Matthew Smith

Department of Medicine
Assistant Professor

Overview

My research program focuses on identifying mechanisms of mitochondrial dysregulation by environmental toxicants that correlate with increases in mortality of chronic lung diseases, such as pulmonary fibrosis and pulmonary hypertension. An additional aspect of this research is to identify whether platelets can be used as biosensors of metabolic perturbation and surrogates for lung tissue. This research integrates biochemical techniques with ultra-high-resolution metabolomics for metabolic pathway detection, mitochondrial bioenergetics for metabolic flux studies, chemical profiling for toxicological surveillance, heavy metal quantitation, and lastly, integrating these data using systems biology approaches with novel bioinformatics tools.

Academic Appointment

Instructor, Medicine, Emory University

Education

Degrees

PhD from University of Alabama at Birmingham
MSc from Georgia State University
BSc from Mercer University

Research

Publications

Multi-tissue metabolomics reveal mtDNA- and diet-specific metabolite profiles in a mouse model of cardiometabolic disease.
Redox Biol Volume: 81 Page(s): 103541
04/01/2025 Authors: Shastry A; Wilkinson MS; Miller DM; Kuriakose M; Veeneman JLMH; Smith MR; Hindmarch CCT; Dunham-Snary KJ
Untargeted metabolomics of 3xTg-AD neurotoxic astrocytes.
J Proteomics Volume: 310 Page(s): 105336
01/06/2025 Authors: Carvalho D; Diaz-Amarilla P; Smith MR; Santi MD; Martinez-Busi M; Go Y-M; Jones DP; Duarte P; Savio E; Abin-Carriquiry JA
Mechanistic role for mTORC1 signaling in profibrotic toxicity of low-dose cadmium.
Toxicol Appl Pharmacol Volume: 494 Page(s): 117159
01/01/2025 Authors: Lee C-M; Lee HY; Jarrell ZR; Smith MR; Jones DP; Go Y-M
Association of per- and polyfluoroalkyl substances with the antioxidant bilirubin across pregnancy.
Free Radic Biol Med Volume: 223 Page(s): 184 - 192
10/01/2024 Authors: Taibl KR; Dunlop AL; Smith MR; Walker DI; Ryan PB; Panuwet P; Corwin EJ; Kannan K; Jones DP; Marsit CJ
Repeated exposure to eucalyptus wood smoke alters pulmonary gene and metabolic profiles in male Long-Evans rats.
Toxicol Sci Volume: 199 Page(s): 332 - 348
05/28/2024 Authors: Cochran SJ; Dunigan-Russell K; Hutton GM; Nguyen H; Schladweiler MC; Jones DP; Williams WC; Fisher AA; Gilmour MI; Dye JA
Metabolic alterations and mitochondrial dysfunction in human airway BEAS-2B cells exposed to vanadium pentoxide.
Toxicology Volume: 504 Page(s): 153772
05/01/2024 Authors: He X; Smith MR; Jarrell ZR; Thi Ly V; Liang Y; Lee C-M; Orr M; Go Y-M; Jones DP
Linoleic acid blunts early osteoblast differentiation and impairs oxidative phosphorylation in vitro.
Prostaglandins Leukot Essent Fatty Acids Volume: 201 Page(s): 102617
02/01/2024 Authors: Nesbeth P-DC; Ziegler TR; Tripathi AK; Dabeer S; Weiss D; Hao L; Smith MR; Jones DP; Maner-Smith KM; Tu C-L
Characterizing substrate utilization during the fasted state using plasma high-resolution metabolomics.
Nutrition Volume: 116 Page(s): 112160
12/01/2023 Authors: Taibl KR; Bellissimo MP; Smith MR; Liu KH; Tran VT; Jones DP; Ziegler TR; Alvarez JA
Metabolic reprograming and increased inflammation by cadmium exposure following early-life respiratory syncytial virus infection-the involvement of protein S-palmitoylation.
Toxicol Sci Volume: 197 Page(s): 186 - 196
11/06/2023 Authors: Jarrell ZR; Lee C-M; Kim K-H; He X; Smith MR; Raha JR; Bhatnagasr N; Orr M; Kang S-M; Chen Y
PFAS Exposures and the Human Metabolome: A Systematic Review of Epidemiological Studies.
Curr Pollut Rep Volume: 9 Page(s): 510 - 568
09/01/2023 Authors: India-Aldana S; Yao M; Midya V; Colicino E; Chatzi L; Chu J; Gennings C; Jones DP; Loos RJF; Setiawan VW
Association between Neuroligin-1 polymorphism and plasma glutamine levels in individuals with autism spectrum disorder.
EBioMedicine Volume: 95 Page(s): 104746
09/01/2023 Authors: Lee I-H; Walker DI; Lin Y; Smith MR; Mandl KD; Jones DP; Kong SW
Low-dose vanadium pentoxide perturbed lung metabolism associated with inflammation and fibrosis signaling in male animal and in vitro models.
Am J Physiol Lung Cell Mol Physiol Volume: 325 Page(s): L215 - L232
08/01/2023 Authors: He X; Jarrell ZR; Smith MR; Ly VT; Hu X; Sueblinvong V; Liang Y; Orr M; Go Y-M; Jones DP
Pregnancy-related hemodynamic biomarkers in relation to trimester-specific maternal per - and polyfluoroalkyl substances exposures and adverse birth outcomes.
Environ Pollut Volume: 323 Page(s): 121331
04/15/2023 Authors: Taibl KR; Liang D; Dunlop AL; Barr DB; Smith MR; Steenland K; Tan Y; Ryan PB; Panuwet P; Everson T
Study on the relationship between selenium and cadmium in diseased human lungs.
Adv Redox Res Volume: 7
04/01/2023 Authors: Smith MR; Hu X; Jarrell ZR; He X; Orr M; Fernandes J; Chandler JD; Walker DI; Esper A; Marts L
Metabolomics of V2O5 nanoparticles and V2O5 nanofibers in human airway epithelial BEAS-2B cells.
Toxicol Appl Pharmacol Volume: 459 Page(s): 116327
01/15/2023 Authors: He X; Jarrell ZR; Smith MR; Ly VT; Liang Y; Orr M; Go Y-M; Jones DP
Metallomics in pulmonary arterial hypertension patients.
Pulm Circ Volume: 13 Page(s): e12202
01/01/2023 Authors: El-Kersh K; Hopkins CD; Wu X; Rai SN; Cave MC; Smith MR; Go Y-M; Jones DP; Cai L; Huang J
Comprehensive characterization of putative genetic influences on plasma metabolome in a pediatric cohort.
Hum Genomics Volume: 16 Page(s): 67
12/08/2022 Authors: Lee I-H; Smith MR; Yazdani A; Sandhu S; Walker DI; Mandl KD; Jones DP; Kong SW
Obesity reprograms the pulmonary polyunsaturated fatty acid-derived lipidome, transcriptome, and gene-oxylipin networks.
J Lipid Res Volume: 63 Page(s): 100267
10/01/2022 Authors: Virk R; Buddenbaum N; Al-Shaer A; Armstrong M; Manke J; Reisdorph N; Sergin S; Fenton JI; Wallace ED; Ehrmann BM
Vanadium pentoxide induced oxidative stress and cellular senescence in human lung fibroblasts.
Redox Biol Volume: 55 Page(s): 102409
09/01/2022 Authors: He X; Jarrell ZR; Liang Y; Ryan Smith M; Orr ML; Marts L; Go Y-M; Jones DP
3'UTR shortening of HAS2 promotes hyaluronan hyper-synthesis and bioenergetic dysfunction in pulmonary hypertension.
Matrix Biol Volume: 111 Page(s): 53 - 75
08/01/2022 Authors: Tseng V; Collum SD; Allawzi A; Crotty K; Yeligar S; Trammell A; Ryan Smith M; Kang B-Y; Sutliff RL; Ingram JL
Low-Dose Cadmium Potentiates Metabolic Reprogramming Following Early-Life Respiratory Syncytial Virus Infection.
Toxicol Sci Volume: 188 Page(s): 62 - 74
06/28/2022 Authors: Jarrell ZR; Smith MR; Kim K-H; Lee Y; Hu X; He X; Orr M; Chen Y; Kang S-M; Jones DP
Sex differences in the relationships between body composition, fat distribution, and mitochondrial energy metabolism: a pilot study.
Nutr Metab (Lond) Volume: 19 Page(s): 37
05/21/2022 Authors: Bellissimo MP; Fleischer CC; Reiter DA; Goss AM; Zhou L; Smith MR; Kohlmeier J; Tirouvanziam R; Tran PH; Hao L
Integrative interactomics applied to bovine fescue toxicosis.
Sci Rep Volume: 12 Page(s): 4899
03/22/2022 Authors: Mote RS; Hill NS; Skarlupka JH; Carpenter JM; Lourenco JM; Callaway TR; Tran VT; Liu K; Smith MR; Jones DP
Using Platelets to Identify Metabolic Hubs Associated with Pulmonary Hypertension Pathogenesis
Volume: 180 Page(s): 54 - 55
02/23/2022 Authors: Smith MR; Trammell A; Murphy T; Ma J; Gillespie J; ViLinh T; Go Y-M; Sutliff R; Jones D; Hart C
Vanadium pentoxide induced cytotoxicity and oxidative stress in human lung fibroblasts
Volume: 180 Page(s): 73 - 74
02/23/2022 Authors: He X; Smith MR; Jarrell Z; Orr M; Go Y-M; Jones D
Metabolic effects of the schizophrenia-associated 3q29 deletion.
Transl Psychiatry Volume: 12 Page(s): 66
02/17/2022 Authors: Pollak RM; Purcell RH; Rutkowski TP; Malone T; Pachura KJ; Bassell GJ; Epstein MP; Dawson PA; Smith MR; Jones DP
Nutritional Metabolomics of Skeletal Muscle and Monocyte Mitochondrial Function
OBESITY Volume: 29 Page(s): 130 - 131
12/01/2021 Authors: Bellissimo M; Taibl K; Fleischer C; Reiter D; Zhou L; Smith MR; Wells G; Jones D; Hundley WG; Ziegler T
Plasma Metabolic Phenotypes of HPV-Associated versus Smoking-Associated Head and Neck Cancer and Patient Survival.
Cancer Epidemiol Biomarkers Prev Volume: 30 Page(s): 1858 - 1866
10/01/2021 Authors: Eldridge RC; Uppal K; Hayes DN; Smith MR; Hu X; Qin ZS; Beitler JJ; Miller AH; Wommack EC; Higgins KA
A scalable workflow to characterize the human exposome.
Nat Commun Volume: 12 Page(s): 5575
09/22/2021 Authors: Hu X; Walker DI; Liang Y; Smith MR; Orr ML; Juran BD; Ma C; Uppal K; Koval M; Martin GS
Crystal-storing histiocytes in ascites leading to a diagnosis of plasma cell myeloma.
Diagn Cytopathol Volume: 49 Page(s): E336 - E339
09/01/2021 Authors: Hamadeh F; Smith MR; Hsi ED
Firsthand and Secondhand Exposure Levels of Maltol-Flavored Electronic Nicotine Delivery System Vapors Disrupt Amino Acid Metabolism.
Toxicol Sci Volume: 182 Page(s): 70 - 81
07/16/2021 Authors: Jarrell ZR; Smith MR; He X; Orr M; Jones DP; Go Y-M
Metabolome-wide association study of flavorant vanillin exposure in bronchial epithelial cells reveals disease-related perturbations in metabolism.
Environ Int Volume: 147 Page(s): 106323
02/01/2021 Authors: Smith MR; Jarrell ZR; Orr M; Liu KH; Go Y-M; Jones DP
Environmental chemicals and metabolic disruption in primary and secondary human parathyroid tumors.
Surgery Volume: 169 Page(s): 102 - 108
01/01/2021 Authors: Hu X; Saunders N; Safley S; Smith MR; Liang Y; Tran V; Sharma J; Jones DP; Weber CJ
Multiomics Analysis of Structural Magnetic Resonance Imaging of the Brain and Cerebrospinal Fluid Metabolomics in Cognitively Normal and Impaired Adults.
Front Aging Neurosci Volume: 13 Page(s): 796067
01/01/2021 Authors: Eldridge RC; Uppal K; Shokouhi M; Smith MR; Hu X; Qin ZS; Jones DP; Hajjar I
Plasma metabolomics of autism spectrum disorder and influence of shared components in proband families.
Exposome Volume: 1 Page(s): osab004
01/01/2021 Authors: Chung MK; Smith MR; Lin Y; Walker DI; Jones D; Patel CJ; Kong SW
Metabolome-Wide Association Study of Electronic Cigarette Flavorant Vanillin Reveals Amino Acid Perturbations in Human Lung Cells and Plasma
Volume: 159 Page(s): S83 - S83
11/01/2020 Authors: Smith MR; Jarrell Z; Orr M; Go Y-M; Jones D
E-cigarette Flavorant Maltol Disrupts Bronchial Antioxidant Metabolism
Volume: 159 Page(s): S79 - S80
11/01/2020 Authors: Jarrell Z; Smith MR; Orr M; Jones D; Go Y-M
THE EXPOSOME IS ASSOCIATED WITH METABOLIC DISRUPTION AND NAFLD SEVERITY
Volume: 72 Page(s): 729A - 730A
11/01/2020 Authors: Cave MC; Smith MR; Go Y-M; Uppal K; Samale NR; Rai SN; Smith SE; Jones DP; Chalasani NP
Plasma acylcarnitine levels increase with healthy aging.
Aging (Albany NY) Volume: 12 Page(s): 13555 - 13570
06/16/2020 Authors: Jarrell ZR; Smith MR; Hu X; Orr M; Liu KH; Quyyumi AA; Jones DP; Go Y-M
A precision medicine approach to defining the impact of doxorubicin on the bioenergetic-metabolite interactome in human platelets.
Redox Biol Volume: 28 Page(s): 101311
01/01/2020 Authors: Smith MR; Chacko BK; Johnson MS; Benavides GA; Uppal K; Go Y-M; Jones DP; Darley-Usmar VM
Sex Hormone Regulation of Proteins Modulating Mitochondrial Metabolism, Dynamics and Inter-Organellar Cross Talk in Cardiovascular Disease.
Front Cell Dev Biol Volume: 8 Page(s): 610516
01/01/2020 Authors: Lynch S; Boyett JE; Smith MR; Giordano-Mooga S
Metabolome-Wide Association Study of Vanadium Exposure Reveals Exacerbated Fatty Acid Oxidation in Human Plasma and Human Lung Fibroblasts
Volume: 145 Page(s): S54 - S54
12/01/2019 Authors: Smith MR; Fernandes J; Hu X; Liang D; Orr M; Sarnat J; Jones D; Go Y-M
Characterization of Nutritional and Environmental Metals after Cadmium Exposure in Mice
Volume: 145 Page(s): S51 - S51
12/01/2019 Authors: Smith MR; Orr M; Fernandes J; Neujahr D; Hu X; Jones D; Go Y-M
Integrative Network Analysis Linking Clinical Outcomes With Environmental Exposures and Molecular Variations in Service Personnel Deployed to Balad and Bagram.
J Occup Environ Med Volume: 61 Suppl 12 Page(s): S65 - S72
12/01/2019 Authors: Thakar J; Thatcher TH; Smith MR; Woeller CF; Walker DI; Utell MJ; Hopke PK; Mallon TM; Krahl PL; Rohrbeck P
Benzo[a]pyrene Perturbs Mitochondrial and Amino Acid Metabolism in Lung Epithelial Cells and Has Similar Correlations With Metabolic Changes in Human Serum.
J Occup Environ Med Volume: 61 Suppl 12 Page(s): S73 - S81
12/01/2019 Authors: Smith MR; Walker DI; Uppal K; Utell MJ; Hopke PK; Mallon TM; Krahl PL; Rohrbeck P; Go Y-M; Jones DP
Environmental Chemicals Altered in Association With Deployment for High Risk Areas.
J Occup Environ Med Volume: 61 Suppl 12 Page(s): S15 - S24
12/01/2019 Authors: Smith MR; Uppal K; Walker DI; Utell MJ; Hopke PK; Mallon TM; Krahl PL; Rohrbeck P; Go Y-M; Jones DP
Metabolome-Wide Association Study of Deployment to Balad, Iraq or Bagram, Afghanistan.
J Occup Environ Med Volume: 61 Suppl 12 Page(s): S25 - S34
12/01/2019 Authors: Go Y-M; Smith MR; Walker DI; Uppal K; Rohrbeck P; Krahl PL; Hopke PK; Utell MJ; Mallon TM; Jones DP
Associations of Benzo(ghi)perylene and Heptachlorodibenzo-p-dioxin in Serum of Service Personnel Deployed to Balad, Iraq, and Bagram, Afghanistan Correlates With Perturbed Amino Acid Metabolism in Human Lung Fibroblasts.
J Occup Environ Med Volume: 61 Suppl 12 Page(s): S35 - S44
12/01/2019 Authors: Smith MR; Woeller CF; Uppal K; Thatcher TH; Walker DI; Hopke PK; Rohrbeck P; Mallon TM; Krahl PL; Utell MJ
Analysis of Postdeployment Serum Samples Identifies Potential Biomarkers of Exposure to Burn Pits and Other Environmental Hazards.
J Occup Environ Med Volume: 61 Suppl 12 Page(s): S45 - S54
12/01/2019 Authors: Thatcher TH; Woeller CF; Thakar J; Khan A; Hopke PK; Smith MR; Uppal K; Walker DI; Go Y-M; Jones DP
Use of Biomarkers to Assess Environmental Exposures and Health Outcomes in Deployed Troops.
J Occup Environ Med Volume: 61 Suppl 12 Page(s): S1 - S4
12/01/2019 Authors: Mallon TM; Krahl PK; Haines KM; Walker DI; Thatcher T; Woeller CF; Thakar J; Hopke PK; Gaydos JC; Smith MR
Advances in Comprehensive Exposure Assessment: Opportunities for the US Military.
J Occup Environ Med Volume: 61 Suppl 12 Page(s): S5 - S14
12/01/2019 Authors: Krahl PL; Benchoff E; Go Y-M; Jones DP; Smith MR; Walker DI; Uppal K; Woeller CF; Thatcher TH; Thakar J
Exposure to Heptachlorodibenzo-p-dioxin (HpCDD) Regulates microRNA Expression in Human Lung Fibroblasts.
J Occup Environ Med Volume: 61 Suppl 12 Page(s): S82 - S89
12/01/2019 Authors: Woeller CF; Thatcher TH; Thakar J; Cornwell A; Smith MR; Jones DP; Hopke PK; Sime PJ; Krahl P; Mallon TM
IDENTIFICATION OF ENVIRONMENTAL EXPOSURES AND METABOLIC PATHWAYS ASSOCIATED WITH FIBROSIS IN HUMAN SUBJECTS WITH NONALCOHOLIC FATTY LIVER DISEASE
Volume: 70 Page(s): 140A - 140A
10/01/2019 Authors: Cave MC; Smith MR; Go Y-M; Uppal K; Samala NR; Falkner KC; Jones DP; Chalasani NP
Environmental Cadmium Enhances Lung Injury by Respiratory Syncytial Virus Infection.
Am J Pathol Volume: 189 Page(s): 1513 - 1525
08/01/2019 Authors: Hu X; Kim K-H; Lee Y; Fernandes J; Smith MR; Jung Y-J; Orr M; Kang S-M; Jones DP; Go Y-M
Low-dose cadmium potentiates lung inflammatory response to 2009 pandemic H1N1 influenza virus in mice.
Environ Int Volume: 127 Page(s): 720 - 729
06/01/2019 Authors: Chandler JD; Hu X; Ko E-J; Park S; Fernandes J; Lee Y-T; Orr ML; Hao L; Smith MR; Neujahr DC
Mitochondria in precision medicine; linking bioenergetics and metabolomics in platelets.
Redox Biol Volume: 22 Page(s): 101165
04/01/2019 Authors: Chacko BK; Smith MR; Johnson MS; Benavides G; Culp ML; Pilli J; Shiva S; Uppal K; Go Y-M; Jones DP
Low-dose cadmium disrupts mitochondrial citric acid cycle and lipid metabolism in mouse lung.
Free Radic Biol Med Volume: 131 Page(s): 209 - 217
02/01/2019 Authors: Hu X; Chandler JD; Park S; Liu K; Fernandes J; Orr M; Smith MR; Ma C; Kang S-M; Uppal K
Metabolome-wide association study in human platelets for identification of metabolic signatures related to precision medicine
Volume: 128 Page(s): S93 - S93
11/20/2018 Authors: Smith MR; Chacko B; Johnson M; Benavides G; Uppal K; Darley-Usmar V; Go Y-M; Jones D
Environmental cadmium enhances respiratory syncytial virus infection-caused lung injury via mitochondrial metabolic disruption and oxidative stress
Volume: 128 Page(s): S26 - S27
11/20/2018 Authors: Go Y-M; Hu X; Kim K-H; Lee Y; Fernandes J; Smith MR; Jung Y-J; Orr M; Kang S-M; Jones D
Low-dose cadmium disrupts mitochondrial citric acid cycle and lipid metabolism in mouse lung
Volume: 128 Page(s): S86 - S86
11/20/2018 Authors: Hu X; Chandler J; Park S; Liu KH; Fernandes J; Orr M; Smith MR; Ma C; Kang S-M; Uppal K
Selenium at the redox interface of the genome, metabolome and exposome.
Free Radic Biol Med Volume: 127 Page(s): 215 - 227
11/01/2018 Authors: Fernandes J; Hu X; Ryan Smith M; Go Y-M; Jones DP
Integrative metabolomics and transcriptomics signatures of clinical tolerance to Plasmodium vivax reveal activation of innate cell immunity and T cell signaling.
Redox Biol Volume: 17 Page(s): 158 - 170
07/01/2018 Authors: Gardinassi LG; Arvalo-Herrera M; Herrera S; Cordy RJ; Tran V; Smith MR; Johnson MS; Chacko B; Liu KH; Darley-Usmar VM
Identification of Human Lung Epithelial Metabolic Responses to Acute Benzo(a) pyrene Exposure
Volume: 112 Page(s): 176 - 176
11/01/2017 Authors: Smith MR; Go Y-MR; Jones DP
Redox dynamics of manganese as a mitochondrial life-death switch.
Biochem Biophys Res Commun Volume: 482 Page(s): 388 - 398
01/15/2017 Authors: Smith MR; Fernandes J; Go Y-M; Jones DP
Effects of Doxorubicin on Cellular Bioenergetics and Metabolism in Platelets
Volume: 100 Page(s): S187 - S187
11/01/2016 Authors: Smith MR; Chako B; Benavides G; Johnson M; Kang Y-MG; Jones D; Darley-Usmar V
Mitochondrial thiol modification by a targeted electrophile inhibits metabolism in breast adenocarcinoma cells by inhibiting enzyme activity and protein levels.
Redox Biol Volume: 8 Page(s): 136 - 148
08/01/2016 Authors: Smith MR; Vayalil PK; Zhou F; Benavides GA; Beggs RR; Golzarian H; Nijampatnam B; Oliver PG; Smith RAJ; Murphy MP
Endothelial Cell Bioenergetics and Mitochondrial DNA Damage Differ in Humans Having African or West Eurasian Maternal Ancestry.
Circ Cardiovasc Genet Volume: 9 Page(s): 26 - 36
02/01/2016 Authors: Krzywanski DM; Moellering DR; Westbrook DG; Dunham-Snary KJ; Brown J; Bray AW; Feeley KP; Sammy MJ; Smith MR; Schurr TG
A novel class of mitochondria-targeted soft electrophiles modifies mitochondrial proteins and inhibits mitochondrial metabolism in breast cancer cells through redox mechanisms.
PLoS One Volume: 10 Page(s): e0120460
01/01/2015 Authors: Vayalil PK; Oh J-Y; Zhou F; Diers AR; Smith MR; Golzarian H; Oliver PG; Smith RAJ; Murphy MP; Velu SE
Detection of electrophile-sensitive proteins.
Biochim Biophys Acta Volume: 1840 Page(s): 913 - 922
02/01/2014 Authors: Wall SB; Smith MR; Ricart K; Zhou F; Vayalil PK; Oh J-Y; Landar A
Protection-free one-pot synthesis of 2'-deoxynucleoside 5'-triphosphates and DNA polymerization.
Org Lett Volume: 13 Page(s): 4156 - 4159
08/19/2011 Authors: Caton-Williams J; Smith M; Carrasco N; Huang Z
Convenient synthesis of nucleoside 5'-triphosphates for RNA transcription.
Chem Commun (Camb) Volume: 47 Page(s): 8142 - 8144
07/28/2011 Authors: Caton-Williams J; Lin L; Smith M; Huang Z
A structured exercise program for patients with advanced non-small cell lung cancer.
J Thorac Oncol Volume: 4 Page(s): 595 - 601
05/01/2009 Authors: Temel JS; Greer JA; Goldberg S; Vogel PD; Sullivan M; Pirl WF; Lynch TJ; Christiani DC; Smith MR

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