
Edited by Jeffrey Roberts, Cornell University, Ithaca, NY; received September 19, 2022; accepted January 10, 2023
February 16, 2023
120 (8) e2215945120
Significance
Transcriptional pausing provides a hub for gene regulation. Pausing provides a timing mechanism to coordinate regulatory interactions, cotranscriptional RNA folding and protein synthesis, and stop signals for transcriptional termination. Cellular RNA polymerases (RNAPs) are complex, with multiple mobile modules shifting positions to control its catalytic activity and pause RNAP in response to DNA-encoded pause signals. Understanding how these modules move to enable pausing is crucial for a mechanistic understanding of gene regulation. Our results clarify the picture significantly by defining multiple states among which paused RNAP partitions in response to different pause signals. This work contributes to an emerging theme wherein multiple interconverting states of the RNAP proceed through a pathway (e.g., initiation or pausing), providing multiple opportunities for regulation.
Abstract
Transcriptional pausing underpins the regulation of cellular RNA synthesis, but its mechanism remains incompletely understood. Sequence-specific interactions of DNA and RNA with the dynamic, multidomain RNA polymerase (RNAP) trigger reversible conformational changes at pause sites that temporarily interrupt the nucleotide addition cycle. These interactions initially rearrange the elongation complex (EC) into an elemental paused EC (ePEC). ePECs can form longer-lived PECs by further rearrangements or interactions of diffusible regulators. For both bacterial and mammalian RNAPs, a half-translocated state in which the next DNA template base fails to load into the active site appears central to the ePEC. Some RNAPs also swivel interconnected modules that may stabilize the ePEC. However, it is unclear whether swiveling and half-translocation are requisite features of a single ePEC state or if multiple ePEC states exist. Here, we use cryo-electron microscopy (cryo-EM) analysis of ePECs with different RNA–DNA sequences combined with biochemical probes of ePEC structure to define an interconverting ensemble of ePEC states. ePECs occupy either pre- or half-translocated states but do not always swivel, indicating that difficulty in forming the posttranslocated state at certain RNA–DNA sequences may be the essence of the ePEC. The existence of multiple ePEC conformations has broad implications for transcriptional regulation.
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Data, Materials, and Software Availability
Cryo-EM data have been deposited in the RCSB Protein Data Bank (www.pdb.org) and in the Electron Microscopy Data Bank (www.emdatabank.org). The PDB accession codes for the coordinates of con-ePEC−1, con-ePEC_fTL, con-ePEC_ufTL, his-ePEC_fTL-Fin1, his-ePEC-fTL-Fin2, his-ePEC_fTL-Fout, his-ePEC_ufTL1, and his-ePEC_ufTL2 are 8EG7 (63), 8EG8 (64), 8EGB (65), 8EH8 (66), 8EH9 (67), 8EHA (68), 8EHF (69), and 8EHI (70), respectively, and the accession codes for the cryo-EM maps are EMD-28109 (71), EMD-28110 (72), EMD-28113 (73), EMD-28143 (74), EMD-28144 (75), EMD-28145 (76), EMD-28146 (77), and EMD-28148 (78), respectively. All study data are included in the article, SI Appendix, or both. Previously published data were used for this work (DOI: https://doi.org/10.1073/pnas.2101805118).
Acknowledgments
We thank members of the Darst-Campbell and Landick Laboratories for experimental advice and helpful discussions and M. Ebrahim, J. Sotiris, and H. Ng at The Rockefeller University Evelyn Gruss Lipper Cryo-electron Microscopy Resource Center for help with cryo-EM data collection. This work was supported by Burroughs Wellcome Fund CASI award 1016945 to T.V.M. and NIH grants R35 GM118130 to S.A.D and R01 GM38330 to R.L.
