Abstract

In modern Whole Genome Sequencing (WGS) epidemiological studies, participant-level data from multiple studies are often pooled and results are obtained from a single analysis. We consider the impact of differential phenotype variances by study, which we term ‘variance stratification’. Unaccounted for, variance stratification can lead to both decreased statistical power, and increased false positives rates, depending on how allele frequencies, sample sizes, and phenotypic variances vary across the studies that are pooled. We develop a procedure to compute variant-specific inflation factors, and show how it can be used for diagnosis of genetic association analyses on pooled individual level data from multiple studies. We describe a WGS-appropriate analysis approach, implemented in freely-available software, which allows study-specific variances and thereby improves performance in practice. We illustrate the variance stratification problem, its solutions, and the proposed diagnostic procedure, in simulations and in data from the Trans-Omics for Precision Medicine Whole Genome Sequencing Program (TOPMed), used in association tests for hemoglobin concentrations and BMI.

Pooling participant-level genetic data into a single analysis can result in variance stratification, reducing statistical performance. Here, the authors develop variant-specific inflation factors to assess variance stratification and apply this to pooled individual-level data from whole genome sequencing.

Details

Title
Variant-specific inflation factors for assessing population stratification at the phenotypic variance level
Author
Sofer Tamar 1   VIAFID ORCID Logo  ; Zheng Xiuwen 2   VIAFID ORCID Logo  ; Laurie, Cecelia A 2   VIAFID ORCID Logo  ; Gogarten, Stephanie M 2   VIAFID ORCID Logo  ; Brody, Jennifer A 3   VIAFID ORCID Logo  ; Conomos, Matthew P 2   VIAFID ORCID Logo  ; Bis, Joshua C 2 ; Thornton, Timothy A 2 ; Szpiro, Adam 2 ; O’Connell Jeffrey R 4 ; Lange, Ethan M 5 ; Gao, Yan 6 ; Adrienne, Cupples L 7   VIAFID ORCID Logo  ; Psaty, Bruce M 3 ; Abe Namiko 8 ; Abecasis Gonçalo 9 ; Aguet Francois 10 ; Albert, Christine 11 ; Almasy, Laura 12 ; Alonso, Alvaro 13 ; Ament, Seth 14 ; Anderson, Peter 15 ; Anugu Pramod 16 ; Applebaum-Bowden, Deborah 17 ; Ardlie Kristin 10 ; Arking, Dan 18 ; Arnett, Donna K 19 ; Ashley-Koch, Allison 20 ; Aslibekyan Stella 21 ; Assimes, Tim 22 ; Auer, Paul 23 ; Avramopoulos Dimitrios 18 ; Ayas Najib 24 ; Balasubramanian Adithya 25 ; Barnard, John 26 ; Barnes, Kathleen 27 ; Graham, Barr R 28 ; Barron-Casella, Emily 18 ; Barwick Lucas 29 ; Beaty, Terri 18 ; Beck, Gerald 26 ; Becker, Diane 18 ; Becker, Lewis 18 ; Beer, Rebecca 30 ; Beitelshees Amber 14 ; Emelia, Benjamin 31 ; Benos Takis 32 ; Bezerra Marcos 33 ; Bielak, Larry 9 ; Bis Joshua 15 ; Blackwell, Thomas 