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Iqbal MA, Hadlich F, Reyer H, Oster M, Trakooljul N, Murani E, Perdomo‐Sabogal A, Wimmers K, Ponsuksili S. RNA-Seq-based discovery of genetic variants and allele-specific expression of two layer lines and broiler chicken. Evol Appl 2023; 16:1135-1153. [PMID: 37360029 PMCID: PMC10286233 DOI: 10.1111/eva.13557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 04/21/2023] [Accepted: 04/22/2023] [Indexed: 06/28/2023] Open
Abstract
Recent advances in the selective breeding of broilers and layers have made poultry production one of the fastest-growing industries. In this study, a transcriptome variant calling approach from RNA-seq data was used to determine population diversity between broilers and layers. In total, 200 individuals were analyzed from three different chicken populations (Lohmann Brown (LB), n = 90), Lohmann Selected Leghorn (LSL, n = 89), and Broiler (BR, n = 21). The raw RNA-sequencing reads were pre-processed, quality control checked, mapped to the reference genome, and made compatible with Genome Analysis ToolKit for variant detection. Subsequently, pairwise fixation index (F ST) analysis was performed between broilers and layers. Numerous candidate genes were identified, that were associated with growth, development, metabolism, immunity, and other economically significant traits. Finally, allele-specific expression (ASE) analysis was performed in the gut mucosa of LB and LSL strains at 10, 16, 24, 30, and 60 weeks of age. At different ages, the two-layer strains showed significantly different allele-specific expressions in the gut mucosa, and changes in allelic imbalance were observed across the entire lifespan. Most ASE genes are involved in energy metabolism, including sirtuin signaling pathways, oxidative phosphorylation, and mitochondrial dysfunction. A high number of ASE genes were found during the peak of laying, which were particularly enriched in cholesterol biosynthesis. These findings indicate that genetic architecture as well as biological processes driving particular demands relate to metabolic and nutritional requirements during the laying period shape allelic heterogeneity. These processes are considerably affected by breeding and management, whereby elucidating allele-specific gene regulation is an essential step towards deciphering the genotype to phenotype map or functional diversity between the chicken populations. Additionally, we observed that several genes showing significant allelic imbalance also colocalized with the top 1% of genes identified by the FST approach, suggesting a fixation of genes in cis-regulatory elements.
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Affiliation(s)
| | - Frieder Hadlich
- Research Institute for Farm Animal BiologyInstitute of Genome BiologyDummerstorfGermany
| | - Henry Reyer
- Research Institute for Farm Animal BiologyInstitute of Genome BiologyDummerstorfGermany
| | - Michael Oster
- Research Institute for Farm Animal BiologyInstitute of Genome BiologyDummerstorfGermany
| | - Nares Trakooljul
- Research Institute for Farm Animal BiologyInstitute of Genome BiologyDummerstorfGermany
| | - Eduard Murani
- Research Institute for Farm Animal BiologyInstitute of Genome BiologyDummerstorfGermany
| | | | - Klaus Wimmers
- Research Institute for Farm Animal BiologyInstitute of Genome BiologyDummerstorfGermany
- Faculty of Agricultural and Environmental SciencesUniversity RostockRostockGermany
| | - Siriluck Ponsuksili
- Research Institute for Farm Animal BiologyInstitute of Genome BiologyDummerstorfGermany
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The Relationships between Damaging Behaviours and Health in Laying Hens. Animals (Basel) 2022; 12:ani12080986. [PMID: 35454233 PMCID: PMC9029779 DOI: 10.3390/ani12080986] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Revised: 04/01/2022] [Accepted: 04/04/2022] [Indexed: 01/23/2023] Open
Abstract
