Knowledge

3-Methylglutaconic aciduria

Source đź“ť

40: 378:. This suggests that the disease is more frequent in insular areas where there is more likelihood that both parents are carriers, a higher birth rate, and a greater frequency of consanguineous marriages. As all types of 3-Methylglutaconic aciduria are known to be genetic diseases and show a recessive inheritance pattern, consanguineous marriages (in which both partners may have inherited the mutation from the same ancestor) increase the chances of having a baby with the condition. 129:, one of the two sex chromosomes. In males (who have only one X chromosome), one altered copy of the gene in each cell is sufficient to cause the condition. In females (who have two X chromosomes), a mutation must be present in both copies of the gene to cause the disorder. Males are affected by X-linked recessive disorders much more frequently than females. A striking characteristic of X-linked inheritance is that fathers cannot pass X-linked traits to their sons. 332:, delayed development of both mental and motor skills (psychomotor delay), elevated levels of acid in the blood and tissues (metabolic acidosis), abnormal muscle tone (dystonia), and spasms and weakness affecting the arms and legs (spastic quadriparesis). Fewer than 20 cases of 3-methylglutaconic aciduria type I have been reported. 343:
muscle tone, the development of certain involuntary movements (extrapyramidal dysfunction), and a general decrease in brain function (cognitive deficit). The incidence of 3-methylglutaconic aciduria type III is about 1 in 10,000 newborns in the Iraqi Jewish population. This disorder is extremely rare in all other populations.
246:. This protein plays a critical role in maintaining the levels of a particular lipid, called cardiolipin, located in the inner membrane of the mitochondria. A lack of tafazzin results in abnormalities in the structure and function of mitochondria, leading to the heart defects and other problems seen in this disorder. 342:
Costeff syndrome is another name for 3-methylglutaconic aciduria type III. This disorder is characterized mainly by the degeneration of the optic nerves, which carry information from the eyes to the brain. Sometimes other nervous system problems occur, such as an inability to maintain posture, poor
277:
gene cause 3-methylglutaconic aciduria type III. This gene carries instructions for making a protein that is also found in mitochondria, but whose function is unknown. Researchers have suggested that cells with a defective OPA3 protein are more susceptible to a process that eliminates damaged or
210:
leucine. This amino acid is broken down in the mitochondria during the process of energy production. A deficiency of this enzyme leads to a buildup of 3-methylglutaconic acid, which is eliminated in the urine. Researchers believe that other genes or environmental factors also contribute to the
338:
is a common name for 3-methylglutaconic aciduria type II. The main features of Barth syndrome include a weakened and enlarged heart (dilated cardiomyopathy), recurrent infections due to low numbers of white blood cells (neutropenia), skeletal problems, and delayed growth. The incidence of
117:
pattern, which means two copies of the gene in each cell are altered. Most often, the parents of an individual with an autosomal recessive disorder are carriers of one copy of the altered gene but do not show signs and symptoms of the
1472: 1465: 1458: 101:
of this acid. 3-methylglutaconic acid can be detected by the presence of the acid function and the double connection that involves reactivity with some specific substances.
346:
The signs and symptoms of 3-methylglutaconic aciduria type IV are variable and overlap with types I-III. The incidence of 3-methylglutaconic aciduria type IV is unknown.
1374: 572: 1439: 1539: 1367: 653: 1039: 900: 858: 761: 923: 565: 1521: 1221: 658: 17: 1749: 1360: 1262: 558: 585: 1236: 1231: 242:
gene cause 3-methylglutaconic aciduria type II (Barth syndrome). This gene provides instructions for making a protein called
1153: 1680: 1434: 989: 472: 1690: 1633: 1352: 741: 448: 1387: 1240: 203: 1644: 1486: 1044: 1450: 195:
3-Methylglutaconic aciduria type I, 3-Methylglutaconic acidemia or 3-Methylglutaconyl-CoA Hydratase Deficiency
1714: 1649: 1585: 1289: 1257: 1125: 125:
pattern. A condition is considered X-linked if the mutated gene that causes the disorder is located on the X
928: 538: 1629: 1504: 1331: 1724: 1670: 1383: 1321: 1300: 972: 581: 1526: 1326: 1216: 933: 905: 673: 410: 620: 615: 498: 1666: 1580: 1121: 786: 371: 83: 47: 1575: 1482: 1418: 1115: 984: 766: 109:
The inheritance patterns of 3-methylglutaconic aciduria differ depending on the gene involved.
