CTCF mediates dosage- and sequence-context-dependent transcriptional insulation by forming local chromatin domains.


Journal

Nature genetics
ISSN: 1546-1718
Titre abrégé: Nat Genet
Pays: United States
ID NLM: 9216904

Informations de publication

Date de publication:
07 2021
Historique:
received: 23 07 2020
accepted: 02 04 2021
pubmed: 19 5 2021
medline: 31 8 2021
entrez: 18 5 2021
Statut: ppublish

Résumé

Insulators play a critical role in spatiotemporal gene regulation in animals. The evolutionarily conserved CCCTC-binding factor (CTCF) is required for insulator function in mammals, but not all of its binding sites act as insulators. Here we explore the sequence requirements of CTCF-mediated transcriptional insulation using a sensitive insulator reporter in mouse embryonic stem cells. We find that insulation potency depends on the number of CTCF-binding sites in tandem. Furthermore, CTCF-mediated insulation is dependent on upstream flanking sequences at its binding sites. CTCF-binding sites at topologically associating domain boundaries are more likely to function as insulators than those outside topologically associating domain boundaries, independently of binding strength. We demonstrate that insulators form local chromatin domain boundaries and weaken enhancer-promoter contacts. Taken together, our results provide genetic, molecular and structural evidence connecting chromatin topology to the action of insulators in the mammalian genome.

Identifiants

pubmed: 34002095
doi: 10.1038/s41588-021-00863-6
pii: 10.1038/s41588-021-00863-6
pmc: PMC8853952
mid: NIHMS1755458
doi:

Substances chimiques

CCCTC-Binding Factor 0
CTCF protein, human 0
Chromatin 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1064-1074

Subventions

Organisme : NIDDK NIH HHS
ID : U54 DK107977
Pays : United States
Organisme : Howard Hughes Medical Institute
Pays : United States
Organisme : NHGRI NIH HHS
ID : UM1 HG011585
Pays : United States
Organisme : NCI NIH HHS
ID : K99 CA252020
Pays : United States
Organisme : NIMH NIH HHS
ID : U19 MH114830
Pays : United States

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.

