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1.
Science ; 384(6691): 48-53, 2024 Apr 05.
Artículo en Inglés | MEDLINE | ID: mdl-38574139

RESUMEN

Understanding universal aspects of quantum dynamics is an unresolved problem in statistical mechanics. In particular, the spin dynamics of the one-dimensional Heisenberg model were conjectured as to belong to the Kardar-Parisi-Zhang (KPZ) universality class based on the scaling of the infinite-temperature spin-spin correlation function. In a chain of 46 superconducting qubits, we studied the probability distribution of the magnetization transferred across the chain's center, [Formula: see text]. The first two moments of [Formula: see text] show superdiffusive behavior, a hallmark of KPZ universality. However, the third and fourth moments ruled out the KPZ conjecture and allow for evaluating other theories. Our results highlight the importance of studying higher moments in determining dynamic universality classes and provide insights into universal behavior in quantum systems.

2.
Science ; 383(6689): 1332-1337, 2024 Mar 22.
Artículo en Inglés | MEDLINE | ID: mdl-38513021

RESUMEN

Engineered dissipative reservoirs have the potential to steer many-body quantum systems toward correlated steady states useful for quantum simulation of high-temperature superconductivity or quantum magnetism. Using up to 49 superconducting qubits, we prepared low-energy states of the transverse-field Ising model through coupling to dissipative auxiliary qubits. In one dimension, we observed long-range quantum correlations and a ground-state fidelity of 0.86 for 18 qubits at the critical point. In two dimensions, we found mutual information that extends beyond nearest neighbors. Lastly, by coupling the system to auxiliaries emulating reservoirs with different chemical potentials, we explored transport in the quantum Heisenberg model. Our results establish engineered dissipation as a scalable alternative to unitary evolution for preparing entangled many-body states on noisy quantum processors.

3.
Nat Commun ; 12(1): 7103, 2021 12 07.
Artículo en Inglés | MEDLINE | ID: mdl-34876554

RESUMEN

Viral infection triggers activation of the integrated stress response (ISR). In response to viral double-stranded RNA (dsRNA), RNA-activated protein kinase (PKR) phosphorylates the translation initiation factor eIF2, converting it from a translation initiator into a potent translation inhibitor and this restricts the synthesis of viral proteins. Phosphorylated eIF2 (eIF2-P) inhibits translation by binding to eIF2's dedicated, heterodecameric nucleotide exchange factor eIF2B and conformationally inactivating it. We show that the NSs protein of Sandfly Fever Sicilian virus (SFSV) allows the virus to evade the ISR. Mechanistically, NSs tightly binds to eIF2B (KD = 30 nM), blocks eIF2-P binding, and rescues eIF2B GEF activity. Cryo-EM structures demonstrate that SFSV NSs and eIF2-P directly compete, with the primary NSs contacts to eIF2Bα mediated by five 'aromatic fingers'. NSs binding preserves eIF2B activity by maintaining eIF2B's conformation in its active A-State.


Asunto(s)
Factor 2B Eucariótico de Iniciación/química , Factor 2B Eucariótico de Iniciación/metabolismo , Factor 2 Eucariótico de Iniciación/química , Factor 2 Eucariótico de Iniciación/metabolismo , Proteínas Virales/química , Proteínas Virales/metabolismo , Sitios de Unión , Microscopía por Crioelectrón , Humanos , Células K562 , Phlebovirus , Fosforilación , Unión Proteica , Virosis
4.
Cell ; 184(9): 2503-2519.e17, 2021 04 29.
Artículo en Inglés | MEDLINE | ID: mdl-33838111

RESUMEN

A general approach for heritably altering gene expression has the potential to enable many discovery and therapeutic efforts. Here, we present CRISPRoff-a programmable epigenetic memory writer consisting of a single dead Cas9 fusion protein that establishes DNA methylation and repressive histone modifications. Transient CRISPRoff expression initiates highly specific DNA methylation and gene repression that is maintained through cell division and differentiation of stem cells to neurons. Pairing CRISPRoff with genome-wide screens and analysis of chromatin marks establishes rules for heritable gene silencing. We identify single guide RNAs (sgRNAs) capable of silencing the large majority of genes including those lacking canonical CpG islands (CGIs) and reveal a wide targeting window extending beyond annotated CGIs. The broad ability of CRISPRoff to initiate heritable gene silencing even outside of CGIs expands the canonical model of methylation-based silencing and enables diverse applications including genome-wide screens, multiplexed cell engineering, enhancer silencing, and mechanistic exploration of epigenetic inheritance.


