1
|
Fathima S, Al Hakeem WG, Selvaraj RK, Shanmugasundaram R. Beyond protein synthesis: the emerging role of arginine in poultry nutrition and host-microbe interactions. Front Physiol 2024; 14:1326809. [PMID: 38235383 PMCID: PMC10791986 DOI: 10.3389/fphys.2023.1326809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 12/06/2023] [Indexed: 01/19/2024] Open
Abstract
Arginine is a functional amino acid essential for various physiological processes in poultry. The dietary essentiality of arginine in poultry stems from the absence of the enzyme carbamoyl phosphate synthase-I. The specific requirement for arginine in poultry varies based on several factors, such as age, dietary factors, and physiological status. Additionally, arginine absorption and utilization are also influenced by the presence of antagonists. However, dietary interventions can mitigate the effect of these factors affecting arginine utilization. In poultry, arginine is utilized by four enzymes, namely, inducible nitric oxide synthase arginase, arginine decarboxylase and arginine: glycine amidinotransferase (AGAT). The intermediates and products of arginine metabolism by these enzymes mediate the different physiological functions of arginine in poultry. The most studied function of arginine in humans, as well as poultry, is its role in immune response. Arginine exerts immunomodulatory functions primarily through the metabolites nitric oxide (NO), ornithine, citrulline, and polyamines, which take part in inflammation or the resolution of inflammation. These properties of arginine and arginine metabolites potentiate its use as a nutraceutical to prevent the incidence of enteric diseases in poultry. Furthermore, arginine is utilized by the poultry gut microbiota, the metabolites of which might have important implications for gut microbial composition, immune regulation, metabolism, and overall host health. This comprehensive review provides insights into the multifaceted roles of arginine and arginine metabolites in poultry nutrition and wellbeing, with particular emphasis on the potential of arginine in immune regulation and microbial homeostasis in poultry.
Collapse
Affiliation(s)
- Shahna Fathima
- Department of Poultry Science, University of Georgia, Athens, GA, United States
| | | | - Ramesh K. Selvaraj
- Department of Poultry Science, University of Georgia, Athens, GA, United States
| | | |
Collapse
|
2
|
Oliveira CH, Dias KM, Bernardes RD, Diana TF, Rodrigueiro RJ, Calderano AA, Albino LF. The effects of arginine supplementation through different ratios of arginine:lysine on performance, skin quality and creatine levels of broiler chickens fed diets reduced in protein content. Poult Sci 2022; 101:102148. [PMID: 36152435 PMCID: PMC9508590 DOI: 10.1016/j.psj.2022.102148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 08/03/2022] [Accepted: 08/19/2022] [Indexed: 12/29/2022] Open
Abstract
Two trials were carried out to assess the effects of arginine supplementation through ratios of digestible arginine:lysine on growth performance, skin quality and creatine levels in muscle and serum of broiler chickens fed diets reduced in protein content. A total of 1,540 Cobb500 male chickens were distributed into 7 treatments, with 10 replicates with 22 birds each. The experimental diets were based on corn and soybean meal, and a control diet was formulated to satisfy broiler nutritional requirements. A basal diet with reduced protein content was formulated to meet broiler nutritional requirements, except for SID Arg levels. The experimental diets were obtained by adding L-arginine to basal diets, meeting 6 different SID Arg:Lys ratios (94, 100, 106, 112, 118, and 124%). Body weight, body weight gain, average daily feed intake, and feed conversion ratio were evaluated from 01 to 21 d old (trial 1) and from 22 to 44 d old (trial 2). At 21 and 44 d, in trials 1 and 2, respectively, birds were slaughtered to assess skin thickness (ST), skin strength (SS), creatine level in muscle (CRM) and serum (CRS). Data were subjected to ANOVA, and treatments were compared to the control group by Dunnett's test (P ≤ 0.05). Regression analyses were performed to model the variables assessed and the ratios of SID Arg:Lys. The SID Arg:Lys ratios did not affect ADFI of broilers in both trials (P > 0.05), whereas it linearly increased the BW, BWG, and ST, in both trials (P < 0.001). The FCR of broilers linearly decreased, in trial 1 (P = 0.038) and trial 2 (P < 0.001). The CRM of birds had a linear effect (P < 0.001) in trial 1, and a quadratic effect (P = 0.001) in trial 2. The CRS and SS of broilers linearly increased, in trial 2 (P < 0.001). In conclusion, increasing SID Arg:Lys ratios in diets reduced CP enhanced growth performance, skin quality and CR levels in muscle and serum of broiler chickens from 01 to 21 and 22 to 44 d old.
