Whole-genome analysis of plasma fibrinogen reveals population-differentiated genetic regulators with putative liver roles


Por: Huffman, JE, Nicholas, J, Hahn, J, Heath, AS, Raffield, LM, Yanek, LR, Brody, JA, Thibord, F, Almasy, L, Bartz, TM, Bielak, LF, Bowler, RP, Carrasquilla, GD, Chasman, DI, Chen, MH, Emmert, DB, Ghanbari, M, Haessler, J, Hottenga, JJ, Kleber, ME, Le, NQ, Lee, J, Lewis, JP, Li-Gao, R, Luan, J, Malmberg, A, Mangino, M, Marioni, RE, Martinez-Perez, A, Pankratz, N, Polasek, O, Richmond, A, Rodriguez, BAT, Rotter, JI, Steri, M, Suchon, P, Trompet, S, Weiss, S, Zare, M, Auer, P, Cho, MH, Christofidou, P, Davies, G, de Geus, E, Deleuze, JF, Delgado, GE, Ekunwe, L, Faraday, N, Gögele, M, Greinacher, A, Gao, H, Howard, T, Joshi, PK, Kilpeläinen, TO, Lahti, J, Linneberg, A, Naitza, S, Noordam, R, Paüls-Vergés, F, Rich, SS, Rosendaal, FR, Rudan, I, Ryan, KA, Souto, JC, van Rooij, FJA, Wang, HM, Zhao, W, Becker, LC, Beswick, A, Brown, MR, Cade, BE, Campbell, H, Cho, K, Crapo, JD, Curran, JE, de Maat, MPM, Doyle, M, Elliott, P, Floyd, JS, Fuchsberger, C, Grarup, N, Guo, XQ, Harris, SE, Hou, LF, Kolcic, I, Kooperberg, C, Menni, C, Nauck, M, O'Connell, JR, Orrú, V, Psaty, BM, Räikkönen, K, Smith, JA, Soria, JM, Stott, DJ, Vlieg, AV, Watkins, H, Willemsen, G, Wilson, PWF, Ben-Shlomo, Y, Blangero, J, Boomsma, D, Cox, SR, Dehghan, A, Eriksson, JG, Fiorillo, E, Fornage, M, Hansen, T, Hayward, C, Ikram, MA, Jukema, JW, Kardia, SLR, Lange, LA, März, W, Mathias, RA, Mitchell, BD, Mook-Kanamori, DO, Morange, PE, Pedersen, O, Pramstaller, PP, Redline, S, Reiner, A, Ridker, PM, Silverman, EK, Spector, TD, Völker, U, Wareham, NJ, Wilson, JF, Yao, J, Trégouët, DA, Johnson, AD, Wolberg, AS, de Vries, PS, Sabater-Lleal, M, Morrison, AC, Smith, NL

Publicada: 21 nov 2024
Resumen:
Genetic studies have identified numerous regions associated with plasma fibrinogen levels in Europeans, yet missing heritability and limited inclusion of non-Europeans necessitates further studies with improved power and sensitivity. Compared with array-based genotyping, whole-genome sequencing (WGS) data provide better coverage of the genome and better representation of non-European variants. To better understand the genetic landscape regulating plasma fibrinogen levels, we meta-analyzed WGS data from the National Heart, Lung, and Blood Institute's Trans-Omics for Precision Medicine (TOPMed) program (n = 32 572), with array-based genotype data from the Cohorts for Heart and Aging Research in Genomic Epidemiology Consortium (n = 131 340) imputed to the TOPMed or Haplotype Reference Consortium panel. We identified 18 loci that have not been identified in prior genetic studies of fibrinogen. Of these, 4 are driven by common variants of small effect with reported minor allele frequency (MAF) at least 10 percentage points higher in African populations. Three signals (SERPINA1, ZFP36L2, and TLR10) contain predicted deleterious missense variants. Two loci, SOCS3 and HPN, each harbor 2 conditionally distinct, noncoding variants. The gene region encoding the fibrinogen protein chain subunits (FGG;FGB;FGA) contains 7 distinct signals, including 1 novel signal driven by rs28577061, a variant common in African ancestry populations but extremely rare in Europeans (MAF(AFR) = 0.180; MAF(EUR) = 0.008). Through phenome-wide association studies in the VA Million Veteran Program, we found associations between fibrinogen polygenic risk scores and thrombotic and inflammatory disease phenotypes, including an association with gout. Our findings demonstrate the utility of WGS to augment genetic discovery in diverse populations and offer new insights for putative mechanisms of fibrinogen regulation.

