The Copper Connection www.wilsonsdisease.org Wow! The WDA Is 30 Years Old!!! By Carol Terry, WDA Secretary, Past President and Co-founder When a small group of people in Binghamton, NY, decided to form a non-profit patient advocacy organization to help Wilson disease patients and their families and friends in 1978, what did they hope to accomplish? Did they envision how successful the Wilson Disease Association would be after its incorporation in March, 1983, that it would become international in scope, help so many people, and continue to grow and thrive for 30 years? As one of the founders of the WDA, along with the Pei family and their friend, John Chung, I can say for certain that the WDA has wildly exceeded my expectations. It has been able to do that thanks in great part to the efforts of many volunteers, past and present officers and Board Members, in particular Past President, Ascher Sellner and current President, Mary Graper, WDA Birthplace and our many members and Peking Restaruant - Conklin, NV donors. continued on page 6 Scientific Workshop on Copper Metabolism Disorders Held in April; Patient Advocate Panel Highly Effective Pam Meadows, MSN-Ed., Chair, WDA Professional Education and Medical Affairs Committee On April 8th and 9th, at Johns Hopkins University, an International Workshop was held entitled: “Human Disorders of Copper Metabolism: Recent Advances and Main Challenges.” This intense two-day conference, funded by the Wilson Disease Association and the National Institutes of Health, focused on the advances and challenges of Copper Metabolism Disorders. The conference hosted researchers, providers and scientists from all over the world: United States, Germany, England, Austria, Italy, Netherlands, France, Australia, Denmark, Canada, China, Korea, continued on page 3 Summer 2013 New U.S. Patient Assistance Program for Cuprimine and Syprine Mary Graper, WDA President Valeant Pharmaceuticals launched its new patient assistance program, Valeant Coverage Plus Program (VCPP), on July 8, 2013. This program was newly created to ensure that U.S. patients have better access to their medication with fewer out-of-pocket expenses. Recently, users of Cuprimine and Syprine have been experiencing unaffordable co-pays when refilling their prescriptions. The WDA has been providing financial assistance, to some of these patients, thanks to a generous donation given specifically for this purpose. The new VCPP aims to solve these issues. Valeant recently mailed an informational flyer, Financial Support for Improved Access to Cuprimine® (penicillamine) and Syprine® (trientine hydrochloride) Capsules to all prescribing physicians in the United States. To ensure that your physician is aware of the new program you will need to do your part as well. Before you need a new refill (we suggest at least 2 weeks prior) go to www.syprine. com, www.cuprimine.com, or www. wilsonsdisease.org/wilson-disease/ wilsondisease-treatment.php to read more about the program and download the Patient Enrollment Form. Complete your portion of the form and contact your physician’s office to let them know what needs to be done by them. If you have any questions, please contact a Coverage Plus Representative at 888-607-7267 Information available on the WDA website, www. wilsonsdisease.org and Facebook page, https:// www.facebook.com/ wilsondiseaseassociation The Copper Connection Summer 2013 Board of Directors Mary L. Graper, President Milwaukee, Wisconsin Stefanie F. Kaplan, Vice President Long Beach, California Table of Contents Carol Terry, Secretary Luray, Virginia Wow! The WDA Is 30 Years Old!!! 1 Scientific Workshop on Copper Metabolism Disorders 1 New U.S. Patent Assistance Program for Cuprimine and Syprine 1 Workshop Poster Award Winners 4 2013 Conference At A Glance 6 Scientific Workshop Sponsors 7 Thanks for your support7 Wilson Disease Association Annual Conference Registration Insert Wilson Disease Association International 2013 Election BallotInsert Jean P. Perog, Treasurer Quichena, BC, Canada Jeanne A. Friedman, LCSW Kew Gardens, New York Drew Katz Cherry Hill, New Jersey Pamela Meadows R.N., BSN Denver, Colorado Len Pytlak, CPA Ann Arbor, Michigan Honorary Board Janene Bowen Logan, Utah NEWSLETTER DEADLINE: If you would like to submit an article to be published in the next printed edition of The Copper Connection the deadline for submission is October 1, 2013. Please e-mail your article to the WDA office at [email protected] Kenneth Peterson M.D. Scottsdale, Arizona Patricia Satherstrom R.N Ottawa, Canada Michael Terry Luray, Virginia Medical Advisory Committee Michael Schilsky M.D., Chairman Yale University