CDH23

UniProt ID: Q9H251
Organism: Homo sapiens
Review Status: COMPLETE
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Gene Description

CDH23 encodes cadherin-23, a large calcium-dependent adhesion protein with multiple splice isoforms. In sensory hair cells, its extracellular region contributes to the upper part of stereociliary tip links and its cytoplasmic tail binds harmonin, supporting hair-bundle organization and mechanotransduction. CDH23 can also form homophilic adhesive contacts; experiments in human epithelial cell lines link its expression to cell aggregation and migration behavior. Pathogenic variants cause nonsyndromic hearing loss or Usher syndrome with auditory, vestibular and retinal involvement.

Existing Annotations Review

GO Term Evidence Action Reason
GO:0098609 cell-cell adhesion
IBA
GO_REF:0000033
ACCEPT
Summary: CDH23 contributes directly to adhesive contacts between cells as well as to stereociliary links.
Reason: Human MCF-7 cell adhesion is reduced by CDH23 inhibitory antibody and RNAi (PMID:22413011); human HEK293T perturbations independently support an aggregation function (PMID:30747484). Thus cell-cell adhesion is not justified solely by tip links between stereocilia of one cell. Calcium-dependent extracellular homophilic binding is supported by ortholog ectodomain experiments (PMID:31729176). The IBA at PTN008601603 in PTHR24026 is compatible with these target-cell findings.
Supporting Evidence:
PMID:22413011
RNAi treatment significantly reduced the ability of MCF-7 cells to participate in homotypic adhesion.
PMID:31729176
supporting that EC1โ€2 domains of Cdh23 are enough to mediate the Ca2+โ€dependent cellโ€“cell adhesion.
GO:0016477 cell migration
IBA
GO_REF:0000033
KEEP AS NON CORE
Summary: CDH23-mediated adhesion contributes to cell migration behavior in human cultured cells.
Reason: The cell-migration IBD is at PTN008601603 in PTHR24026. PMID:30747484 directly tests CDH23 expression and silencing in human HEK293T cells: silencing decreases aggregation and increases transwell migration. Its adhesive activity supplies a physical contribution to the migratory context. Retain this inherited process as a secondary role; the prominent sensory tip-link function does not establish loss of migration-related function.
Supporting Evidence:
PMID:30747484
Overall, the transwell assay and hangingโ€drop assay jointly indicated that silencing of Cdh23 expression resulted in decreased cell aggregation and enhanced cell migration.
GO:0008013 beta-catenin binding
IBA
GO_REF:0000033
UNDECIDED
Summary: Classical catenin-binding motifs are absent, but the scope of the inherited catenin interaction remains unresolved.
Reason: The relevant IBD is at PTN008601603 in PTHR24026. PMID:12485990 reports absence of consensus R1/R2 beta-catenin-binding sites and an alternative harmonin linkage; its absence-of-catenin observation is limited to growing hair bundles and is described as unpublished. PMID:30747484 and PMID:22413011 instead show CDH23 at beta-catenin-positive human cell contacts. Colocalization does not establish direct binding or membership of a catenin complex, but sensory specialization and motif differences alone do not adjudicate every isoform or tissue. Leave the distinct molecular-function and complex-membership assertions unresolved after the focused review. The OpenScientist report incorrectly states that PMID:30747484 never mentions catenin; its full text expressly reports colocalization and proposes MAGI-1 as a possible bridge. This is not direct binding evidence, but it prevents adopting the report's categorical exclusion. Direct binding and indirect complex membership remain separate human follow-up questions.
Propagation Review
Root cause: UNRESOLVED
Sources checked:
PANTHER:PTN008601603 ยท PTN008601603 UNRESOLVED
Classical motif loss is a mechanistic concern; target-cell colocalization supplies context but not a direct interaction assay. Ancestral interaction and complex membership require separate adjudication.
Supporting Evidence:
PMID:12485990
cadherin 23 lacks the consensus R1 and R2 binding sites for ฮฒ-catenin
PMID:30747484
We observed distinct puncta at the cellโ€“cell boundaries that were coโ€localized with ฮฒโ€catenin
GO:0016342 catenin complex
IBA
GO_REF:0000033
UNDECIDED
Summary: Classical catenin-binding motifs are absent, but the scope of the inherited catenin interaction remains unresolved.
