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Published in: BMC Medical Genetics 1/2009

Open Access 01-12-2009 | Research article

Identification of a pleiotropic locus on chromosome 7q for a composite left ventricular wall thickness factor and body mass index: the HyperGEN Study

Authors: Weihong Tang, Richard B Devereux, Na Li, Albert Oberman, Dalane W Kitzman, Dabeeru C Rao, Paul N Hopkins, Steven A Claas, Donna K Arnett

Published in: BMC Medical Genetics | Issue 1/2009

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Abstract

Background

Left ventricular (LV) mass and wall thickness are closely associated with measures of body size and blood pressure and also correlated with systolic and diastolic function, suggesting a contribution of common physiologic mechanisms, including pleiotropic genes, to their covariation.

Methods

Doppler echocardiography was performed in 434 African-American (1344 individuals) and 284 white families (1119 individuals). We conducted a genome-wide linkage scan for LV mass, LV structure and function, and composite factors derived from a factor analysis of LV structure and function in the HyperGEN Study population.

Results

Factor analysis identified (i) a LV wall thickness factor correlated strongly with interventricular septal thickness (IVSTd) and posterior wall thickness (PWTd) and (ii) a LV diastolic filling factor strongly correlated with early and atrial phase peak transmitral filling velocities. The LV phenotypes and composite factor scores were analyzed in multipoint variance components linkage model implemented in SOLAR with 387 microsatellite markers. In whites, the two highest LODs were 3.42 for LV atrial phase peak filling velocity at 144 cM on chromosome 1 and 3.12 for the LV wall thickness factor at 160 cM on chromosome 7. The peak LODs of the component traits (IVSTd and PWTd) clustered at the same region as the composite factor. Adjusting the factor score for body mass index (BMI) substantially reduced the peak LOD at this region (LOD = 1.92). Bivariate linkage analysis of the composite factor with BMI improved LOD to 3.42 at 158 cM. Also in whites, suggestive linkage was observed on chromosomes 2 and 4 for LV mass, chromosomes 3, 5, 10, and 17 for LV atrial phase peak filling velocity, and chromosome 10 for LV diastolic filling factor. In African Americans, suggestive linkage was observed on chromosome 12 for LV mass, chromosome 21 for IVSTd, and chromosome 3 for LV internal diameter at end-diastole.

