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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2024.1388035</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Swine IFN cocktail can reduce mortality and lessen the tissue injury caused by African swine-fever-virus-infected piglets</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Jiang</surname>
<given-names>Yitong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Jiang</surname>
<given-names>Fei</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Zhai</surname>
<given-names>Wenzhu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2689923"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Huang</surname>
<given-names>Ying</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2687335"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Pang</surname>
<given-names>Zhongbao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Tao</surname>
<given-names>Chunhao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
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<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Zhen</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>He</surname>
<given-names>Yuheng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Chu</surname>
<given-names>Yuanyuan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2666565"/>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhu</surname>
<given-names>Hongfei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wu</surname>
<given-names>Jiajun</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Jia</surname>
<given-names>Hong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Institute of Animal Sciences, Chinese Academy of Agricultural Sciences</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>China Animal Disease Control Center</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Christopher Lupfer, Brigham Young University-Idaho, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: David Jesse Sanchez, Western University of Health Sciences, United States</p>
<p>Rksubbarao Malireddi, St. Jude Children&#x2019;s Research Hospital, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Hong Jia, <email xlink:href="mailto:jiahong@caas.cn">jiahong@caas.cn</email>; Jiajun Wu, <email xlink:href="mailto:wujiajun82@126.com">wujiajun82@126.com</email>; Hongfei Zhu, <email xlink:href="mailto:bioclub@vip.sina.com.cn">bioclub@vip.sina.com.cn</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>03</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>14</volume>
<elocation-id>1388035</elocation-id>
<history>
<date date-type="received">
<day>19</day>
<month>02</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>06</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Jiang, Jiang, Zhai, Huang, Pang, Tao, Wang, He, Chu, Zhu, Wu and Jia</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Jiang, Jiang, Zhai, Huang, Pang, Tao, Wang, He, Chu, Zhu, Wu and Jia</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>African swine fever (ASF), a highly virulent viral infection, poses a significant threat to the global pig industry. Currently, there are no commercially available vaccines against ASF. While the crucial role of interferon (IFN) in combating viral infections is well-established, its impact on the clinical signs and mortality rates of ASF remains unclear. In this study, swine IFN-&#x3b1;2, IFN-&#x3b3;, and IFN-&#x3bb;3 were fused with the Fc segment of immunoglobulin G (IgG) and expressed in mammalian cells (293T), and the antiviral efficacy were detected by VSV-3D4/2 and VSV-PK15 systems. Then, the interferon stimulating genes (ISGs) induced by IFNs-hFc in 3D4/2 cells were determined by qRT-PCR. Also, the preventive potential of the interferon (IFN) cocktail (a mixture of IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc) were evaluated <italic>in vivo</italic> by 25-day-old piglets. The results showed that the specific activities of IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc were 2.46 &#xd7; 10<sup>7</sup> IU/mL, 4.54 &#xd7; 10<sup>9</sup> IU/mL and 7.54 &#xd7; 10<sup>10</sup> IU/mL, respectively. The IFN-hFc significantly induced the expression of various IFN-stimulated genes (ISGs) in 3D4/2 cells after IFNs-Fc treatment, including <italic>IFIT5</italic>, <italic>Mx1</italic>, <italic>OASL</italic>, <italic>ISG12</italic>, <italic>STAT1</italic>, <italic>IRF1</italic>, <italic>PKR</italic>, <italic>CXCL10</italic>, and <italic>GBP1</italic>. Furthermore, the IFN cocktail treatment reduced the viral load, delayed death, and reduced tissue injury in the piglets infected with ASF virus (ASFV). in conclusion, these results suggest that the IFNs-hFc showed high anti-viral activity, and the IFN cocktail may be potential for the prevention and treatment of ASF.</p>
</abstract>
<kwd-group>
<kwd>interferon</kwd>
<kwd>cocktail</kwd>
<kwd>African swine fever</kwd>
<kwd>viral load</kwd>
<kwd>mortality</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="5"/>
<equation-count count="0"/>
<ref-count count="35"/>
<page-count count="12"/>
<word-count count="5543"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Microbes and Innate Immunity</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>African swine fever (ASF) is a highly contagious and lethal viral disease affecting domestic pigs and wild boars, caused by the African swine fever virus (ASFV) (<xref ref-type="bibr" rid="B4">Correi et&#xa0;al., 2013</xref>). The mortality rate of acute infections often exceeds 90% (<xref ref-type="bibr" rid="B20">Reis et&#xa0;al., 2017</xref>). Presently, there are no commercial vaccines and biological agents for ASF.</p>
<p>Interferon (IFN) plays a crucial role in the host&#x2019;s natural immunity, defending against pathogenic invasions by stimulating effector cells to produce antiviral proteins (<xref ref-type="bibr" rid="B25">Seo et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B35">Zhao et al., 2018</xref>). IFNs exhibit broad-spectrum antiviral, antitumor, and immunomodulatory activities (<xref ref-type="bibr" rid="B16">Liu et al., 2019</xref>). There are three types of IFNs: Type I IFNs (IFN-&#x3b1; and IFN-&#x3b2;) primarily possess antiviral effects (<xref ref-type="bibr" rid="B23">Schneider et&#xa0;al., 2014</xref>). Type II IFN (IFN-&#x3b3;) mainly regulates the immune function of the body (<xref ref-type="bibr" rid="B24">Schoenborn and Wilson, 2007</xref>). Type III IFNs (IFN-&#x3bb;1, IFN-&#x3bb;2, IFN-&#x3bb;3, and IFN-&#x3bb;4) stimulate the immune system to exhibit antiviral activities (<xref ref-type="bibr" rid="B17">Mesev et&#xa0;al., 2019</xref>). Three types of IFNs are functionally synergistic (<xref