New Haven, Connecticut Fred Askari M.D., PhD. University of Michigan Ann Arbor, Michigan Sihoun Hahn M.D., PhD. University of Washington Seattle, Washington Svetlana Lutsenko, PhD. Johns Hopkins University Baltimore, Maryland Eve A. Roberts M.D. University of Toronto Toronto, Canada Dennis Thiele PhD. Duke University Durham, North Carolina 2 The Copper Connection The Wilson Disease Association is a nonprofit 501 (c)(3) organization. The Copper Connection is a semi-annual newsletter published by the Association that informs members of findings in the area of Wilson Disease. There is no copyright. Newsletters and other publications can disseminate any information in The Copper Connection. Please cite attribution to the Association and the author. The Copper Connection 5572 N. Diversey Blvd. Milwaukee, WI. 53217 414-961-0533 • Toll Free: 866-961-0533 • Fax: 414-962-3886 [email protected] www.wilsonsdisease.org Our Mission Statement The Wilson Disease Association funds research and facilitates and promotes the identification, education, treatment and support of patients and other individuals affected by Wilson Disease. Wilson Disease Association Summer 2013 The Copper Connection Scientific Workshop cont. India, Russia, Spain and Sweden. The collective knowledge of this global group was both impressive and informative. Each of these professionals had something to contribute to the knowledge and/or advancement of treatment for copper overload and copper deficiency in humans. Wilson disease, an inherited copper overload problem in humans, and Menkes disease, an inherited copper deficiency in humans, are both fatal if left untreated. Obviously, this conference was of great importance to those whose lives are affected by Wilson disease and Menkes disease. As such, collaboration took place between The Wilson Disease Association and The Menkes Foundation, and an unusual model was presented in this scientific conference: A Patient Advocate Panel. This panel was chosen by the WDA and panel participants posed questions to the scientists, researchers and clinicians regarding patient/advocate/research concerns, enlightened the scientific audience on how the advances in science had personally affected their lives, and were available for a questions and answer session from the scientific audience. This session occurred towards the end of the conference and the feedback from the scientific audience was overwhelmingly positive. Many thanks were expressed by those in attendance at the thoughtful questions and comments posed by the patient advocate panel; several of the conference attendees expressed how “seeing their work in action” was very satisfying and validating to their life’s work. Many said it was a delight to have the patient advocate panel putting a “voice” to the outcome of their research. In the end, the patient advocate panel also expressed how empowering it was to have a voice in the scientific community and to share their own personal experiences with these professionals. Those on the patient advocate panel attended the entire scientific conference, soaking up new information and feeling rejuvenated that so much work is being done on copper metabolism disorders. Although a bit unusual for a scientific conference, this patient advocate panel was a perfect complement to the conference. Many thanks go out to Mary Graper, President of the WDA, who created this idea and collaborated with the Menkes Disease Foundation to present this patient advocate panel. Editors Note: For the full Workshop White Paper, please visit www.wilsondisease.org. Patient advocate perspective; key themes presented included: • The need for and value of patient registries for Menkes and Wilson disease to support effective research; • The need for early detection of both Menkes and Wilson disease through newborn screening and the associated need to increase awareness in the pediatric medical community; • The need for more effective treatments for these conditions and for the chronic disabilities that can result from them; • The need to facilitate translation of research outcomes to clinical practice guidelines; • Identification of approaches to reduce patient frustration, minimizemisinformation, and improve communication. Wilson Disease Association The Copper Connection 3 The Copper Connection Summer 2013 Workshop Poster Award Winners A prominent feature of scientific meetings, such as medical conferences, is a Poster Session featuring paper posters that represent the research of junior investigators [researchers] in the subject field of interest. The posters illustrate the individuals’ research methods and outcomes. Prospective