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    │                                         Publication                                          │
    │                                                                                              │
    │                                                                                              │
    │    The membrane transporter SLC25A48 enables transport of choline into human mitochondria    │
    │                                                                                              │
    │                                                                                              │
    │ OPEN see commentary on page 225                                                              │
    │                                                                                              │
    │ Suraj Patil 1,2,3,4 , Oleg Borisov , Nora Scherer 2 2,3 , Christophe Wirth , Pascal          │
    │ Schlosser 5 2,6 , Matthias Wuttke , 2 Sandra Ehret , Luciana Hannibal 7 6,7 , Kai-Uwe        │
    │ Eckardt 8,9 , Carola Hunte 5,6,10 , Bjo ¨ rn Neubauer , 1 Anna Ko ¨ttgen 2,6 and Michael Ko  │
    │ ¨ttgen 1,6                                                                                   │
    │                                                                                              │
    │ 1 Department of Medicine IV -Nephrology and Primary Care, Faculty of Medicine and Medical    │
    │ Center, University of Freiburg, Freiburg, Germany; 2 Institute of Genetic Epidemiology,      │
    │ Faculty of Medicine and Medical Center -University of Freiburg, Freiburg, Germany; 3 Spemann │
    │ Graduate School of Biology and Medicine (SGBM), University of Freiburg, Freiburg, Germany; 4 │
    │ Faculty of Biology, University of Freiburg, Freiburg, Germany; 5 Institute of Biochemistry   │
    │ and Molecular Biology, ZBMZ, Faculty of Medicine, University of Freiburg, Freiburg, Germany; │
    │ 6 CIBSS -Centre for Integrative Biological Signalling Studies, University of Freiburg,       │
    │ Freiburg, Germany; 7 Laboratory of Clinical Biochemistry and Metabolism, Department of       │
    │ General Pediatrics, Adolescent Medicine and Neonatology, Faculty of Medicine, Medical        │
    │ Center, University of Freiburg, Freiburg, Germany; 8 Department of Nephrology and Medical    │
    │ Intensive Care, Charité -Universitätsmedizin Berlin, Berlin, Germany; 9 Department of        │
    │ Nephrology and Hypertension, University Hospital Erlangen, Friedrich-Alexander-Universität   │
    │ Erlangen-Nürnberg, Erlangen, Germany; and 10 BIOSS -Centre for Biological Signalling         │
    │ Studies, University of Freiburg, Freiburg, Germany                                           │
    │                                                                                              │
    │ Choline has important physiological functions as a precursor for essential cell components,  │
    │ signaling molecules, phospholipids, and the neurotransmitter acetylcholine. Choline is a     │
    │ water-soluble charged molecule requiring transport proteins to cross biological membranes.   │
    │ Although transporters continue to be identi /uniFB01 ed, membrane transport of choline is    │
    │ incompletely understood and knowledge about choline transport into intracellular organelles  │
    │ such as mitochondria remains limited. Here we show that SLC25A48 imports choline into human  │
    │ mitochondria. Human loss-of-function mutations in SLC25A48 show impaired choline transport   │
    │ into mitochondria and are associated with elevated urine and plasma choline levels. Thus,    │
    │ our studies may have implications for understanding and treating conditions related to       │
    │ choline metabolism.                                                                          │
    │                                                                                              │
    │                                                                                              │
    │                                   Translational Statement                                    │
    │                                                                                              │
    │ Kidney International (2025) 107, 296-301; https://doi.org/10.1016/ j.kint.2024.06.022        │
    │                                                                                              │
    │ KEYWORDS: choline transport; deorphanization; mGWAS; mitochondria; SLC25A48                  │
    │                                                                                              │
    │ Copyright ª 2024, International Society of Nephrology. Published by Elsevier Inc. This is an │
    │ open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).  │
    │                                                                                              │
    │ Correspondence: Anna Köttgen, Institute of Genetic Epidemiology, Medical Center -University  │
    │ of Freiburg, Hugstetter Strasse 49, 79106 Freiburg, Germany. E-mail:                         │
    │ anna.koettgen@uniklinik-freiburg.de; or Michael Köttgen, Department of Medicine IV           │
    │ -Nephrology and Primary Care, Medical Center -University of Freiburg, Institute for Disease  │
    │ Modeling and Targeted Medicine, Breisacherstrasse 113, 79106 Freiburg, Germany. E-mail:      │
    │ michael. koettgen@uniklinik-freiburg.de                                                      │
    │                                                                                              │
    │ Received 3 December 2023; revised 7 June 2024; accepted 17 June 2024; published online 29    │
    │ July 2024                                                                                    │
    │                                                                                              │
    │ This study uncovers the function of a human protein called solute carrier SLC25A48 by        │
    │ showing that it acts as a membrane transporter for choline. Choline has important            │
    │ physiological functions as a building block for essential cell components and signaling      │
    │ molecules. Choline is a water-soluble charged molecule and, therefore, requires transport    │
    │ proteins to cross biological membranes. How it gets into cellular compartments, like         │
    │ mitochondria, has been poorly understood. This study shows that SLC25A48 transports choline  │
    │ into mitochondria. Mutations in SLC25A48 disrupt choline transport into mitochondria,        │
    │ leading to higher levels of choline in urine and blood in humans. These /uniFB01 ndings shed │
    │ light on how choline is handled within cells and could have implications for understanding   │
    │ and treating conditions related to choline metabolism.                                       │
    │                                                                                              │
    │ M embrane transport proteins play a crucial role in the movement of ions and metabolites     │
    │ across biological membranes. Their proper functioning is essential for many physiological    │
    │ processes. Despite signi /uniFB01 cant progress in our understanding of these proteins, a    │
    │ substantial number of them remain uncharacterized, often referred to as orphan membrane      │
    │ transport proteins. 1 Deorphanization efforts are essential to unveil the hidden cellular    │
    │ functions and roles of these proteins in health and disease. Recent large-scale genomewide   │
    │ association studies of metabolite levels provide links between common genetic variants in    │
    │ membrane transporterencoding genes and metabolite levels. 2,3 This generates testable        │
    │ hypotheses to identify the physiological substrates of established and orphan human          │
    │ transport proteins in vivo .                                                                 │
    │                                                                                              │
    │ Choline is an essential nutrient with important roles in a variety of physiological          │
    │ processes and metabolic pathways. It is an essential component of phospholipids in cell      │
    │ membranes, such as phosphatidylcholines, a precursor of the neurotransmitter acetylcholine   │
    │ and of the osmoregulatory betaine, and an important player in lipid metabolism. 4 Recent     │
    │ studies have uncovered a growing body of evidence linking choline to various diseases, such  │
    │ as neurologic disorders, metabolic syndromes, and liver disease. 4 Several choline transport │
    │ proteins have been identi /uniFB01 ed and characterized in model systems, including SLC5A7,  │
    │ SLC44A1, SLC44A2, SLC44A4, SLC49A1, and SLC49A2. 5 -10 However, it is unclear which          │
    │ transporters affect systemic levels of free choline in humans and if they are linked to      │
    │ human genetic variation.                                                                     │
    │                                                                                              │
    │                                                                                              │
    │                                           METHODS                                            │
    │                                                                                              │
    │                                                                                              │
    │                                      Molecular biology                                       │
    │                                                                                              │
    │ pDONR221_SLC25A48 was a kind gift from the RESOLUTE Consortium (Addgene plasmid number       │
    │ 131995; http://n2t. net/addgene:131995; research resource identi /uniFB01 er [RRID]:         │
    │ Addgene_131995). The SLC25A48 transcript was ligated into the pcDNA6. /uniFB02 ag vector,    │
    │ and mutations were generated by site-directed mutagenesis (see Supplementary Methods for     │
    │ details).                                                                                    │
    │                                                                                              │
    │                                                                                              │
    │                                         Cell culture                                         │
    │                                                                                              │
    │ HEK293T and HeLa cell lines were cultured as described previously. 11 HEK293T cells were     │
    │ transfected with the calcium phosphate method, and HeLa cells with FuGENE HD (Promega        │
    │ E2311).                                                                                      │
    │                                                                                              │
    │                                                                                              │
    │              Protein isolation, gel electrophoresis, and Western blot analysis               │
    │                                                                                              │
    │ Proteins were isolated, separated using sodium dodecylsulfate -polyacrylamide gel            │
    │ electrophoresis, and transferred to polyvinylidene di /uniFB02 uoride membranes, as          │
    │ described previously. 12 Antibodies were anti-Flag (Sigma Aldrich F3165) and ß-actin (Sigma  │
    │ Aldrich A1978). Chemiluminescence signals were captured with the Intas ChemoCam system.      │
    │ Western blot analyses are representative of 3 experiments with similar results               │
    │ (Supplementary Methods).                                                                     │
    │                                                                                              │
    │                                                                                              │
    │                                  Immuno uorescence /uniFB02                                  │
    │                                                                                              │
    │ HeLa cells were prepared for indirect immuno /uniFB02 uorescence, as described in the        │
    │ Supplementary Methods. Confocal imaging was conducted on a Zeiss LSM980 MP AiryScan 2        │
    │ microscope with a 63 /C2 objective. Quantitative colocalization analysis was performed with  │
    │ the Colocalization plugin in the Zeiss ZEN blue 3.4 software (Supplementary Methods).        │
    │                                                                                              │
    │                                                                                              │
    │                                   Mitochondrial isolation                                    │
    │                                                                                              │
    │ HEK293T cells were grown and transfected in 500-cm 2 plates. Two days after transfection,    │
    │ cells were harvested and mitochondrial pellets were obtained. 13 Mitochondrial pellets were  │
    │ resuspended in a mitochondrial uptake buffer (KCl, 120 mM; sucrose, 25 mM; N                 │
    │ -2-hydroxyethylpiperazineN 0 -2-ethanesulfonic acid, 10 mM; ethyleneglycol-bis-[ b -         │
    │ aminoethylether]N N,N ,N , 0 0 -tetraacetic acid, 1 mM; KH2PO4, 1 mM; MgCl2, 5 mM;           │