ref-type="bibr" rid="B21">Sainz and Halford, 2002</xref>). Research shows that IFN-&#x3b1; and IFN-&#x3b3; have significant inhibitory effects against the foot and mouth disease virus (FMDV) and pig reproductive and respiratory syndrome virus (PRRSV) (<xref ref-type="bibr" rid="B29">Su et al., 2013</xref>; <xref ref-type="bibr" rid="B26">Shi et&#xa0;al., 2016</xref>). However, ASFV has various evolved immune escape strategies to inhibit the host&#x2019;s antiviral effect and immune response (<xref ref-type="bibr" rid="B34">Zhao et&#xa0;al., 2022</xref>). ASFV utilizes its multigene families (MGF360&#x2013;9L, MGF360&#x2013;11L, MGF360&#x2013;12L, MGF360&#x2013;14L, and MGF505&#x2013;7R) to bind to interferon-stimulating gene (STING) activators, or directly inhibit key molecules of type I IFN signaling pathway, such as TBK1 and IRF3, and inhibit the expression of type I IFN, thus inhibiting the type I IFNs signaling pathway (<xref ref-type="bibr" rid="B15">Li et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B33">Zhang et&#xa0;al., 2022</xref>). In addition, proteins like E120R, M1249L, EP364R, C129R, I226R, A137R, I215L, and DP96R are also involved in the regulation of the cGAS-STING pathway to suppress the production of IFNs (<xref ref-type="bibr" rid="B31">Wang et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B11">Huang et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B9">He et&#xa0;al., 2022</xref>). The combined treatment with low-dose IFN-&#x3b1; and IFN-&#x3b3; (10<sup>5</sup> IU/kg) not only significantly increases the production of cytokines but also effectively reduces viral load, inhibits ASFV replication, and further reduces early clinical symptoms (<xref ref-type="bibr" rid="B6">Fan et&#xa0;al., 2020</xref>). These studies showed that the combination of different types of IFNs, the activation of IFN signaling pathways, and the production of IFN stimulation genes (ISG) may be important strategies to effectively fight against ASFV.</p>
<p>The IFN-hFc enhances the soluble production and robustness of IFN. The hFc domain and its affinity for protein A allow for efficient purification, ensuring high specificity. In targeted delivery, the IFN-hFc fusion protein selectively attaches to antigens on target cell surfaces, enhancing drug buildup in the body and lessening effects on intact tissues. With augmented stability, the IFN-hFc fusion protein more effectively preserves its structural integrity, and augments the protein&#x2019;s stability and half-life, thereby extending the duration of the drug effect.</p>
<p>In this study, the clinical symptoms, mortality rate, viral load, and tissue injury in pigs were challenged with ASFV following treatment with a cocktail of IFNs, which will provide possibilities for emergency treatment of ASF.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Ethics statement</title>
<p>The pig experiment and experimental programs used in this study have been approved by the Ethics Committee of the Chinese Center for Disease Control and Prevention (IAS2022&#x2013;157). Pig experiments were carried out in the animal biosafety level 3 (ABSL-3) laboratory of the Chinese Center for Disease Control and Prevention.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Cells and virus</title>
<p>Porcine alveolar macrophages (3D4/2) and pig kidney cells (PK15) were purchased from ATCC, China. Human renal epithelial cells (293T) and vesicular stomatitis virus (VSV-GFP) are stored in our laboratory. African swine fever virus (ASFV/CADC_HN09) is preserved in the China Center for Animal Disease Control and Prevention ABSL-3 laboratory.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Expression and purification</title>
<p>According to the gene sequences of pig IFN-&#x3b1;2 (MH538099.1), IFN-&#x3b3; (NM_213948), IFN-&#x3bb;3 (NM_001166490.1), and hFc (AF150959.1), the IFN sequences were synthesized and connected with hFc genes. There were no termination codons at the ends of IFN-&#x3b1;2, IFN-&#x3b3;, and IFN-&#x3bb;3, and the <italic>Eco</italic>RI enzyme tangent and <italic>Kozak</italic> sequence were introduced upstream of these IFNs; the thrombin lysis site and <italic>Nhe</italic>I enzyme incision point were introduced downstream of the hFc gene; and the codon was optimized according to the preference of mammal codon. The expression plasmid pMal-IFN&#x3b1;2-hFc, pMal-IFN&#x3b3;-hFc, and pMal-IFN&#x3bb;3-hFc were transfected into the 293T cells and the cells were cultured for 7 days. The expression of these IFNs was verified using SDS-PAGE, Western Blot, and mass spectrometry. Proteins were purified by using affinity chromatography and were identified by SDS-PAGE and Western Blot, and the protein concentrations were detected by the Bradford method.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Antiviral activity <italic>in vitro</italic>
</title>
<p>To assess the antiviral activity of IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc expressed by mammalian cells, the cytopathic inhibition method of VSV-3D4/2 and VSV-PK15 systems were used <italic>in vitro</italic>. The 3D4/2 cells were prepared into a uniform cell suspension with 1 &#xd7; 10<sup>6</sup>/mL, then transferred into the 96-well cell culture plate, 100 &#x3bc;L per well, and cultured in a 37&#xb0;C and 5% CO<sub>2</sub> incubator for 24 h. All the initial concentrations of the IFNs were 10 &#x3bc;g/&#x3bc;L, and then, they were diluted four times the ratio, totaling eight dilution gradients. Synchronously, blank control, negative control (cells), and positive control (VSV-GFP 100TCID<sub>50</sub>) were set up. Each dilution of IFN-hFc to be tested was added to the corresponding well, 100 &#x3bc;L per well, and each dilution was repeated in six wells, and cultured in 37&#xb0;C and 5% CO<sub>2</sub> incubators for 24 h. The liquid was removed and washed twice with PBS; then, 100 &#x3bc;L of 100TCID<sub>50</sub> VSV-GFP virus solution (1,640 + 2% FBS) was added to each well, and cultured in a 37&#xb0;C and 5% CO<sub>2</sub> incubator for 48 h. Once cytopathy (CPE) appeared in positive control wells, the liquid was removed, and washed twice with PBS; the 100 &#x3bc;L of CCK-8 working fluid (10% V/V) was added and cultured in a 37&#xb0;C and 5% CO<sub>2</sub> incubator for 2 h, and then, the value of OD<sub>450</sub> was measured. The antiviral activities of IFNs-hFc were calculated according to the Reed&#x2013;Muench method (<xref ref-type="bibr" rid="B19">Reed and Muench, 1938</xref>).</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>qRT-PCR analysis for ISGs</title>
