Phosphorylation residue T175 in RsbR protein is required for efficient induction of sigma B factor and survival of Listeria monocytogenes under acidic stress

Phosphorylation residue T175 in RsbR protein is required for efficient induction of sigma B factor and survival of Listeria monocytogenes under acidic stress 单核细胞增多性李斯特菌RsbR抗酸应激机制 1 2 first-author †E-mail:heke@zafu.edu.cnwhfang@zju.edu.cn †E-mail:heke@zafu.edu.cnwhfang@zju.edu.cn heke@zafu.edu.cn 2 2 1 1 1 2 corresp ‡Corresponding Author ‡Corresponding Author †E-mail:heke@zafu.edu.cnwhfang@zju.edu.cn †E-mail:heke@zafu.edu.cnwhfang@zju.edu.cn heke@zafu.edu.cn College of Animal Science and Technology, Zhejiang A&F University, Lin’an 311300, China College of Animal Science and Technology, Zhejiang A&F University, Lin’an 311300, China Zhejiang University Institute of Preventive Veterinary Medicine, Zhejiang Provincial Key Laboratory of Preventive Veterinary Medicine, Hangzhou 310058, China Zhejiang University Institute of Preventive Veterinary Medicine, Zhejiang Provincial Key Laboratory of Preventive Veterinary Medicine, Hangzhou 310058, China Listeria monocytogenes is an important zoonotic foodborne pathogen that can tolerate a number of environmental stresses. RsbR, an upstream regulator of the sigma B (SigB) factor, is thought to sense environmental challenges and trigger the SigB pathway. In Bacillus subtilis , two phosphorylation sites in RsbR are involved in activating the SigB pathway and a feedback mechanism, respectively. In this study, the role of RsbR in L. monocytogenes under mild and severe stresses was investigated. Strains with genetic deletion (ΔrsbR), complementation (C-ΔrsbR), and phosphorylation site mutations in the rsbR (RsbR-T175A, RsbR-T209A, and RsbR-T175A-T209A) were constructed to evaluate the roles of these RsbR sequences in listerial growth and survival. SigB was examined at the transcriptional and translational levels. Deletion of rsbR reduced listerial growxth and survival in response to acidic stress. Substitution of the phosphorylation residue RsbR-T175A disabled RsbR complementation, while RsbR-T209A significantly upregulated SigB expression and listerial survival. Our results provide clear evidence that two phosphorylation sites of RsbR are functional in L. monocytogenes under acidic conditions, similar to the situation in B. subtilis . 目的 2 探明单增李斯特菌RsbR的两个保守磷酸化位点是否影响SigB(sigma B)的表达. 创新点 2 解析了RsbR在单增李斯特菌中SigB网络调控中的作用. 方法 2 通过基因缺失、定点突变和回补技术构建 rsbR 基因缺失株、回补株和回补突变菌株,进行酸应激条件下的生长能力和强酸条件下的存活能力试验,并检测在酸应激下菌株中的SigB基因和蛋白表达的改变情况. 结论 2 RsbR缺失能够显著降低单增李斯特菌的抗酸应激能力和下调SigB表达,RsbR-175位点是SigB调控途径中RsbT释放的先决条件. Listeria monocytogenes RsbR Sigma B (Sig B) factor Phosphorylation 单增李斯特菌 RsbR SigB 抗酸应激 Introduction 1 Listeria monocytogenes can cause septicemia, meningitis, and abortion in pregnant women with mortality rates as high as 30% (Varma et al., 2007 2007 ; Okpo et al., 2015 2015 ). As a foodborne pathogen, L. monocytogenes encounters acidic environments such as silage, fermented food, stomach, and phagolysosomes within host cells (Nicaogáin and O'Byrne, 2016 2016 ). Its ability to adapt to relatively harsh environmental conditions is one of the important features enabling its persistence in food processing environments and for establishing infection in the host. L. monocytogenes can maintain its intracellular pH (pH i ) homeostasis when exposed to an environmental pH (pH ex ) of 4.5, and survives well at pH ex 3.5 (Cotter et al., 2000 2000 ). Pre-exposure of L . monocytogenes cells to mild acid stress (pH ex 4.5) may induce an acid tolerance response (ATR) that can render them more resistant to fatal acidic stress (O'Byrne and Karatzas, 2008 2008 ). Sigma B (SigB or σ B ) is known as a positive regulator of ATR enabling bacteria to cope better with environmental stresses. SigB was first identified in Bacillus subtilis , and is also present in L. monocytogenes and Staphylococcus aureu s (Hecker et al., 2007 2007 , 2009 2009 ; Price, 2011 2011 ). It plays a pivotal role in resistance to environmental