    │ glutamate, 15 mM; and malate, 7.5 mM, adjusted to a pH 7.2) 6 (see Supplementary Methods).   │
    │                                                                                              │
    │                                                                                              │
    │                                3 H choline transport studies                                 │
    │                                                                                              │
    │ A total of 25 m g of mitochondria was suspended in 50 m l mitochondrial uptake buffer with   │
    │ subsequent addition of 2 /C2 choline buffer (mitochondrial uptake buffer supplemented with   │
    │ 20 m M choline chloride and 10 nM choline chloride [methyl-3H]) and incubated for 5 minutes. │
    │ Samples were washed twice with ice-cold mitochondria washing buffer (mitochondrial uptake    │
    │ buffer with 20 m M choline chloride), and the pellet was resuspended in Ultima Gold          │
    │ scintillation cocktail for quanti /uniFB01 cation of 3H-choline content using liquid         │
    │ scintillation counting.                                                                      │
    │                                                                                              │
    │                                                                                              │
    │                                     Statistical analysis                                     │
    │                                                                                              │
    │ GraphPad Prism 9.5.1 software was used to graph, analyze, and present the obtained data. All │
    │ results are expressed as mean /C6 SEM. All experiments were independently performed at least │
    │ 3 times. A 2-tailed Mann-Whitney test was used to calculate P values when the sample size    │
    │ (biological replicates) was at least 10, and an unpaired t -test was used when the sample    │
    │ size was < 10. P < 0.05 was considered signi /uniFB01 cant.                                  │
    │                                                                                              │
    │                                                                                              │
    │              Study population, choline measurements, and whole-exome sequencing              │
    │                                                                                              │
    │ Genetic associations with plasma and urine choline levels, measured as part of the Metabolon │
    │ HD4 Global Discovery metabolomics panel, were evaluated in the German Chronic Kidney Disease │
    │ study. 14 The SLC25A48 gene was investigated using whole-exome sequencing data. Details      │
    │ about the study sample, choline measurements, and whole-exome sequencing (sequencing,        │
    │ alignment, and variant calling) are found in the Supplementary Methods.                      │
    │                                                                                              │
    │                                                                                              │
    │                         Variant annotation and rare variant testing                          │
    │                                                                                              │
    │ Called variants were annotated using Variant Effect Predictor version 109, incorporating     │
    │ various tools to predict deleteriousness. 15 -17 Loss-of-function variants for SLC25A48 were │
    │ evaluated using the LoFtee Variant Effect Predictor plugin. 18 Two masks ("LoF_mis" and      │
    │ "HI_mis") that included rare variants (minor allele frequency < 1%) were generated for       │
    │ variant aggregation testing. The LoF_mis mask included highcon /uniFB01 dence                │
    │ loss-of-function variants, missense variants with a MetaSVM score > 0, or in-frame           │
    │ nonsynonymous variants with a fathmm-XF-coding score > 0.5, whereas the HI_mis mask          │
    │ encompassed variants with high-impact consequences or missense variants meeting speci        │
    │ /uniFB01 c criteria. Burden tests, adjusting for covariates, were performed using the        │
    │ seqMeta Rpackage version 1.6.7. Statistical signi /uniFB01 cance was de /uniFB01 ned as P <  │
    │ 0.05. Single-variant, covariate-adjusted association tests were conducted under additive     │
    │ modeling. Results are presented for the HI_mis mask, which yielded lower association P       │
    │ values. Further details are presented in the Supplementary Methods.                          │
    │                                                                                              │
    │ Figure 1 | SLC25A48 is a human mitochondrial choline transporter. ( a ) Regional association │
    │ plot showing association of common genetic variants in the SLC25A48 locus with choline       │
    │ levels in urine. ( b ) Flag-tagged SLC25A48 localizes to mitochondria, as shown by           │
    │ colocalization with the mitochondrial marker Mito-DsRed. Colors in merged image: SLC25A48    │
    │ (turquoise), Mito-DsRed (violet), and 4 ,6-diamidino-2-phenylindole 0 (blue). Maximum        │
    │ intensity projection of a confocal z-stack. Bar ¼ 5 m M. ( c,d ) Mitochondrial uptake of     │
    │ radiolabeled 3 H-choline in cells expressing SLC25A48 compared with mock-transfected control │
    │ cells (n ¼ 10). Average counts per minute (CPMA). *** P < 0.001. ( e ) Time course of        │
    │ relative choline uptake in mitochondria. ( ) Concentration dependence of choline uptake in   │
    │ mitochondria from cells expressing SLC25A48 f compared with mock-transfected controls. Chr,  │
    │ chromosome. To optimize viewing of this image, please see the online version of this article │
    │ at www.kidney-international.org.                                                             │
    │                                                                                              │
    │                                                                                              │
    │                                                                                              │
    │               Associations with gene expression and human traits and diseases                │
    │                                                                                              │
    │                                                                                              │
    │                                    RESULTS AND DISCUSSION                                    │
    │                                                                                              │
    │ Methods related to the association of rare SLC25A48 variants with gene expression, as well   │
    │ as human traits and diseases from the UK Biobank (application identi /uniFB01 er 64806), are │
    │ found in the Supplementary Methods.                                                          │
    │                                                                                              │
    │                                                                                              │
    │                           Structural model generation and analysis                           │
    │                                                                                              │
    │ The SLC25A48 AlphaFold 19 model was retrieved from the AlphaFold Protein Structure Database  │
    │ hosted by the European Molecular Biology Laboratories -European Bioinformatics Institute     │
    │ (EMBL-EBI; https://alphafold.ebi.ac.uk, accession code Q6ZT89). To identify potential        │
    │ homologous proteins with experimental structures available, a sequencebased BLAST search of  │
    │ the Protein Data Bank as well as a structural homology based search using -the DALI Server   │
    │ 20 were performed. Details about the structures of other SLC25 family members, how they were │
    │ superimposed, and how the matrix-open structure was modeled can be found in the              │
    │ Supplementary Methods. Figures were prepared using the PyMOL Molecular Graphics System,      │
    │ Schrödinger, LLC.                                                                            │
    │                                                                                              │
    │ We previously found through genome-wide association studies of metabolite levels that common │
    │ SLC25A48 variants are associated with altered choline levels in urine (Figure 1a), 2 and now │
    │ established that the genetic basis of this association is shared with plasma choline as well │
    │ as SLC25A48 transcript levels in brain tissue (Supplementary Figure S1), supporting the      │
    │ hypothesis that the orphan solute carrier SLC25A48 may be a choline transporter. SLC25A48    │
    │ transcript levels are highest in brain and kidney. Within the kidney, expression is high in  │
    │ epithelial cells of the S3 segment of the proximal tubule, a cell type rich in mitochondria  │
    │ with diverse energydemanding functions such as bulk reabsorption of /uniFB01 ltered solutes  │
    │ (Supplementary Figure S2). Overexpressed SLC25A48 localized to mitochondria in human         │
    │ epithelial cells (Figure 1b; Supplementary Figures S3 and S4). We, therefore, isolated       │
    │ mitochondria of cells overexpressing SLC25A48 and measured mitochondrial uptake of           │
    │ radiolabeled choline (Figure 1c). Mitochondria from cells overexpressing SLC25A48 showed a   │
    │ signi /uniFB01 cant increase of choline uptake compared with mitochondria from control cells │
    │ (Figure 1d).                                                                                 │
    │                                                                                              │
    │ Figure 2 | Rare damaging variants in SLC25A48 impair choline transport. ( a ) Comparison of  │
    │ inverse normal transformed choline levels in urine and plasma among carriers (N ¼ 47) and    │
    │ noncarriers (N ¼ 4572 for urine; N ¼ 4666 for plasma) of putative rare damaging driver       │
    │ variants in SLC25A48 ( P value by unpaired t -test [2 tailed]: 3.8 /C2 10 -21 for urine and  │
    │ 1.3 /C2 10 -07 for plasma). ( b ) Localization of rare, damaging driver variants with        │
    │ respect to their protein position in SLC25A48 (Q6ZT89, corresponding to transcript           │
    │ ENST00000681962.1, domains based on InterPro, x axis). Symbol shape corresponds to variant   │
    │ consequence, and the size represents the positive effect size of each individual variant on  │
    │ urine choline levels (Supplementary Table S1). Individual variant association -log10( P      │
    │ value) with urine choline levels is shown on the y axis. The 4 variants with the largest     │
    │ effects on urine choline levels were selected for subsequent functional analyses and are     │
    │ labeled. ( c ) Western blot analysis of wild-type versus mutant /uniFB02 ag-tagged SLC25A48. │
    │ Actin was used as the loading control. ( d ) Cellular localization of the SLC25A48 missense  │
    │ mutation p.R179P compared with wild-type SLC25A48. Indirect immuno /uniFB02 uorescence of    │
    │ SLC25A48/uniFB02 ag and cytochrome C oxidase subunit 4 (COX4) as mitochondrial marker.       │
    │ Colors in merged image: SLC25A48 (turquoise), COX4 (violet), and 4                           │
    │ ,6-diamidino-2-phenylindole 0 (blue). Bar ¼ 5 m M. ( e ) Quanti /uniFB01 cation of           │
    │ colocalization of SLC25A48 and COX4 (Pearson correlation coef /uniFB01 cient) shows a signi  │
    │ /uniFB01 cant reduction of mitochondrial localization of SLC25A48-R179P compared with wild   │
    │ type (**** P < 0.0001; see Supplementary Figure S7 for other mutants). ( ) f Relative        │
    │ mitochondrial uptake of radiolabeled 3 H-choline in cells expressing wild-type and mutant    │
    │ SLC25A48. Transport of mutant SLC25A48 was normalized to wild-type transport. * P < 0.05,    │
    │ **** P < 0.0001. ( g ) Position of damaging mutations in model of SLC25A48 (AlphaFold) in    │
    │ intermembrane space (IMS) -facing conformation (helices numbered). Left: side chains of      │
    │ mutant residues are highlighted in pink. The protein part that would be truncated in p.R243* │
    │ is in pink. Center, right: residues of the conserved matrix-salt-bridge network (dotted      │
    │ line), including D27 (mutation in p.D27G) are highlighted in red and blue sticks for acidic  │
    │ and basic residues, respectively. Mito_carr, mitochondrial carrier protein repeat; SOLCAR,   │
    │ solute carrier repeat. To optimize viewing of this image, please see the online version of   │
    │ this article at www.kidneyinternational.org.                                                 │
    │                                                                                              │
    │                                                                                              │
    │ Conversely, small, interfering RNA -mediated knockdown of endogenous SLC25A48 signi /uniFB01 │
    │ cantly reduced mitochondrial choline uptake and increased cytosolic choline concentration    │
    │                                                                                              │
    │ (Supplementary Figure S5). Mitochondrial uptake of choline was time and concentration        │
    │ dependent (Figure 1e and f). These data support the hypothesis that SLC25A48 is a newly      │