<p>To determine the expression of interferon stimulating genes (ISGs) induced by IFNs-hFc (IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc, at 1 &#x3bc;g/mL) in porcine alveolar macrophages (3D4/2), quantitative real-time polymerase chain reaction (qRT-PCR) was used. The porcine alveolar macrophages (3D4/2), 2 &#xd7; 10<sup>5</sup>/mL, were grown in a six-cell culture plate, 1 mL per well, and cultivated in a 37&#xb0;C and 5% CO<sub>2</sub> incubator for 24 h (set at 0 hours). Then, the cells were treated with IFNs-hFc for 12 h and 24 h, and then, total RNAs were extracted with TRIzol reagent (Invitrogen, Thermo Fisher Scientific, United States), and cDNAs were transcripted with HiScript III RT SuperMix (Vazyme, China Cat. No. R323&#x2013;01). qRT-PCR was carried out with 2&#xd7;Color SYBR Green qPCR Master Mix [Vazyme, China (Cat. No. Q712&#x2013;03)], and detected on the Roche Light Cycler480 (Switzerland) fluorescence quantitative PCR instrument. The 2<sup>-&#x25b3;&#x25b3;CT</sup> was calculated with the Cycle Threshold (CT value) of the ISG and the beta-actin (&#x3b2;-actin) gene.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Antiviral activity <italic>in vivo</italic>
</title>
<p>This study used 25-day-old piglets that were negative for ASFV, classical swine fever virus (CSFV), pseudorabies virus (PRV), porcine parvovirus (PPV), porcine circovirus 1/2 (PCV1/2), porcine reproductive and respiratory syndrome virus (PRRSV), and porcine epidemic diarrhea virus (PEDV). The piglets were randomly divided into three groups (IFN cocktail treatment group, ASFV-infected control group, and PBS cohabitation infection control group), and each group contained three pigs (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). They were raised in the ABSL-3 and were intramuscularly injected with 100 HAD<sub>50</sub> of ASFV/CADC_HN09. The IFN cocktail (100,000 IU/kg per ingredient, 2 mL/pig) was intramuscularly injected 3 days before challenge (-1, -2, -3) and 1, 2, 3, 4, 5, 13, 14, 15, 16, and 17 days post-infection (DPI) in the IFN cocktail treatment group. After the challenge, the body temperature and clinical symptoms were recorded every day in each group, and the mouth, nose, and anal swabs were collected on 0, 3, 7, 11, 14, 18, 21, 25, and 28 DPI. Blood was collected on 0, 3, 7, 14, 21, and 28 DPI. To compare the difference in viral load, the genome DNA of ASFV in the mouth, nose, anal swabs, and blood of pigs in each group after treatment were extracted, and the TaqMan RT-qPCR of the ASFV P72 gene was carried out as described (<xref ref-type="bibr" rid="B6">Fan et&#xa0;al., 2020</xref>). Necropsy was performed after death, and tissue was collected for histological examination.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Grouping and immunization program of the experiment.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left">Group</th>
<th valign="middle" align="left">Name</th>
<th valign="middle" align="left">Immunization program</th>
<th valign="middle" align="left">Ways to attack drugs</th>
<th valign="middle" align="left">Number of pigs</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">IFN cocktail treatment group</td>
<td valign="middle" align="left">Compound interferon</td>
<td valign="middle" align="left">-1,-2,-3 days of injection of compound interferon, day 0 cohabitation infection, 1, 2, 3, 4, 5, 13, 14, 15, 16, 17 days of compound interferon injection</td>
<td valign="middle" align="left">Cohabitation infection</td>
<td valign="middle" align="left">3</td>
</tr>
<tr>
<td valign="middle" align="left">PBS cohabitation infection control group</td>
<td valign="middle" align="left">PBS</td>
<td valign="middle" align="left">Day 0 cohabitation infection</td>
<td valign="middle" align="left">Cohabitation infection</td>
<td valign="middle" align="left">3</td>
</tr>
<tr>
<td valign="middle" align="left">ASFV-infected control group</td>
<td valign="middle" align="left">100 HAD<sub>50</sub>/mL</td>
<td valign="middle" align="left">Day 0 to attack drugs</td>
<td valign="middle" align="left">Intramuscular injection</td>
<td valign="middle" align="left">3</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Statistical analyses</title>
<p>Statistical analyses were performed using GraphPad Prism8.0 (GraphPad Software Inc.). Comparisons between groups were performed using the Student&#x2019;s <italic>t-test</italic>. The data were expressed as the mean &#xb1; standard deviation (SD). Differences with <italic>p</italic> &lt; 0.05 were considered statistically significant.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc exert different antiviral activities</title>
<p>IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc were purified by protein A chromatographic columns. The concentrations of IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc were 1.51 mg/mL, 4.3 mg/mL, and 8.1 mg/mL, respectively, as detected by the Bradford method. Meanwhile, the viral inhibitory activity values for IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc were 2.46 &#xd7; 10<sup>7</sup> IU/mL, 4.54 &#xd7; 10<sup>9</sup> IU/mL, and 7.54 &#xd7; 10<sup>10</sup> IU/mL, respectively, as detected by the VSV-3D4/2 and VSV-PK15 systems (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>).</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Antiviral activity of IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc in different cells.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" rowspan="2" align="left">Interferon</th>
<th valign="top" colspan="2" align="left">Antiviral activity (&#xd7;10<sup>7</sup> U/mL) in the cells</th>
</tr>
<tr>
<td valign="top" align="left">VSV-3D4/2</td>
<td valign="top" align="left">VSV-PK15</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">IFN&#x3b1;2-hFc</td>
<td valign="top" align="left">2.46</td>
<td valign="top" align="left">2.64</td>
</tr>
<tr>
<td valign="top" align="left">IFN&#x3b3;-hFc</td>
<td valign="top" align="left">454</td>
<td valign="top" align="left">64.2</td>
</tr>
<tr>
<td valign="top" align="left">IFN&#x3bb;3-hFc</td>
<td valign="top" align="left">7,540</td>
<td valign="top" align="left">81.5</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc induce ISG expression in 3D4/2 <italic>in vitro</italic>
</title>
