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ReklamaCharacterization of the diverse plasmid pool harbored by the blaNDM-1-containing Acinetobacter bereziniae HPC229 clinical strain
Authors: Marco Brovedan aff001; Guillermo D. Repizo aff001; Patricia Marchiaro aff001; Alejandro M. Viale aff001; Adriana Limansky aff001
Authors place of work: Instituto de Biología Molecular y Celular de Rosario (IBR), Departamento de Microbiología, Facultad de Ciencias Bioquímicas y Farmacéuticas, CONICET, Universidad Nacional de Rosario (UNR), Rosario, Argentina aff001
Published in the journal: PLoS ONE 14(11)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0220584Summary
Acinetobacter bereziniae is an environmental microorganism with increasing clinical incidence, and may thus provide a model for a bacterial species bridging the gap between the environment and the clinical setting. A. bereziniae plasmids have been poorly studied, and their characterization could offer clues on the causes underlying the leap between these two different habitats. Here we characterized the whole plasmid content of A. bereziniae HPC229, a clinical strain previously reported to harbor a 44-kbp plasmid, pNDM229, conferring carbapenem and aminoglycoside resistance. We identified five extra plasmids in HPC229 ranging from 114 to 1.3 kbp, including pAbe229-114 (114 kbp) encoding a MOBP111 relaxase and carrying heavy metal resistance, a bacteriophage defense BREX system and four different toxin-antitoxin (TA) systems. Two other replicons, pAbe229-15 (15.4 kbp) and pAbe229-9 (9.1 kbp), both encoding MOBQ1 relaxases and also carrying TA systems, were found. The three latter plasmids contained Acinetobacter Rep_3 superfamily replication initiator protein genes, and functional analysis of their transfer regions revealed the mobilizable nature of them. HPC229 also harbors two smaller plasmids, pAbe229-4 (4.4 kbp) and pAbe229-1 (1.3 kbp), the former bearing a ColE1-type replicon and a TA system, and the latter lacking known replication functions. Comparative sequence analyses against deposited Acinetobacter genomes indicated that the above five HPC229 plasmids were unique, although some regions were also present in other of these genomes. The transfer, replication, and adaptive modules in pAbe229-15, and the stability module in pAbe229-9, were bordered by sites potentially recognized by XerC/XerD site-specific tyrosine recombinases, thus suggesting a potential mechanism for their acquisition. The presence of Rep_3 and ColE1-based replication modules, different mob genes, distinct adaptive functions including resistance to heavy metal and other environmental stressors, as well as antimicrobial resistance genes, and a high content of XerC/XerD sites among HPC229 plasmids provide evidence of substantial links with bacterial species derived from both environmental and clinical habitats.
Keywords:
Sequence analysis – DNA sequence analysis – Sequence databases – Plasmid construction – Antimicrobial resistance – Plasmids – Genomic databases – Acinetobacter
Introduction
Plasmids are extra-chromosomal self-replicating DNA molecules that act as efficient vectors of horizontal gene transfer (HGT) across bacterial populations, thus facilitating adaptation of particular individuals and derived clonal lineages to novel and/or fluctuating environmental conditions [1,2]. Bacterial plasmids are assemblies of different modules encompassing replication, mobilization and stability functions in what is defined as the plasmid backbone [3]. This conserved structure is generally accompanied by accessory genes that provide adaptive functions, including pathogenicity/virulence, antimicrobial resistance, and/or other traits depending on the selective context [1,3]. Plasmids are also carriers of other mobile genetic elements such as insertion sequences (IS), transposons, and different genomic islands, thus becoming vectors for the transport of information from a communal gene pool [1]. They additionally provide scaffolds where different genetic rearrangements can occur via different homologous and non-homologous recombination processes, events that contribute not only to their own evolution but also the survival of their hosts under different evolutionary pressures [4].
The identification of plasmid types provides relevant information about their impact on the physiology of their hosts and their modes of transmission [3]. Current plasmid typing schemes exploit the more conserved backbone modules associated with replication (Rep typing) and/or mobility (MOB typing) [3,5]. Still, a caveat of these schemes is that plasmids lacking Rep or MOB genes escape classification schemes [6]. In this context, the rapid advance of whole genome sequence methodologies (WGS), by providing complete (or near-complete) plasmid sequences, has helped to characterize not only of the plasmid backbone but also of accessory genes including the complete repertoire of mobile genetic elements, and the identification of potential recombinatorial hot spots in the plasmid sequence. This may provide many clues on the evolutionary processes that shaped their structures and drove their persistence in a given bacterial group, as well as their potentiality of dissemination to novel hosts [7–12].
We have recently demonstrated [13] that A. baumannii plasmids can exploit the XerC/XerD site-specific recombination system [14] to mediate fusions and resolutions of different replicons, some of them carrying blaOXA-58 and aphA6 genes conferring carbapenem and aminoglycoside resistance, respectively. This may represent a powerful mechanism not only to drive plasmid structural rearrangements but also host range expansions [13]. Several authors have proposed in fact that the Acinetobacter XerC/XerD recombination system may mediate the mobilization of different DNA segments carrying adaptive, that includes antimicrobial resistance, and heavy metal resistance, or stability traits such as toxin-antitoxin (TA) genes conforming part of the plasmid backbone [6,13,15–18].
We have recently characterized by WGS a carbapenem-resistant Acinetobacter bereziniae strain isolated in Argentina designated HPC229 [19]. HPC229 carries a blaNDM-1-bearing carbapenem-resistance plasmid of 44 kbp designated pNDM229 [20], which displays a similar structure to plasmid pNDM-BJ01 carried by an A. lwoffii strain isolated in China [21]. This strongly suggested that pNDM229 was acquired by HPC229 as the result of HGT from other member of the genus, and selected due to the antimicrobial pressure common to the clinical setting [20,22]. As a species, A. bereziniae has a wide distribution and has been isolated from various sources including soils, vegetables, animals, and human-associated environments such as waste waters [23–26]. More recently, A. bereziniae has been also increasingly associated to healthcare-associated infections in humans [25,27]. In fact, although A. bereziniae isolates were in the past generally susceptible to most antimicrobials of clinical use [24], since 2010 a number of carbapenem-resistant clinical strains bearing IMP-, SIM-, VIM - or NDM-type metallo-β-lactamases (MβL) have been reported [20,22,25,28]. MβL genes are generally carried in these strains by plasmids, suggesting both the mechanism of their acquisition and potential spread to other Gram-negative species [20,25]. Contrary to the acquired resistance plasmids mentioned above, the available information on the natural plasmids circulating among the population of this species and which may also contribute to the adaptation to different habitats is rather limited. This general lack of information on the A. bereziniae intrinsic plasmid repertoire reflects the case of most other species of the genus except for A. baumannii [29,30].
Here, we characterized in detail the whole plasmid content of the HPC229 strain, in an attempt to gain information on the intrinsic repertoire of A. bereziniae plasmids lacking antimicrobial resistance determinants but putatively contributing to other traits such as bacterial persistance. This included a comprehensive sequence analysis not only of the modules related to replication, stability, and mobilization, but also the identification of mobile elements, adaptive genes, and XerC/D recognition sites which may drive structural plasticity in their sequences and thus help in their persistence and the adaptation of their host(s) to different environments.
Parts of the results of this work were presented in the Symposium of Plasmid Biology 2018, Seattle, USA (Abstract 101).
Materials and methods
Strain assignation based on ANI calculations
Average nucleotide identity values (ANI) [31] were calculated and used for Acinetobacter species assignation. ANI were calculated from the published draft genome sequence data of the strains under study using orthoANI [32]. Briefly, each genome pair consisting in a query genome versus the reference strain CIP70.12 genome were first split into 1,020 bp fragments, which were used to run bidirectional BlastN searches (cut-off value higher than 70%). Only orthologous fragment pairs satisfying this requirement [32] were then taken into consideration for calculating ANI. An ANI cut-off value higher than 95% was adopted to define a given Acinetobacter species [33]. The accuracy of the species assignment by this procedure was evaluated by calculating the ANI corresponding to the non-A. bereziniae strains A. guillouiae CIP 63.46 and A. gerneri DSM 14967, which represent two Acinetobacter species showing the closest phylogenetic affiliation to A. bereziniae [23, 26].
HPC229 plasmids assembly and annotation
Acinetobacter bereziniae HPC229 is a carbapenem resistance clinical strain isolated from a blood sample of a 53-year-old female patient with leukemia [20]. The draft genome sequence of this strain was obtained using a 454 pyrosequencing platform (Roche Diagnostics) [19]. The revised assembled genome has been deposited at DDBJ/ENA/GenBank under the accession LKDJ00000000.2. Newly assembled genome sequences were annotated using the pipeline available at National Center for Biotechnology Information (NCBI).
Suspected plasmid sequences were analysed and assembled into putative replicons in silico, and the gaps inferred in the sequences were closed by PCR conducted on plasmid extracts with the aid of specifically designed primer pairs (S1 Table). The DNA sequences of all amplicons obtained in these assays were verified at the Sequencing Facility of Maine University. The overall analyses indicated the presence, besides of pNDM229, of five additional plasmids lacking antimicrobial resistance determinants (Table 1). The ORFs predicted by the NCBI pipeline in these plasmids were compared with the protein sequences deposited in the GenBank database using BlastP [34]. The CGview tool with default parameters (http://cgview.ca/) [35] was used for the visualization of GC content and GC skew.
Tab. 1. Characteristics of A. bereziniae HPC229 plasmids. Plasmid isolation and S1 analysis
HPC229 plasmids were extracted using the Wizard DNA purification kit (Promega, Madison, WI, USA), and analyzed by 0.7% agarose gel electrophoresis and ethidium bromide staining following described procedures [13]. S1 nuclease treatment of plasmid extracts (S1 Fig) was conducted essentially as described previously [13].
Comparative sequence analyses
The presence of mobile genetic elements among HPC229 plasmids was inspected using BlastN [34]. Only hits equal or higher than 70% nucleotide identity and minimum alignment lengths of 1,000 bp for pAbe229-114 or 300 bp for pAbe229-15, pAbe229-9 and pAbe229-4 were considered for further analysis. Graphical displays of nucleotide homologies between HPC229 plasmids with other A. bereziniae genomes were obtained using CGview (http://cgview.ca/) [35] employing a BlastN-homology search with an E-value cut-off of 1e-15.
Bioinformatic identification of diverse genetic elements
Classification of membrane transport proteins was done using the Transporter Classification Database program (http://www.tcdb.org/) [36]. The screening for type II TA systems was conducted using TADB (http://bioinfo-mml.sjtu.edu.cn/TADB/) [37] and RASTA-Bacteria (http://genoweb1.irisa.fr/duals/RASTA-Bacteria/) [38] web-based search tools. Data retrieved from these databases were manually curated and complemented with BlastP-homology searches against the NCBI Protein database [34].
Insertion sequences (IS) were detected using IS Finder (https://www-is.biotoul.fr/) [39] and ISSaga [40]. The designation of novel IS elements were provided by the curators of the IS database [39], while transposon (Tn) designations were assigned by the Tn Number Registry [41]. The Tandem Repeats Finder program [42] was used to identify direct repeats by using default parameters. The GenSkew program (http://genskew.csb.univie.ac.at/) was used to predict global minima skew values generally associated to plasmid origins of replication [43].
A. bereziniae plasmid classification based on the comparison of Rep proteins
A. bereziniae plasmids bearing rep replication initiator protein (Rep) genes were classified following the scheme recently proposed by Salto et al. [30] for Acinetobacter plasmids. First, a search for known plasmid Rep domains as judged by the NCBI conserved domain database [44] was conducted among the A. bereziniae plasmid sequences reported in this work and those retrieved from A. bereziniae genomes available in the GenBank public database. Putative Rep candidates were then used as queries for a BlastP search against a local protein database that included all the Rep sequences reported by Salto et al. [30], and subsequently assigned to the corresponding Acinetobacter AR3G groups following the criterium described by these authors.
Classification of A. bereziniae plasmids encoding MOB proteins
A. bereziniae plasmids bearing relaxase genes were classified following the scheme of MOB classification in families and subfamilies essentially following described procedures [30]. First, a local database that included all the MOB proteins used for the classification of Acinetobacter relaxases into MOB groups and subgroups was constructed [30]. Then, a search for proteins encoded in A. bereziniae genomic sequences available in the GenBank database with conjugation and/or mobilization functions was performed. This search retrieved 12 predicted protein sequences encoding for putative relaxases as judged by their homologies to described relaxase domains (NCBI conserved domain database) [44]. Among these 12 sequences, eleven showed the pfam03389 MobA/MobL domain and the other (encoded in pAbe229-114 and designated TraI*) showed the pfam03432 Relaxase/Mobilization nuclease domain. The eleven proteins bearing the pfam03389 domain were subjected to further phlylogenetic analysis. For this purpose, their N-terminal domains (first 300 amino acid residues) were first aligned with the MOB proteins of local database (see above) using MEGA6.06 [45] by employing ClustalW [46] with default parameters, and a Maximum-Likelihood (ML) phylogenetic tree was then generated using these alignments. To determine the best-fit protein substitution model, the tool included in MEGA6.06 was employed. This resulted in the use of the LG+G+I substitution model, taking into account the Akaike information criterion (AIC). Bootstrap values (100 replications) were also calculated using MEGA6.06 [45].
In the case of the TraI* relaxase encoded in pAbe229-114 (see above), the assignment was done using the best-hit match in a BlastP search against the relaxase local database.
Testing the functionality of the tranfer regions present in A. bereziniae plasmids
Potentially mobilizable plasmids possessing a predicted origin of transfer and mob genes codifying relaxase proteins, necessarily requiere other conjugative functions provided in trans to allow transfer to a new host [30,47]. To evaluate the ability of A. bereziniae plasmids encoding predicted mob genes to undergo mobilization, we essentially followed previously described procedures by other authors [30,47]. In the case of pAbe229-114, a 2,682 bp fragment encompassing oriT, traJ and ΔtraI genes (see below) was amplified by PCR with primers mob114-F and mob114-R (S1 Table), using HPC229 genomic DNA as template. This amplicon was then cloned into pGEM-T-Easy (Promega, Madison, WI, USA), thus generating pGEM-mob114 following conventional E. coli DH5α transformation procedures. pGEM-mob114 was then used to transform E. coli Eco S17 [48] harboring the conjugative plasmid pRP4 integrated into the chromosome. The conjugative transfer of pGEM-mob114 from Eco S17 was then tested in a mating assay using rifampicin resistant (rifR) E. coli DH5α as acceptor [20]. In the cases of pAbe229-15 and pAbe229-9, 2,803 bp and 2,562 bp fragments of the corresponding transfer regions encompassing orf15, oriT, and mobA gene (see below) were amplified by PCR with mob15-F and mob15-R for pAbe229-15, or mob9-F and mob9-R primers for pAbe229-9 (S1 Table) using HPC229 genomic DNA as template. These amplicons were cloned into pGEM-T-Easy (Promega, Madison, WI, USA), and the transferability of the obtained plasmids was tested as described above. The transconjugants in each case were selected on LB agar plates containing 100 μg/ml ampicillin and 150 μg/ml rifampicin, and resistant colonies were counted after an overnight incubation at 37°C. The presence on selected transconjugants of the transfer regions from the tested plasmids was evaluated by PCR with the corresponding primers (S1 Table). Conjugation frequencies were indicated as the average number of transconjugants (in UFC/ml) per donor cell obtained in three independent experiments.
