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A LAMP at the end of the tunnel: A rapid, field deployable assay for the kauri dieback pathogen, Phytophthora agathidicida
Authors: Richard C. Winkworth aff001; Briana C. W. Nelson aff002; Stanley E. Bellgard aff003; Chantal M. Probst aff003; Patricia A. McLenachan aff002; Peter J. Lockhart aff001
Authors place of work: Bio-Protection Research Centre, Massey University, Palmerston North, New Zealand aff001; School of Fundamental Sciences, Massey University, Palmerston North, New Zealand aff002; Manaaki Whenua–Landcare Research, Auckland, New Zealand aff003
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0224007Summary
The root rot causing oomycete, Phytophthora agathidicida, threatens the long-term survival of the iconic New Zealand kauri. Currently, testing for this pathogen involves an extended soil bioassay that takes 14–20 days and requires specialised staff, consumables, and infrastructure. Here we describe a loop-mediated isothermal amplification (LAMP) assay for the detection of P. agathidicida that targets a portion of the mitochondrial apocytochrome b coding sequence. This assay has high specificity and sensitivity; it did not cross react with a range of other Phytophthora isolates and detected as little as 1 fg of total P. agathidicida DNA or 116 copies of the target locus. Assay performance was further investigated by testing plant tissue baits from flooded soil samples using both the extended soil bioassay and LAMP testing of DNA extracted from baits. In these comparisons, P. agathidicida was detected more frequently using the LAMP test. In addition to greater sensitivity, by removing the need for culturing, the hybrid baiting plus LAMP approach is more cost effective than the extended soil bioassay and, importantly, does not require a centralised laboratory facility with specialised staff, consumables, and equipment. Such testing will allow us to address outstanding questions about P. agathidicida. For example, the hybrid approach could enable monitoring of the pathogen beyond areas with visible disease symptoms, allow direct evaluation of rates and patterns of spread, and allow the effectiveness of disease control to be evaluated. The hybrid LAMP bioassay also has the potential to empower local communities to evaluate the pathogen status of local kauri stands, providing information for disease management and conservation initiatives.
Keywords:
Polymerase chain reaction – Forests – mitochondria – Sequence databases – DNA extraction – DNA isolation – Phytophthora – Oomycetes
Introduction
The long-term survival of kauri, Agathis australis (D.Don) Loudon (Araucariaceae), is threatened by the oomycete Phytophthora agathidicida B.S. Weir, Beever, Pennycook & Bellgard (Peronosporaceae) [1]. This soil-borne pathogen causes a root rot that results in yellowing of the foliage, bleeding cankers on the lower trunk, thinning of the canopy and eventually in tree death. Initially reported from Great Barrier Island in the early 1970’s [2], since the late 1990’s the disease has spread rapidly across northern New Zealand [3].
Broad phylogenies for the Peronosporaceae [e.g., 4–7] have identified strongly supported sub-clades. For example, Bourret et al. [7] described total of 16 sub-clades, the majority of which contain at least one Phytophthora species. The phylogenetic analysis of Weir et al. [8] placed P. agathidicida, along with three other formally recognized species, within Clade 5. Although P. agathidicida is currently the only clade 5 species reported from New Zealand, it is not the only Phytophthora species associated with kauri forests. A further five Phytophthora species have been reported from kauri forest soils. Specifically, P. chlamydospora Brasier and Hansen (Clade 6), P. cinnamomi Rands (Clade 7), P. cryptogea Pethybr. & Laff. (Clade 8), P. kernoviae Brasier (Clade 10), and P. nicotianae Breda de Haan (Clade 1) [1, 3]. Other oomycetes, including several Pythium (Pythiaceae) species, have also been reported from kauri forest soils [3].
Methods for the isolation and identification of Phytophthora typically involve recovery from infected host root material [9, 10] or from soil samples using plant tissue fragments (e.g., detached leaves) as bait for zoospores [11, 12]. Currently, the preferred method of testing for P. agathidicida is an extended soil bioassay [13]. Briefly, soil samples are first air dried (2–8 days), then moist incubated (4 days), and finally flooded with water and baited (2 days). At this point the baits are surface sterilised, plated onto Phytophthora-selective media, and incubated at 18°C (6 days). Phytophthora agathidicida is identified from the resulting cultures using morphology or molecular diagnostics both of which require trained laboratory staff. The former is typically based upon the size and reflection of the antheridium [14] while an RT-PCR assay targeting the internal transcribed spacer (ITS) regions of the ribosomal DNA [15] is routinely used for identification of cultured P. agathidicida isolates.
Increasing the immediacy of results from diagnostic testing can substantially improve outcomes in terms of disease control. Historically, shortening the time needed to diagnose a disease has involved the introduction of new laboratory protocols or tools. For example, culture-based methods have in some cases been replaced by molecular diagnostics. More recently, diagnostic approaches that can be conducted onsite, thereby reducing reliance on centralised laboratory facilities, have become an increasingly important means of enhancing the immediacy of results [16, 17]. The emergence of new amplification technologies is enabling the development of rapid, field-deployable approaches to genetic diagnostics [18]. In particular, loop-mediated isothermal amplification (LAMP), an approach that combines rapid amplification with high specificity and sensitivity, is rapidly becoming an important diagnostic tool, especially for point of care applications. There are now numerous examples of LAMP tests for applications in human medicine [e.g., 19, 20], agriculture [e.g., 21, 22], and animal health [e.g., 23, 24]. LAMP has several features that make it particularly well suited to non-laboratory applications. First, the DNA polymerases used to catalyse the LAMP reaction have strand-displacement activity. Therefore, unlike PCR-based diagnostics, LAMP assays may be carried out using relatively simple equipment [25]. Second, the LAMP polymerases are less sensitive to inhibitors than those used for PCR reactions allowing simpler methods of DNA isolation to be used [26]. Finally, turbidity or colorimetry can be used for end-point detection of LAMP products, again reducing reliance on sophisticated equipment [26].
The cost of the extended soil bioassay together with the requirement for specialised staff and infrastructure means that, typically, this assay is conducted only after the appearance of physical disease symptoms. Such restricted testing severely limits our basic understanding of P. agathidicida and our ability to make informed management decisions at local, regional and national scales. For example, we are yet to characterise the distribution of the pathogen, how fast it is spreading, or the efficacy of interventions (e.g., track closures) aimed at disease control. Addressing these knowledge gaps requires ongoing, active monitoring of both diseased and healthy sites across the distribution of kauri. This cannot be achieved using the existing test. Instead, a reliable and rapid assay for P. agathidicida that is both cost effective and robust enough to be deployed outside of a laboratory is needed. Beyond increasing existing capacity, such testing has the potential to enable individual landowners and community groups to evaluate pathogen status in their area and thereby engage in an informed way with regional and national initiatives.
LAMP assays have already been reported for the detection of several Phytophthora species. These include tests for P. capsici Leonian [27], P. cinnamomi [28], P. infestans (Mont.) de Bary [29, 30], P. melonis Katsura [31], P. nicotianae [32], P. ramorum Werres, De Cock & Man in 't Veld [22] and P. sojae Kaufm. & Gerd. [33]. The genetic targets of these tests include the Ras-related protein (ypt1) gene [i.e., 30–33] and the ITS regions [i.e., 22, 27]. As might be expected, LAMP tests for Phytophthora species differ in terms of both their absolute detection limits and performance relative to PCR-based assays. For example, Hansen et al. [29] and Khan et al. [30] reported P. infestans LAMP tests with detection limits of between 128 fg and 200 pg. The most sensitive of these, that of Khan et al. [30], was ten times more sensitive than a test based on nested PCR and at least 100 times more sensitive than either RT-PCR or conventional PCR tests for the corresponding locus.
Here we describe a hybrid bioassay for the detection of P. agathidicida. This combines conventional soil baiting with a highly specific and sensitive LAMP assay to directly test the plant bait tissues for the presence of the pathogen. By reducing assay cost, the time needed for pathogen detection, and reliance on centralised laboratories this approach has the potential both to overcome key limitations of the currently used extended soil bioassay and provide data that will inform our basic understanding of the disease and its management.
Materials and methods
Target region identification
To identify potential targets for genetic testing, publically available Phytophthora and Pythium mitochondrial genome sequences were obtained from the NCBI RefSeq database (https://www.ncbi.nlm.nih.gov). These were combined with mitochondrial genome sequences from Phytophthora and related taxa (e.g., Pythium, Plasmopara) assembled at Massey University. The combined collection comprised mitochondrial genomes from 25 species representing 12 of the 16 clades of Phytophthora and downy mildews reported by Bourret et al. [7]. This sample included all five Phytophthora species reported from kauri forests [1, 3], all currently recognized representatives of Phytophthora clade 5 [8], and two accessions of P. agathidicida [8]. A list of species and accession numbers for publicly available sequence data are provided in S1 Table.
To identify potential targets for LAMP assays, mitochondrial genome sequences from five Phytophthora clade 5 species were aligned using the MUSCLE [34] alignment tool as implemented in Geneious V9 (Biomatters, Auckland, New Zealand). To evaluate the utility of the identified loci, 0.5–1 kb sections of DNA sequence containing these regions were extracted from all 25 mitochondrial genomes and multiple sequence alignments for each constructed as before.
LAMP primer design
LAMP primer sets were generated for potential target regions using PrimerExplorer v5 (https://primerexplorer.jp/e/). For each region, an initial search for regular primers used the P. agathidicida sequence along with default parameter values; the GC content threshold was progressively lowered in subsequent searches until at least one regular primer set was recovered. Candidate primer sets were then compared to multiple sequence alignments for the corresponding target locus; primer sets where annealing sites did not distinguish P. agathidicida were not considered further. For the remaining primer sets, a search was then made for loop primers using PrimerExplorer v5 and the same GC content threshold as generated the regular primer set.
Finally, each primer set was queried against the NCBI nucleotide database (https://www.ncbi.nlm.nih.gov) using BLAST [35] to investigate non-specific annealing.
LAMP assay optimisation
For reaction optimisation, all LAMP assays were conducted in 25 μL volumes consisting of 15 μL OptiGene Isothermal Master Mix (OptiGene Ltd., Horsham, West Sussex, England) plus primer cocktail, extracted DNA and milliQ water (H2O). Volumes of the three latter components were varied depending on the reaction conditions and template concentration. Reaction sets typically included both positive (i.e., 2 ng total DNA from cultured P. agathidicida isolates NZFS 3128 or ICMP 18244; see S1 Table for accession details) and negative (i.e., no DNA) controls. LAMP assays were performed using a BioRanger LAMP device (Diagenetix, Inc., Honolulu, HI).
Initial optimisation of the LAMP assay evaluated three parameters. First, we investigated the impact of varying the ratio of F3/B3 to FIP/BIP primer pairs. Ratios of F3/B3 to FIP/BIP primers of 1 : 3, 1 : 4, 1 : 6, and 1 : 8 were trialled; in each case the final concentration of the F3 and B3 primers was maintained at 0.2 μM with the concentrations of FIP and BIP primers being 0.6 μM, 0.8 μM, 1.2 μM, and 1.6 μM, respectively. Second, we examined the effect of amplification temperature. LAMP assays were performed at amplification temperatures of 60°C, 63°C, and 65°C. In all cases, DNA amplification was followed by enzyme denaturation at 80°C for 5 min. Finally, the amplification time was varied from 30–90 minutes.
LAMP assay specificity
The specificity of the P. agathidicida LAMP assay was evaluated using optimised reaction mixes and conditions. These tests were conducted using 2 pg total DNA from six P. agathidicida isolates as well as from isolates of 11 other Phytophthora species representing nine of the 16 clades reported by Bourret et al. [7]. All Phytophthora species reported from kauri forests and all currently recognized representatives of Phytophthora clade 5 were included in the test set (S1 Table). Individual reaction sets also included both positive (i.e., 2 ng total DNA from cultured P. agathidicida isolates NZFS 3128 or ICMP 18244) and negative (i.e., no DNA) controls.
