ORIGINAL RESEARCH article

Front. Mar. Sci., 13 January 2022

Sec. Marine Megafauna

Volume 8 - 2021 | https://doi.org/10.3389/fmars.2021.808764

Small Blubber Samples (50 mg) Sufficient for Analyses of 10 Stress and Reproductive Steroid Hormones in Gray and Fin Whales via Liquid Chromatography Mass Spectrometry

  • 1. The Institute of Environmental and Human Health, Texas Tech University, Lubbock, TX, United States

  • 2. Departamento de Ciuencias Marinas y Costeras, Universidad Autónoma de Baja California Sur, La Paz, Mexico

  • 3. Department of Mathematics and Statistics, Texas Tech University, Lubbock, TX, United States

  • 4. The Marine Mammal Center, Sausalito, CA, United States

Abstract

Information on stress, reproductive fitness, and health is difficult to obtain in wild cetaceans but critical for conservation and management. The goal of this study was to develop a methodology requiring minimal blubber mass for analysis of reproductive and stress steroid hormones and, hence, suitable for cetacean biopsies. Blubber biopsies and samples were collected from free-ranging and stranded gray and fin whales. Steroid hormones were extracted from blubber samples as small as 50 mg using liquid-liquid extraction methodology developed to handle the high fat content of blubber. Samples were analyzed via liquid chromatography with tandem mass spectrometry for 10 hormones: aldosterone, androstenedione, cortisol, cortisone, corticosterone, 17β-estradiol, estrone, 17α-hydroxyprogesterone, progesterone, and testosterone. As part of the optimization, homogenization via bead beating and blade dispersion were compared, and the former found superior. To investigate optimal yet minimal tissue mass required, hormone panels were compared among paired 50, 150, and 400 mg samples, the latter two being commonly reported masses for hormone blubber analysis. Results indicated that 50 mg of blubber was suitable and sometimes superior. Additionally, significant differences in precision values were observed between species, possibly stemming from differences in blubber composition, and relevant to homogenization technique selection and calibration methods that use blubber matrix matches obtained from a species other than the study species. Based on recovery and precision values, our methodology was accurate and precise in the measurement of spiked known quantities for all 10 hormones, confirming the methodology capabilities in 50 mg blubber mass in both species. Altogether, and in our specific sample sets, all endogenous hormones, except corticosterone, were identified above the detection limit in 50 mg gray whale blubber samples while all endogenous hormones, except aldosterone, cortisone, estrone, and progesterone, were detected in 50 mg fin whale blubber samples. We present a robust methodology for the analysis of multiple reproductive and stress steroid hormones in minimal masses of cetacean blubber compatible with small biopsies. Finally, we identified statistically significant differences in corticosteroid concentrations between stranded and free ranging animals.

Introduction

Information on stress, reproductive fitness, and health can be difficult to obtain in wild cetaceans but is critical for conservation and management (; ). Hormone analyses can provide fundamental information on wildlife health and fitness at both individual and population levels (; ; ; ). In cetaceans, steroid hormones have been analyzed in wild and captive animals to assess pregnancy, reproductive status, stress, and fitness in a variety of matrices, including baleen, blow, ear plug, feces, follicular fluid, milk, muscle, ocular secretions, plasma, saliva, serum, skin including blubber, and urine (; ; ; ; ; , ; ; ; ; ; ; ; ; ; ; ; ; ; ).

Blubber steroid hormone analysis in large whales has primarily been conducted in individuals that were stranded, by-caught, or killed by ship strikes or native hunts (; , , ; ; ; ). Hormone data from these individuals are valuable but characterized by random availability, potentially compromised health status, and possibly skewed glucocorticosteroid levels due to stress experienced during stranding, capture, or death (; ; ). More recently, hormone values along with demographic trends have been collected from biopsy blubber samples from free-ranging whales (; ; ; ). Data on free-ranging animals is essential for management and long-term monitoring of population health.

Two categories of analytical methodologies are used for steroid hormone analysis in cetacean blubber: immunoassay-based and physical separation-based. The latter is more recent and includes analyses combining chromatography and spectrometry such as gas chromatography mass spectrometry and liquid chromatography mass spectrometry (LC-MS). Immunoassays provide sensitivity in the ppt range but are limited by the frequent requirement for 70–150 mg wet weight (ww) of blubber per hormone and the potential for cross-reactivity of kit antibodies with steroid hormones of similar structure (; ; ; ; ). This relatively large mass requirement can make analyzing multiple hormones challenging, especially when tissue is obtained by biopsy and/or must be split for multiple studies (; ). LC-MS circumvents some of these limitations as multiple hormones can be analyzed concurrently and with high specificity, eliminating cross reactivity issues even among metabolites, and is thus preferred in medicine where the avoidance of false positives is critical (; ). A multi-hormone panel also provides a more accurate assessment of the hormonal crosstalk inherent to most physiological processes (; ). However, LC-MS instrumentation is costly, requires extensive training, and while some instruments offer similar sensitivity compared to immuno-based assays, others do not.

We previously developed a liquid chromatography tandem mass spectrometry (LC-MS/MS) with nano-electrospray ionization methodology where cortisol, progesterone, and testosterone were analyzed concurrently using 50 mg ww gray whale (Eschrichtius robustus) blubber (). Recent studies describe larger hormone panel analyses via LC-MS/MS using blubber sample masses between 100 and 800 mg ww (, ; , ; , ). Here, we report an optimized methodology for the extraction and LC-MS/MS quantification of up to 10 steroid hormones in 50 mg ww blubber of gray and fin whales (Balaenoptera physalus). Our first objective was to minimize the current blubber mass required for multiple hormone analysis. Our second objective was to determine the optimal homogenization technique for precision and recovery. Our third objective was to determine whether the methodology was sensitive enough to detect a range of hormones in both free ranging and stranded whales.