Collapse
Affiliation(s)
- Carlos H. Oliveira
- Department of Animal Science, Universidade Federal de Viçosa, 36570-900, Viçosa - MG, Brazil,Corresponding author:
| | - Kelly M.M. Dias
- Department of Animal Science, Universidade Federal de Viçosa, 36570-900, Viçosa - MG, Brazil
| | - Romário D. Bernardes
- Department of Animal Science, Universidade Federal de Viçosa, 36570-900, Viçosa - MG, Brazil
| | - Thiago F. Diana
- Department of Animal Science, Universidade Federal de Viçosa, 36570-900, Viçosa - MG, Brazil
| | | | - Arele A. Calderano
- Department of Animal Science, Universidade Federal de Viçosa, 36570-900, Viçosa - MG, Brazil
| | - Luiz F.T. Albino
- Department of Animal Science, Universidade Federal de Viçosa, 36570-900, Viçosa - MG, Brazil
| |
Collapse
|
3
|
Dao HT, Sharma NK, Bradbury EJ, Swick RA. Effects of L-arginine and L-citrulline supplementation in reduced protein diets for broilers under normal and cyclic warm temperature. ANIMAL NUTRITION (ZHONGGUO XU MU SHOU YI XUE HUI) 2021; 7:927-938. [PMID: 34703910 PMCID: PMC8526778 DOI: 10.1016/j.aninu.2020.12.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 12/09/2020] [Accepted: 12/16/2020] [Indexed: 01/13/2023]
Abstract
Heat stress causes significant economic losses in the broiler industry. Dietary supplementation of arginine (Arg) and citrulline (Cit) might increase the performance of broilers raised under warm temperature due to vasodilation effects. This study investigated the effects of L-Arg or L-Cit supplementation in broilers fed a reduced protein wheat-based diet deficient in Arg under thermoneutral (NT) and cyclic warm temperature (WT). Ross 308 cockerels (n = 720) were randomly allocated to 4 dietary treatments with 12 replicates of 15 birds per pen from d 7 to 21. The 4 treatments were: normal protein (NP), i.e., 22.3% and 20.9% crude protein in grower and finisher, respectively; reduced protein (RP), i.e., 2.5% lower protein and deficient in Arg; and RP supplemented with 0.28% Arg (RP-Arg) or 0.28% Cit (RP-Cit). A factorial arrangement of treatments was applied during the finisher phase (21 to 35 d). Factors were: diet (4 diets above); and temperature, NT (24 °C) or cyclic WT (33 ± 1 °C for 6 h per day) with 6 replicate pens per treatment. During 7 to 35 d and 21 to 35 d, the birds fed the RP diet had lower body weight gain (BWG) and higher FCR compared to the NP diet (P < 0.01). The addition of Arg or Cit to RP decreased FCR compared to RP (P < 0.01). During 21 to 35 d, the birds exposed to WT had lower feed intake (FI), lower BWG (P < 0.001) but similar FCR (P > 0.05) compared to birds exposed to NT. Diet by temperature interactions were not observed for performance parameters during the period of WT (P > 0.05). On d 35, the RP-fed birds had a lower yield of thigh and drumstick, higher fat pad, lower femur ash, and breaking strength but similar serum uric acid level and higher nitrogen digestibility on d 21 compared to those offered NP (P < 0.05). Supplementation of Arg or Cit to RP resulted in increased femur ash on d 35 (P < 0.05). Thus, feeding the NP diets is necessary to maintain growth performance in broilers regardless of the temperature conditions.
