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(68 mm x 35 mm) paper size NPG D2716 National Portrait Gallery, London G.K

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Abbreviations ACPA: anti-citrullinated protein antibody AM: alveolar macrophage CCP: cyclic citrullinated peptide EBV: EpsteinBarr virus HLA: human leukocyte antigen IFN: interferon IL: interleukin LPS: lipopolysaccharide NARAC: North American Rheumatoid Arthritis Consortium NF: nuclear factor PAD: peptidyl arginine deiminase PTPN22: protein tyrosine phosphatase nonreceptor 22 RA: rheumatoid arthritis RF: rheumatoid factor SE: shared epitope siRNA: small interfering RNA SONORA: Study of New Onset Rheumatoid Arthritis TNF: tumor necrosis factor

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She recounts how California farm laborers were made sick by the uncontrolled use of pesticides and how the fish in a creek that ran near a predominantly Black Alabama town were contaminated

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