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Vieira-Neto A, Lean IJ, Santos JEP. Periparturient Mineral Metabolism: Implications to Health and Productivity. Animals (Basel) 2024; 14:1232. [PMID: 38672379 PMCID: PMC11047658 DOI: 10.3390/ani14081232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 04/02/2024] [Accepted: 04/08/2024] [Indexed: 04/28/2024] Open
Abstract
Mineral metabolism, in particular Ca, and to a lesser extent phosphorus (P) and magnesium (Mg), is altered with the onset of lactation because of extensive irreversible loss to synthesize colostrum and milk. The transient reduction in the concentration of Ca in blood, particularly when it lasts days, increases the risk of mineral-related disorders such as hypocalcemia and, to a lesser extent, hypophosphatemia. Although the incidence of clinical hypocalcemia can be reduced by prepartum dietary interventions, subclinical hypocalcemia remains prevalent, affecting up to 60% of the dairy cows in the first 3 d postpartum. More importantly, strong associations exist between hypocalcemia and increased susceptibility to other peripartum diseases and impaired reproductive performance. Mechanistic experiments have demonstrated the role of Ca on innate immune response in dairy cows, which presumably predisposes them to other diseases. Hypocalcemia is not related to inadequate Ca intake as prepartum diets marginal to deficient in Ca reduce the risk of the disease. Therefore, the understanding of how Ca homeostasis is regulated, in particular how calciotropic hormones such as parathyroid hormone and 1,25-dihydroxyvitamin D3, affect blood Ca concentrations, gastrointestinal Ca absorption, bone remodeling, and renal excretion of Ca become critical to develop novel strategies to prevent mineral imbalances either by nutritional or pharmacological interventions. A common method to reduce the risk of hypocalcemia is the manipulation of the prepartum dietary cation-anion difference. Feeding acidogenic diets not only improves Ca homeostasis and reduces hypocalcemia, but also reduces the risk of uterine diseases and improves productive performance. Feeding diets that induce a negative Ca balance in the last weeks of gestation also reduce the risk of clinical hypocalcemia, and recent work shows that the incorporation of mineral sequestering agents, presumably by reducing the absorption of P and Ca prepartum, increases blood Ca at calving, although benefits to production and health remain to be shown. Alternative strategies to minimize subclinical hypocalcemia with the use of vitamin D metabolites either fed prepartum or as a pharmacological agent administered immediately after calving have shown promising results in reducing hypocalcemia and altering immune cell function, which might prove efficacious to prevent diseases in early lactation. This review summarizes the current understanding of Ca homeostasis around parturition, the limited knowledge of the exact mechanisms for gastrointestinal Ca absorption in bovine, the implications of hypocalcemia on the health of dairy cows, and discusses the methods to minimize the risk of hypocalcemia and their impacts on productive performance and health in dairy cows.
