| Literature DB >> 19361336 |
Vicky Merhej1, Manuela Royer-Carenzi, Pierre Pontarotti, Didier Raoult.
Abstract
BACKGROUND: Genome size and gene content in bacteria are associated with their lifestyles. Obligate intracellular bacteria (i.e., mutualists and parasites) have small genomes that derived from larger free-living bacterial ancestors; however, the different steps of bacterial specialization from free-living to intracellular lifestyle have not been studied comprehensively. The growing number of available sequenced genomes makes it possible to perform a statistical comparative analysis of 317 genomes from bacteria with different lifestyles.Entities:
Mesh:
Year: 2009 PMID: 19361336 PMCID: PMC2688493 DOI: 10.1186/1745-6150-4-13
Source DB: PubMed Journal: Biol Direct ISSN: 1745-6150 Impact factor: 4.540
Figure 1Phylogenetic relationships and converging evolution. The phylogenetic unrooted tree was constructed on the basis of the 16S rRNA gene sequences from the 317 bacteria using the neighbour-joining method [15] within the Phylip package [14]. The tree was visualized using FigTree software . Organisms are colored according to lifestyle: red for mutualists, purple for parasitic, green for facultative host-dependent, and blue for free-living bacteria. The events of split rRNA operons (yellow triangles) and loss of the 100 genes set (orange circles) are coincident with the location of the host-dependent bacteria in different phyla.
Figure 2Proposed scenario for genome evolution and specialization. Model of evolution involving 3 steps en route to specialization to an intracellular lifestyle. The different steps correspond to the different levels of dependency to eukaryotic cells, the minimum is for the free-living bacteria and the maximum is for obligate intracellular bacteria. Each Step corresponds to a bacterial community sharing common habitat and relationship with eukaryotic cells. Bacterial specialization to an intracellular lifestyle is characterized by gene loss including transcriptional regulators and rRNA operons. Free-living promiscuous bacteria have large genomes because of a high level of gene importation. They also have a large number of rRNA operons. Obligate intracellular bacteria have reduced genomes with few rRNA operons and transcription regulators. When bacterial lineages make the transition from free-living to permanent associations with hosts, they undergo a major loss of genes. Restriction to an intracellular environment limits the opportunity to acquire foreign genes from other bacteria therefore the balance between acquired and lost genes in specialized bacteria is in favour of genome reduction. Irreversible massive gene decay implies that specialization to an intracellular lifestyle is a one-way road. Differential gene loss is noted in mutualistic and parasitic bacterial groups. Data in circles represent the mean (± s.d.) of genome size in megabases (GS), GC content (GC), rRNA operon (Op), and number of genes assigned to transcriptional regulation (TR) in each bacterial community. Numbers on the arrows represent the average number of lost genes ± the standard error in order to compute confidence intervals for the estimated loss ratio (proportion of genes lost with respect to the whole number of genes present at least in one bacterium).
Figure 3Plot of the first Principal Coordinate Analysis (PCO) axis of COGs content distances. Multivariate analysis graphics of the COGs content of all studied bacteria using R ade4 package. Each bacterium is represented by a symbol linked by a line to the gravity center of the group it belongs to (M, obligate intracellular mutualists, red triangles; P, obligate intracellular parasites, purple triangles; FHA, facultative host- associated, green asterisks; and FL, free-living, blue squares). An ellipse was also drawn for each class, which size increases with the coordinates' dispersion in the class. It is computed such that it would contain 68% of the individuals in the studied class if the distribution were Gaussian. Otherwise, it is just a way to compare dispersion between classes. 1 represents Treponema pallidum; 2 represents Mycobacterium leprae; 3 represents Candidatus Protochlamydia amoebophila UWE25; 4 represents Coxiella burnetii. These species with larger genome sizes and gene contents than the other obligate intracellular bacteria undergo reductive evolution [28,30]. Some of these bacteria have high number of pseudogenes [27,29,31]. The presence of pseudogenes displays an ongoing process of gene degradation.
