis of neutrophils improve the clearing efficiency. Germinating conidia of <italic>A. fumigatus</italic> activate the complement system and induce neutrophil chemotaxis (Waldorf and Diamond, <xref ref-type="bibr" rid="B21">1985</xref>). Further, it is known that neutrophils have the ability to recruit other neutrophils (Scapini et al., <xref ref-type="bibr" rid="B18">2000</xref>).</p>
</sec>
<sec sec-type="materials|methods">
<label>2</label> <title>Materials and Methods</title>
<sec id="S2.1">
<label>2.1</label> <title>Video analysis of life cell imaging</title>
<p>There exist well established techniques to visualize fungal infections in hosts, such as confocal laser scanning microscopy (Paddock, <xref ref-type="bibr" rid="B15">1999</xref>) and bright-field microscopy (Pluta, <xref ref-type="bibr" rid="B16">1988</xref>). The latter was used in this approach. The majority of produced data are images with immune cells and conidia, either as bright-field or fluorescence images. Important quantities that characterize the dynamic cellular behavior are the cell classification, cell counting, shape and extent measurements, cell-cell interactions, and, for time-lapse data, cell motility, and velocity. However, the image analysis forms the bottleneck in these studies. Automation of this process is the goal of biological image analysis. This was already realized for the two-dimensional case of phagocytosis assays (Mech et al., <xref ref-type="bibr" rid="B13">2011</xref>). However, a specific application to temporally resolved phagocytosis assays of <italic>A. fumigatus</italic> conidia and phagocytes in a fully automated fashion is not available, today.</p>
<p>We analyzed video material (15 sequences) of the first 90&#x02009;min of an <italic>in vitro</italic> interaction of neutrophils and conidia of <italic>A. fumigatus</italic> (videos have been provided by the research group of Matthias Gunzer). Every 30&#x02009;s a frame was recorded which corresponds to 180 frames for sequences of 90&#x02009;min length.</p>
<p>The analysis comprises three steps: segmentation, classification, and tracking. The segmentation of frames was done for each frame separately similar to the approach used in (Mech et al., <xref ref-type="bibr" rid="B13">2011</xref>). Erroneous segmentation results due to highly heterogeneous cell morphologies and uneven illumination artifacts were corrected manually. With that, each cell was recognized as an object. Afterwards, neutrophilic objects were semi-automatically tracked. Each neutrophilic object was tracked from frame to frame using overlap in two consecutive frames or, if no overlap existed, by searching for the nearest neutrophilic object in the subsequent frame. During the tracking an unique identifier was assigned to each neutrophilic object as well as the changes in positions as velocities. Then, the number of conidia which are freely moving, ingested, or dragged were counted manually for each time step. The numbers of dragged and ingested conidia were assigned to the respective neutrophils. Thus, the phagocytosis rate of a neutrophil is the number of conidia which a neutrophil ingested over time. Furthermore, adherence of conidia may lead over time to ingestion by or dissociation from neutrophils. In the former case respecting conidia were categorized as dragged. Hence, the dragging rate depicts the number of adherent conidia which did not dissociate from a neutrophil.</p>
<p>After the time-lapse data analysis the number of neutrophils, the velocities, and number of associated and ingested conidia per neutrophil as well as the number of conidia categorized as free, ingested, or dragged, were available.</p>
</sec>
<sec>
<label>2.2</label> <title>The model</title>
<p>The &#x0201C;hunt&#x0201D; of neutrophils for conidia is modeled by an ABM. The behavior of neutrophilic agents as well as conidial agents is defined by rules which is a key element of ABMs. Here, the rules are based on properties extracted from the given video material of life cell imaging (see subsection <xref ref-type="sec" rid="S2.1">2.1</xref>.) as described in subsequent sections. We follow the ODD-protocol for describing ABMs (Grimm et al., <xref ref-type="bibr" rid="B8">2006</xref>, <xref ref-type="bibr" rid="B9">2010</xref>).</p>
</sec>
<sec>
<label>2.3</label> <title>Purpose of the ABM</title>
<p>Clearing conidia before they germinate can be seen as an action enhancing the fitness of the organism. Different strategies of neutrophils in tracking and disposing conidia vary in their efficiency. In this ABM approach we tested the impact of different tracking modes of neutrophilic agents on their efficiency in reducing the amount of free conidial agents. Simple random walk as well as a short-term persistence in keeping direction, both without sensing of chemotactic molecules were tested. Then, perception of excreted metabolites of germinating conidia or signal-molecules from complement system, thus all chemokines, was considered as well as positive feedback activation via chemical communication between neutrophilic agents. In a large-scale modeling approach representing a part of lung tissue we additionally tested the efficiency of chemotactic communication between neutrophilic agents for clustered distributions of conidial agents simulating an infection scenario.</p>
