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Spectrum 03302-22
Spectrum 03302-22
a Laboratory of Emerging Viruses, Virology Program, Institute of Biomedical Sciences, Faculty of Medicine, Universidad de Chile, Santiago, Chile
b Inorevia, Pepinière Paris Santé Cochin, Paris, France
c Laboratory of Environmental Virology, Virology Program, Institute of Biomedical Sciences, Faculty of Medicine, Universidad de Chile, Santiago, Chile
d Instituto Antártico Chileno, Punta Arenas, Chile
e Fundación Instituto de Biodiversidad de Ecosistemas Antárticos y Subantárticos, Las Palmeras, Ñuñoa, Santiago, Chile
Facultad de Ciencias de la Salud, Programa Magister en Ciencias Químico Biológicas, Universidad Bernardo O’Higgins, Santiago, Chile
f
A ntarctica is populated by a diverse and unique fauna with its associated microor-
ganisms; however, our knowledge of the microbial and viral diversity on this conti-
nent, including pathogens with zoonotic potential, remains limited (1, 2). The region’s
Address correspondence to Gonzalo P. Barriga,
gonzalo.barriga@uchile.cl.
The authors declare no conflict of interest.
Received 19 August 2022
geographic isolation has been associated with viral paucity and probable endemic evo- Accepted 29 March 2023
lution (3). Currently, a small number of viral species have been described in Antarctic Published 25 May 2023
fauna, mostly through studies of penguin populations and a few screens of additional
ECA57 ECA58
bird species (2–5). Little is known about Antarctic fauna members of the order
Charadriiformes and the viruses that they carry. Birds of this order, which includes po-
lar skuas (Catharacta spp.), Antarctic terns (Sterna vittata), and snowy sheathbills
(Chionis albus), breed on the Antarctic Peninsula during the Antarctic summer and
then migrate northward during the nonbreeding season (6). This implies the move-
ment of the microorganisms (and potential pathogens) that they harbor between
Antarctica and South America (7). Such species are an interesting prospect to provide
us with a detailed picture of the viral diversity in Antarctica. Snowy sheathbills are
opportunistic predator/scavenger birds distributed on Antarctic and sub-Antarctic
islands (2). This species breeds near penguin colonies (6). The isolation and extreme cli-
mate of its breeding grounds made snowy sheathbills flexible enough to take advant-
age of various food sources. These include sea algae, crustaceans, and placentas and
carcasses of marine mammals (2). Their frequent contact with different bird and mam-
mal species, in addition to their foraging/scavenging behavior, makes them an appeal-
ing species for surveillance studies due to their high potential for the acquisition and
transport of viruses (8, 9).
In this study, we performed targeted viral surveillance for coronavirus, paramyxovirus
RESULTS
Surveillance for avian viruses previously detected in Antarctica. First, we attempted
to gauge the circulation of economically/ecologically relevant viruses in our sampled
population. For this, we targeted previously reported avian viruses in Antarctica. More
specifically, we targeted viruses with known impacts on poultry or wild fauna, includ-
ing coronaviruses, paramyxoviruses, and influenza viruses (Table 1). Eight samples posi-
tive for coronavirus were identified during Chilean Antarctic Expedition 57 in 2020
(ECA57/2020) on Nelson Island, and 6 positive samples were identified during ECA58/
2022 around Isabel Riquelme Islet. The samples were positive using degenerate pri-
mers. It should be noted that all samples were positive for the Antartic1 replicase gene.
