A

Human-lineage-specific genomic elements are associated with neurodegenerative disease and APOE transcript usage

Nature Communications, vol. 12, pp. 2076

Abstract

Knowledge of genomic features specific to the human lineage may provide insights into brain-related diseases. We leverage high-depth whole genome sequencing data to generate a combined annotation identifying regions simultaneously depleted for genetic variation (constrained regions) and poorly conserved across primates. We propose that these constrained, non-conserved regions (CNCRs) have been subject to human-specific purifying selection and are enriched for brain-specific elements. We find that CNCRs are depleted from protein-coding genes but enriched within lncRNAs. We demonstrate that per-SNP heritability of a range of brain-relevant phenotypes are enriched within CNCRs. We find that genes implicated in neurological diseases have high CNCR density, including APOE, highlighting an unannotated intron-3 retention event. Using human brain RNA-sequencing data, we show the intron-3-retaining transcript to be more abundant in Alzheimer's disease with more severe tau and amyloid pathological burden. Thus, we demonstrate potential association of human-lineage-specific sequences in brain development and neurological disease.

Authors 99

  1. NIHR Great Ormond Street Hospital Biomedical Research Centre · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Genetics and Genomic Medicine, Great Ormond Street Institute of Child Health, University College London, London, UK

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

    NIHR Great Ormond Street Hospital Biomedical Research Centre, University College London, London, UK

  2. NIHR Great Ormond Street Hospital Biomedical Research Centre · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Genetics and Genomic Medicine, Great Ormond Street Institute of Child Health, University College London, London, UK

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

    NIHR Great Ormond Street Hospital Biomedical Research Centre, University College London, London, UK

  3. NIHR Great Ormond Street Hospital Biomedical Research Centre · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Genetics and Genomic Medicine, Great Ormond Street Institute of Child Health, University College London, London, UK

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

    NIHR Great Ormond Street Hospital Biomedical Research Centre, University College London, London, UK

  4. NIHR Great Ormond Street Hospital Biomedical Research Centre · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Genetics and Genomic Medicine, Great Ormond Street Institute of Child Health, University College London, London, UK

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

    NIHR Great Ormond Street Hospital Biomedical Research Centre, University College London, London, UK

  5. NIHR Great Ormond Street Hospital Biomedical Research Centre · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Genetics and Genomic Medicine, Great Ormond Street Institute of Child Health, University College London, London, UK

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

    NIHR Great Ormond Street Hospital Biomedical Research Centre, University College London, London, UK

  6. NIHR Great Ormond Street Hospital Biomedical Research Centre · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Genetics and Genomic Medicine, Great Ormond Street Institute of Child Health, University College London, London, UK

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

    NIHR Great Ormond Street Hospital Biomedical Research Centre, University College London, London, UK

  7. NIHR Great Ormond Street Hospital Biomedical Research Centre · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Genetics and Genomic Medicine, Great Ormond Street Institute of Child Health, University College London, London, UK

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

    NIHR Great Ormond Street Hospital Biomedical Research Centre, University College London, London, UK

  8. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

  9. University of London · Queen Mary University of London · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

    Preventive Neurology Unit, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK

  10. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  11. University of Liverpool

    Affiliation as printed

    Institute of Translational Medicine, University of Liverpool, Liverpool, UK

  12. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  13. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Clinical and Movement Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  14. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Clinical and Movement Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  15. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  16. Cardiff University · Medical Research Council

    Affiliation as printed

    Biostatistics & Bioinformatics Unit, Institute of Psychological Medicine and Clinical Neuroscience, MRC Centre for Neuropsychiatric Genetics & Genomics, Cardiff, UK

  17. King Faisal Specialist Hospital & Research Centre · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Genetics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  18. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Genetics and Genomic Medicine, Great Ormond Street Institute of Child Health, University College London, London, UK

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  19. University of Liverpool

    Affiliation as printed

    Institute of Translational Medicine, University of Liverpool, Liverpool, UK

  20. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  21. University College London

    Affiliation as printed

    Institute of Healthy Ageing, University College London (UCL), London, UK

  22. University of Liverpool

    Affiliation as printed

    Institute of Translational Medicine, University of Liverpool, Liverpool, UK

  23. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  24. University of Reading

    Affiliation as printed

    University of Reading, Reading, UK

  25. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  26. UK Dementia Research Institute · UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

    UK Dementia Research Institute, University College London (UCL), London, UK

  27. University College London

    Affiliation as printed

    Institute of Cardiovascular Science, University College London (UCL), London, UK

  28. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  29. University of Reading

    Affiliation as printed

    University of Reading, Reading, UK

  30. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  31. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

  32. Cardiff University

    Affiliation as printed

    MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University School of Medicine, Cardiff, UK