Collapse
Affiliation(s)
- Hiep Thi Dao
- School of Environmental and Rural Science, Faculty of Science, Agriculture, Business and Law, University of New England, Armidale, Australia
- Faculty of Animal Science, Vietnam National University of Agriculture, Trau Quy Town, Gia Lam District, Hanoi, Viet Nam
| | - Nishchal K. Sharma
- School of Environmental and Rural Science, Faculty of Science, Agriculture, Business and Law, University of New England, Armidale, Australia
| | | | - Robert A. Swick
- School of Environmental and Rural Science, Faculty of Science, Agriculture, Business and Law, University of New England, Armidale, Australia
| |
Collapse
|
4
|
Dao HT, Swick RA. New insights into arginine and arginine-sparing effects of guanidinoacetic acid and citrulline in broiler diets. WORLD POULTRY SCI J 2021. [DOI: 10.1080/00439339.2021.1967708] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Hiep Thi Dao
- School of Environmental and Rural Science, Faculty of Science, Agriculture, Business and Law, University of New England, Armidale, New South Wales, Australia
- Faculty of Animal Science, Vietnam National University of Agriculture, Hanoi, Vietnam
| | - Robert A. Swick
- School of Environmental and Rural Science, Faculty of Science, Agriculture, Business and Law, University of New England, Armidale, New South Wales, Australia
- Poultry Hub Australia, University of New England, Armidale, New South Wales, Australia
| |
Collapse
|
5
|
Performance, Carcass Yield, Muscle Amino Acid Profile, and Levels of Brain Neurotransmitters in Aged Laying Hens Fed Diets Supplemented with Guanidinoacetic Acid. Animals (Basel) 2021; 11:ani11113091. [PMID: 34827823 PMCID: PMC8614553 DOI: 10.3390/ani11113091] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 10/26/2021] [Indexed: 01/02/2023] Open
Abstract
Guanidinoacetic acid (GA) is a natural precursor of creatine in the body and is usually used to improve the feed conversion and cellular energy metabolism of broiler chickens. The objective was to elucidate the effect of dietary supplementation of GA on carcass yield, muscle amino acid profile, and concentrations of brain neurotransmitters in laying hens. In total, 128 72-week-old ISA Brown laying hens were assigned to four equal groups (32 birds, eight replicates per group). The control group (T1) was fed a basal diet with no supplements, while the other experimental groups were fed a basal diet supplemented with 0.5 (T2), 1.0 (T3), and 1.5 (T4) g GA kg-1 diet. The T3 and T4 groups showed higher hen-day egg production and carcass yield compared to the control group (p = 0.016 and 0.039, respectively). The serum creatine level increased linearly with the increased level of dietary GA (p = 0.007). Among the essential amino acids of breast muscle, a GA-supplemented diet linearly increased the levels of leucine, isoleucine, phenylalanine, methionine, and threonine in the breast (p = 0.003, 0.047, 0.001, 0.001, and 0.015, respectively) and thigh (p = 0.026, 0.001, 0.020, 0.009, and 0.028, respectively) muscles. GA supplementation linearly reduced the level of brain serotonin compared to the control group (p = 0.010). Furthermore, supplementation of GA in the diet of laying hens linearly increased the level of brain dopamine (p = 0.011), but reduced the level of brain Gamma-aminobutyric acid (p = 0.027). Meanwhile, the concentration of brain nitric oxide did not differ between the experimental groups (p = 0.080). In conclusion, the dietary supplementation of GA may improve the carcass yield and levels of essential amino acids in the breast muscles, as well as the brain neurotransmitters in aged laying hens.
Collapse
|
6
|
de Souza C, Eyng C, Viott A, de Avila A, Pacheco W, Junior N, Kohler T, Tenorio K, Cirilo E, Nunes R. Effect of dietary guanidinoacetic acid or nucleotides supplementation on growth performances, carcass traits, meat quality and occurrence of myopathies in broilers. Livest Sci 2021. [DOI: 10.1016/j.livsci.2021.104659] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
|
7
|
Dao HT, Sharma NK, Bradbury EJ, Swick RA. Response of meat chickens to different sources of arginine in low-protein diets. J Anim Physiol Anim Nutr (Berl) 2021; 105:731-746. [PMID: 33410556 DOI: 10.1111/jpn.13486] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 11/15/2020] [Accepted: 11/17/2020] [Indexed: 12/14/2022]
Abstract
Arginine activity in broiler diets can be supplied by L-arginine (Arg), guanidinoacetic acid (GAA) and L-citrulline (Cit), all of which are commercially available. This study was conducted to assess the effects of Arg source and level on broiler performance, nutrient digestibility and carcass parameters. Day-old Ross 308 cockerels (n = 768) were assigned to one of eight dietary treatments using a completely randomized design: normal protein (NP), low protein deficient in Arg (LP) and LP with two levels of either Arg (0.238% and 0.476%), GAA (0.309% and 0.618%) or Cit (0.238 and 0.476%). The LP was 5 percentage points lower in protein level than the NP. Wheat, sorghum, soya bean meal, canola meal, and meat and bone meal-based diets were fed over three feeding phases to 6 replicate floor pens with 16 birds each. Compared to NP, birds fed LP had reduced feed intake (FI, p < 0.001), reduced body weight gain (BWG, p < 0.001) and increased feed conversion ratio (FCR, p < 0.001) from day 0 to day 35. Additions of Arg or Cit to the LP at both levels resulted in increased BWG and reduced FCR (p < 0.05). Birds fed LP with GAA added had lower FCR (p < 0.05) but not higher BWG (p > 0.05) compared with the LP observed from day 0 to day 35. Supplementation of Arg, Cit and the low level of GAA to LP resulted in increased carcass yield, bone length, diameter and ash (p < 0.05) but did not increase ileal energy or nitrogen digestibility (p > 0.05). The findings indicate that Cit is an efficacious source of Arg activity in Arg-deficient diets.
