An instructive role for Interleukin-7 receptor α in the development of human B-cell precursor leukemia.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
03 02 2022
Historique:
received: 22 04 2020
accepted: 10 01 2022
entrez: 4 2 2022
pubmed: 5 2 2022
medline: 24 2 2022
Statut: epublish

Résumé

Kinase signaling fuels growth of B-cell precursor acute lymphoblastic leukemia (BCP-ALL). Yet its role in leukemia initiation is unclear and has not been shown in primary human hematopoietic cells. We previously described activating mutations in interleukin-7 receptor alpha (IL7RA) in poor-prognosis "ph-like" BCP-ALL. Here we show that expression of activated mutant IL7RA in human CD34

Identifiants

pubmed: 35115489
doi: 10.1038/s41467-022-28218-7
pii: 10.1038/s41467-022-28218-7
pmc: PMC8814001
doi:

Substances chimiques

Antigens, CD34 0
CRLF2 protein, human 0
Cyclin-Dependent Kinase Inhibitor p16 0
Interleukin-7 Receptor alpha Subunit 0
Receptors, Cytokine 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

659

Subventions

Organisme : NCI NIH HHS
ID : R01 CA236626
Pays : United States
Organisme : NCI NIH HHS
ID : R37 CA233691
Pays : United States

Informations de copyright

© 2022. The Author(s).