  33. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Molecular Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  34. UCL Queen Square Institute of Neurology · University College London

    Affiliation as printed

    Department of Clinical and Movement Neuroscience, Queen Square Institute of Neurology, University College London (UCL), London, UK

  35. Cardiff University

    Affiliation as printed

    MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University School of Medicine, Cardiff, UK

  36. Centre National de la Recherche Scientifique · Inserm · Sorbonne Université · Pitié-Salpêtrière Hospital · Institut du Cerveau · Université Pierre-et-Marie-Curie

    Affiliation as printed

    Institut du Cerveau et de la Moelle épinière, ICM, Inserm U 1127, CNRS, UMR 7225, Sorbonne Universités, UPMC University Paris 06, UMR S 1127, AP-HP, Pitié-Salpêtrière Hospital, Paris, France

  37. Centre National de la Recherche Scientifique · Inserm · Sorbonne Université · Pitié-Salpêtrière Hospital · Institut du Cerveau · Université Pierre-et-Marie-Curie

    Affiliation as printed

    Institut du Cerveau et de la Moelle épinière, ICM, Inserm U 1127, CNRS, UMR 7225, Sorbonne Universités, UPMC University Paris 06, UMR S 1127, AP-HP, Pitié-Salpêtrière Hospital, Paris, France

  38. Centre National de la Recherche Scientifique · Inserm · Sorbonne Université · Pitié-Salpêtrière Hospital · Institut du Cerveau · Université Pierre-et-Marie-Curie

    Affiliation as printed

    Institut du Cerveau et de la Moelle épinière, ICM, Inserm U 1127, CNRS, UMR 7225, Sorbonne Universités, UPMC University Paris 06, UMR S 1127, AP-HP, Pitié-Salpêtrière Hospital, Paris, France

  39. Centre National de la Recherche Scientifique · Inserm · Sorbonne Université · Pitié-Salpêtrière Hospital · Institut du Cerveau · Université Pierre-et-Marie-Curie · CIC Pitié Neurosciences

    Affiliation as printed

    Institut du Cerveau et de la Moelle épinière, ICM, Inserm U 1127, CNRS, UMR 7225, Sorbonne Universités, UPMC University Paris 06, UMR S 1127, Centre d’Investigation Clinique Pitié Neurosciences CIC-1422, AP-HP, Pitié-Salpêtrière Hospital, Paris, France

    Institut du Cerveau et de la Moelle épinière, ICM, Inserm U 1127, CNRS, UMR 7225, Sorbonne Universités, UPMC University Paris 06, UMR S 1127, Centre d'Investigation Clinique Pitié Neurosciences CIC-1422, AP-HP, Pitié-Salpêtrière Hospital, Paris, France

  40. Université Toulouse III - Paul Sabatier · Inserm

    Affiliation as printed

    INSERM UMR 1220 and Paul Sabatier University, Toulouse, France

  41. German Center for Neurodegenerative Diseases · Hertie Institute for Clinical Brain Research · University of Tübingen

    Affiliation as printed

    Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, German Center for Neurodegenerative Diseases, DZNE, German Center for Neurodegenerative Diseases, University of Tübingen, Tübingen, Germany

  42. German Center for Neurodegenerative Diseases · Hertie Institute for Clinical Brain Research · University of Tübingen

    Affiliation as printed

    Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, German Center for Neurodegenerative Diseases, DZNE, German Center for Neurodegenerative Diseases, University of Tübingen, Tübingen, Germany

  43. German Center for Neurodegenerative Diseases · Hertie Institute for Clinical Brain Research · University of Tübingen

    Affiliation as printed

    Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, German Center for Neurodegenerative Diseases, DZNE, German Center for Neurodegenerative Diseases, University of Tübingen, Tübingen, Germany

  44. German Center for Neurodegenerative Diseases · Hertie Institute for Clinical Brain Research · University of Tübingen

    Affiliation as printed

    Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, German Center for Neurodegenerative Diseases, DZNE, German Center for Neurodegenerative Diseases, University of Tübingen, Tübingen, Germany

  45. German Center for Neurodegenerative Diseases · Hertie Institute for Clinical Brain Research · University of Tübingen

    Affiliation as printed

    Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, German Center for Neurodegenerative Diseases, DZNE, German Center for Neurodegenerative Diseases, University of Tübingen, Tübingen, Germany

  46. University of Tübingen

    Affiliation as printed

    Centre for Genetic Epidemiology, Institute for Clinical Epidemiology and Applied Biometry, University of Tubingen, Tübingen, Germany

  47. German Center for Neurodegenerative Diseases · Hertie Institute for Clinical Brain Research · University of Tübingen

    Affiliation as printed

    Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, German Center for Neurodegenerative Diseases, DZNE, German Center for Neurodegenerative Diseases, University of Tübingen, Tübingen, Germany