Reason: The relevant IBD is at PTN008601603 in PTHR24026. PMID:12485990 reports absence of consensus R1/R2 beta-catenin-binding sites and an alternative harmonin linkage; its absence-of-catenin observation is limited to growing hair bundles and is described as unpublished. PMID:30747484 and PMID:22413011 instead show CDH23 at beta-catenin-positive human cell contacts. Colocalization does not establish direct binding or membership of a catenin complex, but sensory specialization and motif differences alone do not adjudicate every isoform or tissue. Leave the distinct molecular-function and complex-membership assertions unresolved after the focused review. The OpenScientist report incorrectly states that PMID:30747484 never mentions catenin; its full text expressly reports colocalization and proposes MAGI-1 as a possible bridge. This is not direct binding evidence, but it prevents adopting the report's categorical exclusion. Direct binding and indirect complex membership remain separate human follow-up questions.
Propagation Review
Root cause: UNRESOLVED
Sources checked:
PANTHER:PTN008601603 ยท PTN008601603 UNRESOLVED
Classical motif loss is a mechanistic concern; target-cell colocalization supplies context but not a direct interaction assay. Ancestral interaction and complex membership require separate adjudication.
Supporting Evidence:
PMID:12485990
cadherin 23 lacks the consensus R1 and R2 binding sites for ฮฒ-catenin
PMID:30747484
We observed distinct puncta at the cellโ€“cell boundaries that were coโ€localized with ฮฒโ€catenin
GO:0031175 neuron projection development
IBA
GO_REF:0000033
KEEP AS NON CORE
Summary: Retain the inherited neuron-projection-development role as a secondary, phylogenetically inferred process.
Reason: PTHR24026 places this process at PTN004649584. CDH23 is a multidomain adhesion protein with multiple isoforms and expression outside hair cells. The reviewed sources do not demonstrate loss of the inherited developmental function. Lack of a target-neuron experiment and predominance of the hair-bundle literature are not sufficient grounds to reject the IBD. The specific human neuronal mechanism remains unresolved after the focused report. The report's zebrafish retinal morphology and optokinetic results are limited to those assays and do not establish loss of every human neuron-projection role; its lack-of-target-experiment objection does not overturn the IBD.
Supporting Evidence:
file:interpro/panther/PTHR24026/PTHR24026-paint.tsv
PTHR24026 PTN004649584 GO:0031175 P IBD false FB:FBgn0262018|MGI:MGI:1890219|ZFIN:ZDB-GENE-040513-7 taxon:33213 20231129
GO:0045296 cadherin binding
IBA
GO_REF:0000033
ACCEPT
Summary: CDH23 binds cadherin partners through its extracellular adhesion domains.
Reason: The PTN008601603 inference is consistent with the established CDH23-PCDH15 tip-link partnership and with homophilic ectodomain interactions. PMID:31729176 uses mouse EC1-2 constructs and human A549-cell adhesion, with conserved interacting residues; this is ortholog biochemical support rather than a purified-human-ectodomain assay. Harmonin binding is a separate intracellular PDZ-domain interaction, not itself cadherin binding.
Supporting Evidence:
PMID:31729176
supporting that EC1โ€2 domains of Cdh23 are enough to mediate the Ca2+โ€dependent cellโ€“cell adhesion.
GO:0005509 calcium ion binding
IEA
GO_REF:0000002
ACCEPT
Summary: Calcium ion binding is appropriate for the extracellular cadherin repeats of CDH23.
Reason: Cadherin repeats use calcium to rigidify extracellular-domain interfaces and support adhesion.
Supporting Evidence:
file:human/CDH23/CDH23-uniprot.txt
Three calcium ions are usually bound at the interface of each cadherin domain
GO:0005886 plasma membrane
IEA
GO_REF:0000120
ACCEPT
Summary: CDH23 is a single-pass type I membrane protein, so membrane/plasma membrane localization is appropriate.
Reason: The broad membrane annotation is true, with stereocilium/hair-bundle membrane localization being more informative.
Supporting Evidence:
file:human/CDH23/CDH23-uniprot.txt
SUBCELLULAR LOCATION: Cell membrane
file:human/CDH23/CDH23-uniprot.txt
Single-pass type I membrane protein
GO:0007155 cell adhesion
IEA
GO_REF:0000002
ACCEPT
Summary: CDH23 contributes directly to adhesive contacts between cells as well as to stereociliary links.
Reason: Human MCF-7 cell adhesion is reduced by CDH23 inhibitory antibody and RNAi (PMID:22413011); human HEK293T perturbations independently support an aggregation function (PMID:30747484). Thus cell-cell adhesion is not justified solely by tip links between stereocilia of one cell. Calcium-dependent extracellular homophilic binding is supported by ortholog ectodomain experiments (PMID:31729176). The IBA at PTN008601603 in PTHR24026 is compatible with these target-cell findings.
Supporting Evidence:
PMID:22413011
RNAi treatment significantly reduced the ability of MCF-7 cells to participate in homotypic adhesion.
PMID:31729176