Author contributions
J.Y.K., T.V.M., Y.B., J.C., S.A.D., and R.L. designed research; J.Y.K., T.V.M., Y.B., E.L., J.L., and R.L. performed research; J.Y.K., T.V.M., Y.B., J.C., J.L., S.A.D., and R.L. analyzed data; and J.Y.K., T.V.M., Y.B., J.C., S.A.D., and R.L. wrote the paper.
Competing interests
The authors declare no competing interest.
Supporting Information
Movie S1.
The movie shows the movements of active-site modules (BH, TL, RH, FL) and nucleic acids that connect the different elemental PEC states observed for con-ePEC and his-ePEC in two side-by-side views of the active site of RNAP. Movements of the BH, RH, and FL that accompany TL folding and unfolding are also likely to occur during the active NAC.
References
1
R. Landick, Transcriptional pausing as a mediator of bacterial gene regulation. Annu. Rev. Microbiol. 75, 291–314 (2021).
2
A. Mayer, H. M. Landry, L. S. Churchman, Pause & go: From the discovery of RNA polymerase pausing to its functional implications. Curr. Opin. Cell Biol. 46, 72–80 (2017).
3
R. Landick, The regulatory roles and mechanism of transcriptional pausing. Biochem. Soc. Trans. 34, 1062–1066 (2006).
4
J. Qian, D. Dunlap, L. Finzi, Basic mechanisms and kinetics of pause-interspersed transcript elongation. Nucleic Acids Res. 49, 15–24 (2021).
5
J. Y. Kang, T. V. Mishanina, R. Landick, S. A. Darst, Mechanisms of transcriptional pausing in bacteria. J. Mol. Biol. 431, 4007–4029 (2019).
6
J. Y. Kang et al., RNA polymerase accommodates a pause RNA hairpin by global conformational rearrangements that prolong pausing. Mol. Cell 69, 802–815.e805 (2018).
7
A. V. Yakhnin, M. Kashlev, P. Babitzke, NusG-dependent RNA polymerase pausing is a frequent function of this universally conserved transcription elongation factor. Crit. Rev. Biochem. Mol. Biol. 55, 716–728 (2020).
8
X. Guo et al., Structural basis for NusA stabilized transcriptional pausing. Mol. Cell 69, 816–827.e814 (2018).
9
M. Delbeau Structural and functional basis of the universal transcription factor NusG pro-pausing activity in Mycobacterium tuberculosis. bioRxiv [Preprint] (2022). 2022.2010.2021.513233 (Accessed 3 December 2022).
10
S. Hwang et al., Structural basis of transcriptional regulation by a nascent RNA element, HK022 putRNA. Nat. Commun. 13, 4668 (2022).
11
Z. Yin, J. T. Kaelber, R. H. Ebright, Structural basis of Q-dependent antitermination. Proc. Natl. Acad. Sci. U.S.A. 116, 18384–18390 (2019).
12
E. J. Grayhack, X. Yang, L. F. Lau, J. W. Roberts, Phage lambda gene Q antiterminator recognizes RNA polymerase near the promoter and accelerates it through a pause site. Cell 42, 259–269 (1985).
13
J. Y. Kang et al., Structural basis for transcript elongation control by NusG/RfaH universal regulators. Cell 173, 1650–1662.e1614 (2018).
14
S. Dey et al., Structural insights into RNA-mediated transcription regulation in bacteria. Mol. Cell 82, 3885-3900.e3810 (2022).
15
S. Kyzer, K. S. Ha, R. Landick, M. Palangat, Direct versus limited-step reconstitution reveals key features of an RNA hairpin-stabilized paused transcription complex. J. Biol. Chem. 282, 19020–19028 (2007).
16
K.M. Herbert et al., Sequence-resolved detection of pausing by single RNA polymerase molecules. Cell 125, 1083–1094 (2006).
17
R. Gabizon, A. Lee, H. Vahedian-Movahed, R. H. Ebright, C. J. Bustamante, Pause sequences facilitate entry into long-lived paused states by reducing RNA polymerase transcription rates. Nat. Commun. 9, 2930 (2018).