  48. National Institutes of Health · National Institute on Aging

    Affiliation as printed

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  49. National Institutes of Health · National Institute on Aging

    Affiliation as printed

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  50. National Institutes of Health · National Institute on Aging

    Affiliation as printed

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  51. National Institutes of Health · National Institute of Neurological Disorders and Stroke · National Institute on Aging

    Affiliation as printed

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

    National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA

  52. University of Southern California

    Affiliation as printed

    Department of Translational Genomics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

  53. National Institutes of Health · University of Illinois Urbana-Champaign · National Institute on Aging

    Affiliation as printed

    Department of Computer Science, University of Illinois at Urbana-Champaign, Urbana, IL, USA

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  54. National Institutes of Health · National Institute on Aging

    Affiliation as printed

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  55. National Institutes of Health · National Institute on Aging

    Affiliation as printed

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  56. Translational Genomics Research Institute

    Affiliation as printed

    Neurogenomics Division, TGen, Phoenix, AZ, USA

  57. Baylor College of Medicine · Texas Children's Hospital

    Affiliation as printed

    Departments of Neurology, Neuroscience, and Molecular & Human Genetics, Baylor College of Medicine, Houston, TX, USA

    Jan and Dan Duncan Neurological Research Institute, Texas Children’s Hospital, Houston, TX, USA

  58. National Institutes of Health · National Institute on Aging

    Affiliation as printed

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  59. National Institutes of Health · Data Tecnica International (United States) · National Institute on Aging

    Affiliation as printed

    Data Tecnica International, Glen Echo, MD, USA

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  60. Baylor College of Medicine · Texas Children's Hospital

    Affiliation as printed

    Departments of Neurology, Neuroscience, and Molecular & Human Genetics, Baylor College of Medicine, Houston, TX, USA

    Jan and Dan Duncan Neurological Research Institute, Texas Children’s Hospital, Houston, TX, USA

  61. Northwestern University

    Affiliation as printed

    Ken and Ruth Davee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

  62. Gladstone Institutes · University of California, San Francisco · Taube Koret Center

    Affiliation as printed

    Department of Neurology and Physiology, University of California, San Francisco, CA, USA

    Gladstone Institute of Neurological Disease, San Francisco, CA, USA

    Taube/Koret Center for Neurodegenerative Disease Research, San Francisco, CA, USA

  63. Northwestern University

    Affiliation as printed

    Northwestern University Feinberg School of Medicine, Chicago, IL, USA

  64. National Institutes of Health · National Institute of Neurological Disorders and Stroke

    Affiliation as printed

    National Institutes of Health Division of Clinical Research, NINDS, National Institutes of Health, Bethesda, MD, USA

  65. National Institutes of Health · National Institute on Aging

    Affiliation as printed

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  66. National Institute of Neurological Disorders and Stroke

    Affiliation as printed

    Neurodegenerative Diseases Research Unit, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA

  67. National Institutes of Health · National Institute on Aging

    Affiliation as printed

    Laboratory of Neurogenetics, National Institute on Aging, Bethesda, MD, USA

  68. Columbia University Irving Medical Center · Columbia University

    Affiliation as printed

    Department of Neurology, College of Physicians and Surgeons, Columbia University Medical Center, New York, NY, USA

    Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University Medical Center, New York, NY, USA

  69. Montreal Neurological Institute and Hospital · McGill University

    Affiliation as printed

    Montreal Neurological Institute and Hospital, Department of Neurology & Neurosurgery, Department of Human Genetics, McGill University, Montréal, QC, Canada

  70. Montreal Neurological Institute and Hospital · McGill University

    Affiliation as printed

    Montreal Neurological Institute and Hospital, Department of Neurology & Neurosurgery, Department of Human Genetics, McGill University, Montréal, QC, Canada

  71. Montreal Neurological Institute and Hospital · McGill University

    Affiliation as printed

    Montreal Neurological Institute and Hospital, Department of Neurology & Neurosurgery, Department of Human Genetics, McGill University, Montréal, QC, Canada

  72. Leiden University Medical Center

    Affiliation as printed

    Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands

  73. Leiden University Medical Center

    Affiliation as printed

    Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands

  74. Instituto de Biomedicina de Sevilla · Hospital Universitario Virgen del Rocío · Universidad de Sevilla

    Affiliation as printed

    Instituto de Biomedicina de Sevilla Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain

  75. University Hospital Mútua de Terrassa

    Affiliation as printed

    Fundació Docència I Recerca Mútua de Terrassa and Movement Disorders Unit, Department of Neurology, University Hospital Mutua de Terrassa, Terrassa, Barcelona, Spain