Search for XerC/D recombinases recognition sites in A. bereziniae plasmids
HPC229 plasmid sequences were first queried using Fuzznuc (http://www.bioinformatics.nl/cgi-bin/emboss/fuzznuc) with default parameters with an ambiguous XerC/D nucleotide recognition sequence (NNTNYKYATAANNNNYWTTATSTKAWNN, whereY = C/T, K = G/T, W = A/T, S = G/C, N = A/T/C/G), inferred from the consensus 28-mer XerC/D recognition sequence determined for A. baumannii plasmids [13]. This search found 9 XerC/D recognition sites among these plasmids, which were complemented with 3 additional sites detected after a thoughtful visual inspection of plasmid sequences.
XerC/D recognition sites bearing a 6 nt-central region (cr6-XerC/D) detected in HPC229 plasmids were then used to infer a (degenerate) consensus XerC/D recognition sequence: (DHWYCKHATAANNNNNNTTATGTTAADT; where D = A/G/T, H = A/C/T), and used as query to identify equivalent sites in A. bereziniae sequences. A logo depicting the A. bereziniae XerC/D site frequency plot was then constructed using this information with the tool available at https://weblogo.berkeley.edu/logo.cgi.
Ethics statement
This study involved sequence analysis of A. bereziniae plasmids and did not implicate human specimens or participants.
Results and discussion
Analysis of plasmids harbored by A. bereziniae HPC229
The different contigs obtained after HPC229 genomic pyrosequencing were extensively analyzed to search for plasmid sequences other than pNDM229 characterized in detail previously [20]. Among them we identified 5 putative plasmid sequences, which were thoughtfully assembled in silico and the resulting inferred final structures subsequently validated by PCR using specifically designed primer pairs (S1 Table, Figs 1 and 2). Therefore HPC229 harbors, besides pNDM229, five other plasmids of approximate sizes of 114, 15.4, 9.1, 4.4, and 1.3 kbp which will be hereafter designated pAbe229-114, pAbe229-15, pAbe229-9, pAbe229-4, and pAbe229-1, respectively (Table 1; GenBank accession numbers are provided in S1 Table). Conventional plasmid extraction combined with S1 nuclease treatment and agarose gel electrophoresis analysis of the digested material (S1 Fig) indicated the presence of four DNA bands of approximate sizes of 15, 9, 4 and 1.3 kbp, additionally supporting the presence of pAbe229-15, pAbe229-9, pAbe229-4, and pAbe229-1 in these cells. The larger plasmids were not visualized by this procedure, a situation thay may have resulted from their much larger sizes and/or copy number.
Fig. 1. Schematic representation of pAbe229-114 plasmid. Fig. 2. Tab. 2. Homologous regions in Acinetobacter spp. pAbe229-114 encodes five heavy metal resistance operons and a phage resistance system
pAbe229-114, the largest plasmid found in these cells, contains 114,007 bp, displays a GC content of 42.1% (Fig 1), and contains 111 ORFs from which 84 (i. e., 76%) encode proteins exhibiting known functions (S2 Table). It shows an oriV-repB replication region, with an encoded RepB replication initiator protein of the Rep_3 superfamily (pfam01051 conserved domain) displaying complete amino acid identity with their homologs encoded in A. ursingii UMB1319 and in A. nosocomialis 2010S01-197 (WP_043972782.1; S2 Table). pAbe229-114 was assigned to the Acinetobacter AR3G4 plasmid group, following the classification of Acinetobacter plasmids based on Rep_3 proteins recently proposed [30] (S3 Table). The oriV region, which is located 549 bp upstream of the repB start codon, contains six imperfect direct repeats of 22 bp each (Table 1, Fig 1) likely corresponding to iteron sequences playing roles during the initiation of replication and plasmid copy number control [49]. Comparative sequence analyses of the whole replication module including repB and the iterons indicated 99% nucleotide identity with a similar region located in plasmid pXBB1-8 of A. johnsonii XBB1 recovered from hospital sewage (Table 1) [50].
In addition to the replicative module, pAbe229-114 encodes different stability functions, including ParA/ParB as well as HipA/HipB, Fic/YhfG, HigA2/HigB2, and HigA/HigB TA systems. For each of these TA systems, homologous were detected in other Acinetobacter species (Fig 1, S2 Table).
pAbe229-114 also contains a conjugative/transfer region (traMLKJ-ΔtraI; S2 Table) in which the relaxase gene (pfam03432) is partially deleted at the 3’ region (hence the ΔtraI designation). The translated protein (TraI*), however, still retains a complete relaxase domain. The conjugative/transfer region mentioned above showed 91% nucleotide identity with a homologous segment displaying a complete traI gene found in the conjugative plasmid pQKH54 (AM157767.1) from an uncharacterized bacterium [51]. A BlastP search using as query the N-terminal first 300 amino acids (relaxase domain) of TraI* showed 92% identity with a homologous relaxase corresponding to MOBP111 subfamily (Table 1) [30].
Comparative nucleotide sequence analysis of pAbe229-114 against Acinetobacter genomes deposited in databases allowed us to detect homology between several regions of this plasmid with other sequences present in other clinical and environmental species of the genus (Table 2; see the upper part of the Table for sequences present in Acinetobacter non-bereziniae genomes). For instance, replication and stability functions (region 1, Fig 1, and Table 2) showed homology with a region carried by pAV3 from the environmental A. venetianus VE-C3 strain [52]. In addition, three of the pAbe229-114 TA systems, namely HipA/HipB, Fic/YhfG and HigA/HigB, were also identified in pAV3 (regions 4 and 12, respectively, Fig 1, and Table 2). Their presence likely fulfills an important role for plasmid stability in both replicons [53]. In turn, the HigA2/HigB2 TA system found in pAbe229-114 (region 9, Fig 1, and Table 2) has probably been independently acquired from other sources, as inferred from the high percentage of identity between this region and a homologous sequence identified in A. pittii.
The region of pAbe229-114 encoding heavy metal ions resistance functions shows homology with a region located in plasmid pmZS of the A. lwoffii ZS207 environmental strain (region 2, Fig 1, and Table 2). Moreover, the 6,091 bp-segment encoding a RND efflux pump related to copper ion resistance showed homology with a region (region 3, Fig 1, and Table 2) detected inside the GI2-genomic island located on the chromosome of the A. baumannii LAC-4 clinical strain [54]. In turn, a 6,971 bp-DNA segment encoding cobalt-zinc-cadmium ions resistance contained in a truncated Tn6018 element, and the nrpAB genes encoding nickel ion resistance [55,56], exhibited homology with pALWED3.1 of the A. lwoffii ED9-5a environmental strain (region 6, Fig 1, and Table 2). Other adaptive regions probably involved in oxidative stress resistance encode functions responsible for the reduction of methionine sulfoxides in damaged proteins (regions 5 and 10, Fig 1, and Table 2). These regions show homology to DNA sectors detected in Acinetobacter sp. WCHA45 and A. johnsonii plasmid pXBB1-9, respectively. The fabAB genes, which are located within region 5, have been related to intrinsic resistance to aminoglycosides [57,58]. Furthermore, a locus encoding a BREX system (S2 Table) reported to be involved in defense against bacteriophages [59], displayed homology with a cluster present in plasmid pAV3 from A. venetianus VE-C3 (regions 7 and 8, Fig 1, and Table 2). Remarkably, a region of this locus of around 1 kbp encompassing the central part of pglX (Table 2) is not conserved between these plasmids. pglX encodes a protein containing an adenine-specific DNA methyltransferase motif, and variability in this gene has been documented and linked to a possible phase variation playing regulatory functions [59].
Of note, the overall observations above uncovered extensive regions of identity between the plasmid backbones of A. bereziniae pAbe229-114 and A. venetianus VE-C3 pAV3 (Fig 1, Table 2). Comparative nucleotide sequence analyses between these two plasmids indicated in fact that they share around 50% equivalent sequences, including the replication and stability regions and part of the adaptive region. The additional presence of an integrase, two TA systems, as well as UmuC and UmuD error-prone DNA polymerase V subunit genes [60] in this region led us to conclude that this region constitutes a genomic island probably acquired by HGT. Besides the similarities between pAbe229-114 and other plasmids summarized above, unique regions were also identified in this plasmid including the conjugal transfer region as well as some segments involving genes contiguous to IS elements corresponding to the adaptive regions (Fig 1, S2 Table).
A search for mobile genetic elements in pAbe229-114 indicated the existence of 15 different IS (including complete IS and IS remnants) assigned to 7 different families (Table 3). The presence among them of ISAba12 and ISAba22 in multiple copies is consistent with previous observations indicating the ubiquitous distribution of these two IS among Acinetobacter genomes [61]. This suggested that pAbe229-114 has undergone several structural rearrangements, some resulting from IS insertions. Most of the IS shown in Table 3 have been reported previously in different members of the Acinetobacter genus [61]. However, we identified a novel IS element, which received the designation ISAbe18 by the ISSaga database [36]. This ISAbe18 is flanked by 9-bp direct repeats (Table 3), indicating a duplication at the insertion site. In turn, this not only suggest that it represents an active IS but also that it was recently acquired by the plasmid. It is worth noting that WGS sequence analysis indicated that all the above IS elements are missing in the A. bereziniae HPC229 chromosome (not shown), strongly suggesting that they were collected during transit of the plasmid through different bacterial hosts.
Tab. 3. Mobile genetic elements detected in pAbe229-114. We also noted that pAbe229-114 bears a region of 18,283 bp (nucleotides 84,870–107,613 in Fig 1) bracketed by incomplete ISAba1 and ISAba22 elements, which exhibits a higher-than-average GC content (approximately 57%; see inner ring in Fig 1). When considering that the average GC content of Acinetobacter genomes is in average around 40% [62], it seems likely that this region was acquired by HGT from a donor from outside the Acinetobacter genus. In line with this assumption, a sequence exhibiting a similarly high GC content and displaying more than 85% nucleotide identity was identified in the draft genome sequences of Pseudomonas stutzeri B1 SMN1 (accession number AMVM00000000.1), an organism showing an analogous GC content [63]. Moreover, this region is contiguous in pAbe229-114 to a genetic element encompassing a gshR glutathione reductase gene (region 11, Fig 1, Table 2) which is surrounded by an ISAba12 copy and a defective ISAba22 element that is immediately followed in turn by a complete ISAba1 copy (Fig 1, Table 3). ISAba1 exhibits a large impact on A. baumannii genomes [61], and therefore we hypothesize that the two ISAba1 elements bracketing the 22,744 bp region represent a composite transposon encompassing the oxidative stress resistance genes, the incomplete conjugal-transfer region, and the gshR gene. Supporting this notion, the two ISAba1 elements at the borders are limited by identical 9 bp-duplications immediately next to their external inverted-repeats, a hallmark of a recent ISAba1 transposition event [64]. This novel transposon was thus deposited at the Transposon Registry (https://www.lstmed.ac.uk/services/the-transposon-registry) under the designation Tn6637 (Table 3). We also identified in pAbe229-114 an incomplete Tn6018 transposon carrying cadmium and zinc resistance genes (Fig 1). Notably, the Tn6018 element in pAbe229-114 lacks the tnpA transposase gene normally located downstream of the lspA gene [55], probably as the result of an ISAba12 insertion in this region. Downstream of the cadR gene, this defective transposon was additionally found to be interrumped by an IS5 family element (Fig 1).
Overall the above analysis indicates a mosaic structure for pAbe229-114, most likely the outcome of the sequential insertion of different mobile elements accompanying the plasmid backbone followed by substantial rearrangements and deletions on the resulting structures. These events were most probably selected under varying external conditions during transit through different environmental and clinical bacterial hosts.
The small HPC229 plasmids pAbe229-15 and pAbe229-9
A. baumannii clinical strains contain a varied repertoire of plasmids [2,3,6,13,17,29]. Many of them encode only a limited number of functions generally related to mobilization, a TA system, and a replicase of the Rep_3 superfamily, and are designated as “small” plasmids [6]. As detailed below, HPC229 plasmids pAbe229-15 and pAbe229-9 fulfill these traits, and could then be included in this category. pAbe229-15 (15,389 bp, 35% GC content; Fig 2A) contains 16 ORFs, 9 of them encoding proteins of known functions (S2 Table). Among them, replication (RepB), transfer (MobA), stability (a HigB2/HigA2 TA system), and adaptive (a YddG permease (DMT superfamily), a proline/glycine betaine ProP transporter, and a putative creatinase) functions were identified. In the replication module, the replication initiator protein RepB shows 100% amino acid identity with other Rep encoded in different Acinetobacter species (WP_012780181.1; S2 Table) including the Rep of pMMD carried by an A. baumannii clinical strain (YP_006961790.1; S3 Table) [16] and assigned to the AR3G3 group [30]. Four iterons of 21 bp were identified 44 bp upstream of the repB start codon (Table 1, Fig 2A), a region showing 100% nucleotide identity with a homologous region also located in pMMD. It is worth noting the presence in the adaptive region of pAbe229-15 of a gene encoding a protein showing both creatinase/prolidase (pfam01321) and creatine amidinohydrolase (pfam01321) domains. These two domains are commonly found in bacterial creatinases responsible for the hydrolysis of creatine to sarcosine and urea, thus providing carbon and nitrogen for growth [65]. The coexistence of genes encoding transporters and a transcriptional regulator belonging to the GlxA family in the same region (S2 Table) suggests that they shared a common metabolic pathway.
BlastN-searches uncovered significant sequence identities between different regions of pAbe229-15 comprising replication, transfer, stability and adaptive functions with those of other Acinetobacter spp plasmids (regions 1–5, Fig 2A, and Table 2). The overall analysis thus revealed high levels of identity between different fragments of pAbe229-15 with equivalent regions found among members of the A. calcoaceticus/A. baumanni (ACB) complex.
pAbe229-9 (9,154 bp, 35.4% GC content; Fig 2B) contains 13 predicted ORFs, 7 of them coding for proteins of attributed functions (S2 Table). Its replication region contains a repB gene encoding a Rep_3 family protein with 100% amino acid identity with an homologous protein encoded in A. pittii PR331 (OTM21916.1) and 85% identity with an homologous protein encoded in pAV1 from the environmental strain A. venetianus VE-C3 (YP_001661463.1; S3 Table). Thus, similarly to the latter protein, pAbe229-9 RepB was assigned to the AR3G6 group following a recent classification [30]. The oriV region is composed by four perfect, directly oriented iterons located 56 bp upstream of repB (Table 1, Fig 2B). The whole replication region, including repB and the iterons, shows homology with a segment of A. venetianus VE-C3 pAV1 (region 1, Fig 2B, and Table 2). The stability region carries genes for a SplT/SplA TA system [66] and a toxin of the Doc-type. splT/splA homologous genes were identified also in pAV1 (region 3) and in pD36-4 of A. baumannii D36 (partial region 4, Fig 2B, and Table 2). The latter plasmid also shares with pAbe229-9 a downstream segment (region 4, Fig 2B), which includes two ORFs of unknown function, and a doc gene encoding an orphan toxin of the Phd-Doc system (S2 Table). Concerning the transfer region, a 2,637 bp-homologous segment including a mobA gene was found in A. baumannii pMMD (region 6, Fig 2B, and Table 2). Interestingly, the latter fragment also exhibits 93% nucleotide identity with a partial segment in region 1 of pAbe229-15 (Fig 2A) that spans from nucleotide positions 6,828 to 9,154 and continues from nucleotides 1 to 313 (Fig 2B). This strongly suggested that this region was exchanged in the past between these two HPC229 replicons.
