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Molecular evidence for horizontal transmission of chelonid alphaherpesvirus 5 at green turtle (Chelonia mydas) foraging grounds in Queensland, Australia
Authors: K. Jones aff001; G. Burgess aff001; A. M. Budd aff002; R. Huerlimann aff002; N. Mashkour aff001; E. Ariel aff001
Authors place of work: College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia aff001; Centre for Sustainable Tropical Fisheries and Aquaculture, James Cook University, Townsville, Queensland, Australia aff002; Centre for Tropical Water and Aquatic Ecosystem Research, James Cook University, Townsville, Queensland, Australia aff003
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0227268Summary
Fibropapillomatosis (FP) is a marine turtle disease recognised by benign tumours on the skin, eyes, shell, oral cavity and/or viscera. Despite being a globally distributed disease that affects an endangered species, research on FP and its likely causative agent chelonid alphaherpesvirus 5 (ChHV5) in Australia is limited. Here we present improved molecular assays developed for detection of ChHV5, in combination with a robust molecular and phylogenetic analysis of ChHV5 variants. This approach utilised a multi-gene assay to detect ChHV5 in all FP tumors sampled from 62 marine turtles found at six foraging grounds along the Great Barrier Reef. Six distinct variants of ChHV5 were identified and the distribution of these variants was associated with host foraging ground. Conversely, no association between host genetic origin and ChHV5 viral variant was found. Together this evidence supports the hypothesis that marine turtles undergo horizontal transmission of ChHV5 at foraging grounds and are unlikely to be contracting the disease at rookeries, either during mating or vertically from parent to offspring.
Keywords:
Haplotypes – Sequence analysis – Sequence alignment – Phylogenetic analysis – DNA sequence analysis – Sequence databases – Foraging – Turtles
Introduction
Fibropapillomatosis (FP) is a marine turtle disease, characterised by the growth of benign tumours on the skin, eyes, shell, oral cavity and/or viscera. This disease has been reported in every species of marine turtle but predominantly affects the endangered green turtle (Chelonia mydas) [1]. Although benign, FP tumours are physically debilitating as their positioning can impair vision, feeding and locomotion [2–4], leaving the affected turtle with increased vulnerability to predation, starvation and boat-strike. Turtles with FP are typically chronically stressed [5] and immunosuppressed [5, 6] and are therefore susceptible to secondary infections and opportunistic pathogens. FP has a global distribution, with prevalence rates varying spatially and temporally [1]. Such variance in disease prevalence creates a unique challenge for environmental managers; a more solid understanding of this disease is critical for the development of informed management plans.
Although the causative agent of FP is yet to be confirmed, studies have consistently reported a link between FP tumours and the presence of a herpesvirus [7–9]. As this virus could not be cultured in vitro until recently [10], there has been an increase in studies utilizing molecular methods to better understand this herpesvirus [11–23]. These studies have added to the body of evidence linking a turtle-specific herpesvirus, known as chelonid alphaherpesvirus 5 (ChHV5), and FP. As such, ChHV5 is now generally accepted as the likely causative agent of this disease.
Genetic variation of ChHV5 is an emerging field, wherein four distinct clades of ChHV5 have been described globally (eastern Pacific, western Atlantic and eastern Caribbean, Midwest Pacific, and Atlantic [24]. Samples collected from turtles from a particular region tend to cluster into the associated phylogeographic group. For example, samples from Brazil cluster into the Atlantic [23] and samples from Ecuador into Pacific [25]. Variation in ChHV5 has also been described at more local levels, with four variants in Florida [26] and six variants in Brazil [23]. A geographic influence on the distribution of these variants has been reported in both Brazil [23], Florida [26], Hawaii [27] and most recently, Australia [28]. Characteristically, turtles at a particular foraging ground are infected with the same viral variant, which is distinct from variants found at other foraging locations within a particular region [23, 24, 26–29].
Marine turtles have a complex life-history, spanning multiple habitats, which makes it difficult to pinpoint the stage and location that ChHV5 transmission occurs. Hatchlings emerge from rookeries in tropical and subtropical regions where they then undertake a pelagic existence. Several years later, they recruit into inshore foraging grounds as juveniles [30]. The turtles at these foraging grounds originate from multiple regional rookeries [31–33] and have strong site fidelity to both the foraging ground they inhabit and the rookery from which they originated. Turtles will attempt to return to their rookery to breed and nest at the onset of sexual maturity [34]. Due to this natal philopatry, turtles originating from rookeries in a particular region are genetically distinct stocks. Transmission of ChHV5 may occur at the rookery, the foraging ground, or in transit between these habitats. Assessing distribution patterns of the virus may provide an indication as to which of these locations, if any, is the site of transmission.
If ChHV5 transmission is vertical, occurring at rookeries from parent to offspring, a homogeneous distribution of genetic variance of ChHV5 at each rookery would be expected [26]. In such a situation, a link between viral variant and turtle origin (genetic stock) would also be expected, regardless of sampling location. Conversely, if ChHV5 transmission is occurring horizontally at foraging grounds, a homogeneous distribution of genetic variance of ChHV5 at each foraging ground (and heterogeneous distribution over multiple foraging grounds) would be observed [26]. In this case, a link between viral variant and host origin would be less likely. As FP predominantly affects juvenile/immature green turtles, horizontal transmission between adult females at rookeries is less likely [1]. Moreover, the heterogeneity in viral variant distribution observed in previous studies, coupled with high FP prevalence in juvenile/immature turtles [1], has led to the hypothesis that ChHV5 transmission occurs upon recruitment into inshore foraging grounds after the pelagic phase in the marine turtle life-cycle [1, 24, 26]. Whilst this hypothesis is widely accepted, a molecular link between viral variant and host origin has never been investigated using molecular methods.
Although a global understanding of FP and ChHV5 is emerging, Australia is an understudied region. The Great Barrier Reef (GBR) supports some of the largest green turtle rookeries and foraging populations in the world [35, 36] and relies heavily on the presence of green turtles for ecotourism [37, 38]. Turtles with FP have been observed at multiple locations on the GBR since the 1970’s [39] yet, to date, only two molecular studies on ChHV5 have generated and analyzed sequence data from samples collected in Australia [16, 28]. A geographic influence on viral variant distribution along the north Queensland coast was recently reported [28], but a link between viral variant and host origin was not assessed. Moreover, the presence and distribution of ChHV5 along the entire coast of the GBR has not been investigated and a solid understanding of FP and ChHV5 on the GBR is yet to be established. As a result, marine turtle management plans are unable to detail an effective means of managing this threat.
In order to inform management decisions and improve conservation outcomes for C. mydas and other vulnerable turtle species, this study aims to improve our understanding of ChHV5 along the GBR through the following objectives: Firstly, this study will improve the resolution of the current phylogeny of ChHV5 in Australia by generating a more robust sequence data set than has previously been used, including a larger sample size and increased geographical locations. Secondly, the relationship between host genetic stock and viral variant will be assessed in order to clarify the mechanisms of viral transmission.
Materials and methods
Sample origin
A total of 59 green turtles, two loggerhead (Caretta caretta) turtle and one green/hawksbill (Eretmochelys imbricata) hybrid turtle were sampled across five locations along the GBR. The majority of samples used in this study were collected opportunistically from turtles with FP tumours, captured using the rodeo capture technique [40] at various foraging grounds along the GBR (Fig 1). The remaining tumour samples were collected during necropsy and others were donated (see S1 Table). The final dataset consisted of turtles from waters near Brisbane (n = 7), Gladstone (n = 4), Airlie Beach (n = 1), Bowen (n = 27), Townsville (n = 22), and Cairns (n = 1). These turtles were predominantly juveniles, with an age class breakdown for the green turtles of 53 juveniles, five sub-adults and one adult. Both loggerheads were immature [41]. The green/hawksbill hybrid (QA47488) was believed to be immature, based on ranges for both hawksbill [42] and green turtles [43].
Fig. 1. Samples (n = 62) were collected from six locations along the Queensland coast of Australia; Brisbane (n = 7), Gladstone (n = 4), Airlie Beach (n = 1), Bowen (n = 27), Townsville (n = 22), and Cairns (n = 1). Five of these sites are located within the Great Barrier Reef (GBR) Marine Park, whilst Brisbane is located just south of the GBR boundary (indicated by hatched area). All live turtles were sampled under permits from James Cook University Animal Ethics Committee (A1501 and A1971), Department of Environment and Science (WISP06619309 and WISP13754613) and Great Barrier Reef Marine Park Authority (G10/33220.1 and G36593.1).
Sample collection
All live turtles were flipper-tagged with a unique alpha-numeric inscribed titanium tag (Stockbrands Company, Pty. Ltd., Perth, Western Australia), and had their curved carapace length (CCL ± 2 mm) measured using a flexible tape measure. Tumour samples were collected with a paired skin sample from the trailing edge of the front flipper of each turtle. Tissue samples were collected using fresh, sterile, disposable scalpel blades and stored in cryovials containing 90% ethanol. Samples were stored at 4°C prior to DNA extraction.
