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<journal-id journal-id-type="publisher-id">Front. Vet. Sci.</journal-id>
<journal-title>Frontiers in Veterinary Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Vet. Sci.</abbrev-journal-title>
<issn pub-type="epub">2297-1769</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2025.1514525</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Veterinary Science</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Prevalence and assemblage distribution of <italic>Giardia intestinalis</italic> in farmed mink, foxes, and raccoon dogs in northern China</article-title>
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<name><surname>Liu</surname> <given-names>Shuo</given-names></name>
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<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Zhang</surname> <given-names>Miao</given-names></name>
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<name><surname>Xue</surname> <given-names>Nian-Yu</given-names></name>
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<name><surname>Wang</surname> <given-names>Hai-Tao</given-names></name>
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<name><surname>Li</surname> <given-names>Zhong-Yuan</given-names></name>
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<name><surname>Qin</surname> <given-names>Ya</given-names></name>
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<name><surname>Li</surname> <given-names>Xue-Min</given-names></name>
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<name><surname>Hou</surname> <given-names>Qing-Yu</given-names></name>
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<name><surname>Jiang</surname> <given-names>Jing</given-names></name>
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<name><surname>Yang</surname> <given-names>Xing</given-names></name>
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<name><surname>Ni</surname> <given-names>Hong-Bo</given-names></name>
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<name><surname>Wen</surname> <given-names>Jian-Xin</given-names></name>
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<aff id="aff1"><sup>1</sup><institution>College of Veterinary Medicine, Qingdao Agricultural University</institution>, <addr-line>Qingdao</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>College of Life Sciences, Changchun Sci-Tech University</institution>, <addr-line>Shuangyang</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>College of Veterinary Medicine, Yangzhou University</institution>, <addr-line>Yangzhou</addr-line>, <country>China</country></aff>
<aff id="aff4"><sup>4</sup><institution>Guangxi Key Laboratory of Brain and Cognitive Neuroscience, College of Basic Medicine, Guilin Medical University, The Guangxi Zhuang Autonomous Region</institution>, <addr-line>Guilin</addr-line>, <country>China</country></aff>
<aff id="aff5"><sup>5</sup><institution>College of Animal Science and Technology, Jilin Agricultural University</institution>, <addr-line>Changchun</addr-line>, <country>China</country></aff>
<aff id="aff6"><sup>6</sup><institution>Department of Medical Microbiology and Immunology, School of Basic Medicine, Dali University</institution>, <addr-line>Dali</addr-line>, <country>China</country></aff>
<author-notes>
<fn id="fn0004" fn-type="edited-by"><p>Edited by: Mughees Aizaz Alvi, University of Agriculture, Faisalabad, Pakistan</p></fn>
<fn id="fn0005" fn-type="edited-by"><p>Reviewed by: Zi-Guo Yuan, South China Agricultural University, China</p>
<p>Zorica D. Daki&#x0107;, University of Belgrade, Serbia</p>
<p>Muhammad Zulqarnain Shakir, Ningbo University, China</p></fn>
<corresp id="c001">&#x002A;Correspondence: Jing Jiang, <email>jiangjingxiaoyao@163.com</email></corresp>
<corresp id="c002">Jian-Xin Wen, <email>wenjianxin@126.com</email></corresp>
<fn fn-type="equal" id="fn0003"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>19</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>12</volume>
<elocation-id>1514525</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>10</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>02</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Liu, Zhang, Xue, Wang, Li, Qin, Li, Hou, Jiang, Yang, Ni and Wen.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Liu, Zhang, Xue, Wang, Li, Qin, Li, Hou, Jiang, Yang, Ni and Wen</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><italic>Giardia intestinalis</italic> is a widespread protozoan parasite associated with significant health risks in humans and animals. However, there is a lack of epidemiological data regarding this parasite in fur-animals. The present study aimed to investigate the prevalence and assemblage distribution of <italic>G. intestinalis</italic> in fur-animals in northern China. A total of 871 fecal samples were detected by nested PCR. The results showed an overall infection rate of 1.15%, with the highest rate in Hebei province (2.28%), while no positive cases were observed in Jilin and Heilongjiang provinces. Although no significant differences were found in species group, raccoon dogs (1.72%) were more susceptible to infection than mink (1.40%) and foxes (0.57%). Additionally, the highest infection rate was observed in farms with fewer than 2,000 animals (1.41%), followed by farms with &#x2265;5,000 (0.93%) and those with 2,000&#x2013;5,000 animals (0.75%). The infection rate was higher in juvenile animals (1.35%) compared to adults (1.08%), and in non-diarrheal animals (1.16%) compared to diarrheal animals (1.08%). Notably, this study is the first to report assemblage A in mink, this finding highlight the potential role of mink as a reservoir for zoonotic transmission. Assemblage D was detected in foxes and raccoon dogs, further suggesting that these animals may serve as potential zoonotic reservoirs. These findings not only complements the epidemiological data of <italic>G. intestinalis</italic> in fur-animals but also emphasize the importance of monitoring the fur industry to mitigate public health risks.</p>
