Loading…

An ImmunoChip study of multiple sclerosis risk in African Americans

The aims of this study were: (i) to determine to what degree multiple sclerosis-associated loci discovered in European populations also influence susceptibility in African Americans; (ii) to assess the extent to which the unique linkage disequilibrium patterns in African Americans can contribute to...

Full description

Saved in:
Bibliographic Details
Published in:Brain (London, England : 1878) England : 1878), 2015-06, Vol.138 (Pt 6), p.1518-1530
Main Authors: Isobe, Noriko, Madireddy, Lohith, Khankhanian, Pouya, Matsushita, Takuya, Caillier, Stacy J, Moré, Jayaji M, Gourraud, Pierre-Antoine, McCauley, Jacob L, Beecham, Ashley H, Piccio, Laura, Herbert, Joseph, Khan, Omar, Cohen, Jeffrey, Stone, Lael, Santaniello, Adam, Cree, Bruce A C, Onengut-Gumuscu, Suna, Rich, Stephen S, Hauser, Stephen L, Sawcer, Stephen, Oksenberg, Jorge R
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c450t-25250249225910fdf397ed8647922c3ffa5d328a7b41fdf6cd89218b5ce094e93
cites cdi_FETCH-LOGICAL-c450t-25250249225910fdf397ed8647922c3ffa5d328a7b41fdf6cd89218b5ce094e93
container_end_page 1530
container_issue Pt 6
container_start_page 1518
container_title Brain (London, England : 1878)
container_volume 138
creator Isobe, Noriko
Madireddy, Lohith
Khankhanian, Pouya
Matsushita, Takuya
Caillier, Stacy J
Moré, Jayaji M
Gourraud, Pierre-Antoine
McCauley, Jacob L
Beecham, Ashley H
Piccio, Laura
Herbert, Joseph
Khan, Omar
Cohen, Jeffrey
Stone, Lael
Santaniello, Adam
Cree, Bruce A C
Onengut-Gumuscu, Suna
Rich, Stephen S
Hauser, Stephen L
Sawcer, Stephen
Oksenberg, Jorge R
description The aims of this study were: (i) to determine to what degree multiple sclerosis-associated loci discovered in European populations also influence susceptibility in African Americans; (ii) to assess the extent to which the unique linkage disequilibrium patterns in African Americans can contribute to localizing the functionally relevant regions or genes; and (iii) to search for novel African American multiple sclerosis-associated loci. Using the ImmunoChip custom array we genotyped 803 African American cases with multiple sclerosis and 1516 African American control subjects at 130 135 autosomal single nucleotide polymorphisms. We conducted association analysis with rigorous adjustments for population stratification and admixture. Of the 110 non-major histocompatibility complex multiple sclerosis-associated variants identified in Europeans, 96 passed stringent quality control in our African American data set and of these, >70% (69) showed over-representation of the same allele amongst cases, including 21 with nominally significant evidence for association (one-tailed test P < 0.05). At a further eight loci we found nominally significant association with an alternate correlated risk-tagging single nucleotide polymorphism from the same region. Outside the regions known to be associated in Europeans, we found seven potentially associated novel candidate multiple sclerosis variants (P < 10(-4)), one of which (rs2702180) also showed nominally significant evidence for association (one-tailed test P = 0.034) in an independent second cohort of 620 African American cases and 1565 control subjects. However, none of these novel associations reached genome-wide significance (combined P = 6.3 × 10(-5)). Our data demonstrate substantial overlap between African American and European multiple sclerosis variants, indicating common genetic contributions to multiple sclerosis risk.
