| Literature DB >> 27199632 |
Subit Barua1, Salomon Kuizon1, W Ted Brown2, Mohammed A Junaid1.
Abstract
It is becoming increasingly more evident that lifestyle, environmental factors, and maternal nutrition during gestation can influence the epigenome of the developing fetus and thus modulate the physiological outcome. Variations in the intake of maternal nutrients affecting one-carbon metabolism may influence brain development and exert long-term effects on the health of the progeny. In this study, we investigated whether supplementation with high maternal folic acid during gestation alters DNA methylation and gene expression in the cerebellum of mouse offspring. We used reduced representation bisulfite sequencing to analyze the DNA methylation profile at the single-base resolution level. The genome-wide DNA methylation analysis revealed that supplementation with higher maternal folic acid resulted in distinct methylation patterns (P < 0.05) of CpG and non-CpG sites in the cerebellum of offspring. Such variations of methylation and gene expression in the cerebellum of offspring were highly sex-specific, including several genes of the neuronal pathways. These findings demonstrate that alterations in the level of maternal folic acid during gestation can influence methylation and gene expression in the cerebellum of offspring. Such changes in the offspring epigenome may alter neurodevelopment and influence the functional outcome of neurologic and psychiatric diseases.Entities:
Keywords: DNA methylation; brain development; cerebellum; folic acid; gestational development; psychiatric disease
Year: 2016 PMID: 27199632 PMCID: PMC4854024 DOI: 10.3389/fnins.2016.00168
Source DB: PubMed Journal: Front Neurosci ISSN: 1662-453X Impact factor: 4.677
List of hypermethylated CpG/CHH/CHG sites in the gene body/promoter/other chromosomal region of genes from high maternal folic acid diet that were significantly altered after multiple testing corrections.
| Chr3 | 101396425 | 101396426 | 48 | 55 | 0.69 | 4.73043E-11 | 8.61543E-06 | |
| Chr4 | 120370725 | 120370726 | 38 | 18 | 0.73 | 5.23985E-08 | 0.000602429 | |
| Chr5 | 32310326 | 32310327 | 8 | 16 | 1.00 | 1.35967E-06 | 0.00766814 | |
| Chr5 | 122872838 | 122872839 | 20 | 11 | 0.90 | 9.21198E-07 | 0.005834628 | |
| Chr6 | 99642691 | 99642692 | 46 | 10 | 0.80 | 2.59437E-06 | 0.012370994 | |
| Chr6 | 125280040 | 125280041 | 21 | 33 | 0.68 | 8.58529E-08 | 0.000857291 | |
| Chr7 | 29537833 | 29537834 | 17 | 17 | 0.76 | 5.1294E-06 | 0.020249774 | |
| Chr8 | 79656982 | 79656983 | 30 | 24 | 0.68 | 2.79663E-07 | 0.002218414 | |
| Chr9 | 108751023 | 108751024 | 32 | 20 | 0.70 | 4.85931E-07 | 0.003592574 | |
| Chr11 | 4962328 | 4962329 | 14 | 18 | 0.89 | 5.09083E-07 | 0.003724971 | |
| Chr12 | 3739974 | 3739975 | 15 | 20 | 0.77 | 1.10085E-05 | 0.034438481 | |
