Lower synaptic density in mood circuitry underlies depression in Parkinson's disease.
The 1 match
- [1] § Statistical analyses ↔ analysis_code.sas, lines 1–31 · score 0.56 · MoCA, Fisher, Wilcoxon, MADRS, UPDRS, correlation
Paper
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The authors' code
SAS · 222 lines · 12 KB · no license · 1 match
- data one;set libname.dataset;
- *demographics and clinical features;
- proc means n mean std maxdec=1 nonobs clm;var age;class group;
- run;
- proc mixed;class group;model age=group;lsmeans group/adjust=bonferroni;
- run;
- proc freq;tables sex*group/fisher;
- proc means n mean std maxdec=1 nonobs clm;var age UPDRS3 UPDRStot Duration madrs moca;class group;where group ne 0;
- run;
- proc npar1way wilcoxon;var UPDRS3 UPDRStot Duration madrs moca;class group;where group ne 0;
- run;
- *correlations;
- proc corr pearson spearman;var r1-r7 MADRS MoCA UPDRS1 UPDRS2 UPDRS3 UPDRS4 UPDRStot Duration;partial male age;where group ne 0;
- proc sort;by group;
- proc corr pearson spearman;var r1-r7 MADRS MoCA UPDRS1 UPDRS2 UPDRS3 UPDRS4 UPDRStot Duration;partial male age;where group ne 0;
- by group;
- run;
- data two;set one;
- Region=1;y=r1;output;
- Region=2;y=r2;output;
- Region=3;y=r3;output;
- Region=4;y=r4;output;
- Region=5;y=r5;output;
- Region=6;y=r6;output;
- Region=7;y=r7;output;
- data primary;set two;
- *primary regions;
- if region in (1,2,3,4);
- proc mixed;class id region group sex;
- model y=region|group sex age;
- repeated region/sub=id type=un;
- lsmeans group group*region/cl;lsmeans group*region/slice=group;lsmeans group*region/slice=region;
- estimate 'HC vs PD averaged over region' group 1 -1 0/cl;
- estimate 'HC vs PDd averaged over region' group 1 0 -1/cl;
- estimate 'PD vs PDd averaged over region' group 0 1 -1/cl;
- estimate 'HC vs PD in Amygdala' group 1 -1 0 region*group 1 -1 0 0 0 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PD in DLPFC' group 1 -1 0 region*group 0 0 0 1 -1 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PD in CingulumAnt' group 1 -1 0 region*group 0 0 0 0 0 0 1 -1 0 0 0 0/cl;
- estimate 'HC vs PD in Hippocampus' group 1 -1 0 region*group 0 0 0 0 0 0 0 0 0 1 -1 0/cl;
- estimate 'HC vs PDd in Amygdala' group 1 0 -1 region*group 1 0 -1 0 0 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PDd in DLPFC' group 1 0 -1 region*group 0 0 0 1 0 -1 0 0 0 0 0 0/cl;
- estimate 'HC vs PDd in CingulumAnt' group 1 0 -1 region*group 0 0 0 0 0 0 1 0 -1 0 0 0/cl;
- estimate 'HC vs PDd in Hippocampus' group 1 0 -1 region*group 0 0 0 0 0 0 0 0 0 1 0 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 0 1 -1 region*group 0 1 -1 0 0 0 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 0 1 -1 region*group 0 0 0 0 1 -1 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 0 1 -1 region*group 0 0 0 0 0 0 0 1 -1 0 0 0/cl;
- estimate 'PD vs PDd in Hippocampus' group 0 1 -1 region*group 0 0 0 0 0 0 0 0 0 0 1 -1/cl;
- run;
- proc mixed;class id region group sex;
- model y=region|group sex age;
- repeated region/sub=id type=cs;
- lsmeans group group*region/cl;lsmeans group*region/slice=group;lsmeans group*region/slice=region;
- estimate 'HC vs PD averaged over region' group 1 -1 0/cl;
- estimate 'HC vs PDd averaged over region' group 1 0 -1/cl;
- estimate 'PD vs PDd averaged over region' group 0 1 -1/cl;
- estimate 'HC vs PD in Amygdala' group 1 -1 0 region*group 1 -1 0 0 0 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PD in DLPFC' group 1 -1 0 region*group 0 0 0 1 -1 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PD in CingulumAnt' group 1 -1 0 region*group 0 0 0 0 0 0 1 -1 0 0 0 0/cl;
- estimate 'HC vs PD in Hippocampus' group 1 -1 0 region*group 0 0 0 0 0 0 0 0 0 1 -1 0/cl;
- estimate 'HC vs PDd in Amygdala' group 1 0 -1 region*group 1 0 -1 0 0 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PDd in DLPFC' group 1 0 -1 region*group 0 0 0 1 0 -1 0 0 0 0 0 0/cl;