Materials and Methods

Tissue Collection and Permits

Blubber biopsies were collected in 2018 from seven gray whales (including mothers and calves) in San Ignacio Lagoon, Baja California Sur, Mexico and in 2017–2019 from six fin whales in the Gulf of California, as approved by the Ethics Committee of the Subsecretaría de Gestión Para La Protectión Ambiental of the Mexican Dirección General de Vida Silvestre and under the Mexican Ministry of the Environment permit SGPA/DGVS/00612/18. Gray whale sex was unknown for all but one male calf (sexed genetically) and one mother (visually seen accompanied by a calf). Five fin whales were sexed genetically as male, and one was undetermined. Biopsies were shipped frozen to the United States under the Convention on International Trade in Endangered Species of Wild Fauna and Flora permits MX93867 and 17US082589/9. Blubber samples were collected from stranded animals (11 gray and three fin whales) of known sex by the Marine Mammal Center from 1998 to 2019 off the coast of California under MMPA/ESA Permit No. 932- 1905/MA-009526. All samples were stored in liquid nitrogen or at −80°C until analysis under the Marine Mammal Health and Stranding Response Program Permit 18786-02. Body condition and life history parameters are reported in Table 1 for all whales.

TABLE 1

Gray whaleSexAgeStatusDateLocationCause of deathConditionMass analyzed mg
ER-19-01MCalfS1/26/2003CaliforniaMaternal SeparationUnknown50, 150, 400
ER-19-05MCalfS5/18/2016CaliforniaUnknownUnknown150, 400
ER-19-06MNeonateS1/17/1998CaliforniaMaternal separationMildly Underweight50, 150
ER-19-07FAdultS8/16/2011CaliforniaSepticemiaEmaciated50, 150, 400
ER-19-09FNeonateS1/01/1998CaliforniaMaternal separationModerately Underweight50, 150, 400
ER-19-10MCalfS4/08/2000CaliforniaEnteritis/malnutritionEmaciated50, 150
ER-19-12MCalfS2/25/2001CaliforniaMaternal separationGood50, 150
ER-19-13MAdultS4/19/2011CaliforniaShip strikeUnknown150, 400
ER-19-15MJuvenileS6/20/2013CaliforniaUnknownUnknown50, 150, 400
ER-19-16FJuvenileS10/22/2015CaliforniaMalnutritionEmaciated50, 150
ER-19-17FJuvenileS3/12/2019CaliforniaMalnutritionEmaciated50, 150
ER-18-06MCalfF1/25/2018Baja CaliforniaAliveGood50, 150
ER-18-11UCalfF1/25/2018Baja CaliforniaAliveGood50, 150
ER-18-15UCalfF2/01/2018Baja CaliforniaAliveGood50, 150
ER-18-31UCalfF3/19/2018Baja CaliforniaAliveGood50, 150
ER-18-33UCalfF3/20/2018Baja CaliforniaAliveGood50, 150
ER-18-34UCalfF1/25/2018Baja CaliforniaAliveGood50, 150
ER-18-35UAdultF3/21/2018Baja CaliforniaAliveGood50

Fin whaleSexAgeStatusDateLocationCause of deathConditionMass analyzed mg

BP-19-02MSubadultS8/28/2015CaliforniaShip strikeGood50, 150, 400
BP-19-11FSubadultS1/07/2017CaliforniaShip strikeGood50, 150, 400
BP-19-14MJuvenileS8/19/2013CaliforniaUnknownGood50, 150, 400
BP-18-46MAdultF6/01/2016Gulf of CaliforniaAliveGood50
BP-18-66MAdultF6/04/2016Gulf of CaliforniaAliveGood50
BP-18-76MAdultF6/04/2016Gulf of CaliforniaAliveGood50, 150
BP-18-78MAdultF9/17/2016Gulf of CaliforniaAliveGood50, 150
BP-18-91MAdultF3/30/2017Gulf of CaliforniaAliveGood50, 150
BP-18-116MAdultF4/23/2017Gulf of CaliforniaAliveGood50

Life history parameters of gray and fin whales.

Abbreviations are M, male; F, female; U, unknown; S, stranded; F, free ranging.

Chemicals/Reagents

LC-MS grade chemicals including acetonitrile, water, formic acid, ammonium acetate, methanol, and high-performance liquid chromatography grade hexane were purchased from Fisher Scientific (Waltham, MA, United States). Isotopically labeled standard reference materials including aldosterone 2,2,4,6,6,17,21,21-D8, androstene-3,17-dione-2,3,4-13C3, cortisol-D4, 17β-estradiol-2,3,4-13C3, estrone-2,3,4-13C3, 17α-hydroxyprogesterone-2,3,4-13C3, progesterone 2,3,4-13C3, and testosterone 2,3,4-13C3 were purchased from Cerilliant (Round Rock, TX, United States) or Cambridge Isotope Laboratories Inc. (Tewksbury, WA, United States). Aldosterone, androstenedione, cortisol, cortisone, corticosterone, 17β-estradiol, estrone, 17α-hydroxyprogesterone, progesterone, and testosterone non-labeled standards were purchased from Sigma Aldrich (St. Louis, MO, United States).

Tissue Homogenization Optimization Study

Optimal homogenization methodology was investigated by comparing precision between bead beating and blade dispersion methods (n = 7). Blubber samples (50 mg ww) were homogenized via bead beating in 1,400 μL acetonitrile with lysing matrix A (MP Biomedicals Solon, OH, United States), which consisted of a garnet matrix and a quarter inch ceramic bead, for eight periods of 45 s at 6.5 m/s on a FastPrep® 24 (MP Biomedicals) and dry ice, then vortexed for 30 s and centrifuged at 5,000 g for 5 min. Blade dispersion was achieved with a polytron (PT 3100 D, Kinematica, NY, United States) fitted with a 12 mm coupling type B probe (PT-DA 12/2EC-B154). Samples were placed in chilled polypropylene tubes with 3 mL acetonitrile (the minimal volume for the polytron and final volume in the extraction procedure) and homogenized at 1,700 g for 5 min. This was repeated eight times. Tubes were vortexed and centrifuged at 1,800 g for 6 min before extraction.