poster presenters are asked to submit a short abstract of their presentation, which is then reviewed by senior colleagues who are experts in the same field, before the presentation is accepted for a meeting. Organizers of the Copper Metabolism Workshop, held last April, reviewed and accepted 26 poster abstracts representing novel research in the field of copper metabolism. The posters, accompanied by their authors, were displayed throughout the two-day meeting. The posters represented research being conducted in the countries of China, Germany, India, Italy, Korea, Russia, and the United States. Poster entries were judged by senior scientists and cash awards were presented to the four best entries. Here are the four award winning poster abstracts. The authors kindly agreed to provide a simplified interpretation of their original abstracts for our readers. Drs Shilsky and Assis with Assis’s Poster Presentation New Tools for Copper(I) Biochemistry: Water Soluble Fluorescent Probes and Robust Affinity Standards Christoph J. Fahrni*, M. Thomas Morgan, Pritha Bagchi School of Chemistry and Biochemistry, Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, 901 Atlantic Drive, Atlanta, GA 30332, USA The distribution and storage of copper in the body is tightly regulated by an intricate network of proteins, which guarantee not only a sufficient supply of this trace nutrient but also prevent from its potential toxicity. In Wilson’s disease, dysregulation of a trafficking pathway leads to copper accumulation in the liver and brain. At present, the redistribution mechanisms of excess copper remains mostly elusive. To address this problem, we developed a series of water-soluble fluorescent probes that are capable of detecting biological copper with high sensitivity by fluorescence imaging techniques. Furthermore, we characterized a series of new copper-selective chelators as biochemical tools to study the mechanism of copper exchange between proteins. Altogether, these biochemical tools will be instrumental to further our understanding of copper trafficking in normal cells and tissues and its dysregulation in Wilson’s disease. Hepatocyte-Specific inactivation of MURINE Atp7b revealed AN important role of non-hepatic cells in liver pathology Abigael Muchenditsi1, Lisa Aaronov2, S.Lutsenko1 1 -Department of Physiology, Johns Hopkins University, Baltimore, MD 2-InGenious Targeting Laboratory, Ronkonkoma, NY Wilson disease (WD) is a genetic disorder of copper metabolism, caused by mutations in a copper transporter ATP7B. Mice that lack a functional Atp7b (Atp7b-/-) in all tissues recapitulate many features of human WD, such as high levels of copper in the liver and urine, low ceruloplasmin, and pathological changes in liver function and morphology. It is thought that WD is caused primarily by copper accumulation in hepatocytes, the main cell type of the liver in which Atp7b is normally present at high level. To test this hypothesis we generated a mouse strain (Atp7b∆Hep), in which Atp7b was deleted only in hepatocytes. Consistent with the loss of Atp7b function in hepatocytes, the Atp7b∆Hep 4 The Copper Connection Wilson Disease Association 2013 Annual Conference WOW! The WDA is 30 Years Old! The Hotel Palomar – Westwood 10740 Wilshire Blvd. , Los Angeles, CA. October 12, 2013 The WDA is pleased to present this year’s conference at no cost to members! Yet, we are offering the same quality program as in the past. We are determined to excel in providing expanded knowledge about WD, an opportunity to learn from the experts, and a chance to connect with others in the Wilson disease community. Hope to see you there! This year’s topics will include: ~ Clinical Manifestations of Wilson disease ~ Genetic Counseling ~ Medical Therapies, Current and Future ~ Botox and Other Symptomatic Treatments ~ Diagnostic Challenges ~ Diet and Wilson's ~ Rare Disease Challenges Full program information will be posted on the WDA website and sent to those for whom we have e-mail addresses. REGISTRATION FORM Registration Deadline: Tuesday, September 10, 2013 Attendee Information: Mr. Mrs. Miss Ms. Dr. Full Name Other Institution (if applicable) Address City E-Mail Phone Number State/Province Zip/Postal Code Alternate Phone Number/Cell Names of Other Attendees: Registration (includes all sessions and meals) WDA Member @ FREE = $0.00 TOTAL th I/We will attend the special 30 Anniversary Conference Banquet NUMBER ATTENDING Special Dietary Request Kosher Vegetarian Other IMPORTANT Please make your hotel reservations prior to September 10, 2013 to receive group discounted rates. Online: www.wilsonsdisease.org Click on: WDAConferenceRegistration Call: Hotel reservations 1-619-515-3088 Please complete the form fields and e-mail or mail your completed Registration Form to: Wilson Disease Association 5572 North Diversey Blvd. Milwaukee, Wisconsin 53217 [email protected] Phone: 414-961-0533 Wilson Disease Association International 2013 Election Ballot Displayed below is the ballot that will be used for elections at the Annual Conference in Los Angeles. If you will not be attending the conference and are a current member of the WDA, you may vote by mailing this ballot to the WDA office before the Conference. I. Nominees for Officer (3 -year term): President – Mary L. Graper – Mrs. Graper has over 30 years experience as a volunteer leader, and is recognized for her creativity, organizational and leadership skills. She lives in Milwaukee, WI, where she owns and manages investment real estate with her husband. Two of her three children are WD patients. She joined the WDA Board of Directors in 2000, and was first elected President in 2003. Vice-President – Len Pytlak, CPA – Mr. Pytlak has his own CPA firm in Ann Arbor, MI. He has WD and has served on the WDA Board as Vice President and Treasurer in the past. He lost a brother to WD and his sister is also a WD patient. He is currently a Board Member and has been very active in the WDA for many years. Secretary – Carol A. Terry – Mrs. Terry retired from a 31-year career as an accountant and manager in the Federal Government in 2002. She lives in Virginia with her husband, Sparky, and does consulting work part-time. She was diagnosed with WD in 1973 and helped found the WDA in 1982. She has served as President, Vice-President, and Treasurer in the past, and was first elected Secretary in 2003. Treasurer - Jean P. Perog – Mrs. Perog is a Chartered Accountant and is retired from employment in the public health care system and lives in Quilchena, British Columbia, Canada, with her husband, Jim. She has WD and has a brother with WD. She has served as Treasurer since 2005. II. Nominee for re-election to Board of Directors (3-year term): Jeanne A. Friedman – Ms.Friedman is a retired clinical social worker psychotherapist and art therapist. She and her sister have WD, and they lost their father to WD in 1956. She has served as WDA Treasurer in the past and was recently appointed as Board Member to replace a member who resigned/ III Nominee to Board of Directors for initial 1-year term: Patricia Paulin – Ms. Paulin is a Registered Nurse and has worked as the patient contact at the Wilson Disease Clinic at the WDA Center of Excellence at the University of Michigan for over 11 years. She also made presentations at a past WDA Annual Conference and the recent Scientific Workshop held at Johns Hopkins University. Summer 2013 The Copper Connection mice accumulate copper in the liver. They also show elevated urinary copper excretion and low levels of Cu-loaded ceruloplasmin in the blood. Unexpectedly, despite all these symptoms Atp7b∆Hep liver show no obvious pathologic changes in contrast to inflammation and abnormal cell morphology seen in the age-matched Atp7b-/- livers. The absence of pathology in Atp7b∆Hep mice despite copper accumulation suggest that inter-cell and inter-tissue communication may play an important role in the liver copper balance and pathology development in WD. The mechanism of cell-cell communication in Atp7b-/- liver is being investigated. Copper uptake via the Copper transporter Ctr1 Helena Öhrvik, Yasuhiro Nose, L. Kent Wood, Byung-Eun Kim, Charlotte S. 1Gleber, Martina 2Ralle, and Dennis J. Thiele Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, North Carolina 27710, USA, 1X-ray Science Division, Advanced Photon Source, Argonne National Laboratory, Argonne, IL, 60439, USA, 2Department of Biochemistry and Molecular Biology, Oregon Health & Science University Portland, Oregon 97239, USA Copper is essential for human growth and development. While many of the components responsible for obtaining, distributing, and exporting copper in tissues have been identified, the ways that these processes are controlled are not well understood. We study the uptake of copper from the diet and how it is imported into cells in mouse models. Our goal is to understand how the whole body, organs, and individual cells achieve proper copper levels. The copper transporter Ctr1, located at the cell surface, plays a central role in copper uptake and is essential for embryonic development and survival. The function and expression of Ctr1 can be modified in several ways to control the copper uptake into the body and cells. In response to high copper levels the amount of Ctr1 