Références

Hnisz, D., Day, D. S. & Young, R. A. Insulated neighborhoods: structural and functional units of mammalian gene control. Cell 167, 1188–1200 (2016).
pubmed: 27863240 pmcid: 5125522 doi: 10.1016/j.cell.2016.10.024
Kellis, M. et al. Defining functional DNA elements in the human genome. Proc. Natl Acad. Sci. USA 111, 6131–6138 (2014).
pubmed: 24753594 pmcid: 4035993 doi: 10.1073/pnas.1318948111
Levine, M., Cattoglio, C. & Tjian, R. Looping back to leap forward: transcription enters a new era. Cell 157, 13–25 (2014).
pubmed: 24679523 pmcid: 4059561 doi: 10.1016/j.cell.2014.02.009
West, A. G., Gaszner, M. & Felsenfeld, G. Insulators: many functions, many mechanisms. Genes Dev. 16, 271–288 (2002).
pubmed: 11825869 doi: 10.1101/gad.954702
Geyer, P. K. & Corces, V. G. DNA position-specific repression of transcription by a Drosophila zinc finger protein. Genes Dev. 6, 1865–1873 (1992).
pubmed: 1327958 doi: 10.1101/gad.6.10.1865
Recillas-Targa, F., Bell, A. C. & Felsenfeld, G. Positional enhancer-blocking activity of the chicken β-globin insulator in transiently transfected cells. Proc. Natl Acad. Sci. USA 96, 14354–14359 (1999).
pubmed: 10588709 pmcid: 24440 doi: 10.1073/pnas.96.25.14354
Stief, A., Winter, D. M., Stratling, W. H. & Sippel, A. E. A nuclear DNA attachment element mediates elevated and position-independent gene activity. Nature 341, 343–345 (1989).
pubmed: 2797152 doi: 10.1038/341343a0
Gurudatta, B. V. & Corces, V. G. Chromatin insulators: lessons from the fly. Brief. Funct. Genomic Proteomic 8, 276–282 (2009).
pubmed: 19752045 pmcid: 2742804 doi: 10.1093/bfgp/elp032
Chung, J. H., Bell, A. C. & Felsenfeld, G. Characterization of the chicken β-globin insulator. Proc. Natl Acad. Sci. USA 94, 575–580 (1997).
pubmed: 9012826 pmcid: 19555 doi: 10.1073/pnas.94.2.575
Lobanenkov, V. V. et al. A novel sequence-specific DNA binding protein which interacts with three regularly spaced direct repeats of the CCCTC-motif in the 5'-flanking sequence of the chicken c-myc gene. Oncogene 5, 1743–1753 (1990).
pubmed: 2284094
Bell, A. C. & Felsenfeld, G. Methylation of a CTCF-dependent boundary controls imprinted expression of the Igf2 gene. Nature 405, 482–485 (2000).
pubmed: 10839546 doi: 10.1038/35013100
Flavahan, W. A. et al. Insulator dysfunction and oncogene activation in IDH mutant gliomas. Nature 529, 110–114 (2016).
pubmed: 26700815 doi: 10.1038/nature16490
Katainen, R. et al. CTCF/cohesin-binding sites are frequently mutated in cancer. Nat. Genet. 47, 818–821 (2015).
pubmed: 26053496 doi: 10.1038/ng.3335
Ohlsson, R., Renkawitz, R. & Lobanenkov, V. CTCF is a uniquely versatile transcription regulator linked to epigenetics and disease. Trends Genet. 17, 520–527 (2001).
pubmed: 11525835 doi: 10.1016/S0168-9525(01)02366-6
Filippova, G. N. et al. An exceptionally conserved transcriptional repressor, CTCF, employs different combinations of zinc fingers to bind diverged promoter sequences of avian and mammalian c-myc oncogenes. Mol. Cell. Biol. 16, 2802–2813 (1996).
pubmed: 8649389 pmcid: 231272 doi: 10.1128/MCB.16.6.2802
Lupianez, D. G. et al. Disruptions of topological chromatin domains cause pathogenic rewiring of gene-enhancer interactions. Cell 161, 1012–1025 (2015).
pubmed: 25959774 pmcid: 4791538 doi: 10.1016/j.cell.2015.04.004
Shukla, S. et al. CTCF-promoted RNA polymerase II pausing links DNA methylation to splicing. Nature 479, 74–79 (2011).
pubmed: 21964334 pmcid: 7398428 doi: 10.1038/nature10442
Vostrov, A. A. & Quitschke, W. W. The zinc finger protein CTCF binds to the APBβ domain of the amyloid β-protein precursor promoter. Evidence for a role in transcriptional activation. J. Biol. Chem. 272, 33353–33359 (1997).
pubmed: 9407128 doi: 10.1074/jbc.272.52.33353
