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Karataş B. Effects of Chlorella sp. and Schizochytrium sp. extracts on growth indices, body composition, and gene expression profiles in rainbow trout (Oncorhynchus mykiss). Comp Biochem Physiol B Biochem Mol Biol 2025; 276:111047. [PMID: 39551361 DOI: 10.1016/j.cbpb.2024.111047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Revised: 11/07/2024] [Accepted: 11/12/2024] [Indexed: 11/19/2024]
Abstract
This study assessed the impact of dietary Chlorella sp. and Schizochytrium sp. extracts on growth performance, feed utilization, body composition, and gene expression related to growth, digestion, antioxidant defense, and immune response in rainbow trout (Oncorhynchus mykiss). A total of 180 fish (average weight 8.92 ± 0.04 g) were randomly distributed into 12 fiberglass tanks (400 L, 15 fish per tank, three replicates per treatment). Fish were divided into four dietary groups for 60 days: 0 % (Control), 0.5 % Chlorella sp. extract (CH), 0.5 % Schizochytrium sp. extract (SC), and a combined 0.25 % Chlorella sp. and 0.25 % Schizochytrium sp. (CH + SC). At trial end, fish in the CH + SC group had a final weight (FW) of 27.06 ± 0.28 g, significantly higher than other groups (P < 0.05), with improved growth parameters (P < 0.05). While body composition showed no differences in moisture, lipid, or ash content, crude protein was significantly higher in CH + SC (P < 0.05). Gene expression analysis showed upregulation of the growth hormone GH-I gene in the CH + SC group (P < 0.05). Genes related to digestive enzymes (trypsin, lipase, amylase) were also upregulated in all microalgae groups, with the highest levels in CH + SC (P < 0.05). Additionally, antioxidant genes (SOD, CAT, GPx) and immune-related genes (LYZII, TNF-α, IL-1β) showed elevated expression in CH + SC (P < 0.05). This study demonstrated that a diet containing Chlorella sp. and Schizochytrium sp. extracts supports growth, enhances nutrient utilization, and upregulates genes related to antioxidant and immune function in rainbow trout. Further research is recommended to assess functional immune responses and enzyme activities to confirm these physiological effects.
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Affiliation(s)
- Boran Karataş
- Department of Aquaculture, Faculty of Fisheries, Van Yüzüncü Yıl University, Van, Türkiye.
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Hosseini SS, Sudaagar M, Zakariaee H, Paknejad H, Baruah K, Norouzitalab P. Evaluation of the synbiotic effects of Saccharomyces cerevisiae and mushroom extract on the growth performance, digestive enzyme activity, and immune status of zebrafish danio rerio. BMC Microbiol 2024; 24:331. [PMID: 39245724 PMCID: PMC11382455 DOI: 10.1186/s12866-024-03459-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2023] [Accepted: 08/09/2024] [Indexed: 09/10/2024] Open
Abstract
BACKGROUND The quest for candidate probiotics and prebiotics to develop novel synbiotics for sustainable and profitable fish farming remains a major focus for various stakeholders. In this study, we examined the effects of combining two fungal probiotics, Saccharomyces cerevisiae and Aspergillus niger with extracts of Jerusalem artichoke and white button mushroom to develop a synbiotic formulation to improve the growth and health status of zebrafish (Danio rerio). An initial in vitro study determined the most effective synbiotic combination, which was then tested in a 60-day in vivo nutritional trial using zebrafish (80 ± 1.0 mg) as a model animal. Four experimental diets were prepared: a control diet (basal diet), a prebiotic diet with 100% selected mushroom extract, a probiotic diet with 107 CFU of S. cerevisiae/g of diet, and a synbiotic diet with 107 CFU of S. cerevisiae/g of diet and 100% mushroom extract. As readouts, growth performance, survival, digestive enzyme activity and innate immune responses were evaluated. RESULTS In vitro results showed that the S. cerevisiae cultured in a medium containing 100% mushroom extract exhibited the maximum specific growth rate and shortest doubling time. In the in vivo test with zebrafish, feeding them with a synbiotic diet, developed with S. cerevisiae and mushroom extract, led to a significant improvement in the growth performance of zebrafish (P < 0.05). The group of zebrafish fed with the synbiotic diet showed significantly higher levels of digestive enzyme activity and immune responses compared to the control group (P < 0.05). CONCLUSION Taken together, these results indicated that the combination of S. cerevisiae and mushroom extract forms an effective synbiotic, capable of enhancing growth performance and immune response in zebrafish.
