{'fraction_non_alphanumeric': 0.028311716307979736, 'fraction_numerical': 0.02223978730284195, 'mean_word_length': 4.85978947368421, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 8, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Improving the large scale purification of the HIV microbicide, griffithsin

Background Griffithsin is a broad spectrum antiviral lectin that inhibits viral entry and maturation processes through binding clusters of oligomannose glycans on viral envelope glycoproteins. An efficient, scaleable manufacturing process for griffithsin active pharmaceutical ingredient (API) is essential for particularly cost-sensitive products such as griffithsin -based topical microbicides for HIV-1 prevention in resource poor settings. Our previously published purification method used ceramic filtration followed by two chromatography steps, resulting in a protein recovery of 30%. Our objective was to develop a scalable purification method for griffithsin expressed in Nicotiana benthamiana plants that would increase yield, reduce production costs, and simplify manufacturing techniques. Considering the future need to transfer griffithsin manufacturing technology to resource poor areas, we chose to focus modifying the purification process, paying particular attention to introducing simple, low-cost, and scalable procedures such as use of temperature, pH, ion concentration, and filtration to enhance product recovery. Results We achieved >99% pure griffithsin API by generating the initial green juice extract in pH 4 buffer, heating the extract to 55°C, incubating overnight with a bentonite MgCl2 mixture, and final purification with Capto™ multimodal chromatography. Griffithsin extracted with this protocol maintains activity comparable to griffithsin purified by the previously published method and we are able to recover a substantially higher yield: 88 ± 5% of griffithsin from the initial extract. The method was scaled to produce gram quantities of griffithsin with high yields, low endotoxin levels, and low purification costs maintained. Conclusions The methodology developed to purify griffithsin introduces and develops multiple tools for purification of recombinant proteins from plants at an industrial scale. These tools allow for robust cost-effective production and purification of griffithsin. The methodology can be readily scaled to the bench top or industry and process components can be used for purification of additional proteins based on biophysical characteristics.


Background
Griffithsin (GRFT) is a high mannose targeting lectin that has shown promise as a microbicide candidate against viruses with oligomannose-rich envelope glycoproteins, such as HIV-1 or HSV-2 [1][2][3][4]. GRFT was originally isolated from a red alga (Griffithsia sp.) with native and recombinant forms showing similar antiviral activity against laboratory strains and primary isolates of HIV-1 [1,4]. Recombinant forms of GRFT have been successfully produced in both E. coli and N. benthamiana, with the latter used to produce multi-gram quantities of functional GRFT [4,5]. GRFT has shown to be a safe and effective microbicide against HIV, but needs to be evaluated in clinical trials [2,6]. The HIV epidemic is prevalent in many resource-limited or developing countries and the availability of indigenous manufacturing systems for GRFT in those areas could facilitate large-scale rollout of microbicide product. Cost and production complexity are factors that must be considered when manufacturing biologics for extremely cost-sensitive markets, such as for microbicides in developing economies.
This communication details our development of a process to reduce the production cost of GRFT from N. benthamiana. Currently published industrial scale GRFT manufacturing uses ceramic filtration followed by two-stage chromatography [4]. These relatively complex methods require specialized equipment and increase production costs. The molecule's biophysical properties, and specifically the melting temperature, were taken into account when developing a new purification methodology. GRFT has a melting temperature of 78.8°C and remains functionally stable at temperatures not tolerated by many of the contaminating proteins [7,8]. There are three primary contaminants to contend with when trying to purify GRFT from N. benthamiana: two production host-associated, the small and large subunits of Ribulose-1,5-bisphosphate carboxylase/oxygenase (Ru-BisCO), and one contaminant from the TMV production system, TMV coat protein (CP). RuBisCO lacks the thermostability of GRFT at acidic pHs. Therefore, in these studies we tested heat treatment, under acidic conditions, of our crude plant extracts containing GRFT to determine if any of the major contaminants could be removed through precipitation/denaturation. The TMV CP has shown a propensity to self-aggregate under certain ionic, pH, and temperature conditions. Absorption by the clay material, bentonite, has been previously used to purify TMV particles and could potentially be a useful tool in removal of the coat protein contaminant [9]. Therefore purification methods utilizing altered heat, pH, ion concentrations, and bentonite filtration were all tested in an effort to develop a scalable purification method requiring less specialized equipment. We have developed a single-step-chromatography purification method that will decrease the cost and complexity of producing large quantities of GRFT, while increasing the protein recovery. The application of this knowledge on industrial size purification should further reduce GRFT cost of production and may be beneficial for production of other plant-made pharmaceuticals.