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Affiliation(s)
- Achilles Vieira-Neto
- Department of Animal Sciences, University of Florida, Gainesville, FL 32611, USA;
| | - Ian J. Lean
- Scibus, Camden, NSW 2570, Australia;
- Faculty of Veterinary Science, The University of Sydney, Camden, NSW 2570, Australia
| | - José Eduardo P. Santos
- Department of Animal Sciences, University of Florida, Gainesville, FL 32611, USA;
- DH Barron Reproductive and Perinatal Biology Research Program, University of Florida, Gainesville, FL 32611, USA
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Opgenorth J, Abeyta MA, Goetz BM, Rodriguez-Jimenez S, Freestone AD, Rhoads RP, McMillan RP, McGill JL, Baumgard LH. Intramammary lipopolysaccharide challenge in early versus mid-lactation dairy cattle: immune, production, and metabolic responses. J Dairy Sci 2024:S0022-0302(24)00536-8. [PMID: 38460880 DOI: 10.3168/jds.2023-24488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 02/06/2024] [Indexed: 03/11/2024]
Abstract
Study objectives were to compare the immune response, metabolism and production following intramammary lipopolysaccharide (IMM LPS) administration in early and mid-lactation cows. Early (E-LPS; n = 11; 20 ± 4 d in milk [DIM]) and mid- (M-LPS; n = 10; 155 ± 40 DIM) lactation cows were enrolled in an experiment consisting of 2 periods (P). During P1 (5 d) cows were fed ad libitum and baseline data were collected, including liver and muscle biopsies. At the beginning of P2 (3 d) cows received 10 mL sterile saline containing 10 µg of LPS from Escherichia coli O111:B4/mL into the left rear quarter of the mammary gland, and liver and muscle biopsies were collected at 12 h post-LPS. Tissues were analyzed for metabolic flexibility, which measures substrate switching capacity from pyruvic acid to palmitic acid oxidation. Data were analyzed with the MIXED procedure in SAS 9.4. Rectal temperature was assessed hourly for the first 12 h post-LPS and every 6 h thereafter for the remainder of P2. All cows developed a febrile response following LPS, but E-LPS had a more intense fever than M-LPS cows (0.7°C at 5 h after LPS). Blood samples were collected at 0, 3, 6, 9, 12, 24, 36, 48, and 72 h post-LPS for analysis of systemic inflammation and metabolism parameters. Total serum Ca decreased after LPS (26% at 6 h nadir) but did not differ by lactation stage (LS). Circulating neutrophils decreased, then increased post-LPS in both LS, but E-LPS had exaggerated neutrophilia (56% from 12 to 48 h) compared with M-LPS. Haptoglobin increased after LPS (15-fold) but did not differ by LS. Many circulating cytokines were increased post-LPS, and IL-6, IL-10, TNF-α, MCP-1, and IP-10 were further augmented in E-LPS compared with M-LPS cows. Relative to P1, all cows had reduced milk yield (26%) and dry matter intake (DMI; 14%) on d 1 that did not differ by lactation stage (LS). Somatic cell score increased rapidly in response to LPS regardless of LS and gradually decreased from 18 h onwards. Milk component yields decreased after LPS. However, E-LPS had increased fat (11%) and tended to have increased lactose (8%) yield compared with M-LPS cows throughout P2. Circulating glucose was not affected by LPS. Nonesterified fatty acids (NEFA) decreased in E-LPS (29%) but not M-LPS cows. β-hydroxybutyrate (BHB) slightly increased (14%) over time post-LPS regardless of LS. Insulin increased after LPS in all cows, but E-LPS had blunted hyperinsulinemia (52%) compared with M-LPS cows. Blood urea nitrogen (BUN) increased after LPS and the relative change in BUN was elevated in E-LPS cows compared with M-LPS cows (36 and 13%, respectively, from 9 to 24 h). During P1, metabolic flexibility was increased in liver and muscle in early lactating cows compared with mid-lactation cows, but 12 h post-LPS, metabolic flexibility was reduced and did not differ by LS. In conclusion, IMM LPS caused severe immune activation and E-LPS cows had a more intense inflammatory response compared with M-LPS cows, but the effects on milk synthesis was similar between LS. Some parameters of the E-LPS metabolic profile suggest continuation of metabolic adjustments associated with early lactation to support both a robust immune system and milk synthesis.
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Affiliation(s)
- J Opgenorth
- Department of Animal Science, Iowa State University, Ames, Iowa, 50011
| | - M A Abeyta
- Department of Animal Science, Iowa State University, Ames, Iowa, 50011
| | - B M Goetz
- Department of Animal Science, Iowa State University, Ames, Iowa, 50011
| | | | - A D Freestone
- Department of Animal Science, Iowa State University, Ames, Iowa, 50011
| | - R P Rhoads
- School of Animal Sciences, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, 24060
| | - R P McMillan
- Department of Human Nutrition, Foods and Exercise, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, 24060
| | - J L McGill
- Department of Veterinary Microbiology and Preventative Medicine, Iowa State University, Ames, Iowa, 50011
| | - L H Baumgard
- Department of Animal Science, Iowa State University, Ames, Iowa, 50011.
