Literature DB >> 21414233

Specific, simple and rapid detection of porcine circovirus type 2 using the loop-mediated isothermal amplification method.

Kai Zhao1, Wei Shi, Fangting Han, Yan Xu, Lianlong Zhu, Yong Zou, Xiao Wu, Hong Zhu, Furong Tan, Shiru Tao, Xueming Tang.   

Abstract

BACKGROUND: Porcine circovirus type 2 (PCV2) is the causative agent of postweaning multisystemic wasting syndrome (PMWS), and porcine dermatitis and nephropathy syndrome (PDNS). It has caused heavy losses in global agriculture in recent decades. Rapid detection of PCV2 is very important for the effective prophylaxis and treatment of PMWS.
RESULTS: A loop-mediated isothermal amplification (LAMP) assay was used to detect PCV2 in this study. Three pairs of primers were specially designed for recognizing eight distinct sequences of the ORF2 gene. This gene lies in the PCV2 virus genome sequence, and encodes the Rep protein that is involved in virus replication. Time and temperature conditions for amplification of PCV2 genes were optimized to be 55 min at 59°C. The analysis of clinical samples indicated that the LAMP method was highly sensitive. The detection limit for PCV2 by the LAMP assay was 10 copies, whereas the limit by conventional PCR was 1000 copies. The assay did not cross-react with PCV1, porcine reproductive and respiratory syndrome virus, porcine epidemic diarrhea virus, transmissible gastroenteritis of pigs virus or rotavirus. When 110 samples were tested using the established LAMP system, 95 were detected as positive.
CONCLUSION: The newly developed LAMP detection method for PCV2 was more specific, sensitive, rapid and simple than before. It complements and extends previous methods for PCV2 detection and provides an alternative approach for detection of PCV2.
© 2011 Zhao et al; licensee BioMed Central Ltd.

Entities:  

Mesh:

Substances:

Year:  2011        PMID: 21414233      PMCID: PMC3315793          DOI: 10.1186/1743-422X-8-126

Source DB:  PubMed          Journal:  Virol J        ISSN: 1743-422X            Impact factor:   4.099


Introduction

Porcine circovirus type 2 (PCV2) is a non-enveloped, circular, single-stranded DNA virus that belongs to the Circoviridiae family [1]. This virus is widespread in the commercial swine population, and is accepted as the causative agent of a number of diseases in these animals, such as postweaning multisystemic wasting syndrome (PMWS) [2], and porcine dermatitis and nephropathy syndrome (PDNS). These syndromes cause great losses to the pig industry. As a result, it is necessary to develop an effective method for detecting PCV2 to prevent these diseases. At present, many methods have been developed for the detection of this virus; among which, conventional PCR is commonly used [3]. However, the usefulness of PCR is limited by the presence of PCR inhibitors in the analysis of real biological samples. The wide range of inhibitors (including organic and inorganic substances such as detergents, antibiotics, phenolic compounds, enzymes, polysaccharides, fats, proteins and salts) reduces the amplification efficiency [4,5]. Apart from PCR, ELISA is one of the more common methods for virus detection [6]. It is hard to make a definitive diagnosis with ELISA in infected swine, because false-positive results may be included in the analysis [7]. In addition, real-time PCR is a good method to perform quantitative and qualitative analysis of PCV2 [8-11]. However, this method demands high-quality technical personnel. Hence, a rapid, sensitive and easy-to-operate method is still needed, especially for examination of PCV2. Recently, a new technique called loop-mediated isothermal amplification (LAMP) has been developed, which can amplify nucleic acids with high specificity, sensitivity and rapidity under isothermal conditions [12]. The method is easily performed and highly specific for the target sequence because six independent sequences recognize the target sequence in the initial stage and four independent sequences amplify the target sequence in the later stage of the reaction [13,14]. LAMP assay has advantages in specificity, selectivity and rapidity over other nucleic acid amplification methods [13]. LAMP has been further advanced by using forward loop primers [15]. The method has been a valuable tool for the rapid diagnosis of infectious diseases in hospital laboratories and for the rapid detection of pathogenic microbes in food [16]. The use of LAMP for detecting PCV2 has been reported by Chen et al [17]. In their study, only four primers were used and no betaine was added to the LAMP assay. However, in our study, six primers containing two loop primers were used to amplify different regions of PCV2. It complemented and extended previous methods for PCV2 detection and provided an alternative approach for detection of PCV2. Therefore, the objectives of this study were to develop a LAMP assay for detecting ORF2 gene in PCV2 (which encodes Rep protein that is involved in virus replication), and to establish a more specific, sensitive, rapid and simple detection method for PCV2.

