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Comparative analysis uncovers the limitations of current molecular detection methods for Fusarium oxysporum f. sp. cubense race 4 strains
Authors: Freddy Magdama aff001; Lorena Monserrate-Maggi aff002; Lizette Serrano aff002; Daynet Sosa aff002; David M. Geiser aff001; María del Mar Jiménez-Gasco aff001
Authors place of work: Department of Plant Pathology and Environmental Microbiology, The Pennsylvania State University, University Park, Pennsylvania, United States of America aff001; Escuela Superior Politécnica del Litoral, ESPOL, Centro de Investigaciones Biotecnológicas del Ecuador, Campus Gustavo Galindo, Guayaquil, Ecuador aff002; Escuela Superior Politécnica del Litoral, ESPOL, Facultad de Ciencias de la Vida, Campus Gustavo Galindo, Guayaquil, Ecuador aff003
Published in the journal: PLoS ONE 14(9)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0222727Summary
Fusarium oxysporum f. sp. cubense Tropical Race 4 (Foc TR4) is threatening banana production worldwide. Despite quarantine efforts, the pathogen continues to spread; thus, early diagnosis plays an essential role for the proper execution of contingency plans. Here, we assess the accuracy of four PCR-based molecular methods described in the literature for the identification and detection of race 4 strains, including Subtropical (Foc STR4) and Tropical Race 4 causing Fusarium wilt of banana. We screened a total of 302 isolates using these four markers, and performed phylogenetic analyses, Vegetative Compatibility Group (VCG) testing, sequence comparison, and pathogenicity tests for selected isolates. Our results show that three out of the four markers tested are not reliable for identification of Foc STR4 and TR4, as DNA from isolates from Ecuador, pathogenic and nonpathogenic to banana, obtained from different banana cultivars, displayed cross-reaction with these methods; that is, false positives can occur during the diagnostic process for race 4. Phylogenetic analyses, VCG testing, sequence comparison, and pathogenicity tests suggest the presence of non-target F. oxysporum isolates that share genomic regions with pathogenic strains but lack true pathogenicity to banana. The findings of this work are of foremost importance for international regulatory agencies performing surveillance tests in pathogen-free areas using the current diagnostic methods. We suggest the use of a genetic locus possibly related to virulence, previously identified by T-DNA, and amplified with primers W2987F/ W2987R, for diagnosis of Foc TR4 as the most reliable alternative. We urge the adoption of a more holistic view in the study of F. oxysporum as a plant pathogen that considers the biology and diversity of the species for the development of better diagnostic tools.
Keywords:
Phylogenetic analysis – Polymerase chain reaction – DNA sequence analysis – Fusarium – Pathogenesis – Bananas – Fusarium oxysporum – DNA isolation
Introduction
Bananas rank amongst the world’s most valuable primary agricultural commodity and are one of the top ten most important staple foods for countries in Southeast Asia, Africa, and Central and South America [1]. In 2013, the combined global production of bananas, including dessert and cooking bananas was approximately 140 million tons with a gross production value of USD $44.75 billion [1]. Most of this production, around 85%, is destined for local trade and family consumption, while the remaining 15% (worth USD $10.13 billion) is exported for the international market [1]. Over 95% of banana worldwide export production relies on a group of cultivars named Cavendish that includes commercially grown varieties such as ‘Grand Naine’ and ‘Williams’ [2]. These cultivars gradually replaced ‘Gros Michel’, the previous banana used for export purposes that succumbed to disease epidemics in Tropical America between 1900 and 1960 by Fusarium oxysporum f. sp. cubense (Foc) race 1 [3], the causal agent of Fusarium wilt of banana or Panama disease [4].
There are three well-known races of Foc identified by their pathogenicity to specific clonal triploid banana hosts [5–7]. Race 1 causes disease to 'Gros Michel' (AAA) and can also cause disease on other cultivars like ‘Silk’ (AAB), ‘Pome’ (AAB), ‘Pisang Awak’ (ABB) and ‘Maqueno’ (AAB) [8]. Race 2 affects cooking bananas, especially those in the Bluggoe subgroup (ABB) [9,10]. Race 4 has been known to cause disease on cultivars susceptible to race 1 and 2, and more importantly, members of the subgroup Cavendish (AAA). Race 4 is divided into two types; Subtropical Race 4 (Foc STR4), which is restricted to the subtropics were plants are exposed to stress conditions such us low temperatures and drought [7, 11] and Tropical Race 4 (Foc TR4), which causes disease under both tropical and subtropical conditions without predisposing factors [12–14]. Tropical Race 4 has the potential to cause catastrophic losses in the monoculture-based banana industry and become a life-changing event for 65 millions of people, particularly smallholder farmers [15].
The race structure in Foc is confusing and often inaccurate in delineating strains of Foc [16]. Several DNA-based studies have shown that races of Foc are not genetic related to each other or share a common ancestor [17–19]. It is currently widely accepted that Foc is composed of several independent lineages with a population structure mainly clonal [12, 17–20]. Foc diversity has also been assessed by means of vegetative compatibility, which delimits groups (Vegetative Compatibility Groups—VCGs) that align with clonal lineages. Foc comprises 24 VCGs [20, 21], distributed differentially across the globe [19]. Among those, the VCG-01213/16 comprises the group of strains referred to as Tropical Race 4 (Foc TR4). This race is spreading to new countries in the South part of Asia, including Laos, Vietnam, Myanmar, India and Pakistan, and outside of its native range in South East Asia, affecting also countries in Southern Africa (Mozambique) and Middle East (Oman, Jordan, Lebanon, and Israel) [22, 23]. Recent evidence shows that epidemics caused by Foc TR4 are the result of the movement of a single clone [20], although recent research tracking the spread of Foc TR4 in the Mekong Delta shows sequence variation within VCG 01213/16 [24]. Symptoms of Fusarium wilt in Cavendish have also been reported to be associated with VCGs 0124 and 0121 [19, 25, 26]. VCG-0121 is genetically closely related to VCG-01213/16 and may cause disease on Cavendish under tropical conditions [27]. In terms of management, there are still no available solutions for the present monoculture-based, large-scale agricultural system in which bananas are produced. Exclusion and prevention remain the most important and only effective measures to prevent the disease in countries where Foc TR4 has not been reported [26].
Fusarium wilt diagnosis has traditionally relied on the recognition of symptoms, mainly characterized by wilting and yellowing of the leaves, accompanied by the reddish-brown discoloration of the pseudostem of diseased bananas [28]. However, decisions made on these criteria may hamper all efforts for disease control since the pathogen has a long incubation period. That is, by the time symptoms are observed in the field, which may take several weeks, the pathogen can be dispersed to new areas. Foc can also remain undetected infecting asymptomatic hosts as an endophyte, or colonizing soil as a saprotroph [29]. Therefore, early detection based on DNA tools constitutes a key component for the efficient execution of contingency plans, including quarantine and eradication procedures. Over the last decade, several molecular methods have been developed for detection of race 4, including Foc STR4 and TR4 strains [30–38]. Among all, one PCR-based method, using the specific primers FocTR4-F/FocTR4-R has been adopted by the International Regional Organization for Agricultural Health (OIRSA) and the Food and Agriculture Organization of the United Nations (FAO) in their contingency plans for Latin America and Caribbean countries [31, 39–41]. This particular methodology targets Foc TR4 strains only (VCG-01213), due to the major risk they represent to Cavendish bananas. This molecular tool goes beyond pathogen detection on symptomatic tissue, and it is also implemented for detecting Foc TR4 in asymptomatic plants, soil, and water [20, 42]. However, all the proposed methods have been developed using only pathogenic isolates with few, if any, nonpathogenic isolate included in validation assays. Although the Fusarium oxysporum species complex (FOSC) entails pathogenic and nonpathogenic strains [29, 43], studies suggest that greater diversity is found in endophytic and saprotrophic populations, colonizing plants or present in the soil, respectively [44–46]. Considering that the diversity of F. oxysporum populations has been overlooked and there is a large number of methodologies available for Foc race 4 diagnostics, it is imperative to determine which one of these tests provide the most accurate and reliable results for activities related to monitoring and quarantine of F. oxysporum populations pathogenic to banana.
The main goal of this research was to assess the specificity of four detection methods previously developed for race 4 diagnostics, including STR4 and TR4 [30–33]. In this study, we screened 302 isolates obtained from banana, including pathogenic and endophytic, collected from Ecuador following a PCR approach. The genetic relationship of representative strains used in this study was analyzed by phylogenetic analysis. Validation of the PCR-based screening results included VCG analysis, sequence comparison, pathogenicity testing and detection of selected endophytes from artificially infested soil and infected banana plants of two cultivars.