</sec>
<sec>
<label>2.4</label> <title>Entities, state variables, and scales</title>
<p>The ABM was initialized on a grid of 41&#x02009;&#x000D7;&#x02009;35 (&#x0003D;1,435) discrete cells. The width of a grid cell fits the size of a conidium which is about 3&#x02009;&#x003BC;m in diameter. The evaluation of the life imaging videos showed immigration and emigration of the motile cells out of the scope. For the model we assumed an equal rate of this events and therefore implemented periodical boundary conditions. One time-step in the simulation refers to a 30&#x02009;s interval and matches the 2 frames per min pattern of the evaluated life imaging videos. Simulations run over the first 90&#x02009;min of neutrophil-conidia interactions.</p>
<p>For a large-scale simulation a grid of 401&#x02009;&#x000D7;&#x02009;341 (&#x0003D;136,741) cells was built. Thus, an area of more than 1&#x02009;mm<sup>2</sup> was covered. The simulation was evaluated for 2,880 simulated time-steps, which corresponds to 24&#x02009;h after the initial infection. The model comprises three types of entities: grid cells, conidial agents, and motile neutrophilic agents. See Tables <xref ref-type="table" rid="TA1">A1</xref>&#x02013;<xref ref-type="table" rid="TA3">A3</xref> in Appendix for state variables and parameters.</p>
</sec>
<sec>
<label>2.5</label> <title>Design concepts</title>
<p>We tested and combined several modes of neutrophilic movement to explain the <italic>in vitro</italic> efficiency of a population of neutrophils in reducing the amount of free conidia. In the model approach that incorporates diffusion of chemokines, excreted by the conidial agents, neutrophilic agents adapt their movement to this signal. This assumption is supported by the observation of Waldorf and Diamond (<xref ref-type="bibr" rid="B21">1985</xref>) that germinating conidia of <italic>A. fumigatus</italic> activate the complement system and induce neutrophil chemotaxis. Scapini et al. (<xref ref-type="bibr" rid="B18">2000</xref>) report the ability of neutrophils to recruit other neutrophils. Thus, as a further hunting strategy communication between neutrophilic agents that orientate on gradients of signals was tested.</p>
<p>In our model we do not focus on the fitness functions of single agents, but on the immune system as a whole, where the population of neutrophils form a first line defense of a multi-cellular organism. Here, the efficient reduction of free conidia, which potentially germinate, infect the organism, and may decrease its overall fitness, can be seen as the fitness function. Costs of different hunting strategies have not been taken into account. None of the agents did change their behavior due to any kind of increasing experience or learning effects. In the model approaches with diffusion of chemokines excreted by conidial agents and chemical communication between neutrophilic agents, latter were able to sense and follow the gradients of these substances. Prediction: neutrophilic agents adjusted their movement in direction of the highest amount of these substances on the eight neighboring grid cells (Moore neighborhood) which indirectly increased the probability to encounter either a conidial agent (see sub-model diffusion of chemokines in section <xref ref-type="sec" rid="S2.8.1">2.8.1</xref>.) or another neutrophilic agent, which was activated by at least one dragged conidial agent (see sub-model communication between neutrophils in section <xref ref-type="sec" rid="S2.8.1">2.8.1</xref>.) &#x02013; which can be seen as a positive feedback loop. The interaction of neutrophilic and conidial agents was separated into two major types: dragging of conidial agents and intake of them, corresponding to the video material (see sub-model interaction of agents in section <xref ref-type="sec" rid="S2.8.2">2.8.2</xref>. and Figure <xref ref-type="fig" rid="FA1">A1</xref> in Appendix). Stochasticity: Each simulation started with a random distribution of neutrophilic and conidial agents on the grid. The direction of movement of neutrophilic agents was chosen randomly for the random walk model. The velocities of neutrophilic agents were chosen either to form a normal distribution or a log-normal distribution, which was derived from life cell imaging data. We stored the fraction of free conidial agents, neither dragged or phagocytized by neutrophilic agents, for a fixed set of simulated time-steps, which correspond to the evaluated timeframes of the video material.</p>
</sec>
<sec>
<label>2.6</label> <title>Initialization</title>
