Widespread white matter microstructural abnormalities in bipolar disorder: evidence from mega- and meta-analyses across 3033 individuals

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFAVRE, Pauline
dc.contributor.authorPAULING, Melissa
dc.contributor.authorSTOUT, Jacques
dc.contributor.authorHOZER, Franz
dc.contributor.authorSARRAZIN, Samuel
dc.contributor.authorABE, Christoph
dc.contributor.authorALDA, Martin
dc.contributor.authorALLOZA, Clara
dc.contributor.authorALONSO-LANA, Silvia
dc.contributor.authorANDREASSEN, Ole A.
dc.contributor.authorBAUNE, Bernhard T.
dc.contributor.authorBENEDETTI, Francesco
dc.contributor.authorBUSATTO, Geraldo F.
dc.contributor.authorCANALES-RODRIGUEZ, Erick J.
dc.contributor.authorCASERAS, Xavier
dc.contributor.authorCHAIM-AVANCINI, Tiffany Moukbel
dc.contributor.authorCHING, Christopher R. K.
dc.contributor.authorDANNLOWSKI, Udo
dc.contributor.authorDEPPE, Michael
dc.contributor.authorEYLER, Lisa T.
dc.contributor.authorFATJO-VILAS, Mar
dc.contributor.authorFOLEY, Sonya F.
dc.contributor.authorGROTEGERD, Dominik
dc.contributor.authorHAJEK, Tomas
dc.contributor.authorHAUKVIK, Unn K.
dc.contributor.authorHOWELLS, Fleur M.
dc.contributor.authorJAHANSHAD, Neda
dc.contributor.authorKUGEL, Harald
dc.contributor.authorLAGERBERG, Trine V.
dc.contributor.authorLAWRIE, Stephen M.
dc.contributor.authorLINKE, Julia O.
dc.contributor.authorMCINTOSH, Andrew
dc.contributor.authorMELLONI, Elisa M. T.
dc.contributor.authorMITCHELL, Philip B.
dc.contributor.authorPOLOSAN, Mircea
dc.contributor.authorPOMAROL-CLOTET, Edith
dc.contributor.authorREPPLE, Jonathan
dc.contributor.authorROBERTS, Gloria
dc.contributor.authorROOS, Annerine
dc.contributor.authorROSA, Pedro G. P.
dc.contributor.authorSALVADOR, Raymond
dc.contributor.authorSARRO, Salvador
dc.contributor.authorSCHOFIELD, Peter R.
dc.contributor.authorSERPA, Mauricio H.
dc.contributor.authorSIM, Kang
dc.contributor.authorSTEIN, Dan J.
dc.contributor.authorSUSSMANN, Jess E.
dc.contributor.authorTEMMINGH, Henk S.
dc.contributor.authorTHOMPSON, Paul M.
dc.contributor.authorVERDOLINI, Norma
dc.contributor.authorVIETA, Eduard
dc.contributor.authorWESSA, Michele
dc.contributor.authorWHALLEY, Heather C.
dc.contributor.authorZANETTI, Marcus V.