doi_str_mv 10.1093/brain/awv078
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4553906</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1683757351</sourcerecordid><originalsourceid>FETCH-LOGICAL-c450t-25250249225910fdf397ed8647922c3ffa5d328a7b41fdf6cd89218b5ce094e93</originalsourceid><addsrcrecordid>eNpVkElPwzAQhS0EoqVw44xy5ECo99gXpCpiqVSJC5wtx7GpIUuxk6L-e0JbKjjNaN6nNzMPgEsEbxGUZFoE7Zup_lrDTByBMaIcphgxfgzGEEKeCsngCJzF-A4hogTzUzDCTCAhuBiDfNYk87rumzZf-lUSu77cJK1L6r7q_KqySTSVDW30MQk-fiS-SWYueKOHWtttE8_BidNVtBf7OgGvD_cv-VO6eH6c57NFaiiDXYoZZhBTiTGTCLrSEZnZUnCaDSNDnNOsJFjorKBoULkphcRIFMxYKKmVZALudr6rvqhtaWzTBV2pVfC1DhvVaq_-K41fqrd2rShjREI-GFzvDUL72dvYqdpHY6tKN7bto0JckIxlhKEBvdmhZng-BusOaxBUP7mrbe5ql_uAX_097QD_Bk2-AQQIgL4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1683757351</pqid></control><display><type>article</type><title>An ImmunoChip study of multiple sclerosis risk in African Americans</title><source>Oxford Journals Online</source><creator>Isobe, Noriko ; Madireddy, Lohith ; Khankhanian, Pouya ; Matsushita, Takuya ; Caillier, Stacy J ; Moré, Jayaji M ; Gourraud, Pierre-Antoine ; McCauley, Jacob L ; Beecham, Ashley H ; Piccio, Laura ; Herbert, Joseph ; Khan, Omar ; Cohen, Jeffrey ; Stone, Lael ; Santaniello, Adam ; Cree, Bruce A C ; Onengut-Gumuscu, Suna ; Rich, Stephen S ; Hauser, Stephen L ; Sawcer, Stephen ; Oksenberg, Jorge R</creator><creatorcontrib>Isobe, Noriko ; Madireddy, Lohith ; Khankhanian, Pouya ; Matsushita, Takuya ; Caillier, Stacy J ; Moré, Jayaji M ; Gourraud, Pierre-Antoine ; McCauley, Jacob L ; Beecham, Ashley H ; Piccio, Laura ; Herbert, Joseph ; Khan, Omar ; Cohen, Jeffrey ; Stone, Lael ; Santaniello, Adam ; Cree, Bruce A C ; Onengut-Gumuscu, Suna ; Rich, Stephen S ; Hauser, Stephen L ; Sawcer, Stephen ; Oksenberg, Jorge R ; International Multiple Sclerosis Genetics Consortium ; International Multiple Sclerosis Genetics Consortium</creatorcontrib><description>The aims of this study were: (i) to determine to what degree multiple sclerosis-associated loci discovered in European populations also influence susceptibility in African Americans; (ii) to assess the extent to which the unique linkage disequilibrium patterns in African Americans can contribute to localizing the functionally relevant regions or genes; and (iii) to search for novel African American multiple sclerosis-associated loci. Using the ImmunoChip custom array we genotyped 803 African American cases with multiple sclerosis and 1516 African American control subjects at 130 135 autosomal single nucleotide polymorphisms. We conducted association analysis with rigorous adjustments for population stratification and admixture. Of the 110 non-major histocompatibility complex multiple sclerosis-associated variants identified in Europeans, 96 passed stringent quality control in our African American data set and of these, &gt;70% (69) showed over-representation of the same allele amongst cases, including 21 with nominally significant evidence for association (one-tailed test P &lt; 0.05). At a further eight loci we found nominally significant association with an alternate correlated risk-tagging single nucleotide polymorphism from the same region. Outside the regions known to be associated in Europeans, we found seven potentially associated novel candidate multiple sclerosis variants (P &lt; 10(-4)), one of which (rs2702180) also showed nominally significant evidence for association (one-tailed test P = 0.034) in an independent second cohort of 620 African American cases and 1565 control subjects. However, none of these novel associations reached genome-wide significance (combined P = 6.3 × 10(-5)). Our data demonstrate substantial overlap between African American and European multiple sclerosis variants, indicating common genetic contributions to multiple sclerosis risk.</description><identifier>ISSN: 0006-8950</identifier><identifier>EISSN: 1460-2156</identifier><identifier>DOI: 10.1093/brain/awv078</identifier><identifier>PMID: 25818868</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>African Americans - genetics ; Alleles ; Case-Control Studies ; Genetic Predisposition to Disease - genetics ; Genome-Wide Association Study ; Genotype ; Humans ; Linkage Disequilibrium - genetics ; Multiple Sclerosis - genetics ; Oligonucleotide Array Sequence Analysis ; Original ; Polymorphism, Single Nucleotide - genetics</subject><ispartof>Brain (London, England : 1878), 2015-06, Vol.138 (Pt 6), p.1518-1530</ispartof><rights>The Author (2015). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: journals.permissions@oup.com.</rights><rights>The Author (2015). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-25250249225910fdf397ed8647922c3ffa5d328a7b41fdf6cd89218b5ce094e93</citedby><cites>FETCH-LOGICAL-c450t-25250249225910fdf397ed8647922c3ffa5d328a7b41fdf6cd89218b5ce094e93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25818868$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Isobe, Noriko</creatorcontrib><creatorcontrib>Madireddy, Lohith</creatorcontrib><creatorcontrib>Khankhanian, Pouya</creatorcontrib><creatorcontrib>Matsushita, Takuya</creatorcontrib><creatorcontrib>Caillier, Stacy J</creatorcontrib><creatorcontrib>Moré, Jayaji M</creatorcontrib><creatorcontrib>Gourraud, Pierre-Antoine</creatorcontrib><creatorcontrib>McCauley, Jacob L</creatorcontrib><creatorcontrib>Beecham, Ashley H</creatorcontrib><creatorcontrib>Piccio, Laura</creatorcontrib><creatorcontrib>Herbert, Joseph</creatorcontrib><creatorcontrib>Khan, Omar</creatorcontrib><creatorcontrib>Cohen, Jeffrey</creatorcontrib><creatorcontrib>Stone, Lael</creatorcontrib><creatorcontrib>Santaniello, Adam</creatorcontrib><creatorcontrib>Cree, Bruce A C</creatorcontrib><creatorcontrib>Onengut-Gumuscu, Suna</creatorcontrib><creatorcontrib>Rich, Stephen S</creatorcontrib><creatorcontrib>Hauser, Stephen L</creatorcontrib><creatorcontrib>Sawcer, Stephen</creatorcontrib><creatorcontrib>Oksenberg, Jorge R</creatorcontrib><creatorcontrib>International Multiple Sclerosis Genetics Consortium</creatorcontrib><creatorcontrib>International Multiple Sclerosis Genetics Consortium</creatorcontrib><title>An ImmunoChip study of multiple sclerosis risk in African Americans</title><title>Brain (London, England : 1878)</title><addtitle>Brain</addtitle><description>The aims of this study were: (i) to determine to what degree multiple sclerosis-associated loci discovered in European populations also influence susceptibility in African Americans; (ii) to assess the extent to which the unique linkage disequilibrium patterns in African Americans can contribute to localizing the functionally relevant regions or genes; and (iii) to search for novel African American multiple sclerosis-associated loci. Using the ImmunoChip custom array we genotyped 803 African American cases with multiple sclerosis and 1516 African American control subjects at 130 135 autosomal single nucleotide polymorphisms. We conducted association analysis with rigorous adjustments for population stratification and admixture. Of the 110 non-major histocompatibility complex multiple sclerosis-associated variants identified in Europeans, 96 passed stringent quality control in our African American data set and of these, &gt;70% (69) showed over-representation of the same allele amongst cases, including 21 with nominally significant evidence for association (one-tailed test P &lt; 0.05). At a further eight loci we found nominally significant association with an alternate correlated risk-tagging single nucleotide polymorphism from the same region. Outside the regions known to be associated in Europeans, we found seven potentially associated novel candidate multiple sclerosis variants (P &lt; 10(-4)), one of which (rs2702180) also showed nominally significant evidence for association (one-tailed test P = 0.034) in an independent second cohort of 620 African American cases and 1565 control subjects. However, none of these novel associations reached genome-wide significance (combined P = 6.3 × 10(-5)). Our data demonstrate substantial overlap between African American and European multiple sclerosis variants, indicating common genetic contributions to multiple sclerosis risk.