9 ; Blangero, John 34 ; Boerwinkle, Eric 35 ; Bowden, Donald W 36 ; Bowler, Russell 37 ; Brody, Jennifer 15 ; Broeckel Ulrich 38 ; Broome Jai 15 ; Brown, Deborah 35 ; Bunting, Karen 8 ; Burchard Esteban 39 ; Bustamante, Carlos 22 ; Buth, Erin 15 ; Cade, Brian 40 ; Cardwell, Jonathan 41 ; Carey, Vincent 40 ; Carrier, Julie 42 ; Carty, Cara 43 ; Casaburi, Richard 44 ; Romero Juan P Casas 40 ; Casella, James 18 ; Castaldi, Peter 40 ; Chaffin, Mark 10 ; Chang, Christy 14 ; Yi-Cheng, Chang 45 ; Chasman, Daniel 40 ; Chavan Sameer 41 ; Bo-Juen, Chen 8 ; Wei-Min, Chen 46 ; Chen Yii-Der Ida 47 ; Cho, Michael 40 ; Choi, Seung Hoan 10 ; Lee-Ming, Chuang 45 ; Chung, Mina 26 ; Ren-Hua, Chung 48 ; Clary, Clish 10 ; Comhair Suzy 26 ; Conomos, Matthew 15 ; Cornell, Elaine 49 ; Correa, Adolfo 16 ; Crandall, Carolyn 44 ; Crapo, James 37 ; Curran, Joanne 34 ; Curtis, Jeffrey 9 ; Custer, Brian 50 ; Damcott Coleen 14 ; Darbar Dawood 51 ; David, Sean 52 ; Davis, Colleen 15 ; Daya, Michelle 41 ; de Andrade Mariza 53 ; Fuentes Lisa de las 54 ; de Vries Paul 35 ; DeBaun, Michael 55 ; Deka Ranjan 56 ; DeMeo, Dawn 40 ; Devine, Scott 14 ; Dinh Huyen 25 ; Doddapaneni Harsha 25 ; Duan Qing 57 ; Dugan-Perez, Shannon 25 ; Duggirala Ravi 58 ; Durda Jon Peter 49 ; Dutcher, Susan K 54 ; Eaton, Charles 59 ; Ekunwe Lynette 16 ; El Boueiz Adel 60 ; Ellinor, Patrick 61 ; Emery, Leslie 15 ; Erzurum Serpil 26 ; Farber, Charles 46 ; Farek Jesse 25 ; Fingerlin Tasha 37 ; Flickinger, Matthew 9 ; Fornage Myriam 35 ; Franceschini, Nora 57 ; Frazar Chris 15 ; Fu Mao 14 ; Fullerton, Stephanie M 15 ; Fulton, Lucinda 62 ; Gabriel, Stacey 10 ; Gan Weiniu 30 ; Gao Shanshan 41 ; Gass Margery 63 ; Geiger, Heather 8 ; Gelb, Bruce 64 ; Geraci, Mark 32 ; Germer Soren 8 ; Gerszten, Robert 65 ; Ghosh Auyon 40 ; Gibbs, Richard 25 ; Gignoux, Chris 22 ; Gladwin, Mark 32 ; Glahn, David 66 ; Gogarten Stephanie 15 ; Da-Wei, Gong 14 ; Goring Harald 67 ; Graw, Sharon 27 ; Gray, Kathryn J 68 ; Grine, Daniel 41 ; Gross, Colin 9 ; Charles, Gu C 62 ; Guan Yue 14 ; Guo Xiuqing 69 ; Gupta, Namrata 10 ; Haas, David M 70 ; Haessler, Jeff 63 ; Hall, Michael 16 ; Han, Yi 25 ; Hanly, Patrick 71 ; Harris, Daniel 72 ; Hawley, Nicola L 73 ; He, Jiang 74 ; Heavner, Ben 15 ; Heckbert, Susan 15 ; Hernandez, Ryan 39 ; Herrington, David 36 ; Hersh, Craig 40 ; Hidalgo Bertha 21 ; Hixson, James 35 ; Hobbs, Brian 40 ; Hokanson, John 41 ; Elliott, Hong 14 ; Hoth, Karin 75 ; Hsiung Chao (Agnes) 48 ; Hu, Jianhong 25 ; Yi-Jen, Hung 76 ; Huston Haley 77 ; Hwu, Chii Min 78 ; Ryan, Irvin Marguerite 21 ; Jackson, Rebecca 79 ; Jain Deepti 15 ; Cashell, Jaquish 30 ; Johnsen, Jill 80 ; Johnson, Andrew 30 ; Johnson, Craig 15 ; Johnston, Rich 13 ; Jones, Kimberly 18 ; Kang, Hyun Min 9 ; Kaplan, Robert 81 ; Kardia, Sharon 9 ; Kelly, Shannon 39 ; Kenny Eimear 