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Motor phenotype of LRRK2 G2019S carriers in Early Onset Parkinson Disease

Identifieur interne : 000834 ( Main/Exploration ); précédent : 000833; suivant : 000835

Motor phenotype of LRRK2 G2019S carriers in Early Onset Parkinson Disease

Auteurs : Rn Alcalay [États-Unis] ; H. Mejia [États-Unis] ; M Tang [États-Unis] ; L. Rosado [États-Unis] ; M. Verbitsky [États-Unis] ; S. Kisselev [États-Unis] ; B. Ross [États-Unis] ; Ed Louis [États-Unis] ; C. Comella [États-Unis] ; A. Colcher [États-Unis] ; D. Jennings [États-Unis] ; M. Nance [États-Unis] ; S. Bressman [États-Unis] ; Wk Scott [États-Unis] ; C. Tanner [États-Unis] ; S. Mickel [États-Unis] ; H. Andrews [États-Unis] ; C. Waters [États-Unis] ; S. Fahn [États-Unis] ; L. Cote [États-Unis] ; S. Frucht [États-Unis] ; B. Ford [États-Unis] ; M. Rezak [États-Unis] ; K. Novak [États-Unis] ; Jh Friedman [États-Unis] ; R. Pfeiffer [États-Unis] ; L. Marsh [États-Unis] ; B. Hiner ; A. Siderowf [États-Unis] ; E. Caccappolo [États-Unis] ; R. Ottman [États-Unis] ; Ln Clark [États-Unis] ; K. Marder [États-Unis]

Source :

RBID : PMC:2837584

Abstract

Objective

To determine the motor phenotype of LRRK2 G2019S mutation carriers

Background

LRRK2 mutation carriers were previously reported to manifest the tremor-dominant (TD) motor phenotype, which has been associated with slower motor progression and less cognitive impairment compared to the postural instability gait difficulty (PIGD) phenotype.

Design

Cross sectional observational study

Setting

13 movement disorders centers

Participants

925 Early Onset Parkinson Disease (EOPD) cases defined as age at onset (AAO) ≤50.

Main Outcome Measures

LRRK2 mutation status and PD motor phenotype: TD or PIGD

Methods

Demographic information, family history of PD (FHPD), and the Unified Parkinson Disease Rating Scale (UPDRS) were collected on all participants. DNA samples were genotyped for LRRK2 mutations (G2019S, I2020T, R1441C and Y1699C). Logistic regression was used to examine associations of G2019S mutation status with motor phenotype adjusting for disease duration, Ashkenazi Jewish (AJ) ancestry, levodopa dose, and FHPD.

Results

34 cases (3.7%) (14 previously reported) were G2019S carriers. No other mutations were found. Carriers were more likely to be AJ (55.9% vs. 11.9% p<0.001), but did not significantly differ in any other demographic or disease characteristics. Carriers had a lower tremor score (p=0.026) and were more likely to have a PIGD phenotype (92.3% vs. 58.9% p=0.003). The association of the G2019S mutation with PIGD phenotype remained after controlling for disease duration and AJ (OR= 17.7, p< 0.001).

Conclusion

EOPD G2019S LRRK2 carriers are more likely to manifest the PIGD phenotype, which may have implications for disease course.


