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Impact of light quality on flavonoid production and growth of Hyptis marrubioides seedlings cultivated in vitro

ABSTRACT

Hyptis marrubioides Epling, Lamiaceae, a species from Brazilian Cerrado, has been used against gastrointestinal infections, skin infections, pain, and cramps. Herein, H. marrubioides seedlings were cultured in vitro under different wavelengths (white, blue, green, red, and yellow) with 50 µmol m-2 s-1 irradiance and a 16-h photoperiod. After 20 and 30 days of cultivation, shoot length, leaf number, fresh mass, and dry mass were evaluated. The flavonoid rutin content was determined by the HPLC-DAD method. The shoots were longer in plants cultivated under yellow (16.603 ± 0.790 cm, 1.8-fold), red (15.465 ± 0.461 cm, 1.7-fold), and green (14.677 ± 0.737 cm, 1.6-fold) lights than in control plants exposed to white light (9.203 ± 0.388 cm). The number of leaves increased in plants exposed to red (23.425 ± 1.138, 1.1-fold) and green (22.725 ± 1.814, 1.1-fold) lights, compared to control plants (20.133 ± 0.827). Fresh (0.665 ± 0.048 g, 1.2-fold) and dry (0.066 ± 0.005 g, 1.3-fold) mass of seedlings were the highest in seedlings grown under red light, compared to seedlings grown under white light (0.553 ± 0.048 and 0.028 ± 0.004, respectively). However, rutin production was higher under white (0.308 mg g-1 of dry weight) and blue lights (0.298 mg g-1 of dry weight). Thus, red light induces plant growth and increases leaf number and dry weight in in vitro-cultivated H. marrubioides, whereas blue and white lights promote the greatest rutin accumulation.

Keywords:
Flavonoid; Hyptis marrubioides; In vitro culture; Light quality

Introduction

The genus Hyptis, Lamiaceae, comprises about 300 species, widely distributed, occurring mainly in tropical regions of the Americas and Africa. Hyptis marrubioides Epling, commonly known as mint-of-field, is a species of the Brazilian Cerrado traditionally used to treat gastrointestinal and skin infections, pain, and cramps (McNeil et al., 2011McNeil, M., Facey, P., Porter, R., 2011. Essential oils from the Hyptis genus – a review (1909–2009). Nat. Prod. Commun. 6, 1775-1796.). The pharmacological potential of H. marrubioides has been previously investigated, and most studies have focused on examination of the chemical composition of essential oils, the main components of which are the sesquiterpenes caryophylla-4(14),8(15)-dien-5β-ol, eudesma-4(15),7-dien-1β-ol, caryophyllene oxide, and β-caryophyllene (Sales et al., 2007Sales, J.F., Pinto, J.E.B.P., Botrel, P.P., Oliveira, C.B.A., Ferri, P.H., Paula, J.R., Seraphin, J.C., 2007. Composition and chemical variability in the essential oil in Hyptis marrubioides Epl. J. Essent. Oil Res. 19, 552-556.; McNeil et al., 2011McNeil, M., Facey, P., Porter, R., 2011. Essential oils from the Hyptis genus – a review (1909–2009). Nat. Prod. Commun. 6, 1775-1796.). Essential oils of H. marrubioides have also been studied to investigate their potential for pest control in agriculture, such as the prevention and control of Asian soybean rust (Silva et al., 2012bSilva, A.C., Souza, P.E., Pinto, J.E.B.P., Silva, B.M., Amaral, D.C., Arruda Carvalho, E., 2012b. Essential oils for preventative treatment and control of Asian soybean rust. Eur. J. Plant Pathol. 134, 865-871.) and treatment of Colletotrichum truncatum-infected soybean seeds (Silva et al., 2012aSilva, A.C., Souza, P.E., Machado, J.C., Silva, B.M., Pinto, J.E.B.P., 2012a. Effectiveness of essential oils in the treatment of Colletotrichum truncatum-infected soybean seeds. Trop. Plant Pathol. 37, 305-313.).