Conclusion

Our study suggests that a region on chromosome 7 contains pleiotropic genes contributing to the variations of both LV wall thickness and BMI in whites.
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Literature
1.
go back to reference Levy D, Garrison RJ, Savage DD, Kannel WB, Castelli WP: Prognostic implications of echocardiographically determined left ventricular mass in the Framingham Heart Study. N Engl J Med. 1990, 322 (22): 1561-1566.CrossRefPubMed Levy D, Garrison RJ, Savage DD, Kannel WB, Castelli WP: Prognostic implications of echocardiographically determined left ventricular mass in the Framingham Heart Study. N Engl J Med. 1990, 322 (22): 1561-1566.CrossRefPubMed
2.
go back to reference Savage DD, Levy D, Dannenberg AL, Garrison RJ, Castelli WP: Association of echocardiographic left ventricular mass with body size, blood pressure and physical activity (the Framingham Study). Am J Cardiol. 1990, 65 (5): 371-376. 10.1016/0002-9149(90)90304-J.CrossRefPubMed Savage DD, Levy D, Dannenberg AL, Garrison RJ, Castelli WP: Association of echocardiographic left ventricular mass with body size, blood pressure and physical activity (the Framingham Study). Am J Cardiol. 1990, 65 (5): 371-376. 10.1016/0002-9149(90)90304-J.CrossRefPubMed
3.
go back to reference Burke GL, Arcilla RA, Culpepper WS, Webber LS, Chiang YK, Berenson GS: Blood pressure and echocardiographic measures in children: the Bogalusa Heart Study. Circulation. 1987, 75 (1): 106-114.CrossRefPubMed Burke GL, Arcilla RA, Culpepper WS, Webber LS, Chiang YK, Berenson GS: Blood pressure and echocardiographic measures in children: the Bogalusa Heart Study. Circulation. 1987, 75 (1): 106-114.CrossRefPubMed
4.
go back to reference de Simone G, Devereux RB, Kimball TR, Mureddu GF, Roman MJ, Contaldo F, Daniels SR: Interaction between body size and cardiac workload: influence on left ventricular mass during body growth and adulthood. Hypertension. 1998, 31 (5): 1077-1082.CrossRefPubMed de Simone G, Devereux RB, Kimball TR, Mureddu GF, Roman MJ, Contaldo F, Daniels SR: Interaction between body size and cardiac workload: influence on left ventricular mass during body growth and adulthood. Hypertension. 1998, 31 (5): 1077-1082.CrossRefPubMed
5.
go back to reference Voutilainen S, Kupari M, Hippelainen M, Karppinen K, Ventila M, Heikkila J: Factors influencing Doppler indexes of left ventricular filling in healthy persons. Am J Cardiol. 1991, 68 (6): 653-659. 10.1016/0002-9149(91)90360-W.CrossRefPubMed Voutilainen S, Kupari M, Hippelainen M, Karppinen K, Ventila M, Heikkila J: Factors influencing Doppler indexes of left ventricular filling in healthy persons. Am J Cardiol. 1991, 68 (6): 653-659. 10.1016/0002-9149(91)90360-W.CrossRefPubMed
6.
go back to reference Palmieri V, Bella JN, DeQuattro V, Roman MJ, Hahn RT, Dahlof B, Sharpe N, Lau CP, Chen WC, Paran E, et al: Relations of diastolic left ventricular filling to systolic chamber and myocardial contractility in hypertensive patients with left ventricular hypertrophy (The PRESERVE Study). Am J Cardiol. 1999, 84 (5): 558-562. 10.1016/S0002-9149(99)00377-X.CrossRefPubMed Palmieri V, Bella JN, DeQuattro V, Roman MJ, Hahn RT, Dahlof B, Sharpe N, Lau CP, Chen WC, Paran E, et al: Relations of diastolic left ventricular filling to systolic chamber and myocardial contractility in hypertensive patients with left ventricular hypertrophy (The PRESERVE Study). Am J Cardiol. 1999, 84 (5): 558-562. 10.1016/S0002-9149(99)00377-X.CrossRefPubMed
7.