Liquid-Liquid Steroid Hormone Extraction

Following the tissue homogenization study, all subsequent samples were homogenized via bead beating. Once the homogenization of 50 mg ww blubber was complete, the supernatant was transferred to a clean tube and the homogenization tube rinsed with 800 μL acetonitrile. This was repeated twice. Samples were vortexed and centrifuged prior to the addition of 2.75 mL hexane (vortexed 30 s). Once immiscible layers separated, hexane was removed, and the process repeated thrice. Tubes were incubated at −20°C overnight. Supernatants were evaporated using a TurboVap LV™ (Biotage, Sweden) and residues reconstituted in 500 μL of methanol, vortexed, sonicated, and filtered through 0.22 μm cellulose acetate spin filters. Supernatants were evaporated, reconstituted in 50 μL isotopically spiked methanol, then stored at −20°C until analysis. Ratio of extraction solvents to tissue mass was kept consistent for 150 and 400 mg ww samples.

Liquid Chromatography and Mass Spectrometry

Androstenedione, cortisol, cortisone, corticosterone, 17α-hydroxyprogesterone, progesterone, and testosterone were analyzed with a Dionex Ultimate 3,000 ultra-high performance liquid chromatography system coupled with a TSQ Endura triple quadrupole mass spectrometer (Thermo Fisher Scientific). Ionization was achieved with a HESI probe and analysis occurred in positive ion mode. Mobile phases were 0.1% formic acid water and 0.1% formic acid acetonitrile. The analytes were separated via the following gradient program: 5% of 0.1% formic acid acetonitrile was held for 4 min, increased to 95% over the next 4 min, then held for 4 min before being returned to initial conditions over a period of 4 min. Aldosterone, 17β-estradiol, and estrone were analyzed in negative ion mode with a Thermo Scientific Accela 1250 Pump and Autosampler high performance liquid chromatography system coupled with a TSQ Quantum Access Max triple stage quadrupole mass spectrometer. Ionization of 17β-estradiol and estrone were performed with an atmospheric pressure chemical ionization probe and mobile phases consisted of water and methanol. The separation of analytes was performed with the following gradient program: 40% LC-MS grade methanol was held for 2.5 min, increased to 83% over the next 9 min, and then increased to 100% over 30 s. The 100% LC-MS grade methanol was held for 2 min at which time the gradient returned to initial conditions over a period of 10 s. The ionization of aldosterone was performed with a HESI probe and mobile phases consisted of water with 20 mM ammonium acetate and methanol. The separation of analytes was achieved via the following gradient program: 5% methanol was held for 3 min and then increased to 95% methanol over the next 3 min. This was then held for 3 min before increasing to 100% over the next 2 min. Finally, the gradient was returned to initial conditions over a period of 1 min. All hormone separations were performed on a C18 column (Kinetex®, 2.6 μm C18 100 Å LC Column 50 × 2.1 mm) maintained at 30°C with a 300 μL/min flow rate. Injection volume was 5 μL, except for three fin whales (10 μL). Additionally, these three animals were analyzed for estrogens with the Dionex Ultimate 3,000 ultra-high performance liquid chromatography system, described above, with the atmospheric pressure chemical ionization probe in negative ion mode. Mobile phases consisted of water and methanol. These three fin whale samples were only analyzed at 50 mg due to limited tissue availability, therefore they were not included in the statistical analyses related to paired samples. Data analysis was done using Xcalibur software (Thermo Fisher Scientific). Positive hormone identification was achieved via two Multiple Reaction Monitoring transitions (Table 2 and Figure 1).

TABLE 2

SteroidLOD (ng/g)LOQ (ng/g)PolarityPrecursor ION (m/z)Product ions (m/z)Collision energy (V)RF lens (V)
Aldosterone3.7212.4Negative359.15188.84*18.95140.73
331.1316.77
Aldosterone D8Negative366.06194.03*19.56141.34
338.1517.08
Androstenedione0.381.25Positive287.2397.06*21.12130.41
109.0622.94
Androstenedione 13CPositive290.24100.04*21.22135.57
112.0623.50
Cortisol1.153.83Positive363.24121.06*23.55149.22
327.1015.26
Cortisol D4Positive367.23121.04*23.95156.20
331.1015.81
Cortisone0.842.8Positive361.21121.06*28.10156.50
163.1123.25
Corticosterone1.314.18Positive347.23121.04*23.19151.04
329.1114.75
17β estradiol2.778.8Negative271.12144.99*40.13185.02
182.9940.53
17β estradiol 13CNegative274.02147.99*40.18134.05
186.0040.33
Estrone0.621.98Negative268.99142.99*53.63155.29
145.0037.40
Estrone 13CNegative272.35145.84*53.94151.95
147.9837.35
17α hydroxyprogesterone0.742.46Positive331.2697.04*23.60153.77
109.0626.03
17α hydroxyprogesterone 13CPositive334.26100.04*24.06158.32
112.0426.18
Progesterone0.401.34Positive315.2697.04*20.82144.67
109.0423.55
Progesterone 13CPositive318.30100.04*21.17146.79
112.0423.95
Testosterone0.541.80Positive289.2697.06*21.42157.71
109.0423.19
Testosterone 13CPositive292.27100.04*21.83141.94
112.0424.41

Analytical parameters for both isotopically labeled and non-labeled steroid hormones.

Product ions represent both the quantifier ion (indicated by *) and qualifier ion.

FIGURE 1

Method validation included standard curves for each hormone (1, 5, 10, 50, 100, 250, and 500 ng/mL). All calibration curves had an R2 ≥ 0.99. The limit of detection (LOD) and limit of quantification (LOQ) were determined via 10 1 ng/mL injections of standards. The standard deviation of the measured steroid hormone concentration was multiplied by either the corresponding students t critical value of 0.99 (t0.99) or by 10 for LOD and LOQ determination, respectively (Table 2). Ion suppression and matrix effects were determined by spiking blubber samples with an isotopically labeled standard (spiked final concentration 10 ng/mL) before and after homogenization, respectively. Response was compared to a 10 ng/mL isotopically labeled standard. Relative standard deviation or precision (RSD) and recovery were determined using isotopically labeled hormone standards extracted with the sample. Each analytical run contained both method and solvent blanks to identify any background contamination. Concentrations were expressed in ng/g ww blubber.

