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Cryptosporidium Priming Is More Effective than Vaccine for Protection against Cryptosporidiosis in a Murine Protein Malnutrition Model

Identifieur interne : 003914 ( Ncbi/Merge ); précédent : 003913; suivant : 003915

Cryptosporidium Priming Is More Effective than Vaccine for Protection against Cryptosporidiosis in a Murine Protein Malnutrition Model

Auteurs : Luther A. Bartelt [États-Unis] ; David T. Bolick [États-Unis] ; Glynis L. Kolling [États-Unis] ; James K. Roche [États-Unis] ; Edna I. Zaenker [États-Unis] ; Ana M. Lara [États-Unis] ; Francisco Jose Noronha [États-Unis] ; Carrie A. Cowardin [États-Unis] ; John H. Moore [États-Unis] ; Jerrold R. Turner [États-Unis] ; Cirle A. Warren [États-Unis] ; Gregory A. Buck [États-Unis] ; Richard L. Guerrant [États-Unis]

Source :

RBID : PMC:4965189

Abstract

Cryptosporidium is a major cause of severe diarrhea, especially in malnourished children. Using a murine model of C. parvum oocyst challenge that recapitulates clinical features of severe cryptosporidiosis during malnutrition, we interrogated the effect of protein malnutrition (PM) on primary and secondary responses to C. parvum challenge, and tested the differential ability of mucosal priming strategies to overcome the PM-induced susceptibility. We determined that while PM fundamentally alters systemic and mucosal primary immune responses to Cryptosporidium, priming with C. parvum (106 oocysts) provides robust protective immunity against re-challenge despite ongoing PM. C. parvum priming restores mucosal Th1-type effectors (CD3+CD8+CD103+ T-cells) and cytokines (IFNγ, and IL12p40) that otherwise decrease with ongoing PM. Vaccination strategies with Cryptosporidium antigens expressed in the S. Typhi vector 908htr, however, do not enhance Th1-type responses to C. parvum challenge during PM, even though vaccination strongly boosts immunity in challenged fully nourished hosts. Remote non-specific exposures to the attenuated S. Typhi vector alone or the TLR9 agonist CpG ODN-1668 can partially attenuate C. parvum severity during PM, but neither as effectively as viable C. parvum priming. We conclude that although PM interferes with basal and vaccine-boosted immune responses to C. parvum, sustained reductions in disease severity are possible through mucosal activators of host defenses, and specifically C. parvum priming can elicit impressively robust Th1-type protective immunity despite ongoing protein malnutrition. These findings add insight into potential correlates of Cryptosporidium immunity and future vaccine strategies in malnourished children.


Url:
DOI: 10.1371/journal.pntd.0004820
PubMed: 27467505
PubMed Central: 4965189

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PMC:4965189

Le document en format XML

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Priming Is More Effective than Vaccine for Protection against Cryptosporidiosis in a Murine Protein Malnutrition Model</title>
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<region type="state">Illinois</region>
</placeName>
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<title xml:lang="en" level="a" type="main">
<italic>Cryptosporidium</italic>
Priming Is More Effective than Vaccine for Protection against Cryptosporidiosis in a Murine Protein Malnutrition Model</title>
<author>
<name sortKey="Bartelt, Luther A" sort="Bartelt, Luther A" uniqKey="Bartelt L" first="Luther A." last="Bartelt">Luther A. Bartelt</name>
<affiliation wicri:level="4">
<nlm:aff id="aff001">
<addr-line>Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina</wicri:regionArea>
<placeName>
<region type="state">Caroline du Nord</region>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
</placeName>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
</affiliation>
</author>
<author>
<name sortKey="Bolick, David T" sort="Bolick, David T" uniqKey="Bolick D" first="David T." last="Bolick">David T. Bolick</name>
<affiliation wicri:level="2">
<nlm:aff id="aff002">
<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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</author>
<author>
<name sortKey="Kolling, Glynis L" sort="Kolling, Glynis L" uniqKey="Kolling G" first="Glynis L." last="Kolling">Glynis L. Kolling</name>
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<nlm:aff id="aff002">
<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
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<author>
<name sortKey="Roche, James K" sort="Roche, James K" uniqKey="Roche J" first="James K." last="Roche">James K. Roche</name>
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<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
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<wicri:regionArea>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia</wicri:regionArea>
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<region type="state">Virginie</region>
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<author>
<name sortKey="Zaenker, Edna I" sort="Zaenker, Edna I" uniqKey="Zaenker E" first="Edna I." last="Zaenker">Edna I. Zaenker</name>
<affiliation wicri:level="2">
<nlm:aff id="aff002">
<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia</wicri:regionArea>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Lara, Ana M" sort="Lara, Ana M" uniqKey="Lara A" first="Ana M." last="Lara">Ana M. Lara</name>
<affiliation wicri:level="2">
<nlm:aff id="aff003">
<addr-line>Molecular Biology and Genetics, Virginia Commonwealth University, Richmond, Virginia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Molecular Biology and Genetics, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Noronha, Francisco Jose" sort="Noronha, Francisco Jose" uniqKey="Noronha F" first="Francisco Jose" last="Noronha">Francisco Jose Noronha</name>
<affiliation wicri:level="2">
<nlm:aff id="aff002">
<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia</wicri:regionArea>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
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<author>
<name sortKey="Cowardin, Carrie A" sort="Cowardin, Carrie A" uniqKey="Cowardin C" first="Carrie A." last="Cowardin">Carrie A. Cowardin</name>
<affiliation wicri:level="2">
<nlm:aff id="aff002">
<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia</wicri:regionArea>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Moore, John H" sort="Moore, John H" uniqKey="Moore J" first="John H." last="Moore">John H. Moore</name>
<affiliation wicri:level="2">
<nlm:aff id="aff002">
<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia</wicri:regionArea>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Turner, Jerrold R" sort="Turner, Jerrold R" uniqKey="Turner J" first="Jerrold R." last="Turner">Jerrold R. Turner</name>
<affiliation wicri:level="2">
<nlm:aff id="aff004">
<addr-line>Department of Pathology, The University of Chicago, Chicago, Illinois, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pathology, The University of Chicago, Chicago, Illinois</wicri:regionArea>
<placeName>
<region type="state">Illinois</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="aff005">
<addr-line>Departments of Pathology and Medicine—Gastroenterology, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Departments of Pathology and Medicine—Gastroenterology, Brigham and Women’s Hospital, Boston, Massachusetts</wicri:regionArea>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Warren, Cirle A" sort="Warren, Cirle A" uniqKey="Warren C" first="Cirle A." last="Warren">Cirle A. Warren</name>
<affiliation wicri:level="2">
<nlm:aff id="aff002">
<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia</wicri:regionArea>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Buck, Gregory A" sort="Buck, Gregory A" uniqKey="Buck G" first="Gregory A." last="Buck">Gregory A. Buck</name>
<affiliation wicri:level="2">
<nlm:aff id="aff003">
<addr-line>Molecular Biology and Genetics, Virginia Commonwealth University, Richmond, Virginia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Molecular Biology and Genetics, Virginia Commonwealth University, Richmond, Virginia</wicri:regionArea>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Guerrant, Richard L" sort="Guerrant, Richard L" uniqKey="Guerrant R" first="Richard L." last="Guerrant">Richard L. Guerrant</name>
<affiliation wicri:level="2">
<nlm:aff id="aff002">
<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia</wicri:regionArea>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">PLoS Neglected Tropical Diseases</title>
<idno type="ISSN">1935-2727</idno>
<idno type="eISSN">1935-2735</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">
<p>
<italic>Cryptosporidium</italic>
is a major cause of severe diarrhea, especially in malnourished children. Using a murine model of
<italic>C</italic>
.
<italic>parvum</italic>
oocyst challenge that recapitulates clinical features of severe cryptosporidiosis during malnutrition, we interrogated the effect of protein malnutrition (PM) on primary and secondary responses to
<italic>C</italic>
.
<italic>parvum</italic>
challenge, and tested the differential ability of mucosal priming strategies to overcome the PM-induced susceptibility. We determined that while PM fundamentally alters systemic and mucosal primary immune responses to
<italic>Cryptosporidium</italic>
, priming with
<italic>C</italic>
.
<italic>parvum</italic>
(10
<sup>6</sup>
oocysts) provides robust protective immunity against re-challenge despite ongoing PM.
<italic>C</italic>
.
<italic>parvum</italic>
priming restores mucosal Th1-type effectors (CD3
<sup>+</sup>
CD8
<sup>+</sup>
CD103
<sup>+</sup>
T-cells) and cytokines (IFNγ, and IL12p40) that otherwise decrease with ongoing PM. Vaccination strategies with
<italic>Cryptosporidium</italic>
antigens expressed in the
<italic>S</italic>
. Typhi vector 908
<italic>htr</italic>
, however, do not enhance Th1-type responses to
<italic>C</italic>
.
<italic>parvum</italic>
challenge during PM, even though vaccination strongly boosts immunity in challenged fully nourished hosts. Remote non-specific exposures to the attenuated
<italic>S</italic>
. Typhi vector alone or the TLR9 agonist CpG ODN-1668 can partially attenuate
<italic>C</italic>
.
<italic>parvum</italic>
severity during PM, but neither as effectively as viable
<italic>C</italic>
.
<italic>parvum</italic>
priming. We conclude that although PM interferes with basal and vaccine-boosted immune responses to
<italic>C</italic>
.
<italic>parvum</italic>
, sustained reductions in disease severity are possible through mucosal activators of host defenses, and specifically
<italic>C</italic>
.