Materials and methods
Fungal collection and DNA extraction
A collection of 302 isolates was analyzed in this study. The collection included 292 F. oxysporum isolates, including 130 putative pathogenic isolates obtained from symptomatic ‘Gros Michel’ banana plants showing Fusarium wilt symptoms (Fig 1A), and 162 putative endophytic isolates, obtained from asymptomatic Cavendish banana cultivars and other local banana cultivars from several provinces in the coastal area of Ecuador including Esmeraldas, Manabí, Guayas, Los Ríos, El Oro, Santo Domingo and Bolivar (S1 Table). Sampling sites included backyards, home-gardens, roadsides, abandoned farms and banana plantations. Sampling on private land was conducted after granted permission by the owner. Ten isolates of three other Fusarium species, also obtained from the roots of banana plants, were included in this study for comparison purposes. In addition, the reference strains O-2052 (VCG-01213), O-1966 (VCG-0120), and O-1968 (VCG-0123), obtained from the Fusarium Research Center at The Pennsylvania State University, and characterized as Foc TR4, STR4 and race 1, respectively, were included in this study. This study did not involve endangered species.
Fig. 1. Validation of molecular detection methods for F. oxysporum f. sp. cubense Race 4. (A) ‘Gros Michel’ banana plants showing symptoms of Fusarium wilt. (B) False positives for F. oxysporum f. sp. cubense (Foc) -Subtropical and Tropical Race 4- revealed by gel electrophoresis of PCR products generated using DNA from endophytic (nonpathogenic) and pathogenic (race 1) F. oxysporum isolates. C) Vegetative compatibility group (VCG) test between the isolate EC5-LR-GM1 and the tester strain belonging to VCG-01213 (Foc TR4) showing no heterokaryon formation relative to the positive control (left figure). (D) Sequence comparison of segment in the IGS region used for the development of the primer set FocTR4-F/FocTR4-R. All five endophytes associated with false positives reactions shared the same features. (E) Pathogenicity test results showing no symptoms of necrosis in the rhizome of ‘Gros Michel’ and Cavendish 'Gran Naine' banana plantlets 30 days post inoculation (dpi) with the five F. oxysporum endophytes. Single-spore isolates were grown in potato dextrose broth medium (PDB, Sigma-Aldrich®, Saint Louis, USA) for approximately 7 days at 28°C in an orbital environ shaker-incubator (Lab-line instruments Inc., IL, USA) at 120 rpm. Fresh mycelium was harvested and dried out using autoclaved filter paper (Whatman™, Amsterdam, UK) of which 200 mg were used for genomic DNA extraction using the DNeasy® plant mini kit (Qiagen, Maryland, USA) following the manufacturer’s guidelines. The concentration and quality of the extracted DNA samples were estimated using a Nanodrop spectrophotometer-2000™ (Thermo Fisher Scientific, Wilmington, USA) followed by gel electrophoresis. The amplification of the translation elongation factor one-alpha (TEF) gene was performed to assess the quality of the DNA extracted for all isolates and to corroborate their identity as F. oxysporum by comparing their TEF sequences to the Fusarium-ID database [47], and used for the phylogenetic analysis (specified in the section below).
Validation of molecular detection methods
A PCR-based screening was conducted using DNA from all isolates of our collection and four sets of primers; two targeting Foc STR4 strains, and two exclusively targeting Foc TR4. All the sequences of the primer sets used in this study are described in Table 1. PCR reactions were carried out using Choice Taq Mastermix™ (Denville Scientific Inc., Massachusetts, USA) on 25 μL containing 1X reaction buffer, 0.5 μM of each primer, 5 ng of DNA, and sterile deionized water. The cycling conditions used for the primer sets Foc1/Foc2, Foc-F/Foc-R, FocTR4-F/FocTR4-R and W2987-F/W2987-R, were the same previously described by Lin et al. [30], Li et al. [32], Dita et al. [31], and Li et al. [33]. DNA from the strains O-2052 and O-1966 was used as template for positive controls for Foc TR4 (VCG-01213) and Foc STR4 (VCG-0120), respectively. Sterile deionized water was used as negative control.
Tab. 1. Molecular markers and primers used in this study. Phylogenetic analyses
Phylogenetic analyses based on the TEF and the intergenic spacer region of the ribosomal DNA (IGS) were carried out to elucidate the phylogenetic relationship of selected 66 endophytic isolates representative of the sampled sites including five F. oxysporum endophytes EC5-LR-GM1, CAV017-EO, EE-E-03, EE-E-06, CAV052-EO that generated false positives with the specific primers FocTR4-F/FocTR4-R. The TEF region was amplified using the primer set ef1/ef2 following the PCR conditions recommended by Geiser et al. [47], and the IGS region using the primer set CNL12/CNS1 following the PCR conditions recommended by Appel and Gordon [48]. PCR reactions were carried out in 25 μL using 1X reaction buffer of Choice Taq Mastermix™ (Denville Scientific Inc., Massachusetts, USA), 0.5 μM of each primer, 5 ng of gDNA and sterile deionized water. The resulting PCR products were visualized by gel electrophoresis and purified using ExoSAP-IT™ (USB Affymetrix Corporation, Cleveland, USA) following the manufacturer’s instructions. All PCR products were sequenced by the Genomic Core facility of The Pennsylvania State University, University Park, PA, USA. TEF regions were sequenced using the same primers as for the PCR amplification while complete sequences for the IGS region were generated using primers PN22 [49], CNSa, iNL11 [50], U: 49–67 [48] and PNFo [51]. For both data sets, the alignments and editing of sequences were performed using the software GENEIOUS R8 v 8.0.5 (Biomatters, Auckland, NZ).
Phylogenies based on Maximum Parsimony (MP), Maximum Likelihood (ML) and Bayesian (BS) methods were inferred for the different data sets using PAUP v 4.0a [52], RAxMLGUI v 1.31 [53], and MrBayes v 3.2.6 [54], respectively. The heuristic search option with 1,000 random addition sequences and tree bisection-reconnection branch swapping was used to infer the most-parsimonious tree. Gaps were treated as missing data. The Consistency Index (CI) and Retention Index (RI) were calculated to indicate the amount of homoplasy present. Maximum likelihood reconstruction was run using the thorough bootstrap analysis and the ML search with 1,000 replicates. The Generalized Time Reversible Model with a Gamma distribution (GTRGAMMA) was used as the model for nucleotide substitution. Bayesian inference was run with a 10,000,000 generation Monte Carlo Markov chain method with a burn-in of 100,000 trees. The General Time Reversible model was selected as the most appropriate nucleotide evolution model for Bayesian analysis. Convergence and the effective sample size (ESS) were checked for each run. The TEF tree was rooted with Fusarium foetens NRRL 31847 and the IGS tree with F. foetens NRRL 31852. For comparative purposes, TEF and IGS sequences of all clonal lineages of Foc described by Fourie et al. [19] were incorporated into the analyses. In addition, putative race 1 Foc isolates EC15-E-GM1, EC44-M-GM2, EC14-G-GM1, EC28-LR-GM1 and EC8-O-GM1, obtained from symptomatic ‘Gros Michel’ bananas from Ecuador, were also included in this study. Sequences generated in this research were deposited in the GenBank database under accession numbers MK754073 - MK754148 (TEF) and MK783034 - MK783108 (IGS).
Determination of VCG group
The five isolates that generated a positive PCR amplification for Foc TR4 with the specific primers FocTR4-F/FocTR4-R were also tested for their capability to form a stable heterokaryon with nit mutants of the tester strains O-2052, O-1966, and O-1968, associated to the VCGs 01213, 0120 and 0123, respectively. Nitrate non-utilizing (nit) mutants were generated on media supplemented with potassium chlorate (KClO3, Sigma-Aldrich®, Saint Louis, USA) at 4.5% [19], and incubated for 8–15 days at 27 °C. Colony mutants with a weak growth and no aerial mycelium were further characterized as nit-1, nit-3 or nit-M on media containing one of three sources of nitrogen [55–56]. Nit-mutants of each isolate were checked for self-incompatibility. VCG complementation was considered positive when the pairing of two nit-mutants resulted in dense aerial growth at the contact zone in minimal medium [55].
Pathogenicity testing
The five isolates used for VCG determination, were also employed to prepare spore suspensions for inoculation of banana plants. The reference strains O-2052 (VCG-01213), O-1968 (VCG-0123), characterized as Foc TR4 and R1, were used as positive and negative controls, respectively. For this, five plugs taken from the margin of actively growing cultures were inoculated in two 1,000-ml graduated laboratory bottles (VWR®, Radnor, USA) containing 500 ml of autoclaved PDB. Two extra bottles were prepared containing only the liquid media for negative controls. Inoculated PDB was incubated at room temperature during 12 days in a shaker-incubator (Lab-line instruments Inc., IL, USA) at 120 rpm. Spore suspensions were passed through filter paper (Whatman™, Amsterdam, UK) and adjusted to 1x106 conidia/ml before inoculation. Tissue-cultured banana plants approximately six weeks old and 25-cm high, from two cultivars (‘Gros Michel’ and Cavendish ‘Gran Naine’), were inoculated with spore suspensions of each isolate following a root-dipping method [31]. Inoculated plants were placed in pots containing a mixture of autoclaved potting soil and potting mix in a 1 : 1(w/w) ratio. The experiments were performed following a completely randomized design with four replicates per treatment for the Cavendish experiment and three replicates per treatment for the ‘Gros Michel’ experiment, including positive and negative controls. Both experiments were conducted twice with independently produced inoculum and banana plants. Plants were incubated in growth chambers (Conviron®, Winnipeg, Canada) with environmental conditions set at 28°C, 80% relative humidity, and 16/8 h light/dark photoperiod. After 30 days, plants were removed from their pots and cut in half using a sterilized scalpel for internal disease assessment. Internal discoloration of the rhizome was recorded using a five-point rating scale according to Ssali et al. [57] with some modifications where 0 = no discoloration, 1 = 1–15% tissue showing discoloration, 2 = 16–33% tissue showing discoloration, 3 = 34–50% tissue showing discoloration, 4 = more than 50% tissue showing discoloration, and 5 = totally decayed. The disease index (DI) was also calculated based on the formula DI = [Ʃ(score in the scale x frequency)/(total number of plants x maximum class in the scale)] x 100. Isolation of the inoculated strains was performed at the end of the experiments, placing surface disinfested plant tissues, from the rhizome and pseudostem of plants, in petri dishes containing Nash semi-selective media [58].
