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International Journal of Clinical and Experimental Medicine logoLink to International Journal of Clinical and Experimental Medicine
. 2015 Jan 15;8(1):558–568.

Effect of Chuanminshen violaceum polysaccharides and its sulfated derivatives on immunosuppression induced by cyclophosphamide in mice

Xinghong Zhao 1,*, Yuetian Zhang 1,*, Xu Song 1,*, Zhongqiong Yin 1,*, Renyong Jia 1, Xingfang Zhao 2, Xin Lai 1, Guangxi Wang 1, Xiaoxia Liang 1, Changliang He 1, Lizi Yin 1, Cheng Lv 1, Ling Zhao 1, Gang Shu 1, Gang Ye 1, Fei Shi 1
PMCID: PMC4358485  PMID: 25785030

Abstract

One hundred mice were randomly divided into five groups. The mice in one group were injected with physiological saline as the normal control group. The mice in the other four groups were injected with physiological saline, sulfated Chuanminshen violaceum polysaccharides (SCVP), Chuanminshen violaceum polysaccharide (CVP) and astragalus polysaccharide (AP) once daily for 7 d and then with cyclophosphamide (CY) in the last 3 d. The serum cytokine level, apoptosis protein expressions, spleen lymphocyte proliferation, changes in peripheral blood T-cell subsets, and immune organ index were then measured. Results showed that SCVP and CVP can overcome CY-induced immunosuppression by promoting spleen lymphocyte proliferation, raising serum IFN-γ and IL-2 levels, enlarging immune organ indexes, and decreasing excessive apoptosis. Moreover, SCVP and CVP showed the potential to treat autoimmune diseases based on CD4+/CD8+ ratios. Results suggested that SCVP and CVP exhibited the potential to treat autoimmune and immunosuppression diseases.

Keywords: Chuanminshen violaceum polysaccharides, immunosuppression, lymphocyte proliferation, cytokine, immunohistochemical, T-cell subsets

Introduction

Immunosuppression caused by infection, stress, abuse of antibiotics and chemicals, and so on, commonly occurs in humans and animals. Several immunosuppressive diseases are usually ignored because of their subclinical signs [1]. An immunosuppressed organism may exhibit an increasing incidence of secondary infections and immunodeficiency, which can increase the occurrence of sickness [2]. Therefore, an effective immunopotentiator must be identified.

Polysaccharides isolated from natural plants have recently been studied as a new immunopotentiator source for their unique bioactivities and chemical structures [3]. Botanical polysaccharides reportedly possess a wide range of pharmacological properties, such as anti-inflammatory, anti-oxidant, anti-tumor, immunomodulatory, and anti-diabetic activities [4-6]. The biological activities of polysaccharides can be obviously increased by chemical modification, such as sulfation [7-11].

Chuanminshen violaceum (CV) is a traditional Chinese medicinal herb used as a tonic drink. The polysaccharides (CVP) are the main components of CV that comprise 28% of CVP content [12]. CVP is composed of D-carubinose and D-glucose with a ratio of 1:16.2 [13]. The weight average molecular weight and the number average molecular weight of CVP are 9.7632 × 105 and 5.2270 × 104 Da, respectively [14].

Our previous studies demonstrated that sulfated Chuanminshen violaceum polysaccharides (SCVP) exhibited inhibitory effects on the duck enteritis virus and Newcastle disease virus [14,15]. Moreover, SCVP and CVP can significantly enhance the proliferation of mice spleen lymphocytes in vitro [16].

In this study, the effects of SCVP and CVP on immunosuppression were evaluated in immunosuppressed mice. The immunosuppression was induced by cyclophosphamide (CY). The potency was measured based on serum cytokine levels, expressions of Bax, Bcl-2, and Caspase-3 in the immune organ, spleen lymphocyte proliferation, changes in peripheral blood T-cell subsets, and immune organ index. This research aimed to validate the immune enhancement effect of SCVP and CVP against immunosuppression, as well as to investigate the potential of SCVP and CVP in the prevention and treatment of immunosuppressive diseases.

Material and methods

Extraction and purification of polysaccharide

CVP was prepared in the laboratory. Briefly, CV was defatted for 6 h with ether and alcohol (1:1, V/V) and then decocted with distilled water. The decoction was collected and purified by using Sevag’s method to remove proteins. The solutions were dialyzed to remove small molecules and then lyophilized to yield CVP. The polysaccharide content (w/w) of CVP was 93.85%, which was measured using phenol-sulfuric acid method [17].

