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ReklamaComprehensive analysis of chromosomal mobile genetic elements in the gut microbiome reveals phylum-level niche-adaptive gene pools
Authors: Xiaofang Jiang aff001; Andrew Brantley Hall aff002; Ramnik J. Xavier aff001; Eric J. Alm aff001
Authors place of work: Center for Microbiome Informatics and Therapeutics, Massachusetts Institute of Technology, Cambridge, MA, United States of America aff001; Broad Institute of MIT and Harvard, Cambridge, MA, United States of America aff002; Center for Computational and Integrative Biology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States of America aff003; Gastrointestinal Unit and Center for the Study of Inflammatory Bowel Disease, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States of America aff004; MIT Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA, United States of America aff005
Published in the journal: PLoS ONE 14(12)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0223680Summary
Mobile genetic elements (MGEs) drive extensive horizontal transfer in the gut microbiome. This transfer could benefit human health by conferring new metabolic capabilities to commensal microbes, or it could threaten human health by spreading antibiotic resistance genes to pathogens. Despite their biological importance and medical relevance, MGEs from the gut microbiome have not been systematically characterized. Here, we present a comprehensive analysis of chromosomal MGEs in the gut microbiome using a method that enables the identification of the mobilizable unit of MGEs. We curated a database of 5,219 putative MGEs encompassing seven MGE classes called ImmeDB. We observed that many MGEs carry genes that could confer an adaptive advantage to the gut environment including gene families involved in antibiotic resistance, bile salt detoxification, mucus degradation, capsular polysaccharide biosynthesis, polysaccharide utilization, and sporulation. We find that antibiotic resistance genes are more likely to be spread by conjugation via integrative conjugative elements or integrative mobilizable elements than transduction via prophages. Horizontal transfer of MGEs is extensive within phyla but rare across phyla, supporting phylum level niche-adaptive gene pools in the gut microbiome. ImmeDB will be a valuable resource for future studies on the gut microbiome and MGE communities.
Keywords:
Transposable elements – Comparative genomics – Microbiome – Metagenomics – Antibiotic resistance – Serine – polysaccharides – Tyrosine
Introduction
Horizontal gene transfer (HGT), the transfer of genes between organisms by means other than vertical transmission, allows for the rapid dissemination of genetic innovations between bacteria[1]. Ecology is an important factor shaping HGT, and the human gut in particular is a hotspot for HGT[2,3]. HGT impacts public health through its role in spreading antibiotic resistance genes[4,5]. The biological importance of HGT is exemplified by a porphyranase identified in Bacteroides plebius that digests seaweed, which was horizontally transferred from marine bacteria to human gut bacteria[6]. However, a major contributor to horizontal transfer—mobile genetic elements (MGEs)—have not been systematically characterized in the human gut microbiome.
Canonical classes of MGEs includes prophages[7], group II introns[8], and transposons[9]. It has become increasingly apparent that the acquisition of a novel element class, genomic islands correspond to HGT events that differentiate commensal and pathogenic strains[10]. Genomic islands are non-canonical classes of MGEs that can transfer by conjugation or genomic regions derived from such MGEs. Integrative conjugative elements (ICEs) are a type of genomic island that can integrate into and excise from genomes using integrase, circularize using relaxase, replicate, and then transfer via conjugation[11,12]. Integrative mobilizable elements (IMEs) encode an integrase and relaxase for circularization like ICEs, but they have to hijack the conjugative machinery of co-resident ICEs or conjugative plasmids[13].
Conventionally, HGTs are computationally identified by searching for the inconsistencies in the evolutionary history of genes and species[14]. However, this method overlooks the fact the horizontal transfer of multiple genes from the same locus might be the result of a single HGT event. Rather than individual genes, it is critical to identify the mobilizable units, in other words, the entire sequence of MGEs. Determining the mobilizable unit of MGEs is crucial to identify the mechanism of transfer, the preference of insertion sites, and cargo genes as well as to track the frequency of horizontal transfer events. In addition, information on MGEs are also valuable in the context of metagenomic analysis, as MGEs confound many metagenomics workflows such taxonomic profiling, strain-level variation detection, and pangenome analysis.
The repetitive and mobile nature of MGEs confounds many types of studies in microbiome communities, such as taxonomic profiling, strain-level variation detection, and pan-genome analyses. However, unlike research in eukaryotes, where multiple repeats databases exist for masking and annotation of repetitive DNA[15], only a limited number of databases dedicated to the collection of MGE in prokaryotes[16–19]. Yet, these database are either limited one specific class of MGE or obsolete and not applicable for microbiome research. With the growing deluge of microbiome metagenomic sequencing data, a comprehensive MGE database of the gut microbiome is becoming increasingly critical.
In this study, we sought to characterize MGEs from the gut microbiome to understand how horizontal gene transfer by MGEs shapes the evolution of bacteria in the gut microbiome. First, we developed a method to identify the insertion unit of MGEs using whole metagenome sequencing data together with references genomes. Similar approaches have been used to detect well-known pathogenicity islands[20]. The algorithm implemented in SRID (Split Read Insertion Detection) is similar to that of Daisy[21], the first mapping-based HGT detection tool to our knowledge. We systematically identified MGEs with SRID and curated a database named ImmeDB (Intestinal microbiome mobile element database) dedicated to the collection, classification and annotation of these elements. The database is organized into seven MGE classes which can be searched using both text and BLAST. Each MGE entry provides a visualization of annotations and downloadable genomic sequence and annotations. We detected many MGEs carrying cargo genes that confer an adaptive advantage to the gut environment. This study provides insights into how the interplay of MGEs, bacteria, and the human host in the gut ecosystem lead to community-wide adaptations to the gut environment. The curated database of MGEs we have assembled here can be used by metagenomic workflows to improve future microbiome studies.
Materials and methods
Detection of putative insertions in reference genomes
A set of reference genomes of human gut/fecal isolates was curated from the NCBI (07-01-2018) based on metadata available from BioSamples, PATRIC, as well as literature searches. The quality of the genomes were assessed with CheckM [22]. Genomes with less than 90% completeness or more than 10% contamination were removed. Our target database included 5,103 genomes representing 1,896 taxa (834 species taxa). 274 stool metagenomes from the Human Microbiome Project (HMP)[23] were downloaded from the NCBI. We used Mash[24] to calculate the minhash distance between each genome and each metagenomic sample with the default sketch size of s = 1000 and k = 21. Metagenomic reads from HMP samples were aligned to each genome with more than 2 matching-hashes shared with the reads separately with bwa (version 0.7.12)[25]. To find genomic regions that differ in terms of insertions/deletions between strains in the individual samples and the reference genomes, we used split reads and information from pair-end reads from the alignment (Fig 1A). First, we identified putative deletion junctions using split reads, which we defined as reads that align to two distinct portions of a genome. Split reads were initially identified as those reads having multiple hits in the SAM output from bwa. If a split read alignment starts at one genomic location in the reference and then “jumps” to aligning to a distant site downstream in the same strand, it may indicate a potential deletion in the strain of bacteria from the metagenomic sample compared to the reference genome. For each putative deletion junction, we confirmed the presence of the junction by determining if paired-end reads flanked the junction. We considered a deletion junction to be valid if the read pairs flanking the junction were aligned in the correct orientation, and the distance between the pairs minus the junction size is within the range of +/ - 2 times the standard deviation of the mean library insert size. Regions with more than ten split reads and more than ten read pairs supporting the deletion were considered as putative insertions in the reference genome. We selected for regions ranging in size between 1kbp and 150kbps to reduce the number of spurious results. The SRID method aimed to identify as many candidate MGEs as possible, especially in low-abundance species in metagenomic sequencing data. Therefore, there are no stringent requirements for filtering based on read or mapping quality at this stage. The putative insertions identified in the reference genomes were verified to be MGEs via additional stringent filtering steps detailed later in the methods. The code used to implement the SRID method, human gut related genome assembly accession numbers and HMP SRA accession numbers used in this study are available from GitHub (https://github.com/XiaofangJ/SRID) and the S2 File.
Fig. 1. Identification and classification of gut microbiome MGEs. (A) The method used to identify putative MGEs using split reads and discordantly-mapped paired-end reads. Split reads are colored blue, and discordantly-mapped paired-end reads are colored red. (B) The method used to classify MGEs based on gene signatures. (C) The number of MGE clusters identified stratified by phyla and MGE classification. MGE signature detection
Genes from the genomes with putative insertions identified were predicted with Prodigal (version 2.6.3)[26]. Protein sequences were functionally annotated with interproscan (version 5.30–69.0) using the default settings[27]. Then, we used the interproscan annotations to identify serine and tyrosine integrases as well as group II intron proteins from all genomes. Prophage-related genes were identified by searching for genes with phage-related or phage-specific Pfam signatures. The list of phage signatures used were a combination of those identified in phage_finder[28] as well as a list of manually curated terms (S2 File). Serine integrases were identified as genes annotated with one of the Pfam identifiers: PF00239 (Resolvase: resolvase, N terminal domain), PF07508 (Recombinase: recombinase), and PF13408 (Zn_ribbon_recom: Recombinase zinc beta ribbon domain). Tyrosine integrases were identified as genes annotated with one of the identifiers: PF00589 (Phage_integrase: site-specific recombinase, prophage integrase family), PF02899 (Phage_integr_N: prophage integrase, N-terminal SAM-like domain), PF09003 (Phage_integ_N: bacteriophage lambda integrase, N-terminal domain), TIGR02225 (recomb_XerD: tyrosine recombinase XerD), TIGR02224 (recomb_XerC: tyrosine recombinase XerC), and PF13102 (Phage_int_SAM_5: prophage integrase SAM-like domain). Group II intron proteins were identified as genes annotated with the identifier: TIGR04416 (group_II_RT_mat: group II intron reverse transcriptase maturase). To identify genes involved in mobilization and conjugation of MGEs, we used ConjScan via a Galaxy web server (https://galaxy.pasteur.fr/)[29]. We identified transposases using blastp against the ISFinder database with an e-value 1-e10[17]. The best hit for each protein was used to annotate the family of transposases.
Identification and classification of MGEs
MGEs are typically identified by two methods: the presence of MGE signatures[16,30], and evidence of phylogenetic incongruence such highly-identical copies of same element present in multiple species[2]. We used both methods in our study. Putative insertions were annotated as an ICE if they contained complete conjugation and relaxase modules and an integrase or transposase at the boundary of the element. Putative MGEs were annotated as prophages if there is an integrase or transposase at the boundary of the element and more than five genes were annotated with prophage-related Pfams. Putative MGEs were annotates as IMEs when no VirB4 is present and when an integrase is found in the vicinity of a relaxase and did not contain genes involved in conjugation. Putative MGEs were annotated as transposons if they contained transposase and were not previously annotated as an IME. We limited the size of IMEs to 30kb and transposons to 10kb to decrease the number of false positives. Putative MGEs were annotated as group II introns if the element was less than 10kb, contained a protein with the TIGR04416 signature, and did not contain a gene annotated as transposase. The remaining putative MGEs were then divided into two groups based on their sizes: unclassed genomic islands (>10kb), and islets (<10kb). To eliminate spurious MGEs, we only report genomic islands that contain an integrase or transposase, or those that are related to prophage/ICEs, and islets that exist in more than two species with identity higher than 98%. We confirmed that the SRID method accurately identified known MGEs and their boundaries using both synteny and comparative genomics for CTnDOT and Tn916/Tn1549. To ensure the identified boundary of identified MGEs is correct, we manually inspected the elements using additional methods, including comparative genomics and visualization of alignments of the reads supporting the insertion (Figure B in S1 File). After classification and verification, we identified 5,219 MGEs in 1,199 genomes (S2–S4 Files). The MGEs identified with the SRID method are limited to chromosomal MGEs. Thus, plasmids and extrachromosomal prophages were not characterized in this study.
Clustering each class of MGEs
Pairwise alignment of elements from the same class of MGEs was performed with nucmer (version 3.1)[31]. Elements with more than 50 percent of the sequence aligned to each other are grouped in the same cluster. For ICEs, we additionally require that elements in the same cluster should have the same types of integrase, relaxase and conjugation modules. For IMEs, we required that each cluster has the same types of integrases and relaxases for all elements. For transposons, the same cluster should have the same type and number of IS genes. If a transposon is a “nested” or composite transposon, the family names of all IS contained within were used to annotate the transposon.
Construction of phylogenetic trees
To build phylogenetic trees of ICE and prophage integrases, we selected a representative integrase sequence from each cluster. Representative sequences were chosen as examples with the highest identity to their homologs in the same cluster. We performed alignment of each group of sequences with mafft(v7.123b)[32] (parameter “—maxiterate 1000”). We used trimal (version 1.4.rev15)[33] to remove region with gaps representing more than 20% of the total alignments (parameter “-gt 0.8”). RAxML(version 8.2.10)[34] was used to build phylogenetic trees from the alignments using the LG substitution matrix and a gamma model of rate heterogeneity (parameter “-m PROTGAMMALGF”). Phylogenetic trees were plotted with the R package phytools[35].
Functional enrichment analysis of cargo genes
Cargo genes were identified by excluding genes involved in transposition and transfer from all genes on MGEs. To understand the function of cargo genes, we performed enrichment analysis based on gene ontology (GO), antibiotic resistance (Resfam), and protein families (Pfam). The enrichments were performed with all genes present in the genomes as background reference. We used hmmer(version 3.1b2) [36] to search Resfam[37] core database to annotate antibiotic resistant gene. The “—cut_ga” parameters were used to set the threshold. The best hits to each gene from the Resfam database were used to annotate antibiotic resistant genes. GO terms and Pfam signature of the same genes sets were extracted from interproscan result. R package GOStat[38] was used for GO enrichment analysis for GO and Pfam. The R package clusterProfiler[39] was used for the enrichment analysis of cargo genes based on Resfam and Pfam signatures. P-value of 0.05 were used as cutoff for all enrichment analysis. Samples size, p-value, and exact test statistics of these tests are provided in S4 Table.
Results
Prevalence of MGEs in species of the gut microbiome
We systematically identified MGEs from species of the human gut microbiome using mapping information from metagenomic reads from the Human Microbiome Project (HMP)[23]. MGEs are actively inserted and deleted from genomes, causing differences between strains of bacteria. We identified cases where the reference genome of a bacterial strain differed from strains in the individual samples from the HMP. To find the sequences responsible for these differences, we mapped HMP metagenomic reads to available gut-associated bacterial reference genomes and identified genomic regions flanked by split reads and discordantly-aligned paired-end reads (Fig 1A). These regions potentially are recent insertions of active MGEs. The MGEs identified with the SRID method are limited to chromosomal MGEs. Thus, plasmids and extrachromosomal prophages were not characterized in this study. By searching for MGE-specific gene signatures, we manually verified and classified these MGEs (See Fig 1B and Methods).
We identified 5,219 putative MGEs from gut microbiome representatives of 101 strains of Actinobacteria (7 species), 283 strains of Bacteroidetes (95 species), 214 strains of Firmicutes (149 species), 574 strains of Proteobacteria (13 species), and 27 strains of Verrucomicrobia (3 species) (S2 Table). Then, we classified the identified MGEs based on their transfer and transposition mechanisms into seven classes: ICEs, prophages, IMEs, group II introns, transposons, unclassified islets, and unclassified genomic islands (Fig 1C). Most of the MGEs identified (4113/5219) were from the phyla Bacteroidetes and Firmicutes because these two phyla tend to dominate the gut microbiome of healthy adults[23] (Figure A in S1 File).
Different strains of the same species often share identical or nearly-identical MGEs. To eliminate this redundancy, we collapsed MGEs into clusters based on overall nucleotide identity (Fig 1C). Phylum-level differences in the diversity of MGEs were revealed. For example, Bacteroidetes had more diversity of ICEs than Firmicutes (53 vs. 31 respectively), while Firmicutes had more diversity of prophages than Bacteroidetes (71 vs. 31 respectively).
Most of our understanding of genomic islands such as ICEs comes from pathogens and a small number of tractable model species. In gut species, the knowledge of ICEs is limited to a few families of ICEs such as CTnDOT and Tn916/Tn1549. In this study, we successfully identified exact copies CTnDOT with the correct boundary in multiple species (ICE cluster 1), and several Tn916/Tn1549 family elements using the SRID method. Due to limited knowledge of genomic islands in gut microbes, most genomic islands described in this study are novel.
Diversity of MGE modules in gut microbiota
Although it has been known that ecology is important in shaping the diversity of MGEs in the gut microbiome, this study is the first to systematically characterize the putative mechanisms of transposition and transfer for MGEs of the gut microbiome[2]. We annotated the genes in MGEs involved in their transposition and transfer, and then classified the elements into groups based on these annotations (S2 Table).
There are four major protein families responsible for transposition of gut MGEs: serine integrases, tyrosine integrases, transposases, and group II intron proteins conferring reverse transcriptase and endonuclease activity. Serine and tyrosine integrases are the most prevalent protein families responsible for transposition in ICEs, IMEs, and prophages. In the gut microbiome MGE clusters we identified, we found 482 MGEs with tyrosine integrases (64 from ICEs, 285 from IMEs and 133 from prophages) and 237 MGEs with serine integrases (21 from ICEs, 184 from IMEs and 32 from prophages). Interestingly, while tyrosine integrases are found in several phyla, serine integrases of ICEs and prophages were exclusively found in the phylum Firmicutes. In IMEs, most serine integrases were identified in Firmicutes (171), but 18 clusters of serine integrases were found in Bacteroidetes, Verrucomicrobia and Actinobacteria (12,5 and 1 respectively). Unlike prophages and ICEs, 12 of 197 clusters of IMEs use serine integrases to transpose in Bacteroidetes. This implies that although integration via serine integrases occurs in Bacteroidetes, it occurs much less frequently than integration via tyrosine integrases. No ICEs and IMEs with transposase were identified in our study. Twelve prophage clusters were found with transposase from IS families: IS30, IS256, and IS110.All transposons we identified utilized DDE/DED/DDD-transposase. We identified 23 families of transposase. Most of the transposase clusters we identified are present in insertion sequences. Thirty-nine clusters (164 copies) of transposons are composite transposons flanked by two different insertion sequences families.
