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1.
Cell Genom ; 2(7)2022 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-35873673

RESUMO

We assess contributions to autoimmune disease of genes whose regulation is driven by enhancer regions (enhancer-related) and genes that regulate other genes in trans (candidate master-regulator). We link these genes to SNPs using several SNP-to-gene (S2G) strategies and apply heritability analyses to draw three conclusions about 11 autoimmune/blood-related diseases/traits. First, several characterizations of enhancer-related genes using functional genomics data are informative for autoimmune disease heritability after conditioning on a broad set of regulatory annotations. Second, candidate master-regulator genes defined using trans-eQTL in blood are also conditionally informative for autoimmune disease heritability. Third, integrating enhancer-related and master-regulator gene sets with protein-protein interaction (PPI) network information magnified their disease signal. The resulting PPI-enhancer gene score produced >2-fold stronger heritability signal and >2-fold stronger enrichment for drug targets, compared with the recently proposed enhancer domain score. In each case, functionally informed S2G strategies produced 4.1- to 13-fold stronger disease signals than conventional window-based strategies.

2.
Nat Genet ; 52(12): 1355-1363, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33199916

RESUMO

Fine-mapping aims to identify causal variants impacting complex traits. We propose PolyFun, a computationally scalable framework to improve fine-mapping accuracy by leveraging functional annotations across the entire genome-not just genome-wide-significant loci-to specify prior probabilities for fine-mapping methods such as SuSiE or FINEMAP. In simulations, PolyFun + SuSiE and PolyFun + FINEMAP were well calibrated and identified >20% more variants with a posterior causal probability >0.95 than identified in their nonfunctionally informed counterparts. In analyses of 49 UK Biobank traits (average n = 318,000), PolyFun + SuSiE identified 3,025 fine-mapped variant-trait pairs with posterior causal probability >0.95, a >32% improvement versus SuSiE. We used posterior mean per-SNP heritabilities from PolyFun + SuSiE to perform polygenic localization, constructing minimal sets of common SNPs causally explaining 50% of common SNP heritability; these sets ranged in size from 28 (hair color) to 3,400 (height) to 2 million (number of children). In conclusion, PolyFun prioritizes variants for functional follow-up and provides insights into complex trait architectures.


Assuntos
Mapeamento Cromossômico/métodos , Biologia Computacional/métodos , Estudo de Associação Genômica Ampla/métodos , Herança Multifatorial/genética , Genoma Humano/genética , Humanos , Fenótipo , Polimorfismo de Nucleotídeo Único/genética , Locos de Características Quantitativas/genética
3.
Nat Commun ; 11(1): 4703, 2020 09 17.
Artigo em Inglês | MEDLINE | ID: mdl-32943643

RESUMO

Deep learning models have shown great promise in predicting regulatory effects from DNA sequence, but their informativeness for human complex diseases is not fully understood. Here, we evaluate genome-wide SNP annotations from two previous deep learning models, DeepSEA and Basenji, by applying stratified LD score regression to 41 diseases and traits (average N = 320K), conditioning on a broad set of coding, conserved and regulatory annotations. We aggregated annotations across all (respectively blood or brain) tissues/cell-types in meta-analyses across all (respectively 11 blood or 8 brain) traits. The annotations were highly enriched for disease heritability, but produced only limited conditionally significant results: non-tissue-specific and brain-specific Basenji-H3K4me3 for all traits and brain traits respectively. We conclude that deep learning models have yet to achieve their full potential to provide considerable unique information for complex disease, and that their conditional informativeness for disease cannot be inferred from their accuracy in predicting regulatory annotations.