importers on the plasma membrane of cells rapidly decreases. Furthermore, it has been shown that the copper-binding region of Ctr1 can be removed, generating a shorter form of the transporter that imports copper less efficiently. While we have a good understanding of the function of Ctr1, the role of the related protein copper transporter 2 (Ctr2) is not well understood. Previously, Ctr2 has been proposed to function as a copper importer at the plasma membrane but with lower capacity than Ctr1 or, alternatively, in transporting copper from intracellular stores into the cytoplasm of cells. We are interested in the physiological role of Ctr2, and how it impacts copper accumulation in cells and in tissues. Results derived from these studies will provide insights into the biological links between copper regulation and disease of human copper imbalance, and may yield insights into how copper import into human cells can be controlled. MEDNIK syndrome: a novel defect of copper metabolism treatable by zinc acetate therapy Martinelli D, 2Travaglini L, 3Drouin CA, 2Rizza T, 4Ceballos-Picot I, 2Bertini ES, 4de Lonlay P, 5El Hachem M, 4Hubert L, 2Carrozzo R , 6Montpetit A, Torre G, 2Petrini S, 1Dionisi-Vici C. Division of Metabolism, 2Divison of Molecular Medicine, 5Unit of Dermatology, 7Division of Hepatology, Bambino Gesù Children’s Hospital, IRCCS, Italy; 3Department of Dermatology, Centre Hospitalier Regional Grand-Portage, Canada; 4Necker Hopital des Enfants-Malades, Paris, France; 6McGill University, Canada. 1 1 MEDNIK syndrome- acronym for mental retardation, enteropathy, deafness, neuropathy, ichthyosis, keratodermia - caused by mutations in AP1S1 gene, has recently been described as a new disorder of copper metabolism. It combines clinical and biochemical signs of both Menkes (neurocutaneous abnormalities; hypocupremia and hypoceruloplasminemia in the blood) and Wilson diseases (basal ganglia abnormalities at brain MRI, hepatopathy and copper accumulation in the liver, increased urinary excretion of copper in 24h). The disorder is due to the detrimental effect of the absence of AP1S1 protein on physiological intracelluar trafficking of ATP7A and ATP7B, the Menkes and Wilson proteins, respectively. A MEDNIK syndrome patient, with a new homozygous mutation in AP1S1 gene, showed severe mental retardation (Development Quotient <45 at cognitive scales), hepatopathy, hypocupremia, increased serum free copper level and urinary copper excretion, liver copper accumulation, raised total bile acids, and intrahepatic cholestasis. We started in this patient oral therapy with zinc acetate (a drug approved for the treatment of Wilson disease), at the dose of 50 mg/day, in order to reduce copper adsorption at intestinal level. After one year of therapy, the patient showed striking improvement of her general clinical condition, skin problem, and hepathopathy. She also showed marked improvement of cognitive functions (Development Quotient = 60) at a second psychometric evaluation. Serum transaminases, ceruloplasmin, serum free copper and urinary copper excretion normalized, along with striking reduction of plasma total bile acids (10.2 mmol/l) and liver copper overload (0.42 mg/mg). We demonstrated for the first time that MEDNIK syndrome, a new defect of copper metabolism, is treatable with zinc acetate. Wilson Disease Association The Copper Connection 5 The Copper Connection Summer 2013 30 Years cont. We have accomplished an incredible amount in the last 30 years – growth in membership from around 15 founding members to over 1500 current members; development of a very informative website; publication of a newsletter, a patient guide, and other educational brochures; a Medical Advisory Committee composed of six internationally recognized WD experts; establishment of six WDA Centers of Excellence for diagnosis and treatment of WD patients; awarding of research grants and prizes for winners of a contest for medical students who wrote a paper on a topic related to Wilson disease; participation in a program to help provide needed medicine to WD patients in developing countries; holding patient support group meetings and Annual Conferences at different locations in North America to educate and inform attendees and provide an opportunity for peer support; and, establishment of an internet peer support platform through the Inspire website. I believe our most impressive accomplishment to date is the sponsorship and organization of two international scientific workshops which brought together clinicians and researchers from all over the world to exchange ideas and information related to WD and other disorders of copper