a b/processing/MACCROBAT/19307547.ann
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T1  Age 2 9 newborn
2
T2  Sex 10 13   boy
3
T3  Family_history 17 50    healthy nonconsanguineous parents
4
T4  Clinical_event 55 64    delivered
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E1  Clinical_event:T4 
6
T5  Date 68 87  37 weeks’ gestation
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E2  Date:T5 
8
T6  Therapeutic_procedure 91 107    cesarean section
9
E3  Therapeutic_procedure:T6 
10
T7  Subject 113 119 mother
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T8  Family_history 132 144  32 years old
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T9  Family_history 121 130  primipara
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T10 Clinical_event 155 163  admitted
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E4  Clinical_event:T10 
15
T11 Nonbiological_location 171 179  hospital
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T12 Date 180 198    2 weeks previously
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E5  Date:T12 
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T13 Sign_symptom 218 246    fetal intrauterine movements
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E6  Sign_symptom:T13 
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T14 Lab_value 210 217   reduced
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R1  MODIFY Arg1:T14 Arg2:E6 
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T15 Sign_symptom 251 265    polyhydramnios
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E7  Sign_symptom:T15 
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T16 Diagnostic_procedure 279 290    birthweight
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E8  Diagnostic_procedure:T16 
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T17 Lab_value 295 302   2,330 g
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R2  MODIFY Arg1:T17 Arg2:E8 
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T18 Lab_value 304 320   <10th percentile
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R3  MODIFY Arg1:T18 Arg2:E8 
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T19 Diagnostic_procedure 323 329    length
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E9  Diagnostic_procedure:T19 
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T20 Lab_value 330 335   47 cm
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R4  MODIFY Arg1:T20 Arg2:E9 
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T21 Diagnostic_procedure 341 359    head circumference
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E10 Diagnostic_procedure:T21 
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T22 Lab_value 360 367   33.2 cm
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R5  MODIFY Arg1:T22 Arg2:E10    
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T23 Sign_symptom 394 406    low-set ears
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E11 Sign_symptom:T23 
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T24 Sign_symptom 411 429    bilateral clubfoot
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E12 Sign_symptom:T24 
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T25 Diagnostic_procedure 431 443    Apgar scores
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E13 Diagnostic_procedure:T25 
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T26 Time 464 465;477 484    1 minutes
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E14 Time:T26 
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T27 Time 474 484    10 minutes
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E15 Time:T27 
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T28 Time 467 468;477 484    5 minutes
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E16 Time:T28 
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T29 Lab_value 449 450   2
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T30 Lab_value 452 453   6
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T31 Lab_value 459 460   7
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R6  MODIFY Arg1:E14 Arg2:T29    
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R7  MODIFY Arg1:T29 Arg2:E13    
55
R8  MODIFY Arg1:E16 Arg2:T30    
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R9  MODIFY Arg1:T30 Arg2:E13    
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R10 MODIFY Arg1:E15 Arg2:T31    
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R11 MODIFY Arg1:T31 Arg2:E13    