supporting that EC1โ€2 domains of Cdh23 are enough to mediate the Ca2+โ€dependent cellโ€“cell adhesion.
GO:0007156 homophilic cell-cell adhesion
IEA
GO_REF:0000002
ACCEPT
Summary: CDH23 can mediate homophilic adhesion in addition to its heterophilic tip-link interaction.
Reason: PMID:22413011 demonstrates CDH23-dependent homotypic adhesion in human MCF-7 cells, and PMID:31729176 resolves a trans-homodimer mechanism using mouse EC1-2 proteins and tests adhesion of human A549 cells. The interacting residues are conserved between human and mouse. Heterophilic binding to PCDH15 in hair cells therefore does not exclude homophilic capacity in other contexts.
Supporting Evidence:
PMID:22413011
RNAi treatment significantly reduced the ability of MCF-7 cells to participate in homotypic adhesion.
PMID:31729176
supporting that EC1โ€2 domains of Cdh23 are enough to mediate the Ca2+โ€dependent cellโ€“cell adhesion.
GO:0016020 membrane
IEA
GO_REF:0000002
ACCEPT
Summary: CDH23 is a single-pass type I membrane protein, so membrane/plasma membrane localization is appropriate.
Reason: The broad membrane annotation is true, with stereocilium/hair-bundle membrane localization being more informative.
Supporting Evidence:
file:human/CDH23/CDH23-uniprot.txt
SUBCELLULAR LOCATION: Cell membrane
file:human/CDH23/CDH23-uniprot.txt
Single-pass type I membrane protein
GO:0005515 protein binding
IPI
PMID:22879593
Large protein assemblies formed by multivalent interactions ...
MODIFY
Summary: CDH23 binds the PDZ2 domain of harmonin through its cytoplasmic region.
Reason: The original interaction studies support a more informative molecular function than generic protein binding. PMID:12485990 directly tests isolated harmonin PDZ domains in binding assays, and PMID:22879593 describes the C-terminal PDZ-binding motif within multivalent CDH23-harmonin assemblies. Use PDZ domain binding for this specific interface; other N-terminal-domain interactions and self-association are not being relabeled as PDZ binding.
Proposed replacements: PDZ domain binding
Supporting Evidence:
PMID:12485990
Both the PDZ1โ€“PDZ2 peptide (amino acids 138โ€“403) of harmonin and the PDZ2 domain alone (amino acids 189โ€“307) bound to the cadherin 23 cytodomain, whereas binding was not observed with either PDZ1 or PDZ3
PMID:22879593
the NTD-binding motif, the exon68 peptide, and the C-terminal PDZ binding motif
GO:0042802 identical protein binding
IPI
PMID:22879593
Large protein assemblies formed by multivalent interactions ...
ACCEPT
Summary: Self-association of CDH23 contributes to adhesive and anchoring assemblies.
Reason: PMID:22879593 explicitly reports homodimerization of the exon68-encoded cytoplasmic peptide and its contribution to CDH23-harmonin polymer formation. This is functionally relevant to the stereociliary anchoring apparatus, rather than incidental binding. The result is construct/isoform dependent; retain the original source fields without implying that every splice isoform contains exon68.
Supporting Evidence:
PMID:22879593
The exon68 peptide can promote the cadherin23/harmonin polymer formation via either binding to harmonin NTD or self-dimerization.
GO:0006816 calcium ion transport
IMP
PMID:17234811
A functional study of plasma-membrane calcium-pump isoform 2...
UNDECIDED
Summary: The calcium-process annotation needs separation of mechanical channel coupling from calcium-pump assays.
Reason: PMID:17234811 studies CDH23 genetic variation in a family with PMCA2-associated deafness, but its calcium-clearance and current assays test PMCA2 variants and PMCA2-mutant mice. The paper explicitly leaves CDH23-harmonin involvement in PMCA2 function open. CDH23 need not itself be a pump to participate structurally in calcium entry through mechanotransduction, so the previous categorical exclusion on that basis was invalid. The cited IMP process and broader mechanotransduction evidence require adjudication before accepting or rejecting this precise calcium claim. The focused report correctly assigns the pump assays to PMCA2 but again treats absence of pump activity as excluding structural participation in a transport process. It does not resolve the specific IMP source claim, so human follow-up remains necessary.
Supporting Evidence:
PMID:17234811
Whether the tripolar complex has any role in the function of PMCA2 is an open question.
file:human/CDH23/CDH23-hypotheses/catenin-neuronal-and-calcium-process-scope/openscientist.md
Neither the entry (MET channel) nor the export (PMCA2) route is CDH23.
GO:0007605 sensory perception of sound
IMP
PMID:17234811
A functional study of plasma-membrane calcium-pump isoform 2...
ACCEPT
Summary: Human CDH23 variation contributes to a digenic hearing-loss phenotype.