Distribution of the protein-coding genes of host-dependent and free-living bacteria in COG functional categories
| Chromatine structure and dynamics | B | 0.28 ± 0.45 | 0.44 ± 1.07 | 0.38 ± 0.92 | 1.16 ± 1.28 | 0.4982 |
| Replication, recombination and repair | L | 56.78 ± 26.49 | 161.58 ± 171.99 | 128.04 ± 150.56 | 141.23 ± 55.84 | 0.3035 |
| Transcription | K | 23.70 ± 10.23 | 105.65 ± 74.89 | 79.42 ± 72.84 | 163.82 ± 99.52 | |
| RNA processing and modification | A | 0.70 ± 1.26 | 1.20 ± 2.09 | 1.04 ± 1.87 | 1.11 ± 1.87 | 0.9290 |
| Translation, ribosomal structure and biogenesis | J | 116.68 ± 13.97 | 143.42 ± 25.75 | 134.86 ± 25.83 | 157.62 ± 19.27 | |
| Posttranslational modification, protein turnover, chaperones | O | 39.08 ± 10.84 | 74.60 ± 41.27 | 63.23 ± 38.31 | 94.13 ± 39.75 | |
| Intracellular trafficking, secretion, and vesicular transport | U | 29.68 ± 10.05 | 59.62 ± 44.82 | 50.04 ± 39.86 | 63.77 ± 44.54 | |
| Signal transduction mechanisms | T | 10.48 ± 8.45 | 56.65 ± 41.04 | 41.87 ± 40.39 | 103.67 ± 67.24 | |
| Cell cycle control, cell division, chromosome partitioning | D | 11.20 ± 5.52 | 21.96 ± 9.96 | 18.52 ± 10.11 | 25.72 ± 7.73 | |
| Defense mechanisms | V | 2.60 ± 4.32 | 20.56 ± 13.81 | 14.82 ± 14.35 | 29.46 ± 14.94 | |
| Cell wall/membrane/envelope biogenesis | M | 39.10 ± 22.84 | 110.27 ± 65.03 | 87.50 ± 64.34 | 130.06 ± 59.91 | |
| Cell motility | N | 8.23 ± 10.53 | 44.73 ± 44.12 | 33.05 ± 40.57 | 53.24 ± 51.60 | |
| Cytoskeleton | Z | 0.08 ± 0.47 | 0.28 ± 1.09 | 0.22 ± 0.94 | 0.24 ± 0.78 | 0.8927 |
| Nucleotide transport and metabolism | F | 26.70 ± 10.47 | 54.55 ± 19.22 | 45.64 ± 21.33 | 69.52 ± 15.52 | |
| Amino acid transport and metabolism | E | 39.65 ± 20.39 | 152.06 ± 108.15 | 116.09 ± 104.05 | 213.71 ± 106.02 | |
| Carbohydrate transport and metabolism | G | 24.05 ± 10.89 | 112.52 ± 86.46 | 84.21 ± 82.57 | 132.33 ± 70.07 | |
| Lipid transport and metabolism | I | 26.15 ± 11.18 | 58.54 ± 45.94 | 48.18 ± 41.22 | 81.96 ± 54.49 | |
| Coenzyme transport and metabolism | H | 40.25 ± 17.78 | 82.91 ± 47.76 | 69.26 ± 45.21 | 109.84 ± 39.55 | |
| Inorganic ion transport and metabolism | P | 22.48 ± 7.80 | 89.40 ± 61.77 | 67.98 ± 59.89 | 127.67 ± 60.67 | |
| Secondary metabolites biosynthesis, transport and catabolism | Q | 6.18 ± 6.09 | 32.34 ± 40.30 | 23.97 ± 35.52 | 50.04 ± 44.50 | |
| Energy production and conversion | C | 48.63 ± 16.77 | 111.98 ± 75.61 | 91.70 ± 69.58 | 148.99 ± 82.31 | |
| General function prediction only | R | 53.58 ± 27.82 | 187.75 ± 106.15 | 144.82 ± 108.75 | 265.65 ± 119.15 | |
| Function unknown | S | 43.23 ± 27.19 | 184.84 ± 124.19 | 139.52 ± 122.80 | 262.59 ± 118.90 | |
| Information storage and processing (B+L+K+A+J) | 29.60 | 22.07 | 23.16 | 19.15 | ||
| Cellular processes and signalling (O+U+T+D+V+M+N+Z) | 20.98 | 20.81 | 20.83 | 20.61 | ||
| Metabolism (F+E+G+I+H+P+Q+C) | 34.97 | 37.17 | 36.85 | 38.48 | ||
| Poorly characterized (R+S) | 14.46 | 19.95 | 19.16 | 21.76 | ||
OI corresponds to obligate intracellular, FHA corresponds to facultative host-associated, HD corresponds to all host-dependent, FL corresponds to free-living bacteria.