Phylogenetic analysis of the relaxases encoded by plasmids pAbe229-15 and pAbe229-9
The two mobA relaxases encoded in pAbe229-15 and pAbe229-9, respectively (S4 Table) were phylogenetically characterized following described procedures [30]. The corresponding N-terminal domain sequences were aligned with other 42 bacterial plasmid relaxases (S4 Table), and a ML phylogenetic tree was subsequently constructed (Fig 3). This analysis revealed that both relaxases clustered with members of the MOBQ1 subfamily, in particular within a subclade encompassing the relaxases from A. baumannii plasmids pMAC and pIH8. On the contrary, the relaxase encoded in pNDM229 [20] clustered within a different MOBQ1 subclade (Fig 3). It is worth remarking that in all HPC229 plasmids carrying mobA genes the genetic organization of the mobilization region is similar to that described for other Acinetobacter plasmids exhibiting a single mob gene [67].
Fig. 3. Phylogenetic analysis of HPC229 plasmid relaxases. Functional analysis of the transfer regions of pAbe229-114, pAbe229-15 and pAbe229-9
In order to determine whether pAbe229-114, pAbe229-15 and pAbe229-9 transfer regions can be mobilized when providing a full transferability machinery in trans, a functional analysis was conducted by cloning first the corresponding regions encompassing oriT and mob genes (Figs 1 and 2) into pGEM-T-Easy (Promega, Madison, WI, USA) thus generationg pGEM-mob114, pGEM-mob15 or pGEM-mob9. These plasmids were then transformed into E. coli Eco S17 harboring full conjugation functions [48], and independent mating assays were done using as donors Eco S17 cells harboring pGEM-mob114, pGEM-mob15 or pGEM-mob9, and E. coli DH5α (rifR) as recipient (see Materials and Methods for details). The obtained conjugation frequencies were 1.0 x 10−6 UFC/ml, 6.0 x 10−7 UFC/ml, and 4.0 x 10−7 UFC/ml for pGEM-mob114, pGEM-mob15 or pGEM-mob9, respectively. Of note, when the mating was done under the same experimental conditions employing E. coli EcoS17 transformed with the empty vector pGEM-T-easy (Promega, Madison, WI, USA) as donor, rifR DH5α transconjugants were not obtained. In turn, no transconjugant cells were obtained when the mating assays were done using rifampicin susceptible E. coli DH5α harboring pGEM-mob114, pGEM-mob15 or pGEM-mob9 as donors, and rifR E. coli DH5α as recipient.
In summary, the pAbe229-114, pAbe229-15 and pAbe229-9 regions encompassing oriT and ΔtraI in the case of pAbe229-114, and the corresponding oriT and mobA in the cases of pAbe229-15 and pAbe229-9, were found to be functional as judged by the above assays. The overall experimental assays thus support bioinformatic predictions indicated in all cases an oriT region located upstream genes codifying relaxase proteins involved in horizontal transfer (Fig 1, Fig 2 and S2 Table). This support the notion that A. bereziniae pAbe229-114, pAbe229-15 and pAbe229-9 can be confidentially classified as mobilizable plasmids.
The smallest HPC229 plasmids, pAbe229-4 and pAbe229-1, lack rep genes
The presence of small cryptic plasmids lacking known replication initiatior protein genes has been already described in A. baumannii [6]. Similarly, two of the plasmids found in A. bereziniae HPC229, pAbe229-4 (4,450 bp, 36.4% GC; Fig 2C) and pAbe229-1 (1,329 bp, 36.9% GC; Fig 2D) fall into this category (S2 Table). pAbe229-4 contains 7 ORFs, 3 of them with described functions including a RelE/RelBTA system and a rimI gene encoding a putative N-acetyltransferase. BlastN analysis disclosed significant regions of identity between pAbe229-4 with genomes of other Acinetobacter species (regions 3 and 4, Fig 2C, and Table 2).
pAbe229-1, with only 1,329 bp (Fig 2D and S1 Fig), represents the smallest plasmid reported so far in an Acinetobacter genus member. It harbors 2 predicted ORFs with no homology in databases, but BlastN homology searches against the nucleotide GenBank database revealed significant homology to a 465 bp region of unknown function found in plasmid pM131-11 from an Acinetobacter sp. isolate (Fig 2D, Table 2).
The absence of rep genes in pAbe229-4 and pAbe229-1 prompted us to search for alternate replication systems. In pAbe229-4 this analysis indicated the existence of sequences encoding homologous to RNAI (106 bp, between positions 4237 to 4342; Fig 2C) and RNAII (608 bp between position 4236 to 4450 and 1 to 393; Fig 2C), exhibiting 54% and 44% identity, respectively, to the equivalent regions described for ColE1 replicons [68,69]. pAbe229-4 would then represent, to our knowledge, the first example of a ColE1-type plasmid described in a species of the genus Acinetobacter. In the case of pAbe229-1, our analysis revealed only a high-AT region typical of a putative replication origin [70] (see potential oriV in the GC skew of Fig 2D), but its exact mechanism of replication is still unknown.
In summary, pAbe229-114, pAbe229-15 and pAbe229-9 plasmids encode replication initiator proteins of the Rep_3 superfamily similarly to the case of most other Acinetobacter plasmids [6,13,30,71]. This certainly opens the possibility for these three plasmids to replicate in other species of the Acinetobacter genus. On the contrary, pAbe229-4 and pAbe229-1 plasmids lack replication initiator protein genes. However, while the pAbe229-4 plasmid may use a ColE1-type replicon as suggested by sequence analysis, the replication mechanism of pAbe229-1 remains obscure.
Identification of XerC/D sites in HPC229 plasmids
Different authors [13,15–18] have noted the presence in different Acinetobacter plasmids of various modules, including antimicrobial resistance genes, heavy metal resistance genes, and TA systems among other genes, bordered by short DNA sequences recognized by XerC/XerD site-specific tyrosine recombinases (XerC/D sites). XerC/D sites are generally composed by two conserved motifs of 11 bp, separated by a less-conserved central region (cr) generally spanning 6 nt [72], although sites with cr regions of five, seven, and even more nucleotides have also been described [14,50,72,73]. The ubiquitous distribution of the XerC/XerD site-specif recombination system among bacteria has led to proposals that the XerC/D sites bordering these modules play roles in their mobilization and dissemination [13,15–18], although the exact mechanism is still obscure [17]. In this context, we have recently found [13] that at least some of the XerC/D sites located in a number of A. baumannii plasmids can in fact conform proficient pairs for site-specific recombination mediating the formation (and resolution) of plasmid co-integrates. We thus decided to investigate by bioinformatic procedures the abundance and location of XerC/D recognition sites in HPC229 plasmids (see Materials and Methods for details).
This approach allowed us to infer the existence of 12 putative XerC/D sites among 4 of the plasmids present in this strain: 5 in pAbe229-15; 4 in pAbe229-9; only 2 in pAbe229-114; and 1 in pAbe229-4 (Table 4). As previously observed for other bacterial XerC/D sites [13,16–18], the XerD recognition motif in HPC229 plasmids was more conserved than the XerC equivalent. In turn, the cr was the less conserved region both in sequence and in length (Table 4). Thus, while ten of the above 12 XerC/D sites show cr of an usual length of 6 nucleotides (cr6) displaying high sequence variability, one site (XerC/D_8, located in pAbe229-9) contained a cr of 5 nucleotides while other (XerC/D_5, located in pAbe229-15) a cr of 7 nucleotides in length (Table 4).
Tab. 4. XerC/D sites in HPC229 plasmids. The above XerC/D sites were bracketing discrete regions in the corresponding HPC229 plasmid sequences (Figs 1 and 2). BlastN-homology searches using as query each of these regions indicated high levels of identity with similar regions carried by different Acinetobacter plasmids for some of them, including region 1 and 2 of pAbe229-15 (Fig 2A, Table 2), and region 3 of pAbe229-9 (Fig 2B, Table 2). It is worth noting also that a region of around 1 kbp in pAbe229-114, that includes the XerC/D_11 site and a downstream higA2/higB2 TA system (region 9, Fig 1) showed high sequence identity with a homologous segment found in pOXA58-AP_882 of A. pittii AP_882 (Table 2). This TA system is bracketed by a XerC/D pair in the latter plasmid (CP014479.1), thus suggesting that it may have been acquired by pAbe229-114 through XerC/D-mediated site-specific plasmid fusions followed by further plasmid rearrangements [13].
In summary, the presence of several XerC/D recognition sites in many of HPC229 plasmids, and the modular nature of the sequence regions that they border (see above) are consistent with the idea that XerC/D-mediated site-specific recombination events may have played relevant roles in the evolution of their structures [13].
Analysis of plasmid idiosyncratic sequences (plasmid markers) in A. bereziniae genomes
To obtain further clues on the diversity of the plasmids housed by the A. bereziniae population, we conducted a comparative genomic analysis of genome sequences obtained from all strains assigned to this species available at GenBank (NCBI) database. For this purpose, we retrieved and analysed the available genomic sequence data corresponding to all seven strains classified as A. bereziniae in the database (S5 Table, top seven strains). We also conducted a BlastN search among the currently available Acinetobacter sp. genome sequences (GenBank-WGS database) using as query the A. bereziniae type strain CIP 70.12 rpoB gene sequence (GenBank accession number APQG01000052.1) to identify potential A. berezeniae strains not assigned to this species. Two strains showing rpoB sequences identities higher than 99% with CIP 70.12 rpoB emerged from this analysis, Acinetobacter sp. Ag2 and Acinetobacter sp. WC-743 (S5 Table), which prompted us to further delimitate their species assignations. We therefore calculated the percentage of average nucleotide identities (ANI) of these two strains when compared to the A. bereziniae type strain CIP 70.12 [23]. We also included in these comparisons other 6 strains previously assigned to A. bereziniae by other authors (S5 Table). As seen in this Table, ANI values higher than 98% were obtained for all of the 8 strains, largely exceeding in all cases the 95% cut-off value adopted for species assignation among the Acinetobacter genus [43]. In comparison, two Acinetobacter non-bereziniae strains that emerge closely-associated to A. bereziniae in phylogenetic trees such as A. guillouiae CIP 63.46 [23] and A. gerneri DSM 14967 [26] showed ANI values of 83 and 76%, respectively (S5 Table), thus validating the species assignations made above.
Plasmid contigs detected in the above A. bereziniae strains were first identified on the basis of the rep genes they encode. Hence, a list of Rep sequences was manually compiled based on the genomic annotation of all A. bereziniae strains under study (S5 Table), and in which proteins containing the chromosomal DnaA domain that activates initiation of DNA replication in bacteria (pfam00308) were excluded. Each of the identified Rep was used as query in a BlastP-homology search against a local protein database that included all the Acinetobacter replication initiator proteins of the Rep_3 superfamily (AR3) [30]. Sixteen out of the seventeen Rep proteins thus identified among A. bereziniae sequences fell into 11 of the 15 groups defined in this work [30], including AR3G1.1, AR3G1.2, AR3G1.4, AR3G2, AR3G3, AR3G5, AR3G8, AR3G9, AR3G11, AR3G12, AR3G13, AR3G14, and AR3G15 (S3 Table). A notable case was represented by A. bereziniae CHI-40-1, in which 7 Rep candidates were found distributed among 7 different AR3G groups (S3 Table). This supports the proposed existence of several different plasmids in this strain [22].
The remaining Rep candidate found in an A. bereziniae strain, KCTC 23199 (GenBank accession number WP_010591570.1; S3 Table), showed no significant identity to any of the above Rep_3 superfamily members. Moreover, it encompassed in the protein sequence an N-terminal replicase domain (pfam03090 family), a primase C-terminal 1 domain (pfam08708 family, PriCT_1) and a helix-turn-helix_28 domain (pfam13518 family). Further BlastP comparative searches against the GenBank protein database identified homologues also sharing these three domains not only among other Acinetobacter plasmids (S3 Table) but also enterobacterial plasmids including a Klebsiella pneumoniae plasmid (47% identity, 99% coverage, GenBank accession number SSI90041.1).
Two Rep proteins, encoded in A. bereziniae CIP 70.12 and KCTC 23199 sequences, were found to be identical to RepC (WP_000743064.1) codified in plasmid pAB3 of A. baumannii ATCC 17978 (S3 Table), which was assigned to AR3G14 [30]. However, these proteins contain a RepC (pfam06504) rather than a Rep_3 (pfam01051) superfamily domain, and were thus assigned to a novel group tentatively denominated ARCG1 (S3 Table). RepC superfamily members are found among IncQ-like group plasmids [74] where they function as iteron-binding oriV activators [75]. It follows that A. bereziniae is seemingly capable of hosting a wide variety of plasmids, the majority of them containing Rep_3 based replication modules.
We also analyzed the putative relaxases encoded in A. bereziniae sequences by undertaking the same phylogenetic approach used above for pAbe229-15 and pAbe229-9 (Fig 3, S4 Table). Eight proteins annotated as relaxases in A. bereziniae genomes were also included in this analysis with strain CHI-40-1 bearing 5 candidates, one of them in pNDM-40-1 (AHF22521.1; S4 Table) [22]. Our analysis (Fig 3) indicated that 4 out of these 8 proteins clustered within MOBQ1 together with the 3 relaxases detected among HPC229 plasmids, and the remnant 4 proteins clustered with members of the recently described MOBQAci subfamily [30].
In summary, the wide repertoire of both replication and mobilization functions described above among A. bereziniae plasmids, and especially among strains HPC229 and CHI-40-1, reflect the plasmid diversity housed by this species.
Comparative sequence analyses between HPC229 plasmids and other A. bereziniae genomes
We next analyzed whether the plasmids identified here in HPC229 share significant regions of identity with sequences of other A. bereziniae genomes (S5 Table, Fig 4). We used for this purpose the draft genome sequences from 7 of the above indicated A. bereziniae strains, and excluded from the analysis strain XH901 since its reported genome contains only chromosomal sequences. This analysis indicated that the genomic island described in pAbe229-114 (region Abe4, Fig 4A) was also detected in other A. bereziniae strains (see also Table 2; results obtained for sequences present in A. bereziniae genomes are shown in the lower part). The presence of this genomic island among these genomes suggests that it may have been acquired by HGT, although its presence in an A. bereziniae ancestor followed by differential losses in some lineages cannot be ruled out at this stage.
Fig. 4. Identification of homologous sequences to HPC229 plasmids in other Acinetobacter genomes. Other regions that deserve consideration in pAbe229-114 are those encoding oxidative stress resistance mechanisms (Abe5 and Abe10 regions, Fig 4A), heavy metal (cadmium, cobalt, nickel and zinc) detoxification systems (Abe6 region, Fig 4A) and type 1-BREX system (Abe7 and Abe8 regions, Fig 4A, Table 2). All corresponding genes were also identified in other A. bereziniae strains (Table 2). It is worth noting that similar systems bearing strong adaptive significance have been described in plasmids from both pathogenic species of the genus such as A. baumannii [76,77] as well as from different environmental microbial populations [18,78]. Taken together, the above data reinforce the notion that these adaptive traits are being disseminated by plasmids among different bacterial populations. Moreover, the Abe12 region bearing higB/higA genes is also present in several A. bereziniae strains. Notably, the genes encoding all of these elements are contained in contig143 of strain CHI-40-1. This contig also harbors a mobA gene (Fig 3), thus suggesting a plasmid location of this TA system and supporting the above proposal that these systems are frequently mobilized by plasmids [79]. Altogether, the above comparisons indicate that A. bereziniae strains isolated in different geographical locations (S5 Table) share between them a significant number of DNA regions, most of them likely encoding adaptive functions. Still, pAbe229-114 carries a unique set of replication, stability and transfer genes as compared to other A. bereziniae strains (Table 2). This suggests a high genetic plasticity for this species and the capability to mobilize DNA segments exhibiting adaptive functions among different Acinetobacter replicons.