Results and discussion
Leaf punches were used to determine the pH and NaCl concentration parameters that were optimal for extraction of GRFT and minimal extraction of contaminating proteins. One dimensional SDS PAGE profiles showed the optimal extraction pH for GRFT to be pH 4.0. The addition of 100 mM NaCl showed minimal impact on the purity of GRFT in the small-scale samples, but from prior work it is understood that the addition of NaCl will improve purity as long as it is not deleterious to the protein of interest especially as scale is increased. Therefore all subsequent purifications used 100 mM sodium acetate and 300 mM NaCl pH4 as the extraction buffer. Analysis of the small scale protein extraction profiles by SDS-PAGE demonstrates little impact of temperature on the extract purity, but does show that GRFT maintains stability in temperatures ranging from 60 -80°C. GRFT's thermostability in heated extracts was further assessed in larger scale extractions and Figure 1 shows clearly the impact that heat has on contaminating proteins. Nearly all contaminating proteins aggregated at temperatures above 50°C (Figure 1), increasing the extract purity 30 -40% (Figure 1), while GRFT remains stable until the extract reaches 90°C. Figure 1 Removal of plant protein contaminants from GRFT Extract with Heat. Plants expressing GRFT through a TMV-based expression system were harvested at pH4 in sodium acetate buffer and the extract was divided into 7 aliquots. Each aliquot was incubated for 15 minutes at temperatures ranging from room temperature (24°C) to 90°C and centrifuged to remove any precipitant. Samples of the initial extract and all assessed temperatures were analyzed by SDS-PAGE with coomassie staining. The initial extract contains multiple contaminating proteins, which remain after incubation at room temperature. Once the extracts are heated to at least 50°C the majority of contaminating proteins precipitate except for the target protein GRFT and the TMV coat protein. The composition of the extract remains similar with temperature treatments ranging from 50 -80°C, but at 90°C incubation nearly all proteins are precipitated. Table: Densitometry readings corresponding to SDS-PAGE shown in Figure 1.
The primary contaminating protein left in the GRFT extract after heating was the TMV CP. Therefore, methods for removing the TMV CP were examined. These included the addition of bentonite and/or MgCl 2 , as well as pH and temperature adjustments. The more acidic extracts pH 4.0 and pH 6.5 showed increased activity of bentonite and MgCl 2 for removal of CP relative to the pH 7.0, 8.0, or 9.0 extracts, as long as extracts were incubated at 4°C (Figure 2). The pH 6.5 extract in the presence of bentonite and MgCl 2 reduced TMV CP levels by~55% (Figure 2), but the pH 4.0 extract in the presence of bentonite and MgCl 2 reduced CP contamination by~75%. Therefore, pH 4.0 and incubation at 4°C was used in subsequent purification with bentonite and MgCl 2 , but the most effective concentrations of MgCl 2 and bentonite remained to be determined.
Multiple concentrations of bentonite and MgCl 2 were investigated in pH 4.0 buffer to determine the optimal concentration for removal of TMV CP. Bentonite was added to GRFT extracts at a range of 0 mg/mL to 10 mg/mL and MgCl 2 was added in a range of 0 -0.1 M with each concentration tested in combination and separately to determine the most effective concentration to aggregate TMV. Figure 3 shows that 0.1 M MgCl 2 had a similar impact on TMV CP removal at all bentonite concentrations tested, with bentonite having a minimal impact on TMV levels in the absence of MgCl 2 . Removal of 75 -95% of TMV CP was observed with the addition of 0.1 M MgCl 2 ( Figure 3), but bentonite in the absence of MgCl 2 only removed 10 -30% of the CP contaminant. The addition of bentonite and MgCl 2 at their most effective concentrations, Figure 2 Effects of pH on the activity of MgCl 2 and bentonite to remove the TMV coat protein. Extracts were harvested in sodium acetate (pH 4-5) or tris (pH7-9) buffer depending on the desired pH range and were visualized using coomassie stained SDS-PAGE. Sample 1 shows the proteins in the initial extract and sample 2 represents the proteins after the extract is heated to 55°C and centrifuged. Sample 3 represents the extract after it was adjusted to its corresponding pH a) pH 4.0 and b) pH 9.0. Sample 3 extracts were centrifuged to remove additional precipitate and represented in sample 4. Samples 5-12 represent various temperature, bentonite, or MgCl 2 treatments of sample 4 performed in duplicate.  Table: Densitometry readings of SDS-PAGE represented in Figure 2 with values from three additional gels representing additional pH values that were explored (pH 6.5, 7.0, 8.0). The shaded area represents an extract condition achieving greater than 80% purity of GRFT. 10 mg/mL and 0.1 M, respectively, failed to be additive in their effects on TMV CP removal. The largest reduction in TMV CP levels was observed in the absence of bentonite with the addition of 0.1 M MgCl 2 , reducing TMV CP contamination by greater than 95% ( Figure 3). Bentonite has been proven to help in the clarification process of plant extracts and we continued to explore its impact on purification, but maintain that it has minimal impact on TMV CP removal from pH 4.0 extracts.
Since the goal was to provide an alternative, less expensive, and less complex purification method the steps outlined thus far were implemented on a larger scale with fewer variables explored. GRFT was extracted and aliquoted after temperature treatment. GRFT extract aliquots were untreated (control) or treated with 0.1 M MgCl 2 and/or 10 mg/mL bentonite and all were incubated overnight at 4°C. Extracts were compared via SDS-PAGE with densitometry and again showed that the greatest reduction of TMV occurred in the 0.1 M MgCl 2 treatment group ( Figure 4A). The pellets correlating to the specific treatments contained large amounts of TMV CP likely through forced aggregation and removal during centrifugation. Minimal loss of functional GRFT is observed in any of the treatment groups when compared via HIV-1 gp120 binding ELISAs ( Figure 4B). When western blots targeting TMV CP were quantified by densitometry a reduction of 65% was observed in extracts treated with MgCl 2 , which is significantly decreased compared to the bentonite-only treated extract ( Figure 4C). The table in Figure 4 shows GRFT purity in the four extracts ranges from 64 -82% with the TMV content of extracts treated with MgCl 2 reduced by as much as 66%.
In an effort to achieve greater than 95% purity of GRFT a chromatography step was explored. Extracts were heated to 55°C and treated with MgCl 2 or MgCl 2 and bentonite overnight after which they were filtered through a 0.2 μm filter and loaded onto a Capto® MMC column. The Capto® MMC resin is a multimodal cation exchanger that does not require buffer exchange and was chosen to help minimize purification steps. After chromatography trace amounts of TMV can be seen in SDS gels and western blots in both the untreatedcontrol and the MgCl 2 treated samples with no TMV contamination observed in the MgCl 2 and bentonite treated extract ( Figure 5). Purity of all extracts after Capto MMC chromatography was greater than 97%, with the bentonite and MgCl 2 treatment group showing a purity of >99% by SDS-PAGE densitometry. The recovery levels and activity of the purified GRFT were assessed by gp120 binding ELISAs with very good recovery levels achieved in all treatments undergoing MMC chromatography. A minimum of 84.5% was recovered in the MgCl 2 treated extract after it was purified by chromatography and a maximum recovery of 92.1% was observed in the control extract that was purified by chromatography ( Table 1). All extracts maintained an activity level at least 80% of GRFT purified by the previously published method [4], with GRFT purified by MgCl 2 & bentonite having 100.8 ± 4.33% of the activity (Table 1). In summary, purification of GRFT from N.  Utilizing the information yielded from small scale experiments GRFT was purified at an industrial pilot scale (>5 kg of plant material) in a GMP ready facility. At this scale it was necessary to replace all centrifugation steps with a filter press because of the impracticality of centrifugation at scale. Ten liters of extraction buffer was added to 5 kg of N. benthamiana and the tissue was ground to yield 11.4 L of initial extract containing 2599.73 mg of GRFT for a total of 519.9 mg of GRFT per kg of plant material ( Table 2). The extract was pH adjusted, heated, and filter pressed, which removed TMV CP and purified GRFT to >90% ( Figure 6). The remaining small protein contaminants were removed by overnight incubation with 10 mg/mL of bentonite and 0.1 M MgCl 2 and subsequent filter pressing. The extract underwent filter press and sterile filtration simultaneously and at this stage was >99% pure, and sterile with only minimal color. It should be noted that the purification process could be halted at this point depending on the application of the process and necessity for >99% pure colorless product. Capto® MMC chromatography was used to remove the color and simultaneously affect a buffer exchange into phosphate buffered saline pH7.4. Purity was maintained with greater than 99% purity of the final product and recovery of 66-72.25%, determined by densitometry of SDS-PAGE ( Figure 6) and gp120 ELISA respectively ( Table 2). Because of the GMP-ready nature of the purification scheme, endotoxin levels were assessed and found to be 0.20 EU/mL of final product with a GRFT concentration of 1.20 mg/mL, which should be sufficiently low depending on the dosage and administration route (Table 3). In summary, the purification method developed for GRFT herein provided a >99% pure product with >66% recovery while maintaining low endotoxin levels at industrial pilot scale and could be further scaled without modification to the process.