stresses in these bacteria. The SigB operons, consisting of rsbR - rsbS - rsbT -( rsbU )- rsbV - rsbW - sigB - rsbX , are highly conserved between L. monocytogenes and B. subtilis (O'Byrne and Karatzas, 2008 2008 ), suggesting existence of similar regulatory mechanisms. In B. subtilis , partner switching through serine phosphorylation and dephosphorylation is the main regulatory mechanism of this operon in response to stress (Hecker et al., 2007 2007 ; Eymann et al., 2011 2011 ; Hengge, 2011 2011 ). The operon is composed of the co-antagonist RsbR, antagonist RsbS, and serine-threonine kinase RsbT as the upstream regulators (Delumeau et al., 2006 2006 ). The phosphorylation of RsbR-RsbT-RsbS could be the initial crucial step to trigger activation of the SigB pathway. There are three important phosphorylation sites in this complex: residues T171 and T205 of RsbRA (formerly RsbR), and residue S59 of RsbS (Chen et al., 2004 2004 ; Kim et al., 2004a 2004a ; Liebal et al., 2013 2013 ). RsbRA-T171 is a prerequisite and related to stress-induced phosphorylation of RsbS-S59, while RsbRA-T205 phosphorylation may function as a second feedback mechanism to limit σ B activation (Eymann et al., 2011 2011 ). In L. monocytogenes , upstream genes in this operon, rsbT , rsbV , and rsbU , have been proved to play roles in activating σ B in response to nutritional and environmental stresses (Chaturongakul and Boor, 2004 2004 ; Shin et al., 2010 2010 ; Zhang et al., 2013 2013 ). Martinez et al. ( 2010 2010 ) expressed the RsbR protein of L. monocytogenes in the B. subtilis Δ rsbR mutant, and detected σ B induction following nutritional stress. In our previous study (Xia et al., 2016 2016 ), we showed that RsbX was a negative regulator of L. monocytogenes σ B during the recovery period after the primary stress or in the stationary phase, thus affecting its survival under secondary stress. However, the detailed roles of RsbR, RsbT, and RsbS in the resistance of L. monocytogenes to environmental stresses remain unclear. This study was attempted to examine whether RsbR is vital in L. monocytogenes under acid stress, and if the two putative phosphorylation sites are functional. Materials and methods 1 Bacterial strains, plasmids, and culture conditions 2 L. monocytogenes reference strain 10403S, a serotype 1/2a isolate from a human skin lesion, was provided by Dr. Martin Wiedmann (Cornell University, USA) and used as the wild-type strain. The plasmids pMD19-T (TaKaRa, Dalian, China), pERL3 (a gift from Dr. Qin LUO, Huazhong Normal University, Wuhan, China), and pKSV7 (a gift from Dr. M. WIEDMANN) were maintained in Escherichia coli DH5α as the host strain. L. monocytogenes was cultured in brain heart infusion (BHI) medium (Dingguo, Beijing, China), and E. coli was grown in Luria Bertani (LB) broth (Oxoid, Hampshire, UK), all at 37 °C. Bioinformatics analysis 2 Alignment of amino acid sequences was performed with MegAlign using the DNAStar software package (Version 5; Madison, USA). Four RsbR paralogs of B. subtilis , BS-RsbRA (GenBank: P42409), BS-RsbRB (GenBank: O34860), BS-RsbRC (GenBank: O31856), and BS-RsbRD (GenBank: P54504), were used to align with L. monocytogenes RsbR (LM-RsbR; GenBank: CP002002). The three homologous RsbRs in L. monocytogenes were from the genome of 10403S (GenBank: CP002002). The phosphorylation sites of BS-RsbRs were searched in PhosphositePlus (https:// www.phosphosite.org www.phosphosite.org ), and the phosphorylation sites of LM-RsbR were predicted by DISPHOS ( http://www.dabi.temple.edu/disphos http://www.dabi.temple.edu/disphos ). Construction of the rsbR deletion mutant 2 The temperature-sensitive pKSV7 shuttle vector was used for generating the Δ rsbR mutant from the wild-type strain L. monocytogenes 10403S. Gene splicing using the splice-overlap extension PCR (SOE-PCR) procedure was used to construct the homologous arms of rsbR (Table 1 1 ), and a homologous recombination strategy was used to construct the Δ rsbR mutant as described by Xia et al. ( 2016 2016 ). The Δ sigB mutant kept in our laboratory was constructed using the same approach. Nucleotides introduced to create restriction sites and point mutations are underlined and in bold, respectively. qRT-PCR: quantitative reverse transcription PCR Name Primer sequence (5'→3') a a Purpose rsbR-a CCGGGATCCATACGGCCTGTTCTCATCATTC 4 Construction of rsbR null mutant rsbR-b ACGCGTTGTTTGTAGGTTTCTG rsbR-c CAGAAACCTACAAACAACGCGTTACAGCCAGCAGTTGCGATTACAC rsbR-d CCCAAGCTTTACAGATTTCTCCTCGTCCAG rsbR-up GCGAGTGTACCCATGTCGAAGCAG 2 Screening of positive clones of rsbR null mutant rsbR-dn CCCCAATTCCTGTTTAAGTTTTTCCAG rsbR-W ACGCGTCGACCAATCCAAGCAAAATAGCTAGGTAGAAA 4 Complementation of rsbR deletion rsbR-X CAATCCAAGCAAAATAGCTAGGTAGAAA rsbR-Y CTAGCTATTTTGCTTGGATTGATGTATAAAGATTTTGCAAACTT rsbR-Z CGAGCTCTCACCCCTCTTTTTCTACT rsbR175m-F TGTAATGCCGTTAATTGGAACGATTGACGCAGAAAGAGCCAAG 4 Construction of mutant rsbR complementary plasmid rsbR175m-R AGTAAGTTTTCTATGATTAACTTGGCTCTTTCTGCGTCAATCGT rsbR209m-F TGATTGATATTACGGGAGTTCCTGTTGTTGATGCAATGGTTGCG rsbR209m-R GACGCTTGAATAATATGGTGCGCAACCATTGCATCAACAACAGG rsbR-RT-F CGCGGATACGTGGGAAAAG 2 qRT-PCR rsbR-RT-R TGCCTGACAGCCGACAAGTCT Complementation of the rsbR deletion mutant 2 Expression of rsbR was complemented based on previous methods (Chen et al., 2011 2011 ; Xia et al., 2016 2016 ). SOE-PCR was used with the primer pairs rsbR-W/X and rsbR-Y/Z to fuse the rsbR open reading frame (ORF) with the dlt promoter. The product was ligated to pERL3 and confirmed by sequencing. The recombinant plasmid pERL3-Pdlt-rsbR was electroporated into the L. monocytogenes ΔrsbR strain and transformants were identified by PCR using the primer pair rsbR-Y/Z. Site-directed mutagenesis 2 Residues T175 and T209 in RsbR of L. monocytogenes might be the vital phosphorylation sites (Fig. 1 1 ) corresponding to residues T171 and T205 of RsbR in B. subtilis . These two sites were chosen for site-directed mutagenesis of three expression plasmids containing single mutations (T175A=M1 or T209A=M2) or double mutations (T175A and T209A=M3). The plasmids were generated from the recombinant vector pERL3-Pdlt-rsbR using the primers listed in Table 1 1 . All three mutated fragments were ligated with pERL3, confirmed by sequencing and electroporated into the L. monocytogenes ΔrsbR strain, as described above. Blue squares indicate the phosphorylation sites in PhosphositePlus (https:// www.phosphosite.org www.phosphosite.org ); pink shading indicates the phosphorylation sites predicted by DISPHOS ( http://www.dabi.temple.edu/disphos http://www.dabi.temple.edu/disphos ); red stars indicate the conservative phosphorylation sites in both BS and LM (Note: for interpretation of the references to color in this figure legend, the reader is referred to the web version of this article) Growth and survival assays 2 All strains ( L. monocytogenes 10403S, the Δ rsbR mutant and Δ rsbR complemented (C-ΔrsbR) strains; (Table 2 2 )) were grown to stationary phase with shaking at 37 °C. For the growth assay, the bacteria were adjusted to similar optical density at 620 nm (OD 620 ). Each calibrated strain was inoculated at a 1:20 ratio in BHI at pH 7.4 or 5.0 and then transferred into wells (triplicate wells per strain) on a microplate. The bacterial cultures were incubated at 37 °C for 8 h, and the OD 620 was then captured as the end-point measurement to indicate their relative growth potential. For the survival assay, bacterial cells at exponential phase were transferred at a 1:20 ratio in BHI at pH 7.4 and cultured with shaking at 37 °C for 4 h (to early exponential phase, OD 620 was approximately 0.3). One milliliter of each culture was centrifuged, resuspended with 1 mL BHI at pH 2.5 and incubated at 37 °C for 30 min. The treated cultures were subjected to immediate dilution in 10 mmol/L phosphate-buffered saline (PBS) at pH 7.4 at the end of 30-min incubation, followed by serial 10-fold dilutions. The diluted samples were plated onto BHI agar for the enumeration of viable bacterial cells. Relative survival was calculated