Asunto(s)
Sistemas CRISPR-Cas , Reprogramación Celular , Epigénesis Genética , Epigenoma , Edición Génica , Células Madre Pluripotentes Inducidas/citología , Neuronas/citología , Diferenciación Celular , Islas de CpG , Metilación de ADN , Silenciador del Gen , Código de Histonas , Humanos , Células Madre Pluripotentes Inducidas/metabolismo , Neuronas/metabolismo , Procesamiento Proteico-Postraduccional
5.
Mol Cell ; 79(6): 950-962.e6, 2020 09 17.
Artículo en Inglés | MEDLINE | ID: mdl-32726578

RESUMEN

Ribosome-associated quality control (RQC) pathways protect cells from toxicity caused by incomplete protein products resulting from translation of damaged or problematic mRNAs. Extensive work in yeast has identified highly conserved mechanisms that lead to degradation of faulty mRNA and partially synthesized polypeptides. Here we used CRISPR-Cas9-based screening to search for additional RQC strategies in mammals. We found that failed translation leads to specific inhibition of translation initiation on that message. This negative feedback loop is mediated by two translation inhibitors, GIGYF2 and 4EHP. Model substrates and growth-based assays established that inhibition of additional rounds of translation acts in concert with known RQC pathways to prevent buildup of toxic proteins. Inability to block translation of faulty mRNAs and subsequent accumulation of partially synthesized polypeptides could explain the neurodevelopmental and neuropsychiatric disorders observed in mice and humans with compromised GIGYF2 function.


Asunto(s)
Proteínas Portadoras/genética , Factor 4E Eucariótico de Iniciación/genética , Iniciación de la Cadena Peptídica Traduccional , Ribosomas/genética , Animales , Sistemas CRISPR-Cas/genética , Humanos , Ratones , Biosíntesis de Proteínas/genética , Procesamiento Proteico-Postraduccional/genética , Control de Calidad , ARN Mensajero/genética , Ubiquitina-Proteína Ligasas/genética
6.
Nat Biotechnol ; 38(8): 954-961, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32231336

RESUMEN

Single-cell CRISPR screens enable the exploration of mammalian gene function and genetic regulatory networks. However, use of this technology has been limited by reliance on indirect indexing of single-guide RNAs (sgRNAs). Here we present direct-capture Perturb-seq, a versatile screening approach in which expressed sgRNAs are sequenced alongside single-cell transcriptomes. Direct-capture Perturb-seq enables detection of multiple distinct sgRNA sequences from individual cells and thus allows pooled single-cell CRISPR screens to be easily paired with combinatorial perturbation libraries that contain dual-guide expression vectors. We demonstrate the utility of this approach for high-throughput investigations of genetic interactions and, leveraging this ability, dissect epistatic interactions between cholesterol biogenesis and DNA repair. Using direct capture Perturb-seq, we also show that targeting individual genes with multiple sgRNAs per cell improves efficacy of CRISPR interference and activation, facilitating the use of compact, highly active CRISPR libraries for single-cell screens. Last, we show that hybridization-based target enrichment permits sensitive, specific sequencing of informative transcripts from single-cell RNA-seq experiments.


Asunto(s)
Sistemas CRISPR-Cas , Técnicas de Amplificación de Ácido Nucleico/métodos , ARN Guía de Kinetoplastida/genética , Regulación de la Expresión Génica , Marcación de Gen , Células HEK293 , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Análisis de la Célula Individual , Transcriptoma
7.
Science ; 367(6482): 1140-1146, 2020 03 06.
Artículo en Inglés | MEDLINE | ID: mdl-32139545

RESUMEN

Ribosome profiling has revealed pervasive but largely uncharacterized translation outside of canonical coding sequences (CDSs). In this work, we exploit a systematic CRISPR-based screening strategy to identify hundreds of noncanonical CDSs that are essential for cellular growth and whose disruption elicits specific, robust transcriptomic and phenotypic changes in human cells. Functional characterization of the encoded microproteins reveals distinct cellular localizations, specific protein binding partners, and hundreds of microproteins that are presented by the human leukocyte antigen system. We find multiple microproteins encoded in upstream open reading frames, which form stable complexes with the main, canonical protein encoded on the same messenger RNA, thereby revealing the use of functional bicistronic operons in mammals. Together, our results point to a family of functional human microproteins that play critical and diverse cellular roles.