| Chr12 | 52930473 | 52930474 | 31 | 11 | 0.91 | 7.47565E-09 | 0.000114327 | |
| Chr12 | 83903228 | 83903229 | 28 | 41 | 0.71 | 2.68793E-11 | 8.35061E-06 | |
| Chr12 | 99800383 | 99800384 | 14 | 32 | 0.69 | 9.50913E-06 | 0.03190158 | |
| ChrX | 110293664 | 110293665 | 6 | 24 | 1.00 | 1.68414E-06 | 0.008878596 | |
| Chr3 | 37380544 | 37380545 | 10 | 16 | 1.00 | 1.88262E-07 | 0.018712081 | |
| Chr3 | 37379114 | 37379115 | 39 | 54 | 0.52 | 4.92021E-09 | 0.000825025 | |
| Chr5 | 122872790 | 122872791 | 57 | 38 | 0.71 | 2.29993E-11 | 5.49912E-05 | |
| Chr5 | 129289390 | 129289391 | 22 | 42 | 0.62 | 3.47908E-07 | 0.031282409 | |
| Chr5 | 142522151 | 142522152 | 41 | 52 | 0.49 | 2.95614E-07 | 0.027788529 | |
| Chr8 | 34944721 | 34944722 | 33 | 40 | 0.59 | 1.33163E-07 | 0.013543758 | |
| Chr11 | 89851744 | 89851745 | 46 | 39 | 0.52 | 6.98215E-08 | 0.007876096 | |
| Chr17 | 81118969 | 81118970 | 20 | 36 | 0.72 | 6.36563E-08 | 0.007313615 | |
| 0.00 | ||||||||
| 0.00 | ||||||||
| Chr4 | 108146626 | 108146627 | 112 | 115 | 0.34 | 5.53559E-08 | 0.006775161 | |
| Chr5 | 134721807 | 134721808 | 57 | 80 | 0.49 | 9.5847E-11 | 7.42648E-05 | |
| Chr5 | 73446765 | 73446766 | 64 | 49 | 0.44 | 1.56966E-08 | 0.002561524 | |
| Chr8 | 34914184 | 34914185 | 34 | 62 | 0.52 | 3.10146E-08 | 0.004794897 | |
| Chr2 | 18865431 | 18865432 | 14 | 8 | 1.00 | 3.12725E-06 | 0.017610194 | |
| Chr4 | 150525065 | 150525066 | 17 | 14 | 0.81 | 6.84434E-06 | 0.032886803 | |
| Chr7 | 133845071 | 133845072 | 89 | 14 | 0.70 | 5.12126E-07 | 0.003733256 | |
| Chr8 | 86608595 | 86608596 | 45 | 12 | 0.70 | 9.53995E-06 | 0.042482671 | |
| Chr8 | 86608595 | 86608596 | 45 | 12 | 0.70 | 9.53995E-06 | 0.042482671 | |
| Chr10 | 79397201 | 79397202 | 29 | 14 | 0.93 | 1.53102E-09 | 1.95146E-05 | |
| Chr10 | 60250203 | 60250204 | 25 | 18 | 0.70 | 5.43229E-06 | 0.027663076 | |
| Chr11 | 102139305 | 102139306 | 34 | 19 | 0.68 | 1.40228E-06 | 0.009072618 | |
| Chr14 | 52609319 | 52609320 | 42 | 8 | 0.90 | 9.21996E-07 | 0.006230346 | |
| Chr14 | 52609319 | 52609320 | 42 | 8 | 0.90 | 9.21996E-07 | 0.006230346 | |
| Chr16 | 10979333 | 10979334 | 38 | 10 | 0.95 | 1.00906E-08 | 0.00011098 | |
| Chr17 | 39985399 | 39985400 | 20 | 11 | 0.90 | 9.21198E-07 | 0.006230346 | |
| Chr18 | 75697791 | 75697792 | 58 | 11 | 0.74 | 5.0559E-06 | 0.025932481 | |
| Chr19 | 6428759 | 6428760 | 52 | 10 | 0.72 | 5.74263E-06 | 0.028897735 | |
| ChrX | 137133982 | 137133983 | 39 | 8 | 0.95 | 1.43104E-07 | 0.001162634 | |
| ChrX | 53984977 | 53984978 | 46 | 14 | 0.83 | 1.84349E-08 | 0.000189568 | |
| ChrX | 160346929 | 160346930 | 52 | 10 | 0.72 | 5.74263E-06 | 0.028897735 | |
| Chr19 | 46072916 | 46072917 | 61 | 6 | 1.00 | 1.00205E-08 | 0.00773454 | |
| Chr9 | 57880963 | 57880964 | 53 | 6 | 1.00 | 2.21939E-08 | 0.012821301 | |