443: 1270: 705: 202:
gene cause 3-methylglutaconic aciduria type I. This gene provides instructions for producing
1698: 1675: 1550: 1131: 1081: 836: 593: 87: 8: 1719: 1336: 1187: 1076: 736: 691: 668: 114: 550: 1516: 1382: 1071: 994: 961: 630: 75: 1659: 1603: 1535: 1341: 813: 509: 431: 54: 1640: 1296: 1178: 1159: 976: 951: 268: 166: 59: 235:(BTHS), 3-Methylglutaconic aciduria type II or Cardiomyopathy-neutropenia syndrome 1567: 1284: 1279: 1111: 1031: 831: 635: 503: 339:
3-methylglutaconic aciduria type II is approximately 1 in 200,000 male infants.
1611: 1480: 1412: 1191: 1145: 956: 895: 625: 514: 394: 335: 232: 423: 1743: 1226: 1085: 1018: 873: 98: 1654: 1391: 1062: 878: 808: 803: 746: 435: 329: 94: 79: 328:
The characteristic features of 3-methylglutaconic aciduria type I include
132:
The inheritance pattern of 3-methylglutaconic aciduria type IV is unknown.
39: 1211: 1054: 464: 149:
There are five known subgroups of MGA; MGA type I, II, III, IV & V.
1305: 1274: 1066: 943: 915: 683: 597: 422:
Anikster Y (2020). Adam MP, Ardinger HH, Pagon RA, et al. (eds.).
207: 187: 126: 97:. The double carboxylic acid functions are the principal cause of the 1621: 1201: 850: 846: 795: 781: 279: 122: 362:
3-Methylglutaconic aciduria seems to be most prevalent amongst the
1500: 1400: 1196: 1141: 1107: 1095: 1022: 1009: 757: 715: 533: 243: 224: 1099: 823: 753: 728: 719: 645: 314: 492: 488: 484: 480: 477: 309: 290: 254: 219: 182: 887: 606: 375: 363: 1546: 370:. However, a high concentration of one type is found in the 1510: 367: 259: 158: 580: 78:
that impair the body's ability to make energy in the
454: 1440:Hyperphosphatasia with mental retardation syndrome 713: 1741: 1540:Leukoencephalopathy with vanishing white matter 654:3-hydroxy-3-methylglutaryl-CoA lyase deficiency 206:, an enzyme that is involved in processing the 1040:6-Pyruvoyltetrahydropterin synthase deficiency 86:and 3-methylglutaric acid build up and can be 1466: 1368: 566: 924:2-Methylbutyryl-CoA dehydrogenase deficiency 1522:Fragile X-associated tremor/ataxia syndrome 1222:Carbamoyl phosphate synthetase I deficiency 659:3-Methylcrotonyl-CoA carboxylase deficiency 1473: 1459: 1375: 1361: 573: 559: 38: 421: 267:3-Methylglutaconic aciduria type III or 901:Isobutyryl-CoA dehydrogenase deficiency 395:Costeff's syndrome (www.whonamedit.com) 14: 1742: 727: 1681:Multiple familial trichoepithelioma 1 1454: 1356: 1237:Ornithine transcarbamylase deficiency 1232:N-Acetylglutamate synthase deficiency 554: 354:There is no known treatment or cure. 1154:Dopamine beta hydroxylase deficiency 301:3-Methylglutaconic aciduria type IV 141:Diagnosis is typically post-mortem. 121:Type II is inherited in an X-linked 113:Types I and III are inherited in an 1435:Paroxysmal nocturnal hemoglobinuria 990:Methylmalonyl-CoA mutase deficiency 322:3-Methylglutaconic aciduria type V 24: 1634:X-linked spinal muscular atrophy 2 82:. As a result of this impairment, 25: 1761: 1750:Phospholipid metabolism disorders 742:Glutathione synthetase deficiency 403: 144: 204:3-methylglutaconyl-CoA hydratase 357: 1560:Posttranslational modification 1487:posttranslational modification 1045:Tetrahydrobiopterin deficiency 388: 211:development of this disorder. 