DNA extraction, primer design and Polymerase Chain Reaction (PCR)
DNA was extracted using the Promega Wizard® SV Genomic DNA Purification System according to the manufacturer’s instructions with the exception of an additional 10μL of proteinase K used per reaction. Final DNA concentration was obtained by spectrophotometric analysis (Implen Nanophotometer), using the ratios of absorption at 260nm versus 280nm to determine DNA purity.
Primers were designed to target the full-length sequence of three genes within the ChHV5 genome; 1) glycoprotein B (gB), 2) sialyltransferase (F-sial) and 3) DNA polymerase (DNApol). The DNApol gene has been used extensively to determine the presence or absence of ChHV5 [12, 13, 15, 17, 20, 21, 23, 24, 26, 29, 44] due to the highly conserved nature of the gene [45, 46]. Conversely, the gB gene codes for glycoproteins which are located on the surface of the virion and therefore in contact with the host immune system, likely increasing selection pressure. This antigenic nature of gB has led to sequence variability, making it an ideal candidate gene for phylogenetic studies [46–48]. Moreover, [28] demonstrated that this gene is effective in determining ChHV5 phylogeny in Australia. The F-sial gene is atypical of herpesviruses and poorly understood, but has been suggested to play a role in ChHV5 pathogenesis [49].
We also designed and optimised a set of four overlapping primers pairs for gB. Although each of these overlapping primer pairs could be used individually to detect and sequence fragments of ChHV5, it was considered as one assay for the purpose of this study (referred to herein as gB FullOverlap 1–4). All primer sets were designed to include the start and stop codons within the resulting amplicon; primers targeting these regions were placed outside of the target genes so that the resulting sequences could be trimmed to the open reading frame (ORF). The gB primer pairs outside the ORF were designed using an alignment of two ChHV5 gB sequences available from GenBank (National Center for Biotechnology Information; NCBI, Bethesda, Maryland), while primers pairs within the ORF were designed from an alignment of 17 ChHV5 gB sequences. The F-Sial and DNApol primer sets were similarly designed from an alignment of two ChHV5 F-Sial sequences and two ChHV5 DNApol sequences respectively. All primers were designed using AlleleID version 7.7 (Premier Biosoft International, Palo Alto, California) and optimised in conventional PCR using a gradient of 50–60°C (Table 1).
Tab. 1. Primer sequences used to target ChHV5 genes of interest (glycoprotein B; gB, sialyltransferase; F-sial and DNA polymerase; DNApol) and a green turtle (C. mydas) mtDNA gene (D-loop). F = forward, R = reverse. PCRs for the F-Sial-1104 and gB FullOverlap 1–4 primer sets were carried out in 20μL reactions consisting of 10μL GoTaq® Green Hot Start Master Mix (Promega), 0.8μM of each primer, ~80ng of template DNA and nuclease-free water to 20μL. PCRs for the gB-Full-2873 and DNApol-3670 primer sets had the same component volumes but utilised GoTaq® Long PCR Master Mix (Promega) due to the target amplicon length. The thermocycling conditions for all primer sets are outlined in Table 2.
Tab. 2. PCR thermocycling protocols for the newly described primers used in this study. In order to identify the genetic origin of the host turtle, all tumour samples collected from green turtles were also used in a PCR to amplify a 960bp fragment of the mtDNA d-loop control region using the ChM-Dloop-960 primers and associated conventional PCR protocol described in [50].
PCR products were visualised on a 1.2% (w/v) agarose gel and sent to Macrogen (Macrogen Inc., Seoul, Korea) for purification and bi-directional sequencing.
The gB Overlap 1–4, F-sial-1104 and ChM-Dloop-960 raw sequences were imported into Geneious v7.1.5 [51] and assembled for each individual using reference sequences: F-UL27 of HQ878327, F-Sial of HQ878327 and the CmP47.1 haplotype (KF311753.1) respectively. These sequences were then edited where appropriate and trimmed to the ORF. The resulting consensus sequence was then extracted and confirmed to be the correct target using the database of the Basic Local Alignment Search Tool (BLAST) (https://blast.ncbi.nlm.nih.gov/Blast.cgi). In order to avoid sequencing error, any sequence which appeared to be unique to sequences both in the published literature and within our dataset were re-amplified and re-sequenced to a total of three replicates.
Each ChM-Dloop-960 sequence generated here was also compared with known green turtle haplotypes [32, 50, 52] in order to determine the haplotypes of the individual turtles used in this study. Green turtle haplotype frequencies at rookeries around the world form the basis for estimates of which genetic stock a particular haplotype belongs to [32, 50, 52]. In this study, the haplotype of individual turtles was used to provide an indication of the genetic origin of the host turtle. Once identified, the assigned haplotype was then included in the sequence description for both the gB and F-sial sequences.
Phylogenetic analysis
For gB, a total of 79 sequences including 58 which were generated in this study, were aligned using ClustalW [53] in Geneious v7.1.5 [51]. Only full-length sequences were used, so the final dataset consisted of 2565 positions. This dataset was then imported into Molecular Evolutionary Genetics Analysis Version X (MEGAX; [54]) for evolutionary analysis. Following a model test, the evolutionary history was inferred by using the Maximum Likelihood method based on the Kimura 2-parameter model [55]. Initial trees for the heuristic search were obtained automatically by applying Neighbor-Join and BioNJ algorithms to a matrix of pairwise distances estimated using the Maximum Composite Likelihood (MCL) approach, and then selecting the topology with superior log likelihood value. The rate variation among sites was modelled with a gamma distribution. The tree was drawn to scale, with branch lengths measured in the number of substitutions per site. The analysis involved 79 nucleotide sequences. There were a total of 2565 positions in the final dataset, and all sites were used.
Upon characterisation of the Australian ChHV5 variants, a single sequence which represented each variant was extracted. These representative sequences were aligned with the 21 available reference sequences used for the previous tree using ClustalW [53] in Geneious v7.1.5 [51], resulting in a final dataset of 29 distinct nucleotide sequences and 2565 positions. A simplified phylogenetic tree was constructed to show the position of these variants relative to the available reference sequences. This tree was constructed as above.
For F-sial, 58 sequences generated from this study and ten reference sequences were aligned using ClustalW [53] in Geneious v7.1.5 [51]. The analysis was therefore comprised of a total of 68 nucleotide sequences. Only full-length sequences were used, so the final dataset consisted of 963 positions. This dataset was then imported into MEGAX [54]. Following a model test, the evolutionary history was inferred by using the Maximum Likelihood method based on the Jukes-Cantor model [56].
Statistical analysis
A Chi-square test was conducted to assess whether there was a relationship between viral variant and host origin. We also assessed whether there was a relationship between viral variant and sampling location. However, due to small sample numbers in some categories, the assumptions of the chi-square test were not met and as such we report values from the Fisher’s exact test.
Results
All green turtle samples amplified in the Dloop-960 assay whilst the loggerhead and hybrid (green turtle/hawksbill) samples did not. This assay is specifically designed to target green turtle mtDNA, indicating that the hybrid turtle was likely maternally hawksbill. Analysis of sequence data generated from 59 samples from individual turtles that reacted in this assay revealed that most (74.6%) belong to the CmP47.1 haplotype (Table 3). This is the most common haplotype found on the GBR, typically found in rookeries in the Coral Sea, southern GBR and New Caledonia [32, 52]. The remaining 13.6% of individuals were found to belong to CmP80.1 which is also found in the same regions as CmP47.1. Other turtles were found to be haplotypes typically found to originate from the northern GBR (nGBR) region (CmP98.1, 1.7%) and New Caledonia (CmP85.1, 3.4%; CmP44.2, 1.7%). CmP44.1, a haplotype found in both the nGBR and New Caledonia regions, was found in one individual (1.7%). A haplotype known to originate in the Borneo/Sulu Sea region was found in one individual (CmP57.1, 1.7%) whilst another was found to be CmP34.1 (1.7%), a haplotype of as yet unknown origins. The geographic distribution of these haplotypes among study sites varied, with multiple haplotypes identified at each study site where more than one turtle was sampled (Table 3). This distribution and haplotype frequency is consistent with previous reports [50, 52]. These results were included in the sequence descriptions of the relevant turtles for all other sequences generated in this study.
Tab. 3. Summary of haplotype distribution in green turtles in the present study, including the capture location and regions of origin as determined by sequence analysis of the products of the ChM-Dloop-960 assay. All samples of DNA extracted from FP tumour samples amplified in at least one of the assays, confirming the presence of ChHV5 in all 62 samples (Table 4). None of the paired skin samples amplified in any ChHV5 assay, with the exception of that from turtle QA42923. Of the 62 tumour samples tested, 58 samples reacted in the gB Overlapping 1–4 assay, the FSial-1104 assay and DNApol-3670 assay (Table 4). ChHV5 DNA was detected in 93.5% of samples in each assay, and in 100% of samples overall.