<italic>parvum</italic>
priming can elicit impressively robust Th1-type protective immunity despite ongoing protein malnutrition. These findings add insight into potential correlates of
<italic>Cryptosporidium</italic>
immunity and future vaccine strategies in malnourished children.</p>
</div>
</front>
<back>
<div1 type="bibliography">
<listBibl>
<biblStruct>
<analytic>
<author>
<name sortKey="Black, Re" uniqKey="Black R">RE Black</name>
</author>
<author>
<name sortKey="Victora, Cg" uniqKey="Victora C">CG Victora</name>
</author>
<author>
<name sortKey="Walker, Sp" uniqKey="Walker S">SP Walker</name>
</author>
<author>
<name sortKey="Bhutta, Za" uniqKey="Bhutta Z">ZA Bhutta</name>
</author>
<author>
<name sortKey="Christian, P" uniqKey="Christian P">P Christian</name>
</author>
<author>
<name sortKey="De Onis, M" uniqKey="De Onis M">M de Onis</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Rytter, Mjh" uniqKey="Rytter M">MJH Rytter</name>
</author>
<author>
<name sortKey="Kolte, L" uniqKey="Kolte L">L Kolte</name>
</author>
<author>
<name sortKey="Briend, A" uniqKey="Briend A">A Briend</name>
</author>
<author>
<name sortKey="Friis, H" uniqKey="Friis H">H Friis</name>
</author>
<author>
<name sortKey="Christensen, Vb" uniqKey="Christensen V">VB Christensen</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Haque, R" uniqKey="Haque R">R Haque</name>
</author>
<author>
<name sortKey="Snider, C" uniqKey="Snider C">C Snider</name>
</author>
<author>
<name sortKey="Liu, Y" uniqKey="Liu Y">Y Liu</name>
</author>
<author>
<name sortKey="Ma, Jz" uniqKey="Ma J">JZ Ma</name>
</author>
<author>
<name sortKey="Liu, L" uniqKey="Liu L">L Liu</name>
</author>
<author>
<name sortKey="Nayak, U" uniqKey="Nayak U">U Nayak</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="M Lbak, K" uniqKey="M Lbak K">K Mølbak</name>
</author>
<author>
<name sortKey="H Jlyng, N" uniqKey="H Jlyng N">N Højlyng</name>
</author>
<author>
<name sortKey="Gottschau, A" uniqKey="Gottschau A">A Gottschau</name>
</author>
<author>
<name sortKey="Sa, Jc" uniqKey="Sa J">JC Sá</name>
</author>
<author>
<name sortKey="Ingholt, L" uniqKey="Ingholt L">L Ingholt</name>
</author>
<author>
<name sortKey="Da Silva, Ap" uniqKey="Da Silva A">AP da Silva</name>
</author>
<author>
<name sortKey="Aaby, P" uniqKey="Aaby P">P Aaby</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Tumwine, Jk" uniqKey="Tumwine J">JK Tumwine</name>
</author>
<author>
<name sortKey="Kekitiinwa, A" uniqKey="Kekitiinwa A">A Kekitiinwa</name>
</author>
<author>
<name sortKey="Nabukeera, N" uniqKey="Nabukeera N">N Nabukeera</name>
</author>
<author>
<name sortKey="Akiyoshi, De" uniqKey="Akiyoshi D">DE Akiyoshi</name>
</author>
<author>
<name sortKey="Rich, Sm" uniqKey="Rich S">SM Rich</name>
</author>
<author>
<name sortKey="Widmer, G" uniqKey="Widmer G">G Widmer</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Kotloff, Kl" uniqKey="Kotloff K">KL Kotloff</name>
</author>
<author>
<name sortKey="Nataro, Jp" uniqKey="Nataro J">JP Nataro</name>
</author>
<author>
<name sortKey="Blackwelder, Wc" uniqKey="Blackwelder W">WC Blackwelder</name>
</author>
<author>
<name sortKey="Nasrin, D" uniqKey="Nasrin D">D Nasrin</name>
</author>
<author>
<name sortKey="Farag, Th" uniqKey="Farag T">TH Farag</name>
</author>
<author>
<name sortKey="Panchalingam, S" uniqKey="Panchalingam S">S Panchalingam</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Newman, Rd" uniqKey="Newman R">RD Newman</name>
</author>
<author>
<name sortKey="Sears, Cl" uniqKey="Sears C">CL Sears</name>
</author>
<author>
<name sortKey="Moore, Sr" uniqKey="Moore S">SR Moore</name>
</author>
<author>
<name sortKey="Nataro, Jp" uniqKey="Nataro J">JP Nataro</name>
</author>
<author>
<name sortKey="Wuhib, T" uniqKey="Wuhib T">T Wuhib</name>
</author>
<author>
<name sortKey="Agnew, Da" uniqKey="Agnew D">DA Agnew</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Agnew, Dg" uniqKey="Agnew D">DG Agnew</name>
</author>
<author>
<name sortKey="Lima, Aa" uniqKey="Lima A">AA Lima</name>
</author>
<author>
<name sortKey="Newman, Rd" uniqKey="Newman R">RD Newman</name>
</author>
<author>
<name sortKey="Wuhib, T" uniqKey="Wuhib T">T Wuhib</name>
</author>
<author>
<name sortKey="Moore, Rd" uniqKey="Moore R">RD Moore</name>
</author>
<author>
<name sortKey="Guerrant, Rl" uniqKey="Guerrant R">RL Guerrant</name>
</author>
<author>
<name sortKey="Sears, Cl" uniqKey="Sears C">CL Sears</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Mondal, D" uniqKey="Mondal D">D Mondal</name>
</author>
<author>
<name sortKey="Minak, J" uniqKey="Minak J">J Minak</name>
</author>
<author>
<name sortKey="Alam, M" uniqKey="Alam M">M Alam</name>
</author>
<author>
<name sortKey="Liu, Y" uniqKey="Liu Y">Y Liu</name>
</author>
<author>
<name sortKey="Dai, J" uniqKey="Dai J">J Dai</name>
</author>
<author>
<name sortKey="Korpe, P" uniqKey="Korpe P">P Korpe</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Checkley, W" uniqKey="Checkley W">W Checkley</name>
</author>
<author>
<name sortKey="Gilman, Rh" uniqKey="Gilman R">RH Gilman</name>
</author>
<author>
<name sortKey="Epstein, Ld" uniqKey="Epstein L">LD Epstein</name>
</author>
<author>
<name sortKey="Suarez, M" uniqKey="Suarez M">M Suarez</name>
</author>
<author>
<name sortKey="Diaz, Jf" uniqKey="Diaz J">JF Diaz</name>
</author>
<author>
<name sortKey="Cabrera, L" uniqKey="Cabrera L">L Cabrera</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Checkley, W" uniqKey="Checkley W">W Checkley</name>
</author>
<author>
<name sortKey="Epstein, Ld" uniqKey="Epstein L">LD Epstein</name>
</author>
<author>
<name sortKey="Gilman, Rh" uniqKey="Gilman R">RH Gilman</name>
</author>
<author>
<name sortKey="Black, Re" uniqKey="Black R">RE Black</name>
</author>
<author>
<name sortKey="Cabrera, L" uniqKey="Cabrera L">L Cabrera</name>
</author>
<author>
<name sortKey="Sterling, Cr" uniqKey="Sterling C">CR Sterling</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Korpe, Ps" uniqKey="Korpe P">PS Korpe</name>
</author>
<author>
<name sortKey="Haque, R" uniqKey="Haque R">R Haque</name>
</author>
<author>
<name sortKey="Gilchrist, C" uniqKey="Gilchrist C">C Gilchrist</name>
</author>
<author>
<name sortKey="Valencia, C" uniqKey="Valencia C">C Valencia</name>
</author>
<author>
<name sortKey="Niu, F" uniqKey="Niu F">F Niu</name>
</author>
<author>
<name sortKey="Lu, M" uniqKey="Lu M">M Lu</name>
</author>
<author>
<name sortKey="Ma, Jz" uniqKey="Ma J">JZ Ma</name>
</author>
<author>
<name sortKey="Petri, Se" uniqKey="Petri S">SE Petri</name>
</author>
<author>
<name sortKey="Reichman, D" uniqKey="Reichman D">D Reichman</name>
</author>
<author>
<name sortKey="Kabir, M" uniqKey="Kabir M">M Kabir</name>
</author>
<author>
<name sortKey="Duggal, P" uniqKey="Duggal P">P Duggal</name>
</author>
<author>
<name sortKey="Petri, Wa" uniqKey="Petri W">WA Petri</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Checkley, W" uniqKey="Checkley W">W Checkley</name>
</author>
<author>
<name sortKey="White, Ac" uniqKey="White A">AC White</name>
</author>
<author>
<name sortKey="Jaganath, D" uniqKey="Jaganath D">D Jaganath</name>
</author>
<author>
<name sortKey="Arrowood, Mj" uniqKey="Arrowood M">MJ Arrowood</name>
</author>
<author>
<name sortKey="Chalmers, Rm" uniqKey="Chalmers R">RM Chalmers</name>
</author>
<author>
<name sortKey="Chen, Xm" uniqKey="Chen X">XM Chen</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Chen, W" uniqKey="Chen W">W Chen</name>
</author>
<author>
<name sortKey="Harp, Ja" uniqKey="Harp J">JA Harp</name>
</author>
<author>
<name sortKey="Harmsen, Ag" uniqKey="Harmsen A">AG Harmsen</name>
</author>
<author>
<name sortKey="Havell, Ea" uniqKey="Havell E">EA Havell</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Leav, Ba" uniqKey="Leav B">BA Leav</name>
</author>
<author>
<name sortKey="Yoshida, M" uniqKey="Yoshida M">M Yoshida</name>
</author>
<author>
<name sortKey="Rogers, K" uniqKey="Rogers K">K Rogers</name>
</author>
<author>
<name sortKey="Cohen, S" uniqKey="Cohen S">S Cohen</name>
</author>
<author>
<name sortKey="Godiwala, N" uniqKey="Godiwala N">N Godiwala</name>
</author>
<author>
<name sortKey="Blumberg, Rs" uniqKey="Blumberg R">RS Blumberg</name>
</author>
<author>