</abstract>
<kwd-group>
<kwd>prevalence</kwd>
<kwd><italic>Giardia intestinalis</italic></kwd>
<kwd>assemblage</kwd>
<kwd>mink</kwd>
<kwd>raccoon dog</kwd>
</kwd-group>
<contract-num rid="cn1">SDAIT-21-13</contract-num>
<contract-sponsor id="cn1">Special Economic Animal Industry System Project of the Modern Agricultural Industry System</contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="49"/>
<page-count count="9"/>
<word-count count="5854"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Parasitology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1</label>
<title>Introduction</title>
<p><italic>Giardia intestinalis</italic> (Syn. <italic>G. duodenalis</italic> or <italic>G. lamblia</italic>) is a flagellated protozoan parasite that widely infects the intestines of humans and various animals (<xref ref-type="bibr" rid="ref1">1</xref>). It spreads through direct and indirect contact (via food and water) (<xref ref-type="bibr" rid="ref2">2</xref>). Globally, <italic>G. intestinalis</italic> is one of the leading pathogens responsible for parasitic-related diarrhea, with infection rates strongly correlated with regional sanitation conditions. The prevalence in developed countries is significantly lower than in developing countries (<xref ref-type="bibr" rid="ref3">3</xref>). The World Health Organization (WHO) estimated that approximately 280 million people are infected with this parasite annually, resulting in acute diarrhea (<xref ref-type="bibr" rid="ref4">4</xref>). Additionally, individuals infected with <italic>G. intestinalis</italic> may face long-term health risks, including irritable bowel syndrome, childhood malnutrition, and arthritis (<xref ref-type="bibr" rid="ref5">5</xref>&#x2013;<xref ref-type="bibr" rid="ref7">7</xref>). Furthermore, the rise of cross-border animal trade complicates public health control efforts, blurring the lines of parasite transmission and increasing the urgency for effective global surveillance and management strategies.</p>
<p>Molecular biology techniques have been widely applied in the study of <italic>G. intestinalis</italic>. Common methods include small subunit ribosomal RNA (<italic>SSU</italic> rRNA) analysis and multilocus genotyping (<italic>gdh</italic>, <italic>tpi</italic>, and <italic>bg</italic> genes) (<xref ref-type="bibr" rid="ref8">8</xref>). Through molecular analysis, <italic>G. intestinalis</italic> has been divided into eight assemblages (A&#x2013;H) (<xref ref-type="bibr" rid="ref9">9</xref>). Among these, assemblages A and B exhibit strong cross-host transmission capabilities, infecting diverse hosts, including humans, and are typical zoonotic pathogens (<xref ref-type="bibr" rid="ref10">10</xref>&#x2013;<xref ref-type="bibr" rid="ref12">12</xref>). In contrast, assemblages C&#x2013;H show distinct host specificity. Studies have shown that assemblages C and D primarily infect canines (<xref ref-type="bibr" rid="ref10">10</xref>, <xref ref-type="bibr" rid="ref13">13</xref>), assemblage E mainly infects ungulates such as cattle and sheep (<xref ref-type="bibr" rid="ref14">14</xref>, <xref ref-type="bibr" rid="ref15">15</xref>), assemblages F and H have been detected in marine animals (<xref ref-type="bibr" rid="ref16">16</xref>, <xref ref-type="bibr" rid="ref17">17</xref>), assemblage G was specifically found in rodents (<xref ref-type="bibr" rid="ref15">15</xref>, <xref ref-type="bibr" rid="ref18">18</xref>).</p>
<p>Interestingly, despite assemblages C and D typically being considered exclusive to canines, research has shown some exceptions. Assemblage D was detected in a German traveller, and a study in Egypt identified assemblage C as a zoonotic pathogen (<xref ref-type="bibr" rid="ref19">19</xref>, <xref ref-type="bibr" rid="ref20">20</xref>). These findings suggest that the host range of <italic>G. intestinalis</italic> may be broader than previously known. Therefore, expanding our understanding of its host adaptability is crucial for effective disease control and prevention strategies.</p>
<p>The fur animal farming industry in northern China is large-scale and is one of the pillars of the local economy. However, with the development of large-scale farming, disease prevention and control face significant challenges. Research has shown that fur animals can be infected with various parasites, including <italic>Pentatrichomonas hominis</italic>, <italic>Sarcocystis</italic> spp., and <italic>Trichinella spiralis</italic> (<xref ref-type="bibr" rid="ref21">21</xref>&#x2013;<xref ref-type="bibr" rid="ref23">23</xref>), indicating that fur animals may be potential hosts for zoonotic pathogens. However, reports on the infection of fur animals (mink, foxes, and raccoon dogs) with <italic>G. intestinalis</italic> are scarce globally. This study employs <italic>tpi</italic>, <italic>gdh</italic>, and <italic>bg</italic> gene analysis to test samples from mink, foxes, and raccoon dogs, aiming to investigate the infection rates of <italic>G. intestinalis</italic> and the diversity and distribution of assemblage in these animals as well as to assess the implications for public health and disease prevention in the farming industry.</p>
</sec>
<sec sec-type="materials|methods" id="sec2">
<label>2</label>
<title>Materials and methods</title>
<sec id="sec3">
<label>2.1</label>
<title>Sample collection</title>