Filiaciones:
Huffman, JE:
 VA Palo Alto Heath Care Syst, Palo Alto VA Inst Res, Palo Alto, CA USA

 VA Boston Healthcare Syst, MAVERIC, Boston, MA USA

Nicholas, J:
 Univ North Carolina, Dept Genet, Chapel Hill, NC USA

Heath, AS:
 Univ Texas Hlth Sci Ctr Houston, Sch Publ Hlth, Dept Epidemiol, Ctr Human Genet, Houston, TX USA

Yanek, LR:
 Johns Hopkins Univ, Dept Med, Sch Med, Baltimore, MD USA

Brody, JA:
 Univ Washington, Dept Med, Cardiovasc Hlth Res Unit, Seattle, WA USA

Thibord, F:
 Natl Heart Lung & Blood Inst, Div Intramural Res, Populat Sci Branch, Framingham Heart Study, Framingham, MA USA

Almasy, L:
 Childrens Hosp Philadelphia, Dept Biomed & Hlth Informat, Philadelphia, PA USA

Bartz, TM:
 Univ Washington, Dept Biostat, Seattle, WA USA

Bielak, LF:
 Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI USA

Bowler, RP:
 Natl Jewish Hlth, Denver, CO USA

Carrasquilla, GD:
 Univ Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn Ctr Basic Metab Res, Copenhagen, Denmark

 Karolinska Inst, Inst Environm Med, Stockholm, Sweden

Chasman, DI:
 Harvard Med Sch, Brigham & Womens Hosp, Div Prevent Med, Boston, MA USA

Chen, MH:
 Natl Heart Lung & Blood Inst, Div Intramural Res, Populat Sci Branch, Framingham Heart Study, Framingham, MA USA

Emmert, DB:
 Univ Lubeck, Eurac Res, Inst Biomed, Bolzano, Italy

Ghanbari, M:
 Erasmus MC Univ, Dept Epidemiol, Med Ctr, Rotterdam, Netherlands

Haessler, J:
 Fred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA

Hottenga, JJ:
 Vrije Univ, Netherlands Twin Register, Dept Biol Psychol, Amsterdam, Netherlands

Kleber, ME:
 Synlab MVZ Humangenet Mannheim, Mannheim, Germany

 Heidelberg Univ, Med Fac Mannheim, Dept Med 5, Mannheim, Germany

Le, NQ:
 Inst Invest Biomed Sant Pau, Unit Genom Complex Dis, Barcelona, Spain

Lee, J:
 Harvard Med Sch, Brigham & Womens Hosp, Med, Boston, MA USA

Lewis, JP:
 Univ Maryland, Med, Baltimore, MD USA

Li-Gao, R:
 Leiden Univ, Dept Clin Epidemiol, Med Ctr, Leiden, Netherlands

Luan, J:
 Univ Cambridge, MRC Epidemiol Unit, Sch Clin Med, Cambridge, England

Malmberg, A:
 Univ Helsinki, Dept Psychol & Logoped, Helsinki, Finland

Mangino, M:
 Kings Coll London, Dept Twin Res & Genet Epidemiol, London, England

 Guys & St Thomas Fdn Trust, Natl Inst Hlth & Care Res Biomed Res Ctr, London, England

Marioni, RE:
 Univ Edinburgh, Inst Genet & Canc, Ctr Genom & Expt Med, Edinburgh, Midlothian, Scotland

Martinez-Perez, A:
 Inst Recerca Sant Paul, Unit Genom Complex Dis, Barcelona, Spain