LAMP assay sensitivity
We first evaluated LAMP assay sensitivity in terms of total P. agathidicida DNA. For these tests, a ten-fold dilution series with between 1 ng and 10 ag of total DNA from cultured P. agathidicida isolate ICMP 18244 together with optimised reaction mixes and conditions were used. Testing of the dilution series was conducted both with and without the addition of DNA from a plant tissue commonly used when baiting for P. agathidicida; specifically, 2 ng total Cedrus deodara (Roxb.) G.Don (Himalayan cedar) DNA. Reaction sets also included both positive (i.e., 2 ng total DNA from cultured P. agathidicida isolates NZFS 3128 or ICMP 18244) and negative (i.e., no DNA) controls.
We also evaluated assay sensitivity in terms of target copy number. As a template for these tests, we produced a PCR fragment 799 base pairs (bp) in length. Amplifications were typically performed in 20 μL reaction volumes containing 1× EmeraldAmp GT PCR Master Mix (Takara Bio Inc., Kusatsu City, Shiga Prefecture, Japan) and 0.5 μM of each amplification primer (PTA_pcrF, 5’-CCAAACATAGCTATAACCCCACCA-3’; PTA_pcrR, 5’-GGTTTCGGTTCGTTAGCCG-3’). Thermocycling was performed using a T1 Thermocycler (Biometra GmbH, Göttingen, Germany) and with standard cycling conditions including an initial 4 min denaturation at 94°C, then 35 cycles of 94°C for 30 secs, 58°C for 30 secs and 72°C for 30 secs, with a final 5 min extension at 72°C. Amplification products were prepared for DNA sequencing using shrimp alkaline phosphatase (ThermoFisher Scientific, Waltham, MA) and exonuclease 1 (ThermoFisher Scientific), following a manufacturer recommended protocol. Sensitivity tests using the PCR fragment as template were conducted as for total DNA.
Comparison of standard bioassay and hybrid LAMP bioassay
A direct comparison of the extended bioassay and hybrid LAMP bioassay was performed for two sets of soil samples, one collected from sites in the Waitākere Ranges Regional Park and the other from the Waipoua Forest Sanctuary (S2 Table). These collections were made by the Healthy Trees Healthy Future (HTHF) programme following consultation with representatives of the mana whenua–Te Kawerau ā Maki (Waitākere Ranges) and Te Roroa (Waipoua)–and under permit from the New Zealand Department of Conservation (e.g., 69218-GEO). Samples from each site typically consisted of 1–2 kg of soil from the upper 15 cm of the mineral horizon in the vicinity of kauri trees displaying dieback symptoms. Subsamples of 500 g were first air dried in open plastic containers for two days, moist incubated for four and subsequently flooded with 500 mL of reverse osmosis H2O. Fifteen detached Cedrus deodara needles were then floated on the water surface. Baits were removed after 48 h (Fig 1); ten were immediately used for the standard bioassay with the remainder frozen at -20°C prior to DNA extraction and LAMP testing.
Fig. 1. Schematic diagram comparing the extended bioassay and hybrid LAMP bioassay workflows and timelines. For the standard bioassay, cedar baits were first rinsed with reverse osmosis (RO) H2O, soaked in 70% ethanol for 30 s, then rinsed again with RO H2O before being dried on clean paper towels. Surface sterilised baits were then placed on Phytophthora-selective media [36] using sterile technique and incubated at 18°C for 5–7 days. To identify the resulting cultures, asexual and sexual structures were examined using a Nikon ECLIPSE 80i compound light microscope (Nikon Corporation, Tokyo, Japan) with micrographs captured using a Nikon DS-Fi1 digital microscope camera head (Nikon Corporation) and processed using NIS-Elements BR (version 5.05, Nikon Corporation) [8, 37] (Fig 1).
For the hybrid LAMP bioassay total DNA was extracted from two or three frozen cedar baits using the Macherey-Nagel Plant Kit II (Macherey-Nagel GmbH & Co. KG, Düren, Germany) and the manufacturer’s recommended protocol for plant material. Following extraction, the concentration of total DNA was determined for each sample using a Qubit 2.0 Fluorometer (Thermo Fisher Scientific, Waltham, MA). LAMP assays were performed using optimised reaction mixes and conditions with up to 5 ng of total bait DNA added as template. Each reaction set included both positive (i.e., 2 ng total DNA from a cultured isolate of P. agathidicida) and negative (i.e., milliQ H2O) controls (Fig 1).
We also used PCR and sequencing of the ITS region to assess the presence of P. agathidicida in total bait DNA samples. Amplifications were performed in 25 μL volumes containing 1 × Platinum SuperFi PCR Master Mix (Invitrogen, Carlsbad, California, USA), 12.5 pM of amplification primer ITS_PTA_F2 [15], 12.5 pM of amplification primer ITS4 [38], and 4 ng of total bait DNA. Thermocycling consisted of an initial 30 sec denaturation at 98°C, followed by 35 cycles of 98°C for 10 secs, 58°C for 10 secs, and 72°C for 30 secs with a final extension of 72°C for 5 mins. Amplification products were purified using the Macherey-Nagel NucleoSpin Gel and PCR Clean-up (Macherey-Nagel GmbH & Co. KG) following the manufacturer’s recommended protocol. Sequencing products were generated from each amplification primer using ABI PRISM BigDye Terminator Cycle Sequencing Ready Reaction Kits (Applied Biosystems, Foster City, California, USA) and run on an ABI 3730 DNA Analyzer (Applied Biosystems). Sequences for each amplification product were assembled using Geneious R9 (Biomatters) and queried against the NCBI nucleotide database (https://www.ncbi.nlm.nih.gov) using BLAST [35].
To further assess the presence of P. agathidicida on baits we also conducted whole genome sequencing of total bait DNA from each of the three sampling sites in the Waitākere Ranges Regional Park. Specifically, we sequenced HTHF 1014, HTHF 1020, and HTHF 1035 (S2 Table). Shotgun sequencing libraries were prepared for each DNA extraction using Illumina Nextera DNA library preparation kits (Illumina, Inc., San Diego, CA). The Massey Genome Service (Palmerston North, New Zealand) performed library preparation, paired-end DNA sequencing and quality assessment of the resulting reads. For each sample a preliminary de novo assembly was performed using idba_ud [39]. The resulting contigs were then compared to our collection of mitochondrial genome sequences (S1 Table) using BLAST [35]. Using the reference assembly tool implemented in Geneious R9 (Biomatters), contigs with high similarity to the reference set were then mapped to a complete mitochondrial genome sequence of P. agathidicida (S1 Table), P. cinnamomi (S1 Table), and Pythium ultimum Trow [40]. Assemblies were subsequently checked by eye; contigs were removed from an assembly if similarity to another reference genome was higher.
Results
Target region identification and primer design
A comparison of mitochondrial genome sequences for members of Phytophthora clade 5 suggested several potential targets for a LAMP assay specific to P. agathidicida. Seven sets of LAMP primers, each consisting of between four and six primers, were designed using PrimerExplorer v5. However, in initial trials all but one of these primer sets failed to discriminate P. agathidicida from other Clade 5 species. We assume that although there are sequence level differences between P. agathidicida and other Peronosporaceae at these loci, the overall number and/or distribution of these differences is not sufficient to prevent amplification in non-target species. The exception was a set of six primers targeting a 227 nucleotide long section of the apocytochrome b (cob) coding sequence spanning from nucleotide position 392 to position 617 (Table 1; Fig 2). Of the initial primer sets, only this one was tested further.
Fig. 2. Multiple sequence alignment for 13 representative Phytophthora species plus Pythium ultimum for a section of the mitochondrial genome containing the P. agathidicida LAMP assay target. LAMP primer binding sites are indicated by grey outlines; F3 and B3 are binding sites for the external primer pair (i.e., PTAF3 and PTAB3), F2/F1 and B2/B1 form the binding sites for the internal primers (i.e., PTAFIP and PTABIP, respectively), and LF and LB are binding sites for the loop primers (i.e., PTALAF and PTALB). Tab. 1. Primer sequences for the P. agathidicida loop-mediated isothermal amplification (LAMP) assay. LAMP assay optimisation
Using 2 ng of total DNA from cultured P. agathidicida isolates NZFS 3128 or ICMP 18244 as template, the P. agathidicida LAMP assay gave similar results across a range of reaction conditions. Specifically, amplification was observed for all examined ratios of external to internal primers (i.e., 1 : 3, 1 : 4, 1 : 6 and 1 : 8), amplification temperatures (i.e., 60°C, 63°C, and 65°C), and amplification times (i.e., 30 min, 45 min, 60 min, and 90 min). Conversely, no amplification was observed under these same reaction conditions for controls containing no DNA.
For subsequent analyses, a 1 : 3 ratio of external to internal primers, an amplification temperature of 63°C, and an amplification time of 45 min were used.
LAMP assay specificity and sensitivity
Using optimised reaction mixes and conditions, we consistently recovered amplification products from tested P. agathidicida isolates (Table 2). In all cases, amplification was detected using real-time fluorescence (e.g., Fig 3, panel B curves B and C) and agarose gel electrophoresis (e.g., Fig 3, panel A lanes B and C). Conversely, amplification was not detected using either agarose gel electrophoresis or real-time fluorescence for reactions containing no DNA (e.g., Fig 3, panel A curve H and panel B lane H) or those containing total DNA from other representatives of Phytophthora (Table 2).
Fig. 3. Results of the P. agathidicida LAMP assay. A. Endpoint visualisation of LAMP products using SYBR Safe (Invitrogen) following electrophoresis on a 1% TAE agarose gel. Lane A, 2 pg PCR amplification products from ICMP 18244; lane B, 2 pg total DNA isolate ICMP 18244; lane C, 2 pg total DNA isolate ICMP18410; lane D, 5 ng total bait DNA from Waitakere Ranges Regional Park sample HTHF 1018; lane E, 5 ng total bait DNA from Waitakere sample Ranges Regional Park HTHF 1020; lane F, 5 ng total bait DNA from Waipoua Forest Sanctuary sample HTHF 1072; lane G, 5 ng total bait DNA from Waipoua Forest Sanctuary sample HTHF 1081; lane H, no DNA control; lane L, 1 kb plus DNA ladder. B. Real-time visualisation of LAMP products using raw fluorescence data. Samples labelled as for A. Tab. 2. Phytophthora isolates used in specificity testing and results of testing with the P. agathidicida LAMP assay for these isolates. We initially examined assay sensitivity using total P. agathidicida DNA. Using optimised reaction mixes and conditions, we consistently detected as little as 1 fg total DNA from cultured P. agathidicida isolate ICMP 18244; this limit remained the same when 2 ng total Cedrus deodara DNA was also added to LAMP reactions. The detection limit when using a PCR amplification product containing the target locus as template was 100 ag. Again, this limit was unchanged by the addition of 2 ng total Cedrus deodara DNA. Given Avogadro's number (i.e., 6.022 × 1023 molecules/mole), the predicted length of the amplification product (i.e., 799 bp), and average weight of a base pair (i.e., 650 Daltons) the observed detection limit of 100 ag corresponds to 116 copies of the target fragment.