<p>From October 2023 to May 2024, 871 fresh fecal samples were randomly collected from farmed fur animals in main fur farming provinces of China (Shandong, Hebei, Jilin, Liaoning, and Heilongjiang). The samples included mink (<italic>n</italic>&#x202F;=&#x202F;286), foxes (<italic>n</italic>&#x202F;=&#x202F;352), and raccoon dogs (<italic>n</italic>&#x202F;=&#x202F;233) (<xref ref-type="fig" rid="fig1">Figure 1</xref>). All animals are self-breed and kept in cages, foxes and raccoon dogs are breed in individual cages, while minks are breed in group cages with three to five animals. No direct contact with animals, fresh feces were collected immediately from beneath the cages using disposable PE gloves when the animal excreted feces. Detailed records of sample&#x2019;s source animal, sample ID, sampling position, date, animal age, health status, species, and farm size. To maintain sample integrity, samples were stored in 12&#x202F;mL collection tubes, transported to the laboratory on dry ice, and preserved at &#x2212;80&#x00B0;C.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption><p>A map of the People&#x2019;s Republic of China showing the sampling regions marked as triangles.</p></caption>
<graphic xlink:href="fvets-12-1514525-g001.tif"/>
</fig>
</sec>
<sec id="sec4">
<label>2.2</label>
<title>DNA extraction and PCR amplification</title>
<p>According to the manufacturer&#x2019;s instructions, genomic DNA was extracted from each sample using the E.Z.N.A.<sup>&#x00AE;</sup> Stool DNA Kit (Omega Biotek, Norcross, GA, United States) and stored at &#x2212;20&#x00B0;C until PCR analysis. First, the &#x03B2;-giardin (<italic>bg</italic>) gene was amplified using nested PCR to confirm the presence of <italic>G. intestinalis</italic> in the samples. Subsequently, the positive samples were subjected to amplification of the glutamate dehydrogenase (<italic>gdh</italic>) and triosephosphate isomerase (<italic>tpi</italic>) genes (<xref ref-type="bibr" rid="ref24">24</xref>&#x2013;<xref ref-type="bibr" rid="ref26">26</xref>). The first round was performed with a 25&#x202F;&#x03BC;L reaction mixture containing 12.5&#x202F;&#x03BC;L of premix enzyme (dNTPs, DNA polymerase, buffer and Mg<sup>2+</sup>), 8.5&#x202F;&#x03BC;L of ddH<sub>2</sub>O, 1&#x202F;&#x03BC;L of forward primer, 1&#x202F;&#x03BC;L of reverse primer, and 2&#x202F;&#x03BC;L of template DNA. In the second round, 2&#x202F;&#x03BC;L of the first-round product was mixed with 25&#x202F;&#x03BC;L of premix enzyme, 21&#x202F;&#x03BC;L of ddH<sub>2</sub>O, 1&#x202F;&#x03BC;L of forward primer, and 1&#x202F;&#x03BC;L of reverse primer, in a total volume of 50&#x202F;&#x03BC;L. Then, 5&#x202F;&#x03BC;L of the product was tested using 1% agarose gel electrophoresis. Positive PCR products were sequenced by Anhui General Biosystems Co., Ltd. (Anhui China) using Sanger sequencing.</p>
</sec>
<sec id="sec5">
<label>2.3</label>
<title>Sequence and phylogenetic analysis</title>
<p>The sequences of the <italic>bg</italic> and <italic>gdh</italic> genes were obtained from Anhui General Corporation. BLAST<xref ref-type="fn" rid="fn0001"><sup>1</sup></xref> was used to align these sequences with the corresponding <italic>bg</italic>, and <italic>gdh</italic> reference sequences in GenBank. Phylogenetic trees were constructed using the neighbour-joining (NJ) method in MEGA11 software<xref ref-type="fn" rid="fn0002"><sup>2</sup></xref> to study the relationships between different isolates and to illustrate the genetic diversity of <italic>G. intestinalis</italic> (<xref ref-type="bibr" rid="ref27">27</xref>). The reliability of the phylogenetic analysis was evaluated through 1,000 bootstrap replicates.</p>
</sec>
<sec id="sec6">
<label>2.4</label>
<title>Statistical analysis</title>
<p>Chi-square analysis in SAS (v9.0) software was used to evaluate the impact of sampling region (<italic>x</italic>1), species (<italic>x</italic>2), farming scale (<italic>x</italic>3), health status (<italic>x</italic>4), and age (<italic>x</italic>5) on the infection rate of <italic>G. intestinalis</italic> (<italic>y</italic>). In the multivariable regression analysis, each variable was individually included in the binary logistic model. The best model was selected using the Fisher scoring method. In the Statistical Product and Service Solutions (SPSS, IBM Corp., Armonk, NY, United States) software, chi-square tests were performed to explore the differences in the prevalence of <italic>G. intestinalis</italic> across various study factors while calculating the odds ratio (OR) and 95% confidence interval (95% CI). A <italic>p</italic>-value of less than 0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec sec-type="results" id="sec7">
<label>3</label>
<title>Results</title>
<sec id="sec8">
<label>3.1</label>
<title>Prevalence of <italic>Giardia intestinalis</italic> in mink, raccoon dogs, and foxes across the five provinces</title>
<p>In the present study, 10 (1.15%) positive cases of <italic>G. intestinalis</italic> were detected through nested PCR from 871 fecal samples. The differences in infection rates among provinces were not statistically significant (<italic>&#x03C7;</italic><sup>2</sup>&#x202F;=&#x202F;5.88, df&#x202F;=&#x202F;4, <italic>p</italic>&#x202F;=&#x202F;0.2082). Hebei province had the highest infection rate (2.28%, 7/307, OR&#x202F;=&#x202F;2.86 95% CI 0.59&#x2013;13.88), followed by Shandong province (0.88%, 1/113, OR&#x202F;=&#x202F;1.09 95% CI 0.10&#x2013;12.19) and Liaoning province (0.81%, 2/247), while no positive cases were observed in Jilin and Heilongjiang provinces (<xref ref-type="table" rid="tab1">Table 1</xref> and <xref ref-type="fig" rid="fig2">Figure 2A</xref>). Similarly, the differences in infection rates between species were not statistically significant (<italic>&#x03C7;</italic><sup>2</sup>&#x202F;=&#x202F;2, df&#x202F;=&#x202F;2, <italic>p</italic>&#x202F;=&#x202F;0.3680). Raccoon dogs had the highest infection rate (1.72%, 4/233, OR&#x202F;=&#x202F;3.06 95% CI 0.56&#x2013;16.83), followed by mink (1.40%, 4/286, OR&#x202F;=&#x202F;2.48 95% CI 0.45&#x2013;13.65) and foxes (0.57%, 2/352) (<xref ref-type="table" rid="tab1">Table 1</xref> and <xref ref-type="fig" rid="fig2">Figure 2B</xref>).</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption><p>Prevalence of <italic>G. intestinalis</italic> determined by sequence analysis of the <italic>bg</italic> gene.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Variables</th>