*p-values < 0.05 are shown in bold to indicate significant differences between HD and FL bacteria (paired Student's t-test and Wilcoxon signed rank test)
Set of 100 essential COGs conserved in 99% of bacteria
| COG0563 | F | Adenylate kinase and related kinases |
| COG0528 | F | Uridylate kinase |
| COG0587 | L | DNA polymerase III, alpha subunit |
| COG2812 | L | DNA polymerase III, gamma/tau subunits |
| COG0592 | L | DNA polymerase sliding clamp subunit (PCNA homolog) |
| COG0358 | L | DNA primase (bacterial type) |
| COG0084 | L | Mg-dependent DNase |
| COG0305 | L | Replicative DNA helicase |
| COG0629 | L | Single-stranded DNA-binding protein |
| COG0188 | L | Type IIA topoisomerase (DNA gyrase/topo II, topoisomerase IV), A subunit |
| COG0187 | L | Type IIA topoisomerase (DNA gyrase/topo II, topoisomerase IV), B subunit |
| COG0202 | K | DNA-directed RNA polymerase, alpha subunit/40 kD subunit |
| COG0086 | K | DNA-directed RNA polymerase, beta' subunit/160 kD subunit |
| COG0568 | K | DNA-directed RNA polymerase, sigma subunit (sigma70/sigma32) |
| COG0571 | K | dsRNA-specific ribonuclease |
| COG0250 | K | Transcription antiterminator |
| COG0195 | K | Transcription elongation factor |
| COG0081 | J | Ribosomal protein L1 |
| COG0244 | J | Ribosomal protein L10 |
| COG0080 | J | Ribosomal protein L11 |
| COG0102 | J | Ribosomal protein L13 |
| COG0093 | J | Ribosomal protein L14 |
| COG0200 | J | Ribosomal protein L15 |
| COG0197 | J | Ribosomal protein L16/L10E |
| COG0203 | J | Ribosomal protein L17 |
| COG0256 | J | Ribosomal protein L18 |
| COG0335 | J | Ribosomal protein L19 |
| COG0090 | J | Ribosomal protein L2 |
| COG0292 | J | Ribosomal protein L20 |
| COG0091 | J | Ribosomal protein L22 |
| COG0089 | J | Ribosomal protein L23 |
| COG0198 | J | Ribosomal protein L24 |
| COG0211 | J | Ribosomal protein L27 |
| COG0087 | J | Ribosomal protein L3 |
| COG0254 | J | Ribosomal protein L31 |
| COG0088 | J | Ribosomal protein L4 |
| COG0094 | J | Ribosomal protein L5 |
| COG0097 | J | Ribosomal protein L6P/L9E |
| COG0222 | J | Ribosomal protein L7/L12 |
| COG0051 | J | Ribosomal protein S10 |
| COG0100 | J | Ribosomal protein S11 |
| COG0048 | J | Ribosomal protein S12 |
| COG0099 | J | Ribosomal protein S13 |
| COG0184 | J | Ribosomal protein S15P/S13E |
| COG0228 | J | Ribosomal protein S16 |
| COG0186 | J | Ribosomal protein S17 |
| COG0238 | J | Ribosomal protein S18 |
| COG0052 | J | Ribosomal protein S2 |
| COG0268 | J | Ribosomal protein S20 |
| COG0092 | J | Ribosomal protein S3 |
| COG0522 | J | Ribosomal protein S4 and related proteins |
| COG0098 | J | Ribosomal protein S5 |
| COG0360 | J | Ribosomal protein S6 |
| COG0049 | J | Ribosomal protein S7 |
| COG0096 | J | Ribosomal protein S8 |
| COG0103 | J | Ribosomal protein S9 |
| COG0233 | J | Ribosome recycling factor |
| COG0858 | J | Ribosome-binding factor A |
| COG0013 | J | Alanyl-tRNA synthetase |
| COG0018 | J | Arginyl-tRNA synthetase |
| COG0215 | J | Cysteinyl-tRNA synthetase |
| COG0008 | J | Glutamyl- and glutaminyl-tRNA synthetases |
| COG0124 | J | Histidyl-tRNA synthetase |
| COG0060 | J | Isoleucyl-tRNA synthetase |
| COG0495 | J | Leucyl-tRNA synthetase |
| COG0143 | J | Methionyl-tRNA synthetase |
| COG0016 | J | Phenylalanyl-tRNA synthetase alpha subunit |
| COG0072 | J | Phenylalanyl-tRNA synthetase beta subunit |
| COG0193 | J | Peptidyl-tRNA hydrolase |
