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1.
Food Environ Virol ; 12(1): 58-67, 2020 03.
Article in English | MEDLINE | ID: mdl-31721078

ABSTRACT

We modeled Group A Rotavirus (RVA) and Norovirus genogroup II (GII NoV) transport experiments in standardized (crystal quartz sand and deionized water with adjusted pH and ionic strength) and natural soil matrix-water systems (MWS). On the one hand, in the standardized MWS, Rotavirus and Norovirus showed very similar breakthrough curves (BTCs), showing a removal rate of 2 and 1.7 log10, respectively. From the numerical modeling of the experiment, transport parameters of the same order of magnitude were obtained for both viruses. On the other hand, in the natural MWS, the two viruses show very different BTCs. The Norovirus transport model showed significant changes; BTC showed a removal rate of 4 log10, while Rotavirus showed a removal rate of 2.6 log10 similar to the 2 log10 observed on the standardized MWS. One possible explanation for this differential behavior is the difference in the isoelectric point value of these two viruses and the increase of the ionic strength on the natural MWS.


Subject(s)
Fresh Water/virology , Norovirus/chemistry , Rotavirus/chemistry , Fresh Water/chemistry , Humans , Hydrogen-Ion Concentration , Kinetics , Models, Biological , Norovirus/growth & development , Osmolar Concentration , Rotavirus/growth & development , Soil/chemistry , Soil Microbiology
2.
Sci Rep ; 8(1): 17352, 2018 11 26.
Article in English | MEDLINE | ID: mdl-30478379

ABSTRACT

Environmental insults, such as exposure to pathogens, modulate the behavioural coping style of animals to stressors, and repeated exposure to stressful environments may lead to species-specific infection phenotypes. To analyse the influence of stress behavioural phenotypes on immune and metabolic performance, gilthead sea bream (Sparus aurata L.) were first screened for proactive and reactive coping styles. Once characterized, both behavioural phenotypes fish groups were bath vaccinated with bacterin from Vibrio anguillarum, an opportunistic widespread pathogen of fish. Gills and liver were sampled at 0 (control group), 1, 3 and 7 days post-vaccination. Immune-, oxidative stress- and metabolic-related transcripts (il1ß, tnfα, igm, gpx1, sod, cat, lpl, ghr1 and ghr2), metabolic endpoints (glucose, cholesterol and triglycerides), hepatic health indicators (aspartate aminotransferase, alanine transaminase and alkaline phosphatase), oxidative stress status (esterase activity, total antioxidant capacity and total oxidative status) and stress biomarkers (cortisol) were determined. Present results indicate that screening for coping styles in the gilthead sea bream segregated the two distinct phenotypes as expected: proactive and reactive. Results also indicate that under bath vaccination proactive fish show high immune response and lower metabolism, whereas reactive fish show low immune and higher metabolic responses.


Subject(s)
Bacterial Vaccines/pharmacology , Fish Diseases/prevention & control , Sea Bream/physiology , Vibrio Infections/veterinary , Vibrio/immunology , Animals , Bacterial Vaccines/immunology , Behavior, Animal , Blood Glucose/analysis , Fish Diseases/immunology , Fish Diseases/microbiology , Fish Proteins/genetics , Gene Expression Regulation/drug effects , Gene Expression Regulation/immunology , Gills/drug effects , Gills/physiology , Hydrocortisone/blood , Liver/drug effects , Liver/physiology , Sea Bream/microbiology , Stress, Physiological , Vibrio/pathogenicity , Vibrio Infections/immunology , Vibrio Infections/prevention & control
3.
Food Environ Virol ; 10(3): 305-315, 2018 09.
Article in English | MEDLINE | ID: mdl-29564721

ABSTRACT

In Uruguay, groundwater is frequently used for agricultural activities, as well as for human consumption in urban and rural areas. As in many countries worldwide, drinking water microbiological quality is evaluated only according to bacteriological standards and virological analyses are not mentioned in the legislation. In this work, the incidence of human viral (Rotavirus A, Norovirus GII, and human Adenovirus) and bacterial (total and thermotolerant coliform and Pseudomonas aeruginosa) contamination in groundwater in the Salto district, Uruguay, as well as the possible correlation between these groups of microorganisms, was studied. From a total of 134 groundwater samples, 42 (32.1%) were positive for Rotavirus, only 1 (0.7%) for both Rotavirus and Adenovirus, and 96 (72.6%) samples were positive for bacterial indicators. Results also show that Rotavirus presence was not associated with changes in chemical composition of the aquifer water. Bacteriological indicators were not adequate to predict the presence of viruses in individual groundwater samples (well scale), but a deeper spatial-temporal analysis showed that they are promising candidates to assess the viral contamination degree at aquifer scale, since from the number of wells with bacterial contamination the number of wells with viral contamination could be estimated.