Sample Mass Comparison Study

Minimum tissue mass requirement was investigated by comparing hormone detections and concentrations between paired 50 and 150 mg ww blubber samples from gray (n = 15) and fin whales (n = 6) and between paired 150 and 400 mg ww samples from gray (n = 9) and fin whales (n = 3). Tissue masses were selected to include those reported routinely in the literature for enzyme linked immunosorbent assay or LC-MS analysis. All paired samples were from the same blubber depth to ensure consistency. Animals for which paired samples did not exist, were not included.

Stranded Versus Biopsy Comparison Study

Possible correlations between corticosteroid concentrations in 50 mg ww samples from stranded (n = 9) and free ranging (n = 7) gray whales were investigated. This was not investigated in fin whales as two of the three stranded animals were killed by ship strike.

Statistical Analyses

Analyses were conducted in Minitab (versions 18 and 19), JMP Pro (version 14), and R (version 1.2.5042, packages: cplm and matrix) with alpha set to 0.05. Hormone concentrations between paired samples were compared using Tweedie’s compound Poisson mixed model in R which accounted for paired, continuous, zero inflated data (). Precision values across species and cortisol concentrations between stranded and non-stranded animals were compared with a two-sample t-test. Detection incidence in differing masses of paired samples were compared with a Fisher’s exact test. A Kendall’s τ was used to determine whether correlations existed among hormones. Minimum spiking concentrations between matrices were compared with a Mann Whitney U-test (data was not normally distributed).

Results

Tissue Homogenization Optimization Study

Homogenization of gray whale blubber via bead beating resulted in suitable RSD and recovery values in downstream hormone analysis while homogenization via blade dispersion resulted in lower recovery and, for most hormones, RSD beyond the acceptable limit of 20% or less (Figure 2). Recovery of analytes from samples homogenized via blade dispersion decreased considerably for androstenedione 13C (61% bead, 35% blade), 17β-estradiol 13C (68% bead, 31% blade), estrone 13C (68% bead, 30% blade), and 17α-hydroxyprogesterone 13C (62% bead, 39% blade), and slightly for cortisol D4 (79% bead, 68% blade) and testosterone 13C (56% bead, 43% blade), while it increased slightly for progesterone 13C (50% bead, 69% blade). In samples homogenized via blade dispersion, precision values were within the acceptable limit only for androstenedione 13C and 17α-hydroxyprogesterone 13C and increased by two and a half to sixfold for all other hormones. Fin whale samples homogenized via blade dispersion were too lipid rich for LC-MS/MS analysis but suitable when homogenized via bead beating.

FIGURE 2

Liquid Chromatography Tandem Mass Spectrometry Method Validation

In both species, ion suppression was either not apparent or minimal (≤ 20%). Recovery and RSD for all samples homogenized via bead beating were within Environmental Protection Agency limits for both gray (50–70% recovery, 12.57–19.37% RSD) and fin (59–72% recovery, 4.3–16% RSD) whale matrices (Figure 2). RSD differed significantly between species (n = 7, p < 0.001); but neither did recovery (n = 7, p > 0.05) nor optimal spiking concentrations (n = 7, p > 0.05). Based on recovery and RSD, our methodology was accurate and precise in the measurement of spiked known quantities for all 10 hormones, confirming the methodology capabilities at that tissue mass.

Sample Mass Comparison Study

Steroid hormones were detected in fourteen 50 mg and fifteen 150 mg ww paired gray whale samples (n = 15, Figures 3, 4 and Table 3). There were no significant differences in detections of androstenedione (n = 3, n = 3), cortisol (n = 10, n = 8), cortisone (n = 4, n = 5), or 17α-hydroxyprogesterone (n = 4, n = 5) between the 50 and 150 mg ww paired samples, respectively (Figure 3). Cortisol concentrations were significantly higher in 50 mg ww (mean 4 ng/g, range 1–20 ng/g) than 150 mg ww samples (mean 17.2 ng/g, range 10.0–62.6 ng/g), but there were no significant differences in concentrations of androstenedione, cortisone, or 17α-hydroxyprogesterone (Figure 4). Low detection incidence for the remaining hormones precluded comparison.

FIGURE 3

FIGURE 4

TABLE 3

50 mgSexStatusA ng/gA4 ng/gF ng/gE ng/gB ng/gE2 ng/gE1 ng/g17P5 ng/gP4 ng/gT ng/g
ER-19-01MS< 3.72<0.3825.808.84< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-19-06MS< 3.72<0.3875.1314.13< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-19-07FS< 3.724.6541.7712.84< 1.31<2.77< 0.62<0.7418.78< 0.54
ER-19-09FS< 3.72<0.3814.42< 0.84<1.31< 2.77<0.62< 0.74<0.40< 0.54
ER-19-10MS< 3.72<0.38< 1.15<0.84< 1.31<2.77(1.08)< 0.74<0.40< 0.54
ER-19-12MS< 3.72<0.3819.97< 0.84<1.31< 2.77<0.62< 0.74<0.40< 0.54
ER-19-15MS< 3.72<0.3851.20< 0.84<1.31< 2.77<0.62< 0.74<0.40< 0.54
ER-19-16FS40.658.6841.04< 0.84<1.31< 2.77<0.62< 0.74<0.40< 0.54
ER-19-17FS< 3.72<0.3836.3810.04< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-18-06MF< 3.72<0.38< 1.15<0.84< 1.31<2.7730.92< 0.74<0.40< 0.54
ER-18-11UF< 3.72(1.14)4.75< 0.84<1.31< 2.77<0.62< 0.74<0.40< 0.54
ER-18-15UF< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-18-31UF< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.402.99
ER-18-33UF< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.6239.76< 0.40<0.54
ER-18-34UF< 3.72<0.3815.08< 0.84<1.31< 2.77<0.6213.76< 0.40<0.54
ER-18-35FF< 3.72<0.38< 1.15<0.84< 1.319.05< 0.62<0.74< 0.40<0.54