| COG0442 | J | Prolyl-tRNA synthetase |
| COG0172 | J | Seryl-tRNA synthetase |
| COG0441 | J | Threonyl-tRNA synthetase |
| COG0180 | J | Tryptophanyl-tRNA synthetase |
| COG0162 | J | Tyrosyl-tRNA synthetase |
| COG0024 | J | Methionine aminopeptidase |
| COG0336 | J | tRNA-(guanine-N1)-methyltransferase |
| COG0030 | J | Dimethyladenosine transferase (rRNA methylation) |
| COG0012 | J | Predicted GTPase, probable translation factor |
| COG0216 | J | Protein chain release factor A |
| COG0050 | J | GTPases – translation elongation factors |
| COG0231 | J | Translation elongation factor P (EF-P)/translation initiation factor 5A (eIF-5A) |
| COG0264 | J | Translation elongation factor Ts |
| COG0480 | J | Translation elongation factors (GTPases) |
| COG0361 | J | Translation initiation factor 1 (IF-1) |
| COG0532 | J | Translation initiation factor 2 (IF-2; GTPase) |
| COG0290 | J | Translation initiation factor 3 (IF-3) |
| COG0465 | O | ATP-dependent Zn proteases |
| COG0484 | O | DnaJ-class molecular chaperone with C-terminal Zn finger domain |
| COG0533 | O | Metal-dependent proteases with possible chaperone activity |
| COG0443 | O | Molecular chaperone |
| COG0576 | O | Molecular chaperone GrpE (heat shock protein) |
| COG0691 | O | tmRNA-binding protein |
| COG0653 | U | Preprotein translocase subunit SecA (ATPase, RNA helicase) |
| COG0201 | U | Preprotein translocase subunit SecY |
| COG0706 | U | Preprotein translocase subunit YidC |
| COG0481 | M | Membrane GTPase LepA |
| COG0275 | M | Predicted S-adenosylmethionine-dependent methyltransferase involved in cell envelope biogenesis |
| COG0536 | R | Predicted GTPase |
| COG1160 | R | Predicted GTPases |
| COG0319 | R | Predicted metal-dependent hydrolase |
Functional classification of 100 conserved and 100 lost COGs
| Chromatine structure and dynamics | 0 | 0 | |
| Replication, recombination and repair | 9 | 1 | |
| Transcription | 6 | 5* | |
| Rna processing and modification | 0 | 0 | |
| Translation, ribosomal structure and biogenesis | 69 | 3 | |
| Posttranslational modification, protein turnover, chaperones | 6 | 11* | |
| Intracellular trafficking, secretion, and vesicular transport | 3 | 0 | |
| Signal transduction mechanisms | 0 | 12* | |
| Cell cycle control, cell division, chromosome partitioning | 0 | 1 | |
| Defense mechanisms | 0 | 0 | |
| Cell wall/membrane/envelope biogenesis | 2 | 6 | |
| Cell motility | 0 | 8* | |
| Nucleotide transport and metabolism | 2 | 0 | |
| Amino acid transport and metabolism | 0 | 17* | |
| Carbohydrate transport and metabolism | 0 | 1* | |
| Lipid transport and metabolism | 0 | 2* | |
| Coenzyme transport and metabolism | 0 | 7 | |
| Inorganic ion transport and metabolism | 0 | 8 | |
| Secondary metabolites biosynthesis, transport and catabolism | 0 | 3* | |
| Energy production and conversion | 0 | 8 | |
| General function prediction only | 3 | 10 | |
| Function unknown | 0 | 7 | |
*Some of the COGs in the corresponding functional category belong to other categories as well.
Figure 4Functions lost during specialization. The bars represent the mean number of loci in different functional categories based on functional categorizations established for the clusters of Orthologous Groups (COGs).The proportion of genes lost by obligate intracellular compared to free-living bacteria is indicated next to the bars.
