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Comparative PRKAR1A genotype–phenotype analyses in humans with Carney complex and prkar1a haploinsufficient mice

Identifieur interne : 00A830 ( Main/Exploration ); précédent : 00A829; suivant : 00A831

Comparative PRKAR1A genotype–phenotype analyses in humans with Carney complex and prkar1a haploinsufficient mice

Auteurs : Mark Veugelers ; David Wilkes ; Kimberly Burton [États-Unis] ; Deborah A. Mcdermott ; Yan Song ; Marsha M. Goldstein [États-Unis] ; Krista La Perle [États-Unis] ; Carl J. Vaughan ; Art O'Hagan [Royaume-Uni] ; Kenneth R. Bennett [États-Unis] ; Beat J. Meyer [Suisse] ; Eric Legius [Belgique] ; Mervi Karttunen [Finlande] ; Reijo Norio [Finlande] ; Helena Kaariainen [Finlande] ; Michael Lavyne ; Jean-Philippe Neau [France] ; Gert Richter [Allemagne] ; Kaan Kirali [Turquie] ; Alan Farnsworth [Australie] ; Karen Stapleton [Australie] ; Peter Morelli [États-Unis] ; Yoshinori Takanashi [Japon] ; John-Steven Bamforth [Canada] ; Franz Eitelberger [Autriche] ; Irene Noszian [Autriche] ; Waldimiro Manfroi [Brésil] ; James Powers [États-Unis] ; Yoshihiko Mochizuki [Japon] ; Tsuneo Imai [Japon] ; Gary T. C. Ko [Hong Kong] ; Deborah A. Driscoll [États-Unis] ; Elizabeth Goldmuntz [États-Unis] ; Jay M. Edelberg ; Amanda Collins [Royaume-Uni] ; Diana Eccles [Royaume-Uni] ; Alan D. Irvine [Irlande (pays)] ; G. Stanley Mcknight [États-Unis] ; Craig T. Basson

Source :

RBID : PMC:521100

Abstract

Carney complex (CNC) is a familial multiple neoplasia syndrome characterized by cardiac and extracardiac myxomas in the setting of spotty skin pigmentation and endocrinopathy. We previously identified PRKAR1A (regulatory subunit 1α of protein kinase A) mutations in CNC. Mutational analyses of the PRKAR1A gene in 51 unrelated CNC probands now detect mutations in 65%. All mutations, except for one unique missense mutation, lead to PRKAR1A haploinsufficiency. Therefore, we studied the consequences of prkar1a haploinsufficiency in mice. Although we did not observe cardiac myxomas or altered pigmentation in prkar1a+/– mice, we did observe some phenotypes similar to CNC, including altered heart rate variability. Moreover, prkar1a+/– mice exhibited a marked propensity for extracardiac tumorigenesis. They developed sarcomas and hepatocellular carcinomas. Sarcomas were frequently associated with myxomatous differentiation. Tumors from prkar1a+/– mice did not exhibit prkar1a loss of heterozygosity. Thus, we conclude that although PRKAR1A haploinsufficiency does predispose to tumorigenesis, distinct secondary genetic events are required for tumor formation.


Url:
DOI: 10.1073/pnas.0405535101
PubMed: 15371594
PubMed Central: 521100


Affiliations:


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Le document en format XML

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genotype–phenotype analyses in humans with Carney complex and
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<name sortKey="Meyer, Beat J" sort="Meyer, Beat J" uniqKey="Meyer B" first="Beat J." last="Meyer">Beat J. Meyer</name>
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<name sortKey="Kaariainen, Helena" sort="Kaariainen, Helena" uniqKey="Kaariainen H" first="Helena" last="Kaariainen">Helena Kaariainen</name>
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<name sortKey="Lavyne, Michael" sort="Lavyne, Michael" uniqKey="Lavyne M" first="Michael" last="Lavyne">Michael Lavyne</name>
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<name sortKey="Neau, Jean Philippe" sort="Neau, Jean Philippe" uniqKey="Neau J" first="Jean-Philippe" last="Neau">Jean-Philippe Neau</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Neurology, Jean Bernard Hospital, Poitiers 26000, France;</nlm:aff>
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<wicri:regionArea>Department of Neurology, Jean Bernard Hospital, Poitiers 26000</wicri:regionArea>
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<name sortKey="Richter, Gert" sort="Richter, Gert" uniqKey="Richter G" first="Gert" last="Richter">Gert Richter</name>
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<name sortKey="Farnsworth, Alan" sort="Farnsworth, Alan" uniqKey="Farnsworth A" first="Alan" last="Farnsworth">Alan Farnsworth</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Cardiothoracic Surgery, Sydney Adventist Hospital, Wahroona NSW 2076, Australia;</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Cardiothoracic Surgery, Sydney Adventist Hospital, Wahroona NSW 2076</wicri:regionArea>
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<author>
<name sortKey="Morelli, Peter" sort="Morelli, Peter" uniqKey="Morelli P" first="Peter" last="Morelli">Peter Morelli</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pediatrics, University Hospital, Stonybrook, NY 11794;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