<p>Small-scale simulation: Each simulation was initialized with a random distribution and orientation of conidial agents and neutrophilic agents. Starting numbers of both agents (110 conidial agents, 25 neutrophilic agents) were taken from one of 15 given <italic>in vitro</italic> life cell imaging sequences (videos have been provided by the research group of Matthias Gunzer). All experimental samples contained between 68 and 127 conidia (mean: 100).</p>
<p>Large-scale simulation: 600 conidial agents were clustered in 4 randomly located spots on the grid. Cluster-size and number of conidial agents per cluster were equal for all clusters at initialization. 100 neutrophilic agents were randomly placed onto the grid.</p>
</sec>
<sec>
<label>2.7</label> <title>Input data</title>
<p>From one of the videos we derived a density-distribution of the neutrophils&#x02019; velocity. A histogram and the fitted log-normal density-distribution of the velocities is shown in Figure <xref ref-type="fig" rid="F1">1</xref>.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p><bold>Plots of (left) histogram and fitted density-distribution of neutrophils&#x02019; velocity derived from life cell imaging (right) fitted continuous log-normal density-distribution function</bold>.</p></caption>
<graphic xlink:href="fmicb-03-00129-g001.tif"/>
</fig>
</sec>
<sec>
<label>2.8</label> <title>Sub-models</title>
<sec id="S2.8.1">
<label>2.8.1</label> <title>Diffusion of chemokines by conidial agents and positive feedback activation of neutrophilic agents</title>
<p>Two types of chemical signaling determining the movement behavior of neutrophilic agents were considered in our modeling approach. We tested the impact of chemokines emitted by conidial agents which could be recognized by neutrophilic agents (Figure <xref ref-type="fig" rid="F2">2</xref>). Further, we allowed chemical communication between neutrophilic agents, assuming that the contact with a conidium can activate and recruit other immune cells (positive feedback; Figure <xref ref-type="fig" rid="F2">2</xref>). In our ABM the process of diffusion was expressed by two distinct parameters: chemokine-diffusion-rate and number of diffusion steps per time-step (repetition-of-chemokine-diffusion). Chemokine-diffusion-rate gives the fraction of molecules in the source grid cell that is equally divided and transferred to the eight neighboring cells (Moore neighborhood) in a single diffusion step. Both parameters determine the chemical gradient (see Figure <xref ref-type="fig" rid="F3">3</xref>).</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p><bold>ABM with (left) random walk of neutrophilic agents (middle) diffusion of chemokines excreted by conidial agents, and (right) with communication between neutrophilic agents, which causes a positive feedback loop in activating the immune defense and an aggregation of neutrophilic agents (see <xref ref-type="app" rid="A1">Appendix</xref> for sample videos of each movement type)</bold>.</p></caption>
<graphic xlink:href="fmicb-03-00129-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p><bold>Effects of the parameters &#x0201C;repetition-of-chemokine-diffusion&#x0201D; and &#x0201C;chemokine-diffusion-rate&#x0201D; on the process of diffusion of chemokines excreted by conidial agents on the grid cells for a fixed number of simulation-steps</bold>. A high value &#x0201C;repetition-of-chemokine-diffusion&#x0201D; leads to flat gradient of chemokines, while a high &#x0201C;chemokine-diffusion-rate&#x0201D; leads to a wider and faster diffusion of the chemical signal.</p></caption>
<graphic xlink:href="fmicb-03-00129-g003.tif"/>
</fig>
</sec>
<sec id="S2.8.2">
<label>2.8.2</label> <title>Interaction of agents</title>
<p>From life cell imaging we derived four main states of a conidial agent: it can either be free, dragged, phagocytized, or lysed by a neutrophilic agent (see Figure <xref ref-type="fig" rid="FA1">A1</xref> in Appendix). Free conidial agents can be dragged by neutrophilic agents with a certain probability. This linkage can vanish with a certain probability. Then, the conidial agent is free again, or the dragged conidial agent can be phagocytized with a certain probability. Once a conidial agent is ingested it gets digested by the neutrophilic agent after a fixed amount of time-steps (see Figure <xref ref-type="fig" rid="F4">4</xref>). The progress of a typical simulation run is shown in Figure <xref ref-type="fig" rid="F5">5</xref>.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p><bold>Two main procedures of the ABM</bold>. The setup-procedure initializes the environment, the agents and the lists for storing the output-data. The go-procedure is a for-loop over 180 time-steps, which corresponds to the first 90&#x02009;min of neutrophil-conidia interaction observed by live cell imaging.</p></caption>
<graphic xlink:href="fmicb-03-00129-g004.tif"/>
</fig>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p><bold>Progress of a typical simulation run</bold>. Neutrophilic agents (black) move on the grid randomly or search for free conidial agents (orange), which they may drag (yellow), or phagocytize (red). Conidial agents, which have been phagocytized already (gray), remain in the neutrophilic agent for reasons of visualization and do not further contribute to the simulation run.</p></caption>