Asunto(s)
Sistemas de Lectura Abierta , Péptidos/genética , Biosíntesis de Proteínas/genética , ARN Mensajero , Sistemas CRISPR-Cas , Humanos , Operón , ARN Mensajero/genética , ARN Mensajero/metabolismo , Ribosomas/metabolismo , Transcriptoma
8.
Clin Genet ; 77(3): 280-6, 2010 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-20095988

RESUMEN

Bone morphogenetic protein receptor type 2 (BMPR2) gene mutations are a major risk factor for heritable pulmonary arterial hypertension (HPAH), an autosomal dominant fatal disease. We have previously shown that BMPR2 transcripts that contain premature termination codon (PTC) mutations are rapidly and nearly completely degraded through nonsense mediated decay (NMD). Here we report a unique PTC mutation (W13X) that did not behave in the predicted manner. We found that patient-derived cultured lymphocytes (CLs) contained readily detectable levels of the PTC-containing transcript. Further analysis suggested that this transcript escaped NMD by translational re-initiation at a downstream Kozak sequence, resulting in the omission of 173 amino acids. Treatment of CLs containing the PTC with an aminoglycoside decreased the truncated protein levels, with a reciprocal increase in full-length BMPR2 protein and, importantly, BMPR-II signaling. This is the first demonstration of aminoglycoside-mediated 'repair' of a BMPR2 mutation at the protein level in patient-derived cells and has obvious implications for treatment of HPAH where no disease-specific treatment options are available. Our data also suggest the need for a more thorough characterization of mutations prior to labeling them as haploinsufficient or dominant negative based simply on sequencing data.


Asunto(s)
Receptores de Proteínas Morfogenéticas Óseas de Tipo II/genética , Codón sin Sentido , Hipertensión Pulmonar/genética , Mutación , Aminoglicósidos/uso terapéutico , Femenino , Humanos , Hipertensión Pulmonar/tratamiento farmacológico , Linfocitos , Masculino , Linaje
9.
Eur Respir J ; 34(5): 1093-9, 2009 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-19357154

RESUMEN

Mutations in bone morphogenetic protein receptor type 2 (BMPR2) cause familial pulmonary arterial hypertension (FPAH), but the penetrance is reduced and females are significantly overrepresented. In addition, gene expression data implicating the oestrogen-metabolising enzyme CYP1B1 suggests a detrimental role of oestrogens or oestrogen metabolites. We examined genetic and metabolic markers of altered oestrogen metabolism in subjects with a BMPR2 mutation. Genotypes for CYP1B1 Asn453Ser (N453S) were determined for 140 BMPR2 mutation carriers (86 females and 54 males). Nested from those subjects, a case-control study of urinary oestrogen metabolite levels (2-hydroxyoestrogen (2-OHE) and 16alpha-hydroxyoestrone (16alpha-OHE(1))) was conducted in females (five affected mutation carriers versus six unaffected mutation carriers). Among females, there was four-fold higher penetrance among subjects homozygous for the wild-type genotype (N/N) than those with N/S or S/S genotypes (p = 0.005). Consistent with this finding, the 2-OHE/16alpha-OHE(1) ratio was 2.3-fold lower in affected mutation carriers compared to unaffected mutation carriers (p = 0.006). Our findings suggest that variations in oestrogens and oestrogen metabolism modify FPAH risk. Further investigation of the role of oestrogens in this disease with profound sex bias may yield new insights and, perhaps, therapeutic interventions.