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<wicri:cityArea>Department of Pediatrics, University Hospital, Stonybrook</wicri:cityArea>
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<author>
<name sortKey="Takanashi, Yoshinori" sort="Takanashi, Yoshinori" uniqKey="Takanashi Y" first="Yoshinori" last="Takanashi">Yoshinori Takanashi</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">First Department of Surgery, Yokohama City University School of Medicine, Yokohama 236-0004, Japan;</nlm:aff>
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<name sortKey="Bamforth, John Steven" sort="Bamforth, John Steven" uniqKey="Bamforth J" first="John-Steven" last="Bamforth">John-Steven Bamforth</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Medical Genetics, University of Alberta, Edmonton, AB, Canada T6G 2H7;</nlm:aff>
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<wicri:regionArea>Department of Medical Genetics, University of Alberta, Edmonton, AB</wicri:regionArea>
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<name sortKey="Eitelberger, Franz" sort="Eitelberger, Franz" uniqKey="Eitelberger F" first="Franz" last="Eitelberger">Franz Eitelberger</name>
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<name sortKey="Noszian, Irene" sort="Noszian, Irene" uniqKey="Noszian I" first="Irene" last="Noszian">Irene Noszian</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pediatrics, Hospital of the Sisters of Mercy, A-4600 Wels, Austria;</nlm:aff>
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<wicri:regionArea>Department of Pediatrics, Hospital of the Sisters of Mercy, A-4600 Wels</wicri:regionArea>
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<author>
<name sortKey="Manfroi, Waldimiro" sort="Manfroi, Waldimiro" uniqKey="Manfroi W" first="Waldimiro" last="Manfroi">Waldimiro Manfroi</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sol, 90035-003, Porto Alegre, Brazil;</nlm:aff>
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<author>
<name sortKey="Powers, James" sort="Powers, James" uniqKey="Powers J" first="James" last="Powers">James Powers</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Medicine, Rochester General Hospital, Rochester, NY 14621;</nlm:aff>
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<region type="state">État de New York</region>
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<wicri:cityArea>Department of Medicine, Rochester General Hospital, Rochester</wicri:cityArea>
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<author>
<name sortKey="Mochizuki, Yoshihiko" sort="Mochizuki, Yoshihiko" uniqKey="Mochizuki Y" first="Yoshihiko" last="Mochizuki">Yoshihiko Mochizuki</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Cardiothoracic Surgery, Dokkyo University School of Medicine, Tochigi 321-0293, Japan;</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Cardiothoracic Surgery, Dokkyo University School of Medicine, Tochigi 321-0293</wicri:regionArea>
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<name sortKey="Imai, Tsuneo" sort="Imai, Tsuneo" uniqKey="Imai T" first="Tsuneo" last="Imai">Tsuneo Imai</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Surgery II, Nagoya Graduate School of Medicine, Nagoya 466-8550, Japan;</nlm:aff>
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<author>
<name sortKey="Ko, Gary T C" sort="Ko, Gary T C" uniqKey="Ko G" first="Gary T. C." last="Ko">Gary T. C. Ko</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Tai Po, NT, Hong Kong;</nlm:aff>
<country xml:lang="fr">Hong Kong</country>
<wicri:regionArea>Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Tai Po, NT</wicri:regionArea>
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<author>
<name sortKey="Driscoll, Deborah A" sort="Driscoll, Deborah A" uniqKey="Driscoll D" first="Deborah A." last="Driscoll">Deborah A. Driscoll</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Pennsylvanie</region>
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<wicri:cityArea>Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia</wicri:cityArea>
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<author>
<name sortKey="Goldmuntz, Elizabeth" sort="Goldmuntz, Elizabeth" uniqKey="Goldmuntz E" first="Elizabeth" last="Goldmuntz">Elizabeth Goldmuntz</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia</wicri:cityArea>
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<author>
<name sortKey="Edelberg, Jay M" sort="Edelberg, Jay M" uniqKey="Edelberg J" first="Jay M." last="Edelberg">Jay M. Edelberg</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Greenberg Cardiology Division, Department of Medicine, and Departments of</nlm:aff>
