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PMID |
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TITLE |
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Multitrait analysis of glaucoma identifies new risk loci and enables polygenic prediction of disease susceptibility and progression. |
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ABSTRACT |
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Glaucoma, a disease characterized by progressive optic nerve degeneration, can be prevented through timely diagnosis and treatment. We characterize optic nerve photographs of 67,040 UK Biobank participants and use a multitrait genetic model to identify risk loci for glaucoma. A glaucoma polygenic risk score (PRS) enables effective risk stratification in unselected glaucoma cases and modifies penetrance of the MYOC variant encoding p.Gln368Ter, the most common glaucoma-associated myocilin variant. In the unselected glaucoma population, individuals in the top PRS decile reach an absolute risk for glaucoma 10 years earlier than the bottom decile and are at 15-fold increased risk of developing advanced glaucoma (top 10% versus remaining 90%, odds ratio = 4.20). The PRS predicts glaucoma progression in prospectively monitored, early manifest glaucoma cases (P = 0.004) and surgical intervention in advanced disease (P = 3.6 × 10 ). This glaucoma PRS will facilitate the development of a personalized approach for earlier treatment of high-risk individuals, with less intensive monitoring and treatment being possible for lower-risk groups. |
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DATE PUBLISHED |
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HISTORY |
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PUBSTATUS |
PUBSTATUSDATE |
received |
2019/05/24 |
accepted |
2019/11/21 |
entrez |
2020/01/22 06:00 |
pubmed |
2020/01/22 06:00 |
medline |
2020/01/22 06:00 |
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AUTHORS |
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NAME |
COLLECTIVENAME |
LASTNAME |
FORENAME |
INITIALS |
AFFILIATION |
AFFILIATIONINFO |
Craig JE |
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Craig |
Jamie E |
JE |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Han X |
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Han |
Xikun |
X |
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School of Medicine, University of Queensland, Brisbane, Queensland, Australia. Xikun.Han@qimrberghofer.edu.au. |
Qassim A |
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Qassim |
Ayub |
A |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Hassall M |
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Hassall |
Mark |
M |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Cooke Bailey JN |
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Cooke Bailey |
Jessica N |
JN |
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Department of Population and Quantitative Health Sciences, Institute for Computational Biology, Case Western Reserve University School of Medicine, Cleveland, OH, USA. |
Kinzy TG |
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Kinzy |
Tyler G |
TG |
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Department of Population and Quantitative Health Sciences, Institute for Computational Biology, Case Western Reserve University School of Medicine, Cleveland, OH, USA. |
Khawaja AP |
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Khawaja |
Anthony P |
AP |
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National Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. |
An J |
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An |
Jiyuan |
J |
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Queensland Institute of Medical Research Berghofer Medical Research Institute, Brisbane, Queensland, Australia. |
Marshall H |
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Marshall |
Henry |
H |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Gharahkhani P |
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Gharahkhani |
Puya |
P |
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Queensland Institute of Medical Research Berghofer Medical Research Institute, Brisbane, Queensland, Australia. |
Igo RP Jr |
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Igo |
Robert P |
RP |
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Department of Population and Quantitative Health Sciences, Institute for Computational Biology, Case Western Reserve University School of Medicine, Cleveland, OH, USA. |
Graham SL |
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Graham |
Stuart L |
SL |
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Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia. |
Healey PR |
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Healey |
Paul R |
PR |
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Clinical Ophthalmology & Eye Health, Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia. |
Ong JS |
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Ong |
Jue-Sheng |
JS |
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Queensland Institute of Medical Research Berghofer Medical Research Institute, Brisbane, Queensland, Australia. |
Zhou T |
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Zhou |
Tiger |
T |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Siggs O |
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Siggs |
Owen |
O |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Law MH |
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Law |
Matthew H |
MH |
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Queensland Institute of Medical Research Berghofer Medical Research Institute, Brisbane, Queensland, Australia. |
Souzeau E |
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Souzeau |
Emmanuelle |
E |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Ridge B |
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Ridge |
Bronwyn |
B |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Hysi PG |
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Hysi |
Pirro G |
PG |
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Department of Ophthalmology, King's College London, St. Thomas' Hospital, London, UK. |
Burdon KP |
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Burdon |
Kathryn P |
KP |
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Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia. |
Mills RA |
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Mills |
Richard A |
RA |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Landers J |
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Landers |
John |
J |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Ruddle JB |
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Ruddle |
Jonathan B |
JB |
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Centre for Eye Research Australia, University of Melbourne, Melbourne, Victoria, Australia. |
Agar A |
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Agar |
Ashish |
A |
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Department of Ophthalmology, Prince of Wales Hospital Randwick, Sydney, New South Wales, Australia. |
Galanopoulos A |
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Galanopoulos |
Anna |
A |
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South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia. |
White AJR |
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White |
Andrew J R |
AJR |
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Clinical Ophthalmology & Eye Health, Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia. |
Willoughby CE |
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Willoughby |
Colin E |
CE |
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Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, UK. |
Andrew NH |
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Andrew |
Nicholas H |
NH |
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Department of Ophthalmology, Flinders University, Flinders Medical Centre, Bedford Park, South Australia, Australia. |
Best S |
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Best |
Stephen |
S |
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Eye Department, Greenlane Clinical Centre, Auckland District Health Board, Auckland, New Zealand. |
Vincent AL |
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Vincent |
Andrea L |
AL |
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Department of Ophthalmology, University of Auckland, Auckland, New Zealand. |
Goldberg I |
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Goldberg |
Ivan |
I |
