- THIS ARTICLE
- Full Text (PDF)
- Alert me when this article is cited
- Alert me if a correction is posted
- SERVICES
- Similar articles in this journal
- Similar articles in PubMed
- Alert me to new issues of the journal
- Download to citation manager
- Reprints & Permissions
- CITING ARTICLES
- Citing Articles via Google Scholar
- GOOGLE SCHOLAR
- Articles by Chandler, V.
- Articles by Alleman, M.
- Search for Related Content
- PUBMED
- PubMed Citation
- Articles by Chandler, V.
- Articles by Alleman, M.
Genetics, Vol. 178, 1839-1844, April 2008, Copyright © 2008
Paramutation: Epigenetic Instructions Passed Across Generations
Vicki Chandler*,1 and
Mary Alleman
* BIO5 Institute and Department of Plant Sciences, University of Arizona, Tucson, Arizona 85721 and
Department of Biological Sciences, Duquesne University, Pittsburgh, Pennsylvania 15282
1 Corresponding author: BIO5 Institute, 1657 E. Helen St., University of Arizona, Tucson, AZ 85721.
E-mail: chandler{at}ag.arizona.edu
Anecdotal, Historical and Critical Commentaries on Genetics
Edited by James F. Crow and William F. Dove
PARAMUTATION is the fascinating ability of specific DNA sequences to communicate in trans to establish meiotically heritable expression states. Intriguingly, newly silenced sequences continue to issue instructions to naïve alleles in subsequent generations. The term "paramutation" was first coined in the 1950s by Alexander Brink to describe this puzzling phenomenon at the r1 locus in maize (BRINK 1956); an interaction between specific alleles in heterozygotes led to heritable decreases in gene expression of one allele. Not only was the reduced expression state stable through meiosis, but also the low-expressing allele could induce silencing of another high-expressing allele in subsequent generations. The frequency of the change was 100% and the stability of the change was lower than typical mutations; hence the term "paramutation." A few years later, Ed Coe, Jr., described another maize example in which interaction between alleles at the b1 locus also led to heritable silencing (COE 1959) and Rudolf Hagemann described interactions at the sulfurea locus in tomato (HAGEMANN 1969). Since that time other examples of paramutation have been identified in maize and in other species (reviewed in CHANDLER and STAM 2004; STAM and MITTELSTEN SCHEID 2005; CHANDLER 2007), yet the two maize loci where paramutation was initially described, r1 and b1, remain the most extensively characterized and best understood. The r1 and b1 loci encode closely related, functionally equivalent transcription factors that activate the anthocyanin pigment biosynthetic pathway (GOFF et al. 1990; LUDWIG et al. 1990). They are likely related to each other through a duplication resulting from an ancient allotetraploidization event during maize evolution (GAUT and DOEBLEY 1997). The two loci have multiple alleles with distinct expression patterns, which regulate the distribution of anthocyanin pigments during development (STYLES et al. 1973; COE 1979). Recent work demonstrates a key role for RNA in mediating both r1 and b1 paramutation, as the mop1 gene that encodes an RNA-dependent RNA polymerase (RDR; ALLEMAN et al. 2006) is absolutely required for paramutation at both loci (DORWEILER et al. 2000). Yet, there are striking differences in the properties of r1 and b1 paramutation, which hint at distinct mechanisms. In this article, the most striking differences between r1 and b1 paramutation are described and potential mechanisms are discussed relative to our current understanding of the role of RNA interference (RNAi) in mediating transcriptional silencing.
>OVERVIEW OF R1 AND...
STABILITY DIFFERENCES BETWEEN R1...
SEQUENCES REQUIRED FOR...
POTENTIAL COMMUNICATION...
REPEAT COUNTING MECHANISMS
TRANS-ACTING FACTORS REQUIRED...