by dividing the colony forming units (CFUs) of the mutants by those of the wild-type strain. The experiments were carried out three times. P dlt:: rsbR means that the promoter of dlt and open reading frame (ORF) of rsbR are connected together L . monocytogenes strain Genotype  WT 10403S  ΔrsbR rsbR null  C-ΔrsbR P dlt:: rsbR  C-ΔrsbR-M1 P dlt:: rsbR-T175A  C-ΔrsbR-M2 P dlt:: rsbR-T209A  C-ΔrsbR-M3 P dlt:: rsbR-T175A-T209A Acidic stress for analysis of SigB expression 2 For transcriptional analysis of sigB after acid stress, all the strains were grown to stationary phase in BHI, diluted 1:20 in 40 mL BHI at pH 7.4 and cultured at 37 °C for 6 h (to late exponential phase, OD 620 was approximately 0.45). The cultures were then divided into two parts (each in a different sterile tube) and were centrifuged at 3000 r/min for 5 min, and then resuspended in 20 mL BHI at pH 5.0 (stressed) or BHI at pH 7.4 (as unstressed control) for 1 h. At the end of the treatment, 1 mL of the culture was taken for total RNA isolation, and the rest for extraction of total proteins. qRT-PCR and western blotting 2 Total RNAs from the treatments as described above were prepared using an RNAprep Pure Cell/Bacteria kit (Tiangen Biotech, Beijing, China) and complementary DNAs (cDNAs) were synthesized with ReverTra Ace ® reverse transcriptase (Toyobo, Japan). For quantification of sigB and rsbR mRNAs, quantitative reverse transcription PCR (qRT-PCR) was performed as described by Xia et al. ( 2016 2016 ). The gyrB gene was used as a reference. Primers for sigB and gyrB were as listed elsewhere (Xia et al., 2016 2016 ), and primers for rsbR were rsbR-RT-F/R (Table 1 1 ). Each treatment was tested in triplicate and the relative expression of each strain was calculated using the 2 −ΔΔ C T method (Livak and Schmittgen, 2001 2001 ), and transcriptional level of sigB was normalized as Shan et al. ( 2018 2018 ). For western blotting, total proteins were extracted from the bacterial cells treated as above following a previous procedure (Xia et al., 2016 2016 ). The protein concentration was adjusted to the same level for different strains and separated by 12% (0.12 g/mL) sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). The remaining procedures for western blotting and image capture were followed as described (Zhou et al., 2017 2017 ), using rabbit polyclonal antibodies against SigB and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) (Xia et al., 2016 2016 ) as well as antibodies against RsbR prepared in this study by immunization of rabbits with RsbR protein expressed in E. coli strain BL21. Horseradish peroxidase (HRP)-conjugated anti-rabbit IgG (Sangon, China) was used at 1:2000 (v/v). Statistical analysis 2 All data are expressed as mean±standard deviation (SD) of three independent experiments. Two-tailed Student’s t -tests were employed to extract statistical significance among or between treatments or strains. Results 1 Identification of the rsbR deletion mutant and complemented strains 2 PCR, qRT-PCR, and western blotting were used to confirm successful construction of the rsbR deletion mutant and complemented strain. Fig. 2 2 shows that the fragments were shorter with the primer pair rsbR-up/dn in ΔrsbR and C-ΔrsbR, suggesting deletion of rsbR in the bacterial genome (Fig. 2a 2a ). With the primer pair rsbR-Y/Z, fragments showing the size of the rsbR ORF (687 bp) were present in C-ΔrsbR and the wild-type strain. All strains, including those complemented strains having substitutions of single or double amino acid residues, were confirmed by sequencing. Expression of rsbR was significantly higher in all complemented strains than in their parent strains (Fig. 2b 2b ). Western blotting showed visible bands in complemented strains (Fig. 2c 2c ). The RsbR band in the wild-type strain was barely visible, possibly because its expression was below a detectable level (the concentration of prokaryotic RsbR protein was 0.27×10 −5 mg/mL and we used super sensitive exposure). Data are expressed as mean±SD