Simple Summary The design of housing systems and genetic selection of laying hens have in the past focused mainly on productivity, excluding issues around the animals’ behavioural needs and welfare. Because of inadequate housing conditions and especially a barren environment, behavioural disorders such as feather and body pecking, as well as cannibalism, occur in the modern layer industry. Since conventional cages for egg production were banned in the European Union in January 2012, alternative systems such as floor, aviary, free-range, and organic systems have become increasingly common and now concern over 50% of hens housed in Europe. Despite the many advantages that come with non-cage systems, the shift to a housing system where laying hens are kept in larger groups and more complex environments has given rise to new challenges related to management, health, and welfare. We have carried out a review showing the close relationships between damaging behaviours and health in modern husbandry systems for laying hens. Abstract Since the ban in January 2012 of conventional cages for egg production in the European Union (Council Directive 1999/74/EC), alternative systems such as floor, aviary, free-range, and organic systems have become increasingly common, reaching 50% of housing for hens in 2019. Despite the many advantages associated with non-cage systems, the shift to a housing system where laying hens are kept in larger groups and more complex environments has given rise to new challenges related to management, health, and welfare. This review examines the close relationships between damaging behaviours and health in modern husbandry systems for laying hens. These new housing conditions increase social interactions between animals. In cases of suboptimal rearing and/or housing and management conditions, damaging behaviour or infectious diseases are likely to spread to the whole flock. Additionally, health issues, and therefore stimulation of the immune system, may lead to the development of damaging behaviours, which in turn may result in impaired body conditions, leading to health and welfare issues. This raises the need to monitor both behaviour and health of laying hens in order to intervene as quickly as possible to preserve both the welfare and health of the animals.
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Iqbal MA, Reyer H, Oster M, Hadlich F, Trakooljul N, Perdomo-Sabogal A, Schmucker S, Stefanski V, Roth C, Camarinha Silva A, Huber K, Sommerfeld V, Rodehutscord M, Wimmers K, Ponsuksili S. Multi-Omics Reveals Different Strategies in the Immune and Metabolic Systems of High-Yielding Strains of Laying Hens. Front Genet 2022; 13:858232. [PMID: 35432452 PMCID: PMC9010826 DOI: 10.3389/fgene.2022.858232] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 03/10/2022] [Indexed: 01/22/2023] Open
Abstract
Lohmann Brown (LB) and Lohmann Selected Leghorn (LSL) are two commercially important laying hen strains due to their high egg production and excellent commercial suitability. The present study integrated multiple data sets along the genotype-phenotype map to better understand how the genetic background of the two strains influences their molecular pathways. In total, 71 individuals were analyzed (LB, n = 36; LSL, n = 35). Data sets include gut miRNA and mRNA transcriptome data, microbiota composition, immune cells, inositol phosphate metabolites, minerals, and hormones from different organs of the two hen strains. All complex data sets were pre-processed, normalized, and compatible with the mixOmics platform. The most discriminant features between two laying strains included 20 miRNAs, 20 mRNAs, 16 immune cells, 10 microbes, 11 phenotypic traits, and 16 metabolites. The expression of specific miRNAs and the abundance of immune cell types were related to the enrichment of immune pathways in the LSL strain. In contrast, more microbial taxa specific to the LB strain were identified, and the abundance of certain microbes strongly correlated with host gut transcripts enriched in immunological and metabolic pathways. Our findings indicate that both strains employ distinct inherent strategies to acquire and maintain their immune and metabolic systems under high-performance conditions. In addition, the study provides a new perspective on a view of the functional biodiversity that emerges during strain selection and contributes to the understanding of the role of host–gut interaction, including immune phenotype, microbiota, gut transcriptome, and metabolome.