Assuntos
Aprendizado Profundo , Doença/genética , Anotação de Sequência Molecular , Alelos , Predisposição Genética para Doença , Genoma Humano , Estudo de Associação Genômica Ampla , Histonas/genética , Humanos , Desequilíbrio de Ligação , Modelos Genéticos , Fenótipo , Polimorfismo de Nucleotídeo Único
4.
Hum Mol Genet ; 29(7): 1057-1067, 2020 05 08.
Artigo em Inglês | MEDLINE | ID: mdl-31595288

RESUMO

Regulatory variation plays a major role in complex disease and that cell type-specific binding of transcription factors (TF) is critical to gene regulation. However, assessing the contribution of genetic variation in TF-binding sites to disease heritability is challenging, as binding is often cell type-specific and annotations from directly measured TF binding are not currently available for most cell type-TF pairs. We investigate approaches to annotate TF binding, including directly measured chromatin data and sequence-based predictions. We find that TF-binding annotations constructed by intersecting sequence-based TF-binding predictions with cell type-specific chromatin data explain a large fraction of heritability across a broad set of diseases and corresponding cell types; this strategy of constructing annotations addresses both the limitation that identical sequences may be bound or unbound depending on surrounding chromatin context and the limitation that sequence-based predictions are generally not cell type-specific. We partitioned the heritability of 49 diseases and complex traits using stratified linkage disequilibrium (LD) score regression with the baseline-LD model (which is not cell type-specific) plus the new annotations. We determined that 100 bp windows around MotifMap sequenced-based TF-binding predictions intersected with a union of six cell type-specific chromatin marks (imputed using ChromImpute) performed best, with an 58% increase in heritability enrichment compared to the chromatin marks alone (11.6× vs. 7.3×, P = 9 × 10-14 for difference) and a 20% increase in cell type-specific signal conditional on annotations from the baseline-LD model (P = 8 × 10-11 for difference). Our results show that TF-binding annotations explain substantial disease heritability and can help refine genome-wide association signals.


Assuntos
Cromatina/genética , Doenças Genéticas Inatas/genética , Anotação de Sequência Molecular , Fatores de Transcrição/genética , Sítios de Ligação/genética , Biologia Computacional , Regulação da Expressão Gênica/genética , Doenças Genéticas Inatas/classificação , Doenças Genéticas Inatas/patologia , Humanos , Desequilíbrio de Ligação/genética , Herança Multifatorial/genética , Polimorfismo de Nucleotídeo Único/genética , Ligação Proteica/genética
6.
Nat Commun ; 10(1): 4054, 2019 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-31492842

RESUMO

Transposable elements (TE) comprise roughly half of the human genome. Though initially derided as junk DNA, they have been widely hypothesized to contribute to the evolution of gene regulation. However, the contribution of TE to the genetic architecture of diseases remains unknown. Here, we analyze data from 41 independent diseases and complex traits to draw three conclusions. First, TE are uniquely informative for disease heritability. Despite overall depletion for heritability (54% of SNPs, 39 ± 2% of heritability), TE explain substantially more heritability than expected based on their depletion for known functional annotations. This implies that TE acquire function in ways that differ from known functional annotations. Second, older TE contribute more to disease heritability, consistent with acquiring biological function. Third, Short Interspersed Nuclear Elements (SINE) are far more enriched for blood traits than for other traits. Our results can help elucidate the biological roles that TE play in the genetic architecture of diseases.


Assuntos
Elementos de DNA Transponíveis/genética , Doença/genética , Regulação da Expressão Gênica , Genoma Humano/genética , Padrões de Herança/genética , Retroelementos/genética , Algoritmos , Doenças Autoimunes/sangue , Doenças Autoimunes/genética , Encefalopatias/sangue , Encefalopatias/genética , Evolução Molecular , Humanos , Polimorfismo de Nucleotídeo Único , Locos de Características Quantitativas/genética , Elementos Nucleotídeos Curtos e Dispersos/genética
7.
Am J Hum Genet ; 104(5): 896-913, 2019 05 02.
Artigo em Inglês | MEDLINE | ID: mdl-31051114

RESUMO

Recent studies have highlighted the role of gene networks in disease biology. To formally assess this, we constructed a broad set of pathway, network, and pathway+network annotations and applied stratified LD score regression to 42 diseases and complex traits (average N = 323K) to identify enriched annotations. First, we analyzed 18,119 biological pathways. We identified 156 pathway-trait pairs whose disease enrichment was statistically significant (FDR < 5%) after conditioning on all genes and 75 known functional annotations (from the baseline-LD model), a stringent step that greatly reduced the number of pathways detected; most significant pathway-trait pairs were previously unreported. Next, for each of four published gene networks, we constructed probabilistic annotations based on network connectivity. For each gene network, the network connectivity annotation was strongly significantly enriched. Surprisingly, the enrichments were fully explained by excess overlap between network annotations and regulatory annotations from the baseline-LD model, validating the informativeness of the baseline-LD model and emphasizing the importance of accounting for regulatory annotations in gene network analyses. Finally, for each of the 156 enriched pathway-trait pairs, for each of the four gene networks, we constructed pathway+network annotations by annotating genes with high network connectivity to the input pathway. For each gene network, these pathway+network annotations were strongly significantly enriched for the corresponding traits. Once again, the enrichments were largely explained by the baseline-LD model. In conclusion, gene network connectivity is highly informative for disease architectures, but the information in gene networks may be subsumed by regulatory annotations, emphasizing the importance of accounting for known annotations.