Assays for in-planta and soil detection
Banana tissue and inoculated soil derived from the pathogenicity tests, were subjected to Foc race 4 detection using the same sets of primers evaluated above. Upon completion of the pathogenicity tests, 30 days after inoculation, samples from each banana plant, from both cultivars, were taken from the rhizome and pseudostem using a sterilized scalpel. Samples from the pseudostem were taken 5 cm above the base of each plant. From each sample, three-subsamples of fresh tissue, 20 mg each, were used to extract total DNA using the DNeasy® plant mini kit (Qiagen, Maryland, USA) following the manufacturer’s instructions. For soil analyses, a composite random sample of 1g of soil per treatment, from both experiments, was collected for DNA extraction and subjected to analysis. Total DNA was extracted using the PowerSoil® DNA isolation kit (MO BIO Laboratories, Inc., Carlsbad, CA), using 0.25 gr of soil, following the manufacturer's guidelines. PCR cycling conditions were the same as the ones used with pure mycelia. In order to increase sensitivity, a nested-PCR was included into our analysis for processing plant materials, considering the IGS region as the primary target following the use of the primer set FocTR4-F/FocTR4-R for specific detection of Foc TR4. For soil detection, the primer set FocTR4-F/FocTR4-R was used in a duplex PCR with the primer set ef1/ef2. Multiplex PCR was used to detect fungal DNA in one single reaction and discriminate false negatives in soil samples. In addition to positive and negative controls, a sample containing DNA obtained from pure fungal mycelium (5 μL with approximately 20 ng/μL) from the O-2052 (TR4) strain, diluted in a background of total soil gDNA, was also incorporated into our analysis for comparison purposes.
Results
PCR-based methods for Foc race 4 identification
Among the four sets of primers evaluated, positive PCR reactions were obtained with three of them, including Foc-1/Foc-2 [30], Foc-F/Foc-R [32], and FocTR4-F/FocTR4-R [31] when tested with the target DNA (Fig 1B). For the primer sets Foc-1/Foc-2 and Foc-F/Foc-R, which target both Foc STR4 and TR4, 187 isolates collected from the coastal area of Ecuador resulted in positive amplifications from the 302 fungal isolates, similar to the positive controls O-1966 (VCG-0120) and O-2052 (VCG-01213). From the 187 isolates, 130 were pathogenic to banana and 57 were endophytic F. oxysporum (S1 Table). The primer set FocTR4-F/FocTR4-R, targeting Foc TR4, also resulted in positive amplifications when DNA from the five F. oxysporum endophytes EC5-LR-GM1, CAV017-EO, EE-E-03, EE-E-06, CAV052-EO was used (Fig 1B). No amplification was observed with the primer set W2987-F/W2987-R [33] that targets Foc TR4, except for the positive Foc TR4 control.
Genetic relationship among F. oxysporum isolates from Ecuador and Foc lineages
Selected isolates from the collection were employed to assess their phylogenetic relationship with previously described Foc lineages (Fig 2). The TEF dataset consisted of 100 taxa and 605 total characters, of which 54 were parsimony informative. All analyses (MP, ML and BS) resulted in three well-supported clades named as F1, F2 and F3 (Fig 2B). Endophytic F. oxysporum were distributed across the three clades. Foc genotypes were present only in clades F1 and F2, including Foc isolates EC15-E-GM1, EC44-M-GM2, EC14-G-GM1, EC28-LR-GM1 and EC8-O-GM1 from Ecuador regarded as race 1. The endophytic isolates that generated a positive PCR amplification for Foc TR4, using the primers FocTR4-F/FocTR4-R, where closely related to each other based on IGS. The isolates EC5-LR-GM1, CAV052-EO, EE-E-03 and EE-E-06, displayed the same TEF sequence and clustered together with pathogenic strains belonging to VCGs 0120, 01215, 01219, as well as with pathogenic isolates from Ecuador (Fig 2B). The isolate CAV017-EO was placed in a sub-clade together with isolates from VCGs 0126, 0122, and 01210, and with others F. oxysporum endophytes. None of the endophytes above mentioned were closely related to Foc TR4 strains based on the TEF phylogeny.
Fig. 2. Phylogenetic relationships among Fusarium oxysporum isolates associated to banana. The IGS sequence data set consisted of 100 taxa and 1,324 characters in total, of which 187 were parsimony-informative sites. The IGS phylogeny presented a different tree topology compared to the TEF phylogenetic tree. The five endophytes EC5-LR-GM1, CAV017-EO, EE-E-03, EE-E-06, CAV052-EO that generated positive PCR amplifications for Foc TR4 using primers FocTR4-F/FocTR4-R, were very closely related to Foc TR4 strains associated to VCG-01213 according to this region (Fig 2A). Sequence comparison of the entire IGS region (approximately 2,431 bp), revealed a 99.8% sequence similarity of all five endophytes with the reference Foc TR4 strain. Differences included five Single Nucleotide Polymorphisms (SNPs) from which one was an insertion at the position 334 (T) and four-point mutations at positions 702 (A/C), 820 (T/C), 1405 (T/G) and 1560 (G/A).
VCG analysis and pathogenicity tests
Nit-mutants from the five endophytes, EC5-LR-GM1, CAV017-EO, EE-E-03, EE-E-06, CAV052-EO, were not compatible with the tester strains O-2052 (VCG-01213), O-1966 (VCG-0120) and O-1968 (VCG-0123), belonging to Foc TR4, STR4 and race 1, respectively (Fig 1C). Self-compatibility of the tester strains was corroborated as a control measure by pairing nit-1 and nit-3 mutants with nit-M mutants of each strain resulting in a dense aerial growth at the contact zone in minimal medium. Fusarium wilt symptoms were not observed in any of the banana plants, either ‘Gran Naine’ or ‘Gros Michel’, inoculated with each of the five endophytes, EC5-LR-GM1, CAV017-EO, EE-E-03, EE-E-06, CAV052-EO, even at 30 days post-inoculation (Fig 1E and Table 2). Cross sections of pseudostems and rhizomes of all plants inoculated with spores of the five referred isolates did not show necrotic lesions, however F. oxysporum colonies were recovered from root and rhizome samples from those plants when plated on Nash-semi selective media at the end of each experiment. Plants used as positive controls started to show yellowing and wilting symptoms on the lower leaves from day 15, which later progress to all leaves. By the end of the experiment, the lower leaves of these plants were completely necrotic, and some detached from the pseudostem.
Tab. 2. Pathogenicity tests and PCR screening with total genomic DNA from inoculated banana plants. Tests on plant and soil material
Similarly to the results obtained using pure fungal DNA, positive PCR amplifications reactions were also obtained from the rhizome and pseudostem of banana plants inoculated with EC5-LR-GM1, CAV017-EO, EE-E-03, EE-E-06, and CAV052-EO isolates. However, higher number of positive PCR reactions were generated with the nested-PCR approach implemented with the primer set FocTR4-F/FocTR4-R (Table 2). Reactions carried out with the primer set W2987-F/W2987-R did not yield any band amplification, except for the positive controls (Table 2). The screening of soil samples derived from pathogenicity tests, using the same four primers sets as described earlier confirmed results obtained from DNA from mycelium, and from inoculated plant material. Positive PCR amplifications were also obtained for soils inoculated with endophytic isolates EC5-LR-GM1, CAV017-EO, EE-E-03, EE-E-06, CAV052-EO, for primes sets FocTR4-F/FocTR4-R, Foc-F/Foc-R, and Foc1/Foc2, but not for W2987-F/W2987-R, which only generated positive amplifications with soil inoculated with isolate O-2052 (TR4). As expected, soil inoculated with isolate O-2052 (TR4) generated positive amplifications with all primer sets, whereas soil inoculated with isolate O-1968 (R1) generated positive amplifications only with TEF primers, used as control. No positive amplifications were detected in non-inoculated soil.
Discussion
The recent worldwide outbreaks of Fusarium wilt caused by Foc TR4 have proven to be a trans-continental threat of special importance for countries from central and west Africa, the Indian subcontinent and the Americas, where bananas are considered a valuable source of nutrients and calories for the subsistence of families and an important commodity crop [15,59]. For Latin America countries, a contingency plan for an eventual Foc TR4 outbreak was recently developed by the Regional Organization for Plant and Animal Health (OIRSA) in an effort to provide guidelines to National Plant Protection Organizations (NPPOs) on how to deal with a putative incursion of Foc TR4 in the region, including diagnostics, eradication and contention measures. Given the high risk that Foc TR4 represents, early detection and accurate diagnosis play a key role for the implementation of these strict quarantine measures upon detection of new outbreaks of the pathogen. In this regard, and equally important, a false positive is as potentially alarming and devastating for the banana industry as a false negative.