    │                                                                                              │
    │ identi /uniFB01 ed, high-af /uniFB01 nity mitochondrial choline transporter. SLC25A48        │
    │ transports choline at nanomolar concentrations (Figure 1f), and thus operates at             │
    │ physiological concentrations of free choline in humans (7 -20 m M). 21                       │
    │                                                                                              │
    │ To test whether there is a causal link between altered choline levels in humans and impaired │
    │ mitochondrial choline transport, we investigated the aggregated impact of rare, putatively   │
    │ damaging variants in SLC25A48 and found signi /uniFB01 cant associations with urine and      │
    │ plasma choline levels (burden test P ¼ 1.4 /C2 10 -17 and 4.2 /C2 10 -06 , respectively;     │
    │ Supplementary Table 1). Carriers of driver variants (Supplementary Methods) showed signi     │
    │ /uniFB01 cantly higher levels of choline compared with noncarriers, which was more           │
    │ pronounced in urine than in plasma (Figure 2a). Identi /uniFB01 ed driver variants mapped    │
    │ into different regions of SLC25A48 (Figure 2b). The association with choline was speci       │
    │ /uniFB01 c: no metabolite other than choline showed signi /uniFB01 cant genetic associations │
    │ after correcting for multiple testing (Supplementary Figure S6).                             │
    │                                                                                              │
    │ Choline has been implicated in various human conditions, ranging from neurologic diseases to │
    │ metabolic traits, but there is limited evidence linking genetic defects in choline transport │
    │ to human disease. We, therefore, tested whether cholinerelated, putative loss-of-function    │
    │ mutations in SLC25A48 were associated with any of the human traits and diseases ascertained  │
    │ in the UK Biobank that are related to tissues where SLC25A48 is highly expressed (METHODS).  │
    │ None of the binary (Supplementary Table 2) or quantitative (Supplementary Table 3) traits    │
    │ was signi /uniFB01 cantly associated with SLC25A48 putative loss-of-function carrier status  │
    │ after correction for multiple testing.                                                       │
    │                                                                                              │
    │ To investigate whether implicated variants were causally related to altered choline levels,  │
    │ we generated 4 mutations in the SLC25A48 cDNA using site-directed mutagenesis and            │
    │ overexpressed these variants in human cell lines to study their effect on protein            │
    │ expression, localization, and function. Western blot analyses showed reduced protein         │
    │ expression of some, but not all, investigated SLC25A48 mutations compared with wild-type     │
    │ protein (Figure 2c). Interestingly, some mutations showed mislocalization from mitochondria  │
    │ (p.R179P and p.R243*), with a signi /uniFB01 cant reduction of the mitochondrial             │
    │ colocalization index compared with wild-type SLC25A48 (Figure 2d and e; Supplementary Figure │
    │ S7), whereas other mutations localized to mitochondria like wild-type transporters (p.D27G   │
    │ and p.R64L; Supplementary Figure S7). These data show that only some of the investigated     │
    │ SLC25A48 mutations result in reduced protein expression and/or mislocalization.              │
    │                                                                                              │
    │ We subsequently measured choline uptake in mitochondria to investigate which mutations       │
    │ affect SLC25A48 transport function. Despite differences in abundance and localization, all   │
    │ tested SLC25A48 mutations signi /uniFB01 cantly impaired mitochondrial choline uptake        │
    │ (Figure 2f). These data suggest that impaired mitochondrial choline transport via SLC25A48   │
    │ results in altered plasma and urine choline levels in humans. This notion is supported by    │
    │ the increased cytosolic concentration of choline in SLC25A48-de /uniFB01 cient cells         │
    │                                                                                              │
    │ (Supplementary Figure S5), which decreases the driving force for choline into cells via      │
    │ plasma membrane choline transporters. From a mechanistic standpoint, our data suggest that   │
    │ the investigated mutations cause loss-of-function through different pathogenic mechanisms,   │
    │ including reduced expression, mislocalization, and impaired substrate turnover with normal   │
    │ expression level and localization.                                                           │
    │                                                                                              │
    │ To gain a better mechanistic understanding of why speci /uniFB01 c mutations cause impaired  │
    │ transport, we analyzed structural models of SLC25A48 in 2 conformations (Figure 2g;          │
    │ Supplementary Figure S8). The SLC25A48 models were in good agreement with experimental       │
    │ structures of other SLC25 family members, such as the adenosine diphosphate/adenosine        │
    │ triphosphate carrier and mitochondrial uncoupling protein (Supplementary Figure S8).         │
    │ Notably, residue D27 is part of a matrix-salt-bridge network of conserved residues, which is │
    │ a key component of the matrix gate of these transporters and, thus, essential for transport  │
    │ function. This is in line with the strongly impaired choline transport of p.D27G despite its │
    │ normal localization. 22,23 The other mutations were also localized on the matrix side of the │
    │ transporter and may affect its folding and stability. A limitation of this study is the lack │
    │ of proteoliposome experiments with puri /uniFB01 ed SLC25A48. Future studies investigating   │
    │ SLC25A48 in proteoliposomes may provide deeper insights into the biophysical properties, the │
    │ structure, and the function of this mitochondrial transporter.                               │
    │                                                                                              │
    │ In summary, we show that the physiological function of SLC25A48 in humans is choline import  │
    │ into mitochondria. Loss-of-function mutations in SLC25A48 impair choline transport into      │
    │ mitochondria and cause higher levels of free choline in urine and plasma. The                │
    │ deorphanization of SLC25A48 de /uniFB01 nes its molecular function in humans and enables     │
    │ future well-powered studies addressing its role in health and disease.                       │
    │                                                                                              │
    │                                                                                              │
    │                                          DISCLOSURE                                          │
    │                                                                                              │
    │ All the authors declared no competing interests.                                             │
    │                                                                                              │
    │                                                                                              │
    │                                        DATA STATEMENT                                        │
    │                                                                                              │
    │ All data generated or analyzed in this study were included in the main text and the          │
    │ Supplementary Material for this article. Other source data that support the /uniFB01 ndings  │
    │ of this study and uncropped full gel images of Western blot analyses are available from the  │
    │ corresponding author on reasonable request.                                                  │
    │                                                                                              │
    │                                                                                              │
    │                                       ACKNOWLEDGMENTS                                        │
    │                                                                                              │
    │ The cDNA for SLC25A48 was kindly provided by the RESOLUTE consortium (https://re-solute.eu). │
    │ The authors acknowledge Simone Diederichsen and Andreas Ungi for expert technical assistance │
    │ and graphic support. We would like to thank the Lighthouse Core Facility for assistance with │
    │ microscopy and cell sorting and Oliver Gorka for support with /uniFB02 ow cytometry. The     │
    │ work of NS, PS, CH, BN, AK, and MK was funded by German Research Foundation (DFG) project    │
    │ identi /uniFB01 er (ID) 431984000 (Sonderforschungsbereich [SFB] 1453). AK was supported by  │
    │ DFG KO 3598/4-2. MK was supported by DFG project ID 239283807 (Transregio [TRR] 152).        │
    │ Germany s Excellence Strategy ' (CIBSS -Centre for Integrative Biological Signalling         │
    │ Studies, EXC-2189,                                                                           │
    │                                                                                              │
    │ project ID 390939984) supported the work of CH, AK, and MK. SP was funded by H2020           │
    │ MSCA-ITN-2019 ID: 860977 (TrainCKDis). The work of PS was supported by DFG Project-ID        │
    │ 523737608 (SCHL 2292/2-1). Genotyping and urine metabolomics in the German Chronic Kidney    │
    │ Disease (GCKD) study were supported by Bayer Pharma. Plasma metabolomics has received        │
    │ funding from the Innovative Medicines Initiative 2 Joint Undertaking (JU) under grant        │
    │ agreement no. 115974. The JU receives support from the European Union s Horizon 2020         │
    │ research and innovation program ' and the European Federation of Pharmaceutical Industries   │
    │ and Associations (EFPIA) and the Juvenile Diabetes Research Foundation (JDRF). Any           │
    │ dissemination of results re /uniFB02 ects only the authors ' view; the JU is not responsible │
    │ for any use that may be made of the information it contains. Whole-exome sequencing data     │
    │ generation was supported by AstraZeneca, and processing of data was supported by their       │
    │ Centre for Genomics Research Analytics and Informatics team. The GCKD study was and is       │
    │ supported by the Bundesministerium für Bildung und Forschung (BMBF; FKZ 01ER 0804, 01ER      │
    │ 0818, 01ER 0819, 01ER 0820, and 01ER 0821) and the KfH Foundation for Preventive Medicine.   │
    │ We are grateful for the willingness of the patients to participate in the GCKD study. The    │
    │ effort of the study personnel of the various regional centers is highly appreciated. We      │
    │ thank the large number of nephrologists who provide routine care for the patients and        │
    │ collaborate with the GCKD study.                                                             │
    │                                                                                              │
    │ Supplementary material is available online at www.kidneyinternational.org.                   │
    │                                                                                              │
    │                                                                                              │
    │                                          REFERENCES                                          │
    │                                                                                              │
    │  •  1 Meixner E, Goldmann U, Sedlyarov V, et al. A substrate-based ontology for human solute │
    │       carriers. Mol Syst Biol . 2020;16:e9652.                                               │
    │  •  2 Schlosser P, Scherer N, Grundner-Culemann F, et al. Genetic studies of paired          │
    │       metabolomes reveal enzymatic and transport processes at the interface of plasma and    │
    │       urine. Nat Genet . 2023;55:995 -1008.                                                  │
    │  •  3 Suhre K, Shin SY, Petersen AK, et al. Human metabolic individuality in biomedical and  │
    │       pharmaceutical research. Nature . 2011;477:54 -60.                                     │
    │  •  4 Ueland PM. Choline and betaine in health and disease. J Inherit Metab Dis . 2011;34:3  │
    │       -15.                                                                                   │
    │  •  5 Apparsundaram S, Ferguson SM, George AL Jr, et al. Molecular cloning of a human,       │
    │       hemicholinium-3-sensitive choline transporter. Biochem Biophys Res Commun .            │
    │       2000;276:862 -867.                                                                     │
    │  •  6 Bennett JA, Mastrangelo MA, Ture SK, et al. The choline transporter Slc44a2 controls   │
    │       platelet activation and thrombosis by regulating mitochondrial function. Nat Commun .  │
    │       2020;11:3479.                                                                          │
    │  •  7 Kenny TC, Khan A, Son Y, et al. Integrative genetic analysis identi /uniFB01 es FLVCR1 │
    │       as a plasma-membrane choline transporter in mammals. Cell Metab . 2023;35:1057         │