ICEs and IMEs encode relaxases (MOB) to initiate DNA mobilization and transfer. We used the CONJscan-T4SSscan server to classify relaxases identified in MGEs[40]. Six types of relaxase were identified in ICEs and IMEs. In ICEs, MOBT was identified only in Firmicutes, MOBV was identified only in Bacteroidetes, and MOBP1 was identified in Firmicutes, Bacteroidetes, and Actinobacteria. IMEs have a more diverse reservoir of relaxases. Besides the three types of relaxase found in ICEs, we also identified IMEs with MOBP3, MOBB, and MOBQ type relaxases.
ICEs are capable of conjugation via mating pair formation systems. Six types of mating pair formation systems for conjugation have been described[40]. We found three types of mating pair formation system: typeB, typeFA, and typeFATA, in ICEs from the gut microbiome. Consistent with previous findings, type FA systems were identified in 6 ICE clusters from Firmicutes, type B systems were identified in 53 ICE clusters from Bacteroidetes, and type FATA systems were identified in 25 Firmicutes ICE clusters and one Actinobacteria ICE cluster[41].
MGEs carry niche-adaptive genes
Although fundamentally selfish, MGEs often carry genes other than those necessary for their transposition and transfer, sometimes referred to as cargo genes[42]. We found that smaller elements like transposons generally carry zero or only a few cargo genes. Genetic islands like ICEs and IMEs often carry numerous cargo genes (median cargo genes 40 and 11 respectively). One example is an ICE found in Bacteroides fragilis 3_1_12 (NZ_EQ973213.1 : 1794893–1944846) which carries 143 cargo genes. We performed functional annotation on the cargo genes, and enrichment analysis using gene ontology (GO), Pfam, and Resfam[37,43,44] (S4 Table). Several classes of enriched genes are well-known to be associated with the maintenance of MGEs such as restriction-modification systems (GO:0009307,PF07669) and toxin-antitoxin pairs (PF02452,PF07927,PF15738) (S4 Table). Many other gene families carried by MGEs may confer an adaptive advantage to colonize the gut.
Antibiotic resistance genes
Many classes of antibiotics consumed orally are incompletely absorbed in the small intestine, and therefore proceed to the large intestine where they can kill the resident microbes[45]. Therefore, genes that confer antibiotic resistance can be adaptive to the gut environment. In total, we identified 246 antibiotic resistance genes encompassing 19 distinct classes carried by MGEs. Classes of MGEs varied in their carriage of antibiotic resistance genes. Of 14,632 prophage cargo genes, only 2 were found to be antibiotic resistance genes. The carriage rate of antibiotic resistance genes normalized by total cargo genes in prophages is more than thirty times lower than that identified in ICEs (140/20269) and IMEs (66/9302) (S1 Table). This suggests that conjugation via ICE/IME may be more important than transduction in the spread of antibiotic resistance genes, consistent with previous findings[46,47]. GO analysis revealed that cargo genes involved in antibiotic resistance are enriched in both Bacteroidetes (GO:0015307;GO:0017001;GO:0008800") and Firmicutes (GO:0015307;GO:0016999;GO:0008811). Resfam enrichment analysis also supported this, as RF0135 (tetracycline resistance ribosomal protection protein), and RF0067 (Emr 23S ribosomal RNA methyltransferase) were enriched. One example of an MGE responsible for the transmission of antibiotic resistance is the ICE CTnDOT, the spread of which dramatically increased the prevalence of tetracycline-resistant Bacteroidetes species[48]. CTnDOT-like ICEs were clustered in ICE1. Elements in this cluster typically confer resistance to tetracycline via the tetQ antibiotic resistance gene (Fig 2A). In addition, ICE1 elements have multiple sites where antibiotic resistance genes can be inserted or substituted. We characterized 5 insertions of antibiotic resistance genes into ICE1 (Fig 2A). Insertion sites 1, 2, and 5 are between operons; therefore they do not interrupt the function of crucial genes. We observed one insertion and two substitutions of antibiotic resistance genes around the tetQ operon, suggesting that this site is likely a “hotspot” for insertions and substitutions of antibiotic resistance genes. Our analysis reveals the surprising extent to which MGEs in species of the gut microbiome contribute to the phenomenon of antibiotic resistance and that the insertion of antibiotic resistance genes into MGEs is an active and ongoing process.
Fig. 2. Examples of niche-adaptive genes. (A) CTn-DOT-like elements have acquired antibiotic resistance genes on multiple, independent occasions. Here, we show insertion sites of antibiotic resistant genes in CTnDOT-like elements. A CTnDOT-like ICE is shown on the left. Orthologs between elements are visualized using genoPlotR (light blue connections) and are the same color. Numbers in the top panel represent the insertion site of the numbered elements below. Antibiotic resistance genes are labeled. (B) ICEs are involved in the transfer of capsular polysaccharide biosynthesis loci between Bacteroidetes species. Here, we show examples of ICEs containing capsular polysaccharide biosynthesis loci. Orthologs between elements are plotted with GenoPlotR. Genes involved in capsular polysaccharide biosynthesis are colored orange, integrases are colored blue, and genes involved in conjugation are colored purple. Grey links indicate orthologs between elements. Bile salt hydrolase and bile transporters
Bile acids are found in high concentrations in the human intestines[49] and can be toxic to bacteria[50]. Therefore, gut microbes have developed strategies to deal with bile acids by actively pumping bile acids out of the cell, or via deconjugation, which is hypothesized to diminish the toxicity of bile acids[49,50]. The high identity of archaeal and bacterial bile salt hydrolases strongly suggests the horizontal transfer of this gene[51]. A sodium bile acid symporter family (PF01758), which could help to pump bile acids out of the cell, was found to be enriched in the cargo genes of MGEs. Furthermore, 18 examples of bile salt hydrolases were identified as cargo genes of MGEs (S3 Table). Thus, MGEs carry genes that help microbes to overcome a specific challenge of colonizing the human gut.
Glycoside hydrolases for mucus utilization
The colon is lined with a layer of mucus composed of the glycoprotein MUC2[52]. The glycans that decorate MUC2 have a core structure composed of galactose, N-acetylglucosamine, N-acetylgalactosamine, with terminal residues of fucose and sialic acid[53]. These specific glycans are a major energy source for members of the gut microbiota[54]. Therefore, it may benefit members of the gut microbiota to degrade these specific glycans[55]. We identified 43 glycoside hydrolases capable of degrading mucosal glycans carried by MGEs from the categories: sialidases (GH33), fucosidases (GH95), α-N-acetylgalactosaminidases (GH109), β-galactosidases (GH35) and β-hexosaminidase (GH20)[54,56] (S3 Table). Thus, MGEs carry genes to unlock a key energy source available to gut microbes.
Polysaccharide utilization loci
Gut Bacteroidetes can utilize a wide variety of polysaccharides via the products of polysaccharide utilization loci, which collectively make up large proportions of Bacteroidetes genomes[57]. Each polysaccharide utilization locus contains a copy of the gene SusC, a sugar transporter, and SusD, a glycan binding protein[58]. Due to the wide range of polysaccharides available to gut microbes, it is hypothesized that the possession of a large repertoire of polysaccharide utilization loci confers an adaptive advantage in Bacteroidetes[57]. We found 47 polysaccharide utilization loci containing both SusC and SusD carried by MGEs suggesting that the ability to degrade complex polysaccharides may be readily transferred between members of the gut microbiota (S3 Table).
Capsular polysaccharide biosynthesis loci
Many bacterial species produce capsules, an extracellular structure made up of polysaccharides[59]. However, gut Bacteroidetes species have a large repertoire of capsular polysaccharide biosynthesis loci (up to 8) compared to other bacterial species and even Bacteroidetes from other sites such as the mouth[60]. Furthermore, capsular polysaccharide biosynthesis loci have been reported to be the most polymorphic region of Bacteroides genomes[61,62]. Multiple capsular polysaccharide biosynthesis loci are necessary to competitively colonize the gut, and are therefore considered to be gut adaptive genes in gut Bacteroidetes[63]. Capsular polysaccharide biosynthesis loci are large and complex; many contain upwards of 20 genes[59]. We found 22 complete or fragmented capsular polysaccharide biosynthesis loci containing at least 8 genes carried by MGEs (S3 Table). For example, almost identical copies of ICE9 containing a capsular polysaccharide biosynthesis locus were found in two species, B. stercoris and B. sp. UW. The same capsular polysaccharide biosynthesis locus was also found in B. vulgatus, but the ICE9 copy was slightly divergent. Two other copies of ICE9 likely containing an orthologous capsular polysaccharide biosynthesis locus were found in B. fragilis, B. cellulosilyticus, B. vulgatus, Parabacteroides merdae and B. sp. 9_1_42FAA (Fig 2B; S3 Table). Additionally, many GO-terms related to capsular polysaccharide biosynthesis are enriched in Bacteroidetes MGEs including GO:0033037, GO:0015774, GO:0008653, GO:0009103, GO:0045226, GO:0046379 and GO:0015159 The transfer of large segments of capsular polysaccharide biosynthesis loci by MGEs may help to explain the incredible diversity of capsular polysaccharide biosynthesis loci observed in the genomes of gut Bacteroidetes[64].
Sporulation
The gut is an anaerobic environment colonized by many classes of strictly anaerobic organisms[65,66]. However, to transmit between hosts, gut microbes must be exposed to oxygen. Recent work has shown that many more gut microbes form spores than previously thought, likely enabling transmission between hosts[67]. In Firmicutes, 30 genes involved in sporulation (GO:0030435) were found to be enriched in MGEs. In addition, PF08769 (Sporulation initiation factor Spo0A C terminal) and PF04026 (SpoVG) were also enriched in our Pfam analysis. One example is GI153, a genetic island from Faecalibacterium prausnitzii A2-165, which contains a series of spore formation-related genes in an operon: SpoVAC, SpoVAD, spoVAEb, gpr (spore protease), and spoIIP. Another example is GI175, a genetic island derived from a degenerate prophage in Roseburia intestinalis L1-82. In one operon of GI175, there are three genes: SpoVAEb, SpoVAD, and one unknown gene with Cro/C1-type HTH DNA-binding domain. SpoVAC, SpoVAD, spoVAEb homologs were previously found to be carried by a Tn1546-like ICE and conferred heat resistance to spores in the model spore forming organism Bacillus subtilis[68]. Thus, MGEs may help to transfer genes involved in sporulation between gut microbiota which may prove adaptive for colonizing new hosts.
Summary of cargo genes
Many additional gene families were found to be enriched in MGEs that could plausibly be niche adaptive including: histidine sensor kinases, and genes involved in vitamin B biosynthesis (S4 Table). Notably, MGEs from Firmicutes and Bacteroidetes have different types of genes enriched reflecting the differences in physiology between the phyla. Antibiotic resistance genes and genes involved in the detoxification of bile acids are enriched in MGEs from both phyla. Glycoside hydrolases for mucus utilization, and capsular polysaccharide biosynthesis loci are enriched only in MGEs from Bacteroidetes, while genes for sporulation are enriched in MGEs only from Firmicutes. Overall, the transfer of niche adaptive genes by MGEs likely has a large impact on the fitness of species of the gut microbiome.
Host ranges and evolution of MGEs
Although MGEs readily transfer between species, there has not been a systematic analysis of the host range of MGEs in the gut microbiome. The host ranges of different classes of MGEs is variable, and even within a class, different elements have variable host ranges. Understanding the host range of gut MGEs is of particular importance because gut MGEs carry many cargo genes, and the host range of the MGE defines how widely these cargo genes can be distributed. For example, the gut microbiome is a reservoir of antibiotic resistance genes, and many antibiotic resistance genes are located within MGEs[69]. Therefore, it is important to understand the probability of the transfer of MGEs with antibiotic resistance genes from commensals to pathogens[69].
First, we studied the host range of MGEs from the same cluster. MGEs in the same cluster that exist in at least two species generally represent recent horizontal transfer. Some MGE clusters are present in a wide range of species indicative of active horizontal transfer. One example is the ICE1 cluster, a representative of the CTnDOT-like ICEs, which is found in 35 species of Bacteroidetes from the genera: Bacteroides, Parabacteroides, Allistipes, and Paraprevotella (Figure A in S1 File). The entirety of the 49kb element is found at more than 99 percent nucleotide identical to 10 Bacteroides, Parabacteroides, and Allistipes species, indicative of very recent horizontal transfer. This cluster also includes other CTnDOT-like elements with more variability such as CTnERL, which has an additional insertion of an IME conferring erythromycin resistance[70]. Another example is the Firmicutes ICE cluster ICE10, which is found in 10 species of the families Lachnospiraceae. This ICE10 cluster belongs to Tn916/Tn1549 family of ICEs, some members of which carry the medically-important VanB gene conferring resistance to vancomycin[71]. We found no examples of ICEs from the same cluster present in multiple phyla. Clusters of prophage, IMEs, group II introns, and transposons were also found in many species but were again limited to a single phylum. Our results support that although the recent horizontal transfer of MGEs is common within phyla, cross-phyla horizontal transfer is rare, as we did not observe any cross-phyla horizontal transfer events for elements of the same cluster.
Here we generated phylogenetic trees of tyrosine and serine integrases from ICEs and prophages identified to study the evolutionary history of the recombination module of MGEs. To contrast the phylogeny of the tyrosine and serine integrases with host species lineages we plotted tanglegrams (Fig 3 and Fig 4). The phylogeny of both serine and tyrosine integrases is incongruent with the host species lineages which is indicative of extensive past horizontal transfer of ICEs and prophages between species of the gut microbiome.
Fig. 3. Tanglegram of host species lineages and phylogeny of the integrases in prophages and ICEs. A tanglegram of tyrosine integrases from ICEs and prophages with the species lineages plotted on the left and tyrosine integrase phylogeny plotted on the right. Connections are drawn between a species and the tyrosine integrase(s) found in that species and each connecting line is colored according to host bacteria phylum. Fig. 4. Tanglegram of host species lineages and phylogeny of serine integrases in prophages and ICEs. A tanglegram of serine integrases from ICEs and prophages with the species lineages plotted on the left and tyrosine integrase phylogeny plotted on the right. Connections are drawn between a species and the serine integrase(s) found in that species. The tyrosine integrases can be divided into two clades: the first is associated with the phylum Bacteroidetes, the second clade is associated with the phyla Proteobacteria, Actinobacteria, Firmicutes and Verrucomicrobia (Fig 3). Tyrosine integrases from Bacteroidetes show no evidence of close inter-phyla transfer but ancient transfers of tyrosine integrases between the phyla Proteobacteria, Actinobacteria, and Firmicutes likely occurred several times during evolution. Serine integrases from ICEs and prophages were only found in the phylum Firmicutes. Therefore, we found no evidence of inter-phyla transfer for ICEs and prophages with serine integrases suggesting a phylum-level restriction in host range.
We also examined whether integrases derived from ICEs and prophages segregated into clades based on element type. Previous studies on the phylogenetic relationships of integrases from ICEs and prophages did not find strong evidence of intermingling between ICE and prophage integrases[72,73]. In our phylogeny of the tyrosine integrases, ICE and prophage integrases are extensively intermingled, suggesting that ICEs and prophages have exchanged integrases multiple times over the course of evolution. Moreover, in our phylogeny of serine integrases, ICE22, ICE64 and ICE65 appear in a branch containing mostly prophages, suggesting that the integrase may have originated from a prophage integrase.
In summary, although ancient cross-phyla horizontal transfers did occur during the evolution of MGEs, we did not observe recent cross-phyla horizontal transfer of MGEs. Therefore, the gene pools that are shared within the gut microbiome are likely limited to the phylum-level.
Modular evolution of gut MGEs
Genes in MGEs are typically organized in functionally related modules which can be readily exchanged between MGEs. Type of modules found in MGEs include conjugation, integration, regulation, and adaptation. Deletion, acquisition, and exchanges of these modules can lead to immobilization, adaptation, and shifts in insertion specificity and host ranges of MGEs[13]. Here, we detail examples of each of these types of events.
Many unclassified genetic islands are likely remnants of ICEs or prophages due to the presence of only a subset of genes necessary for autonomous transfer. In many cases, the integrases have been lost while other genes for conjugation or capsid formation are maintained. One example is GI73, which appears to have formed when a CTnDOT-like element lost its conjugation and mobilization modules to a large deletion (Fig 5A). We also observed many examples of the acquisition of new modules by insertions. CTnDOT-like elements have obtained adaptive modules via insertions of a group II intron together with the antibiotic resistance gene ErmF, an IME containing multiple antibiotic resistance genes including: ANT6, tetX, and ErmF[70,74], and other unidentified insertions containing many antibiotic resistance genes (Fig 2A; S5 File; S5 Table). Other examples are GI90, where ICE7 (CTnBST) inserted into a CTnDOT-like element (Fig 5A), and GI46, a genomic island formed when two types of ICEs (ICE43 and ICE56) inserted in tandem (Fig 5B). We observed that the exchange of recombination modules is common. Integrases have frequently been exchanged between ICEs and prophages during the evolution of MGEs (Figs 3 and 4). Exchanges also occur in the same class of MGE. For example, we observed that two clusters of ICEs, ICE15 and ICE16, share nearly identical sequences and the same typeFA conjugation module, but have different integrases: ICE15 has a tyrosine integrase while ICE16 has a serine integrase (Fig 5C). Overall, the modular nature of MGEs enables the formation of new mosaic elements, leading to the diversification of MGEs, and increasing the dynamics of the gene pools in the gut microbiome.