<th align="left" valign="top" rowspan="2">Categories</th>
<th align="center" valign="top" rowspan="2">No. positive /No. test</th>
<th align="center" valign="top" rowspan="2">% (95% CI)</th>
<th align="center" valign="top">Heterogeneity</th>
<th align="center" valign="top" rowspan="2">OR (95% CI)</th>
</tr>
<tr>
<th align="center" valign="top"><italic>&#x03C7;</italic><sup>2</sup>/df/<italic>I</italic><sup>2</sup>(%)/<italic>p</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="5">Region</td>
<td align="left" valign="top">Liaoning province</td>
<td align="char" valign="top" char="/">2/247</td>
<td align="char" valign="top" char="(">0.81 (0.01&#x2013;2.42)</td>
<td align="center" valign="top" rowspan="5">5.88/4/32/0.2082</td>
<td align="center" valign="top">Reference</td>
</tr>
<tr>
<td align="left" valign="top">Shandong province</td>
<td align="char" valign="top" char="/">1/113</td>
<td align="char" valign="top" char="(">0.88 (0.00&#x2013;3.76)</td>
<td align="center" valign="top">1.09 (0.10&#x2013;12.19)</td>
</tr>
<tr>
<td align="left" valign="top">Hebei province</td>
<td align="char" valign="top" char="/">7/307</td>
<td align="char" valign="top" char="(">2.28 (0.86&#x2013;4.30)</td>
<td align="center" valign="top">2.86 (0.59&#x2013;13.88)</td>
</tr>
<tr>
<td align="left" valign="top">Jilin province</td>
<td align="char" valign="top" char="/">0/73</td>
<td align="char" valign="top" char="(">0.00 (&#x2014;)</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top">Heilongjiang province</td>
<td align="char" valign="top" char="/">0/131</td>
<td align="char" valign="top" char="(">0.00 (&#x2014;)</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Species</td>
<td align="left" valign="top">Fox</td>
<td align="char" valign="top" char="/">2/352</td>
<td align="char" valign="top" char="(">0.57 (0.01&#x2013;1.70)</td>
<td align="center" valign="top" rowspan="3">2.00/2/0/0.3680</td>
<td align="center" valign="top">Reference</td>
</tr>
<tr>
<td align="left" valign="top">Raccoon dog</td>
<td align="char" valign="top" char="/">4/233</td>
<td align="char" valign="top" char="(">1.72 (0.37&#x2013;3.87)</td>
<td align="center" valign="top">3.06 (0.56&#x2013;16.83)</td>
</tr>
<tr>
<td align="left" valign="top">Mink</td>
<td align="char" valign="top" char="/">4/286</td>
<td align="char" valign="top" char="(">1.40 (0.30&#x2013;3.16)</td>
<td align="center" valign="top">2.48 (0.45&#x2013;13.65)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Farm size</td>
<td align="left" valign="top">2,000&#x2013;5,000</td>
<td align="char" valign="top" char="/">2/266</td>
<td align="char" valign="top" char="(">0.75 (0.01&#x2013;2.25)</td>
<td align="center" valign="top" rowspan="3">0.49/2/0/0.7837</td>
<td align="center" valign="top">Reference</td>
</tr>
<tr>
<td align="left" valign="top">&#x003C;2,000</td>
<td align="char" valign="top" char="/">7/498</td>
<td align="char" valign="top" char="(">1.41 (0.53&#x2013;2.66)</td>
<td align="center" valign="top">1.88 (0.39&#x2013;9.12)</td>
</tr>
<tr>
<td align="left" valign="top">&#x2265;5,000</td>
<td align="char" valign="top" char="/">1/107</td>
<td align="char" valign="top" char="(">0.93 (0.00&#x2013;3.97)</td>
<td align="center" valign="top">1.25 (0.11&#x2013;13.88)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Age</td>
<td align="left" valign="top">Adult</td>
<td align="char" valign="top" char="/">7/649</td>
<td align="char" valign="top" char="(">1.08 (0.40&#x2013;2.04)</td>
<td align="center" valign="top" rowspan="2">0.21/1/0/0.6481</td>
<td align="center" valign="top">Reference</td>
</tr>
<tr>
<td align="left" valign="top">Juvenile</td>
<td align="char" valign="top" char="/">3/222</td>
<td align="char" valign="top" char="(">1.35 (0.17&#x2013;3.40)</td>
<td align="center" valign="top">1.26 (0.32&#x2013;4.90)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Condition</td>
<td align="left" valign="top">Diarrheal</td>
<td align="char" valign="top" char="/">1/93</td>
<td align="char" valign="top" char="(">1.08 (0.00&#x2013;4.56)</td>
<td align="center" valign="top" rowspan="2">0.07/1/0/0.7947</td>
<td align="center" valign="top">Reference</td>
</tr>
<tr>
<td align="left" valign="top">Non-diarrheal</td>
<td align="char" valign="top" char="/">9/778</td>
<td align="char" valign="top" char="(">1.16 (0.51&#x2013;2.05)</td>
<td align="center" valign="top">1.08 (0.14&#x2013;8.60)</td>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="left" valign="top">&#x2014;</td>
<td align="char" valign="top" char="/">10/871</td>
<td align="char" valign="top" char="(">1.15 (0.55&#x2013;2.10)</td>
<td align="center" valign="top">&#x2014;</td>
<td align="center" valign="top">&#x2014;</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption><p>Infection rate of <italic>G. intestinalis</italic> in fur-animals under various factors. <bold>(A)</bold> Infection rate of <italic>G. intestinalis</italic> in fur-animals in different provinces. <bold>(B)</bold> Infection rate of <italic>G. intestinalis</italic> in different species.</p></caption>
<graphic xlink:href="fvets-12-1514525-g002.tif"/>
</fig>