64 ; Kessler, Michael 14 ; Khan Alyna 15 ; Khan, Ziad 25 ; Kim Wonji 60 ; Kimoff, John 82 ; Kinney, Greg 83 ; Konkle, Barbara 84 ; Kooperberg, Charles 63 ; Kramer, Holly 85 ; Lange, Christoph 86 ; Lange, Ethan 41 ; Lange, Leslie 41 ; Laurie, Cathy 15 ; Laurie Cecelia 15 ; LeBoff Meryl 40 ; Lee, Sandra 25 ; Wen-Jane, Lee 78 ; LeFaive Jonathon 9 ; Levine, David 15 ; Levy, Dan 30 ; Lewis, Joshua 14 ; Li, Xiaohui 69 ; Li, Yun 57 ; Lin, Henry 87 ; Lin Honghuang 88 ; Lin Xihong 86 ; Liu, Simin 59 ; Liu, Yongmei 20 ; Liu, Yu 22 ; Loos Ruth J F 64 ; Lubitz, Steven 61 ; Lunetta, Kathryn 88 ; Luo, James 30 ; Magalang Ulysses 89 ; Mahaney, Michael 34 ; Make Barry 18 ; Manichaikul Ani 46 ; Manning, Alisa 90 ; Manson, JoAnn 40 ; Martin, Lisa 91 ; Marton, Melissa 8 ; Mathai, Susan 41 ; Mathias Rasika 18 ; May, Susanne 15 ; McArdle, Patrick 14 ; Merry-Lynn, McDonald 21 ; McFarland, Sean 60 ; McGarvey, Stephen 59 ; McGoldrick, Daniel 15 ; McHugh, Caitlin 15 ; McNeil, Becky 92 ; Hao, Mei 16 ; Meigs, James 61 ; Menon Vipin 25 ; Mestroni Luisa 27 ; Metcalf, Ginger 25 ; Meyers, Deborah A 93 ; Mignot Emmanuel 94 ; Mikulla, Julie 30 ; Min, Nancy 16 ; Minear Mollie 95 ; Minster, Ryan L 32 ; Mitchell, Braxton D 14 ; Moll, Matt 40 ; Momin Zeineen 25 ; Montasser, May E 14 ; Montgomery, Courtney 96 ; Muzny Donna 25 ; Mychaleckyj, Josyf C 46 ; Nadkarni Girish 64 ; Naik Rakhi 18 ; Take, Naseri 97 ; Natarajan Pradeep 10 ; Nekhai Sergei 98 ; Nelson, Sarah C 15 ; Neltner Bonnie 41 ; Nessner Caitlin 25 ; Nickerson, Deborah 15 ; Osuji, Nkechinyere 25 ; North, Kari 57 ; O’Connell Jeff 14 ; O’Connor Tim 14 ; Ochs-Balcom, Heather 99 ; Okwuonu Geoffrey 25 ; Pack, Allan 100 ; Paik, David T 22 ; Palmer Nicholette 36 ; Pankow, James 101 ; Papanicolaou, George 30 ; Parker, Cora 92 ; Peloso, Gina 88 ; Peralta, Juan Manuel 58 ; Perez, Marco 22 ; Perry, James 14 ; Peters, Ulrike 63 ; Peyser, Patricia 9 ; Phillips, Lawrence S 13 ; Pleiness Jacob 9 ; Pollin Toni 14 ; Post, Wendy 18 ; Becker, Julia Powers 41 ; Boorgula Meher Preethi 41 ; Preuss, Michael 64 ; Psaty, Bruce 15 ; Qasba Pankaj 30 ; Qiao Dandi 40 ; Qin Zhaohui 13 ; Rafaels Nicholas 41 ; Raffield, Laura 57 ; Rajendran Mahitha 25 ; Ramachandran, Vasan S 88 ; Rao, D C 62 ; Rasmussen-Torvik, Laura 102 ; Aakrosh, Ratan 46 ; Redline, Susan 40 ; Reed, Robert 14 ; Reeves, Catherine 8 ; Regan, Elizabeth 37 ; Reiner, Alex 103 ; Reupena Muagututi’a Sefuiva 104 ; Rice, Ken 15 ; Rich, Stephen 46 ; Robillard, Rebecca 105 ; Robine, Nicolas 8 ; Roden, Dan 55 ; Roselli, Carolina 10 ; Rotter, Jerome 106 ; Ruczinski Ingo 18 ; Runnels Alexi 8 ; Russell, Pamela 41 ; Ruuska, Sarah 107 ; Ryan, Kathleen 14 ; Sabino Ester Cerdeira 108 ; Saleheen Danish 109 ; Salimi Shabnam 14 ; Salvi Sejal 25 ; Salzberg, Steven 18 ; Sandow, Kevin 110 ; Sankaran, Vijay G 60 ; Jireh, Santibanez 