Collapse
Affiliation(s)
- Hiep T Dao
- Faculty of Science, Agriculture, Business and Law, School of Environmental and Rural Science, University of New England, Armidale, New South Wales, Australia
| | - Nishchal K Sharma
- Faculty of Science, Agriculture, Business and Law, School of Environmental and Rural Science, University of New England, Armidale, New South Wales, Australia
| | | | - Robert A Swick
- Faculty of Science, Agriculture, Business and Law, School of Environmental and Rural Science, University of New England, Armidale, New South Wales, Australia
| |
Collapse
|
8
|
Khajali F, Lemme A, Rademacher-Heilshorn M. Guanidinoacetic acid as a feed supplement for poultry. WORLD POULTRY SCI J 2020. [DOI: 10.1080/00439339.2020.1716651] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- F. Khajali
- Department of Animal Science, Shahrekord University, Shahrekord, Iran
| | - A. Lemme
- Evonik Nutrition & Care GmbH, Hanau, Germany
| | | |
Collapse
|
9
|
Aziza A, Mahmoud R, Zahran E, Gadalla H. Dietary supplementation of guanidinoacetic acid improves growth, biochemical parameters, antioxidant capacity and cytokine responses in Nile tilapia (Oreochromis niloticus). FISH & SHELLFISH IMMUNOLOGY 2020; 97:367-374. [PMID: 31866449 DOI: 10.1016/j.fsi.2019.12.052] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 12/14/2019] [Accepted: 12/17/2019] [Indexed: 06/10/2023]
Abstract
A total of 180 unsexed Nile Tilapia fish (initial weight, 21 g) fed isonitrogenous (32%), isocaloric (3000 kcal/kg) diets containing different levels of guanidinoacetic acid (GAA) at levels of (GAA1, 0.06%, GAA2, 0.12%, GAA3, 0.18%); for 60 days. Results showed higher final body weight (FBW) and body weight gain (BWG) in groups supplemented with different levels of GAA. Specific growth rate (SGR) was the highest in groups supplemented with 0.12% and 0.18% GAA. Lipid % of whole-body composition was higher in all groups excluding GAA3 group. Serum creatine kinase (CK) activity, cholesterol, and creatinine levels showed a marked significant (P < 0.05) increase in all GAA supplemented groups compared to the control one. Triglycerides level demonstrated a higher elevation (P < 0.05) in both GAA2 and GAA3 supplemented groups. No significant observed in total protein, albumin, globulin, and A/G ratio. Lipid peroxidation marker (malondialdehyde/MDA) is markedly decreased along with a significant increase of superoxide dismutase (SOD), reduced glutathione (GSH), and nitric oxide (NO) levels in both GAA2 and GAA3 compared to other groups. Similarly, interleukin 1β (IL-1β) and tumor necrosis factor (TNF-α) gene expression levels were downregulated along with upregulation of transforming growth factor β1 (TGF-β1) at higher GAA levels, particularly at 0.18%. Our findings give important insights for the growth promoting, antioxidant and immunomodulatory effects of GAA supplemented diet particularly at level of 0.18%.
Collapse
Affiliation(s)
- Abeer Aziza
- Department of Nutrition and Nutritional Deficiency Diseases, Faculty of Veterinary Medicine, Mansoura University, Mansoura, 35516, Egypt
| | - Rania Mahmoud
- Department of Nutrition and Nutritional Deficiency Diseases, Faculty of Veterinary Medicine, Mansoura University, Mansoura, 35516, Egypt
| | - Eman Zahran
- Department of Internal Medicine, Infectious and Fish Diseases, Faculty of Veterinary Medicine, Mansoura University, Mansoura, 35516, Egypt.