<p>There was no statistically significant difference in the farm size group (<italic>&#x03C7;</italic><sup>2</sup>&#x202F;=&#x202F;0.49, df&#x202F;=&#x202F;2, <italic>p</italic>&#x202F;=&#x202F;0.7837), with the lowest infection rate was observed in farms with 2,000 to 5,000 animals (0.75%, 2/266), the highest infection rate was found in farms with fewer than 2,000 animals (1.41%, 7/498, OR&#x202F;=&#x202F;1.88 95% CI 0.39&#x2013;9.12), and the infection rate of farms with more than 5,000 was 0.94% (1/107, OR&#x202F;=&#x202F;1.25 95% CI 0.11&#x2013;13.88). Additionally, the infection rate in adult animals (1.08%, 7/649) was slightly lower than in juvenile animals (1.35%, 3/222, OR&#x202F;=&#x202F;1.26 95% CI 0.32&#x2013;4.90), the difference was not statistically significant (<italic>&#x03C7;</italic><sup>2</sup>&#x202F;=&#x202F;0.21, df&#x202F;=&#x202F;1, <italic>p</italic>&#x202F;=&#x202F;0.6481). The infection rate in non-diarrheal animals (1.16%, 9/778 OR&#x202F;=&#x202F;1.08 95% CI 0.14&#x2013;8.60) was slightly higher than in diarrheal animals (1.08%, 1/93), and the statistical difference was not significant (<italic>&#x03C7;</italic><sup>2</sup>&#x202F;=&#x202F;0.07, df&#x202F;=&#x202F;1, <italic>p</italic>&#x202F;=&#x202F;0.7947) (<xref ref-type="table" rid="tab1">Table 1</xref>).</p>
</sec>
<sec id="sec9">
<label>3.2</label>
<title>Influencing factors</title>
<p>The present study evaluated the influencing factors affecting the infection rate of <italic>G. intestinalis</italic> using logistic forward stepwise regression analysis. The final best model included sampling region and health status. The model equation is <italic>y</italic>&#x202F;=&#x202F;&#x2212;7.2133<italic>x</italic>1&#x202F;+&#x202F;0.8197<italic>x</italic>2&#x202F;+&#x202F;3.8666.</p>
<p>The results show that the sampling area negatively affects the infection rate of <italic>G. intestinalis</italic> (OR&#x202F;=&#x202F;0.74, 95% CI 0.09&#x2013;1.81). Hebei had the highest infection rate (OR&#x202F;=&#x202F;2.86, 95% CI 0.59&#x2013;13.88), followed by Shandong (OR&#x202F;=&#x202F;1.09, 95% CI 0.10&#x2013;12.19) and Liaoning (0.81%, 2/247). No infections were observed in Jilin (OR&#x202F;=&#x202F;0.67, 95% CI 0.03&#x2013;14.07) and Heilongjiang (OR&#x202F;=&#x202F;0.37, 95% CI 0.02&#x2013;7.84). Health status positively influences infection (OR&#x202F;=&#x202F;0.98, 95% CI 0.36&#x2013;1.82), and the infection rate in diarrheal animals (1.08%, 1/93) was lower than in non-diarrheal animals (OR&#x202F;=&#x202F;1.08, 95% CI 0.14&#x2013;8.60) (<xref ref-type="table" rid="tab1">Table 1</xref>).</p>
</sec>
<sec id="sec10">
<label>3.3</label>
<title>Assemblage of <italic>Giardia intestinalis</italic> determined through <italic>bg</italic> and <italic>gdh</italic> sequence analysis</title>
<p>The present study conducted nested PCR detection on 871 fecal samples, identifying 10 positive samples for the <italic>bg</italic> gene and obtaining six assembled sequences. Among these, three samples from mink belonged to assemblage A. Additionally, one sample from foxes and two from raccoon dogs were classified as assemblage D (<xref ref-type="table" rid="tab2">Table 2</xref>).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption><p>Prevalence and assemblage distribution of <italic>G. intestinalis</italic>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Variables</th>
<th align="left" valign="top" rowspan="2">Categories</th>
<th align="center" valign="top" rowspan="2">No. positive/No. test (%)</th>
<th align="center" valign="top" colspan="2">Assemblage of <italic>G. intestinalis</italic> (<italic>n</italic>)</th>
</tr>
<tr>
<th align="center" valign="top"><italic>bg</italic></th>
<th align="center" valign="top"><italic>gdh</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="5">Region</td>
<td align="left" valign="top">Liaoning province</td>
<td align="char" valign="top" char="(">2/247 (0.81%)</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">0</td>
</tr>
<tr>
<td align="left" valign="top">Shandong province</td>
<td align="char" valign="top" char="(">1/113 (0.88%)</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">D (1)</td>
</tr>
<tr>
<td align="left" valign="top">Hebei province</td>
<td align="char" valign="top" char="(">7/307 (2.28%)</td>
<td align="center" valign="top">A (3); D (3)</td>
<td align="center" valign="top">A (3); D (2)</td>
</tr>
<tr>
<td align="left" valign="top">Jilin province</td>
<td align="char" valign="top" char="(">0/73 (0%)</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">0</td>
</tr>
<tr>
<td align="left" valign="top">Heilongjiang province</td>
<td align="char" valign="top" char="(">0/131 (0%)</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">0</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Species</td>
<td align="left" valign="top">Fox</td>
<td align="char" valign="top" char="(">2/352 (0.57%)</td>
<td align="center" valign="top">D (1)</td>
<td align="center" valign="top">D (2)</td>
</tr>
<tr>
<td align="left" valign="top">Raccoon dog</td>
<td align="char" valign="top" char="(">4/233 (1.72%)</td>
<td align="center" valign="top">D (2)</td>
<td align="center" valign="top">D (1)</td>
</tr>
<tr>
<td align="left" valign="top">Mink</td>
<td align="char" valign="top" char="(">4/286 (1.40%)</td>
<td align="center" valign="top">A (3)</td>
<td align="center" valign="top">A (3)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Raising scale</td>
<td align="left" valign="top">2,000&#x2013;5,000</td>
<td align="char" valign="top" char="(">2/266 (0.75%)</td>
<td align="center" valign="top">D (1)</td>
<td align="center" valign="top">D (1)</td>
</tr>
<tr>
<td align="left" valign="top">&#x003C;2,000</td>
<td align="char" valign="top" char="(">7/498 (1.41%)</td>
<td align="center" valign="top">A (3); D (2)</td>
<td align="center" valign="top">A (3); D (2)</td>
</tr>
<tr>