The use of micropropagation techniques has great advantages in the production of high-quality seedlings, as they improve their pharmacological potential (Rao and Ravishankar, 2002Rao, S.R., Ravishankar, G.A., 2002. Plant cell cultures: chemical factories of secondary metabolites. Biotechnol. Adv. 20, 101-153.) by ensuring the reproduction of identical, high-quality plants (Serafini et al., 2001Serafini, L.A., Barros, N.M., Azevedo, J.L., 2001. Biotecnologia: princípios e aplicações. In: Serafini, L.A., Barros, N.M., Azevedo, J.L. (Eds.), Biotecnologia na agricultura e na agroindústria. Agropecuária, Guaíba, pp. 25–75.), which in turn enhances the biosynthesis of special metabolites (Bhuiyan and Adachi, 2003Bhuiyan, N.H., Adachi, T., 2003. Stimulation of betacyanin synthesis through exogenous methyl jasmonate and other elicitors in suspension-cultured cells of Portulaca. J. Plant. Physiol. 160, 1117-1124.; Zhao et al., 2005Zhao, J.T., Davis, L.C., Verpoorte, R., 2005. Elicitor signal transduction leading to production of plant secondary metabolites. Biotechnol. Adv. 23, 283-333.). However, the accumulation of secondary metabolites in plants is influenced by various environmental factors such as light quality, UV irradiation, temperature, irrigation, nutrient deficiency, pathogen attack, and heavy metal stress (Dixon and Paiva, 1995Dixon, R.A., Paiva, N.L., 1995. Stress-induced phenylpropanoid metabolism. Plant Cell 7, 1085-1097.; Winkel-Shirley, 2002Winkel-Shirley, B., 2002. Biosynthesis of flavonoids and effects of stress. Curr. Opin. Plant Biol. 5, 218-223.; Kopsell and Kopsell, 2008Kopsell, D.A., Kopsell, D.E., 2008. Genetic and environmental factors affecting plant lutein/zeaxanthin. Agro. Food Ind. Hi-Tech. 19, 44-46.).

Light is a key abiotic elicitor in plants that affects, directly or indirectly, growth and development of plants, mainly of those distributed in high-latitude areas (Morini and Muleo, 2003Morini, S., Muleo, R., 2003. Effects of light quality on micropropagation of woody species. In: Jain, S.M., Ishii, K. (Eds.), Micropropagation of Woody Trees and Fruits. Kluwer Academic Publishers, Dordrecht, pp. 3–35.; OuYang et al., 2015OuYang, F., Mao, J.F., Wang, J., Zhang, S., Li, Y., 2015. Transcriptome analysis reveals that red and blue light regulate growth and phytohormone metabolism in Norway spruce [Picea abies (L.) Karst]. PLOS ONE , .
https://doi.org/10.1371/journal.pone.012...
). Plant responses do not depend only on the absence or presence of light but also on the variation in light quality (Felippe, 1986Felippe, G.M., 1986. Fotomorfogênese. In: Ferri, G.M. (Ed.), Fisiologia Vegetal 2. EPU, São Paulo, pp. 231–280.). The action of light on plants occurs mainly in two aspects: first, the light source provides the energy required by the plant for photosynthesis, especially red and blue light, and second, as a signal received by photoreceptors it regulates growth, differentiation, and plant metabolism (Wang et al., 2001Wang, Y.C., Zhang, Z.X., Zhao, X.F., Yuan, X.F., 2001. Improved growth of Artemisia annua L. hairy roots and artemisin production under red light conditions. Biotechnol. Lett. 23, 1971-1973.).

Light is one of the most significant environmental factors affecting the accumulation of flavonoids in plants (Huché-Thélier et al., 2016Huché-Thélier, L., Crespel, L., Le Gourrierec, J., Morel, P., Soulaiman Sakr, S., Nathalie Leduc, L., 2016. Light signaling and plant responses to blue and UV radiations – perspectives for applications in horticulture. Environ. Exp. Bot. 121, 22-38.). However, the biosynthesis of flavonoids in response to light quality need to be better understood, especially in in vitro culture.