| Chr9 | 98856591 | 98856592 | 102 | 11 | 0.64 | 8.54473E-09 | 0.006910752 | |
| Chr9 | 98856591 | 98856592 | 102 | 11 | 0.64 | 8.54473E-09 | 0.006910752 | |
| Chr19 | 37625255 | 37625256 | 66 | 8 | 0.97 | 2.98577E-09 | 0.003018518 | |
| Chr2 | 117020483 | 117020484 | 19 | 23 | 0.72 | 5.75229E-06 | 0.022192691 | |
| Chr4 | 55291226 | 55291227 | 24 | 17 | 0.69 | 1.55743E-05 | 0.044508695 | |
| Chr6 | 122591925 | 122591926 | 17 | 23 | 0.71 | 1.1076E-06 | 0.006597209 | |
| Chr10 | 92819632 | 92819633 | 16 | 31 | 0.81 | 3.98075E-09 | 7.03909E-05 | |
| Chr12 | 110057962 | 110057963 | 16 | 31 | 0.75 | 8.42303E-07 | 0.00545744 | |
| Chr14 | 87019484 | 87019485 | 14 | 26 | 0.78 | 1.29013E-06 | 0.007324618 | |
| Chr17 | 80418706 | 80418707 | 31 | 23 | 0.75 | 5.72815E-09 | 9.24604E-05 | |
| Chr17 | 80418649 | 80418650 | 31 | 23 | 0.74 | 2.14082E-09 | 4.08331E-05 | |
| Chr17 | 80418656 | 80418657 | 31 | 23 | 0.74 | 2.14082E-09 | 4.08331E-05 | |
| Chr17 | 80418710 | 80418711 | 31 | 22 | 0.73 | 5.02628E-09 | 8.44787E-05 | |
| Chr17 | 80418721 | 80418722 | 28 | 23 | 0.70 | 1.02512E-07 | 0.000977631 | |
| Chr17 | 49319822 | 49319823 | 18 | 47 | 0.68 | 8.1497E-07 | 0.005341511 | |
| Chr18 | 8736817 | 8736818 | 32 | 9 | 0.81 | 1.4286E-05 | 0.04188451 | |
| Chr18 | 8736774 | 8736775 | 31 | 9 | 0.81 | 1.83039E-05 | 0.048931908 | |
| Chr18 | 60275673 | 60275674 | 14 | 22 | 0.71 | 3.93805E-06 | 0.017229446 | |
| Chr3 | 37105839 | 37105840 | 28 | 60 | 0.50 | 4.59752E-07 | 0.039616449 | |
| Chr8 | 32211528 | 32211529 | 45 | 70 | 0.57 | 5.4005E-11 | 5.49912E-05 | |
| Chr8 | 29104849 | 29104850 | 30 | 44 | 0.55 | 1.11592E-07 | 0.011734506 | |
| Chr8 | 27826273 | 27826274 | 36 | 48 | 0.51 | 5.73672E-07 | 0.0474555 | |
| Chr17 | 85245770 | 85245771 | 36 | 62 | 0.68 | 9.22107E-11 | 5.49912E-05 | |
| Chr3 | 18872260 | 18872261 | 69 | 40 | 0.45 | 6.79721E-10 | 0.000153587 | |
| Chr9 | 4249915 | 4249916 | 41 | 86 | 0.53 | 5.27759E-10 | 0.000129188 | |
| Chr3 | 15582599 | 15582600 | 64 | 28 | 0.73 | 3.54618E-11 | 1.16245E-05 | |
| Chr7 | 142676163 | 142676164 | 50 | 6 | 0.92 | 6.46782E-06 | 0.03164917 | |
| Chr7 | 140397403 | 140397404 | 46 | 20 | 0.67 | 2.57852E-07 | 0.001995863 | |
| Chr11 | 116362692 | 116362693 | 50 | 6 | 0.96 | 8.62376E-07 | 0.005883499 | |
| ChrX | 139577966 | 139577967 | 8 | 18 | 0.76 | 0.000397497 | 0.506460372 | |
| ChrX | 118333137 | 118333138 | 44 | 13 | 0.68 | 8.19276E-06 | 0.037584248 | |
| Chr8 | 114228185 | 114228186 | 43 | 6 | 1.00 | 7.15112E-08 | 0.047312275 | |
| Chr18 | 83201037 | 83201038 | 70 | 12 | 0.67 | 1.38883E-08 | 0.009360419 | |
Methylation exclusively in the CpG island;
Methylation in the promoter regions; HMFA, high maternal folic acid; LMFA, low maternal folic acid. CHH, CHG where H can be A, T or G.