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T32 Sign_symptom 518 527    hypotonia
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E17 Sign_symptom:T32 
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T33 Severity 511 517    severe
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R12 MODIFY Arg1:T33 Arg2:E17    
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T34 Clinical_event 496 505  presented
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E18 Clinical_event:T34 
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T35 Sign_symptom 532 559    generalized muscle weakness
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E19 Sign_symptom:T35 
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T36 Therapeutic_procedure 571 593   ventilatory assistance
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E20 Therapeutic_procedure:T36 
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T37 Therapeutic_procedure 598 624   total parenteral nutrition
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E21 Therapeutic_procedure:T37 
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T38 Disease_disorder 689 709    respiratory acidosis
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E22 Disease_disorder:T38 
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T39 Sign_symptom 711 723    Hearing loss
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E23 Sign_symptom:T39 
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T40 Diagnostic_procedure 740 766    auditory evoked potentials
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E24 Diagnostic_procedure:T40 
77
T41 Diagnostic_procedure 782 785    MRI
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E25 Diagnostic_procedure:T41 
79
T42 Biological_structure 774 781    cranial
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R13 MODIFY Arg1:T42 Arg2:E25    
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T43 Lab_value 793 808   mildly enlarged
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T44 Biological_structure 809 819    ventricles
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R14 MODIFY Arg1:T43 Arg2:T44    
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R15 MODIFY Arg1:T44 Arg2:E25    
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T45 Biological_structure 824 837    liquor spaces
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R16 MODIFY Arg1:T43 Arg2:T45    
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R17 MODIFY Arg1:T45 Arg2:E25    
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T46 Date 839 859    Two days after birth
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E26 Date:T46 
90
T47 Sign_symptom 894 914    abdominal distension
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E27 Sign_symptom:T47 
92
T48 Severity 887 893    severe
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R18 MODIFY Arg1:T48 Arg2:E27    
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T49 Sign_symptom 922 938    hypoactive bowel
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E28 Sign_symptom:T49 
96
T50 Diagnostic_procedure 940 943    MRI
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E29 Diagnostic_procedure:T50 
98
T51 Sign_symptom 960 979    intestinal dilation
99
E30 Sign_symptom:T51 
100
T52 Severity 953 959    marked
101
R19 MODIFY Arg1:T52 Arg2:E30    
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T53 Sign_symptom 988 1010   mechanical obstruction
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E31 Sign_symptom:T53 
104
A1  POLARITY E31 NEG
105
R20 MODIFY Arg1:E31 Arg2:E30    
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T54 Diagnostic_procedure 1012 1037  Laboratory investigations
107
E32 Diagnostic_procedure:T54 
108
T56 Lab_value 1059 1067 27 mg/dL
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T57 Sign_symptom 1070 1084  hypomagnesemia
110
E33 Sign_symptom:T57 
111
T55 Sign_symptom 1045 1057  hypoglycemia
112
E34 Sign_symptom:T55 
113
T58 Lab_value 1086 1097 0.58 mmol/L
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T59 Lab_value 1117 1127 2.4 mmol/L
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R21 MODIFY Arg1:T56 Arg2:E34    
116
R22 MODIFY Arg1:T58 Arg2:E33    
117
T60 Sign_symptom 1104 1115  hypokalemia
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E35 Sign_symptom:T60 
119
R23 MODIFY Arg1:T59 Arg2:E35    
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R24 MODIFY Arg1:E34 Arg2:E32    
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R25 MODIFY Arg1:E33 Arg2:E32    