go back to reference Fox ER, Taylor J, Taylor H, Han H, Samdarshi T, Arnett D, Myerson M: Left ventricular geometric patterns in the Jackson cohort of the Atherosclerotic Risk in Communities (ARIC) Study: clinical correlates and influences on systolic and diastolic dysfunction. Am Heart J. 2007, 153 (2): 238-244. 10.1016/j.ahj.2006.09.013.CrossRefPubMed Fox ER, Taylor J, Taylor H, Han H, Samdarshi T, Arnett D, Myerson M: Left ventricular geometric patterns in the Jackson cohort of the Atherosclerotic Risk in Communities (ARIC) Study: clinical correlates and influences on systolic and diastolic dysfunction. Am Heart J. 2007, 153 (2): 238-244. 10.1016/j.ahj.2006.09.013.CrossRefPubMed
8.
go back to reference Tang W, Arnett DK, Devereux RB, Province MA, Atwood LD, Oberman A, Hopkins PN, Kitzman DW: Sibling resemblance for left ventricular structure, contractility, and diastolic filling. Hypertension. 2002, 40 (3): 233-238. 10.1161/01.HYP.0000028487.62501.12.CrossRefPubMed Tang W, Arnett DK, Devereux RB, Province MA, Atwood LD, Oberman A, Hopkins PN, Kitzman DW: Sibling resemblance for left ventricular structure, contractility, and diastolic filling. Hypertension. 2002, 40 (3): 233-238. 10.1161/01.HYP.0000028487.62501.12.CrossRefPubMed
9.
go back to reference Verhaaren HA, Schieken RM, Mosteller M, Hewitt JK, Eaves LJ, Nance WE: Bivariate genetic analysis of left ventricular mass and weight in pubertal twins (the Medical College of Virginia twin study). Am J Cardiol. 1991, 68 (6): 661-668. 10.1016/0002-9149(91)90361-N.CrossRefPubMed Verhaaren HA, Schieken RM, Mosteller M, Hewitt JK, Eaves LJ, Nance WE: Bivariate genetic analysis of left ventricular mass and weight in pubertal twins (the Medical College of Virginia twin study). Am J Cardiol. 1991, 68 (6): 661-668. 10.1016/0002-9149(91)90361-N.CrossRefPubMed
10.
go back to reference Bella JN, MacCluer JW, Roman MJ, Almasy L, North KE, Best LG, Lee ET, Fabsitz RR, Howard BV, Devereux RB: Heritability of left ventricular dimensions and mass in American Indians: The Strong Heart Study. J Hypertens. 2004, 22 (2): 281-286. 10.1097/00004872-200402000-00011.CrossRefPubMed Bella JN, MacCluer JW, Roman MJ, Almasy L, North KE, Best LG, Lee ET, Fabsitz RR, Howard BV, Devereux RB: Heritability of left ventricular dimensions and mass in American Indians: The Strong Heart Study. J Hypertens. 2004, 22 (2): 281-286. 10.1097/00004872-200402000-00011.CrossRefPubMed
11.
go back to reference Tang W, Miller MB, Rich SS, North KE, Pankow JS, Borecki IB, Myers RH, Hopkins PN, Leppert M, Arnett DK: Linkage analysis of a composite factor for the multiple metabolic syndrome: the National Heart, Lung, and Blood Institute Family Heart Study. Diabetes. 2003, 52 (11): 2840-2847. 10.2337/diabetes.52.11.2840.CrossRefPubMed Tang W, Miller MB, Rich SS, North KE, Pankow JS, Borecki IB, Myers RH, Hopkins PN, Leppert M, Arnett DK: Linkage analysis of a composite factor for the multiple metabolic syndrome: the National Heart, Lung, and Blood Institute Family Heart Study. Diabetes. 2003, 52 (11): 2840-2847. 10.2337/diabetes.52.11.2840.CrossRefPubMed
12.
go back to reference Williams RR, Rao DC, Ellison RC, Arnett DK, Heiss G, Oberman A, Eckfeldt JH, Leppert MF, Province MA, Mockrin SC, et al: NHLBI family blood pressure program: methodology and recruitment in the HyperGEN network. Hypertension genetic epidemiology network. Ann Epidemiol. 2000, 10 (6): 389-400. 10.1016/S1047-2797(00)00063-6.CrossRefPubMed Williams RR, Rao DC, Ellison RC, Arnett DK, Heiss G, Oberman A, Eckfeldt JH, Leppert MF, Province MA, Mockrin SC, et al: NHLBI family blood pressure program: methodology and recruitment in the HyperGEN network. Hypertension genetic epidemiology network. Ann Epidemiol. 2000, 10 (6): 389-400. 10.1016/S1047-2797(00)00063-6.CrossRefPubMed
13.