dc.contributor.authorLEBOYER, Marion
dc.contributor.authorMANGIN, Jean-Francois
dc.contributor.authorHENRY, Chantal
dc.contributor.authorDUCHESNAY, Edouard
dc.contributor.authorHOUENOU, Josselin
dc.contributor.groupauthorENIGMA Bipolar Disorder Working
dc.date.accessioned2020-01-21T15:12:16Z
dc.date.available2020-01-21T15:12:16Z
dc.date.issued2019
dc.description.abstractFronto-limbic white matter (WM) abnormalities are assumed to lie at the heart of the pathophysiology of bipolar disorder (BD); however, diffusion tensor imaging (DTI) studies have reported heterogeneous results and it is not clear how the clinical heterogeneity is related to the observed differences. This study aimed to identify WM abnormalities that differentiate patients with BD from healthy controls (HC) in the largest DTI dataset of patients with BD to date, collected via the ENIGMA network. We gathered individual tensor-derived regional metrics from 26 cohorts leading to a sample size of N = 3033 (1482 BD and 1551 HC). Mean fractional anisotropy (FA) from 43 regions of interest (ROI) and average whole-brain FA were entered into univariate mega- and meta-analyses to differentiate patients with BD from HC. Mega-analysis revealed significantly lower FA in patients with BD compared with HC in 29 regions, with the highest effect sizes observed within the corpus callosum (R-2 = 0.041, P-corr < 0.001) and cingulum (right: R-2 = 0.041, left: R-2 = 0.040, P-corr < 0.001). Lithium medication, later onset and short disease duration were related to higher FA along multiple ROIs. Results of the meta-analysis showed similar effects. We demonstrated widespread WM abnormalities in BD and highlighted that altered WM connectivity within the corpus callosum and the cingulum are strongly associated with BD. These brain abnormalities could represent a biomarker for use in the diagnosis of BD. Interactive three-dimensional visualization of the results is available at www.enigma-viewer.org.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipGerman Research Foundation (DFG)German Research Foundation (DFG) [FOR2107 DA1151/5-1, DA1151/5-2, SFB-TRR58]
dc.description.sponsorshipInterdisciplinary Center for Clinical Research (IZKF) of the medical faculty of Munster [Dan3/012/17]
dc.description.sponsorshipGerman Research FoundationGerman Research Foundation (DFG) [SFB636/C6, WE3638/3-1]
dc.description.sponsorshipVA Desert-Pacific Mental Illness Research Education and Clinical Center
dc.description.sponsorshipResearch Council of NorwayResearch Council of Norway [223273, 213837, 249711, 249795, 248238, 248778, 262656]
dc.description.sponsorshipNIHUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA [MH083968]
dc.description.sponsorshipSouth East Norway Health Authority [2017-112]
dc.description.sponsorshipKristian Gerhard Jebsen Stiftelsen [SKGJ-MED-008]
dc.description.sponsorshipEuropean Community's Seventh Framework Program (FP7/2007-2013) [602450]
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq, Brazil)National Council for Scientific and Technological Development (CNPq) [480370/2009-5]
dc.description.sponsorshipAustralian National Medical and Health Research CouncilNational Health and Medical Research Council of Australia [1037196]
dc.description.sponsorshipLansdowne Foundation
dc.description.sponsorshipNIH from the BD2K InitiativeUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA [U54 EB020403, R01 MH116147, P41 EB015922]
dc.description.sponsorshipCIBERSAM