Set of 100 COGs lost by obligate intracellular bacteria
| COG2264 | J | Ribosomal protein L11 methylase |
| COG1188 | J | Ribosome-associated heat shock protein implicated in the recycling of the 50S subunit (S4 paralog) |
| COG2265 | J | SAM-dependent methyltransferases related to tRNA (uracil-5-)-methyltransferase |
| COG1595* | K | DNA-directed RNA polymerase specialized sigma subunit, sigma24 homolog |
| COG1508 | K | DNA-directed RNA polymerase specialized sigma subunit, sigma54 homolog |
| COG1522 | K | Transcriptional regulators |
| COG1167 | KE | Transcriptional regulators containing a DNA-binding HTH domain and an aminotransferase domain (MocR family) and their eukaryotic orthologs |
| COG1974* | KT | SOS-response transcriptional repressors (RecA-mediated autopeptidases) |
| COG1643 | L | HrpA-like helicases |
| COG0277* | C | FAD/FMN-containing dehydrogenases |
| COG0247* | C | Fe-S oxidoreductase |
| COG2225* | C | Malate synthase |
| COG1902 | C | NADH:flavin oxidoreductases, Old Yellow Enzyme family |
| COG0778* | C | Nitroreductase |
| COG2352* | C | Phosphoenolpyruvate carboxylase |
| COG1600 | C | Uncharacterized Fe-S protein |
| COG1062* | C | Zn-dependent alcohol dehydrogenases, class III |
| COG0239 | D | Integral membrane protein possibly involved in chromosome condensation |
| COG0683 | E | ABC-type branched-chain amino acid transport systems, periplasmic component |
| COG1176 | E | ABC-type spermidine/putrescine transport system, permease component I |
| COG1177 | E | ABC-type spermidine/putrescine transport system, permease component II |
| COG2049* | E | Allophanate hydrolase subunit 1 |
| COG1984* | E | Allophanate hydrolase subunit 2 |
| COG2303* | E | Choline dehydrogenase and related flavoproteins |
| COG0014* | E | Gamma-glutamyl phosphate reductase |
| COG0405 | E | Gamma-glutamyltransferase |
| COG0263* | E | Glutamate 5-kinase |
| COG0665 | E | Glycine/D-amino acid oxidases (deaminating) |
| COG0346* | E | Lactoylglutathione lyase and related lyases |
| COG2755* | E | Lysophospholipase L1 and related esterases |
| COG1410* | E | Methionine synthase I, cobalamin-binding domain |
| COG0347 | E | Nitrogen regulatory protein PII |
| COG1280 | E | Putative threonine efflux protein |
| COG2008 | E | Threonine aldolase |
| COG1762 | GT | Phosphotransferase system mannitol/fructose-specific IIA domain (Ntr-type) |
| COG0315 | H | Molybdenum cofactor biosynthesis enzyme |
| COG2896 | H | Molybdenum cofactor biosynthesis enzyme |
| COG0303* | H | Molybdopterin biosynthesis enzyme |
| COG0521* | H | Molybdopterin biosynthesis enzymes |
| COG0314 | H | Molybdopterin converting factor, large subunit |
| COG1977 | H | Molybdopterin converting factor, small subunit |
| COG0746 | H | Molybdopterin-guanine dinucleotide biosynthesis protein A |
| COG2267* | I | Lysophospholipase |
| COG0318 | IQ | Acyl-CoA synthetases (AMP-forming)/AMP-acid ligases II |
| COG2230* | M | Cyclopropane fatty acid synthase and related methyltransferases |
| COG1596 | M | Periplasmic protein involved in polysaccharide export |
| COG0810 | M | Periplasmic protein TonB, links inner and outer membranes |
| COG1247 | M | Sortase and related acyltransferases |
| COG2148 | M | Sugar transferases involved in lipopolysaccharide synthesis |
| COG3206 | M | Uncharacterized protein involved in exopolysaccharide biosynthesis |
| COG1580 | N | Flagellar basal body-associated protein |
| COG1291 | N | Flagellar motor component |
| COG1344 | N | Flagellin and related hook-associated proteins |
| COG0643 | NT | Chemotaxis protein histidine kinase and related kinases |
| COG2201 | NT | Chemotaxis response regulator containing a CheY-like receiver domain and a methylesterase domain |
| COG0835 | NT | Chemotaxis signal transduction protein |
| COG0840 | NT | Methyl-accepting chemotaxis protein |
| COG1352 | NT | Methylase of chemotaxis methyl-accepting proteins |