Furthermore, one coronavirus isolate was partially sequenced for each year (Table 1). The
samples clustered with a deltacoronavirus sequence from a gentoo penguin (Fig. 1). Next,
eight samples positive for paramyxovirus were detected during ECA57 (Nelson Island)
(Fig. 2), and all samples were positive for avulavirus 18 by reverse transcription-PCR (RT-PCR)
A KX588673.1
KX588674.1
B JN788791.1_Avian_coronavirus_Anas_acuta_2009
81
KU321641.1
JN788797.1_Avian_coronavirus_Phalacrocorax_carbo_2009
82
LC364342.1 Gammacoronavirus
99
100
LC364344.1e
100 JN788849.1_Avian_coronavirus_Anas_americana_2010
LC364343.1
82
JQ065044.1
JN788809.1_Avian_coronavirus_2009
NC_011549.1 76
NC_016996.1 JN788818.1_Avian_coronavirus_Phalacrocorax_carbo_2009
MG764094.1 88
MG764125.1 JN788814.1_Avian_coronavirus_2009
96
MG764133.1
JN788854.1_Avian_coronavirus_Phalacrocorax_carbo_2010
94
MG764136.1 Deltacoronavirus 93
95 99
MG764139.1
100 JN788855.1_Avian_coronavirus_2010
MG764146.1
MG764156.1
JN788846.1_Avian_coronavirus_Phalacrocorax_carbo_2010
JN788791.1 83
75
JN788797.1
JN788819.1_Avian_coronavirus_Phalacrocorax_carbo_2009
99
JN788849.1
82
JN788809.1 JN788816.1_Avian_coronavirus_Phalacrocorax_carbo_2009
76
JN788818.1
88
JN788814.1 JN788850.1_Avian_coronavirus_Anas_penelope_2010
JN788854.1
93
JN788805.1_Avian_coronavirus_2009
JN788855.1
100
JN788846.1
7 1JN788844.1_Avian_coronavirus_Phalacrocorax_2010
83
JN788819.1
70 100
JN788816.1
JN788845.1_Avian_coronavirus_Phalacrocorax_carbo_2010
JN788850.1
100
JN788805.1
JN788853.1_Avian_coronavirus_isolate_2009
7 1JN788844.1
83
100
JN788845.1
100
Gammacoronavirus JN788803.1_Avian_coronavirus_2009
JN788853.1 99
83
JN788803.1 JN788852.1_Avian_coronavirus_isolate_Phalacrocorax_carbo_2009
99
JN788852.1
70
70
JN788856.1
JN788856.1_Avian_coronavirus_2009
100 100
JN788857.1
87 JN788857.1_Avian_coronavirus_2009
JN788813.1
100 87
JN788815.1
JN788813.1_Avian_coronavirus_2009
94
JN788793.1
100
60 JN788806.1
85
JN788815.1_Avian_coronavirus_iPhalacrocorax_carbo_2009
JN788817.1
94
JN788841.1 JN788793.1_Avian_coronavirus_Phalacrocorax_carbo_2009
99 99
JN788865.1
Antartic_coronavirus_penguin_2022_1 JN788806.1_Avian_coronavirus_Phalacrocorax_carbo_2009
100
Antartic_coronavirus_penguin_2022_2
85
99
MT025058.1_MAG
JN788817.1_Avian_coronavirus_2009
Deltacoronavirus
NC_016994.1
JN788841.1_Avian_coronavirus_J1463_Ardea_cinerea_2009
JN788880.1
99
JN788885.1
JN788865.1_Avian_coronavirus__Ardea_cinerea_2009
JN788883.1
85
JN788881.1
Antartic_coronavirus_penguin_2022_1
JN788882.1 100
93
JN788884.1 Antartic_coronavirus_penguin_2022_2
93
JN788887.1 99
94 MT025058.1_MAG__Gentoo_penguin_Antartic1_2020
JN788886.1
MG764117.1
NC_016994.1_coronavirus_Night-heron_2012
MG764121.1
79
JN788880.1_Avian_coronavirus_Ardeola_bacchus_2008
MG764120.1
75
MG764118.1
JN788885.1_Avian_coronavirus_Ardeola_bacchus_2008
MG764119.1 Gammacoronavirus
MG764157.1
JN788883.1_Avian_coronavirus_Ardeola_bacchus_2008
100 85
KT222536.1
72
JN788788.1 JN788881.1_Avian_coronavirus_Ardeola_bacchus_2008
JN788837.1
91 MG764116.1 JN788882.1_Avian_coronavirus_Ardeola_bacchus_2008
95 JN788796.1 93
100
JN788867.1
JN788884.1_Avian_coronavirus_2008
94
100
NC_016995.1
93
JN788887.1_Avian_coronavirus_2008
JN788838.1
JQ065042.2 94
100 JN788888.1_Avian_coronavirus_Ardeola_bacchus_2008
JQ065043.2
100
100 NC_016992.1
Deltacoronavirus JN788886.1_Avian_coonavirus_Ardeola_bacchus_2008
100 NC_011550.1
NC_016993.1
FIG 1 Phylogenetic tree including members of the gamma- and deltacoronavirus genera. Sequence comparison was performed using 78 sequences from
the gamma- and deltacoronavirus genera; the coronavirus isolated in our study (shown in green) appears to be closely related to a deltacoronavirus
sequenced in 2009 and clusters with a sample of a partially sequenced virus from a gentoo penguin (shown in red). Phylogenetic distances were
calculated using the GTR method. A bootstrap analysis with 1,000 replicates was applied, and the numbers indicate bootstrap values. (A) Complete
phylogenetic tree; (B) zoomed-in view of the Antarctic sequence clade (green).