Tab. 4. Number of positive detections of three ChHV5 target genes in FP tumour samples using Polymerase Chain Reaction (PCR). Phylogenetic analysis
Glycoprotein B (gB)
From the nucleotide and phylogenetic analysis of the 58 sequences from this study and 21 available sequences from the NCBI database we show that Australian ChHV5 grouped into four main clusters: a Queensland cluster, north Queensland cluster, Bowen cluster and Brisbane cluster (Fig 2). Both the Queensland and north Queensland clusters have been previously reported [28] whilst the Bowen and Brisbane clusters are newly identified in this study. These results highlight a strong geographic link to viral variant distribution along the Queensland coast, and statistical analysis confirmed that the relationship is statistically significant (X2 = 25.016, df = 15, p = 0.011).
Fig. 2. Phylogenetic tree using the Maximum Likelihood method generated from the aligned 2565bp ChHV5 glycoprotein B (gB) gene. The analysis involved 79 nucleotide sequences. Bootstrap values are indicated as a number on each branch and were calculated from 1000 replicates. Individual samples are identified with source location, haplotype, scientific name, tag number, and sample collection year. Sequences retrieved from the GenBank database originating from the Pacific and Altantic are named in the same way, with the accession number in the place of the tag number, and no haplotype information included as it was unknown. The results of this study have also allowed us to better characterize the variants of ChHV5 present in Australia into six clear variants, with subdivisions based on nucleotide differences from the characterised variants. These variants have been named numerically in a hierarchical form, based on whether the variants are first, second or third order clades; second order clades were named to one decimal point (e.g. Australian Variant 2.3) and third order clades were named to three decimal places (e.g. Australian Variant 2.3.1).
Australian Variant 1.1 (Accession number: MK579192) is the most common variant of ChHV5 in Australia, found in turtles along the expanse of the Queensland coast. This variant was found at almost all study sites in the present study, which is consistent with previous descriptions [28]. Here, 53.4% of all turtles whose tumour samples reacted in the gB Overlap 1–4 assay (n = 31) were found to be infected with this variant (Fig 2). This variant is distinct and conserved, with all 31 samples clustering in this clade sharing 100% identity. A single sequence representing Australian Variant 1.1 was generated for further analysis.
Australian Variant 2.1 (Accession number: MK579193) is found only in turtles from the North Queensland region (sites Townsville and Bowen) and is therefore also consistent with previous descriptions [28]. In this study, we report 12 turtles infected with this variant of ChHV5. All Variant 2.1 sequences share 100% similarity, indicating that this variant is also highly conserved. A single sequence representing Australian Variant 2.1 was generated for further analysis.
Australian Variant 2.2 (Accession number: MK579194) is found only in Brisbane as yet, and shares 100% similarity with the Australian green turtle reference sequence (AY390402) (Fig 2). This variant differs from the loggerhead reference sequence (AY390403) by only one nucleotide. However, this is a non-synonymous substitution which alters the amino acid sequence of the resulting protein. Both of these reference sequences (AY390402 and AY390403) were generated from tumour samples from turtles in Moreton Bay (Brisbane), which is consistent with our results. A single sequence representing Australian Variant 2.2 (excluding AY390403) was generated for further analysis.
Australian Variant 2.3 (Accession number: MK579195) is found exclusively in turtles from Bowen (n = 7) and is highly conserved; all sequences in this sub-clade share 100% similarity (Fig 2). A single sequence representing Australian Variant 2.3 was generated for further analysis. Two distinct sequences (Variant 2.3.1 and Variant 2.3.2; accession numbers MK579198 and MK579199 respectively) comprise a subgroup which diverged from Variant 2.3. These sequences share a high similarity with Variant 2.3 (99.8%) yet are unique; Variant 2.3.1 and Variant 2.3.2 differ from Variant 2.3 by 0.2%, but also from each other by 0.2%. Moreover, some of these nucleotide substitutions are non-synonymous, resulting in one amino acid change in Variant 2.3.1 and four amino acid changes in Variant 2.3.2.
Australian Variant 2.4 (Accession number: MK579196) is found in turtles from both Townsville and Brisbane. However, this variant was previously reported as the northern Australian variant, having been found in turtles from Townsville, Cairns and Western Australia [28]. Within this group, two of the sequences (Townsville QA47488 and Brisbane NT2) were identical while the one obtained from Townsville (09–231) differed by one nucleotide. This change, however, was synonymous and therefore the consensus sequence of this variant which was generated for further analysis is an accurate representative of this variant. Interestingly, this variant has a six base pair (bp) deletion that it shares with strains reported from Hawaii and was the most similar to Hawaiian sequences in the alignment. However, this similarity is not reflected in Fig 2, which suggests this variant is most closely related to Variant 2.1.
Australian Variant 3.0 (Accession number: MK579197) is a clear outlier, distinct from all other samples analyzed in this study. Only one turtle from Townsville (QA7433) was infected with this viral variant, which has not been reported prior to this study. Of the Australian variants, this variant shares the highest similarity with Australian Variant 2.1 (99.8% identity) with all nucleotide substitutions being synonymous.
The frequency distribution of the ChHV5 variants among study sites in this study (Table 5) indicates that there is a strong link between viral variant and foraging ground, but that viral distribution within a foraging ground is not strictly homogenous.
Tab. 5. Distribution of chelonid alphaherpesvirus 5 (ChHV5) variants among marine turtles with fibropapillomatosis from six inshore areas in Queensland, Australia. We compared the representative sequences of these variants with a Hawaiian reference sequence (HQ878327) as it is both a well described [49] and the most geographically close to the GBR that is currently available. Whilst all Australian variants shared a high similarity with HQ878327 (Table 6), Variant 2.4 was the most similar as it shared 99.8% identity. It is interesting to note that this shared identity included a six bp which was not observed in any other Australian variants. This deletion appears to be uniquely Hawaiian, as it has not yet been observed in any other location. This deletion also accounted for a consistently observed difference between the Australian variants and HQ878327; all Australian variants, compared to the Hawaiian sequences, had six additional nucleotides resulting in two supplementary amino acids in the protein sequence.
Tab. 6. Summary of variants observed in this study, including number of turtles infected with a particular chelonid alphaherpesvirus 5 (ChHV5) variant (n) and the defining characteristics of these variants. All differences and identity percentages are calculated relative to the full-length glycoprotein B reference sequence available from Hawaii (HQ878327). These sequences were used to create a condensed phylogenetic tree highlighting the host haplotype origin composition of these variants (Fig 3). No apparent close relationship with turtle origin was found, as most ChHV5 variants were found in turtles from mixed origins. Only two variants were found to be from one origin only: Variant 2.2 and Variant 3.0 were both only found in samples originating from CS/sGBR/nNGR. However, both of these variants are comprised of small sample numbers (n = 2 and n = 1 respectively). Similarly, the sublineages (Variant 2.3.1 and Variant 2.3.2) were each comprised of only 1 individual, limiting conclusions as to host origins. All variants comprised of 3 or more individuals (Table 6) were isolated from individuals of mixed origins.
Fig. 3. Condensed phylogenetic tree showing the positions of the distinct Australian Variants relative to published sequences. This tree was constructed using the Maximum Likelihood method generated from the aligned 2565bp ChHV5 glycoprotein B (gB) gene. The analysis involved 29 nucleotide sequences. Bootstrap values are indicated as a number on each branch and were calculated from 1000 replicates. Sequences retrieved from the GenBank database are indicated with source location, scientific name, accession number, and sample collection year. Host haplotype was used to determine the origin composition of each Australian variant in this study, expressed here as a proportion with colour reflecting host origin region; Orange = Coral Sea (CS)/southern Great Barrier Reef (sGBR)/New Caledonia (NC), Pink = NC, Red = Unknown, Purple = north-east Borneo/Sulu Sea, Green = northern Great Barrier Reef (nGBR)/NC and Yellow = nGBR. The results of the statistical analysis further supported that there is no association between the viral variant and the host origin (X2 = 33.771, df = 20, p = 0.290).
Sialyltransferase (F-sial)
From the nucleotide and phylogenetic analysis of the 58 sequences from this study, two available full-length sequences from the NCBI database and eight published sequences [57], we show that the F-sial gene from Australian ChHV5 is highly conserved. Of the 58 sequences in this study, 52 were distinctly different from the Hawaiian reference sequences yet shared 100% similarity with each other. One sequence from Townsville (09–231) was found to be identical to the Hawaiian sequences whilst two other sequences only differed from the Hawaiian sequence by one nucleotide. Despite these minor substitutions, all sequences in the alignment shared 98.7% identical sites and this is reflected in the resulting phylogenetic tree (Fig 4). However, the highly conserved nature of these sequences indicate that this gene plays an important role in ChHV5 function.
Fig. 4. Phylogenetic tree using the Maximum Likelihood method generated from the aligned 963bp ChHV5 Sialyltransferase (F-sial) gene. The analysis involved 68 nucleotide sequences. Bootstrap values are indicated as a number on each branch and were calculated from 1000 replicates. Sequences retrieved from the GenBank database are indicated with the accession number, the source turtle’s scientific name, and sample collection location and year. Distinct clustering of these sequences into four main groups was observed (Fig 4). However, unlike the gB sequences generated in this study, the F-Sial sequences did not allow for viral variant characterization due to the significant similarity between these sequences. As such, these groups are named arbitrarily as Group A, B, C and D.
