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But that could never be proven until our study, since there was no way to accurately quantify mutations in normal cells, said Jan Vijg, Ph.D., a study co-senior author and professor and chair of genetics, professor of ophthalmology and visual sciences, and the Lola and Saul Kramer Chair in Molecular Genetics at Einstein (also at the Center for Single-Cell Omics, Jiaotong University School of Medicine in Shanghai, China)

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Although NOTCH signaling drives secretory cell fate in the differentiating airway epithelium 21,22 , and the transcription factor (TF), SPDEF 23,24 , specifically drives inflammation-induced mucus metaplasia, converting club cells into mucus cells in mice 25 , little else is known regarding regulation of human secretory cell development