Url:
DOI: 10.1001/archneurol.2009.267
PubMed: 20008657
PubMed Central: 2837584


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<nlm:aff id="A16"> Department of Neurology, at Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA</nlm:aff>
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<wicri:regionArea> Department of Neurology, at Northwestern University, Feinberg School of Medicine, Chicago, Illinois</wicri:regionArea>
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<name sortKey="Novak, K" sort="Novak, K" uniqKey="Novak K" first="K" last="Novak">K. Novak</name>
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<nlm:aff id="A16"> Department of Neurology, at Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA</nlm:aff>
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<wicri:regionArea> Department of Neurology, at Northwestern University, Feinberg School of Medicine, Chicago, Illinois</wicri:regionArea>
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<name sortKey="Friedman, Jh" sort="Friedman, Jh" uniqKey="Friedman J" first="Jh" last="Friedman">Jh Friedman</name>
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<nlm:aff id="A18"> Department of Clinical Neurosciences, The Warren Alpert School of Medicine of Brown University, Providence, Rhode Island. USA</nlm:aff>
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<name sortKey="Pfeiffer, R" sort="Pfeiffer, R" uniqKey="Pfeiffer R" first="R" last="Pfeiffer">R. Pfeiffer</name>
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<nlm:aff id="A19"> Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA</nlm:aff>
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<wicri:regionArea> Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee</wicri:regionArea>
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<region type="state">Tennessee</region>
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<name sortKey="Marsh, L" sort="Marsh, L" uniqKey="Marsh L" first="L" last="Marsh">L. Marsh</name>
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<region type="state">Maryland</region>
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<nlm:aff id="A21"> Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</nlm:aff>
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<wicri:regionArea> Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea>
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<region type="state">Maryland</region>
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<nlm:aff id="A22"> Department of Neurology and Neurological Sciences Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Neurology and Neurological Sciences Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea>
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<author>
<name sortKey="Hiner, B" sort="Hiner, B" uniqKey="Hiner B" first="B" last="Hiner">B. Hiner</name>
<affiliation>
<nlm:aff id="A23"> Medical College of Wisconsin, Milwaukee, Wisconsin USA</nlm:aff>
<wicri:noCountry code="subfield">Wisconsin USA</wicri:noCountry>
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<nlm:aff id="A24"> Department of Neurology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA</nlm:aff>
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<affiliation wicri:level="2">
<nlm:aff id="A17"> Parkinson’s Disease and Movement Disorders Center of NeuroHealth, Warwick, Rhode Island</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Rhode Island</region>
</placeName>
<wicri:cityArea> Parkinson’s Disease and Movement Disorders Center of NeuroHealth, Warwick</wicri:cityArea>
</affiliation>
<affiliation>
<nlm:aff id="A18"> Department of Clinical Neurosciences, The Warren Alpert School of Medicine of Brown University, Providence, Rhode Island. USA</nlm:aff>
<wicri:noCountry code="subfield">Rhode Island. USA</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Pfeiffer, R" sort="Pfeiffer, R" uniqKey="Pfeiffer R" first="R" last="Pfeiffer">R. Pfeiffer</name>