25 ; Schwander, Karen 62 ; Schwartz, David 41 ; Sciurba, Frank 32 ; Seidman, Christine 111 ; Seidman, Jonathan 111 ; Sériès Frédéric 112 ; Sheehan, Vivien 13 ; Sherman, Stephanie L 13 ; Shetty Amol 14 ; Shetty Aniket 41 ; Sheu, Wayne Hui-Heng 78 ; Benjamin, Shoemaker M 55 ; Silver, Brian 113 ; Silverman, Edwin 40 ; Skomro, Robert 114 ; Smith, Albert Vernon 9 ; Smith, Jennifer 9 ; Smith, Josh 15 ; Smith, Nicholas 15 ; Smith, Tanja 8 ; Smoller, Sylvia 81 ; Snively, Beverly 36 ; Snyder, Michael 22 ; Sotoodehnia Nona 15 ; Stilp, Adrienne M 15 ; Storm, Garrett 41 ; Streeten, Elizabeth 14 ; Su, Jessica Lasky 40 ; Sung Yun Ju 62 ; Sylvia, Jody 40 ; Taliun, Daniel 9 ; Tang, Hua 22 ; Taub, Margaret 18 ; Taylor, Kent D 110 ; Taylor, Matthew 27 ; Taylor, Simeon 14 ; Telen Marilyn 20 ; Threlkeld Machiko 15 ; Tinker, Lesley 63 ; Tirschwell, David 15 ; Tishkoff, Sarah 100 ; Tiwari Hemant 21 ; Tong, Catherine 15 ; Russell, Tracy 49 ; Tsai, Michael 101 ; Vaidya Dhananjay 18 ; Van Den Berg David 115 ; VandeHaar, Peter 9 ; Vrieze, Scott 101 ; Walker, Tarik 41 ; Wallace, Robert 75 ; Walts Avram 41 ; Wang, Fei Fei 15 ; Wang, Heming 116 ; Wang Jiongming 9 ; Watson, Karol 44 ; Watt, Jennifer 25 ; Weeks, Daniel E 32 ; Weinstock, Joshua 9 ; Weir, Bruce 15 ; Weiss, Scott T 40 ; Lu-Chen, Weng 61 ; Wessel, Jennifer 70 ; Willer Cristen 9 ; Williams, Kayleen 15 ; Keoki, Williams L 117 ; Wilson, Carla 40 ; Wilson, James 118 ; Winterkorn Lara 8 ; Wong Quenna 15 ; Wu, Joseph 22 ; Xu, Huichun 14 ; Yanek, Lisa 18 ; Yang, Ivana 41 ; Yu Ketian 9 ; Maryam, Zekavat Seyedeh 10 ; Zhang, Yingze 32 ; Zhao Snow Xueyan 37 ; Zhao, Wei 9 ; Zhu, Xiaofeng 119 ; Zody, Michael 8 ; Zoellner, Sebastian 9 ; Rice, Kenneth M 2   VIAFID ORCID Logo 

 Brigham and Women’s Hospital, Division of Sleep and Circadian Disorders, Boston, USA (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294); Harvard Medical School, Department of Medicine, Boston, USA (GRID:grid.38142.3c) (ISNI:000000041936754X); Harvard T.H. Chan School of Public Health, Department of Biostatistics, Boston, USA (GRID:grid.38142.3c) (ISNI:000000041936754X) 
 University of Washington, Department of Biostatistics, Seattle, USA (GRID:grid.34477.33) (ISNI:0000000122986657) 
 Epidemiology, and Health Services, University of Washington, Cardiovascular Health Research Unit, Departments of Medicine, Seattle, USA (GRID:grid.34477.33) (ISNI:0000000122986657) 
 University of Maryland School of Medicine, Department of Medicine, Division of Endocrinology, Diabetes, and Nutrition, Baltimore, USA (GRID:grid.411024.2) (ISNI:0000 0001 2175 4264) 
 University of Colorado Anschutz Medical Campus, Department of Medicine, Aurora, USA (GRID:grid.430503.1) (ISNI:0000 0001 0703 675X) 
 University Mississippi Medical Center, School of Medicine, Jackson, USA (GRID:grid.410721.1) (ISNI:0000 0004 1937 0407) 