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Affiliation(s)
- Muhammad Arsalan Iqbal
- Research Institute for Farm Animal Biology, Institute of Genome Biology, Dummerstorf, Germany
| | - Henry Reyer
- Research Institute for Farm Animal Biology, Institute of Genome Biology, Dummerstorf, Germany
| | - Michael Oster
- Research Institute for Farm Animal Biology, Institute of Genome Biology, Dummerstorf, Germany
| | - Frieder Hadlich
- Research Institute for Farm Animal Biology, Institute of Genome Biology, Dummerstorf, Germany
| | - Nares Trakooljul
- Research Institute for Farm Animal Biology, Institute of Genome Biology, Dummerstorf, Germany
| | - Alvaro Perdomo-Sabogal
- Research Institute for Farm Animal Biology, Institute of Genome Biology, Dummerstorf, Germany
| | - Sonja Schmucker
- University of Hohenheim, Institute of Animal Science, Stuttgart, Germany
| | - Volker Stefanski
- University of Hohenheim, Institute of Animal Science, Stuttgart, Germany
| | - Christoph Roth
- University of Hohenheim, Institute of Animal Science, Stuttgart, Germany
| | | | - Korinna Huber
- University of Hohenheim, Institute of Animal Science, Stuttgart, Germany
| | - Vera Sommerfeld
- University of Hohenheim, Institute of Animal Science, Stuttgart, Germany
| | | | - Klaus Wimmers
- Research Institute for Farm Animal Biology, Institute of Genome Biology, Dummerstorf, Germany
- University Rostock, Faculty of Agricultural and Environmental Sciences, Rostock, Germany
| | - Siriluck Ponsuksili
- Research Institute for Farm Animal Biology, Institute of Genome Biology, Dummerstorf, Germany
- *Correspondence: Siriluck Ponsuksili,
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Dietary phosphorus and calcium in feed affects miRNA profiles and their mRNA targets in jejunum of two strains of laying hens. Sci Rep 2021; 11:13534. [PMID: 34188134 PMCID: PMC8241840 DOI: 10.1038/s41598-021-92932-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 06/14/2021] [Indexed: 02/06/2023] Open
Abstract
Phosphorus (P) and calcium (Ca) are critical for egg production in laying hens. Most of P in plant-based poultry diet is bound as phytic acid and needs to be hydrolysed before absorption. To increase P bioavailability, exogenous phytases or bioavailable rock phosphate is added in feed. There is growing evidence of the importance of miRNAs as the epicentre of intestinal homeostasis and functional properties. Therefore, we demonstrated the expression of miRNA profiles and the corresponding target genes due to the different levels of P (recommended vs. 20% reduction) and/or Ca (recommended vs. 15% reduction) in feed. Jejunal miRNA profiles of Lohmann Selected Leghorn (LSL) and Lohmann Brown (LB) laying hens strains were used (n = 80). A total of 34 and 76 miRNAs were differentially expressed (DE) in the different diet groups within LSL and LB strains respectively. In LSL, the DE miRNAs and their targets were involved in calcium signaling pathway, inositol phosphate metabolism, and mitochondrial dysfunction. Similarly, in LB miRNAs targets were enriched in metabolic pathways such as glutathione metabolism, phosphonate metabolism and vitamin B6 metabolism. Our results suggest that both strains employ different intrinsic strategies to cope with modulated P and Ca supply and maintain mineral homeostasis.
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Ponsuksili S, Hadlich F, Reyer H, Oster M, Trakooljul N, Iqbal MA, Sommerfeld V, Rodehutscord M, Wimmers K. Genetic background and production periods shape the microRNA profiles of the gut in laying hens. Genomics 2021; 113:1790-1801. [PMID: 33848585 DOI: 10.1016/j.ygeno.2021.04.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Revised: 03/05/2021] [Accepted: 04/08/2021] [Indexed: 12/31/2022]
Abstract
There is growing evidence of the importance of miRNAs for intestinal functional properties and nutritional uptake. Comparative miRNAs profiles of the jejunal mucosa were established against two genetic backgrounds (Lohmann Brown-Classic (LB) and Lohmann LSL-Classic (LSL), which are similar in egg production but differ in physiological traits including mineral utilization, along the production periods of laying hens. The target genes of miRNAs higher expressed in LB vs. LSL (miR-126-3p, miR-214, miR-24-3p, miR-726-5p, miR-29b-3p) were enriched for energy pathways at all stages. The target genes of the miRNAs higher in LSL (miR-1788-5p, miR-103-3p, miR-22-5p, miR-221-3p, miR-375) were more enriched for immune and the bone signalling pathways. The most prominent expression differences were between 16 and 24 weeks of age before and after onset of laying. Our results evidence central roles of intestinal miRNAs as regulators of gene expression, influencing intestinal homeostasis and adaptation to environment in different strains and production phases.