Fig. 5. Modular evolution of MGEs. Examples of deletion, acquisition, and exchange of gene modules between MGEs. Orthologous genes between elements are shown with grey connections and are plotted with genoPlotR. Tyrosine integrases are colored blue, serine integrases are colored red, and genes involved in conjugation are colored purple. (A) GI73 was likely formed via a deletion of a CTnDOT-like ICE. GI90 was formed from an insertion of the ICE CTnBST into a CTnDOT-like ICE to form a large, composite GI that transfers as a unit. (B) An example of the tandem insertion of two ICEs to form a larger GI that moves as a unit. (C) An example of recombination module exchanges between ICE15 and ICE16. Discussion
In this study, we systematically characterized MGEs from the gut microbiome using a novel method to identify the mobilizable unit of active MGEs. We dramatically expanded the number of annotated MGEs from gut microbial species by identifying 5,219 putative MGEs. The MGEs we identified allow for the understanding of several fundamental questions about the role of MGEs and their importance to the evolution of species of the gut microbiome.
Comparison of SRID and other MGE detection methods
Two approaches are commonly used in the identification of MGEs. The first approach was to search for genomic loci enriched with mobile gene signatures and was used in tools such as ICEfinder[75], Conjscan[40], Phaser[16]. However, this approach cannot precisely determine the exact boundaries of MGEs, which is crucial to identify the functional units of MGEs. In addition, these tools are generally designed to identify one class of MGEs, not systematically identify all classes of MGEs. The second approach is done via comparative genomics. It requires two or more completely sequenced genomes of different strains or closely related species. In the metagenome field, metagenomic samples containing a species often far outnumber the number isolate genomes for that species. Therefore, SRID can leverage the thousands of metagenomic samples available and only requires one reference genome.
A limitation of the SRID is that it requires a match between the metagenomic data and the reference genome. The presence of a different strain of the same species as the reference genomes in the metagenomic samples is required. It also requires this strain to be relatively high abundance. This study used the HMP metagenomic sequencing data, where the samples were from healthy donors. In the stool of a healthy individual, Proteobacteria are of low abundance[76]. Therefore, the number of MGEs detected in the Proteobacteria is at least partially limited by the sequencing depth. Another limitation is that SRID alone cannot distinguish insertions due to MGEs or other random events. It often needs to use the MGE signatures to verify and classify the MGEs. Given no available tools for GIs/Islets gene signature identification, we require the presence of identical sequences present in two different species to confidently classify sequences as GI/Islets. There are only a few species of Proteobacteria that reach the necessary threshold of coverage. As a result, it is likely we are unable to identify some GI/Islets in these Proteobacteria species.
Implications for future gut metagenomic analysis
The database of MGEs we have curated will be a valuable resource for future studies on the gut microbiome, especially with the increasing importance of taxonomic profiling, strain-level variation detection, and pangenome analyses. Many metagenomic workflows for taxonomic profiling use marker genes or k-mers “unique” to a specific species, where uniqueness is constrained by the available reference genomes[77–79]. These marker gene should exclude MGEs, as the potential horizontal transfer of these elements invalidates their “unique” species-specific associations. Strain-level variation analyses that based on single nucleotide polymorphisms (SNPs) or copy number variation should also exclude SNPs from MGEs[80–83]. In pangenome analysis, it is beneficial to distinguish the accessory genes unique to an individual species and the mobilome shared among multiple species. To address the problems posed by MGEs to metagenomic workflows, an approach common in eukaryotic genomics, repeat masking, can be applied[84,85]. The database of curated MGEs identified in this study can be used to mask gut microbiome reference genomes before metagenomic workflows such as species-level classification, strain-level detection, and pangenome analyses are performed.
Host ranges of MGEs and the spread of antibiotic resistance genes
In the United States alone, more than 23,000 people die each year from antibiotic-resistant infections[86]. Tracking antibiotic resistance is one of the key actions to fight the spread of antibiotic resistance. The human digestive tract is a major reservoir of antibiotic resistance genes and likely serves as a hub for the horizontal transfer of antibiotic resistance genes from commensals to pathogens[4,5,69]. MGEs play a significant role in the spread of antibiotic resistance genes, and we found that many MGEs in the gut microbiome contain antibiotic resistance genes. This study helps to define the host range of MGEs in the gut microbiome. Our results suggest that HGT occurs mostly within a phylum, and inter-phyla HGT is rare. These results underscore the risk posed by transfer of antibiotic resistance genes like the vancomycin-resistance conferring gene VanB between commensal Firmicutes and pathogenic Firmicutes, such as Enterococcus faecalis[87]. Due to the fact our analysis only focused on chromosomal MGEs, antibiotic resistance spread by plasmids is not included in this study. Further studies on plasmids will provide more insight in the spread of antibiotic resistance. Overall, our study advances the understanding of the host range of MGEs which is of critical importance to understand gene flow networks in the gut.
This study underestimates the extent of host range because only MGEs in sequenced genomes were detected. As more bacterial genomes are sequenced, the extent of host range of MGEs will be refined. The scope of our research is chromosomal MGEs. Future studies using a combination of molecular and computational approaches will be beneficial to further understand the rate and extent of horizontal gene transfer by MGEs, including plasmids and extrachromosomal phages.
Niche-adaptive genes in the communal gene pool
The mammalian gut is a unique ecological niche vastly different from other environments due to the presence of IgA, antimicrobial peptides, bile acids, as well as specific polysaccharides available for utilization in the intestinal mucus. The microbes that inhabit the gut must develop mechanisms to cope with these challenges. We observed that MGEs transfer genes to help address the unique challenges of colonizing the human gut. MGEs influence the spread of gut adaptive genes in three ways. First, the spread of MGEs drives the expansion and diversification of protein families such as those involved in polysaccharide utilization, capsular polysaccharide biosynthesis, and sensing and responding to the environment[9]. Second, MGEs transfer successful innovations for colonizing the gut among distantly-related species from the same niche, such as bile salt hydrolases. Third, MGEs allow for the amplification and transfer of genes that are adaptive only under specific conditions, such as antibiotic resistance genes, and sporulation-related genes.
Cargo genes transferred by MGEs can have wide-ranging effects on the biology of the gut microbiome. They potentially involved in bacterial symbioses, sensing and responding to environmental stimuli, and metabolic versatility. The enriched classes of cargo genes we identified in this study are attractive targets for future studies to understand the underlying biology of the gut microbiome.
Opportunities to use MGEs to engineer gut microbes
Tools for genome editing only exist for a very limited number of species of the gut microbiome despite the exceptional basic and translational opportunities afforded by engineering gut species. Many of the tools for editing the genomes of species were originally derived from MGEs. For instance, the NBU system used to modify some Bacteroides species was originally derived from an IME[88], and the TargeTron system was originally derived from a group II intron[89]. The novel examples of MGEs identified in this study could be used to edit genomes from the gut microbiome, especially in currently intractable species such as Faecalibacterium prausnitzii. Unlike phages, whose cargo genes are limited by the capsid size, many novel ICEs and IMEs carry hundreds of genes that can confer selective advantages for the host, and are excellent candidate vectors for large genetic loci. Overall, the MGEs identified in this study could have translational applications for genome editing of species from the gut microbiome.
Supporting information
S1 File [docx]
Supplementary information.S2 File [zip]
Scripts to implement the SRID method, the genome assembly accession numbers, HMP SRA accession numbers used in this study and phage signature term list(zipped txt).S3 File [zip]
MGE sequences (zipped fasta).S4 File [zip]
Annotation of genes on MGEs (zipped gff3).S5 File [zip]
Sequences of CTnDOT-like elements with ARG insertions (zipped fasta).S1 Table [docx]
Antibiotic resistant genes identified in MGEs classes.S2 Table [xlsx]
Annotation and classification of MGEs.S3 Table [xlsx]
Niche adaptive cargo genes.S4 Table [xlsx]
Enrichment analysis of cargo genes.S5 Table [xlsx]
Annotation of regions with ARG insertions in CTnDOT-like elements.
Zdroje
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- Risk of infection in the first year of life in preterm children: An Austrian observational study
- SparkGA2: Production-quality memory-efficient Apache Spark based genome analysis framework
- People versus machines in the UK: Minimum wages, labor reallocation and automatable jobs
- Histo- and immunohistochemistry-based estimation of the TCGA and ACRG molecular subtypes for gastric carcinoma and their prognostic significance: A single-institution study
- Long-term outcomes of macrovascular diseases and metabolic indicators of bariatric surgery for severe obesity type 2 diabetes patients with a meta-analysis
- Influence of post-partum BMI change on childhood obesity and energy intake
- Effect of dietary cellulose supplementation on gut barrier function and apoptosis in a murine model of endotoxemia
- m6A minimally impacts the structure, dynamics, and Rev ARM binding properties of HIV-1 RRE stem IIB
- Cannabis users: Screen systematically, treat individually. A descriptive study of participants in a randomized trial in primary care
- Trait self-control does not predict attentional control: Evidence from a novel attention capture paradigm
- Head to head comparison of two commercial fecal calprotectin kits as predictor of Mayo endoscopic sub-score and mucosal TNF expression in ulcerative colitis
- Exploring the hospital patient journey: What does the patient experience?
- CD200 is up-regulated in R6/1 transgenic mouse model of Huntington's disease
- Three-dimensional analysis of pancreatic fat by fat-water magnetic resonance imaging provides detailed characterization of pancreatic steatosis with improved reproducibility
- Early changes in pulmonary function and intrarenal haemodynamics and the correlation between these sets of parameters in patients with T2DM
- Gender and neglected tropical disease front-line workers: Data from 16 countries
- Integrating long noncoding RNAs and mRNAs expression profiles of response to Plasmodiophora brassicae infection in Pakchoi (Brassica campestris ssp. chinensis Makino)
- Lower IQ and poorer cognitive profiles in treated perinatally HIV-infected children is irrespective of having a background of international adoption
- Strengthening counseling on barriers to exclusive breastfeeding through use of job aids in Nampula, Mozambique
- Survey on antimicrobial usage in local dairy cows in North-central Nigeria: Drivers for misuse and public health threats
- A population-based study of tuberculosis incidence among rheumatic disease patients under anti-TNF treatment
- Health risk assessment on musculoskeletal disorders among potato-chip processing workers
- Processed and ultra-processed foods are associated with high prevalence of inadequate selenium intake and low prevalence of vitamin B1 and zinc inadequacy in adolescents from public schools in an urban area of northeastern Brazil
- Is half the world’s population really below ‘replacement-rate’?
- Report on a large animal study with Göttingen Minipigs where regenerates and controls for articular cartilage were created in a large number. Focus on the conditions of the operated stifle joints and suggestions for standardized procedures
- Seasonal variation of a plant-pollinator network in the Brazilian Cerrado: Implications for community structure and robustness
- Assessing gastro-intestinal related quality of life in cystic fibrosis: Validation of PedsQL GI in children and their parents
- Autosomal recessive congenital cataracts linked to HSF4 in a consanguineous Pakistani family
- Replacing murine insulin 1 with human insulin protects NOD mice from diabetes
- Long-term gait measurements in daily life: Results from the Berlin Aging Study II (BASE-II)
- Neonatal and neurodevelopmental outcomes in preterm infants according to maternal body mass index: A prospective cohort study
- Genetic variability of five ADRB2 polymorphisms among Mexican Amerindian ethnicities and the Mestizo population
- A novel image encryption technique using hybrid method of discrete dynamical chaotic maps and Brownian motion
- Possible link between dental diseases and arteriosclerosis in patients on hemodialysis
- Late Glacial rapid climate change and human response in the Westernmost Mediterranean (Iberia and Morocco)
- The role of endothelial MERTK during the inflammatory response in lungs
- Significant hearing loss in Fabry disease: Study of the Danish nationwide cohort prior to treatment
- Establishment of chemosensitivity tests in triple-negative and BRCA-mutated breast cancer patient-derived xenograft models
- An epidemiological study of visceral leishmaniasis in North East Ethiopia using serological and leishmanin skin tests
- Dissociations of oral foci of infections with infectious complications and survival after haematopoietic stem cell transplantation
- Latin American consumption of major food groups: Results from the ELANS study
- The seroconversion rate of QuantiFERON-TB Gold In-Tube test in psoriatic patients receiving secukinumab and ixekizumab, the anti-interleukin-17A monoclonal antibodies
- Does prior knowledge of food fraud affect consumer behavior? Evidence from an incentivized economic experiment
- Isolation and characterization of the EgWRI1 promoter from oil palm (Elaeis guineensis Jacq.) and its response to environmental stress and ethylene
- Bridge to neuroscience workshop: An effective educational tool to introduce principles of neuroscience to Hispanics students
- Plasma metabolites as possible biomarkers for diagnosis of breast cancer
- Investigating gene expression profiles of whole blood and peripheral blood mononuclear cells using multiple collection and processing methods
- Altitude and human disturbance are associated with helminth diversity in an endangered primate, Procolobus gordonorum
- “My mother in-law forced my husband to divorce me”: Experiences of women with infertility in Zamfara State of Nigeria
- Effects of the killer immunoglobulin–like receptor (KIR) polymorphisms on HIV acquisition: A meta-analysis
- The technological, organizational and environmental determinants of adoption of mobile health applications (m-health) by hospitals in Kenya
- Reaction-diffusion memory unit: Modeling of sensitization, habituation and dishabituation in the brain
- Early rise in central venous pressure during a spontaneous breathing trial: A promising test to identify patients at high risk of weaning failure?
- The computational analyses of handwriting in individuals with psychopathic personality disorder
- Consumption of psychoactive substances in prison: Between initiation and improvement, what trajectories occur after incarceration? COSMOS study data
- Prevalence of damaged and missing teeth among women in the southern plains of Nepal: Findings of a simplified assessment tool
- A global model for predicting the arrival of imported dengue infections
- From social interactions to interpersonal relationships: Influences on ultra-runners’ race experience
- Anxiety reduction through art therapy in women. Exploring stress regulation and executive functioning as underlying neurocognitive mechanisms
- The properties and formation mechanism of oat β-glucan mixed gels with different molecular weight composition induced by high-pressure processing
- Acceptability of early childhood obesity prediction models to New Zealand families
- Abundance of ethnically biased microsatellites in human gene regions
- Analysing trajectories of a longitudinal exposure: A causal perspective on common methods in lifecourse research
- Malaria screening at the workplace in Cameroon
- Ex vivo perfusion-based engraftment of genetically engineered cell sensors into transplantable organs
- Genetic and morphological divergence in the warm-water planktonic foraminifera genus Globigerinoides
- The association between chronic periodontitis and oral Helicobacter pylori: A meta-analysis
- Using species distribution models to predict potential hot-spots for Rift Valley Fever establishment in the United Kingdom
- Disturbance study of seismic vibrator reaction mass and piston
- Gene expression is associated with virulence in murine macrophages infected with Leptospira spp
- Polysubstance use patterns and novel synthetics: A cluster analysis from three U.S. cities
- Vernonia polysphaera Baker: Anti-inflammatory activity in vivo and inhibitory effect in LPS-stimulated RAW 264.7 cells
- Cost-effectiveness of prenatal screening and diagnostic strategies for Down syndrome: A microsimulation modeling analysis
- Social vulnerability assessment of dog intake location data as a planning tool for community health program development: A case study in Athens-Clarke County, GA, 2014-2016
- The subjective value of a smile alters social behaviour
- Prevalence of drug–drug interaction in atrial fibrillation patients based on a large claims data
- The logic of basic education provision and public goods preferences in Chinese fiscal federalism
- The Black identity, hair product use, and breast cancer scale
- Diversity and distribution of microbial communities in floral nectar of two night-blooming plants of the Sonoran Desert
- Examining differences in cigarette smoking prevalence among young adults across national surveillance surveys
- Reversed metabolic reprogramming as a measure of cancer treatment efficacy in rat C6 glioma model
- Impact of perceived distances on international tourism
- Effect of diabetes on incidence of peritoneal dialysis-associated peritonitis
- Exposure to household pet cats and dogs in childhood and risk of subsequent diagnosis of schizophrenia or bipolar disorder
- The prognostic value of myeloid derived suppressor cell level in hepatocellular carcinoma: A systematic review and meta-analysis
- Myeloid cell deletion of Aryl hydrocarbon Receptor Nuclear Translocator (ARNT) induces non-alcoholic steatohepatitis
- Alligators in the abyss: The first experimental reptilian food fall in the deep ocean
- A novel power-driven fractional accumulated grey model and its application in forecasting wind energy consumption of China
- Long-term ambient hydrocarbons exposure and incidence of ischemic stroke
- Chronic unexplained nausea in adults: Prevalence, impact on quality of life, and underlying organic diseases in a cohort of 5096 subjects comprehensively investigated
- Evaluation of a nanophosphor lateral-flow assay for self-testing for herpes simplex virus type 2 seropositivity
- Normal and altered masticatory load impact on the range of craniofacial shape variation: An analysis of pre-Hispanic and modern populations of the American Southern Cone
- Assessing recall of personal sun exposure by integrating UV dosimeter and self-reported data with a network flow framework
- Public attitudes toward genetic modification in dairy cattle
- Quantification of speech and synchrony in the conversation of adults with autism spectrum disorder
- Genome-wide association study of drought tolerance and biomass allocation in wheat
- An examination of the association between early initiation of substance use and interrelated multilevel risk and protective factors among adolescents
- Pelagic tunicates at shallow hydrothermal vents of Kueishantao
- Aegicetus gehennae, a new late Eocene protocetid (Cetacea, Archaeoceti) from Wadi Al Hitan, Egypt, and the transition to tail-powered swimming in whales
- Changing landscape configuration demands ecological planning: Retrospect and prospect for megaherbivores of North Bengal
- Analyzing linguistic variation and change using gamification web apps: The case of German-speaking Europe
- Factors associated with condom use among HIV-positive women living in Atlanta, Georgia
- Watered-down biodiversity? A comparison of metabarcoding results from DNA extracted from matched water and bulk tissue biomonitoring samples
- Robust blind spectral unmixing for fluorescence microscopy using unsupervised learning
- Identification and impact of stable prognostic biochemical markers for cold-induced sweetening resistance on selection efficiency in potato (Solanum tuberosum L.) breeding programs
- What do we really know about the appropriateness of radiation emitting imaging for low back pain in primary and emergency care? A systematic review and meta-analysis of medical record reviews
- Naïve/Effector CD4 T cell ratio as a useful predictive marker of immune reconstitution in late presenter HIV patients: A multicenter study
- C5aR agonist enhances phagocytosis of fibrillar and non-fibrillar Aβ amyloid and preserves memory in a mouse model of familial Alzheimer’s disease
- Fluid balance correlates with clinical course of multiple organ dysfunction syndrome and mortality in patients with septic shock
- Channel-spatial attention network for fewshot classification
- The evolution and genetic diversity of avian influenza A(H9N2) viruses in Cambodia, 2015 – 2016
- Withdrawn medicines included in the essential medicines lists of 136 countries
- Whose data can we trust: How meta-predictions can be used to uncover credible respondents in survey data
- The optimal delivery time and order quantity in an oligopoly market with time-sensitive customers
- Feature identification in time-indexed model output
- Influence of microwave-assisted dehydration on morphological integrity and viability of cat ovarian tissues: First steps toward long-term preservation of complex biomaterials at supra-zero temperatures
- Healing The Past By Nurturing The Future: A qualitative systematic review and meta-synthesis of pregnancy, birth and early postpartum experiences and views of parents with a history of childhood maltreatment
- Relationship between land surface temperature and fraction of anthropized area in the Atlantic forest region, Brazil
- The coevolution of contagion and behavior with increasing and decreasing awareness
- Seeking snow and breathing hard – Behavioral tactics in high elevation mammals to combat warming temperatures
- A simplistic approach of algal biofuels production from wastewater using a Hybrid Anaerobic Baffled Reactor and Photobioreactor (HABR-PBR) System
- HeLa-CCL2 cell heterogeneity studied by single-cell DNA and RNA sequencing
- Elucidation of a non-thermal mechanism for DNA/RNA fragmentation and protein degradation when using Lyse-It
- Viral load testing among women on ‘option B+’ in Mazowe, Zimbabwe: How well are we doing?