Over the last decades, all efforts to develop molecular markers for detection of Foc race 4 strains, including STR4 and TR4, have predominantly focused on the use of pathogenic strains [30–38], which in our view are just a small fraction of the population diversity; outliers rather than representatives of the species [44–46]. The high diversity present within the F. oxysporum species complex (FOSC), which has been underestimated [46], may pose a risk for such markers compromising their specificity; even more if within such diversity may be nonpathogenic strains, which could also contain the same genomic regions exploited for detection. Here, we describe the cross-reactivity of pathogenic and nonpathogenic F. oxysporum isolates from different banana cultivars from Ecuador with specific detection markers that target race 4 strains of Foc and highlight how diversity matters to avoid false positives. We also emphasize and encourage the adoption of a more holistic, ecological-based view of F. oxysporum during the process of developing PCR molecular-based detection methods by taking population diversity, including pathogens and endophytes, into account.
Comparisons between experiments confirmed that three out of four PCR methods are not reliable in detecting the taxa for which the methods were developed. Two of them, developed to detect Foc race 4 strains, including STR4 and TR4, cross-reacted with pathogenic isolates from Ecuador, as well as, with nonpathogenic isolates. A plausible explanation, for the cross reaction with pathogenic isolates of our collection, is that in Foc different pathogenic phenotypes are associated with strains of the same or similar genotypes found within the same VCG group [31]. An excellent example comes from the strains associated with VCG-0120. Strains of this VCG that cause disease on Cavendish in the subtropics may be classified as STR4, but in the tropics, where they are unable to cause disease on Cavendish, such as the case of Ecuador, are classified as race 1. This issue was observed in previous studies [31] but has now been further validated with our results. This raises concerns about the specificity of other methods proposed for the detection of race 4 strains [32, 34, 36, 38] developed based on the same RAPD sequence fragment OPA02404 used by Lin et al. [30]. This marker was present in all isolates analyzed in this research. It is possible that the genomic regions used for the design of these primers, although thought to be exclusive to certain pathogenic strains, are part of the ‘core genomic’ regions also found in nonpathogenic isolates. These ‘core genomic’ regions contain genes essential for the growth and survival of the fungus, and unlikely to be associated with host-specific pathogenicity [60]. Therefore, they should not be relied upon to accurately identify pathogenic variants. Putative pathogenicity genes are present in ‘accessory genomic’ regions, which can be horizontally transferred in small supernumerary chromosomes [61]. Another explanation for these faulty diagnostic markers is that the diversity of F. oxysporum has been underestimated. Populations of F. oxysporum from soil and in association with plants as endophytes have been previously reported to be highly diverse [44–46]. However, the diversity of isolates used for the development and validation of these methods did not include endophytes from banana.
The primer set FocTR4-F/FocTR4-R, commonly used for quarantine procedures and Foc TR4 diagnostics [23], also cross-reacted with five F. oxysporum endophytes from Ecuador. These endophytes presented highly similar sequences of the IGS region with Foc TR4 strains. However, further phylogenetic comparison using TEF, a housekeeping gene commonly used to reflect the evolutionary history of Foc [19, 17, 62], showed that the same isolates were not related to Foc TR4 strains. For these reasons, we recommend that the regions exploited for the above-mentioned diagnostic markers, including the IGS, should no longer be used for detection of race 4 strains. Conversely, the primers developed by Li et al [33] accurately discriminated Foc TR4 from our complete collection, including pathogenic and endophytic isolates. This set of primers has also been shown to discriminate other pathogenic strains associated with other races of Foc [33]. This test represents a more reliable alternative for Foc TR4 strain identification since it was developed on a region putatively related to virulence [33]. Moreover, this same region has been further exploited for the detection of TR4-like strains, not only associated to VCG-01213 but also to VCG-0121 and proved to discriminate nonpathogenic isolates from a different country as well [63].
Our study assessed the results from the molecular screening more in-depth by performing additional testing methods, including VCG and pathogenicity tests. Although the use of these methods has been highly criticized due to their laborious and time-consuming nature [20, 31], their inclusion allowed us to confirm that the five endophytes that displayed positive results using the FocTR4-F/ FocTR4-R primer set, were not true Foc TR4. Based on our current findings, continuous in vitro testing for pathogenicity and VCG analysis should not be completely disregarded. Confirmatory tests should not be the exception but rather the norm, and thus used in parallel to determine a method’s robustness.
Our results also showed that false positives can occur if infected plant tissues and soil were the matrix used for detection. The low frequency of positive PCR reactions obtained from infected plant tissue, from the total number of samples tested in our work, may have been due to the low amount of fungal DNA present in the asymptomatic tissue taken for analysis. This hypothesis was confirmed with a higher frequency of positive PCR reactions obtained with a more sensitive approach (Nested-PCR). It is known that F. oxysporum is a good colonizer of roots and stems of plants [43, 46]. After initial infection of the root cortex, the passage of F. oxysporum to xylem vessels of plants and systemic growth may depend on the levels of quantitative resistance present in the host [29]. It is not clear if the colonization events detected by PCR in the pseudostem of plants occurred through colonization of the vascular tissue (xylem vessels) or were restricted to the parenchyma tissue or epidermis. Likewise, it is unknown if such colonization was due to host-specific interactions, or other predisposing conditions that might have hampered the defense system of the host and facilitated the colonization to upper parts of the plants. Despite this uncertainty, the largely unexplored, high diversity of F. oxysporum present in the soil and the roots of bananas plants [64], makes us wonder if similar genotypes to the ones found in this study could be also found in other geographic areas that may lead to false diagnosis. We speculate that this hypothesis might be feasible based on the recent occurrence of false positives obtained in one banana farm from Australia on March 28, 2015 [65]. The Mareeba farm was closed on April 3, 2015, after a positive Foc TR4 PCR reaction was obtained from the tissue of a Cavendish banana plant displaying wilting symptoms. The farm remained quarantined despite being found later that Foc TR4 was not present in the farm [65, 66]. We hypothesize that endophytes of F. oxysporum were present in the sample and cross-reacted with the primers tested. The Mareeba farm, as well as another banana farm in Tully, also impacted by the quarantine response to Foc TR4, have now been reimbursed a combined total of US $684,243, which was the net value forgone for the period in which they were unable to trade [67].
Concluding remarks
The recent outbreaks of Foc TR4 in new geographic locations suggest that pathogen dissemination will likely to continue if quarantine measures are inadequate [22, 23]. Thus, accurate identification of the pathogen is likewise necessary for activities related to successful quarantine, eradication, contention, and communication with banana producers at regional, national and international level. As shown in our work, one roadblock to the management of this pathogen is the generation of false positives that occur during the identification process. This is due not only to poor handling of the samples but also to the presence of non-targeted strains of F. oxysporum that are genetically similar but lack true pathogenicity. Yet, standardized protocols should be put in place to minimize the risk of contamination and favor reproducibility [63, 68]. This should be a warning for international regulatory agencies involved with plant sanitation and crop-protection. Surveillance procedures in soil and asymptomatic tissues, in areas where the pathogen is not yet reported that rely on currently accepted PCR-based detection methods for Foc TR4, should be carried out with caution or avoided. A better understanding of the population structure of F. oxysporum in each location should be a requirement before the adoption of any technology to minimize the risk of false positives. In the meantime, we recommend the use of the primer set W2987 F/ W2987 R [33] for identification of the VCG-01213, or the newly optimized FWB-TR4 test for detection of VCGs 01213 and 0121 [63], as molecular tools in the process of Foc TR4 diagnosis. Still, it is important to considerer that no technology is absolute, and no single method is completely reliable, as they all are impacted by the biology of the pathogen and its interaction with the host and environment [68]. For future diagnosis of Foc TR4 and to inform decisions, we recommend that each event should be analyzed in a systematic manner to enable an accurate interpretation of results, and to take a conservative approach.
Finally, race designation in Foc should be also reconsidered. Given the evidence of the acquisition of transferable elements between individuals within the species and the high genetic diversity characteristic of this group, the best tactic for characterizing pathogenic phenotypes should be based on strain designation rather than race approach [69]. This view is concurrent with the recent appraisal of pathogen regulation [70], where a gene-based biosecurity system proposed could more accurately assess biological risk than the conventional name-based current practices [70].
Supporting information
S1 Table [xlsx]
Isolates of and other spp. used in this study.