<p>To investigate whether IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc fusion proteins induce ISG expression, 3D4/2 cells were treated with IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hF for 12 h and 24 h, then, the transcription levels of <italic>IFIT5, Mx1, OASL, ISG12, STAT1, IRF1, PKR, CXCL10</italic>, and <italic>GBP1</italic> were measured via qRT-PCR. The results showed that IFN&#x3b1;2-hFc (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>), IFN&#x3b3;-hFc (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>), and IFN&#x3bb;3-hFc (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>) could successfully trigger a range of ISG expressions.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Gene expression in porcine alveolar macrophages (3D4/2) induced by IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc and IFN&#x3bb;3-hFc for 12 h and 24 h <bold>(A)</bold> Gene expression in 3D4/2 induced by IFN&#x3b1;2-hFc. <bold>(B)</bold> Gene expression in 3D4/2 induced by IFN&#x3b3;-hFc. <bold>(C)</bold> Gene expression in 3D4/2 induced by IFN&#x3bb;3-hFc. It is cultured in the RPMI 1640 medium, including 10% FBS and 5% CO<sub>2</sub>, for 24 h The cells are then incubated with IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc for 12 h and 24 h, respectively. At 12 h and 24 h, cells are collected and treated with TRIzol reagents to extract RNA. The vertical axis shows the relative transcription level (folding change) of the expression of the IFN stimulating gene (ISG), comparing the negative control group (CK) and the treatment group. The folding changes and normalization of RNA levels were measured by the 2-&#x394;&#x394;Ct method. Three replications were made for the q-PCR verification analysis. The bar represents the mean &#xb1; SDs (n = 3). Non-parametric testing is used for difference significance analysis. Statistically significant differences are pointed out (&#x2217;<italic>p</italic> &lt; 0.05; &#x2217;&#x2217;<italic>p</italic> &lt; 0.01; &#x2217;&#x2217;&#x2217;<italic>p</italic> &lt; 0.001; and &#x2217;&#x2217;&#x2217;&#x2217;<italic>p</italic> &lt; 0.0001), and the line above the column marks the difference between the two groups.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1388035-g001.tif"/>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc induce the expression of multiple antiviral genes in 3D4/2 cells</title>
<p>To investigate the antiviral properties of IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc, 3D4/2 cells were prepared at 2 &#xd7; 10<sup>5</sup>/mL, cultivated in a six-well plate, 1 mL per well, and cultured in a 37&#xb0;C and 5% CO<sub>2</sub> incubator for 24 h. Subsequently, IFNs were added and continuously cultured for 24 h, and then, 100TCID<sub>50</sub> VSV-GFP were added for 12 h and 24 h. The transcription levels of <italic>IFIT5, Mx1, OASL, ISG12, STAT1, IRF1, PKR, CXCL10, GBP1, ISG56</italic>, and <italic>APDBEC3</italic> genes in 12 h and 24 h were measured using qRT-PCR. The results indicated that IFN&#x3b1;2-hFc (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>), IFN&#x3b3;-hFc (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>), and IFN&#x3bb;3-hFc (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>) triggered a variety of antiviral gene expressions combated with VSV infections. The expressions of major antiviral genes such as <italic>Mx1, OASL</italic>, and <italic>PKR</italic>, were higher in 12 h than in 24 h.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Effects of IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc on ISG expression after VSV infected with 3D4/2 cells. <bold>(A)</bold> ISG expression after VSV infected with 3D4/2 cells by IFN&#x3b1;2-hFc. <bold>(B)</bold> ISG expression after VSV infected with 3D4/2 cells by IFN&#x3b3;-hFc. <bold>(C)</bold> ISG expression after VSV infected with 3D4/2 cells by IFN&#x3bb;3-hFc.Cell samples are collected at 12 h and 24 h The vertical axis shows the relative transcription level (folding change) of the expression of the IFN stimulating gene (ISG), comparing the positive control group (VSV) and the treatment group. VSV challenges the relative transcription level of IFN-stimulating gene (ISG) expression for 12 h VSV challenges the relative transcription level of IFN stimulating gene (ISG) expression for 24 h The folding changes and normalization of RNA levels were measured by the 2-&#x394;&#x394;Ct method. Three replications were made for the q-PCR verification analysis. The bar represents an average of &#xb1; SD (n = 3). Non-parametric testing is used for difference analysis. Significant statistical differences are pointed out (&#x2217;<italic>p</italic> &lt; 0.05; &#x2217;&#x2217;<italic>p</italic> &lt; 0.01; &#x2217;&#x2217;&#x2217;<italic>p</italic> &lt; 0.001; and &#x2217;&#x2217;&#x2217;&#x2217;<italic>p</italic> &lt; 0.0001), and the line above the column marks the difference between the two groups.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1388035-g002.tif"/>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>IFN cocktail delays death and disease progression in pigs challenged by ASFV</title>
<p>To examine whether the IFN cocktail can fight ASFV, the pigs were segmented into three distinct groups: the IFN cocktail treatment group, the ASFV-infected control group, and the PBS cohabitation infection control group. After infection, daily temperature (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>) and clinical symptoms were monitored. The mortality rates for each category were documented for a period ranging from 0 to 28 days (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>). After the ASFV challenge, the temperature of pigs in the ASFV-infected control group increased rapidly to 40.5&#xb0;C at 3 DPI and reached 41.7&#xb0;C at 5 DPI, while the lowest temperature stood at 40.1&#xb0;C. One pig died at 7 DPI, and all pigs died until 9 DPI, with a mortality rate of 100%. The temperature of pigs in the PBS cohabitation infection control group increased to 40&#xb0;C at 7 DPI and reached the highest of 42&#xb0;C at 10 DPI and the lowest temperature was 38.9&#xb0;C. One pig died at 7 DPI, and all pigs died until 18 DPI, with a mortality rate of 100%. Comparatively, the temperature of pigs in the IFN cocktail treatment group increased to 40.5&#xb0;C at 9 DPI, and reached the highest of 41.2&#xb0;C at 16 DPI, and the lowest was 38.8&#xb0;C; one pig died at 18 DPI. Fortunately, the temperature of the other two pigs in the IFN cocktail treatment group dropped from 17 DPI to 28 DPI and survived, with a survival rate of 66.7% until 28 DPI, and died until 37 DPI. The results indicated that the treatment of IFN cocktail could effectively relieve the clinical symptoms of ASF, and delay the death of pigs, and as such, the IFN cocktail could be used as an emergency treatment for ASF.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Tests were conducted on the body temperature of pigs 28 days after ASFV infection. In ASFV-infected control group, the peak temperature reached 41.7&#xb0;C, while the lowest temperature stood at 40.1&#xb0;C. In PBS cohabitation infection control group, the highest body temperature recorded was 42&#xb0;C and the lowest temperature was 38.9&#xb0;C. In the IFN cocktail treatment group, the highest temperature was 41.2&#xb0;C, and the lowest was 38.8&#xb0;C, with the temperature of 18 DPI surviving pigs starting to drop from 41&#xb0;C at 17 DPI.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1388035-g003.tif"/>