    │       -1071.e12.                                                                             │
    │  •  8 Michel V, Bakovic M. The solute carrier 44A1 is a mitochondrial protein and mediates   │
    │       choline transport. FASEB J . 2009;23:2749 -2758.                                       │
    │  •   9 Traiffort E, O Regan S, Ruat M. The choline transporter-like family ' SLC44:          │
    │        properties and roles in human diseases. Mol Aspects Med . 2013;34:646 -654.           │
    │  •  10 Cater RJ, Mukherjee D, Gil-Iturbe E, et al. Structural and molecular basis of choline │
    │        uptake into the brain by FLVCR2. Nature . 2024;629:704 -709.                          │
    │  •  11 Wegierski T, Stef /uniFB02 D, Kopp C, et al. TRPP2 channels regulate apoptosis        │
    │        through the Ca2 þ concentration in the endoplasmic reticulum. EMBO J . 2009;28:490    │
    │        -499.                                                                                 │
    │  •  12 Hofherr A, Seger C, Fitzpatrick F, et al. The mitochondrial transporter SLC25A25      │
    │        links ciliary TRPP2 signaling and cellular metabolism. PLoS Biol . 2018;16:e2005651.  │
    │  •  13 Wieckowski MR, Giorgi C, Lebiedzinska M, et al. Isolation of mitochondria-associated  │
    │        membranes and mitochondria from animal tissues and cells. Nat Protoc . 2009;4:1582    │
    │        -1590.                                                                                │
    │  •  14 Eckardt KU, Barthlein B, Baid-Agrawal S, et al. The German Chronic Kidney Disease     │
    │        (GCKD) study: design and methods. Nephrol Dial Transplant . 2012;27:1454 -1460.       │
    │  •  15 Ioannidis NM, Rothstein JH, Pejaver V, et al. REVEL: an ensemble method for           │
    │        predicting the pathogenicity of rare missense variants. Am J Hum Genet . 2016;99:877  │
    │        -885.                                                                                 │
    │  •  16 Rentzsch P, Witten D, Cooper GM, et al. CADD: predicting the deleteriousness of       │
    │        variants throughout the human genome. Nucleic Acids Res . 2019;47:D886 -D894.         │
    │  •  17 Liu X, Li C, Mou C, et al. dbNSFP v4: a comprehensive database of transcript-speci    │
    │        /uniFB01 c functional predictions and annotations for human nonsynonymous and         │
    │        splice-site SNVs. Genome Med . 2020;12:103.                                           │
    │  •  18 Karczewski KJ, Francioli LC, Tiao G, et al. The mutational constraint spectrum quanti │
    │        /uniFB01 ed from variation in 141,456 humans. Nature . 2020;581: 434 443. -           │
    │  •  19 Jumper J, Evans R, Pritzel A, et al. Highly accurate protein structure prediction     │
    │        with AlphaFold. Nature . 2021;596:583 -589.                                           │
    │  •  20 Holm L, Laiho A, Toronen P, et al. DALI shines a light on remote homologs: one        │
    │        hundred discoveries. Protein Sci . 2023;32:e4519.                                     │
    │  •  21 Garcia E, Shalaurova I, Matyus SP, et al. Quanti /uniFB01 cation of choline in serum  │
    │        and plasma using a clinical nuclear magnetic resonance analyzer. Clin Chim Acta .     │
    │        2022;524:106 -112.                                                                    │
    │  •  22 Jones SA, Gogoi P, Ruprecht JJ, et al. Structural basis of purine nucleotide          │
    │        inhibition of human uncoupling protein 1. Sci Adv . 2023;9:eadh4251.                  │
    │  •  23 Ruprecht JJ, Kunji ERS. The SLC25 mitochondrial carrier family: structure and         │
    │        mechanism. Trends Biochem Sci . 2020;45:244 -258.                                     │
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│ Assistant:                                                                                       │
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    ╭──────────────────────────────────────────────────────────────────────────────────────────────╮
    │                                                                                              │
    │  {                                                                                           │
    │    "entity_list": [                                                                          │
    │      {                                                                                       │
    │        "entity_name": "SLC25A48"                                                             │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "choline"                                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "mitochondria"                                                         │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "acetic acid"                                                          │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "betaine"                                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "phospholipids"                                                        │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "phosphatidylcholines"                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "acetylcholine"                                                        │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC5A7"                                                               │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A1"                                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A2"                                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A4"                                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC49A1"                                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC49A2"                                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "HEK293T"                                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "HeLa"                                                                 │
    │      }                                                                                       │
    │    ],                                                                                        │
    │    "comment": "The list includes key transport proteins, metabolites, and cell lines direct  │
    │  referenced in the publication's methods and results sections, all of which are relevant to  │
    │  the study's focus on choline transport and the membrane transporter SLC25A48."              │
    │  }                                                                                           │
    │                                                                                              │
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│ User:                                                                                            │
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    │ ┏━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━┓ │
    │ ┃                                Step 2: PubTator Analysis                                 ┃ │
    │ ┗━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━┛ │
    │                                                                                              │
    │ For each biomedical entity identified in Step 1, determine whether it is listed in PubTator. │
    │ Provide a list of these entities along with their existence status in PubTator. Do not       │
    │ include examples or elaborate explanations. A Pubtator ID starts with '@' and does NOT       │
    │ contain a space character. If a Pubtator entity has several IDs, pick the best match.        │
    │                                                                                              │
    │ You MUST use the provided Pubtator tool to verify all entities!                              │
    │                                                                                              │
    │ You MUST format your response according to the provided JSON schema.                         │
    ╰──────────────────────────────────────────────────────────────────────────────────────────────╯
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│ Assistant:                                                                                       │
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    ╭──────────────────────────────────────────────────────────────────────────────────────────────╮
    │ [Assistant answered with 16 tool calls]                                                      │
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│ Tool:                                                                                            │
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    │ Pubtator entity search results for query 'SLC25A48':                                         │
    │                                                                                              │
    │ SLC25A48: @GENE_328258 @GENE_SLC25A48                                                     │
    │ SLC25A48: @GENE_515496 @GENE_SLC25A48                                                     │
    │ SLC25A48: @GENE_153328 @GENE_SLC25A48                                                     │
    │ slc25a48: @GENE_436640 @GENE_SLC25A48                                                     │
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    │ Pubtator entity search results for query 'choline':                                          │
    │                                                                                              │
    │ choline chloride: @CHEMICAL_MESH:D002794 @CHEMICAL_Choline                                │
    │ Choline: @CHEMICAL_MESH:D002794 @CHEMICAL_Choline                                         │
    │ choline: @CHEMICAL_MESH:D002794 @CHEMICAL_Choline                                         │
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    │ Pubtator entity search results for query 'mitochondria': No IDs found.                       │
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    │ Pubtator entity search results for query 'acetic acid':                                      │
    │                                                                                              │
    │ acetic acid: @CHEMICAL_MESH:D019342 @CHEMICAL_Acetic_Acid                                 │
    │ Acetic acid: @CHEMICAL_MESH:D019342 @CHEMICAL_Acetic_Acid                                 │
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    │ Pubtator entity search results for query 'betaine':                                          │
    │                                                                                              │
    │ betaine hydrochloride: @CHEMICAL_MESH:D001622 @CHEMICAL_Betaine                           │
    │ Betaine: @CHEMICAL_MESH:D001622 @CHEMICAL_Betaine                                         │
    │ betaine: @CHEMICAL_MESH:D001622 @CHEMICAL_Betaine                                         │
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    │ Pubtator entity search results for query 'phospholipids':                                    │
    │                                                                                              │
    │ Phospholipids: @CHEMICAL_MESH:D010743 @CHEMICAL_Phospholipids                             │
    │ Phospholipid: @CHEMICAL_MESH:D010743 @CHEMICAL_Phospholipids                              │
    │ phospholipid: @CHEMICAL_MESH:D010743 @CHEMICAL_Phospholipids                              │
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    │ Pubtator entity search results for query 'phosphatidylcholines':                             │
    │                                                                                              │
    │ PLi: @CHEMICAL_MESH:C044850                                                               │
    │    @CHEMICAL_1_myristoyl_2_(12_N_(4_azido_2_nitrophenyl)aminododecanoyl)phosphatidylcholine  │
    │ Phosphatidylcholine: @CHEMICAL_MESH:D010713 @CHEMICAL_Phosphatidylcholines                │
    │ phosphatidylcholine: @CHEMICAL_MESH:D010713 @CHEMICAL_Phosphatidylcholines                │
    │ phosphatidylcholines: @CHEMICAL_MESH:D010713 @CHEMICAL_Phosphatidylcholines               │
    │ lyso-phosphatidylcholine: @CHEMICAL_MESH:D008244 @CHEMICAL_Lysophosphatidylcholines       │
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    │ Pubtator entity search results for query 'acetylcholine':                                    │
    │                                                                                              │
    │ acetylcholine: @CHEMICAL_MESH:D000109 @CHEMICAL_Acetylcholine                             │
    │ Acetylcholine: @CHEMICAL_MESH:D000109 @CHEMICAL_Acetylcholine                             │
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│ Tool:                                                                                            │
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    │ Pubtator entity search results for query 'SLC5A7':                                           │
    │                                                                                              │
    │ Slc5a7: @GENE_60482 @GENE_SLC5A7                                                          │
    │ SLC5A7: @GENE_414870 @GENE_SLC5A7                                                         │
    │ SLC5A7: @GENE_60482 @GENE_SLC5A7                                                          │
    ╰──────────────────────────────────────────────────────────────────────────────────────────────╯