metabolism. The first of these was held in 2006, but a larger one sponsored primarily by the WDA, with help from NIH and Johns Hopkins University was just held this past April. This newsletter provides summaries of many of the presentations made at that workshop. WDA President, Mary Graper, and the other members of the organizing committees worked tirelessly to make both these workshops successful. Thank you, Mary! Original WDA meeting room in the Pei family restaurant 2013 Annual Conference WOW! The WDA is 30 Years Old! Los Angeles, CA. October 11 – 13, 2013 Conference At A Glance Venue Hotel Palomar - Westwood 10740 Wilshire Boulevard Los Angeles, CA. 90024 www.hotelpalomar-lawestwood.com Discounted Room Rates: Deluxe King Rooms $150/night + tax Double Occupancy $150/night + tax Triple Occupancy $170/night + tax Quadruple Occupancy $190/night + tax Discounted Parking Rate: $30/night CUTOFF DATE FOR DISCOUNTED ROOMS September 10, 2013 Group Code: Wilson disease #1300801613 Call: 1-619-515-3088 Online: http://bit.ly/17vUDKN Friday, October 11, 2013 5:00 – 6:00 p.m. Complimentary wine hour provided by the hotel. A perfect way to start off the conference weekend and your first evening in Los Angeles! Saturday, October 12, 2013 8:00 - 8:30 a.m. Registration and Continental Breakfast 8:30 – 9:00 a.m. Welcome and Opening Remarks 9:00 a.m. – Noon General Sessions Noon – 1:30 p.m. Lunch & WDA Annual Membership Meeting 1:30 – 3:00 p.m. General Sessions 3:00 – 5:00 p.m. Breakout Sessions 6:30 – 9:30 p.m. 30th Anniversary Conference Banquet Sunday, October 13, 2013 9:00 a.m. – 5:00pm WDA Board Meeting Final program information will be posted on the WDA website www.wilsonsdisease.org 6 The Copper Connection Wilson Disease Association The Copper Connection Summer 2013 Special thank you to the sponsors of the Scientific Workshop: National Institute Of General Medical Sciences (NIGMS) National Center For Advancing Translational Sciences (NCATS) National Institute Of Neurological Disorders And Stroke (NINDS) Thanks for your support CONTRIBUTIONS: We apologize that these donations are not broken down into specific categories this time. We are currently in the process of merging information from our old database program to a new one. Abid Mohammad Accu-Tool, LLC Amanda Elrod Amitabh Upadhyaya Anil and Mamta Mehra Arlene Gottlieb Arthur and Ellen Johnson AT&T Becky Scribner Bill and Mildred Shannon Boeing Employees Community Fund Breeanna Cooley Brendan Cunningham Bruce Sutherland Bruno Garlepp Carol McCullough Cathleen Bergmann Chua Hooi Constantin and Nichole Langa David and Delia Ruiz Dennis P. and Thea A. Henderson Dennis Sobieraski Diane and Diane Laurain Dorothy A Gorbacz Drew Katz Edna Cross Edward Cavallari Emese Greksa Gina Hernandez Gustavo Gitlin Harvey Checkman Heidi Sullivan Hugh Rienhoff, Jr. IGive.com Holdings James Fine Jeff Nehal Jeffrey Fink Jeffrey Nehal John Wu Joseph and Berna Heyman Joyce Hoggard Judith Kesler Judy and Connor Brown Karen Anderson Karen Mally Katherine Basch Kathleen Zaruba Kerry Cooley Leonard Levin Lewis Katz Linda Schwebke Lori Shindel Loyd and Mary Tysinger Lynda Levine Maggie Naden Maria Lewin Mary Klouse Matthew Ferber Meilan Chen Melissa Miller Millie Quinn Miriam Rabin Nancy Marsala Patricia Pei Paul Fausneaucht Paul Zandhuis Peter E Protzel Peter E. and Gracia V. Sheptak Phil Portney Robert Haughney Robert Smith Ron and Cindy Olch Ronald Marchese Rosa Chavez Roxanne Driedger Samantha Taylor-Flynn Sheilvrina Berthold Sonia Pone Steve and Steve Earley Susan Grosman Sylvia Trujillo Vinny Desrochers Vivienne Taylor Vivienne Tayor Walter Wall Wayne Register Wilder Family William and Teresa Siegart Zoukhra Bash For your convenience, you can make your donations online by visiting our website. Just visit www.wilsonsdisease.org you will see the Donate button on the front page. This will direct you to a secure PayPal link where you can safely enter your information. We encourage you to donate online as it will save you time and postage! If you prefer to mail a check, or do not have online access, please send your tax-deductible donation to the WDA office at: Wilson Disease Association 5572 N. Diversey Blvd. Milwaukee, WI. 53217 Wilson Disease Association The Copper Connection 7 Summer 2013 WILSON DISEASE ASSOCIATION, INTERNATIONAL The Copper Connection 5572 N. Diversey Blvd. Milwaukee, WI. 53217 (FORWARDING SERVICE REQUESTED) TO: 2012 SUPPORT MEETINGS SPECIAL INSERT!!! Wilson Disease Association International 2013 Election Ballot & Annual Conference Registration Form Registration deadline: Tuesday, September 10, 2013
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