| | - Hossam Gadalla
- Clinical Pathology Department, Faculty of Veterinary Medicine, Mansoura University, Mansoura, 35516, Egypt
| |
Collapse
|
10
|
Kheiri F, Landy N. Growth Performance, Intestinal Morphology, Serum Biochemical and Hematological Parameters in Japanese quail (Coturnix japonica) Fed Supplemental L-Arginine. BRAZILIAN JOURNAL OF POULTRY SCIENCE 2020. [DOI: 10.1590/1806-9061-2019-1200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
| | - N Landy
- Islamic Azad University, Iran
| |
Collapse
|
11
|
Ale Saheb Fosoul SS, Azarfar A, Gheisari A, Khosravinia H. Performance and physiological responses of broiler chickens to supplemental guanidinoacetic acid in arginine-deficient diets. Br Poult Sci 2019; 60:161-168. [DOI: 10.1080/00071668.2018.1562156] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- S. S. Ale Saheb Fosoul
- Department of Animal Sciences, Agriculture Faculty, Lorestan University, Khoramabad, Iran
| | - A. Azarfar
- Department of Animal Sciences, Agriculture Faculty, Lorestan University, Khoramabad, Iran
| | - A. Gheisari
- Animal Science Research Department, Isfahan Agricultural and Natural Resources Research and Education Center, AREEO, Isfahan, Iran
| | - H. Khosravinia
- Department of Animal Sciences, Agriculture Faculty, Lorestan University, Khoramabad, Iran
| |
Collapse
|
12
|
Majdeddin M, Golian A, Kermanshahi H, De Smet S, Michiels J. Guanidinoacetic acid supplementation in broiler chickens fed on corn-soybean diets affects performance in the finisher period and energy metabolites in breast muscle independent of diet nutrient density. Br Poult Sci 2018; 59:443-451. [PMID: 29756995 DOI: 10.1080/00071668.2018.1476678] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2018] [Accepted: 02/16/2018] [Indexed: 10/16/2022]
Abstract
(1) Guanidinoacetic acid (GAA) is the single immediate endogenous precursor of creatine (Cr). It was hypothesised that dietary GAA would have different effects on performance and energy metabolites in breast muscle depending on the nutrient density (ND) of corn-soybean-based diets. (2) A total of 540 one-day-old male Ross 308 broilers were allocated to 9 dietary treatments with 6 replicates (10 birds each) in a 3 × 3 factorial arrangement with three levels of ND (low, 2800; medium, 2950 and high, 3100 kcal metabolizable energy (ME)/kg; and with the other nutrients being constant relative to ME) and supplemented with three levels of GAA (0, 0.6 and 1.2 g/kg) in a 42-d feeding trial. (3) In the starter and grower periods, increasing levels of ND improved body weight (BW), average daily gain (ADG), average daily feed intake (ADFI) and feed conversion ratio (FCR), with the exception of ADFI in the starter period. GAA supplementation did not affect performance characteristics. All performance indicators responded markedly to increasing ND in the finisher period, whereas the highest GAA level reduced ADFI compared to the unsupplemented control (156 vs. 162 g/d) and concomitantly FCR (1.81 vs. 1.93). No interactive effects were noted for any performance trait. The high ND diet resulted in more breast meat yield on d42, associated with higher fat content and darker colour compared to the other ND levels. The GAA supplementation did not affect carcass and breast traits. At the end of the experiment, Cr was elevated when feeding GAA at 1.2 g/kg (5455 vs. 4338 mg/kg fresh muscle). (4) To conclude, ND had a substantial effect on performance and carcass traits, whereas any effect of GAA was limited to FCR in the finisher period and independent of diet ND level.
Collapse
Affiliation(s)
- M Majdeddin
- a Centre of Excellence, Animal Science Department , Ferdowsi University of Mashhad , Mashhad , Iran
- b Laboratory for Animal Nutrition and Animal Product Quality, Department of Animal Sciences and Aquatic Ecology , Ghent University , Gent , Belgium
| | - A Golian
- a Centre of Excellence, Animal Science Department , Ferdowsi University of Mashhad , Mashhad , Iran
| | - H Kermanshahi
- a Centre of Excellence, Animal Science Department , Ferdowsi University of Mashhad , Mashhad , Iran
| | - S De Smet
- b Laboratory for Animal Nutrition and Animal Product Quality, Department of Animal Sciences and Aquatic Ecology , Ghent University , Gent , Belgium
| | - J Michiels
- b Laboratory for Animal Nutrition and Animal Product Quality, Department of Animal Sciences and Aquatic Ecology , Ghent University , Gent , Belgium
| |
Collapse
|
13
|
Córdova-Noboa H, Oviedo-Rondón E, Sarsour A, Barnes J, Ferzola P, Rademacher-Heilshorn M, Braun U. Performance, meat quality, and pectoral myopathies of broilers fed either corn or sorghum based diets supplemented with guanidinoacetic acid. Poult Sci 2018; 97:2479-2493. [DOI: 10.3382/ps/pey096] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 03/09/2018] [Indexed: 11/20/2022] Open
|