OPEN QUESTIONS
ACKNOWLEDGEMENTS
LITERATURE CITED
|
|
When the R-r allele, which confers dark purple seeds, is crossed to R-stippled (R-st), which confers purple spotted seeds (because of a transposon insertion that is not involved in paramutation), R-r is heritably changed such that it confers lightly pigmented seeds upon subsequent outcrosses (designated R-r'), while the R-stippled allele segregates unchanged (Figure 1). Intriguingly, when R-r' is crossed to R-r, R-r can be changed to R-r'; this is referred to as secondary paramutation to distinguish it from the primary paramutational interaction between R-st and R-r. At the b1 locus, the low-expressing B' allele (which can also derive spontaneously from the high-expressing B-I allele) changes B-I into B' (new B' alleles are designated B'*) with the silencing observed in the F1 (Figure 2). The newly altered B'* allele is indistinguishable from B' in its ability to paramutate naïve B-I alleles in subsequent generations. Thus, at b1, secondary paramutation is indistinguishable from primary paramutation. This contrasts with r1 paramutation; the strength of R-r' secondary paramutation (the ability of R-r' to paramutate a naïve R-r allele) is fully penetrant only when R-r' has been heterozygous with R-st for multiple generations (BROWN and BRINK 1960).
Two assays are routinely used to monitor paramutation: (1) the ability of a paramutagenic allele to cause a heritable change in the expression of a paramutable allele (as measured at r1 and b1 by a reduction in pigment); and (2) the heritable alteration of the paramutable allele into a paramutagenic allele. At b1, these two phenotypes always occur simultaneously and completely. In contrast, at r1, the extent of paramutagenicity measured as the level of R-r pigmentation depends on the haplotype and the circumstances of the crosses (discussed in the next section and reviewed in CHANDLER et al. 2000). Specific nomenclature is used to describe the various steps in the paramutation process. Establishment describes the trans-interactions between alleles that produce the distinct expression states. In the case of both r1 and b1, the new states show reduced expression (designated R-r' and B'), and the ability to maintain that silencing phenotype is referred to as "maintenance of silencing." The extent to which the silencing and ability to cause paramutation is maintained in subsequent generations is referred to as heritability. The reason for distinguishing among establishment, maintenance, and heritability is that certain situations or genetic backgrounds can influence these processes differentially. The frequent association between paramutation and genes involved in pigmentation is likely to reflect ascertainment bias, because of the ease of scoring visible pigment phenotypes and the dispensable nature of anthocyanin for plant development.
OVERVIEW OF R1 AND...
>STABILITY DIFFERENCES BETWEEN R1...
SEQUENCES REQUIRED FOR...
POTENTIAL COMMUNICATION...
REPEAT COUNTING MECHANISMS
TRANS-ACTING FACTORS REQUIRED...
OPEN QUESTIONS
ACKNOWLEDGEMENTS
LITERATURE CITED
In contrast, R-r' is unstable with its pigment level and reversion frequency dependent on the strength of the R-st derivative to which it was crossed, the number of generations of heterozygosity with R-st, or when R-r' is homozygous. When R-r' is exposed to repeated generations of crosses with paramutagenic haplotypes, its seed pigmentation level continues to decrease to almost colorless and the haplotype becomes more paramutagenic (MIKULA 1961; MCWHIRTER and BRINK 1962). Furthermore, expression of R-r is more reduced following passage through trisomics containing two doses of the paramutagenic allele relative to passage through disomic heterozygotes with one dose of the paramutagenic allele (KERMICLE et al. 1995). Paramutation can also be reversed gradually if R-r' is maintained as hemizygous or heterozygous with alleles that contain a single copy of the r1 locus, such that seed color becomes even darker than nonparamutant R-r (STYLES and BRINK 1966, 1969). This set of experiments, together, suggests that there is communication between the various r1 haplotypes and that this communication influences expression levels.
OVERVIEW OF R1 AND...
STABILITY DIFFERENCES BETWEEN R1...
>SEQUENCES REQUIRED FOR...
POTENTIAL COMMUNICATION...
REPEAT COUNTING MECHANISMS
TRANS-ACTING FACTORS REQUIRED...
OPEN QUESTIONS
ACKNOWLEDGEMENTS
LITERATURE CITED
OVERVIEW OF R1 AND...
STABILITY DIFFERENCES BETWEEN R1...
SEQUENCES REQUIRED FOR...
>POTENTIAL COMMUNICATION...
REPEAT COUNTING MECHANISMS
TRANS-ACTING FACTORS REQUIRED...
OPEN QUESTIONS
ACKNOWLEDGEMENTS
LITERATURE CITED
OVERVIEW OF R1 AND...
STABILITY DIFFERENCES BETWEEN R1...
SEQUENCES REQUIRED FOR...
POTENTIAL COMMUNICATION...