</fig>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Tests were conducted on the mortality rates of pigs after ASFV infection. In ASFV-infected control group, one pig perished on day 7, achieving a 100% mortality rate on day 9. In PBS cohabitation infection control group, one pig died on day 11 and two pigs died on day 18, resulting in a 100% mortality rate. In the IFN cocktail treatment group, only one pig died on day 18, with a 66.67% survival rate on day 28. Two pigs survived but did not die until 37 DPI.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1388035-g004.tif"/>
</fig>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>IFN cocktail treatment can reduce viral load</title>
<p>To further evaluate the effects of interferon cocktail on viral load in the infected pigs, the oral, nasal, and anal swab samples were collected at 0, 3, 7, 11, 14, 18, 21, 25, and 28 DPI, and the genome DNA of ASFV in the mouth, nose, anal swabs, and in the blood of pigs in each group after treatment were extracted, and the TaqMan qRT-PCR of the ASFV P72 gene was carried out, as described (<xref ref-type="bibr" rid="B6">Fan et&#xa0;al., 2020</xref>).</p>
<p>The results (<xref ref-type="table" rid="T3">
<bold>Tables&#xa0;3</bold>
</xref>, <xref ref-type="table" rid="T4">
<bold>4</bold>
</xref>) showed that viruses were released in all pigs at 3 DPI. From beginning to death, viruses were released from the oral cavity, nasal cavity, and anus. The viral load of the PBS group cohabitation infection group and ASFV-infected control group was higher than that of the interferon treatment group, and the oral and nasal viral loads of these two control groups were significantly different. Only at 3DPI did the interferon-treated group exhibit higher levels of oral and nasal viruses than the cohabitation infection group. The viral loads in the oral, nasal cavity, and anal regions were detected at 7, 11, 18, and 21 DPI, while the viral loads of the interferon group were lesser than those in the PBS group cohabitation infection group, and ASFV-infected control group, which had notable differences. Two pigs survived in the interferon treatment group. The viral load was detected in the blood of all pigs (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>). The results (<xref ref-type="table" rid="T5">
<bold>Table&#xa0;5</bold>
</xref>) showed that during the 3 DPI and 7 DPI tests, two pigs in the ASFV-infected control group had viremia. There was no viremia in the IFN cocktail treatment group except for one pig only at 14 DPI.</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Results of viral load detected by qRT-PCR.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left">Group</th>
<th valign="middle" align="left">Type</th>
<th valign="middle" align="left">0 day</th>
<th valign="middle" align="left">3 days</th>
<th valign="middle" align="left">7 days</th>
<th valign="middle" align="left">11 days</th>
<th valign="middle" align="left">14 days</th>
<th valign="middle" align="left">18 days</th>
<th valign="middle" align="left">21 days</th>
<th valign="middle" align="left">25 days</th>
<th valign="middle" align="left">28 days</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" rowspan="3" align="left">Interferon cocktail treatment group</td>
<td valign="middle" align="left">Mouth</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">3/3</td>
<td valign="middle" align="left">1/2</td>
<td valign="middle" align="left">0/2</td>
<td valign="middle" align="left">2/2</td>
<td valign="middle" align="left">2/2</td>
</tr>
<tr>
<td valign="middle" align="left">Nose</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">1/3</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">3/3</td>
<td valign="middle" align="left">2/2</td>
<td valign="middle" align="left">0/2</td>
<td valign="middle" align="left">2/2</td>
<td valign="middle" align="left">2/2</td>
</tr>
<tr>
<td valign="middle" align="left">Anal</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">1/3</td>
<td valign="middle" align="left">0/2</td>
<td valign="middle" align="left">0/2</td>
<td valign="middle" align="left">0/2</td>
<td valign="middle" align="left">0/2</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="left">ASFV-infected control group</td>
<td valign="middle" align="left">Mouth</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">2/2</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">Nose</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">2/2</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">Anal</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">2/2</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="left">PBS cohabitation infection control group</td>
<td valign="middle" align="left">Mouth</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">1/2</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">Nose</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">2/3</td>
<td valign="middle" align="left">2/2</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">Anal</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">0/3</td>
<td valign="middle" align="left">1/3</td>
<td valign="middle" align="left">0/2</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Virus copies of blood post-ASFV challenge. On the third and seventh days, experimental pigs exhibited a notably greater count of ASFV virus copies in their blood compared to those in the interferon treatment and cohabitation infection groups. (&#x2217;&#x2217;P &lt; 0.01; n=3).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1388035-g005.tif"/>
</fig>
<table-wrap id="T4" position="float">
<label>Table&#xa0;4</label>
<caption>
<p>Viral copies of ASFV in treated pigs (Log<sub>10</sub> copies/mL).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left">Group</th>
<th valign="middle" align="left">Type</th>
<th valign="middle" align="left">Sample</th>
<th valign="middle" align="left">0 day</th>
<th valign="middle" align="left">3d</th>
<th valign="middle" align="left">7d</th>
<th valign="middle" align="left">11 days</th>
<th valign="middle" align="left">14 days</th>
<th valign="middle" align="left">18 days</th>
<th valign="middle" align="left">21 days</th>
<th valign="middle" align="left">25 days</th>
<th valign="middle" align="left">28 days</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" rowspan="9" align="left">Interferon cocktail treatment group</td>
