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A high-throughput sequencing test for diagnosing inherited bleeding, thrombotic, and platelet disorders.

Identifieur interne : 002428 ( PubMed/Checkpoint ); précédent : 002427; suivant : 002429

A high-throughput sequencing test for diagnosing inherited bleeding, thrombotic, and platelet disorders.

Auteurs : Ilenia Simeoni [Royaume-Uni] ; Jonathan C. Stephens [Royaume-Uni] ; Fengyuan Hu [Royaume-Uni] ; Sri V V. Deevi [Royaume-Uni] ; Karyn Megy [Royaume-Uni] ; Tadbir K. Bariana [Royaume-Uni] ; Claire Lentaigne [Royaume-Uni] ; Sol Schulman [États-Unis] ; Suthesh Sivapalaratnam [Royaume-Uni] ; Minka J A. Vries [Pays-Bas] ; Sarah K. Westbury [Royaume-Uni] ; Daniel Greene [Royaume-Uni] ; Sofia Papadia [Royaume-Uni] ; Marie-Christine Alessi [France] ; Antony P. Attwood [Royaume-Uni] ; Matthias Ballmaier [Allemagne] ; Gareth Baynam [Australie] ; Emilse Bermejo [Argentine] ; Marta Bertoli [Italie] ; Paul F. Bray [États-Unis] ; Loredana Bury [Italie] ; Marco Cattaneo [Italie] ; Peter Collins [Royaume-Uni] ; Louise C. Daugherty [Royaume-Uni] ; Rémi Favier [France] ; Deborah L. French [États-Unis] ; Bruce Furie [États-Unis] ; Michael Gattens [Royaume-Uni] ; Manuela Germeshausen [Allemagne] ; Cedric Ghevaert [Royaume-Uni] ; Anne C. Goodeve [Royaume-Uni] ; Jose A. Guerrero [Royaume-Uni] ; Daniel J. Hampshire [Royaume-Uni] ; Daniel P. Hart [Royaume-Uni] ; Johan W M. Heemskerk [Pays-Bas] ; Yvonne M C. Henskens [Pays-Bas] ; Marian Hill [Royaume-Uni] ; Nancy Hogg [Royaume-Uni] ; Jennifer D. Jolley [Royaume-Uni] ; Walter H. Kahr [Canada] ; Anne M. Kelly [Royaume-Uni] ; Ron Kerr [Royaume-Uni] ; Myrto Kostadima [Royaume-Uni] ; Shinji Kunishima [Japon] ; Michele P. Lambert [États-Unis] ; Ri Liesner [Royaume-Uni] ; José A. L Pez [États-Unis] ; Rutendo P. Mapeta [Royaume-Uni] ; Mary Mathias [Royaume-Uni] ; Carolyn M. Millar [Royaume-Uni] ; Amit Nathwani [Royaume-Uni] ; Marguerite Neerman-Arbez [Suisse] ; Alan T. Nurden [France] ; Paquita Nurden [France] ; Maha Othman [Canada] ; Kathelijne Peerlinck [Belgique] ; David J. Perry [Royaume-Uni] ; Pawan Poudel [Royaume-Uni] ; Pieter Reitsma [Pays-Bas] ; Matthew T. Rondina [États-Unis] ; Peter A. Smethurst [Canada] ; William Stevenson [Australie] ; Artur Szkotak [Canada] ; Salih Tuna [Royaume-Uni] ; Christel Van Geet [Royaume-Uni] ; Deborah Whitehorn [Royaume-Uni] ; David A. Wilcox [États-Unis] ; Bin Zhang [États-Unis] ; Shoshana Revel-Vilk [Israël] ; Paolo Gresele [Italie] ; Daniel B. Bellissimo [États-Unis] ; Christopher J. Penkett [Royaume-Uni] ; Michael A. Laffan [Royaume-Uni] ; Andrew D. Mumford [Royaume-Uni] ; Augusto Rendon [Royaume-Uni] ; Keith Gomez [Royaume-Uni] ; Kathleen Freson [Royaume-Uni] ; Willem H. Ouwehand [Royaume-Uni] ; Ernest Turro [Royaume-Uni]

Source :

RBID : pubmed:27084890

Descripteurs français

English descriptors

Abstract

Inherited bleeding, thrombotic, and platelet disorders (BPDs) are diseases that affect ∼300 individuals per million births. With the exception of hemophilia and von Willebrand disease patients, a molecular analysis for patients with a BPD is often unavailable. Many specialized tests are usually required to reach a putative diagnosis and they are typically performed in a step-wise manner to control costs. This approach causes delays and a conclusive molecular diagnosis is often never reached, which can compromise treatment and impede rapid identification of affected relatives. To address this unmet diagnostic need, we designed a high-throughput sequencing platform targeting 63 genes relevant for BPDs. The platform can call single nucleotide variants, short insertions/deletions, and large copy number variants (though not inversions) which are subjected to automated filtering for diagnostic prioritization, resulting in an average of 5.34 candidate variants per individual. We sequenced 159 and 137 samples, respectively, from cases with and without previously known causal variants. Among the latter group, 61 cases had clinical and laboratory phenotypes indicative of a particular molecular etiology, whereas the remainder had an a priori highly uncertain etiology. All previously detected variants were recapitulated and, when the etiology was suspected but unknown or uncertain, a molecular diagnosis was reached in 56 of 61 and only 8 of 76 cases, respectively. The latter category highlights the need for further research into novel causes of BPDs. The ThromboGenomics platform thus provides an affordable DNA-based test to diagnose patients suspected of having a known inherited BPD.