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Affiliation(s)
- Siriluck Ponsuksili
- Leibniz Institute for Farm Animal Biology, Institute for Genome Biology, Wilhelm-Stahl-Allee 2, 18196 Dummerstorf, Germany.
| | - Frieder Hadlich
- Leibniz Institute for Farm Animal Biology, Institute for Genome Biology, Wilhelm-Stahl-Allee 2, 18196 Dummerstorf, Germany
| | - Henry Reyer
- Leibniz Institute for Farm Animal Biology, Institute for Genome Biology, Wilhelm-Stahl-Allee 2, 18196 Dummerstorf, Germany
| | - Michael Oster
- Leibniz Institute for Farm Animal Biology, Institute for Genome Biology, Wilhelm-Stahl-Allee 2, 18196 Dummerstorf, Germany
| | - Nares Trakooljul
- Leibniz Institute for Farm Animal Biology, Institute for Genome Biology, Wilhelm-Stahl-Allee 2, 18196 Dummerstorf, Germany
| | - Muhammad A Iqbal
- Leibniz Institute for Farm Animal Biology, Institute for Genome Biology, Wilhelm-Stahl-Allee 2, 18196 Dummerstorf, Germany
| | - Vera Sommerfeld
- University of Hohenheim, Institute of Animal Science, 70599 Stuttgart, Germany
| | - Markus Rodehutscord
- University of Hohenheim, Institute of Animal Science, 70599 Stuttgart, Germany
| | - Klaus Wimmers
- Leibniz Institute for Farm Animal Biology, Institute for Genome Biology, Wilhelm-Stahl-Allee 2, 18196 Dummerstorf, Germany; University Rostock, Faculty of Agricultural and Environmental Sciences, 18059 Rostock, Germany
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Ma J, Shi C, Liu Z, Han B, Guo L, Zhu L, Ye T. Hydrogen sulfide is a novel regulator implicated in glucocorticoids-inhibited bone formation. Aging (Albany NY) 2019; 11:7537-7552. [PMID: 31525733 PMCID: PMC6781995 DOI: 10.18632/aging.102269] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2019] [Accepted: 09/05/2019] [Indexed: 02/07/2023]
Abstract
Glucocorticoids contribute to the increased incidence of secondary osteoporosis. Hydrogen sulfide (H2S) is a gasotransmitter and plays an essential role in bone metabolism. In this study, we investigated the therapeutic effects of H2S on glucocorticoid-induced osteoporosis (GIO). We found that dexamethasone (Dex) decreased serum H2S and two key H2S-generating enzymes in the bone marrow in vivo, cystathione b-synthase and cystathione g-lyase. Treatment of H2S-donor GYY4137 in rat significantly relieved the inhibitory effect of Dex on bone formation. Dex inhibited osteoblasts proliferation and osteogenic differentiation and decreased the expressions of the two H2S-generating enzymes. Further investigation showed that H2S was involved in Dex-mediated osteoblasts proliferation, differentiation, and apoptosis. Mechanistically, GYY4137 promoted osteoblastogenesis by activating Wnt signaling through increased production of the Wnt ligands. In comparison, the blockage of Wnt/β-catenin signaling pathway significantly alleviated the effect of H2S on osteoblasts. In conclusion, the restoration of H2S levels is a potential novel therapeutic approach for GIO.