<td valign="middle" rowspan="3" align="left">Mouth</td>
<td valign="middle" align="left">IM-1</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">2.864</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">IM-2</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">2.912</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">1.188</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">2.836</td>
<td valign="top" align="left">7.720</td>
</tr>
<tr>
<td valign="middle" align="left">IM-3</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">3.499</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">3.989</td>
<td valign="top" align="left">7.418</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="left">Nose</td>
<td valign="middle" align="left">IN-1</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">2.864</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">IN-2</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">2.912</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">1.188</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">2.836</td>
<td valign="top" align="left">7.720</td>
</tr>
<tr>
<td valign="middle" align="left">IN-3</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">3.499</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">3.989</td>
<td valign="top" align="left">7.418</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="left">Anal</td>
<td valign="middle" align="left">IA-1</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">10.582</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">IA-2</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
</tr>
<tr>
<td valign="middle" align="left">IA-3</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
</tr>
<tr>
<td valign="middle" rowspan="9" align="left">ASFV-infected control group</td>
<td valign="middle" rowspan="3" align="left">Mouth</td>
<td valign="middle" align="left">AM-4</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">AM-5</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">4.191</td>
<td valign="top" align="left">3.163</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">AM-6</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">5.407</td>
<td valign="top" align="left">7.285</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="left">Nose</td>
<td valign="middle" align="left">AN-4</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">7.892</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">AN-5</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">6.368</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">AN-6</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">6.054</td>
<td valign="top" align="left">12.047</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="left">Anal</td>
<td valign="middle" align="left">AA-4</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">10.493</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">AA-5</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">4.572</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">AA-6</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">2.455</td>
<td valign="top" align="left">8.101</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" rowspan="9" align="left">PBS cohabitation infection control group</td>
<td valign="middle" rowspan="3" align="left">Mouth</td>
<td valign="middle" align="left">PM-7</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">3.302</td>
<td valign="top" align="left">2.803</td>
<td valign="top" align="left">1.778</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">PM-8</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">2.313</td>
<td valign="top" align="left">9.713</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">PM-9</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.898</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="left">Nose</td>
<td valign="middle" align="left">PN-7</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">2.699</td>
<td valign="top" align="left">3.547</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">PN-8</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.127</td>
<td valign="top" align="left">5.500</td>
<td valign="top" align="left">8.793</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">PN-9</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.889</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" rowspan="3" align="left">Anal</td>
<td valign="middle" align="left">PA-7</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">PA-8</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">10.747</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">PA-9</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">0.000</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">/</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T5" position="float">
<label>Table&#xa0;5</label>
<caption>
<p>Viral copies of blood post-ASFV challenge (Log<sub>10</sub> copies/mL).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left">Day</th>
<th valign="middle" colspan="3" align="left">Interferon cocktail treatment group</th>
<th valign="middle" colspan="3" align="left">ASFV-infected control group</th>
<th valign="middle" colspan="3" align="left">PBS cohabitation infection control group</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
</tr>
<tr>
<td valign="middle" align="left">3</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">12.189</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">14.693</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
</tr>
<tr>
<td valign="middle" align="left">7</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">11.364</td>
<td valign="middle" align="left">14.379</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
</tr>
<tr>
<td valign="middle" align="left">14</td>
<td valign="middle" align="left">13.202</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">7.850</td>
<td valign="middle" align="left">9.909</td>
<td valign="middle" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">21</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
</tr>
<tr>
<td valign="middle" align="left">28</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">0</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
<td valign="middle" align="left">/</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>IFN cocktail treatment reduces tissue injury</title>
<p>To observe whether there are differences in tissue lesions and pathological changes in dead pigs between the IFN cocktail treatment group, ASFV-infected control group, and the PBS group cohabitation infection group, the tissue lesions and the pathological changes of each tissue and organ were observed and recorded including the spleen, kidney, pulmonary portal lymph nodes, mandibular lymph nodes, inguinal lymph nodes, mesenteric lymph nodes, liver, lungs, intestines, esophagus, tonsils, and heart. Clinical tissue lesions (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6</bold>