DOI: 10.1182/blood-2015-12-688267
PubMed: 27084890


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pubmed:27084890

Le document en format XML

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<name sortKey="Sivapalaratnam, Suthesh" sort="Sivapalaratnam, Suthesh" uniqKey="Sivapalaratnam S" first="Suthesh" last="Sivapalaratnam">Suthesh Sivapalaratnam</name>
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<name sortKey="Westbury, Sarah K" sort="Westbury, Sarah K" uniqKey="Westbury S" first="Sarah K" last="Westbury">Sarah K. Westbury</name>
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<name sortKey="Greene, Daniel" sort="Greene, Daniel" uniqKey="Greene D" first="Daniel" last="Greene">Daniel Greene</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<name sortKey="Papadia, Sofia" sort="Papadia, Sofia" uniqKey="Papadia S" first="Sofia" last="Papadia">Sofia Papadia</name>
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<orgName type="university">Université de Cambridge</orgName>
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<name sortKey="Alessi, Marie Christine" sort="Alessi, Marie Christine" uniqKey="Alessi M" first="Marie-Christine" last="Alessi">Marie-Christine Alessi</name>
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<name sortKey="Attwood, Antony P" sort="Attwood, Antony P" uniqKey="Attwood A" first="Antony P" last="Attwood">Antony P. Attwood</name>
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<country xml:lang="fr">Royaume-Uni</country>
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<orgName type="university">Université de Cambridge</orgName>
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<name sortKey="Ballmaier, Matthias" sort="Ballmaier, Matthias" uniqKey="Ballmaier M" first="Matthias" last="Ballmaier">Matthias Ballmaier</name>
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<name sortKey="Baynam, Gareth" sort="Baynam, Gareth" uniqKey="Baynam G" first="Gareth" last="Baynam">Gareth Baynam</name>
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<nlm:affiliation>School of Paediatrics and Child Health, The University of Western Australia, Crawley, Australia; Western Australia Register of Developmental Anomalies, King Edward Memorial Hospital, Subiaco, Australia; Office of Population Health Genomics, WA Department of Health, East Perth, Australia; Institute of Immunology and Infectious Diseases, Murdoch University, Murdoch, Australia; Telethon Kids Institute, Subiaco, Australia;</nlm:affiliation>
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<wicri:regionArea>School of Paediatrics and Child Health, The University of Western Australia, Crawley, Australia; Western Australia Register of Developmental Anomalies, King Edward Memorial Hospital, Subiaco, Australia; Office of Population Health Genomics, WA Department of Health, East Perth, Australia; Institute of Immunology and Infectious Diseases, Murdoch University, Murdoch, Australia; Telethon Kids Institute, Subiaco</wicri:regionArea>
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<name sortKey="Bermejo, Emilse" sort="Bermejo, Emilse" uniqKey="Bermejo E" first="Emilse" last="Bermejo">Emilse Bermejo</name>
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<nlm:affiliation>Hematological Research Institute, National Academy of Medicine, Buenos Aires, Argentina;</nlm:affiliation>
<country xml:lang="fr">Argentine</country>
<wicri:regionArea>Hematological Research Institute, National Academy of Medicine, Buenos Aires</wicri:regionArea>
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<name sortKey="Bertoli, Marta" sort="Bertoli, Marta" uniqKey="Bertoli M" first="Marta" last="Bertoli">Marta Bertoli</name>
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<nlm:affiliation>San Pietro Fatebenefratelli Hospital, Unita' Operativa Semplice Dipartimentale, Medical Genetics, Rome, Italy;</nlm:affiliation>
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<name sortKey="Bray, Paul F" sort="Bray, Paul F" uniqKey="Bray P" first="Paul F" last="Bray">Paul F. Bray</name>
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<nlm:affiliation>Department of Medicine, Thomas Jefferson University, Jefferson Medical College, Philadelphia, PA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Pennsylvanie</region>
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<wicri:cityArea>Department of Medicine, Thomas Jefferson University, Jefferson Medical College, Philadelphia</wicri:cityArea>
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<name sortKey="Bury, Loredana" sort="Bury, Loredana" uniqKey="Bury L" first="Loredana" last="Bury">Loredana Bury</name>
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<nlm:affiliation>Department of Internal Medicine, Section of Internal and Cardiovascular Medicine, University of Perugia, Perugia, Italy;</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Internal Medicine, Section of Internal and Cardiovascular Medicine, University of Perugia, Perugia</wicri:regionArea>
<wicri:noRegion>Perugia</wicri:noRegion>
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<author>
<name sortKey="Cattaneo, Marco" sort="Cattaneo, Marco" uniqKey="Cattaneo M" first="Marco" last="Cattaneo">Marco Cattaneo</name>
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<nlm:affiliation>Dipartimento di Scienze Della Salute, Università Degli Studi di Milano, Unità di Medicina, Azienda Ospedaliera San Paolo, Milan, Italy;</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<name sortKey="Collins, Peter" sort="Collins, Peter" uniqKey="Collins P" first="Peter" last="Collins">Peter Collins</name>
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<nlm:affiliation>Arthur Bloom Haemophilia Centre, Institute of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, United Kingdom;</nlm:affiliation>
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<author>
<name sortKey="Daugherty, Louise C" sort="Daugherty, Louise C" uniqKey="Daugherty L" first="Louise C" last="Daugherty">Louise C. Daugherty</name>
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<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
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<settlement type="city">Cambridge</settlement>
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<name sortKey="Favier, Remi" sort="Favier, Remi" uniqKey="Favier R" first="Rémi" last="Favier">Rémi Favier</name>
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<nlm:affiliation>Assistance Publique, Hôpitaux de Paris, Armand Trousseau Children Hospital, Paris, Inserm U1170, Villejuif, France;</nlm:affiliation>
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<name sortKey="French, Deborah L" sort="French, Deborah L" uniqKey="French D" first="Deborah L" last="French">Deborah L. French</name>
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<nlm:affiliation>Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
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<wicri:cityArea>Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia</wicri:cityArea>
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<author>
<name sortKey="Furie, Bruce" sort="Furie, Bruce" uniqKey="Furie B" first="Bruce" last="Furie">Bruce Furie</name>
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<nlm:affiliation>Division of Hemostasis and Thrombosis, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
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<name sortKey="Gattens, Michael" sort="Gattens, Michael" uniqKey="Gattens M" first="Michael" last="Gattens">Michael Gattens</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
<wicri:noRegion>Cambridge</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Germeshausen, Manuela" sort="Germeshausen, Manuela" uniqKey="Germeshausen M" first="Manuela" last="Germeshausen">Manuela Germeshausen</name>
<affiliation wicri:level="3">
<nlm:affiliation>Pediatric Hematology and Oncology, Hannover Medical School, Hannover, Germany;</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Pediatric Hematology and Oncology, Hannover Medical School, Hannover</wicri:regionArea>
<placeName>
<region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Ghevaert, Cedric" sort="Ghevaert, Cedric" uniqKey="Ghevaert C" first="Cedric" last="Ghevaert">Cedric Ghevaert</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
<orgName type="university">Université de Cambridge</orgName>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Goodeve, Anne C" sort="Goodeve, Anne C" uniqKey="Goodeve A" first="Anne C" last="Goodeve">Anne C. Goodeve</name>
<affiliation wicri:level="1">
<nlm:affiliation>Haemostasis Research Group, Department of Infection, Immunity and Cardiovascular Disease, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Haemostasis Research Group, Department of Infection, Immunity and Cardiovascular Disease, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield</wicri:regionArea>
<wicri:noRegion>Sheffield</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Guerrero, Jose A" sort="Guerrero, Jose A" uniqKey="Guerrero J" first="Jose A" last="Guerrero">Jose A. Guerrero</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge.</nlm:affiliation>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
<orgName type="university">Université de Cambridge</orgName>
</affiliation>
</author>
<author>
<name sortKey="Hampshire, Daniel J" sort="Hampshire, Daniel J" uniqKey="Hampshire D" first="Daniel J" last="Hampshire">Daniel J. Hampshire</name>
<affiliation wicri:level="1">
<nlm:affiliation>Haemostasis Research Group, Department of Infection, Immunity and Cardiovascular Disease, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Haemostasis Research Group, Department of Infection, Immunity and Cardiovascular Disease, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield</wicri:regionArea>