(Table 1). Twelve samples were positive using panparamyxovirus primers during ECA58
(Isabel Riquelme Islet) (Fig. 2). Samples from this expedition were positive for avulaviruses 18
and 19 by RT-PCR (Table 1). In total, we identified 5 environmental samples positive for avu-
lavirus 18 and 6 snowy sheathbill samples positive for avulavirus 19 (total of 11 samples).
Only one sample was negative using all tested avulavirus primer pairs (avulavirus 17, 18,
FIG 2 Locations of sampling sites for snowy sheathbills in the Antarctic Peninsula’s Harmony Point, Nelson Island, and Duroch Islands. Shown are the
or 19 or Newcastle disease virus [NDV]), suggesting a probable novel sequence (Table 1).
Two environmental samples from ECA58/2022 were coinfected with avulaviruses 18 and 19
(Table 1).
To show influenza virus circulation, we screened samples from 14 snowy sheathbills
from 2 locations (Kopaitic Island and Isabel Riquelme Islet) (Fig. 2) for the presence of
antibodies. We detected antibodies against the nucleoprotein (NP) in 2 snowy sheath-
bill samples (Fig. 3).
Diversity and composition of the snowy sheathbill virome. In order to obtain a
fuller and more detailed picture of the viral diversity harbored by this endemic bird spe-
cies, we characterized the snowy sheathbill viromes collected from two Antarctic loca-
tions (Fig. 4; see Fig. S1 in the supplemental material). Sequencing yielded 18,259,501
usable reads, of which 1,817,608 were of a viral origin. This allowed us to assemble 971
viral contigs of between 8,500 and 200 nucleotides (nt), with 142 hits associated with
known viruses. The snowy sheathbill’s scavenger behavior is best portrayed by consider-
able viral diversity (Fig. 5 and Fig. S1); the library contained reads matching avian,
human, nonhuman mammalian, shrimp, insect, plant, and bacterial viruses (Fig. 5). Most
matches were plausible considering the snowy sheathbill’s lifestyle, and they are dis-
played at a viral family resolution (Fig. S1) and then up to the species level (Fig. 4), with
further identity information being provided by BLAST analysis (see Table S2 in the sup-
plemental material).
FIG 3 Avian influenza virus (AIV) seroprevalence in snowy sheathbills. Shown are data from competitive nucleoprotein (NP) ELISAs of serum samples
obtained from snowy sheathbills. Rhombus dots display Isabel Riquelme Islet samples, and circles display Kopaitic Island samples. Overall, there was a 14%
AIV seroprevalence. Abs, antibodies.
Totals of 17 viral families and 4 groups of unclassified viruses were identified (Fig. 4
and Fig. S1). The snowy sheathbill library was enriched primarily in Ackermannviridae,
Caliciviridae, Parvoviridae, Myoviridae, Nimaviridae, and Picornaviridae. Fig. 4 also details
the classifications of the different viral categories with further species resolution and con-
firms most of our findings.
Although the identification of multiple viruses was possible by sequencing (Fig. 4
and Fig. S1), we focused on viruses with potential zoonotic risk and human or mamma-
DISCUSSION
An increase in fieldwork efforts/expeditions paired with improvements in methods
dedicated to the screening of microbial diversity through massively parallel sequenc-
ing has accelerated the discovery of novel pathogens in Antarctica, including bacteria
and viruses (4, 5, 7, 10). However, almost all research dedicated to the characterization
of the microbial diversity in Antarctic bird species has focused on penguin species (3,
10, 11). This is probably due to their high level of representation among Antarctic birds
(2). Some studies have sampled scavenger species such as the snowy sheathbill, but
the number of individuals was usually low, and viruses were not always targeted, cer-
tainly not on a metagenomic scale (10, 12). This encouraged us to assess whether a
bird species such as the snowy sheathbill could provide us with a complementary pic-
ture of viral diversity using targeted surveillance and metatranscriptomic methods (11,
13). Furthermore, the opportunistic feeding behavior associated with this particular
bird species provided an opportunity to gain improved insights into Antarctic viral diversity
(2, 6). To our knowledge, this is the most abundant sampling of snowy sheathbills for a viral
screening study so far (Fig. 2). In addition to targeted viral screening, the snowy sheathbill
virome was used to assemble 971 viral contigs of between 8,500 and 200 nt, with 142 hits
on mammal carcasses
Scavenger behavior
or feces
Co pen ces
ns gu
um in
er
in
fe
ng r l
g
ave avio ma
Sc eh am ses
b m s s
a e
on carc fec
or
Normal dietary
Scavenger behavior
on mammal carcasses
or feces
y
ar
et
di
al
Sc eha ird s
rm
av vi
b n b sse
No
en or
o ca
ge
ca
r
Gut microbiota
FIG 5 The snowy sheathbill as a sentinel of Antarctic viral diversity. Here, we display how the snowy sheathbill’s
opportunistic feeding behavior can influence its harbored viral diversity and its likely source.