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R26 MODIFY Arg1:E35 Arg2:E32    
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T61 Diagnostic_procedure 1130 1143  Blood lactate
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E36 Diagnostic_procedure:T61 
125
T62 Lab_value 1156 1166 1.3 mmol/L
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T63 Lab_value 1148 1154 normal
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T64 Diagnostic_procedure 1201 1214  liver enzymes
128
E37 Diagnostic_procedure:T64 
129
T65 Lab_value 1220 1232 unremarkable
130
R27 MODIFY Arg1:T65 Arg2:E37    
131
R28 MODIFY Arg1:T63 Arg2:E36    
132
R29 MODIFY Arg1:T62 Arg2:E36    
133
T66 Detailed_description 1168 1195  normal range 0.5–2.2 mmol/L
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R30 MODIFY Arg1:T66 Arg2:E36    
135
T67 Diagnostic_procedure 1252 1258  biopsy
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E38 Diagnostic_procedure:T67 
137
T68 Biological_structure 1236 1251  skeletal muscle
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R31 MODIFY Arg1:T68 Arg2:E38    
139
T69 Disease_disorder 1419 1441  mitochondrial disorder
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E39 Disease_disorder:T69 
141
A2  POLARITY E39 UNCERTAIN
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T70 Biological_structure 1382 1395  muscle fibers
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T71 Diagnostic_procedure 1308 1328  cytochrome c oxidase
144
E40 Diagnostic_procedure:T71 
145
T72 Diagnostic_procedure 1330 1333  COX
146
E41 Diagnostic_procedure:T72 
147
R32 IDENTICAL Arg1:E41 Arg2:E40 
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T73 Lab_value 1335 1344 deficient
149
R33 MODIFY Arg1:T73 Arg2:E40    
150
T74 Diagnostic_procedure 1349 1372  succinate dehydrogenase
151
E42 Diagnostic_procedure:T74 
152
T75 Lab_value 1373 1381 positive
153
R34 MODIFY Arg1:T75 Arg2:E42    
154
T76 Detailed_description 1284 1293  scattered
155
R35 MODIFY Arg1:T76 Arg2:T70    
156
T77 Detailed_description 1295 1307  hypertrophic
157
R36 MODIFY Arg1:T77 Arg2:T70    
158
R37 MODIFY Arg1:T70 Arg2:E40    
159
R38 MODIFY Arg1:T70 Arg2:E42    
160
T78 Diagnostic_procedure 1443 1468  Molecular genetic studies
161
E43 Diagnostic_procedure:T78 
162
T79 Sign_symptom 1485 1500  mtDNA depletion
163
E44 Sign_symptom:T79 
164
T80 Severity 1478 1484  marked
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R39 MODIFY Arg1:T80 Arg2:E44    
166
T81 Lab_value 1512 1524 93% decrease
167
R40 MODIFY Arg1:T81 Arg2:E44    
168
T82 Detailed_description 1528 1560  compared to age-matched controls
169
R41 MODIFY Arg1:T82 Arg2:T81    
170
T83 Diagnostic_procedure 1571 1602  screen for mtDNA rearrangements
171
E45 Diagnostic_procedure:T83 
172
T84 Biological_structure 1610 1633;1652 1658    individual COX-positive fibers
173
T85 Biological_structure 1638 1658  COX-deficient fibers
174
T86 Lab_value 1664 1672 negative
175
R42 MODIFY Arg1:T84 Arg2:E45    
176
R43 MODIFY Arg1:T85 Arg2:E45    
177
R44 MODIFY Arg1:T86 Arg2:E45    
178
T87 Diagnostic_procedure 1677 1686  sequenced
179
E46 Diagnostic_procedure:T87 
180
T88 Biological_structure 1746 1756  POLG1 gene
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R45 MODIFY Arg1:T88 Arg2:E46    
182
T89 Detailed_description 1691 1738  entire coding region and intron-exon boundaries
183
R46 MODIFY Arg1:T89 Arg2:E46    
184
T90 Sign_symptom 1783 1814  heterozygous missense mutations
185
E47 Sign_symptom:T90 
186
T91 Lab_value 1770 1773 two
187
R47 MODIFY Arg1:T91 Arg2:E47    
188
T92 Sign_symptom 1827 1854  c.679C>T predicting p.R227W
189
E48 Sign_symptom:T92 
190
R48 MODIFY Arg1:E48 Arg2:E47    
191
T93 Sign_symptom 1859 1887  c.2542G>A predicting p.G848S
192
E49 Sign_symptom:T93 
193
R49 MODIFY Arg1:E49 Arg2:E47    
194
T94 Diagnostic_procedure 1889 1919  Sequencing of parental samples
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E50 Diagnostic_procedure:T94 
196
T95 Sign_symptom 1930 1951  recessive inheritance
197
E51 Sign_symptom:T95 
198
T96 Outcome 1964 1968   died
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E52 Outcome:T96 
200
T97 Date 1972 1979  20 days
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E53 Date:T97 
202
T98 Disease_disorder 1983 2002  respiratory failure
203
E54 Disease_disorder:T98 
204
T99 Diagnostic_procedure 2007 2014  autopsy
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E55 Diagnostic_procedure:T99 
206
T100    Diagnostic_procedure 2061 2078  gross examination
207
E56 Diagnostic_procedure:T100 
208
T101    Sign_symptom 2039 2057  remarkable changes