List of hypomethylated CpG/CHH/CHG sites in the gene body/promoter/other chromosomal region of genes from high maternal folic acid diet that were significantly altered after multiple testing corrections.
| Chr2 | 70926781 | 70926782 | 12 | 8 | −1.00 | 7.9384E-06 | 0.028133219 | |
| Chr3 | 51477712 | 51477713 | 16 | 15 | −0.73 | 1.6121E-05 | 0.045534315 | |
| Chr5 | 111715613 | 111715614 | 46 | 19 | −0.79 | 1.95557E-09 | 3.9055E-05 | |
| Chr10 | 79393579 | 79393580 | 18 | 12 | −0.83 | 2.1967E-06 | 0.010935514 | |
| Chr11 | 69574236 | 69574237 | 42 | 15 | −0.80 | 2.10416E-08 | 0.000279056 | |
| Chr11 | 89384648 | 89384649 | 16 | 19 | −0.74 | 9.65017E-06 | 0.032243587 | |
| Chr12 | 109176310 | 109176311 | 10 | 31 | −0.77 | 1.73473E-05 | 0.04752513 | |
| Chr13 | 24228093 | 24228094 | 13 | 16 | −0.86 | 3.07969E-06 | 0.014240168 | |
| Chr17 | 11729485 | 11729486 | 10 | 10 | −1.00 | 1.08251E-05 | 0.034194413 | |
| Chr5 | 150366342 | 150366343 | 27 | 32 | −0.85 | 1.21698E-12 | 7.55036E-06 | |
| Chr6 | 119463258 | 119463259 | 16 | 43 | −0.69 | 1.56071E-08 | 0.002104991 | |
| Chr8 | 119603496 | 119603497 | 25 | 56 | −0.60 | 7.02256E-09 | 0.001146559 | |
| Chr9 | 107166117 | 107166118 | 24 | 39 | −0.65 | 2.17476E-07 | 0.020757812 | |
| Chr16 | 6736334 | 6736335 | 26 | 36 | −0.71 | 4.2963E-09 | 0.000740418 | |
| 0.00 | ||||||||
| 0.00 | ||||||||
| Chr4 | 43744421 | 43744422 | 38 | 79 | −0.66 | 1.89728E-11 | 4.03799E-05 | |
| Chr9 | 103033308 | 103033309 | 23 | 37 | −0.65 | 9.21745E-09 | 0.00159268 | |
| Chr9 | 104021165 | 104021166 | 38 | 72 | −0.58 | 2.74934E-11 | 4.03799E-05 | |
| Chr11 | 118130307 | 118130308 | 38 | 51 | −0.55 | 2.20911E-10 | 7.42648E-05 | |
| Chr16 | 15797072 | 15797073 | 8 | 26 | −1.00 | 5.50776E-08 | 0.006775161 | |
| Chr1 | 39592922 | 39592923 | 46 | 12 | −0.72 | 7.29815E-06 | 0.034293206 | |
| Chr2 | 54854875 | 54854876 | 40 | 10 | −0.85 | 7.79574E-07 | 0.005370225 | |
| Chr3 | 152572664 | 152572665 | 46 | 10 | −0.76 | 1.32097E-06 | 0.008651764 | |
| Chr5 | 150883968 | 150883969 | 52 | 6 | −0.92 | 5.18834E-06 | 0.026484159 | |
| Chr5 | 4009104 | 4009105 | 47 | 8 | −0.87 | 2.4664E-06 | 0.014583234 | |
| Chr7 | 13564506 | 13564507 | 17 | 6 | −1.00 | 9.90619E-06 | 0.043500018 | |
| Chr7 | 142277612 | 142277613 | 49 | 15 | −0.71 | 2.05041E-08 | 0.000206849 | |
| Chr8 | 73985459 | 73985460 | 66 | 11 | −0.76 | 1.60125E-06 | 0.01005433 | |
| Chr9 | 45614148 | 45614149 | 41 | 15 | −0.80 | 8.14852E-10 | 1.23014E-05 | |
| Chr9 | 65575164 | 65575165 | 35 | 8 | −0.75 | 4.59283E-06 | 0.024030758 | |
| Chr11 | 100924353 | 100924354 | 40 | 6 | −0.95 | 2.98928E-06 | 0.016967907 | |
| Chr11 | 63783989 | 63783990 | 24 | 12 | −0.92 | 7.27024E-08 | 0.00063948 | |
| Chr11 | 118386794 | 118386795 | 33 | 10 | −0.82 | 4.17663E-06 | 0.02232177 | |
| Chr11 | 70466348 | 70466349 | 71 | 18 | −0.75 | 3.48721E-09 | 4.17015E-05 | |
| Chr11 | 101045277 | 101045278 | 84 | 16 | −0.71 | 4.67003E-08 | 0.00043033 | |