<td align="left" valign="top">&#x2265;5,000</td>
<td align="char" valign="top" char="(">1/107 (0.93%)</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">0</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Age</td>
<td align="left" valign="top">Adult</td>
<td align="char" valign="top" char="(">7/649 (1.08%)</td>
<td align="center" valign="top">A (3); D (2)</td>
<td align="center" valign="top">A (3); D (2)</td>
</tr>
<tr>
<td align="left" valign="top">Juvenile</td>
<td align="char" valign="top" char="(">3/222 (1.35%)</td>
<td align="center" valign="top">D (1)</td>
<td align="center" valign="top">D (1)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Condition</td>
<td align="left" valign="top">Diarrheal</td>
<td align="char" valign="top" char="(">1/93 (1.08%)</td>
<td align="center" valign="top">0</td>
<td align="center" valign="top">0</td>
</tr>
<tr>
<td align="left" valign="top">Non-diarrheal</td>
<td align="char" valign="top" char="(">9/778 (1.16%)</td>
<td align="center" valign="top">A (3); D (3)</td>
<td align="center" valign="top">A (3); D (3)</td>
</tr>
<tr>
<td align="left" valign="top">Total</td>
<td align="left" valign="top">&#x2014;</td>
<td align="char" valign="top" char="(">10/871 (1.15%)</td>
<td align="center" valign="top">A (3); D (3)</td>
<td align="center" valign="top">A (3); D (3)</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>We further tested the <italic>bg</italic> gene-positive samples to amplify the <italic>gdh</italic> gene, successfully obtaining six <italic>gdh</italic> sequences. Analysis of the <italic>gdh</italic> gene sequences showed that three mink samples belonged to assemblage A as well as two fox samples and one raccoon dog sample belonged to assemblage D. Meanwhile, we detected the <italic>tpi</italic> gene, but failed to obtain any sequences (<xref ref-type="table" rid="tab2">Table 2</xref>).</p>
<p>Based on the phylogenetic analysis of the <italic>bg</italic> gene, the results indicated that sequences PQ416602&#x2013;PQ416604 primarily cluster in the branch of assemblage A. PQ416604 is grouped with MK720260 (Calf) in the same branch, forming a sister group with PQ416602, PQ416603, and GQ329671 (Human). Meanwhile, sequences PQ416605&#x2013;PQ416607 cluster with LC437444 (Canis) in the branch of assemblage D, demonstrating a high degree of phylogenetic relationship (<xref ref-type="fig" rid="fig3">Figure 3</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption><p>Evolutionary relationships among <italic>Giardia intestinalis</italic> inferred by neighbour-joining analysis using the Kimura 2-parameter model of <italic>bg</italic> gene sequences. Numbers on branches are percent bootstrap values from 1,000 replicates, with only those greater than 50% shown. The sequences obtained in the present study are represented by black dots.</p></caption>
<graphic xlink:href="fvets-12-1514525-g003.tif"/>
</fig>
<p>The phylogenetic analysis of the <italic>gdh</italic> gene shows that PQ416608&#x2013;PQ416610 cluster in the branch of assemblage A and group together with EF507670 (Human) and EF507657 (Human), exhibiting a 100% bootstrap support value, indicating a high degree of phylogenetic relationship with human-derived <italic>Giardia</italic>. On the other hand, sequences PQ416611&#x2013;PQ416613 mainly cluster in the branch of assemblage D, where they group with LC437399 (Canis), EF507619 (Dog), and KR855632 (Dog), indicating a close genetic similarity with the <italic>Giardia</italic> assemblages of canine hosts (<xref ref-type="fig" rid="fig4">Figure 4</xref>).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption><p>Evolutionary relationships among <italic>Giardia intestinalis</italic> inferred by neighbour-joining analysis using the Kimura 2-parameter model of <italic>gdh</italic> gene sequences. Numbers on branches are percent bootstrap values from 1,000 replicates, with only those greater than 50% shown. The sequences obtained in the present study are represented by black dots.</p></caption>
<graphic xlink:href="fvets-12-1514525-g004.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="sec11">
<label>4</label>
<title>Discussion</title>
<p>Foodborne zoonotic diseases are a significant global public health issue, especially in regions with frequent agricultural and livestock activities. These diseases not only threaten animal health but also pose potential risks to human health, particularly when the sources of transmission are complex (<xref ref-type="bibr" rid="ref28">28</xref>). <italic>G. intestinalis</italic>, a typical foodborne zoonotic pathogen, has been confirmed to transmit between humans and various animals, and it poses a severe threat to immunocompromised individuals (<xref ref-type="bibr" rid="ref29">29</xref>). Therefore, studying the epidemiological characteristics of this parasite is of utmost importance. In this study, we tested farmed fur-animals in northern China, and the overall prevalence of <italic>G. intestinalis</italic> in fur-animals was 1.15% (10/871), which was lower than other animal populations in China, such as cattle in Shanxi province (28.3%, 243/858), dogs in Liaoning province (13.2%, 27/205), black bears in Heilongjiang province (8.3%, 3/36), and donkeys in Jilin, Lioning, and Shandong provinces (15.5%, 28/181) (<xref ref-type="bibr" rid="ref13">13</xref>, <xref ref-type="bibr" rid="ref30">30</xref>&#x2013;<xref ref-type="bibr" rid="ref33">33</xref>). The difference may be related to species differences, sample size and living habits. Interestingly, in this study, animals showed different susceptibilities to the disease, raccoon dogs had the highest infection rate (1.72%, 4/233), followed by mink (1.40%, 4/286) and foxes (0.57%, 2/352). although, no significant differences were found among them, which may be related to the small sample size. Future studies could increase the sample size and further investigate the infection mechanisms of <italic>G. intestinalis</italic> to difference species.</p>
