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1.
Vet Res ; 52(1): 19, 2021 Feb 12.
Article in English | MEDLINE | ID: mdl-33579370

ABSTRACT

Riemerella anatipestifer causes epizootic infectious disease in poultry resulting in serious economic losses especially to the duck industry. In our previous study, R. anatipestifer was found to lyse duck erythrocytes in vitro. In the present study, a random Tn4351 mutagenesis library of hemolytic R. anatipestifer strain SX containing 4000 mutants was constructed to investigate the genetic basis of hemolytic activity. Thirty mutants with reduced hemolytic activity and one with increased hemolytic activity were screened and insertions in 24 genes were identified. Of these genes, four were predicted to encode outer membrane proteins, one encoded a cytoplasmic membrane protein, 11 encoded cytoplasmic proteins, and eight encoded proteins with unknown locations. Based on current annotations of the R. anatipestifer genomes, of the 24 genes, 7 (29.17%) were involved in iron utilization. The hemolytic activities of the complemented strains M2 (pRES-Riean_0790) and M18 (pRES-Riean_0653) were restored, indicating that both Riean_0653 and Riean_0790 are involved in the hemolytic activity of strain SX. However, the recombinant proteins rRiean_0317, rRiean_0790, rRiean_0653, rRiean_1027, rRiean_1143, and rRiean_1561 had no hemolytic activity, suggesting that none were hemolysins.


Subject(s)
DNA Transposable Elements/genetics , Ducks , Flavobacteriaceae Infections/veterinary , Hemolysis/genetics , Mutagenesis, Insertional , Poultry Diseases/physiopathology , Riemerella/genetics , Animals , Flavobacteriaceae Infections/microbiology , Flavobacteriaceae Infections/physiopathology , Poultry Diseases/microbiology
2.
Fish Shellfish Immunol ; 105: 209-223, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32707298

ABSTRACT

The effects of dietary pyridoxine (PN) on the gill immunity, apoptosis, antioxidant and tight junction of grass cap (Ctenopharyngodon idella) were investigated in this study. Fish were fed semi-purified diets containing graded levels of PN for 10 weeks, and then challenged with Flavobacterium columnare by bath immersion exposure for 3 days. The results indicated that compared with the optimal PN level, PN deficiency resulted in a decline in the antimicrobial compound production of gill. In addition, PN deficiency up-regulated the pro-inflammatory cytokines and down-regulated the anti-inflammatory cytokines gene expression, which might be associated with the enhanced nuclear factor κB p65 and the inhibited target of rapamycin signalling pathways, respectively, suggesting that PN deficiency could impair gill immune barrier function. Furthermore, PN deficiency (1) induced cell apoptosis, which may be partly associated with the (apoptotic protease activating factor-1, Bcl-2 associated X protein)/caspase-9 and c-Rel/tumor necrosis factor α (rather than FasL)/caspase-8 mediated apoptosis pathway. (2) Inhibited Kelch-like ECH-associating protein 1a/NF-E2-related factor 2 mRNA expression, decreased the mRNA expression and activities of antioxidant enzymes, increased the levels of reactive oxygen species, protein carbonyl and malondialdehyde. (3) Increased the mRNA expression level of myosin light chain kinase, which may be result in the down-regulation of tight junction complexes such as zonula occludens 1, occludin and claudins (expect claudin-12 and claudin-15). These results suggest that PN deficiency could impair gill physical barrier function. In summary, dietary PN deficiency could cause the impairment of gill barrier function associated with immunity, apoptosis, antioxidant and tight junction, which may result in the increased the susceptibility of fish to pathogenic bacteria. Moreover, based on the gill rot morbidity, LZ activity and MDA content, the dietary PN requirements for grass cap were estimated to be 4.85, 4.78 and 4.77 mg kg-1 diet, respectively.