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│ Tool:                                                                                            │
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    │ Pubtator entity search results for query 'SLC44A1':                                          │
    │                                                                                              │
    │ SLC44A1: @GENE_23446 @GENE_SLC44A1                                                        │
    │ SLC44A1: @GENE_101102625 @GENE_SLC44A1                                                    │
    │ SLC44A1: @GENE_100434 @GENE_SLC44A1                                                       │
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    │ Pubtator entity search results for query 'SLC44A2':                                          │
    │                                                                                              │
    │ Slc44a2: @GENE_68682 @GENE_SLC44A2                                                        │
    │ SLC44A2: @GENE_68682 @GENE_SLC44A2                                                        │
    │ Slc44a2: @GENE_57153 @GENE_SLC44A2                                                        │
    │ SLC44A2: @GENE_57153 @GENE_SLC44A2                                                        │
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│ Tool:                                                                                            │
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    │ Pubtator entity search results for query 'SLC44A4':                                          │
    │                                                                                              │
    │ Slc44a4: @GENE_70129 @GENE_SLC44A4                                                        │
    │ SLC44A4: @GENE_80736 @GENE_SLC44A4                                                        │
    │ SLC44A4: @GENE_70129 @GENE_SLC44A4                                                        │
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│ Tool:                                                                                            │
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    │ Pubtator entity search results for query 'SLC49A1': No IDs found.                            │
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│ Tool:                                                                                            │
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    │ Pubtator entity search results for query 'SLC49A2': No IDs found.                            │
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    │ Pubtator entity search results for query 'HEK293T':                                          │
    │                                                                                              │
    │ HEK293T: @CELLLINE_CVCL:0063                                                              │
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│ Tool:                                                                                            │
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    │ Pubtator entity search results for query 'HeLa':                                             │
    │                                                                                              │
    │ HeLa: @CELLLINE_CVCL:T292                                                                 │
    │ HeLa: @CELLLINE_CVCL:0030                                                                 │
    ╰──────────────────────────────────────────────────────────────────────────────────────────────╯
╭──────────────────────────────────────────────────────────────────────────────────────────────────╮
│ Assistant:                                                                                       │
╰──────────────────────────────────────────────────────────────────────────────────────────────────╯
    ╭──────────────────────────────────────────────────────────────────────────────────────────────╮
    │                                                                                              │
    │  {                                                                                           │
    │    "entity_list": [                                                                          │
    │      {                                                                                       │
    │        "entity_name": "SLC25A48",                                                            │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC25A48"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "choline",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Choline"                                                    │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "mitochondria",                                                        │
    │        "in_pubtator": false,                                                                 │
    │        "pubtator_id": ""                                                                     │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "acetic acid",                                                         │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Acetic_Acid"                                                │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "betaine",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Betaine"                                                    │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "phospholipids",                                                       │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Phospholipids"                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "phosphatidylcholines",                                                │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Phosphatidylcholines"                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "acetylcholine",                                                       │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Acetylcholine"                                              │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC5A7",                                                              │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC5A7"                                                         │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A1",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC44A1"                                                        │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A2",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC44A2"                                                        │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A4",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC44A4"                                                        │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC49A1",                                                             │
    │        "in_pubtator": false,                                                                 │
    │        "pubtator_id": ""                                                                     │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC49A2",                                                             │
    │        "in_pubtator": false,                                                                 │
    │        "pubtator_id": ""                                                                     │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "HEK293T",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CELLLINE_CVCL:0063"                                                  │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "HeLa",                                                                │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CELLLINE_CVCL:T292"                                                  │
    │      }                                                                                       │
    │    ],                                                                                        │
    │    "comment": "Status of biomedical entities in PubTator was determined, noting those prese  │
    │  and their respective IDs."                                                                  │
    │  }                                                                                           │
    │                                                                                              │
    ╰──────────────────────────────────────────────────────────────────────────────────────────────╯
╭──────────────────────────────────────────────────────────────────────────────────────────────────╮
│ User:                                                                                            │
╰──────────────────────────────────────────────────────────────────────────────────────────────────╯
    ╭──────────────────────────────────────────────────────────────────────────────────────────────╮
    │ ┏━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━┓ │
    │ ┃                         Step 3: Reanalysis for Specific Entities                         ┃ │
    │ ┗━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━┛ │
    │                                                                                              │
    │ Reanalyze the scientific publication to identify the presence of specific entities from      │
    │ different schema categories listed below as subheadings. Follow these rules:                 │
    │                                                                                              │
    │ Only include entities explicitly mentioned in the publication, excluding mentions from    │
    │    the discussion section or bibliography.                                                   │
    │ If the entity is a synonym of the one listed in the schema, use the name from the schema. │
    │ Do not use the category names as entity names.                                            │
    │ If entities are listed hierachically, use the most specific entities.                     │
    │ If you notice entities that are not listed in the subheadings, include them in the list   │
    │    of entities as well.                                                                      │
    │                                                                                              │
    │ You MUST format your response according to the provided JSON schema.                         │
    │                                                                                              │
    │                                                                                              │
    │                                            Schema                                            │
    │                                                                                              │
    │                                           Organism                                           │
    │                                                                                              │
    │ Cell line                                                                                 │
    │ Fruit Fly                                                                                 │
    │ Human                                                                                     │
    │ Mouse                                                                                     │
    │ C. Elegans                                                                                │
    │ Rabbit                                                                                    │
    │ Rat                                                                                       │
    │ Xenopus                                                                                   │
    │ Zebrafish                                                                                 │
    │                                                                                              │
    │                                          Cell Lines                                          │
    │                                                                                              │
    │ 293 (HEK 293)                                                                             │
    │ 293A (HEK 293A)                                                                           │
    │ 293T (HEK 293T)                                                                           │
    │ AC16 Human Cardiomyocyte Cell Line                                                        │
    │ HAF                                                                                       │
    │ HeLa                                                                                      │
    │ HeLa 229                                                                                  │
    │ HL-1                                                                                      │
    │ HUVEC                                                                                     │
    │ THP-1                                                                                     │
    │ MDCK                                                                                      │
    │ mIMCD-3                                                                                   │
    │ LLC-PK1                                                                                   │