go back to reference Devereux RB, Roman MJ: Evaluation of cardiac function and vascular structure and function by echocardiography and other noninvasive techniques. Hypertension: pathophysiology, diagnosis, and management. Edited by: Laragh JH, Brenner BM. 1995, New York: Raven P, 1969-1985. Devereux RB, Roman MJ: Evaluation of cardiac function and vascular structure and function by echocardiography and other noninvasive techniques. Hypertension: pathophysiology, diagnosis, and management. Edited by: Laragh JH, Brenner BM. 1995, New York: Raven P, 1969-1985.
14.
go back to reference Sahn DJ, DeMaria A, Kisslo J, Weyman A: Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements. Circulation. 1978, 58 (6): 1072-1083.CrossRefPubMed Sahn DJ, DeMaria A, Kisslo J, Weyman A: Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements. Circulation. 1978, 58 (6): 1072-1083.CrossRefPubMed
15.
go back to reference Schiller NB, Shah PM, Crawford M, DeMaria A, Devereux R, Feigenbaum H, Gutgesell H, Reichek N, Sahn D, Schnittger I, et al: Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. J Am Soc Echocardiogr. 1989, 2 (5): 358-367.CrossRefPubMed Schiller NB, Shah PM, Crawford M, DeMaria A, Devereux R, Feigenbaum H, Gutgesell H, Reichek N, Sahn D, Schnittger I, et al: Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. J Am Soc Echocardiogr. 1989, 2 (5): 358-367.CrossRefPubMed
16.
go back to reference Devereux RB, Alonso DR, Lutas EM, Gottlieb GJ, Campo E, Sachs I, Reichek N: Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings. Am J Cardiol. 1986, 57 (6): 450-458. 10.1016/0002-9149(86)90771-X.CrossRefPubMed Devereux RB, Alonso DR, Lutas EM, Gottlieb GJ, Campo E, Sachs I, Reichek N: Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings. Am J Cardiol. 1986, 57 (6): 450-458. 10.1016/0002-9149(86)90771-X.CrossRefPubMed
17.
go back to reference Palmieri V, Dahlof B, DeQuattro V, Sharpe N, Bella JN, de Simone G, Paranicas M, Fishman D, Devereux RB: Reliability of echocardiographic assessment of left ventricular structure and function: the PRESERVE study. Prospective Randomized Study Evaluating Regression of Ventricular Enlargement. J Am Coll Cardiol. 1999, 34 (5): 1625-1632. 10.1016/S0735-1097(99)00396-4.CrossRefPubMed Palmieri V, Dahlof B, DeQuattro V, Sharpe N, Bella JN, de Simone G, Paranicas M, Fishman D, Devereux RB: Reliability of echocardiographic assessment of left ventricular structure and function: the PRESERVE study. Prospective Randomized Study Evaluating Regression of Ventricular Enlargement. J Am Coll Cardiol. 1999, 34 (5): 1625-1632. 10.1016/S0735-1097(99)00396-4.CrossRefPubMed
19.
20.
go back to reference Pratt SC, Daly MJ, Kruglyak L: Exact multipoint quantitative-trait linkage analysis in pedigrees by variance components. Am J Hum Genet. 2000, 66 (3): 1153-1157. 10.1086/302830.CrossRefPubMedPubMedCentral Pratt SC, Daly MJ, Kruglyak L: Exact multipoint quantitative-trait linkage analysis in pedigrees by variance components. Am J Hum Genet. 2000, 66 (3): 1153-1157. 10.1086/302830.CrossRefPubMedPubMedCentral
21.
go back to reference Almasy L, Dyer TD, Blangero J: Bivariate quantitative trait linkage analysis: pleiotropy versus co-incident linkages. Genet Epidemiol. 1997, 14 (6): 953-958. 10.1002/(SICI)1098-2272(1997)14:6<953::AID-GEPI65>3.0.CO;2-K.CrossRefPubMed Almasy L, Dyer TD, Blangero J: Bivariate quantitative trait linkage analysis: pleiotropy versus co-incident linkages. Genet Epidemiol. 1997, 14 (6): 953-958. 10.1002/(SICI)1098-2272(1997)14:6<953::AID-GEPI65>3.0.CO;2-K.CrossRefPubMed
22.
go back to reference Lander E, Kruglyak L: Genetic dissection of complex traits: guidelines for interpreting and reporting linkage results. Nat Genet. 1995, 11 (3): 241-247. 10.1038/ng1195-241.CrossRefPubMed Lander E, Kruglyak L: Genetic dissection of complex traits: guidelines for interpreting and reporting linkage results. Nat Genet. 1995, 11 (3): 241-247. 10.1038/ng1195-241.CrossRefPubMed