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Khan MZ, Huang B, Kou X, Chen Y, Liang H, Ullah Q, Khan IM, Khan A, Chai W, Wang C. Enhancing bovine immune, antioxidant and anti-inflammatory responses with vitamins, rumen-protected amino acids, and trace minerals to prevent periparturient mastitis. Front Immunol 2024; 14:1290044. [PMID: 38259482 PMCID: PMC10800369 DOI: 10.3389/fimmu.2023.1290044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 12/05/2023] [Indexed: 01/24/2024] Open
Abstract
Mastitis, the inflammatory condition of mammary glands, has been closely associated with immune suppression and imbalances between antioxidants and free radicals in cattle. During the periparturient period, dairy cows experience negative energy balance (NEB) due to metabolic stress, leading to elevated oxidative stress and compromised immunity. The resulting abnormal regulation of reactive oxygen species (ROS) and reactive nitrogen species (RNS), along with increased non-esterified fatty acids (NEFA) and β-hydroxybutyric acid (BHBA) are the key factors associated with suppressed immunity thereby increases susceptibility of dairy cattle to infections, including mastitis. Metabolic diseases such as ketosis and hypocalcemia indirectly contribute to mastitis vulnerability, exacerbated by compromised immune function and exposure to physical injuries. Oxidative stress, arising from disrupted balance between ROS generation and antioxidant availability during pregnancy and calving, further contributes to mastitis susceptibility. Metabolic stress, marked by excessive lipid mobilization, exacerbates immune depression and oxidative stress. These factors collectively compromise animal health, productive efficiency, and udder health during periparturient phases. Numerous studies have investigated nutrition-based strategies to counter these challenges. Specifically, amino acids, trace minerals, and vitamins have emerged as crucial contributors to udder health. This review comprehensively examines their roles in promoting udder health during the periparturient phase. Trace minerals like copper, selenium, and calcium, as well as vitamins; have demonstrated significant impacts on immune regulation and antioxidant defense. Vitamin B12 and vitamin E have shown promise in improving metabolic function and reducing oxidative stress followed by enhanced immunity. Additionally, amino acids play a pivotal role in maintaining cellular oxidative balance through their involvement in vital biosynthesis pathways. In conclusion, addressing periparturient mastitis requires a holistic understanding of the interplay between metabolic stress, immune regulation, and oxidative balance. The supplementation of essential amino acids, trace minerals, and vitamins emerges as a promising avenue to enhance udder health and overall productivity during this critical phase. This comprehensive review underscores the potential of nutritional interventions in mitigating periparturient bovine mastitis and lays the foundation for future research in this domain.