<wicri:noRegion>Sheffield</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hart, Daniel P" sort="Hart, Daniel P" uniqKey="Hart D" first="Daniel P" last="Hart">Daniel P. Hart</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Haematology, Barts Health National Health Service Trust, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Barts Health National Health Service Trust, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Heemskerk, Johan W M" sort="Heemskerk, Johan W M" uniqKey="Heemskerk J" first="Johan W M" last="Heemskerk">Johan W M. Heemskerk</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Biochemistry, Cardiovascular Research Institute Maastricht, University of Maastricht, Maastricht, The Netherlands;</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Biochemistry, Cardiovascular Research Institute Maastricht, University of Maastricht, Maastricht</wicri:regionArea>
<wicri:noRegion>Maastricht</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Henskens, Yvonne M C" sort="Henskens, Yvonne M C" uniqKey="Henskens Y" first="Yvonne M C" last="Henskens">Yvonne M C. Henskens</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Biochemistry, Maastricht University, Maastricht, The Netherlands;</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Biochemistry, Maastricht University, Maastricht</wicri:regionArea>
<wicri:noRegion>Maastricht</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hill, Marian" sort="Hill, Marian" uniqKey="Hill M" first="Marian" last="Hill">Marian Hill</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Clinical Pathology, Empath Pathology Services, Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Clinical Pathology, Empath Pathology Services, Nottingham University Hospitals National Health Service Trust, Nottingham</wicri:regionArea>
<wicri:noRegion>Nottingham</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hogg, Nancy" sort="Hogg, Nancy" uniqKey="Hogg N" first="Nancy" last="Hogg">Nancy Hogg</name>
<affiliation wicri:level="3">
<nlm:affiliation>Cancer Research UK London Research Institute, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Cancer Research UK London Research Institute, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Jolley, Jennifer D" sort="Jolley, Jennifer D" uniqKey="Jolley J" first="Jennifer D" last="Jolley">Jennifer D. Jolley</name>
<affiliation wicri:level="1">
<nlm:affiliation>Components Development Laboratory, National Health Service Blood and Transplant, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Components Development Laboratory, National Health Service Blood and Transplant, Cambridge</wicri:regionArea>
<wicri:noRegion>Cambridge</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kahr, Walter H" sort="Kahr, Walter H" uniqKey="Kahr W" first="Walter H" last="Kahr">Walter H. Kahr</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada;</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName>
<settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kelly, Anne M" sort="Kelly, Anne M" uniqKey="Kelly A" first="Anne M" last="Kelly">Anne M. Kelly</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Haematology, Great Ormond Street Hospital for Children National Health Service Trust, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Great Ormond Street Hospital for Children National Health Service Trust, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kerr, Ron" sort="Kerr, Ron" uniqKey="Kerr R" first="Ron" last="Kerr">Ron Kerr</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Ninewells Hospital, Dundee, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Ninewells Hospital, Dundee</wicri:regionArea>
<wicri:noRegion>Dundee</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kostadima, Myrto" sort="Kostadima, Myrto" uniqKey="Kostadima M" first="Myrto" last="Kostadima">Myrto Kostadima</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kunishima, Shinji" sort="Kunishima, Shinji" uniqKey="Kunishima S" first="Shinji" last="Kunishima">Shinji Kunishima</name>
<affiliation wicri:level="1">
<nlm:affiliation>Clinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Japan;</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Clinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya</wicri:regionArea>
<wicri:noRegion>Nagoya</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lambert, Michele P" sort="Lambert, Michele P" uniqKey="Lambert M" first="Michele P" last="Lambert">Michele P. Lambert</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Liesner, Ri" sort="Liesner, Ri" uniqKey="Liesner R" first="Ri" last="Liesner">Ri Liesner</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Ninewells Hospital, Dundee, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Ninewells Hospital, Dundee</wicri:regionArea>
<wicri:noRegion>Dundee</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="L Pez, Jose A" sort="L Pez, Jose A" uniqKey="L Pez J" first="José A" last="L Pez">José A. L Pez</name>
<affiliation wicri:level="2">
<nlm:affiliation>Puget Sound Blood Center, Research Institute, Seattle, WA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Puget Sound Blood Center, Research Institute, Seattle</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Mapeta, Rutendo P" sort="Mapeta, Rutendo P" uniqKey="Mapeta R" first="Rutendo P" last="Mapeta">Rutendo P. Mapeta</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Mathias, Mary" sort="Mathias, Mary" uniqKey="Mathias M" first="Mary" last="Mathias">Mary Mathias</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Ninewells Hospital, Dundee, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Ninewells Hospital, Dundee</wicri:regionArea>
<wicri:noRegion>Dundee</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Millar, Carolyn M" sort="Millar, Carolyn M" uniqKey="Millar C" first="Carolyn M" last="Millar">Carolyn M. Millar</name>
<affiliation wicri:level="3">
<nlm:affiliation>Centre for Haematology, Hammersmith Campus, Imperial College Academic Health Sciences Centre, Imperial College London, and Imperial College Healthcare National Health Service Trust, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Haematology, Hammersmith Campus, Imperial College Academic Health Sciences Centre, Imperial College London, and Imperial College Healthcare National Health Service Trust, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Nathwani, Amit" sort="Nathwani, Amit" uniqKey="Nathwani A" first="Amit" last="Nathwani">Amit Nathwani</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Haematology, University College London Cancer Institute, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University College London Cancer Institute, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Neerman Arbez, Marguerite" sort="Neerman Arbez, Marguerite" uniqKey="Neerman Arbez M" first="Marguerite" last="Neerman-Arbez">Marguerite Neerman-Arbez</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Genetic Medicine and Development, University Medical Centre, Geneva, Switzerland;</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Genetic Medicine and Development, University Medical Centre, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Nurden, Alan T" sort="Nurden, Alan T" uniqKey="Nurden A" first="Alan T" last="Nurden">Alan T. Nurden</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institut Hospitalo-Universitaire LIRYC, Hôpital Xavier Arnozan, Pessac, France;</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut Hospitalo-Universitaire LIRYC, Hôpital Xavier Arnozan, Pessac</wicri:regionArea>
<wicri:noRegion>Pessac</wicri:noRegion>
<wicri:noRegion>Pessac</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Nurden, Paquita" sort="Nurden, Paquita" uniqKey="Nurden P" first="Paquita" last="Nurden">Paquita Nurden</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institut Hospitalo-Universitaire LIRYC, Hôpital Xavier Arnozan, Pessac, France;</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut Hospitalo-Universitaire LIRYC, Hôpital Xavier Arnozan, Pessac</wicri:regionArea>
<wicri:noRegion>Pessac</wicri:noRegion>
<wicri:noRegion>Pessac</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Othman, Maha" sort="Othman, Maha" uniqKey="Othman M" first="Maha" last="Othman">Maha Othman</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Biomedical and Molecular Sciences, School of Medicine, Queens University, Kingston, Ontario, Canada;</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Biomedical and Molecular Sciences, School of Medicine, Queens University, Kingston, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Peerlinck, Kathelijne" sort="Peerlinck, Kathelijne" uniqKey="Peerlinck K" first="Kathelijne" last="Peerlinck">Kathelijne Peerlinck</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Cardiovascular Sciences, Center for Molecular and Vascular Biology, University of Leuven, Leuven, Belgium;</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Cardiovascular Sciences, Center for Molecular and Vascular Biology, University of Leuven, Leuven</wicri:regionArea>
<wicri:noRegion>Leuven</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Perry, David J" sort="Perry, David J" uniqKey="Perry D" first="David J" last="Perry">David J. Perry</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
<wicri:noRegion>Cambridge</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Poudel, Pawan" sort="Poudel, Pawan" uniqKey="Poudel P" first="Pawan" last="Poudel">Pawan Poudel</name>
<affiliation wicri:level="3">
<nlm:affiliation>Institute of Cancer Research, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Cancer Research, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Reitsma, Pieter" sort="Reitsma, Pieter" uniqKey="Reitsma P" first="Pieter" last="Reitsma">Pieter Reitsma</name>