dc.description.sponsorshipNHG [SIG/12004]
dc.description.sponsorshipSBIC [RP C-009]
dc.description.sponsorshipSAMRC
dc.description.sponsorshipCanadian Institutes of Health ResearchCanadian Institutes of Health Research (CIHR) [103703, 106469, 64410]
dc.description.sponsorshipNova Scotia Health Research Foundation, Dalhousie Clinical Research and Scholarship
dc.description.sponsorshipNARSAD Young Investigator and Independent Investigator AwardsNARSAD
dc.description.sponsorshipJMAS SIM fellowship from the Royal College of Physicians of Edinburgh
dc.description.sponsorshipESAT College Fellowship from the University of Edinburgh
dc.description.sponsorshipNARSAD Young Investigator AwardNARSAD [17319]
dc.description.sponsorshipSpanish Ministry of Science, Innovation and Universities [PI15/00283]
dc.description.sponsorshipComissionat per a Universitats i Recerca del DIUE de la Generalitat de Catalunya [2017 SGR 1365]
dc.description.sponsorshipPERIS 2016-2020 (Departament de Salut) [SLT006/17/00357]
dc.description.sponsorshipCERCA Programme/Generalitat de Catalunya
dc.description.sponsorshipFAPESP-BrazilFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2009/14891-9, 2010/18672-7, 2012/23796-2, 2013/03905-4]
dc.description.sponsorshipCNPqBrazilNational Council for Scientific and Technological Development (CNPq) [478466/2009, 480370/2009]
dc.description.sponsorshipWellcome Trust (UK)Wellcome Trust
dc.description.sponsorshipBrain & Behavior Research Foundation (NARSAD Independent Investigator Award)
dc.description.sponsorshipNIAUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute on Aging (NIA) [T32AG058507]
dc.description.sponsorshipNIH/NIMHUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Mental Health (NIMH) [5T32MH073526]
dc.description.sponsorshipNIH from the Big Data to Knowledge (BD2K) ProgramUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA [U54EB020403]
dc.description.sponsorshipHuman Brain Project - European Union's Horizon 2020 Framework Program for Research and Innovation [785907, 604102]
dc.description.sponsorshipFRMFondation pour la Recherche Medicale [DIC20161236445]
dc.description.sponsorshipFrench program ""Investissement d'Avenir"" by the ""Agence Nationale pour la Recherche""French National Research Agency (ANR)
dc.description.sponsorshipgrant ""Infrastructure d'avenir en Biologie Sante"" [ANR-11-INBS-0006]
dc.description.sponsorshipAgence Nationale pour la RechercheFrench National Research Agency (ANR) [ANR-11-IDEX-0004 Labex BioPsy, ANR-10-COHO-10-01 psyCOH]
dc.description.sponsorshipFondation pour la Recherche Medicale (Bioinformatique pour la biologie 2014)
dc.description.sponsorshipFondation de l'Avenir (Recherche Medicale Appliquee 2014)
dc.description.sponsorshipAB-Biotics
dc.description.sponsorshipAbbottAbbott Laboratories
dc.description.sponsorshipAllerganAllergan
dc.description.sponsorshipAngelini
dc.description.sponsorshipDainippon Sumitomo PharmaDainippon Sumitomo Pharma Co., Ltd.
dc.description.sponsorshipGalenica
dc.description.sponsorshipJanssenJohnson & Johnson USAJanssen Biotech Inc
dc.description.sponsorshipLundbeckLundbeck Corporation
dc.description.sponsorshipNovartisNovartis
dc.description.sponsorshipOtsukaOtsuka Pharmaceutical
dc.description.sponsorshipSage
dc.description.sponsorshipSanofi-AventisSanofi-Aventis
dc.description.sponsorshipTakedaTakeda Pharmaceutical Company Ltd
dc.description.sponsorshipOslo University Hospital
dc.description.sponsorshipUniversity of Oslo