<wicri:noCountry code="subfield">and Departments of</wicri:noCountry>
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<affiliation>
<nlm:aff wicri:cut=" and" id="N0x9874170.0x9a8ea70">Cell and Developmental Biology</nlm:aff>
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<name sortKey="Collins, Amanda" sort="Collins, Amanda" uniqKey="Collins A" first="Amanda" last="Collins">Amanda Collins</name>
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<nlm:aff wicri:cut="; and" id="N0x9874170.0x9a8ea70">Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton SO16 5YA, United Kingdom</nlm:aff>
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<name sortKey="Eccles, Diana" sort="Eccles, Diana" uniqKey="Eccles D" first="Diana" last="Eccles">Diana Eccles</name>
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<nlm:aff wicri:cut="; and" id="N0x9874170.0x9a8ea70">Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton SO16 5YA, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton SO16 5YA</wicri:regionArea>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pharmacology, University of Washington, Seattle, WA 98195;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<wicri:cityArea>Department of Pharmacology, University of Washington, Seattle</wicri:cityArea>
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<name sortKey="Basson, Craig T" sort="Basson, Craig T" uniqKey="Basson C" first="Craig T." last="Basson">Craig T. Basson</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Greenberg Cardiology Division, Department of Medicine, and Departments of</nlm:aff>
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<title xml:lang="en" level="a" type="main">Comparative
<italic>PRKAR1A</italic>
genotype–phenotype analyses in humans with Carney complex and
<italic>prkar1a</italic>
haploinsufficient mice</title>
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<name sortKey="Veugelers, Mark" sort="Veugelers, Mark" uniqKey="Veugelers M" first="Mark" last="Veugelers">Mark Veugelers</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Greenberg Cardiology Division, Department of Medicine, and Departments of</nlm:aff>
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<nlm:aff wicri:cut=" and" id="N0x9874170.0x9a8ea70">Cell and Developmental Biology</nlm:aff>
</affiliation>
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<name sortKey="Wilkes, David" sort="Wilkes, David" uniqKey="Wilkes D" first="David" last="Wilkes">David Wilkes</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Greenberg Cardiology Division, Department of Medicine, and Departments of</nlm:aff>
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<affiliation>
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</affiliation>
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<author>
<name sortKey="Burton, Kimberly" sort="Burton, Kimberly" uniqKey="Burton K" first="Kimberly" last="Burton">Kimberly Burton</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pharmacology, University of Washington, Seattle, WA 98195;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Department of Pharmacology, University of Washington, Seattle</wicri:cityArea>
</affiliation>
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<author>
<name sortKey="Mcdermott, Deborah A" sort="Mcdermott, Deborah A" uniqKey="Mcdermott D" first="Deborah A." last="Mcdermott">Deborah A. Mcdermott</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Greenberg Cardiology Division, Department of Medicine, and Departments of</nlm:aff>
<wicri:noCountry code="subfield">and Departments of</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:aff wicri:cut=" and" id="N0x9874170.0x9a8ea70">Cell and Developmental Biology</nlm:aff>
</affiliation>
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<name sortKey="Song, Yan" sort="Song, Yan" uniqKey="Song Y" first="Yan" last="Song">Yan Song</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Greenberg Cardiology Division, Department of Medicine, and Departments of</nlm:aff>
<wicri:noCountry code="subfield">and Departments of</wicri:noCountry>
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<affiliation>
<nlm:aff wicri:cut=" and" id="N0x9874170.0x9a8ea70">Cell and Developmental Biology</nlm:aff>
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<name sortKey="Goldstein, Marsha M" sort="Goldstein, Marsha M" uniqKey="Goldstein M" first="Marsha M." last="Goldstein">Marsha M. Goldstein</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">BioReference Laboratories, Elmwood Park, NJ 07407;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">New Jersey</region>
</placeName>