<affiliation wicri:level="3">
<nlm:affiliation>Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands;</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden</wicri:regionArea>
<placeName>
<settlement type="city">Leyde</settlement>
<region nuts="2" type="province">Hollande-Méridionale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Rondina, Matthew T" sort="Rondina, Matthew T" uniqKey="Rondina M" first="Matthew T" last="Rondina">Matthew T. Rondina</name>
<affiliation wicri:level="2">
<nlm:affiliation>University of Utah School of Medicine, Eccles Institute of Human Genetics, Salt Lake City, UT;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Utah</region>
</placeName>
<wicri:cityArea>University of Utah School of Medicine, Eccles Institute of Human Genetics, Salt Lake City</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Smethurst, Peter A" sort="Smethurst, Peter A" uniqKey="Smethurst P" first="Peter A" last="Smethurst">Peter A. Smethurst</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, Department of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada;</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, Department of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario</wicri:regionArea>
<orgName type="university">Université de Cambridge</orgName>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Stevenson, William" sort="Stevenson, William" uniqKey="Stevenson W" first="William" last="Stevenson">William Stevenson</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology and Transfusion Medicine, Royal North Shore Hospital, St. Leonards, NSW, Australia; Kolling Institute of Medical Research, The University of Sydney, Sydney, Australia;</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Haematology and Transfusion Medicine, Royal North Shore Hospital, St. Leonards, NSW, Australia; Kolling Institute of Medical Research, The University of Sydney, Sydney</wicri:regionArea>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
<settlement type="city">Sydney</settlement>
</placeName>
<orgName type="university">Université de Sydney</orgName>
</affiliation>
</author>
<author>
<name sortKey="Szkotak, Artur" sort="Szkotak, Artur" uniqKey="Szkotak A" first="Artur" last="Szkotak">Artur Szkotak</name>
<affiliation wicri:level="1">
<nlm:affiliation>Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada;</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta</wicri:regionArea>
<wicri:noRegion>Alberta</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tuna, Salih" sort="Tuna, Salih" uniqKey="Tuna S" first="Salih" last="Tuna">Salih Tuna</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Van Geet, Christel" sort="Van Geet, Christel" uniqKey="Van Geet C" first="Christel" last="Van Geet">Christel Van Geet</name>
<affiliation wicri:level="3">
<nlm:affiliation>Institute of Cancer Research, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Cancer Research, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Whitehorn, Deborah" sort="Whitehorn, Deborah" uniqKey="Whitehorn D" first="Deborah" last="Whitehorn">Deborah Whitehorn</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Wilcox, David A" sort="Wilcox, David A" uniqKey="Wilcox D" first="David A" last="Wilcox">David A. Wilcox</name>
<affiliation wicri:level="2">
<nlm:affiliation>Children's Hospital of Wisconsin Research Institute, Medical College of Wisconsin, Milwaukee, WI;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Wisconsin</region>
</placeName>
<wicri:cityArea>Children's Hospital of Wisconsin Research Institute, Medical College of Wisconsin, Milwaukee</wicri:cityArea>
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<orgName type="university">Université de Cambridge</orgName>
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<orgName type="university">Université de Cambridge</orgName>
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<placeName>
<settlement type="city">Cambridge</settlement>
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<placeName>
<settlement type="city">Londres</settlement>
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<settlement type="city">Cambridge</settlement>
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<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom; Medical Research Council Biostatistics Unit, Cambridge Institute of Public Health, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom; Medical Research Council Biostatistics Unit, Cambridge Institute of Public Health, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
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<settlement type="city">Cambridge</settlement>
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<title xml:lang="en">A high-throughput sequencing test for diagnosing inherited bleeding, thrombotic, and platelet disorders.</title>
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<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
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<name sortKey="Stephens, Jonathan C" sort="Stephens, Jonathan C" uniqKey="Stephens J" first="Jonathan C" last="Stephens">Jonathan C. Stephens</name>
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<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
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<settlement type="city">Cambridge</settlement>
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<name sortKey="Hu, Fengyuan" sort="Hu, Fengyuan" uniqKey="Hu F" first="Fengyuan" last="Hu">Fengyuan Hu</name>
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<nlm:affiliation>Department of Haematology, University of Cambridge, Laboratory of Lymphocyte Signalling and Development, Babraham Institute, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, Laboratory of Lymphocyte Signalling and Development, Babraham Institute, Cambridge</wicri:regionArea>
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<settlement type="city">Cambridge</settlement>
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<name sortKey="Deevi, Sri V V" sort="Deevi, Sri V V" uniqKey="Deevi S" first="Sri V V" last="Deevi">Sri V V. Deevi</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
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<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
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<name sortKey="Bariana, Tadbir K" sort="Bariana, Tadbir K" uniqKey="Bariana T" first="Tadbir K" last="Bariana">Tadbir K. Bariana</name>
<affiliation wicri:level="3">
<nlm:affiliation>The Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free London National Health Service Foundation Trust, London, United Kingdom; Department of Haematology, University College London Cancer Institute, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>The Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free London National Health Service Foundation Trust, London, United Kingdom; Department of Haematology, University College London Cancer Institute, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
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<nlm:affiliation>Centre for Haematology, Hammersmith Campus, Imperial College Academic Health Sciences Centre, Imperial College London, and Imperial College Healthcare National Health Service Trust, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Haematology, Hammersmith Campus, Imperial College Academic Health Sciences Centre, Imperial College London, and Imperial College Healthcare National Health Service Trust, London</wicri:regionArea>
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<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
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<name sortKey="Schulman, Sol" sort="Schulman, Sol" uniqKey="Schulman S" first="Sol" last="Schulman">Sol Schulman</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Hemostasis and Thrombosis, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
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<name sortKey="Sivapalaratnam, Suthesh" sort="Sivapalaratnam, Suthesh" uniqKey="Sivapalaratnam S" first="Suthesh" last="Sivapalaratnam">Suthesh Sivapalaratnam</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom; Department of Haematology, Barts Health National Health Service Trust, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom; Department of Haematology, Barts Health National Health Service Trust, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
<settlement type="city">Cambridge</settlement>
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<orgName type="university">Université de Cambridge</orgName>
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<name sortKey="Vries, Minka J A" sort="Vries, Minka J A" uniqKey="Vries M" first="Minka J A" last="Vries">Minka J A. Vries</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Biochemistry, Maastricht University, Maastricht, The Netherlands;</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Biochemistry, Maastricht University, Maastricht</wicri:regionArea>
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<name sortKey="Westbury, Sarah K" sort="Westbury, Sarah K" uniqKey="Westbury S" first="Sarah K" last="Westbury">Sarah K. Westbury</name>
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<nlm:affiliation>School of Cellular and Molecular Medicine, University of Bristol, Bristol, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>School of Cellular and Molecular Medicine, University of Bristol, Bristol</wicri:regionArea>
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<author>
