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lncRNA involvement in immune-related diseases - from SNP association to implication in pathogenesis and therapeutic potential lncRNA 在免疫相关疾病中的参与--从 SNP 关联到发病机制和治疗潜力的影响
Pub Date : 2023-11-27 DOI: 10.20517/jtgg.2023.14
Leire Bergara-Muguruza, A. Castellanos-Rubio, I. Santin, A. Olazagoitia-Garmendia
Development of new high throughput array-based techniques and, more recently, next-generation sequencing (NGS) technologies have revolutionized our capability to accurately characterize single nucleotide polymorphisms (SNPs) throughout the genome. These advances have facilitated large-scale genome-wide association studies (GWAS), which have served as fundamental elements in establishing links between SNPs and the susceptibility to several complex diseases, including those related to the immune system. Nevertheless, the molecular mechanisms underlying the development of most of these disorders are still poorly defined. Decoding the functionality of SNPs becomes increasingly challenging due to the predominant presence of these risk variants in non-coding regions of the genome. Among them, long non-coding RNAs (lncRNAs) are enriched in disease-associated SNPs. lncRNAs are involved in governing the control of gene expression both during transcription and at the post-transcriptional level. The existence of SNPs within the sequences of lncRNAs has the potential to alter their expression, structure, or function. This, in turn, can influence their regulatory roles and consequently contribute to the onset or progression of various diseases. In this review, we describe the implication of SNPs located in lncRNAs in the development of different immune-related diseases and highlight the potential of these molecules in the development of emerging RNA-based therapies.
新的高通量阵列技术以及最近的新一代测序(NGS)技术的发展,彻底改变了我们准确描述整个基因组中单核苷酸多态性(SNPs)的能力。这些进步促进了大规模的全基因组关联研究(GWAS),这些研究是建立 SNP 与多种复杂疾病(包括与免疫系统相关的疾病)易感性之间联系的基本要素。尽管如此,这些疾病中大多数的发病分子机制仍不十分明确。由于这些风险变异主要存在于基因组的非编码区,解码 SNP 的功能变得越来越具有挑战性。其中,长非编码 RNA(lncRNA)富含与疾病相关的 SNPs。lncRNA 在转录过程中和转录后水平上参与控制基因表达。lncRNA 序列中存在的 SNPs 有可能改变其表达、结构或功能。这反过来又会影响它们的调控作用,从而导致各种疾病的发生或发展。在这篇综述中,我们描述了位于 lncRNA 中的 SNPs 在不同免疫相关疾病的发展中的影响,并强调了这些分子在开发基于 RNA 的新兴疗法中的潜力。
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引用次数: 0
The Hong Kong genome project: building genome sequencing capacity and capability for advancing genomic science in Hong Kong 香港基因组计划:建立基因组测序能力,推动香港基因组科学的发展
Pub Date : 2023-10-27 DOI: 10.20517/jtgg.2023.22
Annie T. W. Chu, Amy H. Y. Tong, Desiree M. S. Tse, Cario W. S. Lo, Carol C. F. Lau, Cecilia Y. F. Li, Nattily S. Y. Tai, Lap W. Wong, Gigi K. C. Choy, Belinda Y. Y. Tse, Su-vui Lo, Ken Sung, Mullin Yu, None Hong Kong Genome Project, Brian H. Y. Chung
Aim: The Hong Kong Genome Project (HKGP) is the first large-scale genome sequencing (GS) project in the Hong Kong Special Administrative Region. The Hong Kong Genome Institute (HKGI) is entrusted with the task of implementing the HKGP. With the aim to sequence 45,000-50,000 genomes in five years, it is the project’s goal to provide participants with more precise diagnosis and personalised treatment, and to drive the application and integration of genomic medicine into routine clinical care. Methods: The HKGI Laboratory’s hardware and software components were customised to tailor to the needs of the project. Sample handling and storage protocol, DNA extraction, and PCR-free GS workflow were developed and optimised. Quality control indicators and metrics for assessing the quality of samples, sequencing libraries and sequencing data were established. Results: The Laboratory is designed to facilitate a unidirectional GS workflow to minimise the risk of contamination. The Sample Manager system handles laboratory data generated from the HKGP samples and biobank. The Laboratory handles and analyses approximately 350-500 samples per week, the majority of which are whole blood. During the first 24 months since the launch of the HKGP, 12,937 participants and their family members (6,680 genomes) have been recruited and sequenced. The sequencing capacity of the Laboratory has been further enhanced to include the latest technologies, such as long-read sequencing and multi-omics in order to meet the target of the HKGP. Conclusion: HKGI Laboratory established a robust GS workflow for the HKGP. The clinical utility of GS will bring precision medicine into routine clinical practice.