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Affiliation(s)
- Seyedeh Sedigheh Hosseini
- Laboratory Sciences Research Center, Golestan University of Medical Sciences, Gorgan, 4934174515, Iran.
- Department of Laboratory Sciences, Faculty of Para-medicine, Golestan University of Medical Sciences, Gorgan, 4934174515, Iran.
| | - Mohammad Sudaagar
- Department of Aquaculture, Faculty of Fisheries and Environmental Sciences, Gorgan University of Agricultural Sciences and Natural Resources, Gorgan, 4918943464, Iran
| | - Hamideh Zakariaee
- Department of Aquaculture, Faculty of Fisheries and Environmental Sciences, Gorgan University of Agricultural Sciences and Natural Resources, Gorgan, 4918943464, Iran
| | - Hamed Paknejad
- Department of Aquaculture, Faculty of Fisheries and Environmental Sciences, Gorgan University of Agricultural Sciences and Natural Resources, Gorgan, 4918943464, Iran
| | - Kartik Baruah
- Department of Applied Animal Science and Welfare, Faculty of Veterinary Medicine and Animal Sciences, Swedish University of Agricultural Sciences, Uppsala, 7070, SE-750 07, Sweden
| | - Parisa Norouzitalab
- Department of Applied Animal Science and Welfare, Faculty of Veterinary Medicine and Animal Sciences, Swedish University of Agricultural Sciences, Uppsala, 7070, SE-750 07, Sweden
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Srirengaraj V, Razafindralambo HL, Rabetafika HN, Nguyen HT, Sun YZ. Synbiotic Agents and Their Active Components for Sustainable Aquaculture: Concepts, Action Mechanisms, and Applications. BIOLOGY 2023; 12:1498. [PMID: 38132324 PMCID: PMC10740583 DOI: 10.3390/biology12121498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 11/26/2023] [Accepted: 12/05/2023] [Indexed: 12/23/2023]
Abstract
Aquaculture is a fast-emerging food-producing sector in which fishery production plays an imperative socio-economic role, providing ample resources and tremendous potential worldwide. However, aquatic animals are exposed to the deterioration of the ecological environment and infection outbreaks, which represent significant issues nowadays. One of the reasons for these threats is the excessive use of antibiotics and synthetic drugs that have harmful impacts on the aquatic atmosphere. It is not surprising that functional and nature-based feed ingredients such as probiotics, prebiotics, postbiotics, and synbiotics have been developed as natural alternatives to sustain a healthy microbial environment in aquaculture. These functional feed additives possess several beneficial characteristics, including gut microbiota modulation, immune response reinforcement, resistance to pathogenic organisms, improved growth performance, and enhanced feed utilization in aquatic animals. Nevertheless, their mechanisms in modulating the immune system and gut microbiota in aquatic animals are largely unclear. This review discusses basic and current research advancements to fill research gaps and promote effective and healthy aquaculture production.