<wicri:cityArea>BioReference Laboratories, Elmwood Park</wicri:cityArea>
</affiliation>
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<author>
<name sortKey="La Perle, Krista" sort="La Perle, Krista" uniqKey="La Perle K" first="Krista" last="La Perle">Krista La Perle</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Genetically Engineered Mouse Phenotyping Core, Weill Medical College of Cornell University, New York, NY 10021;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
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<wicri:cityArea>Genetically Engineered Mouse Phenotyping Core, Weill Medical College of Cornell University, New York</wicri:cityArea>
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<name sortKey="Vaughan, Carl J" sort="Vaughan, Carl J" uniqKey="Vaughan C" first="Carl J." last="Vaughan">Carl J. Vaughan</name>
<affiliation>
<nlm:aff id="N0x9874170.0x9a8ea70">Greenberg Cardiology Division, Department of Medicine, and Departments of</nlm:aff>
<wicri:noCountry code="subfield">and Departments of</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:aff wicri:cut=" and" id="N0x9874170.0x9a8ea70">Cell and Developmental Biology</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="O Hagan, Art" sort="O Hagan, Art" uniqKey="O Hagan A" first="Art" last="O'Hagan">Art O'Hagan</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Belfast City Hospital Trust Clinical Genetics Service, Belfast BT9 7AB, United Kingdom;</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Belfast City Hospital Trust Clinical Genetics Service, Belfast BT9 7AB</wicri:regionArea>
<wicri:noRegion>Belfast BT9 7AB</wicri:noRegion>
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</author>
<author>
<name sortKey="Bennett, Kenneth R" sort="Bennett, Kenneth R" uniqKey="Bennett K" first="Kenneth R." last="Bennett">Kenneth R. Bennett</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Division of Cardiovascular Diseases, University of Mississippi Medical School, Jackson, MS 39216;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État du Mississippi</region>
</placeName>
<wicri:cityArea>Division of Cardiovascular Diseases, University of Mississippi Medical School, Jackson</wicri:cityArea>
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</author>
<author>
<name sortKey="Meyer, Beat J" sort="Meyer, Beat J" uniqKey="Meyer B" first="Beat J." last="Meyer">Beat J. Meyer</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Site-Kardiologie Heart Center, Bern University, CH-3012 Bern, Switzerland;</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Site-Kardiologie Heart Center, Bern University, CH-3012 Bern</wicri:regionArea>
<wicri:noRegion>CH-3012 Bern</wicri:noRegion>
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</author>
<author>
<name sortKey="Legius, Eric" sort="Legius, Eric" uniqKey="Legius E" first="Eric" last="Legius">Eric Legius</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Center of Human Genetics, University Hospital, B-3000 Leuven, Belgium;</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Center of Human Genetics, University Hospital, B-3000 Leuven</wicri:regionArea>
<wicri:noRegion>B-3000 Leuven</wicri:noRegion>
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</author>
<author>
<name sortKey="Karttunen, Mervi" sort="Karttunen, Mervi" uniqKey="Karttunen M" first="Mervi" last="Karttunen">Mervi Karttunen</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Ilomantsin Terveyskeskus, 82900, Ilomantsi, Finland;</nlm:aff>
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<wicri:regionArea>Ilomantsin Terveyskeskus, 82900, Ilomantsi</wicri:regionArea>
<wicri:noRegion>Ilomantsi</wicri:noRegion>
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</author>
<author>
<name sortKey="Norio, Reijo" sort="Norio, Reijo" uniqKey="Norio R" first="Reijo" last="Norio">Reijo Norio</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Medical Genetics, Family Federation of Finland, FIN-00101, Helsinki, Finland;</nlm:aff>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Department of Medical Genetics, Family Federation of Finland, FIN-00101, Helsinki</wicri:regionArea>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kaariainen, Helena" sort="Kaariainen, Helena" uniqKey="Kaariainen H" first="Helena" last="Kaariainen">Helena Kaariainen</name>
<affiliation wicri:level="4">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Medical and Clinical Genetics, University of Turku, University Hospital, SF-20520, Turku, Finland;</nlm:aff>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Department of Medical and Clinical Genetics, University of Turku, University Hospital, SF-20520, Turku</wicri:regionArea>
<placeName>
<settlement type="city">Turku</settlement>