Comparative sequence analyses done on pAbe229-15 (Abe1-Abe4 regions, Fig 4B, Table 2) showed homology to sequences present in other A. bereziniae genomes, with the exception of the region encompassing nucleotides 10,236–13,127 encoding two ORFs (orf13 and orf14) of unknown functions. Notably, the Abe3-4 and Abe4 regions flanked by XerC/D_3 and XerC/D_4 sites shows 98% sequence identity with an homologous region from A. bereziniae CHI-40-1 contig195 (Fig 4B, Table 2). This segment in CHI-40-1 also encodes a Rep_3 member (CDEL01000195.1; Table 2), thus suggesting that this contig corresponds to a plasmid. Thus, it is tempting to speculate that the Abe3-4 and Abe4 regions are shared by plasmids present in both CHI-40-1 and HPC229, and that are probably mobilized by recombination. Interestingly, the unique region of pAbe229-15 is flanked by sites XerC/D_4 and XerC/D_5 (Fig 4B), also suggesting an acquisition as the result of site-specific recombination.
In the case of pAbe229-9, a region carrying the splT/splA genes (Abe3 region; Table 2) displayed significant identity with sequences derived from several A. bereziniae strains (Fig 4C). This region, also present in several A. bereziniae genomes, is bracketed by XerC/D_6 and XerC/D_7 sites. Moreover, the presence of a similar arrangement (including the bordering XerC/D sites) in pAV1 of A. venetianus VE-C3 also suggests a mechanism of acquisition of this TA encoding region mediated by site-specific recombination [13].
Regarding pAbe229-4, an homologous region of 2,352 bp including orf1, orf2, and the relEB TA system (Abe1, Abe1-2, Abe2, Abe2-3 and Abe-3, Fig 4D) was only detected in A. bereziniae Ag2 (Table 2). Finally, pAbe229-1 homologous sequences could not be detected among A. bereziniae genomes other than HPC229.
Altogether, the above observations suggest that HPC229 plasmids are specific of A. bereziniae HPC229, since none of them showed significant coverage with sequences present in other A. bereziniae strains. Still, it is worth noting that 4 out of 5 HPC229 plasmids displayed homology with sequences present in strain CHI-40-1 including stretches of 42,386 bp (pAbe229-114), 2,571 bp (pAbe229-15), 1,422 bp (pAbe229-9), and 444 bp (pAbe229-4) (see total cover column, Table 2). Furthermore, the modules conforming the HPC229 plasmid backbone are not widely represented in other members of this species, suggesting they were partially acquired from A. non-bereziniae species by HGT.
XerC/D sites in A. bereziniae genomes
The presence of XerC/D recognition sites in A. bereziniae genomic sequences was also investigated. In principle we expected to detect the chromosomal cognate site (dif) involved in chromosome segregation [72], so we hypothesized that the additional XerC/D sites detected in a given genome should be carried by plasmids. To search for XerC/D sites among these sequences, a partially degenerate 28-nucleotides consensus query bearing a 6 nucleotides central region (cr), as inferred from HPC229 plasmid (Table 4), was used (see Materials and Methods for details). Moreover, and given the lack of conservation in the cr on the consensus sequence mentioned above, we additionally modify the query by including a completely degenerate cr in this part of the sequence.
A total of 55 putative XerC/D sites were identified by this procedure in the eight A. bereziniae strains analyzed (S6 Table). Expectedly, only one XerC/D site was identified in strain XH901 lacking plasmid sequences (see above), probably reflecting the single chromosomal dif site. In most of the other strains the number of XerC/D sites varied between 2 and 7, with the exception of strains HPC229 (10 sites, Table 4) and CHI-40-1 (31 sites, S6 Table). This is in line with the above observations indicating that the latter two strains carry several plasmids, and suggests a correlation between strains adapted to the hospital environment and the presence of multiple XerC/D sites in the plasmids they carry [13].
With the information obtained above from all the 67 A. bereziniae XerC/D sites, we constructed a atttCgcATAAggggtaTTATGTTAAaT XerC/D consensus recognition site (S6 Table, see also Table 4). This consensus resulted very similar to that reported previously for the plasmids present in the A. baumannii Ab242 clinical strain (atTtcgtATAAggtgtaTTATgTtAaat) [13] with the exception of two mismatches, one at the XerC site and another at the cr. This opens the possibility of XerC/D-mediated site-specific recombinatorial events between plasmids of both species if they eventually come in contact within the same bacterial host.
Conclusions
A detailed characterization of the Acinetobacter accessory genome can provide clues on the evolutionary dynamics of the members of this genus. In this context, we analyzed here the plasmid content of A. bereziniae HPC229, being this species isolated from various human, animal and environmental sources [23]. This clinical strain represents, to our knowledge, the first A. bereziniae strain in which a complete and diverse pool of plasmids has been characterized. The ability of A. bereziniae HPC229 to harbor six plasmids, including pNDM229 carrying blaNDM-1 and aphA6 resistance genes most likely selected in the clinical setting [20] as well as the other plasmids characterized here probably enabling environmental survival, provides this strain with a great plasticity to thrive under various selective pressures. The overall analysis suggest that A. bereziniae HPC229 plasmids could be regarded as chimeras of diverse origins. An outstanding example is pAbe229-114, which shares extensive backbone sequence similarity to pAV3 from A. venetianus VE-C3 isolated from polluted waters [80]. This correlation was not totally unexpected, providing that A. bereziniae is also isolated from waste water products of human activities [26].
The small HPC229 plasmids pAbe229-15 or pAbe229-9 show features which may contribute to their dissemination by HGT. These include MOBQ1 relaxases, which could be assisted by helper plasmids from different incompatibility groups and/or chromosomally-located tra functions [67]. Interestingly, these small plasmids do not carry mobile elements but are enriched in XerC/D-recognition sites bracketing specific regions, which could mediate the formation of cointegrates with other XerC/D-containing plasmids by site-specific recombination [13]. In this context, our analysis of A. bereziniae genome sequences suggests a correlation between strains adapted to the hospital environment such as HPC229 and CHI-40-1 [20,22], and the presence of multiple XerC/D sites in many of the plasmids they carry.
In summary, our studies highlight the plasmid diversity carried by A. bereziniae, an organism that may contribute to the evolution and expansion of the Acinetobacter plasmidome facilitating thus the adaptation of other species from this genus to these radically distinct environments.
Supporting information
S1 Fig [tif]
S1 nuclease analysis of HPC229 plasmids.S1 Table [pdf]
Oligonucleotide primers used for PCR analysis.S2 Table [xlsx]
Genes identified in HPC229 plasmids.S3 Table [xlsx]
plasmid replicases classification.S4 Table [xlsx]
Plasmid relaxases used in this work.S5 Table [xlsx]
Characteristics of and type strains.S6 Table [xlsx]
XerC/XerD sites in genomes.
Zdroje
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- Association between metabolic body composition status and risk for impaired renal function: A cross-sectional study
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- Ion concentration polarization (ICP) of proteins at silicon micropillar nanogaps
- The trajectory of patterns of light and sedentary physical activity among females, ages 14-23
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- Measuring the complexity of directed graphs: A polynomial-based approach
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- Bacterial communities in the rhizosphere, phyllosphere and endosphere of tomato plants
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- Raising the bar: Recovery ambition for species at risk in Canada and the US
- Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach
- Foraging strategies are maintained despite workforce reduction: A multidisciplinary survey on the pollen collected by a social pollinator
- Incidence of colorectal cancer in Eritrea: Data from the National Health Laboratory, 2011-2017
- Integrated analysis of miRNA landscape and cellular networking pathways in stage-specific prostate cancer
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- Role of rhesus macaque IFITM3(2) in simian immunodeficiency virus infection of macaques
- Variation in the LRR region of Pi54 protein alters its interaction with the AvrPi54 protein revealed by in silico analysis
- Evolutionarily conserved susceptibility of the mitochondrial respiratory chain to SDHI pesticides and its consequence on the impact of SDHIs on human cultured cells
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- The association between sleep problems and academic performance in primary school-aged children: Findings from a Norwegian longitudinal population-based study
- Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan
- Assessing reliability of intra-tumor heterogeneity estimates from single sample whole exome sequencing data
- Dispersion of Legionella bacteria in atmosphere: A practical source location estimation method
- Integrative proteomic and phosphoproteomic profiling of prostate cell lines
- Treatment paths for localised prostate cancer in Italy: The results of a multidisciplinary, observational, prospective study (Pros-IT CNR)
- Why are undergraduate emerging adults anxious and avoidant in their romantic relationships? The role of family relationships
- Barriers to implementation of emergency obstetric and neonatal care in rural Pakistan
- Testosterone supplementation improves insulin responsiveness in HFD fed male T2DM mice and potentiates insulin signaling in the skeletal muscle and C2C12 myocyte cell line
- Ang-(1-7)/ MAS1 receptor axis inhibits allergic airway inflammation via blockade of Src-mediated EGFR transactivation in a murine model of asthma
- Factors influencing bird-building collisions in the downtown area of a major North American city
- Collembola laterally move biochar particles
- Decreased retinal thickness in patients with Alzheimer’s disease is correlated with disease severity
- Moving system with action sport cameras: 3D kinematics of the walking and running in a large volume
- Factors influencing subclinical atherosclerosis in patients with biopsy-proven nonalcoholic fatty liver disease
- Boundary violations and adolescent drinking: Observational evidence that symbolic boundaries moderate social influence
- Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis
- A new resolution function to evaluate tree shape statistics
- Thermostat wars? The roles of gender and thermal comfort negotiations in household energy use behavior
- Patients undergoing surgery for lumbar spinal stenosis experience unique courses of pain and disability: A group-based trajectory analysis
- Lifetime prevalence of intimate partner violence against women in an urban Brazilian city: A cross-sectional survey
- The factors associated with being left-behind children in China: Multilevel analysis with nationally representative data
- High heat tolerance in plants from the Andean highlands: Implications for paramos in a warmer world
- Quantifying pediatric patient need for second- and third-line HIV treatment: A tool for decision-making in resource-limited settings
- Discovery of actionable genetic alterations with targeted panel sequencing in children with relapsed or refractory solid tumors
- Iodine status of non-pregnant women and availability of food vehicles for fortification with iodine in a remote community in Gulf province, Papua New Guinea
- Fibre and extracellular matrix contributions to passive forces in human skeletal muscles: An experimental based constitutive law for numerical modelling of the passive element in the classical Hill-type three element model
- The status of imported Barremian-Bedoulian flint in north-eastern Iberia during the Middle Neolithic. Insights from the variscite mines of Gavà (Barcelona)
- Psychology of personal data donation
- Radiocarbon dating and cultural dynamics across Mongolia’s early pastoral transition
- MARGO (Massively Automated Real-time GUI for Object-tracking), a platform for high-throughput ethology
- Visual detection of time-varying signals: Opposing biases and their timescales
- Results from a World Health Organization pilot of the Basic Emergency Care Course in Sub Saharan Africa
- Scientists’ opinions and attitudes towards citizens’ understanding of science and their role in public engagement activities
- Dacentrurine stegosaurs (Dinosauria): A new specimen of Miragaia longicollum from the Late Jurassic of Portugal resolves taxonomical validity and shows the occurrence of the clade in North America
- Integrated pan-cancer gene expression and drug sensitivity analysis reveals SLFN11 mRNA as a solid tumor biomarker predictive of sensitivity to DNA-damaging chemotherapy
- Does membrane feeding compromise the quality of Aedes aegypti mosquitoes?
- Morphology, phylogeny, and taxonomy of two species of colonial volvocine green algae from Lake Victoria, Tanzania
- Metabolomics profiles associated with HbA1c levels in patients with type 2 diabetes
- Exploring local realities: Perceptions and experiences of healthcare workers on the management and control of drug-resistant tuberculosis in Addis Ababa, Ethiopia
- Sex differences in the treatment and outcome of emergency general surgery
- Comorbidities and costs in HIV patients: A retrospective claims database analysis in Germany
- Barriers to integration of bioinformatics into undergraduate life sciences education: A national study of US life sciences faculty uncover significant barriers to integrating bioinformatics into undergraduate instruction
- Local unemployment changes the springboard effect of low pay: Evidence from England
- A comparison of body composition assessment methods in climbers: Which is better?
- Comparison of an in-house ‘home-brew’ and commercial ViroSeq integrase genotyping assays on HIV-1 subtype C samples
- Elucidating genetic variability and population structure in Venturia inaequalis associated with apple scab diseaseusing SSR markers
- Clustering via hypergraph modularity
- Indomethacin enhances anti-tumor efficacy of a MUC1 peptide vaccine against breast cancer in MUC1 transgenic mice
- Multistage fuzzy comprehensive evaluation of landslide hazards based on a cloud model
- Inducible microRNA-200c decreases motility of breast cancer cells and reduces filamin A
- Pharmacological signatures of the reduced incidence and the progression of cognitive decline in ageing populations suggest the protective role of beneficial polypharmacy
- Continuous influenza virus production in a tubular bioreactor system provides stable titers and avoids the “von Magnus effect”
- Complex interaction networks of cytokines after transarterial chemotherapy in patients with hepatocellular carcinoma
- Gender essentialism in transgender and cisgender children
- Insertional mutagenesis in the zoonotic pathogen Chlamydia caviae
- Being there: A scoping review of grief support training in medical education
- Does the psychological profile influence the position of promising young futsal players?