<name sortKey="Ward, H" uniqKey="Ward H">H Ward</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Mead, Jr" uniqKey="Mead J">JR Mead</name>
</author>
<author>
<name sortKey="You, X" uniqKey="You X">X You</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="White, Ac" uniqKey="White A">AC White</name>
</author>
<author>
<name sortKey="Robinson, P" uniqKey="Robinson P">P Robinson</name>
</author>
<author>
<name sortKey="Okhuysen, Pc" uniqKey="Okhuysen P">PC Okhuysen</name>
</author>
<author>
<name sortKey="Lewis, De" uniqKey="Lewis D">DE Lewis</name>
</author>
<author>
<name sortKey="Shahab, I" uniqKey="Shahab I">I Shahab</name>
</author>
<author>
<name sortKey="Lahoti, S" uniqKey="Lahoti S">S Lahoti</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Kirkpatrick, Bd" uniqKey="Kirkpatrick B">BD Kirkpatrick</name>
</author>
<author>
<name sortKey="Daniels, Mm" uniqKey="Daniels M">MM Daniels</name>
</author>
<author>
<name sortKey="Jean, Ss" uniqKey="Jean S">SS Jean</name>
</author>
<author>
<name sortKey="Pape, Jw" uniqKey="Pape J">JW Pape</name>
</author>
<author>
<name sortKey="Karp, C" uniqKey="Karp C">C Karp</name>
</author>
<author>
<name sortKey="Littenberg, B" uniqKey="Littenberg B">B Littenberg</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Allam, Af" uniqKey="Allam A">AF Allam</name>
</author>
<author>
<name sortKey="Abou Shousha, Sa" uniqKey="Abou Shousha S">SA Abou-Shousha</name>
</author>
<author>
<name sortKey="Abou Shamaa, La" uniqKey="Abou Shamaa L">LA Abou Shamaa</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Preidis, Ga" uniqKey="Preidis G">GA Preidis</name>
</author>
<author>
<name sortKey="Wang, Hc" uniqKey="Wang H">HC Wang</name>
</author>
<author>
<name sortKey="Lewis, De" uniqKey="Lewis D">DE Lewis</name>
</author>
<author>
<name sortKey="Castellanos Gonzalez, A" uniqKey="Castellanos Gonzalez A">A Castellanos-Gonzalez</name>
</author>
<author>
<name sortKey="Rogers, Ka" uniqKey="Rogers K">KA Rogers</name>
</author>
<author>
<name sortKey="Graviss, Ea" uniqKey="Graviss E">EA Graviss</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Laxer, Ma" uniqKey="Laxer M">MA Laxer</name>
</author>
<author>
<name sortKey="Alcantara, Ak" uniqKey="Alcantara A">AK Alcantara</name>
</author>
<author>
<name sortKey="Javato Laxer, M" uniqKey="Javato Laxer M">M Javato-Laxer</name>
</author>
<author>
<name sortKey="Menorca, Dm" uniqKey="Menorca D">DM Menorca</name>
</author>
<author>
<name sortKey="Fernando, Mt" uniqKey="Fernando M">MT Fernando</name>
</author>
<author>
<name sortKey="Ranoa, Cp" uniqKey="Ranoa C">CP Ranoa</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Coutinho, Bp" uniqKey="Coutinho B">BP Coutinho</name>
</author>
<author>
<name sortKey="Oria, Rb" uniqKey="Oria R">RB Oriá</name>
</author>
<author>
<name sortKey="Vieira, Cm" uniqKey="Vieira C">CM Vieira</name>
</author>
<author>
<name sortKey="Sevilleja, Je" uniqKey="Sevilleja J">JE Sevilleja</name>
</author>
<author>
<name sortKey="Warren, Ca" uniqKey="Warren C">CA Warren</name>
</author>
<author>
<name sortKey="Maciel, Jg" uniqKey="Maciel J">JG Maciel</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Costa, Lb" uniqKey="Costa L">LB Costa</name>
</author>
<author>
<name sortKey="Johnbull, Ea" uniqKey="Johnbull E">EA JohnBull</name>
</author>
<author>
<name sortKey="Reeves, Jt" uniqKey="Reeves J">JT Reeves</name>
</author>
<author>
<name sortKey="Sevilleja, Je" uniqKey="Sevilleja J">JE Sevilleja</name>
</author>
<author>
<name sortKey="Freire, Rs" uniqKey="Freire R">RS Freire</name>
</author>
<author>
<name sortKey="Hoffman, Ps" uniqKey="Hoffman P">PS Hoffman</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Costa, Lb" uniqKey="Costa L">LB Costa</name>
</author>
<author>
<name sortKey="Noronha, Fj" uniqKey="Noronha F">FJ Noronha</name>
</author>
<author>
<name sortKey="Roche, Jk" uniqKey="Roche J">JK Roche</name>
</author>
<author>
<name sortKey="Sevilleja, Je" uniqKey="Sevilleja J">JE Sevilleja</name>
</author>
<author>
<name sortKey="Warren, Ca" uniqKey="Warren C">CA Warren</name>
</author>
<author>
<name sortKey="Oria, R" uniqKey="Oria R">R Oriá</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Manque, Pa" uniqKey="Manque P">PA Manque</name>
</author>
<author>
<name sortKey="Woehlbier, U" uniqKey="Woehlbier U">U Woehlbier</name>
</author>
<author>
<name sortKey="Lara, Am" uniqKey="Lara A">AM Lara</name>
</author>
<author>
<name sortKey="Tenjo, F" uniqKey="Tenjo F">F Tenjo</name>
</author>
<author>
<name sortKey="Alves, Jm" uniqKey="Alves J">JM Alves</name>
</author>
<author>
<name sortKey="Buck, Ga" uniqKey="Buck G">GA Buck</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Roche, Jk" uniqKey="Roche J">JK Roche</name>
</author>
<author>
<name sortKey="Rojo, Al" uniqKey="Rojo A">AL Rojo</name>
</author>
<author>
<name sortKey="Costa, Lb" uniqKey="Costa L">LB Costa</name>
</author>
<author>
<name sortKey="Smeltz, R" uniqKey="Smeltz R">R Smeltz</name>
</author>
<author>
<name sortKey="Manque, P" uniqKey="Manque P">P Manque</name>
</author>
<author>
<name sortKey="Woehlbier, U" uniqKey="Woehlbier U">U Woehlbier</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Azevedo, Og" uniqKey="Azevedo O">OG Azevedo</name>
</author>
<author>
<name sortKey="Bolick, Dt" uniqKey="Bolick D">DT Bolick</name>
</author>
<author>
<name sortKey="Roche, Jk" uniqKey="Roche J">JK Roche</name>
</author>
<author>
<name sortKey="Pinkerton, Rf" uniqKey="Pinkerton R">RF Pinkerton</name>
</author>
<author>
<name sortKey="Lima, Aa" uniqKey="Lima A">AA Lima</name>
</author>
<author>
<name sortKey="Vitek, Mp" uniqKey="Vitek M">MP Vitek</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Liu, J" uniqKey="Liu J">J Liu</name>
</author>
<author>
<name sortKey="Kabir, F" uniqKey="Kabir F">F Kabir</name>
</author>
<author>
<name sortKey="Manneh, J" uniqKey="Manneh J">J Manneh</name>
</author>
<author>
<name sortKey="Lertsethtakarn, P" uniqKey="Lertsethtakarn P">P Lertsethtakarn</name>
</author>
<author>
<name sortKey="Begum, S" uniqKey="Begum S">S Begum</name>
</author>
<author>
<name sortKey="Gratz, J" uniqKey="Gratz J">J Gratz</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Brown, Em" uniqKey="Brown E">EM Brown</name>
</author>
<author>
<name sortKey="Wlodarska, M" uniqKey="Wlodarska M">M Wlodarska</name>
</author>
<author>
<name sortKey="Willing, Bp" uniqKey="Willing B">BP Willing</name>
</author>
<author>
<name sortKey="Vonaesch, P" uniqKey="Vonaesch P">P Vonaesch</name>
</author>
<author>
<name sortKey="Han, J" uniqKey="Han J">J Han</name>
</author>
<author>
<name sortKey="Reynolds, La" uniqKey="Reynolds L">LA Reynolds</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Bolick, Dt" uniqKey="Bolick D">DT Bolick</name>
</author>
<author>
<name sortKey="Roche, Jk" uniqKey="Roche J">JK Roche</name>
</author>
<author>
<name sortKey="Hontecillas, R" uniqKey="Hontecillas R">R Hontecillas</name>
</author>
<author>
<name sortKey="Bassaganya Riera, J" uniqKey="Bassaganya Riera J">J Bassaganya-Riera</name>
</author>
<author>
<name sortKey="Nataro, Jp" uniqKey="Nataro J">JP Nataro</name>
</author>
<author>
<name sortKey="Guerrant, Rl" uniqKey="Guerrant R">RL Guerrant</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Bartelt, La" uniqKey="Bartelt L">LA Bartelt</name>
</author>
<author>
<name sortKey="Roche, J" uniqKey="Roche J">J Roche</name>
</author>
<author>
<name sortKey="Kolling, G" uniqKey="Kolling G">G Kolling</name>
</author>
<author>
<name sortKey="Bolick, D" uniqKey="Bolick D">D Bolick</name>
</author>
<author>
<name sortKey="Noronha, F" uniqKey="Noronha F">F Noronha</name>
</author>
<author>
<name sortKey="Naylor, C" uniqKey="Naylor C">C Naylor</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Medeiros, P" uniqKey="Medeiros P">P Medeiros</name>
</author>
<author>
<name sortKey="Bolick, Dt" uniqKey="Bolick D">DT Bolick</name>
</author>
<author>
<name sortKey="Roche, Jk" uniqKey="Roche J">JK Roche</name>
</author>
<author>
<name sortKey="Noronha, F" uniqKey="Noronha F">F Noronha</name>
</author>
<author>
<name sortKey="Pinheiro, C" uniqKey="Pinheiro C">C Pinheiro</name>
</author>
<author>
<name sortKey="Kolling, Gl" uniqKey="Kolling G">GL Kolling</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Weber, Cr" uniqKey="Weber C">CR Weber</name>
</author>
<author>
<name sortKey="Raleigh, Dr" uniqKey="Raleigh D">DR Raleigh</name>
</author>