<region type="région" nuts="2">Finlande occidentale</region>
<settlement type="city">Turku</settlement>
</placeName>
<orgName type="university">Université de Turku</orgName>
</affiliation>
</author>
<author>
<name sortKey="Lavyne, Michael" sort="Lavyne, Michael" uniqKey="Lavyne M" first="Michael" last="Lavyne">Michael Lavyne</name>
<affiliation>
<nlm:aff wicri:cut=", and" id="N0x9874170.0x9a8ea70">Surgery</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Neau, Jean Philippe" sort="Neau, Jean Philippe" uniqKey="Neau J" first="Jean-Philippe" last="Neau">Jean-Philippe Neau</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Neurology, Jean Bernard Hospital, Poitiers 26000, France;</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Neurology, Jean Bernard Hospital, Poitiers 26000</wicri:regionArea>
<wicri:noRegion>26000</wicri:noRegion>
<wicri:noRegion>26000</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Richter, Gert" sort="Richter, Gert" uniqKey="Richter G" first="Gert" last="Richter">Gert Richter</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Innere Medizin/Kardiologie, 65119 Weisbaden, Germany;</nlm:aff>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Innere Medizin/Kardiologie, 65119 Weisbaden</wicri:regionArea>
<wicri:noRegion>65119 Weisbaden</wicri:noRegion>
<wicri:noRegion>65119 Weisbaden</wicri:noRegion>
<wicri:noRegion>65119 Weisbaden</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kirali, Kaan" sort="Kirali, Kaan" uniqKey="Kirali K" first="Kaan" last="Kirali">Kaan Kirali</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Cardiovascular Surgery, Kosuyolo Heart Hospital, 81020, Istanbul, Turkey;</nlm:aff>
<country xml:lang="fr">Turquie</country>
<wicri:regionArea>Department of Cardiovascular Surgery, Kosuyolo Heart Hospital, 81020, Istanbul</wicri:regionArea>
<wicri:noRegion>Istanbul</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Farnsworth, Alan" sort="Farnsworth, Alan" uniqKey="Farnsworth A" first="Alan" last="Farnsworth">Alan Farnsworth</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Cardiothoracic Surgery, Sydney Adventist Hospital, Wahroona NSW 2076, Australia;</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Cardiothoracic Surgery, Sydney Adventist Hospital, Wahroona NSW 2076</wicri:regionArea>
<wicri:noRegion>Wahroona NSW 2076</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Stapleton, Karen" sort="Stapleton, Karen" uniqKey="Stapleton K" first="Karen" last="Stapleton">Karen Stapleton</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Cardiothoracic Surgery, Sydney Adventist Hospital, Wahroona NSW 2076, Australia;</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Cardiothoracic Surgery, Sydney Adventist Hospital, Wahroona NSW 2076</wicri:regionArea>
<wicri:noRegion>Wahroona NSW 2076</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Morelli, Peter" sort="Morelli, Peter" uniqKey="Morelli P" first="Peter" last="Morelli">Peter Morelli</name>
<affiliation wicri:level="2">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pediatrics, University Hospital, Stonybrook, NY 11794;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Pediatrics, University Hospital, Stonybrook</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Takanashi, Yoshinori" sort="Takanashi, Yoshinori" uniqKey="Takanashi Y" first="Yoshinori" last="Takanashi">Yoshinori Takanashi</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">First Department of Surgery, Yokohama City University School of Medicine, Yokohama 236-0004, Japan;</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>First Department of Surgery, Yokohama City University School of Medicine, Yokohama 236-0004</wicri:regionArea>
<wicri:noRegion>Yokohama 236-0004</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bamforth, John Steven" sort="Bamforth, John Steven" uniqKey="Bamforth J" first="John-Steven" last="Bamforth">John-Steven Bamforth</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Medical Genetics, University of Alberta, Edmonton, AB, Canada T6G 2H7;</nlm:aff>
<country>Canada</country>
<wicri:regionArea>Department of Medical Genetics, University of Alberta, Edmonton, AB</wicri:regionArea>
<wicri:noRegion>AB</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Eitelberger, Franz" sort="Eitelberger, Franz" uniqKey="Eitelberger F" first="Franz" last="Eitelberger">Franz Eitelberger</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pediatrics, Hospital of the Sisters of Mercy, A-4600 Wels, Austria;</nlm:aff>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Department of Pediatrics, Hospital of the Sisters of Mercy, A-4600 Wels</wicri:regionArea>