<graphic xlink:href="fmicb-03-00129-g005.tif"/>
</fig>
</sec>
</sec>
</sec>
<sec>
<label>3</label> <title>Results</title>
<p>For the interpretation of interactions of neutrophils with conidia of <italic>A. fumigatus</italic> recorded by <italic>in vitro</italic> life cell imaging we tested in an ABM several modes of movement of the neutrophilic agents in their hunt for conidial agents. The remaining amount of free conidial agents after a defined timespan was taken as a measure for the efficiency of the applied hunting strategy of neutrophilic agents. Different strategies were tested in a small-scale model covering about 10,000&#x02009;&#x003BC;m<sup>2</sup> as well as on a larger scale representing about 1&#x02009;mm<sup>2</sup> of lung tissue.</p>
<sec>
<label>3.1</label> <title>Small-scale simulation</title>
<p>The simulation was conducted over the first 90&#x02009;min of interactions, identical to the timespan of observation in life cell imaging experiments, and was repeated 250 times for each parameter combination.</p>
<sec>
<label>3.1.1</label> <title>Random walk, normally distributed velocity of neutrophilic agents</title>
<p>The simplest way for neutrophilic agents to search conidial agents while having no clue of their whereabouts is by searching randomly, i.e., random walk. The velocity of neutrophilic agents was assumed to be normally distributed. An increasing mean resulted in a significantly decreased amount of free conidial agents at the end of the simulations, while the impact of the SD was low (see Figure <xref ref-type="fig" rid="F6">6</xref>).</p>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p><bold>Influence of mean and SD of neutrophilic agents&#x02019; velocity on clearing efficiency (SD as function of mean)</bold>.</p></caption>
<graphic xlink:href="fmicb-03-00129-g006.tif"/>
</fig>
</sec>
<sec>
<label>3.1.2</label> <title>Neutrophilic agents keep direction for a short timespan (short-term persistence in direction)</title>
<p><italic>Is it better to keep direction on the search and thus, to reduce the probability of moving back where the area is already cleared?</italic> Indeed, the efficiency of neutrophilic agents to phagocytize conidial agents increased significantly with a higher probability to hold the recent direction in the next time-step, which is called short-term persistence (STP; see Figure <xref ref-type="fig" rid="F7">7</xref>). The gain in clearing efficiency increases with the passing of time. The STP strategy pays off especially at low amounts of remaining free conidial agents.</p>
<fig id="F7" position="float">
<label>Figure 7</label>
<caption><p><bold>Mean amount of free conidial agents during simulation-time which corresponds to 90&#x02009;min of <italic>in vivo</italic> interaction</bold>. The simulation was repeated for each STP strategy 250 times.</p></caption>
<graphic xlink:href="fmicb-03-00129-g007.tif"/>
</fig>
</sec>
<sec>
<label>3.1.3</label> <title>Diffusion of chemokines</title>
<p><italic>Does following traces of the presence of conidia lead to a higher clearing efficiency?</italic> Metabolic activities of germinating conidia as well as recognition by the complement system result in certain molecules diffusing away from a conidium. Acting as a chemokine they could be sensed by a neutrophilic agent that follows the gradient. In Figure <xref ref-type="fig" rid="F8">8</xref> the clearing efficiency is shown in dependence on the diffusion parameters. If there is only one diffusion step per time-step the chemokine-diffusion-rate does not matter since the chemokines have only diffused to the next neighboring grid cells. The chemokines have not reached far and thus, the clearing efficiency is relatively low. For a high repetition-of-chemokine-diffusion the gradient is too flat if the chemokine-diffusion-rate is not very small. Optimal sets of parameters are a low repetition-of-chemokine-diffusion (but higher than one) with an arbitrary chemokine-diffusion-rate and a higher repetition-of-chemokine-diffusion in combination with a low chemokine-diffusion-rate.</p>
<fig id="F8" position="float">
<label>Figure 8</label>
<caption><p><bold>Influence of diffusion parameters on clearing efficiency</bold>.</p></caption>
<graphic xlink:href="fmicb-03-00129-g008.tif"/>
</fig>
</sec>
<sec>
<label>3.1.4</label> <title>Communication between neutrophils</title>
<p><italic>Is it useful to call other neutrophils if a neutrophil was successful in its hunt?</italic> In this model neutrophilic agents secrete communication molecules if they ingested a conidial agent. Other neutrophilic agents follow the gradient and help clearing conidial agents. Surprisingly, at first glance, nearly any communication disturbed the search for conidial agents (see Figure <xref ref-type="fig" rid="F9">9</xref>). At a closer look on the initialization setup it becomes clear that the conidial agents are distributed randomly. Thus, a found conidial agent does not imply that other conidial agents are located nearby. Communication between neutrophils leads to an accumulation of neutrophilic agents on locations where conidial agents already have been cleared. Hence, it is a better strategy to search at places where no other neutrophilic agents are and thus, to retain the initial random distribution.</p>