Zdroje
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- Quantification of bell-shaped size selectivity in shrimp trawl fisheries using square mesh panels and a sorting cone after a Nordmøre grid
- Deactivation of somatosensory and visual cortices during vestibular stimulation is associated with older age and poorer balance
- Combined immunization with attenuated live influenza vaccine and chimeric pneumococcal recombinant protein improves the outcome of virus-bacterial infection in mice
- Flooding performance evaluation of alkyl aryl sulfonate in various alkaline environments
- An artificial intelligent diagnostic system on mobile Android terminals for cholelithiasis by lightweight convolutional neural network
- Enhanced detection of prion infectivity from blood by preanalytical enrichment with peptoid-conjugated beads
- COI metabarcoding primer choice affects richness and recovery of indicator taxa in freshwater systems
- Retraction: APRIL Induces Tumorigenesis and Metastasis of Colorectal Cancer Cells via Activation of the PI3K/Akt Pathway
- The intake pattern and feed preference of layer hens selected for high or low feed conversion ratio
- Individualized pattern recognition for detecting mind wandering from EEG during live lectures
- Ontogenetic expression of thyroid hormone signaling genes: An in vitro and in vivo species comparison
- Post-activation potentiation effect of eccentric overload and traditional weightlifting exercise on jumping and sprinting performance in male athletes
- Effectiveness of different central venous catheter fixation suture techniques: An in vitro crossover study
- Quantitative detection of ALK fusion breakpoints in plasma cell-free DNA from patients with non-small cell lung cancer using PCR-based target sequencing with a tiling primer set and two-step mapping/alignment
- Nuclei deformation reveals pressure distributions in 3D cell clusters
- Strategies for increasing diagnostic yield of community-onset bacteraemia within the emergency department: A retrospective study
- Rapid evolution of Mexican H7N3 highly pathogenic avian influenza viruses in poultry
- Certified service dogs – A cost-effectiveness analysis appraisal
- Endothelial dysfunction and low-grade inflammation in the transition to renal replacement therapy
- Assessing the impact of a research funder’s recommendation to consider core outcome sets
- Validity of six consumer-level activity monitors for measuring steps in patients with chronic heart failure
- Detection of deceptive motions in rugby from visual motion cues
- The impact of antenatal care on neonatal mortality in sub-Saharan Africa: A systematic review and meta-analysis
- Epidemiological investigation and management of bloody diarrhea among children in India
- Irisin promotes C2C12 myoblast proliferation via ERK-dependent CCL7 upregulation
- Bacteria isolated from Bengal cat (Felis catus × Prionailurus bengalensis) anal sac secretions produce volatile compounds potentially associated with animal signaling
- Petri net–based model of the human DNA base excision repair pathway
- Complexation and conformation of lead ion with poly-γ-glutamic acid in soluble state
- The effects of sympathetic activity induced by ice water on blood flow and brachial artery flow-mediated dilatation response in healthy volunteers
- The Youth-Physical Activity Towards Health (Y-PATH) intervention: Results of a 24 month cluster randomised controlled trial
- The COPD multi-dimensional phenotype: A new classification from the STORICO Italian observational study
- Morphological identification of Amphitetranychus species (Acari: Tetranychidae) with crossbreeding, esterase zymograms and DNA barcode data
- Maintaining hope after a disabling stroke: A longitudinal qualitative study of patients’ experiences, views, information needs and approaches towards making treatment decisions
- Cultural differences in the use of acoustic cues for musical emotion experience
- Effects of a rifampicin pre-treatment on linezolid pharmacokinetics
- High prevalence of multidrug resistant Enterobacteriaceae among residents of long term care facilities in Amsterdam, the Netherlands
- Infection/inflammation-associated preterm delivery within 14 days of presentation with symptoms of preterm labour: A multivariate predictive model
- Prognostic value of preoperative hydronephrosis in patients with bladder cancer undergoing radical cystectomy: A meta-analysis
- Correction: Early life predictors of midlife allostatic load: A prospective cohort study
- PCR-free whole exome sequencing: Cost-effective and efficient in detecting rare mutations
- Epstein-Barr virus genome packaging factors accumulate in BMRF1-cores within viral replication compartments
- Symbiotic incompatibility between soybean and Bradyrhizobium arises from one amino acid determinant in soybean Rj2 protein
- Does anticoagulation needed for distally located incidental pulmonary thromboembolism in patients with active cancer?
- Control of human testis-specific gene expression
- Speaking up culture of medical students within an academic teaching hospital: Need of faculty working in patient safety
- Appraisal on the wound healing potential of Melaleuca alternifolia and Rosmarinus officinalis L. essential oil-loaded chitosan topical preparations
- Understanding parental perspectives on outcomes following paediatric encephalitis: A qualitative study
- Results of scoping review do not support mild traumatic brain injury being associated with a high incidence of chronic cognitive impairment: Commentary on McInnes et al. 2017
- Native seed, soil and atmosphere respond to boreal forest topsoil (LFH) storage
- Development of a quantitative polymerase chain reaction assay and environmental DNA sampling methods for Giant Gartersnake (Thamnophis gigas)
- Genetic diversity and population structure of four Chinese rabbit breeds
- Knowledge, attitude and behaviors towards patients with mental illness: Results from a national Lebanese study
- Correction: An impact evaluation of two rounds of mass drug administration on the prevalence of active trachoma: A clustered cross sectional survey
- Comparative prognostic accuracy of sepsis scores for hospital mortality in adults with suspected infection in non-ICU and ICU at an academic public hospital
- Graph convolutional network approach applied to predict hourly bike-sharing demands considering spatial, temporal, and global effects
- Impact of traffic variability on geographic accessibility to 24/7 emergency healthcare for the urban poor: A GIS study in Dhaka, Bangladesh
- Feeling the heat: Elevated temperature affects male display activity of a lekking grassland bird
- Constructing a comprehensive disaster resilience index: The case of Italy
- Intraocular pressure according to different types of tonometry (non-contact and Goldmann applanation) in patients with different degrees of bilateral tearing
- Prevalent vertebral fracture is dominantly associated with spinal microstructural deterioration rather than bone mineral density in patients with type 2 diabetes mellitus
- Silent volumetric multi-contrast 7 Tesla MRI of ocular tumors using Zero Echo Time imaging
- Nonverbal synchrony in virtual reality
- Do speed cameras reduce road traffic collisions?
- A zero-shot learning approach to the development of brain-computer interfaces for image retrieval
- Use of non-HIV medication among people living with HIV and receiving antiretroviral treatment in Côte d’Ivoire, West Africa: A cross-sectional study
- DNA barcoding of southern African crustaceans reveals a mix of invasive species and potential cryptic diversity
- Development of an international external quality assurance program for HIV-1 incidence using the Limiting Antigen Avidity assay
- Correction: The mean cell volume difference (dMCV) reflects serum hypertonicity in diabetic dogs
- Structural characteristics of lipocalin allergens: Crystal structure of the immunogenic dog allergen Can f 6
- Transport oil product consumption and GHG emission reduction potential in China: An electric vehicle-based scenario analysis
- Ontogenetic shift in the energy allocation strategy and physiological condition of larval plaice (Pleuronectes platessa)
- Increased proliferation and altered cell cycle regulation in pancreatic stem cells derived from patients with congenital hyperinsulinism
- Diagnostic accuracy of Xpert MTB/RIF assay and non-molecular methods for the diagnosis of tuberculosis lymphadenitis
- Assessment of glucose-6-phosphate dehydrogenase activity using CareStart G6PD rapid diagnostic test and associated genetic variants in Plasmodium vivax malaria endemic setting in Mauritania
- Spatial distribution of breast cancer in Sudan 2010-2016
- Human-induced fire regime shifts during 19th century industrialization: A robust fire regime reconstruction using northern Polish lake sediments
- Enhanced effectiveness of oil dispersants in destabilizing water-in-oil emulsions
- Development of UV spectrophotometry methods for concurrent quantification of amlodipine and celecoxib by manipulation of ratio spectra in pure and pharmaceutical formulation
- Iron and manganese co-limit growth of the Southern Ocean diatom Chaetoceros debilis
- Bilateral and unilateral load-velocity profiling in a machine-based, single-joint, lower body exercise
- Veterans Health Administration nurses’ training and beliefs related to care of patients with traumatic brain injury
- Supplementation strategies affect the feed intake and performance of grazing replacement heifers
- Active transcutaneous bone conduction hearing implants: Systematic review and meta-analysis
- Parameterization-induced uncertainties and impacts of crop management harmonization in a global gridded crop model ensemble
- Acidification effects on isolation of extracellular vesicles from bovine milk
- GPR40 full agonism exerts feeding suppression and weight loss through afferent vagal nerve
- Mining version history to predict the class instability
- Humpback whale song occurrence reflects ecosystem variability in feeding and migratory habitat of the northeast Pacific