 Inst Salud Carlos III, Ctr Biomed Network Res Rare Dis, Madrid, Spain

Pankratz, N:
 Univ Minnesota, Dept Lab Med & Pathol, Med Sch, Minneapolis, MN USA

Polasek, O:
 Univ Split, Fac Med, Split, Croatia

Richmond, A:
 Univ Edinburgh, Inst Genet & Canc, Med Res Council, Human Genet Unit, Edinburgh, Midlothian, Scotland

Rodriguez, BAT:
 Natl Heart Lung & Blood Inst, Div Intramural Res, Populat Sci Branch, Framingham Heart Study, Framingham, MA USA

Rotter, JI:
 Harbor UCLA Med Ctr, Inst Translat Genom & Populat Sci, Lundquist Inst Biomed Innovat, Dept Pediat, Torrance, CA USA

Steri, M:
 CNR, Ist Ric Genet & Biomed, Monserrato, Italy

Suchon, P:
 Aix Marseille Univ, Inst Natl Rech Agr, Ctr Rech Cardio Vasc & Nutr, INSERM, Marseille, France

 La Timone Hosp, Lab Haematol, Marseille, France

Trompet, S:
 Leiden Univ Med Ctr, Dept Internal Medicin, Sect Gerontol & Geriatr, Leiden, Netherlands

Weiss, S:
 Univ Med Greifswald, Dept Funct Genom, German Ctr Cardiovasc Res, Partner Site Greifswald,Interfac Inst Genet & Fun, Greifswald, Germany

Zare, M:
 Shiraz Univ Med Sci, Med Res Ctr, Shiraz, Iran

 Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England

Auer, P:
 Med Coll Wisconsin, Inst Hlth & Equity, Div Biostat, Milwaukee, WI USA

 Med Coll Wisconsin, Canc Ctr, Milwaukee, WI USA

Cho, MH:
 Harvard Med Sch, Brigham & Womens Hosp, Channing Div Network Med, Boston, MA USA

 Harvard Med Sch, Brigham & Womens Hosp, Div Pulm & Crit Care Med, Boston, MA USA

Christofidou, P:
 Kings Coll London, Dept Twin Res & Genet Epidemiol, London, England

Davies, G:
 Univ Edinburgh, Dept Psychol, Lothian Birth Cohorts, Edinburgh, Midlothian, Scotland

de Geus, E:
 Vrije Univ, Netherlands Twin Register, Dept Biol Psychol, Amsterdam, Netherlands

Deleuze, JF:
 Univ Paris Saclay, Ctr Natl Rech Genom Humaine, Commissariat Energie Atom & Energies Alternat, Evry, France

Delgado, GE:
 Heidelberg Univ, Med Fac Mannheim, Dept Med 5, Mannheim, Germany

Ekunwe, L:
 Univ Mississippi, Jackson Heart Study, Med Ctr, Jackson, MS USA

Faraday, N:
 Johns Hopkins Univ, Dept Anesthesiol & Crit Care Med, Sch Med, Baltimore, MD USA

Gögele, M:
 Univ Lubeck, Eurac Res, Inst Biomed, Bolzano, Italy

Greinacher, A:
 Univ Med Greifswald, Dept Transfus Med, Greifswald, Germany

Gao, H:
 Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England

Howard, T:
 Univ Texas Rio Grande Valley, Dept Human Genet, Sch Med, Brownsville, TX USA

Joshi, PK:
 Univ Edinburgh, Usher Inst Populat Hlth Sci & Informat, Ctr Global Hlth Res, Edinburgh, Midlothian, Scotland

Kilpeläinen, TO:
 Univ Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn Ctr Basic Metab Res, Copenhagen, Denmark

Lahti, J:
 Univ Helsinki, Dept Psychol & Logoped, Helsinki, Finland

Linneberg, A:
 Bispebjerg & Frederiksberg Hosp, Ctr Clin Res & Prevent, Copenhagen, Denmark

Naitza, S:
 CNR, Ist Ric Genet & Biomed, Monserrato, Italy

Noordam, R:
 Leiden Univ Med Ctr, Dept Internal Medicin, Sect Gerontol & Geriatr, Leiden, Netherlands