<author>
<name sortKey="Su, L" uniqKey="Su L">L Su</name>
</author>
<author>
<name sortKey="Shen, L" uniqKey="Shen L">L Shen</name>
</author>
<author>
<name sortKey="Sullivan, Ea" uniqKey="Sullivan E">EA Sullivan</name>
</author>
<author>
<name sortKey="Wang, Y" uniqKey="Wang Y">Y Wang</name>
</author>
<author>
<name sortKey="Turner, Jr" uniqKey="Turner J">JR Turner</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Manque, Pa" uniqKey="Manque P">PA Manque</name>
</author>
<author>
<name sortKey="Tenjo, F" uniqKey="Tenjo F">F Tenjo</name>
</author>
<author>
<name sortKey="Woehlbier, U" uniqKey="Woehlbier U">U Woehlbier</name>
</author>
<author>
<name sortKey="Lara, Am" uniqKey="Lara A">AM Lara</name>
</author>
<author>
<name sortKey="Serrano, Mg" uniqKey="Serrano M">MG Serrano</name>
</author>
<author>
<name sortKey="Xu, P" uniqKey="Xu P">P Xu</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Sheoran, A" uniqKey="Sheoran A">A Sheoran</name>
</author>
<author>
<name sortKey="Wiffin, A" uniqKey="Wiffin A">A Wiffin</name>
</author>
<author>
<name sortKey="Widmer, G" uniqKey="Widmer G">G Widmer</name>
</author>
<author>
<name sortKey="Singh, P" uniqKey="Singh P">P Singh</name>
</author>
<author>
<name sortKey="Tzipori, S" uniqKey="Tzipori S">S Tzipori</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Lacroix Lamande, S" uniqKey="Lacroix Lamande S">S Lacroix-Lamandé</name>
</author>
<author>
<name sortKey="Mancassola, R" uniqKey="Mancassola R">R Mancassola</name>
</author>
<author>
<name sortKey="Naciri, M" uniqKey="Naciri M">M Naciri</name>
</author>
<author>
<name sortKey="Laurent, F" uniqKey="Laurent F">F Laurent</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Maillot, C" uniqKey="Maillot C">C Maillot</name>
</author>
<author>
<name sortKey="Gargala, G" uniqKey="Gargala G">G Gargala</name>
</author>
<author>
<name sortKey="Delaunay, A" uniqKey="Delaunay A">A Delaunay</name>
</author>
<author>
<name sortKey="Ducrotte, P" uniqKey="Ducrotte P">P Ducrotte</name>
</author>
<author>
<name sortKey="Brasseur, P" uniqKey="Brasseur P">P Brasseur</name>
</author>
<author>
<name sortKey="Ballet, Jj" uniqKey="Ballet J">JJ Ballet</name>
</author>
<author>
<name sortKey="Favennec, L" uniqKey="Favennec L">L Favennec</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Barrier, M" uniqKey="Barrier M">M Barrier</name>
</author>
<author>
<name sortKey="Lacroix Lamande, S" uniqKey="Lacroix Lamande S">S Lacroix-Lamandé</name>
</author>
<author>
<name sortKey="Mancassola, R" uniqKey="Mancassola R">R Mancassola</name>
</author>
<author>
<name sortKey="Auray, G" uniqKey="Auray G">G Auray</name>
</author>
<author>
<name sortKey="Bernardet, N" uniqKey="Bernardet N">N Bernardet</name>
</author>
<author>
<name sortKey="Chausse, Am" uniqKey="Chausse A">AM Chaussé</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Bolick, Dt" uniqKey="Bolick D">DT Bolick</name>
</author>
<author>
<name sortKey="Kolling, Gl" uniqKey="Kolling G">GL Kolling</name>
</author>
<author>
<name sortKey="Moore, Jh" uniqKey="Moore J">JH Moore</name>
</author>
<author>
<name sortKey="De Oliveira, La" uniqKey="De Oliveira L">LA de Oliveira</name>
</author>
<author>
<name sortKey="Tung, K" uniqKey="Tung K">K Tung</name>
</author>
<author>
<name sortKey="Philipson, C" uniqKey="Philipson C">C Philipson</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Blikslager, A" uniqKey="Blikslager A">A Blikslager</name>
</author>
<author>
<name sortKey="Hunt, E" uniqKey="Hunt E">E Hunt</name>
</author>
<author>
<name sortKey="Guerrant, R" uniqKey="Guerrant R">R Guerrant</name>
</author>
<author>
<name sortKey="Rhoads, M" uniqKey="Rhoads M">M Rhoads</name>
</author>
<author>
<name sortKey="Argenzio, R" uniqKey="Argenzio R">R Argenzio</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Castro, Ic" uniqKey="Castro I">IC Castro</name>
</author>
<author>
<name sortKey="Oliveira, Bb" uniqKey="Oliveira B">BB Oliveira</name>
</author>
<author>
<name sortKey="Slowikowski, Jj" uniqKey="Slowikowski J">JJ Slowikowski</name>
</author>
<author>
<name sortKey="Coutinho, Bp" uniqKey="Coutinho B">BP Coutinho</name>
</author>
<author>
<name sortKey="Siqueira, Fj" uniqKey="Siqueira F">FJ Siqueira</name>
</author>
<author>
<name sortKey="Costa, Lb" uniqKey="Costa L">LB Costa</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Abe, M" uniqKey="Abe M">M Abe</name>
</author>
<author>
<name sortKey="Akbar, F" uniqKey="Akbar F">F Akbar</name>
</author>
<author>
<name sortKey="Matsuura, B" uniqKey="Matsuura B">B Matsuura</name>
</author>
<author>
<name sortKey="Horiike, N" uniqKey="Horiike N">N Horiike</name>
</author>
<author>
<name sortKey="Onji, M" uniqKey="Onji M">M Onji</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Lantier, L" uniqKey="Lantier L">L Lantier</name>
</author>
<author>
<name sortKey="Lacroix Lamande, S" uniqKey="Lacroix Lamande S">S Lacroix-Lamandé</name>
</author>
<author>
<name sortKey="Potiron, L" uniqKey="Potiron L">L Potiron</name>
</author>
<author>
<name sortKey="Metton, C" uniqKey="Metton C">C Metton</name>
</author>
<author>
<name sortKey="Drouet, F" uniqKey="Drouet F">F Drouet</name>
</author>
<author>
<name sortKey="Guesdon, W" uniqKey="Guesdon W">W Guesdon</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Spencer, Sp" uniqKey="Spencer S">SP Spencer</name>
</author>
<author>
<name sortKey="Wilhelm, C" uniqKey="Wilhelm C">C Wilhelm</name>
</author>
<author>
<name sortKey="Yang, Q" uniqKey="Yang Q">Q Yang</name>
</author>
<author>
<name sortKey="Hall, Ja" uniqKey="Hall J">JA Hall</name>
</author>
<author>
<name sortKey="Bouladoux, N" uniqKey="Bouladoux N">N Bouladoux</name>
</author>
<author>
<name sortKey="Boyd, A" uniqKey="Boyd A">A Boyd</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Planchon, Sm" uniqKey="Planchon S">SM Planchon</name>
</author>
<author>
<name sortKey="Martins, Ca" uniqKey="Martins C">CA Martins</name>
</author>
<author>
<name sortKey="Guerrant, Rl" uniqKey="Guerrant R">RL Guerrant</name>
</author>
<author>
<name sortKey="Roche, Jk" uniqKey="Roche J">JK Roche</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Buret, Ag" uniqKey="Buret A">AG Buret</name>
</author>
<author>
<name sortKey="Chin, Ac" uniqKey="Chin A">AC Chin</name>
</author>
<author>
<name sortKey="Scott, Kg" uniqKey="Scott K">KG Scott</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Heller, F" uniqKey="Heller F">F Heller</name>
</author>
<author>
<name sortKey="Florian, P" uniqKey="Florian P">P Florian</name>
</author>
<author>
<name sortKey="Bojarski, C" uniqKey="Bojarski C">C Bojarski</name>
</author>
<author>
<name sortKey="Richter, J" uniqKey="Richter J">J Richter</name>
</author>
<author>
<name sortKey="Christ, M" uniqKey="Christ M">M Christ</name>
</author>
<author>
<name sortKey="Hillenbrand, B" uniqKey="Hillenbrand B">B Hillenbrand</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Marchiando, Am" uniqKey="Marchiando A">AM Marchiando</name>
</author>
<author>
<name sortKey="Shen, L" uniqKey="Shen L">L Shen</name>
</author>
<author>
<name sortKey="Graham, Wv" uniqKey="Graham W">WV Graham</name>
</author>
<author>
<name sortKey="Weber, Cr" uniqKey="Weber C">CR Weber</name>
</author>
<author>
<name sortKey="Schwarz, Bt" uniqKey="Schwarz B">BT Schwarz</name>
</author>
<author>
<name sortKey="Austin, Jr" uniqKey="Austin J">JR Austin</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Turner, Jr" uniqKey="Turner J">JR Turner</name>
</author>
<author>
<name sortKey="Buschmann, Mm" uniqKey="Buschmann M">MM Buschmann</name>
</author>
<author>
<name sortKey="Romero Calvo, I" uniqKey="Romero Calvo I">I Romero-Calvo</name>
</author>
<author>
<name sortKey="Sailer, A" uniqKey="Sailer A">A Sailer</name>
</author>
<author>
<name sortKey="Shen, L" uniqKey="Shen L">L Shen</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Campbell, Di" uniqKey="Campbell D">DI Campbell</name>
</author>
<author>
<name sortKey="Murch, Sh" uniqKey="Murch S">SH Murch</name>
</author>
<author>
<name sortKey="Elia, M" uniqKey="Elia M">M Elia</name>
</author>
<author>
<name sortKey="Sullivan, Pb" uniqKey="Sullivan P">PB Sullivan</name>
</author>
<author>
<name sortKey="Sanyang, Ms" uniqKey="Sanyang M">MS Sanyang</name>
</author>
<author>
<name sortKey="Jobarteh, B" uniqKey="Jobarteh B">B Jobarteh</name>
</author>
<author>