Subject(s)
Bacteria/growth & development , Groundwater/virology , Viruses/growth & development , Water Microbiology , Water Quality , Water Wells , Adenoviruses, Human/growth & development , Agriculture , Drinking Water/virology , Groundwater/microbiology , Humans , Norovirus/growth & development , Rotavirus/growth & development , Uruguay
4.
Lett Appl Microbiol ; 66(3): 215-221, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29274087

ABSTRACT

This study assess the quality of wastewater through the detection and quantification of important viruses causing gastroenteritis at different stages of the wastewater treatment process in an activated-sludge wastewater treatment plant with ultraviolet disinfection. Ten sampling events were carried out in a campaign along a period of 18 months collecting wastewater samples from the influent, after the activated-sludge treatment, and after the final disinfection with UV radiation. Samples were concentrated through ultracentrifugation and analysed using retro-transcription, PCR and real time quantitative PCR protocols, for detection and quantification of Group A Rotavirus (RVA), Human Astrovirus (HAstV), Norovirus Genogroup II (NoV GII) and Human Adenovirus (HAdV). HAdV (100%), NoV GII (90%), RVA (70%) and HAstV (60%) were detected in influent samples with concentration from 1·4 (NoV GII) to 8·0 (RVA) log10  gc l-1 . Activated-sludge treatment reached well quality effluents with low organic material concentration, although nonstatistical significant differences were registered among influent and postactivated sludge treatment samples, regarding the presence and concentration for most viruses. All post-UV samples were negative for NoV GII and HAstV, although RVA and HAdV were detected in 38% and 63% of those samples respectively, with concentration ranging from 2·2 to 5·5 and 3·1 to 3·4 log10  gc l-1 . SIGNIFICANCE AND IMPACT OF THE STUDY: This study demonstrates that an activated-sludge wastewater treatment plant with UV disinfection reduces to levels below the detection limit those single-stranded RNA viruses as noroviruses and astroviruses and reach significant lower levels of rotaviruses and adenoviruses after the complete treatment process.


Subject(s)
Adenoviruses, Human/radiation effects , Disinfection/methods , Enterovirus/radiation effects , Mamastrovirus/radiation effects , Norovirus/radiation effects , Rotavirus/radiation effects , Sewage/virology , Ultraviolet Rays , Adenoviruses, Human/genetics , Adenoviruses, Human/isolation & purification , Disease Outbreaks/prevention & control , Enterovirus/genetics , Enterovirus/isolation & purification , Gastroenteritis/virology , Humans , Mamastrovirus/genetics , Mamastrovirus/isolation & purification , Norovirus/genetics , Norovirus/isolation & purification , Real-Time Polymerase Chain Reaction , Rotavirus/genetics , Rotavirus/isolation & purification , Uruguay , Water Purification/methods
5.
Sci Total Environ ; 609: 225-231, 2017 Dec 31.
Article in English | MEDLINE | ID: mdl-28743008

ABSTRACT

Human activities in the Antarctica including tourism and scientific research have been raised substantially in the last century with the concomitant impact on the Antarctic ecosystems through the release of wastewater mainly from different scientific stations activities. The aim of this study was to assess the wastewater contamination of surface waters and sediments of three melt-water streams (11 sites) by leaking septic tanks located in the vicinity of the Uruguayan Scientific Station in the Fildes Peninsula, King George Island, Antarctica, during summer 2015. For this purpose, we combined the analysis of fecal steroids in sediments by using gas chromatography and six enteric viruses in surface waters by quantitative and qualitative PCR. Coprostanol concentrations (from 0.03 to 3.31µgg-1) and fecal steroids diagnostic ratios indicated that stations C7 and C8 located in the kitchen stream presented sewage contamination. Rotavirus was the only enteric virus detected in five sites with concentration ranging from 1.2×105gcL-1 to 5.1×105gcL-1 being three of them located downstream from the leaking AINA and Kitchen septic tanks. This study shows for the first time the presence of both virological and molecular biomarkers of wastewater pollution in surface waters and sediments of three melt-water streams in the vicinity of a scientific station in the Antarctica. These results highlight the importance of the complementation of these biomarkers in two different matrices (surface waters and sediments) to assess wastewater pollution in an Antarctic environment related to anthropogenic activities in the area.