Results

Optimized temperature of LAMP assay for PCV2

On the basis of our temperature determination for the LAMP assay, the products amplified at 59°C exhibited slightly larger amounts of DNA than at other temperatures. Therefore, the optimal temperature of the LAMP reaction was 59°C. The Bst DNA polymerase was also work very well at this temperature (Figure 1). The optimal temperature for the PCR reaction was 54°C by incubating the reaction mixture.
Figure 1

Optimal temperature of the LAMP assay for detecting PCV2. M: DL2000; lanes 1-4: LAMP carried out at 55, 57, 59 and 61°C, respectively. All the products were electrophoresed on 2% agarose gels and stained with Goldview.

Optimal temperature of the LAMP assay for detecting PCV2. M: DL2000; lanes 1-4: LAMP carried out at 55, 57, 59 and 61°C, respectively. All the products were electrophoresed on 2% agarose gels and stained with Goldview.

Specificity of the LAMP method

As expected, the typical ladder-like pattern products were only obtained in the assay using PCV2 genomic DNA samples as templates (Figure 2). In addition, the other virus species had no amplified products as well as the NTC (no template control). Figure 2 shows that the primers only amplified PCV2 strains and not other viruses. The sequencing results indicated that the amplified product length of two stains of PCV2 was 223 bp. The sequences showed 100% homology with the ORF2 gene of PCV2. The specificity of the LMAP product was confirmed by digestion of HaeIII. A predictable product of the 137-bp motif was resolved on the agarose gel as expected (Figure 3, lane 2).
Figure 2

Specificity of the LAMP reaction for detection of PCV2 gene. (A) M, DL2000; lane 1, PCV1; lane 2, PCV1; lane 3, PPV; lane 4, PRV; lane 5, PEDV; lane 6, TEGV; lane 7, RV; lane 8, PRRSV; lane 9, PCV2; N, negative control. All the products were electrophoresed on 2% agarose gels and stained with Goldview.

Figure 3

Verification of the specific LAMP product of PCV2 by . M, DL500; lane 1, LAMP product of PCV2; lane 2, specific LAMP product of PCV2 using HaeIII digestion. All the products were electrophoresed on 2% agarose gels and stained with Goldview.

Specificity of the LAMP reaction for detection of PCV2 gene. (A) M, DL2000; lane 1, PCV1; lane 2, PCV1; lane 3, PPV; lane 4, PRV; lane 5, PEDV; lane 6, TEGV; lane 7, RV; lane 8, PRRSV; lane 9, PCV2; N, negative control. All the products were electrophoresed on 2% agarose gels and stained with Goldview. Verification of the specific LAMP product of PCV2 by . M, DL500; lane 1, LAMP product of PCV2; lane 2, specific LAMP product of PCV2 using HaeIII digestion. All the products were electrophoresed on 2% agarose gels and stained with Goldview.

Sensitivity of LAMP method and PCR assay for PCV2

Comparative analysis of the sensitivity of PCV2 detection by the LAMP method and PCR was carried out using a dilution series of PCV2 DNA templates. The detection limit of the LAMP assay was 10 copies, which corresponded to 10 copies of DNA templates per reaction tube. The detection limit for the PCR was 1000 copies, which corresponded to 1000 copies of DNA templates per reaction tube. This suggested that the LAMP assay was 100-fold more sensitive than the conventional PCR (Figure 4 and Figure 5).
Figure 4

Sensitivity of LAMP for detection of PCV2. M, marker DL2000; N, negative control; lanes 1-8, LAMP carried out using the dilution series of PCV2 DNA, 108, 107, 106, 105, 104, 103, 100, and 10 copies, respectively. All the products were electrophoresed on 2% agarose gels and stained with Goldview.

Figure 5

Sensitivity of PCR for detection of PCV2. M, marker DL2000; N, negative control; lanes 1-8, LAMP carried out using the dilution series of PCV2 DNA, 108, 107, 106, 105, 104, 103, 102 and 10 copies, respectively. All the products were electrophoresed on 2% agarose gels and stained with Goldview.