<name sortKey="Lunn, Pg" uniqKey="Lunn P">PG Lunn</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Pantenburg, B" uniqKey="Pantenburg B">B Pantenburg</name>
</author>
<author>
<name sortKey="Castellanos Gonzalez, A" uniqKey="Castellanos Gonzalez A">A Castellanos-Gonzalez</name>
</author>
<author>
<name sortKey="Dann, Sm" uniqKey="Dann S">SM Dann</name>
</author>
<author>
<name sortKey="Connelly, Rl" uniqKey="Connelly R">RL Connelly</name>
</author>
<author>
<name sortKey="Lewis, De" uniqKey="Lewis D">DE Lewis</name>
</author>
<author>
<name sortKey="Ward, Hd" uniqKey="Ward H">HD Ward</name>
</author>
<author>
<name sortKey="White, Ac" uniqKey="White A">AC White</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Jalovecka, M" uniqKey="Jalovecka M">M Jalovecká</name>
</author>
<author>
<name sortKey="Sak, B" uniqKey="Sak B">B Sak</name>
</author>
<author>
<name sortKey="Kvac, M" uniqKey="Kvac M">M Kvác</name>
</author>
<author>
<name sortKey="Kvetonova, D" uniqKey="Kvetonova D">D Kvetonová</name>
</author>
<author>
<name sortKey="Kucerova, Z" uniqKey="Kucerova Z">Z Kucerová</name>
</author>
<author>
<name sortKey="Salat, J" uniqKey="Salat J">J Salát</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Kva, M" uniqKey="Kva M">M Kváč</name>
</author>
<author>
<name sortKey="Kodadkova, A" uniqKey="Kodadkova A">A Kodádková</name>
</author>
<author>
<name sortKey="Sak, B" uniqKey="Sak B">B Sak</name>
</author>
<author>
<name sortKey="Kv To Ova, D" uniqKey="Kv To Ova D">D Květoňová</name>
</author>
<author>
<name sortKey="Jalovecka, M" uniqKey="Jalovecka M">M Jalovecká</name>
</author>
<author>
<name sortKey="Rost, M" uniqKey="Rost M">M Rost</name>
</author>
<author>
<name sortKey="Salat, J" uniqKey="Salat J">J Salát</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Chai, Jy" uniqKey="Chai J">JY Chai</name>
</author>
<author>
<name sortKey="Guk, Sm" uniqKey="Guk S">SM Guk</name>
</author>
<author>
<name sortKey="Han, Hk" uniqKey="Han H">HK Han</name>
</author>
<author>
<name sortKey="Yun, Ck" uniqKey="Yun C">CK Yun</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Guk, Sm" uniqKey="Guk S">SM Guk</name>
</author>
<author>
<name sortKey="Yong, Ts" uniqKey="Yong T">TS Yong</name>
</author>
<author>
<name sortKey="Chai, Jy" uniqKey="Chai J">JY Chai</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Wang, Hc" uniqKey="Wang H">HC Wang</name>
</author>
<author>
<name sortKey="Dann, Sm" uniqKey="Dann S">SM Dann</name>
</author>
<author>
<name sortKey="Okhuysen, Pc" uniqKey="Okhuysen P">PC Okhuysen</name>
</author>
<author>
<name sortKey="Lewis, De" uniqKey="Lewis D">DE Lewis</name>
</author>
<author>
<name sortKey="Chappell, Cl" uniqKey="Chappell C">CL Chappell</name>
</author>
<author>
<name sortKey="Adler, Dg" uniqKey="Adler D">DG Adler</name>
</author>
<author>
<name sortKey="White, Ac" uniqKey="White A">AC White</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Deng, M" uniqKey="Deng M">M Deng</name>
</author>
<author>
<name sortKey="Lancto, Ca" uniqKey="Lancto C">CA Lancto</name>
</author>
<author>
<name sortKey="Abrahamsen, Ms" uniqKey="Abrahamsen M">MS Abrahamsen</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Gorfu, G" uniqKey="Gorfu G">G Gorfu</name>
</author>
<author>
<name sortKey="Rivera Nieves, J" uniqKey="Rivera Nieves J">J Rivera-Nieves</name>
</author>
<author>
<name sortKey="Ley, K" uniqKey="Ley K">K Ley</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Gebhardt, T" uniqKey="Gebhardt T">T Gebhardt</name>
</author>
<author>
<name sortKey="Mackay, Lk" uniqKey="Mackay L">LK Mackay</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Sheridan, Bs" uniqKey="Sheridan B">BS Sheridan</name>
</author>
<author>
<name sortKey="Pham, Qm" uniqKey="Pham Q">QM Pham</name>
</author>
<author>
<name sortKey="Lee, Yt" uniqKey="Lee Y">YT Lee</name>
</author>
<author>
<name sortKey="Cauley, Ls" uniqKey="Cauley L">LS Cauley</name>
</author>
<author>
<name sortKey="Puddington, L" uniqKey="Puddington L">L Puddington</name>
</author>
<author>
<name sortKey="Lefrancois, L" uniqKey="Lefrancois L">L Lefrançois</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Wahid, R" uniqKey="Wahid R">R Wahid</name>
</author>
<author>
<name sortKey="Salerno Goncalves, R" uniqKey="Salerno Goncalves R">R Salerno-Gonçalves</name>
</author>
<author>
<name sortKey="Tacket, Co" uniqKey="Tacket C">CO Tacket</name>
</author>
<author>
<name sortKey="Levine, Mm" uniqKey="Levine M">MM Levine</name>
</author>
<author>
<name sortKey="Sztein, Mb" uniqKey="Sztein M">MB Sztein</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Van Regenmortel, Mh" uniqKey="Van Regenmortel M">MH Van Regenmortel</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Hoang, T" uniqKey="Hoang T">T Hoang</name>
</author>
<author>
<name sortKey="Agger, Em" uniqKey="Agger E">EM Agger</name>
</author>
<author>
<name sortKey="Cassidy, Jp" uniqKey="Cassidy J">JP Cassidy</name>
</author>
<author>
<name sortKey="Christensen, Jp" uniqKey="Christensen J">JP Christensen</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Benitez, Aj" uniqKey="Benitez A">AJ Benitez</name>
</author>
<author>
<name sortKey="Mcnair, N" uniqKey="Mcnair N">N McNair</name>
</author>
<author>
<name sortKey="Mead, Jr" uniqKey="Mead J">JR Mead</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Okhuysen, Pc" uniqKey="Okhuysen P">PC Okhuysen</name>
</author>
<author>
<name sortKey="Chappell, Cl" uniqKey="Chappell C">CL Chappell</name>
</author>
<author>
<name sortKey="Sterling, Cr" uniqKey="Sterling C">CR Sterling</name>
</author>
<author>
<name sortKey="Jakubowski, W" uniqKey="Jakubowski W">W Jakubowski</name>
</author>
<author>
<name sortKey="Dupont, Hl" uniqKey="Dupont H">HL DuPont</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Maier, Ea" uniqKey="Maier E">EA Maier</name>
</author>
<author>
<name sortKey="Weage, Kj" uniqKey="Weage K">KJ Weage</name>
</author>
<author>
<name sortKey="Guedes, Mm" uniqKey="Guedes M">MM Guedes</name>
</author>
<author>
<name sortKey="Denson, La" uniqKey="Denson L">LA Denson</name>
</author>
<author>
<name sortKey="Mcneal, Mm" uniqKey="Mcneal M">MM McNeal</name>
</author>
<author>
<name sortKey="Bernstein, Di" uniqKey="Bernstein D">DI Bernstein</name>
</author>
<author>
<name sortKey="Moore, Sr" uniqKey="Moore S">SR Moore</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Ehigiator, Hn" uniqKey="Ehigiator H">HN Ehigiator</name>
</author>
<author>
<name sortKey="Romagnoli, P" uniqKey="Romagnoli P">P Romagnoli</name>
</author>
<author>
<name sortKey="Priest, Jw" uniqKey="Priest J">JW Priest</name>
</author>
<author>
<name sortKey="Secor, We" uniqKey="Secor W">WE Secor</name>
</author>
<author>
<name sortKey="Mead, Jr" uniqKey="Mead J">JR Mead</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Sagodira, S" uniqKey="Sagodira S">S Sagodira</name>
</author>
<author>
<name sortKey="Buzoni Gatel, D" uniqKey="Buzoni Gatel D">D Buzoni-Gatel</name>
</author>
<author>
<name sortKey="Iochmann, S" uniqKey="Iochmann S">S Iochmann</name>
</author>
<author>
<name sortKey="Naciri, M" uniqKey="Naciri M">M Naciri</name>
</author>
<author>
<name sortKey="Bout, D" uniqKey="Bout D">D Bout</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Wang, C" uniqKey="Wang C">C Wang</name>
</author>
<author>
<name sortKey="Luo, J" uniqKey="Luo J">J Luo</name>
</author>
<author>
<name sortKey="Amer, S" uniqKey="Amer S">S Amer</name>
</author>
<author>
<name sortKey="Guo, Y" uniqKey="Guo Y">Y Guo</name>
</author>
<author>
<name sortKey="Hu, Y" uniqKey="Hu Y">Y Hu</name>
</author>
<author>
<name sortKey="Lu, Y" uniqKey="Lu Y">Y Lu</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Bhuiyan, S" uniqKey="Bhuiyan S">S Bhuiyan</name>
</author>
<author>
<name sortKey="Sayeed, A" uniqKey="Sayeed A">A Sayeed</name>
</author>
<author>
<name sortKey="Khanam, F" uniqKey="Khanam F">F Khanam</name>
</author>
<author>
<name sortKey="Leung, Dt" uniqKey="Leung D">DT Leung</name>
</author>
<author>
<name sortKey="Rahman Bhuiyan, T" uniqKey="Rahman Bhuiyan T">T Rahman Bhuiyan</name>
</author>
<author>
<name sortKey="Sheikh, A" uniqKey="Sheikh A">A Sheikh</name>
</author>
</analytic>
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<biblStruct>
<analytic>
<author>
<name sortKey="Mcarthur, Ma" uniqKey="Mcarthur M">MA McArthur</name>