Subject(s)
Environmental Monitoring , Geologic Sediments/analysis , Rotavirus/isolation & purification , Sewage/analysis , Wastewater/analysis , Antarctic Regions , Feces/chemistry , Feces/virology , Geologic Sediments/virology , Humans , Sewage/virology , Wastewater/virology
6.
J Appl Microbiol ; 120(5): 1427-35, 2016 May.
Article in English | MEDLINE | ID: mdl-26784369

ABSTRACT

AIMS: To determine the prevalence and molecular epidemiology of norovirus (NoV) genogroup I (GI) and GII in Uruguay. METHODS AND RESULTS: One hundred and sixteen sewage samples were collected in six cities (Bella Unión, Salto, Paysandú, Fray Bentos, Melo and Treinta y Tres) from March 2011 to April 2013, viruses were concentrated by ultracentrifugation and NoV studies were performed by semi-nested RT-PCR (partial capsid region). NoV were detected in samples from all the cities and detected in 72% (84/116) of the samples with nine of them belonging to GI, 48 to GII and 27 to both genogroups. Remarkably, a high genetic diversity was identified: GII.2 (n = 13), GII.4 (n = 13), GI.1 (n = 5), GI.4 (n = 5), GI.8 (n = 4), GII.13 (n = 4), GII.1 (n = 3), GII.6 (n = 3), GI.3 (n = 1), GI.5 (n = 1), GI.6 (n = 1), GII.3 (n = 1), GII.17 (n = 1). Interestingly, a complete replacement of GII.4 New Orleans 2009 by GII.4 Sydney 2012 variants during 2012 was evidenced. CONCLUSION: This study reveals a high circulation of different NoV GI and GII genotypes in sewage evidencing a replacement of GII.4 variants. SIGNIFICANCE AND IMPACT OF STUDY: This approach can be used as an indicator of the presence of a new GII.4 variant which can originate an increase in acute gastroenteritis outbreaks worldwide.


Subject(s)
Genetic Variation , Norovirus/genetics , Sewage/virology , Caliciviridae Infections/virology , Capsid Proteins/genetics , Cities , Environmental Monitoring , Genotype , Norovirus/isolation & purification , Polymerase Chain Reaction , Uruguay
7.
Food Environ Virol ; 8(1): 13-7, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26456918

ABSTRACT

Aichivirus 1 (AiV-1) is an enteric virus with 30 nm in diameter, belonging to the genus Kobuvirus in the Picornaviridae family being a causative agent of gastroenteritis in humans. The transmission is via the fecal-oral route, through person to person contact, recreation in contaminated waters, or through the consumption of contaminated food or water. The aim of this study was to determine the frequency and the molecular characterization of AiV-1 in wastewater from Uruguay. Biweekly collections from March 2011 to February 2012 were performed in the cities of Bella Unión, Salto, Paysandú, and Fray Bentos, northwestern region of Uruguay. A total of 96 samples were collected; viruses were concentrated by ultracentrifugation, and AiV-1 was detected by using a nested PCR with primers directed to a conserved region (3CD junction) of the viral genome. A high frequency of AiV-1 (n = 54) was observed at all the cities analyzed mainly in the colder months of the year. AiV-1 was not evidenced as an appropriate viral fecal indicator since when compared with other previously detected enteric viruses, no correlation was observed. All 13 characterized AiV-1 belonged to the genotype B after the phylogenetic analysis performed with the sequences obtained from the first round PCR amplicon. This study demonstrates that AiV-1 is a frequently detected enteric viruses present in wastewater and excreted by infected persons in the northwestern region of Uruguay.