Group A (Accession number: MK579200) consisted of two samples which were both obtained from tumours on green turtles in Bowen and is most similar to samples collected from Florida. Group B (Accession number: MK579201) was comprised by the majority of samples (91.3%) in this study from a mixture of all study sites. All samples in this group share 100% identity. Group C (Accession number: MK579202) is comprised of two samples, one from a loggerhead and one from a green/hawksbill hybrid, and is most closely related to samples collected from Hawaii. Group D (Accession number: MK579203) is almost exclusively comprised of samples collected from Hawaii, with the exception of one turtle from Townsville (09–231) which is identical to these Hawaiian sequences.
Although the significant similarity between the F-sial sequences prevented them from clustering in the same pattern as the gB sequences, there were some commonalities between the two phylogenetic trees. For example, the gB sequence of Australian Variant 2.4 shares a six bp deletion with sequences obtained from Hawaii. The same samples that comprise Variant 2.4 in Fig 2 cluster most closely with Hawaiian sequences in Fig 4; comprising both Group C and Group D.
As with the gB sequences, we compared the sequences of these variants with a Hawaiian reference sequence (HQ878327). Whilst all Australian sequences shared a high similarity with HQ878327 (Table 7), the sequence in Group D was the most similar as it shared 100% identity. Of the 58 sequences produced in this study, 55 had a distinct amino acid change (relative to the Hawaiian reference sequences) at position 201. This indicates that this substitution is a characteristic of Australian viral variants.
Tab. 7. Nucleotide sequence analysis of sequences obtained from FP tumour samples collected from marine turtles (n). All differences and identity percentages are calculated relative to the full-length reference sequence available from Hawaii (HQ878327). Discussion
This study describes improved molecular assays developed for detection of ChHV5 and subsequent phylogenetic analysis. This, combined with a comprehensive sample size of individual turtles with FP tumours from a large spread of Australian sites allowed for characterisation of Australian ChHV5 variants. This formed a platform for a thorough investigation of a link between host genetic origin and ChHV5 variant, which corroborated the probability of horizontal transmission of the virus at foraging sites.
Improved conventional PCR assays
Previous molecular studies of ChHV5 have targeted multiple genes and because detection rate is not 100% for any assay, it has been suggested that a combination of assays should be used to increase sensitivity of detection [58]. The molecular assays developed here target the F-sial, DNA polymerase and gB genes with a higher rate of detection on an individual assay basis than previously reported and can be used to amplify and sequence complete genes with Sanger sequencing, making them suitable for both ChHV5 detection and phylogenetic studies.
While none of the assays described in this study were 100% effective in detecting ChHV5 presence alone, ChHV5 presence was confirmed in all 62 individual wild-captured marine turtles with FP tumours by a combination of the 3 assays. This variability in detection is consistent with results reported in previous studies targeting ChHV5 [15, 23, 28, 58]. Comparable rates of ChHV5 detection in FP tumour samples in other studies utilizing primary conventional PCR assays ranged from 0–100% using sample sizes of between 18–37 individual turtles [15–17, 58–60]. Here, the rate of ChHV5 detection in each of the three assays in this study is in the higher range and the number of individual turtles with FP tumours sampled is comparatively larger than other studies. It is difficult to know whether this wide variation in detection rates is due to the assay or is a feature of each population sampled. However, this variability highlights the need for a standardised ChHV5 assay, which will allow for more accurate comparisons of detection rates and resulting sequences of this globally distributed virus.
Although ChHV5 is frequently detected in FP tumour samples, the variable rate of ChHV5 detection in FP tumour samples is yet to be explained. It is possible that FP development is more complex than ChHV5 presence alone [1], and there is potential for multifactorial influences on disease manifestation; these may include environmental co-factors and/or presence of other infectious agents working alone or in synergy with ChHV5 [61].
Viral variant characterisation
The increased sample size and geographic spread, represented by six sampling locations spanning a distance of 1380km along the Queensland coast, enabled the identification and description of five main clusters of viral sequence relative to sampling location: Queensland, north Queensland, north Australian, Bowen and Brisbane. The Brisbane and Bowen clusters have not been previously reported, although the Brisbane sequences obtained in this study cluster with published sequences from Brisbane (AY390402 and AY390403). The Queensland, north Queensland and north Australian clusters of ChHV5 viral variants are previously reported [28], and our results are consistent with what is known about these clusters. The Queensland cluster includes the most common viral variant observed in both studies, which is found at many locations along the Queensland coast, whilst the north Queensland cluster contains variants that are only found in north Queensland (Townsville and Bowen). The north Australian cluster, distinct from the north Queensland Cluster, was previously reported to be comprised of viral variants obtained from FP tumours on turtles from Townsville, Cairns and Western Australia [28]. In the present study, two samples from Townsville and one sample collected in Brisbane were found to also contain this variant of ChHV5. These results are consistent with the idea that this variant is predominantly found in locations from northern Australia, but can also be found in locations great distances away [28]. However, limited sample sizes of this particular cluster in both studies prevent a conclusive understanding of the distribution of this variant.
These results suggest that there is a close relationship between ChHV5 variant and foraging ground, further supporting the theory that turtles are infected at foraging grounds, rather than rookery [2, 23, 24, 26, 28]. However, these results also indicate that viral variant distribution is not strictly homogenous at each foraging ground. For example, turtles from Bowen were found to be infected with one of three viral variants. This is consistent with ChHV5 variant distribution in foraging grounds in Florida, where multiple variants were detected within site but the frequency of each variant differed between sites [26]. Here, we also report one variant that is common amongst almost all study sites and observed most frequently within the study. Such a trend has also been reported in Florida (Variant A) [26] and Brazil (Variant 4) [23] and may reflect turtle migration patterns. Whilst turtles typically remain in a foraging ground following recruitment, small-scale movements and seasonal shifts in foraging areas have been recorded on the Queensland coast [62]. These movements could allow for exposure to other viral variants, and may explain why ChHV5 is not strictly homogenous at each location.
Prior to this study, Australian variants were referred to as “clusters” based on geographic location [28], while other studies utilised letters to denote different variants [23, 26]. Lettering systems preclude classification of sublineages, and are often unable to indicate similarity while numerical systems recognize similarity between variants and sublineages. Here, variant nomenclature was determined based on clade position in the gB phylogenetic tree, in a similar fashion to the hierarchical system used for avian influenza virus [63–65]. This classification system allowed for clear identification of Australian ChHV5 variants and sublineages; for example, Variant 2.1 and Variant 2.2 are closely related and Variant 2.3.1 is a sublineage of Variant 2.3. However, a reclassification of all known ChHV5 variants was unable to be undertaken in this study due significant variation in published gene selection and sequence length. Past variants have been determined using a partial, or complete, sequences from a range of genes. A systematic reclassification of ChHV5 using one complete gene, similar to that undertaken for Newcastle disease virus [66], would remove any ambiguities in the current phylogeny of this virus. We recommend ChHV5 gB as it is useful in both broad and small-scale phylogenic analyses. A numerical numbering system was not applied to F-sial as the highly conserved nature of the gene prevented fine-scale variant characterization, but this may change as research in this field progresses.
The F-sial gene is atypical of herpesviruses and poorly understood, but has been suggested to play a role in ChHV5 pathogenesis [49]. In this study, the F-sial gene was found to be highly conserved, with 89.6% of sequences obtained sharing 100% identity. Although this high level of similarity between sequences did not allow for fine-scale separation of variants, it indicates that this gene is highly conserved. Thus, these results are consistent with the [49] theory that F-Sial may have an important role in pathogenesis.
Host origin and viral variant
Green turtle haplotype frequencies at rookeries are utilized by bioinformatic tools to estimate which genetic stock a particular haplotype belongs to [32, 50, 52]. Turtles frequenting a given foraging site usually represent genetic stock from multiple rookeries, although there is a trend for southern GBR haplotypes to occur at higher frequency in the more southern foraging sites and vice versa for the northern GBR stock [50, 52]. If ChHV5 were transmitted vertically from parent to offspring, then a viral variant distribution along the coast could be a reflection of turtle genetic stock distribution and phylogenetic clustering of ChHV5 would be expected to be based on host haplotype rather than sampling location.
This study used molecular methods to assess the relationship between turtle origin and viral variant, yet no close association could be identified. These results lend weight to the theory of horizontal transmission of this virus at foraging sites, rather than vertical transmission at rookeries. Fig 2 shows that the phylogenetic clustering in this study was strongly linked to sampling location, whilst Fig 3 demonstrates that each variant found in this study was isolated from turtles with a mixture of origins. However, definitive conclusions are limited as many haplotypes have been linked to multiple source regions. Most turtles in this study (76.3%) were found to belong to the CmP47.1 haplotype. This is the most common haplotype found on the GBR and has been observed in rookeries in the southern GBR, Coral Sea and New Caledonia. At present, researchers are unable to decipher which one of these three regions an individual turtle may have originated from using molecular methods. Therefore, it not yet possible to know whether all of the CmP47.1 turtles originated exclusively from the southern GBR, Coral Sea or New Caledonia, or a mixture of these regions. It has been suggested that increasing the length of mtDNA targets may allow for further differentiation of known haplotypes and more reliable identification of the region of origin for particular haplotypes [50]. The use of full mitochondrial genomic sequence, microsatellite markers, or genotype by sequencing to determine turtle haplotypes should be investigated in future studies. Despite the current limitations in establishing turtle origin by haplotype alone, the results of this study demonstrate that there is no close link between haplotype and viral variant.