</description><subject>African Americans - genetics</subject><subject>Alleles</subject><subject>Case-Control Studies</subject><subject>Genetic Predisposition to Disease - genetics</subject><subject>Genome-Wide Association Study</subject><subject>Genotype</subject><subject>Humans</subject><subject>Linkage Disequilibrium - genetics</subject><subject>Multiple Sclerosis - genetics</subject><subject>Oligonucleotide Array Sequence Analysis</subject><subject>Original</subject><subject>Polymorphism, Single Nucleotide - genetics</subject><issn>0006-8950</issn><issn>1460-2156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNpVkElPwzAQhS0EoqVw44xy5ECo99gXpCpiqVSJC5wtx7GpIUuxk6L-e0JbKjjNaN6nNzMPgEsEbxGUZFoE7Zup_lrDTByBMaIcphgxfgzGEEKeCsngCJzF-A4hogTzUzDCTCAhuBiDfNYk87rumzZf-lUSu77cJK1L6r7q_KqySTSVDW30MQk-fiS-SWYueKOHWtttE8_BidNVtBf7OgGvD_cv-VO6eH6c57NFaiiDXYoZZhBTiTGTCLrSEZnZUnCaDSNDnNOsJFjorKBoULkphcRIFMxYKKmVZALudr6rvqhtaWzTBV2pVfC1DhvVaq_-K41fqrd2rShjREI-GFzvDUL72dvYqdpHY6tKN7bto0JckIxlhKEBvdmhZng-BusOaxBUP7mrbe5ql_uAX_097QD_Bk2-AQQIgL4</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Isobe, Noriko</creator><creator>Madireddy, Lohith</creator><creator>Khankhanian, Pouya</creator><creator>Matsushita, Takuya</creator><creator>Caillier, Stacy J</creator><creator>Moré, Jayaji M</creator><creator>Gourraud, Pierre-Antoine</creator><creator>McCauley, Jacob L</creator><creator>Beecham, Ashley H</creator><creator>Piccio, Laura</creator><creator>Herbert, Joseph</creator><creator>Khan, Omar</creator><creator>Cohen, Jeffrey</creator><creator>Stone, Lael</creator><creator>Santaniello, Adam</creator><creator>Cree, Bruce A C</creator><creator>Onengut-Gumuscu, Suna</creator><creator>Rich, Stephen S</creator><creator>Hauser, Stephen L</creator><creator>Sawcer, Stephen</creator><creator>Oksenberg, Jorge R</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150601</creationdate><title>An ImmunoChip study of multiple sclerosis risk in African Americans</title><author>Isobe, Noriko ; Madireddy, Lohith ; Khankhanian, Pouya ; Matsushita, Takuya ; Caillier, Stacy J ; Moré, Jayaji M ; Gourraud, Pierre-Antoine ; McCauley, Jacob L ; Beecham, Ashley H ; Piccio, Laura ; Herbert, Joseph ; Khan, Omar ; Cohen, Jeffrey ; Stone, Lael ; Santaniello, Adam ; Cree, Bruce A C ; Onengut-Gumuscu, Suna ; Rich, Stephen S ; Hauser, Stephen L ; Sawcer, Stephen ; Oksenberg, Jorge R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-25250249225910fdf397ed8647922c3ffa5d328a7b41fdf6cd89218b5ce094e93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>African Americans - genetics</topic><topic>Alleles</topic><topic>Case-Control Studies</topic><topic>Genetic Predisposition to Disease - genetics</topic><topic>Genome-Wide Association Study</topic><topic>Genotype</topic><topic>Humans</topic><topic>Linkage Disequilibrium - genetics</topic><topic>Multiple Sclerosis - genetics</topic><topic>Oligonucleotide Array Sequence Analysis</topic><topic>Original</topic><topic>Polymorphism, Single Nucleotide - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Isobe, Noriko</creatorcontrib><creatorcontrib>Madireddy, Lohith</creatorcontrib><creatorcontrib>Khankhanian, Pouya</creatorcontrib><creatorcontrib>Matsushita, Takuya</creatorcontrib><creatorcontrib>Caillier, Stacy J</creatorcontrib><creatorcontrib>Moré, Jayaji M</creatorcontrib><creatorcontrib>Gourraud, Pierre-Antoine</creatorcontrib><creatorcontrib>McCauley, Jacob L</creatorcontrib><creatorcontrib>Beecham, Ashley H</creatorcontrib><creatorcontrib>Piccio, Laura</creatorcontrib><creatorcontrib>Herbert, Joseph</creatorcontrib><creatorcontrib>Khan, Omar</creatorcontrib><creatorcontrib>Cohen, Jeffrey</creatorcontrib><creatorcontrib>Stone, Lael</creatorcontrib><creatorcontrib>Santaniello, Adam</creatorcontrib><creatorcontrib>Cree, Bruce A C</creatorcontrib><creatorcontrib>Onengut-Gumuscu, Suna</creatorcontrib><creatorcontrib>Rich, Stephen S</creatorcontrib><creatorcontrib>Hauser, Stephen L</creatorcontrib><creatorcontrib>Sawcer, Stephen</creatorcontrib><creatorcontrib>Oksenberg, Jorge R</creatorcontrib><creatorcontrib>International Multiple Sclerosis Genetics Consortium</creatorcontrib><creatorcontrib>International Multiple Sclerosis Genetics Consortium</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Brain (London, England : 1878)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Isobe, Noriko</au><au>Madireddy, Lohith</au><au>Khankhanian, Pouya</au><au>Matsushita, Takuya</au><au>Caillier, Stacy J</au><au>Moré, Jayaji M</au><au>Gourraud, Pierre-Antoine</au><au>McCauley, Jacob