18
R. Janissen, B. Eslami-Mossallam, I. Artsimovitch, M. Depken, N. H. Dekker, High-throughput single-molecule experiments reveal heterogeneity, state switching, and three interconnected pause states in transcription. Cell Rep. 39, 110749 (2022).
19
J. Saba et al., The elemental mechanism of transcriptional pausing. eLife 8, e40981 (2019).
20
E. J. Strobel, J. W. Roberts, Two transcription pause elements underlie a sigma70-dependent pause cycle. Proc. Natl. Acad. Sci. U.S.A. 112, e4374–e4380 (2015).
21
I. Toulokhonov, J. Zhang, M. Palangat, R. Landick, A central role of the RNA polymerase trigger loop in active-site rearrangement during transcriptional pausing. Mol. Cell 27, 406–419 (2007).
22
M. H. Larson et al., A pause sequence enriched at translation start sites drives transcription dynamics in vivo. Science 344, 1042–1047 (2014).
23
I. O. Vvedenskaya et al., Interactions between RNA polymerase and the “core recognition element” counteract pausing. Science 344, 1285–1289 (2014).
24
M. Imashimizu et al., Visualizing translocation dynamics and nascent transcript errors in paused RNA polymerases in vivo. Genome. Biol. 16, 98 (2015).
25
J. T. Winkelman et al., XACT-seq comprehensively defines the promoter-position and promoter-sequence determinants for initial-transcription pausing. Mol. Cell 79, 797–811.e798 (2020).
26
M. Gajos et al., Conserved DNA sequence features underlie pervasive RNA polymerase pausing. Nucleic Acids Res. 49, 4402–4420 (2021).
27
J. Y. Kang et al., Structural basis of transcription arrest by coliphage HK022 nun in an Escherichia coli RNA polymerase elongation complex. Elife 6, e25478 (2017).
28
M. Abdelkareem et al., Structural basis of transcription: RNA polymerase backtracking and its reactivation. Mol. Cell 75, 298–309.e294 (2019).
29
S. M. Vos, L. Farnung, H. Urlaub, P. Cramer, Structure of paused transcription complex Pol II-DSIF-NELF. Nature 560, 601–606 (2018).
30
C. Zhu et al., Transcription factors modulate RNA polymerase conformational equilibrium. Nat. Commun. 13, 1546 (2022).
31
W. J. Lane, S. A. Darst, Molecular evolution of multisubunit RNA polymerases: Sequence analysis. J. Mol. Biol. 395, 671–685 (2010).
32
Y. Zuo, T. A. Steitz, Crystal structures of the E. coli transcription initiation complexes with a complete bubble. Mol. Cell 58, 534–540 (2015).
33
B. Liu, Y. Zuo, T. A. Steitz, Structures of E. coli sigmaS-transcription initiation complexes provide new insights into polymerase mechanism. Proc. Natl. Acad. Sci. U.S.A. 113, 4051–4056 (2016).
34
E. Krissinel, K. Henrick, Inference of macromolecular assemblies from crystalline state. J. Mol. Biol. 372, 774–797 (2007).
35
Y. Bao, R. Landick, Obligate movements of an active site-linked surface domain control RNA polymerase elongation and pausing via a Phe pocket anchor. Proc. Natl. Acad. Sci. U.S.A. 118, e2101805118 (2021).
36
C. Chan, D. Wang, R. Landick, Multiple interactions stabilize a single paused transcription intermediate in which hairpin to 3’ end spacing distinguishes pause and termination pathways. J. Mol. Biol. 268, 54–68 (1997).
37
C. L. Vitiello, M. L. Kireeva, L. Lubkowska, M. Kashlev, M. Gottesman, Coliphage HK022 Nun protein inhibits RNA polymerase translocation. Proc. Natl. Acad. Sci. U.S.A. 111, E2368–E2375 (2014).