Conclusions
GRFT has been described as a promising topical microbicide component with potential to neutralize a broad range of viruses including HIV-1, Herpes simplex virus type 2, Japanese encephalitis virus, Hepatitis C virus, and SARS-CoV [1,2,[10][11][12]. The safety and efficacy profile of GRFT as an HIV entry inhibitor was demonstrated in rabbits, on human cells, and in a sensitive murine HSV-2 susceptibilty assay [2,4,6]. A comprehensive set of highly promising data confirming the potential for use of GRFT in HIV prevention and even treatment, has led to considerable enthusiasm from policy makers and funders in bringing GRFT-based topical microbicides to clinical trial [2,4,6,[13][14][15][16]. We have been motivated to improve and simplify the GRFT extraction protocol we initially developed [4] in anticipation of future need to manufacture extremely large amounts of this protein, preferably in geographic areas where the HIV-1 epidemic has the   We previously produced GRFT in multi-gram quantities in N. benthamiana, but the purification methodology used required specialized ceramic filtration devices, two chromatography techniques, ultrafiltrationdiafiltration and had relatively low recovery from infected extracts, 30% possibly increasing to 50% [4]. Of the purification techniques we describe here, using a combination of heat (55°C), MgCl 2 & bentonite, and a single chromatographic step were most effective. This three step approach produced GRFT with no loss in activity or purity, while recovering nearly 90% of the extracted GRFT. Each step targets various contaminating proteins within the plant extract. Heating the extract at 55°C removes the majority of the native plant proteins, which lack the thermostability of GRFT. Exposing the extract to a combination of MgCl 2 and bentonite removes the TMV CP contaminant, originating from the TMV expression vector. Bentonite and MgCl 2 work in tandem, with bentonite known to strip coat protein from the TMV RNA and potentially the MgCl 2 causing either structural shifts in the RNA causing aggregation or cleaving the RNA causing aggregation [9,17,18]. Either mechanism is plausible for the aggregation of TMV in the plant extract. Our data shows the necessity of both MgCl 2 and bentonite to be present for optimal TMV removal when coupling to a single chromatography step. Utilizing Capto® MMC resin allows for removal of trace protein impurities by binding GRFT to the resin and eluting based upon the isoelectric point of the protein with unobservable amounts of TMV left in extracts treated with bentonite and MgCl 2 . Stripping of the CP from TMV likely reduces its ability to bind Capto® MMC resin and allows for less TMV contaminant binding and co-elution. All of the techniques, heating, cooling, pH adjustment, and chemical additives, used to purify GRFT are all facile, scaleable and amenable to technology transfer to facilities in resource poor countries. In an effort to demonstrate the scaleability and and amenability of technology transfer the process was performed at pilot scale in a GMP ready industrial facility with only slight reductions in the recovery, while providing pure active GRFT with low endotoxin levels. The methodology maintains increased recovery at scale, reducing per unit costs of GRFT, which should increase the availability of GRFT for HIV entry-inhibition in resource limited settings.
The techniques discussed here can be applied to other recombinant protein production methods to address similar protein contaminants such as native plant proteins, RuBisCO, and TMV CP. Recombinant proteins purified from transgenic or transiently expressing plants both can utilize portions of the methodology to remove contaminating proteins. It is possible that the manufacturing process could be further abbreviated with the use of transgenically expressed GRFT.
In conclusion, purification of GRFT at scale using this technique should provide multi-kilogram quantities of GRFT at a low cost with minimal product loss suitable for practical development of GRFT-based topical microbicides.