99
99
99
99
81
99
34
99
67
89
19
24
6
33
99
99
99
68
99
99
23
77
97
MG012429.1 |Sapovirus GIV strain Hu/PE/2016/GIV.1/Lima1861
92
90
99
90
14
62
11
MG012401.2 |Sapovirus GI.3 strain Hu/KE/2006/GI.3/Siaya1927
18
52
83
99
MZ576278.1 |Sapovirus Sapozj-9
91
65
99
87
23
99 MG012416.1 |Sapovirus GII.3 strain Hu/NI/2010/GII.3/Leon6708
99
95
21
99
99
97 90
97
99
99
75
86
81
10
70
68
99
59
MG012451.1 |Sapovirus GII.5 strain Hu/PE/2016/GII.5/Lima1868
94
18
99
99
56
50
70
97
MN161596.1 |Sapovirus GI isolate TZ-Lib07-1
99
90
0
MG012406.1 |Sapovirus GII.1 strain Hu/US/2014/GII.1/Nashville9510
99
2
24
70
75 99 MG012413.1 |Sapovirus GII.2 strain Hu/US/2013/GII.2/Nashville9795
99
99
47
MG012424.1 |Sapovirus GIV strain Hu/US/2014/GIV.1/Portland3629
0 99
99
66
99
78
99
13
Sapovirus GII strain Chionis Albus/ Antarctica/ 2022/GII
98
93
93
88
92
72
90
97
89
99
99 MF944258.1 |Sapovirus sp. strain 20151018
76
47
99
62
MG012455.1 |Sapovirus GIV.1 strain Hu/US/2014/GIV.1/Portland3651
1
85
91 66
0
1
99
MG012418.1 |Sapovirus GII.3 strain Hu/US/2014/GII.3/Nashville9513
99
0 5
23
59
44
MG012438.1 |Sapovirus GI.1 strain Hu/US/2014/GI.1/Nashville9478
78
89
0
77
11
52
2
MH933795.1 |Sapovirus sp. isolate HumanSaV/CMR/Kumba-HP15/2014
3
FIG 6 Phylogenetic tree including members of the Sapovirus genus. Sequence comparison was performed using 141 sequences from the Sapovirus genus;
the sequence found in snowy sheathbills is highlighted by a red star. Phylogenetic distances were calculated using the Kimura 2-parameter method. A
bootstrap analysis with 1,000 replicates was applied, and numbers indicate bootstrap values. All GenBank accession numbers are included in Tables S1 and
S2 in the supplemental material. (A) Complete phylogenetic tree; (B) zoomed-in view of the clade including the newly identified sapovirus sequence.
Similar to what has been observed previously for other scavenger bird species, there
are few reports describing snowy sheathbill individuals with viral infections. This is likely
due to a potent immune system and/or a lower stomachic pH killing the viruses (17–19).
Here, we present the first isolation of a paramyxovirus in snowy sheathbills (Table 2). We
detected avulaviruses 18 and 19; however, neither sample was positive for avulavirus 17,
and one sample was not positive for avulavirus 17, 18, or 19 or NDV, suggesting a poten-
tially novel Antarctic paramyxovirus. Extensive characterization of these paramyxoviruses
after isolation is under way in our laboratory. Note that snowy sheathbills shared a habi-
tat with Antarctic penguins at the time of avulavirus 17, 18, and 19 detection, suggesting
the probable circulation of the virus.