150 mgSexStatusA ng/gA4ng/gFng/gEng/gBng/gE2ng/gE1ng/g17P5 ng/gP4ng/gTng/g

ER-19-01MS< 3.72<0.3831.76< 0.84<1.31< 2.77<0.62< 0.74<0.40< 0.54
ER-19-05MS< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.6219.47< 0.40<0.54
ER-19-06MS< 3.72<0.3862.5813.16< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-19-07FS< 3.723.1232.035.95< 1.31<2.77< 0.62<0.7411.61< 0.54
ER-19-09FS< 3.72<0.38< 1.15<0.8463.73< 2.77<0.62< 0.74<0.40< 0.54
ER-19-10MS< 3.72<0.3810.04< 0.8464.06< 2.77<0.62< 0.74<0.40< 0.54
ER-19-12MS< 3.723.54< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-19-13MS< 3.72<0.3811.847.67< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-19-15MS< 3.72<0.3830.955.61< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-19-16FS< 3.726.0243.43< 0.84<1.31< 2.77<0.62< 0.74<0.40< 0.54
ER-19-17FS< 3.72<0.3833.5413.00< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-18-06MF< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.623.14< 0.40<0.54
ER-18-11UF< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.6218.17< 0.40<0.54
ER-18-15UF< 3.72<0.38< 1.15<0.84< 1.31<2.777.98< 0.74<0.40< 0.54
ER-18-31UF< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.6214.42< 0.40<0.54
ER-18-33UF< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.6229.95< 0.40<0.54
ER-18-34UF< 3.72<0.3813.7311.35< 1.31<2.77< 0.62<0.74< 0.40<0.54

400 mgSexStatusA ng/gA4ng/gFng/gEng/gBng/gE2ng/gE1ng/g17P5 ng/gP4ng/gTng/g

ER-19-01MS< 3.7222.36< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.40<0.54
ER-19-05MS< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.6222.21< 0.40<0.54
ER-19-07FS(6.36)5.7114.23< 0.84<1.31< 2.77<0.6221.896.50< 0.54
ER-19-09FS< 3.72<0.3819.20< 0.84<1.31< 2.77<0.62< 0.74<0.40< 0.54
ER-19-13MS< 3.72<0.3815.27< 0.84<1.31< 2.77<0.62< 0.74<0.40< 0.54
ER-19-15MS< 3.72<0.3820.00< 0.84<1.31< 2.77<0.62< 0.74<0.4023.51

Hormone panel in 50, 150, and 400 mg gray whale samples.

F, M, and U correspond to female, male, and unknown, respectively. S and F correspond to stranded and free ranging, respectively. Hormone abbreviations are A (aldosterone), A4 (androstenedione), F (cortisol), E (cortisone), B (corticosterone), E2 (17β-estradiol), E1 (estrone), P4 (progesterone), T (testosterone). Data in parentheses indicate values above LOD but below LOQ.

Steroid hormones were detected in six 150 mg and six 400 mg ww paired gray whale blubber samples (n = 8, Table 3). There were no significant differences in cortisol detection rates between the 150 and 400 mg ww paired samples (n = 3, n = 4). Low detection incidence for the remaining hormones (Figure 3) precluded comparison. There were no significant differences in cortisol and 17α-hydroxyprogesterone concentrations between 150 and 400 mg ww paired samples (Figure 4). Concentration differences in other hormones precluded comparison.

Steroid hormones were detected in four 50 mg and five 150 mg ww paired fin whale samples homogenized via bead beating (n = 6, Figure 3 and Table 4). There were no significant differences in androstenedione detection incidence (n = 4, n = 4). The low detection incidence of androstenedione, cortisol, 17α-hydroxyprogesterone, and testosterone precluded analysis. Hormones were detected in all 150 and 400 mg ww paired fin whale samples (n = 3, Figure 3 and Table 4). Androstenedione concentrations were statistically similar between masses, but low detection incidences precluded statistical analyses for cortisol and 17α-hydroxyprogesterone.

TABLE 4

50 mgSexStatusA ng/gA4 ng/gF ng/gE ng/gB ng/gE2 ng/gE1 ng/g17P5 ng/gP4 ng/gT ng/g
BP-19-02MS< 3.727.63< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.4<0.54
BP-19-11FS< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.4<0.54
BP-19-14MS< 3.7210.4285.71< 0.84<1.31< 2.77<0.62< 0.74<0.4< 0.54
BP-18-46MF< 3.722.74< 1.15<0.84< 1.3111.66< 0.6222.68< 0.48.45
BP-18-66MF< 3.72<0.38< 1.15<0.8480.469.61< 0.6218.185< 0.4<0.54
BP-18-76MF< 3.722.72< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.4<0.54
BP-18-78MF< 3.722.53< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.4<0.54
BP-18-91MF< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.4<0.54
BP-18-116MF< 3.72<0.38< 1.15<0.84< 1.319.60< 0.6218.49< 0.4<0.54

150 mgSexStatusAng/gA4ng/gFng/gEng/gBng/gE2ng/gE1ng/g17P5ng/gP4ng/gTng/g

BP-19-02MS< 3.725.35< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.45.93
BP-19-11FS< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.6225.20< 0.4<0.54
BP-19-14MS< 3.724.41< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.4<0.54
BP-18-76MF< 3.722.15< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.4<0.54
BP-18-78MF< 3.722.72< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.4<0.54
BP-18-91MF< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.6217.32< 0.4<0.54

400 mgSexStatusAng/gA4ng/gFng/gEng/gBng/gE2ng/gE1ng/g17P5ng/gP4ng/gTng/g

BP-19-02MS< 3.725.77< 1.15<0.84< 1.31<2.77< 0.62<0.74< 0.4<0.54
BP-19-11FS< 3.72<0.38< 1.15<0.84< 1.31<2.77< 0.6219.34< 0.4<0.54
BP-19-14MS< 3.724.4132.18< 0.84<1.31< 2.77<0.62< 0.74<0.4< 0.54

Hormone panel in 50, 150, and 400 mg fin whale samples F, M, and U correspond to female, male, and unknown, respectively.