93:3-Methylglutaconic acid is an 13: 1: 1715:Multiple sulfatase deficiency 1594:3-Methylglutaconic aciduria 5 1409:3-Methylglutaconic aciduria 2 1290:Lysinuric protein intolerance 664:3-Methylglutaconic aciduria 1 411:"3-METHYLGLUTACONIC ACIDURIA" 381: 929:Beta-ketothiolase deficiency 430:. University of Washington. 349: 136: 7: 1527:Premature ovarian failure 1 1332:Ethylmalonic encephalopathy 444:3-Methylglutaconic aciduria 104: 68:3-Methylglutaconic aciduria 33:3-Methylglutaconic aciduria 18:3-methylglutaconic aciduria 10: 1766: 1645:Johanson–Blizzard syndrome 1322:2-Hydroxyglutaric aciduria 1301:Oculocerebrorenal syndrome 278:unneeded cells (so-called 74:) is any of at least five 1707: 1689: 1650:Von Hippel–Lindau disease 1620: 1602: 1586:Creutzfeldt–Jakob disease 1566: 1559: 1493: 1427: 1399: 1327:Aminoacylase 1 deficiency 1314: 1256: 1217:Argininosuccinic aciduria 1186: 1176: 1140: 1126:Hermansky–Pudlak syndrome 1094: 1053: 1030: 1017: 1007: 970: 942: 934:Maple syrup urine disease 914: 906:Maple syrup urine disease 886: 871: 845: 822: 794: 779: 704: 682: 674:Maple syrup urine disease 644: 605: 592: 524: 458: 171:Also known as/Description 53: 46: 37: 32: 1725:Ehlers–Danlos syndrome 6 616:Glutaric acidemia type 1 1667:Deubiquitinating enzyme 1551:Retinitis pigmentosa 33 1505:Diamond–Blackfan anemia 1122:Oculocutaneous albinism 451:Genetics Home Reference 372:Saguenay-Lac-Saint-Jean 84:3-methylglutaconic acid 48:3-methylglutaconic acid 1671:Machado–Joseph disease 1241:translocase deficiency 985:Methylmalonic acidemia 767:Glycine encephalopathy 1271:Solute carrier family 586:amino acid metabolism 88:detected in the urine 1676:Aneurysmal bone cyst 1581:Huntington's disease 1394:metabolism disorders 1132:Waardenburg syndrome 1082:Tyrosinemia type III 837:Prolidase deficiency 1720:Hyperproinsulinemia 1576:Alzheimer's disease 1337:Fumarase deficiency 1077:Tyrosinemia type II 737:D-Glyceric acidemia 692:Hypertryptophanemia 669:Isovaleric acidemia 115:autosomal recessive 76:metabolic disorders 1517:Fragile X syndrome 1072:Tyrosinemia type I 995:Propionic acidemia 962:Hypermethioninemia 631:Pipecolic acidemia 525:External resources 424:"Costeff Syndrome" 1737: 1736: 1733: 1732: 1660:Angelman syndrome 1604:Protein targeting 1536:Initiation factor 1448: 1447: 1350: 1349: 1342:Trimethylaminuria 1252: 1251: 1248: 1247: 1172: 1171: 1168: 1167: 1003: 1002: 867: 866: 814:Urocanic aciduria 775: 774: 700: 699: 548: 547: 326: 325: 273:Mutations in the 238:Mutations in the 198:Mutations in the 65: 64: 27:Medical condition 16:(Redirected from 1757: 1564: 1563: 1475: 1468: 1461: 1452: 1451: 1388:lipid metabolism 1377: 1370: 1363: 1354: 1353: 1297:Fanconi