Toxicity of 1-alkyl-3-methyl imidazolium nitrate ionic liquids to earthworms: The effects of carbon chains of different lengths

Toxicity assessment of animal manure composts containing environmental microplastics by using earthworms Eisenia andrei

Nowadays, animal manure composting constitutes a sustainable alternative for farmers to enhance the level of nutrients within soils and achieve a good productivity. However, pollutants may be present in manures. This study focuses on the detection of environmental microplastics (EMPs) into composts, as well as on the assessment of their potential toxicity on the earthworm Eisenia andrei. To these aims, animals were exposed to two types of compost, namely bovine (cow) and ovine (sheep) manure, besides to their mixture, for 7 and 14 days. The presence and characterization of EMPs was evaluated in all the tested composts, as well as in tissues of the exposed earthworms. The impact of the tested composts was assessed by a multi-biomarker approach including cytotoxic (lysosomal membrane stability, LMS), genotoxic (micronuclei frequency, MNi), biochemical (activity of catalase, CAT, and glutathione-S-transferase, GST; content of malondialdehyde, MDA), and neurotoxic (activity of acetylcholinesterase, AChE) responses in earthworms. Results indicated the presence of high levels of EMPs in all the tested composts, especially in the sheep manure (2273.14 ± 200.89 items/kg) in comparison to the cow manure (1628.82 ± 175.23 items/kg), with the size <1.22 μm as the most abundant EMPs. A time-dependent decrease in LMS and AChE was noted in exposed earthworms, as well as a concomitant increase in DNA damages (MNi) after 7 and 14 days of exposure. Also, a severe oxidative stress was recorded in animals treated with the different types of compost through an increase in CAT and GST activities, and LPO levels, especially after 14 days of exposure. Therefore, it is necessary to carefully consider these findings for agricultural good practices in terms of plastic mitigation in compost usage, in order to prevent any risk for environment health.

Toxicity of ionic liquids against earthworms (Eisenia fetida)

Ionic liquids (ILs) are widely used in frontier fields because of their highly tunable properties. Although ILs may have adverse effects on organisms, few studies have focused on their effect on earthworm gene expression. Herein we investigated the toxicity mechanism of different ILs towards Eisenia fetida using transcriptomics. Earthworms were exposed to soil containing different concentrations and types of ILs, and behavior, weight, enzymatic activity and transcriptome were analyzed. Earthworms exhibited avoidance behavior towards ILs and growth was inhibited. ILs also affected antioxidant and detoxifying enzymatic activity. These effects were concentration and alkyl chain length-dependent. Analysis of intrasample expression levels and differences in transcriptome expression levels showed good parallelism within groups and large differences between groups. Based on functional classification analysis, we speculate that toxicity mainly occurs through translation and modification of proteins and intracellular transport functions, which affect protein-related binding functions and catalytic activity. KEGG pathway analysis revealed that ILs may damage the digestive system of earthworms, among other possible pathological effects. Transcriptome analysis reveals mechanisms that cannot be observed by conventional toxicity endpoints. This is useful to evaluate the potential environmental adverse effects of the industrial use of ILs.

Extreme environmental doses of diisobutyl phthalate exposure induce oxidative stress and DNA damage in earthworms (Eisenia fetida): Evidence at the biochemical and molecular levels

Diisobutyl phthalate (DIBP), as a plasticizer, is widely used and has caused many extreme soil contamination scenarios, posing potential risks to soil fauna. However, the toxic effects and mechanisms of DIBP on soil fauna remain unclear. In this study, earthworms (Eisenia fetida) were used as model animals to explore the subchronic toxicity of extreme DIBP soil exposure (300, 600, and 1200 mg/kg) for 28 days. The results showed that the level of reactive oxygen species (ROS) and the contents of malondialdehyde (MDA) and 8-hydroxydeoxyguanosine (8-OHdG) in E. fetida were significantly increased during continuous DIBP exposure. In addition, the activities of superoxide dismutase (SOD), catalase (CAT) and peroxidase (POD) were significantly inhibited while glutathione S-transferase (GST) activity was activated during continuous exposure. Integrated biological response (IBR) analysis showed that DIBP had positive dose-dependent toxicity and negative time-dependent toxicity to E. fetida, and SOD/CAT were selected as sensitive biomarkers. The molecular docking study found that DIBP could stably bind to SOD/CAT through hydrogen bonding, which further proved its sensitivity. This study provides primary data for ecological and environmental risk assessment of extreme dose DIBP soil pollution.