Limitations
Research on FP and ChHV5 as a causative agent is challenging as it relies on opportunistic sampling of turtles with FP tumours and thus, sample sizes are often limited. While this study has used the largest number of individual FP affected turtles to date, for some locations the sample size is still small. The limited sample availability for particular locations, coupled with some variants only being identified in a small number of turtles, prevented the assumptions of the chi-square test from being met in the statistical analysis. To address this, we reported the values from the Fisher’s exact test. However, it is clear that sampling more extensively along the GBR would greatly improve our ability to analyse and understand this disease.
This study was also somewhat limited by some inconsistency between bioinformatic programs. Australian Variant 2.4 shares a six-base deletion with published Hawaiian sequences and nucleotide analysis highlights that this variant is most closely related to these Hawaiian sequences. However, this was not accounted for in the resulting phylogenetic tree (Fig 2), despite selecting for the use of all sites in the alignment. A range of phylogenetic trees were constructed, including Neighbour-Joining, Minimum Evolution, Maximum Likelihood and Bayesian trees. Yet none of these trees reflected the similarity between these sequences, despite this deletion being repeatedly observed. This highlights limitations in some algorithms used by these programs, wherein deletions are treated as gaps and are ignored by the analysis. Such deletions may be biologically important, and a means of ensuring their inclusion in phylogenetic analysis should be targeted. However, while its position in the gB phylogenetic tree is slightly inaccurate, nucleotide analysis of Australian Variant 2.4 confirms that it is a unique and distinct group of sequences.
Future directions
As a whole, there are still many gaps in our understanding in the biology ChHV5 and is relationship to FP. Future research on ChHV5 should aim to better understand the functional consequences of the variation observed in ChHV5 sequences. Investigations linking viral variant to disease presentation or severity would be interesting, yet challenging due to the complex nature of the disease and possible differing timelines; turtles might be captured in the early or late stage of disease development and therefore observations might be due to disease progression rather than viral variant. However, identification of a genetic link to ChHV5 pathogenicity and/or FP presentation may be possible. This disease presents differently around the world; turtles with buccal tumours are common in Hawaii yet buccal tumours have rarely been observed in Australian turtles [39]. This cause for this may be due to genetic variation of ChHV5 and should be investigated in future studies. Additionally, the results presented here, coupled with those of previous studies [49], suggest that F-Sial may play a strong role in ChHV5 pathogenicity and as such, it is worthy candidate for further investigation.
Conclusions
While discomfort and risk to survival for individual turtles affected by FP is widely accepted, the effects of this disease on populations is less clear. Spatial and temporal variation in disease prevalence is consistently reported [1], yet a mechanism behind such variation has not been determined. The unpredictable nature of FP prevalence has so far precluded effective management plans, and researchers must endeavor to understand this disease and its associated etiological agent(s) in order to effectively conserve this vulnerable species. Here, we present a molecular epidemiological study which supports the theory that ChHV5 transmission occurs at marine turtle foraging grounds, with no close relationship to host origin. These results enable informed management decisions regarding marine turtles, as they highlight that managing FP along the Queensland coast, including the GBR, requires focus on foraging grounds.
Supporting information
S1 Table [d]
The origin of samples used in this study, including location, turtle tag number, curved carapace length (CCL), weight and sample collection year.
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2020 Číslo 1- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Nejasný stín na plicích – kazuistika
- Masturbační chování žen v ČR − dotazníková studie
- Kombinace metamizol/paracetamol v léčbě pooperační bolesti u zákroků v rámci jednodenní chirurgie
- Eliquis (apixaban) nově hrazen ze zdravotního pojištění
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Všetky články tohto čísla
- ETAPOD: A forecast model for prediction of black pod disease outbreak in Nigeria
- Disparate effects of antibiotic-induced microbiome change and enhanced fitness in Daphnia magna
- Deliver on Your Own: Disrespectful Maternity Care in rural Kenya
- Number of days required to estimate physical activity constructs objectively measured in different age groups: Findings from three Brazilian (Pelotas) population-based birth cohorts
- Exploring the mechanism of olfactory recognition in the initial stage by modeling the emission spectrum of electron transfer
- Risk of complications among diabetics self-reporting oral health status in Canada: A population-based cohort study
- Practical considerations in the use of a porcine model (Sus scrofa domesticus) to assess prevention of postoperative peritubal adhesions
- Transcriptional Differences in Peanut (Arachis hypogaea L.) Seeds at the Freshly Harvested, After-ripening and Newly Germinated Seed Stages: Insights into the Regulatory Networks of Seed Dormancy Release and Germination
- Identifying maintenance hosts for infection with Dichelobacter nodosus in free-ranging wild ruminants in Switzerland: A prevalence study
- Model order reduction for left ventricular mechanics via congruency training
- Production, purification and evaluation of biodegradation potential of PHB depolymerase of Stenotrophomonas sp. RZS7
- The impact of a wireless audio system on communication in robotic-assisted laparoscopic surgery: A prospective controlled trial
- Seroprevalence of viral and vector-borne bacterial pathogens in domestic dogs (Canis familiaris) in northern Botswana
- Musical expertise generalizes to superior temporal scaling in a Morse code tapping task
- Cross-cultural adaptation and psychometric evaluation of the Yoruba version of Oswestry disability index
- Post-transcriptional regulation of Rad51c by miR-222 contributes cellular transformation
- Can scientists fill the science journalism void? Online public engagement with science stories authored by scientists
- Retention and predictors of attrition among patients who started antiretroviral therapy in Zimbabwe’s national antiretroviral therapy programme between 2012 and 2015
- Prognostics for pain in osteoarthritis: Do clinical measures predict pain after total joint replacement?
- Effects of Transcranial Direct Current Stimulation on GABA and Glx in Children: A pilot study
- Evaluation of rice wild relatives as a source of traits for adaptation to iron toxicity and enhanced grain quality
- Brief communication: Long-term absence of Langerhans cells alters the gene expression profile of keratinocytes and dendritic epidermal T cells
- APOBEC3B reporter myeloma cell lines identify DNA damage response pathways leading to APOBEC3B expression
- Morphological diversity within a core collection of subterranean clover (Trifolium subterraneum L.): Lessons in pasture adaptation from the wild
- Feasibility of real-time in vivo 89Zr-DFO-labeled CAR T-cell trafficking using PET imaging
- Repository-based plasmid design
- A new method of recording from the giant fiber of Drosophila melanogaster shows that the strength of its auditory inputs remains constant with age
- Aberrant cervical innate immunity predicts onset of dysbiosis and sexually transmitted infections in women of reproductive age
- Safe mobility, socioeconomic inequalities, and aging: A 12-year multilevel interrupted time-series analysis of road traffic death rates in a Latin American country
- THAP11F80L cobalamin disorder-associated mutation reveals normal and pathogenic THAP11 functions in gene expression and cell proliferation
- Lesion of striatal patches disrupts habitual behaviors and increases behavioral variability
- A clinical method for estimating the modulus of elasticity of the human cornea in vivo
- Patient perceived value of teleophthalmology in an urban, low income US population with diabetes
- Evidence in support of chromosomal sex influencing plasma based metabolome vs APOE genotype influencing brain metabolome profile in humanized APOE male and female mice
- Accelerated sparsity based reconstruction of compressively sensed multichannel EEG signals
- Microvesicles from Lactobacillus reuteri (DSM-17938) completely reproduce modulation of gut motility by bacteria in mice
- Dense carbon-nanotube coating scaffolds stimulate osteogenic differentiation of mesenchymal stem cells
- Gamma Knife radiosurgery for vestibular schwannomas: Evaluation of planning using the sphericity degree of the target volume
- Purification and molecular characterization of phospholipase, antigen 5 and hyaluronidases from the venom of the Asian hornet (Vespa velutina)
- Why are animal source foods rarely consumed by 6-23 months old children in rural communities of Northern Ethiopia? A qualitative study
- A study to better understand under-utilization of laboratory tests for antenatal care in Senegal
- Physicians’ perspectives regarding non-medical switching of prescription medications: Results of an internet e-survey