<fig id="F9" position="float">
<label>Figure 9</label>
<caption><p><bold>Influence of intra-neutrophilic communication on clearing efficiency of randomly distributed conidial agents</bold>.</p></caption>
<graphic xlink:href="fmicb-03-00129-g009.tif"/>
</fig>
</sec>
</sec>
<sec>
<label>3.2</label> <title>Simulation of the interaction of neutrophils and clusters of conidia on a larger scale</title>
<p>In a large-scale simulation-approach we tested whether communication between neutrophilic agents increases their efficiency to phagocytize conidial agents. In this setup the distribution of conidial agents was clustered in several randomly located spots on the grid. We evaluated the first 24&#x02009;h after infection and documented the number of conidial agents which were not yet dragged or phagocytized by neutrophilic agents. In this approach we focused on the major parameters of a possible positive feedback stimulation of neutrophils by other neutrophils, which were already in contact with infectious conidia. Simulation results show that communication between neutrophilic agents significantly increases the efficiency compared to the random walk model (Figures <xref ref-type="fig" rid="F10">10</xref> and <xref ref-type="fig" rid="F11">11</xref>). A high repetition-of-communication-signal-diffusion had a positive effect on the clearing efficiency. Here, the chemokines have reached areas far away from the source and thus, could activate neutrophilic agents that are far away from cluster of conidial agents.</p>
<fig id="F10" position="float">
<label>Figure 10</label>
<caption><p><bold>Influence of the diffusion parameter &#x0201C;repetition-of-communication-signal-diffusion&#x0201D; on the clearing efficiency dynamics</bold>. For comparison simulation results based on random movement of neutrophilic agents (black) and STP with a 75% probability of holding direction (gray) are shown.</p></caption>
<graphic xlink:href="fmicb-03-00129-g010.tif"/>
</fig>
<fig id="F11" position="float">
<label>Figure 11</label>
<caption><p><bold>Influence of the signal perception parameter &#x0201C;upper-communication-threshold&#x0201D; on the clearing efficiency dynamics</bold>. For comparison, simulation results based on random movement of neutrophilic agents (black) and STP with a 75% probability of holding direction (gray) are shown. The inset shows a zoom into the graph where a crossover of the clearing efficiency for the highest (pink) and lowest (orange) &#x0201C;upper-communication-threshold&#x0201D; occurs which can be interpreted as two opposing clearing strategies. SE are indicated.</p></caption>
<graphic xlink:href="fmicb-03-00129-g011.tif"/>
</fig>
<p>A repetition-of-communication-signal-diffusion of 3 seems to produce as good results as higher repetition-of-communication-signal-diffusion (see Figure <xref ref-type="fig" rid="F10">10</xref>) while computation time is shorter. Hence, this parameter remained fixed for the next study while upper-communication-threshold was varied. At the beginning of the clearance process neutrophilic agents with a higher upper threshold of communication signal perception were more successful. Later on, the inverse situation occurred.</p>
<p>A high upper threshold of communication signal perception is useful during the first hours where still many conidial agents are present near to calling neutrophilic agents. At a later time, when only few conidial agents remain in a cluster, a better strategy is to move to the vicinity of successful neutrophilic agents, but not nearby where the area is already cleared. This is realized by a small upper threshold of communication signal perception.</p>
</sec>
</sec>
<sec sec-type="discussion">
<label>4</label> <title>Discussion</title>
<p>Neutrophils play an essential role in the elimination of <italic>A. fumigatus</italic> (Balloy and Chignard, <xref ref-type="bibr" rid="B1">2009</xref>; Mircescu et al., <xref ref-type="bibr" rid="B14">2009</xref>). Nevertheless, the detailed mechanisms how these immune effector cells protect the human host are still a matter of debate (Bruns et al., <xref ref-type="bibr" rid="B4">2010</xref>). One effector mechanism is phagocytosis of conidia (Behnsen et al., <xref ref-type="bibr" rid="B3">2007</xref>).</p>