23.
go back to reference Mayosi BM, Avery PJ, Farrall M, Keavney B, Watkins H: Genome-wide linkage analysis of electrocardiographic and echocardiographic left ventricular hypertrophy in families with hypertension. Eur Heart J. 2008, 29 (4): 525-530. 10.1093/eurheartj/ehn028.CrossRefPubMed Mayosi BM, Avery PJ, Farrall M, Keavney B, Watkins H: Genome-wide linkage analysis of electrocardiographic and echocardiographic left ventricular hypertrophy in families with hypertension. Eur Heart J. 2008, 29 (4): 525-530. 10.1093/eurheartj/ehn028.CrossRefPubMed
24.
go back to reference Devereux RB: Left ventricular diastolic dysfunction: early diastolic relaxation and late diastolic compliance. J Am Coll Cardiol. 1989, 13 (2): 337-339.CrossRefPubMed Devereux RB: Left ventricular diastolic dysfunction: early diastolic relaxation and late diastolic compliance. J Am Coll Cardiol. 1989, 13 (2): 337-339.CrossRefPubMed
25.
go back to reference Katz AM: Physiology of the heart. 1992, New York: Raven Press, 2 Katz AM: Physiology of the heart. 1992, New York: Raven Press, 2
26.
go back to reference Morgan JP: Abnormal intracellular modulation of calcium as a major cause of cardiac contractile dysfunction. N Engl J Med. 1991, 325 (9): 625-632.CrossRefPubMed Morgan JP: Abnormal intracellular modulation of calcium as a major cause of cardiac contractile dysfunction. N Engl J Med. 1991, 325 (9): 625-632.CrossRefPubMed
27.
go back to reference Garner C, Lecomte E, Visvikis S, Abergel E, Lathrop M, Soubrier F: Genetic and environmental influences on left ventricular mass. A family study. Hypertension. 2000, 36 (5): 740-746.CrossRefPubMed Garner C, Lecomte E, Visvikis S, Abergel E, Lathrop M, Soubrier F: Genetic and environmental influences on left ventricular mass. A family study. Hypertension. 2000, 36 (5): 740-746.CrossRefPubMed
28.
go back to reference Hirschhorn JN, Lindgren CM, Daly MJ, Kirby A, Schaffner SF, Burtt NP, Altshuler D, Parker A, Rioux JD, Platko J, et al: Genomewide linkage analysis of stature in multiple populations reveals several regions with evidence of linkage to adult height. Am J Hum Genet. 2001, 69 (1): 106-116. 10.1086/321287.CrossRefPubMedPubMedCentral Hirschhorn JN, Lindgren CM, Daly MJ, Kirby A, Schaffner SF, Burtt NP, Altshuler D, Parker A, Rioux JD, Platko J, et al: Genomewide linkage analysis of stature in multiple populations reveals several regions with evidence of linkage to adult height. Am J Hum Genet. 2001, 69 (1): 106-116. 10.1086/321287.CrossRefPubMedPubMedCentral
29.
go back to reference Perola M, Ohman M, Hiekkalinna T, Leppavuori J, Pajukanta P, Wessman M, Koskenvuo M, Palotie A, Lange K, Kaprio J, et al: Quantitative-trait-locus analysis of body-mass index and of stature, by combined analysis of genome scans of five Finnish study groups. Am J Hum Genet. 2001, 69 (1): 117-123. 10.1086/321286.CrossRefPubMedPubMedCentral Perola M, Ohman M, Hiekkalinna T, Leppavuori J, Pajukanta P, Wessman M, Koskenvuo M, Palotie A, Lange K, Kaprio J, et al: Quantitative-trait-locus analysis of body-mass index and of stature, by combined analysis of genome scans of five Finnish study groups. Am J Hum Genet. 2001, 69 (1): 117-123. 10.1086/321286.CrossRefPubMedPubMedCentral
30.