Références

Greaves, M. A causal mechanism for childhood acute lymphoblastic leukaemia. Nat. Rev. Cancer 18, 471–484 (2018).
pubmed: 29784935 pmcid: 6986894 doi: 10.1038/s41568-018-0015-6
Fischer, U. et al. Cell fate decisions: the role of transcription factors in early B-cell development and leukemia. Blood Cancer Discov. 1, 224–233 (2020).
pubmed: 33392513 pmcid: 7774874 doi: 10.1158/2643-3230.BCD-20-0011
Gu, Z. et al. PAX5-driven subtypes of B-progenitor acute lymphoblastic leukemia. Nat. Genet. 51, 296–307 (2019).
Hong, D. et al. Initiating and cancer-propagating cells in TEL-AML1-associated childhood leukemia. Science 319, 336–339 (2008).
pubmed: 18202291 doi: 10.1126/science.1150648
Hauer, J., Fischer, U. & Borkhardt, A. Towards prevention of childhood ALL by early-life immune training. Blood 138, 1412–1428 (2021).
pubmed: 34010407 pmcid: 8532195 doi: 10.1182/blood.2020009895
Schwartzman, O. et al. Suppressors and activators of JAK-STAT signaling at diagnosis and relapse of acute lymphoblastic leukemia in Down syndrome. Proc. Natl Acad. Sci. USA 114, E4030–E4039 (2017).
pubmed: 28461505 pmcid: 5441776 doi: 10.1073/pnas.1702489114
Oshima, K. et al. Mutational landscape, clonal evolution patterns, and role of RAS mutations in relapsed acute lymphoblastic leukemia. Proc. Natl Acad. Sci. USA 113, 11306–11311 (2016).
pubmed: 27655895 pmcid: 5056035 doi: 10.1073/pnas.1608420113
Barata, J. T., Durum, S. K. & Seddon, B. Flip the coin: IL-7 and IL-7R in health and disease. Nat. Immunol. 20, 1584–1593 (2019).
pubmed: 31745336 doi: 10.1038/s41590-019-0479-x
Tal, N., Shochat, C., Geron, I., Bercovich, D. & Izraeli, S. Interleukin 7 and thymic stromal lymphopoietin: from immunity to leukemia. Cell Mol. Life Sci. 71, 365–378 (2014).
pubmed: 23625073 doi: 10.1007/s00018-013-1337-x
Puel, A., Ziegler, S. F., Buckley, R. H. & Leonard,, W. J. Defective IL7R expression in T(−)B(+)NK(+) severe combined immunodeficiency. Nat. Genet. 20, 394–397 (1998).
pubmed: 9843216 doi: 10.1038/3877
Parrish, Y. K. et al. IL-7 Dependence in human B lymphopoiesis increases during progression of ontogeny from cord blood to bone marrow. J. Immunol. 182, 4255–4266 (2009).
pubmed: 19299724 doi: 10.4049/jimmunol.0800489
Prieyl, J. A. & LeBien, T. W. Interleukin 7 independent development of human B cells. Proc. Natl Acad. Sci. USA 93, 10348–10353 (1996).
pubmed: 8816803 pmcid: 38387 doi: 10.1073/pnas.93.19.10348
Akkapeddi, P. et al. A fully human anti-IL-7Rα antibody promotes antitumor activity against T-cell acute lymphoblastic leukemia. Leukemia 33, 2155–2168 (2019).
Reshmi, S. C. et al. Targetable kinase gene fusions in high-risk B-ALL: a study from the Children’s Oncology Group. Blood 129, 3352–3361 (2017).
pubmed: 28408464 pmcid: 5482101 doi: 10.1182/blood-2016-12-758979
Roberts, K. G. et al. Targetable kinase-activating lesions in Ph-like acute lymphoblastic leukemia. N. Engl. J. Med. 371, 1005–1015 (2014).
pubmed: 25207766 pmcid: 4191900 doi: 10.1056/NEJMoa1403088
Den Boer, M. L. et al. A subtype of childhood acute lymphoblastic leukaemia with poor treatment outcome: a genome-wide classification study. Lancet Oncol. 10, 125–134 (2009).
doi: 10.1016/S1470-2045(08)70339-5
Izraeli, S. Beyond Philadelphia: ‘Ph-like’ B cell precursor acute lymphoblastic leukemias—diagnostic challenges and therapeutic promises. Curr. Opin. Hematol. 21, 289–296 (2014).
pubmed: 24848770 doi: 10.1097/MOH.0000000000000050
Shochat, C. et al. Gain-of-function mutations in interleukin-7 receptor-{alpha} (IL7R) in childhood acute lymphoblastic leukemias. J. Exp. Med. 208, 901–908 (2011).
pubmed: 21536738 pmcid: 3092356 doi: 10.1084/jem.20110580
Yokoyama, K. et al. In vivo leukemogenic potential of an interleukin 7 receptor alpha chain mutant in hematopoietic stem and progenitor cells. Blood 122, 4259–4263 (2013).
pubmed: 24174626 doi: 10.1182/blood-2012-08-451278
Sather, B. D. et al. Development of B-lineage predominant lentiviral vectors for use in genetic therapies for B cell disorders. Mol. Ther. 19, 515–525 (2011).
pubmed: 21139568 doi: 10.1038/mt.2010.259