<p>Different potential movement strategies of neutrophils in tracking infectious conidia have been tested in an ABM to explain the <italic>in vitro</italic> efficiency of a population of neutrophils in reducing the amount of free conidia. Simple random walk, random walk with a tendency to keep the former direction (short-term persistence) and chemotactic movement triggered by chemokines excreted by conidia or communication signals sent out by other neutrophils that already have found conidia have been considered. The short-term persistence hunting strategy turned out to be superior to the simple random walk. A similar result has been found in computer simulations on the effectiveness of various search strategies at finding habitat patches (Zollner and Lima, <xref ref-type="bibr" rid="B24">1999</xref>). Following a gradient of chemokines released by conidia is even better. Then, the success in clearing conidia depends on the diffusion parameters of the sensed molecules.</p>
<p>Neutrophils comprise both tracking strategies, short-term persistence to direction and chemotaxis (Tranquillo et al., <xref ref-type="bibr" rid="B20">1988</xref>). In the absence of a gradient of a chemoattractant, they keep direction over the scale of minutes.</p>
<p>A central question tackled in this work is whether chemical communication and chemotaxis of neutrophils improve the clearing efficiency. We found that the answer depends on the spatial distribution of conidia, so that two cases can be distinguished: (a) If conidia are distributed randomly, communication does not pay off because it leads to an aggregation of neutrophils, so that many conidia are unaffected from neutrophilic attacks. (b) If conidia are clustered, communication of neutrophils results in a higher clearing efficiency, since attracting other neutrophils for a faster cooperative clearing pays off.</p>
<p>Calenbuhr and Deneubourg (<xref ref-type="bibr" rid="B5">1992</xref>) achieved similar results with a chemotaxis-diffusion model that describes collective hunting strategies using chemical communication in animals. It is found that collective hunting is more efficient at low prey densities whereas individual strategies are more efficient at high prey densities. Clustering of conidia can be seen as decreasing the density of the searched-for objects.</p>
<p>The communication model includes two parameters for cytokine recognition. A lower threshold of perception, and an upper threshold for sensing communication signals between immune cells. The large-scale simulation results showed a non-linear effect of this upper threshold of cytokine recognition on the efficiency of neutrophilic agents in clearing the tissue from infectious conidia. If the upper-communication-threshold was high, neutrophilic agents, activated by another &#x0201C;calling&#x0201D; neutrophilic agent, directly followed the gradient of cytokines until they reached the position of the calling agent. With lower values for the upper-communication-threshold activated neutrophilic agents mainly headed to the whole cluster of conidial agents, which significantly increased their overall efficiency. Scanning through possible values for this upper-communication-threshold revealed two opposing strategies. For a high threshold of cytokine recognition the overall efficiency of neutrophilic agents to clear the tissue was fast, but after a simulated time of 24&#x02009;h after infection this strategy was not that efficient as simulation runs with a low threshold. We concluded that the overall efficiency of a population of neutrophilic agents can be either &#x0201C;fast but sloppy&#x0201D; possessing a high threshold for communication signal perception or, &#x0201C;slow but thoroughly&#x0201D; having a low threshold.</p>
<p>In an evolutionary context, we assume that selection would favor hosts with a &#x0201C;fast but sloppy&#x0201D; immune-response by neutrophils against pathogens, like <italic>A. fumigatus</italic>. An infection is a race against time and we expect that the immune system of hosts are selected for a fast clearance to prevent conidial germination, even if this might not be the most thorough strategy in the long-run.</p>
<p>However, the possibility remains that neutrophils vary their threshold in signal perception according to the current situation comprising both strategies like they control chemotaxis via different concentrations of chemoattractants by G-protein signaling (Zhang et al., <xref ref-type="bibr" rid="B23">2009</xref>).</p>
</sec>
<sec>
<title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at <uri xlink:href="http://www.frontiersin.org/Microbial_Immunology/10.3389/fmicb.2012.00129/abstract">http://www.frontiersin.org/Microbial_Immunology/10.3389/fmicb.2012.00129/abstract</uri></p>
</sec>
</body>
<back>
<app-group>
<app id="A1">
<title>Appendix</title>
<table-wrap position="float" id="TA1">
<label>Table A1</label>
<caption><p><bold>List of agents</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">State variables</th>
<th align="left" valign="top">Brief description</th>
</tr>
</thead>
<tbody>
<tr>
<td style="background-color:DarkGray;" colspan="2" align="left" valign="top">&#x02009;&#x02009;&#x02009;<bold>GRID CELLS</bold></td>
</tr>
<tr>
<td align="left" valign="top">Size</td>