- A phase 2 study of an oral mTORC1/mTORC2 kinase inhibitor (CC-223) for non-pancreatic neuroendocrine tumors with or without carcinoid symptoms
- Asprosin response in hypoglycemia is not related to hypoglycemia unawareness but rather to insulin resistance in type 1 diabetes
- Muscle oxygenation maintained during repeated-sprints despite inspiratory muscle loading
- Reconstructing systematic persistent impacts of promotional marketing with empirical nonlinear dynamics
- Trans-national conservation and infrastructure development in the Heart of Borneo
- Prediction of cardiovascular disease risk among people with severe mental illness: A cohort study
- Data in question: A survey of European biobank professionals on ethical, legal and societal challenges of biobank research
- Hypertensive APOL1 risk allele carriers demonstrate greater blood pressure reduction with angiotensin receptor blockade compared to low risk carriers
- Reconstructing birth in Australopithecus sediba
- Value of contrast-enhanced ultrasound for preoperative assessment of liver reserve function in patients with liver tumors
- Correction: Identifying obesity/overweight status in children and adolescents; A cross-sectional medical record review of physicians’ weight screening practice in outpatient clinics, Saudi Arabia
- Incidence and risk factors of loss to follow-up among HIV-infected children in an antiretroviral treatment program
- Changes in intracellular folate metabolism during high-dose methotrexate and Leucovorin rescue therapy in children with acute lymphoblastic leukemia
- Functional role and evolutionary contributions of floral gland morphoanatomy in the Paleotropical genus Acridocarpus (Malpighiaceae)
- On the efficiency of HIV transmission: Insights through discrete time HIV models
- Metabolic cost calculations of gait using musculoskeletal energy models, a comparison study
- Comparison of molecular profile in triple-negative inflammatory and non-inflammatory breast cancer not of mesenchymal stem-like subtype
- Evolutionary analysis of six chloroplast genomes from three Persea americana ecological races: Insights into sequence divergences and phylogenetic relationships
- Cultural transmission in a food preparation task: The role of interactivity, innovation and storytelling
- Correction: Effects of affective priming through music on the use of emotion words
- Safety and immunogenicity of investigational seasonal influenza hemagglutinin DNA vaccine followed by trivalent inactivated vaccine administered intradermally or intramuscularly in healthy adults: An open-label randomized phase 1 clinical trial
- Estimation of vaccination coverage from electronic healthcare records; methods performance evaluation – A contribution of the ADVANCE-project
- Dietary phytogenics and galactomannan oligosaccharides in low fish meal and fish oil-based diets for European sea bass (Dicentrarchus labrax) juveniles: Effects on gut health and implications on in vivo gut bacterial translocation
- Suicide by hanging: Results from a national survey in Switzerland and its implications for suicide prevention
- Gene dysregulation in peripheral blood of moyamoya disease and comparison with other vascular disorders
- Genome wide genetic dissection of wheat quality and yield related traits and their relationship with grain shape and size traits in an elite × non-adapted bread wheat cross
- Safety and tolerability of artesunate-amodiaquine, artemether-lumefantrine and quinine plus clindamycin in the treatment of uncomplicated Plasmodium falciparum malaria in Kinshasa, the Democratic Republic of the Congo
- Factors influencing the admission decision for Medical Psychiatry Units: A concept mapping approach
- Comparison of post-traumatic changes in circulating and bone marrow leukocytes between BALB/c and CD-1 mouse strains
- Physiological stress reactivity and recovery related to behavioral traits in dogs (Canis familiaris)
- Associations between birth order with mental wellbeing and psychological distress in midlife: Findings from the 1970 British Cohort Study (BCS70)
- Non-steroidal anti-inflammatory drugs use in older adults decreases risk of Alzheimer’s disease mortality
- The cost-effectiveness of neonatal versus prenatal screening for congenital toxoplasmosis
- Ancient technology and punctuated change: Detecting the emergence of the Edomite Kingdom in the Southern Levant
- Flowers as viral hot spots: Honey bees (Apis mellifera) unevenly deposit viruses across plant species
- Randomized control trial of Tools of the Mind: Marked benefits to kindergarten children and their teachers
- Preserving cultural heritage: Analyzing the antifungal potential of ionic liquids tested in paper restoration
- PNPLA3 rs738409 G allele carriers with genotype 1b HCV cirrhosis have lower viral load but develop liver failure at younger age
- Correction: Unraveling the genetic complexity underlying sorghum response to water availability
- Impact of tear metrics on the reliability of perimetry in patients with dry eye
- Using DNA barcoding to improve invasive pest identification at U.S. ports-of-entry
- Correction: Effects of Lactobacillus plantarum 15-1 and fructooligosaccharides on the response of broilers to pathogenic Escherichia coli O78 challenge
- Physico-chemical characterization and transcriptome analysis of 5-methyltryptophan resistant lines in rice
- Patient factors affecting successful linkage to treatment in a cervical cancer prevention program in Kenya: A prospective cohort study
- Is this a man’s world? The effect of gender diversity and gender equality on firm innovativeness
- Procalcitonin to stop antibiotics after cardiovascular surgery in a pediatric intensive care unit—The PROSACAB study
- Temporal trends, predictors, and outcomes of acute kidney injury and hemodialysis use in acute myocardial infarction-related cardiogenic shock
- Quantitation of free glycation compounds in saliva
- Resolving an 87-year-old taxonomical curiosity with the description of Psylla frodobagginsi sp. nov. (Hemiptera: Sternorrhyncha: Psyllidae), a second distinct Psylla species on the New Zealand endemic plant kōwhai
- The effect of cathodal tDCS on fear extinction: A cross-measures study
- Physiological responses to affiliation during conversation: Comparing neurotypical males and males with Asperger syndrome
- Human cord blood (hCB)-CD34+ humanized mice fail to reject human acute myeloid leukemia cells
- Investigating the dispersal of antibiotic resistance associated genes from manure application to soil and drainage waters in simulated agricultural farmland systems
- Continuous norming of psychometric tests: A simulation study of parametric and semi-parametric approaches
- Phylogenetic microbiota profiling in fecal samples depends on combination of sequencing depth and choice of NGS analysis method
- Cost-effectiveness of apixaban compared to other anticoagulants in patients with atrial fibrillation in the real-world and trial settings
- Biochemical profile and in vitro biological activities of extracts from seven folk medicinal plants growing wild in southern Tunisia
- Low genetic differentiation yet high phenotypic variation in the invasive populations of Spartina alterniflora in Guangxi, China
- A mathematical model for designing networks of C-Reactive Protein point of care testing
- Prevalence of hypochondriac symptoms among health science students in China: A systematic review and meta-analysis
- Femtosecond laser induced step-like structures inside transparent hydrogel due to laser induced threshold reduction
- From In Situ to satellite observations of pelagic Sargassum distribution and aggregation in the Tropical North Atlantic Ocean
- The polyether ionophore salinomycin targets multiple cellular pathways to block proliferative vitreoretinopathy pathology
- BRAF V600E and Pten deletion in mice produces a histiocytic disorder with features of Langerhans cell histiocytosis
- HIV prevalence and risk behavior among male and female adults screened for enrolment into a vaccine preparedness study in Maputo, Mozambique
- Sputum microbiota and inflammation at stable state and during exacerbations in a cohort of chronic obstructive pulmonary disease (COPD) patients
- Direct estimation of the parameters of a delayed, intermittent activation feedback model of postural sway during quiet standing
- Occurrence mechanism and coping paths of accidents of highly aggregated tourist crowds based on system dynamics
- Correction: Low Dose Aerosol Fitness at the Innate Phase of Murine Infection Better Predicts Virulence amongst Clinical Strains of Mycobacterium tuberculosis
- Effects of enalapril and paricalcitol treatment on diabetic nephropathy and renal expressions of TNF-α, p53, caspase-3 and Bcl-2 in STZ-induced diabetic rats
- Correction: Public reaction to Chikungunya outbreaks in Italy—Insights from an extensive novel data streams-based structural equation modeling analysis
- Correction: Comparison of neurodegenerative types using different brain MRI analysis metrics in older adults with normal cognition, mild cognitive impairment, and Alzheimer’s dementia
- Intra-individual variability of sleep and nocturnal cardiac autonomic activity in elite female soccer players during an international tournament
- Therapeutic efficacy of equine botulism heptavalent antitoxin against all seven botulinum neurotoxins in symptomatic guinea pigs
- Interleukin 10 knock-down in bovine monocyte-derived macrophages has distinct effects during infection with two divergent strains of Mycobacterium bovis
- Clinical outcomes of bortezomib-based therapy in Taiwanese patients with multiple myeloma: A nationwide population-based study and a single-institute analysis
- Scope and efficacy of the broad-spectrum topical antiseptic choline geranate
- Hematological and biochemical parameters for Chinese rhesus macaque
- Veterinary peer study groups as a method of continuous education—A new approach to identify and address factors associated with antimicrobial prescribing
- Correction: The prognosis of heart failure patients: Does sodium level play a significant role?