| COG0229 | O | Conserved domain frequently associated with peptide methionine sulfoxide reductase |
| COG4235 | O | Cytochrome c biogenesis factor |
| COG1281 | O | Disulfide bond chaperones of the HSP33 family |
| COG0386 | O | Glutathione peroxidase |
| COG2360 | O | Leu/Phe-tRNA-protein transferase |
| COG0652* | O | Peptidyl-prolyl cis-trans isomerase (rotamase) – cyclophilin family |
| COG1764 | O | Predicted redox protein, regulator of disulfide bond formation |
| COG2518 | O | Protein-L-isoaspartate carboxylmethyltransferase |
| COG3118* | O | Thioredoxin domain-containing protein |
| COG2844 | O | UTP:GlnB (protein PII) uridylyltransferase |
| COG1391* | OT | Glutamine synthetase adenylyltransferase |
| COG0725 | P | ABC-type molybdate transport system, periplasmic component |
| COG0600 | P | ABC-type nitrate/sulfonate/bicarbonate transport system, permease component |
| COG0004 | P | Ammonia permease |
| COG1393* | P | Arsenate reductase and related proteins, glutaredoxin family |
| COG0704* | P | Phosphate uptake regulator |
| COG0855* | P | Polyphosphate kinase |
| COG2897* | P | Rhodanese-related sulfurtransferase |
| COG0659* | P | Sulfate permease and related transporters (MFS superfamily) |
| COG0179* | Q | 2-keto-4-pentenoate hydratase/2-oxohepta-3-ene-1,7-dioic acid hydratase (catechol pathway) |
| COG3127 | Q | Predicted ABC-type transport system involved in lysophospholipase L1 biosynthesis, permease component |
| COG0664* | T | cAMP-binding proteins – catabolite gene activator and regulatory subunit of cAMP-dependent protein kinases |
| COG5001* | T | Predicted signal transduction protein containing a membrane domain, an EAL and a GGDEF domain |
| COG0394 | T | Protein-tyrosine-phosphatase |
| COG3852 | T | Signal transduction histidine kinase, nitrogen specific |
| COG1253 | R | Hemolysins and related proteins containing CBS domains |
| COG0714* | R | MoxR-like ATPases |
| COG1741 | R | Pirin-related protein |
| COG0388* | R | Predicted amidohydrolase |
| COG2081 | R | Predicted flavoproteins |
| COG1694 | R | Predicted pyrophosphatase |
| COG1611* | R | Predicted Rossmann fold nucleotide-binding protein |
| COG0523 | R | Putative GTPases (G3E family) |
| COG2334 | R | Putative homoserine kinase type II (protein kinase fold) |
| COG1540* | R | Uncharacterized proteins, homologs of lactam utilization protein B |
| COG0397 | S | Uncharacterized conserved protein |
| COG1576 | S | Uncharacterized conserved protein |
| COG2127* | S | Uncharacterized conserved protein |
| COG2606* | S | Uncharacterized conserved protein |
| COG2983 | S | Uncharacterized conserved protein |
| COG1671 | S | Uncharacterized protein conserved in bacteria |
| COG3024 | S | Uncharacterized protein conserved in bacteria |
*indicates COGs that are present in the genome of Mycobacterium leprae
Figure 5Relationship between growth time, operon number and transcriptional regulators per Mb. Bacteria were classified into 3 categories depending on the experimental growth time: fast growing (24–48 hours), median (3 to 7 days) and slow growing fastidious bacteria (more than 7 days). The 284 genomes for which information about time of growth is available are projected on the first two Principal Component Analysis (PCA) axes, which represent 66.2% and 19.5% of the total inertia. OI, obligate intracellular bacteria, dark red triangles; FHA, facultative host-associated, green asterisks; FL, free-living, blue squares.
Figure 6Comparison of the genome content from mutualistic and parasitic bacteria. Bars correspond to the mean number of genes in a given COG divided by the total number of genes. The significance of results in the figure is represented by triple asterisks (***) indicating p ≤ 0.001, double asterisks (**) indicating p ≤ 0.01 and a single asterisk (*) indicating p ≤ 0.05 (paired Student's t-test).