<p>In the present study, the sampling region negatively affected the infection rates of <italic>G. intestinalis</italic>. The highest infection rate was observed in Hebei province (2.28%, 7/307), followed by Shandong province (0.88%, 1/113) and Liaoning province (0.81%, 2/247). Notably, no positive cases were detected in Jilin (0/73) and Heilongjiang (0/131) provinces, suggesting a lower risk of infection in these regions. However, a report showed that the infection rate of <italic>G. intestinalis</italic> in diarrhea patients in Heilongjiang was 5.81%, which indicated that the epidemic prevention and control situation was still not optimistic (<xref ref-type="bibr" rid="ref31">31</xref>). Future studies should aim to expand both the sample size and the range of animal testing. Furthermore, the present study also found that the health status of animals was an important influencing factor affecting the infection rate of <italic>G. intestinalis</italic>. The infection rate in non-diarrheal animals was 1.16% (9/778) higher than the 1.08% (1/93) observed in diarrheal animals. This contrasts with findings in cattle in Shanxi province and children in Zhejiang province (<xref ref-type="bibr" rid="ref30">30</xref>, <xref ref-type="bibr" rid="ref34">34</xref>). This difference may be related to the stages of <italic>G. intestinalis</italic> infection and the pathogenic mechanisms that cause diarrhea. Additionally, the host&#x2019;s age, immune status, and co-infections with other pathogens may also influence the clinical manifestations and transmission patterns of <italic>G. intestinalis</italic> infection.</p>
<p>In this study, no significant differences in infection rates were observed between farms with different farming sizes. Notably, the infection rate of farms with less than 2,000 animals (1.41%, 7/498) was higher than that of farms with 2,000&#x2013;5,000 animals (0.75%, 2/266) and &#x2265;5,000 animals (0.93%, 1/107). These small-scale farms are usually family-run, and the technical level of feeding management, disease prevention and control is relatively low. Additionally, some farms have the phenomenon of raising dogs together, which may be a factor leading to the high infection rate.</p>
<p>Researchers have classified <italic>G. intestinalis</italic> into eight genotype assemblages (A&#x2013;H), based on common genetic markers such as the <italic>SSU</italic> rRNA gene, and the <italic>gdh</italic>, <italic>bg</italic>, and <italic>tpi</italic> loci (<xref ref-type="bibr" rid="ref9">9</xref>). In the present study, <italic>G. intestinalis</italic> in fur-animals were identified primarily as assemblages A (<italic>n</italic>&#x202F;=&#x202F;3) and D (<italic>n</italic>&#x202F;=&#x202F;3) through the analysis of <italic>bg</italic> and <italic>gdh</italic> genes. Among them, assemblage A was the dominant assemblage in mink, consistent with studies on ferrets in Europe and Japan, confirming that assemblage A was common in mustelids (<xref ref-type="bibr" rid="ref35">35</xref>&#x2013;<xref ref-type="bibr" rid="ref37">37</xref>). Assemblage A is distributed globally across mammals and poultry and is recognised as an important pathogen responsible for human infections (<xref ref-type="bibr" rid="ref3">3</xref>, <xref ref-type="bibr" rid="ref9">9</xref>, <xref ref-type="bibr" rid="ref33">33</xref>, <xref ref-type="bibr" rid="ref38">38</xref>). The discovery of assemblage A in mink in this study indicates that mink may be a potential host for human infections. Notably, pathological reports indicate that both person-to-person and person-to-animal transmission can occur through direct contact (<xref ref-type="bibr" rid="ref49">49</xref>). Therefore, it is recommended to further investigate the infection rates among farmers and industry workers to prevent the spread to other animal populations or human communities.</p>
<p>Assemblages C and D were the most common genotypes in canids globally (<xref ref-type="bibr" rid="ref9">9</xref>). They were widely reported in dogs (<xref ref-type="bibr" rid="ref13">13</xref>, <xref ref-type="bibr" rid="ref39">39</xref>, <xref ref-type="bibr" rid="ref40">40</xref>). In China, these assemblages have also been detected in dogs from Xinjiang and raccoon dogs from Jilin (<xref ref-type="bibr" rid="ref41">41</xref>). In the present study, assemblage D was found in foxes and raccoon dogs, consistent with studies on foxes in Australia and raccoon dogs in Poland (<xref ref-type="bibr" rid="ref42">42</xref>, <xref ref-type="bibr" rid="ref43">43</xref>). However, assemblage C was not detected in this study, which may be related to sample size, sampling time, and geographic regional differences. Notably, although assemblage D was considered host-specific to canids, existing research shows that it can infect other species, including humans (<xref ref-type="bibr" rid="ref9">9</xref>). For instance, assemblage D has been detected in German travellers, Australian kangaroos, British cattle, and American chinchillas (<xref ref-type="bibr" rid="ref19">19</xref>, <xref ref-type="bibr" rid="ref37">37</xref>, <xref ref-type="bibr" rid="ref43">43</xref>, <xref ref-type="bibr" rid="ref44">44</xref>). These findings suggest that assemblage D may cross-infection between wildlife and livestock, posing a potential zoonotic risk.</p>