>REPEAT COUNTING MECHANISMS
TRANS-ACTING FACTORS REQUIRED...
OPEN QUESTIONS
ACKNOWLEDGEMENTS
LITERATURE CITED
BRINK et al. (1968) suggested that the r1 haplotypes exist in a wide continuum of states and that the ability to move along the continuum is an inherent property of the haplotype itself with the extent and direction of movement along the continuum influenced by the nature of the other allele present. Brink proposed that the r1 locus had two components: (1) the gene complex encoding the protein involved in anthocyanin synthesis and (2) a heterochromatic segment assumed to consist of varying numbers of a repeating unit called a metamere, which functioned to repress r1. He further proposed that the degree of repression was proportional to the number of metameres, which could change through misreplication during somatic mitosis (BRINK et al. 1968). This hypothesis sprang from Brink's being influenced by the description of position-effect variegation (PEV) in Drosophila (reviewed in LEWIS 1950). The influence likely resulted from the mosaic pattern of PEV in Drosophila eyes being strikingly similar to the mottled phenotype of paramutant R-r' kernels and the idea that both PEV and paramutation were caused by aberrations in gene expression systems.
Brink clearly sought a hypothesis that incorporated the essence of heterochromatin and repeated sequences without the requirement for large centric blocks that were known to be part of the PEV phenomenon. He attempted to avoid these inconsistencies with an alteration of terminology, for example, "ortho" and "parachromatin," in which parachromatin is the part of the genome responsible for chromatin condensation and gene silencing (BRINK et al. 1960). He called parachromatin the "nexus between chromosomal heredity and development" and provided that it could be "altered in accordance with the cellular substrate and could react to extra-chromosomal stimuli that define developmental progression." This description sounds provocatively similar to RISC-complex-mediated gene silencing (ZARATIEGUI et al. 2007).
The large tandem repeats associated with paramutagenic alleles are consistent with the metamere hypothesis, but molecular studies have demonstrated that the number of repeats does not change during plant development (M. ALLEMAN, unpublished data); thus differences in r1 expression are likely to be mediated by epigenetic mechanisms (such as changes in DNA methylation and histone modifications). Potentially, the larger number of tandem repeats in paramutagenic alleles facilitates the communication with the inverted repeat at the sensitive locus—either directly through pairing or through some type of RNA-signaling molecule. At r1, a larger number of repeats could result in an increase in the amount of communication signal sent by paramutagenic haplotypes or an increased frequency of direct pairing. The inverted repeat nature of the paramutable haplotypes may make them particularly receptive to this signal.
OVERVIEW OF R1 AND...
STABILITY DIFFERENCES BETWEEN R1...
SEQUENCES REQUIRED FOR...
POTENTIAL COMMUNICATION...
REPEAT COUNTING MECHANISMS
>TRANS-ACTING FACTORS REQUIRED...
OPEN QUESTIONS
ACKNOWLEDGEMENTS
LITERATURE CITED
Both establishment of paramutation and maintenance of the transcriptional silencing at B' absolutely depend on mop1 (DORWEILER et al. 2000), suggesting a role for RNA in both processes. However, mop1 has a more subtle role in the heritability of the reduced expression state. When mop1 mutations are outcrossed to wild type to reintroduce the wild-type MOP1 protein, most of the progeny have B' expression levels (DORWEILER et al. 2000). This result suggests that the MOP1 protein can efficiently resilence the "active" epiallele transmitted from the mop1 mutant plant. Another possibility is that the "active" allele remembers that it was B' in the previous generation in spite of its high expression promoted by the absence of MOP1 and is therefore expressed at a low level in the progeny. The latter hypothesis would require that some type of heritable mark remain at the B' allele even when it is expressing at a B-I level and would require that mark to be efficiently transmitted through meiosis. Recently we noted, when growing thousands of progeny in the absence of the MOP1 protein, that at a low frequency the B' epiallele is changed to a B-I state that is heritable and immune to resilencing in the presence of the MOP1 protein. This contrasts with wild-type backgrounds in which B' has never been observed to change to B-I. Similarly, in the absence of the MOP1 protein, a transcriptionally silent transgene can be reactivated such that it stays active for multiple generations even in the presence of the MOP1 protein introduced by outcrosses (MCGINNIS et al. 2006). This result is consistent with the establishment of chromatin states that are relatively immune to silencing.