TABLE 2 Primers used in this study together with their targets, target lengths, cycle numbers, and corresponding referencesa
Primer Length Annealing No. of
set Direction Sequence (bp) Target temp (°C) cycles Reference
IZS FW 59-CDCAYGARTTYTGYTCNCARC-39 180 RdRp 45 50 45
RV 59-RHGGRTANGCRTCWATDGC-39
In contrast to other Antarctic bird screenings by PCR on fecal samples from snowy
sheathbills (3) and massively parallel sequencing studies on penguins that have shown the
presence of influenza A virus (IAV), we did not detect the above-mentioned virus using ei-
ther of these techniques. We believe that this could be due to our sample size or the time
when the samples were taken (December 2020 and January 2022). Nevertheless, we
detected 2 individuals with antibodies against IAV, suggesting IAV infection at a different
period of its cycle (Fig. 3). Antibodies to IAV have been detected previously in a southern
Salmonella enterica and Chlamydia psittaci as they could act as potential dispersers and reser-
voirs of these pathogens (14). Their role as a sentinel of pathogen diversity in rubbish dumps
was therefore proposed (14). Studies on other obligate scavenger species such as the
Andean condor have also supported the idea that understanding the factors involved in the
circulation and emergence of pathogens in these birds is key to preserving ecosystems and
human health, highlighting their value for surveillance (26). Generally, it is considered that
the scavenger lifestyle amplifies the exposure of such bird species to a variety of pathogens
due to potential contact with infected prey or carcasses, hence the interest in them as
potential sentinels. This has also been observed for additional bird species that exhibit scav-
enger behaviors, such as corvids, owls, and falcons, and different studies have confirmed the
detection of diverse viral pathogens in them (6, 27–29). The focus on snowy sheathbills in
this study offers a unique opportunity for the intersection of their scavenger behavior and
their unique habitat, providing unprecedented insight for viral surveillance.
One of the most interesting findings was the identification of several viruses related
to known mammalian sequences in the samples (Fig. 4 and 6; see also Table S1 in the
supplemental material). We highlight one picornavirus similar to one described previ-
ously in Antarctic fur seals (Arctocephalus gazella) (Table S1) (30). The presence of such
mammalian viruses (16, 31, 32) in snowy sheathbills is likely a result of their scavenger
behavior, therefore also supporting the idea that scavengers are appropriate monitors/
sentinels of Antarctic virus circulation/introduction. Moreover, we detected a virus sim-
ilar to human sapovirus GII. Such viruses belong to the Caliciviridae family and are im-
portant causative agents of acute epidemic gastroenteritis in humans (33) (Fig. 5 and 6
and Fig. S1). Human infection occurs via contaminated food or water, and the respec-
tive diseases are therefore designated foodborne diseases (34). Recently, the presence
of human sapoviruses and other gastrointestinal viruses such as noroviruses in farm
animals has attracted increasing attention. This is due to the fact that transmission
from animals to humans and vice versa would have far-reaching consequences for epi-
demiology and food safety (33, 34). Ultimately, this finding suggests the circulation of
human viruses on the Antarctic continent. The impact that this virus could have on
Antarctic fauna is unknown and complex to estimate. The identification of several
human-associated viruses in our study could be considered an indication of contami-
nation. However, we consider that the techniques and precautions applied for sample
this will be critical for elucidating and better understanding the mechanisms of virus
introduction and circulation in Antarctica.
preparation was performed using approximately 10 ng of depleted RNA. Library preparation yielded
20 nM high-quality sequenceable material, which was then run in a NextSeq 500 Mid Output kit v2 (150
cycles) cartridge. This yielded a total of 36,519,002 sequences in pairs.
Bioinformatic analyses. Read quality control was evaluated using FastQC v0.11.9, and read preprocess-
ing was performed with fastx-toolkit v0.0.13 using the fastx_trimmer, fastx_artifacts_filter, and fastx-clipper
tools. Orphaned reads were separated from the total sample using the makepairs package of pairfq v0.17.0.
The Kraken2-bracken protocol was implemented for taxonomic read assignment. The sample assembly was
generated using SPAdes genome assembler v3.13.0 (metaSPAdes mode). To avoid overestimation, only contigs
with a minimum size established at 200 nucleotides were selected. For contig clustering and nonredundancy,
CD-HIT software was used, covering the nonrepresentative sequences at 80%.
Bowtie2 v2.4.2 was used to recapture clean reads mapped to the contig sequence database. Sample
processing was implemented in Samtools v1.13. Read quantification was performed using samtools
view -c -F 260.