S and F correspond to stranded and free ranging, respectively. Hormone abbreviations are A (aldosterone), A4 (androstenedione), F (cortisol), E (cortisone), B (corticosterone), E2 (17β-estradiol), E1 (estrone), 17P5 (17α-hydroxyprogesterone), P4 (progesterone), T (testosterone).

Overall Hormone Detection and Correlations in 50 mg Wet Weight Blubber Samples

All samples were analyzed using 50 mg ww blubber mass. Aldosterone, androstenedione, cortisol, cortisone, 17β-estradiol, estrone, 17α-hydroxyprogesterone, progesterone, and testosterone were detected in gray whale blubber (Table 3). Androstenedione, cortisol, corticosterone, 17β-estradiol, 17α-hydroxyprogesterone, and testosterone were detected in fin whale blubber (Table 4).

A significant positive correlation (p < 0.01) was observed between cortisol and cortisone in all four 50 mg gray whale blubber samples where both hormones were detected and with the former in higher concentration (3x–5x). Cortisol was detected in 10 gray whales with some concentration overlap in the stranded and free ranging groups but significantly higher concentrations in stranded individuals (p < 0.05). No other significant hormone correlations were observed in either species.

Discussion

Blubber Homogenization Methodology Influences Downstream Analyses

Blubber homogenization via bead beating was greatly superior to blade dispersion. RSD for both species indicated that bead beating was suitable for all samples while blade dispersion was only acceptable in 25% of gray whale samples and none of the fin whale samples. Bead beating was more time efficient (45 min/24 samples) than blade dispersion (75 min/sample). We hypothesize that the generally poor blade dispersion homogenization RSD values were due to remaining intact fat cells in the homogenates. This is supported by the fact that fin whale samples homogenized via blade dispersion were too lipid rich for LC-MS/MS analysis (at the hexane step, the supernatants displayed foam and cloudiness due to leftover lipid content. Final extracts contained visible fat), whereas bead beating-homogenized samples from the same animals were suitable. In the literature, both blubber homogenization methods have been reported with bead beating preferred in conjunction with LC-MS/MS (; ; ). This is the first report on the influence of blubber homogenization methodology on downstream LC-MS/MS analyses in these species.

Gray Whale Blubber Hormone Profiles

Our results validated our methodology for simultaneous detection of multiple hormones in 50 mg ww of gray whale blubber. To the best of our knowledge, we are the first to report, androstenedione, cortisone, estrone, and 17α-hydroxyprogesterone concentrations in any gray whale matrix and aldosterone, 17β-estradiol, and corticosterone concentrations in gray whale blubber. had previously reported aldosterone, 17β-estradiol, and corticosterone concentrations in gray whale baleen. All hormone detections occurred in 50 mg ww samples except for corticosterone which was detected in two 150 mg ww samples. While endogenous corticosterone was not detected in 50 mg gray whale blubber, our methodology was accurate and precise in the measurement of spiked known quantities, confirming the methodology capabilities at that tissue mass. We previously detected cortisol, progesterone, and testosterone in gray whale blubber with a different LC-MS methodology (). Steroid hormone concentrations detected in 50 mg ww gray whale samples are provided below along with information related to blubber hormone detection in other cetacean species.

Here, we put the concentrations we detected in the context of previously reported hormone blubber concentrations in other cetaceans. We acknowledge that such comparisons are mainly for the purpose of illustrating that concentrations obtained with our methodology are within, or close to, ranges previously reported in cetacean blubber and that further research is needed where demographic trends are known before hormonal trends can be elucidated in the gray whale. In free ranging gray whales (n = 7), mean cortisol concentration was 2.8 ng/g (< 1.2–15.1 ng/g) which is similar to those reported from free ranging blue whales Balaenoptera musculus, 1.4–5.6 ng/g, (), but lower than reported in humpback whales (Megaptera novaeangliae, 14.9–61.5 ng/g, ; 0.20–61.62 ng/g, ). In stranded gray whales (n = 9), mean cortisol concentration was 34 ng/g (< 1.2–75.1 ng/g) which was higher than in stranded dolphins (mean 24.3 ng/g, ) and stranded humpback whales (mean 5.2 ng/g, ). Concentrations of cortisone (8.8–14.1 ng/g) were higher than those reported in stressed bottlenose dolphins (Tursiops truncates) and stranded humpback whales (mean 1.7 ng/g, ; 0.3–2.3 ng/g, ). Aldosterone was detected in a single stranded juvenile female, ER-19-16 (40.7 ng/g). Cortisol and cortisone were positively correlated whenever both were detected, as previously observed in other cetaceans (; ). Metabolism of steroids occurs in mammalian skin and evidence suggests cortisol and cortisone are indeed metabolized in marine mammal blubber (; ; ).

Estrone was only detected in calves (1.1–31.0 ng/g, mean 16 ng/g). In ER-18-06 (31.0 ng/g) the estrone concentration exceeded those reported in humpback whales (< 0.1–6.54 ng/g, ). Additionally, 17α-hydroxyprogesterone (13.8–39.8 ng/g, mean 26.76 ng/g) was detected in higher concentrations in both an adult female, ER-18-34 (13.8 ng/g) and an unsexed calf, ER-18-33 (39.8 ng/g) than in free ranging, live-captured, or stranded bottlenose dolphins (< 0.1–3.16 ng/g, ; 0–4.64 ng/g, ; 1.6–13.7 ng/g, ) and humpback whales (< 0.5–1.87 ng/g, ). Testosterone (3 ng/g) was detected only in one unsexed calf, ER-18-31, at a similar concentration reported for a juvenile gray whale male using LC/MS methodology () but greater than mean concentrations observed at any life stage in gray whale males using immunoassays (). No adult males were analyzed at the 50 mg ww mass, and our sample set did not include any breeding adult males, known in gray whales and other species for expressing higher concentrations (; ; ).