<name sortKey="Greene, Daniel" sort="Greene, Daniel" uniqKey="Greene D" first="Daniel" last="Greene">Daniel Greene</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and Medical Research Council Biostatistics Unit, Cambridge Institute of Public Health, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and Medical Research Council Biostatistics Unit, Cambridge Institute of Public Health, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
<orgName type="university">Université de Cambridge</orgName>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
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<author>
<name sortKey="Papadia, Sofia" sort="Papadia, Sofia" uniqKey="Papadia S" first="Sofia" last="Papadia">Sofia Papadia</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
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<author>
<name sortKey="Alessi, Marie Christine" sort="Alessi, Marie Christine" uniqKey="Alessi M" first="Marie-Christine" last="Alessi">Marie-Christine Alessi</name>
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<nlm:affiliation>Institut National de la Santé et de la Recherche Médicale, Faculté de Médecine, Marseille, France;</nlm:affiliation>
<country xml:lang="fr">France</country>
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<author>
<name sortKey="Attwood, Antony P" sort="Attwood, Antony P" uniqKey="Attwood A" first="Antony P" last="Attwood">Antony P. Attwood</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
<orgName type="university">Université de Cambridge</orgName>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
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<author>
<name sortKey="Ballmaier, Matthias" sort="Ballmaier, Matthias" uniqKey="Ballmaier M" first="Matthias" last="Ballmaier">Matthias Ballmaier</name>
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<country xml:lang="fr">Allemagne</country>
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<country xml:lang="fr">Australie</country>
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<name sortKey="Bermejo, Emilse" sort="Bermejo, Emilse" uniqKey="Bermejo E" first="Emilse" last="Bermejo">Emilse Bermejo</name>
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<country xml:lang="fr">Argentine</country>
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<name sortKey="Bertoli, Marta" sort="Bertoli, Marta" uniqKey="Bertoli M" first="Marta" last="Bertoli">Marta Bertoli</name>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>San Pietro Fatebenefratelli Hospital, Unita' Operativa Semplice Dipartimentale, Medical Genetics, Rome</wicri:regionArea>
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<name sortKey="Bray, Paul F" sort="Bray, Paul F" uniqKey="Bray P" first="Paul F" last="Bray">Paul F. Bray</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Medicine, Thomas Jefferson University, Jefferson Medical College, Philadelphia, PA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Medicine, Thomas Jefferson University, Jefferson Medical College, Philadelphia</wicri:cityArea>
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<name sortKey="Bury, Loredana" sort="Bury, Loredana" uniqKey="Bury L" first="Loredana" last="Bury">Loredana Bury</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Internal Medicine, Section of Internal and Cardiovascular Medicine, University of Perugia, Perugia, Italy;</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Internal Medicine, Section of Internal and Cardiovascular Medicine, University of Perugia, Perugia</wicri:regionArea>
<wicri:noRegion>Perugia</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Cattaneo, Marco" sort="Cattaneo, Marco" uniqKey="Cattaneo M" first="Marco" last="Cattaneo">Marco Cattaneo</name>
<affiliation wicri:level="3">
<nlm:affiliation>Dipartimento di Scienze Della Salute, Università Degli Studi di Milano, Unità di Medicina, Azienda Ospedaliera San Paolo, Milan, Italy;</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Dipartimento di Scienze Della Salute, Università Degli Studi di Milano, Unità di Medicina, Azienda Ospedaliera San Paolo, Milan</wicri:regionArea>
<placeName>
<settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Collins, Peter" sort="Collins, Peter" uniqKey="Collins P" first="Peter" last="Collins">Peter Collins</name>
<affiliation wicri:level="1">
<nlm:affiliation>Arthur Bloom Haemophilia Centre, Institute of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Arthur Bloom Haemophilia Centre, Institute of Infection and Immunity, School of Medicine, Cardiff University, Cardiff</wicri:regionArea>
<wicri:noRegion>Cardiff</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Daugherty, Louise C" sort="Daugherty, Louise C" uniqKey="Daugherty L" first="Louise C" last="Daugherty">Louise C. Daugherty</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Favier, Remi" sort="Favier, Remi" uniqKey="Favier R" first="Rémi" last="Favier">Rémi Favier</name>
<affiliation wicri:level="1">
<nlm:affiliation>Assistance Publique, Hôpitaux de Paris, Armand Trousseau Children Hospital, Paris, Inserm U1170, Villejuif, France;</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Assistance Publique, Hôpitaux de Paris, Armand Trousseau Children Hospital, Paris, Inserm U1170, Villejuif</wicri:regionArea>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="French, Deborah L" sort="French, Deborah L" uniqKey="French D" first="Deborah L" last="French">Deborah L. French</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Furie, Bruce" sort="Furie, Bruce" uniqKey="Furie B" first="Bruce" last="Furie">Bruce Furie</name>
<affiliation wicri:level="2">
<nlm:affiliation>Division of Hemostasis and Thrombosis, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Division of Hemostasis and Thrombosis, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Gattens, Michael" sort="Gattens, Michael" uniqKey="Gattens M" first="Michael" last="Gattens">Michael Gattens</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
<wicri:noRegion>Cambridge</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Germeshausen, Manuela" sort="Germeshausen, Manuela" uniqKey="Germeshausen M" first="Manuela" last="Germeshausen">Manuela Germeshausen</name>
<affiliation wicri:level="3">
<nlm:affiliation>Pediatric Hematology and Oncology, Hannover Medical School, Hannover, Germany;</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Pediatric Hematology and Oncology, Hannover Medical School, Hannover</wicri:regionArea>
<placeName>
<region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Ghevaert, Cedric" sort="Ghevaert, Cedric" uniqKey="Ghevaert C" first="Cedric" last="Ghevaert">Cedric Ghevaert</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
<orgName type="university">Université de Cambridge</orgName>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Goodeve, Anne C" sort="Goodeve, Anne C" uniqKey="Goodeve A" first="Anne C" last="Goodeve">Anne C. Goodeve</name>
<affiliation wicri:level="1">
<nlm:affiliation>Haemostasis Research Group, Department of Infection, Immunity and Cardiovascular Disease, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Haemostasis Research Group, Department of Infection, Immunity and Cardiovascular Disease, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield</wicri:regionArea>
<wicri:noRegion>Sheffield</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Guerrero, Jose A" sort="Guerrero, Jose A" uniqKey="Guerrero J" first="Jose A" last="Guerrero">Jose A. Guerrero</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge.</nlm:affiliation>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
<orgName type="university">Université de Cambridge</orgName>
</affiliation>
</author>
<author>
<name sortKey="Hampshire, Daniel J" sort="Hampshire, Daniel J" uniqKey="Hampshire D" first="Daniel J" last="Hampshire">Daniel J. Hampshire</name>
<affiliation wicri:level="1">
<nlm:affiliation>Haemostasis Research Group, Department of Infection, Immunity and Cardiovascular Disease, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Haemostasis Research Group, Department of Infection, Immunity and Cardiovascular Disease, Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield</wicri:regionArea>
<wicri:noRegion>Sheffield</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hart, Daniel P" sort="Hart, Daniel P" uniqKey="Hart D" first="Daniel P" last="Hart">Daniel P. Hart</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Haematology, Barts Health National Health Service Trust, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Barts Health National Health Service Trust, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Heemskerk, Johan W M" sort="Heemskerk, Johan W M" uniqKey="Heemskerk J" first="Johan W M" last="Heemskerk">Johan W M. Heemskerk</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Biochemistry, Cardiovascular Research Institute Maastricht, University of Maastricht, Maastricht, The Netherlands;</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Biochemistry, Cardiovascular Research Institute Maastricht, University of Maastricht, Maastricht</wicri:regionArea>
<wicri:noRegion>Maastricht</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Henskens, Yvonne M C" sort="Henskens, Yvonne M C" uniqKey="Henskens Y" first="Yvonne M C" last="Henskens">Yvonne M C. Henskens</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Biochemistry, Maastricht University, Maastricht, The Netherlands;</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Biochemistry, Maastricht University, Maastricht</wicri:regionArea>
<wicri:noRegion>Maastricht</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hill, Marian" sort="Hill, Marian" uniqKey="Hill M" first="Marian" last="Hill">Marian Hill</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Clinical Pathology, Empath Pathology Services, Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Clinical Pathology, Empath Pathology Services, Nottingham University Hospitals National Health Service Trust, Nottingham</wicri:regionArea>