38
R. Landick, D. Wang, C. Chan, Quantitative analysis of transcriptional pausing by RNA polymerase: The his leader pause site as a paradigm. Meth. Enzymol. 274, 334–352 (1996).
39
G. Theissen, B. Pardon, R. Wagner, A quantitative assessment for transcriptional pausing of DNA-dependent RNA polymerases in vitro. Anal. Biochem. 189, 254–261 (1990).
40
J. Zhou, K. S. Ha, A. La Porta, R. Landick, S. M. Block, Applied force provides insight into transcriptional pausing and its modulation by transcription factor NusA. Mol. Cell 44, 635–646 (2011).
41
R. Landick, C. L. J. Turnbough, C. Yanofsky, “Transcription attenuation” in Escherichia coli and Salmonella: Cellular and Molecular Biology, F. C. Neidhardt et al., Eds. (ASM, Washington, DC, 1996), ed. 2, pp. 1263–1286.
42
C. E. Scull, S. S. Dandpat, R. A. Romero, N. G. Walter, Transcriptional riboswitches integrate timescales for bacterial gene expression control. Front. Mol. Biosci. 7, 607158 (2020).
43
A. Bochkareva, Y. Yuzenkova, V. R. Tadigotla, N. Zenkin, Factor-independent transcription pausing caused by recognition of the RNA-DNA hybrid sequence. EMBO J. 31, 630–639 (2012).
44
J. R. Goodson, W. C. Winkler, Processive antitermination. Microbiol. Spectr. 6, RWR0031-2018 (2018).
45
Z. Yin, J. G. Bird, J. T. Kaelber, B. E. Nickels, R. H. Ebright Structural basis of transcription antitermination by Qλ: NusA induces refolding of Qλ to form a nozzle that extends the RNA polymerase RNA-exit channel. Proc. Natl. Acad. Sci. U.S.A. 119, e2205278119 (2022).
46
F. Krupp et al., Structural basis for the action of an all-purpose transcription anti-termination factor. Mol. Cell 74, 143–157 (2019).
47
Y. H. Huang et al., Structure-based mechanisms of a molecular RNA polymerase/chaperone machine required for ribosome biosynthesis. Mol. Cell 79, 1024–1036.e1025 (2020).
48
D. Jensen, E. A. Galburt, The context-dependent influence of promoter sequence motifs on transcription initiation kinetics and regulation. J. Bacteriol. 203, e00512-20 (2021).
49
E. F. Ruff et al., E. coli RNA polymerase determinants of open complex lifetime and structure. J. Mol. Biol. 427, 2435–2450 (2015).
50
J. Chen, H. Boyaci, E. A. Campbell, Diverse and unified mechanisms of transcription initiation in bacteria. Nat. Rev. Microbiol. 19, 95–109 (2021).
51
C. L. Chan, R. Landick, Dissection of the his leader pause site by base substitution reveals a multipartite signal that includes a pause RNA hairpin. J. Mol. Biol. 233, 25–42 (1993).
52
M. Turtola, G. A. Belogurov, NusG inhibits RNA polymerase backtracking by stabilizing the minimal transcription bubble. eLife 5, e18096 (2016).
53
S. Tagami et al., Crystal structure of bacterial RNA polymerase bound with a transcription inhibitor protein. Nature 468, 978–982 (2010).
54
B. Shu, P. Gong, Structural basis of viral RNA-dependent RNA polymerase catalysis and translocation. Proc. Natl. Acad. Sci. U.S.A. 113, E4005–E4014 (2016).
55
D. A. Silva et al., Millisecond dynamics of RNA polymerase II translocation at atomic resolution. Proc. Natl. Acad. Sci. U.S.A. 111, 7665–7670 (2014).
56
S. Sekine, Y. Murayama, V. Svetlov, E. Nudler, S. Yokoyama, The ratcheted and ratchetable structural states of RNA polymerase underlie multiple transcriptional functions. Mol. Cell 57, 408–421 (2015).