目的:香港基因组计划是香港特别行政区首个大规模基因组测序计划。香港基因组研究所(HKGI)受托负责实施香港基因组计划。该项目的目标是在五年内完成4.5万至5万个基因组测序,为参与者提供更精确的诊断和个性化治疗,并推动基因组医学在常规临床护理中的应用和整合。方法:香港基因实验室的硬件和软件组件是根据项目的需要而定制的。开发并优化了样品处理和存储协议、DNA提取和无pcr的GS工作流程。建立了样品、测序文库和测序数据质量评价的质量控制指标和指标。结果:实验室旨在促进单向GS工作流程,以尽量减少污染的风险。样本管理系统处理由香港gp样本和生物库产生的实验室数据。该实验室每周处理和分析约350-500个样本,其中大部分是全血。在香港基因组计划推出后的头24个月内,已招募12,937名参与者及其家庭成员(6,680个基因组)进行测序。为了达到香港基因组计划的目标,化验所的测序能力已进一步提升,纳入了最新的技术,如长读序列和多组学。结论:建立了完善的GS工作流程。GS的临床应用将使精准医学进入常规临床实践。
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引用次数: 0
Use of sodium D, L-3-hydroxybutyrate as adjunct therapy in two siblings with HMG-CoA lyase deficiency 使用D, l -3-羟基丁酸钠作为辅助治疗两个兄弟姐妹HMG-CoA裂解酶缺乏症
Pub Date : 2023-09-16 DOI: 10.20517/jtgg.2023.12
Beena Devanapalli, Adviye Ayper Tolun, Won-Tae Kim, Tiffany Wotton, Susan Thompson, Shanti Balasubramaniam
3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) lyase deficiency is a rare autosomal recessive mitochondrial disease characterised by recurrent life-threatening metabolic crises generally presenting in neonates or infancy during catabolic stress triggered by prolonged fasting or intercurrent illness. Acute decompensations with lethargy, vomiting, hypoketotic hypoglycemia and metabolic acidosis may evolve into Reye-like syndrome if untreated, with acute liver failure, hyperammonemic encephalopathy, dilated cardiomyopathy, and death in 20% of cases. Long-term health complications include psychomotor retardation, white matter abnormalities, epilepsy, hepatic steatosis, pancreatitis, cardiomyopathy, and arrythmia. The mitochondrial enzyme catalyses the cleavage of HMG-CoA to acetyl-CoA and acetoacetate, the common final step of ketogenesis and leucine degradation, resulting in diagnostic urinary organic acid pattern (elevated 3-hydroxy-3-methylglutaric, 3-methylgutaconic, 3-methylglutaric, and 3-hydroxyisovaleric acids) with the absence of ketonuria, when deficient. Therapeutic interventions include dietary protein or leucine and fat restriction, carnitine supplementation, avoidance of fasting, and use of carbohydrate-based high caloric intake when unwell. We describe the clinical course and diagnostic work-up in two affected siblings, with the proband presenting with severe neonatal onset disease with metabolic acidosis, non-ketotic hypoglycaemia, hyperammonemia and white matter changes on brain MRI. High-risk screening for a younger sibling led to pre-emptive management with good outcomes. Sodium D, L-3-hydroxybutyrate (S-DL-3OHB) was used in both siblings as an adjunct therapy to prevent cerebral dysfunction and cardiomyopathy, with the rationale that decreased ketogenesis in this disorder may impact the major energy source for the brain and heart during starvation. S-DL-3OHB therapy is a well-tolerated and effective therapeutic option for this disorder.