Sensitivity of LAMP for detection of PCV2. M, marker DL2000; N, negative control; lanes 1-8, LAMP carried out using the dilution series of PCV2 DNA, 108, 107, 106, 105, 104, 103, 100, and 10 copies, respectively. All the products were electrophoresed on 2% agarose gels and stained with Goldview. Sensitivity of PCR for detection of PCV2. M, marker DL2000; N, negative control; lanes 1-8, LAMP carried out using the dilution series of PCV2 DNA, 108, 107, 106, 105, 104, 103, 102 and 10 copies, respectively. All the products were electrophoresed on 2% agarose gels and stained with Goldview.

PCV2 detection in clinical samples

One hundred and ten serum samples were analyzed using the LAMP method to determine whether they were infected by PCV2. PCV2 was detected in 95 clinical samples.

Discussion

In this study, we developed a visual and rapid detection method for PCV2 using the optimized LAMP technique. Compared to conventional PCR analysis, the LAMP method has advantages such as time-saving, low cost and ease of operation. The mature LAMP method was specific for PCV2 and had no amplified products for other viruses. We suggest that the set of primers had high specificity for the ORF2 gene of PCV2, according to PCR and other nucleic acid sequence-based methods. The LAMP method had high specificity for the target gene because six independent sequences (F1c, F2, F3, B1c, B2 and B3) recognized the target sequence in the initial stage, and four independent sequences (F1c, F2, B1c and B2) have been shown previously to amplify the target sequence in the later stage of the LAMP reaction [14]. However, the PCR assay only had one pair of primers to amplify the target gene. The big difference between the previous study and our research is that two loop primers take part in the LAMP reaction. The ORF2 gene of PCV2 has high specificity for detection of this virus. The LAMP reaction can be performed under isothermal conditions without PCR thermal cyclers within a short time. In our study, the time for the whole LAMP reaction was <1 h. Moreover, the LAMP reaction did not require complicated pretreatment and expensive instrumentation. The reaction was more rapid than ELISA and real-time PCR. For that reason, the LAMP assay should be easy to use and widely applicable. The LAMP assay developed had a detection limit of 10 copies for PCV2, which was 100-fold more sensitive than conventional PCR. The sensitivity of the LAMP assay was consistent with the reports of other virus species. For example, swine transmissible gastroenteritis coronavirus, H5 avian influenza virus, and yellow head virus [18-20]. When the LAMP assay was initiated, some measures should be taken to avoid false-negative results. Although the LAMP assay was an effective method for detection of PCV2 in clinical samples, laboratory contamination is one of the most serious problems in the LAMP reaction. For detection of clinical samples, the procedure of DNA extraction was omitted. Serum samples were directly used as templates in the LAMP reaction. The sensitivity of the LAMP assay was less affected by the various components of the clinical samples than was the PCR. This reduces the time and cost of the test and simplifies many troublesome procedures in the LAMP assay. Most important, the superior tolerance to various compounds of the LAMP method makes it possible to popularize it in small hospitals, laboratories, private clinics and thremmatology. Rapid detection of PCV2 by LAMP has been reported previously by Chen et al [18]. Their amplification method was finished in 60 min under isothermal conditions at 64°C by using a set of four primers that target the cap gene of PCV2. In our study, two more primers termed loop primers were added, which accelerated the LAMP reaction. Betaine was added to our LAMP reaction system to increase the melting speed. Moreover, porcine sera could be used as templates directly in the LAMP assay without DNA extraction, because the tolerance of the LAMP assay for biological substances was superior to other detection methods. Therefore, the DNA extraction step can be omitted from the LAMP assay [21].

Conclusion

Our newly developed LAMP detection method for PCV2 is more specific, sensitive, rapid and simple than before. It complements and extends previous methods for PCV2 detection and provides an alternative approach for detection of PCV2.

Material and methods

Viral strains and clinical samples

Some viral strains were obtained from the Institute of Animal Science and Veterinary Medicine, Shanghai Academy of Agricultural Sciences. These viral strains contained PCV1, porcine parvovirus (PPV), pseudorabies virus (PRV), porcine epidemic diarrhea virus (PEDV), transmissible gastroenteritis of pigs virus (TGEV), rotavirus (RV), or porcine reproductive and respiratory syndrome virus (PRRSV). All the viral strains were used to conduct the LAMP assay. Swine sera were collected from an abattoir in Shanghai, and used as clinical samples for detection of PCV2 using the LAMP method.