Comparison of standard bioassay and hybrid LAMP bioassay
The extended and hybrid LAMP bioassays produced contrasting results for soil samples from sites in the Waitākere Ranges Regional Park and Waipoua Forest Sanctuary (Table 3). Using the extended soil bioassay, P. agathidicida was detected in two of six soil samples from the Waitākere Ranges Regional Park and none of the eight from the Waipoua Forest Sanctuary. Detections were five out of six from the Waitākere Ranges Regional Park and three of eight from the Waipoua Forest Sanctuary using the LAMP assay to test DNA extracted from cedar baits.
Tab. 3. Comparison of Phytophthora agathidicida detections from field collected soil samples using the extended soil bioassay and hybrid LAMP bioassay assay. Testing of total bait DNA samples using PCR amplification and Sanger sequencing of the nrITS region was consistent with the results of the LAMP assay. Specifically, PCR amplification products of appropriate size were detected for the same five Waitākere Ranges Regional Park and three Waipoua Forest Sanctuary samples as had tested positive using the LAMP assay. Moreover, in BLAST [35] searches of the NCBI nucleotide database the DNA sequences of all eight amplification products shared 100% identity with 14 publically available P. agathidicida nrITS sequences. However, as previously reported ITS sequences do not distinguish P. agathidicida from P. castaneae [8]. Consistent with this 13 publically available sequences of P. castaneae were also recovered with 100% identity.
We assembled mitochondrial genome sequences from whole genome sequencing of total bait DNA from three sites in the Waitākere Ranges Regional Park. Sequences assignable to the mitochondrial genomes of P. agathidicida, P. cinnamomi and a member of the genus Pythium were recovered in most cases. For P. agathidicida, the recovered contigs corresponded to 98.6–100% of the reference mitochondrial genome; smaller portions of the P. cinnamomi and Pythium mitochondrial genomes were recovered.
Discussion
Molecular assays have been reported for various Phytophthora species [e.g., 28, 41, 42]. In the present study, we have developed a LAMP assay for the detection of P. agathidicida, the causative agent of kauri dieback. When combined with soil baiting, this assay, which targets a region of the mitochondrial apocytochrome b gene, provides a powerful alternative to the currently used extended soil bioassay.
In specificity testing, our LAMP assay did not cross react with a range of other Phytophthora species, including all recognised members of Clade 5 and four of the five species (P. nicotianae was not tested) known to occur in kauri forest soils (Table 3). These results are consistent with pairwise comparisons of the assay target sequence from P. agathidicida and 64 other Oomycete taxa (S3 Table). These comparisons indicate pairwise sequence differences of 3.6–14.9% across the entire set; the remaining Clade 5 taxa (including P. sp. novaeguineae) differed by 3.5–4.4% and species from kauri forest soils (including P. nicotianae) by 6.1–8.3%. Together, results from specificity testing and sequence comparisons suggest our LAMP assay is diagnostic of P. agathidicida. In contrast to the currently available P. agathidicida RT-PCR test [15] our LAMP assay distinguishes between P. agathidicida and P. castaneae.
Our LAMP assay consistently detected 1 fg total P. agathidicida DNA. This detection limit is lower than that of several other Phytophthora-specific LAMP assays [e.g., 29] but similar to the limit reported by Than et al. [15] for their P. agathidicida RT-PCR assay (i.e., 2 fg). However, unlike the Than et al. [15] assay, which was ten-fold less sensitive in the presence of soil DNA, the sensitivity of our LAMP assay was found to be unchanged in the presence of background DNA. This result suggests that our LAMP assay is likely to outperform the Than et al. [15] assay for complex samples (e.g., soil or bait DNA). While it is common to report assay detection limits in terms of the total amount of DNA, these limits can be difficult to interpret and we therefore also estimated the detection limit based on target copy number. Using a PCR-amplified target fragment the observed detection limit was approximately 116 target copies. We are not aware of estimates for the numbers of mitochondrial genomes per cell in Oomycetes but for Saccharomyces cerevisae 20–200 mitochondrial genome copies per cell have been reported [43]. While we acknowledge there is considerable variation in mitochondrial genome counts between taxa and life stages, the S. cerevisae count implies that few P. agathidicida zoospores need to have colonised baits before the pathogen would be detected by our LAMP assay. Indeed, the testing conducted in this study suggests that the sensitivity of our LAMP assay is sufficient to detect P. agathidicida at the levels typically encountered on cedar baits used for soil baiting.
For samples from both the Waitakere Ranges Regional Park and Waipoua Forest Sanctuary, P. agathidicida was detected with higher frequency using the hybrid LAMP bioassay than the extended soil bioassay. Specifically, four times more samples tested positive using the hybrid LAMP bioassay (Table 3). That said, results from these two approaches are consistent; those samples that tested positive using the extended soil bioassay also tested positive using the hybrid LAMP bioassay. Given these markedly different results we used a PCR-based approach to further assess the presence of P. agathidicida. Amplification products that shared 100% identity with P. agathidicida ITS sequences were recovered for all eight samples that had tested positive using the hybrid LAMP bioassay. Although these ITS sequences are also consistent with the presence of P. castaneae [8], this latter species has not been reported from New Zealand suggesting P. agathidicida is the likely source. Moreover, from whole genome sequencing of total bait DNA we recovered complete, or nearly so (i.e., 98.6–100%), mitochondrial genome sequences from each of the three Waitakere Ranges Regional Park samples we examined. In all cases the recovered mitochondrial genome included an intact version of the LAMP assay target sequence. For two of these samples (i.e., HTHF 1020 and HTHF 1035) both the extended and hybrid LAMP bioassays had detected the presence of P. agathidicida whereas for the remaining sample (i.e., HTHF 1014) P. agathidicida had only been detected using the hybrid LAMP bioassay. Taken together these additional analyses strongly support the results of the hybrid LAMP bioassay; that is, that P. agathidicida was present in these samples. More generally our analyses also imply that although P. agathidicida zoospores may colonise plant tissue baits, this will not always result in visual detection of P. agathidicida following culturing.
At least partially the slow average in vitro growth rate of P. agathidicida (4.5 mm/day; [8]) may explain why culturing resulted in fewer P. agathidicida detections than did genetic testing. Specifically, for two thirds of the samples (i.e., four of the six) where the results of the extended and hybrid LAMP bioassay differed, oomycetes with faster in vitro growth rates–specifically, P. cinnamomi (8.3 mm/day [44]) and Pythium sp. (21–29 mm/day [45])–were found on the plates following culturing (Table 3). For these four samples our ability to visually detect P. agathidicida may have been compromised by the presence of faster growing species. If so, stochastic differences in patterns of competition across replicates may explain the inconsistent recovery of P. agathidicida from split replicate soil samples [46, 47]. That said, in these studies the choice of bait tissue was not standardised. Recently, Khaliq et al. [48] have shown that bait type and integrity (e.g., detached or intact) influences the diversity of Phytophthora recovered by traditional baiting and culturing. There are clearly multiple factors that impact upon our ability to detect P. agathidicida; at least some of these are either reduced or eliminated by the use of a genetic test to evaluate presence of the pathogen.
Our LAMP assay could be applied to DNA from other sources. One possibility would be to directly test soil DNA for the presence of P. agathidicida. However, low pathogen titre and soil heterogeneity pose considerable challenges for this approach; indeed, inconsistencies between RT-PCR testing of soil DNA and the extended bioassay have previously been reported [47]. Another possibility would be to test DNA from diseased tissue. In this case testing would be confirmatory and not provide information about the distribution of the pathogen beyond those sites where physical symptoms have already been recognised. Given these limitations we have instead focused on implementing a hybrid bioassay that combines baiting as a means of minimising the impact of soil heterogeneity and low pathogen titre with a LAMP assay that increases the sensitivity and reproducibility of detection from baits. Additionally by removing the need for culturing and morphological identification, as well as confirmatory sub-culturing and RT-PCR testing, this hybrid bioassay is both faster and more cost effective than the current extended soil bioassay. As a result the hybrid LAMP bioassay could dramatically enhance our ability to address the threat of kauri dieback. In particular, given the cost effectiveness of this diagnostic we could move from confirmatory testing at diseased sites to systematic monitoring of the pathogen across the distribution of kauri. The latter is necessary if we are to determine pathogen distribution, measure the rate and pattern of spread, and evaluate the efficacy of disease control measures.
Additionally, since culturing is not required, the hybrid LAMP bioassay can be performed without centralised laboratory facilities. Although we acknowledge that the approach is not equipment free, devices for DNA extraction and amplification are now available that enable testing to be carried out locally [e.g., 49, 50, 51]. Critically, the ability to implement testing outside a laboratory creates opportunities for landowners and community groups to engage directly with diagnostic technologies and hence with disease management and conservation programmes. The information provided by community-led testing could enhance the management of local kauri stands as well as contribute directly to regional and national initiatives.
Supporting information
S1 Table [docx]
Sources of the oomycete mitochondrial genome sequences used when designing the . loop-mediated isothermal amplification (LAMP) assay.S2 Table [docx]
Location details for field collected soil samples used in comparisons of extended bioassay and . loop-mediated isothermal assay.S3 Table [docx]
Comparison of the LAMP assay target sequence and the corresponding locus in other oomycetes.S1 Fig [pdf]
Endpoint visualisation of PCR amplification products using SYBR safe (Invitrogen) following electrophoresis on a 1% TAE agarose gel.S1 Raw images [pdf]
Original images supporting and .