- Maternal malaria but not schistosomiasis is associated with a higher risk of febrile infection in infant during the first 3 months of life: A mother-child cohort in Benin
- Systematic identification of facility-based stillbirths and neonatal deaths through the piloted use of an adapted RAPID tool in Liberia and Nepal
- Effects of salbutamol and phlorizin on acute pulmonary inflammation and disease severity in experimental sepsis
- Correction: Age, sex and storage time influence hair cortisol levels in a wild mammal population
- Reasons to care: Personal motivation as a key factor in the practice of the professional foster carer in Romania
- Determinants of clinical, functional and personal recovery for people with schizophrenia and other severe mental illnesses: A cross-sectional analysis
- Continuity of care for TB patients at a South African hospital: A qualitative participatory study of the experiences of hospital staff
- EGF receptor stimulation shifts breast cancer cell glucose metabolism toward glycolytic flux through PI3 kinase signaling
- The Better Management of Patients with Osteoarthritis Program: Outcomes after evidence-based education and exercise delivered nationwide in Sweden
- The negative effects of short-term extreme thermal events on the seagrass Posidonia oceanica are exacerbated by ammonium additions
- Pathogen invasion history elucidates contemporary host pathogen dynamics
- Chinese herbal formulae for the treatment of menopausal hot flushes: A systematic review and meta-analysis
- Healthcare resource utilization and costs for multiple sclerosis management in the Campania region of Italy: Comparison between centre-based and local service healthcare delivery
- Deconstruction of central line insertion guidelines based on the positive deviance approach—Reducing gaps between guidelines and implementation: A qualitative ethnographic research
- PBMCs transcriptome profiles identified breed-specific transcriptome signatures for PRRSV vaccination in German Landrace and Pietrain pigs
- The impact of admission serum lactate on children with moderate to severe traumatic brain injury
- Hypervirulent Klebsiella pneumoniae serotype K1 clinical isolates form robust biofilms at the air-liquid interface
- Determination of the bruise degree for cherry using Vis-NIR reflection spectroscopy coupled with multivariate analysis
- Genome-wide identification and expression profile analysis of nuclear factor Y family genes in Sorghum bicolor L. (Moench)
- Trends in maternal prepregnancy body mass index (BMI) and its association with birth and maternal outcomes in California, 2007–2016: A retrospective cohort study
- Distribution of the Duffy genotypes in Malaysian Borneo and its relation to Plasmodium knowlesi malaria susceptibility
- Hippocampal connectivity with sensorimotor cortex during volitional finger movements: Laterality and relationship to motor learning
- A self-adaptive deep learning method for automated eye laterality detection based on color fundus photography
- The effect of child marriage on the utilization of maternal health care in Nepal: A cross-sectional analysis of Demographic and Health Survey 2016
- Identification of QTLs for powdery mildew (Podosphaera aphanis; syn. Sphaerotheca macularis f. sp. fragariae) susceptibility in cultivated strawberry (Fragaria ×ananassa)
- Chemical volatiles present in cotton gin trash: A by-product of cotton processing
- PTP1B negatively regulates nitric oxide-mediated Pseudomonas aeruginosa killing by neutrophils
- Differential metabolomics networks analysis of menopausal status
- Experimental study of the temporal profile of breath alcohol concentration in a Chinese population after a light meal
- Association between regional brain volumes and BMI z-score change over one year in children
- Relationships between Potentially Toxic Elements in intertidal sediments and their bioaccumulation by benthic invertebrates
- Long-term outcomes of dialysis in patients with chronic kidney disease and new-onset atrial fibrillation: A population-based cohort study
- Hospital burden of pulmonary arterial hypertension in France
- Understanding the variability of Australian fire weather between 1973 and 2017
- Photon-counting cine-cardiac CT in the mouse
- Ecophysiological impacts of Esca, a devastating grapevine trunk disease, on Vitis vinifera L.
- Black “Reading the Mind in the Eyes” task: The development of a task assessing mentalizing from black faces
- Osmolytes ameliorate the effects of stress in the absence of the heat shock protein Hsp104 in Saccharomyces cerevisiae
- Reliable and robust method for abdominal muscle mass quantification using CT/MRI: An explorative study in healthy subjects
- Validation of the Rainbow Model of Integrated Care Measurement Tools (RMIC-MTs) in renal care for patient and care providers
- Multiple origins and the population genetic structure of Rubus takesimensis (Rosaceae) on Ulleung Island: Implications for the genetic consequences of anagenetic speciation
- Genetic profiling of fatty acid desaturase polymorphisms identifies patients who may benefit from high-dose omega-3 fatty acids in cardiac remodeling after acute myocardial infarction—Post-hoc analysis from the OMEGA-REMODEL randomized controlled trial
- A randomized controlled trial examining the efficacy of an internet-based cognitive behavioral therapy program for adolescents with anxiety disorders
- Optimising outputs from a validated online instrument to measure health-related quality of life (HRQL) in dogs
- Young adults’ perceptions of using wearables, social media and other technologies to detect worsening mental health: A qualitative study
- Characteristics of prescription in 29 Level 3 Neonatal Wards over a 2-year period (2017-2018). An inventory for future research
- Genetic characterization of fall armyworm (Spodoptera frugiperda) in Ecuador and comparisons with regional populations identify likely migratory relationships
- Correction: Lkb1 Deficiency Alters Goblet and Paneth Cell Differentiation in the Small Intestine
- Cardiac resynchronization therapy-heart failure (CRT-HF) clinic: A novel model of care
- Synteny and phylogenetic analysis of paralogous thyrostimulin beta subunits (GpB5) in vertebrates
- Dual-Subpopulation as reciprocal optional external archives for differential evolution
- NGS analysis in Marfan syndrome spectrum: Combination of rare and common genetic variants to improve genotype-phenotype correlation analysis
- Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one
- Silymarin in non-cirrhotics with non-alcoholic steatohepatitis: A randomized, double-blind, placebo controlled trial
- Clinical evaluation of General Electric new Swiftscan solution in bone scintigraphy on NaI-camera: A head to head comparison with Siemens Symbia
- Pharmacist-led academic detailing improves statin therapy prescribing for Malaysian patients with type 2 diabetes: Quasi-experimental design
- Proton pump inhibitors attenuate myofibroblast formation associated with thyroid eye disease through the aryl hydrocarbon receptor
- Clinical outcomes with neoadjuvant versus adjuvant chemotherapy for triple negative breast cancer: A report from the National Cancer Database
- Identification and characterization of a novel heparan sulfate-binding domain in Activin A longest variants and implications for function
- Wikipedia network analysis of cancer interactions and world influence
- Using path signatures to predict a diagnosis of Alzheimer’s disease
- Development and verification of prediction models for preventing cardiovascular diseases
- Additive and heterozygous (dis)advantage GWAS models reveal candidate genes involved in the genotypic variation of maize hybrids to Azospirillum brasilense
- Fish tank granuloma: An emerging skin disease in Iran mimicking Cutaneous Leishmaniasis
- Transience effect in capture-recapture studies: The importance of its biological meaning
- Detailed global modelling of soil organic carbon in cropland, grassland and forest soils
- Oral dosing for antenatal corticosteroids in the Rhesus macaque
- Retraction: Modulation of the Pentose Phosphate Pathway Induces Endodermal Differentiation in Embryonic Stem Cells
- An analysis on HBsAg, Anti-HCV, Anti-HIV½ and VDRL test results in blood donors according to gender, age range and years
- Clinical factors associated with bacterial translocation in Japanese patients with type 2 diabetes: A retrospective study
- Meaningful work and resilience among teachers: The mediating role of work engagement and job crafting
- The conditional Fama-French model and endogenous illiquidity: A robust instrumental variables test
- Breast cancers utilize hypoxic glycogen stores via PYGB, the brain isoform of glycogen phosphorylase, to promote metastatic phenotypes
- Characterization of sequentially-staged cancer cells using electrorotation
- Vancomycin-laden calcium phosphate-calcium sulfate composite allows bone formation in a rat infection model
- Genetic evidence for plural introduction pathways of the invasive weed Paterson’s curse (Echium plantagineum L.) to southern Australia
- Risk of major autoimmune diseases in female breast cancer patients: A nationwide, population-based cohort study
- Real-time three-dimensional MRI for the assessment of dynamic carpal instability
- Interim report on the effective intraperitoneal therapy of insulin-dependent diabetes mellitus in pet dogs using “Neo-Islets,” aggregates of adipose stem and pancreatic islet cells (INAD 012-776)
- The frequency of bowel and bladder problems in multiple sclerosis and its relation to fatigue: A single centre experience
- Retraction: Analysis of Mycobacterium tuberculosis-Specific CD8 T-Cells in Patients with Active Tuberculosis and in Individuals with Latent Infection
- The association between role model presence and self-regulation in early adolescence: A cross-sectional study
- Correction: A controlled-release oral opioid supports S. aureus survival in injection drug preparation equipment and may increase bacteremia and endocarditis risk
- Methamphetamine regulation of activity and topology of ventral midbrain networks
- Evaluation and treatment of latent tuberculosis infection among healthcare workers in Korea: A multicentre cohort analysis
- Occult periprosthetic femoral fractures occur frequently during a long, trapezoidal, double-tapered cementless femoral stem fixation in primary THA
- TCF4 induces enzalutamide resistance via neuroendocrine differentiation in prostate cancer
- Structural characterization of EGFR exon 19 deletion mutation using molecular dynamics simulation
- Comparing infiltration rates in soils managed with conventional and alternative farming methods: A meta-analysis
- Correction: Permissivity of Primary Human Hepatocytes and Different Hepatoma Cell Lines to Cell Culture Adapted Hepatitis C Virus
- Radiomics features of the primary tumor fail to improve prediction of overall survival in large cohorts of CT- and PET-imaged head and neck cancer patients
- The complete mitochondrial genome of Calyptogena marissinica (Heterodonta: Veneroida: Vesicomyidae): Insight into the deep-sea adaptive evolution of vesicomyids
- Correction: In vitro larval rearing protocol for the stingless bee species Melipona scutellaris for toxicological studies
- Correction: Morphological and molecular identification of the dioecious “African species Volvox rousseletii (Chlorophyceae) in the water column of a Japanese lake based on field-collected and cultured materials
- Upper versus lower airway microbiome and metagenome in children with cystic fibrosis and their correlation with lung inflammation
- “…or else I close my ears” How women with obesity want to be approached and treated regarding gestational weight management: A qualitative interview study
- Does a spinal implant alter dual energy X-ray absorptiometry body composition measurements?