<wicri:noRegion>A-4600 Wels</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Noszian, Irene" sort="Noszian, Irene" uniqKey="Noszian I" first="Irene" last="Noszian">Irene Noszian</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pediatrics, Hospital of the Sisters of Mercy, A-4600 Wels, Austria;</nlm:aff>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Department of Pediatrics, Hospital of the Sisters of Mercy, A-4600 Wels</wicri:regionArea>
<wicri:noRegion>A-4600 Wels</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Manfroi, Waldimiro" sort="Manfroi, Waldimiro" uniqKey="Manfroi W" first="Waldimiro" last="Manfroi">Waldimiro Manfroi</name>
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<nlm:aff id="N0x9874170.0x9a8ea70">Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sol, 90035-003, Porto Alegre, Brazil;</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sol, 90035-003, Porto Alegre</wicri:regionArea>
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<settlement type="city">Porto Alegre</settlement>
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</placeName>
</affiliation>
</author>
<author>
<name sortKey="Powers, James" sort="Powers, James" uniqKey="Powers J" first="James" last="Powers">James Powers</name>
<affiliation wicri:level="2">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Medicine, Rochester General Hospital, Rochester, NY 14621;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Medicine, Rochester General Hospital, Rochester</wicri:cityArea>
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</author>
<author>
<name sortKey="Mochizuki, Yoshihiko" sort="Mochizuki, Yoshihiko" uniqKey="Mochizuki Y" first="Yoshihiko" last="Mochizuki">Yoshihiko Mochizuki</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Cardiothoracic Surgery, Dokkyo University School of Medicine, Tochigi 321-0293, Japan;</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Cardiothoracic Surgery, Dokkyo University School of Medicine, Tochigi 321-0293</wicri:regionArea>
<wicri:noRegion>Tochigi 321-0293</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Imai, Tsuneo" sort="Imai, Tsuneo" uniqKey="Imai T" first="Tsuneo" last="Imai">Tsuneo Imai</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Surgery II, Nagoya Graduate School of Medicine, Nagoya 466-8550, Japan;</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Surgery II, Nagoya Graduate School of Medicine, Nagoya 466-8550</wicri:regionArea>
<wicri:noRegion>Nagoya 466-8550</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ko, Gary T C" sort="Ko, Gary T C" uniqKey="Ko G" first="Gary T. C." last="Ko">Gary T. C. Ko</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Tai Po, NT, Hong Kong;</nlm:aff>
<country xml:lang="fr">Hong Kong</country>
<wicri:regionArea>Department of Medicine, Alice Ho Miu Ling Nethersole Hospital, Tai Po, NT</wicri:regionArea>
<wicri:noRegion>NT</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Driscoll, Deborah A" sort="Driscoll, Deborah A" uniqKey="Driscoll D" first="Deborah A." last="Driscoll">Deborah A. Driscoll</name>
<affiliation wicri:level="2">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Goldmuntz, Elizabeth" sort="Goldmuntz, Elizabeth" uniqKey="Goldmuntz E" first="Elizabeth" last="Goldmuntz">Elizabeth Goldmuntz</name>
<affiliation wicri:level="2">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Edelberg, Jay M" sort="Edelberg, Jay M" uniqKey="Edelberg J" first="Jay M." last="Edelberg">Jay M. Edelberg</name>
<affiliation>
<nlm:aff id="N0x9874170.0x9a8ea70">Greenberg Cardiology Division, Department of Medicine, and Departments of</nlm:aff>
<wicri:noCountry code="subfield">and Departments of</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:aff wicri:cut=" and" id="N0x9874170.0x9a8ea70">Cell and Developmental Biology</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Collins, Amanda" sort="Collins, Amanda" uniqKey="Collins A" first="Amanda" last="Collins">Amanda Collins</name>
<affiliation wicri:level="1">
<nlm:aff wicri:cut="; and" id="N0x9874170.0x9a8ea70">Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton SO16 5YA, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton SO16 5YA</wicri:regionArea>
<wicri:noRegion>Southampton SO16 5YA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Eccles, Diana" sort="Eccles, Diana" uniqKey="Eccles D" first="Diana" last="Eccles">Diana Eccles</name>
<affiliation wicri:level="1">
<nlm:aff wicri:cut="; and" id="N0x9874170.0x9a8ea70">Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton SO16 5YA, United Kingdom</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton SO16 5YA</wicri:regionArea>
<wicri:noRegion>Southampton SO16 5YA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Irvine, Alan D" sort="Irvine, Alan D" uniqKey="Irvine A" first="Alan D." last="Irvine">Alan D. Irvine</name>
<affiliation wicri:level="1">