Subject(s)
Kobuvirus/genetics , Kobuvirus/isolation & purification , Wastewater/virology , Genotype , Kobuvirus/classification , Phylogeny , Seasons , Uruguay
8.
Arch Virol ; 160(11): 2839-43, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26280526

ABSTRACT

Canine norovirus (NoV) and astrovirus (AstV) were studied in 20 domestic sewage samples collected in two cities in Uruguay. Four samples were characterized as canine AstV after phylogenetic analysis clustering with strains detected in Italy and Brazil in 2008 and 2012, respectively. One sample was characterized as canine NoV and clustered with a strain detected in Hong Kong and recently classified as GVII. This study shows the occurrence of a canine NoV GVII strain for the first time in the American continent and also warns about possible zoonotic infection, since canine strains were detected in domestic sewage.


Subject(s)
Astroviridae Infections/veterinary , Caliciviridae Infections/veterinary , Dog Diseases/virology , Mamastrovirus/isolation & purification , Norovirus/isolation & purification , Sewage/virology , Animals , Astroviridae Infections/virology , Caliciviridae Infections/virology , Dogs , Mamastrovirus/genetics , Molecular Sequence Data , Norovirus/genetics , Phylogeny , Uruguay
9.
J Appl Microbiol ; 119(3): 859-67, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26010679

ABSTRACT

AIMS: The aim of this study was to investigate the presence of the recently identified human astrovirus (HAstV) and to increase the knowledge of the molecular epidemiology of classical HAstV detected in Uruguay. METHODS AND RESULTS: Recently identified and classical HAstV genotypes were investigated by RT-PCR targeting the ORF1b and ORF2 genome regions in 20 samples obtained between September 2011 and April 2013 in two cities of the eastern region of Uruguay. Four of 20 samples (20%) were identified as MLB-1 genotype and it was found a new MLB-1 classification through the segregation of the worldwide reported MLB-1 strains in two genetic lineages proposed and named: MLB-1a and MLB-1b. Fourteen (70%) samples were positive for classical HAstV and 12 of them were successfully sequenced and genotyped as: HAstV-1 (n = 10), HAstV-2 and HAstV-5 (one sample each). CONCLUSION: These results constitute the first report in the Latin American region concerning the molecular detection and characterization of MLB-1 HAstV strains in environmental samples. SIGNIFICANCE AND IMPACT OF THE STUDY: This study highlights the benefits of an environmental surveillance to study emerging enteric viruses circulating in human societies.


Subject(s)
Astroviridae Infections/virology , Mamastrovirus/isolation & purification , Sewage/virology , Base Sequence , Environmental Monitoring , Gastroenteritis/virology , Genotype , Humans , Mamastrovirus/classification , Mamastrovirus/genetics , Molecular Epidemiology , Molecular Sequence Data , Phylogeny , Uruguay/epidemiology
10.
Food Environ Virol ; 2015 Feb 14.
Article in English | MEDLINE | ID: mdl-25680829

ABSTRACT

The aim of this study was to determine the molecular epidemiology of classical human astrovirus (HAstV) strains in sewage samples from four Uruguayan cities: Bella Unión, Salto, Paysandú, and Fray Bentos, located in the Northwestern region of the country. Overall, 96 sewage samples were collected biweekly between March 2011 and February 2012 and were subject to ultracentrifugation methodology in order to concentrate the viruses. RT-PCR directed to the ORF2 genome region was performed followed by sequencing and phylogenetic analysis. Forty-three (45 %) out of 96 analyzed samples were positive for HAstV (Mamastrovirus 1) and 31 of them were successfully sequenced being 21 (49 %) of them classified as HAstV-1 genotype (1a lineage) and 10 (23 %) as HAstV-2 genotype (eight strains belonging to the 2d lineage and two strains to the 2c lineage). The 1a lineage circulated throughout the year, while the 2d lineage only in the coldest months (June to October). Strikingly, the 2c lineage was detected only in Salto city during March 2011. In this city it was observed the highest frequency of HAstV and the greatest genetic diversity, probably due to its role as high touristic spot with an important influx of visitants from others regions of Uruguay and also from other countries. This study constitutes the first report in Uruguay that describes the phylogenetic diversity and genotype distribution of HAstV strains circulating in the Northwestern region evidencing a high frequency and also the presence of several different lineages.