Asunto(s)
Receptores de Proteínas Morfogenéticas Óseas de Tipo II/genética , Estrógenos/metabolismo , Hipertensión/diagnóstico , Hipertensión/epidemiología , Arteria Pulmonar/fisiopatología , Adulto , Anciano , Receptores de Proteínas Morfogenéticas Óseas de Tipo II/metabolismo , Estudios de Casos y Controles , Estudios de Cohortes , Femenino , Genotipo , Heterocigoto , Humanos , Hipertensión/metabolismo , Masculino , Persona de Mediana Edad , Mutación , Polimorfismo Genético , Factores Sexuales
10.
Neurotoxicol Teratol ; 23(2): 147-56, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11348832

RESUMEN

Effects of gestational exposure to all-trans retinoic acid (RA) were assessed in the Long-Evans (hooded) and Sprague-Dawley (albino) rat strains. Two exposure periods were evaluated against vehicle controls. Both involved three consecutive daily per os doses of either 2.5 mg/kg RA on gestational days (GD) 11 through 13 or 10 mg/kg RA on GD 14 through 16. All assessments were conducted on at least one male and one female per litter. Substantial main effects of sex, strain and treatment were obtained, but with few significant interactions. Main effects of strain were found on surface righting, neonatal mortality, litter weight and postnatal day (PND) 35 regional brain weight. Among strain effects, the most interesting was the finding that weights of whole brain, frontal cortex, brainstem and cerebellar vermis were lower in hooded than in albino rats. These strain effects seldom interacted with treatment. Among the treatment effects was the finding that GD 11-13 but not GD 14-16 RA exposure impaired the righting reflex in both strains. Moreover, GD 11-13 exposure reduced weight of the cerebellar vermis more than did GD 14-16 RA exposure, while GD 14-16 RA exposure had greater impact on the weight of the cerebellar hemispheres than did GD 11-13 exposure. Covariate analysis suggested that these effects were independent of reductions in body weight. It is concluded that there are few strain or sex differences in the effects of gestational RA exposure, at least for the rat strains evaluated in this study.


Asunto(s)
Tretinoina/toxicidad , Animales , Animales Recién Nacidos , Peso Corporal/efectos de los fármacos , Encéfalo/efectos de los fármacos , Encéfalo/crecimiento & desarrollo , Femenino , Tamaño de los Órganos/efectos de los fármacos , Equilibrio Postural/efectos de los fármacos , Embarazo , Resultado del Embarazo , Ratas , Ratas Long-Evans , Ratas Sprague-Dawley , Caracteres Sexuales , Especificidad de la Especie , Factores de Tiempo
11.
J Clin Endocrinol Metab ; 85(1): 390-7, 2000 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10634415

RESUMEN

The Prophet of Pit-1 gene (PROP1) encodes a paired-like homeodomain protein, which is expressed early in pituitary gland development. When mutated, it is responsible for combined pituitary hormone deficiency (CPHD) in humans, as well as in Ames dwarf mice (df/df). Several independent mutations in the homeodomain of PROP1 have been identified as causative for the human CPHD phenotype, which has been characterized, thus far, as absence or low levels of GH, PRL, TSH, LH, and FSH. Here, we report 10 CPHD cases, 9 of which were born to consanguineous marriages occurring in a large family living in an isolated area in the Southeast of Brazil. All affected patients present complete absence of puberty and low GH, PRL, TSH, LH, and FSH associated with severe hypoplasia of the pituitary gland, as seen by MRI. All 3 exons of the PROP1 genes of these patients were sequenced. The 301-302delAG frameshift mutation was found in both alleles of each affected case. Surprisingly, we observed ACTH/cortisol insufficiency associated with the PROP1 phenotype. The patients' ages varied between 8 and 67 yr, and cortisol response impairment was identified in 5 of 6 of the older patients and in an 11-yr-old patient. Previous studies have not fully characterized patients at advanced ages, leading us to conclude that the phenotype of this PROP1 mutation includes late-onset adrenal insufficiency. We present an extensive clinical analysis of all of these patients. The presence of ACTH/cortisol deficiency in this family bearing the PROP1 301-302delAG mutation indicates the importance of a complete endocrine characterization and of life-long monitoring of PROP1 patients.