Zdroje
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- Effects of fatigue induced by repeated-sprint on kicking accuracy and velocity in female soccer players
- A pre-clinical validation plan to evaluate analytical sensitivities of molecular diagnostics such as BD MAX MDR-TB, Xpert MTB/Rif Ultra and FluoroType MTB
- Leadership for success in transforming medical abortion policy in Canada
- Clinical correlates associated with the long-term response of bipolar disorder patients to lithium, valproate or lamotrigine: A retrospective study
- Determinants of change in long-acting or permanent contraceptives use in Ethiopia; A multivariate decomposition analysis of data from the Ethiopian demographic and health survey
- Forecasting stock prices with long-short term memory neural network based on attention mechanism
- On the genus Crossaster (Echinodermata: Asteroidea) and its distribution
- Intracellular and in vivo evaluation of imidazo[2,1-b]thiazole-5-carboxamide anti-tuberculosis compounds
- Serum amyloid P component promotes formation of distinct aggregated lysozyme morphologies and reduces toxicity in Drosophila flies expressing F57I lysozyme
- Optogenetically induced cellular habituation in non-neuronal cells
- An integrated vitamin E-coated polymer hybrid nanoplatform: A lucrative option for an enhanced in vitro macrophage retention for an anti-hepatitis B therapeutic prospect
- The effect of strontium and silicon substituted hydroxyapatite electrochemical coatings on bone ingrowth and osseointegration of selective laser sintered porous metal implants
- Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children
- Molecular prevalence of Bartonella, Babesia, and hemotropic Mycoplasma species in dogs with hemangiosarcoma from across the United States
- Color discrimination and gas chromatography-mass spectrometry fingerprint based on chemometrics analysis for the quality evaluation of Schizonepetae Spica
- Comparisons of recurrence-free survival and overall survival between microwave versus radiofrequency ablation treatment for hepatocellular carcinoma: A multiple centers retrospective cohort study with propensity score matching
- Transcriptome-wide identification of novel circular RNAs in soybean in response to low-phosphorus stress
- Oral misoprostol, low dose vaginal misoprostol, and vaginal dinoprostone for labor induction: Randomized controlled trial
- The association between dietary patterns before and in early pregnancy and the risk of gestational diabetes mellitus (GDM): Data from the Malaysian SECOST cohort
- Gene expression noise in a complex artificial toxin expression system
- Dynamic Extreme Aneuploidy (DEA) in the vegetable pathogen Phytophthora capsici and the potential for rapid asexual evolution
- Assertive, trainable and older dogs are perceived as more dominant in multi-dog households
- Prediction of Uropathogens by Flow Cytometry and Dip-stick Test Results of Urine Through Multivariable Logistic Regression Analysis
- Accelerated brain aging towards transcriptional inversion in a zebrafish model of the K115fs mutation of human PSEN2
- Copper to Tuscany – Coals to Newcastle? The dynamics of metalwork exchange in early Italy
- The Brazilian TP53 mutation (R337H) and sarcomas
- Interleukin 6 is increased in preclinical HNSCC models of acquired cetuximab resistance, but is not required for maintenance of resistance
- Detection of amitraz resistance and reduced treatment efficacy in the Varroa Mite, Varroa destructor, within commercial beekeeping operations
- Impact of viral disease hypophagia on pig jejunal function and integrity
- Enzyme response of activated sludge to a mixture of emerging contaminants in continuous exposure
- Molecular evidence for horizontal transmission of chelonid alphaherpesvirus 5 at green turtle (Chelonia mydas) foraging grounds in Queensland, Australia
- Technology anxiety and resistance to change behavioral study of a wearable cardiac warming system using an extended TAM for older adults
- Evaluation and validation of 2D biomechanical models of the knee for radiograph-based preoperative planning in total knee arthroplasty
- Soil-Transmitted Helminth infections reduction in Bhutan: A report of 29 years of deworming
- Age-related differences in the temporal dynamics of spectral power during memory encoding
- cagA gene EPIYA motif genetic characterization from Colombian Helicobacter pylori isolates: Standardization of a molecular test for rapid clinical laboratory detection
- Mugharat an-Nachcharini: A specialized sheep-hunting camp reveals high-altitude habitats in the earliest Neolithic of the Central Levant
- Spectral characteristics of urine from patients with end-stage kidney disease analyzed using Raman Chemometric Urinalysis (Rametrix)
- Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project
- Quantitative PCR provides a simple and accessible method for quantitative microbiota profiling
- Fast quantitative time lapse displacement imaging of endothelial cell invasion
- Two novel mutations in MSX1 causing oligodontia
- 7,200 years old constructions and mudbrick technology: The evidence from Tel Tsaf, Jordan Valley, Israel
- Tuberculosis recurrences and predictive factors in a vulnerable population in Catalonia
- Dome-shaped macula in children and adolescents
- Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: A qualitative study among patients, community members and health care workers
- Evaluation of KRAS, NRAS and BRAF mutations detection in plasma using an automated system for patients with metastatic colorectal cancer
- Targeted transcriptomic study of the implication of central metabolic pathways in mannosylerythritol lipids biosynthesis in Pseudozyma antarctica T-34
- Preliminary evidences of the presence of extracellular DNA single stranded forms in soil
- A comparison of quality of life between patients treated with different dialysis modalities in Taiwan
- The effectiveness of substance use interventions for homeless and vulnerably housed persons: A systematic review of systematic reviews on supervised consumption facilities, managed alcohol programs, and pharmacological agents for opioid use disorder
- Spatiotemporal characteristics and driving forces of construction land expansion in Yangtze River economic belt, China
- Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsis
- Morphological association between the muscles and bones in the craniofacial region
- Transcriptome analysis of Actinidia chinensis in response to Botryosphaeria dothidea infection
- Evaluating two decision aids for Australian men supporting informed decisions about prostate cancer screening: A randomised controlled trial
- Serum galectins as potential biomarkers of inflammatory bowel diseases
- Linguistic Z-number weighted averaging operators and their application to portfolio selection problem
- Comparative study on skin protection activity of polyphenol-rich extract and polysaccharide-rich extract from Sargassum vachellianum
- Real-world data about emotional stress, disability and need for social care in a German IBD patient cohort
- The regenerative compatibility: A synergy between healthy ecosystems, environmental attitudes, and restorative experiences
- Fusion of augmented reality imaging with the endoscopic view for endonasal skull base surgery; a novel application for surgical navigation based on intraoperative cone beam computed tomography and optical tracking
- Functional characterization of NK cells in Mexican pediatric patients with acute lymphoblastic leukemia: Report from the Mexican Interinstitutional Group for the Identification of the Causes of Childhood Leukemia
- Radiomics signature for prediction of lateral lymph node metastasis in conventional papillary thyroid carcinoma
- Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: A systematic review and meta-analysis
- Perceptions of risk and influences of choice in pregnant women with obesity. An evidence synthesis of qualitative research
- The role of refugee and migrant migration status on medication adherence: Mediation through illness perceptions
- Job stress and emotional exhaustion at work in Spanish workers: Does unhealthy work affect the decision to drive?
- Correction: Amphibians on the hotspot: Molecular biology and conservation in the South American Atlantic Rainforest
- Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
- Time for change is now: Experiences of participants in a community-based approach for iron and folic acid supplementation in a rural county in Kenya, a qualitative study
- Non-invasive genetic monitoring for the threatened valley elderberry longhorn beetle
- Statistical learning for turboshaft helicopter accidents using logistic regression
- Vegetation change over seven years in the largest protected Pacific Northwest Bunchgrass Prairie remnant
- The effect of various metal-salts on the sedimentation of soil in a water-based suspension
- Using electronic health record system triggers to target delivery of a patient-centered intervention to improve venous thromboembolism prevention for hospitalized patients: Is there a differential effect by race?
- Effects of CK2β subunit down-regulation on Akt signalling in HK-2 renal cells
- Novel broad-spectrum activity-based probes to profile malarial cysteine proteases
- Health-related quality of life in cancer patients treated with immune checkpoint inhibitors: A systematic review on reporting of methods in randomized controlled trials
- Environmental tobacco smoke (ETS) and hyperlipidemia modified by perceived work stress
- Association between opioid analgesic therapy and initiation of buprenorphine management: An analysis of prescription drug monitoring program data
- Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study
- Radiocarbon dating of two old African baobabs from India
- Improvement project in higher education institutions: A BPEP-based model
- An updated evaluation of serum sHER2, CA15.3, and CEA levels as biomarkers for the response of patients with metastatic breast cancer to trastuzumab-based therapies
- Genome-wide association study of metabolic syndrome in Korean populations
- The diagnostic accuracy of liver fibrosis in non-viral liver diseases using acoustic radiation force impulse elastography: A systematic review and meta-analysis
- Drug therapy problems and treatment satisfaction among ambulatory patients with epilepsy in a specialized hospital in Ethiopia
- Short- & long-term effects of monetary and non-monetary incentives to cooperate in public good games: An experiment
- Niche modeling reveals life history shifts in birds at La Brea over the last twenty millennia
- Morphological consequences of artificial cranial deformation: Modularity and integration
- Distributed flux balance analysis simulations of serial biomass fermentation by two organisms
- Plasma kynurenines and prognosis in patients with heart failure
- Occurrence and distribution of anthropogenic persistent organic pollutants in coastal sediments and mud shrimps from the wetland of central Taiwan
- Intensified visual clutter induces increased sympathetic signalling, poorer postural control, and faster torsional eye movements during visual rotation
- Restoration of cortical symmetry and binaural function: Cortical auditory evoked responses in adult cochlear implant users with single sided deafness
- A smartphone-enabled wireless and batteryless implantable blood flow sensor for remote monitoring of prosthetic heart valve function
- Gut microbiota composition alterations are associated with the onset of diabetes in kidney transplant recipients
- Shock index and TIMI risk index as valuable prognostic tools in patients with acute coronary syndrome complicated by cardiogenic shock
- Merit overrules theory of mind when young children share resources with others
- Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
- Comparison of balance changes after inspiratory muscle or Otago exercise training
- Correction: Escherichia coli and Salmonella spp. isolated from Australian meat chickens remain susceptible to critically important antimicrobial agents
- Metabolic analysis of amino acids and vitamin B6 pathways in lymphoma survivors with cancer related chronic fatigue
- Cell-free DNA donor fraction analysis in pediatric and adult heart transplant patients by multiplexed allele-specific quantitative PCR: Validation of a rapid and highly sensitive clinical test for stratification of rejection probability
- Immunopathogenesis of canine chronic ulcerative stomatitis
- Correction: Quantification of speech and synchrony in the conversation of adults with autism spectrum disorder
- Efficacy and safety of ultrasonic circular cyclocoagulation with second-generation probe in glaucoma: A retrospective study
- Generalizing findings from a randomized controlled trial to a real-world study of the iLookOut, an online education program to improve early childhood care and education providers’ knowledge and attitudes about reporting child maltreatment
- Self-selection of food ingredients and agricultural by-products by the house cricket, Acheta domesticus (Orthoptera: Gryllidae): A holistic approach to develop optimized diets
- Machine learning detection of Atrial Fibrillation using wearable technology
- Comparative proteomic analysis of different stages of breast cancer tissues using ultra high performance liquid chromatography tandem mass spectrometer
- A cross-sectional study of psychopathy and khat abuse among prisoners in the correctional institution in Jimma, Ethiopia
- Head impulse compensatory saccades: Visual dependence is most evident in bilateral vestibular loss
- Complementarity of empirical and process-based approaches to modelling mosquito population dynamics with Aedes albopictus as an example—Application to the development of an operational mapping tool of vector populations
- Pepsin promotes laryngopharyngeal neoplasia by modulating signaling pathways to induce cell proliferation
- When and what to test for: A cost-effectiveness analysis of febrile illness test-and-treat strategies in the era of responsible antibiotic use
- Comparison of effects and safety in providing controlled hypotension during surgery between dexmedetomidine and magnesium sulphate: A meta-analysis of randomized controlled trials
- The gene encoding the ketogenic enzyme HMGCS2 displays a unique expression during gonad development in mice
- Seroepidemiological study of rubella in Vojvodina, Serbia: 24 years after the introduction of the MMR vaccine in the national immunization programme
- Efficacy of a mitochondrion-targeting agent for reducing the level of urinary protein in rats with puromycin aminonucleoside-induced minimal-change nephrotic syndrome
- Association of endothelial nitric oxide synthase (NOS3) gene polymorphisms with primary open-angle glaucoma in a Saudi cohort
- Antitrust analysis with upward pricing pressure and cost efficiencies
- Machine learning models for identifying preterm infants at risk of cerebral hemorrhage
- Natural selection contributes to food web stability
- Pyramiding QTLs controlling tolerance against drought, salinity, and submergence in rice through marker assisted breeding
- Diversity and plant growth-promoting functions of diazotrophic/N-scavenging bacteria isolated from the soils and rhizospheres of two species of Solanum
- Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression
- Sofosbuvir-based regimen for genotype 2 HCV infected patients in Taiwan: A real world experience
- The virulence domain of Shigella IcsA contains a subregion with specific host cell adhesion function
- Sequencing artifacts derived from a library preparation method using enzymatic fragmentation
- Analysis of the Rdr1 gene family in different Rosaceae genomes reveals an origin of an R-gene cluster after the split of Rubeae within the Rosoideae subfamily
- Concomitant phytonutrient and transcriptome analysis of mature fruit and leaf tissues of tomato (Solanum lycopersicum L. cv. Oregon Spring) grown using organic and conventional fertilizer
- Quantitative analysis of adsorption and desorption of volatile organic compounds on reusable zeolite filters using gas chromatography
- Comparing bioinformatic pipelines for microbial 16S rRNA amplicon sequencing
- TMEM98 is a negative regulator of FRAT mediated Wnt/ß-catenin signalling
- Modeling migration patterns in the USA under sea level rise
- Quo vadis Pantanal? Expected precipitation extremes and drought dynamics from changing sea surface temperature
- Cloud-computing and machine learning in support of country-level land cover and ecosystem extent mapping in Liberia and Gabon
- An exploratory study on the quality of patient screening and counseling for hypertension management in Tanzania
- Relation of fibroblast growth factor receptor 2 expression to hepatocellular carcinoma recurrence after liver resection
- The Brief Measure of Emotional Preoperative Stress (B-MEPS) as a new predictive tool for postoperative pain: A prospective observational cohort study