DNA and RNA extraction

DNA was extracted from a pure culture of cells infected by PCV2, according to the instructions of the Blood Viral DNA/RNA kit (BIOMIGA Inc, San Diego, CA, USA). The DNA template was used for optimizing the optimum temperature. Extraction of RNA from PEDV, TGEV, RV and PRRSV was conducted according to the instructions of the same kit. DNA extracted from PCV1, PPV and PRV and cDNA obtained by reverse transcription (Takara Corp., Japan) from RNA of PEDV, TGEV, RV and PRRSV were used to detect the specificicty of LAMP method for PCV2. Decimal serial dilutions of PCV2 DNA were carried out in sterile double distilled water. Finally, the concentration of these DNA templates was from 108 to 10 copies. These different concentrations of DNA were used to determine the detection limit of PCV2 DNA.

Primer design

Based on the ORF2 gene (GenBank accession no. EU921257.1) of PCV2 (strain BJ0804), six primers were designed using PrimerExplorer 3 (Table 1). The F3 and B3 primers were also used in the PCR reaction. The length of the amplified product was 223 bp. Contrary to previous methods, the newly added loop primers (LF and LB) significantly accelerated the LAMP reaction.
Table 1

Primers of LAMP assay for ORF2 of PCV2

PrimerSequence
F35'-CACTTCGTAATGGTTTTTATTATTTA-3'
B35'-TCCACTATTGATTACTTCCAAC-3'
FIP5'-CAGGAATACAATATCCGTGTAACCATTTTGGTTAAGTGGGGGGTCTT-3'
BIP5'-GAGGCCTACGTGGTCTACATTTTTCAAACAACAAAAGAAATCAGCTATG-3'
LF5'-AACCATGTATGTACAATTCAGAGAATTTAATC-3'
LB5'-TTCCAGCAGTTTGTAGTCTCAGC-3'
Primers of LAMP assay for ORF2 of PCV2

Reaction protocol for LAMP and PCR

LAMP was performed in a total 25-μL reaction mixture that contained 0.8 mM FIP and BIP, 0.2 mM of each of the outer primers (F3, forward outer primer; B3, backward outer primer), 0.4 mM LF and LB, 1.6 mM dNTPs, 0.8 M betaine (Sigma), 20 mM Tris-HCl (pH 8.8), 10 mM KCl, 10 mM (NH4)2SO4, 4 mM MgSO4, 0.1% Triton X-100, 8 U Bst DNA polymerase large fragment (New England Biolabs, Beverly, MA, USA). The LAMP reaction was carried out in a Jingda digital thermostatic water-bath (Jintan Jingda Apparatus Factory, China), as described previously [22-24]. PCR was carried out in a 25-μL reaction volume that contained 0.5 μM F3 and B3 and 0.75 mM dNTPs, 2.5 μM 10 × PCR buffer, 2.5 U Taq polymerase (Takara Corp.), and 1.0 μL extracted DNA or cDNA. After denaturation at 95°C for 5 min, the reaction system was subjected to thermal cycling in an Applied Biosystems 2720 thermal cycler (Foster City, CA, USA) for 35 cycles each of 95°C for 30 s, 55°C for 30 s and 72°C for 30 s, with a final elongation for 5 min at 72°C. LAMP and PCR amplified products were analyzed by electrophoresis on 2% (w/v) agarose gels and visualized by staining with Goldview, as described previously [17].

Temperature determination of amplification

The LAMP reaction temperature (55-60°C) was optimized, and the assay was carried out for 45 min and terminated at 80°C for 3 min. The LAMP products were electrophoresed on a 2.0% agarose gel and visualized under UV light of Gel Doc XR+ ultraviolet light after Goldview staining, as described previously [25,26]. At the same time, the annealing temperature for PCR reaction was to be optimized. To establish the specificity of the LAMP detection method for PCV2, the DNA (PCV2, PCV1, PPV and PRV) and cDNA (PEDVD, TGEV, RV and PRRSV) were used as sample templates to initiate the reaction under the optimal conditions. Negative controls were included. The amplified products were digested with HaeIII to confirm the reaction specificity, meanwhile, the headmost band of the products was sequenced by Shanghai Bioengineering Co. Ltd.