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Affiliation(s)
- Jun Ma
- Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.,Department of Orthopedic Surgery, The 72nd Military Hospital of PLA, Huzhou, China
| | - Changgui Shi
- Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China
| | - Zhongyang Liu
- Department of Orthopedic Surgery, Chinese PLA General Hospital, Beijing, China
| | - Bin Han
- Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China
| | - Lei Guo
- Shanghai Key Laboratory for Bone and Joint Diseases, Shanghai Institute of Orthopaedics and Traumatology, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Lei Zhu
- Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China
| | - Tianwen Ye
- Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China
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van der Eijk JAJ, Verwoolde MB, de Vries Reilingh G, Jansen CA, Rodenburg TB, Lammers A. Chicken lines divergently selected on feather pecking differ in immune characteristics. Physiol Behav 2019; 212:112680. [PMID: 31518579 DOI: 10.1016/j.physbeh.2019.112680] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 07/19/2019] [Accepted: 09/09/2019] [Indexed: 12/13/2022]
Abstract
It is crucial to identify whether relations between immune characteristics and damaging behaviors in production animals exist, as these behaviors reduce animal welfare and productivity. Feather pecking (FP) is a damaging behavior in chickens, which involves hens pecking and pulling at feathers of conspecifics. To further identify relationships between the immune system and FP we characterized high FP (HFP) and low FP (LFP) selection lines with regard to nitric oxide (NO) production by monocytes, specific antibody (SpAb) titers, natural (auto)antibody (N(A)Ab) titers and immune cell subsets. NO production by monocytes was measured as indicator for innate pro-inflammatory immune functioning, SpAb titers were measured as part of the adaptive immune system and N(A)Ab titers were measured as they play an essential role in both innate and adaptive immunity. Immune cell subsets were measured to identify whether differences in immune characteristics were reflected by differences in the relative abundance of immune cell subsets. Divergent selection on FP affected NO production by monocytes, SpAb and N(A)Ab titers, but did not affect immune cell subsets. The HFP line showed higher NO production by monocytes and higher IgG N(A)Ab titers compared to the LFP line. Furthermore the HFP line tended to have lower IgM NAAb titers, but higher IgM and IgG SpAb titers compared to the LFP line. Thus, divergent selection on FP affects the innate and adaptive immune system, where the HFP line seems to have a more responsive immune system compared to the LFP line. Although causation cannot be established in the present study, it is clear that relationships between the immune system and FP exist. Therefore, it is important to take these relationships into account when selecting on behavioral or immunological traits.
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Affiliation(s)
- Jerine A J van der Eijk
- Behavioural Ecology Group, Department of Animal Sciences, Wageningen University and Research, Wageningen, the Netherlands; Adaptation Physiology Group, Department of Animal Sciences, Wageningen University and Research, Wageningen, the Netherlands.