57
V. P. Dandey et al., Time-resolved cryo-EM using Spotiton. Nat. Methods 17, 897–900 (2020).
58
K. A. Twist et al., A novel method for the production of in vivo-assembled, recombinant Escherichia coli RNA polymerase lacking the alpha C-terminal domain. Protein Sci. 20, 986–995 (2011).
59
B. Bae et al., Phage T7 Gp2 inhibition of Escherichia coli RNA polymerase involves misappropriation of sigma70 domain 1.1. Proc. Natl. Acad. Sci. U.S.A. 110, 19772–19777 (2013).
60
T. Windgassen et al., Trigger-helix folding pathway and SI3 mediate catalysis and hairpin-stabilized pausing by Escherichia coli RNA polymerase. Nucleic Acids Res. 42, 12707–12721 (2014).
61
P. P. Hein et al., RNA polymerase pausing and nascent-RNA structure formation are linked through clamp-domain movement. Nat. Struct. Mol. Biol. 21, 794–802 (2014).
62
F. V. Marcoline, J. Furth, S. Nayak, M. Grabe, R. I. Macey, Berkeley Madonna Version 10-A simulation package for solving mathematical models. CPT Pharmacometrics Syst. Pharmacol. 11, 290–301 (2022).
63
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of pre-consensus elemental paused elongation complex. Protein Data Bank. https://www.rcsb.org/structure/8EG7. Deposited 11 September 2022.
64
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of consensus elemental paused elongation complex with a folded TL. Protein Data Bank. https://www.rcsb.org/structure/8EG8. Deposited 12 September 2022.
65
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of consensus elemental paused elongation complex with an unfolded TL. Protein Data Bank. https://www.rcsb.org/structure/8EGB. Deposited 12 September 2022.
66
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with a folded TL and a rotated RH-FL (1). Protein Data Bank. https://www.rcsb.org/structure/8EH8. Deposited 13 September 2022.
67
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with a folded TL and a rotated RH-FL (2). Protein Data Bank. https://www.rcsb.org/structure/8EH9. Deposited 13 September 2022.
68
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with a folded TL and a rotated RH-FL (out). Protein Data Bank. https://www.rcsb.org/structure/8EHA. Deposited 14 September 2022.
69
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with an unfolded TL (1). Protein Data Bank. https://www.rcsb.org/structure/8EHF. Deposited 14 September 2022.
70
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with an unfolded TL (2). Protein Data Bank. https://www.rcsb.org/structure/8EHI. Deposited 14 September 2022.
71
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of pre-consensus elemental paused elongation complex. Electron Microscopy Data Bank. https://www.ebi.ac.uk/emdb/EMD-28109. Deposited 11 September 2022.
72
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of consensus elemental paused elongation complex with a folded TL. Electron Microscopy Data Bank. https://www.ebi.ac.uk/emdb/EMD-28110. Deposited 12 September 2022.
73
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of consensus elemental paused elongation complex with an unfolded TL. Electron Microscopy Data Bank. https://www.ebi.ac.uk/emdb/EMD-28113. Deposited 12 September 2022.
74
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with a folded TL and a rotated RH-FL (1). Electron Microscopy Data Bank. https://www.ebi.ac.uk/emdb/EMD-28143. Deposited 13 September 2022.
75
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with a folded TL and a rotated RH-FL (2). Electron Microscopy Data Bank. https://www.ebi.ac.uk/emdb/EMD-28144. Deposited 13 September 2022.
76
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with a folded TL and a rotated RH-FL (out). Electron Microscopy Data Bank. https://www.ebi.ac.uk/emdb/EMD-28145. Deposited 14 September 2022.
77
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with an unfolded TL (1). Electron Microscopy Data Bank. https://www.ebi.ac.uk/emdb/EMD-28146. Deposited 14 September 2022.