- Effect of self-rated health status on functioning difficulties among older adults in Ghana: Coarsened exact matching method of analysis of the World Health Organization’s study on global AGEing and adult health, Wave 2
- Olfactory screening of Parkinson’s Disease patients and healthy subjects in China and Germany: A study of cross-cultural adaptation of the Sniffin’ Sticks 12-identification test
- Molecular evolution of cytochrome C oxidase-I protein of insects living in Saudi Arabia
- Correlates of leisure-time sedentary behavior among 181,793 adolescents aged 12-15 years from 66 low- and middle-income countries
- Cost-effectiveness analysis of Mucosal Leishmaniasis diagnosis with PCR-based vs parasitological tests in Colombia
- Spatiotemporal analysis of historical records (2001–2012) on dengue fever in Vietnam and development of a statistical model for forecasting risk
- Resilience assessment of Puerto Rico’s coral reefs to inform reef management
- Effect of community based health education on knowledge and attitude towards iron and folic acid supplementation among pregnant women in Kiambu County, Kenya: A quasi experimental study
- Implementation and effectiveness of non-specialist mediated interventions for children with Autism Spectrum Disorder: A systematic review and meta-analysis
- A tailored cognitive behavioral program for juvenile justice-referred females at risk of substance use and delinquency: A pilot quasi-experimental trial
- Impact of adjusted kidney volume measured in the bench surgery on one-year renal function in kidney transplantation
- Machine learning algorithm validation with a limited sample size
- The magnitude of suicidal ideation, attempts and associated factors of HIV positive youth attending ART follow ups at St. Paul’s hospital Millennium Medical College and St. Peter’s specialized hospital, Addis Ababa, Ethiopia, 2018
- The nonlinear effect of financial and fiscal policies on poverty alleviation in China—An empirical analysis of Chinese 382 impoverished counties with PSTR models
- Impacts of risk and competition on the profitability of banks: Empirical evidence from Pakistan
- Molecular characterization of lung adenocarcinoma from Korean patients using next generation sequencing
- An expansin-like protein expands forage cell walls and synergistically increases hydrolysis, digestibility and fermentation of livestock feeds by fibrolytic enzymes
- Joint image compression and encryption based on sparse Bayesian learning and bit-level 3D Arnold cat maps
- Urticating setae of tarantulas (Araneae: Theraphosidae): Morphology, revision of typology and terminology and implications for taxonomy
- Live observation of the oviposition process in Daphnia magna
- On the accuracy of displacement-based wave intensity analysis: Effect of vessel wall viscoelasticity and nonlinearity
- Nodosilinea signiensis sp. nov. (Leptolyngbyaceae, Synechococcales), a new terrestrial cyanobacterium isolated from mats collected on Signy Island, South Orkney Islands, Antarctica
- A 3’ UTR SNP rs885863, a cis-eQTL for the circadian gene VIPR2 and lincRNA 689, is associated with opioid addiction
- Characterizing the Randot Preschool stereotest: Testability, norms, reliability, specificity and sensitivity in children aged 2-11 years
- Tributyltin chloride (TBT) induces RXRA down-regulation and lipid accumulation in human liver cells
- Amazon climatic factors driving terpene composition of Iryanthera polyneura Ducke in terra-firme forest: A statistical approach
- Differences in clinical features of cluster headache between drinkers and nondrinkers in Japan
- Distribution of macular ganglion cell layer thickness in foveal hypoplasia: A new diagnostic criterion for ocular albinism
- Polo-like kinase 1 (Plk1) inhibition synergizes with taxanes in triple negative breast cancer
- Effect of mechanochemical activation of natural phosphorite structure as well as phosphorus solubility
- Automated content analysis across six languages
- A deep learning reconstruction framework for X-ray computed tomography with incomplete data
- Integrating interconception care in preventive child health care services: The Healthy Pregnancy 4 All program
- The prognostic significance of tumor-infiltrating lymphocytes assessment with hematoxylin and eosin sections in resected primary lung adenocarcinoma
- Effectiveness of novel fabrics to resist punctures and lacerations from white shark (Carcharodon carcharias): Implications to reduce injuries from shark bites
- Bacillus Calmette-Guérin (BCG) therapy lowers the incidence of Alzheimer’s disease in bladder cancer patients
- Serial block-face scanning electron microscopy reveals neuronal-epithelial cell fusion in the mouse cornea
- Salt or fish (or salted fish)? The Bronze Age specialised sites along the Tyrrhenian coast of Central Italy: New insights from Caprolace settlement
- Pragmatic language dysfunction in systemic lupus erythematosus patients: Results from a single center Italian study
- Association between cerebral atrophy and osteoporotic vertebral compression fractures
- Latitudinal gradient of cyanobacterial diversity in tidal flats
- Gene expression based survival prediction for cancer patients—A topic modeling approach
- Understanding allergic multimorbidity within the non-eosinophilic interactome
- The association between psychological distress and angina pectoris: A population-based study
- Comparative analysis on Facebook post interaction using DNN, ELM and LSTM
- Cerebellum-mediated trainability of eye and head movements for dynamic gazing
- Psychological and physiological effects of applying self-control to the mobile phone
- Omecamtiv mecarbil lowers the contractile deficit in a mouse model of nebulin-based nemaline myopathy
- Genome-wide SNP analyses reveal population structure of Portunus pelagicus along Vietnam coastline
- Modulating transcription through development of semi-synthetic yeast core promoters
- Left-handed metamaterial bandpass filter for GPS, Earth Exploration-Satellite and WiMAX frequency sensing applications
- Cost-effectiveness analysis of PSA-based mass screening: Evidence from a randomised controlled trial combined with register data
- A good tennis player does not lose matches. The effects of valence congruency in processing stance-argument pairs
- Validation of the group tasks uncertainty model (MITAG) in a German sample
- Parent psychological wellbeing in a single-family room versus an open bay neonatal intensive care unit
- Optimizing the procedure of grain nutrient predictions in barley via hyperspectral imaging
- In-situ time resolved spectrographic measurement using an additively manufactured metallic micro-fluidic analysis platform
- Race disparity in blood sphingolipidomics associated with lupus cardiovascular comorbidity
- Characterization of the placental transcriptome through mid to late gestation in the mare
- Indirect violence exposure and mental health symptoms among an urban public-school population: Prevalence and correlates
- Diagnostic ability of multifocal electroretinogram in early multiple sclerosis using a new signal analysis method
- Predictors of never having a mammogram among Chinese, Vietnamese, and Korean immigrant women in the U.S.
- The impact of hepatic steatosis on portal hypertension
- How do and could clinical guidelines support patient-centred care for women: Content analysis of guidelines
- Study of the epidemiological behavior of malaria in the Darien Region, Panama. 2015–2017
- School-based obesity prevention for busy low-income families—Organisational and personal barriers and facilitators to implementation
- Neighborhood crime, disorder and substance use in the Caribbean context: Jamaica National Drug Use Prevalence Survey 2016
- Genomic comparison of diverse Salmonella serovars isolated from swine
- Significance of the lobe-specific emphysema index to predict prolonged air leak after anatomical segmentectomy
- Modeling of inter-organizational coordination dynamics in resilience planning of infrastructure systems: A multilayer network simulation framework
- Manipulating the odds: The effects of Machiavellianism and construal level on cheating behavior
- Early recognition of anorexia through patient-generated assessment predicts survival in patients with oesophagogastric cancer
- Identifying publications in questionable journals in the context of performance-based research funding
- ITGAM is a risk factor to systemic lupus erythematosus and possibly a protection factor to rheumatoid arthritis in patients from Mexico
- Nurses’ and patients’ experiences and preferences of the ankle-brachial pressure index and multi-site photoplethysmography for the diagnosis of peripheral arterial disease: A qualitative study
- Cluster tendency assessment in neuronal spike data
- Voluntary medical male circumcision for HIV prevention among adolescents in Kenya: Unintended consequences of pursuing service-delivery targets
- Primary care in five European countries: A citizens’ perspective on the quality of care for children
- High Order Profile Expansion to tackle the new user problem on recommender systems
- Psychometric properties of the Korean version of the Health Literacy on Social Determinants of Health Questionnaire (K-HL-SDHQ)
- Flood hazard mapping and assessment in data-scarce Nyaungdon area, Myanmar
- Methods for the identification of farm escapees in feral mink (Neovison vison) populations
- Transcriptional analysis of amino acid, metal ion, vitamin and carbohydrate uptake in butanol-producing Clostridium beijerinckii NRRL B-598
- Long-term vancomycin use had low risk of ototoxicity
- Overcoming platinum resistance in ovarian cancer by targeting pregnancy-associated plasma protein-A
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- Pan-caspase inhibitor F573 mitigates liver ischemia reperfusion injury in a murine model
- Efficacy of interleukin 10 gene hydrofection in pig liver vascular isolated ‘in vivo’ by surgical procedure with interest in liver transplantation
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- Anterior tooth-use behaviors among early modern humans and Neandertals
- Incidence patterns of orofacial clefts in purebred dogs
- Capacity of the medullary cavity of tibia and femur for intra-bone marrow transplantation in mice
- Association of thoracic spine deformity and cardiovascular disease in a mouse model for Marfan syndrome
- Predicting atrial fibrillation in primary care using machine learning
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- Prevention of suicidal behaviour: Results of a controlled community-based intervention study in four European countries
- An assessment of khat consumption habit and its linkage to household economies and work culture: The case of Harar city
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- A qualitative research synthesis of contextual factors contributing to female overweight and obesity over the life course in sub-Saharan Africa
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- The role of stigma in the acceptance and disclosure of HIV among recently diagnosed men who have sex with men in Australia: A qualitative study
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- Questioning the lasting effect of galvanic vestibular stimulation on postural control
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- Nonalcoholic fatty liver disease is an early predictor of metabolic diseases in a metabolically healthy population
- Occurrence and multilocus genotyping of Giardia duodenalis from post-weaned dairy calves in Sichuan province, China
- Retinoic acid-stimulated ERK1/2 pathway regulates meiotic initiation in cultured fetal germ cells
- Gender disparities in scientific production: A nationwide assessment among physicians in Peru
- Effect of F1 and F2 generations on genetic variability and working steps of doubled haploid production in maize
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- The self-care profiles and its determinants among adults with hypertension in primary health care clinics in Selangor, Malaysia
- The mutational landscape of quinolone resistance in Escherichia coli
- Exploring the influence of self-perceptions on the relationship between motor competence and identity in adolescents
- Study on the damage characteristics of gas-bearing shale under different unloading stress paths
- EPILAT-IRA Study: A contribution to the understanding of the epidemiology of acute kidney injury in Latin America
- 16S rDNA droplet digital PCR for monitoring bacterial DNAemia in bloodstream infections
- Three-dimensional (3D) brain microphysiological system for organophosphates and neurochemical agent toxicity screening
- Diversity of endocervical microbiota associated with genital Chlamydia trachomatis infection and infertility among women visiting obstetrics and gynecology clinics in Malaysia
- Health impact of hepatic-venous-occlusive disease in a small town in Ethiopia—Case study from Tahtay koraro district in Tigray region, 2017
- Development of a novel automatable fabrication method based on electrospinning co electrospraying for rotator cuff augmentation patches
- Development of a quantitative PCR assay for the detection and enumeration of a potentially ciguatoxin-producing dinoflagellate, Gambierdiscus lapillus (Gonyaulacales, Dinophyceae)
- Association of clinical factors with survival outcomes in laryngeal squamous cell carcinoma (LSCC)
- Seasonal oyster harvesting recorded in a Late Archaic period shell ring
- Population preferences for breast cancer screening policies: Discrete choice experiment in Belarus
- Respiratory health and inflammatory markers - Exposure to respirable dust and quartz and chemical binders in Swedish iron foundries
- Trends and predictors of mother-to-child transmission of HIV in an era of protocol changes: Findings from two large health facilities in North East Nigeria
- Elevated Ki-67 (MIB-1) expression as an independent predictor for unfavorable pathologic outcomes and biochemical recurrence after radical prostatectomy in patients with localized prostate cancer: A propensity score matched study
- Genome-wide identification and gene expression analysis of SOS family genes in tuber mustard (Brassica juncea var. tumida)
- Carvedilol improves glucose tolerance and insulin sensitivity in treatment of adrenergic overdrive in high fat diet-induced obesity in mice
- Institutional differences in USMLE Step 1 and 2 CK performance: Cross-sectional study of 89 US allopathic medical schools
- Molecular epidemiological characteristics of dengue virus carried by 34 patients in Guangzhou in 2018
- Heteroplasmy in the complete chicken mitochondrial genome
- Candida blood stream infections observed between 2011 and 2016 in a large Italian University Hospital: A time-based retrospective analysis on epidemiology, biofilm production, antifungal agents consumption and drug-susceptibility
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- Appropriate management of acute gastroenteritis in Australian children: A population-based study
- The plasma metabolome of women in early pregnancy differs from that of non-pregnant women
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- Effects of light and nitrogen availability on photosynthetic efficiency and fatty acid content of three original benthic diatom strains
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- Bioinformatic analysis of a novel Echinococcus granulosus nuclear receptor with two DNA binding domains
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- Clinical characteristics of neonatal fulminant necrotizing enterocolitis in a tertiary Children's hospital in the last 10 years
- Effects of neuromuscular electrical stimulation training on muscle size in collegiate track and field athletes
- Adaptive fuzzy flow rate control considering multifractal traffic modeling and 5G communications
- Evaluation of four commercial tests for detecting ceftiofur in waste milk bulk tank samples
- A smart tele-cytology point-of-care platform for oral cancer screening
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- Microbial metabolisms in an abyssal ferromanganese crust from the Takuyo-Daigo Seamount as revealed by metagenomics
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- The impact of short-term machine perfusion on the risk of cancer recurrence after rat liver transplantation with donors after circulatory death
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- Blood metal levels and serum testosterone concentrations in male and female children and adolescents: NHANES 2011–2012
- The effects of prolonged single night session of videogaming on sleep and declarative memory
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- Mapping developmental QTL for plant height in soybean [Glycine max (L.) Merr.] using a four-way recombinant inbred line population
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- Positive selection and precipitation effects on the mitochondrial NADH dehydrogenase subunit 6 gene in brown hares (Lepus europaeus) under a phylogeographic perspective
- Evaluation of Minimum Inhibitory Concentrations for 154 Mycoplasma synoviae isolates from Italy collected during 2012-2017
- Enhancement of antibiotics antimicrobial activity due to the silver nanoparticles impact on the cell membrane
- Correction: Smoking, alcohol use disorder and tuberculosis treatment outcomes: A dual co-morbidity burden that cannot be ignored
- Correction: Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa
- Knowledge-based best of breed approach for automated detection of clinical events based on German free text digital hospital discharge letters
- Importance of thorough tissue and cellular level characterization of targeted drugs in the evaluation of pharmacodynamic effects
- Integrated value-chain and risk assessment of Pig-Related Zoonoses in Ghana
- Failed sperm retrieval from severely oligospermic or non-obstructive azoospermic patients on oocyte retrieval day: Emergent oocyte cryopreservation is a feasible strategy
- Cassava yield traits predicted by genomic selection methods
- Verification of hub genes in the expression profile of aortic dissection
- Pig farmers’ willingness to pay for management strategies to reduce aggression between pigs
- Metabolomic response of Euglena gracilis and its bleached mutant strain to light
- Diagnostic value of ASVS for insulinoma localization: A systematic review and meta-analysis
- Newly educated care managers’ experiences of providing care for persons with stress-related mental disorders in the clinical primary care context
- Real-time telemetry monitoring of oxygen in the central complex of freely-walking Gromphadorhina portentosa
- Qualification programmes for immigrant health professionals: A systematic review
- An analytical model to minimize the latency in healthcare internet-of-things in fog computing environment
- Grain filling of early-season rice cultivars grown under mechanical transplanting
- Intercalation of small molecules into DNA in chromatin is primarily controlled by superhelical constraint
- Correlative evidence for co-regulation of phosphorus and carbon exchanges with symbiotic fungus in the arbuscular mycorrhizal Medicago truncatula
- How to design a dose-finding study on combined agents: Choice of design and development of R functions
- Altered expression of Notch1 in Alzheimer's disease
- The ZJU index is a powerful surrogate marker for NAFLD in severely obese North American women
- Trunk velocity-dependent Light Touch reduces postural sway during standing
- Evaluation of cytological diagnostic accuracy for canine splenic neoplasms: An investigation in 78 cases using STARD guidelines
- Trade-offs in motivating volunteer effort: Experimental evidence on voluntary contributions to science
- Does caching strategy vary with microclimate in endangered Mt. Graham red squirrels?