Advances of Imidazolium Ionic Liquids for the Extraction of Phytochemicals from Plants

In this review, we present the research from 2013 to 2022 about the character of ionic liquids, the categories of phytochemicals, and the reasons for selecting imidazolium ionic liquids for phytochemical extraction. Then we introduce the structural formulae of the imidazolium ionic liquids commonly used in the extraction of phytochemicals, the methods used to prepare imidazolium ionic liquids, and a comprehensive introduction of how imidazolium ionic liquids are applied to extract phytochemicals from plants. Importantly, we discuss the strategies for studying the extraction mechanisms of imidazolium ionic liquids to extract phytochemicals, and the recovery methods regarding imidazolium ionic liquids and their recyclability are analyzed. Then the toxicity in imidazolium ionic liquids is pointed out. Finally, the challenges and prospects of extracting phytochemicals by imidazolium ionic liquids are summarized, and they are expected to provide some references for researchers.

Effects of conventional versus biodegradable microplastic exposure on oxidative stress and gut microorganisms in earthworms: A comparison with two different soils

The ecotoxicity of microplastics (MPs) to soil animals is widely recognized; however, most studies have only focused on conventional MPs. This study compared the effects of various concentrations (0.5%, 1%, 2%, 5%, 7%, and 14%, w/w) of polyethylene (PE) and biodegradable polylactic acid (PLA) MPs on oxidative stress and gut microbes in Eisenia fetida (E. fetida) from two different soils (black and yellow soils). The results indicated that the activities of superoxide dismutase (SOD), catalase (CAT), peroxidase (POD), glutathione S-transferase (GST), and acetylcholinesterase (AchE) decreased after exposure to PE and PLA MPs for 14 days, whereas malondialdehyde (MDA) levels increased. This level of decrease or increase exhibited a "decrease-increase" trend with increasing MP exposure doses. After 28 days, the activities of SOD, CAT, POD, AchE, and GST increased, whereas MDA levels decreased, and the level of increase or decrease increased with increasing MP dose. The integrated biological response index revealed that the toxic effects of MPs were concentration-dependent, and MP concentration was more important than MP type or soil type. The toxicity of PE MPs was generally higher than that of PLA MPs on day 14, with no significant difference on day 28. Moreover, MPs did not alter the dominant gut microbiota of E. fetida, but altered the relative abundances of Actinobacteriota, Bacteroidota, Ascomycota, and Rozellomycota. Furthermore, different gut microbial phyla exhibited discrepant responses to MPs. Our results demonstrated that both conventional and biodegradable MPs induced oxidative stress in E. fetida, and biodegradable MPs showed no less toxicity compared to conventional MPs. Additionally, MP-induced toxic effects did not differ significantly between black and yellow soils, suggesting that MP-induced toxic effects were less affected by soil type.

Ionic liquids as potentially hazardous pollutants: Evidences of their presence in the environment and recent analytical developments

Ionic liquids (ILs) are considered to be very promising group of chemicals and the number of their potential applications is growing rapidly. However, while these compounds were originally proposed as a green alternative to classical solvents, there are certain doubts as to whether this classification is correct. Although in recent years there have been first reports published proving the presence of some ILs in the environment and even in human blood, at this point the scale of this possible problem is not yet fully understood. However, there is no doubt that as the number of ILs applications increases, analytical capabilities for rapid detection of possible environmental contamination should be also considered. Therefore, in this review paper, recent evidences for the ILs environmental contamination as well as analytical achievements related to the extraction of ILs from various environmental matrices have been summarized and important gaps and future perspectives have been pointed out. Based on the presented data it might be concluded that there is the urgent need for further development towards risk assessment of these potential environmental contaminants.