reported that high androstenedione concentrations (7.8–40 ng/g) may indicate late term pregnancy in humpback whales. In our sample set, only one stranded juvenile female, ER-19-16, had an androstenedione concentration within that range (8.68 ng/g). Whether androstenedione could indicate certain pregnancy stages in gray whales is currently unknown and further research is warranted. Progesterone was detected in a non-pregnant, adult female, ER-19-07 (18.8 ng/g) also presenting with the second highest cortisone and the third highest cortisol concentration in our sample set. The animal died after swimming in fresh water for 54 days. reported a correlation between cortisol, cortisone, and progesterone in non-pregnant, stranded humpback whales, indicating elevated progesterone concentrations may reflect a poor physiological state. More research is warranted in the gray whale. A valuable probability model for gray whale pregnancy was recently developed using blubber progesterone concentrations detected by immunoassays (). Melica’s model exhibits a strong fit for known pregnant and non-pregnant whales and higher uncertainties for whales with intermediate progesterone concentrations. ER-19-07 would have been classified as more likely pregnant, warranting further investigation into the causal relationship between stress and elevated progesterone levels in cetaceans and the establishment of multiple hormone markers specific to various reproductive stages in gray whales. This highlights the relevance of multiple steroid hormone panels.

Fin Whale Blubber Hormone Profiles

To the best of our knowledge, we are the first to report on 17α-hydroxyprogesterone in the fin whale. Androstenedione, cortisol, corticosterone, 17β-estradiol, 17α-hydroxyprogesterone, and testosterone were detected in 50 mg samples. Both 17α-hydroxyprogesterone and testosterone were detected in the unpaired 50 mg ww fin whale samples. While endogenous aldosterone, cortisone, estrone, and progesterone were not detected in fin whale blubber, our methodology was accurate and precise in the measurement of spiked known quantities within the matrix, confirming the methodology capabilities. Concentrations detected in 50 mg ww fin whale samples are provided below along with information related to blubber hormone detection in other species.

In fin whales, cortisol (85.71 ng/g) was detected in a single, stranded juvenile male, BP-19-14. Cortisol concentrations were higher than in stressed bottlenose dolphin (< 0.1–21.0 ng/g, ), and humpback whale blubber samples (14.9–61.5 ng/g, ; < 0.1–85.1 ng/g, ; 0.20–61.62 ng/g, ). Androstenedione was the most commonly detected hormone (five males out of nine males and one female, 2.53–10.42 ng/g) exhibiting concentrations falling within ranges reported for free ranging, live captured, and stranded bottlenose dolphins (< 0.1–15.2 ng/g, ; 0–19.0 ng/g, ; 3.5–63.3 ng/g, ) and humpback whales (< 0.15–88 ng/g, , ). Concentrations of 17α-hydroxyprogesterone (18.19–22.68 ng/g) were higher than those reported in humpback whales (< 0.5–1.87 ng/g, ) and fell within the range reported in free ranging, live captured, and stranded bottlenose dolphins (< 0.1–3.16 ng/g, ; 0–4.64 ng/g, ; 1.6–13.7 ng/g, ). Finally, testosterone (8.45 ng/g) was detected in an adult male and fell within concentrations reported for fin whale males of unknown age (0.05–14.22 ng/g, ). Although the above comparisons with other species are useful, further research, taking into account life parameters, is needed to elucidate species specific and possible sex specific hormone concentrations indicative of reproductive and stress status in the fin whale.

Implications of Differences in Blubber Matrices Between Species

There were no significant differences in recovery or optimal spiking concentrations between species, but RSD varied significantly (n = 7 for each species, p < 0.001). Cetacean blubber composition, including lipid content and fatty acid composition, can differ according to geographical location, season, nutritive condition, species, and other factors (; ; ). Difference in the matrix composition between gray and fin whales may thus explain the significantly different RSD values observed. Based on these results, we recommend that a precision analysis be performed on species-specific matrix, and ideally from study-specific matrix, rather than a reference standard species matrix unless both species have similar composition. This is important for appropriate calibration and optimization prior to sample analyses.

Importance of Minimal Tissue Mass and Sensitivity

Our methodology can detect hormone concentrations in the low ng/g range. In two recent publications that used a more expensive and sensitive instrument, the percentage of humpback whales or bottlenose dolphins with hormone concentrations only in pg/g range (which is outside the sensitivity of our methodology) were 0–50% for androstenedione, 10–75% for cortisol, 10% for cortisone, 20% for corticosterone, 10% for estradiol, 30% for estrone, 0–10% for hydroxyprogesterone, 50–66% for progesterone, and 0–30% for testosterone (; ). Whether these percentages reflect what could be expected in the gray whale samples included in this study is currently unknown, nonetheless, a ng/g sensitivity range was clearly sufficient to detect multiple hormones and suitable for gray whale pregnancy detection ().

The reduction of tissue mass is critical in protected species research where both sample access and size are limited. Another possible benefit was highlighted in studies reporting cortisol extraction efficiency decreasing significantly with blubber mass above 200 mg ww (; ). suggested that larger sample mass could result in poorer homogenization of tissue. Upon visual inspection, our tissue homogenates looked identical between sample masses however it is still possible that minute differences did, indeed, exist. If this was the case, it could explain the lower cortisol concentrations detected in the larger tissue masses. Further research is warranted. Our method uses instrumentation commonly found in most mass spectrometry laboratories, for example, routinely present in university chemistry and biochemistry departments as well as industry chemical labs and is the first to report on a full hormone panel optimized for small tissue masses (two-16 times less than reported in the literature), (; , ; ). Apart from cortisol found in higher concentrations in 50 mg ww than in 150 mg ww samples, the results of the mass comparison study in the gray whale showed no significant differences in concentrations or detection rates between sample mass examined. Based on these results, a mass of 50 mg ww of blubber is suitable for hormone analysis in the gray whale and likely suitable for steroid hormone analysis in the fin whale. It should be noted that we detected fewer steroid hormone concentrations in the ng/g range in the fin whale samples than the gray whale samples. However, the sample size of fin whale tissue was also smaller than the sample size of gray whale tissue. The methodology presented here illustrates that a small 50 mg ww blubber mass and a ng/g sensitivity are robust enough to greatly benefit stress and reproductive steroid hormone analysis and monitoring in cetaceans, particularly in common situations where tissue is limited.