Paüls-Vergés, F:
 Inst Invest Biomed Sant Pau, Unit Genom Complex Dis, Barcelona, Spain

Rich, SS:
 Univ Virginia, Ctr Publ Hlth Genom, Dept Publ Hlth Sci, Charlottesville, VA USA

Rosendaal, FR:
 Leiden Univ, Dept Clin Epidemiol, Med Ctr, Leiden, Netherlands

Rudan, I:
 Univ Edinburgh, Usher Inst Populat Hlth Sci & Informat, Ctr Global Hlth Res, Edinburgh, Midlothian, Scotland

Ryan, KA:
 Univ Maryland, Med, Baltimore, MD USA

Souto, JC:
 Inst Recerca Sant Paul, Unit Genom Complex Dis, Barcelona, Spain

 Inst Salud Carlos III, Ctr Biomed Network Res Rare Dis, Madrid, Spain

 Hosp Santa Creu & Sant Pau, Unit Thrombosis & Hemostasis, Barcelona, Spain

van Rooij, FJA:
 Erasmus MC Univ, Dept Epidemiol, Med Ctr, Rotterdam, Netherlands

Wang, HM:
 Harvard Med Sch, Brigham & Womens Hosp, Med, Boston, MA USA

Zhao, W:
 Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI USA

 Univ Michigan, Inst Social Res, Res Ctr, Ann Arbor, MI USA

Becker, LC:
 Johns Hopkins Univ, Dept Med, Sch Med, Baltimore, MD USA

Beswick, A:
 Univ Bristol, Translat Hlth Sci, Bristol, Avon, England

Cade, BE:
 Harvard Med Sch, Brigham & Womens Hosp, Med, Boston, MA USA

Campbell, H:
 Univ Edinburgh, Usher Inst Populat Hlth Sci & Informat, Ctr Global Hlth Res, Edinburgh, Midlothian, Scotland

Cho, K:
 Brigham & Womens Hosp, Med, Boston, MA USA

 Harvard Med Sch, Boston, MA USA

Crapo, JD:
 Natl Jewish Hlth, Denver, CO USA

Curran, JE:
 Univ Texas Rio Grande Valley, Dept Human Genet & South Texas Diabet & Obes Inst, Sch Med, Brownsville, TX USA

de Maat, MPM:
 Erasmus MC Univ Med Ctr, Dept Hematol, Rotterdam, Netherlands

Doyle, M:
 Univ Vermont, Dept Pathol & Lab Med, Larner Coll Med, Colchester, Essex, England

Elliott, P:
 Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England

 Imperial Coll London, United Kingdom Dementia Res Inst, London, England

Floyd, JS:
 Univ Washington, Dept Med, Seattle, WA USA

 Univ Washington, Dept Epidemiol, Seattle, WA USA

Fuchsberger, C:
 Univ Lubeck, Eurac Res, Inst Biomed, Bolzano, Italy

Grarup, N:
 Univ Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn Ctr Basic Metab Res, Copenhagen, Denmark

Guo, XQ:
 Harbor UCLA Med Ctr, Inst Translat Genom & Populat Sci, Lundquist Inst Biomed Innovat, Dept Pediat, Torrance, CA USA

Harris, SE:
 Univ Edinburgh, Dept Psychol, Lothian Birth Cohorts, Edinburgh, Midlothian, Scotland

Hou, LF:
 Northwestern Univ, Dept Prevent Med, Chicago, IL USA

Kolcic, I:
 Univ Split, Fac Med, Split, Croatia

Kooperberg, C:
 Fred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA

Menni, C:
 Kings Coll London, Dept Twin Res & Genet Epidemiol, London, England

Nauck, M:
 German Ctr Cardiovasc Res, Partner Site Greifswald, Inst Clin Chem & Lab Med, Greifswald, Germany