Assuntos
Biologia Computacional/métodos , Redes Reguladoras de Genes , Genes/genética , Doenças Genéticas Inatas/genética , Herança Multifatorial/genética , Polimorfismo de Nucleotídeo Único , Característica Quantitativa Herdável , Humanos , Anotação de Sequência Molecular , Fenótipo , Software
8.
Am J Hum Genet ; 104(5): 879-895, 2019 05 02.
Artigo em Inglês | MEDLINE | ID: mdl-31006511

RESUMO

Despite significant progress in annotating the genome with experimental methods, much of the regulatory noncoding genome remains poorly defined. Here we assert that regulatory elements may be characterized by leveraging local epigenomic signatures where specific transcription factors (TFs) are bound. To link these two features, we introduce IMPACT, a genome annotation strategy that identifies regulatory elements defined by cell-state-specific TF binding profiles, learned from 515 chromatin and sequence annotations. We validate IMPACT using multiple compelling applications. First, IMPACT distinguishes between bound and unbound TF motif sites with high accuracy (average AUPRC 0.81, SE 0.07; across 8 tested TFs) and outperforms state-of-the-art TF binding prediction methods, MocapG, MocapS, and Virtual ChIP-seq. Second, in eight tested cell types, RNA polymerase II IMPACT annotations capture more cis-eQTL variation than sequence-based annotations, such as promoters and TSS windows (25% average increase in enrichment). Third, integration with rheumatoid arthritis (RA) summary statistics from European (N = 38,242) and East Asian (N = 22,515) populations revealed that the top 5% of CD4+ Treg IMPACT regulatory elements capture 85.7% of RA h2, the most comprehensive explanation for RA h2 to date. In comparison, the average RA h2 captured by compared CD4+ T histone marks is 42.3% and by CD4+ T specifically expressed gene sets is 36.4%. Lastly, we find that IMPACT may be used in many different cell types to identify complex trait associated regulatory elements.


Assuntos
Artrite Reumatoide/metabolismo , Epigenoma , Epigenômica/métodos , Genoma Humano , Anotação de Sequência Molecular , Sequências Reguladoras de Ácido Nucleico , Fatores de Transcrição/metabolismo , Artrite Reumatoide/genética , Cromatina/genética , Cromatina/metabolismo , Biologia Computacional/métodos , Histonas/genética , Histonas/metabolismo , Humanos , Regiões Promotoras Genéticas , Ligação Proteica , Fatores de Transcrição/genética
9.
Am J Hum Genet ; 104(4): 611-624, 2019 04 04.
Artigo em Inglês | MEDLINE | ID: mdl-30905396

RESUMO

Regulatory elements, e.g., enhancers and promoters, have been widely reported to be enriched for disease and complex trait heritability. We investigated how this enrichment varies with the age of the underlying genome sequence, the conservation of regulatory function across species, and the target gene of the regulatory element. We estimated heritability enrichment by applying stratified LD score regression to summary statistics from 41 independent diseases and complex traits (average N = 320K) and meta-analyzing results across traits. Enrichment of human putative enhancers and promoters was larger in elements with older sequence age, assessed via alignment with other species irrespective of conserved functionality: putative enhancer elements with ancient sequence age (older than the split between marsupial and placental mammals) were 8.8× enriched (versus 2.5× for all putative enhancers; p = 3e-14), and promoter elements with ancient sequence age were 13.5× enriched (versus 5.1× for all promoters; p = 5e-16). Enrichment of human putative enhancers and promoters was also larger in elements whose regulatory function was conserved across species, e.g., human putative enhancers that were enhancers in ≥5 of 9 other mammals were 4.6× enriched (p = 5e-12 versus all putative enhancers). Enrichment of human promoters was larger in promoters of loss-of-function intolerant genes: 12.0× enrichment (p = 8e-15 versus all promoters). The mean value of several measures of negative selection within these genomic annotations mirrored all of these findings. Notably, the annotations with these excess heritability enrichments were jointly significant conditional on each other and on our baseline-LD model, which includes a broad set of coding, conserved, regulatory, and LD-related annotations.