dc.description.sponsorshipNorwegian Research CouncilResearch Council of Norway
dc.description.sponsorshipSouth Eastern Norwegian Health Authorities
dc.description.sponsorshipISCIII-Subdireccion General de Evaluacion y el Fondo Europeo de Desarrollo Regional (FEDER), CIBERSAM
dc.identifier.citationNEUROPSYCHOPHARMACOLOGY, v.44, n.13, p.2285-2293, 2019
dc.identifier.doi10.1038/s41386-019-0485-6
dc.identifier.eissn1740-634X
dc.identifier.issn0893-133X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/34533
dc.language.isoeng
dc.publisherNATURE PUBLISHING GROUPeng
dc.relation.ispartofNeuropsychopharmacology
dc.rightsopenAccesseng
dc.rights.holderCopyright NATURE PUBLISHING GROUPeng
dc.subject.otherfractional anisotropyeng
dc.subject.otherlithiumeng
dc.subject.otherconnectivityeng
dc.subject.otherintegrityeng
dc.subject.othertractographyeng
dc.subject.otherfeatureseng
dc.subject.othervolumeeng
dc.subject.wosNeuroscienceseng
dc.subject.wosPharmacology & Pharmacyeng
dc.subject.wosPsychiatryeng
dc.titleWidespread white matter microstructural abnormalities in bipolar disorder: evidence from mega- and meta-analyses across 3033 individualseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countrySingapura
hcfmusp.affiliation.countryAustrália
hcfmusp.affiliation.countryEscócia
hcfmusp.affiliation.countryÁfrica do Sul
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryPaís de Gales
hcfmusp.affiliation.countryAlemanha
hcfmusp.affiliation.countryNoruega
hcfmusp.affiliation.countryEspanha
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countryFrança
hcfmusp.affiliation.countrySuécia
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryisoit
hcfmusp.affiliation.countryisofr
hcfmusp.affiliation.countryisose
hcfmusp.affiliation.countryisoca
hcfmusp.affiliation.countryisoes
hcfmusp.affiliation.countryisono
hcfmusp.affiliation.countryisode
hcfmusp.affiliation.countryisogb
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisoza
hcfmusp.affiliation.countryisoau
hcfmusp.affiliation.countryisosg
hcfmusp.author.externalFAVRE, Pauline:Univ Paris Saclay, CEA, Neurospin, Gif Sur Yvette, France; INSERM, Unit U955, Team 15, Translat Psychiat, Creteil, France
hcfmusp.author.externalPAULING, Melissa:Univ Paris Saclay, CEA, Neurospin, Gif Sur Yvette, France; INSERM, Unit U955, Team 15, Translat Psychiat, Creteil, France
hcfmusp.author.externalSTOUT, Jacques:Univ Paris Saclay, CEA, Neurospin, Gif Sur Yvette, France
hcfmusp.author.externalHOZER, Franz:Univ Paris Saclay, CEA, Neurospin, Gif Sur Yvette, France; INSERM, Unit U955, Team 15, Translat Psychiat, Creteil, France; Corentin Celton Hosp, AP HP, Dept Psychiat, Issy Les Moulineaux, France; Paris Descartes Univ, PRES Sorbonne Paris Cite, Paris, France
hcfmusp.author.externalSARRAZIN, Samuel:Univ Paris Saclay, CEA, Neurospin, Gif Sur Yvette, France; INSERM, Unit U955, Team 15, Translat Psychiat, Creteil, France; Hop Univ Mondor, Pole Psychiat, DHU PePSY, Creteil, France; Fondat Falret, Bipol Falret, St Ouen, France
hcfmusp.author.externalABE, Christoph:Karolinska Inst, Clin Neurosci, Stockholm, Sweden
hcfmusp.author.externalALDA, Martin:Dalhousie Univ, Dept Psychiat, Halifax, NS, Canada
hcfmusp.author.externalALLOZA, Clara:Univ Edinburgh, Div Psychiat, Edinburgh, Midlothian, Scotland; Hosp Gen Univ Gregorio Maranon, IISGM, Dept Child & Adolescent Psychiat, Madrid, Spain
hcfmusp.author.externalALONSO-LANA, Silvia:FIDMAG Res Fdn, Barcelona, Spain; CIBERSAM, Barcelona, Spain