Subject(s)
Carps , Fish Diseases/physiopathology , Flavobacterium/physiology , Immunity, Innate/drug effects , Vitamin B 6 Deficiency/veterinary , Animal Feed/analysis , Animals , Antioxidants/metabolism , Apoptosis/drug effects , Diet/veterinary , Dietary Supplements/analysis , Dose-Response Relationship, Drug , Fish Diseases/immunology , Flavobacteriaceae Infections/immunology , Flavobacteriaceae Infections/physiopathology , Flavobacteriaceae Infections/veterinary , Gills/drug effects , Gills/physiology , Pyridoxine/administration & dosage , Pyridoxine/metabolism , Random Allocation , Tight Junctions/metabolism , Vitamin B 6 Deficiency/immunology , Vitamin B 6 Deficiency/physiopathology
3.
J Microbiol Immunol Infect ; 53(2): 344-350, 2020 Apr.
Article in English | MEDLINE | ID: mdl-30274894

ABSTRACT

BACKGROUND: Clinical information of Elizabethkingia meningoseptica (EM) bacteremia in intensive care unit (ICU) patients is limited and the impact on outcomes uncertain. The aim of this study was to investigate the clinical features and impact of EM bacteremia compared to other glucose non-fermenting Gram-negative bacilli (GNF-GNB) bacteremia in ICU patients. METHODS: This retrospective cohort study enrolled 70 patients who developed GNF-GNB bacteremia after ICU admission, including 19 cases of EM bacteremia (19/70, 27.1%). The main outcome measure was in-hospital mortality. RESULTS: The patients with EM bacteremia had a lower rate of appropriate antibiotic therapy (15.8% vs. 62.7%, p < 0.001) and a longer time to appropriate antibiotic therapy (76.8 ± 46.4 vs. 35.1 ± 38.7 h, p < 0.001), but with a less severity in acute physiology and chronic health evaluation (APACHE) II score and shock status (p < 0.05) at the onset of bacteremia, compared to those with non-EM bacteremia. The in-hospital mortality between those with EM bacteremia and non-EM bacteremia was similar (63.2% vs. 51.0%, p = 0.363). However, primary bacteremia was more frequently noted in EM compared with non-EM group (57.9% vs. 25.5%, p = 0.011), and odds ratio 4.294 (95% confidence interval 1.292-14.277, p = 0.017) in multivariate regression analysis. CONCLUSION: Among the patients with GNF-GNB bacteremia, the numbers of the cases with primary bacteremia and inappropriate therapy were significantly more in EM group than those in non-EM group.


Subject(s)
Bacteremia/drug therapy , Bacteremia/physiopathology , Flavobacteriaceae Infections/drug therapy , Flavobacteriaceae Infections/physiopathology , Gram-Negative Bacterial Infections/drug therapy , Gram-Negative Bacterial Infections/physiopathology , Intensive Care Units , Aged , Aged, 80 and over , Anti-Bacterial Agents , Bacteremia/epidemiology , Bacteremia/microbiology , Female , Flavobacteriaceae , Flavobacteriaceae Infections/microbiology , Gram-Negative Bacteria , Gram-Negative Bacterial Infections/epidemiology , Gram-Negative Bacterial Infections/microbiology , Hospital Mortality , Humans , Male , Microbial Sensitivity Tests , Regression Analysis , Retrospective Studies , Shock , Treatment Outcome
4.
J Exp Biol ; 221(Pt 8)2018 04 12.
Article in English | MEDLINE | ID: mdl-29487157

ABSTRACT

Salmonid individuals show a relatively high variability in the time required to abandon the gravel nest where they hatch, the so-called 'emergence time'. Different behavioral and physiological traits have been shown to be associated with emergence time in wild salmonids. In general, early- and late-emerging fish have traits resembling those of proactive and reactive stress coping styles, respectively. Proactive fish are considered to be more resilient to stress and probably to disease, so it was hypothesized that fish with different emergence times have different abilities to resist repeated episodes of stress without suffering deleterious effects on their welfare or health status. In this study, rainbow trout eyed eggs were hatched and larvae were fractionated according to their emergence time (early fraction: first 20% of fish to emerge; intermediate fraction: mid 20%; late fraction: last 20%). When the fish were 4 months old, they were exposed to a daily repeated stress protocol for 15 days. The next day, both naïve and repeatedly stressed fish were exposed to an acute stress challenge. Different plasma (cortisol, glucose, lactate) as well as CNS (serotonergic activity) stress markers were assessed to evaluate the stress resilience of the different groups. Furthermore, an intraperitoneal infection challenge with Flavobacterium psychrophilum was carried out to assess disease resilience. Altogether, the results showed that fish from different fractions displayed differences in activation of the hypothalamus-pituitary-inter-renal axis, indicating a higher stress resilience in the fish with early emergence times. However, those differences were not reflected in the ability of the different fractions to grow and perform well in terms of growth, or in the ability to overcome infection with bacteria, which was similar for all the emergence fractions. This suggests that discriminating fish according to emergence time would probably have little effect in improving the performance and the welfare of farmed fish.