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Affiliation(s)
| | - Hary L. Razafindralambo
- ProBioLab, 5004 Namur, Belgium;
- BioEcoAgro Joint Research Unit, TERRA Teaching and Research Centre, Sustainable Management of Bio-Agressors & Microbial Technologies, Gembloux Agro-Bio Tech—Université de Liège, 5030 Gembloux, Belgium
| | | | - Huu-Thanh Nguyen
- Department of Biotechnology, An Giang University, Long Xuyen City 90000, Vietnam;
| | - Yun-Zhang Sun
- Fisheries College, Jimei University, Xiamen 361021, China;
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Patra I, Dewi AP, Fawzi M, Hussam F, Obayes IK, Jamal MA, Hammoodi HA, Abbass ZR, Dadras M, Narimanizad F. Effects of Dietary Medlar ( Mespilus germanica L.) Extract on Growth Performance, Innate Immune Characteristics, Antioxidant Status, and Responses to Crowding Stress in Rainbow Trout ( Oncorhynchus mykiss). AQUACULTURE NUTRITION 2023; 2023:7613330. [PMID: 37564114 PMCID: PMC10412272 DOI: 10.1155/2023/7613330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 03/29/2023] [Accepted: 06/27/2023] [Indexed: 08/12/2023]
Abstract
High stocking density is a stress factor that potentially affects physiological and immune responses. In this study, the effects of medlar (Mespilus germanica) extract (ME) supplementation on growth performance, antioxidant, immune status, and stress responses in rainbow trout (Oncorhynchus mykiss) were studied. Six hundred fish (40.19 ± 1.09 g; average fish weight ± standard error) were distributed randomly into five experimental groups (assayed in triplicates). The experimental diets were formulated as follows: 0 (T1, control), 0.5% (T2), 1% (T3), 1.5% (T4), and 2% (T4). After 60 days feeding trial, the fish were confined, and the density increased (60 kg/m3) for further 14 days. Results showed significant increases in final weight (FW), weight gain (WG), specific growth rate, and feed intake in the T4 compared to the control (P < 0.05). The feed conversion ratio (FCR) in T4 significantly decreased compared to the control (P < 0.05). Also, the treated groups showed significant improvements in catalase (CAT), superoxide dismutase (SOD), glutathione peroxidase (GPx), lysozyme (LYZ), total immunoglobulin (total Ig), respiratory burst activity (RBA), total protein, and phagocytosis (PHA) (P < 0.05). Moreover, compared with the control group, supplementation could significantly decrease glucose (GLU) and cortisol (CORT), alanine transaminase (ALT), lactate dehydrogenase (LDH), aspartate transaminase (AST), and alkaline phosphatase (ALP) (P < 0.05). After the challenge, FW and WG in all treated challenge groups were significantly improved compared to the control group (P < 0.05). FCR showed a significant decrease in all treated challenged groups compared to the control group (P < 0.05). However, malondialdehyde, CAT, GPx, SOD, LYZ, complement activity (C3 and C4), total Ig, RBA, peroxidase, and PHA in challenged treated groups were significantly increased compared to the control group (P < 0.05). All treated challenged groups showed lower ALT, LDH, AST, ALP, GLU, and CORT levels than the control group (P < 0.05). The experiment herein successfully demonstrated that dietary ME stimulated fish growth, antioxidant status, and immune responses in crowding conditions and can be recommended as beneficial feed additives for rainbow trout.