 Univ Med Greifswald, Greifswald, Germany

O'Connell, JR:
 Univ Maryland, Med, Baltimore, MD USA

Orrú, V:
 CNR, Ist Ric Genet & Biomed, Lanusei, Italy

Psaty, BM:
 Univ Washington, Dept Med, Cardiovasc Hlth Res Unit, Seattle, WA USA

 Univ Washington, Dept Epidemiol, Seattle, WA USA

 Univ Washington, Dept Hlth Syst & Populat Hlth, Seattle, WA USA

Räikkönen, K:
 Univ Helsinki, Dept Psychol & Logoped, Helsinki, Finland

Smith, JA:
 Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI USA

 Univ Michigan, Inst Social Res, Res Ctr, Ann Arbor, MI USA

Soria, JM:
 Inst Recerca Sant Paul, Unit Genom Complex Dis, Barcelona, Spain

 Inst Salud Carlos III, Ctr Biomed Network Res Rare Dis, Madrid, Spain

Stott, DJ:
 Univ Glasgow, Coll Med Vet & Life Sci, Inst Cardiovasc & Med Sci, Glasgow, Lanark, Scotland

Vlieg, AV:
 Leiden Univ, Dept Clin Epidemiol, Med Ctr, Leiden, Netherlands

Watkins, H:
 Univ Oxford, Dept Med, Oxford, England

Willemsen, G:
 Vrije Univ, Netherlands Twin Register, Dept Biol Psychol, Amsterdam, Netherlands

Wilson, PWF:
 VA Atlanta Healthcare Syst, Decatur, GA USA

 Emory Univ, Div Cardiol, Sch Med, Atlanta, GA USA

 Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA USA

Ben-Shlomo, Y:
 Univ Bristol, Populat Hlth Sci, Bristol, Avon, England

Boomsma, D:
 Vrije Univ, Netherlands Twin Register, Dept Biol Psychol, Amsterdam, Netherlands

Cox, SR:
 Univ Edinburgh, Dept Psychol, Lothian Birth Cohorts, Edinburgh, Midlothian, Scotland

Dehghan, A:
 Inst Recerca Sant Paul, Unit Genom Complex Dis, Barcelona, Spain

 Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England

 Imperial Coll London, Sch Publ Hlth, Med Res Council Publ Hlth England Ctr Environm &, London, England

 Imperial Coll London, United Kingdom Dementia Res Inst, London, England

Eriksson, JG:
 Univ Helsinki, Dept Gen Practice & Primary Hlth Care, Helsinki, Finland

 Folkhalsan Res Ctr, Helsinki, Finland

 Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Obstet & Gynecol, Singapore, Singapore

Fiorillo, E:
 CNR, Ist Ric Genet & Biomed, Lanusei, Italy

Fornage, M:
 Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Brown Fdn, Inst Mol Med, Houston, TX USA

Hansen, T:
 Univ Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn Ctr Basic Metab Res, Copenhagen, Denmark

Hayward, C:
 Univ Edinburgh, Inst Genet & Canc, Med Res Council, Human Genet Unit, Edinburgh, Midlothian, Scotland

Ikram, MA:
 Erasmus MC Univ, Dept Epidemiol, Med Ctr, Rotterdam, Netherlands

Jukema, JW:
 Leiden Univ, Dept Cardiol, Med Ctr, Leiden, Netherlands

 Netherlands Heart Inst, Utrecht, Netherlands

Kardia, SLR:
 Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI USA

Lange, LA:
 Univ Colorado, Dept Med, Div Biomed Informat & Personalized Med, Anschutz Med Campus, Aurora, CO USA

März, W:
 Heidelberg Univ, Synlab Holding Deutschland GmbH, Synlab Acad, Mannheim, Germany

 Heidelberg Univ, Med Fac Mannheim, Mannheim, Germany

Mathias, RA:
 Johns Hopkins Univ, Dept Med, Sch Med, Baltimore, MD USA

Mitchell, BD:
 Univ Maryland, Med, Baltimore, MD USA

 Baltimore Vet Adm Med Ctr, Geriatr Res & Educ Clin Ctr, Baltimore, MD USA

Mook-Kanamori, DO:
 Leiden Univ, Dept Clin Epidemiol, Med Ctr, Leiden, Netherlands