Studies involving the influence of light on the production of secondary metabolites and growth parameters in H. marrubioides seedlings cultivated in vitro are non-existent. In a previous study, we have evaluated the phytochemical profile of H. marrubioides microplants inoculated with isolates of bacteria and endophytic fungi (Vitorino et al., 2013Vitorino, L.C., Silva, F.G., Lima, W.C., Soares, M.A., Pedroso, R.C.N., Silva, M.R., Dias, H.J., Crotti, A.E.M., Silva, M.L.A., Cunha, W.R., Pauletti, P.M., Januário, A.H., 2013. Metabolic response induced by endophytic fungi and bacteria in H. marrubioides Epling in vitro microplants. Quim. Nova 36, 1014-1020.). Photosynthetic studies in H. marrubioides in vitro culture involving measuring gas exchange were also conducted by our research group and the irradiance effects, flow rate, and air humidity parameters were investigated. In addition, the chlorophyll a fluorescence and chloroplastidic pigment content were also assessed (Costa et al., 2014Costa, A.C., Rosa, M., Megguer, C.A., Silva, F.G., Pereira, F.D., Otoni, W.C., 2014. A reliable methodology for assessing the in vitro photosynthetic competence of two Brazilian savanna species: Hyptis marrubioides and Hancornia speciosa. Plant Cell Tissue Organ Cult. 117, 443-454.). Hence, the aim of the present study was to assess the effect of light quality on growth of H. marrubioides seedlings in vitro and their flavonoid production. This study furthers our understanding of the factors that promote the growth and increase the resistance of this medicinal species, through the production of flavonoids.

Materials and methods

Plant material and in vitro cultivation

Seedlings previously established via in vitro germination of Hyptis marrubioides Epling, Lamiaceae, seeds suitable for inoculation obtained on the experimental field of the Laboratory of Plant Tissue Culture of the Instituto Federal de Educação, Ciência e Tecnologia Goiano, Campus Rio Verde. A voucher specimen (HRV71) has been deposited at the Herbarium of the Institute (Herbarium HRV).

The seeds were disinfected with 0.2% Bendazol (carbendazim) and 0.2% Alterno (tebuconazole) for 1 h, followed by treatment with 1% sodium hypochlorite for 30 min, and then rinsed thrice with sterile distilled water. Seeds were germinated and maintained on Murashige & Skoog medium (Murashige and Skoog, 1962Murashige, T., Skoog, F.A., 1962. A revised medium for rapid growth and bio assays with tobacco tissues cultures. Physiol. Plant. 15, 473-497.) supplemented with 30 g l-1 of sucrose and solidified with agar at 3.5 g l-1; the pH was adjusted to 5.8 before autoclaving. The cultures were incubated in a growth chamber for 30 days at 50 µmol m-2 s-1 photosynthetically active radiation (PAR), at an average temperature of 23 ± 1 ºC, and a photoperiod of 16 h. Thereafter, the seedlings were sub-cultured on the same medium and incubated in a growth cabinet for 10 days at 50 µmol m-2 s-1 PAR, 23 ± 1 ºC, and 16-h photoperiod. All experiments were carried out in glass flasks containing 50 ml of semisolid medium with five seedlings per flask with a total of forty seedlings.

Light conditions

After 10 days, the cultures were transferred to a cabinet and exposed to continuing irradiation of different light spectra: white (300–750 nm), blue (400–490 nm), green (490–560 nm), red (600–700 nm), and yellow (560–590 nm). The specific light conditions were maintained using TP 40 W lamps (Taschibra® Indaial, Santa Catarina, Brazil), at a light intensity of 50 µmol m2 s-1 and a photoperiod of 16 h. The cultures were evaluated after 20 and 30 days of light exposure. Cultures grown under white light were used as a control. For weight measurements, the whole seedlings without roots was considered.

Chemical analysis

The seedlings were dried at 35 ºC in a forced air circulation oven and the dry biomass (200 mg) from the in vitro culture of H. marrubioides was extracted with 4 ml methanol of high performance liquid chromatography (HPLC) grade using ultrasound bath (30 min). The samples had been previously filtered through a 0.2-µm syringe filter with hydrophilic PTFE membrane (Advantec, Dublin, CA, USA) and transferred into 1-ml HPLC vials. These procedures were conducted in triplicate.

For the quantitative analysis, solutions were done in HPLC grade methanol to obtain solutions containing 0.500, 0.250, 0.125, and 0.063 mg ml-1 rutin. Each standard solution was injected in triplicate. The calibration curve was constructed to determine the linearity of the method by plotting the peak area versus the concentration of the substance in mg ml-1. The quantitative analysis by HPLC with diode-array detection (DAD) was carried out on a Shimadzu Prominence LC-20AD binary system equipped with a DGU-20A5 degasser, an SPD-20A series diode array detector, a CBM-20A communication bus module, an SIL-20A HT autosampler, and a CTO-20A column oven (Shimadzu, Kyoto, Japan). The analyses were conducted on a Gemini ODS column (250 × 4.6 mm, 5 µm; Phenomenex, Aschaffenburg, Germany) equipped with a pre-column with the same material under the following conditions: injection volume set at 20 µl, flow rate of 1.0 ml min-1, mobile phase was CH3OH/H2O/HOAc (5:94.9:0.1, v/v/v) delivered in a linear gradient until 100% CH3OH in 30 min, 10 min at 100% CH3OH, and 20 min to return to the initial conditions. The UV detection was set at 254 nm and 40 ºC.