- Assessment of energy expenditure during high intensity cycling and running using a heart rate and activity monitor in young active adults
- Evaluating rectal swab collection method for gut microbiome analysis in the common marmoset (Callithrix jacchus)
- Implementation of a screening, brief intervention and referral to treatment programme for risky substance use in South African emergency centres: A mixed methods evaluation study
- Can the CalproQuest predict a positive Calprotectin test? A prospective diagnostic study
- The calcium sensor OsCBL1 modulates nitrate signaling to regulate seedling growth in rice
- Acceptability of and treatment preferences for recurrent bacterial vaginosis—Topical lactic acid gel or oral metronidazole antibiotic: Qualitative findings from the VITA trial
- Mathematical determination of the HIV-1 matrix shell structure and its impact on the biology of HIV-1
- Contingent negative variation during a modified cueing task in simulated driving
- CAMDI interacts with the human memory-associated protein KIBRA and regulates AMPAR cell surface expression and cognition
- Effect of feeding patterns on growth and nutritional status of children aged 0-24 months: A Chinese cohort study
- A fecal sequel: Testing the limits of a genetic assay for bat species identification
- Measuring the impact of chronic conditions and associated multimorbidity on health-related quality of life in the general population in Hong Kong SAR, China: A cross-sectional study
- Short and long-term clinical effectiveness and cost-effectiveness of a late-phase community-based balance and gait exercise program following hip fracture. The EVA-Hip Randomised Controlled Trial
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- Brazilian norms for the Bank of Standardized Stimuli (BOSS)
- Distinct varieties of aesthetic chills in response to multimedia
- Interaction between apolipoprotein E genotype and hypertension on cognitive function in older women in the Nurses’ Health Study
- Correction: Resistance profile of the HIV-1 maturation inhibitor GSK3532795 in vitro and in a clinical study
- New formulation of the Gompertz equation to describe the kinetics of untreated tumors
- Development of visual perception of others’ actions: Children’s judgment of lifted weight
- Retrospective comparative analysis of intraocular lens calculation formulas after hyperopic refractive surgery
- Human vitreous concentrations of citicoline following topical application of citicoline 2% ophthalmic solution
- Development and validation of exhaled breath condensate microRNAs to identify and endotype asthma in children
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- Risk factors affecting dairy cattle protective grouping behavior, commonly known as bunching, against Stomoxys calcitrans (L.) on California dairies
- Acceleration of chemical shift encoding-based water fat MRI for liver proton density fat fraction and T2* mapping using compressed sensing
- Characterisation and microbial community analysis of lipid utilising microorganisms for biogas formation
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- Exploring optimization strategies for improving explicit water models: Rigid n-point model and polarizable model based on Drude oscillator
- Artificial insemination with fresh, liquid stored and frozen thawed semen in dromedary camels
- Moving into an urban drug scene among people who use drugs in Vancouver, Canada: Latent class growth analysis
- Numerical study on the start and unstart phenomena in a scramjet inlet-isolator model
- Effects of dietary supplementation with apple peel powder on the growth, blood and liver parameters, and transcriptome of genetically improved farmed tilapia (GIFT, Oreochromis niloticus)
- Urban growth simulation in different scenarios using the SLEUTH model: A case study of Hefei, East China
- Chronic bronchitis without airflow obstruction, asthma and rhinitis are differently associated with cardiovascular risk factors and diseases
- Factors associated with medication adherence among people with diabetes mellitus in poor urban areas of Cambodia: A cross-sectional study
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- Force field generalization and the internal representation of motor learning
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- Minimal genetic differentiation of the malaria vector Nyssorhynchus darlingi associated with forest cover level in Amazonian Brazil
- The impact of leisure activities on older adults’ cognitive function, physical function, and mental health
- scafSLICR: A MATLAB-based slicing algorithm to enable 3D-printing of tissue engineering scaffolds with heterogeneous porous microarchitecture
- Association of serum leptin and adiponectin concentrations with echocardiographic parameters and pathophysiological states in patients with cardiovascular disease receiving cardiovascular surgery
- Operation of cognitive memory inhibition in adults with Down syndrome: Effects of maintenance load and material
- Influences on surgical antimicrobial prophylaxis decision making by surgical craft groups, anaesthetists, pharmacists and nurses in public and private hospitals
- Post-treatment Lyme disease symptoms score: Developing a new tool for research
- Expression of Concern: The Role of the RACK1 Ortholog Cpc2p in Modulating Pheromone-Induced Cell Cycle Arrest in Fission Yeast
- Equine bronchial fibroblasts enhance proliferation and differentiation of primary equine bronchial epithelial cells co-cultured under air-liquid interface
- Investigating cooperation with robotic peers
- Synthesis, purification and crystallization of a putative critical bulge of HAR1 RNA
- Prosthetic push-off power in trans-tibial amputee level ground walking: A systematic review
- A case study of the use of verbal reports for talent identification purposes in soccer: A Messi affair!
- Transgenerational deep sequencing revealed hypermethylation of hippocampal mGluR1 gene with altered mRNA expression of mGluR5 and mGluR3 associated with behavioral changes in Sprague Dawley rats with history of prolonged febrile seizure
- Obesity is associated with an impaired survival in lymphoma patients undergoing autologous stem cell transplantation
- Periodontal disease: Repercussions in pregnant woman and newborn health—A cohort study
- Origins of Chinese reindeer (Rangifer tarandus) based on mitochondrial DNA analyses
- Regional, racial, gender, and tumor biology disparities in breast cancer survival rates in Africa: A systematic review and meta-analysis
- How effective are films in inducing positive and negative emotional states? A meta-analysis
- 3D nanostructural characterisation of grain boundaries in atom probe data utilising machine learning methods
- An outbreak of tuberculosis in a middle school in Henan, China: Epidemiology and risk factors
- Initial clinical radiological findings and staging to predict prognosis of primary hepatic angiosarcoma: A retrospective analysis
- A new early Eocene deperetellid tapiroid illuminates the origin of Deperetellidae and the pattern of premolar molarization in Perissodactyla
- Longevity and marginal bone loss of narrow-diameter implants supporting single crowns: A systematic review
- Impact of UVC-sustained recirculating air filtration on airborne bacteria and dust in a pig facility
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- Conceptual fluency in inductive reasoning
- Clinical outcomes and treatment patterns among Medicare patients with nonvalvular atrial fibrillation (NVAF) and chronic kidney disease
- Improvements in the learnability of smartphone haptic interfaces for visually impaired users
- Role of the malic enzyme in metabolism of the halotolerant methanotroph Methylotuvimicrobium alcaliphilum 20Z
- Cyclic loading test study on a new cast-in-situ insulated sandwich concrete wall
- Natural compounds as angiogenic enzyme thymidine phosphorylase inhibitors: In vitro biochemical inhibition, mechanistic, and in silico modeling studies
- Analysis of virulence potential of Escherichia coli O145 isolated from cattle feces and hide samples based on whole genome sequencing
- Pre-clinical medical student reflections on implicit bias: Implications for learning and teaching
- Prognostic significance of non-sustained ventricular tachycardia on stored electrograms in pacemaker recipients
- Determinants of preterm birth among mothers who gave birth at public hospitals in the Amhara region, Ethiopia: A case-control study
- Real-world evidence of the effectiveness of ombitasvir-paritaprevir/r ± dasabuvir ± ribavirin in patients monoinfected with chronic hepatitis C or coinfected with human immunodeficiency virus-1 in Spain
- Unique transcriptomic landscapes identified in idiopathic spontaneous and infection related preterm births compared to normal term births
- Restrained expansion of the recall germinal center response as biomarker of protection for influenza vaccination in mice
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- Autophagy deficiency exacerbates colitis through excessive oxidative stress and MAPK signaling pathway activation
- The impacts of parity on lung function data (LFD) of healthy females aged 40 years and more issued from an upper middle income country (Algeria): A comparative study
- Reorganization of spatial configurations in visual working memory: A matter of set size?
- Unravelling travellers’ route choice behaviour at full-scale urban network by focusing on representative OD pairs in computer experiments
- Evaluating the higher-order structure of the Profile of Emotional Competence (PEC): Confirmatory factor analysis and Bayesian structural equation modeling
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- Next generation sequencing and RNA-seq characterization of adipose tissue in the Nile crocodile (Crocodylus niloticus) in South Africa: Possible mechanism(s) of pathogenesis and pathophysiology of pansteatitis
- Association between advanced maternal age and maternal and neonatal morbidity: A cross-sectional study on a Spanish population
- Ethnic differences in the prevalence, socioeconomic and health related risk factors of knee pain and osteoarthritis symptoms in older Malaysians
- Increasing knowledge of HIV status in a country with high HIV testing coverage: Results from the Botswana Combination Prevention Project
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- Comparison of the fecal, cecal, and mucus microbiome in male and female mice after TNBS-induced colitis
- Identifying candidate diagnostic markers for early stage of non-small cell lung cancer
- Complex alternative splicing of human Endonuclease V mRNA, but evidence for only a single protein isoform
- Correction: KML001 Induces Apoptosis and Autophagic Cell Death in Prostate Cancer Cells via Oxidative Stress Pathway
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- Foxtail millet (Setaria italica (L.) P. Beauv) CIPKs are responsive to ABA and abiotic stresses
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- Heterogeneity Diffusion Imaging of gliomas: Initial experience and validation
- Frequency cluster formation and slow oscillations in neural populations with plasticity
- DHP23002 as a next generation oral paclitaxel formulation for pancreatic cancer therapy
- Diagnostic accuracy of SOX11 immunohistochemistry in mantle cell lymphoma: A meta-analysis
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- Spatiotemporally random and diverse grid cell spike patterns contribute to the transformation of grid cell to place cell in a neural network model
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- A substitution mutation in a conserved domain of mammalian acetate-dependent acetyl CoA synthetase 2 results in destabilized protein and impaired HIF-2 signaling
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- Evaluation of various methods of selection of B. subtilis strains capable of secreting surface-active compounds
- Association between US Pharmacopeia (USP) monograph standards, generic entry and prescription drug costs
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- On sorption hysteresis in wood: Separating hysteresis in cell wall water and capillary water in the full moisture range
- Inbreeding, Allee effects and stochasticity might be sufficient to account for Neanderthal extinction
- Reliability and construct validity of the stepping-forward affordance perception test for fall risk assessment in community-dwelling older adults
- Socioeconomic determinants of nutritional status among ‘Baiga’ tribal children In Balaghat district of Madhya Pradesh: A qualitative study
- Study on characteristics of fire plume in building facade window under lateral blow
- ‘When you talk to someone in a bad way or always put her under pressure, it is actually worse than beating her’: Conceptions and experiences of emotional intimate partner violence in Rwanda and South Africa
- Effects of 6-mercaptopurine in pressure overload induced right heart failure
- The association between haemoglobin levels in the first 20 weeks of pregnancy and pregnancy outcomes
- Implementation and evaluation of an antimicrobial stewardship programme in companion animal clinics: A stepped-wedge design intervention study
- Factors associated with persistently high-cost health care utilization for musculoskeletal pain
- Nitrogen and chlorophyll status determination in durum wheat as influenced by fertilization and soil management: Preliminary results
- Effect of repeated in vivo microCT imaging on the properties of the mouse tibia
- Coupling environment and physiology to predict effects of climate change on the taxonomic and functional diversity of fish assemblages in the Murray-Darling Basin, Australia
- Hematology and plasma biochemistries in the Blanding’s turtle (Emydoidea blandingii) in Lake County, Illinois
- CRISPR-Cas influences the acquisition of antibiotic resistance in Klebsiella pneumoniae
- Phosphorylation-dependent activity-based conformational changes in P21-activated kinase family members and screening of novel ATP competitive inhibitors
- Antidepressant prescriptions, discontinuation, depression and perinatal outcomes, including breastfeeding: A population cohort analysis
- Why men with a low-risk prostate cancer select and stay on active surveillance: A qualitative study
- Imported severe malaria and risk factors for intensive care: A single-centre retrospective analysis
- Combined treatment (image-guided thrombectomy and endovascular therapy with open femoral access) for acute lower limb ischemia: Clinical efficacy and outcomes
- Low-latency single channel real-time neural spike sorting system based on template matching
- Quantifying the scale effect in geospatial big data using semi-variograms
- Paper-and-pencil versus computerized administration mode: Comparison of data quality and risk behavior prevalence estimates in the European school Survey Project on Alcohol and other Drugs (ESPAD)
- Regression adjusted colocalisation colour mapping (RACC): A novel biological visual analysis method for qualitative colocalisation analysis of 3D fluorescence micrographs
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- Spatial and temporal variations in female size at maturity of a Southern Rock Lobster (Jasus edwardsii) population: A likely response to climate change
- Inactive USP14 and inactive UCHL5 cause accumulation of distinct ubiquitinated proteins in mammalian cells
- Training rhesus macaques to take daily oral antiretroviral therapy for preclinical evaluation of HIV prevention and treatment strategies
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- Magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, Southwest, Ethiopia, 2018: A cross -sectional study
- Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review
- Hydrogen sulphide-induced hypometabolism in human-sized porcine kidneys
- Correction: Comparison of the molecular properties of retinitis pigmentosa P23H and N15S amino acid replacements in rhodopsin
- Retraction: Regulation of gastric smooth muscle contraction via Ca2+-dependent and Ca2+-independent actin polymerization
- Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT
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- Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan
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- Drugs modulating stochastic gene expression affect the erythroid differentiation process
- Efficacy of UB0316, a multi-strain probiotic formulation in patients with type 2 diabetes mellitus: A double blind, randomized, placebo controlled study
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- Application of CPI cutoff value based on parentage testing of duos and trios typed by four autosomal kits
- Correction: Good and Bad in the Hands of Politicians: Spontaneous Gestures during Positive and Negative Speech
- Adolescents with worse levels of oral health literacy have more cavitated carious lesions
- Effective methods for the inactivation of Francisella tularensis
- Detection of early-stage Alzheimer’s pathology using blood-based autoantibody biomarkers in elderly hip fracture repair patients
- Correlation between internal pudendal artery stenosis and erectile dysfunction in patients with suspected coronary artery disease
- Analysis of HER2 genomic binding in breast cancer cells identifies a global role in direct gene regulation
- Population productivity of shovelnose rays: Inferring the potential for recovery
- Correction: Long-term clinical outcomes in a cohort of patients with solitary plasmacytoma treated in the modern era
- Effects of tetracycline on myocardial infarct size in obese rats with chemically-induced colitis
- Mineral absorption is an enriched pathway in a brain region of restless legs syndrome patients with reduced MEIS1 expression
- Changes in weight and body composition across five years at university: A prospective observational study
- Adeno-associated virus-mediated expression of human butyrylcholinesterase to treat organophosphate poisoning
- Effects of insulin signaling on mouse taste cell proliferation
- Patient-level cost of home- and facility-based child pneumonia treatment in Suba Sub County, Kenya
- TAP: A static analysis model for PHP vulnerabilities based on token and deep learning technology
- Cost-effectiveness of QuantiFERON-TB Gold In-Tube versus tuberculin skin test for diagnosis and treatment of Latent Tuberculosis Infection in primary health care workers in Brazil
- Multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff: Results of a cluster randomized controlled trial
- Changes over time in creatinine clearance and comparison of emergent adverse events for HIV-positive adults receiving standard doses (300 mg/day) of lamivudine-containing antiretroviral therapy with baseline creatinine clearance of 30–49 vs ≥50 mL/min
- Population dynamics of foxes during restricted-area culling in Britain: Advancing understanding through state-space modelling of culling records
- Impacts of experimental advisory exit speed sign on traffic speeds for freeway exit ramp
- In-hospital outcomes and 30-day readmission rates among ischemic and hemorrhagic stroke patients with delirium
- Monitoring quality indicators for the Xpert MTB/RIF molecular assay in Ethiopia
- Delivering genes across the blood-brain barrier: LY6A, a novel cellular receptor for AAV-PHP.B capsids
- Correction: Using remote sensing to detect whale strandings in remote areas: The case of sei whales mass mortality in Chilean Patagonia
- Comparison of the inoculum size effects of antibiotics on IMP-6 β-lactamase-producing Enterobacteriaceae co-harboring plasmid-mediated quinolone resistance genes
- Contrast-enhanced computed tomography findings of canine primary renal tumors including renal cell carcinoma, lymphoma, and hemangiosarcoma
- Non-invasive in vivo imaging of UCP1 expression in live mice via near-infrared fluorescent protein iRFP720
- Overexpression of pink1 or parkin in indirect flight muscles promotes mitochondrial proteostasis and extends lifespan in Drosophila melanogaster
- Fiber stiffness, pore size and adhesion control migratory phenotype of MDA-MB-231 cells in collagen gels
- Comparison of two experimental ARDS models in pigs using electrical impedance tomography
- Are primary school children attending full-day school still engaged in sports clubs?