Assuntos
Elementos Facilitadores Genéticos , Doenças Genéticas Inatas/genética , Regiões Promotoras Genéticas , Animais , Sequência Conservada , Estudo de Associação Genômica Ampla , Genômica , Humanos , Desequilíbrio de Ligação , Mamíferos/genética , Marsupiais/genética , Fenótipo , Polimorfismo de Nucleotídeo Único , Especificidade da Espécie
10.
Nat Genet ; 50(10): 1483-1493, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30177862

RESUMO

Biological interpretation of genome-wide association study data frequently involves assessing whether SNPs linked to a biological process, for example, binding of a transcription factor, show unsigned enrichment for disease signal. However, signed annotations quantifying whether each SNP allele promotes or hinders the biological process can enable stronger statements about disease mechanism. We introduce a method, signed linkage disequilibrium profile regression, for detecting genome-wide directional effects of signed functional annotations on disease risk. We validate the method via simulations and application to molecular quantitative trait loci in blood, recovering known transcriptional regulators. We apply the method to expression quantitative trait loci in 48 Genotype-Tissue Expression tissues, identifying 651 transcription factor-tissue associations including 30 with robust evidence of tissue specificity. We apply the method to 46 diseases and complex traits (average n = 290 K), identifying 77 annotation-trait associations representing 12 independent transcription factor-trait associations, and characterize the underlying transcriptional programs using gene-set enrichment analyses. Our results implicate new causal disease genes and new disease mechanisms.


Assuntos
Doença/genética , Estudo de Associação Genômica Ampla , Herança Multifatorial/genética , Locos de Características Quantitativas , Fatores de Transcrição/metabolismo , Sítios de Ligação/genética , Células Sanguíneas/metabolismo , Células Sanguíneas/patologia , Análise Química do Sangue , Regulação da Expressão Gênica , Predisposição Genética para Doença , Humanos , Desequilíbrio de Ligação , Fenótipo , Polimorfismo de Nucleotídeo Único , Ligação Proteica , Fatores de Risco
11.
Nat Genet ; 50(7): 1041-1047, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29942083

RESUMO

There is increasing evidence that many risk loci found using genome-wide association studies are molecular quantitative trait loci (QTLs). Here we introduce a new set of functional annotations based on causal posterior probabilities of fine-mapped molecular cis-QTLs, using data from the Genotype-Tissue Expression (GTEx) and BLUEPRINT consortia. We show that these annotations are more strongly enriched for heritability (5.84× for eQTLs; P = 1.19 × 10-31) across 41 diseases and complex traits than annotations containing all significant molecular QTLs (1.80× for expression (e)QTLs). eQTL annotations obtained by meta-analyzing all GTEx tissues generally performed best, whereas tissue-specific eQTL annotations produced stronger enrichments for blood- and brain-related diseases and traits. eQTL annotations restricted to loss-of-function intolerant genes were even more enriched for heritability (17.06×; P = 1.20 × 10-35). All molecular QTLs except splicing QTLs remained significantly enriched in joint analysis, indicating that each of these annotations is uniquely informative for disease and complex trait architectures.


Assuntos
Doença/genética , Herança Multifatorial , Locos de Características Quantitativas , Estudo de Associação Genômica Ampla/métodos , Humanos , Fenótipo , Polimorfismo de Nucleotídeo Único , Característica Quantitativa Herdável
12.
Science ; 352(6285): 600-4, 2016 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-27126046

RESUMO

Noncoding variants play a central role in the genetics of complex traits, but we still lack a full understanding of the molecular pathways through which they act. We quantified the contribution of cis-acting genetic effects at all major stages of gene regulation from chromatin to proteins, in Yoruba lymphoblastoid cell lines (LCLs). About ~65% of expression quantitative trait loci (eQTLs) have primary effects on chromatin, whereas the remaining eQTLs are enriched in transcribed regions. Using a novel method, we also detected 2893 splicing QTLs, most of which have little or no effect on gene-level expression. These splicing QTLs are major contributors to complex traits, roughly on a par with variants that affect gene expression levels. Our study provides a comprehensive view of the mechanisms linking genetic variation to variation in human gene regulation.