<nlm:aff id="N0x9874170.0x9a8ea70">Our Lady's Hospital for Sick Children, Dublin 12, Ireland</nlm:aff>
<country xml:lang="fr">Irlande (pays)</country>
<wicri:regionArea>Our Lady's Hospital for Sick Children, Dublin 12</wicri:regionArea>
<wicri:noRegion>Dublin 12</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Mcknight, G Stanley" sort="Mcknight, G Stanley" uniqKey="Mcknight G" first="G. Stanley" last="Mcknight">G. Stanley Mcknight</name>
<affiliation wicri:level="2">
<nlm:aff id="N0x9874170.0x9a8ea70">Department of Pharmacology, University of Washington, Seattle, WA 98195;</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Department of Pharmacology, University of Washington, Seattle</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Basson, Craig T" sort="Basson, Craig T" uniqKey="Basson C" first="Craig T." last="Basson">Craig T. Basson</name>
<affiliation>
<nlm:aff id="N0x9874170.0x9a8ea70">Greenberg Cardiology Division, Department of Medicine, and Departments of</nlm:aff>
<wicri:noCountry code="subfield">and Departments of</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:aff wicri:cut=" and" id="N0x9874170.0x9a8ea70">Cell and Developmental Biology</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Proceedings of the National Academy of Sciences of the United States of America</title>
<idno type="ISSN">0027-8424</idno>
<idno type="eISSN">1091-6490</idno>
<imprint>
<date when="2004">2004</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Carney complex (CNC) is a familial multiple neoplasia syndrome characterized by cardiac and extracardiac myxomas in the setting of spotty skin pigmentation and endocrinopathy. We previously identified
<italic>PRKAR1A</italic>
(regulatory subunit 1α of protein kinase A) mutations in CNC. Mutational analyses of the
<italic>PRKAR1A</italic>
gene in 51 unrelated CNC probands now detect mutations in 65%. All mutations, except for one unique missense mutation, lead to
<italic>PRKAR1A</italic>
haploinsufficiency. Therefore, we studied the consequences of
<italic>prkar1a</italic>
haploinsufficiency in mice. Although we did not observe cardiac myxomas or altered pigmentation in
<italic>prkar1a</italic>
<sup>+/–</sup>
mice, we did observe some phenotypes similar to CNC, including altered heart rate variability. Moreover,
<italic>prkar1a</italic>
<sup>+/–</sup>
mice exhibited a marked propensity for extracardiac tumorigenesis. They developed sarcomas and hepatocellular carcinomas. Sarcomas were frequently associated with myxomatous differentiation. Tumors from
<italic>prkar1a</italic>
<sup>+/–</sup>
mice did not exhibit
<italic>prkar1a</italic>
loss of heterozygosity. Thus, we conclude that although PRKAR1A haploinsufficiency does predispose to tumorigenesis, distinct secondary genetic events are required for tumor formation.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Autriche</li>
<li>Belgique</li>
<li>Brésil</li>
<li>Canada</li>
<li>Finlande</li>
<li>France</li>
<li>Hong Kong</li>
<li>Irlande (pays)</li>
<li>Japon</li>
<li>Royaume-Uni</li>
<li>Suisse</li>
<li>Turquie</li>
<li>États-Unis</li>
</country>
<region>
<li>Finlande occidentale</li>
<li>New Jersey</li>
<li>Pennsylvanie</li>
<li>Rio Grande do Sul</li>
<li>Washington (État)</li>
<li>État de New York</li>
<li>État du Mississippi</li>
</region>
<settlement>
<li>Porto Alegre</li>
<li>Turku</li>
</settlement>
<orgName>
<li>Université de Turku</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Basson, Craig T" sort="Basson, Craig T" uniqKey="Basson C" first="Craig T." last="Basson">Craig T. Basson</name>
<name sortKey="Edelberg, Jay M" sort="Edelberg, Jay M" uniqKey="Edelberg J" first="Jay M." last="Edelberg">Jay M. Edelberg</name>
<name sortKey="Lavyne, Michael" sort="Lavyne, Michael" uniqKey="Lavyne M" first="Michael" last="Lavyne">Michael Lavyne</name>
<name sortKey="Mcdermott, Deborah A" sort="Mcdermott, Deborah A" uniqKey="Mcdermott D" first="Deborah A." last="Mcdermott">Deborah A. Mcdermott</name>
<name sortKey="Song, Yan" sort="Song, Yan" uniqKey="Song Y" first="Yan" last="Song">Yan Song</name>
<name sortKey="Vaughan, Carl J" sort="Vaughan, Carl J" uniqKey="Vaughan C" first="Carl J." last="Vaughan">Carl J. Vaughan</name>
<name sortKey="Veugelers, Mark" sort="Veugelers, Mark" uniqKey="Veugelers M" first="Mark" last="Veugelers">Mark Veugelers</name>
<name sortKey="Wilkes, David" sort="Wilkes, David" uniqKey="Wilkes D" first="David" last="Wilkes">David Wilkes</name>
</noCountry>
<country name="États-Unis">
<region name="Washington (État)">
<name sortKey="Burton, Kimberly" sort="Burton, Kimberly" uniqKey="Burton K" first="Kimberly" last="Burton">Kimberly Burton</name>
</region>
<name sortKey="Bennett, Kenneth R" sort="Bennett, Kenneth R" uniqKey="Bennett K" first="Kenneth R." last="Bennett">Kenneth R. Bennett</name>