- estimate 'HC vs PDd in CingulumAnt' group 1 0 -1 region*group 0 0 0 0 0 0 1 0 -1 0 0 0/cl;
- estimate 'HC vs PDd in Hippocampus' group 1 0 -1 region*group 0 0 0 0 0 0 0 0 0 1 0 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 0 1 -1 region*group 0 1 -1 0 0 0 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 0 1 -1 region*group 0 0 0 0 1 -1 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 0 1 -1 region*group 0 0 0 0 0 0 0 1 -1 0 0 0/cl;
- estimate 'PD vs PDd in Hippocampus' group 0 1 -1 region*group 0 0 0 0 0 0 0 0 0 0 1 -1/cl;
- run;
- proc mixed;class id region group sex;
- model y=region|group sex age;
- repeated region/sub=id type=csh;
- lsmeans group group*region/cl;lsmeans group*region/slice=group;lsmeans group*region/slice=region;
- estimate 'HC vs PD averaged over region' group 1 -1 0/cl;
- estimate 'HC vs PDd averaged over region' group 1 0 -1/cl;
- estimate 'PD vs PDd averaged over region' group 0 1 -1/cl;
- estimate 'HC vs PD in Amygdala' group 1 -1 0 region*group 1 -1 0 0 0 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PD in DLPFC' group 1 -1 0 region*group 0 0 0 1 -1 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PD in CingulumAnt' group 1 -1 0 region*group 0 0 0 0 0 0 1 -1 0 0 0 0/cl;
- estimate 'HC vs PD in Hippocampus' group 1 -1 0 region*group 0 0 0 0 0 0 0 0 0 1 -1 0/cl;
- estimate 'HC vs PDd in Amygdala' group 1 0 -1 region*group 1 0 -1 0 0 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PDd in DLPFC' group 1 0 -1 region*group 0 0 0 1 0 -1 0 0 0 0 0 0/cl;
- estimate 'HC vs PDd in CingulumAnt' group 1 0 -1 region*group 0 0 0 0 0 0 1 0 -1 0 0 0/cl;
- estimate 'HC vs PDd in Hippocampus' group 1 0 -1 region*group 0 0 0 0 0 0 0 0 0 1 0 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 0 1 -1 region*group 0 1 -1 0 0 0 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 0 1 -1 region*group 0 0 0 0 1 -1 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 0 1 -1 region*group 0 0 0 0 0 0 0 1 -1 0 0 0/cl;
- estimate 'PD vs PDd in Hippocampus' group 0 1 -1 region*group 0 0 0 0 0 0 0 0 0 0 1 -1/cl;
- run;
- data primaryPDonly;set two;
- *primary regions;
- if region in (1,2,3,4);
- *among PD only including duration;
- if group ne 0;
- proc mixed;class id region group sex;
- model y=region|group sex age duration;
- repeated region/sub=id type=un;
- lsmeans group group*region/cl;
- estimate 'PD vs PDd averaged over region' group 1 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 1 -1 region*group 1 -1 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 1 -1 region*group 0 0 1 -1 0 0 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 1 -1 region*group 0 0 0 0 1 -1 0 0/cl;
- estimate 'PD vs PDd in Hippocampus' group 1 -1 region*group 0 0 0 0 0 0 1 -1/cl;
- run;
- proc mixed;class id region group sex;
- model y=region|group sex age duration;
- repeated region/sub=id type=cs;
- lsmeans group group*region/cl;
- estimate 'PD vs PDd averaged over region' group 1 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 1 -1 region*group 1 -1 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 1 -1 region*group 0 0 1 -1 0 0 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 1 -1 region*group 0 0 0 0 1 -1 0 0/cl;
- estimate 'PD vs PDd in Hippocampus' group 1 -1 region*group 0 0 0 0 0 0 1 -1/cl;
- run;
- proc mixed;class id region group sex;
- model y=region|group sex age duration;
- repeated region/sub=id type=csh;
- lsmeans group group*region/cl;
- estimate 'PD vs PDd averaged over region' group 1 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 1 -1 region*group 1 -1 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 1 -1 region*group 0 0 1 -1 0 0 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 1 -1 region*group 0 0 0 0 1 -1 0 0/cl;