Methanol used in the experiments was HPLC grade and it was obtained from J. T. Baker (Avantor Performance Materials, Center Valley, PA, USA). Ultrapure water was obtained by passing redistilled water through a Direct-Q UV3 system from Millipore (Billerica, MA, USA). The flavonoid rutin used as external standard was acquired from the standard bank of the Natural Products Group of the Universidade de Franca.

Statistical analyses

The statistical analysis was performed in Sisvar 5.3 software (Ferreira, 2011Ferreira, D.F., 2011. SISVAR – Sistema de análise de variância. Versão 5.3. UFLA, Lavras, Minas Gerais.). The experiment was conducted in a completely randomized design with four replications. The multi-factorial analysis of variance followed by Tukey multiple comparison tests were used for statistical comparisons (p ≤ 0.05).

Results

Seedlings growth

The measured growth parameters of H. marrubioides seedlings cultivated in vitro under different wavelengths showed significant difference (Table 1). During the 20-day cultivation, the seedlings exposed to red light showed the highest shoot lengths (10.175 ± 0.669 cm), which was 1.69-fold higher than the corresponding lengths of control seedlings (6.035 ± 0.511 cm). In addition, after 30 days of irradiation with green, red, and yellow lights, the length of the shoots increased 1.8-fold compared to seedlings exposed to white light. The number of expanded leaves was not affected by light conditions after 20 days of treatment; however, after 30 days of culture, green and red light promoted the most the increase in the number of leaves (22.725 ± 1.814 and 23.425 ± 1.138, respectively).

Table 1
Shoot length and average number of expanded leaves of Hyptis marrubioides seedlings submitted to 20 and 30 days of light treatment.

Shoot dry and fresh weights did not differ among the seedlings irradiated with different lights for 20 days. In contrast, after 30 days of illumination with red light, dry biomass of H. marrubioides seedlings increased 1.27-fold (0.066 ± 0.005 g) compared to dry weight of the control seedlings (0.052 ± 0.004 g).

Accumulation of rutin flavonoid

Methanol extracts of rutin obtained from seedlings cultured under different lights for 20 and 30 days was quantitatively assessed using HPLC-DAD analysis (Table 2). The response of the UV detector at 254 nm was linear from 0.063 a 0.500 mg ml-1 for rutin. The obtained regression equation was y = 4.0 × 107 x - 69,442 with a correlation coefficient (R2) of 0.9998. After 20 days of culture, the accumulation of rutin in all samples was lower than that in the control (0.243 mg g-1 dry weight (DW)); the lowest amount of rutin was detected in plants exposed to blue light (0.084 mg g-1 DW). However, after 30 days of treatment, the amount of rutin in seedlings exposed to blue light (0.298 mg g-1 DW) was not significantly different to that in control seedlings (0.308 mg g-1 DW), whereas its content in seedlings exposed to green (0.198 mg g-1 DW), red (0.192 mg g-1 DW), and yellow (0.262 mg g-1 DW) lights was reduced significantly compared to that in control plants. Overall the results demonstrated that the rutin content in micropropagated plants was lower than that found in wild plants of H. marrubioides (1.259 mg g-1 DW) obtained in previous studies conducted by our research group.

Table 2
Accumulation of rutin (mg g-1 dry weight) in Hyptis marrubioides seedlings irradiated with white, blue, green, red, and yellow lights for 20 and 30 days.

Discussion

Light quality has important effects on plant growth and development, especially for photosynthesis and photomorphogenesis, the two processes that, through signals received by the photoreceptors, regulate plant growth, differentiation, and metabolism (Guo et al., 2007Guo, B., Liu, Y.G., Yan, Q., Liu, C.Z., 2007. Spectral composition of irradiation regulates the cell growth and flavonoids biosynthesis in callus cultures of Saussurea medusa Maxim. Plant Growth Regul. 52, 259-263.). Plant growth can be affected by endogenous hormone levels interactions with light quality. The interaction of light quality with plant hormone pathways in regulation growth of vegetal species includes gibberellins (GAs), auxins being the most common is the indoleacetic acid (IAA), cytokinins (CKs), and abscisic acid (ABA) (OuYang et al., 2015OuYang, F., Mao, J.F., Wang, J., Zhang, S., Li, Y., 2015. Transcriptome analysis reveals that red and blue light regulate growth and phytohormone metabolism in Norway spruce [Picea abies (L.) Karst]. PLOS ONE , .
https://doi.org/10.1371/journal.pone.012...
).