from three independent experiments Effects of L . monocytogenes rsbR on growth and survival under acidic conditions 2 To study whether the rsbR deletion would affect resistance to acidic stress, the Δ rsbR mutant strain and its parent strain 10403S were cultured in BHI at pH 5.0 with pH 7.4 as control. In the control medium, the growth of ΔrsbR and C-ΔrsbR was similar to that of the wild-type strain ( P =0.515; Fig. 3a 3a ). However, ΔrsbR showed significantly slower growth than its parent strain ( P =0.044; Fig. 3b 3b ) at acidic pH 5.0 shown as the end-point OD 620 at 8 h. Survival of the rsbR deletion mutant was also significantly lower than that of the wild-type strain upon brief exposure at pH 2.5 (Fig. 3c 3c ). These effects could be reversed to a significant degree (growth at mild stress, P =0.032; and survival at pH 2.5, P < 0.001) by genetic complementation using the strain C-ΔrsbR. Data are expressed as mean±SD from three independent experiments. * P < 0.05, *** P < 0.001 Role of residue T175 contributing to RsbR function in listerial survival under acidic stress 2 To investigate the key phosphorylated amino acid residues of RsbR, we constructed complement plasmids with a single mutation at T175 or T209, and double mutations at both sites by alanine substitution. In normal and mildly acidic media, there were no significant differences between the growth of the complemented strains with mutations and that of the C-ΔrsbR without alanine substitution (Figs. 3a and 3b 3a and 3b ). When treated with severe stress at pH 2.5 in BHI, C-ΔrsbR-M1 and C-ΔrsbR-M3 had lower survival ( P < 0.001), while C-ΔrsbR-M2 showed significantly higher survival ( P < 0.001) than the non-mutated C-ΔrsbR (Fig. 3c 3c ). These findings indicate that T175 (in M1 or M3) is critical for survival. Regulaton of RsbR and its residue T175 of SigB expression under stress conditions 2 A mild acid stress was introduced to the bacteria (in BHI at pH 5.0) to examine the response of SigB expression to acidic stress. Expression of SigB was 2.0–2.5-fold higher in stressed bacterial cells than in unstressed controls at the mRNA and protein levels. Both qRT-PCR and western blotting revealed that deletion of rsbR led to a significant reduction in SigB expression compared with that in the wild-type strain ( P= 0.001 and P < 0.001 at the mRNA and protein levels, respectively), while complementation (C-ΔrsbR) improved SigB expression significantly ( P= 0.003 and P < 0.001 at the mRNA and protein levels, respectively), though not to the level of the wild-type strain (Fig. 4 4 ). Data are expressed as mean±SD from three independent experiments. * P < 0.05, ** P < 0.01, *** P < 0.001 Comparison of the complemented strains with or without mutations of T175 and T209 reveals that C-ΔrsbR-M1 and C-ΔrsbR-M3 down-regulated SigB expression ( P < 0.01 for sigB mRNA and P < 0.001 for SigB protein), while C-ΔrsbR-M2 increased SigB expression ( P =0.012 for sigB mRNA and P =0.11 for SigB protein; Fig. 4 4 ) compared with that of the non-mutated C-ΔrsbR, suggesting that T175 (M1 or M3) is involved in regulating SigB expression, but not T209 (M2). Discussion 1 RsbR was identified as a potential receptor to environmental stresses. In B. subtilis , two phosphorylation sites in RsbR behave differently in unstressful and stressful conditions (Kim et al., 2014a 2014a , 2004b 2004b ; Eymann et al., 2011 2011 ). Until now, there has been no study of the function of this protein in L. monocytogenes . Here we clearly show that RsbR is involved in the growth and survival of L. monocytogenes under acidic stress, and that RsbR-T175 is required to trigger induction of SigB expression in response to acidic stress for improved survival. It has been reported that deletion of rsbT , rsbV , or rsbU of L. monocytogenes reduces SigB expression under environmental stress (Chaturongakul and Boor, 2004 2004 ; Shin et al., 2010 2010 ; Zhang et al., 2013 2013 ). All these genes are considered essential in the SigB pathway. rsbR , the first gene in