- Application of enhanced assimilable organic carbon method across operational drinking water systems
- The majority of skin lesions in pediatric primary care attention could be managed by Teledermatology
- Interactions of pharmaceutical companies with world countries, cancers and rare diseases from Wikipedia network analysis
- Effect of the casein phosphopeptide-amorphous calcium phosphate fluoride (CPP-ACPF) and photobiomodulation (PBM) on dental hypersensitivity: A randomized controlled clinical trial
- New fossils of Elateridae (Insecta, Coleoptera) from Early Cretaceous Jinju Formation (South Korea) with their implications to evolutionary diversity of extinct Protagrypninae
- Cost-effectiveness analysis of parenting interventions for the prevention of behaviour problems in children
- Establishment of normative ranges of the healthy human immune system with comprehensive polychromatic flow cytometry profiling
- Stochasticity and non-additivity expose hidden evolutionary pathways to cooperation
- Emergency traffic adaptive MAC protocol for wireless body area networks based on prioritization
- Face recognition and memory in congenital amusia
- Variations of training load, monotony, and strain and dose-response relationships with maximal aerobic speed, maximal oxygen uptake, and isokinetic strength in professional soccer players
- Hydrogel based protein biochip for parallel detection of biomarkers for diagnosis of a Systemic Inflammatory Response Syndrome (SIRS) in human serum
- NF-κB-mediated regulation of rat CYP2E1 by two independent signaling pathways
- Transcranial magnetic stimulation induced early silent period and rebound activity re-examined
- Heterogenous wealth effects of minimum unit price on purchase of alcohol: Evidence using scanner data
- Effectiveness of integrative medicine group visits in chronic pain and depressive symptoms: A randomized controlled trial
- Associations between adverse childhood family environments and blood pressure differ between men and women
- Comparative analysis of the vaginal microbiome of pregnant women with either Trichomonas vaginalis or Chlamydia trachomatis
- The influence of the fetal leg position on the outcome in vaginally intended deliveries out of breech presentation at term – A FRABAT prospective cohort study
- Colorectal cancer incidence among young adults in England: Trends by anatomical sub-site and deprivation
- Assessing service and treatment needs and barriers of youth who use illicit and non-medical prescription drugs in Northern Ontario, Canada
- Composition and structure of the marine benthic community in Terra Nova Bay, Antarctica: Responses of the benthic assemblage to disturbances
- Diet and feeding strategy of Northeast Atlantic mackerel (Scombrus scomber) in Icelandic waters
- Agricultural intensification was associated with crop diversification in India (1947-2014)
- IL-18/IL-37/IP-10 signalling complex as a potential biomarker for discriminating active and latent TB
- Lie prevalence, lie characteristics and strategies of self-reported good liars
- Prevalent, persistent anal HPV infection and squamous intraepithelial lesions: Findings from a cohort of men living with HIV in South Africa
- Assessment of the real-world safety profile of vedolizumab using the United States Food and Drug Administration adverse event reporting system
- Machine learning approach to single nucleotide polymorphism-based asthma prediction
- Local risk perception enhances epidemic control
- Designing machine learning workflows with an application to topological data analysis
- Immuno-metabolic profile of human macrophages after Leishmania and Trypanosoma cruzi infection
- Phylogenetic position of the ‘extinct’ Fijian coconut moth, Levuana iridescens (Lepidoptera: Zygaenidae)
- Association between cardiovascular diseases and pregnancy-induced hypertensive disorders in a population of Cameroonian women at Yaoundé: A case-control study
- Location of sources in reaction-diffusion equations using support vector machines
- Methylsulfonylmethane increases osteogenesis and regulates the mineralization of the matrix by transglutaminase 2 in SHED cells
- Effect of anti-epileptic drugs on the survival of patients with glioblastoma multiforme: A retrospective, single-center study
- Four months vitamin D supplementation to vitamin D insufficient individuals does not improve muscular strength: A randomized controlled trial
- Hyperglycemia induces key genetic and phenotypic changes in human liver epithelial HepG2 cells which parallel the Leprdb/J mouse model of non-alcoholic fatty liver disease (NAFLD)
- Preoperative and operation-related risk factors for postoperative nosocomial infections in pediatric patients: A retrospective cohort study
- Differences between individuals with schizophrenia or obsessive-compulsive disorder and healthy controls in social cognition and mindfulness skills: A controlled study
- Variations by sex and age in the association between alcohol use and depressed mood among Thai adolescents
- Undernutrition is associated with perturbations in T cell-, B cell-, monocyte- and dendritic cell- subsets in latent Mycobacterium tuberculosis infection
- Clinical outcomes and mortality in old and very old patients undergoing cardiac resynchronization therapy
- Glycemic-aware metrics and oversampling techniques for predicting blood glucose levels using machine learning
- RNA-sequencing reveals that STRN, ZNF484 and WNK1 add to the value of mitochondrial MT-COI and COX10 as markers of unstable coronary artery disease
- Human gut microbiota is associated with HIV-reactive immunoglobulin at baseline and following HIV vaccination
- Is un stylo sharper than une épée? Investigating the interaction of sound symbolism and grammatical gender in English and French speakers
- Shifting perceptions of female genital cutting in a Swedish migration context
- Estimating the degree to which distance and temperature differences drive changes in fish community composition over time in the upper Mississippi River
- Nucleotide composition affects codon usage toward the 3'-end
- Results from one-year use of an electronic Clinical Decision Support System in a post-conflict context: An implementation research
- Effects of continuity of care on the postradiotherapy survival of working-age patients with oral cavity cancer: A nationwide population-based cohort study in Taiwan
- Self-reported attitudes, knowledge and skills of using evidence-based medicine in daily health care practice: A national survey among students of medicine and health sciences in Hungary
- Development of refractive error in children treated for retinopathy of prematurity with anti-vascular endothelial growth factor (anti-VEGF) agents: A meta-analysis and systematic review
- High diversity of coralline algae in New Zealand revealed: Knowledge gaps and implications for future research
- Electromyographic characteristics of pelvic floor muscles in women with stress urinary incontinence following sEMG-assisted biofeedback training and Pilates exercises
- The effect of visceral fat on the hemodilution effect of serum carcinoembryonic antigen in Korean population
- A Bayesian gene network reveals insight into the JAK-STAT pathway in systemic lupus erythematosus
- Up on the roof and down in the dirt: Differences in substrate properties (SOM, potassium, phosphorus and pH) and their relationships to each other between sedum and wildflower green roofs
- Sap flow of Salix psammophila and its principal influencing factors at different slope positions in the Mu Us desert
- Long-term outcomes of prismatic correction in partially accommodative esotropia
- Does in vitro selection of biocontrol agents guarantee success in planta? A study case of wheat protection against Fusarium seedling blight by soil bacteria
- Highly multiplexed quantitative PCR-based platform for evaluation of chicken immune responses
- Combination treatment of berberine and solid lipid curcumin particles increased cell death and inhibited PI3K/Akt/mTOR pathway of human cultured glioblastoma cells more effectively than did individual treatments
- Research trends in farmers’ mental health: A scoping review of mental health outcomes and interventions among farming populations worldwide
- HR-pQCT imaging in children, adolescents and young adults: Systematic review and subgroup meta-analysis of normative data
- Limits in reliability of leg-spring and joint stiffness measures during single-leg hopping within a sled-based system
- Genomic and phylogenetic analysis of choriolysins, and biological activity of hatching liquid in the flatfish Senegalese sole
- Physical activity levels in adults and elderly from triaxial and uniaxial accelerometry. The Tromsø Study
- Pathologic changes and immune responses against Coxiella burnetii in mice following infection via non-invasive intratracheal inoculation
- 4D perfusion CT of prostate cancer for image-guided radiotherapy planning: A proof of concept study
- Rapid wound healing in a reef manta ray masks the extent of vessel strike
- Exploring resources and environmental carrying capacities at the county level: A case study of China’s Fengxian County
- The opportunities and risks of mobile phones for refugees’ experience: A scoping review
- Motor vehicle crash reconstruction: Does it relate to the heterogeneity of whiplash recovery?
- Frequency and determinants of health care utilization for symptomatic reproductive tract infections in rural Indian women: A cross-sectional study
- BPRF: Blockchain-based privacy-preserving reputation framework for participatory sensing systems
- Gang confrontation: The case of Medellin (Colombia)
- Adaptive smartphone-based sensor fusion for estimating competitive rowing kinematic metrics
- Prevalence of Cryptococcal Antigenemia and associated factors among HIV/AIDS patients on second-line antiretroviral therapy at two hospitals in Western Oromia, Ethiopia
- Characterization of the cecal microbiome composition of Wenchang chickens before and after fattening
- A leader-follower model for discrete competitive facility location problem under the partially proportional rule with a threshold
- Process elements contributing to community mobilization for HIV risk reduction and gender equality in rural South Africa
- Hidden dynamics of soccer leagues: The predictive ‘power’ of partial standings
- Quantitative dynamics of Salmonella and E. coli in feces of feedlot cattle treated with ceftiofur and chlortetracycline
- Diet of the brown bear in Himalaya: Combining classical and molecular genetic techniques
- Multiscale analysis for patterns of Zika virus genotype emergence, spread, and consequence
- Incidences of community onset severe sepsis, Sepsis-3 sepsis, and bacteremia in Sweden – A prospective population-based study
- Antiphagocytic protein 1 increases the susceptibility of Cryptococcus neoformans to amphotericin B and fluconazole
- Towards text mining therapeutic change: A systematic review of text-based methods for Therapeutic Change Process Research
- Intrinsic group behaviour II: On the dependence of triad spatial dynamics on social and personal features; and on the effect of social interaction on small group dynamics
- Association between circulating neuregulin4 levels and diabetes mellitus: A meta-analysis of observational studies
- Impact of relational leadership on employees’ unethical pro-organizational behavior: A survey based on tourism companies in four countries
- Using morphological attributes for the fast assessment of nutritional responses of Buddhist pine (Podocarpus macrophyllus [Thunb.] D. Don) seedlings to exponential fertilization
- Student engagement, assessed using heart rate, shows no reset following active learning sessions in lectures
- Examining transmission of gut bacteria to preserved carcass via anal secretions in Nicrophorus defodiens
- Direct costs of illness of patients with chronic cough in rural Malawi—Experiences from Dowa and Ntchisi districts
- Bone spoons for prehistoric babies: Detection of human teeth marks on the Neolithic artefacts from the site Grad-Starčevo (Serbia)
- Identifying and characterizing extrapolation in multivariate response data
- Clinically-defined preoperative serum phosphorus abnormalities and outcomes of coronary artery bypass grafting: Retrospective analysis using inverse probability weighting adjustment
- My experiences with kidney care: A qualitative study of adults in the Northern Territory of Australia living with chronic kidney disease, dialysis and transplantation
- Anemia and associated factors among type-2 diabetes mellitus patients attending public hospitals in Harari Region, Eastern Ethiopia
- The KLDpT activation loop motif is critical for MARK kinase activity
- Pro-renin receptor suppresses mitochondrial biogenesis and function via AMPK/SIRT-1/ PGC-1α pathway in diabetic kidney
- Evaluation of upconverting nanoparticles towards heart theranostics
- Severe childhood anemia and emergency blood transfusion in Gadarif Hospital, eastern Sudan
- Gender differences in the effect of self-rated health (SRH) on all-cause mortality and specific causes of mortality among individuals aged 50 years and older
- PyLandStats: An open-source Pythonic library to compute landscape metrics
- Snow avalanche deaths in Switzerland from 1995 to 2014—Results of a nation-wide linkage study
- Cashew nuts (Anacardium occidentale L.) decrease visceral fat, yet augment glucose in dyslipidemic rats
- Association between attitudes of stigma toward mental illness and attitudes toward adoption of evidence-based practice within health care providers in Bahrain
- The efficacy of conditioned medium released by tonsil-derived mesenchymal stem cells in a chronic murine colitis model
- Generation of targeted homozygosity in the genome of human induced pluripotent stem cells
- Pathways to care and outcomes among hospitalised HIV-seropositive persons with cryptococcal meningitis in South Africa
- Fungicides, herbicides and bees: A systematic review of existing research and methods
- The risk of active tuberculosis among individuals living in tuberculosis-affected households in the Republic of Korea, 2015
- Intraoperative ketorolac in high-risk breast cancer patients. A prospective, randomized, placebo-controlled clinical trial
- An add-on training program involving breathing exercises, cold exposure, and meditation attenuates inflammation and disease activity in axial spondyloarthritis – A proof of concept trial
- Comparative study of the composition of cultivated, naturally grown Cordyceps sinensis, and stiff worms across different sampling years
- Factors affecting the spread of multiple information in social networks
- Non-structural carbohydrates in maize with different nitrogen tolerance are affected by nitrogen addition
- Network dynamics of Broca’s area during word selection
- Is less readable liked better? The case of font readability in poetry appreciation
- An expanded rating curve model to estimate river discharge during tidal influences across the progressive-mixed-standing wave systems
- Neuroimaging modality fusion in Alzheimer’s classification using convolutional neural networks
- Ginkgo biloba extract increases neurite outgrowth and activates the Akt/mTOR pathway
- Systematic review and meta-analysis comparing Adjustable Transobturator Male System (ATOMS) and Adjustable Continence Therapy (ProACT) for male stress incontinence
- Men and women differ in their perception of gender bias in research institutions
- Visual inspection of vaccine storage conditions in general practices: A study of 75 vaccine refrigerators
- Serum procalcitonin as an independent diagnostic markers of bacteremia in febrile patients with hematologic malignancies
- New physiological bench test reproducing nocturnal breathing pattern of patients with sleep disordered breathing
- Respiratory syncytial virus exhibits differential tropism for distinct human placental cell types with Hofbauer cells acting as a permissive reservoir for infection
- Correlation analysis of physical fitness and retinal microvasculature by OCT angiography in healthy adults
- Non-spherical particles in optical tweezers: A numerical solution
- Polyvinylalcohol-carbazate (PVAC) reduces red blood cell hemolysis
- Single nucleotide polymorphisms associated with susceptibility for development of colorectal cancer: Case-control study in a Basque population
- Fragment-based design of small molecule PCSK9 inhibitors using simulated annealing of chemical potential simulations
- Development and validation of the Scale of Motives for Using Social Networking Sites (SMU-SNS) for adolescents and youths
- Formation of a structurally-stable conformation by the intrinsically disordered MYC:TRRAP complex
- Generation of swine movement network and analysis of efficient mitigation strategies for African swine fever virus
- Transient effect of melatonin treatment after neonatal hypoxic-ischemic brain injury in rats
- The Determinants of Household Food Waste Generation and its Associated Caloric and Nutrient Losses: The Case of Lebanon
- Housekeeping gene validation for RT-qPCR studies on synovial fibroblasts derived from healthy and osteoarthritic patients with focus on mechanical loading
- Does historical land use affect the regional distribution of fleshy-fruited woody plants?