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Affiliation(s)
| | - Afiska Prima Dewi
- Department of Nutrition, Faculty of Health, Universitas Aisyah Pringsewu, Lampung, Indonesia
| | | | - Fadhil Hussam
- College of Medical Technology, Medical Lab Techniques, Al-Farahidi University, Baghdad, Iraq
| | - Israa K. Obayes
- Medical Laboratory Techniques Department, AL-Mustaqbal University College, Hilla, Iraq
| | | | | | - Zainab R. Abbass
- Department of Pharmacy, Al-Zahrawi University College, Karbala, Iraq
| | - Mahnaz Dadras
- Department of Fisheries, Faculty of Natural Resources, University of Tehran, Karaj, Iran
| | - Fariborz Narimanizad
- Department of Fisheries, Faculty of Natural Resources, University of Tehran, Karaj, Iran
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Luo M, Feng G, Ke H. Role of Clostridium butyricum, Bacillus subtilis, and algae-sourced β-1,3 glucan on health in grass turtle. FISH & SHELLFISH IMMUNOLOGY 2022; 131:244-256. [PMID: 36182025 DOI: 10.1016/j.fsi.2022.09.034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 08/25/2022] [Accepted: 09/15/2022] [Indexed: 06/16/2023]
Abstract
This study investigated the effects of two probiotics namely Clostridium butyricum and Bacillus subtilis, and one prebiotic known as algae-sourced β-1,3 glucan, on the overall performances of grass turtles (Chinemys reevesii) juveniles. Growth performance, immune responses, enzymatic antioxidant activities, intestinal histomorphology, and disease resistance against the challenge with Aeromonas veronii were assessed. Two hundred and sixteen (216) juvenile turtles with an average initial weight of 106.35 ± 0.03 g were divided into four groups, each containing three replicates with 18 turtles per each replicate, which were fed a basic diet (control group, GD) and a basal diet supplemented with C. butyricum 1.0 × 108 CFU per kg (GA group), or with B. subtilis 1.0 × 108 CFU per kg (GB group) and with algal-sourced β-1,3-glucan 50 mg per kg (GC group), respectively. After the turtles had been fed for 60 d, 90 d, and 120 d of the experimental period, the growth performance and survival rate (SR), intestinal digestive enzyme, hepatic and intestinal antioxidant capacity, serum biochemical indexes, and immune performance were measured. The results showed that the weight gain rate and SR were significantly enhanced (P < 0.05) after fed probiotics and algae-sourced β-1,3-glucan in all test times;The pepsin, amylase, acid phosphatase, total antioxidant capacity, triglyceride, alkaline phosphatase, urea nitrogen, cholesterol, total protein, IgA, IgG, IgM at 120 d were significantly enhanced (P<0.05) after fed C. butyricum. The intestinal villi heights, widths, and the thickness of the muscle layer were significantly higher in groups GA, GB, and GC than those reared within the GD control group (P < 0.05). After injecting the challenge by A. veronii the survival rate of grass turtles in the GA group (75%) was significantly higher than the other three groups (P<0.05), while there was no significant difference between the GB and GC groups compared with the control GD group, respectively (P>0.05). Overall, these results indicated that dietary supplementation with probiotics or algae-sourced β-1,3 glucan, exhibited positive effects on C. reevesii. In particular, C. butyricum, showed the greatest improvements relating to growth, immune response, antioxidant activity, intestinal health, and disease resistance.
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Affiliation(s)
- Meng Luo
- Aquatic Disease Research Laboratory, Institute of Animal Health, Guangdong Academy of Agricultural Sciences, Guangzhou, 510000, China; College of Aquatic and Life Sciences, Shanghai Ocean University, Shanghai, 201306, China
| | - Guoqing Feng
- Aquatic Disease Research Laboratory, Institute of Animal Health, Guangdong Academy of Agricultural Sciences, Guangzhou, 510000, China; Guangdong Scientific Observation Experimental Station of Veterinary Drugs and Diagnostic Technology, Ministry of Agriculture and Rural Affairs, Guangzhou, 510000, China
| | - Hao Ke
- Aquatic Disease Research Laboratory, Institute of Animal Health, Guangdong Academy of Agricultural Sciences, Guangzhou, 510000, China; Guangdong Scientific Observation Experimental Station of Veterinary Drugs and Diagnostic Technology, Ministry of Agriculture and Rural Affairs, Guangzhou, 510000, China; Key Laboratory of Animal and Poultry Disease Control Research, Guangdong Province, Guangzhou, 510000, China.