<wicri:noRegion>Nottingham</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hogg, Nancy" sort="Hogg, Nancy" uniqKey="Hogg N" first="Nancy" last="Hogg">Nancy Hogg</name>
<affiliation wicri:level="3">
<nlm:affiliation>Cancer Research UK London Research Institute, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Cancer Research UK London Research Institute, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Jolley, Jennifer D" sort="Jolley, Jennifer D" uniqKey="Jolley J" first="Jennifer D" last="Jolley">Jennifer D. Jolley</name>
<affiliation wicri:level="1">
<nlm:affiliation>Components Development Laboratory, National Health Service Blood and Transplant, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Components Development Laboratory, National Health Service Blood and Transplant, Cambridge</wicri:regionArea>
<wicri:noRegion>Cambridge</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kahr, Walter H" sort="Kahr, Walter H" uniqKey="Kahr W" first="Walter H" last="Kahr">Walter H. Kahr</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada;</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName>
<settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kelly, Anne M" sort="Kelly, Anne M" uniqKey="Kelly A" first="Anne M" last="Kelly">Anne M. Kelly</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Haematology, Great Ormond Street Hospital for Children National Health Service Trust, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Great Ormond Street Hospital for Children National Health Service Trust, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kerr, Ron" sort="Kerr, Ron" uniqKey="Kerr R" first="Ron" last="Kerr">Ron Kerr</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Ninewells Hospital, Dundee, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Ninewells Hospital, Dundee</wicri:regionArea>
<wicri:noRegion>Dundee</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kostadima, Myrto" sort="Kostadima, Myrto" uniqKey="Kostadima M" first="Myrto" last="Kostadima">Myrto Kostadima</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kunishima, Shinji" sort="Kunishima, Shinji" uniqKey="Kunishima S" first="Shinji" last="Kunishima">Shinji Kunishima</name>
<affiliation wicri:level="1">
<nlm:affiliation>Clinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Japan;</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Clinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya</wicri:regionArea>
<wicri:noRegion>Nagoya</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lambert, Michele P" sort="Lambert, Michele P" uniqKey="Lambert M" first="Michele P" last="Lambert">Michele P. Lambert</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Liesner, Ri" sort="Liesner, Ri" uniqKey="Liesner R" first="Ri" last="Liesner">Ri Liesner</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Ninewells Hospital, Dundee, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Ninewells Hospital, Dundee</wicri:regionArea>
<wicri:noRegion>Dundee</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="L Pez, Jose A" sort="L Pez, Jose A" uniqKey="L Pez J" first="José A" last="L Pez">José A. L Pez</name>
<affiliation wicri:level="2">
<nlm:affiliation>Puget Sound Blood Center, Research Institute, Seattle, WA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Puget Sound Blood Center, Research Institute, Seattle</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Mapeta, Rutendo P" sort="Mapeta, Rutendo P" uniqKey="Mapeta R" first="Rutendo P" last="Mapeta">Rutendo P. Mapeta</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Mathias, Mary" sort="Mathias, Mary" uniqKey="Mathias M" first="Mary" last="Mathias">Mary Mathias</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Ninewells Hospital, Dundee, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Ninewells Hospital, Dundee</wicri:regionArea>
<wicri:noRegion>Dundee</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Millar, Carolyn M" sort="Millar, Carolyn M" uniqKey="Millar C" first="Carolyn M" last="Millar">Carolyn M. Millar</name>
<affiliation wicri:level="3">
<nlm:affiliation>Centre for Haematology, Hammersmith Campus, Imperial College Academic Health Sciences Centre, Imperial College London, and Imperial College Healthcare National Health Service Trust, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Haematology, Hammersmith Campus, Imperial College Academic Health Sciences Centre, Imperial College London, and Imperial College Healthcare National Health Service Trust, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Nathwani, Amit" sort="Nathwani, Amit" uniqKey="Nathwani A" first="Amit" last="Nathwani">Amit Nathwani</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Haematology, University College London Cancer Institute, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University College London Cancer Institute, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Neerman Arbez, Marguerite" sort="Neerman Arbez, Marguerite" uniqKey="Neerman Arbez M" first="Marguerite" last="Neerman-Arbez">Marguerite Neerman-Arbez</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Genetic Medicine and Development, University Medical Centre, Geneva, Switzerland;</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Genetic Medicine and Development, University Medical Centre, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Nurden, Alan T" sort="Nurden, Alan T" uniqKey="Nurden A" first="Alan T" last="Nurden">Alan T. Nurden</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institut Hospitalo-Universitaire LIRYC, Hôpital Xavier Arnozan, Pessac, France;</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut Hospitalo-Universitaire LIRYC, Hôpital Xavier Arnozan, Pessac</wicri:regionArea>
<wicri:noRegion>Pessac</wicri:noRegion>
<wicri:noRegion>Pessac</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Nurden, Paquita" sort="Nurden, Paquita" uniqKey="Nurden P" first="Paquita" last="Nurden">Paquita Nurden</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institut Hospitalo-Universitaire LIRYC, Hôpital Xavier Arnozan, Pessac, France;</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut Hospitalo-Universitaire LIRYC, Hôpital Xavier Arnozan, Pessac</wicri:regionArea>
<wicri:noRegion>Pessac</wicri:noRegion>
<wicri:noRegion>Pessac</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Othman, Maha" sort="Othman, Maha" uniqKey="Othman M" first="Maha" last="Othman">Maha Othman</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Biomedical and Molecular Sciences, School of Medicine, Queens University, Kingston, Ontario, Canada;</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Biomedical and Molecular Sciences, School of Medicine, Queens University, Kingston, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Peerlinck, Kathelijne" sort="Peerlinck, Kathelijne" uniqKey="Peerlinck K" first="Kathelijne" last="Peerlinck">Kathelijne Peerlinck</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Cardiovascular Sciences, Center for Molecular and Vascular Biology, University of Leuven, Leuven, Belgium;</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Cardiovascular Sciences, Center for Molecular and Vascular Biology, University of Leuven, Leuven</wicri:regionArea>
<wicri:noRegion>Leuven</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Perry, David J" sort="Perry, David J" uniqKey="Perry D" first="David J" last="Perry">David J. Perry</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Foundation Trust, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
<wicri:noRegion>Cambridge</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Poudel, Pawan" sort="Poudel, Pawan" uniqKey="Poudel P" first="Pawan" last="Poudel">Pawan Poudel</name>
<affiliation wicri:level="3">
<nlm:affiliation>Institute of Cancer Research, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Cancer Research, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Reitsma, Pieter" sort="Reitsma, Pieter" uniqKey="Reitsma P" first="Pieter" last="Reitsma">Pieter Reitsma</name>
<affiliation wicri:level="3">
<nlm:affiliation>Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands;</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden</wicri:regionArea>
<placeName>
<settlement type="city">Leyde</settlement>
<region nuts="2" type="province">Hollande-Méridionale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Rondina, Matthew T" sort="Rondina, Matthew T" uniqKey="Rondina M" first="Matthew T" last="Rondina">Matthew T. Rondina</name>
<affiliation wicri:level="2">
<nlm:affiliation>University of Utah School of Medicine, Eccles Institute of Human Genetics, Salt Lake City, UT;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Utah</region>
</placeName>
<wicri:cityArea>University of Utah School of Medicine, Eccles Institute of Human Genetics, Salt Lake City</wicri:cityArea>
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<author>
<name sortKey="Smethurst, Peter A" sort="Smethurst, Peter A" uniqKey="Smethurst P" first="Peter A" last="Smethurst">Peter A. Smethurst</name>
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<wicri:regionArea>Department of Haematology, University of Cambridge, Department of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario</wicri:regionArea>
<orgName type="university">Université de Cambridge</orgName>
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<settlement type="city">Cambridge</settlement>
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<name sortKey="Stevenson, William" sort="Stevenson, William" uniqKey="Stevenson W" first="William" last="Stevenson">William Stevenson</name>