Emerging impacts of ionic liquids on eco-environmental safety and human health

Owing to their unique physicochemical properties, ionic liquids (ILs) have been rapidly applied in diverse areas, such as organic synthesis, electrochemistry, analytical chemistry, functional materials, pharmaceutics, and biomedicine. The increase in the production and application of ILs has resulted in their release into aquatic and terrestrial environments. Because of their low vapor pressure, ILs cause very little pollution in the atmosphere compared to organic solvents. However, ILs are highly persistent in aquatic and terrestrial environments due to their stability, and therefore, potentially threaten the safety of eco-environments and human health. Specifically, the environmental translocation and retention of ILs, or their accumulation in organisms, are all related to their physiochemical properties, such as hydrophobicity. Based on results of ecotoxicity, cytotoxicity, and toxicity in mammalian models, the mechanisms involved in IL-induced toxicity include damage of cell membranes and induction of oxidative stress. Recently, artificial intelligence and machine learning techniques have been used in mining and modeling toxicity data to make meaningful predictions. Major future challenges are also discussed. This review will accelerate our understanding of the safety issues of ILs and serve as a guideline for the design of the next generation of ILs.

Oxidative stress and DNA damage induced by trifloxystrobin on earthworms (Eisenia fetida) in two soils

Trifloxystrobin is a new type of fungicide, which is extensively used due to its excellent antifungal activity. In this study, oxidative stress and DNA damage induced by trifloxystrobin exposure was evaluated using Eisenia fetida at subchronic toxicity concentrations in artificial soil and brown soil (0.1-2.5 mg/kg). Throughout the exposure period (days 7, 28 and 56), six biochemical indicators including reactive oxygen species (ROS), antioxidant enzymes (SOD and CAT), glutathione S-transferase (GST), lipid peroxidation and DNA damage (8-hydroxydeoxyguanosine) were measured. In addition, the integrated biomarker response (IBR) index was calculated to make comparison of toxicological response between artificial and brown soils. Results indicated that trifloxystrobin can induce oxidative stress and DNA damage to earthworms with subchronic toxicity greater in brown soil compared to artificial soil as determined through integrated calculations for six biochemical indicators. Trifloxystrobin toxicological experiments in artificial soil may not accurately evaluate its toxicity in natural soil ecosystems, as the toxicity of trifloxystrobin to Eisenia fetida was underestimated.

Review of the toxic effects of ionic liquids

Interest in ionic liquids (ILs), called green or designer solvents, has been increasing because of their excellent properties such as thermal stability and low vapor pressure; thus, they can replace harmful organic chemicals and help several industrial fields e.g., energy-storage materials production and biomaterial pretreatment. However, the claim that ILs are green solvents should be carefully considered from an environmental perspective. ILs, given their minimal vapor pressure, may not directly cause atmospheric pollution. However, they have the potential to cause adverse effects if leaked into the environment, for instance if they are spilled due to human mistakes or technical errors. To estimate the risks of ILs, numerous ILs have had their toxicity assessed toward several micro- and macro-organisms over the past few decades. Since the toxic effects of ILs depend on the method of estimating toxicity, it is necessary to briefly summarize and comprehensively discuss the biological effects of ILs according to their structure and toxicity testing levels. This can help simplify our understanding of the toxicity of ILs. Therefore, in this review, we discuss the key findings of toxicological information of ILs, collect some toxicity data of ILs to different species, and explain the influence of IL structure on their toxic properties. In the discussion, we estimated two different sensitivity values of toxicity testing levels depending on the experiment condition, which are theoretical magnitudes of the inherent sensitivity of toxicity testing levels in various conditions and their changes in biological response according to the change in IL structure. Finally, some perspectives, future research directions, and limitations to toxicological research of ILs, presented so far, are discussed.

Ecotoxicological effects of different size ranges of industrial-grade polyethylene and polypropylene microplastics on earthworms Eisenia fetida

The effects of microplastics (MPs) on terrestrial organisms remain poorly understood, even though soil is an important MPs sink. In this study, the earthworms Eisenia fetida were exposed to 0.25% (w/w) of industrial-grade high-density polyethylene (HDPE, 28-145, 133-415 and 400-1464 μm) and polypropylene (PP, 8-125, 71-383 and 761-1660 μm) MPs in an agricultural soil for 28 d. The results showed that HDPE and PP MPs with different size ranges can be ingested by E. fetida. Exposure to different size ranges of HDPE and PP MPs altered the activities of superoxide dismutase, catalase and glutathione S-transferase and induced an increase in the 8-hydroxy-2'-deoxyguanosine level in E. fetida, suggesting that MPs-induced oxidative stress occurred in E. fetida. A size and type-dependent toxicity of MPs to E. fetida was demonstrated by the integrated biological response index. In addition, to obtain detailed molecular information on the responses of E. fetida to MPs exposure, transcriptomic analysis was conducted for E. fetida from HDPE (28-145 μm) and PP (8-125 μm) treatment groups. Transcriptomic analysis identified 34,937 and 28,494 differentially expressed genes in the HDPE and PP MPs treatments compared with the control, respectively. And, exposure to HDPE and PP MPs significantly disturbed several pathways closely related to neurodegeneration, oxidative stress and inflammatory responses in E. fetida. This study provides important information for the ecological risk assessment of different size ranges and types of industrial-grade MPs.