Subject(s)
Disease Resistance , Feeding Behavior/physiology , Oncorhynchus mykiss/growth & development , Stress, Physiological , Animals , Aquaculture , Blood Glucose , Female , Fish Diseases/microbiology , Flavobacteriaceae Infections/physiopathology , Flavobacteriaceae Infections/veterinary , Flavobacterium/physiology , Hydrocortisone/blood , Lactic Acid/blood , Larva/physiology , Male , Oncorhynchus mykiss/physiology
5.
J Anim Sci ; 93(4): 1546-54, 2015 Apr.
Article in English | MEDLINE | ID: mdl-26020176

ABSTRACT

Columnaris disease (CD), caused by Flavobacterium columnare, is an emerging disease affecting rainbow trout aquaculture. Objectives of this study were to 1) estimate heritability of CD resistance in a rainbow trout line (ARS-Fp-R) previously selected 4 generations for improved bacterial cold water disease (BCWD) resistance; 2) estimate genetic correlations among CD resistance, BCWD resistance, and growth to market BW; and 3) compare CD resistance among the ARS-Fp-R, ARS-Fp-S (selected 1 generation for increased BCWD susceptibility), and ARS-Fp-C (selection control) lines. Heritability of CD resistance was estimated using data from a waterborne challenge of 44 full-sib ARS-Fp-R families produced using a paternal half-sib mating design, and genetic correlations were estimated using these data and 5 generations of BCWD resistance, 9-mo BW (approximately 0.5 kg), and 12-mo BW (approximately 1.0 kg) data from 405 ARS-Fp-R full-sib families. The CD and BCWD challenges were initiated at approximately 52 and 84 d posthatch, or approximately 650 and 1,050 degree days (°C × d), respectively. Survival of ARS-Fp-R families ranged from 0 to 48% following CD challenge and heritability estimates were similar between CD (0.17 ± 0.09) and BCWD (0.18 ± 0.03) resistance, and the genetic correlation between these 2 traits was favorable (0.35 ± 0.25). Genetic correlations were small and antagonistic (-0.15 ± 0.08 to -0.19 ± 0.24) between the 2 resistance traits and 9- and 12-mo BW. Two challenges were conducted in consecutive years to compare CD resistance among ARS-Fp-R, ARS-Fp-C, and ARS-Fp-S families. In the first challenge, ARS-Fp-R families (83% survival) had greater CD resistance than ARS-Fp-C (73.5%; P = 0.02) and ARS-Fp-S (68%; P < 0.001) families, which did not differ (P = 0.16). In the second challenge, using an approximately 2.5-fold greater challenge dose, ARS-Fp-R families exhibited greater CD resistance (56% survival) than ARS-Fp-S (38% survival; P = 0.02) families. The favorable genetic correlation between CD and BCWD resistance is supported by greater CD resistance of the ARS-Fp-R line compared to the ARS-Fp-C and ARS-Fp-S lines and suggests that both traits will be improved simultaneously when selection is practiced on only 1 trait. In summary, these data indicate the feasibility of further selective breeding of the BCWD-resistant ARS-Fp-R line for increased CD resistance to produce a double pathogen-resistant line of rainbow trout.


Subject(s)
Cold Temperature , Disease Resistance/genetics , Fish Diseases/genetics , Flavobacteriaceae Infections/veterinary , Oncorhynchus mykiss/genetics , Oncorhynchus mykiss/microbiology , Animals , Aquaculture/methods , Disease Resistance/physiology , Disease Susceptibility/physiopathology , Disease Susceptibility/veterinary , Female , Fish Diseases/physiopathology , Flavobacteriaceae Infections/genetics , Flavobacteriaceae Infections/physiopathology , Flavobacterium/physiology , Genetic Predisposition to Disease/genetics , Inbreeding , Kaplan-Meier Estimate , Male , Oncorhynchus mykiss/physiology , Phenotype
6.
J Microbiol Immunol Infect ; 43(6): 498-505, 2010 Dec.
Article in English | MEDLINE | ID: mdl-21195977