- estimate 'PD vs PDd in Hippocampus' group 1 -1 region*group 0 0 0 0 0 0 1 -1/cl;
- run;
- data secondary;set two;
- *secondary regions;
- if region in (5,6,7);
- proc mixed;class id region group sex;
- model y=region|group sex age;
- repeated region/sub=id type=un;
- lsmeans group group*region/cl;
- estimate 'HC vs PD averaged over region' group 1 -1 0/cl;
- estimate 'HC vs PDd averaged over region' group 1 0 -1/cl;
- estimate 'PD vs PDd averaged over region' group 0 1 -1/cl;
- estimate 'HC vs PD in Amygdala' group 1 -1 0 region*group 1 -1 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PD in DLPFC' group 1 -1 0 region*group 0 0 0 1 -1 0 0 0 0/cl;
- estimate 'HC vs PD in CingulumAnt' group 1 -1 0 region*group 0 0 0 0 0 0 1 -1 0/cl;
- estimate 'HC vs PDd in Amygdala' group 1 0 -1 region*group 1 0 -1 0 0 0 0 0 0/cl;
- estimate 'HC vs PDd in DLPFC' group 1 0 -1 region*group 0 0 0 1 0 -1 0 0 0/cl;
- estimate 'HC vs PDd in CingulumAnt' group 1 0 -1 region*group 0 0 0 0 0 0 1 0 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 0 1 -1 region*group 0 1 -1 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 0 1 -1 region*group 0 0 0 0 1 -1 0 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 0 1 -1 region*group 0 0 0 0 0 0 0 1 -1/cl;
- run;
- proc mixed;class id region group sex;
- model y=region|group sex age;
- repeated region/sub=id type=cs;
- lsmeans group group*region/cl;
- estimate 'HC vs PD averaged over region' group 1 -1 0/cl;
- estimate 'HC vs PDd averaged over region' group 1 0 -1/cl;
- estimate 'PD vs PDd averaged over region' group 0 1 -1/cl;
- estimate 'HC vs PD in Amygdala' group 1 -1 0 region*group 1 -1 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PD in DLPFC' group 1 -1 0 region*group 0 0 0 1 -1 0 0 0 0/cl;
- estimate 'HC vs PD in CingulumAnt' group 1 -1 0 region*group 0 0 0 0 0 0 1 -1 0/cl;
- estimate 'HC vs PDd in Amygdala' group 1 0 -1 region*group 1 0 -1 0 0 0 0 0 0/cl;
- estimate 'HC vs PDd in DLPFC' group 1 0 -1 region*group 0 0 0 1 0 -1 0 0 0/cl;
- estimate 'HC vs PDd in CingulumAnt' group 1 0 -1 region*group 0 0 0 0 0 0 1 0 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 0 1 -1 region*group 0 1 -1 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 0 1 -1 region*group 0 0 0 0 1 -1 0 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 0 1 -1 region*group 0 0 0 0 0 0 0 1 -1/cl;
- run;
- proc mixed;class id region group sex;
- model y=region|group sex age;
- repeated region/sub=id type=csh;
- lsmeans group group*region/cl;
- estimate 'HC vs PD averaged over region' group 1 -1 0/cl;
- estimate 'HC vs PDd averaged over region' group 1 0 -1/cl;
- estimate 'PD vs PDd averaged over region' group 0 1 -1/cl;
- estimate 'HC vs PD in Amygdala' group 1 -1 0 region*group 1 -1 0 0 0 0 0 0 0/cl;
- estimate 'HC vs PD in DLPFC' group 1 -1 0 region*group 0 0 0 1 -1 0 0 0 0/cl;
- estimate 'HC vs PD in CingulumAnt' group 1 -1 0 region*group 0 0 0 0 0 0 1 -1 0/cl;
- estimate 'HC vs PDd in Amygdala' group 1 0 -1 region*group 1 0 -1 0 0 0 0 0 0/cl;
- estimate 'HC vs PDd in DLPFC' group 1 0 -1 region*group 0 0 0 1 0 -1 0 0 0/cl;
- estimate 'HC vs PDd in CingulumAnt' group 1 0 -1 region*group 0 0 0 0 0 0 1 0 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 0 1 -1 region*group 0 1 -1 0 0 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 0 1 -1 region*group 0 0 0 0 1 -1 0 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 0 1 -1 region*group 0 0 0 0 0 0 0 1 -1/cl;
- run;
- data secondaryPDonly;set two;
- *secondary regions;
- if region in (5,6,7);
- *among PD only including duration;
- if group ne 0;
- proc mixed;class id region group sex;
- model y=region|group sex age duration;
- repeated region/sub=id type=un;
- lsmeans group group*region/cl;