    │ RPTEC                                                                                     │
    │                                                                                              │
    │                                        Tissue source                                         │
    │                                                                                              │
    │ Adrenal gland                                                                             │
    │ Blood                                                                                     │
    │ Blood plasma                                                                           │
    │ Blood serum                                                                            │
    │ Whole blood                                                                            │
    │ Bone marrow                                                                               │
    │ Brain                                                                                     │
    │ Embryonal tissue                                                                          │
    │ Heart                                                                                     │
    │ Intestine                                                                                 │
    │ Kidney                                                                                    │
    │ Head kidney                                                                            │
    │ Juxtaglomerular apparatus                                                              │
    │ Extraglomerular mesangial cell                                                      │
    │ Juxtaglomerular cell                                                                │
    │ Macula densa                                                                        │
    │ Kidney cancer cell                                                                     │
    │ Nephridium                                                                             │
    │ Nephron                                                                                │
    │ Renal corpuscle                                                                     │
    │ Renal tubule                                                                        │
    │ Collecting duct                                                                  │
    │ Henles loop                                                                      │
    │ Renal clear cell                                                                 │
    │ Renal distal tubule                                                              │
    │ Renal proximal tubule                                                            │
    │ Renal tubule epithelium                                                          │
    │ Opisthonephros                                                                         │
    │ Renal artery                                                                           │
    │ Renal cortex                                                                           │
    │ Renal epithelium                                                                       │
    │ Renal medulla                                                                          │
    │ Renal neoplasm cell                                                                    │
    │ Renal parenchyma                                                                       │
    │ Renal pyramid                                                                          │
    │ Trunk kidney                                                                           │
    │ Tubulointerstitium                                                                     │
    │ Liver                                                                                     │
    │ Lung                                                                                      │
    │ Lymph node                                                                                │
    │ Nerve                                                                                     │
    │ Skin                                                                                      │
    │ Spleen                                                                                    │
    │ Thymus                                                                                    │
    │ Urine                                                                                     │
    │ Vascular system                                                                           │
    │                                                                                              │
    │                                        Health status                                         │
    │                                                                                              │
    │ Autosomal Dominant Polycystic Kidney Disease (ADPKD)                                      │
    │ Nephronophthisis                                                                          │
    │ Chronic Kidney Disease (CKD)                                                              │
    │ Nephrotic syndrome                                                                        │
    │ Clear cell renal carcinoma (ccRCC)                                                        │
    │ Von Hippel Lindau syndrome                                                                │
    │ Congenital abnormality of the kidney                                                      │
    │ Congenital abnormality of the ureter                                                      │
    │                                                                                              │
    │                                          Mouse line                                          │
    │                                                                                              │
    │ C57BL/6J (wildtype)                                                                       │
    │ Ksp-Cre                                                                                   │
    │ Pax8-Cre (Pax8rtTA)                                                                       │
    │ Pgk-Cre                                                                                   │
    │ Pod-Cre                                                                                   │
    │ LC1-Cre                                                                                   │
    │ Tam-Cre                                                                                   │
    │ Pkd1-flox                                                                                 │
    │ Pkd1-                                                                                     │
    │ Dnajb11 tm1a                                                                              │
    │ Dnajb11-flox                                                                              │
    │ Dnajb11-                                                                                  │
    │                                                                                              │
    │                                      Sample preparation                                      │
    │                                                                                              │
    │ Cultured cells                                                                            │
    │ Adipocyte                                                                              │
    │ Cardiomyocyte                                                                          │
    │ Dendritic cell                                                                         │
    │ Embryonic cardiomyocytes                                                               │
    │ Endothelial cell                                                                       │
    │ Epithelial cell                                                                        │
    │ Fibroblast                                                                             │
    │ hiPSC-CM                                                                               │
    │ hiPSC-FB                                                                               │
    │ Immune cell                                                                            │
    │ Leukocytes                                                                             │
    │ Lymphocytes                                                                            │
    │ Macrophage                                                                             │
    │ Monocytes                                                                              │
    │ Natural killer cells                                                                   │
    │ Neuronal cell                                                                          │
    │ Neurones                                                                               │
    │ Neutrophils                                                                            │
    │ Oocyte                                                                                 │
    │ Pericytes                                                                              │
    │ Platelet                                                                               │
    │ Smooth muscle cells                                                                    │
    │ T cells                                                                                │
    │ Isolated cells                                                                            │
    │ Adipocyte                                                                              │
    │ Cardiomyocyte                                                                          │
    │ Dendritic cell                                                                         │
    │ Embryonic cardiomyocytes                                                               │
    │ Endothelial cell                                                                       │
    │ Epithelial cell                                                                        │
    │ Fibroblast                                                                             │
    │ hiPSC-CM                                                                               │
    │ hiPSC-FB                                                                               │
    │ Immune cell                                                                            │
    │ Leukocytes                                                                             │
    │ Lymphocytes                                                                            │
    │ Macrophage                                                                             │
    │ Monocytes                                                                              │
    │ Natural killer cells                                                                   │
    │ Neuronal cell                                                                          │
    │ Neurones                                                                               │
    │ Neutrophils                                                                            │
    │ Oocyte                                                                                 │
    │ Pericytes                                                                              │
    │ Platelet                                                                               │
    │ Smooth muscle cells                                                                    │
    │ T cells                                                                                │
    │ Tissue chunk                                                                              │
    │ Tissue section (thin)                                                                     │
    │ Tissue slice                                                                              │
    │ Whole organ                                                                               │
    │                                                                                              │
    │                                      Sample processing                                       │
    │                                                                                              │
    │ Cleared fixed tissue                                                                      │
    │ Formaldehyde fixed and parafin embedded (FFPE)                                            │
    │ Formaldehyde-fixation                                                                     │
    │ High pressure frozen                                                                      │
    │ None (Physiological solution)                                                             │
    │ OCT embedded and frozen                                                                   │
    │                                                                                              │
    │                                           Readout                                            │
    │                                                                                              │
    │ Biomechanics                                                                              │