 Boston University School of Public Health, Department of Biostatistics, Boston, USA (GRID:grid.189504.1) (ISNI:0000 0004 1936 7558); Framingham Heart Study, National Heart, Lung, and Blood Institutes, Framingham, USA (GRID:grid.279885.9) (ISNI:0000 0001 2293 4638) 
 New York Genome Center, New York, USA (GRID:grid.429884.b) (ISNI:0000 0004 1791 0895) 
 University of Michigan, Ann Arbor, USA (GRID:grid.214458.e) (ISNI:0000000086837370) 
10  Broad Institute, Cambridge, USA (GRID:grid.66859.34) 
11  Cedars Sinai, Boston, USA (GRID:grid.66859.34) 
12  University of Pennsylvania, Children’s Hospital of Philadelphia, Philadelphia, USA (GRID:grid.25879.31) (ISNI:0000 0004 1936 8972) 
13  Emory University, Atlanta, USA (GRID:grid.189967.8) (ISNI:0000 0001 0941 6502) 
14  University of Maryland, Baltimore, USA (GRID:grid.411024.2) (ISNI:0000 0001 2175 4264) 
15  University of Washington, Seattle, USA (GRID:grid.34477.33) (ISNI:0000000122986657) 
16  University of Mississippi, Jackson, USA (GRID:grid.251313.7) (ISNI:0000 0001 2169 2489) 
17  National Institutes of Health, Bethesda, USA (GRID:grid.94365.3d) (ISNI:0000 0001 2297 5165) 
18  Johns Hopkins University, Baltimore, USA (GRID:grid.21107.35) (ISNI:0000 0001 2171 9311) 
19  University of Kentucky, Lexington, USA (GRID:grid.266539.d) (ISNI:0000 0004 1936 8438) 
20  Duke University, Durham, USA (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961) 
21  University of Alabama, Birmingham, USA (GRID:grid.265892.2) (ISNI:0000000106344187) 
22  Stanford University, Stanford, USA (GRID:grid.168010.e) (ISNI:0000000419368956) 
23  University of Wisconsin Milwaukee, Milwaukee, USA (GRID:grid.267468.9) (ISNI:0000 0001 0695 7223) 
24  Providence Health Care, Vancouver, Canada (GRID:grid.415289.3) (ISNI:0000 0004 0633 9101) 
25  Baylor College of Medicine Human Genome Sequencing Center, Houston, USA (GRID:grid.39382.33) (ISNI:0000 0001 2160 926X) 
26  Cleveland Clinic, Cleveland, USA (GRID:grid.239578.2) (ISNI:0000 0001 0675 4725) 
27  University of Colorado Anschutz Medical Campus, Aurora, USA (GRID:grid.430503.1) (ISNI:0000 0001 0703 675X) 
28  Columbia University, New York, USA (GRID:grid.21729.3f) (ISNI:0000000419368729) 
29  The Emmes Corporation, Rockville, USA (GRID:grid.280434.9) (ISNI:0000 0004 0459 5494) 
30  National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, USA (GRID:grid.94365.3d) (ISNI:0000 0001 2297 5165) 
31  Boston University, MA General Hospital, Boston, USA (GRID:grid.189504.1) (ISNI:0000 0004 1936 7558) 
32  University of Pittsburgh, Pittsburgh, USA (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000) 
33  Fundação de Hematologia e Hemoterapia de Pernambuco—Hemope, Recife, Brazil (GRID:grid.21925.3d) 