Reason: The full original study identifies the CDH23 variant in the affected son carrying a PMCA2 mutation; its inheritance pattern supports the reported auditory contribution. This hearing phenotype does not, by itself, establish CDH23 calcium-pump activity.
Supporting Evidence:
PMID:17234811
The screening on the CDH23 gene (GenBank accession no. NM_022124.2 ) has identified a Tโ†’S substitution at position 1999 (C5996G) in the affected son but not in the mother
GO:0051480 regulation of cytosolic calcium ion concentration
IMP
PMID:17234811
A functional study of plasma-membrane calcium-pump isoform 2...
UNDECIDED
Summary: The calcium-process annotation needs separation of mechanical channel coupling from calcium-pump assays.
Reason: PMID:17234811 studies CDH23 genetic variation in a family with PMCA2-associated deafness, but its calcium-clearance and current assays test PMCA2 variants and PMCA2-mutant mice. The paper explicitly leaves CDH23-harmonin involvement in PMCA2 function open. CDH23 need not itself be a pump to participate structurally in calcium entry through mechanotransduction, so the previous categorical exclusion on that basis was invalid. The cited IMP process and broader mechanotransduction evidence require adjudication before accepting or rejecting this precise calcium claim. The focused report correctly assigns the pump assays to PMCA2 but again treats absence of pump activity as excluding structural participation in a transport process. It does not resolve the specific IMP source claim, so human follow-up remains necessary.
Supporting Evidence:
PMID:17234811
Whether the tripolar complex has any role in the function of PMCA2 is an open question.
file:human/CDH23/CDH23-hypotheses/catenin-neuronal-and-calcium-process-scope/openscientist.md
Neither the entry (MET channel) nor the export (PMCA2) route is CDH23.
GO:0045494 photoreceptor cell maintenance
IMP
PMID:16679490
Survey of the frequency of USH1 gene mutations in a cohort o...
KEEP AS NON CORE
Summary: The Usher syndrome cohort supports CDH23 contributions to auditory, vestibular and retinal function.
Reason: PMID:16679490 directly sequences CDH23 among the five USH1 genes and identifies pathogenic genotypes in patients selected for the combined deafness, vestibular dysfunction and retinal-degeneration phenotype. Retain the sensory annotation from this curated human genetic evidence. Hearing and balance fit the established sensory-hair-cell adhesion mechanism; the retinal phenotypes remain secondary roles here, with their exact cellular mechanism less resolved.
Supporting Evidence:
PMID:16679490
Mutations found in CDH23 , PCDH15 , and USH1C were overwhelmingly truncation mutations.
PMID:16679490
vestibular dysfunction, and retinal degeneration.
GO:0050953 sensory perception of light stimulus
IMP
PMID:16679490
Survey of the frequency of USH1 gene mutations in a cohort o...
KEEP AS NON CORE
Summary: The Usher syndrome cohort supports CDH23 contributions to auditory, vestibular and retinal function.
Reason: PMID:16679490 directly sequences CDH23 among the five USH1 genes and identifies pathogenic genotypes in patients selected for the combined deafness, vestibular dysfunction and retinal-degeneration phenotype. Retain the sensory annotation from this curated human genetic evidence. Hearing and balance fit the established sensory-hair-cell adhesion mechanism; the retinal phenotypes remain secondary roles here, with their exact cellular mechanism less resolved.
Supporting Evidence:
PMID:16679490
Mutations found in CDH23 , PCDH15 , and USH1C were overwhelmingly truncation mutations.
PMID:16679490
vestibular dysfunction, and retinal degeneration.
GO:0005515 protein binding
IPI
PMID:12485990
Myosin VIIa, harmonin and cadherin 23, three Usher I gene pr...
MODIFY
Summary: CDH23 binds the PDZ2 domain of harmonin through its cytoplasmic region.
Reason: The original interaction studies support a more informative molecular function than generic protein binding. PMID:12485990 directly tests isolated harmonin PDZ domains in binding assays, and PMID:22879593 describes the C-terminal PDZ-binding motif within multivalent CDH23-harmonin assemblies. Use PDZ domain binding for this specific interface; other N-terminal-domain interactions and self-association are not being relabeled as PDZ binding.
Proposed replacements: PDZ domain binding
Supporting Evidence:
PMID:12485990
Both the PDZ1โ€“PDZ2 peptide (amino acids 138โ€“403) of harmonin and the PDZ2 domain alone (amino acids 189โ€“307) bound to the cadherin 23 cytodomain, whereas binding was not observed with either PDZ1 or PDZ3
PMID:22879593