Sulfated modification of polysaccharide

SCVP was prepared using chlorosulfonic acid-pyridine method. Briefly, chlorosulfonic acid was added dropwise to pyridine (1:4) in an ice-water bath with stirring. CVP (300 mg) dispersed in dry N, N-dimethylformamide (20 mL) was then added. The mixtures were stirred in a water bath at 60°C for 2 h and subsequently neutralized with NaOH (15%). Finally, the solutions were dialyzed and lyophilized to yield SCVP [14]. The degree of substitution was 1.37, which was determined using Antonopoulos’ method [18].

Reagents

D-Hanks (HyClone) was used to wash the cells and dissolve 3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT, Sigma). RPMI-1640 (HyClone) supplemented with 10% fetal bovine serum (HyClone) was used for resupending, diluting, and culturing the cells. Lipopolysaccharides (LPS, Sigma), as the B-cell mitogen, were dissolved to 15 μg mL-1 with RPMI-1640. Concanavalin A (ConA, Sigma), as the T-cell mitogen, was dissolved to 30 μg mL-1 with RPMI-1640 (containing 10% fetal bovine serum). MTT was dissolved to 5 mg mL-1 with D-Hanks. These reagents were filtered through a 0.22 μm syringe filter. ConA solution was stored at -20°C, MTT solution was stored at 4°C in a dark bottle, and LPS solution was stored at 4°C. Red blood cell cracking liquid (TIANGEN Biotech Co., Ltd.) was used to remove the red cells in cell suspensions.

Animals and experimental design

One hundred mice (kunming mice), five to six weeks of age and weighing 18 g to 22 g, were purchased from Sichuan University laboratory animal center (Chengdu, China). The mice were provided with sufficient water and complete formula feed and housed in a rodent facility at 20 ± 2°C with a 12 h light-dark cycle for acclimatization. All procedures involving animals and their care used were approved by the Ethics Committee of Sichuan Agricultural University. After being given 7 d to adapt to their environment, the mice were randomly divided into five groups.

The mice in the normal control group were given an intraperitoneal injection of similar volume of physiological saline solution (0.9%, w/v) at the same time as other groups. The mice in the other four groups were given intraperitoneal injections of physiological saline, SCVP (8 mg/kg of bodyweight), CVP (8 mg/kg of bodyweight), and astragalus polysaccharide (AP, 8 mg/kg of bodyweight; Shanghai kayon Biological Technology Co., Ltd.) once daily for 7 d. When the drugs have been administered for 5 d, the mice in the four groups were injected with CY at a dose of 70 mg/kg once daily for the last 3 d. The mice injected with physiological saline and CY served as the negative control, whereas those injected with AP served as the positive control. The drug dose was designed according to the clinical dose of AP in China and our experiment in vitro; AP as an immunopotentiator has been confirmed in clinical, so we choose AP as comparative control. Twenty-four hours after the last drug administration, the animals were weighed and then sacrificed.

Relative weight of spleen and thymus assay

After the body weight was measured, the spleen and thymus of 15 mice in each group were dissected and weighed. The relative weight of the spleen and thymus were calculated using the following formula:

Related weight = organ weight (mg)/body weight (g)

Spleen lymphocyte proliferation assay

Five mice from each group were sacrificed and placed in 75% alcohol for 3 min for sterilization. The spleens were then collected under a sterile environment and cut into 1 mm3 pieces in D-Hanks. The single-cell suspensions were prepared after being filtered through a nylon mesh. The suspensions were centrifuged at 1000 g for 10 min, and the supernatant was removed. Red blood cell cracking liquids (3 mL) were then added. After the liquid became transparent, 6 mL D-Hanks was added to stop the reaction. The liquid was then centrifuged at 1000 g for 10 min. The cells were re-suspended with RPMI-1640 after being washed thrice with DHanks. Finally, the cell concentration was adjusted to 5 × 106 cells mL-1. The cell suspension was placed into 96-well culture plates (100 μL per well) with 50 μL of ConA, LPS, or RPMI-1640. The cells from each mouse were seeded in six wells. The plates were incubated at 37°C for 48 h in a humid atmosphere of 5% CO2. After 44 h of incubation, 20 μL of MTT (5 mg mL-1) was added into each well. The sample was then incubated for 4 h. The plates were centrifuged at 2000 g for 6 min at room temperature with a tablet centrifuge. The supernatant was carefully removed, and 150 μL of dimethylsulfoxide was added into each well to dissolve the formazan crystals. The absorbance at a wavelength of 490 nm (A490 value) of lymphocyte cells in each well was measured using a microplate reader. The mean A490 values were used as indicators of spleen lymphocyte proliferation [18-21].