syndrome 1184: 1183: 1160:Brunner syndrome 1028: 1027: 1015: 1014: 952:Cystathioninuria 884: 883: 792: 791: 725: 724: 711: 710: 603: 602: 575: 568: 561: 552: 551: 456: 455: 439: 418: 397: 392: 269:Costeff syndrome 152: 151: 60:Medical genetics 42: 30: 29: 21: 1765: 1764: 1760: 1759: 1758: 1756: 1755: 1754: 1740: 1739: 1738: 1729: 1703: 1685: 1616: 1598: 1568:Protein folding 1555: 1489: 1479: 1449: 1444: 1423: 1395: 1381: 1351: 1346: 1310: 1285:Iminoglycinuria 1280:Hartnup disease 1261: 1244: 1194: 1164: 1136: 1112:Ocular albinism 1090: 1049: 1032:Phenylketonuria 999: 966: 938: 910: 877: 863: 841: 832:Hyperprolinemia 818: 787:α-ketoglutarate 785: 771: 762:GAMT deficiency 696: 678: 640: 636:Saccharopinuria 609:/straight chain 588: 579: 549: 544: 543: 520: 519: 467: 409: 406: 401: 400: 393: 389: 384: 360: 352: 147: 139: 107: 28: 23: 22: 15: 12: 11: 5: 1763: 1753: 1752: 1735: 1734: 1731: 1730: 1728: 1727: 1722: 1717: 1711: 1709: 1705: 1704: 1702: 1701: 1695: 1693: 1687: 1686: 1684: 1683: 1678: 1673: 1663: 1662: 1657: 1652: 1647: 1637: 1636: 1626: 1624: 1618: 1617: 1615: 1614: 1612:I-cell disease 1608: 1606: 1600: 1599: 1597: 1596: 1589: 1588: 1583: 1578: 1572: 1570: 1561: 1557: 1556: 1554: 1553: 1543: 1542: 1532: 1531: 1530: 1529: 1524: 1519: 1507: 1497: 1495: 1491: 1490: 1478: 1477: 1470: 1463: 1455: 1446: 1445: 1443: 1442: 1437: 1431: 1429: 1425: 1424: 1422: 1421: 1416: 1413:Barth syndrome 1405: 1403: 1397: 1396: 1380: 1379: 1372: 1365: 1357: 1348: 1347: 1345: 1344: 1339: 1334: 1329: 1324: 1318: 1316: 1312: 1311: 1309: 1308: 1303: 1293: 1292: 1287: 1282: 1277: 1267: 1265: 1254: 1253: 1250: 1249: 1246: 1245: 1243: 1234: 1229: 1224: 1219: 1214: 1209: 1207: 1206: 1205: 1192:Hyperammonemia 1181: 1174: 1173: 1170: 1169: 1166: 1165: 1163: 1162: 1156: 1150: 1148: 1146:Norepinephrine 1138: 1137: 1135: 1134: 1129: 1119: 1104: 1102: 1092: 1091: 1089: 1088: 1079: 1074: 1069: 1059: 1057: 1051: 1050: 1048: 1047: 1042: 1036: 1034: 1025: 1012: 1005: 1004: 1001: 1000: 998: 997: 992: 987: 981: 979: 968: 967: 965: 964: 959: 957:Homocystinuria 954: 948: 946: 940: 939: 937: 936: 931: 926: 920: 918: 912: 911: 909: 908: 903: 898: 896:Hypervalinemia 892: 890: 881: 869: 868: 865: 864: 862: 861: 855: 853: 843: 842: 840: 839: 834: 828: 826: 820: 819: 817: 816: 811: 806: 800: 798: 789: 777: 776: 773: 772: 770: 769: 764: 750: 749: 744: 739: 733: 731: 722: 708: 702: 701: 698: 697: 695: 694: 688: 686: 680: 679: 677: 676: 671: 666: 661: 656: 650: 648: 642: 641: 639: 638: 633: 628: 626:Hyperlysinemia 623: 618: 612: 610: 600: 590: 589: 578: 577: 570: 563: 555: 546: 545: 542: 541: 529: 528: 526: 522: 521: 518: 517: 506: 495: 468: 463: 462: 460: 459:Classification 453: 452: 440: 419: 405: 404:External links 402: 399: 398: 386: 385: 383: 380: 366:population of 359: 356: 351: 348: 336:Barth syndrome 324: 323: 320: 317: 312: 307: 303: 302: 299: 296: 293: 288: 284: 283: 271: 265: 262: 257: 252: 248: 247: 236: 233:Barth syndrome 230: 227: 