Zhang, X. et al. Fundamental roles of chromatin loop extrusion in antibody class switching. Nature 575, 385–389 (2019).
pubmed: 31666703 pmcid: 6856444 doi: 10.1038/s41586-019-1723-0
Guo, Y. et al. CTCF/cohesin-mediated DNA looping is required for protocadherin alpha promoter choice. Proc. Natl Acad. Sci. USA 109, 21081–21086 (2012).
pubmed: 23204437 pmcid: 3529044 doi: 10.1073/pnas.1219280110
Guo, Y. et al. CRISPR inversion of CTCF sites alters genome topology and enhancer/promoter function. Cell 162, 900–910 (2015).
pubmed: 26276636 pmcid: 4642453 doi: 10.1016/j.cell.2015.07.038
Ghirlando, R. & Felsenfeld, G. CTCF: making the right connections. Genes Dev. 30, 881–891 (2016).
pubmed: 27083996 pmcid: 4840295 doi: 10.1101/gad.277863.116
Phillips-Cremins, J. E. & Corces, V. G. Chromatin insulators: linking genome organization to cellular function. Mol. Cell 50, 461–474 (2013).
pubmed: 23706817 pmcid: 3670141 doi: 10.1016/j.molcel.2013.04.018
Dixon, J. R. et al. Topological domains in mammalian genomes identified by analysis of chromatin interactions. Nature 485, 376–380 (2012).
pubmed: 22495300 pmcid: 3356448 doi: 10.1038/nature11082
Nora, E. P. et al. Spatial partitioning of the regulatory landscape of the X-inactivation centre. Nature 485, 381–385 (2012).
pubmed: 22495304 pmcid: 3555144 doi: 10.1038/nature11049
Franke, M. et al. Formation of new chromatin domains determines pathogenicity of genomic duplications. Nature 538, 265–269 (2016).
pubmed: 27706140 doi: 10.1038/nature19800
Nora, E. P. et al. Targeted degradation of CTCF decouples local insulation of chromosome domains from genomic compartmentalization. Cell 169, 930–944 (2017).
pubmed: 28525758 pmcid: 5538188 doi: 10.1016/j.cell.2017.05.004
Luppino, J. M. et al. Cohesin promotes stochastic domain intermingling to ensure proper regulation of boundary-proximal genes. Nat. Genet. 52, 840–848 (2020).
pubmed: 32572210 pmcid: 7416539 doi: 10.1038/s41588-020-0647-9
Wutz, G. et al. Topologically associating domains and chromatin loops depend on cohesin and are regulated by CTCF, WAPL, and PDS5 proteins. EMBO J. 36, 3573–3599 (2017).
pubmed: 29217591 pmcid: 5730888 doi: 10.15252/embj.201798004
Alipour, E. & Marko, J. F. Self-organization of domain structures by DNA-loop-extruding enzymes. Nucleic Acids Res. 40, 11202–11212 (2012).
pubmed: 23074191 pmcid: 3526278 doi: 10.1093/nar/gks925
Davidson, I. F. et al. DNA loop extrusion by human cohesin. Science 366, 1338–1345 (2019).
pubmed: 31753851 doi: 10.1126/science.aaz3418
Fudenberg, G. et al. Formation of chromosomal domains by loop extrusion. Cell Rep. 15, 2038–2049 (2016).
pubmed: 27210764 pmcid: 4889513 doi: 10.1016/j.celrep.2016.04.085
Haarhuis, J. H. I. et al. The cohesin release factor WAPL restricts chromatin loop extension. Cell 169, 693–707 (2017).
pubmed: 28475897 pmcid: 5422210 doi: 10.1016/j.cell.2017.04.013
Kim, Y., Shi, Z., Zhang, H., Finkelstein, I. J. & Yu, H. Human cohesin compacts DNA by loop extrusion. Science 366, 1345–1349 (2019).
pubmed: 31780627 pmcid: 7387118 doi: 10.1126/science.aaz4475
Rao, S. S. P. et al. Cohesin loss eliminates all loop domains. Cell 171, 305–320 (2017).
pubmed: 28985562 pmcid: 5846482 doi: 10.1016/j.cell.2017.09.026
Sanborn, A. L. et al. Chromatin extrusion explains key features of loop and domain formation in wild-type and engineered genomes. Proc. Natl Acad. Sci. USA 112, E6456–E6465 (2015).
pubmed: 26499245 pmcid: 4664323 doi: 10.1073/pnas.1518552112
Vian, L. et al. The energetics and physiological impact of cohesin extrusion. Cell 173, 1165–1178 (2018).
pubmed: 29706548 pmcid: 6065110 doi: 10.1016/j.cell.2018.03.072
Wutz, G. et al. ESCO1 and CTCF enable formation of long chromatin loops by protecting cohesin
pubmed: 32065581 pmcid: 7054000 doi: 10.7554/eLife.52091
Brackley, C. A. et al. Nonequilibrium chromosome looping via molecular slip links. Phys. Rev. Lett. 119, 138101 (2017).