L</au><au>Beecham, Ashley H</au><au>Piccio, Laura</au><au>Herbert, Joseph</au><au>Khan, Omar</au><au>Cohen, Jeffrey</au><au>Stone, Lael</au><au>Santaniello, Adam</au><au>Cree, Bruce A C</au><au>Onengut-Gumuscu, Suna</au><au>Rich, Stephen S</au><au>Hauser, Stephen L</au><au>Sawcer, Stephen</au><au>Oksenberg, Jorge R</au><aucorp>International Multiple Sclerosis Genetics Consortium</aucorp><aucorp>International Multiple Sclerosis Genetics Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An ImmunoChip study of multiple sclerosis risk in African Americans</atitle><jtitle>Brain (London, England : 1878)</jtitle><addtitle>Brain</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>138</volume><issue>Pt 6</issue><spage>1518</spage><epage>1530</epage><pages>1518-1530</pages><issn>0006-8950</issn><eissn>1460-2156</eissn><abstract>The aims of this study were: (i) to determine to what degree multiple sclerosis-associated loci discovered in European populations also influence susceptibility in African Americans; (ii) to assess the extent to which the unique linkage disequilibrium patterns in African Americans can contribute to localizing the functionally relevant regions or genes; and (iii) to search for novel African American multiple sclerosis-associated loci. Using the ImmunoChip custom array we genotyped 803 African American cases with multiple sclerosis and 1516 African American control subjects at 130 135 autosomal single nucleotide polymorphisms. We conducted association analysis with rigorous adjustments for population stratification and admixture. Of the 110 non-major histocompatibility complex multiple sclerosis-associated variants identified in Europeans, 96 passed stringent quality control in our African American data set and of these, &gt;70% (69) showed over-representation of the same allele amongst cases, including 21 with nominally significant evidence for association (one-tailed test P &lt; 0.05). At a further eight loci we found nominally significant association with an alternate correlated risk-tagging single nucleotide polymorphism from the same region. Outside the regions known to be associated in Europeans, we found seven potentially associated novel candidate multiple sclerosis variants (P &lt; 10(-4)), one of which (rs2702180) also showed nominally significant evidence for association (one-tailed test P = 0.034) in an independent second cohort of 620 African American cases and 1565 control subjects. However, none of these novel associations reached genome-wide significance (combined P = 6.3 × 10(-5)). Our data demonstrate substantial overlap between African American and European multiple sclerosis variants, indicating common genetic contributions to multiple sclerosis risk.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>25818868</pmid><doi>10.1093/brain/awv078</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0006-8950
ispartof Brain (London, England : 1878), 2015-06, Vol.138 (Pt 6), p.1518-1530
issn 0006-8950
1460-2156
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4553906
source Oxford Journals Online
subjects African Americans - genetics
Alleles
Case-Control Studies
Genetic Predisposition to Disease - genetics
Genome-Wide Association Study
Genotype
Humans
Linkage Disequilibrium - genetics
Multiple Sclerosis - genetics
Oligonucleotide Array Sequence Analysis
Original
Polymorphism, Single Nucleotide - genetics
title An ImmunoChip study of multiple sclerosis risk in African Americans
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T05%3A58%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=An%20ImmunoChip%20study%20of%20multiple%20sclerosis%20risk%20in%20African%20Americans&rft.jtitle=Brain%20(London,%20England%20:%201878)&rft.au=Isobe,%20Noriko&rft.aucorp=International%20Multiple%20Sclerosis%20Genetics%20Consortium&rft.date=2015-06-01&rft.volume=138&rft.issue=Pt%206&rft.spage=1518&rft.epage=1530&rft.pages=1518-1530&rft.issn=0006-8950&rft.eissn=1460-2156&rft_id=info:doi/10.1093/brain/awv078&rft_dat=%3Cproquest_pubme%3E1683757351%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c450t-25250249225910fdf397ed8647922c3ffa5d328a7b41fdf6cd89218b5ce094e93%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1683757351&rft_id=info:pmid/25818868&rfr_iscdi=true