Ionic Liquids-A Review of Their Toxicity to Living Organisms

Ionic liquids (ILs) were initially hailed as a green alternative to traditional solvents because of their almost non-existent vapor pressure as ecological replacement of most common volatile solvents in industrial processes for their damaging effects on the environment. It is common knowledge that they are not as green as desired, and more thought must be put into the biological consequences of their industrial use. Still, compared to the amount of research studying their physicochemical properties and potential applications in different areas, there is a scarcity of scientific papers regarding how these substances interact with different organisms. The intent of this review was to compile the information published in this area since 2015 to allow the reader to better understand how, for example, bacteria, plants, fish, etc., react to the presence of this family of liquids. In general, lipophilicity is one of the main drivers of toxicity and thus the type of cation. The anion tends to play a minor (but not negligible) role, but more research is needed since, owing to the very nature of ILs, except for the most common ones (imidazolium and ammonium-based), many of them are subject to only one or two articles.

Oxidative stress, growth inhibition, and DNA damage in earthworms induced by the combined pollution of typical neonicotinoid insecticides and heavy metals

Heavy metals pollution of soil and widespread application of neonicotinoid insecticides have caused environmental problems worldwide. To evaluate ecological toxicity resulting from the combined pollution of neonicotinoids and heavy metals, typical representatives of neonicotinoid insecticides (imidacloprid, thiamethoxam, dinotefuran) and heavy metals (cadmium, copper, zinc) were selected as soil pollutants; earthworms were used as test organisms. Analysis of the main and interaction effects of a combined pollution process were performed using a uniform design method. Results showed that the reactive oxygen species (ROS) content of earthworms in most treatment groups was higher during exposure than that of the control group. The malondialdehyde (MDA) and ROS content of earthworms demonstrated relatively low values on the 21st day and increased by the 28th day. The interaction between dinotefuran and Cd had significant antagonistic effects on ROS and MDA. The combined pollution adversely affected both the growth and genes of earthworms and also caused damage to the epidermis, midgut, and DNA. The interaction between imidacloprid and Cd was synergistic to ROS, weight inhibition rate, and Olive tail moment (OTM), but was antagonistic to MDA. Of all the single and combined exposures, Zn as a single chemical affected ROS and DNA damage the most, and MDA was significantly enhanced by imidacloprid. Composite pollutants may create different primary effects and interactions causing potential harm to soil organisms.

Integration of choline geranate into electrospun protein scaffolds affords antimicrobial activity to biomaterials used for cutaneous wound healing

Wound healing attempts to maintain homeostasis in the wound while minimizing the risk of infection to the tissue by foreign agents, such as opportunistic bacterial pathogens. Biofilms established by these pathogens are a common cause of chronic infections that slow the healing process. Preparation of skin wound healing devices comprised of electrospun proteins associated with skin have been shown to accelerate the healing process relative to conventional wound dressings. In this work, we have developed electrospinning methods to incorporate the antimicrobial ionic liquid/deep eutectic solvent choline geranate (CAGE) into these devices. Integration of CAGE into the dressing material was verified via ¹ H nuclear magnetic resonance spectrometry, and the effect on the material property of the resultant devices were assessed using scanning electron microscopy. CAGE-containing devices demonstrate a concentration-dependent inactivation of exogenously applied solutions of both gram-positive and gram-negative pathogens (Enterococcus sp and Pseudomonas aeruginosa, respectively), but maintain their ability to serve as a compatible platform for proliferation of human dermal neonatal fibroblasts.