3-羟基-3-甲基戊二酰辅酶A (HMG-CoA)裂解酶缺乏症是一种罕见的常染色体隐性线粒体疾病,其特征是复发性危及生命的代谢危象,通常出现在新生儿或婴儿期由长期禁食或并发疾病引发的分解代谢应激期间。急性失代偿伴嗜睡、呕吐、低酮性低血糖和代谢性酸中毒如不治疗可发展为雷氏样综合征,伴急性肝功能衰竭、高氨血症脑病、扩张性心肌病,20%的病例死亡。长期健康并发症包括精神运动迟缓、白质异常、癫痫、肝脂肪变性、胰腺炎、心肌病和心律失常。线粒体酶催化HMG-CoA裂解为乙酰辅酶a和乙酰乙酸,这是酮生和白氨酸降解的最后一步,当缺乏时,导致诊断性尿有机酸模式(3-羟基-3-甲基戊二酸、3-甲基谷氨酰胺酸、3-甲基戊二酸和3-羟基异戊酸升高),而无酮尿。治疗干预措施包括限制饮食中的蛋白质或亮氨酸和脂肪,补充肉碱,避免禁食,以及在身体不适时使用以碳水化合物为基础的高热量摄入。我们描述了两个受影响的兄弟姐妹的临床过程和诊断检查,先证者表现为严重的新生儿发病疾病,伴有代谢性酸中毒,非酮症性低血糖,高氨血症和脑MRI白质改变。对年幼的兄弟姐妹进行高风险筛查导致预防性治疗,效果良好。D, l -3-羟基丁酸钠(S-DL-3OHB)在两个兄弟姐妹中用作辅助治疗,以预防脑功能障碍和心肌病,其基本原理是这种疾病的生酮减少可能会影响饥饿期间大脑和心脏的主要能量来源。S-DL-3OHB治疗是一种耐受性良好且有效的治疗选择。
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引用次数: 0
Kabuki syndrome and rare tumors in a young girl carrying a frameshift kmt2d mutation 携带移码kmt2d突变的年轻女孩的歌舞伎综合征和罕见肿瘤
Pub Date : 2023-07-20 DOI: 10.20517/jtgg.2022.18
A. Bonuccelli, Tommaso Baldaccini, A. Orsini, E. Alberti, M. Del Pistoia, U. Boggi, B. Toschi, A. Santangelo, E. Randazzo, D. Peroni, Giovanni Federico
Kabuki syndrome (KS) is a genetic disorder characterized by typical facial dimorphisms, various degrees of cognitive disability, and congenital anomalies involving the heart, kidneys, gastrointestinal system, and bones. It is accompanied by hypotonia, failure to thrive, obesity, and immunodeficiency. Association with neoplastic lesions has been recently described. We report a 13-year-old girl with KS, an insulinoma, and a benign phyllodes breast tumor with two hepatic lesions: a neuroendocrine tumor metastasis and a ciliated foregut cyst associated with hepatic fibrosis. She had a pilomatrixoma and a junctional melanocytic nevus with cytological atypia. Genetic analysis revealed a heterozygous frameshift variant in the KMT2D gene. Somatic KMT2D variants are in various types of tumors. The role of KMT2D variants in malignancies in KS appears to be related to defective transcription regulation and altered gene expression; however, the mechanism remains unclear. This aims to clarify the relationship between KMT2D gene variants, KS, and susceptibility to neoplastic lesions. For this purpose, a more extensive case series will be needed to accurately describe the patients' neoplastic phenotypes and precise genetic characterization.