- ABO blood group and risk of newly diagnosed nonalcoholic fatty liver disease: A case-control study in Han Chinese population
- Circulation of influenza virus from 2009 to 2018 in Cameroon: 10 years of surveillance data
- Parametric CAD modeling for open source scientific hardware: Comparing OpenSCAD and FreeCAD Python scripts
- The diversity and abundance of fungi and bacteria on the healthy and dandruff affected human scalp
- Interferometric fluorescence cross correlation spectroscopy
- Fatty acid profiling of 75 Indian snack samples highlights overall low trans fatty acid content with high polyunsaturated fatty acid content in some samples
- Evaluating the impact of setting delineators in tunnels based on drivers’ visual characteristics
- Quinolone nonsusceptibility among enteric pathogens isolated from international travelers – Foodborne Diseases Active Surveillance Network (FoodNet) and National Antimicrobial Monitoring System (NARMS), 10 United States sites, 2004 – 2014
- Influence of Debaryomyces hansenii on bacterial lactase gene diversity in intestinal mucosa of mice with antibiotic-associated diarrhea
- Food from faeces: Evaluating the efficacy of scat DNA metabarcoding in dietary analyses
- Toll-like receptor 7-adapter complex modulates interferon-α production in HIV-stimulated plasmacytoid dendritic cells
- Effects of nutrient level and planting density on population relationship in soybean and wheat intercropping populations
- Prediction model for dengue fever based on interactive effects between multiple meteorological factors in Guangdong, China (2008–2016)
- Antihypertensive treatment and risk of cardiovascular mortality in patients with chronic kidney disease diagnosed based on the presence of proteinuria and renal function: A large longitudinal study in Japan
- Circadian misalignment alters insulin sensitivity during the light phase and shifts glucose tolerance rhythms in female mice
- Commonly missed nursing cares in the obstetrics and gynecologic wards of Tigray general hospitals; Northern Ethiopia
- Description and phylogeny of a new species of Liolaemus (Iguania: Liolaemidae) endemic to the south of the Plurinational State of Bolivia
- Preparedness for colorectal cancer surgery and recovery through a person-centred information and communication intervention – A quasi-experimental longitudinal design
- Detrended Fluctuation Analysis in the prediction of type 2 diabetes mellitus in patients at risk: Model optimization and comparison with other metrics
- A co-registration investigation of inter-word spacing and parafoveal preview: Eye movements and fixation-related potentials
- Wireless intravesical device for real-time bladder pressure measurement: Study of consecutive voiding in awake minipigs
- Sequence analyses at mitochondrial and nuclear loci reveal a novel Theileria sp. and aid in the phylogenetic resolution of piroplasms from Australian marsupials and ticks
- Use of three points to determine the accuracy of guided implantation
- Citric-acid dialysate improves the calcification propensity of hemodialysis patients: A multicenter prospective randomized cross-over trial
- Plasmacytoid dendritic cell and myeloid dendritic cell function in ageing: A comparison between elderly and young adult women
- Predicting the replicability of social science lab experiments
- Lomax exponential distribution with an application to real-life data
- Territoriality and the organization of technology during the Last Glacial Maximum in southwestern Europe
- Global longitudinal strain can predict heart failure exacerbation in stable outpatients with ischemic left ventricular systolic dysfunction
- Barriers to chronic Hepatitis B treatment and care in Ghana: A qualitative study with people with Hepatitis B and healthcare providers
- Exploring the workplace climate and culture in relation to food environment-related factors in Norwegian kindergartens: The BRA-study
- The evaluation of the Woman’s Condom marketing approach: What value did peer-led interpersonal communication add to the promotion of a new female condom in urban Lusaka?
- Composition and structure of the culturable gut bacterial communities in Anopheles albimanus from Colombia
- Discovery of genomic variations by whole-genome resequencing of the North American Araucana chicken
- A siRNA mediated hepatic dpp4 knockdown affects lipid, but not glucose metabolism in diabetic mice
- Central sensitization in knee osteoarthritis and fibromyalgia: Beyond depression and anxiety
- A Bayesian Monte Carlo approach for predicting the spread of infectious diseases
- Clinical and epidemiological characteristics of imported dengue fever among inbound passengers: Infrared thermometer–based active surveillance at an international airport
- Orbit image analysis machine learning software can be used for the histological quantification of acute ischemic stroke blood clots
- Impact of oral probiotic Lactobacillus acidophilus vaccine strains on the immune response and gut microbiome of mice
- An investigation of the equine epidermal growth factor system during hyperinsulinemic laminitis
- Ranking hospitals when performance and risk factors are correlated: A simulation-based comparison of risk adjustment approaches for binary outcomes
- The effect of carbohydrate sources: Sucrose, invert sugar and components of mānuka honey, on core bacteria in the digestive tract of adult honey bees (Apis mellifera)
- Runs of Homozygosity and NetView analyses provide new insight into the genome-wide diversity and admixture of three German cattle breeds
- Backward compatibility of whole genome sequencing data with MLVA typing using a new MLVAtype shiny application for Vibrio cholerae
- Total sleep deprivation increases pain sensitivity, impairs conditioned pain modulation and facilitates temporal summation of pain in healthy participants
- The effects of urbanization on bee communities depends on floral resource availability and bee functional traits
- Dynamics of essential interaction between firms on financial reports
- Drug overdose among women in intimate relationships: The role of partner violence, adversity and relationship dependencies
- Robust effect of metabolic syndrome on major metabolic pathways in the myocardium
- California condor microbiomes: Bacterial variety and functional properties in captive-bred individuals
- Using baited remote underwater videos (BRUVs) to characterize chondrichthyan communities in a global biodiversity hotspot
- Evaluation of the potential of a new ribavirin analog impairing the dissemination of ovarian cancer cells
- Grazing offsets the stimulating effects of nitrogen addition on soil CH4 emissions in a meadow steppe in Northeast China
- Molecular characterization of fowl adenovirus isolate of Malaysia attenuated in chicken embryo liver cells and its pathogenicity and immunogenicity in chickens
- Prolonged fasting followed by refeeding modifies proteome profile and parvalbumin expression in the fast-twitch muscle of pacu (Piaractus mesopotamicus)
- Agriculture development and CO2 emissions nexus in Saudi Arabia
- Influence of a neck compression collar on cerebrovascular and autonomic function in men and women
- Visceral leishmaniasis in Northeast Brazil: What is the impact of HIV on this protozoan infection?
- βC1, pathogenicity determinant encoded by Cotton leaf curl Multan betasatellite, interacts with calmodulin-like protein 11 (Gh-CML11) in Gossypium hirsutum
- Expanded eligibility for HIV testing increases HIV diagnoses—A cross-sectional study in seven health facilities in western Kenya
- Clinically useful limited sampling strategy to estimate area under the concentration-time curve of once-daily tacrolimus in adult Japanese kidney transplant recipients
- Re-introduction of dengue virus serotype 2 in the state of Rio de Janeiro after almost a decade of epidemiological silence
- The salivary gland proteome of root-galling grape phylloxera (Daktulosphaira vitifoliae Fitch) feeding on Vitis spp.
- Efficacy of antimalarial drugs for treatment of uncomplicated falciparum malaria in Asian region: A network meta-analysis
- A study of the impact of data sharing on article citations using journal policies as a natural experiment
- The higher they go the harder they could fall: The impact of risk-glorifying commercials on risk behavior
- Optimization of TripleTOF spectral simulation and library searching for confident localization of phosphorylation sites
- Evidence for pre-climacteric activation of AOX transcription during cold-induced conditioning to ripen in European pear (Pyrus communis L.)
- Expression of myeloid Src-family kinases is associated with poor prognosis in AML and influences Flt3-ITD kinase inhibitor acquired resistance
- Examining psychosocial correlates of physical activity and sedentary behavior in youth with and without HIV
- Modeling record scores in the snatch and its variations in the long-term training of young weightlifters
- Women with metabolic syndrome show similar health benefits from high-intensity interval training than men
- Long-term tracking demonstrates effectiveness of a partnership-led training program to advance the careers of biomedical researchers from underrepresented groups
- Serological evidence of arboviruses and coccidia infecting horses in the Amazonian region of Brazil
- Life-cycle mediated effects of urbanization on parasite communities in the estuarine fish, Fundulus heteroclitus
- Rapid serial blinks: An index of temporally increased cognitive load
- Do cancer stem cells exist? A pilot study combining a systematic review with the hierarchy-of-hypotheses approach
- Diversity of a cytokinin dehydrogenase gene in wild and cultivated barley
- PyRates—A Python framework for rate-based neural simulations
- Interdependence of balance mechanisms during bipedal locomotion
- Ecological interdependencies and resource competition: The role of information and communication in promoting effective collaboration in complex management situations
- Quaking-induced conversion of prion protein on a thermal mixer accelerates detection in brains infected with transmissible spongiform encephalopathy agents
- A new finite element based parameter to predict bone fracture
- Clinical, imaging features and outcome in internal carotid artery versus middle cerebral artery disease
- The association of weight status and weight perception with number of confidants in adolescents
- Smoking trajectories and risk of stroke until age of 50 years – The Northern Finland Birth Cohort 1966
- Discoidin domain Receptor 2: A determinant of metabolic syndrome-associated arterial fibrosis in non-human primates
- L-lysine protects C2C12 myotubes and 3T3-L1 adipocytes against high glucose damages and stresses
- IGF-1-enhanced miR-513a-5p signaling desensitizes glioma cells to temozolomide by targeting the NEDD4L-inhibited Wnt/β-catenin pathway
- Performance, complexity and dynamics of force maintenance and modulation in young and older adults
- Selection of appropriate reference genes for quantitative real-time reverse transcription PCR in Betula platyphylla under salt and osmotic stress conditions
- A method for complete plant taxon and site inventories in large forest areas with the help of orienteering maps, as exemplified by target forests in Switzerland
- Bilateral Parkinson’s disease model rats exhibit hyperalgesia to subcutaneous formalin administration into the vibrissa pad
- Microbial diversity and mineral composition of weathered serpentine rock of the Khalilovsky massif
- Interaction strength in plant-pollinator networks: Are we using the right measure?
- Erastin, a ferroptosis-inducing agent, sensitized cancer cells to X-ray irradiation via glutathione starvation in vitro and in vivo
- Psychometric properties of the PERMA Profiler for measuring wellbeing in Australian adults
- Host-mediated microbiome engineering (HMME) of drought tolerance in the wheat rhizosphere
- Trust development as an expectancy-learning process: Testing contingency effects
- Mutation analysis of annual sediment discharge at Wu Long station in Wu Jiang River Basin from 1960 to 2016
- Improving distribution models of riparian vegetation with mobile laser scanning and hydraulic modelling
- Skeletal muscle alterations in tachycardia-induced heart failure are linked to deficient natriuretic peptide signalling and are attenuated by RAS-/NEP-inhibition
- Comprehensive value assessment of drugs using a multi-criteria decision analysis: An example of targeted therapies for metastatic colorectal cancer treatment
- Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis
- Robot-assisted unicompartmental knee arthroplasty can reduce radiologic outliers compared to conventional techniques
- Causes of inferior relative survival after testicular germ cell tumor diagnosed 1953–2015: A population-based prospective cohort study
- Autosomal-dominant hypotrichosis with woolly hair: Novel gene locus on chromosome 4q35.1-q35.2
- Mystery or method? Evaluating claims of increased energy expenditure during a ketogenic diet
- Commentary on: Abundance and distribution of microplastics within surface sediments of a key shellfish growing region of Canada
- The genetic and environmental effects on school grades in late childhood and adolescence
- Metabolic power in hurling with respect to position and halves of match-play
- Local, nonlinear effects of cGMP and Ca2+ reduce single photon response variability in retinal rods
- Personality traits and risky behavior among motorcyclists: An exploratory study
- The long-term arterial assist intermittent pneumatic compression generating venous flow obstruction is responsible for improvement of arterial flow in ischemic legs
- Human-nature relationships in context. Experiential, psychological, and contextual dimensions that shape children’s desire to protect nature
- The spatio-temporal patterns of the topsoil organic carbon density and its influencing factors based on different estimation models in the grassland of Qinghai-Tibet Plateau
- INT reduction is a valid proxy for eukaryotic plankton respiration despite the inherent toxicity of INT and differences in cell wall structure
- Gestational diabetes mellitus diagnosed at 24 to 28 weeks of gestation in older and obese Women: Is it too late?
- Hermetia illucens in diets for zebrafish (Danio rerio): A study of bacterial diversity by using PCR-DGGE and metagenomic sequencing
- Thermotolerant Campylobacter spp. in chicken and bovine meat in Italy: Prevalence, level of contamination and molecular characterization of isolates
- Prognostic value of maximum standard uptake value, metabolic tumor volume, and total lesion glycolysis of positron emission tomography/computed tomography in patients with breast cancer: A systematic review and meta-analysis
- Understanding the variability of handheld spectral-domain optical coherence tomography measurements in supine infants
- Helicobacter pylori antibody and pepsinogen testing for predicting gastric microbiome abundance
- Outcome of bimodality definitive chemoradiation does not differ from that of trimodality upfront neck dissection followed by adjuvant treatment for >6 cm lymph node (N3) head and neck cancer
- Belief in conspiracy theories: The predictive role of schizotypy, Machiavellianism, and primary psychopathy
- Does seed size mediate sex-specific reproduction costs in the Callosobruchus maculatus bean beetle?
- Characters matter: How narratives shape affective responses to risk communication
- First-4-week erythrocyte sedimentation rate variability predicts erythrocyte sedimentation rate trajectories and clinical course among patients with pyogenic vertebral osteomyelitis
- Walking with head-mounted virtual and augmented reality devices: Effects on position control and gait biomechanics
- Cohort Profile: The Dutch Perined-Lifelines birth cohort
- Accelerated development of rice stripe virus-resistant, near-isogenic rice lines through marker-assisted backcrossing
- Physical determinants of vault performance and their age-related differences across male junior and elite top-level gymnasts
- The transcriptome analysis of the Arabidopsis thaliana in response to the Vibrio vulnificus by RNA-sequencing
- Stable depletion of RUNX1-ETO in Kasumi-1 cells induces expression and enhanced proteolytic activity of Cathepsin G and Neutrophil Elastase
- Overweight and obesity are associated with clustering of metabolic risk factors in early pregnancy and the risk of GDM
- Genome-wide association mapping of total antioxidant capacity, phenols, tannins, and flavonoids in a panel of Sorghum bicolor and S. bicolor × S. halepense populations using multi-locus models
- Choosing important health outcomes for comparative effectiveness research: 5th annual update to a systematic review of core outcome sets for research
- Balancing fire risk and human thermal comfort in fire-prone urban landscapes
- Low-rank graph optimization for multi-view dimensionality reduction
- Time optimal entrainment control for circadian rhythm
- Why do football clubs fail financially? A financial distress prediction model for European professional football industry
- Reconstruction error based deep neural networks for coronary heart disease risk prediction
- Exploring the geography of serious mental illness and type 2 diabetes comorbidity in Illawarra—Shoalhaven, Australia (2010 -2017)
- To be or not to be an inclusive teacher: Are empathy and social dominance relevant factors to positive attitudes towards inclusive education?