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Affiliation(s)
- Muhammad Zahoor Khan
- Liaocheng Research Institute of Donkey High-efficiency Breeding and Ecological Feeding, Liaocheng University, Liaocheng, China
| | - Bingjian Huang
- Liaocheng Research Institute of Donkey High-efficiency Breeding and Ecological Feeding, Liaocheng University, Liaocheng, China
- College of Life Sciences, Liaocheng University, Liaocheng, China
| | - Xiyan Kou
- Liaocheng Research Institute of Donkey High-efficiency Breeding and Ecological Feeding, Liaocheng University, Liaocheng, China
| | - Yinghui Chen
- Liaocheng Research Institute of Donkey High-efficiency Breeding and Ecological Feeding, Liaocheng University, Liaocheng, China
| | - Huili Liang
- Liaocheng Research Institute of Donkey High-efficiency Breeding and Ecological Feeding, Liaocheng University, Liaocheng, China
| | - Qudrat Ullah
- Faculty of Veterinary and Animal Sciences, University of Agriculture, Dera Ismail Khan, Pakistan
| | | | - Adnan Khan
- Genome Analysis Laboratory of the Ministry of Agriculture, Agricultural Genomics Institute at Shenzhen, Chinese Academy of Agricultural Sciences, Shenzhen, China
| | - Wenqiong Chai
- Liaocheng Research Institute of Donkey High-efficiency Breeding and Ecological Feeding, Liaocheng University, Liaocheng, China
| | - Changfa Wang
- Liaocheng Research Institute of Donkey High-efficiency Breeding and Ecological Feeding, Liaocheng University, Liaocheng, China
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Deniz A, Metin M, Aksoy K, Pekmezci A. Validation of a blood gas device for ionized calcium analysis in Holstein cows. Vet Clin Pathol 2023. [PMID: 36849715 DOI: 10.1111/vcp.13233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 12/29/2022] [Accepted: 01/03/2023] [Indexed: 03/01/2023]
Abstract
BACKGROUND Accurate analysis of ionized calcium (iCa) is critical for the detection of hypocalcemia or subclinical hypocalcemia. The Edan i15 Vet (EDAN) blood gas device has not been validated for iCa in dairy cows. OBJECTIVES We aimed to validate the EDAN blood gas device against the Gem Premier 3000 (GEM) analyzer by measuring iCa concentrations and evaluating the ability of these measurements, compared with serum total calcium (TCa) concentrations, to diagnose subclinical hypocalcemia. METHODS iCa concentrations were measured with the EDAN and GEM devices, and serum TCa concentrations were measured with a wet biochemistry method with blood from 125 lactating Holstein cows between calving to day 27 postpartum. RESULTS Bland-Altman plots showed a mean and total bias of 0.05 and 0.24 mmol/L for the EDAN device, respectively. The intercept did not include zero, but the slope included 1.0 in the Passing-Bablok regression. The sensitivity and specificity (Se/Sp) of the EDAN device were 93/94%, 93/90%, 91/93%, and 85/95% for iCa cut-off values of <1.00, 1.05, 1.10, and 1.15 mmol/L, respectively, as determined with the GEM device. The Se/Sp were 57/82% and 72/80% for EDAN and 57/80% and 72/79% for GEM at serum TCa cut-off points <2.15 and <2.00 mmol/L, respectively. The average iCa concentrations analyzed with the GEM and EDAN devices were 1.04 ± 0.18 and 1.09 ± 0.17, respectively. CONCLUSIONS The EDAN device did not have satisfactory agreement with GEM and could not be used interchangeably, but it had satisfactory Se/Sp to diagnose subclinical hypocalcemia compared with the GEM-derived iCa cut-off points. Serum TCa concentration cut-off values were not suitable for diagnosing subclinical hypocalcemia because of unsatisfactory Se/Sp compared with iCa concentrations analyzed by the GEM and EDAN devices. The iCa values analyzed using the EDAN and GEM devices were consistent with previously reported data.
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Affiliation(s)
| | - Mert Metin
- Department of Biochemistry, Faculty of Veterinary Medicine Milas, University of Muğla Sıtkı Koçman, Muğla, Turkey
| | - Kemal Aksoy
- Department of Internal Medicine, Faculty of Veterinary Medicine Milas, University of Muğla Sıtkı Koçman, Muğla, Turkey
| | - Aytaç Pekmezci
- Department of Statistics, Faculty of Science, University of Muğla Sıtkı Koçman, Muğla, Turkey
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Nohara M, Hisaeda K, Ono T, Inoue Y, Ogawa K, Hata A, Sibano K, Nagahata H, Fujitani N. The relationships between environmental parameters in livestock pen and physiological parameters of Holstein dairy cows. J Vet Med Sci 2022; 84:964-977. [PMID: 35650166 PMCID: PMC9353096 DOI: 10.1292/jvms.22-0187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
There has been an increase in temperature and the incidence of extreme weather events, such as heat wave, due to global warming, which has promoted the incidence of livestock diseases.