歌舞伎综合征(KS)是一种遗传性疾病,其特征是典型的面部畸形、不同程度的认知障碍以及涉及心脏、肾脏、胃肠系统和骨骼的先天性异常。伴有张力减退、发育不良、肥胖和免疫缺陷。最近已经描述了与肿瘤性病变的相关性。我们报告了一名13岁女孩,患有KS、胰岛素瘤和良性叶状乳腺肿瘤,伴有两种肝脏病变:神经内分泌肿瘤转移和与肝纤维化相关的纤毛前肠囊肿。她有毛母细胞瘤和交界黑色素细胞痣,伴有细胞学非典型性。遗传分析显示KMT2D基因存在杂合移码变异。体细胞KMT2D变体存在于各种类型的肿瘤中。KMT2D变异体在KS恶性肿瘤中的作用似乎与转录调节缺陷和基因表达改变有关;然而,其机制尚不清楚。这旨在阐明KMT2D基因变异、KS和肿瘤病变易感性之间的关系。为此,需要更广泛的病例系列来准确描述患者的肿瘤表型和精确的遗传特征。
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引用次数: 0
Public and patient involvement in research to support genome services development in the UK 公众和患者参与研究以支持英国基因组服务的发展
Pub Date : 2023-01-01 DOI: 10.20517/jtgg.2022.19
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引用次数: 1
Genomics education for medical specialists: case-based specialty workshops and blended learning 医学专家的基因组学教育:基于案例的专业研讨会和混合学习
Pub Date : 2023-01-01 DOI: 10.20517/jtgg.2023.04
F. Maher, A. Nisselle, E. Lynch, M. Martyn, Rigan Tytherleigh, Taryn Charles, C. Gaff
Aim: To develop and evaluate genomics education programs for health professionals to expedite the translation of genomics into healthcare. Methods: Our co-design team of genetic specialists, expert medical specialist peers, and genomics educators developed two continuing genomics education programs for health professionals: stand-alone, specialty-specific workshops and a generic blended learning course, combining online learning with workshops. Both programs referenced adult learning theories; workshops included case-based learning and expert peer-led discussion. Longitudinal surveys evaluated changes in confidence and understanding of genomic testing processes and clinical practice. Results: We delivered eleven specialty workshops (414 attendees) and a blended learning course comprising four self-directed online modules (61 users) and workshops (71 attendees) for mixed-specialty groups with adult, pediatric, or oncology cases. Surveys (214 workshops; 63 blended) showed that both programs significantly increased confidence and understanding of genomic testing processes. Blended learning participants showed additional gains in confidence after attending a workshop following online learning. Workshop discussions with experts were valued, particularly regarding interpreting and applying results. At follow-up, gains in confidence and understanding were maintained for both programs and 81% of respondents had performed a new genomics activity in clinical practice. Conclusion: Scalable education is needed. Our results suggest that specialty-specific genomics education may not be required to meet the needs of multiple specialties across a health system. Online learning can meet foundational learning needs but may not be sufficient to apply learning to practice. Blended learning offers flexible, continuing education pathways for dispersed national audiences as genomics becomes increasingly used across varied specialties.
目的:为卫生专业人员制定和评估基因组学教育计划,以加快基因组学向医疗保健的转化。方法:我们的基因专家、医学专家同行和基因组学教育者共同设计团队为卫生专业人员开发了两个持续的基因组学教育计划:独立的、特定专业的讲习班和通用的混合学习课程,将在线学习与讲习班相结合。这两个节目都参考了成人学习理论;讲习班包括基于案例的学习和专家同行主导的讨论。纵向调查评估了对基因组检测过程和临床实践的信心和理解的变化。结果:我们提供了11个专业研讨会(414名参与者)和一个混合学习课程,包括四个自主在线模块(61名用户)和研讨会(71名参与者),适用于成人、儿科或肿瘤病例的混合专业群体。调查(214个工作坊;(63混合)表明,这两个项目都显著提高了对基因组测试过程的信心和理解。混合式学习的参与者在参加了在线学习之后的研讨会后,表现出了额外的信心增长。与专家的研讨会讨论受到重视,特别是关于解释和应用结果的讨论。在随访中,对两个项目的信心和理解都有所增加,81%的受访者在临床实践中进行了新的基因组学活动。结论:规模化教育是必要的。我们的研究结果表明,可能不需要专门的基因组学教育来满足卫生系统中多个专业的需求。在线学习可以满足基本的学习需求,但可能不足以将学习应用于实践。随着基因组学越来越多地应用于不同的专业,混合式学习为分散的国家受众提供了灵活的继续教育途径。
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引用次数: 1
Genomics in leukaemia in clinical practice: past, present and the future 白血病基因组学在临床实践中的应用:过去、现在和未来
Pub Date : 2023-01-01 DOI: 10.20517/jtgg.2023.09
Ho-Ching Leung, A. Leung
Acute myeloid leukaemia (AML) is a heterogeneous group of diseases with diverse genetic drivers. The conventional one-size-fits-all approach with chemotherapy and allogeneic hematopoietic stem cell transplantation (HSCT) has reached an impasse, and only about 40% of patients can achieve long-term survival. Disease heterogeneities have also hampered the development of effective therapy applicable to the multitude of AML subtypes. Recent advances in cancer genetics and genomics have shed light on the genetic underpinnings of AML and both inter-individual and intra-tumoral heterogeneities. These new pieces of knowledge have begun to impact the management and prognostication of AML. They also provide the foundation for personalized treatment for this group of diseases.