Serum IFN-γ and IL-2 assay

The sera of 10 blood samples from each group were collected, and the concentrations of IFN-γ and IL-2 were assayed by using an ELISA kit according to manufacturer’s instructions (Shanghai Lengton Biological Technology Co. Ltd., China).

Determination of the peripheral blood T-cell subsets

The peripheral lymphocytes were separated from anticoagulant peripheral blood of three mice in each group. The cells were stained with 2 μL of FITC Hamster Anti-mouse, PE Rat Anti-mouse CD4 (GK1.5), and PerCP Rat Anti-mouse CD8a for 30 min at room temperature. Then, 1.5 mL of Lysing Solution was added, and the resulting mixture was centrifuged at 1000 g for 5 min. The supernatant was discarded, and 2 mL PBS was added to wash the cells. The cells were blended with 0.5 mL PBS, and then flow cytometry was conducted for 1 h. Cell Quest software was used to analyze the percentages of CD3+, CD3+CD4+, and CD3+CD8+ T-cells in peripheral blood.

Bax, Bcl-2, and Caspase-3 detected by using the immunohistochemical method

The spleens and thymus were placed in 4% paraformaldehyde and routinely processed in paraffin. Thin sections (5 μm) of each tissue were sliced from each block and mounted on glass. Immunohistochemical staining against Bax, Bcl-2, and Caspase-3 was performed. Briefly, a HRP/DAB detection IHC kit was used according to manufacturer’s protocol. Then sections were deparaffinized, and the paraformaldehyde-fixed and paraffin-embedded tissue sections were rehydrated. Hydrogen peroxide block was added to cover the sections, which were then incubated for 10 min. After antigen retrieval for 20 min in a domestic pressure cooker and blocking non-specific binding sites with a protein block, the sections were incubated with 10 μg/mL of primary antibodies against Bax, Bcl-2, and Caspase-3 overnight at 4°C. For the negative controls, the sections were immersed in PBS instead of the specific antibody. Mouse-specific HRP was then applied to the conjugate and incubated for 15 min at room temperature. DAB was applied to the tissue sections counterstained with hematoxylin.

For the immunohistochemical quantification, two slices were selected from one integration receptor sample. Five 400 × microscopic views were randomly selected and photographed using a Nikon ECLIPSE80i microscope equipped with a Nikon DS-Ri1 camera. The immunopositive reactions in the photographs were analyzed using the software Image Pro-Plus 6.0 (Media Cybernetics, Silver Spring, MD, USA) according to a previously presented method [22,23]. All photographs were taken and measured using the same parameter settings to ensure that the data were comparable. The area of positive staining was measured in pixels using Image-Pro Software, which detected brown staining in the spleen and thymus. The sum optical density (IOD) ratio was defined as the IOD sum of every group, divided by the average IOD sum of normal control group.

Statistical analysis

Data were expressed as the mean ± S.D and Duncan’s multiple range test was used to analyze the difference among groups with the software SPSS 17.0. P-values of less than 0.05 were considered to be statistically significant.

Results

Changes in immune organ index

Figure 1 shows that the spleen and thymus indexes of the animals treated with CY at dose of 70 mg/kg bodyweight significantly decreased compared with the normal control group, suggesting that immunosuppressed modeling was successfully established. The spleen index of the mice treated with SCVP, CVP, or AP increased compared with that of the mice in the negative control group, and the spleen index was significantly enhanced (P < 0.05) in the SCVP and CVP groups. The thymus index of the mice treated with SCVP, CVP, or AP increased compared with the negative control group, and CVP can significantly improve the thymus index (P < 0.05).

Figure 1.

Figure 1

Effect of SCVP and CVP on spleen and thymus index in CY-treated mice. The data are expressed as the mean ± S.D. Significant differences were considered at P < 0.05. a,bBars in the same organ without the same superscripts differ significantly (P < 0.05).