Combined effects of mulch film-derived microplastics and atrazine on oxidative stress and gene expression in earthworm (Eisenia fetida)

With the wide use of mulch film and pesticides, mulch film-derived microplastics are very likely to produce combined effects with pesticides in agricultural soil. However, little is known about their combined toxicity on terrestrial organisms. This study aimed to investigate the combined toxicity of unused or farmland residual transparent low-density polyethylene mulch film-derived microplastics (MPs and MPs-aged, respectively) (550-1000 μm) and atrazine (ATZ; 0.02 and 2.0 mg/kg) on the earthworm (Eisenia fetida). After single and combined exposure to ATZ and microplastics for 28 d, the results showed an accumulation of reactive oxygen species, a decrease in superoxide dismutase, catalase, and glutathione-S-transferase activities, an increase in the malondialdehyde and 8-hydroxydeoxyguanosine levels, and abnormal expression of annetocin, heat shock protein 70, translationally controlled tumor protein and calreticulin genes. Integrated biological response (IBR) values calculated at the biochemical level indicated that the combined exposure to ATZ and microplastics, particularly to high concentrations of ATZ, induced greater oxidative stress in E. fetida compared with that of exposure to ATZ or microplastics alone. In addition, the IBR values calculated at the gene level did not show regular changes after combined exposure to ATZ and microplastics compared with those of a single exposure. The oxidative stress and abnormal expression of genes in E. fetida induced by MPs-aged were higher than those induced by MPs; a similar trend was observed for oxidative stress induced by MPs/MPs-aged + ATZ2.0, whereas an opposite trend was observed for the abnormal expression of genes in E. fetida induced by MPs/MPs-aged + ATZ0.02/ATZ2.0. Our results suggest that mulch film-derived microplastics have the potential to enhance the toxicity of ATZ within the soil environment.

Using a freshwater green alga Chlorella pyrenoidosa to evaluate the biotoxicity of ionic liquids with different cations and anions

With the extensive use of ionic liquids (ILs) in various industrial fields, their potential toxicity to aquatic ecosystem has attracted considerable attention. In this work, biotoxicity of ILs with different cations and anions was evaluated by using a freshwater green alga Chlorella pyrenoidosa. Results showed that 1-butyl-3-methylimidazolium chloride ([C₄mim]Cl), 1-octyl-3-methylimidazolium chloride ([C₈mim]Cl), 1-octyl-3-methylimidazolium nitrate ([C₈mim]NO₃), 1-octyl-3-methylimidazolium tetrafluoroborate ([C₈mim]BF₄), and 1-dodecyl-3-methylimidazolium chloride ([C₁₂mim]Cl) had a significant inhibition on the algal growth with EC₅₀ values of 23.48, 4.72, 3.80, 4.44, and 0.10 mg L^-1 at the 72 h of exposure, respectively. These data suggested that the toxicity of ILs increased with the increase of side alkyl chain length, while anions had little influences on their toxicity to this alga. Moreover, changes in chlorophyll a content and chlorophyll fluorescence parameters (F_v/F_m and Φ_PSII) indicated that the five ILs could damage the photosynthetic system of this alga resulting in the decrease of photosynthetic efficiency. The increased soluble protein content and antioxidase activity could be considered as an active response mechanism of this alga against the exposure of ILs. Content of malondialdehyde (MDA) in this alga increased significantly when it was exposed to ILs, suggesting that reactive oxygen species (ROS) were accumulated in the algal cells, which would cause injury of the algal biofilm and chloroplast. Therefore, results obtained in this work would help to explain the possible underlying toxic mechanisms of ILs to C. pyrenoidosa, and provide a significant theoretical support for assessing the toxicity of ILs to aquatic organisms.

Norm index-based QSTR model to predict the eco-toxicity of ionic liquids towards Leukemia rat cell line

The evaluation of eco-toxicity of ionic liquids (ILs) in the aquatic environment is essential for their safe utilization and QSTR approach plays an important role in obtaining the eco-toxicity data of ILs with diverse structures. Usually, the descriptors used to build QSTR model were made up of anion and cation descriptors, and their interactions were often neglected to some extent. In this work, based on the optimization of the ILs structure, a new set of descriptors were proposed to describe the interaction between anions and cations, and some new atomic distribution matrices were constructed to calculate norm descriptors of ILs, anion and cation. A norm index-based QSTR model was built to predict the eco-toxicity of ILs toward Leukemia rat cell line (IPC-81). This model has satisfactory statistical results with the R² of 0.954 and RMSE of 0.241, respectively. Furthermore, leave-one-out cross-validation and applicability domain results showed good stability and predictability of this model. This approach showed that the interaction between cations and anions could be reflected by optimizing the whole structure of ILs which might play an important role for describing the eco-toxicity of ILs. Therefore, it is further suggested that the norm descriptors would be applicable to predict the eco-toxicity of ILs towards IPC-81.