急性髓性白血病(AML)是一种具有多种遗传驱动因素的异质性疾病。传统的化疗和同种异体造血干细胞移植(HSCT)的一刀切方法已经陷入僵局,只有大约40%的患者能够实现长期生存。疾病的异质性也阻碍了适用于众多AML亚型的有效治疗的发展。癌症遗传学和基因组学的最新进展揭示了AML的遗传基础以及个体间和肿瘤内的异质性。这些新的知识已经开始影响AML的管理和预测。它们还为这类疾病的个性化治疗提供了基础。
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引用次数: 0
Epigenetic impact of long non-coding RNA lnc-ADAM9 on extracellular matrix pathway in preterm syndrome through down-regulation of mRNA-ADAM9 长链非编码RNA lnc-ADAM9通过下调mRNA-ADAM9对早产综合征细胞外基质通路的表观遗传影响
Pub Date : 2023-01-01 DOI: 10.20517/jtgg.2023.07
Xiaohua Wang, Aiju Liu, D. Hou, Xiaoyan Dong, C. Chu, W. Ju, Junhui Zhang, Yueqi Jia, Xiaoyan Yang, Yunpeng Ji, Tingting Wang, E. Bonney, Gui-Yu Wang, N. Zhong
im: Evidence suggests that the risk of spontaneous preterm birth (sPTB) is the result of environmental exposure interacting with genetic risk and is mediated by epigenetic modification. Long non-coding RNA (lncRNA) comprises a large group of regulators of epigenetic modification that has recently become the focus of increased investigation in reproductive science. Human placenta expresses many lncRNAs, and differential expression profiles (DEPs) have identified several lncRNAs as associated with sPTB. However, little is known about lncRNA’s role in the epigenetic modification of the genes potentially involved in sPTB. This study is to better understand the epigenetic regulation of lncRNA on the development of sPTB. Methods: A transcriptomic analysis of human placentas derived from various pregnancy outcomes was performed as a discovery study. This was followed by a quantitative confirmation to validate the differential transcription of lncADAM9, the lncRNA overlapping with the ADAM9 gene locus, and of lncRNA-overlapped mRNA of ADAM9 (mRNA-ADAM9). In vitro examination of lncADAM9 transgenic (TG) HTR8 cells were used to perform functional assessment to address the role of lncADAM9-mediated epigenetic regulation of extracellular matrix-adhesion (ECM-A) associated molecules. This assessment was then expanded to studies of human fetal membranes. Results: We observed that expression of lncADAM9 was increased in sPTB, and this increase was further associated with the down-regulation of mRNA-ADAM9 in human placentas. In vitro, overexpression of lncADAM9 in lncADAM9-transgenic HRT8 cells led to DEPs relevant to ECM-A molecules, particularly at the loci of CNTN1, NRXN2, SPN, ICAM2, and HLA-DPB1. This was also true in fetal membranes from abnormal versus normal fetal membranes. Conclusion: We have studied the epigenetic impact of differentially expressed lncADAM9 on the ECM-A pathway that is associated with sPTB and documented that this impact may be mediated through the down-regulation of mRNA-ADAM9. Our results of demonstrating the epigenetic regulation of lncADAM9 on the ECM-A pathway may help provide greater insight into critical pathogenic mechanisms underlying sPTB.