Assuntos
Regulação da Expressão Gênica , Variação Genética , Doenças do Sistema Imunitário/genética , Locos de Características Quantitativas , Splicing de RNA/genética , Linhagem Celular , Cromatina/metabolismo , Estudo de Associação Genômica Ampla , Humanos , Linfócitos/imunologia , Fenótipo , Polimorfismo de Nucleotídeo Único
13.
Nat Methods ; 12(11): 1061-3, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26366987

RESUMO

Allele-specific sequencing reads provide a powerful signal for identifying molecular quantitative trait loci (QTLs), but they are challenging to analyze and are prone to technical artifacts. Here we describe WASP, a suite of tools for unbiased allele-specific read mapping and discovery of molecular QTLs. Using simulated reads, RNA-seq reads and chromatin immunoprecipitation sequencing (ChIP-seq) reads, we demonstrate that WASP has a low error rate and is far more powerful than existing QTL-mapping approaches.


Assuntos
Biologia Computacional/métodos , Locos de Características Quantitativas , Análise de Sequência de RNA/métodos , Alelos , Artefatos , Imunoprecipitação da Cromatina , Genoma , Genótipo , Haplótipos , Heterozigoto , Humanos , Funções Verossimilhança , Reprodutibilidade dos Testes , Análise de Sequência de DNA , Software
14.
Mol Ecol ; 24(17): 4392-405, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26198179

RESUMO

Lemurs, the living primates most distantly related to humans, demonstrate incredible diversity in behaviour, life history patterns and adaptive traits. Although many lemur species are endangered within their native Madagascar, there is no high-quality genome assembly from this taxon, limiting population and conservation genetic studies. One critically endangered lemur is the blue-eyed black lemur Eulemur flavifrons. This species is fixed for blue irises, a convergent trait that evolved at least four times in primates and was subject to positive selection in humans, where 5' regulatory variation of OCA2 explains most of the brown/blue eye colour differences. We built a de novo genome assembly for E. flavifrons, providing the most complete lemur genome to date, and a high confidence consensus sequence for close sister species E. macaco, the (brown-eyed) black lemur. From diversity and divergence patterns across the genomes, we estimated a recent split time of the two species (160 Kya) and temporal fluctuations in effective population sizes that accord with known environmental changes. By looking for regions of unusually low diversity, we identified potential signals of directional selection in E. flavifrons at MITF, a melanocyte development gene that regulates OCA2 and has previously been associated with variation in human iris colour, as well as at several other genes involved in melanin biosynthesis in mammals. Our study thus illustrates how whole-genome sequencing of a few individuals can illuminate the demographic and selection history of nonmodel species.


Assuntos
Evolução Biológica , Cor de Olho/genética , Lemur/genética , Proteínas de Membrana Transportadoras/genética , Animais , Genética Populacional , Genoma , Madagáscar , Pigmentação/genética , Densidade Demográfica , Seleção Genética
15.
PLoS Genet ; 10(9): e1004663, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25233095

RESUMO

DNA methylation is an important epigenetic regulator of gene expression. Recent studies have revealed widespread associations between genetic variation and methylation levels. However, the mechanistic links between genetic variation and methylation remain unclear. To begin addressing this gap, we collected methylation data at ∼300,000 loci in lymphoblastoid cell lines (LCLs) from 64 HapMap Yoruba individuals, and genome-wide bisulfite sequence data in ten of these individuals. We identified (at an FDR of 10%) 13,915 cis methylation QTLs (meQTLs)-i.e., CpG sites in which changes in DNA methylation are associated with genetic variation at proximal loci. We found that meQTLs are frequently associated with changes in methylation at multiple CpGs across regions of up to 3 kb. Interestingly, meQTLs are also frequently associated with variation in other properties of gene regulation, including histone modifications, DNase I accessibility, chromatin accessibility, and expression levels of nearby genes. These observations suggest that genetic variants may lead to coordinated molecular changes in all of these regulatory phenotypes. One plausible driver of coordinated changes in different regulatory mechanisms is variation in transcription factor (TF) binding. Indeed, we found that SNPs that change predicted TF binding affinities are significantly enriched for associations with DNA methylation at nearby CpGs.