- estimate 'PD vs PDd averaged over region' group 1 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 1 -1 region*group 1 -1 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 1 -1 region*group 0 0 1 -1 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 1 -1 region*group 0 0 0 0 1 -1/cl;
- run;
- proc mixed;class id region group sex;
- model y=region|group sex age duration;
- repeated region/sub=id type=cs;
- lsmeans group group*region/cl;
- estimate 'PD vs PDd averaged over region' group 1 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 1 -1 region*group 1 -1 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 1 -1 region*group 0 0 1 -1 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 1 -1 region*group 0 0 0 0 1 -1/cl;
- run;
- proc mixed;class id region group sex;
- model y=region|group sex age duration;
- repeated region/sub=id type=csh;
- lsmeans group group*region/cl;
- estimate 'PD vs PDd averaged over region' group 1 -1/cl;
- estimate 'PD vs PDd in Amygdala' group 1 -1 region*group 1 -1 0 0 0 0/cl;
- estimate 'PD vs PDd in DLPFC' group 1 -1 region*group 0 0 1 -1 0 0/cl;
- estimate 'PD vs PDd in CingulumAnt' group 1 -1 region*group 0 0 0 0 1 -1/cl;
- run;
analysis_code.sas at commit 083b528, no license · at the source
Overview
- Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT 06511, USA
- Department of Neurology, SUNY Downstate Health Science University, Brooklyn, NY 11203, USA
- Department of Psychiatry, Yale School of Medicine, New Haven, CT 06511, USA
- Department of Psychology, Yale School of Medicine, New Haven, CT 06511, USA
- Discovery Research Neuroscience, Abbvie, North Chicago, IL 60085, USA
- Department of Neurology, Yale School of Medicine, New Haven, CT 06511, USA
Abstract
Depression in Parkinson’s disease is often reported as being more debilitating than the motor symptoms and has been shown to accelerate disease progression. Identifying its underlying neurobiology is crucial in the discovery of mechanism-informed treatments. We hypothesize that lower synaptic density in mood circuitry drives symptoms of depression in Parkinson’s disease. To test this hypothesis, we used PET imaging and [11C]UCB-J—a radiotracer that binds to synaptic vesicle protein 2A (SV2A) to image synaptic density across patients with Parkinson’s disease and depressive symptoms (PDd; n = 10), Parkinson’s disease patients without depressive symptoms (PDnd; n = 20) and healthy controls (HCs; n = 18). The primary outcome was binding potential (BPND) in mood circuitry. Participants with PDd exhibited significantly lower synaptic density compared to HC and PDnd in the dorsolateral prefrontal cortex (dlPFC) (−22.0%, P < 0.001; −19.9%, P = 0.002), anterior cingulate cortex (ACC) (−27.9%, P < 0.001; −24.0%, P = 0.002), amygdala (−25.1%, P < 0.001; −18.9%, P = 0.006) and hippocampus (−28.1%, P < 0.001; −20.3%, P = 0.003). Synaptic density was significantly and negatively correlated with the severity of depressive symptoms across all participants with Parkinson’s disease (n = 30) in the dlPFC (r = −0.59, P = 0.002), ACC (r = −0.68, P < 0.001), amygdala (r = −0.53, P = 0.004) and hippocampus (r = −0.56, P = 0.003). These findings provide the first in vivo evidence that lower synaptic density in mood-related brain regions may contribute to depression in Parkinson’s disease. If confirmed, they would support the evaluation of interventions that target synaptic loss/
Reproduced under the paper's license (CC BY), from the paper cited above.
Repository
Its files are read in the Code ↔ Paper reader above, with 1 match between paragraphs and lines of code.
cayirsalih/Parkinsons-analysis
083b52841e61f59adea942d2a93a8a3f8c8ff635, 30 October 2025Availability: 1 check, the latest on 29 September 2026: the link answers
- 29 September 2026: the link answers
1 file
- analysis_code.sas, SAS, 222 lines, 1 match
The paper's code and data availability statement is in the Data section.