11.
Food Environ Virol ; 6(2): 116-24, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24777819

ABSTRACT

The aim of this study was to assess the viral contamination of group A rotavirus (RVA), norovirus (NoV), and human astrovirus (HAstV) in sewage directly discharged into Uruguay River and to characterize RVA genotypes circulating in Uruguay. For this purpose, sewage samples (n = 96) were collected biweekly from March 2011 to February 2012 in four Uruguayan cities: Bella Unión, Salto, Paysandú, and Fray Bentos. Each sample was concentrated by ultracentrifugation method. Qualitative and quantitative RT-PCR for RVA, NoV, and HAstV were performed. A wide dissemination of gastroenteric viruses was observed in the sewage samples analyzed with 80% of positivity, being NoV (51%) the most frequently detected followed by RVA with a frequency of 49% and HAstV with 45%. Genotypes of RVA were typed using multiplex semi-nested RT-PCR as follows: P[8] (n = 15), P[4] (n = 8), P[10] (n = 1), P[11] (n = 1), G2 (n = 29), and G3 (n = 2). The viral load ranged from 10(3) to 10(7) genomic copies/liter, and they were detected roughly with the same frequency in all participant cities. A peak of RVA and HAstV detection was observed in colder months (June to September), whereas no seasonality was observed for NoV. This study demonstrates for the first time, the high degree of gastroenteric viral contamination in the country; highlighting the importance of developing these analyses as a tool to determine the viral contamination in this hydrographic boundary region used by the local populations for recreation and consumption, establishing an elevated risk of gastroenteric diseases for human health.


Subject(s)
Gastroenteritis/virology , Mamastrovirus/isolation & purification , Norovirus/isolation & purification , Rivers/virology , Rotavirus/isolation & purification , Wastewater/virology , Gastroenteritis/epidemiology , Humans , Mamastrovirus/classification , Mamastrovirus/genetics , Norovirus/classification , Norovirus/genetics , Rotavirus/classification , Rotavirus/genetics , Sewage/virology , Uruguay/epidemiology
12.
J Med Virol ; 82(7): 1272-6, 2010 Jul.
Article in English | MEDLINE | ID: mdl-20513095

ABSTRACT

Group A rotaviruses (RV-A) are the major cause of gastroenteritis in infants and young children around the world. Each year RV-A causes approximately 11 million episodes of severe diarrhea, with an estimated of 611,000 deaths. Epidemiologic surveys have identified P[8]G1, P[4]G2, P[8]G3, P[8]G4, and P[8]G9 as the most common global genotypes associated with diarrhea in children up to 5-year old. Surveillance studies and documentation of RV-A G and P genotypes is necessary for a comprehensive evaluation of the evolution of new strains, and assessing the capability of vaccines to provide heterotypic protection. It is known that reassortments are the driving force for genetic diversity through sudden changes in RV-A genome. In this study, we identified two unusual P/G combinations, P[8]G8 and P[4]G8, occurring in Rio de Janeiro during 2002. Results obtained in this study suggest that P[8]G8 RV-A strain originated from a reassortment event that occurred between RV-A P[4]G8 and P[8]G9 strains circulating in Rio de Janeiro in the same year. G8 strains identified in this study, as well as G8 strains detected in Recife by Montenegro et al. [Montenegro et al. (2007) J Med Virol 79: 335-340], showed a close genetic relationship with strains from Africa, where this genotype have become prevalent.


Subject(s)
Diarrhea/epidemiology , Reassortant Viruses/isolation & purification , Rotavirus Infections/epidemiology , Rotavirus/isolation & purification , Brazil/epidemiology , Diarrhea/virology , Humans , Molecular Epidemiology , Phylogeny , RNA, Viral/genetics , Reassortant Viruses/classification , Reassortant Viruses/genetics , Rotavirus/classification , Rotavirus/genetics , Rotavirus Infections/virology , Urban Population
13.
Rev. bras. pesqui. méd. biol ; Braz. j. med. biol. res;28(11/12): 1197-206, Nov.-Dec. 1995. graf, tab
Article in English | LILACS | ID: lil-161520