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E57 Sign_symptom:T101 
210
A3  POLARITY E57 NEG
211
T102    Biological_structure 2020 2025  brain
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R50 MODIFY Arg1:T102 Arg2:E57   
213
R51 SUB_PROCEDURE Arg1:E56 Arg2:E55 
214
T103    Diagnostic_procedure 2080 2089  Histology
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E58 Diagnostic_procedure:T103 
216
R52 SUB_PROCEDURE Arg1:E58 Arg2:E55 
217
T104    Sign_symptom 2171 2186  neuronal damage
218
E59 Sign_symptom:T104 
219
A4  POLARITY E59 NEG
220
T105    Biological_structure 2194 2205  spinal cord
221
R53 MODIFY Arg1:T105 Arg2:E59   
222
T106    Sign_symptom 2232 2243  cholestasis
223
E60 Sign_symptom:T106 
224
T107    Biological_structure 2211 2216  liver
225
R54 MODIFY Arg1:T107 Arg2:E60   
226
T108    Detailed_description 2224 2231  diffuse
227
R55 MODIFY Arg1:T108 Arg2:E60   
228
T109    Sign_symptom 2300 2309  steatosis
229
E61 Sign_symptom:T109 
230
A5  POLARITY E61 NEG
231
T110    Sign_symptom 2311 2319  necrosis
232
E62 Sign_symptom:T110 
233
A6  POLARITY E62 NEG
234
T111    Biological_structure 2289 2299  hepatocyte
235
R56 MODIFY Arg1:T111 Arg2:E61   
236
R57 MODIFY Arg1:T111 Arg2:E62   
237
T112    Sign_symptom 2330 2338  fibrosis
238
E63 Sign_symptom:T112 
239
A7  POLARITY E63 NEG
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T113    Biological_structure 2324 2329  liver
241
R58 MODIFY Arg1:T113 Arg2:E63   
242
T114    Sign_symptom 2454 2462  dilation
243
E64 Sign_symptom:T114 
244
T115    Sign_symptom 2467 2475  thinning
245
E65 Sign_symptom:T115 
246
T116    Biological_structure 2483 2493  bowel wall
247
R59 MODIFY Arg1:T116 Arg2:E65   
248
R60 MODIFY Arg1:T116 Arg2:E64   
249
T117    Sign_symptom 2587 2602  mtDNA depletion
250
E66 Sign_symptom:T117 
251
T118    Severity 2580 2586  severe
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R61 MODIFY Arg1:T118 Arg2:E66   
253
T119    Lab_value 2604 2622 up to 94% decrease
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R62 MODIFY Arg1:T119 Arg2:E66   
255
T120    Biological_structure 2533 2540;2559 2570    stomach homogenates
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T121    Biological_structure 2542 2547;2559 2570    ileum homogenates
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T122    Biological_structure 2553 2570  colon homogenates
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R63 MODIFY Arg1:T122 Arg2:E66   
259
R64 MODIFY Arg1:T120 Arg2:E66   
260
R65 MODIFY Arg1:T121 Arg2:E66   
261
T123    Diagnostic_procedure 2684 2722  Laser capture microdissection analysis
262
E67 Diagnostic_procedure:T123 
263
T124    Coreference 2742 2757   mtDNA depletion
264
E68 Coreference:T124 
265
R66 IDENTICAL Arg1:E68 Arg2:E66 
266
T125    Biological_structure 2778 2796  muscularis propria
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R67 MODIFY Arg1:T125 Arg2:E68   
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T126    Detailed_description 2826 2840  external layer
269
R68 MODIFY Arg1:T126 Arg2:T125  
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T127    Coreference 2906 2921   mtDNA depletion
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E69 Coreference:T127 
272
T128    Severity 2899 2905  milder
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R69 MODIFY Arg1:T128 Arg2:E69   
274
R70 IDENTICAL Arg1:E69 Arg2:E66 
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T129    Biological_structure 2851 2865  Ganglion cells
276
T130    Biological_structure 2875 2891  myenteric plexus
277
R71 MODIFY Arg1:T129 Arg2:T130  
278
R72 MODIFY Arg1:T130 Arg2:E69   
279
T131    Biological_structure 2941 2956  small intestine
280
R73 MODIFY Arg1:T131 Arg2:E69   
281
T132    Sign_symptom 2980 2995  mtDNA depletion
282
E70 Sign_symptom:T132 
283
A8  POLARITY E70 NEG
284
T133    Biological_structure 2999 3004  liver
285
R74 MODIFY Arg1:T133 Arg2:E70   
286
R75 MODIFY Arg1:T9 Arg2:T7  
287
R76 MODIFY Arg1:T8 Arg2:T7  
288
R77 MODIFY Arg1:T7 Arg2:E4  
289
R78 MODIFY Arg1:T11 Arg2:E4 
290
R79 AFTER Arg1:E3 Arg2:E4   
291
*   OVERLAP E1 E2 E3
292
*   OVERLAP E4 E5 E6 E7
293
R80 BEFORE Arg1:E7 Arg2:E8  
294
*   OVERLAP E8 E9 E10 E11 E12 E13 E18 E17 E19 E20 E21 E22 E23 E24 E25
295
R81 BEFORE Arg1:E25 Arg2:E26    
296
*   OVERLAP E26 E27 E28 E29 E30 E32 E36 E37 E38 E40 E42 E39 E43 E44 E45 E46 E47 E50 E51
297
R82 BEFORE Arg1:E51 Arg2:E52    
298
*   OVERLAP E52 E53 E54
299
R83 BEFORE Arg1:E54 Arg2:E55    
300
*   OVERLAP E55 E57 E59 E60 E61 E62 E63 E64 E65 E66 E67 E68 E69 E70