MOP1 is also absolutely required to establish r1 paramutation (DORWEILER et al. 2000) as R-r is not changed to R-r' by R-st in homozygous mop1 mutant plants. Intriguingly, the MOP1 protein is not required to maintain the reduced expression associated with R-r' (J. KERMICLE, personal communication). There are several potential explanations. First, an RNA mechanism may not be involved in maintaining the silencing of R-r. Second, at r1, the silencing might be stabilized through the more extensive DNA methylation that occurs. A third possibility could be that the R-r' allele does not require the RDR to maintain an RNA signal; potentially, the inverted repeat structure seen at R-r (Figure 1) could generate hairpin RNA in sufficient quantities. This latter hypothesis is similar to what is seen with the MuK locus of maize, which generates a double-stranded RNA hairpin homologous to the fully functional autonomous Mutator element, MuDR, silencing it (SLOTKIN et al. 2005); this silencing does not require MOP1 (WOODHOUSE et al. 2006a,b). Further experiments to test the role of other RNAi pathway mutants should reveal whether an RNAi pathway is involved in maintaining R-r' silencing. Another complication in interpreting the r1 result is that the phenotype is observed only in paternally transmitted alleles, which are subject to genomic imprinting (ALLEMAN and DOCTOR 2000). DNA methylation within the inverted repeats in R-r does correlate with its silencing (WALKER 1998) and this methylation may contribute to the maintenance of silencing in the absence of the MOP1 pathway. Another possibility is that the silencing mediated by imprinting is epistatic to the silencing mediated by MOP1 and thus MOP1's absence is inconsequential.
OVERVIEW OF R1 AND...
STABILITY DIFFERENCES BETWEEN R1...
SEQUENCES REQUIRED FOR...
POTENTIAL COMMUNICATION...
REPEAT COUNTING MECHANISMS
TRANS-ACTING FACTORS REQUIRED...
>OPEN QUESTIONS
ACKNOWLEDGEMENTS
LITERATURE CITED
Many additional intriguing questions remain. What process enables the extremely efficient and highly heritable trans-communication associated with paramutation in maize? What is the nature of the RNA that triggers paramutation? Why are tandem repeats required? What are the heritable molecules or marks? Why does paramutation exist and is it really rare? Thoughts on some of these questions are discussed in CHANDLER (2007). Current approaches directed toward identifying additional key genes required for paramutation and understanding the relationships between tandem repeat RNA and chromatin structure offer hope for eventually understanding this intriguing process.
OVERVIEW OF R1 AND...
STABILITY DIFFERENCES BETWEEN R1...
SEQUENCES REQUIRED FOR...
POTENTIAL COMMUNICATION...
REPEAT COUNTING MECHANISMS
TRANS-ACTING FACTORS REQUIRED...
OPEN QUESTIONS
>ACKNOWLEDGEMENTS
LITERATURE CITED
OVERVIEW OF R1 AND...
STABILITY DIFFERENCES BETWEEN R1...
SEQUENCES REQUIRED FOR...
POTENTIAL COMMUNICATION...
REPEAT COUNTING MECHANISMS
TRANS-ACTING FACTORS REQUIRED...
OPEN QUESTIONS
ACKNOWLEDGEMENTS
>LITERATURE CITED
ALLEMAN, M., and J. DOCTOR, 2000 Genomic imprinting in plants: observations and evolutionary implications. Plant Mol. Biol. 43: 147–161.[CrossRef][Medline]
ALLEMAN, M., L. SIDORENKO, K. MCGINNIS, V. SESHADRI, J. E. DORWEILER et al., 2006 An RNA-dependent RNA polymerase is required for paramutation in maize. Nature 442: 295–298.[CrossRef][Medline]
BRINK, R. A., 1956 A genetic change associated with the R locus in maize which is directed and potentially reversible. Genetics 41: 872–889.
BRINK, R. A., 1973 Paramutation. Annu. Rev. Genet. 7: 129–152.[CrossRef][Medline]
BRINK, R. A., D. F. BROWN, J. KERMICLE and W. H. WEYERS, 1960 Locus dependence of the paramutant R-phenotype in maize. Genetics 45: 1297–1312.