</xref>) showed that the pigs displayed a range of bleeding patterns, encompassing areas on their back, abdomen, limbs, mouth, and nose, accompanied by spleen blockage, growth, lymph node blockage, kidney surface hemorrhage, renal pelvis and calendula hemorrhaging, lung and liver edge blockages, tonsil expansion and blockage, mucous tissue surface hemorrhage, and peripheral fluid accumulation. Compared with the pigs in the ASFV-infected and PBS cohabitation infection control group pigs, tissue damage, tissue swelling, bleeding, and hemorrhagic necrotic spots were significantly reduced by the IFN cocktail treatment. Compared to the ASFV-infected control group and the PBS group cohabitation infection group, the degree of lesions in the intestines and esophagus in the IFN cocktail treatment group was reduced. Only the tonsils of one pig were enlarged and congested, and the tonsils of the other two pigs were not significantly swollen and congested, indicating that the IFN cocktail can reduce the pathological damage of the mucous membrane system of pigs.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Clinical tissue lesions. The pig spleen, kidneys, liver, pulmonary portal lymph nodes, mandibular lymph nodes, inguinal lymph nodes, mesenteric lymph nodes, and heart from the ASFV-infected control group, the PBS group cohabitation infection group, and the IFN cocktail treatment group all showed typical pathological changes. The degree of lesions in the large intestine, small intestine, and esophagus in the IFN cocktail treatment group was reduced.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1388035-g006.tif"/>
</fig>
<p>The analysis and scrutiny of histopathological samples (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref>) indicated that after the death of pigs in the ASFV infection control, PBS cohabitation infection control, and IFN cocktail groups presented diffused hemorrhage in the spleen tissue, and the lymphocytes in the white pulp have deteriorated, turning necrotic and fragmented, resulting in a discontinuity. The bleeding zone presented an increased quantity of red blood cells and iron-rich hematin. As to lymphatic tissue (mandibular lymph nodes, pulmonary portal lymph nodes, inguinal lymph nodes, and mesenteric lymph nodes) observed in animals after euthanasia, the three distinct groups indicated that the membrane was intact and smooth; the membrane and portal connective tissue extended into the lymph node parenchyma, forming a trabecular structure; the lymphocyte composition was reduced; the lymph node structure was obscure; and the red blood cells around the cortical and medullary lymph nodes were accumulated. There were no obvious differences in tissue damage in the spleen, mandible, hilum, groin, and mesenteric lymph nodes.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Pathological changes in lymph nodes and spleen. Microscopic examination of sections of the spleen, mandibular lymph nodes, pulmonary portal lymph nodes, inguinal lymph nodes, and mesenteric lymph nodes stained with hematoxylin-eosin (H&amp;E) from the three distinct groups. Arrows mark the pathological alterations observed in the organs. Scale bars represent 100 &#xb5;m (three fields per pig; three pigs per group).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1388035-g007.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>ASFV is a highly contagious DNA virus that predominantly replicates in the cytoplasm of infected cells (<xref ref-type="bibr" rid="B20">Reis et&#xa0;al., 2017</xref>). It is characterized by acute hemorrhagic fever, and high mortality are the main characteristics of pigs infected with ASFV (<xref ref-type="bibr" rid="B32">Xia et&#xa0;al., 2005</xref>). ASFV can inhibit congenital immunity by inhibiting the expression of type I and type II IFN. IFN achieves antiviral effects by inducing different ISGs and improving host immunity (<xref ref-type="bibr" rid="B2">Blome et&#xa0;al., 2013</xref>). Studies have shown that the IFN cocktail induces PBMCs to express ISGs <italic>in vitro</italic> and <italic>in vivo</italic>, inhibiting the replication of ASFV, delaying the occurrence of symptoms and disease progression, and reducing tissue damage caused by ASFV infection (<xref ref-type="bibr" rid="B12">Jiao et&#xa0;al., 2023</xref>).</p>
<p>Studies show that high-dose ASFV infection inhibits IFN signaling pathways, while low-dose ASFV infection initiates the production of IFNs, and not all infected cells produce IFNs (<xref ref-type="bibr" rid="B8">Garc&#xed;a-Sastre, 2017</xref>; <xref ref-type="bibr" rid="B7">Garc&#xed;a-Belmonte et&#xa0;al., 2019</xref>). Unlike the response of type I IFNs, the reaction of type III IFNs could serve as an initial defense, characterized by its reduced potency, slower progression, and extended duration, thereby causing little inflammatory damage (<xref ref-type="bibr" rid="B14">Lazea et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B27">Stanifer et al., 2020</xref>). The signaling sequences initiating ISG expression differ between type I and type III IFNs. Both type I and type III IFN utilize JAK1 for signal transmission, while Type I IFN necessitates TYK2 activation, and Type III IFN functions autonomously from TYK2 (<xref ref-type="bibr" rid="B5">Eletto et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B3">Catlett et&#xa0;al., 2022</xref>). Type III IFN employs JAK2 for signal transmission, unlike Type I IFNs, which function independently from JAK2 (<xref ref-type="bibr" rid="B18">Pervolaraki et&#xa0;al., 2017</xref>). Some ISG USP18, known as inhibitory regulators, play a role in managing type I IFN signals, but they are not involved in regulating type III IFN signals. In our study, a cocktail of types I, II, and III IFNs was administered to activate the IFN signaling pathway, thereby amplifying the immune response and ultimately exerting antiviral effects in ASFV-infected piglets (<xref ref-type="bibr" rid="B10">Hoffman and Broderick, 2018</xref>).</p>