GRFT expression
GRFT was expressed in N. benthamiana using the same plasmid and methodology described in O'Keefe et al., [4]. Briefly, a TMV-based expression vector system containing the GRFT amino acid sequence was used to generate infectious RNA transcripts. Infectious transcripts were inoculated on N. benthamiana (~24 days post sowing) by gentle abrasion.
GRFT extractionleaf punches Ten days after inoculation, 8 mm leaf punches were randomly taken from eight N. benthamiana plants. Two leaf punches were homogenized in 200 μL of each extraction buffer. Extraction buffers ranged from pH 2-10 consisting of 100 mM buffering agent (glycine, sodium acetate, Tris, sodium phosphate) with and without 100 mM sodium chloride. Samples were centrifuged 15,000 × g for 15 minutes and the supernatant removed. The supernatants were then treated with the application of 60°C, 70°C , or 80°C for ten minutes and compared to an ambient temperature control sample for each buffer.
GRFT extractionbench scale Ten days after inoculation, leaf tissue was harvested and homogenized in the appropriate extraction buffer with a ratio of 1:2 (Plant tissue (g): Extraction buffer (mL)). Extraction buffer composition was either 100 mM sodium acetate, 300 mM sodium chloride, 20 mM ascorbic acid, 10 mM sodium metabisulfite for buffers with a pH range of 4.0 -6.5 and 100 mM tris-hydrochloride, 300 mM sodium chloride, 20 mM ascorbic acid, 10 mM sodium metabisulfite for buffers in the pH range of 7.0 -9.0. Extract material was filtered through 4 layers of cheesecloth and 1 layer of miracloth, heated to the desired temperature for 15 minutes, and centrifuged at 15,000 × g for 15 minutes. In some experiments the purification process was halted at this point and the extract tested for purity by SDS PAGE, but in an effort to remove the TMV coat protein additional alterations were made to the extract. The semi-pure extract was treated with 0 -0.1 M MgCl 2 and 0 -10 mg/mL bentonite at varying pHs and then incubated at varying temperatures over night to determine if any combination of bentonite, MgCl 2 , pH, and temperature could help remove the coat protein. After 16 hrs at their specified temperature all extracts were centrifuged at 15, 000 × g for 15 minutes and the supernatant removed. Pellets were resuspended in equivalent volumes of 2× SDS running buffer. Pellet and supernatant samples were analyzed by SDS-PAGE.