- Stroke risks in women with dysmenorrhea by age and stroke subtype
- Changes in patterns of mortality rates and years of life lost due to firearms in the United States, 1999 to 2016: A joinpoint analysis
- In vitro modeling of Batrachochytrium dendrobatidis infection of the amphibian skin
- Development and validation of LC-MS/MS method for imatinib and norimatinib monitoring by finger-prick DBS in gastrointestinal stromal tumor patients
- Correction: Habitat disturbance and the organization of bacterial communities in Neotropical hematophagous arthropods
- Characterisation of early metazoan secretion through associated signal peptidase complex subunits, prohormone convertases and carboxypeptidases of the marine sponge (Amphimedon queenslandica)
- Time trends between 2002 and 2017 in correlates of self-reported sitting time in European adults
- Performance of patient acuity rating by rapid response team nurses for predicting short-term prognosis
- Changes in HbA1c during the first six years after the diagnosis of Type 2 diabetes mellitus predict long-term microvascular outcomes
- Correction: Antimicrobial resistance genotypes and phenotypes of Campylobacter jejuni isolated in Italy from humans, birds from wild and urban habitats, and poultry
- Correction: Mental health and quality of life outcomes in family members of patients with chronic critical illness admitted to the intensive care units of two Brazilian hospitals serving the extremes of the socioeconomic spectrum
- Correction: Establishing an infrastructure for collaboration in primate cognition research
- Correction: The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review
- Health provider and service-user experiences of sensory modulation rooms in an acute inpatient psychiatry setting
- Comparison of potential drug-drug interactions with metabolic syndrome medications detected by two databases
- The Polish version of the Cultural Intelligence Scale: Assessment of its reliability and validity among healthcare professionals and medical faculty students
- Selection of optimal reference genes for qRT-PCR analysis of shoot development and graviresponse in prostrate and erect chrysanthemums
- Metastasis risk prediction model in osteosarcoma using metabolic imaging phenotypes: A multivariable radiomics model
- Defining hospital community benefit activities using Delphi technique: A comparison between China and the United States
- Establishment of the experimental procedure for prediction of conjugation capacity in mutant UGT1A1
- A robust multi-objective optimization framework to capture both cellular and intercellular properties in cardiac cellular model tuning: Analyzing different regions of membrane resistance profile in parameter fitting
- Sea star wasting disease demography and etiology in the brooding sea star Leptasterias spp.
- Diagnostic plasma miRNA-profiles for ovarian cancer in patients with pelvic mass
- Genetic diversity and drug resistance of HIV-1 among infected pregnant women newly diagnosed in Luanda, Angola
- I’ve been robbed! – Can changes in floral traits discourage bee pollination?
- Visualising statistical models using dynamic nomograms
- Assessing the capacity of Malawi’s district and central hospitals to manage traumatic diaphyseal femoral fractures in adults
- Diagnostic performance of basal cortisol level at 0900-1300h in adrenal insufficiency
- The Mastery Rubric for Bioinformatics: A tool to support design and evaluation of career-spanning education and training
- Microdissection and whole chromosome painting confirm karyotype transformation in cryptic species of the Lariophagus distinguendus (Förster, 1841) complex (Hymenoptera: Pteromalidae)
- Quality of Kangaroo Mother Care services in Ethiopia: Implications for policy and practice
- Gemcitabine potentiates the anti-tumour effect of radiation on medullary thyroid cancer
- iTRAQ-based high-throughput proteomics analysis reveals alterations of plasma proteins in patients infected with human bocavirus
- The detection of a non-anemophilous plant species using airborne eDNA
- Perception and control of low cable operation forces in voluntary closing body-powered upper-limb prostheses
- Neoadjuvant chemotherapy plus surgery versus concurrent chemoradiotherapy in stage IB2-IIB cervical cancer: A systematic review and meta-analysis
- Randomized methods to characterize large-scale vortical flow networks
- Disentangling the coexistence strategies of mud-daubing wasp species through trophic analysis in oases of Baja California peninsula
- Front-of-pack nutritional labels: Understanding by low- and middle-income Mexican consumers
- Distress in patients with end-stage renal disease: Staff perceptions of barriers to the identification of mild-moderate distress and the provision of emotional support
- Pathways to antibiotics in Bangladesh: A qualitative study investigating how and when households access medicine including antibiotics for humans or animals when they are ill
- DOC export is exceeded by C fixation in May Creek: A late-successional watershed of the Copper River Basin, Alaska
- Behavioral observation of prosocial behavior and social initiative is related to preschoolers’ psychopathological symptoms
- Evaluating the impact of citations of articles based on knowledge flow patterns hidden in the citations
- Correction: Economic sanctions and academia: Overlooked impact and long-term consequences
- Correction: A novel association between relaxin receptor polymorphism and hematopoietic stem cell yield after mobilization
- Expression of Concern: Cooperativity of Oncogenic K-Ras and Downregulated p16/INK4A in Human Pancreatic Tumorigenesis
- Price dispersion of generic medications
- Sex differences in body composition but not neuromuscular function following long-term, doxycycline-induced reduction in circulating levels of myostatin in mice
- The emotion regulation effect of cognitive control is related to depressive state through the mediation of rumination: An ERP study
- Comparison of SMS-EPI and 3D-EPI at 7T in an fMRI localizer study with matched spatiotemporal resolution and homogenized excitation profiles
- Left ventricular mass normalization for body size in children based on an allometrically adjusted ratio is as accurate as normalization based on the centile curves method
- Correction: Combining biophysical parameters, spectral indices and multivariate hyperspectral models for estimating yield and water productivity of spring wheat across different agronomic practices
- Correction: Flowers as viral hot spots: Honey bees (Apis mellifera) unevenly deposit viruses across plant species
- 'Small small quarrels bring about happiness or love in the relationships’: Exploring community perceptions and gendered norms contributing to male perpetrated intimate partner violence in the Central Region of Ghana
- The performance of practitioners conducting facial comparisons on images of children across age
- Increased amounts and stability of telomeric repeat-containing RNA (TERRA) following DNA damage induced by etoposide
- Patients with limitation or withdrawal of life supporting care admitted in a medico-surgical intermediate care unit: Prevalence, description and outcome over a six-month period
- Correction: Diverse radiofrequency sensitivity and radiofrequency effects of mobile or cordless phone near fields exposure in Drosophila melanogaster
- Predicting the performance of TV series through textual and network analysis: The case of Big Bang Theory
- Risk of temperature, humidity and concentrations of air pollutants on the hospitalization of AECOPD
- Mixed methods grant applications in the health sciences: An analysis of reviewer comments
- Renal abnormalities among children with sickle cell conditions in highly resource-limited setting in Ghana
- Size matters: How reaching and vergence movements are influenced by the familiar size of stereoscopically presented objects
- Willingness to receive institutional and community-based eldercare among the rural elderly in China
- An improved deep learning method for predicting DNA-binding proteins based on contextual features in amino acid sequences
- Beyond executive functions, creativity skills benefit academic outcomes: Insights from Montessori education
- A LAMP assay for the rapid and robust assessment of Wolbachia infection in Aedes aegypti under field and laboratory conditions
- Nonarteritic anterior ischemic optic neuropathy is associated with cerebral small vessel disease
- Fiber-tract localized diffusion coefficients highlight patterns of white matter disruption induced by proximity to glioma
- The fight against polio through the NO-DO newsreels during the Francoism period in Spain
- Ocean sound levels in the northeast Pacific recorded from an autonomous underwater glider
- Cost-consequence analysis of influenza vaccination among the staff of a large teaching hospital in Rome, Italy: A pilot study
- The relationship among the progression of inflammation in umbilical cord, fetal inflammatory response, early-onset neonatal sepsis, and chorioamnionitis
- How medical professional students view older people with dementia: Implications for education and practice
- An enhanced nonparametric EWMA sign control chart using sequential mechanism
- Land use change, carbon stocks and tree species diversity in green spaces of a secondary city in Myanmar, Pyin Oo Lwin
- Is there a difference in women’s experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services
- Maternal complications in pregnancy and childbirth for women with epilepsy: Time trends in a nationwide cohort
- Adsorption of oxytetracycline on kaolinite
- Interdisciplinary stratified care for low back pain: A qualitative study on the acceptability, potential facilitators and barriers to implementation
- The role of resource transfer in positive, non-additive litter decomposition
- The impact of language on the interpretation of resuscitation clinical care plans by doctors. A mixed methods study
- Quantum dots reveal heterogeneous membrane diffusivity and dynamic surface density polarization of dopamine transporter
- Genomic analysis of Shiga toxin-producing Escherichia coli from patients and asymptomatic food handlers in Japan
- The heavy metals lead and cadmium are cytotoxic to human bone osteoblasts via induction of redox stress
- Anatomical, taxonomic, and phylogenetic reappraisal of a poorly known ghost knifefish, Tembeassu marauna (Ostariophysi: Gymnotiformes), using X-ray microcomputed tomography
- Matrix-assisted laser desorption/ionization time of flight mass spectrometry identification of Vibrio (Listonella) anguillarum isolated from sea bass and sea bream
- Recommendations of older adults on how to use the PROM ‘TOPICS-MDS’ in healthcare conversations: A Delphi study
- The winner takes it all—Competitiveness of single nodes in globalized supply networks
- Hamsters in the city: A study on the behaviour of a population of common hamsters (Cricetus cricetus) in urban environment
- Correction: Liquid biopsies for omics-based analysis in sentinel mussels
- Size matters! Association between journal size and longitudinal variability of the Journal Impact Factor
- Drug resistance and epidemiology characteristics of multidrug-resistant tuberculosis patients in 17 provinces of China
- A model-based framework for chronic hepatitis C prevalence estimation
- Adding rewards to regulation: The impacts of watershed conservation on land cover and household wellbeing in Moyobamba, Peru
- Clinical determinants of social media use in individuals with schizophrenia
- Arsenic and nutrient absorption characteristics and antioxidant response in different leaves of two ryegrass (Lolium perenne) species under arsenic stress
- An evolution of socioeconomic related inequality in teenage pregnancy and childbearing in Malawi
- A single plasmid based CRISPR interference in Synechocystis 6803 – A proof of concept
- Structural vulnerability to narcotics-driven firearm violence: An ethnographic and epidemiological study of Philadelphia’s Puerto Rican inner-city
- Temporal trends in intracerebral hemorrhage: Evidence from the Austrian Stroke Unit Registry
- Prevalence and risk factors for multi-drug resistant Escherichia coli among poultry workers in the Federal Capital Territory, Abuja, Nigeria
- Prediction of disease-related metabolites using bi-random walks
- Clinical use, efficacy, and durability of maraviroc for antiretroviral therapy in routine care: A European survey
- Biomarker discovery in inflammatory bowel diseases using network-based feature selection
- The Cinderella Complex: Word embeddings reveal gender stereotypes in movies and books
- Exoproteome profiling of Trypanosoma cruzi during amastigogenesis early stages
- Reproducible phenotype alteration due to prolonged cooling of the pupae of Polyommatus icarus butterflies
- Nutritional treatment with an immune-modulating enteral formula alleviates 5-fluorouracil-induced adverse effects in rats
- Pharmacy-based predictors of non-adherence, non-persistence and reinitiation of antihypertensive drugs among patients on oral diabetes drugs in the Netherlands
- Systematic review of the accuracy of plasma preparation tubes for HIV viral load testing
- Circadian clock regulates the shape and content of dendritic spines in mouse barrel cortex
- “Anybody can make kids; it takes a real man to look after your kids”: Aboriginal men’s discourse on parenting
- Correction: A 1D computer model of the arterial circulation in horses: An important resource for studying global interactions between heart and vessels under normal and pathological conditions
- Maternal interpregnancy weight change and premature birth: Findings from an English population-based cohort study
- Correction: Identifying performance benchmarks and determinants for reproductive performance and calf survival using a longitudinal field study of cow-calf herds in western Canada
- Prognostic value of the model for end-stage liver disease excluding INR score (MELD-XI) in patients with adult congenital heart disease
- Treatment of Urethral Pain Syndrome (UPS) in Sweden
- Migration and political polarization in the U.S.: An analysis of the county-level migration network
- Epidemiology and complications of late-onset sepsis: an Italian area-based study
- The relationship between women’s experience of intimate partner violence and other socio-demographic factors, and under-5 children’s health in South Africa
- Association between trunk and gluteus muscle size and long jump performance
- Multimorbidity and complex multimorbidity in Brazilian rural workers
- Correction: Interspecific Phylogenic Relationships within Genus Melilotus Based on Nuclear and Chloroplast DNA
- Insulin-like growth factor (IGF)-II- mediated fibrosis in pathogenic lung conditions
- Wolf diet and prey selection in the South-Eastern Carpathian Mountains, Romania
- In vitro activity of aryl-thiazole derivatives against Schistosoma mansoni schistosomula and adult worms
- Sample size issues in multilevel logistic regression models
- Seed germination ecology of Ageratum houstonianum: A major invasive weed in Nepal
- Experiences of lifestyle change among women with gestational diabetes mellitus (GDM): A behavioural diagnosis using the COM-B model in a low-income setting
- Pharmacologic management of HCV treatment in patients with HCV monoinfection vs. HIV/HCV coinfection: Does coinfection really matter?