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Discipline of Ophthalmology, Faculty of Medicine and Health, University of Sydney, Sydney Eye Hospital, Sydney, New South Wales, Australia. |
Radford-Smith G |
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Radford-Smith |
Graham |
G |
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Queensland Institute of Medical Research Berghofer Medical Research Institute, Brisbane, Queensland, Australia. |
Martin NG |
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Martin |
Nicholas G |
NG |
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Queensland Institute of Medical Research Berghofer Medical Research Institute, Brisbane, Queensland, Australia. |
Montgomery GW |
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Montgomery |
Grant W |
GW |
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Institute for Molecular Bioscience, University of Queensland, Brisbane, Queensland, Australia. |
Vitart V |
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Vitart |
Veronique |
V |
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Medical Research Council Human Genetics Unit, Medical Research Council Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK. |
Hoehn R |
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Hoehn |
Rene |
R |
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Department of Ophthalmology, University Medical Center Mainz, Mainz, Germany. |
Wojciechowski R |
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Wojciechowski |
Robert |
R |
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Computational and Statistical Genomics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA. |
Jonas JB |
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Jonas |
Jost B |
JB |
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Department of Ophthalmology, Medical Faculty Mannheim of the Ruprecht-Karls-University of Heidelberg, Mannheim, Germany. |
Aung T |
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Aung |
Tin |
T |
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Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore. |
Pasquale LR |
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Pasquale |
Louis R |
LR |
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Department of Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. |
Cree AJ |
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Cree |
Angela Jane |
AJ |
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Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK. |
Sivaprasad S |
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Sivaprasad |
Sobha |
S |
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National Institute for Health Research Moorfields Biomedical Research Centre, London, UK. |
Vallabh NA |
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Vallabh |
Neeru A |
NA |
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St Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, UK. |
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NEIGHBORHOOD consortium |
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UK Biobank Eye and Vision Consortium |
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Viswanathan AC |
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Viswanathan |
Ananth C |
AC |
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National Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. |
Pasutto F |
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Pasutto |
Francesca |
F |
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Institute of Human Genetics, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany. |
Haines JL |
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Haines |
Jonathan L |
JL |
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Department of Population and Quantitative Health Sciences, Institute for Computational Biology, Case Western Reserve University School of Medicine, Cleveland, OH, USA. |
Klaver CCW |
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Klaver |
Caroline C W |
CCW |
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Department of Ophthalmology, Erasmus Medical Center, Rotterdam, the Netherlands. |
van Duijn CM |
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van Duijn |
Cornelia M |
CM |
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Department of Epidemiology, Erasmus Medical Center, Rotterdam, the Netherlands. |
Casson RJ |
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Casson |
Robert J |
RJ |
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South Australian Institute of Ophthalmology, University of Adelaide, Adelaide, South Australia, Australia. |
Foster PJ |
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Foster |
Paul J |
PJ |
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National Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. |
Khaw PT |
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Khaw |
Peng Tee |
PT |
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National Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK. |
Hammond CJ |
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Hammond |
Christopher J |
CJ |
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Department of Ophthalmology, King's College London, St. Thomas' Hospital, London, UK. |
Mackey DA |
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Mackey |
David A |
DA |
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Lions Eye Institute, Centre for Ophthalmology and Vision Sciences, University of Western Australia, Perth, Western Australia, Australia. |
Mitchell P |
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Mitchell |
Paul |
P |
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Department of Ophthalmology and Westmead Institute for Medical Research, University of Sydney, Sydney, New South Wales, Australia. |
Lotery AJ |
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Lotery |
Andrew J |
AJ |
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Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK. |
Wiggs JL |
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Wiggs |
Janey L |
JL |
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Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, MA, USA. |
Hewitt AW |
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Hewitt |
Alex W |
AW |
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Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia. |
MacGregor S |
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MacGregor |
Stuart |
S |
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Queensland Institute of Medical Research Berghofer Medical Research Institute, Brisbane, Queensland, Australia. |
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INVESTIGATORS |
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JOURNAL |
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VOLUME: |
ISSUE: |
TITLE: Nature genetics |
ISOABBREVIATION: Nat. Genet. |
YEAR: 2020 |
MONTH: Jan |
DAY: 20 |
MEDLINEDATE: |
SEASON: |
CITEDMEDIUM: Internet |
ISSN: 1546-1718 |
ISSNTYPE: Electronic |
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MEDLINE JOURNAL |
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MEDLINETA: Nat Genet |
COUNTRY: United States |
ISSNLINKING: 1061-4036 |
NLMUNIQUEID: 9216904 |
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PUBLICATION TYPE |
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PUBLICATIONTYPE TEXT |
Journal Article |
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COMMENTS AND CORRECTIONS |
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GRANTS |
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GRANTID |
AGENCY |
COUNTRY |
R21 EY028671 |
NEI NIH HHS |
United States |
1107098 |
Department of Health | National Health and Medical Research Council (NHMRC) |
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1116360 |
Department of Health | National Health and Medical Research Council (NHMRC) |
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1023911 |
Department of Health | National Health and Medical Research Council (NHMRC) |
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1116495 |
Department of Health | National Health and Medical Research Council (NHMRC) |
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GENERAL NOTE |
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KEYWORDS |
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MESH HEADINGS |
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SUPPLEMENTARY MESH |
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GENE SYMBOLS |
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CHEMICALS |
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OTHER ID's |
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