34  University of Texas Rio Grande Valley School of Medicine, Brownsville, USA (GRID:grid.449717.8) (ISNI:0000 0004 5374 269X) 
35  University of Texas Health at Houston, Houston, USA (GRID:grid.267308.8) (ISNI:0000 0000 9206 2401) 
36  Wake Forest Baptist Health, Winston-Salem, USA (GRID:grid.412860.9) (ISNI:0000 0004 0459 1231) 
37  National Jewish Health, Denver, USA (GRID:grid.240341.0) (ISNI:0000 0004 0396 0728) 
38  Medical College of Wisconsin, Milwaukee, USA (GRID:grid.30760.32) (ISNI:0000 0001 2111 8460) 
39  University of California, San Francisco, San Francisco, USA (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811) 
40  Brigham & Women’s Hospital, Boston, USA (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294) 
41  University of Colorado at Denver, Denver, USA (GRID:grid.241116.1) (ISNI:0000000107903411) 
42  University of Montreal, Montreal, USA (GRID:grid.62560.37) 
43  Washington State University, Pullman, US (GRID:grid.30064.31) (ISNI:0000 0001 2157 6568) 
44  University of California, Los Angeles, Los Angeles, USA (GRID:grid.19006.3e) (ISNI:0000 0000 9632 6718) 
45  National Taiwan University, Taipei, Taiwan, ROC (GRID:grid.19188.39) (ISNI:0000 0004 0546 0241) 
46  University of Virginia, Charlottesville, USA (GRID:grid.27755.32) (ISNI:0000 0000 9136 933X) 
47  Lundquist Institute, Torrance, USA (GRID:grid.27755.32) 
48  National Health Research Institute, Miaoli County, Taiwan, ROC (GRID:grid.59784.37) (ISNI:0000000406229172) 
49  University of Vermont, Burlington, USA (GRID:grid.59062.38) (ISNI:0000 0004 1936 7689) 
50  Vitalant Research Institute, San Francisco, USA (GRID:grid.214458.e) 
51  University of Illinois at Chicago, Chicago, USA (GRID:grid.185648.6) (ISNI:0000 0001 2175 0319) 
52  University of Chicago, Chicago, USA (GRID:grid.170205.1) (ISNI:0000 0004 1936 7822) 
53  Mayo Clinic, Rochester, USA (GRID:grid.66875.3a) (ISNI:0000 0004 0459 167X) 
54  Washington University in St Louis, St. Louis, USA (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002) 
55  Vanderbilt University, Nashville, USA (GRID:grid.152326.1) (ISNI:0000 0001 2264 7217) 
56  University of Cincinnati, Cincinnati, USA (GRID:grid.24827.3b) (ISNI:0000 0001 2179 9593) 
57  University of North Carolina, Chapel Hill, USA (GRID:grid.410711.2) (ISNI:0000 0001 1034 1720) 
58  University of Texas Rio Grande Valley School of Medicine, Edinburg, USA (GRID:grid.449717.8) (ISNI:0000 0004 5374 269X) 
59  Brown University, Providence, USA (GRID:grid.40263.33) (ISNI:0000 0004 1936 9094) 
60  Harvard University, Cambridge, USA (GRID:grid.38142.3c) (ISNI:000000041936754X) 
61  Massachusetts General Hospital, Boston, USA (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924) 
62  Washington University in St Louis, St Louis, USA (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002) 