    │ Cell stretching                                                                        │
    │ Nanoindentation                                                                        │
    │ Sarcomer Length                                                                        │
    │ Single cell stretching                                                                 │
    │ Tissue stretching                                                                      │
    │ Tissue stretching Myodish                                                              │
    │ Clinical Imaging                                                                          │
    │ Computed tomography scan                                                               │
    │ Echocardiography                                                                       │
    │ Magnetic resonance imaging                                                             │
    │ Positron emission tomography                                                           │
    │ Computational modelling                                                                   │
    │ Electron microscopy                                                                       │
    │ Electrophysiology (clinical)                                                              │
    │ Electrophysiology (lab)                                                                   │
    │ Patch Clamp - current clamp                                                            │
    │ Patch Clamp - voltage clamp                                                            │
    │ Sharp Electrode                                                                        │
    │ Flow cytometry / FACS                                                                     │
    │ Light microscopy                                                                          │
    │ Confocal                                                                               │
    │ Multiphoton                                                                            │
    │ Slidescanner                                                                           │
    │ Widefield                                                                              │
    │ Molecular Biology                                                                         │
    │ Aptamer (Proteomics)                                                                   │
    │ Bulk chromatin accessibility                                                           │
    │ DNA Methylation (array)                                                                │
    │ Enzyme-linked immunosorbent assay (ELISA)                                              │
    │ Gene Expression (array)                                                                │
    │ Genotyping array and imputation                                                        │
    │ Proximity extension assay (PEA)                                                        │
    │ Quantitative polymerase chain reaction (qPCR)                                          │
    │ Standard biochemical assay                                                             │
    │ Westernblot                                                                            │
    │ Optical mapping                                                                           │
    │ Optoacoustics                                                                             │
    │ Sequencing                                                                                │
    │ ATAC sequencing                                                                        │
    │ DNA methylation (WGBS)                                                                 │
    │ RNA sequencing                                                                         │
    │ Single Cell chromatin accessibility                                                    │
    │ Single cell RNA seq                                                                    │
    │ Whole exome sequencing                                                                 │
    │ Whole genome sequencing                                                                │
    │ Mass Spectrometry                                                                         │
    │ Interaction proteomics                                                                 │
    │ Metabolomics                                                                           │
    │ Proteomics                                                                             │
    │                                                                                              │
    │                                            Probes                                            │
    │                                                                                              │
    │ Antibodies                                                                                │
    │ alpha-Actinin                                                                          │
    │ alpha-SMA (Smooth Muscle Actin)                                                        │
    │ Amphiphysin II                                                                         │
    │ ATP5B                                                                                  │
    │ BDNF                                                                                   │
    │ beta-Actin                                                                             │
    │ beta-Tubulin                                                                           │
    │ Bin1                                                                                   │
    │ CACNA2D1                                                                               │
    │ Calnexin                                                                               │
    │ CaV1.2 (CACNA1C)                                                                       │
    │ Caveolin-3                                                                             │
    │ CCL2                                                                                   │
    │ CD107b / Mac-3                                                                         │
    │ CD14                                                                                   │
    │ CD29                                                                                   │
    │ CD31                                                                                   │
    │ CD45                                                                                   │
    │ CD68                                                                                   │
    │ CD90.1 (Thy-1.1)                                                                       │
    │ Collagen-I-A1 (COL1A1)                                                                 │
    │ Connexin 40                                                                            │
    │ Connexin 43                                                                            │
    │ COUP-TF II/NR2F2                                                                       │
    │ CXCL1/GRO-alpha/KC/CINC-1                                                              │
    │ DDR2                                                                                   │
    │ GAPDH                                                                                  │
    │ GFP (green fluorescent protein)                                                        │
    │ HCN4                                                                                   │
    │ Histone 3 (PhosphoS10)                                                                 │
    │ Integrin-alpha-1                                                                       │
    │ Integrin-beta-1                                                                        │
    │ KCa1.1/BK                                                                              │
    │ Kir1.2                                                                                 │
    │ Kir2.1                                                                                 │
    │ KV1.3                                                                                  │
    │ KV1.5                                                                                  │
    │ mCherry                                                                                │
    │ Muscarinic Acetycholine Receptor 2/CM2                                                 │
    │ Myosin Light Chain 2                                                                   │
    │ Neurofilament Medium                                                                   │
    │ p53                                                                                    │
    │ PDGFR-alpha                                                                            │
    │ Phospho-SMAD2                                                                          │
    │ Piezo1                                                                                 │
    │ RFP (red fluorescent protein)                                                          │
    │ Ryanodine Receptor                                                                     │
    │ S100B                                                                                  │
    │ Sarcomeric alpha-Actinin                                                               │
    │ SERCA2 ATPase                                                                          │
    │ SLA Class II DR                                                                        │
    │ Sodium/Calcium Exchanger                                                               │
    │ SOX10                                                                                  │
    │ SWC3                                                                                   │
    │ Talin 1                                                                                │
    │ TGF-beta-1                                                                             │
    │ Troponin I                                                                             │
    │ TRP1                                                                                   │
    │ TurboGFP                                                                               │
    │ Tyrosine Hydroxylase                                                                   │
    │ Vimentin                                                                               │
    │ YAP                                                                                    │
    │ Reporter / Marker molecules                                                               │
    │ BeRST 1                                                                                │
    │ CellBrite                                                                              │
    │ Cellmask                                                                               │
    │ CellTracker                                                                            │
    │ CNA-35 (collagen probe)                                                                │
    │ DAPI                                                                                   │
    │ Dextran                                                                                │
    │ DI-4-ANBDQPQ                                                                           │
    │ Di-4-ANEPPDHQ                                                                          │
    │ Di-4-ANEQ(F)PTEA                                                                       │
    │ Fluo-4                                                                                 │
    │ Fura-2                                                                                 │
    │ Hoechst 33342                                                                          │
    │ Memglow                                                                                │
    │ Phalloidin                                                                             │
    │ Rhod-2                                                                                 │
    │ Streptavidin                                                                           │
    │ Sytox Dead Cell Stain                                                                  │
    │ Tubulin Tracker                                                                        │
    │ Ulex Europaeus Agglutinin I (UEA I)                                                    │
    │ Wheat germ agglutinin                                                                  │
    │ Stain                                                                                     │
    │ Hematoxylin and eosin                                                                  │
    │ Horse radish peroxidase                                                                │
    │ Masson's Trichrome                                                                     │
    │ Sirius Red                                                                             │
    ╰──────────────────────────────────────────────────────────────────────────────────────────────╯
╭──────────────────────────────────────────────────────────────────────────────────────────────────╮
│ Assistant:                                                                                       │