</author>
<author>
<name sortKey="Sztein, Mb" uniqKey="Sztein M">MB Sztein</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Klatt, Nr" uniqKey="Klatt N">NR Klatt</name>
</author>
<author>
<name sortKey="Estes, Jd" uniqKey="Estes J">JD Estes</name>
</author>
<author>
<name sortKey="Sun, X" uniqKey="Sun X">X Sun</name>
</author>
<author>
<name sortKey="Ortiz, Am" uniqKey="Ortiz A">AM Ortiz</name>
</author>
<author>
<name sortKey="Barber, Js" uniqKey="Barber J">JS Barber</name>
</author>
<author>
<name sortKey="Harris, Ld" uniqKey="Harris L">LD Harris</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Kinugasa, T" uniqKey="Kinugasa T">T Kinugasa</name>
</author>
<author>
<name sortKey="Sakaguchi, T" uniqKey="Sakaguchi T">T Sakaguchi</name>
</author>
<author>
<name sortKey="Gu, X" uniqKey="Gu X">X Gu</name>
</author>
<author>
<name sortKey="Reinecker, Hc" uniqKey="Reinecker H">HC Reinecker</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Zhang, Yg" uniqKey="Zhang Y">YG Zhang</name>
</author>
<author>
<name sortKey="Wu, S" uniqKey="Wu S">S Wu</name>
</author>
<author>
<name sortKey="Xia, Y" uniqKey="Xia Y">Y Xia</name>
</author>
<author>
<name sortKey="Sun, J" uniqKey="Sun J">J Sun</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Eguchi, M" uniqKey="Eguchi M">M Eguchi</name>
</author>
<author>
<name sortKey="Sekiya, Y" uniqKey="Sekiya Y">Y Sekiya</name>
</author>
<author>
<name sortKey="Suzuki, M" uniqKey="Suzuki M">M Suzuki</name>
</author>
<author>
<name sortKey="Yamamoto, T" uniqKey="Yamamoto T">T Yamamoto</name>
</author>
<author>
<name sortKey="Matsui, H" uniqKey="Matsui H">H Matsui</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Lantier, L" uniqKey="Lantier L">L Lantier</name>
</author>
<author>
<name sortKey="Drouet, F" uniqKey="Drouet F">F Drouet</name>
</author>
<author>
<name sortKey="Guesdon, W" uniqKey="Guesdon W">W Guesdon</name>
</author>
<author>
<name sortKey="Mancassola, R" uniqKey="Mancassola R">R Mancassola</name>
</author>
<author>
<name sortKey="Metton, C" uniqKey="Metton C">C Metton</name>
</author>
<author>
<name sortKey="Lo Man, R" uniqKey="Lo Man R">R Lo-Man</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Lacroix Lamande, S" uniqKey="Lacroix Lamande S">S Lacroix-Lamandé</name>
</author>
<author>
<name sortKey="Guesdon, W" uniqKey="Guesdon W">W Guesdon</name>
</author>
<author>
<name sortKey="Drouet, F" uniqKey="Drouet F">F Drouet</name>
</author>
<author>
<name sortKey="Potiron, L" uniqKey="Potiron L">L Potiron</name>
</author>
<author>
<name sortKey="Lantier, L" uniqKey="Lantier L">L Lantier</name>
</author>
<author>
<name sortKey="Laurent, F" uniqKey="Laurent F">F Laurent</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="O Hara, Sp" uniqKey="O Hara S">SP O'Hara</name>
</author>
<author>
<name sortKey="Tietz Bogert, Ps" uniqKey="Tietz Bogert P">PS Tietz Bogert</name>
</author>
<author>
<name sortKey="Trussoni, Ce" uniqKey="Trussoni C">CE Trussoni</name>
</author>
<author>
<name sortKey="Chen, X" uniqKey="Chen X">X Chen</name>
</author>
<author>
<name sortKey="Larusso, Nf" uniqKey="Larusso N">NF LaRusso</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Netea, Mg" uniqKey="Netea M">MG Netea</name>
</author>
<author>
<name sortKey="Quintin, J" uniqKey="Quintin J">J Quintin</name>
</author>
<author>
<name sortKey="Van Der Meer, Jw" uniqKey="Van Der Meer J">JW van der Meer</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Taniuchi, M" uniqKey="Taniuchi M">M Taniuchi</name>
</author>
<author>
<name sortKey="Sobuz, Su" uniqKey="Sobuz S">SU Sobuz</name>
</author>
<author>
<name sortKey="Begum, S" uniqKey="Begum S">S Begum</name>
</author>
<author>
<name sortKey="Platts Mills, Ja" uniqKey="Platts Mills J">JA Platts-Mills</name>
</author>
<author>
<name sortKey="Liu, J" uniqKey="Liu J">J Liu</name>
</author>
<author>
<name sortKey="Yang, Z" uniqKey="Yang Z">Z Yang</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Priest, Jw" uniqKey="Priest J">JW Priest</name>
</author>
<author>
<name sortKey="Bern, C" uniqKey="Bern C">C Bern</name>
</author>
<author>
<name sortKey="Xiao, L" uniqKey="Xiao L">L Xiao</name>
</author>
<author>
<name sortKey="Roberts, Jm" uniqKey="Roberts J">JM Roberts</name>
</author>
<author>
<name sortKey="Kwon, Jp" uniqKey="Kwon J">JP Kwon</name>
</author>
<author>
<name sortKey="Lescano, Ag" uniqKey="Lescano A">AG Lescano</name>
</author>
<author>
<name sortKey="Checkley, W" uniqKey="Checkley W">W Checkley</name>
</author>
<author>
<name sortKey="Cabrera, L" uniqKey="Cabrera L">L Cabrera</name>
</author>
<author>
<name sortKey="Moss, Dm" uniqKey="Moss D">DM Moss</name>
</author>
<author>
<name sortKey="Arrowood, Mj" uniqKey="Arrowood M">MJ Arrowood</name>
</author>
<author>
<name sortKey="Sterling, Cr" uniqKey="Sterling C">CR Sterling</name>
</author>
<author>
<name sortKey="Gilman, Rh" uniqKey="Gilman R">RH Gilman</name>
</author>
<author>
<name sortKey="Lammie, Pj" uniqKey="Lammie P">PJ Lammie</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Ajjampur, Ss" uniqKey="Ajjampur S">SS Ajjampur</name>
</author>
<author>
<name sortKey="Sarkar, R" uniqKey="Sarkar R">R Sarkar</name>
</author>
<author>
<name sortKey="Sankaran, P" uniqKey="Sankaran P">P Sankaran</name>
</author>
<author>
<name sortKey="Kannan, A" uniqKey="Kannan A">A Kannan</name>
</author>
<author>
<name sortKey="Menon, Vk" uniqKey="Menon V">VK Menon</name>
</author>
<author>
<name sortKey="Muliyil, J" uniqKey="Muliyil J">J Muliyil</name>
</author>
<author>
<name sortKey="Ward, H" uniqKey="Ward H">H Ward</name>
</author>
<author>
<name sortKey="Kang, G" uniqKey="Kang G">G Kang</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Lazarus, Rp" uniqKey="Lazarus R">RP Lazarus</name>
</author>
<author>
<name sortKey="Ajjampur, Ss" uniqKey="Ajjampur S">SS Ajjampur</name>
</author>
<author>
<name sortKey="Sarkar, R" uniqKey="Sarkar R">R Sarkar</name>
</author>
<author>
<name sortKey="Geetha, Jc" uniqKey="Geetha J">JC Geetha</name>
</author>
<author>
<name sortKey="Prabakaran, Ad" uniqKey="Prabakaran A">AD Prabakaran</name>
</author>
<author>
<name sortKey="Velusamy, V" uniqKey="Velusamy V">V Velusamy</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Bartelt, La" uniqKey="Bartelt L">LA Bartelt</name>
</author>
<author>
<name sortKey="Sevilleja, Je" uniqKey="Sevilleja J">JE Sevilleja</name>
</author>
<author>
<name sortKey="Barrett, Lj" uniqKey="Barrett L">LJ Barrett</name>
</author>
<author>
<name sortKey="Warren, Ca" uniqKey="Warren C">CA Warren</name>
</author>
<author>
<name sortKey="Guerrant, Rl" uniqKey="Guerrant R">RL Guerrant</name>
</author>
<author>
<name sortKey="Bessong, Po" uniqKey="Bessong P">PO Bessong</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Widmer, G" uniqKey="Widmer G">G Widmer</name>
</author>
<author>
<name sortKey="Lee, Y" uniqKey="Lee Y">Y Lee</name>
</author>
<author>
<name sortKey="Hunt, P" uniqKey="Hunt P">P Hunt</name>
</author>
<author>
<name sortKey="Martinelli, A" uniqKey="Martinelli A">A Martinelli</name>
</author>
<author>
<name sortKey="Tolkoff, M" uniqKey="Tolkoff M">M Tolkoff</name>
</author>
<author>
<name sortKey="Bodi, K" uniqKey="Bodi K">K Bodi</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Cama, Va" uniqKey="Cama V">VA Cama</name>
</author>
<author>
<name sortKey="Bern, C" uniqKey="Bern C">C Bern</name>
</author>
<author>
<name sortKey="Roberts, J" uniqKey="Roberts J">J Roberts</name>
</author>
<author>
<name sortKey="Cabrera, L" uniqKey="Cabrera L">L Cabrera</name>
</author>
<author>
<name sortKey="Sterling, Cr" uniqKey="Sterling C">CR Sterling</name>
</author>
<author>
<name sortKey="Ortega, Y" uniqKey="Ortega Y">Y Ortega</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Korpe, Ps" uniqKey="Korpe P">PS Korpe</name>
</author>
<author>
<name sortKey="Liu, Y" uniqKey="Liu Y">Y Liu</name>
</author>
<author>
<name sortKey="Siddique, A" uniqKey="Siddique A">A Siddique</name>
</author>
<author>
<name sortKey="Kabir, M" uniqKey="Kabir M">M Kabir</name>
</author>
<author>
<name sortKey="Ralston, K" uniqKey="Ralston K">K Ralston</name>
</author>
<author>
<name sortKey="Ma, Jz" uniqKey="Ma J">JZ Ma</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Su, Yh" uniqKey="Su Y">YH Su</name>
</author>
<author>
<name sortKey="Tsegaye, M" uniqKey="Tsegaye M">M Tsegaye</name>
</author>