  76. University Hospital Mútua de Terrassa

    Affiliation as printed

    Fundació Docència I Recerca Mútua de Terrassa and Movement Disorders Unit, Department of Neurology, University Hospital Mutua de Terrassa, Terrassa, Barcelona, Spain

  77. Hospital Universitario Central de Asturias

    Affiliation as printed

    Hospital Universitario Central de Asturias, Oviedo, Spain

  78. Universidad de Granada

    Affiliation as printed

    Hospital Universitario San Cecilio de Granada, Universidad de Granada, Granada, Spain

  79. Biogipuzkoa Health Research Institute

    Affiliation as printed

    Instituto de Investigación Sanitaria Biodonostia, San Sebastián, Spain

  80. Hospital Clínic de Barcelona

    Affiliation as printed

    Hospital Clinic de Barcelona, Barcelona, Spain

  81. Hospital Universitario Central de Asturias

    Affiliation as printed

    Hospital Universitario Central de Asturias, Oviedo, Spain

  82. Hospital Clínic de Barcelona

    Affiliation as printed

    Hospital Clinic de Barcelona, Barcelona, Spain

  83. UCL Queen Square Institute of Neurology · University College London · Universidad de Murcia

    Affiliation as printed

    Departamento de Ingeniería de la Información y las Comunicaciones, Universidad de Murcia, Murcia, Spain

    Department of Neurodegenerative Disease, Queen Square Institute of Neurology, University College London (UCL), London, UK

  84. University Hospital Mútua de Terrassa

    Affiliation as printed

    Fundació Docència I Recerca Mútua de Terrassa and Movement Disorders Unit, Department of Neurology, University Hospital Mutua de Terrassa, Terrassa, Barcelona, Spain

  85. Instituto de Biomedicina de Sevilla · Hospital Universitario Virgen del Rocío · Universidad de Sevilla

    Affiliation as printed

    Instituto de Biomedicina de Sevilla Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain

  86. Instituto de Biomedicina de Sevilla · Hospital Universitario Virgen del Rocío · Universidad de Sevilla

    Affiliation as printed

    Instituto de Biomedicina de Sevilla Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain

  87. Instituto de Biomedicina de Sevilla · Hospital Universitario Virgen del Rocío · Universidad de Sevilla

    Affiliation as printed

    Instituto de Biomedicina de Sevilla Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain

  88. Hospital General De Segovia

    Affiliation as printed

    Hospital General de Segovia, Segovia, Spain

  89. Universitat Autònoma de Barcelona · Hospital de Sant Pau · Biomedical Research Networking Center on Neurodegenerative Diseases · Centro de Investigación Biomédica en Red

    Affiliation as printed

    Centro de Investigación Biomédica en Red en Enfermedades Neurodegenerativas, Madrid, Spain

    Memory Unit, Department of Neurology, IIB Sant Pau, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain

  90. Hospital Clínic de Barcelona

    Affiliation as printed

    Hospital Clinic de Barcelona, Barcelona, Spain

  91. University Hospital Mútua de Terrassa

    Affiliation as printed

    Fundació Docència I Recerca Mútua de Terrassa and Movement Disorders Unit, Department of Neurology, University Hospital Mutua de Terrassa, Terrassa, Barcelona, Spain

  92. Universitat Autònoma de Barcelona · Hospital de Sant Pau · Biomedical Research Networking Center on Neurodegenerative Diseases · Centro de Investigación Biomédica en Red

    Affiliation as printed

    Centro de Investigación Biomédica en Red en Enfermedades Neurodegenerativas, Madrid, Spain

    Memory Unit, Department of Neurology, IIB Sant Pau, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain

  93. Hospital General De Segovia

    Affiliation as printed

    Hospital General de Segovia, Segovia, Spain

  94. Universidad de Granada

    Affiliation as printed

    Centro de Investigacion Biomedica, Universidad de Granada, Granada, Spain

  95. Instituto de Investigación Biosanitaria de Granada · Hospital Universitario Virgen de las Nieves

    Affiliation as printed

    Hospital Universitario Virgen de las Nieves, Instituto de Investigación Biosanitaria de Granada, Granada, Spain

  96. Hospital Clínic de Barcelona

    Affiliation as printed

    Hospital Clinic de Barcelona, Barcelona, Spain

  97. Hospital Universitario Fundación Jiménez Díaz · Instituto de Investigación Sanitaria Fundación Jiménez Díaz

    Affiliation as printed

    Hospital Universitario Marqués de Valdecilla-IDIVALS, Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain

  98. Hospital Clínic de Barcelona

    Affiliation as printed

    Hospital Clinic de Barcelona, Barcelona, Spain

  99. Hospital Clínic de Barcelona

    Affiliation as printed

    Hospital Clinic de Barcelona, Barcelona, Spain

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References 60