the NTD-binding motif, the exon68 peptide, and the C-terminal PDZ binding motif
GO:0007605 sensory perception of sound
IMP
PMID:16679490
Survey of the frequency of USH1 gene mutations in a cohort o...
ACCEPT
Summary: The Usher syndrome cohort supports CDH23 contributions to auditory, vestibular and retinal function.
Reason: PMID:16679490 directly sequences CDH23 among the five USH1 genes and identifies pathogenic genotypes in patients selected for the combined deafness, vestibular dysfunction and retinal-degeneration phenotype. Retain the sensory annotation from this curated human genetic evidence. Hearing and balance fit the established sensory-hair-cell adhesion mechanism; the retinal phenotypes remain secondary roles here, with their exact cellular mechanism less resolved.
Supporting Evidence:
PMID:16679490
Mutations found in CDH23 , PCDH15 , and USH1C were overwhelmingly truncation mutations.
PMID:16679490
vestibular dysfunction, and retinal degeneration.
GO:0032420 stereocilium
ISS
PMID:12485990
Myosin VIIa, harmonin and cadherin 23, three Usher I gene pr...
ACCEPT
Summary: The ortholog localization study supports CDH23 in sensory-hair-cell stereocilia.
Reason: PMID:12485990 examines developing mouse hair bundles and detects cadherin 23 in stereocilia, consistent with the original ISS evidence. The study is not a direct human localization experiment. Its developmental staining pattern does not negate later evidence for mature tip-link localization.
Supporting Evidence:
PMID:12485990
The similar spatio-temporal distributions of harmonin b and cadherin 23 in the stereocilia suggested that these molecules may interact.
GO:0050957 equilibrioception
IMP
PMID:16679490
Survey of the frequency of USH1 gene mutations in a cohort o...
ACCEPT
Summary: The Usher syndrome cohort supports CDH23 contributions to auditory, vestibular and retinal function.
Reason: PMID:16679490 directly sequences CDH23 among the five USH1 genes and identifies pathogenic genotypes in patients selected for the combined deafness, vestibular dysfunction and retinal-degeneration phenotype. Retain the sensory annotation from this curated human genetic evidence. Hearing and balance fit the established sensory-hair-cell adhesion mechanism; the retinal phenotypes remain secondary roles here, with their exact cellular mechanism less resolved.
Supporting Evidence:
PMID:16679490
Mutations found in CDH23 , PCDH15 , and USH1C were overwhelmingly truncation mutations.
PMID:16679490
vestibular dysfunction, and retinal degeneration.
GO:0007605 sensory perception of sound
IMP
PMID:15537665
Digenic inheritance of deafness caused by mutations in genes...
ACCEPT
Summary: Sensory perception of sound is a core physiological process supported by CDH23 stereocilium/hair-bundle function and hearing-loss genetics.
Reason: CDH23 is required for normal hearing through its role in stereocilia bundle organization, so sound perception should be treated as the core biological-process context for the cadherin/tip-link function.
Supporting Evidence:
PMID:15537665
CDH23 and PCDH15 play an essential long-term role in maintaining the normal organization of the stereocilia bundle
file:human/CDH23/CDH23-uniprot.txt
Required for normal hearing.
GO:0016020 membrane
NAS
PMID:11138009
Mutation of CDH23, encoding a new member of the cadherin gen...
ACCEPT
Summary: CDH23 is a single-pass type I membrane protein, so membrane/plasma membrane localization is appropriate.
Reason: The broad membrane annotation is true, with stereocilium/hair-bundle membrane localization being more informative.
Supporting Evidence:
file:human/CDH23/CDH23-uniprot.txt
SUBCELLULAR LOCATION: Cell membrane
file:human/CDH23/CDH23-uniprot.txt
Single-pass type I membrane protein
GO:0016339 calcium-dependent cell-cell adhesion
NAS
PMID:11138009
Mutation of CDH23, encoding a new member of the cadherin gen...
ACCEPT
Summary: CDH23 contributes directly to adhesive contacts between cells as well as to stereociliary links.
Reason: Human MCF-7 cell adhesion is reduced by CDH23 inhibitory antibody and RNAi (PMID:22413011); human HEK293T perturbations independently support an aggregation function (PMID:30747484). Thus cell-cell adhesion is not justified solely by tip links between stereocilia of one cell. Calcium-dependent extracellular homophilic binding is supported by ortholog ectodomain experiments (PMID:31729176). The IBA at PTN008601603 in PTHR24026 is compatible with these target-cell findings.
Supporting Evidence:
PMID:22413011
RNAi treatment significantly reduced the ability of MCF-7 cells to participate in homotypic adhesion.
PMID:31729176
supporting that EC1โ€2 domains of Cdh23 are enough to mediate the Ca2+โ€dependent cellโ€“cell adhesion.