- Seasonality of deaths with respect to age and cause in Chitral District Pakistan
- Myalgic encephalomyelitis/chronic fatigue Syndrome (ME/CFS): Investigating care practices pointed out to disparities in diagnosis and treatment across European Union
- Poor nutrition for under-five children from poor households in Ethiopia: Evidence from 2016 Demographic and Health Survey
- The effect of a curriculum-based physical activity intervention on accelerometer-assessed physical activity in schoolchildren: A non-randomised mixed methods controlled before-and-after study
- Safety and immune cell kinetics after donor natural killer cell infusion following haploidentical stem cell transplantation in children with recurrent neuroblastoma
- On-site blood culture incubation shortens the time to knowledge of positivity and microbiological results in septic patients
- In vivo ultrasound thermal ablation control using echo decorrelation imaging in rabbit liver and VX2 tumor
- Genome wide identification and characterization of microsatellite markers in black pepper (Piper nigrum): A valuable resource for boosting genomics applications
- Child behaviour and subsequent changes in body weight, composition and shape
- RBM3 and CIRP expressions in targeted temperature management treated cardiac arrest patients—A prospective single center study
- Segmentation of distal airways using structural analysis
- A single intra-articular injection of 2.0% non-chemically modified sodium hyaluronate vs 0.8% hylan G-F 20 in the treatment of symptomatic knee osteoarthritis: A 6-month, multicenter, randomized, controlled non-inferiority trial
- What effort is required in retrieving self-defining memories? Specific autonomic responses for integrative and non-integrative memories
- Influence of pre-pregnancy body mass index (p-BMI) and gestational weight gain (GWG) on DNA methylation and protein expression of obesogenic genes in umbilical vein
- Early recovery after endoscopic totally extraperitoneal (TEP) hernia repair in athletes with inguinal disruption: A prospective cohort study
- Extending the information content of the MALDI analysis of biological fluids via multi-million shot analysis
- Effects of the performance parameters of a wheelchair on the changes in the position of the centre of gravity of the human body in dynamic condition
- An analysis of atmospheric water vapor variations over a complex agricultural region using airborne imaging spectrometry
- Factors influencing harmonized health data collection, sharing and linkage in Denmark and Switzerland: A systematic review
- Intracerebroventricular administration of the thyroid hormone analog TRIAC increases its brain content in the absence of MCT8
- Gaze direction reveals implicit item and source memory in older adults
- Social influences on smoking cessation in mid-life: Prospective cohort of UK women
- Cord compression defined by MRI is the driving factor behind the decision to operate in Degenerative Cervical Myelopathy despite poor correlation with disease severity
- Characterization of testis-specific serine/threonine kinase 1-like (TSSK1-like) gene and expression patterns in diploid and triploid Pacific abalone (Haliotis discus hannai; Gastropoda; Mollusca) males
- Eavesdropping on dolphins: Investigating the habits of bottlenose dolphins (Tursiops truncatus) through fixed acoustic stations
- Modeling narrative structure and dynamics with networks, sentiment analysis, and topic modeling
- Screening colonoscopy and flexible sigmoidoscopy for reduction of colorectal cancer incidence: A case-control study
- Focal inputs are a potential origin of local field potential (LFP) in the brain regions without laminar structure
- Emergency Department visits due to intoxications in a Dutch university hospital: Occurrence, characteristics and health care costs
- The effects of isobaric and hyperbaric bupivacaine on maternal hemodynamic changes post spinal anesthesia for elective cesarean delivery: A prospective cohort study
- Child protection, domestic violence, and ethnic minorities: Narrative results from a mixed methods study in Australia
- Prediction of early C-reactive protein levels after non-cardiac surgery under general anesthesia
- Long-term outcome in patients after treatment for Cushing’s disease in childhood
- The effects of diurnal intermittent fasting on proinflammatory cytokine levels while controlling for sleep/wake pattern, meal composition and energy expenditure
- Snord94 expression level alters methylation at C62 in snRNA U6
- Gender differences in the interaction effect of cumulative risk and problem-focused coping on depression among adult employees
- The relation between local and distal muscle fat infiltration in chronic whiplash using magnetic resonance imaging
- Prevalence of hypothermia on admission to recovery room remains high despite a large use of forced-air warming devices: Findings of a non-randomized observational multicenter and pragmatic study on perioperative hypothermia prevalence in France
- De novo transcriptome analysis and identification of genes associated with immunity, detoxification and energy metabolism from the fat body of the tephritid gall fly, Procecidochares utilis
- Linking surveillance and clinical data for evaluating trends in bloodstream infection rates in neonatal units in England
- Women’s decision-making power and undernutrition in their children under age five in the Democratic Republic of the Congo: A cross-sectional study
- Ocular surface and tear film changes in workers exposed to organic solvents used in the dry-cleaning industry
- The interferon-gamma pathway is selectively up-regulated in the liver of patients with secondary hemophagocytic lymphohistiocytosis
- Serotonin modulates behavior-related neural activity of RID interneuron in Caenorhabditis elegans
- Risk factors of post-discharge under-five mortality among Danish children 1997-2016: A register-based study
- Apologies as signals for change? Implicit theories of personality and reactions to apologies during the #MeToo movement
- Correction: Modeling the natural history of fatty liver using lifestyle–related risk factors: Effects of body mass index (BMI) on the life–course of fatty liver
- Knee joint biomechanics in transtibial amputees in gait, cycling, and elliptical training
- The polarity protein Dlg5 regulates collective cell migration during Drosophila oogenesis
- Resolving fluorescent species by their brightness and diffusion using correlated photon-counting histograms
- Rapid loss of flight in the Aldabra white-throated rail
- Effects of acupuncture at Pericardium-6 and Stomach-36 on nausea, sedation and gastrointestinal motility in healthy dogs administered intravenous lidocaine infusions
- Classification of flavors in cigarillos and little cigars and their variable cellular and acellular oxidative and cytotoxic responses
- Image denoising via a non-local patch graph total variation
- Chemogenomic profiling to understand the antifungal action of a bioactive aurone compound
- Short-term treatment with a peroxisome proliferator-activated receptor α agonist influences plasma one-carbon metabolites and B-vitamin status in rats
- Elevation, an emotion for prosocial contagion, is experienced more strongly by those with greater expectations of the cooperativeness of others
- Efficient delipidation of a recombinant lung surfactant lipopeptide analogue by liquid-gel chromatography
- Isobaric mass tagging and triple quadrupole mass spectrometry to determine lipid biomarker candidates for Alzheimer's disease
- Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe
- Maternal death review and surveillance: The case of Central Hospital, Benin City, Nigeria
- Assessing insomnia management in community pharmacy setting in Jordan: A simulated patient approach
- Mapping the EORTC QLQ-C30 and QLQ-H&N35 to the EQ-5D for head and neck cancer: Can disease-specific utilities be obtained?
- Increasing sika deer population density may change resource use by larval dung beetles
- The fertile grounds of reproductive activism in The Gambia: A qualitative study of local key stakeholders’ understandings and heterogeneous actions related to infertility
- Subtle changes in striatal muscarinic M1 and M4 receptor expression in the DYT1 knock-in mouse model of dystonia
- Using evidence when planning for trial recruitment: An international perspective from time-poor trialists
- Molecular identification of Ehrlichia, Anaplasma, Babesia and Theileria in African elephants and their ticks
- Does educational level predict hearing aid self-efficacy in experienced older adult hearing aid users from Latin America? Validation process of the Spanish version of the MARS-HA questionnaire
- Psychometric properties of the Portuguese version of the National Eye Institute Visual Function Questionnaire-25
- Chlamydiaceae in wild, feral and domestic pigeons in Switzerland and insight into population dynamics by Chlamydia psittaci multilocus sequence typing
- Longitudinal Doppler references for monochorionic twins and comparison with singletons
- Survey on Chlamydiaceae in cloacal swabs from Swiss turkeys demonstrates absence of Chlamydia psittaci and low occurrence of Chlamydia gallinacean
- Computational singular perturbation analysis of brain lactate metabolism
- Reproductive life-history strategies in a species-rich assemblage of Amazonian electric fishes
- Analyzing and interpreting spatial and temporal variability of the United States county population distributions using Taylor's law
- Direct comparison of retinal structure and function in retinitis pigmentosa by co-registering microperimetry and optical coherence tomography
- Cattle intestinal microbiota shifts following Escherichia coli O157:H7 vaccination and colonizationtravel
- The genetic diversity and population structure of Sophora alopecuroides (Faboideae) as determined by microsatellite markers developed from transcriptome
- Significant reduction of vancomycin resistant E. faecium in the Norwegian broiler population coincided with measures taken by the broiler industry to reduce antimicrobial resistant bacteria
- Dual-hemispheric transcranial direct current stimulation (tDCS) over primary motor cortex does not affect movement selection
- Pharmacological or genetic targeting of Transient Receptor Potential (TRP) channels can disrupt the planarian escape response
- Establishment and characterization of transformed goat primary cells by expression of simian virus 40 large T antigen for orf virus propagations
- Flax rust infection transcriptomics reveals a transcriptional profile that may be indicative for rust Avr genes
- Optimizing sgRNA length to improve target specificity and efficiency for the GGTA1 gene using the CRISPR/Cas9 gene editing system
- Diversity of A(H5N1) clade 2.3.2.1c avian influenza viruses with evidence of reassortment in Cambodia, 2014-2016
- The effects of kinesiology taping on experimentally-induced thermal and mechanical pain in otherwise pain-free healthy humans: A randomised controlled repeated-measures laboratory study
- Tobacco and E-cigarette use among cancer survivors in the United States
- Sharing of gut microbial strains between selected individual sets of twins cohabitating for decades
- Loading… loading… The influence of download time on information search
- Crystal structures of p120RasGAP N-terminal SH2 domain in its apo form and in complex with a p190RhoGAP phosphotyrosine peptide
- Echolocation while drinking: Pulse-timing strategies by high- and low-frequency FM bats
- A novel one-class classification approach to accurately predict disease-gene association in acute myeloid leukemia cancer
- Characterization and quantitative trait locus mapping of late-flowering from a Thai soybean cultivar introduced into a photoperiod-insensitive genetic background
- Plasmodium falciparum infection dysregulates placental autophagy
- Intraocular pressure elevation after subtenon triamcinolone acetonide injection; Multicentre retrospective cohort study in Japan
- Generalized nonlinear Schrödinger equations describing the Second Harmonic Generation of femtosecond pulse, containing a few cycles, and their integrals of motion
- Community perception of abortion, women who abort and abortifacients in Kisumu and Nairobi counties, Kenya
- Expression of Concern: Synthesized multiple antigenic polypeptide vaccine based on B-cell epitopes of human heparanase could elicit a potent antimetastatic effect on human hepatocellular carcinoma in vivo
- Correction: Effective methods for the inactivation of Francisella tularensis
- The Salmonella type III effector SpvC triggers the reverse transmigration of infected cells into the bloodstream
- Spatial patterns of tuberculosis and HIV co-infection in Ethiopia
- Serum PCSK6 and corin levels are not associated with cardiovascular outcomes in patients undergoing coronary angiography
- On a remarkable sexual dimorphic trait in the Characiformes related to the olfactory organ and description of a new miniature species of Tyttobrycon Géry (Characiformes: Characidae)
- Effect of integrating a video intervention on parenting practices and related parental self-efficacy regarding health behaviours within the Feel4Diabetes-study in Belgian primary schoolchildren from vulnerable families: A cluster randomized trial
- Type 2 diabetes care: Improvement by standardization at a diabetes rehabilitation clinic. An observational report
- Regulating pharmacists as contraception providers: A qualitative study from Coastal Kenya on injectable contraception provision to youth
- The impact of familial risk and early life adversity on emotion and reward processing networks in youth at-risk for bipolar disorder
- Melanism evolution in the cat family is influenced by intraspecific communication under low visibility
- Gene expression profiles classifying clinical stages of tuberculosis and monitoring treatment responses in Ethiopian HIV-negative and HIV-positive cohorts
- Selection of valid reference genes for quantitative real-time PCR in Cotesia chilonis (Hymenoptera: Braconidae) exposed to different temperatures
- Magnitude of surgical site infection and its associated factors among patients who underwent a surgical procedure at Wolaita Sodo University Teaching and Referral Hospital, South Ethiopia
- Kyasanur Forest Disease vaccination coverage and its perceived barriers in Goa, India—A mixed methods operational research
- Maternal psychosocial risk factors and lower respiratory tract infection (LRTI) during infancy in a South African birth cohort
- Ameliorating effects of Gö6976, a pharmacological agent that inhibits protein kinase D, on collagen-induced arthritis
- Regional hypothermia improves gastric microcirculatory oxygenation during hemorrhage in dogs
- Dynamical comparison between Drosha and Dicer reveals functional motion similarities and dissimilarities
- Retraction: Circulating FoxP3+ regulatory T and interleukin17-producing Th17 cells actively influence HBV clearance in de novo Hepatitis B virus infected patients after orthotopic liver transplantation
- Correction: Data in question: A survey of European biobank professionals on ethical, legal and societal challenges of biobank research
- Expression of HIF-1α is related to a poor prognosis and tamoxifen resistance in contralateral breast cancer
- Metabolic responses of wheat seedlings to osmotic stress induced by various osmolytes under iso-osmotic conditions
- A δ2H Isoscape of blackberry as an example application for determining the geographic origins of plant materials in New Zealand
- Fiber visualization for preoperative glioma assessment: Tractography versus local connectivity mapping
- Amiselimod (MT-1303), a novel sphingosine 1-phosphate receptor-1 functional antagonist, inhibits progress of chronic colitis induced by transfer of CD4+CD45RBhigh T cells
- Insights of organic fertilizer micro flora of bovine manure and their useful potentials in sustainable agriculture
- A scalable culturing system for the marine annelid Platynereis dumerilii
- Is parity a cause of tooth loss? Perceptions of northern Nigerian Hausa women
- Low-diversity bacterial microbiota in Southern Ocean representatives of lanternfish genera Electrona, Protomyctophum and Gymnoscopelus (family Myctophidae)
- Bacteriologically-confirmed pulmonary tuberculosis in an Ethiopian prison: Prevalence from screening of entrant and resident prisoners
- Multi-objective AGV scheduling in an automatic sorting system of an unmanned (intelligent) warehouse by using two adaptive genetic algorithms and a multi-adaptive genetic algorithm
- Identification of novel non-myelin biomarkers in multiple sclerosis using an improved phage-display approach
- PTH1-34 improves bone healing by promoting angiogenesis and facilitating MSCs migration and differentiation in a stabilized fracture mouse model
- Micro-RNA signatures in monozygotic twins discordant for congenital heart defects
- Aspirin enhances sensitization to the egg-white allergen ovalbumin in rats
- HCV incidence is associated with injecting partner age and HCV serostatus mixing in young adults who inject drugs in San Francisco
- Adherence is associated with a favorable outcome after lung transplantation
- Selection and validation of reference genes desirable for gene expression analysis by qRT-PCR in MeJA-treated ginseng hairy roots
- Availability, prices and affordability of essential medicines for treatment of diabetes and hypertension in private pharmacies in Zambia
- Retraction: Is insulin resistance the cause of fibromyalgia? A preliminary report
- Amnestic mild cognitive impairment in Parkinson’s disease: White matter structural changes and mechanisms
- Menagerie: A text-mining tool to support animal-human translation in neurodegeneration research
- Profusion of G-quadruplexes on both subunits of metazoan ribosomes
- Analysis of genome-wide DNA arrays reveals the genomic population structure and diversity in autochthonous Greek goat breeds
- Impact of human-derived hemoglobin based oxygen vesicles as a machine perfusion solution for liver donation after cardiac death in a pig model
- Microbial diversity within the digestive tract contents of Dezhou donkeys
- Nexrutine and exercise similarly prevent high grade prostate tumors in transgenic mouse model
- Shannon entropy approach reveals relevant genes in Alzheimer’s disease
- Experimental hut evaluation of DawaPlus 3.0 LN and DawaPlus 4.0 LN treated with deltamethrin and PBO against free-flying populations of Anopheles gambiae s.l. in Vallée du Kou, Burkina Faso
- Induction of miR 21 impairs the anti-Leishmania response through inhibition of IL-12 in canine splenic leukocytes
- Ultra-deep massively parallel sequencing with unique molecular identifier tagging achieves comparable performance to droplet digital PCR for detection and quantification of circulating tumor DNA from lung cancer patients
- Correction: Synanthropic Mammals as Potential Hosts of Tick-Borne Pathogens in Panama
- Pupillometry evaluation of melanopsin retinal ganglion cell function and sleep-wake activity in pre-symptomatic Alzheimer’s disease
- Sickness absence and disability pension before and after first childbirth and in nulliparous women by numerical gender segregation of occupations: A Swedish population-based longitudinal cohort study
- New insights into intranuclear inclusions in thyroid carcinoma: Association with autophagy and with BRAFV600E mutation
- Effects of medium chain triglycerides supplementation on insulin sensitivity and beta cell function: A feasibility study
- The impact of mental health recovery narratives on recipients experiencing mental health problems: Qualitative analysis and change model
- Not so unique to Primates: The independent adaptive evolution of TRIM5 in Lagomorpha lineage
- Distributed forecasting and ant colony optimization for the bike-sharing rebalancing problem with unserved demands
- Chronic dietary supplementation with kynurenic acid, a neuroactive metabolite of tryptophan, decreased body weight without negative influence on densitometry and mandibular bone biomechanical endurance in young rats
- Higher neuron densities in the cerebral cortex and larger cerebellums may limit dive times of delphinids compared to deep-diving toothed whales
- Individual variation in migratory movements of chinstrap penguins leads to widespread occupancy of ice-free winter habitats over the continental shelf and deep ocean basins of the Southern Ocean
- Correction: Anabolic steroids among resistance training practitioners
- Correction: Incidence of sexually transmitted infections in men who have sex with men and who are at substantial risk of HIV infection – A meta-analysis of data from trials and observational studies of HIV pre-exposure prophylaxis
- Retraction: Multidrug-Resistance Related Long Non-Coding RNA Expression Profile Analysis of Gastric Cancer
- The effect of emotional information from eyes on empathy for pain: A subliminal ERP study
- NKL homeobox gene activities in normal and malignant myeloid cells
- Personal distress as a mediator between self-esteem, self-efficacy, loneliness and problematic video gaming in female and male emerging adult gamers
- Correction: Quantitative CT analysis of honeycombing area predicts mortality in idiopathic pulmonary fibrosis with definite usual interstitial pneumonia pattern: A retrospective cohort study
- Prevalence of vitamin D deficiency in women from southern Brazil and association with vitamin D-binding protein levels and GC-DBP gene polymorphisms
- Balance control mechanisms do not benefit from successive stimulation of different sensory systems
- Measuring individual differences in cognitive abilities in the lab and on the web
- Correction: Improving the impact of HIV pre-exposure prophylaxis implementation in small urban centers among men who have sex with men: An agent-based modelling study
- Objective sleep assessment in >80,000 UK mid-life adults: Associations with sociodemographic characteristics, physical activity and caffeine
- Self-reported traffic-related air pollution and respiratory symptoms among adults in an area with modest levels of traffic
- A hierarchical loss and its problems when classifying non-hierarchically
- Cross-cultural examination of the Big Five Personality Trait Short Questionnaire: Measurement invariance testing and associations with mental health
- A geographically weighted random forest approach for evaluate forest change drivers in the Northern Ecuadorian Amazon
- Spatial genetic structure and diversity of natural populations of Aesculus hippocastanum L. in Greece
- Anemia in patients with diabetic foot ulcer and its impact on disease outcome among Nigerians: Results from the MEDFUN study
- The effectiveness of physiotherapy interventions on pain and quality of life in adults with persistent post-surgical pain compared to usual care: A systematic review
- Association between anxiety and non-coding genetic variants of the galanin neuropeptide
- Evaluating the effectiveness of HOCl application on odor reduction and earthworm population growth during vermicomposting of food waste employing Eisenia fetida
- What is known about the quality of out-of-hospital emergency medical services in the Arabian Gulf States? A systematic review
- Impact of dietary patterns, individual and workplace characteristics on blood pressure status among civil servants in Bida and Wushishi communities of Niger State, Nigeria
- Robust detection of event-related potentials in a user-voluntary short-term imagery task
- Microbiota composition of the dorsal patch of reproductive male Leptonycteris yerbabuenae
- Characteristics of the gut microbiota in professional martial arts athletes: A comparison between different competition levels
- Interpreting social determinants: Emergent properties and adolescent risk behaviour
- Tulathromycin treatment does not affect bacterial dissemination or clearance of Brucella melitensis 16M following experimental infection of goats
- Hydrogenotrophic methanogens of the mammalian gut: Functionally similar, thermodynamically different—A modelling approach
- Gene delivery of a modified antibody to Aβ reduces progression of murine Alzheimer’s disease
- Flock sensitivity and specificity of pooled fecal qPCR and pooled serum ELISA for screening ovine paratuberculosis
- Disrupted resting-state brain functional network in methamphetamine abusers: A brain source space study by EEG
- Steady expression of high oleic acid in peanut bred by marker-assisted backcrossing for fatty acid desaturase mutant alleles and its effect on seed germination along with other seedling traits
- DNA metabarcoding-based diet survey for the Eurasian otter (Lutra lutra): Development of a Eurasian otter-specific blocking oligonucleotide for 12S rRNA gene sequencing for vertebrates
- Dynamics of photosynthetic responses in 10 rubber tree (Hevea brasiliensis) clones in Colombian Amazon: Implications for breeding strategies
- Inferring disease severity in rheumatoid arthritis using predictive modeling in administrative claims databases
- An evaluation of different classification algorithms for protein sequence-based reverse vaccinology prediction
- Detecting false intentions using unanticipated questions
- In vitro activity and In vivo efficacy of Isoliquiritigenin against Staphylococcus xylosus ATCC 700404 by IGPD target
- When risk becomes illness: The personal and social consequences of cervical intraepithelial neoplasia medical surveillance
- Sperm DNA integrity in adult survivors of paediatric leukemia and lymphoma: A pilot study on the impact of age and type of treatment
- Swaying slower reduces the destabilizing effects of a compliant surface on voluntary sway dynamics
- Dye diffusion during laparoscopic tubal patency tests may suggest a lymphatic contribution to dissemination in endometriosis: A prospective, observational study
- Intra-individual correlations between quantitative THK-5351 PET and MRI-derived cortical volume in Alzheimer’s disease differ according to disease severity and amyloid positivity
- Assessment of the role of Trichomonas tenax in the etiopathogenesis of human periodontitis: A systematic review
- Root and alveolar bone changes in first premolars adjacent to the traction of buccal versus palatal maxillary impacted canines
- Investigating multisite pain as a predictor of self-reported falls and falls requiring health care use in an older population: A prospective cohort study
- The socio-economic status gradient in median lifespan by birth cohorts: Evidence from Dutch Olympic athletes born between 1852 and 1947
- Identification of Plasmodium dipeptidyl aminopeptidase allosteric inhibitors by high throughput screening
- Brief group-delivered motivational interviewing is equally effective as brief group-delivered cognitive-behavioral therapy at reducing alcohol use in risky college drinkers
- Predicting the occurrence of surgical site infections using text mining and machine learning
- Organic carbon sequestration in sediments of subtropical Florida lakes
- Reliability of isokinetic knee strength measurements in children: A systematic review and meta-analysis
- Plasma concentration of neurofilament light chain protein decreases after switching from tenofovir disoproxil fumarate to tenofovir alafenamide fumarate
- Revealing the assembly of filamentous proteins with scanning transmission electron microscopy
- Effects of treated wastewater on the ecotoxicity of small streams – Unravelling the contribution of chemicals causing effects
- Air quality and obesity at older ages in China: The role of duration, severity and pollutants
- Breeding French bulldogs so that they breathe well—A long way to go
- A network-centric approach for estimating trust between open source software developers
- A novel scoring system to predict the requirement for surgical intervention in victims of motor vehicle crashes: Development and validation using independent cohorts
- Prediction of overt hepatic encephalopathy by the continuous reaction time method and the portosystemic encephalopathy syndrome test in clinically mentally unimpaired patients with cirrhosis
- Attentional capture by Pavlovian reward-signalling distractors in visual search persists when rewards are removed
- Validation of risk factors for recurrence of renal cell carcinoma: Results from a large single-institution series
- Real world, big data cost of pharmaceutical treatment for rheumatoid arthritis in Greece
- Does training with amplitude modulated tones affect tone-vocoded speech perception?