<td align="left" valign="top">Corresponds to the mean conidium size of <italic>A. fumigatus</italic> of 2.5&#x02009;&#x003BC;m</td>
</tr>
<tr>
<td align="left" valign="top">Radius of neutrophil</td>
<td align="left" valign="top">2.5 grid cells</td>
</tr>
<tr>
<td align="left" valign="top">Conidia-chemokines</td>
<td align="left" valign="top">Amount of chemokines segregated by conidial agents</td>
</tr>
<tr>
<td align="left" valign="top">Neutrophil chemokines</td>
<td align="left" valign="top">Amount of chemokines segregated by neutrophilic agents</td>
</tr>
<tr>
<td style="background-color:DarkGray;" colspan="2" align="left" valign="top">&#x02009;&#x02009;&#x02009;<bold>CONIDIAL AGENTS</bold></td>
</tr>
<tr>
<td align="left" valign="top">Size</td>
<td align="left" valign="top">Same size as a grid cell</td>
</tr>
<tr>
<td align="left" valign="top">In-zone</td>
<td align="left" valign="top">Stores the identity number of the neutrophilic agent in whose radius a conidial agent finds itself</td>
</tr>
<tr>
<td align="left" valign="top">Dragged</td>
<td align="left" valign="top">&#x02013; By which it is dragged</td>
</tr>
<tr>
<td align="left" valign="top">Caught</td>
<td align="left" valign="top">&#x02013; By which it is caught</td>
</tr>
<tr>
<td align="left" valign="top">Phagocytosis-counter</td>
<td align="left" valign="top">Counts the time until a caught conidial agent is digested</td>
</tr>
<tr>
<td style="background-color:DarkGray;" colspan="2" align="left" valign="top">&#x02009;&#x02009;&#x02009;<bold>NEUTROPHILIC AGENTS</bold></td>
</tr>
<tr>
<td align="left" valign="top">Identity number</td>
<td align="left" valign="top">Unique number for each neutrophilic agent</td>
</tr>
<tr>
<td align="left" valign="top">Size</td>
<td align="left" valign="top">Size-ratio of neutrophilic and conidial agents is 2.5</td>
</tr>
<tr>
<td align="left" valign="top">Velocity</td>
<td align="left" valign="top">Depends on movement mode</td>
</tr>
<tr>
<td align="left" valign="top">Direction</td>
<td align="left" valign="top">Depends on direction mode</td>
</tr>
<tr>
<td align="left" valign="top">Catching</td>
<td align="left" valign="top">Number of caught conidial agents</td>
</tr>
<tr>
<td align="left" valign="top">Dragging</td>
<td align="left" valign="top">Number of dragged conidial agents</td>
</tr>
<tr>
<td align="left" valign="top">Phagocytized</td>
<td align="left" valign="top">Number of phagocytized conidial agents</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="TA2">
<label>Table A2</label>
<caption><p><bold>List of global parameters</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Parameter</th>
<th align="left" valign="top">Brief description</th>
</tr>
</thead>
<tbody>
<tr>
<td style="background-color:DarkGray;" colspan="2" align="left" valign="top">&#x02009;&#x02009;&#x02009;<bold>SETUP</bold></td>
</tr>
<tr>
<td align="left" valign="top">Initial-number-of-conidia</td>
<td align="left" valign="top">Initial population size of conidial agents</td>
</tr>
<tr>
<td align="left" valign="top">Initial-number-of-neutrophils</td>
<td align="left" valign="top">Initial population size of neutrophilic agents</td>
</tr>
<tr>
<td align="left" valign="top">Velocities-mode-of-neutrophils</td>
<td align="left" valign="top">Setup of neutrophilic agents&#x02019; movement options</td>
</tr>
<tr>
<td align="left" valign="top">Direction-mode-of-neutrophils</td>
<td align="left" valign="top">Setup of neutrophilic agents&#x02019; direction options</td>
</tr>
<tr>
<td align="left" valign="top">Move-conidia</td>
<td align="left" valign="top">Conidial agents are moved randomly around their initial position</td>
</tr>
<tr>
<td style="background-color:DarkGray;" colspan="2" align="left" valign="top">&#x02009;&#x02009;&#x02009;<bold>INTERACTION</bold></td>
</tr>
<tr>
<td align="left" valign="top">Catch%</td>
<td align="left" valign="top">Neutrophilic agents&#x02019; probability to: catch a free conidial agent</td>
</tr>
<tr>
<td align="left" valign="top">Drag%</td>
<td align="left" valign="top">&#x02013; Drag a free conidial agent</td>
</tr>
<tr>
<td align="left" valign="top">Drag-to-release%</td>
<td align="left" valign="top">&#x02013; Release a dragged conidial agent</td>
</tr>
<tr>
<td align="left" valign="top">Drag-to-catch%</td>
<td align="left" valign="top">&#x02013; Phagocytize a dragged conidial agent</td>
</tr>
<tr>
<td align="left" valign="top">Phagocytosis-capacity</td>
<td align="left" valign="top">Maximum number of conidial agents which can be phagocytized by a neutrophilic agent</td>
</tr>
<tr>
<td align="left" valign="top">Phagocytosis-time</td>
<td align="left" valign="top">Duration of phagocytosis</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="TA3">
<label>Table A3</label>
<caption><p><bold>Neutrophilic agents&#x02019; movement modes</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Parameter</th>
<th align="left" valign="top">Brief description</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top"><bold>Random walk</bold></td>
<td align="left" valign="top">Random walk of neutrophilic agents</td>
</tr>