Detection limits of LAMP and PCR for PCV2

The LAMP assay was initiated using different concentrations of DNA templates from 108 to 10 copies, following the optimized conditions described previously. At the same time, different concentrations of DNA were also used as templates for conventional PCR under optimized conditions. These amplified products were analyzed by electrophoresis on 2% (w/v) agarose gels and visualized under Gel Doc XR+ ultraviolet light by staining with Goldview. Conventional PCR was carried out as described above.

Detection of PCV2 in clinical samples

A total of 110 serum samples were examined for presence of PCV2. These clinical samples were collected randomly and it was not known whether they were infected with PCV2. The same clinical samples were used directly in the LAMP assay and PCR reaction without DNA exaction, following the optimized conditions described above.

Abbreviations

LAMP: loop-mediated isothermal amplification; PCV1: Porcine circovirus type 1: PCV2: porcine circovirus type 2; PEDV: porcine epidemic diarrhea virus; PMWS: postweaning multisystemic wasting syndrome; PPV: porcine parvovirus; PRRSV: porcine reproductive and respiratory syndrome virus; PRV: pseudorabies virus. RV: rotavirus; TGEV: transmissible gastroenteritis of pigs virus.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

KZ, WS, FTH and XMT participated in the design and carried out the majority of the experiments in the study and drafted the manuscript. YX, LLZ, YZ, XW, HZ, FRT and SRT helped to carry out the experiments and draft the manuscript. All authors read and approved the final manuscript.
  26 in total

1.  Loop-mediated isothermal amplification of DNA.

Authors:  T Notomi; H Okayama; H Masubuchi; T Yonekawa; K Watanabe; N Amino; T Hase
Journal:  Nucleic Acids Res       Date:  2000-06-15       Impact factor: 16.971

2.  Loop-mediated isothermal amplification reaction using a nondenatured template.

Authors:  K Nagamine; K Watanabe; K Ohtsuka; T Hase; T Notomi
Journal:  Clin Chem       Date:  2001-09       Impact factor: 8.327

3.  Accelerated reaction by loop-mediated isothermal amplification using loop primers.

Authors:  K Nagamine; T Hase; T Notomi
Journal:  Mol Cell Probes       Date:  2002-06       Impact factor: 2.365

Review 4.  Inhibition and facilitation of nucleic acid amplification.

Authors:  I G Wilson
Journal:  Appl Environ Microbiol       Date:  1997-10       Impact factor: 4.792

5.  An enzyme-linked immunosorbent assay for immune complex of HTLV-I.

Authors:  K Ishibashi; S Hanada; K Uozumi; M Otsuka; T Sakurami; S Hashimoto
Journal:  J Immunol Methods       Date:  1989-05-12       Impact factor: 2.303

Review 6.  Porcine circoviruses: a review.

Authors:  G M Allan; J A Ellis
Journal:  J Vet Diagn Invest       Date:  2000-01       Impact factor: 1.279

7.  Application of real-time RT-PCR for the quantitation and competitive replication study of H5 and H7 subtype avian influenza virus.

Authors:  Chang-Won Lee; David L Suarez
Journal:  J Virol Methods       Date:  2004-08       Impact factor: 2.014

8.  Rapid diagnosis of duck plagues virus infection by loop-mediated isothermal amplification.

Authors:  Jun Ji; Li Qin Du; Qing Mei Xie; Yong Chang Cao; Ke Jing Zuo; Chun Yi Xue; Jing Yun Ma; Feng Chen; Ying Zuo Bee
Journal:  Res Vet Sci       Date:  2008-12-30       Impact factor: 2.534

9.  Rapid and sensitive detection of heat-labile I and heat-stable I enterotoxin genes of enterotoxigenic Escherichia coli by Loop-Mediated Isothermal Amplification.