- Accuracy of the Cosmed K5 portable calorimeter
- Non-invasive diagnostic criteria of hepatocellular carcinoma: Comparison of diagnostic accuracy of updated LI-RADS with clinical practice guidelines of OPTN-UNOS, AASLD, NCCN, EASL-EORTC, and KLSCG-NCC
- Omentin-1 in diabetes mellitus: A systematic review and meta-analysis
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- Correction: Heart rate recovery and morbidity after noncardiac surgery: Planned secondary analysis of two prospective, multi-centre, blinded observational studies
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- Correction: May the change of platelet to lymphocyte ratio be a prognostic factor for T3-T4 laryngeal squamous cell carcinoma: A retrospective study
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- Cognitive bias modification for energy drink cues
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- Correction: Assessment of lung function in successfully treated tuberculosis reveals high burden of ventilatory defects and COPD
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- Vertical transmission of HIV among pregnant women who initially had false–negative rapid HIV tests in four South African antenatal clinics
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- Challenges to generating political prioritization for adolescent sexual and reproductive health in Kenya: A qualitative study
- Chronic atrophic gastritis and intestinal metaplasia surrounding diffuse-type gastric cancer: Are they just bystanders in the process of carcinogenesis?
- GLAMbox: A Python toolbox for investigating the association between gaze allocation and decision behaviour
- Correction: Rapid visual categorization is not guided by early salience-based selection
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- An inter-island comparison of Darwin’s finches reveals the impact of habitat, host phylogeny, and island on the gut microbiome
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- The acute myeloid leukemia associated AML1-ETO fusion protein alters the transcriptome and cellular progression in a single-oncogene expressing in vitro induced pluripotent stem cell based granulocyte differentiation model
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- Measuring affect-related cognitive bias: Do mice in opposite affective states react differently to negative and positive stimuli?
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- Modulation of protective reflex cough by acute immune driven inflammation of lower airways in anesthetized rabbits
- KRAS and NRAS mutational gene profile of metastatic colorectal cancer patients in Jordan
- Successional, spatial, and seasonal changes in seed rain in the Atlantic forest of southern Bahia, Brazil
- Ultrasound microbubble potentiated enhancement of hyperthermia-effect in tumours
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- An explorative study identifies miRNA signatures for the diagnosis of non-celiac wheat sensitivity
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- A partial genome assembly of the miniature parasitoid wasp, Megaphragma amalphitanum
- Can we learn from the ecology of the Bohemian gentian and save another closely related species of Gentianella?
- Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach
- Racial discrimination in medical care settings and opioid pain reliever misuse in a U.S. cohort: 1992 to 2015
- Applying circuit theory and landscape linkage maps to reintroduction planning for California Condors
- An improved understanding of ungulate population dynamics using count data: Insights from western Montana
- Pediatric trainees systematically under-report duty hour violations compared to electronic health record defined shifts
- An exclusive human milk diet for very low birth weight newborns—A cost-effectiveness and EVPI study for Germany
- Investigating unexplained genetic variation and its expression in the arbuscular mycorrhizal fungus Rhizophagus irregularis: A comparison of whole genome and RAD sequencing data
- Disease activity and damage in patients with primary Sjogren’s syndrome: Prognostic value of salivary gland ultrasonography
- A low-loss and compact single-layer butler matrix for a 5G base station antenna
- Response of rhizosphere bacterial community of Taxus chinensis var. mairei to temperature changes
- Choosing and enjoying violence in narratives
- Phylogeography, genetic diversity, and population structure of Nile crocodile populations at the fringes of the southern African distribution
- Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses
- Factors predictive of the success of tuberculosis treatment: A systematic review with meta-analysis
- Area extraction and spatiotemporal characteristics of winter wheat–summer maize in Shandong Province using NDVI time series
- Caring for the elderly: A person-centered segmentation approach for exploring the association between health care needs, mental health care use, and costs in Germany
- Potentially inappropriate medication in older participants of the Berlin Aging Study II (BASE-II) – Sex differences and associations with morbidity and medication use
- Previously implanted mitral surgical prosthesis in patients undergoing transcatheter aortic valve implantation: Procedural outcome and morphologic assessment using multidetector computed tomography
- Towards elimination of measles and rubella in Italy: Progress and challenges
- Molecular characterization of pulmonary defenses against bacterial invasion in allergic asthma: The role of Foxa2 in regulation of β-defensin 1
- A validation of machine learning-based risk scores in the prehospital setting
- Early life starvation has stronger intra-generational than transgenerational effects on key life-history traits and consumption measures in a sawfly
- Longitudinal changes in plasma hemopexin and alpha-1-microglobulin concentrations in women with and without clinical risk factors for pre-eclampsia
- Feasibility of thin-slice abdominal CT in overweight patients using a vendor neutral image-based denoising algorithm: Assessment of image noise, contrast, and quality
- Women's abortion seeking behavior under restrictive abortion laws in Mexico
- Understanding the combining ability for physiological traits in soybean
- Second language learning induces grey matter volume increase in people with multiple sclerosis
- Increased performance of DNA metabarcoding of macroinvertebrates by taxonomic sorting
- Hybrid denture acrylic composites with nanozirconia and electrospun polystyrene fibers
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- The mixture toxicity of heavy metals on Photobacterium phosphoreum and its modeling by ion characteristics-based QSAR
- Exogenous melatonin reduces the inhibitory effect of osmotic stress on photosynthesis in soybean
- Comparative analysis of ascorbate peroxidases (APXs) from selected plants with a special focus on Oryza sativa employing public databases
- The microbiota composition of the offspring of patients with gestational diabetes mellitus (GDM)
- Analysis of 13,312 benthic invertebrate samples from German streams reveals minor deviations in ecological status class between abundance and presence/absence data
- Extending the use of the World Health Organisations’ water sanitation and hygiene assessment tool for surveys in hospitals – from WASH-FIT to WASH-FAST
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- The effect of gut passage by waterbirds on the seed coat and pericarp of diaspores lacking “external flesh”: Evidence for widespread adaptation to endozoochory in angiosperms
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- Association of cord blood methylation with neonatal leptin: An epigenome wide association study
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- Determinants of Group B streptococcal virulence potential amongst vaginal clinical isolates from pregnant women
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- Correction: Cross-presentation of a spread-defective MCMV is sufficient to prime the majority of virus-specific CD8+ T cells
- Correction: An observational study comparing HPV prevalence and type distribution between HPV-vaccinated and -unvaccinated girls after introduction of school-based HPV vaccination in Norway
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- Epidemiology of tick-borne encephalitis in China, 2007- 2018
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- Murine models for familial pancreatic cancer: Histopathology, latency and drug sensitivity among cancers of Palb2, Brca1 and Brca2 mutant mouse strains
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- Fast and accurate quantification of insertion-site specific transgene levels from raw seed samples using solid-state nanopore technology
- Maternal employment and child nutritional status in Uganda
- Correction: Saiga horn user characteristics, motivations, and purchasing behaviour in Singapore
- Disparities in survival by stage after surgery between pancreatic head and body/tail in patients with nonmetastatic pancreatic cancer
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- A systems approach identifies Enhancer of Zeste Homolog 2 (EZH2) as a protective factor in epilepsy
- Statistical learning and the uncertainty of melody and bass line in music
- The association between childhood maltreatment and empathic perspective taking is moderated by the 5-HTT linked polymorphic region: Another example of “differential susceptibility”
- Household air pollution and arthritis in low-and middle-income countries: Cross-sectional evidence from the World Health Organization’s study on Global Ageing and Adult Health
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- Attitude and behaviour of Dutch Otorhinolaryngologists to Evidence Based Medicine
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- Cognitive dysfunction in mice lacking proper glucocorticoid receptor dimerization
- Prevalence, awareness, treatment and control of hypertension and sodium intake in Zhejiang Province, China: A cross-sectional survey in 2017
- Autofluorescence spectroscopy in redox monitoring across cell confluencies
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- Correction: Dual pathway for metabolic engineering of Escherichia coli to produce the highly valuable hydroxytyrosol
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- Associations of systemic, serum lipid and lipoprotein metabolic pathway gene variations with polypoidal choroidal vasculopathy in China
- MRI-guided, transrectal, intraprostatic steam application as potential focal therapeutic modality for prostatic diseases in a large animal translational model: A feasibility follow-up study
- Predicting breast cancer risk using personal health data and machine learning models
- External validation of the relative fat mass (RFM) index in adults from north-west Mexico using different reference methods
- A study on separation of the protein structural types in amino acid sequence feature spaces
- α-Lipoic acid prevents against cisplatin cytotoxicity via activation of the NRF2/HO-1 antioxidant pathway
- A phenome-wide association study (PheWAS) in the Population Architecture using Genomics and Epidemiology (PAGE) study reveals potential pleiotropy in African Americans
- The effect of prioritization over cognitive-motor interference in people with relapsing-remitting multiple sclerosis and healthy controls
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- Soluble lytic transglycosylase SLT of Francisella novicida is involved in intracellular growth and immune suppression
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- Utility of citizen science data: A case study in land-based shark fishing
- Response of cassava cultivars to African cassava mosaic virus infection across a range of inoculum doses and plant ages
- Correction: Risk factors for tooth loss in adults: A population-based prospective cohort study
- Dynamic deformation of femur during medial compartment knee osteoarthritis
- A novel ε-sensitive correlation indistinguishable scheme for publishing location data
- Interaction between BDNF val66met polymorphism and personality on long-term cardiac outcomes in patients with acute coronary syndrome
- What factors do make quality improvement work in primary health care? Experiences of maternal health quality improvement teams in three Puskesmas in Indonesia
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- The metabotropic glutamate receptor subtype 1 regulates development and maintenance of lemniscal synaptic connectivity in the somatosensory thalamus
- Impact of HFE variants and sex in lung cancer
- Study of congenital Morgagnian cataracts in Holstein calves
- Decreasing prevalence of contamination with extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E) in retail chicken meat in the Netherlands
- Screening of differentially expressed immune-related genes from spleen of broilers fed with probiotic Bacillus cereus PAS38 based on suppression subtractive hybridization
- Factors governing the performance of Auxiliary Nurse Midwives in India: A study in Pune district
- Writing in the air: Facilitative effects of finger writing in older adults
- Enzymatic production of bioactive peptides from scotta, an exhausted by-product of ricotta cheese processing
- Effect of endometriosis on the fecal bacteriota composition of mice during the acute phase of lesion formation
- Experimental infection of lambs with tick-borne encephalitis virus and co-infection with Anaplasma phagocytophilum
- Leishmania amazonensis resistance in murine macrophages: Analysis of possible mechanisms
- Comparison between the induced membrane technique and distraction osteogenesis in treating segmental bone defects: An experimental study in a rat model
- A dengue fever predicting model based on Baidu search index data and climate data in South China
- Revierparks as an integrated green network in Germany: An option for Amman?