- Economic and livestock health impacts of birds on dairies: Evidence from a survey of Washington dairy operators
- Repair of subtotal tympanic membrane perforations: A temporal bone study of several tympanoplasty materials
- Shifts in temperature influence how Batrachochytrium dendrobatidis infects amphibian larvae
- Sequential two-step chromatographic purification of infectious poliovirus using ceramic fluoroapatite and ceramic hydroxyapatite columns
- Frequency and distribution of corneal astigmatism and keratometry features in adult life: Methodology and findings of the UK Biobank study
- Differences in the impedance of cochlear implant devices within 24 hours of their implantation
- Suppressive impact of metronomic chemotherapy using UFT and/or cyclophosphamide on mediators of breast cancer dissemination and invasion
- Expression of Concern: miRNA 17 Family Regulates Cisplatin-Resistant and Metastasis by Targeting TGFbetaR2 in NSCLC
- Group leaders establish cooperative norms that persist in subsequent interactions
- Addis Ababa population-based pattern of cancer therapy, Ethiopia
- Agreement between the Cochrane risk of bias tool and Physiotherapy Evidence Database (PEDro) scale: A meta-epidemiological study of randomized controlled trials of physical therapy interventions
- Oxidoreductase disulfide bond proteins DsbA and DsbB form an active redox pair in Chlamydia trachomatis, a bacterium with disulfide dependent infection and development
- DNA barcoding of coastal ray-finned fishes in Vietnam
- Comparison of climbing-specific strength and endurance between lead and boulder climbers
- The performance of different case definitions for severe influenza surveillance among HIV-infected and HIV-uninfected children aged <5 years in South Africa, 2011–2015
- Analgesic drug use in elderly persons: A population-based study in Southern Italy
- RCER: Reliable Cluster-based Energy-aware Routing protocol for heterogeneous Wireless Sensor Networks
- Beta-defensins and analogs in Helicobacter pylori infections: mRNA expression levels, DNA methylation, and antibacterial activity
- Changing educational gradient in long-term care-free life expectancy among German men, 1997-2012
- A non-parametric significance test to compare corpora
- Evaluating the impact of policies recommending PrEP to subpopulations of men and transgender women who have sex with men based on demographic and behavioral risk factors
- Different levels of statistical learning - Hidden potentials of sequence learning tasks
- Dry period heat stress induces microstructural changes in the lactating mammary gland
- Organic resolution function and effects of platinum nanoparticles on bacteria and organic matter
- High levels of fasting glucose and glycosylated hemoglobin values are associated with hyperfiltration in a Spanish prediabetes cohort. The PREDAPS Study
- Genetically distinct Group B Streptococcus strains induce varying macrophage cytokine responses
- Dynamic up- and down-regulation of the default (DMN) and extrinsic (EMN) mode networks during alternating task-on and task-off periods
- ERK1/ATF-2 signaling axis contributes to interleukin-1β-induced MMP-3 expression in dermal fibroblasts
- Cytokine profiles of umbilical cord blood mononuclear cells upon in vitro stimulation with lipopolysaccharides of different vaginal gram-negative bacteria
- Everolimus in de novo kidney transplant recipients participating in the Eurotransplant senior program: Results of a prospective randomized multicenter study (SENATOR)
- Lipopolysaccharide induces mouse translocator protein (18 kDa) expression via the AP-1 complex in the microglial cell line, BV-2
- Does effectiveness in performance appraisal improve with rater training?
- National trends in inpatient endometriosis admissions: Patients, procedures and outcomes, 2006−2015
- Affective and enjoyment responses to 12 weeks of high intensity interval training and moderate continuous training in adults with Crohn’s disease
- Thrombophilic risk factors in hemodialysis: Association with early vascular access occlusion and patient survival in long-term follow-up
- Cabbage stem flea beetle’s (Psylliodes chrysocephala L.) susceptibility to pyrethroids and tolerance to thiacloprid in the Czech Republic
- Implicit learning of artificial grammatical structures after inferior frontal cortex lesions
- Potential survival benefits from optimized chemotherapy implementation in advanced ovarian cancer: Projections from a microsimulation model
- Predictors of SLE relapse in pregnancy and post-partum among multi-ethnic patients in Malaysia
- Heat stress responses in a large set of winter wheat cultivars (Triticum aestivum L.) depend on the timing and duration of stress
- Mice deficient in NKLAM have attenuated inflammatory cytokine production in a Sendai virus pneumonia model
- Dysregulation of microRNAs and target genes networks in human abdominal aortic aneurysm tissues
- Quality of life and associated factors among patients with breast cancer under chemotherapy at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia
- Evaluation of suitable reference genes in Brassica juncea and its wild relative Camelina sativa for qRT-PCR analysis under various stress conditions
- Time-related immunomodulation by stressors and corticosterone transdermal application in toads
- Machine learning discovery of longitudinal patterns of depression and suicidal ideation
- Multi-scale patterns of tick occupancy and abundance across an agricultural landscape in southern Africa
- A matter of taste: Spatial and ontogenetic variations on the trophic ecology of the tiger shark at the Galapagos Marine Reserve
- Retraction: Adaptive double threshold energy detection based on Markov model for cognitive radio
- Adrenal gland size in obstructive sleep apnea: Morphological assessment of hypothalamic pituitary adrenal axis activity
- Out-of-pocket health spending among Medicare beneficiaries: Which chronic diseases are most costly?
- A large-scale chromosomal inversion is not associated with life history development in rainbow trout from Southeast Alaska
- Deployment, suicide, and overdose among comorbidity phenotypes following mild traumatic brain injury: A retrospective cohort study from the Chronic Effects of Neurotrauma Consortium
- Association between alcohol intake and measures of incident CKD: An analysis of nationwide health screening data
- Exploration of icariin analog structure space reveals key features driving potent inhibition of human phosphodiesterase-5
- A quantitative approach for the analysis of clinician recognition of acute respiratory distress syndrome using electronic health record data
- Morphological, microbiological and ultrastructural aspects of sepsis by Aeromonas hydrophila in Piaractus mesopotamicus
- Recidivism rates in individuals receiving community sentences: A systematic review
- The association of intensive care with utilization and costs of outpatient healthcare services and quality of life
- How well do cancer survivor self-classifications of anxiety, depression and stress agree with a standardised tool? Results of a cross-sectional study
- Comparative nutritional characteristics of the three major Chinese Dendrobium species with different growth years
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- The diagnostic value of pleural fluid homocysteine in malignant pleural effusion
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- Analyzing data from the digital healthcare exchange platform for surveillance of antibiotic prescriptions in primary care in urban Kenya: A mixed-methods study
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- Tuberculosis in the wild boar: Frequentist and Bayesian estimations of diagnostic test parameters when Mycobacterium bovis is present in wild boars but at low prevalence
- Enhanced mechanical and thermal properties of electrically conductive TPNR/GNP nanocomposites assisted with ultrasonication
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- Targeted in-vitro-stimulation reveals highly proliferative multi-virus-specific human central memory T cells as candidates for prophylactic T cell therapy
- Influence of ocean circulation and the Kuroshio large meander on the 2018 Japanese eel recruitment season
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- Letrozole treatment of pubertal female mice results in activational effects on reproduction, metabolism and the gut microbiome
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- Characteristics of proximal early gastric cancer differentiating distal early gastric cancer
- Retraction: Impacts of rock properties on Danxia landform formation based on lithological experiments at Kongtongshan National Geopark, northwest China
- Correction: SVR12 rates higher than 99% after sofosbuvir/velpatasvir combination in HCV infected patients with F0-F1 fibrosis stage: A real world experience
- Retraction: Plexin-B1 Activates NF-κB and IL-8 to Promote a Pro-Angiogenic Response in Endothelial Cells
- Relationship between cognitive behavioral variables and mental health status among university students: A meta-analysis
- Association between temperature, sunlight hours and alcohol consumption
- Using graph learning to understand adverse pregnancy outcomes and stress pathways
- Correction: The step-to-step transition mode: A potential indicator of first-fall risk in elderly adults?
- Surgical referral systems in low- and middle-income countries: A review of the evidence
- In vivo clearance of nanoparticles by transcytosis across alveolar epithelial cells
- Correction: The Economic Impact of Malignant Catarrhal Fever on Pastoralist Livelihoods
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- Correction: Plant traits linked to field-scale flammability metrics in prescribed burns in Eucalyptus forest
- Correction: Maturation of three-dimensional, hiPSC-derived cardiomyocyte spheroids utilizing cyclic, uniaxial stretch and electrical stimulation
- Correction: To keep or not to keep? Decision making in adolescent pregnancies in Jamestown, Ghana
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