63  Fred Hutchinson Cancer Research Center, Seattle, USA (GRID:grid.270240.3) (ISNI:0000 0001 2180 1622) 
64  Icahn School of Medicine at Mount Sinai, New York, USA (GRID:grid.59734.3c) (ISNI:0000 0001 0670 2351) 
65  Beth Israel Deaconess Medical Center, Boston, USA (GRID:grid.239395.7) (ISNI:0000 0000 9011 8547) 
66  Harvard Medical School, Boston Children’s Hospital, Boston, USA (GRID:grid.38142.3c) (ISNI:000000041936754X) 
67  University of Texas Rio Grande Valley School of Medicine, San Antonio, USA (GRID:grid.215352.2) (ISNI:0000000121845633) 
68  Mass General Brigham, Boston, USA (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924) 
69  Lundquist Institute, Torrance, USA (GRID:grid.411024.2) 
70  Indiana University, Indianapolis, USA (GRID:grid.257413.6) (ISNI:0000 0001 2287 3919) 
71  University of Calgary, Calgary, Canada (GRID:grid.22072.35) (ISNI:0000 0004 1936 7697) 
72  University of Maryland, Philadelphia, USA (GRID:grid.22072.35) 
73  Yale University, New Haven, USA (GRID:grid.47100.32) (ISNI:0000000419368710) 
74  Tulane University, New Orleans, USA (GRID:grid.265219.b) (ISNI:0000 0001 2217 8588) 
75  University of Iowa, Iowa City, USA (GRID:grid.214572.7) (ISNI:0000 0004 1936 8294) 
76  Tri-Service General Hospital National Defense Medical Center, Taipei City, Taiwan, ROC (GRID:grid.278244.f) (ISNI:0000 0004 0638 9360) 
77  Blood Works Northwest, Seattle, USA (GRID:grid.278244.f) 
78  Taichung Veterans General Hospital Taiwan, Taichung City, Taiwan, ROC (GRID:grid.410764.0) (ISNI:0000 0004 0573 0731) 
79  Oklahoma State University Medical Center, Columbus, USA (GRID:grid.475558.e) (ISNI:0000 0004 0448 1278) 
80  Blood Works Northwest, Seattle, USA (GRID:grid.94365.3d) 
81  Albert Einstein College of Medicine, New York, USA (GRID:grid.251993.5) (ISNI:0000000121791997) 
82  McGill University, Montreal, Canada (GRID:grid.14709.3b) (ISNI:0000 0004 1936 8649) 
83  University of Colorado at Denver, Aurora, USA (GRID:grid.430503.1) (ISNI:0000 0001 0703 675X) 
84  Blood Works Northwest, Seattle, USA (GRID:grid.430503.1) 
85  Loyola University, Maywood, USA (GRID:grid.164971.c) (ISNI:0000 0001 1089 6558) 
86  Harvard School of Public Health, Boston, USA (GRID:grid.38142.3c) (ISNI:000000041936754X) 
87  Lundquist Institute, Torrance, USA (GRID:grid.410711.2) 
88  Boston University, Boston, USA (GRID:grid.189504.1) (ISNI:0000 0004 1936 7558) 
89  Ohio State University, Columbus, USA (GRID:grid.261331.4) (ISNI:0000 0001 2285 7943) 
90  Harvard University, Massachusetts General Hospital, Broad Institute, Boston, USA (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924) 
91  George Washington University, Washington, USA (GRID:grid.253615.6) (ISNI:0000 0004 1936 9510) 
92  RTI International, Research Triangle Park, USA (GRID:grid.62562.35) (ISNI:0000000100301493) 