Good, Z. et al. Single-cell developmental classification of B cell precursor acute lymphoblastic leukemia at diagnosis reveals predictors of relapse. Nat. Med. 24, 474–483 (2018).
pubmed: 29505032 pmcid: 5953207 doi: 10.1038/nm.4505
Rother, M. B. et al. Decreased IL7Ralpha and TdT expression underlie the skewed immunoglobulin repertoire of human B-cell precursors from fetal origin. Sci. Rep. 6, 33924 (2016).
pubmed: 27658954 pmcid: 5034271 doi: 10.1038/srep33924
Nodland, S. E. et al. IL-7R expression and IL-7 signaling confer a distinct phenotype on developing human B-lineage cells. Blood 118, 2116–2127 (2011).
pubmed: 21680796 pmcid: 3162350 doi: 10.1182/blood-2010-08-302513
Lu, L. & Osmond, D. G. Apoptosis during B lymphopoiesis in mouse bone marrow. J. Immunol. 158, 5136–5145 (1997).
pubmed: 9164929
Korsmeyer, S. J. et al. Immunoglobulin gene rearrangement and cell surface antigen expression in acute lymphocytic leukemias of T cell and B cell precursor origins. J. Clin. Investig. 71, 301–313 (1983).
pubmed: 6401769 pmcid: 436868 doi: 10.1172/JCI110770
LeBien, T. W. Fates of human B-cell precursors. Blood 96, 9–23 (2000).
pubmed: 10891425 doi: 10.1182/blood.V96.1.9
Mullighan, C. G., Williams, R. T., Downing, J. R. & Sherr, C. J. Failure of CDKN2A/B (INK4A/B-ARF)-mediated tumor suppression and resistance to targeted therapy in acute lymphoblastic leukemia induced by BCR-ABL. Genes Dev. 22, 1411–1415 (2008).
pubmed: 18519632 pmcid: 2732413 doi: 10.1101/gad.1673908
Mullighan, C. G. et al. BCR-ABL1 lymphoblastic leukaemia is characterized by the deletion of Ikaros. Nature 453, 110–114 (2008).
pubmed: 18408710 doi: 10.1038/nature06866
Joshi, I. et al. Loss of Ikaros DNA-binding function confers integrin-dependent survival on pre-B cells and progression to acute lymphoblastic leukemia. Nat. Immunol. 15, 294–304 (2014).
pubmed: 24509510 pmcid: 4494688 doi: 10.1038/ni.2821
Stanulla, M. et al. IKZF1plus defines a new minimal residual disease–dependent very-poor prognostic profile in pediatric B-cell precursor acute lymphoblastic leukemia. J. Clin. Oncol. 36, 1240–1249 (2018).
pubmed: 29498923 doi: 10.1200/JCO.2017.74.3617
Papaemmanuil, E. et al. RAG-mediated recombination is the predominant driver of oncogenic rearrangement in ETV6-RUNX1 acute lymphoblastic leukemia. Nat. Genet. 46, 116–125 (2014).
pubmed: 24413735 pmcid: 3960636 doi: 10.1038/ng.2874
Dennis, G. Jr. et al. DAVID: database for annotation, visualization, and integrated discovery. Genome Biol. 4, P3 (2003).
pubmed: 12734009 doi: 10.1186/gb-2003-4-5-p3
Hertzberg, L. et al. Down syndrome acute lymphoblastic leukemia, a highly heterogeneous disease in which aberrant expression of CRLF2 is associated with mutated JAK2: a report from the International BFM Study Group. Blood 115, 1006–1017 (2010).
pubmed: 19965641 doi: 10.1182/blood-2009-08-235408
Kirkham, C. M. et al. Cut-and-Run: a distinct mechanism by which V(D)J recombination causes genome instability. Mol. Cell 74, 584–597 e9 (2019).
pubmed: 30905508 pmcid: 6509286 doi: 10.1016/j.molcel.2019.02.025
Van de Sande, B. et al. A scalable SCENIC workflow for single-cell gene regulatory network analysis. Nat. Protoc. 15, 2247–2276 (2020).
pubmed: 32561888 doi: 10.1038/s41596-020-0336-2
Loh, M. L. et al. Tyrosine kinome sequencing of pediatric acute lymphoblastic leukemia: a report from the Children’s Oncology Group TARGET Project. Blood 121, 485–488 (2013).
pubmed: 23212523 pmcid: 3548168 doi: 10.1182/blood-2012-04-422691
Harvey, R. C. & Tasian, S. K. Clinical diagnostics and treatment strategies for Philadelphia chromosome-like acute lymphoblastic leukemia. Blood Adv. 4, 218–228 (2020).
pubmed: 31935290 pmcid: 6960477 doi: 10.1182/bloodadvances.2019000163
Kharabi Masouleh, B. et al. Mechanistic rationale for targeting the unfolded protein response in pre-B acute lymphoblastic leukemia. Proc. Natl Acad. Sci. USA 111, E2219–E2228 (2014).
pubmed: 24821775 pmcid: 4040579 doi: 10.1073/pnas.1400958111
Schafer, D. et al. Five percent of healthy newborns have an ETV6-RUNX1 fusion as revealed by DNA-based GIPFEL screening. Blood 131, 821–826 (2018).