pubmed: 29341686 doi: 10.1103/PhysRevLett.119.138101
Barbieri, M. et al. Complexity of chromatin folding is captured by the strings and binders switch model. Proc. Natl Acad. Sci. USA 109, 16173–16178 (2012).
pubmed: 22988072 pmcid: 3479593 doi: 10.1073/pnas.1204799109
Bianco, S. et al. Polymer physics predicts the effects of structural variants on chromatin architecture. Nat. Genet. 50, 662–667 (2018).
pubmed: 29662163 doi: 10.1038/s41588-018-0098-8
Brackley, C. A., Taylor, S., Papantonis, A., Cook, P. R. & Marenduzzo, D. Nonspecific bridging-induced attraction drives clustering of DNA-binding proteins and genome organization. Proc. Natl Acad. Sci. USA 110, E3605–E3611 (2013).
pubmed: 24003126 pmcid: 3780866 doi: 10.1073/pnas.1302950110
Buckle, A., Brackley, C. A., Boyle, S., Marenduzzo, D. & Gilbert, N. Polymer simulations of heteromorphic chromatin predict the 3D folding of complex genomic loci. Mol. Cell 72, 786–797 (2018).
pubmed: 30344096 pmcid: 6242782 doi: 10.1016/j.molcel.2018.09.016
Conte, M. et al. Polymer physics indicates chromatin folding variability across single-cells results from state degeneracy in phase separation. Nat. Commun. 11, 3289 (2020).
pubmed: 32620890 pmcid: 7335158 doi: 10.1038/s41467-020-17141-4
Di Pierro, M., Zhang, B., Aiden, E. L., Wolynes, P. G. & Onuchic, J. N. Transferable model for chromosome architecture. Proc. Natl Acad. Sci. USA 113, 12168–12173 (2016).
pubmed: 27688758 pmcid: 5087044 doi: 10.1073/pnas.1613607113
Schwarzer, W. et al. Two independent modes of chromatin organization revealed by cohesin removal. Nature 551, 51–56 (2017).
pubmed: 29094699 pmcid: 5687303 doi: 10.1038/nature24281
Despang, A. et al. Functional dissection of the Sox9–Kcnj2 locus identifies nonessential and instructive roles of TAD architecture. Nat. Genet. 51, 1263–1271 (2019).
pubmed: 31358994 doi: 10.1038/s41588-019-0466-z
Gribnau, J., Hochedlinger, K., Hata, K., Li, E. & Jaenisch, R. Asynchronous replication timing of imprinted loci is independent of DNA methylation, but consistent with differential subnuclear localization. Genes Dev. 17, 759–773 (2003).
pubmed: 12651894 pmcid: 196021 doi: 10.1101/gad.1059603
Li, Y. et al. CRISPR reveals a distal super-enhancer required for Sox2 expression in mouse embryonic stem cells. PLoS ONE 9, e114485 (2014).
pubmed: 25486255 pmcid: 4259346 doi: 10.1371/journal.pone.0114485
Zhou, H. Y. et al. A Sox2 distal enhancer cluster regulates embryonic stem cell differentiation potential. Genes Dev. 28, 2699–2711 (2014).
pubmed: 25512558 pmcid: 4265674 doi: 10.1101/gad.248526.114
Kentepozidou, E. et al. Clustered CTCF binding is an evolutionary mechanism to maintain topologically associating domains. Genome Biol. 21, 5 (2020).
pubmed: 31910870 pmcid: 6945661 doi: 10.1186/s13059-019-1894-x
Frith, M. C., Saunders, N. F., Kobe, B. & Bailey, T. L. Discovering sequence motifs with arbitrary insertions and deletions. PLoS Comput. Biol. 4, e1000071 (2008).
pubmed: 18437229 pmcid: 2323616 doi: 10.1371/journal.pcbi.1000071
Nakahashi, H. et al. A genome-wide map of CTCF multivalency redefines the CTCF code. Cell Rep. 3, 1678–1689 (2013).
pubmed: 23707059 pmcid: 3770538 doi: 10.1016/j.celrep.2013.04.024
Xu, D. et al. Dynamic nature of CTCF tandem 11 zinc fingers in multivalent recognition of DNA as revealed by NMR spectroscopy. J. Phys. Chem. Lett. 9, 4020–4028 (2018).
pubmed: 29965776 doi: 10.1021/acs.jpclett.8b01440
Yin, M. et al. Molecular mechanism of directional CTCF recognition of a diverse range of genomic sites. Cell Res. 27, 1365–1377 (2017).
pubmed: 29076501 pmcid: 5674162 doi: 10.1038/cr.2017.131
Yan, J. et al. Histone H3 lysine 4 monomethylation modulates long-range chromatin interactions at enhancers. Cell Res. 28, 204–220 (2018).