93  University of Arizona, Tucson, USA (GRID:grid.134563.6) (ISNI:0000 0001 2168 186X) 
94  Stanford University, Palo Alto, California, USA (GRID:grid.168010.e) (ISNI:0000000419368956) 
95  National Institutes of Health, National Institute of Child Health and Human Development, Bethesda, USA (GRID:grid.94365.3d) (ISNI:0000 0001 2297 5165) 
96  Oklahoma Medical Research Foundation, Oklahoma City, USA (GRID:grid.274264.1) (ISNI:0000 0000 8527 6890) 
97  Government of Samoa, Ministry of Health, Apia, Samoa (GRID:grid.21107.35) 
98  Howard University, Washington, USA (GRID:grid.257127.4) (ISNI:0000 0001 0547 4545) 
99  University at Buffalo, Buffalo, USA (GRID:grid.273335.3) (ISNI:0000 0004 1936 9887) 
100  University of Pennsylvania, Philadelphia, USA (GRID:grid.25879.31) (ISNI:0000 0004 1936 8972) 
101  University of Minnesota, Minneapolis, USA (GRID:grid.17635.36) (ISNI:0000000419368657) 
102  Northwestern University, Chicago, USA (GRID:grid.16753.36) (ISNI:0000 0001 2299 3507) 
103  University of Washington, Fred Hutchinson Cancer Research Center, Seattle, USA (GRID:grid.34477.33) (ISNI:0000000122986657) 
104  Lutia I Puava Ae Mapu I Fagalele, Apia, Samoa (GRID:grid.34477.33) 
105  University of Ottawa, Ottawa, Canada (GRID:grid.28046.38) (ISNI:0000 0001 2182 2255) 
106  Lundquist Institute, Torrance, USA (GRID:grid.66859.34) 
107  Blood Works Northwest, Seattle, USA (GRID:grid.241116.1) 
108  Universidade de Sao Paulo, Sao Paulo, Brazil (GRID:grid.11899.38) (ISNI:0000 0004 1937 0722) 
109  Columbia University, New York, New York, USA (GRID:grid.21729.3f) (ISNI:0000000419368729) 
110  Lundquist Institute, Torrance, USA (GRID:grid.21107.35) 
111  Harvard Medical School, Boston, USA (GRID:grid.38142.3c) (ISNI:000000041936754X) 
112  Université Laval, Quebec City, Canada (GRID:grid.23856.3a) (ISNI:0000 0004 1936 8390) 
113  UMass Memorial Medical Center, Worcester, USA (GRID:grid.416999.a) (ISNI:0000 0004 0591 6261) 
114  University of Saskatchewan, Saskatoon, Canada (GRID:grid.25152.31) (ISNI:0000 0001 2154 235X) 
115  University of Southern California, Los Angeles, USA (GRID:grid.42505.36) (ISNI:0000 0001 2156 6853) 
116  Brigham & Women’s Hospital, Mass General Brigham, Boston, USA (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294) 
117  Henry Ford Health System, Detroit, USA (GRID:grid.239864.2) (ISNI:0000 0000 8523 7701) 
118  Beth Israel Deaconess Medical Center, Cambridge, USA (GRID:grid.239395.7) (ISNI:0000 0000 9011 8547) 
119  Case Western Reserve University, Cleveland, USA (GRID:grid.67105.35) (ISNI:0000 0001 2164 3847) 
Publication year
2021
Publication date
2021
Publisher
Nature Publishing Group
e-ISSN
20411723
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2539397766
Copyright
© The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.