hcfmusp.author.externalANDREASSEN, Ole A.:Univ Oslo, Dept Mental Hlth & Addict, Oslo, Norway; Oslo Univ Hosp, NORMENT KG Jebsen Ctr Psychosis Res, Oslo, Norway
hcfmusp.author.externalBAUNE, Bernhard T.:Univ Melbourne, Dept Psychiat, Melbourne, Vic, Australia; Univ Munster, Dept Psychiat, Munster, Germany
hcfmusp.author.externalBENEDETTI, Francesco:Ist Sci San Raffaele, Div Neurosci, Milan, Italy; Univ Vita Salute San Raffaele, Milan, Italy
hcfmusp.author.externalCANALES-RODRIGUEZ, Erick J.:FIDMAG Res Fdn, Barcelona, Spain
hcfmusp.author.externalCASERAS, Xavier:Cardiff Univ, MRC Ctr Neuropsychiat Genet & Genom, Cardiff, S Glam, Wales
hcfmusp.author.externalCHING, Christopher R. K.:Univ Calif Los Angeles, Interdept Neurosci Program, Los Angeles, CA USA; Univ Southern Calif, Keck Sch Med USC, Mark & Mary Stevens Neuroimaging & Informat Inst, Imaging Genet Ctr, Los Angeles, CA 90007 USA
hcfmusp.author.externalDANNLOWSKI, Udo:Univ Munster, Dept Psychiat, Munster, Germany
hcfmusp.author.externalDEPPE, Michael:Univ Munster, Dept Neurol, Munster, Germany
hcfmusp.author.externalEYLER, Lisa T.:Univ Calif San Diego, Dept Psychiat, La Jolla, CA 92093 USA; VA San Diego Healthcare Syst, Mental Illness Res Educ & Clin Ctr, La Jolla, CA USA
hcfmusp.author.externalFATJO-VILAS, Mar:FIDMAG Res Fdn, Barcelona, Spain; CIBERSAM, Barcelona, Spain
hcfmusp.author.externalFOLEY, Sonya F.:Cardiff Univ, CUBRIC, Cardiff, S Glam, Wales
hcfmusp.author.externalGROTEGERD, Dominik:Univ Munster, Dept Psychiat, Munster, Germany
hcfmusp.author.externalHAJEK, Tomas:Dalhousie Univ, Dept Psychiat, Halifax, NS, Canada
hcfmusp.author.externalHAUKVIK, Unn K.:Univ Oslo, Dept Mental Hlth & Addict, Oslo, Norway; Oslo Univ Hosp, NORMENT KG Jebsen Ctr Psychosis Res, Oslo, Norway
hcfmusp.author.externalHOWELLS, Fleur M.:Univ Cape Town, Dept Psychiat & Mental Hlth, Cape Town, South Africa; Univ Cape Town, Inst Neurosci, Cape Town, South Africa
hcfmusp.author.externalJAHANSHAD, Neda:Univ Calif Los Angeles, Interdept Neurosci Program, Los Angeles, CA USA
hcfmusp.author.externalKUGEL, Harald:Univ Munster, Inst Clin Radiol, Munster, Germany
hcfmusp.author.externalLAGERBERG, Trine V.:Univ Oslo, Dept Mental Hlth & Addict, Oslo, Norway; Oslo Univ Hosp, NORMENT KG Jebsen Ctr Psychosis Res, Oslo, Norway
hcfmusp.author.externalLAWRIE, Stephen M.:Royal Edinburgh & Associated Hosp, Dept Psychiat, Edinburgh, Midlothian, Scotland
hcfmusp.author.externalLINKE, Julia O.:Johannes Gutenberg Univ Mainz, Dept Clin Psychol & Neuropsychol, Mainz, Germany; NIMH, Emot & Dev Branch, Bethesda, MD 20892 USA
hcfmusp.author.externalMCINTOSH, Andrew:Royal Edinburgh & Associated Hosp, Dept Psychiat, Edinburgh, Midlothian, Scotland; Univ Edinburgh, Ctr Cognit Ageing & Cognit Epidemiol, Edinburgh, Midlothian, Scotland
hcfmusp.author.externalMELLONI, Elisa M. T.:Sci Inst, Div Neurosci, Psychiat & Clin Psychobiol, Milan, Italy; Univ Vita Salute San Raffaele, Milan, Italy
hcfmusp.author.externalMITCHELL, Philip B.:Univ New South Wales, Sch Psychiat, Sydney, NSW, Australia; Black Dog Inst, Sydney, NSW, Australia
hcfmusp.author.externalPOLOSAN, Mircea:Univ Grenoble Alpes, CHU Grenoble Alpes, Grenoble Inst Neurosci, INSERM,U1216, Grenoble, France
hcfmusp.author.externalPOMAROL-CLOTET, Edith:FIDMAG Res Fdn, Barcelona, Spain; CIBERSAM, Barcelona, Spain
hcfmusp.author.externalREPPLE, Jonathan:Univ Munster, Dept Psychiat, Munster, Germany