A BLAST analysis was also performed on the contigs using the NCBI BLASTN algorithm. A supple-
mental table was generated with the top hits for the generated contigs with an E value cutoff of E208.
This enabled us to clarify the potential host of origin for the identified viruses.
As a complement, the reads were run using the Kaiju Web tool as previously described (35). This enabled
us to produce a summary file with the number of reads assigned per taxon, which was then loaded into Krona
(39) for interactive visualization. The interactive plot can be found at https://kaiju.binf.ku.dk/output/10391
-7724754407/krona.html?dataset=0&node=3062&collapse=true&color=false&depth=13&font=11&key=true.
Oxford Nanopore MinION sequencing. The coronavirus isolate was sequenced using the Oxford
Nanopore MinION platform. Briefly, starting with 250 ng of high-molecular-weight (50-kbp) double-stranded
DNA (dsDNA) as the input, fragments with an average distribution of 11 kbp were generated by the use of a g-
Tube for DNA shearing (Covaris) and centrifugation at 2,000 g for 1 min. Using the NEBNext FFPE (formalin-
fixed, paraffin-embedded) DNA repair mix (New England BioLabs) and NEBNext Ultra II end repair/dA-tailing
module (New England BioLabs) reagents and according to the instructions provided by Oxford Nanopore
Technologies, the ends of the DNA were repaired, to which a poly(A) tail was attached. The repaired DNA was
purified using AMPure XP (Beckman Coulter) according to the manufacturer’s instructions and using a 2 vol-
ume with respect to the sample. For all subsequent washes, this volume ratio of beads to sample was main-
tained in order to maximize the DNA concentrations recovered at the expense of fragment size. According to
the protocol provided by Oxford Nanopore Technologies, the NEBNext quick ligation module reagent (New
England BioLabs) was used for the ligation of the adapter to the nucleotide sequence. For the following steps,
the library preparation kit for MinION SQK-DCS 109 (Oxford Nanopore Technologies) was used, according to
the company’s instructions. The library was loaded onto a MinION flow cell (R9.4.1). For sequencing, the
minKNOW v3.4.5 program was used (40).
Genome assembly. The quality of the reads was assessed using NanoPlot v1.23.1 (41). Adapter
sequences were removed with Porechop v0.2.4. (https://github.com/rrwick/Porechop) using a 10,000-
read alignment. Reads were quality cut using the Nanofilt v2.3.0 tool (41). Assembly was performed
using Unicycler v0.4.8-beta (40) in long-sequence mode. Finally, the quality of the assembly was eval-
uated using the QUAST v5.0.2 tool (42).
Sapovirus phylogenetic analyses. We compiled a sapovirus database with 141 sequences (Fig. 5;
SUPPLEMENTAL MATERIAL
Supplemental material is available online only.
SUPPLEMENTAL FILE 1, PDF file, 0.5 MB.
SUPPLEMENTAL FILE 2, XLS file, 0.1 MB.
SUPPLEMENTAL FILE 3, EPS file, 0.5 MB.
ACKNOWLEDGMENTS
We are supported by Instituto Antártico Chileno (INACH) RT_35-19 (GB-P), ANID
Chile, through Fondecyt grant number 11200228 (G.P.B.). L.K. is supported by INACH’s
Programa Áreas Marinas Protegidas (AMP 24 03 052) and the Instituto Milénio Base
(ICN_2021_002).
We thank the Chilean Army for help on the field trip.
Conceptualization, G.P.B. Data curation, A.G., S.A.P., C.R.-F., and G.P.B. Formal
analysis, G.Z. and G.P.B. Funding acquisition, G.P.B. Investigation, F.V., G.Z., J.L., and
G.P.B. Methodology, S.A.P., A.G., and G.P.B. Project administration, G.P.B. Sample
collection, J.L., L.A., L.K., and G.P.B. Supervision, G.P.B. Validation, G.Z., C.R.-F., and S.A.P.
Visualization, G.P.B. Writing – original draft, G.P.B., S.A.P., A.G., and L.K. Writing – review
and editing, S.A.P., A.G., L.K., and G.P.B. All authors approved the final version of the
manuscript.
We declare that there are no conflicts of interest associated with this work.
G.P.B. had full access to all data in this study and takes complete responsibility for the
integrity of the data and the accuracy of the data analysis. G.P.B. affirms that the
manuscript is an honest, accurate, and transparent account of the study being reported;
that no important aspects of the study have been omitted; and that any discrepancies
from the study as planned have been explained.
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