- The association between cigarette smoking and serum thyroid stimulating hormone, thyroid peroxidase antibodies and thyroglobulin antibodies levels in Chinese residents: A cross-sectional study in 10 cities
- Mouse movement measures enhance the stop-signal task in adult ADHD assessment
- Ecosystem functioning in urban grasslands: The role of biodiversity, plant invasions and urbanization
- Correction: KETOS: Clinical decision support and machine learning as a service – A training and deployment platform based on Docker, OMOP-CDM, and FHIR Web Services
- Does craniofacial morphology affect third molars impaction? Results from a population-based study in northeastern Germany
- Hyperconnectivity during screen-based stories listening is associated with lower narrative comprehension in preschool children exposed to screens vs dialogic reading: An EEG study
- Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention
- Long-term high-grain diet altered the ruminal pH, fermentation, and composition and functions of the rumen bacterial community, leading to enhanced lactic acid production in Japanese Black beef cattle during fattening
- Beyond detoxification: Pleiotropic functions of multiple glutathione S-transferase isoforms protect mice against a toxic electrophile
- Golgi reassembly and stacking protein 65 downregulation is required for the anti-cancer effect of dihydromyricetin on human ovarian cancer cells
- SSR marker development in Clerodendrum trichotomum using transcriptome sequencing
- Risk factors for the carriage of Streptococcus infantarius subspecies infantarius isolated from African fermented dairy products
- Development of an intervention tool for precision oral self-care: Personalized and evidence-based practice for patients with periodontal disease
- Personal values in adolescence and psychological distress in adults: A cross-sectional study based on a retrospective recall
- Overactive bladder and bladder pain syndrome/interstitial cystitis in primary Sjögren’s syndrome patients: A nationwide population-based study
- Clinical utility of combined preimplantation genetic testing methods in couples at risk of passing on beta thalassemia/hemoglobin E disease: A retrospective review from a single center
- Hip stress distribution - Predictor of dislocation in hip arthroplasties. A retrospective study of 149 arthroplasties
- Mortality, morbidity, and cardiac surgery in Injection Drug Use (IDU)-associated versus non-IDU infective endocarditis: The need to expand substance use disorder treatment and harm reduction services
- Pup mortality in New Zealand sea lions (Phocarctos hookeri) at Enderby Island, Auckland Islands, 2013-18
- In vitro endothelial cell migration from limbal edge-modified Quarter-DMEK grafts
- Liquid Chromatography/Mass Spectrometry based serum metabolomics study on recurrent abortion women with antiphospholipid syndrome
- Gut carriage of antimicrobial resistance genes among young children in urban Maputo, Mozambique: Associations with enteric pathogen carriage and environmental risk factors
- Prepubertal nutrition alters Leydig cell functional capacity and timing of puberty
- Reliability of the Swedish version of the Evidence-Based Practice Attitude Scale assessing physiotherapist’s attitudes to implementation of evidence-based practice
- Mitochondrial alarmins are tissue mediators of ventilator-induced lung injury and ARDS
- Complete Chloroplast Genomes of Vachellia nilotica and Senegalia senegal: Comparative Genomics and Phylogenomic Placement in a New Generic System
- Retraction: Over-Expression of Superoxide Dismutase Ameliorates Cr(VI) Induced Adverse Effects via Modulating Cellular Immune System of Drosophila melanogaster
- Effect of pre-season training phase on anthropometric, hormonal and fitness parameters in young soccer players
- Exosomes from conditioned media of bone marrow-derived mesenchymal stem cells promote bone regeneration by enhancing angiogenesis
- Outcome of patients with heart failure after transcatheter aortic valve implantation
- Fatty acid profile of Romanian’s common bean (Phaseolus vulgaris L.) lipid fractions and their complexation ability by β-cyclodextrin
- Appropriate empirical antibiotic therapy and mortality: Conflicting data explained by residual confounding
- Treatment of corneal endothelial damage in a rabbit model with a bioengineered graft using human decellularized corneal lamina and cultured human corneal endothelium
- Telbivudine on IgG-associated hypergammaglobulinemia and TGF-β1 hyperactivity in hepatitis B virus-related liver cirrhosis
- Correction: Axial variation of deoxyhemoglobin density as a source of the low-frequency time lag structure in blood oxygenation level-dependent signals
- Correction: Mobile health-based physical activity intervention for individuals with spinal cord injury in the community: A pilot study
- Retraction: Placental expression of CD100, CD72 and CD45 is dysregulated in human miscarriage
- Correction: Use of IoT sensing and occupant surveys for determining the resilience of buildings to forest fire generated PM2.5
- Correction: The modulation of facial mimicry by attachment tendencies and their underlying affiliation motives in 3-year-olds: An EMG study
- Correction: Cognitive impairment in multiple sclerosis: An exploratory analysis of environmental and lifestyle risk factors
- Discovering novel disease comorbidities using electronic medical records
- Glutathione contributes to efficient post-Golgi trafficking of incoming HPV16 genome
- Epidemiology and antimicrobial resistance of methicillin-resistant Staphylococcus aureus isolates colonizing pigs with different exposure to antibiotics
- Social information use in adolescents: The impact of adults, peers and household composition
- Public practices on antibiotic use: A cross-sectional study among Qatar University students and their family members
- Effects of Topper Training on psychosocial problems, self-esteem, and peer victimisation in Dutch children: A randomised trial
- Comparative studies of two generations of NanoString nCounter System
- General practitioners’ perceptions of delayed antibiotic prescription for respiratory tract infections: A phenomenographic study
- Can altered magnetic field affect the foraging behaviour of ants?
- Parasitic infections and medical expenses according to Health Insurance Review Assessment claims data in South Korea, 2011–2018
- A prospective observational study of on-treatment plasma homocysteine levels as a biomarker of toxicity, depression and vitamin supplementation lead-in time pre pemetrexed, in patients with non-small cell lung cancer and malignant mesothelioma
- A strategy to identify protein-N-myristoylation-dependent phosphorylation reactions of cellular proteins by using Phos-tag SDS-PAGE
- Expression profile of sonic hedgehog signaling-related molecules in basal cell carcinoma
- Seasonal alternation of the ontogenetic development of the moon jellyfish Aurelia coerulea in Maizuru Bay, Japan
- Reliability of measurement of active trunk movement in wheelchair basketball players
- Chinese SLE Treatment and Research group (CSTAR) registry: Clinical significance of thrombocytopenia in Chinese patients with systemic lupus erythematosus
- Does source credibility matter for point-of-decision prompts? A quasi-experimental field study to increase stair use
- Male-pattern baldness and incident coronary heart disease and risk factors in the Heinz Nixdorf Recall Study
- Quality and utilization patterns of maternity waiting homes at referral facilities in rural Zambia: A mixed-methods multiple case analysis of intervention and standard of care sites
- Determining an optimal pool size for testing beef herds for Johne’s disease in Australia
- Correction: Change in larval fish assemblage in a USA east coast estuary estimated from twenty-six years of fixed weekly sampling
- APOE-knockout in rabbits causes loss of cells in nucleus pulposus and enhances the levels of inflammatory catabolic cytokines damaging the intervertebral disc matrix
- Testing Species Assignments in Extant Terebratulide Brachiopods: A Three-dimensional Geometric Morphometric Analysis of Long-Looped Brachidia
- A daily diary study on maladaptive daydreaming, mind wandering, and sleep disturbances: Examining within-person and between-persons relations
- Improved chemotherapy modeling with RAG-based immune deficient mice
- Effect of tracheal antimicrobial peptide on the development of Mannheimia haemolytica pneumonia in cattle
- The internal realities of individuals with type 2 diabetes – a functional framework of self-management practices via Grounded Theory approach
- Role of platelet parameters in early detection and prediction of severity of preeclampsia: A comparative cross-sectional study at Ayder comprehensive specialized and Mekelle general hospitals, Mekelle, Tigray, Ethiopia
- eIF4E and 4EBP1 are prognostic markers of head and neck squamous cell carcinoma recurrence after definitive surgery and adjuvant radiotherapy
- Smoking and other determinants of bone turnover
- Oxygen delivery, oxygen consumption and decreased kidney function after cardiopulmonary bypass
- School engagement of children in early grades: Psychometric, and gender comparisons
- Correction: A review of the elusive bicolored iris Snouted Treefrogs (Anura: Hylidae:Scinax uruguayus group)
- Perceived attractiveness of Czech faces across 10 cultures: Associations with sexual shape dimorphism, averageness, fluctuating asymmetry, and eye color
- Discovery of stable and prognostic CT-based radiomic features independent of contrast administration and dimensionality in oesophageal cancer
- Correction: Population-based dementia prediction model using Korean public health examination data: A cohort study
- Location, location, location: Close ties among older continuing care retirement community residents
- Correction: ISED: Constructing a high-resolution elevation road dataset from massive, low-quality in-situ observations derived from geosocial fitness tracking data
- Correction: Use of validated objective methods of locomotion characteristics and weight distribution for evaluating the efficacy of ketoprofen for alleviating pain in cows with limb pathologies
- Monitoring fine root growth to identify optimal fertilization timing in a forest plantation: A case study in Northeast Vietnam
- Metabolic costs of spontaneous swimming in Sprattus sprattus L., at different water temperatures
- Enterovirus 71 vaccine acceptance among parents of children < 5 years old and their knowledge of hand, foot and mouth disease, Chongqing, China, 2017
- Correction: Transcriptome profiling of mouse brain and lung under Dip2a regulation using RNA-sequencing
- Genetic diversity and antiretroviral resistance-associated mutation profile of treated and naive HIV-1 infected patients from the Northwest and Southwest regions of Cameroon
- Maximum parsimony interpretation of chromatin capture experiments
- Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Incidence and characteristics of ventricular tachycardia in patients after percutaneous coronary revascularization of chronic total occlusions
- Estimating measures of latent variables from m-alternative forced choice responses
- Clade F AAVHSCs cross the blood brain barrier and transduce the central nervous system in addition to peripheral tissues following intravenous administration in nonhuman primates
- First evidence of hepatitis E virus infection in a small mammal (yellow-necked mouse) from Croatia
- The inhibitory effects of polypyrrole on the biofilm formation of Streptococcus mutans
- Self-reported adverse drug effects and associated factors among H. pylori infected patients on standard triple therapy: Prospective follow up study
- Upregulation of ERK phosphorylation in rat dorsal root ganglion neurons contributes to oxaliplatin-induced chronic neuropathic pain
- Characterization of the relationship between neutron production and thermal load on a target material in an accelerator-based boron neutron capture therapy system employing a solid-state Li target
- Remote heart rate monitoring - Assessment of the Facereader rPPg by Noldus
- Seroprevalence of rubella virus antibodies among pregnant women in the Center and South-West regions of Cameroon
- Effectiveness of steam sterilization of reusable medical devices in primary and secondary care public hospitals in Nepal and factors associated with ineffective sterilization: A nation-wide cross-sectional study
- Relevance of HTLV-1 proviral load in asymptomatic and symptomatic patients living in endemic and non-endemic areas of Argentina
- Ritualized aggressive behavior reveals distinct social structures in native and introduced range tawny crazy ants
- The value of kinetic glomerular filtration rate estimation on medication dosing in acute kidney injury
- Screening and characterization of long noncoding RNAs involved in the albinism of Ananas comosus var. bracteatus leaves
- Visual attention to emotional faces in adolescents with social anxiety disorder receiving cognitive behavioral therapy
- A Q fever outbreak associated to courier transport of pets
- Antibodies against measles and rubella virus among different age groups in Thailand: A population-based serological survey
- Molecular diet analysis of Anguilliformes leptocephalus larvae collected in the western North Pacific
- Correction: The relationship between context, structure, and processes with outcomes of 6 regional diabetes networks in Europe
- Correction: The C-reactive protein/albumin ratio as an independent predictor of mortality in patients with severe sepsis or septic shock treated with early goal-directed therapy
- Interleukin 21 (IL-21) regulates chronic allograft vasculopathy (CAV) in murine heart allograft rejection
- Semantic computational analysis of anticoagulation use in atrial fibrillation from real world data
- The implementation of HTA in medicine pricing and reimbursement policies in Indonesia: Insights from multiple stakeholders
- International experiences during United States ophthalmology residency training: Current structure of international experiences and perspectives of faculty mentors at United States training institutions
- Questionable utility of digoxin in left-ventricular assist device recipients: A multicenter, retrospective analysis
- Genotyping and outcomes of presumptive second line ART failure cases switched to third line or maintained on second line ART in Mumbai, India
- A mathematical model of honey bee colony dynamics to predict the effect of pollen on colony failure
- Airway microbiome composition correlates with lung function and arterial stiffness in an age-dependent manner
- An odorant receptor from Anopheles gambiae that demonstrates enantioselectivity to the plant volatile, linalool
- Factors associated with full immunization of children 12–23 months of age in Ethiopia: A multilevel analysis using 2016 Ethiopia Demographic and Health Survey
- Additional evidence that the rat renal interstitium contracts in vivo
- Factors affecting acceptance of at-birth point of care HIV testing among providers and parents in Kenya: A qualitative study
- Removal efficiency of central vacuum system and protective masks to suspended particles from dental treatment
- Psychological well-being and distress in patients with generalized anxiety disorder: The roles of positive and negative functioning
- Conventional rotator cuff versus all-suture anchors—A biomechanical study focusing on the insertion angle in an unlimited cyclic model
- Are viral-infections associated with Ménière’s Disease? A systematic review and meta-analysis of molecular-markers of viral-infection in case-controlled observational studies of MD
- An evaluation of genetic causes and environmental risks for bilateral optic atrophy
- Comparative vector competence of the Afrotropical soft tick Ornithodoros moubata and Palearctic species, O. erraticus and O. verrucosus, for African swine fever virus strains circulating in Eurasia
- Effects of the solubility of yeast cell wall preparations on their potential prebiotic properties in dogs
- Carbogen gas-challenge BOLD fMRI in assessment of liver hypoxia after portal microcapsules implantation
- Socioeconomic determinants of cancer screening utilisation in Latin America: A systematic review
- Development of an easy-to-use questionnaire assessing critical care nursing competence in Japan: A cross-sectional study
- Towards successful business process improvement – An extension of change acceleration process model
- Correction: Dietary polyphenols as a safe and novel intervention for modulating pain associated with intervertebral disc degeneration in an in-vivo rat model
- Correction: Phylogenetic analysis of hepatitis C virus among HIV/ HCV co-infected patients in Nigeria
- Correction: Relationship between self-disclosure to first acquaintances and subjective well-being in people with schizophrenia spectrum disorders living in the community
- Impact of ATM rs1801516 on late skin reactions of radiotherapy for breast cancer: Evidences from a cohort study and a trial sequential meta-analysis
- Involvement of human and canine MRP1 and MRP4 in benzylpenicillin transport
- Soil organic matter rather than ectomycorrhizal diversity is related to urban tree health
- Clinical risk assessment in early pregnancy for preeclampsia in nulliparous women: A population based cohort study
- The relation between circulating levels of vitamin D and parathyroid hormone in children and adolescents with overweight or obesity: Quest for a threshold
- Behavioural evidence for segments as subordinate units in Chinese spoken word production: The form-preparation paradigm revisited
- Correction: Measuring the impact of an interdisciplinary learning project on nursing, architecture and landscape design students’ empathy
- Analysis of the characteristics of chemotherapy-resistant renal cell carcinomas based on global transcriptional analysis of their tissues and cell lines
- The characteristics and treatment patterns of patients with Parkinson’s disease in the United States and United Kingdom: A retrospective cohort study
- Sex differences in youth elite swimming
- Unconventional SCCmec types and low prevalence of the Panton-Valentine Leukocidin exotoxin in South African blood culture Staphylococcus aureus surveillance isolates, 2013-2016
- Prosocial perceptions of taxation predict support for taxes
- Correction: Clonality analysis of pulmonary tumors by genome-wide copy number profiling
- Improved oxygenation following methylprednisolone therapy and survival in paediatric acute respiratory distress syndrome
- Normative values for relative schoolbag weight in primary school children aged 6-14 from Czech Republic: A pilot study
- Correction: Intensive longitudinal modelling predicts diurnal activity of salivary alpha-amylase
- Correction: SNV discovery and functional candidate gene identification for milk composition based on whole genome resequencing of Holstein bulls with extremely high and low breeding values
- Monoclonal antibody anti-PBP2a protects mice against MRSA (methicillin-resistant Staphylococcus aureus) infections
- Diurnal variations of amplitude of accommodation in different age groups
- HHIP overexpression inhibits the proliferation, migration and invasion of non-small cell lung cancer
- Infusion of HIV-1 Nef-expressing astrocytes into the rat hippocampus induces enteropathy and interstitial pneumonitis and increases blood–brain-barrier permeability
- Correlation analysis of cold-related gene expression with physiological and biochemical indicators under cold stress in oil palm
- Student engagement and wellbeing over time at a higher education institution
- Gender-based differences in platelet function and platelet reactivity to P2Y12 inhibitors
- Influence of season and social context on male giant panda (Ailuropoda melanoleuca) vocal behaviour
- Development of an intravaginal ring for the topical delivery of Aurora kinase A inhibitor, MLN8237
- Differential phosphorylation determines the repressor and activator potencies of GLI1 proteins and their efficiency in modulating the HPV life cycle
- Polymorphisms of FDPS, LRP5, SOST and VKORC1 genes and their relation with osteoporosis in postmenopausal Romanian women
- Depression increases the risk of rotator cuff tear and rotator cuff repair surgery: A nationwide population-based study
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- Correction: Fast, quantitative, murine cardiac 19F MRI/MRS of PFCE-labeled progenitor stem cells and macrophages at 9.4T
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- Correction: An international randomised placebo-controlled trial of a four-component combination pill (“polypill”) in people with raised cardiovascular risk
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- Retraction: Pathological Roles of Interleukin-22 in the Development of Recurrent Hepatitis C after Liver Transplantation
- Correction: Elevational Distribution and Ecology of Small Mammals on Tanzania's Second Highest Mountain
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