- Effectiveness of information technology–enabled ‘SMART Eating’ health promotion intervention: A cluster randomized controlled trial
- Cauda Equina Syndrome Core Outcome Set (CESCOS): An international patient and healthcare professional consensus for research studies
- A new species of Macrocypraea (Gastropoda, Cypraeidae) from Trindade Island, Brazil, including phenotypic differentiation from remaining congeneric species
- Long term conjugated linoleic acid supplementation modestly improved growth performance but induced testicular tissue apoptosis and reduced sperm quality in male rabbit
- A new approach to the temporal significance of house orientations in European Early Neolithic settlements
- Persistence of chikungunya ECSA genotype and local outbreak in an upper medium class neighborhood in Northeast Brazil
- In vivo elongation of thin filaments results in heart failure
- Disparity in depressive symptoms between heterosexual and sexual minority men in China: The role of social support
- Effect of classroom intervention on student food selection and plate waste: Evidence from a randomized control trial
- Mating strategy is determinant of adenovirus prevalence in European bats
- Preventing HIV and HSV-2 through knowledge and attitudes: A replication study of a multi-component community-based intervention in Zimbabwe
- Randomized clinical trial analyzing maintenance of peripheral venous catheters in an internal medicine unit: Heparin vs. saline
- Patient-related factors may influence nursing perception of sleep in the Intensive Care Unit
- A randomized trial of a behavioral intervention to decrease hospital length of stay by decreasing bedrest
- Color image segmentation using adaptive hierarchical-histogram thresholding
- The role of demographic history and selection in shaping genetic diversity of the Galápagos penguin (Spheniscus mendiculus)
- Attitudes towards animal study registries and their characteristics: An online survey of three cohorts of animal researchers
- Risk perception and behavioral change during epidemics: Comparing models of individual and collective learning
- Risk factors for third-generation cephalosporin resistant Enterobacteriaceae in gestational urine cultures: A retrospective cohort study based on centralized electronic health records
- Residential neighbourhood greenspace is associated with reduced risk of cardiovascular disease: A prospective cohort study
- Potential socioeconomic impacts from ocean acidification and climate change effects on Atlantic Canadian fisheries
- Prevention and control of cholera with household and community water, sanitation and hygiene (WASH) interventions: A scoping review of current international guidelines
- Female finches prefer courtship signals indicating male vigor and neuromuscular ability
- The effect of spatial position and age within an egg-clutch on embryonic development and key metabolic enzymes in two clownfish species, Amphiprion ocellaris and Amphiprion frenatus
- The impact of translated reminder letters and phone calls on mammography screening booking rates: Two randomised controlled trials
- Application of a genetic algorithm to the keyboard layout problem
- Design and evaluation of a laboratory-based wheelchair castor testing protocol using community data
- Relationship between diabetic macular edema and choroidal layer thickness
- Evaluation of the predictive ability of ultrasound-based assessment of breast cancer using BI-RADS natural language reporting against commercial transcriptome-based tests
- A Comprehensive Data Gathering Network Architecture in Large-Scale Visual Sensor Networks
- Recovery of health-related quality of life after burn injuries: An individual participant data meta-analysis
- Modeling aggressive market order placements with Hawkes factor models
- Role of ecology in shaping external nasal morphology in bats and implications for olfactory tracking
- High expression of olfactomedin-4 is correlated with chemoresistance and poor prognosis in pancreatic cancer
- Development and validation of a prognostic model predicting symptomatic hemorrhagic transformation in acute ischemic stroke at scale in the OHDSI network
- Complex patterns of cell growth in the placenta in normal pregnancy and as adaptations to maternal diet restriction
- Tofu intake is inversely associated with risk of breast cancer: A meta-analysis of observational studies
- Influence of light on the infection of Aureococcus anophagefferens CCMP 1984 by a “giant virus”
- Temporal ordering of input modulates connectivity formation in a developmental neuronal network model of the cortex
- Healthy lifestyle index and its association with hypertension among community adults in Sri Lanka: A cross-sectional study
- From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis
- How do critical care staff respond to organisational challenge? A qualitative exploration into personality types and cognitive processing in critical care
- Effects of supplemental creatine and guanidinoacetic acid on spatial memory and the brain of weaned Yucatan miniature pigs
- Community-Based Health Planning and Services Plus programme in Ghana: A qualitative study with stakeholders in two Systems Learning Districts on improving the implementation of primary health care
- An investigation of transportation practices in an Ontario swine system using descriptive network analysis
- Comparison of gridded precipitation datasets for rainfall-runoff and inundation modeling in the Mekong River Basin
- Functional interactions in patients with hemianopia: A graph theory-based connectivity study of resting fMRI signal
- The effects of dual-task cognitive interference on gait and turning in Huntington’s disease
- Effects of Allium hookeri on gut microbiome related to growth performance in young broiler chickens
- Novel imaging biomarkers for mapping the impact of mild mitochondrial uncoupling in the outer retina in vivo
- Hyperkalemia treatment modalities: A descriptive observational study focused on medication and healthcare resource utilization
- Long term impact of PositiveLinks: Clinic-deployed mobile technology to improve engagement with HIV care
- Comparison of post-transplantation diabetes mellitus incidence and risk factors between kidney and liver transplantation patients
- A definition-by-example approach and visual language for activity patterns in engineering disciplines
- A network analysis revealed the essential and common downstream proteins related to inguinal hernia
- Use of conventional cardiac troponin assay for diagnosis of non-ST-elevation myocardial infarction: ‘The Ottawa Troponin Pathway’
- Identification and characterization of miRNAs involved in cold acclimation of zebrafish ZF4 cells
- Research on motion planning for an indoor spray arm based on an improved potential field method
- Detailed analysis of the transverse arch of hallux valgus feet with and without pain using weightbearing ultrasound imaging and precise force sensors
- Surrogate R-spondins for tissue-specific potentiation of Wnt Signaling
- Apolipoprotein-AI mimetic peptides D-4F and L-5F decrease hepatic inflammation and increase insulin sensitivity in C57BL/6 mice
- Treating patients with driving phobia by virtual reality exposure therapy – a pilot study
- Efficient processing of raster and vector data
- Therapeutic hypothermia after out of hospital cardiac arrest improve 1-year survival rate for selective patients
- Carotid plaques and neurological impairment in patients with acute cerebral infarction
- Deep learning based image reconstruction algorithm for limited-angle translational computed tomography
- Association between coffee drinking and telomere length in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial
- Hyperbaric oxygen preconditioning and the role of NADPH oxidase inhibition in postischemic acute kidney injury induced in spontaneously hypertensive rats
- Rad51 paralogs and the risk of unselected breast cancer: A case-control study
- Diagnostic differences in respiratory breathing patterns and work of breathing indices in children with Duchenne muscular dystrophy
- The role of narrative in collaborative reasoning and intelligence analysis: A case study
- Proportions of CD4 test results indicating advanced HIV disease remain consistently high at primary health care facilities across four high HIV burden countries
- Modelling of amino acid turnover in the horse during training and racing: A basis for developing a novel supplementation strategy
- Single-modal and multi-modal false arrhythmia alarm reduction using attention-based convolutional and recurrent neural networks
- Eye-gaze information input based on pupillary response to visual stimulus with luminance modulation
- Trends of litter decomposition and soil organic matter stocks across forested swamp environments of the southeastern US
- Post mortem evaluation of inflammation, oxidative stress, and PPARγ activation in a nonhuman primate model of cardiac sympathetic neurodegeneration
- Were ancient foxes far more carnivorous than recent ones?—Carnassial morphological evidence
- Disruption in daily eating-fasting and activity-rest cycles in Indian adolescents attending school
- Plasma proteome profiling of freshwater and seawater life stages of rainbow trout (Oncorhynchus mykiss)
- Percent amplitude of fluctuation: A simple measure for resting-state fMRI signal at single voxel level
- Antimicrobial activity of Asteraceae species against bacterial pathogens isolated from postmenopausal women
- Are changes in depressive symptoms, general health and residential area socio-economic status associated with trajectories of waist circumference and body mass index?