<p>In this study, the amplification success rates for the <italic>bg</italic> and <italic>gdh</italic> genes were relatively high, whereas the <italic>tpi</italic> gene sequences were not successfully obtained. This suggests that the amplification success rates for <italic>bg</italic>, <italic>gdh</italic>, and <italic>tpi</italic> genes may be associated with different assemblage types, which is consistent with previous studies. For example, Chen et al. (<xref ref-type="bibr" rid="ref31">31</xref>) successfully obtained 20 <italic>bg</italic>, 19 <italic>gdh</italic>, and 9 <italic>tpi</italic> sequences from 22 positive samples of black bears, while Xiao et al. (<xref ref-type="bibr" rid="ref45">45</xref>) obtained 70 <italic>bg</italic>, 32 <italic>gdh</italic>, and 7 <italic>tpi</italic> sequences from 90 positive samples of goats. These results indicate that more accurate and sensitive molecular diagnostic techniques are urgently needed to achieve a more precise genetic characterization of <italic>G. intestinalis.</italic></p>
<p><italic>G. intestinalis</italic> exists as cysts in vegetables, meat and other foods (<xref ref-type="bibr" rid="ref29">29</xref>). The food source of fur-animals in mainly poultry meat, which may be one of their infection routes. Additionally, <italic>G. intestinalis</italic> is also wildly present in the environment, particularly in surface water sources (<xref ref-type="bibr" rid="ref46">46</xref>). In 2013, a waterborne outbreak of <italic>G. intestinalis</italic> infection was reported in South Korea, highlighting its potential for waterborne transmission (<xref ref-type="bibr" rid="ref47">47</xref>). In addition to known hosts, there are many unknown hosts that could serve as potential sources of human infection. These potential transmission routes pose a threat to public health security. Therefore, it is essential to strengthen the quarantine of foods such as vegetables and meat, while expanding the sampling scope to include more species for detection. At the same time, treatment of the disease is also crucial. Although metronidazole is the drug of choice for treating giardiasis, its issues with resistance and potential side effects such as abdominal pain and nausea limit its use. Therefore, there is an urgent need to develop new treatment formulations, such as phytochemicals, to address this challenge (<xref ref-type="bibr" rid="ref48">48</xref>).</p>
</sec>
<sec sec-type="conclusions" id="sec12">
<label>5</label>
<title>Conclusion</title>
<p>The present study investigated the prevalence of <italic>G. intestinalis</italic> in fur-animals in northern China, first reporting the occurrence of assemblage A in mink, indicating that mink may be a potential zoonotic source of <italic>G. intestinalis</italic>, while also contributing to the epidemiological data on this parasite. Additionally, the detection of assemblage D in foxes and raccoon dogs suggests a similar zoonotic risk. Therefore, attention should be given to the prevalence of <italic>G. intestinalis</italic> among fur industry workers and their surrounding environments to effectively control and prevent potential transmission risks. However, this study has some limitations. For instance, the <italic>tpi</italic> gene sequence was not successfully obtained, and the effect of seasonality on prevalence was not investigated. Therefore, future studies should aim to expand the sample size and incorporate seasonal sampling to better understand the infection dynamics of <italic>G. intestinalis</italic> in fur-animals.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec13">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: <ext-link xlink:href="https://www.ncbi.nlm.nih.gov/genbank/" ext-link-type="uri">https://www.ncbi.nlm.nih.gov/genbank/</ext-link>, PQ416602-PQ416613.</p>
</sec>
<sec sec-type="ethics-statement" id="sec14">
<title>Ethics statement</title>
<p>The animal studies were approved by Research Ethics Committee for the Care and Use of Laboratory Animals in Qingdao Agricultural University. 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 sec-type="author-contributions" id="sec15">
<title>Author contributions</title>
<p>SL: Methodology, Software, Writing &#x2013; original draft. MZ: Methodology, Software, Writing &#x2013; original draft. N-YX: Methodology, Writing &#x2013; review &#x0026; editing, Data curation. H-TW: Methodology, Software, Writing &#x2013; review &#x0026; editing. Z-YL: Conceptualization, Writing &#x2013; review &#x0026; editing. YQ: Resources, Validation, Writing &#x2013; review &#x0026; editing. X-ML: Conceptualization, Writing &#x2013; review &#x0026; editing. Q-YH: Data curation, Methodology, Writing &#x2013; review &#x0026; editing. JJ: Conceptualization, Resources, Supervision, Writing &#x2013; review &#x0026; editing. XY: Conceptualization, Supervision, Writing &#x2013; review &#x0026; editing. H-BN: Conceptualization, Resources, Supervision, Writing &#x2013; review &#x0026; editing. J-XW: Conceptualization, Supervision, Writing &#x2013; review &#x0026; editing, Resources, Visualization.</p>
</sec>
<sec sec-type="funding-information" id="sec16">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Special Economic Animal Industry System Project of the Modern Agricultural Industry System in Shandong Province (SDAIT-21-13).</p>
</sec>
<sec sec-type="COI-statement" id="sec17">
<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 sec-type="ai-statement" id="sec18">
<title>Generative AI statement</title>
<p>The authors declare that no Gen AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="sec19">
<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>
<fn-group>
<fn id="fn0001"><p><sup>1</sup><ext-link xlink:href="https://blast.ncbi.nlm.nih.gov/" ext-link-type="uri">https://blast.ncbi.nlm.nih.gov/</ext-link></p></fn>
<fn id="fn0002"><p><sup>2</sup><ext-link xlink:href="http://www.megasoftware.net/" ext-link-type="uri">http://www.megasoftware.net/</ext-link></p></fn>
</fn-group>
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