Changes in proliferation

The changes in the A490 values are listed in Table 1. In the negative control group, the A490 values were significantly lower than those in the normal control group (P < 0.05). In the SCVP, CVP, and AP groups, proliferation of resting lymphocytes, T lymphocytes, and B lymphocytes was significantly higher than that of the negative control group (P < 0.05). No significant differences were observed in the proliferation of resting lymphocytes among the groups, except for the negative control group. The proliferation of T lymphocytes in the SCVP, CVP, and AP groups exhibited no significant changes compared with the normal control group. In the CVP group, the proliferation of B lymphocytes was significantly higher than that in the normal control, SCVP, and AP groups (P < 0.05).

Table 1.

Lymphocyte proliferation in each group (A490 value)

Group A490

Resting cells T cells treated with ConA B cells treated with LPS
Normal 0.141 ± 0.004a 0.277 ± 0.003a,b 0.285 ± 0.003a
Negative 0.128 ± 0.009b 0.198 ± 0.009c 0.201 ± 0.007b
SCVP 0.148 ± 0.003a 0.275 ± 0.003a,b 0.287 ± 0.002a
CVP 0.151 ± 0.002a 0.285 ± 0.005b 0.299 ± 0.003c
AP 0.149 ± 0.005a 0.271 ± 0.003a 0.281 ± 0.005a
a

Data within a column without the same superscripts differ significantly (P < 0.05);

b

Data within a column without the same superscripts differ significantly (P < 0.05);

c

Data within a column without the same superscripts differ significantly (P < 0.05).

Changes in IFN-γ and IL-2 concentration

The changes in IFN-γ and IL-2 concentrations are illustrated in Figure 2. The IFN-γ and IL-2 concentrations in the negative control group were significantly lower than those in the normal control group (P < 0.05). In the CVP, SCVP, and AP groups, the IL-2 concentrations were significantly higher than those in the negative control group (P < 0.05). The IFN-γ concentrations in the CVP and SCVP groups were significantly higher than those in the negative control group (P < 0.05). However, no significant difference was observed between the negative control and AP groups in terms of IFN-γ concentration.

Figure 2.

Figure 2

The serum IFN-γ and IL-2 concentration (pg/mL). The data are expressed as the mean ± S.D. Significant differences were considered at P < 0.05. a,bBars in the same cytokine without the same superscripts differ significantly (P < 0.05).

Determination of Peripheral blood T-cell subsets

The effects of CVP and SCVP on CD3+, CD4+, and CD8+ counts were studied based on CY-induced immunosuppressed mice (Table 2). CD3+ and CD4+ levels in the negative control, SCVP, CVP, and AP groups were significantly higher than that in the normal control group (P < 0.05). CD8+ levels in the negative control and AP groups were significantly lower (P < 0.05) than that in the normal control group. The CD8+ levels exhibited no significant changes among the normal control, CVP and SCVP groups. When compared with the normal control group, the negative control and AP groups exhibited a significantly higher ratio of CD4+/CD8+ (P < 0.05). In the CVP and SCVP groups, the ratio of CD4+/CD8+ was close to that of the normal control group.

Table 2.

Peripheral blood T-cell subsets

Items Normal Negative SCVP CVP AP
CD3+ (%) 76.51 ± 1.87a 97.04 ± 0.68b 96.21 ± 0.94b 95.36 ± 0.64b 95.24 ± 0.89b
CD3+CD4+ (%) 54.26 ± 2.58a 83.99 ± 0.86b 79.67 ± 0.74b 74.12 ± 0.56c 81.26 ± 4.23b
CD3+CD8+ (%) 21.4 ± 2.90a 13.07 ± 0.62b 16.44 ± 1.55a,b 21.15 ± 1.03a 13.87 ± 3.27b
CD4+/CD8+ 2.61 ± 0.41a 6.45 ± 0.36c 4.90 ± 0.55b,c 3.52 ± 0.19a,b 6.30 ± 1.54c
a

Data within a row without the same superscripts differ significantly (P < 0.05);

b

Data within a row without the same superscripts differ significantly (P < 0.05);

c

Data within a row without the same superscripts differ significantly (P < 0.05).