Tracing map
Proposed by the machine: these links were found in the paper and verified at the source, without human review. The map will receive a Zenodo DOI once one of the paper's authors has validated it with their ORCID.
What the map holds:
- 1 repository of the authors' code, each at its verified commit, with its license and how the link was found in the paper;
- 1 script, each with its path and the digest of its content;
- 1 match between paragraphs of the paper and lines of the code (method lexical-v1);
- neither the text of the paper nor the code itself.
Its JSON (tracing-map.json) is deposited on Zenodo with its DOI once the map is validated.
Data
No dataset and no data link were found in the paper.
Data availability
Data are available from the corresponding author upon request. The codes used in this study are available at https://
Reproduced under the paper's license (CC BY), from the paper cited above.
Versions
The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.
Version 1, 29 September 2026: the first record
Recorded: type, language, journal, volume, issue, pages, dates, 20 authors, 5 keywords, 1 funder, 33 references.
Cite
This paper
Cayir, S., Naganawa, M., Volpi, T., Ebrahimian Sadabad, F., Dias, M., Yang, Y., Elliott, S., Ansari, M., Elshahat, A., Pittman, B., Esterlis, I., Nabulsi, N., Huang, Y., Sanacora, G., Comley, R., Finnema, S. J., Carson, R. E., Tinaz, S., Matuskey, D., & Holmes, S. E. (2026). Lower synaptic density in mood circuitry underlies depression in Parkinson's disease. Brain communications, 8(3), fcag136. https://
BibTeX
@article{cayir2026lower,
author = {Cayir, Salih and Naganawa, Mika and Volpi, Tommaso and Ebrahimian Sadabad, Faranak and Dias, Mark and Yang, Yanghong and Elliott, Sophie and Ansari, Mina and Elshahat, Amr and Pittman, Brian and Esterlis, Irina and Nabulsi, Nabeel and Huang, Yiyun and Sanacora, Gerard and Comley, Robert and Finnema, Sjoerd J and Carson, Richard E and Tinaz, Sule and Matuskey, David and Holmes, Sophie E},
title = {{Lower synaptic density in mood circuitry underlies depression in Parkinson's disease}},
journal = {Brain communications},
year = {2026},
month = apr,
volume = {8},
number = {3},
pages = {fcag136},
publisher = {Oxford University Press},
issn = {2632-1297},
doi = {10.1093/
url = {https://
pmid = {42109687},
pmcid = {PMC13152014}
}
RIS
TY - JOUR
AU - Cayir, Salih
AU - Naganawa, Mika
AU - Volpi, Tommaso
AU - Ebrahimian Sadabad, Faranak
AU - Dias, Mark
AU - Yang, Yanghong
AU - Elliott, Sophie
AU - Ansari, Mina
AU - Elshahat, Amr
AU - Pittman, Brian
AU - Esterlis, Irina
AU - Nabulsi, Nabeel
AU - Huang, Yiyun
AU - Sanacora, Gerard
AU - Comley, Robert
AU - Finnema, Sjoerd J
AU - Carson, Richard E
AU - Tinaz, Sule
AU - Matuskey, David
AU - Holmes, Sophie E
TI - Lower synaptic density in mood circuitry underlies depression in Parkinson's disease
T2 - Brain communications
J2 - Brain Commun
PY - 2026
DA - 2026/
VL - 8
IS - 3
SP - fcag136
SN - 2632-1297
PB - Oxford University Press
DO - 10.1093/
UR - https://
LA - en
ER -
CSL-JSON
{
"id": "10.1093/
"type": "article-journal",
"title": "Lower synaptic density in mood circuitry underlies depression in Parkinson's disease",
"container-title": "Brain communications",
"author": [
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"family": "Cayir",
"given": "Salih"
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"family": "Naganawa",
"given": "Mika"
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{
"family": "Volpi",
"given": "Tommaso"
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{
"family": "Ebrahimian Sadabad",
"given": "Faranak"
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{
"family": "Yang",
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{
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{
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"given": "Irina"
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{
"family": "Nabulsi",
"given": "Nabeel"
},
{
"family": "Huang",
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{
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"given": "David"
},
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"family": "Holmes",
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}
],
"container-title-short":
"volume": "8",
"issue": "3",
"page": "fcag136",
"DOI": "10.1093/
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"language": "en",
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"date-parts": [
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The tracing map gets a citation of its own once an author has validated it and it has a DOI.
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