BRINK, R. A., J. L. KERMICLE and D. F. BROWN, 1964 Tests for a gene-dependent cytoplasmic particle associated with R paramutation in maize. Proc. Natl. Acad. Sci. USA 51: 1067–1074.
BRINK, R. A., E. D. STYLES and J. D. AXTELL, 1968 Paramutation: directed genetic change. Paramutation occurs in somatic cells and heritably alters the functional state of a locus. Science 159: 161–170.
BROWN, D., and R. BRINK, 1960 Paramutagenic action of paramutant R-r and R-g alleles in maize. Genetics 45: 1313–1316.
CHANDLER, V. L., 2007 Paramutation: from maize to mice. Cell 128: 641–645.[CrossRef][Medline]
CHANDLER, V. L., and M. STAM, 2004 Chromatin conversations: mechanisms and implications of paramutation. Nat. Rev. Genet. 5: 532–544.[CrossRef][Medline]
CHANDLER, V. L., W. B. EGGLESTON and J. E. DORWEILER, 2000 Paramutation in maize. Plant Mol. Biol. 43: 121–145.[CrossRef][Medline]
COE, E. H., JR., 1959 A regular and continuing conversion-type phenomenon at the B locus in maize. Proc. Natl. Acad. Sci. USA 45: 828–832.
COE, E. H., JR., 1966 The properties, origin and mechanism of conversion-type inheritance at the B locus in maize. Genetics 53: 1035–1063.
COE, E. H., JR., 1968 Heritable repression due to paramutation in maize. Science 162: 925.
COE, E. H., JR., 1979 Specification of the anthocyanin biosynthetic function by b and r in maize. Maydica 24: 49–58.
DORWEILER, J. E., C. C. CAREY, K. M. KUBO, J. B. HOLLICK, J. L. KERMICLE et al., 2000 Mediator of paramutation1 is required for establishment and maintenance of paramutation at multiple maize loci. Plant Cell 12: 2101–2118.
EGGLESTON, W. B., M. ALLEMAN and J. L. KERMICLE, 1995 Molecular organization and germinal instability of R-stippled maize. Genetics 141: 347–360.[Abstract]
GAUT, B. S., and J. F. DOEBLEY, 1997 DNA sequence evidence for the segmental allotetraploid origin of maize. Proc. Natl. Acad. Sci. USA 94: 6809–6814.
GOFF, S. A., T. M. KLEIN, B. A. ROTH, M. E. FROMM, K. C. CONE et al., 1990 Transactivation of anthocyanin biosynthetic genes following transfer of B regulatory genes into maize tissues. EMBO J. 9: 2517–2522.[Medline]
HAGEMANN, R., 1969 Somatic conversion (paramutation) at the sulfurea locus of lycopersicon esculentum Mill. III. Studies with trisomics. Can. J. Genet. Cytol. 11: 346–358.
HALE, C. J., J. L. STONAKER, S. M. GROSS and J. B. HOLLICK, 2007 A novel Snf2 protein maintains trans-generational regulatory states established by paramutation in maize. PLoS Biol. 5: 2156–2165.[Medline]
HENDERSON, I. R., and S. E. JACOBSEN, 2007 Epigenetic inheritance in plants. Nature 447: 418–424.[CrossRef][Medline]
HOLLICK, J. B., and V. L. CHANDLER, 2001 Genetic factors required to maintain repression of a paramutagenic maize pl1 allele. Genetics 157: 369–378.
HOLLICK, J. B., J. L. KERMICLE and S. E. PARKINSON, 2005 Rmr6 maintains meiotic inheritance of paramutant states in Zea mays. Genetics 171: 725–740.
KERMICLE, J. L., 1996 Epigenetic silencing and activation of a maize r gene, pp. 267–287 in Epigenetic Mechanisms of Gene Expression, edited by V. E. A. RUSSO, R. A. MARTIENSSEN and A. D. RIGGS. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY.
KERMICLE, J. L., W. B. EGGLESTON and M. ALLEMAN, 1995 Organization of paramutagenicity in R-stippled maize. Genetics 141: 361–372.[Abstract]
LEWIS, E. B., 1950 The phenomenon of position effect. Adv. Genet. 3: 73–115.[Medline]
LISCH, D., C. C. CAREY, J. E. DORWEILER and V. L. CHANDLER, 2002 A mutation that prevents paramutation in maize also reverses Mutator transposon methylation and silencing. Proc. Natl. Acad. Sci. USA 99: 6130–6135.