Bax, Bcl-2, and Caspase-3 expression using immunohistochemical method

In the thymus (Table 3), the IOD sum ratio of Bax expression in the negative control group was higher (P < 0.05) than that in the normal control group. The IOD sum ratio of Bax expression in the CVP group was significantly decreased (P < 0.05) compared with that of the negative control group. The IOD sum ratio of Bcl-2 expression in the negative control group was significantly lower (P < 0.05) than that in normal control group. The IOD sum ratio of Bcl-2 expression in the CVP group was significantly higher (P < 0.05) than that in the negative control group. The IOD sum ratio of Caspase-3 expression in the negative control group was significantly higher (P < 0.05) than that in the normal control group. The IOD sum ratio of Caspase-3 expression in the SCVP, CVP, and AP groups was significantly lower (P < 0.05) than that in the negative control group. The histological images (Figure 3) are clearly expressed (Table 3).

Table 3.

Bax, Bcl-2 and Caspase-3 expression in thymus and spleen

Items Normal Negative SCVP CVP AP
thymus Bax 1.00 ± 0.18a 1.59 ± 0.12c 1.32 ± 0.10a,b,c 1.09 ± 0.05a,b 1.36 ± 0.11b,c
Bcl-2 1.00 ± 0.04a 0.77 ± 0.04c 0.89 ± 0.05a,b,c 0.96 ± 0.04a,b 0.85 ± 0.06b,c
Caspase-3 1.00 ± 0.07a 1.47 ± 0.07b 1.21 ± 0.04c 1.11 ± 0.04a,c 1.26 ± 0.04c
spleen Bax 1.00 ± 0.07a 1.49 ± 0.08c 1.17 ± 0.08a,b 1.09 ± 0.07a,b 1.34 ± 0.20b,c
Bcl-2 1.00 ± 0.19a 0.75 ± 0.03b 0.87 ± 0.07a,b 0.83 ± 0.07a,b 0.89 ± 0.04a,b
Caspase-3 1.00 ± 0.10a 1.47 ± 0.11b 1.10 ± 0.10a 1.01 ± 0.10a 1.18 ± 0.15a,b
a

Data within a line without the same superscripts differ significantly (P < 0.05);

b

Data within a line without the same superscripts differ significantly (P < 0.05);

c

Data within a line without the same superscripts differ significantly (P < 0.05).

Figure 3.

Figure 3

Bax, Bcl-2, and Caspase-3 expression in thymus. A-E: Bax expression; F-J: Bcl-2 expression; K-O: Caspase-3 expression. Bars = 50 μm.

In the spleen (Table 3), the IOD sum ratio of Bax expression in the negative control group was significantly higher (P < 0.05) than that in the normal control group. The IOD sum ratio of Bax expression in the SCVP and CVP groups were significantly decreased (P < 0.05) compared with that in negative control group. The IOD sum ratio of Bcl-2 expression in the negative control group was significantly lower (P < 0.05) than that in the normal control group. No significant differences were observed among the negative, SCVP, CVP, and AP groups. The IOD sum ratio of Caspase-3 expression in the negative control group was significantly higher (P < 0.05) than that in the normal control group. The IOD sum ratio of Caspase-3 expression in the SCVP and CVP groups was significantly decreased (P < 0.05) compared with that in the negative control group. The histological images (Figure 4) clearly express the results (Table 3).

Figure 4.

Figure 4

Bax, Bcl-2, and Caspase-3 expression in spleen. A-E: Bax expression; F-J: Bcl-2 expression; K-O: Caspase-3 expression. Bars = 50 μm.

Discussion

Virus infections are the main causes of immunosuppression or immune dysfunction in humans and animals [24]. The mechanism is attributed to the infection of lymphocytes by viruses in important immune organs. This condition causes cell degeneration or necrosis, cytokine dysregulation, and apoptosis resulting in immunosuppression and immune dysfunction [2,24]. CY, a cytotoxic chemotherapeutic drug, aids in the treatment of tumors, organ transplantation, and autoimmune diseases [25]. The mechanism of immunosuppression caused by CY is similar to that caused by a viral infection [26,27]. Therefore, CY was used to establish the mouse immunosuppressive model to measure the immune-enhancement of SCVP and CVP in this experiment. The results showed that various immune indexes were significantly different between the CY and normal control groups, indicating that the immunosuppressive model was successfully established.