<affiliation wicri:level="2">
<nlm:aff id="A19"> Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee</wicri:regionArea>
<placeName>
<region type="state">Tennessee</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Marsh, L" sort="Marsh, L" uniqKey="Marsh L" first="L" last="Marsh">L. Marsh</name>
<affiliation wicri:level="2">
<nlm:aff id="A20"> Morris K. Udall Parkinson’s Disease Research Center of Excellence, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Morris K. Udall Parkinson’s Disease Research Center of Excellence, Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea>
<placeName>
<region type="state">Maryland</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A21"> Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea>
<placeName>
<region type="state">Maryland</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A22"> Department of Neurology and Neurological Sciences Johns Hopkins University School of Medicine, Baltimore, Maryland, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Neurology and Neurological Sciences Johns Hopkins University School of Medicine, Baltimore, Maryland</wicri:regionArea>
<placeName>
<region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Hiner, B" sort="Hiner, B" uniqKey="Hiner B" first="B" last="Hiner">B. Hiner</name>
<affiliation>
<nlm:aff id="A23"> Medical College of Wisconsin, Milwaukee, Wisconsin USA</nlm:aff>
<wicri:noCountry code="subfield">Wisconsin USA</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Siderowf, A" sort="Siderowf, A" uniqKey="Siderowf A" first="A" last="Siderowf">A. Siderowf</name>
<affiliation wicri:level="2">
<nlm:aff id="A24"> Department of Neurology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Neurology, University of Pennsylvania Health System, Philadelphia, Pennsylvania</wicri:regionArea>
<placeName>
<region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Caccappolo, E" sort="Caccappolo, E" uniqKey="Caccappolo E" first="E" last="Caccappolo">E. Caccappolo</name>
<affiliation wicri:level="2">
<nlm:aff id="A1"> Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A2"> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Ottman, R" sort="Ottman, R" uniqKey="Ottman R" first="R" last="Ottman">R. Ottman</name>
<affiliation wicri:level="2">
<nlm:aff id="A1"> Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A3"> Gertrude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Gertrude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A4"> Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Clark, Ln" sort="Clark, Ln" uniqKey="Clark L" first="Ln" last="Clark">Ln Clark</name>
<affiliation wicri:level="2">
<nlm:aff id="A2"> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A25"> Department of Pathology and Cell Biology, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Pathology and Cell Biology, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A26"> Center for Human Genetics, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Center for Human Genetics, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Marder, K" sort="Marder, K" uniqKey="Marder K" first="K" last="Marder">K. Marder</name>
<affiliation wicri:level="2">
<nlm:aff id="A1"> Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A2"> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A3"> Gertrude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Gertrude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="A27"> Department of Psychiatry, Columbia University Medical Center, NYC, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea> Department of Psychiatry, Columbia University Medical Center, NYC, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Archives of neurology</title>
<idno type="ISSN">0003-9942</idno>
<idno type="e-ISSN">1538-3687</idno>
<imprint>
<date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objective</title>