Authors:  Akemi Yano; Rika Ishimaru; Rie Hujikata
Journal:  J Microbiol Methods       Date:  2006-11-13       Impact factor: 2.363

10.  Rapid detection of porcine circovirus type 2 by loop-mediated isothermal amplification.

Authors:  Hao-Tai Chen; Jie Zhang; De-Hui Sun; Yue-Feng Chu; Xue-Peng Cai; Xiang-Tao Liu; Xue-Nong Luo; Qing Liu; Yong-Sheng Liu
Journal:  J Virol Methods       Date:  2008-03-19       Impact factor: 2.014

View more
  10 in total

1.  Reverse transcription loop-mediated isothermal amplification for rapid detection of the newly emerged poultry Flavivirus.

Authors:  Zhaolong Li; Shaoying Chen; Shao Wang; Shilong Chen; Fengqian Lin
Journal:  Folia Microbiol (Praha)       Date:  2012-11-15       Impact factor: 2.099

2.  Sensitive detection of porcine circovirus 3 by droplet digital PCR.

Authors:  Yuqi Liu; Hecheng Meng; Lei Shi; Lili Li
Journal:  J Vet Diagn Invest       Date:  2019-05-03       Impact factor: 1.279

3.  Development of a loop-mediated isothermal amplification method to rapidly detect porcine circovirus genotypes 2a and 2b.

Authors:  Xiaohuo Qiu; Tian Li; Guorui Zhang; Jingjing Cao; Yulan Jin; Gang Xing; Min Liao; Jiyong Zhou
Journal:  Virol J       Date:  2012-12-27       Impact factor: 4.099

4.  Simultaneous detection and differentiation of dengue virus serotypes 1-4, Japanese encephalitis virus, and West Nile virus by a combined reverse-transcription loop-mediated isothermal amplification assay.

Authors:  Shuhua Li; Meiyu Fang; Bin Zhou; Hongxia Ni; Qiuxia Shen; Hongwei Zhang; Yifang Han; Jianhua Yin; Wenjun Chang; Guozhang Xu; Guangwen Cao
Journal:  Virol J       Date:  2011-07-21       Impact factor: 4.099

5.  Molecular techniques for pathogen identification and fungus detection in the environment.

Authors:  Clement K M Tsui; James Woodhall; Wen Chen; C André Lévesque; Anna Lau; Cor D Schoen; Christiane Baschien; Mohammad J Najafzadeh; G Sybren de Hoog
Journal:  IMA Fungus       Date:  2011-11-18       Impact factor: 3.515

6.  A novel thermostable polymerase for RNA and DNA loop-mediated isothermal amplification (LAMP).

Authors:  Yogesh Chander; Jim Koelbl; Jamie Puckett; Michael J Moser; Audrey J Klingele; Mark R Liles; Abel Carrias; David A Mead; Thomas W Schoenfeld
Journal:  Front Microbiol       Date:  2014-08-01       Impact factor: 5.640

7.  Development of Isothermal Recombinase Polymerase Amplification Assay for Rapid Detection of Porcine Circovirus Type 2.

Authors:  Yang Yang; Xiaodong Qin; Yingjun Sun; Guozheng Cong; Yanmin Li; Zhidong Zhang
Journal:  Biomed Res Int       Date:  2017-03-23       Impact factor: 3.411

8.  Identification and characterization of microRNA in the lung tissue of pigs with different susceptibilities to PCV2 infection.

Authors:  Ping Zhang; Liyuan Wang; Yanping Li; Ping Jiang; Yanchao Wang; Pengfei Wang; Li Kang; Yuding Wang; Yi Sun; Yunliang Jiang
Journal:  Vet Res       Date:  2018-02-15       Impact factor: 3.683

9.  Visual and Rapid Detection of Porcine Epidemic Diarrhea Virus (PEDV) Using Reverse Transcription Loop-Mediated Isothermal Amplification Method.

Authors:  Chunhua Li; Jieling Liang; Dan Yang; Qi Zhang; Denian Miao; Xizhong He; Yanan Du; Wanjing Zhang; Jianping Ni; Kai Zhao
Journal:  Animals (Basel)       Date:  2022-10-09       Impact factor: 3.231

10.  Development of a real time reverse transcription loop-mediated isothermal amplification method (RT-LAMP) for detection of a novel swine acute diarrhea syndrome coronavirus (SADS-CoV).

Authors:  Huanan Wang; Feng Cong; Fanwen Zeng; Yuexiao Lian; Xiangnan Liu; Manlin Luo; Pengju Guo; Jingyun Ma
Journal:  J Virol Methods       Date:  2018-06-21       Impact factor: 2.014

  10 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.