hcfmusp.author.externalROBERTS, Gloria:Univ New South Wales, Sch Psychiat, Sydney, NSW, Australia; Black Dog Inst, Sydney, NSW, Australia
hcfmusp.author.externalROOS, Annerine:Univ Cape Town, SAMRC Unit Risk & Resilience Mental Disorders, Dept Psychiat, Cape Town, South Africa
hcfmusp.author.externalSALVADOR, Raymond:CIBERSAM, Barcelona, Spain; Cardiff Univ, CUBRIC, Cardiff, S Glam, Wales
hcfmusp.author.externalSARRO, Salvador:CIBERSAM, Barcelona, Spain; Cardiff Univ, CUBRIC, Cardiff, S Glam, Wales
hcfmusp.author.externalSCHOFIELD, Peter R.:Neurosci Res Australia, Sydney, NSW, Australia; Univ New South Wales, Sch Med Sci, Sydney, NSW, Australia
hcfmusp.author.externalSERPA, Mauricio H.:Ist Sci San Raffaele, Div Neurosci, Milan, Italy; Univ Vita Salute San Raffaele, Milan, Italy
hcfmusp.author.externalSIM, Kang:Inst Mental Hlth, West Reg, Singapore, Singapore; Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore; Nanyang Technol Univ, Lee Kong Chian Sch Med, Singapore, Singapore
hcfmusp.author.externalSTEIN, Dan J.:Univ Cape Town, SAMRC Unit Risk & Resilience Mental Disorders, Dept Psychiat, Cape Town, South Africa
hcfmusp.author.externalSUSSMANN, Jess E.:Royal Edinburgh & Associated Hosp, Dept Psychiat, Edinburgh, Midlothian, Scotland
hcfmusp.author.externalTEMMINGH, Henk S.:Univ Cape Town, Dept Psychiat & Mental Hlth, Cape Town, South Africa; Valkenberg Hosp, Cape Town, South Africa
hcfmusp.author.externalTHOMPSON, Paul M.:Univ Southern Calif, Keck Sch Med USC, Mark & Mary Stevens Neuroimaging & Informat Inst, Imaging Genet Ctr, Los Angeles, CA 90007 USA
hcfmusp.author.externalVERDOLINI, Norma:FIDMAG Res Fdn, Barcelona, Spain; CIBERSAM, Barcelona, Spain; Univ Barcelona, IDIBAPS, Hosp Clin, Inst Neurosci, Barcelona, Spain
hcfmusp.author.externalVIETA, Eduard:CIBERSAM, Barcelona, Spain; Univ Barcelona, IDIBAPS, Hosp Clin, Inst Neurosci, Barcelona, Spain
hcfmusp.author.externalWESSA, Michele:Johannes Gutenberg Univ Mainz, Dept Clin Psychol & Neuropsychol, Mainz, Germany
hcfmusp.author.externalWHALLEY, Heather C.:Johannes Gutenberg Univ Mainz, Dept Clin Psychol & Neuropsychol, Mainz, Germany
hcfmusp.author.externalLEBOYER, Marion:Univ Paris Saclay, CEA, Neurospin, Gif Sur Yvette, France; CHU Mondor, AP HP, Dept Psychiat, Creteil, France; Univ Paris Est Creteil, Fac Med, Creteil, France
hcfmusp.author.externalMANGIN, Jean-Francois:Univ Paris Saclay, CEA, Neurospin, Gif Sur Yvette, France
hcfmusp.author.externalHENRY, Chantal:Inst Pasteur, Unite Percept & Memoire, Paris, France
hcfmusp.author.externalDUCHESNAY, Edouard:Univ Paris Saclay, CEA, Neurospin, Gif Sur Yvette, France
hcfmusp.author.externalHOUENOU, Josselin:Univ Paris Saclay, CEA, Neurospin, Gif Sur Yvette, France; INSERM, Unit U955, Team 15, Translat Psychiat, Creteil, France; CHU Mondor, AP HP, Dept Psychiat, Creteil, France; Univ Paris Est Creteil, Fac Med, Creteil, France
hcfmusp.citation.scopus127
hcfmusp.contributor.author-fmusphcGERALDO BUSATTO FILHO
hcfmusp.contributor.author-fmusphcTIFFANY MOUKBEL CHAIM AVANCINI
hcfmusp.contributor.author-fmusphcPEDRO GOMES PENTEADO ROSA
hcfmusp.contributor.author-fmusphcMARCUS VINICIUS ZANETTI
hcfmusp.description.beginpage2285
hcfmusp.description.endpage2293
hcfmusp.description.issue13
hcfmusp.description.volume44
hcfmusp.origemWOS
hcfmusp.origem.pubmed31434102
hcfmusp.origem.scopus2-s2.0-85071620394
hcfmusp.origem.wosWOS:000496913900021
hcfmusp.publisher.cityLONDONeng
hcfmusp.publisher.countryENGLANDeng
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