- Detection and analysis of pulse waves during sleep via wrist-worn actigraphy
- From dangerous branches to urban banyan: Facilitating aerial root growth of Ficus rubiginosa
- Unilateral versus bilateral pedicle screw fixation in lumbar fusion: A systematic review of overlapping meta-analyses
- Edible ectomycorrhizal fungi and Cistaceae. A study on compatibility and fungal ecological strategies
- Physical space interacts with clonal fragmentation and nutrient availability to affect the growth of Salvinia natans
- Odd haemoglobins in odd-toed ungulates: Impact of selected haemoglobin characteristics of the white rhinoceros (Ceratotherium simum) on the monitoring of the arterial oxygen saturation of haemoglobin
- Somatic mutations in intracranial arteriovenous malformations
- Clinical feasibility of NGS liquid biopsy analysis in NSCLC patients
- Thrombospondin-I is a critical modulator in non-alcoholic steatohepatitis (NASH)
- Chemical analysis of Hg0-containing Hindu religious objects
- Hipk is required for JAK/STAT activity during development and tumorigenesis
- Transfer of skin microbiota between two dissimilar autologous microenvironments: A pilot study
- Correction: MiR-4524b-5p/WTX/β-catenin axis functions as a regulator of metastasis in cervical cancer
- Complete chloroplast genomes of two Siraitia Merrill species: Comparative analysis, positive selection and novel molecular marker development
- Lower levels of proteinuria are associated with elevated mortality in incident dialysis patients
- Optimising medication data collection in a large-scale clinical trial
- Personal response to immune checkpoint inhibitors of patients with advanced melanoma explained by a computational model of cellular immunity, tumor growth, and drug
- Hypofibrinolysis induced by tranexamic acid does not influence inflammation and mortality in a polymicrobial sepsis model
- Correction: Dose-dependent adverse effects of salinomycin on male reproductive organs and fertility in mice
- Endocrine profile of the VCD-induced perimenopausal model rat
- Inhibition of complement activation, myeloperoxidase, NET formation and oxidant activity by PIC1 peptide variants
- Domestication may affect the maternal mRNA profile in unfertilized eggs, potentially impacting the embryonic development of Eurasian perch (Perca fluviatilis)
- Intrauterine growth patterns in rural Ethiopia compared with WHO and INTERGROWTH-21st growth standards: A community-based longitudinal study
- Remote ischaemic conditioning and early changes in plasma creatinine as markers of one year kidney graft function—A follow-up of the CONTEXT study
- Validation of Plasmodium vivax centromere and promoter activities using Plasmodium yoelii
- Variation in neophobia among cliff swallows at different colonies
- Soil C, N, and P distribution as affected by plant communities in the Yellow River Delta, China
- Community-based sero-prevalence of hepatitis B and C infections in South Omo Zone, Southern Ethiopia
- Birth asphyxia and its associated factors among newborns in public hospital, northeast Amhara, Ethiopia
- Enhancement in dopamine reduces generous behaviour in women
- Correction: Risk factors for postoperative meningitis after microsurgery for vestibular schwannoma
- Correction: Evolution of high tooth replacement rates in theropod dinosaurs
- Hepatic sinusoidal hemophagocytosis with and without hemophagocytic lymphohistiocytosis
- Efficient intra mode decision for low complexity HEVC screen content compression
- Feature selection for helpfulness prediction of online product reviews: An empirical study
- Structure and age-dependent growth of the chicken liver together with liver fat quantification: A comparison between a dual-purpose and a broiler chicken line
- Important features of retail shoes for women with rheumatoid arthritis: A Delphi consensus survey
- The impact of gut microbiota manipulation with antibiotics on colon tumorigenesis in a murine model
- The characteristic of patulous eustachian tube patients diagnosed by the JOS diagnostic criteria
- Nine years of in situ soil warming and topography impact the temperature sensitivity and basal respiration rate of the forest floor in a Canadian boreal forest
- A novel model for malaria prediction based on ensemble algorithms
- “Because at school, you can become somebody” – The perceived health and economic returns on secondary schooling in rural Burkina Faso
- Experiences of health services and unmet care needs of people with late-stage Parkinson’s in England: A qualitative study
- Electrochemical analysis of uric acid excretion to the intestinal lumen: Effect of serum uric acid-lowering drugs and 5/6 nephrectomy on intestinal uric acid levels
- Does completion of sputum smear monitoring have an effect on treatment success and cure rate among adult tuberculosis patients in rural Eastern Uganda? A propensity score-matched analysis
- Identifying fetal yawns based on temporal dynamics of mouth openings: A preterm neonate model using support vector machines (SVMs)
- Hepatitis B virus seromarkers among HIV infected adults on ART: An unmet need for HBV screening in eastern Ethiopia
- Assessment of knowledge and practice of breast self-examination among reproductive age women in Akatsi South district of Volta region of Ghana
- Evaluation of quantitative biosensor for glucose-6-phosphate dehydrogenase activity detection
- Antibiotic treatment adequacy and death among patients with Pseudomonas aeruginosa airway infection
- Effects of experimentally induced fatigue on healthy older adults’ gait: A systematic review
- Monounsaturated fatty acids protect against palmitate-induced lipoapoptosis in human umbilical vein endothelial cells
- An assessment of the utility and repeatability of the renal resistive index in horses
- Analysis of center of mass acceleration and muscle activation in hemiplegic paralysis during quiet standing
- The association between dengue incidences and provincial-level weather variables in Thailand from 2001 to 2014
- Asylum seekers’ perspectives on vaccination and screening policies after their arrival in Greece and The Netherlands
- A new, fast method to search for morphological convergence with shape data
- Zinc thiazole enhances defense enzyme activities and increases pathogen resistance to Ralstonia solanacearum in peanut (Arachis hypogaea) under salt stress
- Effect of thermal control of dry fomites on regulating the survival of human pathogenic bacteria responsible for nosocomial infections
- Spatial dynamics in the classroom: Does seating choice matter?
- Hematologic profile of Amazon river dolphins Inia geoffrensis and its variation during acute capture stress
- Association between body mass index and asthma severity in Arab pediatric population: A retrospective study
- Toxic trajectories under future climate conditions
- Bioassay- and metabolomics-guided screening of bioactive soil actinomycetes from the ancient city of Ihnasia, Egypt
- Awareness of treatment: A source of bias in subjective grading of ocular complications
- Genome-wide identification and expression analysis of the PHD-finger gene family in Solanum tuberosum
- Exploring functional core bacteria in fermentation of a traditional Chinese food, Aspergillus-type douchi
- Folk theories of gender and anti-transgender attitudes: Gender differences and policy preferences
- Lower S-adenosylmethionine levels and DNA hypomethylation of placental growth factor (PlGF) in placental tissue of early-onset preeclampsia-complicated pregnancies
- Simulating the route of the Tang-Tibet Ancient Road for one branch of the Silk Road across the Qinghai-Tibet Plateau
- Evaluation of the ecological niche model approach in spatial conservation prioritization
- Important gene–gene interaction of TNF-α and VDR on osteoporosis in community-dwelling elders
- Traffic light labelling could prevent mortality from noncommunicable diseases in Canada: A scenario modelling study
- Choice-induced inter-trial inhibition is modulated by idiosyncratic choice-consistency
- HomeSTEAD’s physical activity and screen media practices and beliefs survey: Instrument development and integrated conceptual model
- What nature separated, and human joined together: About a spontaneous hybridization between two allopatric dogwood species (Cornus controversa and C. alternifolia)
- Cell sources of inflammatory mediators present in bone marrow areas inside the meniscus
- The effects of exercise variation in muscle thickness, maximal strength and motivation in resistance trained men
- High prevalence of abnormal menstruation among women living with HIV in Canada
- A quantitative engineering study of ecosystem robustness using thermodynamic power cycles as case studies
- External morphology and developmental changes of tarsal tips and mouthparts of the invasive spotted lanternfly, Lycorma delicatula (Hemiptera: Fulgoridae)
- Small joint arthrodesis technique using a dowel bone graft in a rabbit model
- An investigation of far and near transfer in a gamified visual learning paradigm
- Isolation and characterization of fowl aviadenovirus serotype 11 from chickens with inclusion body hepatitis in Morocco
- Translocation of Mycobacterium tuberculosis after experimental ingestion
- Health literacy as a mediator of the relationship between socioeconomic status and health: A cross-sectional study in a population-based sample in Florence
- Genomic insights on heterogeneous resistance to vancomycin and teicoplanin in Methicillin-resistant Staphylococcus aureus: A first report from South India
- “I am alive; my baby is alive”: Understanding reasons for satisfaction and dissatisfaction with maternal health care services in the context of user fee removal policy in Nigeria
- A systems biology approach uncovers a gene co-expression network associated with cell wall degradability in maize
- Correction: DNA barcodes corroborating identification of mosquito species and multiplex real-time PCR differentiating Culex pipiens complex and Culex torrentium in Iran
- Heterogeneous root zone salinity mitigates salt injury to Sorghum bicolor (L.) Moench in a split-root system
- Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review
- Spatial ecology of coyotes in the urbanizing landscape of the Cuyahoga Valley, Ohio
- The role of gadolinium in magnetic resonance imaging for early prostate cancer diagnosis: A diagnostic accuracy study
- Modeling succinate dehydrogenase loss disorders in C. elegans through effects on hypoxia-inducible factor
- The association of parents’ behaviors related to salt with 24 h urinary sodium excretion of their children: A Spanish cross-sectional study
- Transcriptional changes during hepatic ischemia-reperfusion in the rat
- NAT2 gene polymorphisms and endometriosis risk: A PRISMA-compliant meta-analysis
- Effects of lutein supplementation in age-related macular degeneration
- Correction: Genetic susceptibility to angiotensin-converting enzyme-inhibitor induced angioedema: A systematic review and evaluation of methodological approaches
- Recovery cycles of posterior root-muscle reflexes evoked by transcutaneous spinal cord stimulation and of the H reflex in individuals with intact and injured spinal cord
- Virulence beneath the fleece; a tale of foot-and-mouth disease virus pathogenesis in sheep
- The delay of motherhood: Reasons, determinants, time used to achieve pregnancy, and maternal anxiety level
- Glycated albumin as a diagnostic tool in diabetes: An alternative or an additional test?
- Quantification of circulating cell-free DNA (cfDNA) in urine using a newborn piglet model of asphyxia
- Correction: Elevated levels of eEF1A2 protein expression in triple negative breast cancer relate with poor prognosis
- Inhibiting the copper efflux system in microbes as a novel approach for developing antibiotics
- Rapid pathogen identification and antimicrobial susceptibility testing in in vitro endophthalmitis with matrix assisted laser desorption-ionization Time-of-Flight Mass Spectrometry and VITEK 2 without prior culture
- Identification of loci of functional relevance to Barrett’s esophagus and esophageal adenocarcinoma: Cross-referencing of expression quantitative trait loci data from disease-relevant tissues with genetic association data
- Inter- and intraspecific diversity of food legumes among households and communities in Ethiopia
- Walking-speed estimation using a single inertial measurement unit for the older adults
- The relationship between glutathione levels in leukocytes and ocular clinical parameters in glaucoma
- The home field advantage of modern plant breeding
- High concentrations of middle ear antimicrobial peptides and proteins and proinflammatory cytokines are associated with detection of middle ear pathogens in children with recurrent acute otitis media
- A modern approach to identifying and characterizing child asthma and wheeze phenotypes based on clinical data
- Validation of a novel time-to-event nest density estimator on passerines: An example using Brewer’s sparrows (Spizella breweri)
- Use of GeneXpert and the role of an expert panel in improving clinical diagnosis of smear-negative tuberculosis cases
- Heat-induced hyperthermia impacts the follicular fluid proteome of the periovulatory follicle in lactating dairy cows
- One-shot phase-recovery using a cellphone RGB camera on a Jamin-Lebedeff microscope
- Change of surfactant protein D and A after renal ischemia reperfusion injury
- Antibiotic saving effect of combination therapy through synergistic interactions between well-characterized chito-oligosaccharides and commercial antifungals against medically relevant yeasts
- Impact of the change in the antitubercular regimen from three to four drugs on cure and frequency of adverse reactions in tuberculosis patients from Brazil: A retrospective cohort study
- Ontogenic mRNA expression of RNA modification writers, erasers, and readers in mouse liver
- Intrinsic and extrinsic factors associated with sputum characteristics of presumed tuberculosis patients
- Vaccination with a live-attenuated small-colony variant improves the humoral and cell-mediated responses against Staphylococcus aureus
- A versatile modular vector set for optimizing protein expression among bacterial, yeast, insect and mammalian hosts
- Rapid evolution of prey maintains predator diversity
- Correction: Consumption of rice, acceptability and sensory qualities of fortified rice amongst consumers of social safety net rice in Nepal
- Indicators to distinguish symptom accentuators from symptom producers in individuals with a diagnosed adjustment disorder: A pilot study on inconsistency subtypes using SIMS and MMPI-2-RF
- Postural stability of 5-year-old girls and boys with different body heights
- The association between exposure to interferon-beta during pregnancy and birth measurements in offspring of women with multiple sclerosis
- Variations in neurotoxicity and proteome profile of Malayan krait (Bungarus candidus) venoms
- Altered functional connectivity density in the brains of hemodialysis end-stage renal disease patients: An in vivo resting-state functional MRI study
- Transboundary movements of foot-and-mouth disease from India to Sri Lanka: A common pattern is shared by serotypes O and C
- Medical and productivity costs after trauma
- Defining pharmacists' roles in disasters: A Delphi study
- Comprehensive assessment of tissue and serum parameters of bone metabolism in a series of orthopaedic patients
- Predictors of alcohol use transitions among drug-using youth presenting to an urban emergency department
- Longitudinal changes in structural lung abnormalities using MDCT in chronic obstructive pulmonary disease with asthma-like features
- Endocannabinoid 2-arachidonoylglycerol is elevated in the coronary circulation during acute coronary syndrome
- Contextual factors and sporting success: The relationship between birth date and place of early development on the progression of Jamaican track and field athletes from junior to senior level
- Potential application of Aloe Vera-derived plant-based cell in powering wireless device for remote sensor activation
- Retraction: Inhibition of reactive gliosis prevents neovascular growth in the mouse model of oxygen-induced retinopathy
- Measuring and addressing the childhood tuberculosis reporting gaps in Pakistan: The first ever national inventory study among children
- Arterial blood gas analysis in dogs with bronchomalacia
- Trends in the incidence of thymoma, thymic carcinoma, and thymic neuroendocrine tumor in the United States
- Optogenetic inhibition of ventral hippocampal neurons alleviates associative motor learning dysfunction in a rodent model of schizophrenia
- Safe and effective subcutaneous adipolysis in minipigs by a collagenase derivative
- The correlation between optical coherence tomography retinal shape irregularity and axial length
- Length of gestation and birth weight are associated with indices of combined kidney biomarkers in early childhood
- Essential oil-incorporated carbon nanotubes filters for bacterial removal and inactivation
- Domiciliary high-flow treatment in patients with COPD and chronic hypoxic failure: In whom can we reduce exacerbations and hospitalizations?
- Comprehensive analysis of putative dihydroflavonol 4-reductase gene family in tea plant
- Comparative proteomic analysis of mitochondria isolated from Euglena gracilis under aerobic and hypoxic conditions
- Secreted metabolite-mediated interactions between rhizosphere bacteria and Trichoderma biocontrol agents
- Experimental evidence of subtle victim blame in the absence of explicit blame
- Effects of different fatigue locations on upper body kinematics and inter-joint coordination in a repetitive pointing task
- Cannula and circuit management in peripheral extracorporeal membrane oxygenation: An international survey of 45 countries
- Economic evaluations of screening strategies for the early detection of colorectal cancer in the average-risk population: A systematic literature review
- Vitreous levels of Lipocalin-2 on patients with primary rhegmatogenous retinal detachment
- Light intensity and spectrum affect metabolism of glutathione and amino acids at transcriptional level
- The potential role of acrolein in plant ferroptosis-like cell death
- General practitioners’ consultation counts and associated factors in Swiss primary care – A retrospective observational study
- Potential of mesenchymal- and cardiac progenitor cells for therapeutic targeting of B-cells and antibody responses in end-stage heart failure
- Correction: Constitutive expression of an A-5 subgroup member in the DREB transcription factor subfamily from Ammopiptanthus mongolicus enhanced abiotic stress tolerance and anthocyanin accumulation in transgenic Arabidopsis
- A single institution experience of the treatment of pancreatic ductal carcinoma: The demand and the role of radiation therapy
- Correction: Intestinal mucosal injury induced by obstructive jaundice is associated with activation of TLR4/TRAF6/NF-κB pathways
- Relationship between scapular initial position and scapular movement during dynamic motions
- Correction: The circadian rhythm of bladder clock genes in the spontaneously hypersensitive rat
- Applications of machine learning in decision analysis for dose management for dofetilide
- Retraction: Nuclear factor kappa-B signaling is integral to ocular neovascularization in ischemia-independent microenvironment
- Using archaeological and geomorphological evidence for the establishment of a relative chronology and evolution pattern for Holocene landslides
- Who reported having a high-strain job, low-strain job, active job and passive job? The WIRUS Screening study
- Longitudinal monitoring of KRAS-mutated circulating tumor DNA enables the prediction of prognosis and therapeutic responses in patients with pancreatic cancer
- Retraction: Epigenetic Silencing of Peroxisome Proliferator-Activated Receptor γ Is a Biomarker for Colorectal Cancer Progression and Adverse Patients’ Outcome
- Correction: Severe cases of seasonal influenza in Russia in 2017-2018
- Differences between occupational and non-occupational-related motor vehicle collisions in West Virginia: A cross-sectional and spatial analysis
- Expression of concern: Zinc transporter 8 (ZnT8) expression is reduced by ischemic insults: A potential therapeutic target to prevent ischemic retinopathy
- Correction: Cattle intestinal microbiota shifts following Escherichia coli O157:H7 vaccination and colonization
- Correction: Development of UV spectrophotometry methods for concurrent quantification of amlodipine and celecoxib by manipulation of ratio spectra in pure and pharmaceutical formulation
- Correction: Modelling of the breadth of expression from promoter architectures identifies pro-housekeeping transcription factors
- Correction: Development of rice conidiation media for Ustilaginoidea virens
- Retraction: The Nexus between VEGF and NFκB Orchestrates a Hypoxia-Independent Neovasculogenesis
- Correction: Foraging strategies are maintained despite workforce reduction: A multidisciplinary survey on the pollen collected by a social pollinator
- Retraction: MicroRNA-493 Suppresses Tumor Growth, Invasion and Metastasis of Lung cancer by Regulating E2F1
- Correction: On the trail of Scandinavia’s early metallurgy: Provenance, transfer and mixing
- Correction: Novel insights into the morphology of Plesiochelys bigleri from the early Kimmeridgian of Northwestern Switzerland
- Correction: Supplementation of diet with non-digestible oligosaccharides alters the intestinal microbiota, but not arthritis development, in IL-1 receptor antagonist deficient mice
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