Thymus is closely linked with T lymphocyte development, differentiation, and maturation. Thymus does not only serve as the location of T lymphocytes formation, but also secretes hormones, including thymopoietin and thymosin [28,29]. Spleen is the organ that can create lymphocytes, purify blood, and store white cells [11,29]. In this study, the effects of SCVP and CVP on the thymus and spleen indexes were measured. The immune organ indexes indicated that SCVP and CVP improved the immune level induced by CY in vitro. In addition, the curative effect of SCVP and CVP were superior to that of AP at a dose of 8 mg/kg (Figure 1). Rhizoma atractylodis polysaccharides and cordyceps militaris polysaccharides can also improve the immunosuppression induced by CY in vivo [1,30].

The lymphocyte proliferation index is widely used as a method to evaluate the immune-enhancing activity of drugs [20,21,31,32]. The vitality of the lymphocyte can be reflected by the A490 values [21]. The results of our research indicated that SCVP and CVP can significantly promote the activation potential of lymphocytes in CY-induced immunosuppressed mice and enhance the immune response. Moreover, the vitality of the lymphocyte can be normally recovered when treated with SCVP and CVP (Table 1). Similar results have confirmed that sulfated ophiopogon polysaccharide, sulfated jujube polysaccharide, Strongylocentrotus nudus polysaccharide, and Sargassum fusiforme polysaccharide can increase the lymphocyte proliferation index [24,33,34].

As a cytokine, IFN-γ widely exhibits biological activities and is a major immunoregulatory molecule inducing immune response to resist bacteria and exogenous infectious agents [34]. IL-2 has a wide spectrum of immune-promoting activities, such as inducing the differentiation of lymphocytes, promoting the function of NK cells, and releasing interferon [31]. These results show that SCVP and CVP significantly increase cytokine (IL-2 and IFN-γ) expression at the a dose of 8 mg/kg, thus indicating that SCVP and CVP not only reverse the splenocyte function reduced by CY, but also markedly improve such function in CY-inhibited mice (Figures 1 and 2). Similar results have reported that astragalus polysaccharide, sulfated epimedium polysaccharide, and sargassum fusiforme polysaccharide can increase the cytokine content in serum [1,34].

T lymphocytes serve an important function in the pathogenesis of T cell-mediated autoimmune diseases [35]. The ratio of CD4+/CD8+ is high in cases with autoimmune diseases [35,36]. In our study, the ratio of CD4+/CD8+ in mice challenged with CY increased, which indicates that CY may result in autoimmune and atopic diseases. After treatment with CVP and SCVP, the ratio of CD4+/CD8+ became close to the normal value, suggesting that CVP and SCVP can adjust an imbalanced CD4+/CD8+ ratio. However, AP did not possess this function. These results indicate that CVP and SCVP can be used to treat autoimmune diseases.

Caspases mainly mediate apoptosis, and Caspase-3 is the critical factor in the execution of the apoptotic process [37,38]. Bax also facilitates the release of apoptogenic molecules from mitochondria to the cytosol, which results in the promotion of apoptosis by competing with Bcl-2 [39]. In this study, the results showed that Bax and Caspase-3 expressions increased while Bcl-2 expression decreased in the thymus and spleen of the mice in the CY group compared with those in the normal control group. However, the expressions of Bax, Caspase-3, and Bcl-2 recovered to the normal level when the immunosuppressive mice were treated with SCVP and CVP. These results indicate that SCVP and CVP can control excessive apoptosis.

Conclusion

SCVP and CVP can enhance the resistance to immunosuppression by promoting lymphocyte proliferation, increasing the contents of IFN-γ and IL-2, promoting immune organ development, and decreasing excessive immune organ apoptosis in immunosuppressive mice induced by CY. The immune enhancement effects of SCVP and CVP are superior to those of AP at a dose of 8 mg/kg. Therefore, SCVP and CVP have the potential to treat autoimmune diseases and can be used as immunopotentiators.

Acknowledgements

This study was supported by the International cooperation projects of Sichuan Province (2014HH0058, 2013HH0042), the Sichuan Youth Science and Technology Innovation Research Team for waterfowl disease prevention and control (2013TD0015) and the National Natural Science Foundation of China (Grant No. 31372477). A Project Supported by Scientific Research Fund of Sichuan Provincial Education Department (No. 14TD0031).

Disclosure of conflict of interest

None.

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