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<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Haematology and Transfusion Medicine, Royal North Shore Hospital, St. Leonards, NSW, Australia; Kolling Institute of Medical Research, The University of Sydney, Sydney</wicri:regionArea>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
<settlement type="city">Sydney</settlement>
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<orgName type="university">Université de Sydney</orgName>
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<author>
<name sortKey="Szkotak, Artur" sort="Szkotak, Artur" uniqKey="Szkotak A" first="Artur" last="Szkotak">Artur Szkotak</name>
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<nlm:affiliation>Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada;</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<author>
<name sortKey="Tuna, Salih" sort="Tuna, Salih" uniqKey="Tuna S" first="Salih" last="Tuna">Salih Tuna</name>
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<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
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<author>
<name sortKey="Van Geet, Christel" sort="Van Geet, Christel" uniqKey="Van Geet C" first="Christel" last="Van Geet">Christel Van Geet</name>
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<nlm:affiliation>Institute of Cancer Research, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Cancer Research, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
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<author>
<name sortKey="Whitehorn, Deborah" sort="Whitehorn, Deborah" uniqKey="Whitehorn D" first="Deborah" last="Whitehorn">Deborah Whitehorn</name>
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<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
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<author>
<name sortKey="Wilcox, David A" sort="Wilcox, David A" uniqKey="Wilcox D" first="David A" last="Wilcox">David A. Wilcox</name>
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<nlm:affiliation>Children's Hospital of Wisconsin Research Institute, Medical College of Wisconsin, Milwaukee, WI;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Wisconsin</region>
</placeName>
<wicri:cityArea>Children's Hospital of Wisconsin Research Institute, Medical College of Wisconsin, Milwaukee</wicri:cityArea>
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</author>
<author>
<name sortKey="Zhang, Bin" sort="Zhang, Bin" uniqKey="Zhang B" first="Bin" last="Zhang">Bin Zhang</name>
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<nlm:affiliation>Genomic Medicine Institute, Cleveland Clinic Lerner Research Institute, Cleveland, OH;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Ohio</region>
</placeName>
<wicri:cityArea>Genomic Medicine Institute, Cleveland Clinic Lerner Research Institute, Cleveland</wicri:cityArea>
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<author>
<name sortKey="Revel Vilk, Shoshana" sort="Revel Vilk, Shoshana" uniqKey="Revel Vilk S" first="Shoshana" last="Revel-Vilk">Shoshana Revel-Vilk</name>
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<nlm:affiliation>Pediatric Hematology/Oncology Department, Hadassah-Hebrew University Medical Center, Jerusalem, Israel;</nlm:affiliation>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>Pediatric Hematology/Oncology Department, Hadassah-Hebrew University Medical Center, Jerusalem</wicri:regionArea>
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<name sortKey="Gresele, Paolo" sort="Gresele, Paolo" uniqKey="Gresele P" first="Paolo" last="Gresele">Paolo Gresele</name>
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<nlm:affiliation>Department of Internal Medicine, Section of Internal and Cardiovascular Medicine, University of Perugia, Perugia, Italy;</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Internal Medicine, Section of Internal and Cardiovascular Medicine, University of Perugia, Perugia</wicri:regionArea>
<wicri:noRegion>Perugia</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Bellissimo, Daniel B" sort="Bellissimo, Daniel B" uniqKey="Bellissimo D" first="Daniel B" last="Bellissimo">Daniel B. Bellissimo</name>
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<nlm:affiliation>Clinical Genomics Laboratory, University of Pittsburgh, Pittsburgh, PA;</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
<wicri:cityArea>Clinical Genomics Laboratory, University of Pittsburgh, Pittsburgh</wicri:cityArea>
</affiliation>
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<name sortKey="Penkett, Christopher J" sort="Penkett, Christopher J" uniqKey="Penkett C" first="Christopher J" last="Penkett">Christopher J. Penkett</name>
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<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
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<author>
<name sortKey="Laffan, Michael A" sort="Laffan, Michael A" uniqKey="Laffan M" first="Michael A" last="Laffan">Michael A. Laffan</name>
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<nlm:affiliation>Centre for Haematology, Hammersmith Campus, Imperial College Academic Health Sciences Centre, Imperial College London, and Imperial College Healthcare National Health Service Trust, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Haematology, Hammersmith Campus, Imperial College Academic Health Sciences Centre, Imperial College London, and Imperial College Healthcare National Health Service Trust, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
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<author>
<name sortKey="Mumford, Andrew D" sort="Mumford, Andrew D" uniqKey="Mumford A" first="Andrew D" last="Mumford">Andrew D. Mumford</name>
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<nlm:affiliation>School of Cellular and Molecular Medicine, University of Bristol, Bristol, United Kingdom; School of Clinical Sciences, University of Bristol, Bristol, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>School of Cellular and Molecular Medicine, University of Bristol, Bristol, United Kingdom; School of Clinical Sciences, University of Bristol, Bristol</wicri:regionArea>
<wicri:noRegion>Bristol</wicri:noRegion>
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</author>
<author>
<name sortKey="Rendon, Augusto" sort="Rendon, Augusto" uniqKey="Rendon A" first="Augusto" last="Rendon">Augusto Rendon</name>
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<nlm:affiliation>Department of Haematology, University of Cambridge, Genomics England Limited, London, United Kingdom; and.</nlm:affiliation>
<orgName type="university">Université de Cambridge</orgName>
<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Gomez, Keith" sort="Gomez, Keith" uniqKey="Gomez K" first="Keith" last="Gomez">Keith Gomez</name>
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<nlm:affiliation>The Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free London National Health Service Foundation Trust, London, United Kingdom; Department of Haematology, University College London Cancer Institute, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>The Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free London National Health Service Foundation Trust, London, United Kingdom; Department of Haematology, University College London Cancer Institute, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Freson, Kathleen" sort="Freson, Kathleen" uniqKey="Freson K" first="Kathleen" last="Freson">Kathleen Freson</name>
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<nlm:affiliation>Institute of Cancer Research, London, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Cancer Research, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Ouwehand, Willem H" sort="Ouwehand, Willem H" uniqKey="Ouwehand W" first="Willem H" last="Ouwehand">Willem H. Ouwehand</name>
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<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom; Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom; Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge</wicri:regionArea>
<orgName type="university">Université de Cambridge</orgName>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Turro, Ernest" sort="Turro, Ernest" uniqKey="Turro E" first="Ernest" last="Turro">Ernest Turro</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom; Medical Research Council Biostatistics Unit, Cambridge Institute of Public Health, Cambridge Biomedical Campus, Cambridge, United Kingdom;</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom; Medical Research Council Biostatistics Unit, Cambridge Institute of Public Health, Cambridge Biomedical Campus, Cambridge</wicri:regionArea>
<orgName type="university">Université de Cambridge</orgName>
<placeName>
<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre de l'Est</region>
</placeName>
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<series>
<title level="j">Blood</title>
<idno type="eISSN">1528-0020</idno>
<imprint>
<date when="2016" type="published">2016</date>
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<term>Blood Platelet Disorders (genetics)</term>
<term>Case-Control Studies</term>
<term>DNA Copy Number Variations</term>
<term>Female</term>
<term>Genetic Association Studies (methods)</term>
<term>Genetic Predisposition to Disease</term>
<term>Hemorrhage (genetics)</term>
<term>High-Throughput Nucleotide Sequencing (methods)</term>
<term>Humans</term>
<term>Male</term>
<term>Mutation</term>
<term>Polymorphism, Single Nucleotide</term>
<term>Sequence Analysis, DNA (methods)</term>