<p id="P1">To determine the motor phenotype of
<italic>LRRK2</italic>
G2019S mutation carriers</p>
</sec>
<sec id="S2">
<title>Background</title>
<p id="P2">
<italic>LRRK2</italic>
mutation carriers were previously reported to manifest the tremor-dominant (TD) motor phenotype, which has been associated with slower motor progression and less cognitive impairment compared to the postural instability gait difficulty (PIGD) phenotype.</p>
</sec>
<sec id="S3">
<title>Design</title>
<p id="P3">Cross sectional observational study</p>
</sec>
<sec id="S4">
<title>Setting</title>
<p id="P4">13 movement disorders centers</p>
</sec>
<sec id="S5">
<title>Participants</title>
<p id="P5">925 Early Onset Parkinson Disease (EOPD) cases defined as age at onset (AAO) ≤50.</p>
</sec>
<sec id="S6">
<title>Main Outcome Measures</title>
<p id="P6">
<italic>LRRK2</italic>
mutation status and PD motor phenotype: TD or PIGD</p>
</sec>
<sec sec-type="methods" id="S7">
<title>Methods</title>
<p id="P7">Demographic information, family history of PD (FHPD), and the Unified Parkinson Disease Rating Scale (UPDRS) were collected on all participants. DNA samples were genotyped for
<italic>LRRK2</italic>
mutations (G2019S, I2020T, R1441C and Y1699C). Logistic regression was used to examine associations of G2019S mutation status with motor phenotype adjusting for disease duration, Ashkenazi Jewish (AJ) ancestry, levodopa dose, and FHPD.</p>
</sec>
<sec id="S8">
<title>Results</title>
<p id="P8">34 cases (3.7%) (14 previously reported) were G2019S carriers. No other mutations were found. Carriers were more likely to be AJ (55.9% vs. 11.9% p<0.001), but did not significantly differ in any other demographic or disease characteristics. Carriers had a lower tremor score (p=0.026) and were more likely to have a PIGD phenotype (92.3% vs. 58.9% p=0.003). The association of the G2019S mutation with PIGD phenotype remained after controlling for disease duration and AJ (OR= 17.7, p< 0.001).</p>
</sec>
<sec id="S9">
<title>Conclusion</title>
<p id="P9">EOPD G2019S
<italic>LRRK2</italic>
carriers are more likely to manifest the PIGD phenotype, which may have implications for disease course.</p>
</sec>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Californie</li>
<li>Floride</li>
<li>Illinois</li>
<li>Maryland</li>
<li>Minnesota</li>
<li>Pennsylvanie</li>
<li>Rhode Island</li>
<li>Tennessee</li>
<li>Wisconsin</li>
<li>État de New York</li>
</region>
</list>
<tree>
<noCountry>
<name sortKey="Hiner, B" sort="Hiner, B" uniqKey="Hiner B" first="B" last="Hiner">B. Hiner</name>
</noCountry>
<country name="États-Unis">
<region name="État de New York">
<name sortKey="Alcalay, Rn" sort="Alcalay, Rn" uniqKey="Alcalay R" first="Rn" last="Alcalay">Rn Alcalay</name>
</region>
<name sortKey="Andrews, H" sort="Andrews, H" uniqKey="Andrews H" first="H" last="Andrews">H. Andrews</name>
<name sortKey="Bressman, S" sort="Bressman, S" uniqKey="Bressman S" first="S" last="Bressman">S. Bressman</name>
<name sortKey="Bressman, S" sort="Bressman, S" uniqKey="Bressman S" first="S" last="Bressman">S. Bressman</name>
<name sortKey="Caccappolo, E" sort="Caccappolo, E" uniqKey="Caccappolo E" first="E" last="Caccappolo">E. Caccappolo</name>
<name sortKey="Caccappolo, E" sort="Caccappolo, E" uniqKey="Caccappolo E" first="E" last="Caccappolo">E. Caccappolo</name>
<name sortKey="Clark, Ln" sort="Clark, Ln" uniqKey="Clark L" first="Ln" last="Clark">Ln Clark</name>
<name sortKey="Clark, Ln" sort="Clark, Ln" uniqKey="Clark L" first="Ln" last="Clark">Ln Clark</name>
<name sortKey="Clark, Ln" sort="Clark, Ln" uniqKey="Clark L" first="Ln" last="Clark">Ln Clark</name>
<name sortKey="Colcher, A" sort="Colcher, A" uniqKey="Colcher A" first="A" last="Colcher">A. Colcher</name>
<name sortKey="Comella, C" sort="Comella, C" uniqKey="Comella C" first="C" last="Comella">C. Comella</name>
<name sortKey="Cote, L" sort="Cote, L" uniqKey="Cote L" first="L" last="Cote">L. Cote</name>