pubmed: 29311095 pmcid: 5909885 doi: 10.1182/blood-2017-09-808402
Thomas, K. R. et al. Activated interleukin-7 receptor signaling drives B-cell acute lymphoblastic leukemia in mice. Leukemia 36, 42–57 (2022).
pubmed: 34193976 doi: 10.1038/s41375-021-01326-x
Almeida, A. R. M. et al. Interleukin-7 receptor alpha mutational activation can initiate precursor B-cell acute lymphoblastic leukemia. Nat. Commun. 12, 7268 (2021).
pubmed: 34907175 pmcid: 8671594 doi: 10.1038/s41467-021-27197-5
Barata, J. T. IL-7Ralpha: Mr Hyde’s twists and turns. Blood 122, 4151–4152 (2013).
pubmed: 24357705 doi: 10.1182/blood-2013-11-536987
Silva, A. P. et al. Overexpression of wild type IL-7Ralpha promotes T-cell acute lymphoblastic leukemia/lymphoma. Blood 138, 1040–1052 (2021).
pubmed: 33970999 pmcid: 8462360 doi: 10.1182/blood.2019000553
Cramer, S. D. et al. Mutant IL-7Ralpha and mutant NRas are sufficient to induce murine T cell acute lymphoblastic leukemia. Leukemia 32, 1795–1882 (2018).
pubmed: 29535426 pmcid: 7984718 doi: 10.1038/s41375-017-0001-0
Zenatti, P. P. et al. Oncogenic IL7R gain-of-function mutations in childhood T-cell acute lymphoblastic leukemia. Nat. Genet. 43, 932–939 (2011).
pubmed: 21892159 pmcid: 7424552 doi: 10.1038/ng.924
Townsend, E. C. et al. The public repository of xenografts enables discovery and randomized phase II-like trials in mice. Cancer Cell 29, 574–586 (2016).
pubmed: 27070704 pmcid: 5177991 doi: 10.1016/j.ccell.2016.03.008
Fang, W. et al. Frequent aberrant immunoglobulin gene rearrangements in pro-B cells revealed by a bcl-xL transgene. Immunity 4, 291–299 (1996).
pubmed: 8624819 doi: 10.1016/S1074-7613(00)80437-9
Sherr, C. J. & McCormick, F. The RB and p53 pathways in cancer. Cancer Cell 2, 103–112 (2002).
pubmed: 12204530 doi: 10.1016/S1535-6108(02)00102-2
Duy, C. et al. BCL6 enables Ph+ acute lymphoblastic leukaemia cells to survive BCR-ABL1 kinase inhibition. Nature 473, 384–388 (2011).
pubmed: 21593872 pmcid: 3597744 doi: 10.1038/nature09883
Purohit, S. J. et al. Determination of lymphoid cell fate is dependent on the expression status of the IL-7 receptor. EMBO J. 22, 5511–5521 (2003).
pubmed: 14532123 pmcid: 213776 doi: 10.1093/emboj/cdg522
Bendall, S. C. et al. Single-cell trajectory detection uncovers progression and regulatory coordination in human B cell development. Cell 157, 714–725 (2014).
pubmed: 24766814 pmcid: 4045247 doi: 10.1016/j.cell.2014.04.005
Doench, J. G. et al. Optimized sgRNA design to maximize activity and minimize off-target effects of CRISPR-Cas9. Nat. Biotechnol. 34, 184–191 (2016).
pubmed: 26780180 pmcid: 4744125 doi: 10.1038/nbt.3437
Tiscornia, G., Singer, O. & Verma, I. M. Production and purification of lentiviral vectors. Nat. Protoc. 1, 241–245 (2006).
pubmed: 17406239 doi: 10.1038/nprot.2006.37
Subramanian, A. et al. Gene set enrichment analysis: a knowledge-based approach for interpreting genome-wide expression profiles. Proc. Natl Acad. Sci. USA 102, 15545–15550 (2005).
pubmed: 16199517 pmcid: 1239896 doi: 10.1073/pnas.0506580102
Zheng, G. X. et al. Massively parallel digital transcriptional profiling of single cells. Nat. Commun. 8, 14049 (2017).
pubmed: 28091601 pmcid: 5241818 doi: 10.1038/ncomms14049
McCarthy, D. J., Campbell, K. R., Lun, A. T. & Wills, Q. F. Scater: pre-processing, quality control, normalization and visualization of single-cell RNA-seq data in R. Bioinformatics 33, 1179–1186 (2017).
pubmed: 28088763 pmcid: 5408845
Robinson, M. D., McCarthy, D. J. & Smyth, G. K. edgeR: a Bioconductor package for differential expression analysis of digital gene expression data. Bioinformatics 26, 139–140 (2010).
pubmed: 19910308 doi: 10.1093/bioinformatics/btp616
Carlson, C. S. et al. Using synthetic templates to design an unbiased multiplex PCR assay. Nat. Commun. 4, 2680 (2013).
pubmed: 24157944 doi: 10.1038/ncomms3680
Clement, K. et al. CRISPResso2 provides accurate and rapid genome editing sequence analysis. Nat. Biotechnol. 37, 224–226 (2019).
pubmed: 30809026 pmcid: 6533916 doi: 10.1038/s41587-019-0032-3