pubmed: 29313530 pmcid: 5799818 doi: 10.1038/cr.2018.1
Fang, R. et al. Mapping of long-range chromatin interactions by proximity ligation-assisted ChIP-seq. Cell Res. 26, 1345–1348 (2016).
pubmed: 27886167 pmcid: 5143423 doi: 10.1038/cr.2016.137
Mumbach, M. R. et al. HiChIP: efficient and sensitive analysis of protein-directed genome architecture. Nat. Methods 13, 919–922 (2016).
pubmed: 27643841 pmcid: 5501173 doi: 10.1038/nmeth.3999
Rao, S. S. et al. A 3D map of the human genome at kilobase resolution reveals principles of chromatin looping. Cell 159, 1665–1680 (2014).
pubmed: 25497547 pmcid: 5635824 doi: 10.1016/j.cell.2014.11.021
Bintu, B. et al. Super-resolution chromatin tracing reveals domains and cooperative interactions in single cells. Science 362 (2018).
Mateo, L. J. et al. Visualizing DNA folding and RNA in embryos at single-cell resolution. Nature 568, 49–54 (2019).
pubmed: 30886393 pmcid: 6556380 doi: 10.1038/s41586-019-1035-4
Wang, S. et al. Spatial organization of chromatin domains and compartments in single chromosomes. Science 353, 598–602 (2016).
pubmed: 27445307 pmcid: 4991974 doi: 10.1126/science.aaf8084
Su, J. H., Zheng, P., Kinrot, S. S., Bintu, B. & Zhuang, X. Genome-scale imaging of the 3D organization and transcriptional activity of chromatin. Cell 182, 1641–1659 (2020).
pubmed: 32822575 pmcid: 7851072 doi: 10.1016/j.cell.2020.07.032
Alexander, J. M. et al. Live-cell imaging reveals enhancer-dependent Sox2 transcription in the absence of enhancer proximity. eLife 8, e41769 (2019).
pubmed: 31124784 pmcid: 6534382 doi: 10.7554/eLife.41769
Jia, Z. et al. Tandem CTCF sites function as insulators to balance spatial chromatin contacts and topological enhancer-promoter selection. Genome Biol. 21, 75 (2020).
pubmed: 32293525 pmcid: 7087399 doi: 10.1186/s13059-020-01984-7
Cai, H. N. & Shen, P. Effects of cis arrangement of chromatin insulators on enhancer-blocking activity. Science 291, 493–495 (2001).
pubmed: 11161205 doi: 10.1126/science.291.5503.493
Muravyova, E. et al. Loss of insulator activity by paired Su(Hw) chromatin insulators. Science 291, 495–498 (2001).
pubmed: 11161206 doi: 10.1126/science.291.5503.495
Rhee, H. S. & Pugh, B. F. Comprehensive genome-wide protein-DNA interactions detected at single-nucleotide resolution. Cell 147, 1408–1419 (2011).
pubmed: 22153082 pmcid: 3243364 doi: 10.1016/j.cell.2011.11.013
Benabdallah, N. S. et al. Decreased enhancer-promoter proximity accompanying enhancer activation. Mol. Cell 76, 473–484 (2019).
pubmed: 31494034 pmcid: 6838673 doi: 10.1016/j.molcel.2019.07.038
Hnisz, D., Shrinivas, K., Young, R. A., Chakraborty, A. K. & Sharp, P. A. A phase separation model for transcriptional control. Cell 169, 13–23 (2017).
pubmed: 28340338 pmcid: 5432200 doi: 10.1016/j.cell.2017.02.007
Chen, H. et al. Dynamic interplay between enhancer-promoter topology and gene activity. Nat. Genet. 50, 1296–1303 (2018).
pubmed: 30038397 pmcid: 6119122 doi: 10.1038/s41588-018-0175-z
Dobin, A. et al. STAR: ultrafast universal RNA-seq aligner. Bioinformatics 29, 15–21 (2013).
pubmed: 23104886 doi: 10.1093/bioinformatics/bts635
van de Geijn, B., McVicker, G., Gilad, Y. & Pritchard, J. K. WASP: allele-specific software for robust molecular quantitative trait locus discovery. Nat. Methods 12, 1061–1063 (2015).
pubmed: 26366987 pmcid: 4626402 doi: 10.1038/nmeth.3582
Juric, I. et al. MAPS: model-based analysis of long-range chromatin interactions from PLAC-seq and HiChIP experiments. PLoS Comput. Biol. 15, e1006982 (2019).
pubmed: 30986246 pmcid: 6483256 doi: 10.1371/journal.pcbi.1006982
Durand, N. C. et al. Juicebox provides a visualization system for Hi-C contact maps with unlimited zoom. Cell Syst. 3, 99–101 (2016).
pubmed: 27467250 pmcid: 5596920 doi: 10.1016/j.cels.2015.07.012