SDS-PAGE with densitometry
Sample buffer (4 X SDS) containing BME was added to all samples and samples were then boiled at 95°C for 10 minutes. Twenty microliters of sample was loaded on 12% Bis-Tris gels with the addition of 5 μL of protein ladder to the outer wells. Gels were ran at 200 V for 37 minutes then stained with coomassie stain for 1 hour and destained for 3 hours. Gels were imaged on a Kodak Image station 4000R Pro using Carestream SE M software. The software was then used to mark the lanes on the gell and find resulting bands. Bands were analyzed based on intensity and size. GRFT purity of each sample was determined based on the band sizes and strength of contaminating proteins in the same lane. The percentage of TMV CP or GRFT for each purification step was relative to the sample representing the step preceding the parameters that were investigated. Therefore all GRFT and TMV CP samples are represented as a percentage of the unmodified control.

GRFT gp120 ELISA
In a 96-well plate, wells were coated with 200 μL of 1 ng/mL gp120 (Protein Sciences, Meriden, CT) in PBS and incubated overnight at 4°C. Plates were washed with PBS-T and blocked with 5% PBS-T-M for 2 hours at room temperature. Wells were washed with PBS-T and incubated at room temperature for 2 hours with sample diluted 1:10 in PBS and further diluted in series 1:5 down the plate. Purified GRFT, uninfected plant extract, PBS sample and no gp120 coating controls were included in all ELISAs. Plates were washed and incubated for 1 hour at room temperature with RB anti-GRFT serum dilute 1:10,000 in 1% PBS-T-M. After washing the plate, the secondary antibody, GT anti-rabbit conjugated to HRP, was added to each well diluted 1:20,000 in 1% PBS-T-M. Plates were again washed and the ultra sensitive TMB substrate added to each well. After 3 minutes 0.2 M H2SO4 was added to stop the reaction and the colorimetric change was read at OD 405 nm on a Beckman-Coulter plate reader. The collected data was background subtracted and analyzed for the relative change in GRFT concentration between purification methods.