Asunto(s)
Hormona Adrenocorticotrópica/deficiencia , Proteínas de Homeodominio/genética , Hormonas Hipofisarias/deficiencia , Sistema Hipófiso-Suprarrenal/fisiopatología , Eliminación de Secuencia/genética , Factores de Transcripción/genética , Adulto , Anciano , ADN/análisis , ADN/genética , Femenino , Hormona Liberadora de Gonadotropina , Hormona de Crecimiento Humana/sangre , Hormona de Crecimiento Humana/deficiencia , Humanos , Hidrocortisona/deficiencia , Hipoglucemiantes , Insulina , Factor I del Crecimiento Similar a la Insulina/metabolismo , Hormona Luteinizante/sangre , Hormona Luteinizante/deficiencia , Masculino , Persona de Mediana Edad , Linaje , Hipófisis/patología , Hormonas Hipofisarias/sangre , Pruebas de Función Adreno-Hipofisaria , Maduración Sexual/fisiología
12.
Eat Disord ; 8(4): 353-4, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-27177306
13.
Ann Health Law ; 9: 125-54, inside cover, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11430218

RESUMEN

Mr. Cogan and Mr. Johnson discuss the judicial review provisions of the Medicare Act, codified at 42 U.S.C. section 405(g) and (h), and the Supreme Court cases including Illinois Council that interpret the scope of the "arising under" language. They also examine the history of section 205(h) of the Social Security Act, including the most recent amendment contained in the Deficit Reduction Act of 1984. The relationship between 205(h), DEFRA, and section 405(h) is explored as well as the caselaw addressing and applying section 405(h) in light of Congress' 1984 amendments.


Asunto(s)
Revisión de Utilización de Seguros/legislación & jurisprudencia , Reembolso de Seguro de Salud/legislación & jurisprudencia , Medicare/legislación & jurisprudencia , United States Dept. of Health and Human Services , Quiebra Bancaria/legislación & jurisprudencia , Illinois , Responsabilidad Legal , Michigan , Seguridad Social/economía , Seguridad Social/legislación & jurisprudencia , Estados Unidos
14.
J Consult Clin Psychol ; 67(6): 945-51, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10596515

RESUMEN

Questionnaire data about criminal victimization experiences were collected from 2,259 Sacramento-area lesbians, gay men, and bisexuals (N = 1,170 women, 1,089 men). Approximately 1/5 of the women and 1/4 of the men had experienced victimization because of their adult sexual orientation. Hate crimes were less likely than nonbias crimes to have been reported to police. Compared with other recent crime victims, lesbian and gay hate-crime survivors manifested significantly more symptoms of depression, anger, anxiety, and posttraumatic stress. They also displayed significantly more crime-related fears and beliefs, lower sense of mastery, and more attributions of their personal setbacks to sexual prejudice than did nonbias crime victims and nonvictims. Comparable differences were not observed among bisexuals. The findings highlight the importance of recognizing hate-crime survivors' special needs in clinical settings and in public policy.


Asunto(s)
Bisexualidad/psicología , Víctimas de Crimen/psicología , Crimen , Trastorno Depresivo Mayor/psicología , Odio , Homosexualidad/psicología , Trastornos por Estrés Postraumático/psicología , Adulto , Trastorno Depresivo Mayor/diagnóstico , Femenino , Humanos , Masculino , Trastornos por Estrés Postraumático/diagnóstico , Encuestas y Cuestionarios
15.
J Biol Chem ; 274(20): 14238-45, 1999 May 14.
Artículo en Inglés | MEDLINE | ID: mdl-10318844

RESUMEN

Transcriptional activity of the mouse vascular smooth muscle alpha-actin gene in fibroblasts is regulated, in part, by a 30-base pair asymmetric polypurine-polypyrimidine tract containing an essential MCAT enhancer motif. The double-stranded form of this sequence serves as a binding site for a transcription enhancer factor 1-related protein while the separated single strands interact with two distinct DNA binding activities termed VACssBF1 and 2 (Cogan, J. G., Sun, S., Stoflet, E. S., Schmidt, L. J., Getz, M. J., and Strauch, A. R. (1995) J. Biol. Chem. 270, 11310-11321; Sun, S., Stoflet, E. S., Cogan, J. G., Strauch, A. R., and Getz, M. J. (1995) Mol. Cell. Biol. 15, 2429-2936). VACssBF2 has been recently cloned and shown to consist of two closely related proteins, Puralpha and Purbeta (Kelm, R. J., Elder, P. K., Strauch, A. R., and Getz, M. J. (1997) J. Biol. Chem. 272, 26727-26733). In this study, we demonstrate that Puralpha and Purbeta interact with each other via highly specific protein-protein interactions and bind to the purine-rich strand of the MCAT enhancer in the form of both homo- and heteromeric complexes. Moreover, both Pur proteins interact with MSY1, a VACssBF1-like protein cloned by virtue of its affinity for the pyrimidine-rich strand of the enhancer. Interactions between Puralpha, Purbeta, and MSY1 do not require the participation of DNA. Combinatorial interactions between these three single-stranded DNA-binding proteins may be important in regulating activity of the smooth muscle alpha-actin MCAT enhancer in fibroblasts.