Core Functions

Mediates extracellular cadherin interactions in stereociliary links and homophilic cell contacts, supporting hair-bundle cohesion, mechanotransduction and cell adhesion.

Molecular Function:
cadherin binding
Directly Involved In:
Supporting Evidence:
  • PMID:31729176
    supporting that EC1โ€2 domains of Cdh23 are enough to mediate the Ca2+โ€dependent cellโ€“cell adhesion.
  • PMID:22413011
    RNAi treatment significantly reduced the ability of MCF-7 cells to participate in homotypic adhesion.

Binds the PDZ2 domain of harmonin through the cytoplasmic tail, helping anchor CDH23 assemblies to the sensory hair-cell cytoskeleton.

Molecular Function:
PDZ domain binding
Cellular Locations:
Supporting Evidence:
  • PMID:12485990
    Both the PDZ1โ€“PDZ2 peptide (amino acids 138โ€“403) of harmonin and the PDZ2 domain alone (amino acids 189โ€“307) bound to the cadherin 23 cytodomain, whereas binding was not observed with either PDZ1 or PDZ3

References

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Suggested Questions for Experts

Q: Which CDH23 domains or isoforms, if any, are mechanistically relevant to pituitary adenoma predisposition rather than hearing/retinal biology?

Q: Can PITA5-associated CDH23 variants be shown to perturb cadherin adhesion, mechanotransduction-related assemblies, or a pituitary-specific interaction network?

Suggested Experiments

Experiment: Test PITA5-associated CDH23 variants in cadherin adhesion and harmonin/PCDH15 interaction assays alongside known hearing-loss variants.

Hypothesis: PITA5-associated variants may perturb CDH23 adhesion or scaffold interactions differently from classic hearing-loss variants.

Experiment: Assess CDH23 isoform expression and subcellular localization in normal pituitary and pituitary adenoma samples.

Hypothesis: Pituitary-relevant isoform expression or localization would explain how CDH23 variation contributes to adenoma predisposition.

Deep Research

OpenScientist

(CDH23-hypotheses/catenin-neuronal-and-calcium-process-scope/openscientist.md)

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๐Ÿ“š Additional Documentation

Notes

(CDH23-notes.md)

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