TMV western blot
Samples were ran on SDS-PAGE via methodology described earlier and then transferred to a PVDF membrane via BioRad transblot turbo system. Membranes were incubated for 1 hour with 3% PBS-T-M (phosphate bufferd saline with 0.5% Tween20 and 3% non-fat dry milk) at room temperature, washed with PBS-T three times and incubated overnight at4°C with rabbit antibody against TMV 1:5000 in 3% PBS-T-M. Blots were then washed with 3% PBS-T and incubated with goat anti-rabbit HRP conjugated antibody diluted 1:10,000 in 3% PBS-T-M for 1 hour at room temperature. Blots were washed and developed with ECL Prime development kit (GE Lifesciences). Blots were exposed on a Kodak Image Station 4000 R Pro using Carestream SE M software. Software was then used to identify and analyze visible bands based on intensity and size.

Chromatography and purity verification
GRFT extract was purified using an AKTA Purifier with a XK16 column packed with 10mLs of Capto™ MMC resin (GE Life Sciences). After overnight incubation the semi-pure extract was filtered through a 0.2 μm filter and loaded on to the column at a rate of 5 mL/minute. A two-step gradient of 90% and 100% phosphate buffered saline (137 mM NaCl, 2.7 mM KCl, 10 mM NaH 2 PO 4 , 2 mM KH 2 PO 4 ) pH7.4 was used to elute GRFT from the column. Fractions (10 mL) were collected and pooled after being checked for the presence of GRFT through SDS-PAGE. The purity of the concentrated GRFT was verified by an overloaded SDS-PAGE and a western blot against the TMV CP. The glycan binding capabilities of the purified GRFT were determined through gp120 binding. The purified extract was compared to GRFT purified with the previously published methodology in over-loaded SDS-PAGE, western blots against TMV and gp120 ELISAs.

Industrial pilot scale purification
Five days after infectious transcript inoculation, plants were harvested and the rTMV was isolated. The isolated rTMV was used to inoculate approximately 600 plants through high velocity spraying with diatomaceous earth in a 100 mM phosphate buffer pH 7.4. Ten days after spray inoculation, five kg of leaf tissue was harvested and homogenized in extraction buffer (100 mM sodium acetate, 300 mM sodium chloride, 20 mM ascorbic acid, 10 mM sodium metabisulfite pH4.0) with a ratio of 1:2 (Plant tissue (g): Extraction buffer (mL)). The extract pH was adjusted back to pH 4.0 and heated to 55°C for 15 minutes. The heated extract was immediately filter pressed through a 0.3 μm filter (Ertel Alsop, M-853) with the addition of the filter aid Cell Pure® (30 g/L). The extract was incubated overnight in a holding tank with continuous stirring at 4°C with the addition of 10 mg/mL of bentonite and 0.1 M MgCl 2 . After overnight incubation the extract was filter pressed again through a 0.3 μm filter and an inline sterilization filter (Sartorius, Sartopore 2). Capto® MMC chromatography was performed as described above, but the resin was packed in a sterilized AxiChrom 50/300 column. Purity was assessed via previously discussed methodology of gp120 ELISA, SDS-PAGE with densitometry, and TMV western blot with densitometry. Additionally, endotoxin levels were assessed with the methodology explained below.

Endotoxin analysis
Contaminating endotoxin levels in the final GRFT product purified at industrial pilot scale was analyzed with Charles River Laboratory Endosafe® PTS. Twenty-five μL of GRFT solution was added to each of the four wells on a Limulus Amebocyte Lysate Test cartridge and the endotoxin levels were analyzed accordingly.

Statistical analysis
All statistical analysis and summary graphical representations were performed on Graph Pad Prism® 5.0.