Glucocorticoid Concentrations in Free Ranging and Stranded Gray Whales

Stranded animals (n = 7) generally had higher concentrations of glucocorticoids in their blubber than free ranging animals (n = 9), as observed in humpback and north Atlantic right whales (Eubalaena glacialis) (; ). All free ranging gray whales in the study were visually categorized in good body condition. Cortisone was only detected in stranded animals (n = 4) and with concentrations ranging from 8.8 ng/g to 14.1 ng/g. Thus, the presence of cortisone in concentrations within and above this range might be indicative of stress in gray whales. Due to the small sample size, however, further research is warranted. Cortisol was detected in ten whales with some concentration overlap in the stranded and free ranging groups but significantly higher concentrations in stranded individuals. Only one stranded whale, ER-19-10, had a cortisol concentration ≤ 14.2 ng/g (mean in free ranging animals + 2SD) and only one free ranging gray whale, ER-18-34, had a cortisol concentration ≥ 14.2 ng/g. While there was not a clear gap in concentrations between stranded and free ranging animals, 89% of the stranded gray whales presented with cortisol concentrations ≥ 14.2 ng/g and 78% presented with cortisol concentrations ≥ 19.9 ng/g (mean in free ranging animals + 3SD). This trend indicates that the future establishment of stress thresholds may be possible, however a larger sample size is required. Similar threshold calculation techniques have previously been considered in marine mammal health assessments (). While free ranging ER-18-34 had good body condition, it is possible that it experienced stress that had not affected body condition at the time of sampling (e.g., predation, recent food shortage). Further research is warranted to determine whether stress could indeed be detected via hormone analysis before poor body condition is observable.

While a greater sample size is needed to confirm, our results suggest that hormone analyses might be suitable to detect stress in gray whales and complement other existing measures of health, such as body condition. Gray whale body condition (; ), together with hormone analysis, could further our understanding of the potential relationship between high blubber corticosteroid concentrations and fitness, overall reproductive health, and survival. Stress hormones have been monitored as part of population health assessments in smaller cetaceans, such as bottlenose dolphins (; ; ). Such hormone analyses are valuable for all cetaceans and may prove particularly useful in identifying the scope of potential stress response during and following unusual mortality events (UMEs), oil spills, severe weather, ship traffic interaction, seismic or sonar disturbance, fishing gear entanglement or other challenging events. For example, the Gray Whale UME #68, has been linked to the mortality (at the time of writing) of 497 individuals off North America. To date, while some of the stranded whales were emaciated, the UME cause remains “unknown” (). Hormone analysis of these animals would be beneficial as it could provide valuable information on stress response leading up to, during and, eventually, following the UME.

Conclusion

This is the first report of a large steroid hormone panel, using only 50 mg ww of tissue, in any cetacean. Our LC-MS/MS methodology allows for the accurate, reliable, and concurrent analysis of a panel of up to 10 reproductive and stress hormones using single and small blubber biopsies. This provides important avenues of research for cetacean health and population demographic assessment and is thus pertinent to their conservation and management.

Publisher’s Note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Statements

Data availability statement

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

Ethics statement

The animal study was reviewed and approved by the Ethics Committee of the Subsecretaría de Gestión Para La Protectión Ambiental of the Mexican Dirección General de Vida Silvestre.

Author contributions

CW: methodology, validation, formal analysis, investigation, data curation, writing—original draft, writing—review and editing, and visualization. JU: conceptualization, resources, writing—review and editing, project administration, funding acquisition. DB-S: formal analysis, resources, writing—review and editing. SM-A: resources, writing–review and editing. SS: resources, investigation, data curation, and writing—review and editing. JS: formal analysis, data curation, writing—review and editing. ML and NK: methodology, writing—review and editing. BH and PD: resources, writing—review and editing. MK and KB: investigation, writing—review and editing. CG-C: conceptualization, methodology, validation, resources, writing—original draft, writing—review and editing, visualization, supervision, project administration, funding acquisition. All authors contributed to the article and approved the submitted version.

Funding

This work was supported by the Texas Tech University.

Acknowledgments

This work was conducted under NMFS Office of Protected Resources’ Marine Mammal Health and Stranding Response Program (MMHSRP) permit 18786 and 18786-02. We thank Teri Rowles (National Marine Fisheries Service, Silver spring, MD), Erangi Heenken (Purdue University), and Mike Scott for assistance with the project. We thank all collaborators involved in the collection and processing of samples.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Abbreviations

  • LC-MS

    Liquid chromatography mass spectrometry

  • LC-MS/MS

    Liquid chromatography with tandem mass spectrometry

  • LOD

    Limit of detection

  • LOQ

    Limit of quantification

  • RSD

    Relative standard deviation or precision

  • UME

    Unusual mortality event

  • ww

    Wet weight.

References

Summary

Keywords

steroid hormone, LC-MS/MS, blubber, biopsy, gray whale, fin whale, stress, cetacean

Citation

Wittmaack C, Urbán Ramírez J, Bernot-Simon D, Martínez-Aguilar S, Subbiah S, Surles JG, Looney M, Kumar N, Halaska B, Duignan PJ, Knauss M, Burns K and Godard-Codding CAJ (2022) Small Blubber Samples (50 mg) Sufficient for Analyses of 10 Stress and Reproductive Steroid Hormones in Gray and Fin Whales via Liquid Chromatography Mass Spectrometry. Front. Mar. Sci. 8:808764. doi: 10.3389/fmars.2021.808764

Received

03 November 2021

Accepted

22 December 2021

Published

13 January 2022

Volume

8 - 2021

Edited by

Rebecca Dunlop, The University of Queensland, Australia

Reviewed by

Stephen J. Trumble, Baylor University, United States; Greta Dalle Luche, Provectus Algae Pty Ltd., Australia

Updates

Copyright

*Correspondence: Céline A. J. Godard-Codding,

This article was submitted to Marine Megafauna, a section of the journal Frontiers in Marine Science

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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