<author>
<name sortKey="Varhue, W" uniqKey="Varhue W">W Varhue</name>
</author>
<author>
<name sortKey="Liao, Kt" uniqKey="Liao K">KT Liao</name>
</author>
<author>
<name sortKey="Abebe, Ls" uniqKey="Abebe L">LS Abebe</name>
</author>
<author>
<name sortKey="Smith, Ja" uniqKey="Smith J">JA Smith</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Nalle, Sc" uniqKey="Nalle S">SC Nalle</name>
</author>
<author>
<name sortKey="Kwak, Ha" uniqKey="Kwak H">HA Kwak</name>
</author>
<author>
<name sortKey="Edelblum, Kl" uniqKey="Edelblum K">KL Edelblum</name>
</author>
<author>
<name sortKey="Joseph, Ne" uniqKey="Joseph N">NE Joseph</name>
</author>
<author>
<name sortKey="Singh, G" uniqKey="Singh G">G Singh</name>
</author>
<author>
<name sortKey="Khramtsova, Gf" uniqKey="Khramtsova G">GF Khramtsova</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Galen, Je" uniqKey="Galen J">JE Galen</name>
</author>
<author>
<name sortKey="Zhao, L" uniqKey="Zhao L">L Zhao</name>
</author>
<author>
<name sortKey="Chinchilla, M" uniqKey="Chinchilla M">M Chinchilla</name>
</author>
<author>
<name sortKey="Wang, Jy" uniqKey="Wang J">JY Wang</name>
</author>
<author>
<name sortKey="Pasetti, Mf" uniqKey="Pasetti M">MF Pasetti</name>
</author>
<author>
<name sortKey="Green, J" uniqKey="Green J">J Green</name>
</author>
<author>
<name sortKey="Levine, Mm" uniqKey="Levine M">MM Levine</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Parr, Jb" uniqKey="Parr J">JB Parr</name>
</author>
<author>
<name sortKey="Sevilleja, Je" uniqKey="Sevilleja J">JE Sevilleja</name>
</author>
<author>
<name sortKey="Samie, A" uniqKey="Samie A">A Samie</name>
</author>
<author>
<name sortKey="Amidou, S" uniqKey="Amidou S">S Amidou</name>
</author>
<author>
<name sortKey="Alcantara, C" uniqKey="Alcantara C">C Alcantara</name>
</author>
<author>
<name sortKey="Stroup, Se" uniqKey="Stroup S">SE Stroup</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="D Auria, Km" uniqKey="D Auria K">KM D'Auria</name>
</author>
<author>
<name sortKey="Kolling, Gl" uniqKey="Kolling G">GL Kolling</name>
</author>
<author>
<name sortKey="Donato, Gm" uniqKey="Donato G">GM Donato</name>
</author>
<author>
<name sortKey="Warren, Ca" uniqKey="Warren C">CA Warren</name>
</author>
<author>
<name sortKey="Gray, Mc" uniqKey="Gray M">MC Gray</name>
</author>
<author>
<name sortKey="Hewlett, El" uniqKey="Hewlett E">EL Hewlett</name>
</author>
<author>
<name sortKey="Papin, Ja" uniqKey="Papin J">JA Papin</name>
</author>
</analytic>
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<subject>Innate Immune System</subject>
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</subj-group>
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<subj-group>
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<subject>T Cells</subject>
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</subj-group>
</subj-group>
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<subject>Animal Cells</subject>
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<subject>White Blood Cells</subject>
<subj-group>
<subject>T Cells</subject>
</subj-group>
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<subject>Biology and Life Sciences</subject>
<subj-group>
<subject>Immunology</subject>
<subj-group>
<subject>Immune Cells</subject>
<subj-group>
<subject>White Blood Cells</subject>
<subj-group>
<subject>T Cells</subject>
</subj-group>
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<subject>Immunology</subject>
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<subject>Immune Cells</subject>
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<subject>White Blood Cells</subject>
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<title-group>
<article-title>
<italic>Cryptosporidium</italic>
Priming Is More Effective than Vaccine for Protection against Cryptosporidiosis in a Murine Protein Malnutrition Model</article-title>
<alt-title alt-title-type="running-head">
<italic>C</italic>
.
<italic>parvum</italic>
Priming Protects against Cryptosporidiosis Despite Protein Malnutrition</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Bartelt</surname>
<given-names>Luther A.</given-names>
</name>
<xref ref-type="aff" rid="aff001">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor001">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bolick</surname>
<given-names>David T.</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kolling</surname>
<given-names>Glynis L.</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" deceased="yes">
<name>
<surname>Roche</surname>
<given-names>James K.</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zaenker</surname>
<given-names>Edna I.</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lara</surname>
<given-names>Ana M.</given-names>
</name>
<xref ref-type="aff" rid="aff003">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Noronha</surname>
<given-names>Francisco Jose</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cowardin</surname>
<given-names>Carrie A.</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Moore</surname>
<given-names>John H.</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Turner</surname>
<given-names>Jerrold R.</given-names>
</name>
<xref ref-type="aff" rid="aff004">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff005">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Warren</surname>
<given-names>Cirle A.</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Buck</surname>
<given-names>Gregory A.</given-names>
</name>
<xref ref-type="aff" rid="aff003">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Guerrant</surname>
<given-names>Richard L.</given-names>
</name>
<xref ref-type="aff" rid="aff002">
<sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff001">
<label>1</label>
<addr-line>Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America</addr-line>
</aff>
<aff id="aff002">
<label>2</label>
<addr-line>Division of Infectious Diseases and Center for Global Health, University of Virginia, Charlottesville, Virginia, United States of America</addr-line>
</aff>
<aff id="aff003">
<label>3</label>
<addr-line>Molecular Biology and Genetics, Virginia Commonwealth University, Richmond, Virginia, United States of America</addr-line>
</aff>
<aff id="aff004">
<label>4</label>
<addr-line>Department of Pathology, The University of Chicago, Chicago, Illinois, United States of America</addr-line>
</aff>
<aff id="aff005">
<label>5</label>
<addr-line>Departments of Pathology and Medicine—Gastroenterology, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America</addr-line>
</aff>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>Vinetz</surname>
<given-names>Joseph M.</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1">
<addr-line>University of California San Diego School of Medicine, UNITED STATES</addr-line>
</aff>
<author-notes>
<fn fn-type="conflict" id="coi001">
<p>The authors have declared that no competing interests exist.</p>
</fn>
<fn fn-type="con" id="contrib001">
<p>Conceived and designed the experiments: LAB DTB GLK JKR CAW GAB RLG. Performed the experiments: LAB DTB GLK JKR EIZ AML FJN CAC JHM. Analyzed the data: LAB DTB GLK JKR EIZ AML JRT CAW RLG. Contributed reagents/materials/analysis tools: LAB AML JRT CAW GAB RLG. Wrote the paper: LAB DTB GLK JKR JRT CAW RLG. Contributed to final manuscript revisions: LAB DTB GLK EIZ AML FJN CAC JHM JRT CAW GAB RLG.</p>
</fn>
<corresp id="cor001">* E-mail:
<email>luther_bartelt@med.unc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>28</day>
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection">
<month>7</month>
<year>2016</year>
</pub-date>
<volume>10</volume>
<issue>7</issue>
<elocation-id>e0004820</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>1</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>6</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© 2016 Bartelt et al</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>Bartelt et al</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the terms of the
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="pntd.0004820.pdf"></self-uri>
<abstract>
<p>
<italic>Cryptosporidium</italic>
is a major cause of severe diarrhea, especially in malnourished children. Using a murine model of
<italic>C</italic>
.