78
J.Y. Kang, J. Chen, E. Llwellyn, R. Landick, S.A. Darst, Cryo-EM structure of his-elemental paused elongation complex with an unfolded TL (2). Electron Microscopy Data Bank. https://www.ebi.ac.uk/emdb/EMD-28148. Deposited 14 September 2022.
Information & Authors
Information
Published in
Proceedings of the National Academy of Sciences
Vol. 120 | No. 8
February 21, 2023
Classifications
Copyright
Data, Materials, and Software Availability
Cryo-EM data have been deposited in the RCSB Protein Data Bank (www.pdb.org) and in the Electron Microscopy Data Bank (www.emdatabank.org). The PDB accession codes for the coordinates of con-ePEC−1, con-ePEC_fTL, con-ePEC_ufTL, his-ePEC_fTL-Fin1, his-ePEC-fTL-Fin2, his-ePEC_fTL-Fout, his-ePEC_ufTL1, and his-ePEC_ufTL2 are 8EG7 (63), 8EG8 (64), 8EGB (65), 8EH8 (66), 8EH9 (67), 8EHA (68), 8EHF (69), and 8EHI (70), respectively, and the accession codes for the cryo-EM maps are EMD-28109 (71), EMD-28110 (72), EMD-28113 (73), EMD-28143 (74), EMD-28144 (75), EMD-28145 (76), EMD-28146 (77), and EMD-28148 (78), respectively. All study data are included in the article, SI Appendix, or both. Previously published data were used for this work (DOI: https://doi.org/10.1073/pnas.2101805118).
Submission history
Received: September 19, 2022
Accepted: January 10, 2023
Published online: February 16, 2023
Published in issue: February 21, 2023
Keywords
- RNA polymerase
- transcriptional pausing
- transcriptional regulation
- cryo-EM
- Escherichia coli
Acknowledgments
We thank members of the Darst-Campbell and Landick Laboratories for experimental advice and helpful discussions and M. Ebrahim, J. Sotiris, and H. Ng at The Rockefeller University Evelyn Gruss Lipper Cryo-electron Microscopy Resource Center for help with cryo-EM data collection. This work was supported by Burroughs Wellcome Fund CASI award 1016945 to T.V.M. and NIH grants R35 GM118130 to S.A.D and R01 GM38330 to R.L.
Author Contributions
J.Y.K., T.V.M., Y.B., J.C., S.A.D., and R.L. designed research; J.Y.K., T.V.M., Y.B., E.L., J.L., and R.L. performed research; J.Y.K., T.V.M., Y.B., J.C., J.L., S.A.D., and R.L. analyzed data; and J.Y.K., T.V.M., Y.B., J.C., S.A.D., and R.L. wrote the paper.
Competing Interests
The authors declare no competing interest.
Notes
This article is a PNAS Direct Submission.
Authors
Affiliations
Department of Chemistry, Korea Advanced Institute of Science and Technology, Daejeon 34141, Republic of Korea
Tatiana V. Mishanina1
Department of Chemistry and Biochemistry, University of California San Diego, La Jolla, CA 92093
Department of Biochemistry, University of Wisconsin–Madison, Madison, WI 53706
James Chen
Laboratory of Molecular Biophysics, The Rockefeller University, New York, NY 10065
Present address: New York University (NYU) Grossman School of Medicine, New York, NY 10016.
Eliza Llewellyn
Laboratory of Molecular Biophysics, The Rockefeller University, New York, NY 10065
Present address: Beagle Bioscience, Westport, CT 06881.
James Liu
Department of Biochemistry, University of Wisconsin–Madison, Madison, WI 53706
Laboratory of Molecular Biophysics, The Rockefeller University, New York, NY 10065
Department of Biochemistry, University of Wisconsin–Madison, Madison, WI 53706
Department of Bacteriology, University of Wisconsin–Madison, Madison, WI 53706
Notes
1
J.Y.K., T.V.M., and Y.B. contributed equally to this work.
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