ABSTRACT

BACKGROUND/PURPOSE: Reports detailing bacteremia caused by Chryseobacterium indologenes remain limited, with most cases reported in Taiwan. The clinical significance of C. indologenes has not been fully established. This retrospective study investigated the clinical features and antimicrobial susceptibility of C. indologenes bacteremia. METHODS: Patients with C. indologenes bacteremia were identified at a medical center/teaching hospital in northern Taiwan between January 1, 2004 and January 31, 2008. Clinical features and the antimicrobial susceptibilities of these patients were analyzed. RESULTS: Sixteen isolates of C. indologenes from 16 episodes in 16 patients were identified, with all patients having underlying diseases. Two patients (12.5%) had polymicrobial bacteremia. The portal of bacteremia was not determined in most cases. Other clinical syndromes included catheter-related bacteremia, urinary tract infection and peritonitis. The majority of patients had undergone invasive procedures. Other associated conditions included immunosuppression, neutropenia and prolonged use of antibiotics. Only three patients were treated with appropriate antibiotics according to minimum inhibitory concentrations. The susceptibilities of isolates to trimethoprim-sulfamethoxazole (75.0%), levofloxacin (62.5%), piperacillin-tazobactam (50.0%), ciprofloxacin (43.75%) and cefepime (12.5%) were variable and the bacteremia-related mortality rate was 6.25%. CONCLUSION: C. indologenes isolates are resistant to multiple antibiotics, with newer fluoroquinolones and trimethoprim-sulfamethoxazole possibly representing the most appropriate antimicrobial agents to treat infections caused by this pathogen. However, the pathogenicity and factors of virulence for C. indologenes remain unclear, with our study revealing favorable outcomes of C. indologenes bacteremia. Epidemiological surveillance of this organism in Taiwan and extensive worldwide surveillance programs are required.


Subject(s)
Bacteremia , Chryseobacterium/pathogenicity , Adult , Aged , Aged, 80 and over , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Bacteremia/microbiology , Bacteremia/mortality , Bacteremia/physiopathology , Chryseobacterium/classification , Chryseobacterium/drug effects , Cross Infection/microbiology , Cross Infection/mortality , Cross Infection/physiopathology , Drug Resistance, Bacterial , Female , Flavobacteriaceae Infections/microbiology , Flavobacteriaceae Infections/mortality , Flavobacteriaceae Infections/physiopathology , Hospitals, Teaching/statistics & numerical data , Humans , Male , Microbial Sensitivity Tests , Middle Aged , Taiwan/epidemiology , Treatment Outcome
7.
Avian Pathol ; 38(5): 341-7, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19937521

ABSTRACT

A case of nervous signs in red-legged partridges (Alectoris rufa) associated with a severe otitis and osteomyelitis is reported. The outbreak was characterized by abnormal head position, torticollis and difficulty in standing, walking and flying. Pathological, microbiological and molecular genetic data supported an association with Ornithobacterium rhinotracheale (ORT) infection. Clinical signs persisted for several days and were accompanied by weight loss leading to death. Morbidity was approximately 20% and most birds died if untreated. Lesions were mainly characterized by a severe osteomyelitis of the cranial bones and purulent inflammation of the external, middle and inner ears. O. rhinotracheale was isolated from ear samples, skull and brain stem in pure culture. Genetic characterization by pulsed-field gel electrophoresis of the clinical isolates showed that the outbreak was caused by a single strain of ORT. This appears to be the first report of otitis associated with ORT in an avian species.


Subject(s)
Bird Diseases/microbiology , Flavobacteriaceae Infections/veterinary , Galliformes/microbiology , Nervous System/microbiology , Ornithobacterium/genetics , Otitis/microbiology , Animals , Brain Stem/microbiology , Ear/microbiology , Ear/pathology , Flavobacteriaceae Infections/pathology , Flavobacteriaceae Infections/physiopathology , Genetic Variation , Nervous System/physiopathology , Ornithobacterium/isolation & purification , Osteomyelitis/microbiology , Skull/microbiology , Skull/pathology , Torticollis/microbiology , Torticollis/physiopathology , Weight Loss
8.
J Invertebr Pathol ; 93(2): 96-104, 2006 Oct.
Article in English | MEDLINE | ID: mdl-16793056