<tr>
<td align="left" valign="top">Mean-neutros</td>
<td align="left" valign="top">Option for normally-distributed mean of neutrophilic agents&#x02019; velocity (with fixed standard deviation)</td>
</tr>
<tr>
<td align="left" valign="top">Mean-normal dist</td>
<td align="left" valign="top">Option for normally-distributed mean of neutrophilic agents&#x02019; velocity</td>
</tr>
<tr>
<td align="left" valign="top">SD-normal dist</td>
<td align="left" valign="top">Option for normally-distributed standard deviation of neutrophilic agents&#x02019; velocity</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Short-term persistence (STP)</bold></td>
<td align="left" valign="top">Neutrophilic agents hold their actual direction with a certain probability</td>
</tr>
<tr>
<td align="left" valign="top">Hold-direction</td>
<td align="left" valign="top">Probability to hold given direction at the next step</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Diffusion of conidia-chemokines</bold></td>
<td align="left" valign="top">Activation of neutrophilic agents through conidia-chemokines, neutrophilic agents follow chemokine gradients</td>
</tr>
<tr>
<td align="left" valign="top">Amount-of-chemokines</td>
<td align="left" valign="top">Amount of chemokines spread by the free conidial agents per time-step</td>
</tr>
<tr>
<td align="left" valign="top">Chemokine-perception-threshold</td>
<td align="left" valign="top">Neutrophilic agents&#x02019; lower threshold of chemokine perception</td>
</tr>
<tr>
<td align="left" valign="top">Chemokine-diffusion-rate</td>
<td align="left" valign="top">Degree of diffusion</td>
</tr>
<tr>
<td align="left" valign="top">Repetition-of-chemokine-diffusion</td>
<td align="left" valign="top">Velocity of diffusion</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Communication between neutrophils</bold></td>
<td align="left" valign="top">Neutrophilic agents follow chemokine gradients segregated by activated neutrophilic agents (positive feedback-activation)</td>
</tr>
<tr>
<td align="left" valign="top">Activated neutrophil</td>
<td align="left" valign="top">Attracts other neutrophilic agents (positive feedback-activation)</td>
</tr>
<tr>
<td align="left" valign="top">Communication-signal</td>
<td align="left" valign="top">Signal strength of chemical communication spread by an activated neutrophilic agent</td>
</tr>
<tr>
<td align="left" valign="top">Decrease-of-communication-signal</td>
<td align="left" valign="top">Option for reducing the strength of communication signal</td>
</tr>
<tr>
<td align="left" valign="top">Lower-communication-threshold</td>
<td align="left" valign="top">Neutrophilic agents&#x02019; lower threshold of communication signal perception</td>
</tr>
<tr>
<td align="left" valign="top">Communication-over-chemotaxis</td>
<td align="left" valign="top">Option to rank priority of chemokine perception and communication signal perception of neutrophilic agents</td>
</tr>
<tr>
<td align="left" valign="top">Communication-signal-diffusion-rate</td>
<td align="left" valign="top">Degree of diffusion</td>
</tr>
<tr>
<td align="left" valign="top">Repetition-of-communication-signal-diffusion</td>
<td align="left" valign="top">Velocity of diffusion</td>
</tr>
<tr>
<td style="background-color:DarkGray;" colspan="2" align="left" valign="top">&#x02009;&#x02009;&#x02009;<bold>LARGE-SCALE GRID WITH CLUSTERS OF CONIDIA</bold></td>
</tr>
<tr>
<td align="left" valign="top">Number-of-conidia-clusters</td>
<td align="left" valign="top">Initial number of spots of infection</td>
</tr>
<tr>
<td align="left" valign="top">Size-of-clusters</td>
<td align="left" valign="top">Size of spot of infection</td>
</tr>
<tr>
<td align="left" valign="top">Density-of-clusters</td>
<td align="left" valign="top">Number of conidial agents per spot of infection</td>
</tr>
<tr>
<td align="left" valign="top">Upper-communication-threshold</td>
<td align="left" valign="top">Neutrophilic agents&#x02019; upper threshold of communication signal perception</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="FA1" position="float">
<label>Figure A1</label>
<caption><p><bold>Interaction of conidial and neutrophilic agents</bold>.</p></caption>
<graphic xlink:href="fmicb-03-00129-a001.tif"/>
</fig>
</app>
</app-group>
<ack>
<p>The authors are thankful to Matthias Gunzer for providing experimental data on <italic>Aspergillus fumigatus</italic> and murine neutrophils.</p>
<p>The work was supported by the &#x0201C;Pakt f&#x000FC;r Forschung und Innovation&#x0201D; of the BMBF (<uri xlink:href="http://www.bmbf.de/">http://www.bmbf.de/</uri>) and TMBWK (<uri xlink:href="http://www.thueringen.de/de/tmbwk/">http://www.thueringen.de/de/tmbwk/</uri>) to Sabine Hummert, Franziska Mech, and Marc Thilo Figge, BMBF &#x0201C;Virtual Liver&#x0201D; to Christian Tokarski, and DFG (Germany) within the excellence program &#x0201C;Jena School for Microbial Communication&#x0201D; to Anja Schroeter and Stefan Schuster.</p>
</ack>
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