the SigB operon, is considered an initial sensory input from environmental stresses. Although the RsbR ortholog in L. monocytogenes has only 49.6% identity to the RsbR in B. subtilis at the amino acid level, the putative key sites for phosphorylation are conserved (T171 and T205 in the RsbR of B. subtilis and T175 and T209 in the RsbR of L. monocytogenes ). Therefore, we supposed that LM-RsbR could play a role similar to that of the RsbR in B. subtilis . By genetic deletion, complementation, and site-directed mutagenesis, we proved that RsbR and its residue T175 are involved in listerial survival under acidic stress, most likely via increased expression of the general stress regulator SigB. In B. subtilis , some of the proteins in the SigB operon (RsbRA, RsbRB, RsbRC, RsbRD, RsbT, and RsbS) form a large molecular mass structure called a stressome and function via a partner switch mechanism in response to environmental stress. The homologous RsbRs that contain the N-and C-terminal sulfate transporter and anti-sigma factor antagonist (STAS) domains and a conserved 13-residue α-helical linker (Marles-Wright et al., 2008 2008 ) are the major players in this functionality. Each RsbR has two conserved threonine residues in its STAS domain (Pané-Farré et al., 2005 2005 ). The STAS domain forms the complex core, and receives sensory input from the N-terminal domain (Gaidenko et al., 2012 2012 ). Chen et al. ( 2004 2004 ) suggested that RsbR proteins might serve as redundant co-antagonists necessary for RsbS, as shown by the phenotypes of triple mutants with only one or another RsbR family member. Although the L. monocytogenes genome contains a number of RsbR paralogues, the threonine and serine residues are absent (Pané-Farré et al., 2005 2005 ). It is also less likely that the RsbR-RsbS-RsbT proteins would form stressomes in L. monocytogenes because these would be physically beyond the holding capacity of the listerial cells. Thus, we speculate that RsbR is the only receptor of environment stress in the L. monocytogenes SigB operon. RsbRA T171 phosphorylation is thought to be an important prerequisite, but is not the trigger for signaling in B. subtilis . This is supported by the phenotypes of T171A and T171D substitutions and the analysis of the phosphorylation states of the RsbR family in vivo (Kim et al., 2004b 2004b ). RsbRA T205 is found phosphorylated under strong stresses, and this phosphorylation is considered a feedback mechanism to inhibit signaling under extreme conditions (Eymann et al., 2011 2011 ). We showed that removal of the phosphorylation residue RsbR-T175A (C-ΔrsbR-M1) could disable the complementation, suggesting that this residue is required to initiate SigB signaling for improved listerial growth or survival. However, dephosphorylation on RsbR-T209A (C-ΔrsbR-M2) seemed to enhance SigB expression and listerial survival, which might indicate a negative regulatory role of T209, similar to that of RsbRA T205 in B. subtilis (Eymann et al., 2011 2011 ). In conclusion, this study has provided clear evidence that RsbR T175 is important in triggering increased expression of SigB and listerial survival under acidic stress. It remains to be determined how RsbR residues T175 and T205 coordinate in response to acidic stress, but T175 appeared to function as the major player in this strain with double mutations (C-ΔrsbR-M3). References S Chaturongakul , KJ Boor . 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This article does not contain any studies with human or animal subjects performed by any of the authors. 10.1631/jzus.B1800551 Project supported by the National Natural Science Foundation of China (Nos. 31702250 and 31600292) and the Open Fund Project by Key Laboratory of Animal Preventive Medicine of Zhejiang Province (No. ZPKLPVM2017KFKT001), China 2018-10-31 2019-02-17 2022-01-05 Copyright © Zhejiang University and Springer-Verlag GmbH Germany, part of Springer Nature 2019 2019 Journal of Zhejiang University-SCIENCE B (Biomedicine and Biotechnology) 08 20