<term>Thrombosis (genetics)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Analyse de séquence d'ADN ()</term>
<term>Anomalies des plaquettes (génétique)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hémorragie (génétique)</term>
<term>Mutation</term>
<term>Mâle</term>
<term>Polymorphisme de nucléotide simple</term>
<term>Prédisposition génétique à une maladie</term>
<term>Séquençage nucléotidique à haut débit ()</term>
<term>Thrombose (génétique)</term>
<term>Variations de nombre de copies de segment d'ADN</term>
<term>Études cas-témoins</term>
<term>Études d'associations génétiques ()</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Blood Platelet Disorders</term>
<term>Hemorrhage</term>
<term>Thrombosis</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Anomalies des plaquettes</term>
<term>Hémorragie</term>
<term>Thrombose</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Genetic Association Studies</term>
<term>High-Throughput Nucleotide Sequencing</term>
<term>Sequence Analysis, DNA</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Case-Control Studies</term>
<term>DNA Copy Number Variations</term>
<term>Female</term>
<term>Genetic Predisposition to Disease</term>
<term>Humans</term>
<term>Male</term>
<term>Mutation</term>
<term>Polymorphism, Single Nucleotide</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Analyse de séquence d'ADN</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mutation</term>
<term>Mâle</term>
<term>Polymorphisme de nucléotide simple</term>
<term>Prédisposition génétique à une maladie</term>
<term>Séquençage nucléotidique à haut débit</term>
<term>Variations de nombre de copies de segment d'ADN</term>
<term>Études cas-témoins</term>
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<front>
<div type="abstract" xml:lang="en">Inherited bleeding, thrombotic, and platelet disorders (BPDs) are diseases that affect ∼300 individuals per million births. With the exception of hemophilia and von Willebrand disease patients, a molecular analysis for patients with a BPD is often unavailable. Many specialized tests are usually required to reach a putative diagnosis and they are typically performed in a step-wise manner to control costs. This approach causes delays and a conclusive molecular diagnosis is often never reached, which can compromise treatment and impede rapid identification of affected relatives. To address this unmet diagnostic need, we designed a high-throughput sequencing platform targeting 63 genes relevant for BPDs. The platform can call single nucleotide variants, short insertions/deletions, and large copy number variants (though not inversions) which are subjected to automated filtering for diagnostic prioritization, resulting in an average of 5.34 candidate variants per individual. We sequenced 159 and 137 samples, respectively, from cases with and without previously known causal variants. Among the latter group, 61 cases had clinical and laboratory phenotypes indicative of a particular molecular etiology, whereas the remainder had an a priori highly uncertain etiology. All previously detected variants were recapitulated and, when the etiology was suspected but unknown or uncertain, a molecular diagnosis was reached in 56 of 61 and only 8 of 76 cases, respectively. The latter category highlights the need for further research into novel causes of BPDs. The ThromboGenomics platform thus provides an affordable DNA-based test to diagnose patients suspected of having a known inherited BPD.</div>
</front>
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<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">27084890</PMID>
<DateCreated>
<Year>2016</Year>
<Month>06</Month>
<Day>10</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>08</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1528-0020</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>127</Volume>
<Issue>23</Issue>
<PubDate>
<Year>2016</Year>
<Month>Jun</Month>
<Day>09</Day>
</PubDate>
</JournalIssue>
<Title>Blood</Title>
<ISOAbbreviation>Blood</ISOAbbreviation>
</Journal>
<ArticleTitle>A high-throughput sequencing test for diagnosing inherited bleeding, thrombotic, and platelet disorders.</ArticleTitle>
<Pagination>
<MedlinePgn>2791-803</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1182/blood-2015-12-688267</ELocationID>
<Abstract>
<AbstractText>Inherited bleeding, thrombotic, and platelet disorders (BPDs) are diseases that affect ∼300 individuals per million births. With the exception of hemophilia and von Willebrand disease patients, a molecular analysis for patients with a BPD is often unavailable. Many specialized tests are usually required to reach a putative diagnosis and they are typically performed in a step-wise manner to control costs. This approach causes delays and a conclusive molecular diagnosis is often never reached, which can compromise treatment and impede rapid identification of affected relatives. To address this unmet diagnostic need, we designed a high-throughput sequencing platform targeting 63 genes relevant for BPDs. The platform can call single nucleotide variants, short insertions/deletions, and large copy number variants (though not inversions) which are subjected to automated filtering for diagnostic prioritization, resulting in an average of 5.34 candidate variants per individual. We sequenced 159 and 137 samples, respectively, from cases with and without previously known causal variants. Among the latter group, 61 cases had clinical and laboratory phenotypes indicative of a particular molecular etiology, whereas the remainder had an a priori highly uncertain etiology. All previously detected variants were recapitulated and, when the etiology was suspected but unknown or uncertain, a molecular diagnosis was reached in 56 of 61 and only 8 of 76 cases, respectively. The latter category highlights the need for further research into novel causes of BPDs. The ThromboGenomics platform thus provides an affordable DNA-based test to diagnose patients suspected of having a known inherited BPD.</AbstractText>
<CopyrightInformation>© 2016 by The American Society of Hematology.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Simeoni</LastName>
<ForeName>Ilenia</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Stephens</LastName>
<ForeName>Jonathan C</ForeName>
<Initials>JC</Initials>
<AffiliationInfo>
<Affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hu</LastName>
<ForeName>Fengyuan</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Department of Haematology, University of Cambridge, Laboratory of Lymphocyte Signalling and Development, Babraham Institute, Cambridge, United Kingdom;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Deevi</LastName>
<ForeName>Sri V V</ForeName>
<Initials>SV</Initials>
<AffiliationInfo>
<Affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Megy</LastName>
<ForeName>Karyn</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Bariana</LastName>
<ForeName>Tadbir K</ForeName>
<Initials>TK</Initials>
<AffiliationInfo>
<Affiliation>The Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free London National Health Service Foundation Trust, London, United Kingdom; Department of Haematology, University College London Cancer Institute, London, United Kingdom;</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Lentaigne</LastName>
<ForeName>Claire</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Centre for Haematology, Hammersmith Campus, Imperial College Academic Health Sciences Centre, Imperial College London, and Imperial College Healthcare National Health Service Trust, London, United Kingdom;</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Schulman</LastName>
<ForeName>Sol</ForeName>
<Initials>S</Initials>
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<Affiliation>Division of Hemostasis and Thrombosis, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA;</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Sivapalaratnam</LastName>
<ForeName>Suthesh</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Department of Haematology, University of Cambridge, National Health Service Blood and Transplant, Cambridge Biomedical Campus, Cambridge, United Kingdom; Department of Haematology, Barts Health National Health Service Trust, London, United Kingdom;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Vries</LastName>
<ForeName>Minka J A</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo>
<Affiliation>Department of Biochemistry, Maastricht University, Maastricht, The Netherlands;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Westbury</LastName>
<ForeName>Sarah K</ForeName>
<Initials>SK</Initials>
<AffiliationInfo>
<Affiliation>School of Cellular and Molecular Medicine, University of Bristol, Bristol, United Kingdom;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Greene</LastName>
<ForeName>Daniel</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and Medical Research Council Biostatistics Unit, Cambridge Institute of Public Health, Cambridge Biomedical Campus, Cambridge, United Kingdom;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Papadia</LastName>
<ForeName>Sofia</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Department of Haematology, University of Cambridge, National Institute for Health Research BioResource-Rare Diseases, Cambridge University Hospitals, and.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Alessi</LastName>
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<Initials>MC</Initials>
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<Affiliation>Institut National de la Santé et de la Recherche Médicale, Faculté de Médecine, Marseille, France;</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
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