ABSTRACT

A yellow-pigmented Gram-negative bacterium, Chryseobacterium indologenes, was found in the gut contents of about 65% of soft ticks Ornithodoros moubata from a perishing laboratory colony. The isolated putative pathogen, C. indologenes, was susceptible to cotrimoxazol and addition of this antibiotic (Biseptol 480) to the blood meal significantly decreased the tick mortality rate. The artificial infection of healthy O. moubata by membrane feeding on blood contaminated with C. indologenes was lethal to all ticks at concentrations 10(6) bacteria/ml. On the contrary, a similar infection dose applied to the hard tick Ixodes ricinus by capillary feeding did not cause significant mortality. Examination of guts dissected from infected O. moubata and I. ricinus revealed that C. indologenes was exponentially multiplied in the soft tick but were completely cleared from the gut of the hard ticks within 1 day. In both tick species, C. indologenes were found to penetrate from the gut into the hemocoel. The phagocytic activity of hemocytes from both tick species was tested by intrahaemocoelic microinjection of C. indologenes and evaluated by indirect fluorescent microscopy using antibodies raised against whole bacteria. Hemocytes from both tick species displayed significant phagocytic activity against C. indologenes. All O. moubata injected with C. indologenes died within 3 days, whereas the increase of the mortality rate of I. ricinus was insignificant. Our results indicate that hard ticks possess much more efficient defense system against infection with C. indologenes than the soft ticks. Thus, C. indologenes infection has the potential to be a relevant comparative model for the study of tick immune reactions to transmitted pathogens.


Subject(s)
Chryseobacterium/pathogenicity , Ixodes/microbiology , Ornithodoros/microbiology , Animals , Anti-Infective Agents/pharmacology , Chryseobacterium/drug effects , Disease Susceptibility/microbiology , Flavobacteriaceae Infections/physiopathology , Flavobacteriaceae Infections/prevention & control , Hemocytes/physiology , Hemolymph/microbiology , Ixodes/cytology , Ixodes/immunology , Ornithodoros/cytology , Ornithodoros/immunology , Phagocytosis/physiology , Trimethoprim, Sulfamethoxazole Drug Combination/pharmacology
9.
Avian Pathol ; 34(3): 204-11, 2005 Jun.
Article in English | MEDLINE | ID: mdl-16191703

ABSTRACT

The purpose of this study was to assess the possible synergism between Ornithobacterium rhinotracheale (ORT) and avian pneumovirus (APV), inoculated into turkeys via the natural route, for the reproduction of respiratory disease. Three-week-old specific pathogen free turkeys were inoculated oculonasally with either APV subtype A, ORT or both agents using two different time intervals (3 and 5 days) between APV and ORT. The birds were observed clinically on a daily basis and swabbed intratracheally at short, regular intervals. They were killed at 1, 3, 5, 8 and 15 days post single or dual inoculation and examined for gross lesions at necropsy. Samples of the turbinates, trachea, lungs, air sacs, heart, pericardium and liver were taken for bacteriological and/or histological examination. Combined APV/ORT infections resulted in overt clinical signs and a longer persistence of ORT in the respiratory tract and aggravated the macroscopic and histological lesions in comparison with the groups given single infections. In all ORT-challenged turkeys, ORT was isolated from the turbinates, trachea and lungs, but in turkeys infected with both agents ORT was frequently found in the air sacs and on a single occasion in the heart and pericardium. The time interval between APV and ORT inoculation did not have a significant effect on the outcome of the dual infection. A conspicuous important feature was the attachment of ORT to the cilia of the epithelium of the turbinates and trachea of both ORT-infected and APV/ORT-infected birds. In conclusion, the results show that ORT is able to adhere to and colonize the respiratory tract but, under the circumstances used in this study, is not capable of inducing respiratory disease without viral priming.