ABSTRACT

Heart rate is an important physiological variable in the control of cardiac output, even in fishes, where the importance of stroke volume has been overemphasized. Except for the myxinoids, the fish heart is innervated by cranial nerve X and the nature of this innervation is mainly inhibitory by parasympathetic fibers, although a sympathetic contribution has also been demonstrated. In mammals, cardiac innervation is not only responsible for the control of mean heart rate but it also modulates the beat-to-beat heart rate changes. These beat-to-beat changes are known as heart rate variability (HRV) and appear to be related to fluctuations in respiration and blood pressure. In this paper we demonstrate the link between cardiac innervation and HRV in several species of teleosts because HRV is greatly decreased after vagotomy or atropinization. In contrast, after abolishing the sympathetic influence with propranolol, only slight changes in total HRV are observed, indicating the restricted importance of the adrenergic innervation in determining phasic changes in HRV despite the significant tonic effect which has been demonstrated. Thus, it appears unlikely that the sympathetic influence will be present in any measured spectral component as suggested previously. Furthermore, clear spectral patterns do not always exist and this may be due to the erratic influence of respiration which is clearly faster than heart rate in all fish species studied. This differs from the slow ventilation frequency displayed by many mammalian species that exerts an influence on a beat-to-beat basis (respiratory sinus arrhythmia). Spectral patterns could also be affected by changing levels of circulating catecholamines, although this is still unproved.


Subject(s)
Animals , Heart Rate/physiology , Arterial Pressure/physiology , Respiration/physiology , Salmon/physiology , Autonomic Nervous System/physiology , Heart Rate , Propranolol/administration & dosage
14.
Braz J Med Biol Res ; 28(11-12): 1197-206, 1995.
Article in English | MEDLINE | ID: mdl-8728848

ABSTRACT

Heart rate is an important physiological variable in the control of cardiac output, even in fishes, where the importance of stroke volume has been overemphasized. Except for the myxinoids, the fish heart is innervated by cranial nerve X and the nature of this innervation is mainly inhibitory by parasympathetic fibers, although a sympathetic contribution has also been demonstrated. In mammals, cardiac innervation is not only responsible for the control of mean heart rate but it also modulates the beat-to-beat heart rate changes. These beat-to-beat changes are known as heart rate variability (HRV) and appear to be related to fluctuations in respiration and blood pressure. In this paper we demonstrate the link between cardiac innervation and HRV in several species of teleosts because HRV is greatly decreased after vagotomy or atropinization. In contrast, after abolishing the sympathetic influence with propranolol, only slight changes in total HRV are observed, indicating the restricted importance of the adrenergic innervation in determining phasic changes in HRV despite the significant tonic effect which has been demonstrated. Thus, it appears unlikely that the sympathetic influence will be present in any measured spectral component as suggested previously. Furthermore, clear spectral patterns do not always exist and this may be due to the erratic influence of respiration which is clearly faster than heart rate in all fish species studied. This differs from the slow ventilation frequency displayed by many mammalian species that exerts an influence on a beat-to-beat basis (respiratory sinus arrhythmia). Spectral patterns could also be affected by changing levels of circulating catecholamines, although this is still unproved.


Subject(s)
Autonomic Nervous System/physiology , Blood Pressure/physiology , Heart Rate/physiology , Respiration/physiology , Salmon/physiology , Animals , Heart Rate/drug effects , Propranolol/pharmacology
15.
Acta Physiol Pharmacol Latinoam ; 35(3): 375-8, 1985.
Article in English | MEDLINE | ID: mdl-2938419

ABSTRACT

ATP and lactate concentration of the gill tissue of Scyliorhinus canicula were determined after short-term and long-term subacute zinc exposure. Increase of lactate and decrease of ATP levels were detected after short-term exposure, while no significant changes were observed after long-term treatment, suggesting a recovery process or an activation of compensatory mechanisms.


Subject(s)
Adenosine Triphosphate/metabolism , Gills/metabolism , Lactates/metabolism , Zinc/pharmacology , Animals , Dogfish , Female , Male
16.
Article in English | BINACIS | ID: bin-49346

ABSTRACT

ATP and lactate concentration of the gill tissue of Scyliorhinus canicula were determined after short-term and long-term subacute zinc exposure. Increase of lactate and decrease of ATP levels were detected after short-term exposure, while no significant changes were observed after long-term treatment, suggesting a recovery process or an activation of compensatory mechanisms.

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