<p>Several forms of human IgG Fc-fused IFN-&#x3b1; fusion proteins expressed in mammalian cell lines have produced promising results in preclinical studies. Conventional IFN-&#x3b1;, IFN-&#x3b3;, and IFN-&#x3bb;3, due to their low molecular weight, can be swiftly eliminated using serum proteolytic enzymes and kidneys. IFN and hFc, a fusion protein, are released into the medium as active homologous dimers linked by disulfide bonds, enhancing the stability of IFNs (<xref ref-type="bibr" rid="B30">Taira et al., 2005</xref>). Indeed, over 12 therapeutic Fc fusion proteins, including Enbrel (TNFR-Fc) and Eloctate (Factor VIII-Fc), have received FDA approval for clinical application (<xref ref-type="bibr" rid="B13">Jones et&#xa0;al., 2004</xref>; <xref ref-type="bibr" rid="B1">Bitonti and Dumont, 2006</xref>; <xref ref-type="bibr" rid="B28">Strohl, 2015</xref>). The effectiveness of these instances significantly bolsters our belief in employing Fc fusion protein to enhance the stability of IFNs.</p>
<p>Our study showed that the IFN cocktail could be used as an ASFV emergency treatment preparation and adjuvant treatment to protect pigs from ASF. Enhancing the mammalian expression system during production enabled the acquisition of highly active and stable IFNs. In our study, mammalian cells expressed IFN&#x3b1;2-hFc, IFN&#x3b3;-hFc, and IFN&#x3bb;3-hFc, exhibited strong antiviral properties. In 3D4/2 cells, a trio of IFN varieties is capable of triggering diverse gene expressions that stimulate IFNs. Type I IFNs, type II IFNs, and type III IFNs exhibit synergistic functions (<xref ref-type="bibr" rid="B22">Samuel, 2001</xref>). To examine whether the IFN cocktail can be anti-ASFV, the pigs were segmented into three distinct groups and challenged with ASFV/CADC_HN09. Within 4 to 6 days after the injection of compound IFNs-Fc, ASFV infection with pig mouth, nose, anal detoxification and viremia were reduced, and so were the clinical symptoms. The degree of the lung, large intestine, small intestine, esophagus, and tonsil lesions in the IFNs-Fc treatment group was reduced, but after death, the spleen and lymph node tissue of the pig was checked in each group. Pathological examination showed that piglets in the ASFV-infected control group, PBS cohabitation infection control group, and IFN cocktail treatment group revealed inflammatory responses in the spleen, mandibular, pulmonary portal, inguinal, and mesenteric lymph nodes. Compared with ASFV-infected control piglets and PBS cohabitation infection control piglets, the piglets that received the IFNs-Fc cocktail treatment exhibited a notable decrease in organ damage and a lower overall inflammatory reaction. There was no obvious difference in pathology, compared with the ASFV-infected control group and PBS cohabitation infection group, the IFNs-Fc cocktail could delay the death of ASFV-challenged pigs by 6 to 19 days. Jiao&#x2019;s study indicated that although the IFN cocktail treatment did not protect pigs from death after intranasal infection with SY18, it prolonged their survival period after ASFV exposure. Animals in the IFN + SY18 group delayed their death for 5&#x2013;6 days (<xref ref-type="bibr" rid="B12">Jiao et&#xa0;al., 2023</xref>). Compared with their results, our study showed that the IFN cocktail could delay death for 6 to 19 days, which indicated that this IFN-Fc cocktail could further prolong survival after ASFV exposure and protect them for a longer time.</p>
<p>The results indicate that the treatment of IFN cocktail could effectively relieve the clinical symptoms of ASF, and delay the death of pigs. These findings suggest that the treatment with a combination of type I, II, and III IFN in the IFN cocktail improves their efficacy in combating the ASFV challenge, and it is hoped that the IFN cocktail is used as an emergency treatment agent for the prevention and control of ASFV.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="ST1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The pig experiment and experimental programs used in this study have been approved by the Ethics Committee of the Chinese Center for Disease Control and Prevention (IAS2022-157). Pig experiments were carried out in the ABSL-3 laboratory of the Chinese Center for Disease Control and Prevention. The studies were conducted in accordance with the local legislation and institutional requirements. Written informed consent was obtained from the owners for the participation of their animals in this study.</p>
</sec>
<sec id="s8" sec-type="author-contributions">
<title>Author contributions</title>
<p>YJ: Writing &#x2013; original draft, Writing &#x2013; review &amp; editing, Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization. YH: Writing &#x2013; original draft. ZP: Writing &#x2013; original draft. WZ: Writing &#x2013; original draft. YC: Writing &#x2013; original draft. HJ: Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. HZ: Funding acquisition, Project administration, Writing &#x2013; review &amp; editing. FJ: Writing &#x2013; review &amp; editing, Conceptualization, Resources. CT: Writing &#x2013; original draft, Data curation, Validation. ZW: Writing &#x2013; original draft, Formal analysis. YHH: Data curation, Writing &#x2013; original draft. JW: Project administration, Investigation, Resources, Writing &#x2013; original draft.</p>
</sec>
<sec id="s9" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work is supported by grants from the National Key Research and Development Plan of China (2021YFD1801201).</p>
</sec>
<sec id="s10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>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.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>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.</p>
</sec>
<sec id="s12" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcimb.2024.1388035/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcimb.2024.1388035/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Table1.xls" id="ST1" mimetype="application/vnd.ms-excel"/>
<supplementary-material xlink:href="Table2.xls" id="ST2" mimetype="application/vnd.ms-excel"/>
<supplementary-material xlink:href="Table3.xlsx" id="ST3" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
<supplementary-material xlink:href="Table4.xlsx" id="ST4" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
<supplementary-material xlink:href="Table5.xlsx" id="ST5" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
<supplementary-material xlink:href="Table6.xls" id="ST6" mimetype="application/vnd.ms-excel"/>
<supplementary-material xlink:href="Table7.xls" id="ST7" mimetype="application/vnd.ms-excel"/>
<supplementary-material xlink:href="Table8.xls" id="ST8" mimetype="application/vnd.ms-excel"/>
<supplementary-material xlink:href="Table9.xls" id="ST9" mimetype="application/vnd.ms-excel"/>
<supplementary-material xlink:href="Table10.xls" id="ST10" mimetype="application/vnd.ms-excel"/>
<supplementary-material xlink:href="Table11.xls" id="ST11" mimetype="application/vnd.ms-excel"/>
</sec>
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