 Leiden Univ, Dept Publ Hlth & Primary Care, Med Ctr, Leiden, Netherlands

Morange, PE:
 Aix Marseille Univ, Inst Natl Rech Agr, Ctr Rech Cardio Vasc & Nutr, INSERM, Marseille, France

 La Timone Hosp, Lab Haematol, Marseille, France

Pedersen, O:
 Univ Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn Ctr Basic Metab Res, Copenhagen, Denmark

Pramstaller, PP:
 Univ Lubeck, Eurac Res, Inst Biomed, Bolzano, Italy

Redline, S:
 Harvard Med Sch, Brigham & Womens Hosp, Med, Boston, MA USA

 Beth Israel Deaconness Med Ctr, Dept Med, Boston, MA USA

Reiner, A:
 Fred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA USA

Ridker, PM:
 Harvard Med Sch, Brigham & Womens Hosp, Div Prevent Med, Boston, MA USA

Silverman, EK:
 Harvard Med Sch, Brigham & Womens Hosp, Channing Div Network Med, Boston, MA USA

 Harvard Med Sch, Brigham & Womens Hosp, Div Pulm & Crit Care Med, Boston, MA USA

Spector, TD:
 Kings Coll London, Dept Twin Res & Genet Epidemiol, London, England

Völker, U:
 Univ Med Greifswald, Dept Funct Genom, German Ctr Cardiovasc Res, Partner Site Greifswald,Interfac Inst Genet & Fun, Greifswald, Germany

Wareham, NJ:
 Univ Cambridge, MRC Epidemiol Unit, Sch Clin Med, Cambridge, England

Wilson, JF:
 Univ Edinburgh, Inst Genet & Canc, Med Res Council, Human Genet Unit, Edinburgh, Midlothian, Scotland

 Univ Edinburgh, Usher Inst Populat Hlth Sci & Informat, Ctr Global Hlth Res, Edinburgh, Midlothian, Scotland

Yao, J:
 Harbor UCLA Med Ctr, Inst Translat Genom & Populat Sci, Lundquist Inst Biomed Innovat, Dept Pediat, Torrance, CA USA

Trégouët, DA:
 Univ Bordeaux, Bordeaux Populat Hlth Res Ctr, INSERM, UMR 1219, Bordeaux, France

Johnson, AD:
 Natl Heart Lung & Blood Inst, Div Intramural Res, Populat Sci Branch, Framingham Heart Study, Framingham, MA USA

Wolberg, AS:
 Univ North Carolina Chapel Hill, Dept Pathol & Lab Med, Chapel Hill, NC USA

 Univ North Carolina Chapel Hill, UNC Blood Res Ctr, Chapel Hill, NC USA

de Vries, PS:
 Univ Texas Hlth Sci Ctr Houston, Sch Publ Hlth, Dept Epidemiol, Ctr Human Genet, Houston, TX USA

Sabater-Lleal, M:
 Inst Recerca Sant Paul, Unit Genom Complex Dis, Barcelona, Spain

 Inst Salud Carlos III, Ctr Biomed Network Res Rare Dis, Madrid, Spain

 Karolinska Inst, Dept Med, Cardiovasc Med Unit, Ctr Mol Med, Stockholm, Sweden

Morrison, AC:
 Univ Texas Hlth Sci Ctr Houston, Sch Publ Hlth, Dept Epidemiol, Ctr Human Genet, Houston, TX USA

Smith, NL:
 Univ Washington, Dept Epidemiol, Seattle, WA USA

 Kaiser Permanente Washington, Kaiser Permanente Washington Hlth Res Inst, Seattle, WA USA

 Dept Vet Affairs Off Res & Dev, Seattle Epidemiol Res & Informat Ctr, Seattle, WA USA
ISSN: 00064971





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AMER SOC HEMATOLOGY, 2021 L ST NW, SUITE 900, WASHINGTON, DC 20036 USA, Estados Unidos America
Tipo de documento: Article
Volumen: 144 Número: 21
Páginas: 2248-2265
WOS Id: 001381370500001
ID de PubMed: 39226462
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