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Wei LS, Goh KW, Abdul Hamid NK, Abdul Kari Z, Wee W, Van Doan H. A mini-review on co-supplementation of probiotics and medicinal herbs: Application in aquaculture. Front Vet Sci 2022; 9:869564. [PMID: 36406063 PMCID: PMC9666728 DOI: 10.3389/fvets.2022.869564] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 09/15/2022] [Indexed: 02/03/2024] Open
Abstract
The aquaculture industry is geared toward intensification and successfully meets half of the world's demand for fish protein. The intensive farming system exposes the animal to the risk of disease outbreaks, which has economic consequences. Antibiotics are commonly used for the health management of aquaculture species. However, this has several drawbacks, including the increase in antibiotic resistance in pathogenic bacteria and the entry of antibiotic residues into the human food chain, which is a public health and environmental concern. The potential of probiotics, prebiotics, synbiotics, and medicinal herbs as alternatives to antibiotics for the health management of aquaculture species has been investigated in numerous studies. This review discusses the potential use of combinations of probiotics and medicinal herbs as prophylactic agents in aquaculture, along with the definitions, sources, and modes of action. The positive aspects of combining probiotics and medicinal herbs on growth performance, the immune system, and disease resistance of aquaculture species are also highlighted. Overall, this review addresses the potential of combinations of probiotics and medicinal herbs as feed additives for aquaculture species and the key role of these feed additives in improving the welfare of aquaculture species.
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Affiliation(s)
- Lee Seong Wei
- Department of Agricultural Sciences, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli, Kelantan, Malaysia
- Advanced Livestock and Aquaculture Research Group, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli, Kelantan, Malaysia
| | - Khang Wen Goh
- Faculty of Data Science and Information Technology, INTI International University, Nilai, Malaysia
| | | | - Zulhisyam Abdul Kari
- Department of Agricultural Sciences, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli, Kelantan, Malaysia
- Advanced Livestock and Aquaculture Research Group, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Jeli, Kelantan, Malaysia
| | - Wendy Wee
- Center of Fundamental and Continuing Education, Universiti Malaysia Terengganu, Kuala Terengganu, Malaysia
| | - Hien Van Doan
- Department of Animal and Aquatic Sciences, Faculty of Agriculture, Chiang Mai University, Chiang Mai, Thailand
- Science and Technology Research Institute, Chiang Mai University, Chiang Mai, Thailand
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Hafsan H, Bokov D, Abdelbasset WK, Kadhim M, Suksatan W, Majdi HS, Widjaja G, Jalil AT, Qasim MT, Balvardi M. Dietary
Dracocephalum kotschyi
essential oil improved growth, haematology, immunity and resistance to
Aeromonas hydrophila
in rainbow trout (
Oncorhynchus mykiss
). AQUACULTURE RESEARCH 2022; 53:3164-3175. [DOI: 10.1111/are.15829] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Accepted: 02/27/2022] [Indexed: 01/03/2025]
Affiliation(s)
- Hafsan Hafsan
- Biology Department Faculty of Science and Technology Universitas Islam Negeri Alauddin Makassar Gowa Indonesia
| | - Dmitry Bokov
- Institute of Pharmacy Sechenov First Moscow State Medical University Moscow Russian Federation
- Laboratory of Food Chemistry Federal Research Center of Nutrition, Biotechnology and Food Safety Moscow Russian Federation
| | - Walid Kamal Abdelbasset
- Department of Health and Rehabilitation Sciences College of Applied Medical Sciences Prince Sattam bin Abdulaziz University Al Kharj Saudi Arabia
- Department of Physical Therapy Kasr Al‐Aini Hospital Cairo University Giza Egypt
| | - Mustafa M. Kadhim
- Department of Dentistry Kut University College Kut Iraq
- College of Technical Engineering The Islamic University Najaf Iraq
- Department of Pharmacy Osol Aldeen University College Baghdad Iraq