╰──────────────────────────────────────────────────────────────────────────────────────────────────╯
    ╭──────────────────────────────────────────────────────────────────────────────────────────────╮
    │                                                                                              │
    │  {                                                                                           │
    │    "entity_list": [                                                                          │
    │      {                                                                                       │
    │        "entity_name": "Human",                                                               │
    │        "from_provided_schema": true,                                                         │
    │        "schema_category": "Organism"                                                         │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "293T (HEK 293T)",                                                     │
    │        "from_provided_schema": true,                                                         │
    │        "schema_category": "Cell Lines"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "HeLa",                                                                │
    │        "from_provided_schema": true,                                                         │
    │        "schema_category": "Cell Lines"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Kidney",                                                              │
    │        "from_provided_schema": true,                                                         │
    │        "schema_category": "Tissue source"                                                    │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Choline",                                                             │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC25A48",                                                            │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC5A7",                                                              │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A1",                                                             │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A2",                                                             │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A4",                                                             │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC49A1",                                                             │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC49A2",                                                             │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Acetic acid",                                                         │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Betaine",                                                             │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Phospholipids",                                                       │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Phosphatidylcholine",                                                 │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Acetylcholine",                                                       │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": ""                                                                 │
    │      }                                                                                       │
    │    ],                                                                                        │
    │    "comment": "Entities were identified from the publication according to specific schema    │
    │  categories, while also including additional entities found explicitly in the text."         │
    │  }                                                                                           │
    │                                                                                              │
    ╰──────────────────────────────────────────────────────────────────────────────────────────────╯
╭──────────────────────────────────────────────────────────────────────────────────────────────────╮
│ User:                                                                                            │
╰──────────────────────────────────────────────────────────────────────────────────────────────────╯
    ╭──────────────────────────────────────────────────────────────────────────────────────────────╮
    │ ┏━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━┓ │
    │ ┃                             Step 4: Consolidation of Results                             ┃ │
    │ ┗━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━┛ │
    │                                                                                              │
    │ Consolidate the results of Steps 2 and 3: For each category listed in Step 3, list all       │
    │ entities identified in Step 3 and add the entities identified in Step 2 to the correct       │
    │ categories. If an entity is listed in both steps, include it only once in the final list,    │
    │ preferably with the schema name from Step 3. If an entity does not fit in the existing       │
    │ categories, you may add new ones. Try to use categories that are of the same scope as the    │
    │ existing ones.                                                                               │
    │                                                                                              │
    │ You MUST format your response according to the provided JSON schema.                         │
    ╰──────────────────────────────────────────────────────────────────────────────────────────────╯
╭──────────────────────────────────────────────────────────────────────────────────────────────────╮
│ Assistant:                                                                                       │
╰──────────────────────────────────────────────────────────────────────────────────────────────────╯
    ╭──────────────────────────────────────────────────────────────────────────────────────────────╮
    │                                                                                              │
    │  {                                                                                           │
    │    "entity_list": [                                                                          │
    │      {                                                                                       │
    │        "entity_name": "Human",                                                               │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "",                                                                    │
    │        "from_provided_schema": true,                                                         │
    │        "schema_category": "Organism"                                                         │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "293T (HEK 293T)",                                                     │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CELLLINE_CVCL:0063",                                                 │
    │        "from_provided_schema": true,                                                         │
    │        "schema_category": "Cell Lines"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "HeLa",                                                                │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CELLLINE_CVCL:T292",                                                 │
    │        "from_provided_schema": true,                                                         │
    │        "schema_category": "Cell Lines"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Kidney",                                                              │
    │        "in_pubtator": false,                                                                 │
    │        "pubtator_id": "",                                                                    │
    │        "from_provided_schema": true,                                                         │
    │        "schema_category": "Tissue source"                                                    │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Choline",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Choline",                                                   │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Metabolite"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC25A48",                                                            │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC25A48",                                                      │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Gene"                                                             │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC5A7",                                                              │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC5A7",                                                        │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Gene"                                                             │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A1",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC44A1",                                                       │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Gene"                                                             │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A2",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC44A2",                                                       │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Gene"                                                             │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC44A4",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@GENE_SLC44A4",                                                       │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Gene"                                                             │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC49A1",                                                             │
    │        "in_pubtator": false,                                                                 │
    │        "pubtator_id": "",                                                                    │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Gene"                                                             │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "SLC49A2",                                                             │
    │        "in_pubtator": false,                                                                 │
    │        "pubtator_id": "",                                                                    │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Gene"                                                             │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Acetic acid",                                                         │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Acetic_Acid",                                               │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Metabolite"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Betaine",                                                             │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Betaine",                                                   │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Metabolite"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Phospholipids",                                                       │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Phospholipids",                                             │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Metabolite"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Phosphatidylcholine",                                                 │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Phosphatidylcholines",                                      │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Metabolite"                                                       │
    │      },                                                                                      │
    │      {                                                                                       │
    │        "entity_name": "Acetylcholine",                                                       │
    │        "in_pubtator": true,                                                                  │
    │        "pubtator_id": "@CHEMICAL_Acetylcholine",                                             │
    │        "from_provided_schema": false,                                                        │
    │        "schema_category": "Metabolite"                                                       │
    │      }                                                                                       │
    │    ],                                                                                        │
    │    "comment": "This consolidation includes entities identified across both steps, organized  │
    │  by specific schema categories while ensuring unique entries."                               │
    │  }                                                                                           │
    │                                                                                              │
    ╰──────────────────────────────────────────────────────────────────────────────────────────────╯