LUDWIG, S. R., B. BOWEN, L. BEACH and S. R. WESSLER, 1990 A regulatory gene as a novel visible marker for maize transformation. Science 247: 449–450.
MCGINNIS, K. M., C. SPRINGER, Y. LIN, C. C. CAREY and V. CHANDLER, 2006 Transcriptionally silenced transgenes in maize are activated by three mutations defective in paramutation. Genetics 173: 1637–1647.
MCWHIRTER, K., and R. BRINK, 1962 Continuous variation in level of paramutation at the R locus in maize. Genetics 47: 1053–1074.
MIKULA, B. C., 1961 Progressive conversion of R-locus expression in maize. Proc. Natl. Acad. Sci. USA 47: 566–571.
NEUFFER, M. G., E. H. COE and S. R. WESSLER, 1997 Mutants of Maize. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY.
PANAVAS, T., J. WEIR and E. L. WALKER, 1999 The structure and paramutagenicity of the R-marbled haplotype of Zea mays. Genetics 153: 979–991.
ROBBINS, T. P., E. L. WALKER, J. L. KERMICLE, M. ALLEMAN and S. L. DELLAPORTA, 1991 Meiotic instability of the R-r complex arising from displaced intragenic exchange and intrachromosomal rearrangement. Genetics 129: 271–283.[Abstract]
SLOTKIN, R. K., M. FREELING and D. LISCH, 2005 Heritable transposon silencing initiated by a naturally occurring transposon inverted duplication. Nat. Genet. 37: 641–644.[CrossRef][Medline]
STAM, M., and O. MITTELSTEN SCHEID, 2005 Paramutation: an encounter leaving a lasting impression. Trends Plant Sci. 10: 283–290.[CrossRef][Medline]
STAM, M., C. BELELE, J. E. DORWEILER and V. L. CHANDLER, 2002a Differential chromatin structure within a tandem array 100 kb upstream of the maize b1 locus is associated with paramutation. Genes Dev. 16: 1906–1918.
STAM, M., C. BELELE, W. RAMAKRISHNA, J. E. DORWEILER, J. L. BENNETZEN et al., 2002b The regulatory regions required for B' paramutation and expression are located far upstream of the maize b1 transcribed sequences. Genetics 162: 917–930.
STYLES, E. D., and R. A. BRINK, 1966 The metastable nature of paramutable R alleles in maize. I. Heritable enhancement in level of standard Rr action. Genetics 54: 433–439.
STYLES, E. D., and R. A. BRINK, 1969 The metastable nature of paramutable r alleles in maize. IV. Parallel enhancement of R action in heterozygotes with r and in hemizygotes. Genetics 61: 801–811.
STYLES, E. D., O. CESKA and K. T. SEAH, 1973 Developmental differences in action of r and b alleles in maize. Can. J. Genet. Cytol. 15: 59–72.
WALKER, E. L., 1998 Paramutation of the r1 locus of maize is associated with increased cytosine methylation. Genetics 148: 1973–1981.
WOODHOUSE, M. R., M. FREELING and D. LISCH, 2006a Initiation, establishment, and maintenance of heritable MuDR transposon silencing in maize are mediated by distinct factors. PLoS Biol. 4: e339.[CrossRef][Medline]
WOODHOUSE, M. R., M. FREELING and D. LISCH, 2006b The mop1 (mediator of paramutation1) mutant progressively reactivates one of the two genes encoded by the MuDR transposon in maize. Genetics 172: 579–592.
ZARATIEGUI, M., D. V. IRVINE and R. A. MARTIENSSEN, 2007 Noncoding RNAs and gene silencing. Cell 128: 763–776.[CrossRef][Medline]
- THIS ARTICLE
- Full Text (PDF)
- Alert me when this article is cited
- Alert me if a correction is posted
- SERVICES
- Similar articles in this journal
- Similar articles in PubMed
- Alert me to new issues of the journal
- Download to citation manager
- Reprints & Permissions
- CITING ARTICLES
- Citing Articles via Google Scholar
- GOOGLE SCHOLAR
- Articles by Chandler, V.
- Articles by Alleman, M.
- Search for Related Content
- PUBMED
- PubMed Citation
- Articles by Chandler, V.
- Articles by Alleman, M.