Therefore, it is important to examine the effect of changes in environmental parameters on livestock performance. The aim of this study was to examine the relationship between ambient
environmental conditions in livestock pen and the physiological parameters of Holstein dairy cows. The results showed that there was a decrease in the red blood cell counts, hemoglobin
concentrations, and mean corpuscular hemoglobin concentration of the cows with increasing pen temperature, wet bulb globe temperature (WBGT), and temperature humidity index (THI).
Additionally, high daily variation in temperature caused a decrease in the serum albumin levels of the cows. Moreover, the lowest serum calcium, inorganic phosphorus, and magnesium
concentrations were observed in November, and were negatively correlated with the 24-hr temperature, WBGT, and THI range of the pen prior to sampling. Multiple regression analysis showed a
positive correlation between serum cortisol concentration and 24-hr WBGT range of the pen prior to samplings and packed cell volume. However, serum cortisol and total protein concentrations
were negatively correlated. Overall, the findings of the study suggest that large variation in temperature induced stress in the cows, which could be overcome by increased water consumption
and improved protein digestion and absorption by the animals, and the addition of minerals, such as calcium to the diet.
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Affiliation(s)
- Masakatsu Nohara
- Department of Veterinary Associated Science, Faculty of Veterinary Medicine, Okayama University of Science
| | - Keiichi Hisaeda
- Department of Veterinary Associated Science, Faculty of Veterinary Medicine, Okayama University of Science
| | - Tetsushi Ono
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, Okayama University of Science
| | - Yoichi Inoue
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, Okayama University of Science
| | - Kouji Ogawa
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, Okayama University of Science
| | - Akihisa Hata
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, Okayama University of Science
| | - Kenichi Sibano
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, Okayama University of Science
| | - Hajime Nagahata
- Department of Veterinary Associated Science, Faculty of Veterinary Medicine, Okayama University of Science
| | - Noboru Fujitani
- Department of Veterinary Associated Science, Faculty of Veterinary Medicine, Okayama University of Science
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Libera K, Konieczny K, Witkowska K, Żurek K, Szumacher-Strabel M, Cieslak A, Smulski S. The Association between Selected Dietary Minerals and Mastitis in Dairy Cows-A Review. Animals (Basel) 2021; 11:2330. [PMID: 34438787 PMCID: PMC8388399 DOI: 10.3390/ani11082330] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 07/31/2021] [Accepted: 08/04/2021] [Indexed: 12/17/2022] Open
Abstract
The aim of this paper is to describe the association between selected dietary minerals and mastitis in dairy cows. Minerals are a group of nutrients with a proven effect on production and reproductive performance. They also strongly affect immune system function. In particular their deficiencies may result in immunosuppression, which is a predisposing factor for udder inflammation occurrence. The role of selected dietary minerals (including calcium, phosphorus, magnesium, selenium, copper and zinc) has been reviewed. Generally, minerals form structural parts of the body; as cofactors of various enzymes they are involved in nerve signaling, muscle contraction and proper keratosis. Their deficiencies lead to reduced activity of immune cells or malfunction of teat innate defense mechanisms, which in turn promote the development of mastitis. Special attention was also paid to minerals applied as nanoparticles, which in the future may turn out to be an effective tool against animal diseases, including mastitis. To conclude, minerals are an important group of nutrients, which should be taken into account on dairy farms when aiming to achieve high udder health status.
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Affiliation(s)
- Kacper Libera
- Department of Preclinical Sciences and Infection Diseases, Poznan University of Life Sciences, Wołyńska 35, 60-637 Poznań, Poland; (K.L.); (K.W.); (K.Ż.)
| | - Kacper Konieczny
- Department of Internal Diseases and Diagnostics, Poznan University of Life Sciences, Wołyńska 35, 60-637 Poznań, Poland;
| | - Katarzyna Witkowska
- Department of Preclinical Sciences and Infection Diseases, Poznan University of Life Sciences, Wołyńska 35, 60-637 Poznań, Poland; (K.L.); (K.W.); (K.Ż.)