| | - Michel B Verwoolde
- Adaptation Physiology Group, Department of Animal Sciences, Wageningen University and Research, Wageningen, the Netherlands; Animal Nutrition Group, Department of Animal Sciences, Wageningen University and Research, Wageningen, the Netherlands
| | - Ger de Vries Reilingh
- Adaptation Physiology Group, Department of Animal Sciences, Wageningen University and Research, Wageningen, the Netherlands
| | - Christine A Jansen
- Avian Immunology Group, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
| | - T Bas Rodenburg
- Behavioural Ecology Group, Department of Animal Sciences, Wageningen University and Research, Wageningen, the Netherlands; Adaptation Physiology Group, Department of Animal Sciences, Wageningen University and Research, Wageningen, the Netherlands; Department of Animals in Science and Society, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
| | - Aart Lammers
- Adaptation Physiology Group, Department of Animal Sciences, Wageningen University and Research, Wageningen, the Netherlands
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Lv M, Liu Y, Xiao TH, Jiang W, Lin BW, Zhang XM, Lin YM, Xu ZS. GYY4137 stimulates osteoblastic cell proliferation and differentiation via an ERK1/2-dependent anti-oxidant mechanism. Am J Transl Res 2017; 9:1183-1192. [PMID: 28386344 PMCID: PMC5376009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Accepted: 01/16/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE Oxidative stress plays a critical role in the development of osteoporosis. Hydrogen sulfide (H2S), produces anti-oxidant effect in various biological systems. The present study found that GYY4137, a slow H2S releasing compound, stimulated both mRNA level and activity of alkaline phosphatase, the marker of osteoblast differentiation. This research aims to explore the mechanism on how GYY4137 stimulates osteoblastic cell proliferation and differentiation via an ERK1/2-dependent anti-oxidant approach. METHODS The MC3T3-E1 osteoblast-like cell line was cultured in plate. After pretreatment with GYY4137 (100 µM) for 30 min, the cells were washed twice with PBS solution and then incubated in freshly prepared low serum medium containing 400 μM H2O2 for 4 h. Cells viability was evaluated with the MTT. Cell apoptosis was evaluated by the Hoechst 33342. Then, ALP activity, NO and the superoxide dismutase (SOD) activity is determined by assay kit accordingly, ALP mRNA is identified by RT-PCR. ERK1/2 was analyzed by Western blot. The ROS production was measured with a fluorescence reader. All data was analyzed by SPSS 16.0. RESULTS We found in the present study that GYY4137, a slow H2S releasing compound, stimulated both mRNA level and activity of alkaline phosphatase, the marker of osteoblast differentiation. RT-PCR shows that GYY4137 stimulated the transcriptional levels of Runx2, a key transcription factor associated with osteoblast differentiation. These data suggest that GYY4137 may stimulate osteoblastic cell proliferation and differentiation. Moreover, GYY4137, which alone at 1-1000 µM had no significant effect, protected MC3T3-E1 osteoblastic cells against hydrogen peroxide (H2O2)-induced cell death and apoptosis. This was mediated by its anti-oxidant effect, as GYY4137 reversed the reduced superoxide dismutase activity and the elevated productions of reactive oxygen species and nitric oxide in the osteoblastic cells treated with H2O2. Western blotting analysis showed that the protective effects of GYY4137 were mediated by suppression of ERK1/2. CONCLUSIONS GYY4137 stimulates osteoblastic cell proliferation and bone differentiation via an ERK1/2-dependent anti-oxidant mechanism. Our findings suggest that GYY4137 may have a potentially therapeutic value for osteoporosis.
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Affiliation(s)
- Meng Lv
- Department of Orthopaedics, 2nd Clinical Medical College of Jinan University (Shenzhen People's Hospital) Shenzhen 518020, China
| | - Yang Liu
- Department of Orthopaedics, 2nd Clinical Medical College of Jinan University (Shenzhen People's Hospital) Shenzhen 518020, China
| | - Ting-Hui Xiao
- Department of Orthopaedics, 2nd Clinical Medical College of Jinan University (Shenzhen People's Hospital) Shenzhen 518020, China
| | - Wei Jiang
- Department of Orthopaedics, 2nd Clinical Medical College of Jinan University (Shenzhen People's Hospital) Shenzhen 518020, China
| | - Bo-Wen Lin
- Department of Orthopaedics, 2nd Clinical Medical College of Jinan University (Shenzhen People's Hospital) Shenzhen 518020, China
| | - Xiao-Ming Zhang
- Department of Orthopaedics, 2nd Clinical Medical College of Jinan University (Shenzhen People's Hospital) Shenzhen 518020, China
| | - Yi-Miao Lin
- Department of Orthopaedics, 2nd Clinical Medical College of Jinan University (Shenzhen People's Hospital) Shenzhen 518020, China
| | - Zhong-Shi Xu
- Department of Orthopaedics, 2nd Clinical Medical College of Jinan University (Shenzhen People's Hospital) Shenzhen 518020, China
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