Another study found that the levels of endogenous CKs, IAA, and GAs are markedly increased in response to low-intensity red to far-red light at low or normal PAR, promoting the growth of hypocotyls in Helianthus annuus (Kurepin et al., 2007Kurepin, L.V., Emery, R.J., Pharis, R.P., Reid, D.M., 2007. The interaction of light quality and irradiance with gibberellins, cytokinins and auxin in regulating growth of Helianthus annuus hypocotyls. Plant Cell Environ. 30, 147-155.).

Transcriptome analysis of Norway spruce (Picea abies) by OuYang and collaborators revealed that red and blue light are associated with plant growth and development and phytohormone metabolism (OuYang et al., 2015OuYang, F., Mao, J.F., Wang, J., Zhang, S., Li, Y., 2015. Transcriptome analysis reveals that red and blue light regulate growth and phytohormone metabolism in Norway spruce [Picea abies (L.) Karst]. PLOS ONE , .
https://doi.org/10.1371/journal.pone.012...
). In addition, they reported that blue light promotes IAA accumulation and phenylpropanoid biosynthesis. In contrast, red light affects stem growth by regulating biosynthesis of GAs. In line with these results, Thwe et al. (2014)Thwe, A.A., Kim, Y.B., Li, X., Seo, J.M., Kim, S.J., Suzuki, T., Chung, S.O., Park, S.U., 2014. Effects of light-emitting diodes on expression of phenylpropanoid biosynthetic genes and accumulation of phenylpropanoids in Fagopyrum tataricum sprouts. J. Agric. Food Chem. 62, 4839-4845. reported that irradiation with blue light increases polyphenol content in lettuce and induces the production of rutin and cyanidin 3-O-rutinoside in Fagopyrum tataricum.

The evaluation of growth parameters in H. marrubioides seedlings cultured in vitro in our study show that red light almost doubled the length of shoots and increased the number of leaves and dry biomass compared to the control. Concerning the production of secondary metabolites, we found that blue and white light favored the biosynthesis of the flavonoid rutin.

Phenylalanine ammonia-lyase (PAL) and chalcone synthase are important regulatory enzymes of the biosynthesis of phenylpropanoids (C6C3 compounds), including flavonoids. PAL is involved in plant response to a variety of biotic and abiotic stresses (Wang et al., 2010Wang, H., Jiang, Y.P., Yu, H.J., Xia, X.J., Shi, K., Zhou, Y.H., Yu, J.Q., 2010. Light quality affects incidence of powdery mildew, expression of defence-related genes and associated metabolism in cucumber plants. Eur. J. Plant Pathol. 127, 125-135.; Yousefzadi et al., 2012Yousefzadi, M., Sharifi, M., Behmanesh, M., Ghasempour, A., Moyano, E., Palazon, J., 2012. The effect of light on gene expression and podophyllotoxin biosynthesis in Linum album cell culture. Plant Physiol. Biochem. 56, 41-46.). According to Awad et al. (2001)Awad, M.A., Wagenmakers, P.S., de Jager, A., 2001. Effects of light on flavonoid and chlorogenic acid levels in the skin of ‘Jonagold’ apples. Sci. Hort. 88, 289-298., light is one of the most important factors in the control of flavonoid synthesis, acting upon a complex system involving several photoreceptors, including UV, blue, phytochrome and the photosynthetic system.