222: 217: 213: 212: 196: 193: 190: 185: 180: 176: 175: 172: 169: 164: 161: 156: 146: 145:Classification 143: 138: 135: 134: 133: 130: 119: 106: 103: 63: 62: 57: 51: 50: 44: 43: 35: 34: 26: 9: 6: 4: 3: 2: 1762: 1751: 1748: 1747: 1745: 1726: 1723: 1721: 1718: 1716: 1713: 1712: 1710: 1706: 1700: 1697: 1696: 1694: 1692: 1688: 1682: 1679: 1677: 1674: 1672: 1668: 1665: 1664: 1661: 1658: 1656: 1653: 1651: 1648: 1646: 1642: 1639: 1638: 1635: 1631: 1628: 1627: 1625: 1623: 1619: 1613: 1610: 1609: 1607: 1605: 1601: 1595: 1592:chaperonins: 1591: 1590: 1587: 1584: 1582: 1579: 1577: 1574: 1573: 1571: 1569: 1565: 1562: 1558: 1552: 1548: 1545: 1544: 1541: 1537: 1534: 1533: 1528: 1525: 1523: 1520: 1518: 1515: 1514: 1513: 1512: 1508: 1506: 1502: 1499: 1498: 1496: 1492: 1488: 1484: 1481:Disorders of 1476: 1471: 1469: 1464: 1462: 1457: 1456: 1453: 1441: 1438: 1436: 1433: 1432: 1430: 1426: 1420: 1417: 1414: 1410: 1407: 1406: 1404: 1402: 1398: 1393: 1389: 1385: 1378: 1373: 1371: 1366: 1364: 1359: 1358: 1355: 1343: 1340: 1338: 1335: 1333: 1330: 1328: 1325: 1323: 1320: 1319: 1317: 1313: 1307: 1304: 1302: 1298: 1295: 1294: 1291: 1288: 1286: 1283: 1281: 1278: 1276: 1272: 1269: 1268: 1266: 1264: 1259: 1255: 1242: 1238: 1235: 1233: 1230: 1228: 1227:Citrullinemia 1225: 1223: 1220: 1218: 1215: 1213: 1210: 1208: 1203: 1200: 1199: 1198: 1193: 1189: 1185: 1182: 1180: 1175: 1161: 1157: 1155: 1152: 1151: 1149: 1147: 1143: 1139: 1133: 1130: 1127: 1123: 1120: 1117: 1113: 1109: 1106: 1105: 1103: 1101: 1097: 1093: 1087: 1086:Hawkinsinuria 1083: 1080: 1078: 1075: 1073: 1070: 1068: 1064: 1061: 1060: 1058: 1056: 1052: 1046: 1043: 1041: 1038: 1037: 1035: 1033: 1029: 1026: 1024: 1020: 1019:Phenylalanine 1016: 1013: 1011: 1006: 996: 993: 991: 988: 986: 983: 982: 980: 978: 974: 969: 963: 960: 958: 955: 953: 950: 949: 947: 945: 941: 935: 932: 930: 927: 925: 922: 921: 919: 917: 913: 907: 904: 902: 899: 897: 894: 893: 891: 889: 885: 882: 880: 875: 874:propionyl-CoA 870: 860: 857: 856: 854: 852: 848: 844: 838: 835: 833: 830: 829: 827: 825: 821: 815: 812: 810: 807: 805: 802: 801: 799: 797: 793: 790: 788: 783: 778: 768: 765: 763: 759: 755: 752: 751: 748: 745: 743: 740: 738: 735: 734: 732: 730: 726: 723: 721: 717: 712: 709: 707: 703: 693: 690: 689: 687: 685: 681: 675: 672: 670: 667: 665: 662: 660: 657: 655: 652: 651: 649: 647: 643: 637: 634: 632: 629: 627: 624: 622: 619: 617: 614: 613: 611: 608: 604: 601: 599: 595: 591: 587: 583: 576: 571: 569: 564: 562: 557: 556: 553: 540: 536: 535: 531: 530: 527: 523: 516: 512: 511: 507: 505: 501: 500: 496: 494: 490: 486: 482: 479: 475: 474: 470: 469: 466: 461: 457: 450: 446: 445: 441: 437: 433: 429: 428:GeneReviews® 425: 420: 416: 412: 408: 407: 396: 391: 387: 379: 377: 373: 369: 365: 355: 347: 344: 340: 337: 333: 331: 321: 318: 316: 313: 311: 308: 305: 304: 300: 297: 294: 292: 289: 286: 285: 281: 276: 272: 270: 266: 264:19q13.2-q13.3 263: 261: 258: 256: 253: 250: 249: 245: 241: 237: 234: 231: 228: 226: 223: 221: 