Asunto(s)
Actinas/genética , ADN de Cadena Simple/metabolismo , Proteínas de Unión al ADN/metabolismo , Elementos de Facilitación Genéticos , Músculo Liso Vascular/metabolismo , Regiones Promotoras Genéticas , Secuencia de Aminoácidos , Animales , Anticuerpos/química , Proteína de Unión a Elemento de Respuesta al AMP Cíclico/inmunología , Proteína de Unión a Elemento de Respuesta al AMP Cíclico/metabolismo , Proteínas de Unión al ADN/inmunología , Ensayo de Inmunoadsorción Enzimática , Ratones , Datos de Secuencia Molecular , Proteínas del Tejido Nervioso , Unión Proteica , Factores de Transcripción , Activación Transcripcional
16.
J Lesbian Stud ; 3(4): 1-9, 1999.
Artículo en Inglés | MEDLINE | ID: mdl-24786419
17.
J Lesbian Stud ; 3(4): 65-6, 1999.
Artículo en Inglés | MEDLINE | ID: mdl-24786426
18.
J Lesbian Stud ; 3(4): 77-89, 1999.
Artículo en Inglés | MEDLINE | ID: mdl-24786429

RESUMEN

ABSTRACT This research addressed how lesbians are influenced by and respond to beauty constructions of dominant culture while they simultaneously redefine and create their own meaning of beauty within lesbian communities. A sample of 181 lesbian and bisexual women from the Sacramento area completed a survey examining their reasons for exercising, amount and type of exercise, body image and satisfaction with weight, eating disorder symptoms, perceptions of lesbian health threats, degree of feminist identification, appearance as a form of lesbian identification, and change of appearance after coming out. Whereas feminism served as a buffer against negative body image, the body image results found lesbians to be bound to dominant culture's thinness expectations. Other findings, however, also suggest that lesbians define beauty in their own unique way. Moving beyond simply responding to traditional beauty pressures, lesbians in this study also used beauty markers as a creative strategy to find and identify each other, suggesting that one purpose of lesbian beauty is functional.

19.
J Lesbian Stud ; 3(4): 118-20, 1999.
Artículo en Inglés | MEDLINE | ID: mdl-24786433
20.
Adv Pediatr ; 45: 337-61, 1998.
Artículo en Inglés | MEDLINE | ID: mdl-9742308

RESUMEN

The growth hormone (GH) pathway is composed of a series of interdependent genes whose products are required for normal growth (Fig 1). The GH pathway genes include ligands (GH and insulin-like growth factor 1 [lGF-1]), transcription factors (prophet of pit 1, or prop 1 and pit 1), agonists and antagonists (growth hormone-releasing hormone [GHRH] and somatostatin), and receptors (GHRH receptor [GHRHR] and the GH receptor [GHR]). These genes are expressed in different organs and tissues, including the hypothalamus, pituitary, liver, and bone. Effective and regulated expression of the growth hormone pathway is essential for growth in stature as well as homeostasis of carbohydrate, protein, and fat metabolism.


Asunto(s)
Trastornos del Crecimiento/genética , Hormona de Crecimiento Humana/biosíntesis , Trastornos del Crecimiento/metabolismo , Hormona Liberadora de Hormona del Crecimiento/metabolismo , Hormona de Crecimiento Humana/deficiencia , Hormona de Crecimiento Humana/metabolismo , Humanos , Mutación , Receptores de Neuropéptido/metabolismo , Receptores de Hormona Reguladora de Hormona Hipofisaria/metabolismo , Síndrome
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