| Chr13 | 115629726 | 115629727 | 52 | 14 | −0.70 | 1.73075E-06 | 0.010740731 | |
| Chr15 | 73386877 | 73386878 | 42 | 6 | −0.95 | 2.28171E-06 | 0.013758747 | |
| Chr15 | 76684078 | 76684079 | 43 | 7 | −0.71 | 9.91146E-06 | 0.043500018 | |
| Chr17 | 26145026 | 26145027 | 35 | 6 | −1.00 | 2.22401E-07 | 0.00174687 | |
| Chr17 | 34201190 | 34201191 | 69 | 10 | −0.71 | 4.42664E-06 | 0.023265511 | |
| Chr18 | 64349640 | 64349641 | 60 | 8 | −0.72 | 6.76961E-06 | 0.032675219 | |
| ChrX | 130978215 | 130978216 | 42 | 6 | −0.95 | 2.28171E-06 | 0.013758747 | |
| Chr17 | 39981459 | 39981460 | 215 | 1801 | −0.32 | 3.15966E-11 | 0.000127773 | |
| Chr4 | 114927822 | 114927823 | 19 | 16 | −1.00 | 2.4631E-10 | 1.6251E-05 | |
| Chr4 | 70356713 | 70356714 | 11 | 8 | −1.00 | 1.32307E-05 | 0.039611439 | |
| Chr4 | 33145068 | 33145069 | 22 | 23 | −0.74 | 1.15388E-07 | 0.001082193 | |
| Chr6 | 22702718 | 22702719 | 20 | 38 | −0.79 | 1.68255E-09 | 3.40026E-05 | |
| Chr8 | 23561782 | 23561783 | 10 | 9 | −1.00 | 1.08251E-05 | 0.034194413 | |
| Chr8 | 125951782 | 125951783 | 6 | 15 | −1.00 | 1.84284E-05 | 0.049033126 | |
| Chr8 | 15641954 | 15641955 | 33 | 10 | −0.87 | 1.72635E-07 | 0.001510603 | |
| Chr9 | 49862607 | 49862608 | 10 | 10 | −1.00 | 1.08251E-05 | 0.034194413 | |
| Chr10 | 12602192 | 12602193 | 17 | 8 | −1.00 | 9.24578E-07 | 0.005834628 | |
| Chr10 | 123989391 | 123989392 | 17 | 35 | −0.83 | 4.59988E-09 | 7.96787E-05 | |
| Chr12 | 44576005 | 44576006 | 19 | 14 | −0.80 | 3.041E-06 | 0.014104497 | |
| Chr12 | 68850704 | 68850705 | 31 | 14 | −0.76 | 1.20506E-06 | 0.007029716 | |
| Chr14 | 13972178 | 13972179 | 44 | 9 | −0.84 | 4.38892E-07 | 0.003296639 | |
| Chr15 | 31799762 | 31799763 | 14 | 16 | −0.81 | 4.79293E-06 | 0.019439463 | |
| Chr16 | 55473911 | 55473912 | 24 | 11 | −0.78 | 1.52675E-05 | 0.043927676 | |
| Chr17 | 84101994 | 84101995 | 10 | 10 | −1.00 | 1.08251E-05 | 0.034194413 | |
| Chr17 | 40509054 | 40509055 | 26 | 26 | −0.73 | 1.66363E-07 | 0.001486366 | |
| Chr4 | 62532417 | 62532418 | 30 | 18 | −0.80 | 3.6826E-08 | 0.004662758 | |
| Chr16 | 39097237 | 39097238 | 47 | 34 | −0.70 | 4.56498E-11 | 5.49912E-05 | |
| Chr18 | 53985910 | 53985911 | 27 | 30 | −0.63 | 6.04117E-08 | 0.007071799 | |
| Chr4 | 44486603 | 44486604 | 24 | 72 | −0.53 | 1.53357E-07 | 0.017325988 | |
| Chr8 | 97707113 | 97707114 | 31 | 43 | −0.52 | 4.46831E-08 | 0.006250153 | |
| Chr8 | 91367262 | 91367263 | 39 | 56 | −0.46 | 5.61123E-09 | 0.001030159 | |
| Chr10 | 93725790 | 93725791 | 84 | 53 | −0.46 | 1.1065E-10 | 7.42648E-05 | |
| Chr11 | 101785985 | 101785986 | 26 | 44 | −0.54 | 4.99742E-08 | 0.006672518 | |
| Chr1 | 72001078 | 72001079 | 32 | 8 | −0.75 | 7.29474E-06 | 0.034293206 | |
| Chr2 | 178977613 | 178977614 | 52 | 10 | −0.88 | 7.44799E-08 | 0.000649745 | |
| Chr3 | 69055711 | 69055712 | 66 | 8 | −0.85 | 2.90337E-06 | 0.016568628 | |
| Chr5 | 48149488 | 48149489 | 54 | 10 | −0.80 | 1.01668E-08 | 0.00011098 | |