有证据表明,自发性早产(sPTB)的风险是环境暴露与遗传风险相互作用的结果,并由表观遗传修饰介导。长链非编码RNA (Long non-coding RNA, lncRNA)是由大量表观遗传修饰调控因子组成的,近年来已成为生殖科学研究的热点。人胎盘表达许多lncrna,差异表达谱(DEPs)已经鉴定出几种与sPTB相关的lncrna。然而,对于lncRNA在sPTB潜在相关基因的表观遗传修饰中的作用知之甚少。本研究旨在更好地了解lncRNA对sPTB发生发展的表观遗传调控。方法:对来自不同妊娠结局的人类胎盘进行转录组学分析作为一项发现研究。随后定量验证了lncADAM9、与ADAM9基因位点重叠的lncRNA以及与ADAM9重叠的lncRNA mRNA (mRNA-ADAM9)的差异转录。通过体外检测lncADAM9转基因(TG) HTR8细胞进行功能评估,探讨lncADAM9介导的细胞外基质粘附(ECM-A)相关分子表观遗传调控的作用。这一评估随后扩展到人类胎膜的研究。结果:我们观察到在sPTB中lncADAM9的表达增加,并且这种增加与人胎盘中mRNA-ADAM9的下调进一步相关。在体外实验中,lncADAM9在转染lncADAM9的HRT8细胞中过表达导致与ECM-A分子相关的DEPs,特别是在CNTN1、NRXN2、SPN、ICAM2和HLA-DPB1位点。在异常胎膜与正常胎膜的对比中也是如此。结论:我们研究了差异表达的lncADAM9对sPTB相关的ECM-A通路的表观遗传影响,并证实这种影响可能是通过下调mRNA-ADAM9介导的。我们的研究结果表明lncADAM9对ECM-A通路的表观遗传调控可能有助于更深入地了解sPTB的关键致病机制。
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引用次数: 0
A case with prenatal molecular diagnosis of X-linked transient antenatal Bartter syndrome 产前分子诊断x连锁短暂性产前Bartter综合征1例
Pub Date : 2023-01-01 DOI: 10.20517/jtgg.2023.10
K. Xu, Yanqin Zhang, Xinlin Hou, Hui Yang, Jie Ding, Fang Wang
Early-onset polyhydramnios during pregnancy can be caused by X-linked transient antenatal Bartter syndrome. Most of the reported cases were molecularly diagnosed after birth, whereas few cases were diagnosed in the fetus period. We received a pregnant woman who had polyhydramnios detected by ultrasound imaging at 25 weeks of gestation, and treated with magnesium sulfate, indomethacin and an amnioreduction at 30 weeks of gestation, whereas amniotic fluid decreased spontaneously since 32 weeks of gestation. Prenatal molecular testing showed the fetus carried MAGED2 hemizygous variant c.967C>T [p. (Asp323*)] inherited from the mother. The preterm boy did not present with polyuria and electrolytes and acid-base imbalance in the early neonatal period, and had good development without polyuria at the age of 20 months. We presented the phenotypes of a Chinese case with a prenatal diagnosis of X-linked transient antenatal Bartter syndrome and his response to prenatal indomethacin treatment. Early identification of the condition helps to provide appropriate prenatal genetic counseling and postnatal management.
妊娠期早发型羊水过多可由x连锁短暂性产前巴特综合征引起。大多数病例在出生后被分子诊断,而在胎儿期被诊断的病例很少。我们接收了一位孕妇,她在妊娠25周时超声成像发现羊水过多,并在妊娠30周时用硫酸镁、吲哚美辛和羊水减少治疗,而羊水从妊娠32周开始自然减少。产前分子检测显示胎儿携带MAGED2半合子变异c.967C>T [p]。(Asp323*)]遗传自母亲。早产男童在新生儿早期未出现多尿、电解质及酸碱失衡,20月龄发育良好,无多尿。我们提出了一个中国病例的表型与产前诊断的x连锁短暂性产前巴特综合征和他对产前吲哚美辛治疗的反应。病情的早期识别有助于提供适当的产前遗传咨询和产后管理。
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引用次数: 1
Obesity associated cancers, genetics, epigenetics and elephants. 肥胖相关的癌症,遗传学,表观遗传学和大象。
Pub Date : 2023-01-01 DOI: 10.20517/jtgg.2023.23
Nathan A Berger
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引用次数: 0
期刊
Journal of translational genetics and genomics
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