- The impact of diabetes mellitus medication on the incidence of endogenous endophthalmitis
- Correction: Chl1 DNA helicase and Scc2 function in chromosome condensation through cohesin deposition
- Clinical and pathological features of thrombotic microangiopathy influencing long-term kidney transplant outcomes
- Multidisciplinary investigation of two Egyptian child mummies curated at the University of Tartu Art Museum, Estonia (Late/Graeco-Roman Periods)
- Occupational exposure to particulate matter from air pollution in the outdoor workplaces in Almaty during the cold season
- Morphological adjustment in free-living Steinernema feltiae infective juveniles to increasing concentration of Nemafric-BL phytonematicide
- Murine Surf4 is essential for early embryonic development
- Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries
- Algorithmic handwriting analysis of the Samaria inscriptions illuminates bureaucratic apparatus in biblical Israel
- Key necroptotic proteins are required for Smac mimetic-mediated sensitization of cholangiocarcinoma cells to TNF-α and chemotherapeutic gemcitabine-induced necroptosis
- Concurrent lipidomics and proteomics on malignant plasma cells from multiple myeloma patients: Probing the lipid metabolome
- Short treatment with antalarmin alters adrenal gland receptors in the rat model of endometriosis
- Is it really always only the others who are to blame? GP’s view on medical overuse. A questionnaire study
- Serum visfatin and vaspin levels in hepatocellular carcinoma (HCC)
- Retraction: SDR9C7 Promotes Lymph Node Metastases in Patients with Esophageal Squamous Cell Carcinoma
- iTRAQ proteomics reveals the regulatory response to Magnaporthe oryzae in durable resistant vs. susceptible rice genotypes
- A smartphone-based test for the assessment of attention deficits in delirium: A case-control diagnostic test accuracy study in older hospitalised patients
- Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis
- Incidence and predictors of loss to follow up among adult HIV patients on antiretroviral therapy in University of Gondar Comprehensive Specialized Hospital: A competing risk regression modeling
- Point-of-care diagnostic (POCD) method for detecting Bursaphelenchus xylophilus in pinewood using recombinase polymerase amplification (RPA) with the portable optical isothermal device (POID)
- Bioluminescent imaging of Arabidopsis thaliana using an enhanced Nano-lantern luminescence reporter system
- Biosynthetic pathway of indole-3-acetic acid in ectomycorrhizal fungi collected from northern Thailand
- Clinical implications of elevated serum interleukin-6 in IgG4-related disease
- Downscaling NLDAS-2 daily maximum air temperatures using MODIS land surface temperatures
- Sex-specific and opposite modulatory aspects revealed by PPI network and pathway analysis of ischemic stroke in humans
- Plasma Trimethylamine-N-oxide and impaired glucose regulation: Results from The Oral Infections, Glucose Intolerance and Insulin Resistance Study (ORIGINS)
- Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates
- Control of the microsporidian parasite Nosema ceranae in honey bees (Apis mellifera) using nutraceutical and immuno-stimulatory compounds
- The effect of storage conditions on microbial communities in stool
- Role of donor genotype in RT-QuIC seeding activity of chronic wasting disease prions using human and bank vole substrates
- Influence of flow on phosphorus-dynamics and particle size in agricultural drainage ditch sediments
- A prospective, randomized, double-blind trial to compare body weight-adjusted and fixed doses of palonosetron for preventing postoperative nausea and vomiting in obese female patients
- Application of computerized 3D-CT texture analysis of pancreas for the assessment of patients with diabetes
- Predictive validation and forecasts of short-term changes in healthcare expenditure associated with changes in smoking behavior in the United States
- An information-based approach to handle various types of uncertainty in fuzzy bodies of evidence
- Oral magnesium supplementation for leg cramps in pregnancy—An observational controlled trial
- Health care professionals’ knowledge of commonly used sedative, analgesic and neuromuscular drugs: A single center (Rambam Health Care Campus), prospective, observational survey
- Campylobacter portucalensis sp. nov., a new species of Campylobacter isolated from the preputial mucosa of bulls
- OGG1 deficiency alters the intestinal microbiome and increases intestinal inflammation in a mouse model
- Transgenic interleukin 11 expression causes cross-tissue fibro-inflammation and an inflammatory bowel phenotype in mice
- Novel method to measure temporal windows based on eye movements during viewing of the Necker cube
- Whole blood transcriptomic analysis of beef cattle at arrival identifies potential predictive molecules and mechanisms that indicate animals that naturally resist bovine respiratory disease
- Effects of smoke flavoring using different wood chips and barbecuing on the formation of polycyclic aromatic hydrocarbons and heterocyclic aromatic amines in salmon fillets
- Sleep quality and sex modify the relationships between trait energy and fatigue on state energy and fatigue
- The role of peer, parental, and school norms in predicting adolescents’ attitudes and behaviours of majority and different minority ethnic groups in Croatia
- Filtered beauty in Oslo and Tokyo: A spatial frequency analysis of facial attractiveness
- The impact of rehabilitation frequency on the risk of stroke in patients with rheumatoid arthritis
- Availability, prices and affordability of selected antibiotics and medicines against non-communicable diseases in western Cameroon and northeast DR Congo
- The effect of mutations derived from mouse-adapted H3N2 seasonal influenza A virus to pathogenicity and host adaptation
- Detection of posttraumatic pneumothorax using electrical impedance tomography—An observer-blinded study in pigs with blunt chest trauma
- Educators’ perceptions of organisational readiness for implementation of a pre-adolescent transdisciplinary school health intervention for inter-generational outcomes
- Beyond the heterodimer model for mineralocorticoid and glucocorticoid receptor interactions in nuclei and at DNA
- The effects of sport expertise and shot results on basketball players’ action anticipation
- Framework and algorithms for identifying honest blocks in blockchain
- Efficacy and safety of anti-viral therapy for Hepatitis B virus-associated glomerulonephritis: A meta-analysis
- Selective transmission of some HIV-1 subtype C variants might depend on Envelope stimulating dendritic cells to secrete IL-10
- Noise reduction and quantification of fiber orientations in greyscale images
- Exploring the impact of terminology differences in blood and organ donor decision making
- Ontogenetic similarities between giraffe and sauropod neck osteological mobility
- Load transfer mechanism and critical length of anchorage zone for anchor bolt
- Income inequalities in stroke incidence and mortality: Trends in stroke-free and stroke-affected life years based on German health insurance data
- Community’s perception, experiences and health seeking behavior towards newborn illnesses in Debre Libanos District, North Shoa, Oromia, Ethiopia: Qualitative study
- Platelet indices significantly correlate with liver fibrosis in HCV-infected patients
- Reanalysis of the Bridge et al. study of suicide following release of 13 Reasons Why
- Validation of the easyscreen flavivirus dengue alphavirus detection kit based on 3base amplification technology and its application to the 2016/17 Vanuatu dengue outbreak
- The nitrate content of fresh and cooked vegetables and their health-related risks
- Bioreactor for mobilization of mesenchymal stem/stromal cells into scaffolds under mechanical stimulation: Preliminary results
- Serotonin transporter dependent modulation of food-seeking behavior
- Implicit task switching in Parkinson’s disease is preserved when on medication
- Root treatment with oxathiapiprolin, benthiavalicarb or their mixture provides prolonged systemic protection against oomycete foliar pathogens
- Real-world effectiveness and safety of ranibizumab for the treatment of myopic choroidal neovascularization: Results from the LUMINOUS study
- Non-gradient and genotype-dependent patterns of RSV gene expression
- Multiplex real-time PCR for the detection of Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato and pathogenic Xanthomonas species on tomato plants
- The 24-hour urinary cortisol in post-traumatic stress disorder: A meta-analysis
- Parasites modulate the gut-microbiome in insects: A proof-of-concept study
- The dynamics of shapes of vesicle membranes with time dependent spontaneous curvature
- Vascularization and biocompatibility of poly(ε-caprolactone) fiber mats for rotator cuff tear repair
- The shield of self-compassion: A buffer against disordered eating risk from physical appearance perfectionism
- Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis
- Advanced biofilm analysis in streams receiving organic deicer runoff
- Upregulation of long non-coding RNA ROR1-AS1 promotes cell growth and migration in bladder cancer by regulation of miR-504
- Method development and validation for rapid identification of epigallocatechin gallate using ultra-high performance liquid chromatography
- Neonatal sepsis in Iran: A systematic review and meta-analysis on national prevalence and causative pathogens
- Drug-eluting versus bare-metal stents for first myocardial infarction in patients with atrial fibrillation: A nationwide population-based cohort study
- Same-day antiretroviral therapy initiation for HIV-infected adults in South Africa: Analysis of routine data
- Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study
- Photocatalytic biocidal effect of copper doped TiO2 nanotube coated surfaces under laminar flow, illuminated with UVA light on Legionella pneumophila
- The interoceptive hippocampus: Mouse brain endocrine receptor expression highlights a dentate gyrus (DG)–cornu ammonis (CA) challenge–sufficiency axis
- Educational attainment and HIV testing and counselling service utilisation during antenatal care in Ghana: Analysis of Demographic and Health Surveys
- Dissection of flag leaf metabolic shifts and their relationship with those occurring simultaneously in developing seed by application of non-targeted metabolomics
- Centromeres of Cucumis melo L. comprise Cmcent and two novel repeats, CmSat162 and CmSat189
- Acute high-intensity and moderate-intensity interval exercise do not change corticospinal excitability in low fit, young adults
- “I like the way I am, but I feel like I could get a little bit bigger”: Perceptions of body image among adolescents and youth living with HIV in Durban, South Africa
- Nanoparticle-based ‘turn-on’ scattering and post-sample fluorescence for ultrasensitive detection of water pollution in wider window
- The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study
- Insights into the strategy of micro-environmental adaptation: Transcriptomic analysis of two alvinocaridid shrimps at a hydrothermal vent
- Thirty-day readmission after medical-surgical hospitalization for people who experience imprisonment in Ontario, Canada: A retrospective cohort study
- The effect of long-term brine discharge from desalination plants on benthic foraminifera
- Hyper-spectral response and estimation model of soil degradation in Kenli County, the Yellow River Delta
- Prescribing trends of glaucoma drugs in six major cities of China from 2013 to 2017
- Significant changes in synovial fluid microRNAs after high tibial osteotomy in medial compartmental knee osteoarthritis: Identification of potential prognostic biomarkers
- Reassortment and adaptive mutations of an emerging avian influenza virus H7N4 subtype in China
- Ischemia and reperfusion injury in superficial inferior epigastric artery-based vascularized lymph node flaps
- High failure rates of protease inhibitor-based antiretroviral treatment in rural Tanzania – A prospective cohort study
- Switchable resolution in soft x-ray tomography of single cells
- Mitochondrial DNA variations and mitochondrial dysfunction in Fanconi anemia
- Extended-spectrum beta-lactamase (ESBL)-producing and non-ESBL-producing Escherichia coli isolates causing bacteremia in the Netherlands (2014 – 2016) differ in clonal distribution, antimicrobial resistance gene and virulence gene content
- Molecular characterization of blaKHM-1 encoding plasmid in an Enterobacter hormaechei subsp. hoffmannii isolate from blood culture
- PR3 levels are impaired in plasma and PBMCs from Arabs with cardiovascular diseases
- Sex differences in self-regulation in early, middle and late adolescence: A large-scale cross-sectional study
- Interaction between elevated temperature and different types of Na-salicylate treatment in Brachypodium dystachion
- A highway crash risk assessment method based on traffic safety state division
- A brain connectivity characterization of children with different levels of mathematical achievement based on graph metrics
- Quantifying the level of difficulty to treat major depressive disorder with antidepressants: Treatment Resistance to Antidepressants Evaluation Scale
- Occupational gender segregation and economic growth in U.S. local labor markets, 1980 through 2010
- The association of telomere length and telomerase activity with adverse outcomes in older patients with non-ST-elevation acute coronary syndrome
- Construction of a high-density genetic map and fine mapping of a candidate gene locus for a novel branched-spike mutant in barley
- Alterations of aqueous humor Aβ levels in Aβ-infused and transgenic mouse models of Alzheimer disease
- Parameters impacting the live birth rate per transfer after frozen single euploid blastocyst transfer
- Deep2Full: Evaluating strategies for selecting the minimal mutational experiments for optimal computational predictions of deep mutational scan outcomes
- Economic compensation interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review and meta-analysis
- Distinctive effect of anesthetics on the effect of limb remote ischemic postconditioning following ischemic stroke
- Natural hybridization between Phyllagathis and Sporoxeia species produces a hybrid without reproductive organs
- Preliminary evaluation of a novel nine-biomarker profile for the prediction of autism spectrum disorder
- The impact of peer attachment on prosocial behavior, emotional difficulties and conduct problems in adolescence: The mediating role of empathy
- Spatial and climatic variables independently drive elevational gradients in ant species richness in the Eastern Himalaya
- What is the qualitative evidence concerning the risks, diagnosis, management and consequences of gastrointestinal infections in the community in the United Kingdom? A systematic review and meta-ethnography
- Naringenin protects AlCl3/D-galactose induced neurotoxicity in rat model of AD via attenuation of acetylcholinesterase levels and inhibition of oxidative stress
- Key barriers and enablers associated with uptake and continuation of oral pre-exposure prophylaxis (PrEP) in the public sector in Zimbabwe: Qualitative perspectives of general population clients at high risk for HIV
- Characterizing the University of California’s tenure-track teaching position from the faculty and administrator perspectives
- Restoration of Mal overcomes the defects of apoptosis in lung cancer cells
- Patient preferences for maintenance therapy in Crohn’s disease: A discrete-choice experiment
- Diagnostic performance of serum interferon gamma, matrix metalloproteinases, and periostin measurements for pulmonary tuberculosis in Japanese patients with pneumonia
- Hesperidin improves insulin resistance via down-regulation of inflammatory responses: Biochemical analysis and in silico validation
- Accuracy of intraocular lens power calculation formulas using a swept-source optical biometer
- Characterization of black patina from the Tiber River embankments using Next-Generation Sequencing
- Comparison of blood lactate and perceived exertion responses in two matched time-under-tension protocols
- Fibrin hydrogels are safe, degradable scaffolds for sub-retinal implantation
- Post-translational modifications of Drosophila melanogaster HOX protein, Sex combs reduced
- Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment
- Liganded T3 receptor β2 inhibits the positive feedback autoregulation of the gene for GATA2, a transcription factor critical for thyrotropin production
- Characterization of METTL16 as a cytoplasmic RNA binding protein
- Impact of long-term storage and freeze-thawing on eight circulating microRNAs in plasma samples
- Nanosheet wrapping-assisted coverslip-free imaging for looking deeper into a tissue at high resolution
- Assessment of dynamic cerebral autoregulation in humans: Is reproducibility dependent on blood pressure variability?
- Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study
- Validity of cerebrovascular ICD-9-CM codes in healthcare administrative databases. The Umbria Data-Value Project
- Tuberculoid leprosy: An in vivo microvascular evaluation of cutaneous lesions
- Neuromuscular blockers in the acute respiratory distress syndrome: A meta-analysis
- Identification of putative Type-I sex pheromone biosynthesis-related genes expressed in the female pheromone gland of Streltzoviella insularis
- Redefining transcriptional regulation of the APOE gene and its association with Alzheimer’s disease
- Disease-relevant mutations alter amino acid co-evolution networks in the second nucleotide binding domain of CFTR
- A bushel of viruses: Identification of seventeen novel putative viruses by RNA-seq in six apple trees
- Torque teno virus viral load is related to age, CMV infection and HLA type but not to Alzheimer's disease
- The variability of bacterial communities in both the endosphere and ectosphere of different niches in Chinese chives (Allium tuberosum)
- Tripartite factors leading to molecular divergence between human and murine smooth muscle
- Characterization of dermal skin innervation in fibromyalgia syndrome
- A neonatal nonhuman primate model of gestational Zika virus infection with evidence of microencephaly, seizures and cardiomyopathy
- A scoping review of importation and predictive models related to vector-borne diseases, pathogens, reservoirs, or vectors (1999–2016)
- Assessment of climate change impact on the malaria vector Anopheles hyrcanus, West Nile disease, and incidence of melanoma in the Vojvodina Province (Serbia) using data from a regional climate model
- Associations of cigarette smoking and burden of thoracic aortic calcification in asymptomatic individuals: A dose-response relationship
- Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias
- Evaluation of questionnaire as an instrument to measure the level of nutritional and weight gain knowledge in pregnant women in Poland. A pilot study
- TranCEP: Predicting the substrate class of transmembrane transport proteins using compositional, evolutionary, and positional information
- Non-Invasive Functional-Brain-Imaging with an OPM-based Magnetoencephalography System
- Expression of acyl-CoA-binding protein 5 from Rhodnius prolixus and its inhibition by RNA interference
- Transforming assessment of speech in children with cleft palate via online crowdsourcing
- High prevalence of off-label and unlicensed paediatric prescribing in a hospital in Indonesia during the period Aug.—Oct. 2014
- General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care
- Estimating the population size of female sex workers and transgender women in Sri Lanka
- Can helmet decrease mortality of craniocerebral trauma patients in a motorcycle accident?: A propensity score matching
- Obesity, smoking habits, and serum phosphate levels predicts mortality after life-style intervention
- Treatment of children under 4 years of age with medulloblastoma and ependymoma in the HIT2000/HIT-REZ 2005 trials: Neuropsychological outcome 5 years after treatment
- Can a semi-quantitative method replace the current quantitative method for the annual screening of microalbuminuria in patients with diabetes? Diagnostic accuracy and cost-saving analysis considering the potential health burden
- A two-arm parallel double-blind randomised controlled pilot trial of the efficacy of Omega-3 polyunsaturated fatty acids for the treatment of women with endometriosis-associated pain (PurFECT1)
- Association of benzodiazepines, opioids and tricyclic antidepressants use and falls in trauma patients: Conditional effect of age
- Burden and risk factors of cutaneous leishmaniasis in a peri-urban settlement in Kenya, 2016
- Predicting strike susceptibility and collision patterns of the common buzzard at wind turbine structures in the federal state of Brandenburg, Germany
- Embryonic thermal manipulation has short and long-term effects on the development and the physiology of the Japanese quail
- High-order radiomics features based on T2 FLAIR MRI predict multiple glioma immunohistochemical features: A more precise and personalized gliomas management
- Human-raptor conflict in rural settlements of Colombia
- Regional adaptations and parallel mutations in Feline panleukopenia virus strains from China revealed by nearly-full length genome analysis
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- Adverse drug reaction reporting practice and associated factors among medical doctors in government hospitals in Addis Ababa, Ethiopia
- TaWAK6 encoding wall-associated kinase is involved in wheat resistance to leaf rust similar to adult plant resistance
- Deficiency syndromes in top predators associated with large-scale changes in the Baltic Sea ecosystem
- The inhibitor of apoptosis proteins antagonist Debio 1143 promotes the PD-1 blockade-mediated HIV load reduction in blood and tissues of humanized mice
- Allele specific expression of Dof genes responding to hormones and abiotic stresses in sugarcane
- Perceived relative social status and cognitive load influence acceptance of unfair offers in the Ultimatum Game
- Quantitative evaluation of choriocapillaris using optical coherence tomography and optical coherence tomography angiography in patients with central serous chorioretinopathy after half-dose photodynamic therapy
- Structure-function analyses of candidate small molecule RPN13 inhibitors with antitumor properties
- Extracting lung function measurements to enhance phenotyping of chronic obstructive pulmonary disease (COPD) in an electronic health record using automated tools
- Multiple fragmented habitat-patch use in an urban breeding passerine, the Short-toed Treecreeper
- Histological and immunohistochemical characterization of the porcine ocular surface
- Household environmental tobacco smoke exposure in healthy young children in Hong Kong: Prevalence and risk factors
- Wind energy development and wildlife conservation in Lithuania: A mapping tool for conflict assessment
- Characteristics and prognosis of primary treatment-naïve oral cavity squamous cell carcinoma in Norway, a descriptive retrospective study
- Effect of epoch length on intensity classification and on accuracy of measurement under controlled conditions on treadmill: Towards a better understanding of accelerometer measurement
- Peer distribution of HIV self-test kits to men who have sex with men to identify undiagnosed HIV infection in Uganda: A pilot study
- Error rates of human reviewers during abstract screening in systematic reviews
- Faecal analyses and alimentary tracers reveal the foraging ecology of two sympatric bats
- Urethral realignment with maximal urethral length and bladder neck preservation in robot-assisted radical prostatectomy: Urinary continence recovery
- Error metrics determination in functionally approximated circuits using SAT solvers
- Spatial movement pattern recognition in soccer based on relative player movements
- A novel visual ranking system based on arterial spin labeling perfusion imaging for evaluating perfusion disturbance in patients with ischemic stroke
- Prospective Validation of the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score for Necrotizing Fasciitis of the Extremities
- The importance of transporters and cell polarization for the evaluation of human stem cell-derived hepatic cells
- Incidence, trends, and outcomes of infection sites among hospitalizations of sepsis: A nationwide study
- Morphological and functional characteristics of mitral annular calcification and their relationship to stroke
- And the nominees are: Using design-awards datasets to build computational aesthetic evaluation model
- Service delivery interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review
- Multidimensional Scales of Perceived Self-Efficacy (MSPSE): Measurement invariance across Italian and Colombian adolescents
- Diversity of Mycobacteriaceae from aquatic environment at the São Paulo Zoological Park Foundation in Brazil
- A graph-based algorithm for RNA-seq data normalization
- Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study
- Pharmacokinetics, absolute bioavailability and tolerability of ketamine after intranasal administration to dexmedetomidine sedated dogs
- Spatial variation in fertilizer prices in Sub-Saharan Africa
- Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies
- Successful isolation of Treponema pallidum strains from patients’ cryopreserved ulcer exudate using the rabbit model
- Effects of size and elasticity on the relation between flow velocity and wall shear stress in side-wall aneurysms: A lattice Boltzmann-based computer simulation study
- Pupil response to noxious corneal stimulation
- Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients
- The impact of computed radiography and teleradiology on patients’ diagnosis and treatment in Mweso, the Democratic Republic of Congo
- Differential effects of synthetic psychoactive cathinones and amphetamine stimulants on the gut microbiome in mice
- Hepatitis B and C virus infection among HIV patients within the public and private healthcare systems in Chile: A cross-sectional serosurvey
- Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement
- Obstructive sleep apnea and hypopnea syndrome in patients admitted in a tertiary hospital in Cameroon: Prevalence and associated factors
- Association of single nucleotide polymorphisms with dyslipidemia in antiretroviral exposed HIV patients in a Ghanaian population: A case-control study
- Sonic Hedgehog upregulation does not enhance the survival and engraftment of stem cell-derived cardiomyocytes in infarcted hearts
- The pharmacokinetic parameters and the effect of a single and repeated doses of memantine on gastric myoelectric activity in experimental pigs
- Blind method for discovering number of clusters in multidimensional datasets by regression on linkage hierarchies generated from random data
- Predictive factors of first dosage intravenous immunoglobulin-related adverse effects in children
- Description and characterization of the artisanal elasmobranch fishery on Guatemala’s Caribbean coast
- Individual and community level determinants of short birth interval in Ethiopia: A multilevel analysis
- Effects of rejection intensity and rejection sensitivity on social approach behavior in women
- The impact of IoT security labelling on consumer product choice and willingness to pay
- The development and validation of a measurement instrument to investigate determinants of health care utilisation for low back pain in Ethiopia
- Validity of the French version of the Autonomy Preference Index and its adaptation for patients with advanced cancer
- The epidemiological characteristics and spatio-temporal analysis of childhood hand, foot and mouth disease in Korea, 2011-2017
- Exponential random graph model parameter estimation for very large directed networks
- The implementation of community-based diabetes and hypertension management care program in Indonesia
- Effect of temperature variation on hospital admissions and outcomes in dogs with myxomatous mitral valve disease and new onset pulmonary edema
- The development of the Police Practices Scale: Understanding policing approaches towards street-based female sex workers in a U.S. City
- A capability approach to assess aquaculture sustainability standard compliance
- Pre-collecting lymphatic vessels form detours following obstruction of lymphatic flow and function as collecting lymphatic vessels
- Construct validity and reliability of the Talent Development Environment Questionnaire in Caribbean youth track and field athletes
- Optimization of cytotoxic activity of Nocardia sp culture broths using a design of experiments
- Tissue-resident macrophages can be generated de novo in adult human skin from resident progenitor cells during substance P-mediated neurogenic inflammation ex vivo
- Microbiota in foods from Inuit traditional hunting