go back to reference Rice T, Chagnon YC, Perusse L, Borecki IB, Ukkola O, Rankinen T, Gagnon J, Leon AS, Skinner JS, Wilmore JH, et al: A genomewide linkage scan for abdominal subcutaneous and visceral fat in black and white families: The HERITAGE Family Study. Diabetes. 2002, 51 (3): 848-855. 10.2337/diabetes.51.3.848.CrossRefPubMed Rice T, Chagnon YC, Perusse L, Borecki IB, Ukkola O, Rankinen T, Gagnon J, Leon AS, Skinner JS, Wilmore JH, et al: A genomewide linkage scan for abdominal subcutaneous and visceral fat in black and white families: The HERITAGE Family Study. Diabetes. 2002, 51 (3): 848-855. 10.2337/diabetes.51.3.848.CrossRefPubMed
31.
go back to reference Barouch LA, Harrison RW, Skaf MW, Rosas GO, Cappola TP, Kobeissi ZA, Hobai IA, Lemmon CA, Burnett AL, O'Rourke B, et al: Nitric oxide regulates the heart by spatial confinement of nitric oxide synthase isoforms. Nature. 2002, 416 (6878): 337-339.CrossRefPubMed Barouch LA, Harrison RW, Skaf MW, Rosas GO, Cappola TP, Kobeissi ZA, Hobai IA, Lemmon CA, Burnett AL, O'Rourke B, et al: Nitric oxide regulates the heart by spatial confinement of nitric oxide synthase isoforms. Nature. 2002, 416 (6878): 337-339.CrossRefPubMed
32.
go back to reference Kim NN, Villegas S, Summerour SR, Villarreal FJ: Regulation of cardiac fibroblast extracellular matrix production by bradykinin and nitric oxide. J Mol Cell Cardiol. 1999, 31 (2): 457-466. 10.1006/jmcc.1998.0887.CrossRefPubMed Kim NN, Villegas S, Summerour SR, Villarreal FJ: Regulation of cardiac fibroblast extracellular matrix production by bradykinin and nitric oxide. J Mol Cell Cardiol. 1999, 31 (2): 457-466. 10.1006/jmcc.1998.0887.CrossRefPubMed
33.
go back to reference Kemp BE, Mitchelhill KI, Stapleton D, Michell BJ, Chen ZP, Witters LA: Dealing with energy demand: the AMP-activated protein kinase. Trends Biochem Sci. 1999, 24 (1): 22-25. 10.1016/S0968-0004(98)01340-1.CrossRefPubMed Kemp BE, Mitchelhill KI, Stapleton D, Michell BJ, Chen ZP, Witters LA: Dealing with energy demand: the AMP-activated protein kinase. Trends Biochem Sci. 1999, 24 (1): 22-25. 10.1016/S0968-0004(98)01340-1.CrossRefPubMed
34.
go back to reference Arad M, Benson DW, Perez-Atayde AR, McKenna WJ, Sparks EA, Kanter RJ, McGarry K, Seidman JG, Seidman CE: Constitutively active AMP kinase mutations cause glycogen storage disease mimicking hypertrophic cardiomyopathy. J Clin Invest. 2002, 109 (3): 357-362.CrossRefPubMedPubMedCentral Arad M, Benson DW, Perez-Atayde AR, McKenna WJ, Sparks EA, Kanter RJ, McGarry K, Seidman JG, Seidman CE: Constitutively active AMP kinase mutations cause glycogen storage disease mimicking hypertrophic cardiomyopathy. J Clin Invest. 2002, 109 (3): 357-362.CrossRefPubMedPubMedCentral
35.
go back to reference Vasan RS, Larson MG, Aragam J, Wang TG, Mitchell GF, Kathiresan S, Newton-Cheh C, Vita JA, Keyes MJ, O'Donnell CJ, et al: Genome-wide association of echocardiographic dimensions, brachial artery endothelial function and treadmill exercise responses in the Framingham Heart Study. BMC Medical Genetics. 2007, 8 (Suppl 1): S2-10.1186/1471-2350-8-S1-S2.CrossRefPubMedPubMedCentral Vasan RS, Larson MG, Aragam J, Wang TG, Mitchell GF, Kathiresan S, Newton-Cheh C, Vita JA, Keyes MJ, O'Donnell CJ, et al: Genome-wide association of echocardiographic dimensions, brachial artery endothelial function and treadmill exercise responses in the Framingham Heart Study. BMC Medical Genetics. 2007, 8 (Suppl 1): S2-10.1186/1471-2350-8-S1-S2.CrossRefPubMedPubMedCentral
Metadata
Title
Identification of a pleiotropic locus on chromosome 7q for a composite left ventricular wall thickness factor and body mass index: the HyperGEN Study
Authors
Weihong Tang
Richard B Devereux
Na Li
Albert Oberman
Dalane W Kitzman
Dabeeru C Rao
Paul N Hopkins
Steven A Claas
Donna K Arnett
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Medical Genetics / Issue 1/2009
Electronic ISSN: 1471-2350
DOI
https://doi.org/10.1186/1471-2350-10-40

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