Assuntos
Metilação de DNA , Regulação da Expressão Gênica , Histonas/metabolismo , Locos de Características Quantitativas , Fatores de Transcrição/metabolismo , Sítios de Ligação , Linhagem Celular Transformada , Biologia Computacional , Estudo de Associação Genômica Ampla , Genômica/métodos , Genótipo , Humanos , Fenótipo , Polimorfismo de Nucleotídeo Único , Ligação Proteica
16.
Science ; 342(6159): 747-9, 2013 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-24136359

RESUMO

Histone modifications are important markers of function and chromatin state, yet the DNA sequence elements that direct them to specific genomic locations are poorly understood. Here, we identify hundreds of quantitative trait loci, genome-wide, that affect histone modification or RNA polymerase II (Pol II) occupancy in Yoruba lymphoblastoid cell lines (LCLs). In many cases, the same variant is associated with quantitative changes in multiple histone marks and Pol II, as well as in deoxyribonuclease I sensitivity and nucleosome positioning. Transcription factor binding site polymorphisms are correlated overall with differences in local histone modification, and we identify specific transcription factors whose binding leads to histone modification in LCLs. Furthermore, variants that affect chromatin at distal regulatory sites frequently also direct changes in chromatin and gene expression at associated promoters.


Assuntos
Regulação da Expressão Gênica , Variação Genética , Histonas/metabolismo , Processamento de Proteína Pós-Traducional/genética , RNA Polimerase II/metabolismo , Fatores de Transcrição/metabolismo , Sítios de Ligação/genética , Linhagem Celular Tumoral , Células/metabolismo , Cromatina/química , Cromatina/genética , Cromatina/metabolismo , Genoma Humano , Histonas/química , Histonas/genética , Humanos , Polimorfismo Genético , Regiões Promotoras Genéticas , Locos de Características Quantitativas , RNA Polimerase II/química , Fatores de Transcrição/genética
17.
BMC Public Health ; 12: 449, 2012 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-22713694

RESUMO

BACKGROUND: Around the globe, school closures were used sporadically to mitigate the 2009 H1N1 influenza pandemic. However, such closures can detrimentally impact economic and social life. METHODS: Here, we couple a decision analytic approach with a mathematical model of influenza transmission to estimate the impact of school closures in terms of epidemiological and cost effectiveness. Our method assumes that the transmissibility and the severity of the disease are uncertain, and evaluates several closure and reopening strategies that cover a range of thresholds in school-aged prevalence (SAP) and closure durations. RESULTS: Assuming a willingness to pay per quality adjusted life-year (QALY) threshold equal to the US per capita GDP ($46,000), we found that the cost effectiveness of these strategies is highly dependent on the severity and on a willingness to pay per QALY. For severe pandemics, the preferred strategy couples the earliest closure trigger (0.5% SAP) with the longest duration closure (24 weeks) considered. For milder pandemics, the preferred strategies also involve the earliest closure trigger, but are shorter duration (12 weeks for low transmission rates and variable length for high transmission rates). CONCLUSIONS: These findings highlight the importance of obtaining early estimates of pandemic severity and provide guidance to public health decision-makers for effectively tailoring school closures strategies in response to a newly emergent influenza pandemic.


Assuntos
Técnicas de Apoio para a Decisão , Política de Saúde/economia , Vírus da Influenza A Subtipo H1N1 , Influenza Humana/epidemiologia , Pandemias/prevenção & controle , Instituições Acadêmicas/organização & administração , Adolescente , Criança , Pré-Escolar , Simulação por Computador , Análise Custo-Benefício , Humanos , Influenza Humana/economia , Modelos Econômicos , Modelos Teóricos , Pandemias/economia , Instituições Acadêmicas/economia , Texas/epidemiologia , Adulto Jovem
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