- Investigating Italian disinformation spreading on Twitter in the context of 2019 European elections
- In vivo expression of peptidylarginine deiminase in Drosophila melanogaster
- Modelling zero-truncated overdispersed antenatal health care count data of women in Bangladesh
- Detection and density of breeding marsh birds in Iowa wetlands
- A lineage-specific rapid diagnostic test (Chagas Sero K-SeT) identifies Brazilian Trypanosoma cruzi II/V/VI reservoir hosts among diverse mammalian orders
- Aromatase deficiency in hematopoietic cells improves glucose tolerance in male mice through skeletal muscle-specific effects
- If host is refractory, insistent parasite goes berserk: Trypanosomatid Blastocrithidia raabei in the dock bug Coreus marginatus
- Antimicrobial resistance patterns and molecular resistance markers of Campylobacter jejuni isolates from human diarrheal cases
- Protective role of brain derived neurotrophic factor (BDNF) in obstructive sleep apnea syndrome (OSAS) patients
- An IL-18-centered inflammatory network as a biomarker for cerebral white matter injury
- Prevalence of antiphospholipid antibodies in Behçet's disease: A systematic review and meta-analysis
- Chemical analysis of snus products from the United States and northern Europe
- Effect of prednisolone on glyoxalase 1 in an inbred mouse model of aristolochic acid nephropathy using a proteomics method with fluorogenic derivatization-liquid chromatography-tandem mass spectrometry
- Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study
- Aggregation of CAT tails blocks their degradation and causes proteotoxicity in S. cerevisiae
- Expression of concern: Compensatory increase of transglutaminase 2 is responsible for resistance to mTOR inhibitor treatment
- Common mental illness among epilepsy patients in Bahir Dar city, Ethiopia: A cross-sectional study
- Staging dementia based on caregiver reported patient symptoms: Implications from a latent class analysis
- Health-related quality of life and its determinants among ambulatory patients with epilepsy at Ambo General Hospital, Ethiopia: Using WHOQOL-BREF
- In silico analysis and high-risk pathogenic phenotype predictions of non-synonymous single nucleotide polymorphisms in human Crystallin beta A4 gene associated with congenital cataract
- Fungal diversity in canopy soil of silver beech, Nothofagus menziesii (Nothofagaceae)
- Referral decisions and its predictors related to orthopaedic care. A retrospective study in a novel primary care setting
- Readiness to prescribe: Using educational design to untie the Gordian Knot
- Influence of gelation on the retention of purple cactus pear extract in microencapsulated double emulsions
- Factors related to met needs for rehabilitation 6 years after stroke
- Association of cataract and sun exposure in geographically diverse populations of India: The CASE study. First Report of the ICMR-EYE SEE Study Group
- Investigation of injury severity in urban expressway crashes: A case study from Beijing
- Clinical outcomes of incident peritoneal dialysis patients coming from kidney transplantation program: A case-control study
- Evaluation of the factors influencing the housing safety awareness of residents in Shanghai
- Morphometric study of the diaphragmatic surface of the liver in the human fetus
- Food insecurity and dietary diversity among lactating mothers in the urban municipality in the mountains of Nepal
- Genetic characterization of Bacillus anthracis strains circulating in Italy from 1972 to 2018
- Promising antifungal activity of new oxadiazole against Candida krusei
- An atlas of personality, emotion and behaviour
- Long-term effects of intracranial islet grafting on cognitive functioning in a rat metabolic model of sporadic Alzheimer's disease-like dementia
- Compartmentalized profiling of amniotic fluid cytokines in women with preterm labor
- Comparison of the myometrial transcriptome from singleton and twin pregnancies by RNA-Seq
- Adverse reproductive effects of S100A9 on bovine sperm and early embryonic development in vitro
- Functional dynamics of bacterial species in the mouse gut microbiome revealed by metagenomic and metatranscriptomic analyses
- Astrocyte senescence promotes glutamate toxicity in cortical neurons
- Primary ciliary dyskinesia and psychological well-being in adolescence
- Dipeptidyl peptidase-4 is increased in the abdominal aortic aneurysm vessel wall and is associated with aneurysm disease processes
- Primary care physician knowledge, attitudes, and diagnostic testing practices for norovirus and acute gastroenteritis
- Microfluidic-prepared DOTAP nanoparticles induce strong T-cell responses in mice
- Intraocular scattering as a predictor of driving performance in older adults with cataracts
- Reduced bone mineral density among HIV infected patients on anti-retroviral therapy in Blantyre, Malawi: Prevalence and associated factors
- Correction: Extraversion personality, perceived health and activity participation among community-dwelling aging adults in Hong Kong
- A rainwater control optimization design approach for airports based on a self-organizing feature map neural network model
- Influence of inflammasome NLRP3, and IL1B and IL2 gene polymorphisms in periodontitis susceptibility
- 18F-FDG-PET/MRI in the diagnostic work-up of limbic encephalitis
- The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis
- Treatment patterns among patients with moderate-to-severe ulcerative colitis in the United States and Europe
- City to city learning and knowledge exchange for climate resilience in southern Africa
- Nuclear translocation of Atox1 potentiates activin A-induced cell migration and colony formation in colon cancer
- Activity-dependent switches between dynamic regimes of extracellular matrix expression
- Molecular sequencing and morphological identification reveal similar patterns in native bee communities across public and private grasslands of eastern North Dakota
- A mathematical model for assessing the effectiveness of controlling relapse in Plasmodium vivax malaria endemic in the Republic of Korea
- Cryo-focused ion beam preparation of perovskite based solar cells for atom probe tomography
- Physiological and transcriptomic responses of Lanzhou Lily (Lilium davidii, var. unicolor) to cold stress
- Unusual genome expansion and transcription suppression in ectomycorrhizal Tricholoma matsutake by insertions of transposable elements
- Estimating associations between antidepressant use and incident mild cognitive impairment in older adults with depression
- The use of telephone communication between nurse navigators and their patients
- CNP mediated selective toxicity on melanoma cells is accompanied by mitochondrial dysfunction
- HIV RNA measurement in dried blood spots of HIV-infected patients in Thailand using Abbott m2000 system
- Retraction: Oncogenic Fibulin-5 Promotes Nasopharyngeal Carcinoma Cell Metastasis through the FLJ10540/AKT Pathway and Correlates with Poor Prognosis
- Ultra-rapid cooling of ibex sperm by spheres method does not induce a vitreous extracellular state and increases the membrane damages
- Some animals are more equal than others: Validation of a new scale to measure how attitudes to animals depend on species and human purpose of use
- Observation and quantification of the morphological effect of trypan blue rupturing dead or dying cells
- The visual perception of emotion from masks
- Hexavalent chromium removal and total chromium biosorption from aqueous solution by Quercus crassipes acorn shell in a continuous up-flow fixed-bed column: Influencing parameters, kinetics, and mechanism
- The predictive value of anthropometric indices for cardiometabolic risk factors in Chinese children and adolescents: A national multicenter school-based study
- Lean back and wait for the alarm? Testing an automated alarm system for nosocomial outbreaks to provide support for infection control professionals
- Regional disparities in health care resources in traditional Chinese medicine county hospitals in China
- Analysis on hydraulic characteristics of improved sandy soil with soft rock
- Development and use of a scale to assess gender differences in appraisal of mistreatment during childbirth among Ethiopian midwifery students
- Factors for starting biosimilar TNF inhibitors in patients with rheumatic diseases in the real world
- Correction: Force field generalization and the internal representation of motor learning
- Prevalence and foetomaternal effects of iron deficiency anaemia among pregnant women in Lagos, Nigeria
- Socioeconomic risk factors for fatal opioid overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
- Microbiome signatures in neonatal central line associated bloodstream infections
- Interventions for incarcerated adults with opioid use disorder in the United States: A systematic review with a focus on social determinants of health
- Opening gap width influences distal tibial rotation below the osteotomy site following open wedge high tibial osteotomy
- The impact of lowbush blueberry (Vaccinium angustifolium Ait.) and cranberry (Vaccinium macrocarpon Ait.) pollination on honey bee (Apis mellifera L.) colony health status
- Surveys of knowledge and awareness of antibiotic use and antimicrobial resistance in general population: A systematic review
- Managerial capacity among district health managers and its association with district performance: A comparative descriptive study of six districts in the Eastern Region of Ghana
- Knee joint distraction in regular care for treatment of knee osteoarthritis: A comparison with clinical trial data
- Reconstruction of a regulated two-cell metabolic model to study biohydrogen production in a diazotrophic cyanobacterium Anabaena variabilis ATCC 29413
- Cochlear dysfunction is associated with styrene exposure in humans
- Intra-individual variation of particles in exhaled air and of the contents of Surfactant protein A and albumin
- Revisits, readmissions, and outcomes for pediatric traumatic brain injury in California, 2005-2014
- Enhanced handover mechanism using mobility prediction in wireless networks
- Association between regular exercise and asthma control among adults: The population-based Northern Finnish Asthma Study
- Pharyngeal microbiome alterations during Neisseria gonorrhoeae infection
- Assessment of the clinical utility of four NGS panels in myeloid malignancies. Suggestions for NGS panel choice or design
- Assessment of time management practice and associated factors among primary hospitals employees in north Gondar, northwest Ethiopia
- Genetic diversity and population structure of feral rapeseed (Brassica napus L.) in Japan
- Are the current gRNA ranking prediction algorithms useful for genome editing in plants?
- Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain
- Heterogeneity in the distribution of 159 drug-response related SNPs in world populations and their genetic relatedness
- Metabolic and lipidomic profiling of steatotic human livers during ex situ normothermic machine perfusion guides resuscitation strategies
- Investigating cumulative effects of pre-performance routine interventions in beach volleyball serving
- Dispensing of antibiotics without prescription and associated factors in drug retail outlets of Eritrea: A simulated client method
- MicroRNA expression and DNA methylation profiles do not distinguish between primary and recurrent well-differentiated liposarcoma
- Assessment of acyl-CoA cholesterol acyltransferase (ACAT-1) role in ovarian cancer progression—An in vitro study
- Cytoplasmic factories, virus assembly, and DNA replication kinetics collectively constrain the formation of poxvirus recombinants
- The wavelet power spectrum of perfusion weighted MRI correlates with tumor vascularity in biopsy-proven glioblastoma samples
- Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population
- Constructing HLM to examine multi-level poverty-contributing factors of farmer households: Why and how?