Auteurs

Hui Huang (H)

Ludwig Institute for Cancer Research, La Jolla, CA, USA.
Biomedical Sciences Graduate Program, University of California, San Diego, La Jolla, CA, USA.

Quan Zhu (Q)

Center for Epigenomics, Department of Cellular and Molecular Medicine, School of Medicine, University of California, San Diego, La Jolla, CA, USA.

Adam Jussila (A)

Ludwig Institute for Cancer Research, La Jolla, CA, USA.
Bioinformatics and Systems Biology Graduate Program, University of California San Diego, La Jolla, CA, USA.

Yuanyuan Han (Y)

Center for Epigenomics, Department of Cellular and Molecular Medicine, School of Medicine, University of California, San Diego, La Jolla, CA, USA.

Bogdan Bintu (B)

Howard Hughes Medical Institute, Department of Chemistry and Chemical Biology and Department of Physics, Harvard University, Cambridge, MA, USA.

Colin Kern (C)

Center for Epigenomics, Department of Cellular and Molecular Medicine, School of Medicine, University of California, San Diego, La Jolla, CA, USA.

Mattia Conte (M)

Dipartimento di Fisica, Università di Napoli Federico II, and INFN Napoli, Complesso di Monte Sant'Angelo, Naples, Italy.

Yanxiao Zhang (Y)

Ludwig Institute for Cancer Research, La Jolla, CA, USA.

Simona Bianco (S)

Dipartimento di Fisica, Università di Napoli Federico II, and INFN Napoli, Complesso di Monte Sant'Angelo, Naples, Italy.

Andrea M Chiariello (AM)

Dipartimento di Fisica, Università di Napoli Federico II, and INFN Napoli, Complesso di Monte Sant'Angelo, Naples, Italy.

Miao Yu (M)

Ludwig Institute for Cancer Research, La Jolla, CA, USA.

Rong Hu (R)

Ludwig Institute for Cancer Research, La Jolla, CA, USA.

Melodi Tastemel (M)

Department of Cellular and Molecular Medicine, School of Medicine, University of California, San Diego, La Jolla, CA, USA.

Ivan Juric (I)

Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Ming Hu (M)

Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Mario Nicodemi (M)

Dipartimento di Fisica, Università di Napoli Federico II, and INFN Napoli, Complesso di Monte Sant'Angelo, Naples, Italy.
Berlin Institute for Medical Systems Biology, Max Delbrück Centre (MDC) for Molecular Medicine, Berlin, Germany.
Berlin Institute of Health (BIH), Berlin, Germany.

Xiaowei Zhuang (X)

Howard Hughes Medical Institute, Department of Chemistry and Chemical Biology and Department of Physics, Harvard University, Cambridge, MA, USA.

Bing Ren (B)

Ludwig Institute for Cancer Research, La Jolla, CA, USA. biren@health.ucsd.edu.
Center for Epigenomics, Department of Cellular and Molecular Medicine, School of Medicine, University of California, San Diego, La Jolla, CA, USA. biren@health.ucsd.edu.
Department of Cellular and Molecular Medicine, School of Medicine, University of California, San Diego, La Jolla, CA, USA. biren@health.ucsd.edu.
Institute of Genomic Medicine and Moores Cancer Center, School of Medicine, University of California, San Diego, La Jolla, CA, USA. biren@health.ucsd.edu.

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