| Chr7 | 76060069 | 76060070 | 43 | 10 | −0.77 | 9.4751E-06 | 0.042282364 | |
| Chr8 | 4203056 | 4203057 | 66 | 6 | −0.91 | 5.91402E-06 | 0.029620167 | |
| Chr8 | 66000281 | 66000282 | 61 | 8 | −0.72 | 6.1866E-06 | 0.030412915 | |
| Chr16 | 22049549 | 22049550 | 26 | 14 | −0.71 | 1.1809E-06 | 0.007855174 | |
| Chr18 | 83282753 | 83282754 | 95 | 9 | −0.83 | 9.90991E-08 | 0.000823993 | |
| Chr18 | 67611225 | 67611226 | 62 | 10 | −0.74 | 9.90604E-06 | 0.043500018 | |
| Chr19 | 45266101 | 45266102 | 30 | 18 | −0.80 | 3.6826E-08 | 0.00034839 | |
Methylation exclusively in the CpG island; HMFA, high maternal folic acid; LMFA, low maternal folic acid. CHH, CHG where H can be A, T or G.
Descriptive statistics of the mapping of methylation profile of pups' cerebellums from mothers supplemented with FA at 0.4 (LMFA) and 4 mg/kg (HMFA).
| CB-04 Male | 29,885,144 | 13,848,250 | 46.34 | 4,430,390 | 12 | 98.09 |
| CB-4 Male | 29,016,284 | 11,607,234 | 40.00 | 3,348,964 | 13 | 98.70 |
| CB-04 Female | 37,174,068 | 21,140,555 | 56.87 | 4,643,308 | 16 | 98.59 |
| CB-4 Female | 17,432,488 | 10,690,857 | 61.33 | 3,784,838 | 10 | 98.78 |
Figure 1Relative expression of the genes that exhibited hyper-methylation (A,B) and hypo-methylation (C,D). The results were normalized to Hprt transcript expression and were expressed as relative values in comparison with corresponding transcripts from low maternal folic acid (LMFA). Results represent mean ± standard deviation (SD); asterisks denote statistically significant change (*P < 0.05, **P < 0.01, ***P < 0.001).
Figure 2Western blot analysis showing the expression of Gad1p in the cerebellum of (A) male (M) and (B) female (F) pups from LMFA (0.4 mg/kg diet) and HMFA (4 mg/kg diet) groups. The left panel shows one representative blot, and the right panel shows the mean densitometric evaluation. The error bar ± SD represents the inter-variability among independent samples (n = 4). Asterisks denote statistically significant change (**P < 0.05) by unpaired T-test.
Figure 3Western blot analysis showing the expression of Park2p in the CB of (A) male and (B) female pups from LMFA (0.4 mg/kg diet) and HMFA (4 mg/kg diet). The left panel represents one representative blot, and the right panel shows the mean densitometric evaluation. The error bar ± SD represents the inter-variability among independent samples (n = 4).
Figure 4Quantitative real time reverse transcription-polymerase chain reaction (qRT-PCR) showing relative expression of the transcripts of genes in (A) male pups and (B) female pups from the HMFA group that exhibited no alterations in the methylation profile in promoter and gene body in the cerebellum compared with the LMFA. The results were normalized to Hprt transcript expression and were expressed as relative values in comparison with corresponding transcripts from LMFA. Results represent mean ± standard deviation (SD); asterisks denote statistically significant change (*P < 0.05, **P < 0.01, ***P < 0.001).