- Extracellular vesicles of U937 macrophage cell line infected with DENV-2 induce activation in endothelial cells EA.hy926
- Link-centric analysis of variation by demographics in mobile phone communication patterns
- Tobacco smoking and health-related quality of life among university students: Mediating effect of depression
- The Shapley value for a fair division of group discounts for coordinating cooling loads
- Incidence of hospital-acquired pressure ulcers in patients with "minimal risk" according to the "Norton-MI" scale
- Lipoprotein(a) plasma levels are not associated with survival after acute coronary syndromes: An observational cohort study
- Use of Nanotrap particles for the capture and enrichment of Zika, chikungunya and dengue viruses in urine
- Pancreatic secretory trypsin inhibitor reduces multi-organ injury caused by gut ischemia/reperfusion in mice
- Biochemical characterization of Ty1 retrotransposon protease
- Lateral pressure equalisation as a principle for designing support surfaces to prevent deep tissue pressure ulcers
- The validation of the Beijing version of the Montreal Cognitive Assessment in Chinese patients undergoing hemodialysis
- Inflammasome expression is higher in ovarian tumors than in normal ovary
- HCV genotype profile in Brazil of mono-infected and HIV co-infected individuals: A survey representative of an entire country
- Engaging with change: Information and communication technology professionals’ perspectives on change at the mid-point in the UK/EU Brexit process
- Adherence to iron-folic acid supplement and associated factors among antenatal care attending pregnant mothers in governmental health institutions of Adwa town, Tigray, Ethiopia: Cross-sectional study
- Flower, seed, and fruit development in three Tunisian species of Polygonum: Implications for their taxonomy and evolution of distyly in Polygonaceae
- Development of a risk score for prediction of poor treatment outcomes among patients with multidrug-resistant tuberculosis
- Preclinical evaluation of AT-527, a novel guanosine nucleotide prodrug with potent, pan-genotypic activity against hepatitis C virus
- Aqueous extract from Mangifera indica Linn. (Anacardiaceae) leaves exerts long-term hypoglycemic effect, increases insulin sensitivity and plasma insulin levels on diabetic Wistar rats
- Discovery of Jogalong virus, a novel hepacivirus identified in a Culex annulirostris (Skuse) mosquito from the Kimberley region of Western Australia
- Clinical, cytogenetic and molecular genetic characterization of a tandem fusion translocation in a male Holstein cattle with congenital hypospadias and a ventricular septal defect
- Detection of Torque Teno Virus (TTV) and TTV-Like Minivirus in patients with presumed infectious endophthalmitis in India
- CD4 rate of increase is preferred to CD4 threshold for predicting outcomes among virologically suppressed HIV-infected adults on antiretroviral therapy
- Estimating the basic reproduction number of a pathogen in a single host when only a single founder successfully infects
- What drugs modify the risk of iatrogenic impulse-control disorders in Parkinson’s disease? A preliminary pharmacoepidemiologic study
- Evaluating emotional distress and health-related quality of life in patients with heart failure and their family caregivers: Testing dyadic dynamics using the Actor-Partner Interdependence Model
- Community- and trophic-level responses of soil nematodes to removal of a non-native tree at different stages of invasion
- Association of ECG parameters with late gadolinium enhancement and outcome in patients with clinical suspicion of acute or subacute myocarditis referred for CMR imaging
- Catchment-scale export of antibiotic resistance genes and bacteria from an agricultural watershed in central Iowa
- Impact of multi-drug resistant bacteria on economic and clinical outcomes of healthcare-associated infections in adults: Systematic review and meta-analysis
- Characterization of a universal screening approach for congenital CMV infection based on a highly-sensitive, quantitative, multiplex real-time PCR assay
- Proof-of-concept for a non-invasive, portable, and wireless device for cardiovascular monitoring in pediatric patients
- On PTV definition for glioblastoma based on fiber tracking of diffusion tensor imaging data
- Genes associated with body weight gain and feed intake identified by meta-analysis of the mesenteric fat from crossbred beef steers
- Intraoperative computed tomography imaging for dose calculation in intraoperative electron radiation therapy: Initial clinical observations
- Human lung epithelial BEAS-2B cells exhibit characteristics of mesenchymal stem cells
- Simple non-mydriatic retinal photography is feasible and demonstrates retinal microvascular dilation in Chronic Obstructive Pulmonary Disease (COPD)
- Maternal depressive symptoms and children’s cognitive development: Does early childcare and child’s sex matter?
- Evaluation of a bioengineered ACL matrix’s osteointegration with BMP-2 supplementation
- Psychosocial profiles of physical activity fluctuation in office employees: A latent profile analysis
- Prevalence and characteristics of Livestock-Associated Methicillin-Resistant Staphylococcus aureus (LA-MRSA) isolated from chicken meat in the province of Quebec, Canada
- Soluble AXL as a marker of disease progression and survival in melanoma
- Using machine learning methods to determine a typology of patients with HIV-HCV infection to be treated with antivirals
- Gender differences influence over insomnia in Korean population: A cross-sectional study
- Impact of scion/rootstock reciprocal effects on metabolomics of fruit juice and phloem sap in grafted Citrus reticulata
- Adapting cognitive diagnosis computerized adaptive testing item selection rules to traditional item response theory
- Autumn shifts in cold tolerance metabolites in overwintering adult mountain pine beetles
- Umbilical cord separation time, predictors and healing complications in newborns with dry care
- Analysis of attitudinal components towards statistics among students from different academic degrees
- Effects of fatigue induced by repeated-sprint on kicking accuracy and velocity in female soccer players
- A pre-clinical validation plan to evaluate analytical sensitivities of molecular diagnostics such as BD MAX MDR-TB, Xpert MTB/Rif Ultra and FluoroType MTB
- Leadership for success in transforming medical abortion policy in Canada
- Clinical correlates associated with the long-term response of bipolar disorder patients to lithium, valproate or lamotrigine: A retrospective study
- Forecasting stock prices with long-short term memory neural network based on attention mechanism
- On the genus Crossaster (Echinodermata: Asteroidea) and its distribution
- Intracellular and in vivo evaluation of imidazo[2,1-b]thiazole-5-carboxamide anti-tuberculosis compounds
- An integrated vitamin E-coated polymer hybrid nanoplatform: A lucrative option for an enhanced in vitro macrophage retention for an anti-hepatitis B therapeutic prospect
- The effect of strontium and silicon substituted hydroxyapatite electrochemical coatings on bone ingrowth and osseointegration of selective laser sintered porous metal implants
- Molecular prevalence of Bartonella, Babesia, and hemotropic Mycoplasma species in dogs with hemangiosarcoma from across the United States
- Color discrimination and gas chromatography-mass spectrometry fingerprint based on chemometrics analysis for the quality evaluation of Schizonepetae Spica
- Comparisons of recurrence-free survival and overall survival between microwave versus radiofrequency ablation treatment for hepatocellular carcinoma: A multiple centers retrospective cohort study with propensity score matching
- Oral misoprostol, low dose vaginal misoprostol, and vaginal dinoprostone for labor induction: Randomized controlled trial
- The association between dietary patterns before and in early pregnancy and the risk of gestational diabetes mellitus (GDM): Data from the Malaysian SECOST cohort
- Dynamic Extreme Aneuploidy (DEA) in the vegetable pathogen Phytophthora capsici and the potential for rapid asexual evolution
- Assertive, trainable and older dogs are perceived as more dominant in multi-dog households
- Prediction of Uropathogens by Flow Cytometry and Dip-stick Test Results of Urine Through Multivariable Logistic Regression Analysis
- Interleukin 6 is increased in preclinical HNSCC models of acquired cetuximab resistance, but is not required for maintenance of resistance
- Impact of viral disease hypophagia on pig jejunal function and integrity
- Molecular evidence for horizontal transmission of chelonid alphaherpesvirus 5 at green turtle (Chelonia mydas) foraging grounds in Queensland, Australia
- Evaluation and validation of 2D biomechanical models of the knee for radiograph-based preoperative planning in total knee arthroplasty
- Soil-Transmitted Helminth infections reduction in Bhutan: A report of 29 years of deworming
- cagA gene EPIYA motif genetic characterization from Colombian Helicobacter pylori isolates: Standardization of a molecular test for rapid clinical laboratory detection
- Spectral characteristics of urine from patients with end-stage kidney disease analyzed using Raman Chemometric Urinalysis (Rametrix)
- Fast quantitative time lapse displacement imaging of endothelial cell invasion
- Two novel mutations in MSX1 causing oligodontia
- Dome-shaped macula in children and adolescents
- Targeted transcriptomic study of the implication of central metabolic pathways in mannosylerythritol lipids biosynthesis in Pseudozyma antarctica T-34
- Preliminary evidences of the presence of extracellular DNA single stranded forms in soil
- A comparison of quality of life between patients treated with different dialysis modalities in Taiwan
- Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsis
- Morphological association between the muscles and bones in the craniofacial region
- Transcriptome analysis of Actinidia chinensis in response to Botryosphaeria dothidea infection
- Comparative study on skin protection activity of polyphenol-rich extract and polysaccharide-rich extract from Sargassum vachellianum
- Real-world data about emotional stress, disability and need for social care in a German IBD patient cohort
- The regenerative compatibility: A synergy between healthy ecosystems, environmental attitudes, and restorative experiences
- Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: A systematic review and meta-analysis
- Perceptions of risk and influences of choice in pregnant women with obesity. An evidence synthesis of qualitative research
- The role of refugee and migrant migration status on medication adherence: Mediation through illness perceptions
- Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
- Effects of CK2β subunit down-regulation on Akt signalling in HK-2 renal cells
- Novel broad-spectrum activity-based probes to profile malarial cysteine proteases
- Association between opioid analgesic therapy and initiation of buprenorphine management: An analysis of prescription drug monitoring program data
- Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study
- Improvement project in higher education institutions: A BPEP-based model
- An updated evaluation of serum sHER2, CA15.3, and CEA levels as biomarkers for the response of patients with metastatic breast cancer to trastuzumab-based therapies
- Genome-wide association study of metabolic syndrome in Korean populations