| | - Katarzyna Żurek
- Department of Preclinical Sciences and Infection Diseases, Poznan University of Life Sciences, Wołyńska 35, 60-637 Poznań, Poland; (K.L.); (K.W.); (K.Ż.)
| | - Małgorzata Szumacher-Strabel
- Department of Animal Nutrition, Poznan University of Life Sciences, Wołyńska 33, 60-637 Poznań, Poland; (M.S.-S.); (A.C.)
| | - Adam Cieslak
- Department of Animal Nutrition, Poznan University of Life Sciences, Wołyńska 33, 60-637 Poznań, Poland; (M.S.-S.); (A.C.)
| | - Sebastian Smulski
- Department of Internal Diseases and Diagnostics, Poznan University of Life Sciences, Wołyńska 35, 60-637 Poznań, Poland;
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Meier S, Arends D, Korkuć P, Neumann GB, Brockmann GA. A genome-wide association study for clinical mastitis in the dual-purpose German Black Pied cattle breed. J Dairy Sci 2020; 103:10289-10298. [PMID: 32921452 DOI: 10.3168/jds.2020-18209] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 06/29/2020] [Indexed: 12/26/2022]
Abstract
The dual-purpose German Black Pied Cattle (DSN) has become an endangered breed of approximately 2,550 registered cows in Germany. The breed is genetically related to Holstein-Friesian cattle because the old DSN breed contributed to the selection of the modern Holstein dairy cow. In dairy farms, breeders aim to improve animal health and well-being by reducing the number of mastitis cases, which would also reduce milk losses and treatment costs. On the genomic level, no markers associated with clinical mastitis have been reported in DSN. Therefore, we performed a genome-wide association study on 1,062 DSN cows using a univariate linear mixed model that included a relatedness matrix to correct for population stratification. Although the statistical power was limited by the small population size, 3 markers were significantly associated, and 2 additional markers showed a suggestive association with clinical mastitis. Those markers accounted for 1 to 3% of the variance of clinical mastitis in the examined DSN population. One marker was found in the intragenic region of NEURL1 on BTA26, and the other 4 markers in intergenic regions on BTA3, BTA6, and BTA9. Further analyses identified 23 positional candidate genes. Among them is BMPR1B, which has been previously associated with clinical mastitis in other dairy cattle breeds. The markers presented here can be used for selection for mastitis-resistant animals in the endangered DSN population, and can broadly contribute to a better understanding of mastitis determinants in dairy cattle breeds.
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Affiliation(s)
- Saskia Meier
- Albrecht Daniel Thaer-Institute for Agricultural and Horticultural Sciences, Animal Breeding Biology and Molecular Genetics, Humboldt-Universität zu Berlin, Invalidenstrasse 42, 10115 Berlin, Germany
| | - Danny Arends
- Albrecht Daniel Thaer-Institute for Agricultural and Horticultural Sciences, Animal Breeding Biology and Molecular Genetics, Humboldt-Universität zu Berlin, Invalidenstrasse 42, 10115 Berlin, Germany
| | - Paula Korkuć
- Albrecht Daniel Thaer-Institute for Agricultural and Horticultural Sciences, Animal Breeding Biology and Molecular Genetics, Humboldt-Universität zu Berlin, Invalidenstrasse 42, 10115 Berlin, Germany
| | - Guilherme B Neumann
- Albrecht Daniel Thaer-Institute for Agricultural and Horticultural Sciences, Animal Breeding Biology and Molecular Genetics, Humboldt-Universität zu Berlin, Invalidenstrasse 42, 10115 Berlin, Germany
| | - Gudrun A Brockmann
- Albrecht Daniel Thaer-Institute for Agricultural and Horticultural Sciences, Animal Breeding Biology and Molecular Genetics, Humboldt-Universität zu Berlin, Invalidenstrasse 42, 10115 Berlin, Germany.
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