Jeong et al. (2012)Jeong, S.W., Park, S., Jin, J.S., Seo, O.N., Kim, G.S., Kim, Y.H., Bae, H., Lee, G., Kim, S.T., Lee, W.S., Shin, S.C., 2012. Influences of four different light-emitting diode lights on flowering and polyphenol variations in the leaves of Chrysanthemum (Chrysanthemum morifolium). J. Agric. Food Chem. 60, 9793-9800. studied the influences of four different light-emitting diode lights on flowering and polyphenol variations in the leaves of chrysanthemum (Chrysanthemum morifolium). The luteolin-7-O-glucoside, luteolin-7-O-glucuronide and quercetagetin-trimethyl ether showed highest yield under green light. On the other hand, dicaeoylquinic acid isomer, dicaeoylquinic acid isomer, naringenin, and apigenin-7-O-glucuronide were greatest under red light. Taulavuori et al. (2016)Taulavuori, K., Hyöky, V., Oksanen, J., Taulavuori, E., Julkunen-Tiitto, R., 2016. Species-specific differences in synthesis of flavonoids and phenolic acids under increasing periods of enhanced blue light. Environ. Exp. Bot. 121, 145-150. evaluated the differences in synthesis of flavonoids and phenolic acids under increasing periods of enhanced blue light in leaves red lettuce and basil. Flavonoids and phenolic acids were found to be species dependent. Dicaffeoyltartaric acid was the major compound in lettuce while rosmaric acid was the prodominant compound in basil.

These examples suggest that the polyphenol production is influenced by light quality composition.

Our results on the growth and metabolism of in vitro-cultured seedlings of H. marrubioides are in accordance with the data described by OuYang et al. (2015)OuYang, F., Mao, J.F., Wang, J., Zhang, S., Li, Y., 2015. Transcriptome analysis reveals that red and blue light regulate growth and phytohormone metabolism in Norway spruce [Picea abies (L.) Karst]. PLOS ONE , .
https://doi.org/10.1371/journal.pone.012...
and Thwe et al. (2014)Thwe, A.A., Kim, Y.B., Li, X., Seo, J.M., Kim, S.J., Suzuki, T., Chung, S.O., Park, S.U., 2014. Effects of light-emitting diodes on expression of phenylpropanoid biosynthetic genes and accumulation of phenylpropanoids in Fagopyrum tataricum sprouts. J. Agric. Food Chem. 62, 4839-4845. as well the data reported for other plant species (Vreugdenhil et al., 1998Vreugdenhil, D., Boogaard, Y., Visser, R.G.F., de Bruijn, S.M., 1998. Comparison of tuber and shoot formation from in vitro cultured potato explants. Plant Cell Tissue Organ Cult. 53, 197-204.; Kvaalen and Appelgren, 1999Kvaalen, H., Appelgren, M., 1999. Light quality influences germination, root growth and hypocotyl elongation in somatic embryos but not in seedlings of Norway spruce. In Vitro Cell. Dev. Biol. Plant. 35, 437-441.; Leal-Costa et al., 2010Leal-Costa, M.V., Nascimento, L.B., Moreira, N., dos, S., Reinert, F., Costa, S.S., Lage, C.L., Tavares, E.S., 2010. Influence of blue light on the leaf morphoanatomy of in vitro Kalanchoe pinnata (Lamarck) Persoon (Crassulaceae). Microsc. Microanal. 16, 576-582.; Ouzounis et al., 2015Ouzounis, T., Parjikolaei, B.R., Fretté, X., Rosenqvist, E., Ottosen, C.O., 2015. Predawn and high intensity application of supplemental blue light decreases the quantum yield of PSII and enhances the amount of phenolic acids, flavonoids, and pigments in Lactuca sativa. Front. Plant Sci., http://dx.doi.org/10.3389/fpls.2015.00019.
http://dx.doi.org/10.3389/fpls.2015.0001...
).

In summary, we conclude that for the in vitro culture of H. marrubioides light quality is an important parameter that can be utilized to optimize seedlings growth and accumulation of rutin, in particular the red and blue lights, which are beneficial to growth and rutin metabolism, respectively. Therefore, our results may be useful as theoretical basis for studies related to quality control of growth and production of secondary metabolism of H. marrubioides.

  • Ethical disclosures
    Protection of human and animal subjects. The authors declare that no experiments were performed on humans or animals for this study.
    Confidentiality of data. The authors declare that no patient data appear in this article.
    Right to privacy and informed consent. The authors declare that no patient data appear in this article.

Acknowledgments

The authors are grateful to CNPq (Grant # 305783/2012-2) and FAPESP (Grant # 2011/00631-5) for financial support. Fundação de Amparo a Pesquisa do Estado de Goiás (FAPEG, Grant # 201310267000257) are also acknowledged for fellowship.

References

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Publication Dates

  • Publication in this collection
    Jul-Aug 2017

History

  • Received
    2 Nov 2016
  • Accepted
    22 Dec 2016
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