- Drug therapy problems and treatment satisfaction among ambulatory patients with epilepsy in a specialized hospital in Ethiopia
- Plasma kynurenines and prognosis in patients with heart failure
- Occurrence and distribution of anthropogenic persistent organic pollutants in coastal sediments and mud shrimps from the wetland of central Taiwan
- Intensified visual clutter induces increased sympathetic signalling, poorer postural control, and faster torsional eye movements during visual rotation
- Gut microbiota composition alterations are associated with the onset of diabetes in kidney transplant recipients
- Shock index and TIMI risk index as valuable prognostic tools in patients with acute coronary syndrome complicated by cardiogenic shock
- Merit overrules theory of mind when young children share resources with others
- Metabolic analysis of amino acids and vitamin B6 pathways in lymphoma survivors with cancer related chronic fatigue
- Immunopathogenesis of canine chronic ulcerative stomatitis
- Generalizing findings from a randomized controlled trial to a real-world study of the iLookOut, an online education program to improve early childhood care and education providers’ knowledge and attitudes about reporting child maltreatment
- When and what to test for: A cost-effectiveness analysis of febrile illness test-and-treat strategies in the era of responsible antibiotic use
- Comparison of effects and safety in providing controlled hypotension during surgery between dexmedetomidine and magnesium sulphate: A meta-analysis of randomized controlled trials
- The gene encoding the ketogenic enzyme HMGCS2 displays a unique expression during gonad development in mice
- Efficacy of a mitochondrion-targeting agent for reducing the level of urinary protein in rats with puromycin aminonucleoside-induced minimal-change nephrotic syndrome
- Association of endothelial nitric oxide synthase (NOS3) gene polymorphisms with primary open-angle glaucoma in a Saudi cohort
- Antitrust analysis with upward pricing pressure and cost efficiencies
- Natural selection contributes to food web stability
- Pyramiding QTLs controlling tolerance against drought, salinity, and submergence in rice through marker assisted breeding
- Diversity and plant growth-promoting functions of diazotrophic/N-scavenging bacteria isolated from the soils and rhizospheres of two species of Solanum
- Sofosbuvir-based regimen for genotype 2 HCV infected patients in Taiwan: A real world experience
- The virulence domain of Shigella IcsA contains a subregion with specific host cell adhesion function
- Sequencing artifacts derived from a library preparation method using enzymatic fragmentation
- Quantitative analysis of adsorption and desorption of volatile organic compounds on reusable zeolite filters using gas chromatography
- Quo vadis Pantanal? Expected precipitation extremes and drought dynamics from changing sea surface temperature
- Cloud-computing and machine learning in support of country-level land cover and ecosystem extent mapping in Liberia and Gabon
- The Brief Measure of Emotional Preoperative Stress (B-MEPS) as a new predictive tool for postoperative pain: A prospective observational cohort study
- The impact of diabetes mellitus medication on the incidence of endogenous endophthalmitis
- Correction: Chl1 DNA helicase and Scc2 function in chromosome condensation through cohesin deposition
- Clinical and pathological features of thrombotic microangiopathy influencing long-term kidney transplant outcomes
- Occupational exposure to particulate matter from air pollution in the outdoor workplaces in Almaty during the cold season
- Morphological adjustment in free-living Steinernema feltiae infective juveniles to increasing concentration of Nemafric-BL phytonematicide
- Key necroptotic proteins are required for Smac mimetic-mediated sensitization of cholangiocarcinoma cells to TNF-α and chemotherapeutic gemcitabine-induced necroptosis
- Concurrent lipidomics and proteomics on malignant plasma cells from multiple myeloma patients: Probing the lipid metabolome
- Retraction: SDR9C7 Promotes Lymph Node Metastases in Patients with Esophageal Squamous Cell Carcinoma
- Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis
- Bioluminescent imaging of Arabidopsis thaliana using an enhanced Nano-lantern luminescence reporter system
- Biosynthetic pathway of indole-3-acetic acid in ectomycorrhizal fungi collected from northern Thailand
- Sex-specific and opposite modulatory aspects revealed by PPI network and pathway analysis of ischemic stroke in humans
- Control of the microsporidian parasite Nosema ceranae in honey bees (Apis mellifera) using nutraceutical and immuno-stimulatory compounds
- Role of donor genotype in RT-QuIC seeding activity of chronic wasting disease prions using human and bank vole substrates
- Oral magnesium supplementation for leg cramps in pregnancy—An observational controlled trial
- Health care professionals’ knowledge of commonly used sedative, analgesic and neuromuscular drugs: A single center (Rambam Health Care Campus), prospective, observational survey
- Campylobacter portucalensis sp. nov., a new species of Campylobacter isolated from the preputial mucosa of bulls
- Transgenic interleukin 11 expression causes cross-tissue fibro-inflammation and an inflammatory bowel phenotype in mice
- Sleep quality and sex modify the relationships between trait energy and fatigue on state energy and fatigue
- The role of peer, parental, and school norms in predicting adolescents’ attitudes and behaviours of majority and different minority ethnic groups in Croatia
- Availability, prices and affordability of selected antibiotics and medicines against non-communicable diseases in western Cameroon and northeast DR Congo
- The effect of mutations derived from mouse-adapted H3N2 seasonal influenza A virus to pathogenicity and host adaptation
- Detection of posttraumatic pneumothorax using electrical impedance tomography—An observer-blinded study in pigs with blunt chest trauma
- Educators’ perceptions of organisational readiness for implementation of a pre-adolescent transdisciplinary school health intervention for inter-generational outcomes
- Beyond the heterodimer model for mineralocorticoid and glucocorticoid receptor interactions in nuclei and at DNA
- The effects of sport expertise and shot results on basketball players’ action anticipation
- Framework and algorithms for identifying honest blocks in blockchain
- Exploring the impact of terminology differences in blood and organ donor decision making
- Platelet indices significantly correlate with liver fibrosis in HCV-infected patients
- The nitrate content of fresh and cooked vegetables and their health-related risks
- Bioreactor for mobilization of mesenchymal stem/stromal cells into scaffolds under mechanical stimulation: Preliminary results
- Non-gradient and genotype-dependent patterns of RSV gene expression
- Multiplex real-time PCR for the detection of Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato and pathogenic Xanthomonas species on tomato plants
- The 24-hour urinary cortisol in post-traumatic stress disorder: A meta-analysis
- Drug-eluting versus bare-metal stents for first myocardial infarction in patients with atrial fibrillation: A nationwide population-based cohort study
- Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study
- “I like the way I am, but I feel like I could get a little bit bigger”: Perceptions of body image among adolescents and youth living with HIV in Durban, South Africa
- Nanoparticle-based ‘turn-on’ scattering and post-sample fluorescence for ultrasensitive detection of water pollution in wider window
- Insights into the strategy of micro-environmental adaptation: Transcriptomic analysis of two alvinocaridid shrimps at a hydrothermal vent
- Thirty-day readmission after medical-surgical hospitalization for people who experience imprisonment in Ontario, Canada: A retrospective cohort study
- Hyper-spectral response and estimation model of soil degradation in Kenli County, the Yellow River Delta
- The association of telomere length and telomerase activity with adverse outcomes in older patients with non-ST-elevation acute coronary syndrome
- Construction of a high-density genetic map and fine mapping of a candidate gene locus for a novel branched-spike mutant in barley
- Alterations of aqueous humor Aβ levels in Aβ-infused and transgenic mouse models of Alzheimer disease
- Natural hybridization between Phyllagathis and Sporoxeia species produces a hybrid without reproductive organs
- The impact of peer attachment on prosocial behavior, emotional difficulties and conduct problems in adolescence: The mediating role of empathy
- Diagnostic performance of serum interferon gamma, matrix metalloproteinases, and periostin measurements for pulmonary tuberculosis in Japanese patients with pneumonia
- Characterization of black patina from the Tiber River embankments using Next-Generation Sequencing
- Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment
- Nanosheet wrapping-assisted coverslip-free imaging for looking deeper into a tissue at high resolution
- Validity of cerebrovascular ICD-9-CM codes in healthcare administrative databases. The Umbria Data-Value Project
- Torque teno virus viral load is related to age, CMV infection and HLA type but not to Alzheimer's disease
- Associations of cigarette smoking and burden of thoracic aortic calcification in asymptomatic individuals: A dose-response relationship
- Transforming assessment of speech in children with cleft palate via online crowdsourcing
- Human-raptor conflict in rural settlements of Colombia
- Assessment of peritoneal microbial features and tumor marker levels as potential diagnostic tools for ovarian cancer
- Deficiency syndromes in top predators associated with large-scale changes in the Baltic Sea ecosystem
- Perceived relative social status and cognitive load influence acceptance of unfair offers in the Ultimatum Game
- Hepatitis B and C virus infection among HIV patients within the public and private healthcare systems in Chile: A cross-sectional serosurvey
- Retraction: Oncogenic Fibulin-5 Promotes Nasopharyngeal Carcinoma Cell Metastasis through the FLJ10540/AKT Pathway and Correlates with Poor Prognosis
- From seed to flour: Sowing sustainability in the use of cantaloupe melon residue (Cucumis melo L. var. reticulatus)
- Core Scientific Dataset Model: A lightweight and portable model and file format for multi-dimensional scientific data
- Accounting for measurement error to assess the effect of air pollution on omic signals
- Leucine zipper transcription factor-like 1 binds adaptor protein complex-1 and 2 and participates in trafficking of transferrin receptor 1
- Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study
- Genetic predisposition to celiac disease in Kazakhstan: Potential impact on the clinical practice in Central Asia
- A lower psoas muscle volume was associated with a higher rate of recurrence in male clear cell renal cell carcinoma
- Two angles of overqualification-the deviant behavior and creative performance: The role of career and survival job
- Cost-utility analysis of de-escalating biological disease-modifying anti-rheumatic drugs in patients with rheumatoid arthritis
- Efficient estimation of stereo thresholds: What slope should be assumed for the psychometric function?
- Learning efficient haptic shape exploration with a rigid tactile sensor array
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