| | - Wanich Suksatan
- Faculty of Nursing HRH Princess Chulabhorn College of Medical Science Chulabhorn Royal Academy Bangkok Thailand
| | - Hasan Sh. Majdi
- Department of Chemical Engineering and Petroleum Industries Al‐Mustaqbal University College Babylon Iraq
| | - Gunawan Widjaja
- Faculty of Public Health Universitas Indonesia Depok Indonesia
- Faculty of Law Universitas Krisnadwipayana Indonesia Jatiwaringin Indonesia
| | - Abduladheem Turki Jalil
- Faculty of Biology and Ecology Yanka Kupala State University of Grodno Grodno Belarus
- College of Technical Engineering The Islamic University Najaf Iraq
| | - Maytham T. Qasim
- Ministry of Education Directorate Thi‐Qar Education Thi‐Qar Iraq
- Department of Anesthesia College of Health and Medical Technology Al‐Ayen University Thi‐Qar Iraq
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Lactobacillus casei (IBRC-M 10,711) ameliorates the growth retardation, oxidative stress, and immunosuppression induced by malathion toxicity in goldfish ( Carassius auratus). ANNALS OF ANIMAL SCIENCE 2022. [DOI: 10.2478/aoas-2022-0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
Probiotics can functionality improve fish wellbeing and are suggested as antioxidative agents to protect fish from xenobiotics toxicity. Herein, dietary Lactobacillus casei (IBRC-M 10,711) was included in the diets of goldfish (Carassius auratus) to protect against malathion toxicity. Fish (12.47 ± 0.06 g) were randomly allocated to six groups (triplicates), as follows: T1) control; T2) fish exposed to 50% of malathion 96 h LC50; T3) L. casei at 106 CFU/g diet; T4) L. casei at 107 CFU/g diet; T5) fish exposed to 50% of malathion 96 h LC50 + L. casei at 106 CFU/g diet; T6) fish exposed to 50% of malathion 96 h LC50 + L. casei at 107 CFU/g diet. After 60 days, goldfish fed T4 had the highest final body weight (FBW), weight gain (WG), and specific growth rate (SGR), and the lowest feed conversion ratio (FCR) among the groups (P < 0.05). However, the T2 group showed lower FBW, WG, and SGR and higher FCR than fish in T1 (P < 0.05). Fish in the T4 group had the highest blood total proteins, albumin, and globulin, while fish in T2 had the lowest levels (P < 0.05). Fish in the group T2 had the highest triglycerides, cholesterol, cortisol, lactate dehydrogenase (LDH), alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (ALP) levels in the blood, while fish fed T4 had the lowest values (P < 0.05). The superoxide dismutase (SOD) and catalase (CAT) showed the highest activities in T3 and T4 groups, and the lowest SOD was seen in the T2 group, whereas the lowest CAT was seen in the T2, T5, and T6 groups (P < 0.05). Fish in the T5 and T6 groups had higher glutathione peroxidase (GSH-Px) activities than fish in T1 and T2 groups but T3 and T4 groups showed the highest values (P < 0.05). T2 group had the highest malondialdehyde (MDA) level, while T3 and T4 groups had the lowest MDA level (P < 0.05). Blood immunoglobulin (Ig) and lysozyme activity were significantly higher in T3 and T4 groups and lower in the T2 group than in the control (P < 0.05). The alternative complement pathway (ACH50) was significantly higher in T2, T3, T4, T5, and T6 groups than in the T1 group (P < 0.05). Skin mucus Ig was significantly higher in T3 and T4 groups and lower in the T2 group than in the control (P < 0.05). The highest lysozyme activity, protease, and ACH50 in the skin mucus samples were in the T4 group, while the lowest values were in the T2 group (P < 0.05). In conclusion, dietary L. casei protects goldfish from malathion-induced growth retardation, oxidative stress, and immunosuppression.
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Yin G, Jameel Ibrahim Alazzawi F, Mironov S, Reegu F, El-Shafay A, Lutfor Rahman M, Su CH, Lu YZ, Chinh Nguyen H. Machine learning method for simulation of adsorption separation: Comparisons of model’s performance in predicting equilibrium concentrations. ARAB J CHEM 2022. [DOI: 10.1016/j.arabjc.2021.103612] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
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