<italic>parvum</italic>
oocyst challenge that recapitulates clinical features of severe cryptosporidiosis during malnutrition, we interrogated the effect of protein malnutrition (PM) on primary and secondary responses to
<italic>C</italic>
.
<italic>parvum</italic>
challenge, and tested the differential ability of mucosal priming strategies to overcome the PM-induced susceptibility. We determined that while PM fundamentally alters systemic and mucosal primary immune responses to
<italic>Cryptosporidium</italic>
, priming with
<italic>C</italic>
.
<italic>parvum</italic>
(10
<sup>6</sup>
oocysts) provides robust protective immunity against re-challenge despite ongoing PM.
<italic>C</italic>
.
<italic>parvum</italic>
priming restores mucosal Th1-type effectors (CD3
<sup>+</sup>
CD8
<sup>+</sup>
CD103
<sup>+</sup>
T-cells) and cytokines (IFNγ, and IL12p40) that otherwise decrease with ongoing PM. Vaccination strategies with
<italic>Cryptosporidium</italic>
antigens expressed in the
<italic>S</italic>
. Typhi vector 908
<italic>htr</italic>
, however, do not enhance Th1-type responses to
<italic>C</italic>
.
<italic>parvum</italic>
challenge during PM, even though vaccination strongly boosts immunity in challenged fully nourished hosts. Remote non-specific exposures to the attenuated
<italic>S</italic>
. Typhi vector alone or the TLR9 agonist CpG ODN-1668 can partially attenuate
<italic>C</italic>
.
<italic>parvum</italic>
severity during PM, but neither as effectively as viable
<italic>C</italic>
.
<italic>parvum</italic>
priming. We conclude that although PM interferes with basal and vaccine-boosted immune responses to
<italic>C</italic>
.
<italic>parvum</italic>
, sustained reductions in disease severity are possible through mucosal activators of host defenses, and specifically
<italic>C</italic>
.
<italic>parvum</italic>
priming can elicit impressively robust Th1-type protective immunity despite ongoing protein malnutrition. These findings add insight into potential correlates of
<italic>Cryptosporidium</italic>
immunity and future vaccine strategies in malnourished children.</p>
</abstract>
<abstract abstract-type="summary">
<title>Author Summary</title>
<p>
<italic>Cryptosporidium</italic>
attributable morbidities in malnourished children are increasingly recognized. Exactly how malnutrition interferes with host mucosal immunity to diarrheal pathogens and mucosal vaccine responses remains unclear. Dissecting these interactions in an experimental model of cryptosporidiosis can uncover new insights into novel therapeutic approaches against a pathogen for which effective therapies and vaccines are currently unavailable. We demonstrate that although malnutrition diminishes baseline (primary) Th1-type mucosal immunity these deficits can be partially overcome via non-specific mucosal strategies (
<italic>S</italic>
. Typhi and CpG) and completely restored after a sub-clinical (low-dose) exposure to viable
<italic>C</italic>
.
<italic>parvum</italic>
. These results add insight into preventive strategies to help alleviate
<italic>Cryptosporidium</italic>
-specific diarrhea in children in low-resource settings and abrogate prolonged post-infection sequelae.</p>
</abstract>
<funding-group>
<award-group id="award001">
<funding-source>
<institution-wrap>
<institution-id institution-id-type="funder-id">http://dx.doi.org/10.13039/100000060</institution-id>
<institution>National Institute of Allergy and Infectious Diseases</institution>
</institution-wrap>
</funding-source>
<award-id>U54 AI57168</award-id>
<principal-award-recipient>
<name>
<surname>Guerrant</surname>
<given-names>Richard L.</given-names>
</name>
</principal-award-recipient>
</award-group>
<award-group id="award002">
<funding-source>
<institution-wrap>
<institution-id institution-id-type="funder-id">http://dx.doi.org/10.13039/100000060</institution-id>
<institution>National Institute of Allergy and Infectious Diseases</institution>
</institution-wrap>
</funding-source>
<award-id>K08 AI108730-01</award-id>
<principal-award-recipient>
<name>
<surname>Bartelt</surname>
<given-names>Luther A.</given-names>
</name>
</principal-award-recipient>
</award-group>
<award-group id="award003">
<funding-source>
<institution-wrap>
<institution-id institution-id-type="funder-id">http://dx.doi.org/10.13039/100000060</institution-id>
<institution>National Institute of Allergy and Infectious Diseases</institution>
</institution-wrap>
</funding-source>
<award-id>U19 AI109776</award-id>
<principal-award-recipient>
<name>
<surname>Guerrant</surname>
<given-names>Richard L.</given-names>
</name>
</principal-award-recipient>
</award-group>
<award-group id="award004">
<funding-source>
<institution-wrap>
<institution-id institution-id-type="funder-id">http://dx.doi.org/10.13039/100000062</institution-id>
<institution>National Institute of Diabetes and Digestive and Kidney Diseases (US)</institution>
</institution-wrap>
</funding-source>
<award-id>R01-DK68271</award-id>
<principal-award-recipient>
<name>
<surname>Turner</surname>
<given-names>Jerrold R.</given-names>
</name>
</principal-award-recipient>
</award-group>
<award-group id="award005">
<funding-source>
<institution-wrap>
<institution-id institution-id-type="funder-id">http://dx.doi.org/10.13039/100000865</institution-id>
<institution>Bill and Melinda Gates Foundation (US)</institution>
</institution-wrap>
</funding-source>
<award-id>OPP1066140</award-id>
<principal-award-recipient>
<name>
<surname>Guerrant</surname>
<given-names>Richard L.</given-names>
</name>
</principal-award-recipient>
</award-group>
<award-group id="award006">
<funding-source>
<institution-wrap>
<institution-id institution-id-type="funder-id">http://dx.doi.org/10.13039/100000865</institution-id>
<institution>Bill and Melinda Gates Foundation</institution>
</institution-wrap>
</funding-source>
<award-id>OPP1137923</award-id>
<principal-award-recipient>
<name>
<surname>Guerrant</surname>
<given-names>Richard L.</given-names>
</name>
</principal-award-recipient>
</award-group>
<funding-statement>This work was supported in part by the following NIH grants: NIAID Mid-Atlantic Regional Center of Excellence U54 AI57168 (RLG and GB), NIAID Centers for Excellence for Translational Research U19 AI109776 (RLG; Myron Levine University of Maryland, Principal Investigator), and NIAID K08-AI108730-01 (LAB), NIDDK grant R01-DK68271 (JRT), and the Bill and Melinda Gates Foundation OPP1066140 (RLG and JRT) and OPP1137923 (RLG). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement>
</funding-group>
<counts>
<fig-count count="9"></fig-count>
<table-count count="0"></table-count>
<page-count count="29"></page-count>
</counts>
<custom-meta-group>
<custom-meta id="data-availability">
<meta-name>Data Availability</meta-name>
<meta-value>All relevant data are within the paper and its Supporting Information files.</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
<notes>
<title>Data Availability</title>
<p>All relevant data are within the paper and its Supporting Information files.</p>
</notes>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Caroline du Nord</li>
<li>Illinois</li>
<li>Massachusetts</li>
<li>Virginie</li>
</region>
<settlement>
<li>Chapel Hill (Caroline du Nord)</li>
</settlement>
<orgName>
<li>Université de Caroline du Nord à Chapel Hill</li>
</orgName>
</list>
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<name sortKey="Bartelt, Luther A" sort="Bartelt, Luther A" uniqKey="Bartelt L" first="Luther A." last="Bartelt">Luther A. Bartelt</name>
</region>
<name sortKey="Bolick, David T" sort="Bolick, David T" uniqKey="Bolick D" first="David T." last="Bolick">David T. Bolick</name>
<name sortKey="Buck, Gregory A" sort="Buck, Gregory A" uniqKey="Buck G" first="Gregory A." last="Buck">Gregory A. Buck</name>
<name sortKey="Cowardin, Carrie A" sort="Cowardin, Carrie A" uniqKey="Cowardin C" first="Carrie A." last="Cowardin">Carrie A. Cowardin</name>
<name sortKey="Guerrant, Richard L" sort="Guerrant, Richard L" uniqKey="Guerrant R" first="Richard L." last="Guerrant">Richard L. Guerrant</name>
<name sortKey="Kolling, Glynis L" sort="Kolling, Glynis L" uniqKey="Kolling G" first="Glynis L." last="Kolling">Glynis L. Kolling</name>
<name sortKey="Lara, Ana M" sort="Lara, Ana M" uniqKey="Lara A" first="Ana M." last="Lara">Ana M. Lara</name>
<name sortKey="Moore, John H" sort="Moore, John H" uniqKey="Moore J" first="John H." last="Moore">John H. Moore</name>
<name sortKey="Noronha, Francisco Jose" sort="Noronha, Francisco Jose" uniqKey="Noronha F" first="Francisco Jose" last="Noronha">Francisco Jose Noronha</name>
<name sortKey="Roche, James K" sort="Roche, James K" uniqKey="Roche J" first="James K." last="Roche">James K. Roche</name>
<name sortKey="Turner, Jerrold R" sort="Turner, Jerrold R" uniqKey="Turner J" first="Jerrold R." last="Turner">Jerrold R. Turner</name>
<name sortKey="Turner, Jerrold R" sort="Turner, Jerrold R" uniqKey="Turner J" first="Jerrold R." last="Turner">Jerrold R. Turner</name>
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<name sortKey="Zaenker, Edna I" sort="Zaenker, Edna I" uniqKey="Zaenker E" first="Edna I." last="Zaenker">Edna I. Zaenker</name>
</country>
</tree>
</affiliations>
</record>

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