Evaluation of the toxicity of 1-butyl-3-methyl imidazolium tetrafluoroborate using earthworms (Eisenia fetida) in two soils

Herein, to research the toxic effect of ionic liquids (ILs) on earthworms and compare their different toxicities in different soils, 1-butyl-3-methyl imidazolium tetrafluoroborate ([Bmim]BF₄) was selected as a test substance, Eisenia fetida was selected as the experimental indicator organism, and artificial and fluvo-aquic soils were selected as the media. The acute toxicity, reactive oxygen species (ROS) content, detoxification enzyme (GST) activity, anti-oxidant enzyme activities, lipid peroxidation oxidative and DNA damage in earthworms were all measured to evaluate the toxicity of [Bmim]BF₄. The results showed that either in fluvo-aquic soil or artificial soil, [Bmim]BF₄ can stimulate the accumulation of ROS in earthworms, inducing activities of antioxidant enzymes and detoxification enzymes, inevitably causing lipid peroxidation and DNA damage in earthworms. The integrated biomarker response (IBR) indicated that the toxicity of [Bmim]BF₄ in fluvo-aquic soil was greater than that in artificial soil. This experiment is relevant to the reliability of artificial soil toxicity research, and maybe this paper can provide a more authentic understanding of traditional toxicity experiments.

Oxidative stress and genotoxic effects in earthworms induced by five imidazolium bromide ionic liquids with different alkyl chains

In this study, the acute and subchronic toxicity of 1-alkyl-3-methyl imidazole bromide ionic liquids (ILs) [C_nmim]Br (n = 2, 4, 6, 10, 12) was evaluated utilizing earthworms (Eisenia fetida) as a basis for their impact on terrestrial ecosystems. The filter paper tests and artificial soil tests were conducted as acute toxicity tests to investigate the LC₅₀ of ILs, while in subchronic toxicity tests, earthworms were exposed to ILs in artificial soil (5, 10, 20 and 40 mg kg^-1) for 28 d. Reactive oxygen species (ROS), antioxidant enzymes, detoxifying enzymes and oxidative damage were measured to determine subchronic effects of ILs on E. fetida. The results showed that when the earthworms were exposed to these five ILs in acute toxicity experiments, [C₂mim]Br had the lowest toxicity, as the alkyl length increased, the toxicity increased up to [C₁₀mim]Br: a "cut-off effect" (decreased toxicity) was observed at [C₁₂mim]Br. The results highlight the varying toxicity of ILs with different alkyl chains to E. fetida and provide valuable data for detailing the impact of ILs on ecological receptors.

Novel Alkylimidazolium Ionic Liquids as an Antibacterial Alternative to Pathogens of the Skin and Soft Tissue Infections

Keeping in mind the concept of green chemistry, this research aims to synthesize and characterize new ionic liquids (ILs) derived from N-cinnamyl imidazole with different sizes of alkyl chains (1, 6, 8, and 10 carbon atoms), and evaluate their antibacterial activity against Skin and soft tissue infections (SSTIs) causative bacteria. The antibacterial screening was carried out by agar well diffusion and the Minimum Inhibitory Concentration (MIC) and Half Maximum Inhibitory Concentration (IC₅₀) of the different ILs were determined by microdilution in broth, also Molecular dynamics simulations were performed to study the interaction mechanism between ILs and membranes. The MIC value in Gram-positive bacteria showed that as the hydrocarbon chain increases, the MIC value decreases with a dose-dependent effect. Furthermore, Gram-negative bacteria showed high MIC values, which were also evidenced in the antibacterial screening. The molecular dynamics showed an incorporation of the ILs with the longer chain (10 C), corresponding to a passive diffusion towards the membrane surface, for its part, the ILs with the shorter chain due to its lack of hydrophobicity was not incorporated into the bilayer. Finally, the new ILs synthesized could be an alternative for the treatment of Gram-positive bacteria causative of SSTIs.