<name sortKey="Driscoll, Deborah A" sort="Driscoll, Deborah A" uniqKey="Driscoll D" first="Deborah A." last="Driscoll">Deborah A. Driscoll</name>
<name sortKey="Goldmuntz, Elizabeth" sort="Goldmuntz, Elizabeth" uniqKey="Goldmuntz E" first="Elizabeth" last="Goldmuntz">Elizabeth Goldmuntz</name>
<name sortKey="Goldstein, Marsha M" sort="Goldstein, Marsha M" uniqKey="Goldstein M" first="Marsha M." last="Goldstein">Marsha M. Goldstein</name>
<name sortKey="La Perle, Krista" sort="La Perle, Krista" uniqKey="La Perle K" first="Krista" last="La Perle">Krista La Perle</name>
<name sortKey="Mcknight, G Stanley" sort="Mcknight, G Stanley" uniqKey="Mcknight G" first="G. Stanley" last="Mcknight">G. Stanley Mcknight</name>
<name sortKey="Morelli, Peter" sort="Morelli, Peter" uniqKey="Morelli P" first="Peter" last="Morelli">Peter Morelli</name>
<name sortKey="Powers, James" sort="Powers, James" uniqKey="Powers J" first="James" last="Powers">James Powers</name>
</country>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="O Hagan, Art" sort="O Hagan, Art" uniqKey="O Hagan A" first="Art" last="O'Hagan">Art O'Hagan</name>
</noRegion>
<name sortKey="Collins, Amanda" sort="Collins, Amanda" uniqKey="Collins A" first="Amanda" last="Collins">Amanda Collins</name>
<name sortKey="Eccles, Diana" sort="Eccles, Diana" uniqKey="Eccles D" first="Diana" last="Eccles">Diana Eccles</name>
</country>
<country name="Suisse">
<noRegion>
<name sortKey="Meyer, Beat J" sort="Meyer, Beat J" uniqKey="Meyer B" first="Beat J." last="Meyer">Beat J. Meyer</name>
</noRegion>
</country>
<country name="Belgique">
<noRegion>
<name sortKey="Legius, Eric" sort="Legius, Eric" uniqKey="Legius E" first="Eric" last="Legius">Eric Legius</name>
</noRegion>
</country>
<country name="Finlande">
<noRegion>
<name sortKey="Karttunen, Mervi" sort="Karttunen, Mervi" uniqKey="Karttunen M" first="Mervi" last="Karttunen">Mervi Karttunen</name>
</noRegion>
<name sortKey="Kaariainen, Helena" sort="Kaariainen, Helena" uniqKey="Kaariainen H" first="Helena" last="Kaariainen">Helena Kaariainen</name>
<name sortKey="Norio, Reijo" sort="Norio, Reijo" uniqKey="Norio R" first="Reijo" last="Norio">Reijo Norio</name>
</country>
<country name="France">
<noRegion>
<name sortKey="Neau, Jean Philippe" sort="Neau, Jean Philippe" uniqKey="Neau J" first="Jean-Philippe" last="Neau">Jean-Philippe Neau</name>
</noRegion>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Richter, Gert" sort="Richter, Gert" uniqKey="Richter G" first="Gert" last="Richter">Gert Richter</name>
</noRegion>
</country>
<country name="Turquie">
<noRegion>
<name sortKey="Kirali, Kaan" sort="Kirali, Kaan" uniqKey="Kirali K" first="Kaan" last="Kirali">Kaan Kirali</name>
</noRegion>
</country>
<country name="Australie">
<noRegion>
<name sortKey="Farnsworth, Alan" sort="Farnsworth, Alan" uniqKey="Farnsworth A" first="Alan" last="Farnsworth">Alan Farnsworth</name>
</noRegion>
<name sortKey="Stapleton, Karen" sort="Stapleton, Karen" uniqKey="Stapleton K" first="Karen" last="Stapleton">Karen Stapleton</name>
</country>
<country name="Japon">
<noRegion>
<name sortKey="Takanashi, Yoshinori" sort="Takanashi, Yoshinori" uniqKey="Takanashi Y" first="Yoshinori" last="Takanashi">Yoshinori Takanashi</name>
</noRegion>
<name sortKey="Imai, Tsuneo" sort="Imai, Tsuneo" uniqKey="Imai T" first="Tsuneo" last="Imai">Tsuneo Imai</name>
<name sortKey="Mochizuki, Yoshihiko" sort="Mochizuki, Yoshihiko" uniqKey="Mochizuki Y" first="Yoshihiko" last="Mochizuki">Yoshihiko Mochizuki</name>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Bamforth, John Steven" sort="Bamforth, John Steven" uniqKey="Bamforth J" first="John-Steven" last="Bamforth">John-Steven Bamforth</name>
</noRegion>
</country>
<country name="Autriche">
<noRegion>
<name sortKey="Eitelberger, Franz" sort="Eitelberger, Franz" uniqKey="Eitelberger F" first="Franz" last="Eitelberger">Franz Eitelberger</name>
</noRegion>
<name sortKey="Noszian, Irene" sort="Noszian, Irene" uniqKey="Noszian I" first="Irene" last="Noszian">Irene Noszian</name>
</country>
<country name="Brésil">
<region name="Rio Grande do Sul">
<name sortKey="Manfroi, Waldimiro" sort="Manfroi, Waldimiro" uniqKey="Manfroi W" first="Waldimiro" last="Manfroi">Waldimiro Manfroi</name>
</region>
</country>
<country name="Hong Kong">
<noRegion>
<name sortKey="Ko, Gary T C" sort="Ko, Gary T C" uniqKey="Ko G" first="Gary T. C." last="Ko">Gary T. C. Ko</name>
</noRegion>
</country>
<country name="Irlande (pays)">
<noRegion>
<name sortKey="Irvine, Alan D" sort="Irvine, Alan D" uniqKey="Irvine A" first="Alan D." last="Irvine">Alan D. Irvine</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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