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Univ Newcastle Upon Tyne, Royal Victoria Infirm, Sir James Spence Inst Child Hlth, Dept Child Hlth,Spence Biochem Genet Unit, Newcastle Upon Tyne NE1 4LP, Tyne & Wear, England Univ Newcastle Upon Tyne, Royal Victoria Infirm, Sir James Spence Inst Child Hlth, Dept Child Hlth,Spence Biochem Genet Unit, Newcastle Upon Tyne NE1 4LP, Tyne & Wear, England