- Patterns of symptoms possibly indicative of cancer and associated help-seeking behaviour in a large sample of United Kingdom residents—The USEFUL study
- An automated alarm system for food safety by using electronic invoices
- Neural effects of acute stress on appetite: A magnetoencephalography study
- Use of magnetic resonance imaging to determine laterality of meniscal size in healthy volunteers
- Co-prevalence of extracranial carotid aneurysms differs between European intracranial aneurysm cohorts
- Thermal biology of two tropical lizards from the Ecuadorian Andes and their vulnerability to climate change
- When weight is an encumbrance; avoidance of stairs by different demographic groups
- Non-mycosis fungoides cutaneous lymphomas in a referral center in Taiwan: A retrospective case series and literature review
- From the host's point of view: Effects of variation in burying beetle brood care and brood size on the interaction with parasitic mites
- Kernel-based Gaussian process for anomaly detection in sparse gamma-ray data
- Unmet care needs of children with ADHD
- Accelerometer-assessed outdoor physical activity is associated with meteorological conditions among older adults: Cross-sectional results from the OUTDOOR ACTIVE study
- Identification of Korean cancer survivors’ unmet needs and desired psychosocial assistance: A focus group study
- Evaluation of inactivated Bordetella pertussis as a delivery system for the immunization of mice with Pneumococcal Surface Antigen A
- The role of moral reasoning & personality in explaining lyrical preferences
- Would you like to participate in this trial? The practice of informed consent in intrapartum research in the last 30 years
- Correction: Mutation spectrums of TSC1 and TSC2 in Chinese women with lymphangioleiomyomatosis (LAM)
- Forward lunge before and after anterior cruciate ligament reconstruction: Faster movement but unchanged knee joint biomechanics
- Challenges associated with homologous directed repair using CRISPR-Cas9 and TALEN to edit the DMD genetic mutation in canine Duchenne muscular dystrophy
- Integrated targeted serum metabolomic profile and its association with gender, age, disease severity, and pattern identification in acne
- A prospective case-control study on miRNA circulating levels in subjects born small for gestational age (SGA) evaluated from childhood into young adulthood
- Polymer-fiber-coupled field-effect sensors for label-free deep brain recordings
- Global depth perception alters local timing sensitivity
- How to detect a polytrauma patient at risk of complications: A validation and database analysis of four published scales
- Module for SWC neuron morphology file validation and correction enabled for high throughput batch processing
- Reduced gray matter volume and cortical thickness associated with traffic-related air pollution in a longitudinally studied pediatric cohort
- Recombinant human soluble thrombomodulin is associated with attenuation of sepsis-induced renal impairment by inhibition of extracellular histone release
- Human and climatic drivers affect spatial fishing patterns in a multiple-use marine protected area: The Galapagos Marine Reserve
- Correction: Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis
- Application of the mixture item response theory model to the Self-Administered Food Security Survey Module for Children
- Numerical simulation of atmospheric CO2 concentration and flux over the Korean Peninsula using WRF-VPRM model during Korus-AQ 2016 campaign
- Feline irradiated diet-induced demyelination; a model of the neuropathology of sub-acute combined degeneration?
- Improved multi-parametric prediction of tissue outcome in acute ischemic stroke patients using spatial features
- Genome-wide association and epistatic interactions of flowering time in soybean cultivar
- Correction: Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses
- Correction: Estimation of membrane bending modulus of stiffness tuned human red blood cells from micropore filtration studies
- Correction: Limited indirect effects of an infant pneumococcal vaccination program in an aging population
- Correction: Targeting of the Plzf Gene in the Rat by Transcription Activator-Like Effector Nuclease Results in Caudal Regression Syndrome in Spontaneously Hypertensive Rats
- Fieldwork-based determination of design priorities for point-of-use drinking water quality sensors for use in resource-limited environments
- Young women’s reproductive health conversations: Roles of maternal figures and clinical practices
- Correction: Differential recordings of local field potential: A genuine tool to quantify functional connectivity
- Survival of medial versus lateral unicompartmental knee arthroplasty: A meta-analysis
- Novel MscL agonists that allow multiple antibiotics cytoplasmic access activate the channel through a common binding site
- Is it time to stop sweeping data cleaning under the carpet? A novel algorithm for outlier management in growth data
- Changes in oak (Quercus robur) photosynthesis after winter moth (Operophtera brumata) herbivory are not explained by changes in chemical or structural leaf traits
- Mutual interaction between motor cortex activation and pain in fibromyalgia: EEG-fNIRS study
- Evaluation of liposomal ciprofloxacin formulations in a murine model of anthrax
- Analysis of cholesterol in mouse brain by HPLC with UV detection
- Sugar, amino acid and inorganic ion profiling of the honeydew from different hemipteran species feeding on Abies alba and Picea abies
- Exploring prior diseases associated with incident late-onset Alzheimer’s disease dementia
- Hypertension prevalence in patients attending tertiary pain management services, a registry-based Australian cohort study
- SRL pathogenicity island contributes to the metabolism of D-aspartate via an aspartate racemase in Shigella flexneri YSH6000
- Correction: Comprehensive genome-wide analysis of the pear (Pyrus bretschneideri) laccase gene (PbLAC) family and functional identification of PbLAC1 involved in lignin biosynthesis
- Epilepsy in a melanocyte-lineage mTOR hyperactivation mouse model: A novel epilepsy model
- Water consumption and prevalence of irritable bowel syndrome among adults
- Mixed evidence for the relationship between periodontitis and Alzheimer’s disease: A bidirectional Mendelian randomization study
- Correction: Health conditions associated with overweight in climacteric women
- Correction: Determining Glomerular Filtration Rate in Homozygous Sickle Cell Disease: Utility of Serum Creatinine Based Estimating Equations
- Modelling the number of antenatal care visits in Bangladesh to determine the risk factors for reduced antenatal care attendance
- Correction: Cumulative viral load as a predictor of CD4+ T-cell response to antiretroviral therapy using Bayesian statistical models
- Dominant negative effects by inactive Spa47 mutants inhibit T3SS function and Shigella virulence
- ICOS-deficient and ICOS YF mutant mice fail to control Toxoplasma gondii infection of the brain
- Diel patterns in swimming behavior of a vertically migrating deepwater shark, the bluntnose sixgill (Hexanchus griseus)
- Life history of northern Gulf of Mexico Warsaw grouper Hyporthodus nigritus inferred from otolith radiocarbon analysis
- Physiology education for intensive care medicine residents: A 15-minute interactive peer-led flipped classroom session
- Strengthening capacity for natural sciences research: A qualitative assessment to identify good practices, capacity gaps and investment priorities in African research institutions
- Systematic scoping review of the concept of ‘genetic identity’ and its relevance for germline modification
- Height of overburden fracture based on key strata theory in longwall face
- Laboratory strains of Bacillus anthracis lose their ability to rapidly grow and sporulate compared to wildlife outbreak strains
- Improvement of classification performance of Parkinson’s disease using shape features for machine learning on dopamine transporter single photon emission computed tomography
- Comparative pharmacokinetics and pharmacodynamics of the advanced Retinol-Binding Protein 4 antagonist in dog and cynomolgus monkey
- Correction: A handy method to remove bacterial contamination from fungal cultures
- Correction: Effect of statin on life prognosis in Japanese patients undergoing hemodialysis
- Retraction: Outer Membrane Protein A (OmpA) of Shigella flexneri 2a Induces TLR2-Mediated Activation of B Cells: Involvement of Protein Tyrosine Kinase, ERK and NF-κB
- Retraction: Biofabrication of streptomycin-conjugated calcium phosphate nanoparticles using red ginseng extract and investigation of their antibacterial potential
- Receiver operating characteristic curve analysis of clinical signs for screening of convergence insufficiency in young adults
- Correction: Drivers of deforestation in the basin of the Usumacinta River: Inference on process from pattern analysis using generalised additive models
- Efficacy of fertilizing method for different potash sources in cotton (Gossypium hirsutum L.) nutrition under arid climatic conditions
- Podocyte autophagy is associated with foot process effacement and proteinuria in patients with minimal change nephrotic syndrome
- Effect of Lactobacillus acidophilus D2/CSL (CECT 4529) supplementation in drinking water on chicken crop and caeca microbiome
- Retraction: MiR-30a-5p Antisense Oligonucleotide Suppresses Glioma Cell Growth by Targeting SEPT7
- Correction: Dynamics of plasma micronutrient concentrations and their correlation with serum proteins and thyroid hormones in patients with paracoccidioidomycosis
- Impact of lower limb osteoarthritis on health-related quality of life: A cross-sectional study to estimate the expressed loss of utility in the Spanish population
- Correction: Prevalence of damaged and missing teeth among women in the southern plains of Nepal: Findings of a simplified assessment tool
- Correction: Tissue-Specific Expressed Antibody Variable Gene Repertoires
- Retraction: Immunoglobulin G Expression in Lung Cancer and Its Effects on Metastasis
- Correction: Causal knowledge promotes behavioral self-regulation: An example using climate change dynamics
- Retraction: Use of Granulocyte Colony-Stimulating Factor for the Treatment of Thin Endometrium in Experimental Rats
- Correction: Dynamic mechanical and nanofibrous topological combinatory cues designed for periodontal ligament engineering
- Correction: Evaluating the foundations that help avert antimicrobial resistance: Performance of essential water sanitation and hygiene functions in hospitals and requirements for action in Kenya
- From seed to flour: Sowing sustainability in the use of cantaloupe melon residue (Cucumis melo L. var. reticulatus)
- Core Scientific Dataset Model: A lightweight and portable model and file format for multi-dimensional scientific data
- Accounting for measurement error to assess the effect of air pollution on omic signals
- Leucine zipper transcription factor-like 1 binds adaptor protein complex-1 and 2 and participates in trafficking of transferrin receptor 1
- Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study
- Genetic predisposition to celiac disease in Kazakhstan: Potential impact on the clinical practice in Central Asia
- A lower psoas muscle volume was associated with a higher rate of recurrence in male clear cell renal cell carcinoma
- Two angles of overqualification-the deviant behavior and creative performance: The role of career and survival job
- Cost-utility analysis of de-escalating biological disease-modifying anti-rheumatic drugs in patients with rheumatoid arthritis
- Efficient estimation of stereo thresholds: What slope should be assumed for the psychometric function?
- Learning efficient haptic shape exploration with a rigid tactile sensor array
- Effects of dietary supplementation with a microalga (Schizochytrium sp.) on the hemato-immunological, and intestinal histological parameters and gut microbiota of Nile tilapia in net cages
- Regional versus local wind speed and direction at a narrow beach with a high and steep foredune
- Fragmented QRS complex in patients with systemic lupus erythematosus at the time of diagnosis and its relationship with disease activity
- Severe thiamine deficiency in eastern Baltic cod (Gadus morhua)
- Transfer entropy as a variable selection methodology of cryptocurrencies in the framework of a high dimensional predictive model
- Psychometric validation of Czech version of the Sport Motivation Scale
- Correction: Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Recognition of personality disorder and anxiety disorder comorbidity in patients treated for depression in secondary psychiatric care
- Correction: Strategies for achieving high sequencing accuracy for low diversity samples and avoiding sample bleeding using illumina platform
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- Chemical analysis of snus products from the United States and northern Europe
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