Auteurs

Ifat Geron (I)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel.
Institute of Pediatric Research, Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer, Israel.
The Rina Zaizov Pediatric Hematology and Oncology Division Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Angela Maria Savino (AM)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel.
Institute of Pediatric Research, Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer, Israel.
The Rina Zaizov Pediatric Hematology and Oncology Division Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Hila Fishman (H)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel.
Institute of Pediatric Research, Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer, Israel.
The Rina Zaizov Pediatric Hematology and Oncology Division Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Noa Tal (N)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel.
Institute of Pediatric Research, Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer, Israel.

John Brown (J)

Department of Cancer Biology, UCL Cancer Institute, UCL, London, UK.

Virginia A Turati (VA)

Department of Cancer Biology, UCL Cancer Institute, UCL, London, UK.

Chela James (C)

Department of Cancer Biology, UCL Cancer Institute, UCL, London, UK.

Jolanda Sarno (J)

Department of Pediatrics, Bass Center for Childhood Cancer and Blood Disorders, Stanford University, Stanford, CA, USA.

Michal Hameiri-Grossman (M)

The Rina Zaizov Pediatric Hematology and Oncology Division Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Yu Nee Lee (YN)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel.
Pediatric Department and the Immunology Service, Jeffrey Modell Foundation Center, Edmond and Lily Safra Children's Hospital Sheba Medical Center, Tel-Hashomer, Israel.

Avigail Rein (A)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel.
Institute of Pediatric Research, Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer, Israel.
The Rina Zaizov Pediatric Hematology and Oncology Division Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Hillary Maniriho (H)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel.
The Rina Zaizov Pediatric Hematology and Oncology Division Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Yehudit Birger (Y)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel.
Institute of Pediatric Research, Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer, Israel.
The Rina Zaizov Pediatric Hematology and Oncology Division Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Anna Zemlyansky (A)

The Rina Zaizov Pediatric Hematology and Oncology Division Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Inna Muler (I)

Institute of Pediatric Research, Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer, Israel.

Kara L Davis (KL)

Department of Pediatrics, Bass Center for Childhood Cancer and Blood Disorders, Stanford University, Stanford, CA, USA.

Victoria Marcu-Malina (V)

Cytogenetic Unit laboratory of Hematology, Chaim Sheba Medical Center Tel Hashomer, Tel Hashomer, Israel.

Nicole Mattson (N)

Department of Systems Biology, City of Hope Comprehensive Cancer Center, Monrovia, CA, USA.

Oren Parnas (O)

The Concern Foundation Laboratories at the Lautenberg Center for immunology and Cancer Research, IMRIC, Hebrew University Faculty of Medicine, Jerusalem, Israel.

Rabea Wagener (R)

Department of Pediatric Oncology, Hematology and Clinical Immunology, University Children's Hospital, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.

Ute Fischer (U)

Department of Pediatric Oncology, Hematology and Clinical Immunology, University Children's Hospital, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.

João T Barata (JT)

Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.

Catriona H M Jamieson (CHM)

UC San Diego, Moores Cancer Center, Division of Regenerative Medicine, Department of Medicine and Sanford Stem Cell Clinical Center, Ja Jolla, CA, USA.

Markus Müschen (M)

Department of Systems Biology, City of Hope Comprehensive Cancer Center, Monrovia, CA, USA.

Chun-Wei Chen (CW)

Department of Systems Biology, City of Hope Comprehensive Cancer Center, Monrovia, CA, USA.

Arndt Borkhardt (A)

Department of Pediatric Oncology, Hematology and Clinical Immunology, University Children's Hospital, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.

Ilan Richard Kirsch (IR)

Adaptive Biotechnologies, Inc., Seattle, WA, USA.

Arnon Nagler (A)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel.
Hematology Division BMT and Cord Blood Bank Chaim Sheba Medical Center Tel-Hashomer, Tel-Hashomer, Israel.

Tariq Enver (T)

Department of Cancer Biology, UCL Cancer Institute, UCL, London, UK.

Shai Izraeli (S)

Felsenstein Medical Research Center and The Molecular Genetics and Biochemistry Department, Sackler Faculty of Medicine, Tel Aviv University, Petach Tikva, Israel. sizraeli@gmail.com.
Institute of Pediatric Research, Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer, Israel. sizraeli@gmail.com.
The Rina Zaizov Pediatric Hematology and Oncology Division Schneider Children's Medical Center of Israel, Petach Tikva, Israel. sizraeli@gmail.com.
Department of Systems Biology, City of Hope Comprehensive Cancer Center, Monrovia, CA, USA. sizraeli@gmail.com.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH