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Ayalon I, Avisar D, Jechow A, Levy O. Corals nitrogen and carbon isotopic signatures alters under Artificial Light at Night (ALAN). Sci Total Environ 2024; 920:170513. [PMID: 38360314 DOI: 10.1016/j.scitotenv.2024.170513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 01/25/2024] [Accepted: 01/26/2024] [Indexed: 02/17/2024]
Abstract
This study examines the impact of Artificial Light at Night (ALAN) on two coral species, Acropora eurystoma and Pocillopora damicornis, in the Gulf of Aqaba/Eilat Red Sea, assessing their natural isotopic responses to highlight changes in energy and nutrient sourcing due to sensory light pollution. Our findings indicate significant disturbances in photosynthetic processes in Acropora eurystoma, as evidenced by shifts in δ13C values under ALAN, pointing to alterations in carbon distribution or utilization. In Pocillopora damicornis, similar trends were observed, with changes in δ13C and δ15N values suggesting a disruption in its nitrogen cycle and feeding strategies. The study also uncovers species-specific variations in heterotrophic feeding, a crucial factor in coral resilience under environmental stress, contributing to the corals' fixed carbon budget. Light measurements across the Gulf demonstrated a gradient of light pollution which possess the potential of affecting marine biology in the region. ALAN was found to disrupt natural diurnal tentacle behaviors in both coral species, crucial for prey capture and nutrient acquisition, thereby impacting their isotopic composition and health. Echoing previous research, our study underscores the need to consider each species' ecological and physiological contexts when assessing the impacts of anthropogenic changes. The findings offer important insights into the complexities of marine ecosystems under environmental stress and highlight the urgency of developing effective mitigation strategies.
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Affiliation(s)
- Inbal Ayalon
- Porter School of the Environment and Earth Sciences, Faculty of Exact Sciences, Tel Aviv University, 39040, Israel; Israel The H. Steinitz Marine Biology Laboratory, The Interuniversity Institute for Marine Sciences of Eilat, P.O. Box 469, Eilat 88103, Israel; Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 52900, Israel.
| | - Dror Avisar
- Porter School of the Environment and Earth Sciences, Faculty of Exact Sciences, Tel Aviv University, 39040, Israel
| | - Andreas Jechow
- Leibniz Institute of Freshwater Ecology and Inland Fisheries, Müggelseedamm 310, Berlin 12587, Germany; Department of Engineering, Brandenburg University of Applied Sciences, 14770 Brandenburg an der Havel, Germany
| | - Oren Levy
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 52900, Israel.
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Ayalon I, Benichou JIC, Avisar D, Levy O. The Endosymbiotic Coral Algae Symbiodiniaceae Are Sensitive to a Sensory Pollutant: Artificial Light at Night, ALAN. Front Physiol 2021; 12:695083. [PMID: 34234696 PMCID: PMC8256845 DOI: 10.3389/fphys.2021.695083] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 05/24/2021] [Indexed: 11/13/2022] Open
Abstract
Artificial Light at Night, ALAN, is a major emerging issue in biodiversity conservation, which can negatively impact both terrestrial and marine environments. Therefore, it should be taken into serious consideration in strategic planning for urban development. While the lion's share of research has dealt with terrestrial organisms, only a handful of studies have focused on the marine milieu. To determine if ALAN impacts the coral reef symbiotic algae, that are fundamental for sustainable coral reefs, we conducted a short experiment over a period of one-month by illuminating isolated Symbiodiniaceae cell cultures from the genera Cladocopium (formerly Clade C) and Durusdinium (formerly Clade D) with LED light. Cell cultures were exposed nightly to ALAN levels of 0.15 μmol quanta m-2 s-1 (∼4-5 lux) with three light spectra: blue, yellow and white. Our findings showed that even in very low levels of light at night, the photo-physiology of the algae's Electron Transport Rate (ETR), Non-Photochemical Quenching, (NPQ), total chlorophyll, and meiotic index presented significantly lower values under ALAN, primarily, but not exclusively, in Cladocopium cell cultures. The findings also showed that diverse Symbiodiniaceae types have different photo-physiology and photosynthesis performances under ALAN. We believe that our results sound an alarm for the probable detrimental effects of an increasing sensory pollutant, ALAN, on the eco-physiology of symbiotic corals. The results of this study point to the potential effects of ALAN on other organisms in marine ecosystem such as fish, zooplankton, and phytoplankton in which their biorhythms is entrained by natural light and dark cycles.
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Affiliation(s)
- Inbal Ayalon
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan, Israel.,Israel The H. Steinitz Marine Biology Laboratory, The Interuniversity Institute for Marine Sciences of Eilat, Eilat, Israel.,Faculty of Exact Sciences, Porter School of the Environment and Earth Sciences, Tel Aviv University, Tel Aviv, Israel
| | - Jennifer I C Benichou
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan, Israel
| | - Dror Avisar
- Faculty of Exact Sciences, Porter School of the Environment and Earth Sciences, Tel Aviv University, Tel Aviv, Israel
| | - Oren Levy
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan, Israel.,Israel The H. Steinitz Marine Biology Laboratory, The Interuniversity Institute for Marine Sciences of Eilat, Eilat, Israel
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Ayalon I, Rosenberg Y, Benichou JIC, Campos CLD, Sayco SLG, Nada MAL, Baquiran JIP, Ligson CA, Avisar D, Conaco C, Kuechly HU, Kyba CCM, Cabaitan PC, Levy O. Coral Gametogenesis Collapse under Artificial Light Pollution. Curr Biol 2020; 31:413-419.e3. [PMID: 33157030 DOI: 10.1016/j.cub.2020.10.039] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 09/21/2020] [Accepted: 10/08/2020] [Indexed: 01/10/2023]
Abstract
Artificial light at night (ALAN) can have negative impacts on the health of humans and ecosystems.1-4 Marine organisms, including coral reefs in particular, rely on the natural light cycles of sunlight and moonlight to regulate various physiological, biological, and behavioral processes.5-8 Here, we demonstrate that light pollution caused delayed gametogenesis and unsynchronized gamete release in two coral species, Acropora millepora and Acropora digitifera, from the Indo-Pacific Ocean. Given the urbanization along major coasts, light pollution could thus further threaten coral communities' populations, which are already under severe degradation. A worldwide-modeled light pollution impact assessment is provided, which can help incorporate an important variable in coral reef conservation planning.
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Affiliation(s)
- Inbal Ayalon
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 52900, Israel; The H. Steinitz Marine Biology Laboratory, The Interuniversity Institute for Marine Sciences of Eilat, PO Box 469, Eilat 88103, Israel; Porter School of the Environment and Earth Sciences, Faculty of Exact Sciences, Tel Aviv University, Tel Aviv 39040, Israel
| | - Yaeli Rosenberg
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 52900, Israel
| | - Jennifer I C Benichou
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 52900, Israel
| | - Celine Luisa D Campos
- The Marine Science Institute, University of the Philippines, Diliman, Quezon City 1101, Philippines
| | - Sherry Lyn G Sayco
- The Marine Science Institute, University of the Philippines, Diliman, Quezon City 1101, Philippines
| | - Michael Angelou L Nada
- The Marine Science Institute, University of the Philippines, Diliman, Quezon City 1101, Philippines
| | - Jake Ivan P Baquiran
- The Marine Science Institute, University of the Philippines, Diliman, Quezon City 1101, Philippines
| | - Charlon A Ligson
- The Marine Science Institute, University of the Philippines, Diliman, Quezon City 1101, Philippines
| | - Dror Avisar
- Porter School of the Environment and Earth Sciences, Faculty of Exact Sciences, Tel Aviv University, Tel Aviv 39040, Israel
| | - Cecilia Conaco
- The Marine Science Institute, University of the Philippines, Diliman, Quezon City 1101, Philippines
| | - Helga U Kuechly
- GFZ German Research Centre for Geosciences, 14473 Potsdam, Germany
| | - Christopher C M Kyba
- GFZ German Research Centre for Geosciences, 14473 Potsdam, Germany; Leibniz-Institute of Freshwater Ecology and Inland Fisheries, 12587 Berlin, Germany
| | - Patrick C Cabaitan
- The Marine Science Institute, University of the Philippines, Diliman, Quezon City 1101, Philippines
| | - Oren Levy
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 52900, Israel.
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Baquiran JIP, Nada MAL, Campos CLD, Sayco SLG, Cabaitan PC, Rosenberg Y, Ayalon I, Levy O, Conaco C. The Prokaryotic Microbiome of Acropora digitifera is Stable under Short-Term Artificial Light Pollution. Microorganisms 2020; 8:E1566. [PMID: 33053643 PMCID: PMC7601249 DOI: 10.3390/microorganisms8101566] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 10/05/2020] [Accepted: 10/09/2020] [Indexed: 12/12/2022] Open
Abstract
Corals harbor a great diversity of symbiotic microorganisms that play pivotal roles in host nutrition, reproduction, and development. Changes in the ocean environment, such as increasing exposure to artificial light at night (ALAN), may alter these relationships and result in a decline in coral health. In this study, we examined the microbiome associated with gravid specimens of the reef-building coral Acropora digitifera. We also assessed the temporal effects of ALAN on the coral-associated microbial community using high-throughput sequencing of the 16S rRNA gene V4 hypervariable region. The A. digitifera microbial community was dominated by phyla Proteobacteria, Firmicutes, and Bacteroidetes. Exposure to ALAN had no large-scale effect on the coral microbiome, although taxa affiliated with Rhodobacteraceae, Caulobacteraceae, Burkholderiaceae, Lachnospiraceae, and Ruminococcaceae were significantly enriched in corals subjected to ALAN. We further noted an increase in the relative abundance of the family Endozoicomonadaceae (Endozoicomonas) as the spawning period approached, regardless of light treatment. These findings highlight the stability of the A. digitifera microbial community under short-term artificial light pollution and provide initial insights into the response of the collective holobiont to ALAN.
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Affiliation(s)
- Jake Ivan P. Baquiran
- Marine Science Institute, University of the Philippines Diliman, Quezon City 1101, Philippines; (J.I.P.B.); (M.A.L.N.); (C.L.D.C.); (S.L.G.S.); (P.C.C.)
| | - Michael Angelou L. Nada
- Marine Science Institute, University of the Philippines Diliman, Quezon City 1101, Philippines; (J.I.P.B.); (M.A.L.N.); (C.L.D.C.); (S.L.G.S.); (P.C.C.)
| | - Celine Luisa D. Campos
- Marine Science Institute, University of the Philippines Diliman, Quezon City 1101, Philippines; (J.I.P.B.); (M.A.L.N.); (C.L.D.C.); (S.L.G.S.); (P.C.C.)
| | - Sherry Lyn G. Sayco
- Marine Science Institute, University of the Philippines Diliman, Quezon City 1101, Philippines; (J.I.P.B.); (M.A.L.N.); (C.L.D.C.); (S.L.G.S.); (P.C.C.)
| | - Patrick C. Cabaitan
- Marine Science Institute, University of the Philippines Diliman, Quezon City 1101, Philippines; (J.I.P.B.); (M.A.L.N.); (C.L.D.C.); (S.L.G.S.); (P.C.C.)
| | - Yaeli Rosenberg
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 5290002, Israel; (Y.R.); (I.A.); (O.L.)
| | - Inbal Ayalon
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 5290002, Israel; (Y.R.); (I.A.); (O.L.)
- Israel The H. Steinitz Marine Biology Laboratory, The Interuniversity Institute for Marine Sciences of Eilat, P.O. Box 469, Eilat 88103, Israel
- Porter School of the Environment and Earth Sciences, Faculty of Exact Sciences, Tel Aviv University, Tel Aviv 39040, Israel
| | - Oren Levy
- Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 5290002, Israel; (Y.R.); (I.A.); (O.L.)
| | - Cecilia Conaco
- Marine Science Institute, University of the Philippines Diliman, Quezon City 1101, Philippines; (J.I.P.B.); (M.A.L.N.); (C.L.D.C.); (S.L.G.S.); (P.C.C.)
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Ayalon I, de Barros Marangoni LF, Benichou JIC, Avisar D, Levy O. Red Sea corals under Artificial Light Pollution at Night (ALAN) undergo oxidative stress and photosynthetic impairment. Glob Chang Biol 2019; 25:4194-4207. [PMID: 31512309 PMCID: PMC6900201 DOI: 10.1111/gcb.14795] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2019] [Revised: 07/22/2019] [Accepted: 07/23/2019] [Indexed: 05/22/2023]
Abstract
Coral reefs represent the most diverse marine ecosystem on the planet, yet they are undergoing an unprecedented decline due to a combination of increasing global and local stressors. Despite the wealth of research investigating these stressors, Artificial Light Pollution at Night (ALAN) or "ecological light pollution" represents an emerging threat that has received little attention in the context of coral reefs, despite the potential of disrupting the chronobiology, physiology, behavior, and other biological processes of coral reef organisms. Scleractinian corals, the framework builders of coral reefs, depend on lunar illumination cues to synchronize their biological rhythms such as behavior, reproduction and physiology. While, light pollution (POL) may mask and lead de-synchronization of these biological rhythms process. To reveal if ALAN impacts coral physiology, we have studied two coral species, Acropora eurystoma and Pocillopora damicornis, from the Gulf of Eilat/Aqaba, Red Sea, which is undergoing urban development that has led to severe POL at night. Our two experimental design data revealed that corals exposed to ALAN face an oxidative stress condition, show lower photosynthesis performances measured by electron transport rate (ETR), as well as changes in chlorophyll and algae density parameters. Testing different lights such as Blue LED and White LED spectrum showed more extreme impact in comparison to Yellow LEDs on coral physiology. The finding of this work sheds light on the emerging threat of POL and the impacts on the biology and ecology of Scleractinian corals, and will help to formulate specific management implementations to mitigate its potentially harmful impacts.
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Affiliation(s)
- Inbal Ayalon
- Mina and Everard Goodman Faculty of Life SciencesBar‐Ilan UniversityRamat GanIsrael
- Israel The H. Steinitz Marine Biology LaboratoryThe Interuniversity Institute for Marine Sciences of EilatEilatIsrael
- Porter School of the Environment and Earth SciencesFaculty of Exact SciencesTel Aviv UniversityTel AvivIsrael
| | | | | | - Dror Avisar
- Porter School of the Environment and Earth SciencesFaculty of Exact SciencesTel Aviv UniversityTel AvivIsrael
| | - Oren Levy
- Mina and Everard Goodman Faculty of Life SciencesBar‐Ilan UniversityRamat GanIsrael
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Ben-Shachar S, Ayalon I, Reznik-Wolf H, Tenenbaum-Rakover Y, Zuckerman-Levin N, Cohen O, Lifshitz A, Fraenkel M, Toledano Y, Rouach V, Koren I, Modan-Moses D, Hirsch D, Schachter-Davidov A, Israel S, Eyal O, Weintrob N. Correction: Androgen Receptor CAG Repeat Length in Relation to Phenotype Among Females with Nonclassical 21-Hydroxylase Deficiency. Horm Metab Res 2015; 47:e6. [PMID: 29566405 DOI: 10.1055/a-0594-0327] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- S Ben-Shachar
- Genetic Institute, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - I Ayalon
- Pediatric Endocrinology and Diabetes Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - H Reznik-Wolf
- Genetic Institute, Sheba Medical Center, Tel Hashomer, Israel
| | - Y Tenenbaum-Rakover
- Pediatric Endocrine Unit, Ha'Emek Medical Center, Afula, Israel
- The Technion Faculty of Medicine, Haifa, Israel
| | - N Zuckerman-Levin
- The Technion Faculty of Medicine, Haifa, Israel
- Pediatric Diabetes Unit, Meyer Children's Hospital, Haifa, Israel
| | - O Cohen
- Institute of Endocrinology, Sheba Medical Center, Tel Hashomer, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - A Lifshitz
- Endocrinology, Kupat-Holim Clalit, Israel
| | - M Fraenkel
- Endocrine Unit, Soroka Medical Center, and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Y Toledano
- Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Israel
| | - V Rouach
- Institute of Endocrinology, Metabolism and Hypertension, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - I Koren
- Pediatric Endocrinology Clinic, Armon Child Center, Clalit HMO, Haifa, Israel
| | - D Modan-Moses
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Pediatric Endocrinology and Diabetes Unit, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel
| | - D Hirsch
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Institute for Endocrinology and Diabetes, Rabin Medical Center, Petah Tikva, Israel
| | - A Schachter-Davidov
- Pediatric Endocrinology and Diabetes Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - S Israel
- Tissue Typing Unit, Hadassah University Hospital, Jerusalem, Israel
| | - O Eyal
- Pediatric Endocrinology and Diabetes Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - N Weintrob
- Pediatric Endocrinology and Diabetes Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Ben-Shachar S, Ayalon I, Reznik-Wolf H, Tenenbaum-Rakover Y, Zuckerman-Levin N, Cohen O, Lifshitz A, Fraenkel M, Toledano Y, Roash V, Koren I, Modan-Moses D, Hirsch D, Schachter-Davidov A, Israel S, Eyal O, Weintrob N. Androgen Receptor CAG Repeat Length in Relation to Phenotype Among Females with Nonclassical 21-Hydroxylase Deficiency. Horm Metab Res 2015; 47:491-6. [PMID: 25230321 DOI: 10.1055/s-0034-1389901] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Nonclassical 21-hydroxylase deficiency (NC21OHD) manifests with various degrees of post natal virilization. The length of CAG repeats of the androgen receptor gene (AR) is inversely correlated to activity of the human androgen receptor (AR) and affects phenotype of several androgen-dependent disorders. The aim of the study was to investigate the associations between CAG repeat length and the phenotype of females with NC21OHD. CAG repeat length and AR inactivation were assessed in females with NC21OHD, and related to their clinical presentation. CAG repeat length and AR inactivation were assessed in 119 females with NC21OHD. Biallelic mean (BAM) of the CAG repeat length and the weighted BAM (WBAM) were related to various clinical parameters. Age at diagnosis and age of menarche positively correlated with BAM (r=0.22, p=0.02, and r=0.23, p=0.01, respectively). A shorter (<25) BAM was associated with younger age at diagnosis (14.8 vs. 21.4 years, p<0.01), at adrenarche (8.1 vs. 10.2 years, p<0.01) and gonadarche (9.9 vs. 11.2 years, p<0.01), and higher corrected height standard deviation score at diagnosis (0.77 vs. 0.15, p=0.01). Precocious pubarche and precocious puberty were more frequent in these with the shorter BAM. Results of WBAM were similar. The CAG repeat length of the AR gene contributes to the clinical diversity of the phenotype in females with NC21OHD.
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Affiliation(s)
- S Ben-Shachar
- Genetic Institute, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - I Ayalon
- Pediatric Endocrinology and Diabetes Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - H Reznik-Wolf
- Genetic Institute, Sheba Medical Center, Tel Hashomer, Israel
| | | | | | - O Cohen
- Institute of Endocrinology, Sheba Medical Center, Tel Hashomer, Israel
| | - A Lifshitz
- Endocrinology, Kupat-Holim Clalit, Israel
| | - M Fraenkel
- Endocrine Unit, Soroka Medical Center, and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
| | - Y Toledano
- Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Israel
| | - V Roash
- Institute of Endocrinology, Metabolism and Hypertension, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - I Koren
- Pediatric Endocrinology Clinic, Armon Child Center, Clalit HMO, Haifa, Israel
| | - D Modan-Moses
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - D Hirsch
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - A Schachter-Davidov
- Pediatric Endocrinology and Diabetes Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - S Israel
- Tissue Typing Unit, Hadassah University Hospital, Jerusalem, Israel
| | - O Eyal
- Pediatric Endocrinology and Diabetes Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - N Weintrob
- Pediatric Endocrinology and Diabetes Unit, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
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