218: 215: 214: 209: 205: 201: 197: 194: 191: 189: 186: 184: 181: 178: 177: 173: 170: 168: 165: 162: 160: 157: 154: 153: 150: 142: 131: 128: 124: 120: 116: 112: 111: 110: 102: 100: 96: 91: 89: 85: 81: 77: 73: 69: 61: 58: 56: 52: 49: 45: 41: 36: 31: 19: 1655:3-M syndrome 1593: 1509: 1408: 1392:Phospholipid 1384:Inborn error 1179:oxaloacetate 1063:Alkaptonuria 879:succinyl-CoA 809:Histidinemia 804:Carnosinemia 747:Sarcosinemia 663: 582:Inborn error 532: 508: 497: 471: 442: 427: 414: 390: 361: 358:Epidemiology 353: 345: 341: 334: 330:speech delay 327: 274: 239: 199: 148: 140: 108: 95:organic acid 92: 80:mitochondria 71: 67: 66: 1494:Translation 1483:translation 1212:Argininemia 1055:Tyrosinemia 1306:Cystinosis 1275:Cystinuria 1188:Urea cycle 1067:Ochronosis 944:Methionine 916:Isoleucine 684:Tryptophan 598:acetyl-CoA 510:DiseasesDB 438:. NBK1473. 382:References 374:region of 208:amino acid 127:chromosome 1622:Ubiquitin 1263:IE of RTT 1258:Transport 1202:aspartate 1158:reverse: 851:glutamine 847:Glutamate 796:Histidine 782:glutamate 415:Datagenno 350:Treatment 280:apoptosis 174:Genetics 137:Diagnosis 123:recessive 118:disorder. 55:Specialty 1744:Category 1501:Ribosome 1401:Tafazzin 1197:arginine 1142:Tyrosine 1108:Albinism 1096:Tyrosine 1023:tyrosine 1010:fumarate 971:General 758:Creatine 716:pyruvate 534:Orphanet 436:20301646 251:Type III 244:tafazzin 105:Genetics 99:strength 1100:Melanin 824:Proline 754:Glycine 729:Glycine 720:citrate 646:Leucine 504:C579867 315:DNAJC19 287:Type IV 216:Type II 183:250950 888:Valine 859:SSADHD 621:type 2 607:Lysine 539:289902 493:606580 489:258501 485:606580 481:258501 478:210000 434:  376:Canada 364:Jewish 319:3q26.3 310:610198 306:Type V 291:250951 255:258501 220:302060 179:Type I 1708:Other 1699:OFC10 1547:snRNP 1428:Other 1419:CMD3A 1315:Other 515:29831 192:Chr.9 167:Locus 1691:SUMO 1511:FMR1 1485:and 499:MeSH 473:OMIM 432:PMID 368:Iraq 275:OPA3 260:OPA3 229:Xq28 163:Gene 159:OMIM 155:Type 1386:of 584:of 449:NLM 447:at 282:). 240:TAZ 225:TAZ 200:AUH 188:AUH 72:MGA 1746:: 1669:: 1643:: 1641:E3 1632:: 1630:E1 1549:: 1538:: 1503:: 1390:: 1299:: 1273:: 1177:G→ 1110:: 1008:G→ 977:OA 973:BC 872:G→ 780:G→ 760:: 714:G→ 537:: 513:: 502:: 491:, 487:, 483:, 476:: 426:. 413:. 90:. 1474:e 1467:t 1460:v 1415:) 1411:( 1376:e 1369:t 1362:v 1260:/ 1239:/ 1204:) 1195:( 1190:/ 1144:→ 1128:) 1124:( 1118:) 1116:1 1114:( 1098:→ 1084:/ 1065:/ 1021:/ 975:/ 876:→ 849:/ 784:→ 756:→ 718:→ 706:G 596:→ 594:K 574:e 567:t 560:v 465:D 417:. 298:? 295:? 70:( 20:)

Index

3-methylglutaconic aciduria

3-methylglutaconic acid
Specialty
Medical genetics
metabolic disorders
mitochondria
3-methylglutaconic acid
detected in the urine
organic acid
strength
autosomal recessive
recessive
chromosome
OMIM
Locus
250950
AUH
3-methylglutaconyl-CoA hydratase
amino acid
302060
TAZ
Barth syndrome
tafazzin
258501
OPA3
Costeff syndrome
apoptosis
250951
610198

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.

↑