Subject(s)
Flavobacteriaceae Infections/veterinary , Metapneumovirus/physiology , Ornithobacterium/physiology , Paramyxoviridae Infections/veterinary , Poultry Diseases/microbiology , Poultry Diseases/virology , Animals , Flavobacteriaceae Infections/complications , Flavobacteriaceae Infections/microbiology , Flavobacteriaceae Infections/physiopathology , Paramyxoviridae Infections/complications , Paramyxoviridae Infections/physiopathology , Paramyxoviridae Infections/virology , Poultry Diseases/physiopathology , Specific Pathogen-Free Organisms , Time Factors , Turkeys
10.
Dis Aquat Organ ; 63(2-3): 169-74, 2005 Feb 28.
Article in English | MEDLINE | ID: mdl-15819432

ABSTRACT

The effects of gill abrasion and experimental infection with Tenacibaculum maritimum were assessed in Atlantic salmon Salmo salar with underlying amoebic gill disease. The respiratory and acid-base parameters arterial oxygen tension (P(a)O2), arterial whole blood oxygen content (C(a)O2), arterial pH (pHa), haematocrit and haemoglobin concentrations were measured at intervals over a 48 h recovery period following surgical cannulation of the dorsal aorta. Mortality rates over the recovery period were variable, with gill abrasion and inoculation with T. maritimum causing the highest initial mortality rate and unabraded, uninoculated controls showing the lowest overall mortality rate. Fish with abraded gills tended to show reduced P(a)O2 and lower C(a)O2 compared with unabraded fish. Infection with T. maritimum had no effect on P(a)O2 or C(a)O2. All fish showed an initial alkalosis at 24 h post-surgery/inoculation which was more pronounced in fish inoculated with T. maritimum. There were no significant effects of gill abrasion or infection upon the ratio of oxygen specifically bound to haemoglobin or mean cellular haemoglobin concentration. Histologically, 48 h following surgery, abraded gills showed multifocal hyperplastic lesions with pronounced branchial congestion and telangiectasis, and those inoculated with T. maritimum exhibited focal areas of branchial necrosis and erosion associated with filamentous bacterial mats. All fish examined showed signs of amoebic gill disease with multifocal hyperplastic and spongious lesions with parasome-containing amoeba associated with the gill epithelium. The results suggest that respiratory compromise occurred as a consequence of gill abrasion rather than infection with T. maritimum.


Subject(s)
Amebiasis/veterinary , Fish Diseases/microbiology , Flavobacteriaceae Infections/veterinary , Flavobacteriaceae , Lobosea , Respiratory Physiological Phenomena , Salmo salar , Amebiasis/physiopathology , Animals , Aquaculture , Fish Diseases/parasitology , Fish Diseases/physiopathology , Flavobacteriaceae Infections/physiopathology , Gills/injuries , Gills/pathology , Hematocrit/veterinary , Hemoglobins/metabolism , Hydrogen-Ion Concentration , Oxygen/blood
11.
Dis Aquat Organ ; 61(3): 179-85, 2004 Nov 04.
Article in English | MEDLINE | ID: mdl-15609873

ABSTRACT

An experimentally induced bacterial infection of marine Atlantic salmon Salmo salar smolt gills was developed using strains of Tenacibaculum maritimum originally isolated from disease outbreaks in Tasmania. The gills of salmon were inoculated with a high concentration of bacteria (4 x 10(11) cells per fish) of either strain 00/3280 or 89/4747 T. maritimum. Gentle abrasion of the gills was used to enhance the progression of gill disease. One strain (00/3280) was highly pathogenic, causing morbidity and mortality within 24 h post-inoculation, and produced acute focal branchial necrosis associated with significant increases in plasma osmolality and lactate concentration compared with controls (non-inoculated) or strain 89/4747-inoculated fish. There were no differences in the whole body net ammonium flux between control (non-inoculated) and strain 00/3820-inoculated fish. Gill abrasion resulted in acute telangiectasis and focal lamellar hyperplasia in all fish regardless of bacterial inoculation. This work provides the basis of a challenge model suitable for investigating the pathophysiological processes associated with acute branchial necrosis in marine fish, suggesting that osmoregulatory and possibly respiratory dysfunction are the primary consequences of infection.


Subject(s)
Fish Diseases/microbiology , Fish Diseases/physiopathology , Flavobacteriaceae Infections/veterinary , Flavobacteriaceae , Gills/pathology , Animals , Flavobacteriaceae Infections/physiopathology , Gills/microbiology , Lactic Acid/blood , Salmo salar , Time Factors , Water-Electrolyte Balance/physiology
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