<name sortKey="Fahn, S" sort="Fahn, S" uniqKey="Fahn S" first="S" last="Fahn">S. Fahn</name>
<name sortKey="Ford, B" sort="Ford, B" uniqKey="Ford B" first="B" last="Ford">B. Ford</name>
<name sortKey="Friedman, Jh" sort="Friedman, Jh" uniqKey="Friedman J" first="Jh" last="Friedman">Jh Friedman</name>
<name sortKey="Frucht, S" sort="Frucht, S" uniqKey="Frucht S" first="S" last="Frucht">S. Frucht</name>
<name sortKey="Jennings, D" sort="Jennings, D" uniqKey="Jennings D" first="D" last="Jennings">D. Jennings</name>
<name sortKey="Kisselev, S" sort="Kisselev, S" uniqKey="Kisselev S" first="S" last="Kisselev">S. Kisselev</name>
<name sortKey="Louis, Ed" sort="Louis, Ed" uniqKey="Louis E" first="Ed" last="Louis">Ed Louis</name>
<name sortKey="Louis, Ed" sort="Louis, Ed" uniqKey="Louis E" first="Ed" last="Louis">Ed Louis</name>
<name sortKey="Louis, Ed" sort="Louis, Ed" uniqKey="Louis E" first="Ed" last="Louis">Ed Louis</name>
<name sortKey="Louis, Ed" sort="Louis, Ed" uniqKey="Louis E" first="Ed" last="Louis">Ed Louis</name>
<name sortKey="Marder, K" sort="Marder, K" uniqKey="Marder K" first="K" last="Marder">K. Marder</name>
<name sortKey="Marder, K" sort="Marder, K" uniqKey="Marder K" first="K" last="Marder">K. Marder</name>
<name sortKey="Marder, K" sort="Marder, K" uniqKey="Marder K" first="K" last="Marder">K. Marder</name>
<name sortKey="Marder, K" sort="Marder, K" uniqKey="Marder K" first="K" last="Marder">K. Marder</name>
<name sortKey="Marsh, L" sort="Marsh, L" uniqKey="Marsh L" first="L" last="Marsh">L. Marsh</name>
<name sortKey="Marsh, L" sort="Marsh, L" uniqKey="Marsh L" first="L" last="Marsh">L. Marsh</name>
<name sortKey="Marsh, L" sort="Marsh, L" uniqKey="Marsh L" first="L" last="Marsh">L. Marsh</name>
<name sortKey="Mejia Santana, H" sort="Mejia Santana, H" uniqKey="Mejia Santana H" first="H" last="Mejia">H. Mejia</name>
<name sortKey="Mickel, S" sort="Mickel, S" uniqKey="Mickel S" first="S" last="Mickel">S. Mickel</name>
<name sortKey="Nance, M" sort="Nance, M" uniqKey="Nance M" first="M" last="Nance">M. Nance</name>
<name sortKey="Novak, K" sort="Novak, K" uniqKey="Novak K" first="K" last="Novak">K. Novak</name>
<name sortKey="Novak, K" sort="Novak, K" uniqKey="Novak K" first="K" last="Novak">K. Novak</name>
<name sortKey="Ottman, R" sort="Ottman, R" uniqKey="Ottman R" first="R" last="Ottman">R. Ottman</name>
<name sortKey="Ottman, R" sort="Ottman, R" uniqKey="Ottman R" first="R" last="Ottman">R. Ottman</name>
<name sortKey="Ottman, R" sort="Ottman, R" uniqKey="Ottman R" first="R" last="Ottman">R. Ottman</name>
<name sortKey="Pfeiffer, R" sort="Pfeiffer, R" uniqKey="Pfeiffer R" first="R" last="Pfeiffer">R. Pfeiffer</name>
<name sortKey="Rezak, M" sort="Rezak, M" uniqKey="Rezak M" first="M" last="Rezak">M. Rezak</name>
<name sortKey="Rezak, M" sort="Rezak, M" uniqKey="Rezak M" first="M" last="Rezak">M. Rezak</name>
<name sortKey="Rosado, L" sort="Rosado, L" uniqKey="Rosado L" first="L" last="Rosado">L. Rosado</name>
<name sortKey="Ross, B" sort="Ross, B" uniqKey="Ross B" first="B" last="Ross">B. Ross</name>
<name sortKey="Scott, Wk" sort="Scott, Wk" uniqKey="Scott W" first="Wk" last="Scott">Wk Scott</name>
<name sortKey="Siderowf, A" sort="Siderowf, A" uniqKey="Siderowf A" first="A" last="Siderowf">A. Siderowf</name>
<name sortKey="Tang, M X" sort="Tang, M X" uniqKey="Tang M" first="M" last="Tang">M Tang</name>
<name sortKey="Tang, M X" sort="Tang, M X" uniqKey="Tang M" first="M" last="Tang">M Tang</name>
<name sortKey="Tanner, C" sort="Tanner, C" uniqKey="Tanner C" first="C" last="Tanner">C. Tanner</name>
<name sortKey="Verbitsky, M" sort="Verbitsky, M" uniqKey="Verbitsky M" first="M" last="Verbitsky">M. Verbitsky</name>
<name sortKey="Waters, C" sort="Waters, C" uniqKey="Waters C" first="C" last="Waters">C. Waters</name>
</country>
</tree>
</affiliations>
</record>

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