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ORIGINAL ARTICLE
Year : 2013  |  Volume : 4  |  Issue : 1  |  Page : 87-93  

Evaluation of protective action of α-tocopherol in chromium-induced oxidative stress in female reproductive system of rats


Department of Pharmacology and Toxicology, College of Veterinary Science, Rajendranagar, Hyderabad, Andhra Pradesh, India

Date of Web Publication20-Feb-2013

Correspondence Address:
A Gopala Reddy
Department of Pharmacology and Toxicology, College of Veterinary Science, Rajendranagar, Hyderabad, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-9668.107266

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   Abstract 

The present study was aimed to investigate whether α-tocopherol could protect the chromium (Cr) VI-induced oxidative stress in female reproductive system of rats and to explore the underlying mechanisms of the same. A total of 24 Wistar adult female rats were equally divided into four groups. Group 1 served as control, while groups 2 and 3 were administered K 2 Cr 2 O 7 (10 mg/kg b.wt. s.c. single dose). In addition to Cr, group 3 also received α-tocopherol @ 125 mg/kg daily by oral gavage for 14 days. Group 4 was maintained as α-tocopherol control (dose as above). Body weights were recorded at the beginning and at the end of experiment. Further, the rats were observed for occurrence of estrus cycle. At the end of 14 days, blood samples were drawn for sero-biochemical analysis. Subsequently, all the rats were sacrificed to collect uterus along with ovaries for assay of tissue peroxidation, anti-oxidant and functional markers, and histopathology. Administration of chromium (Cr) VI to rats revealed a significant (P < 0.05) accumulation of cholesterol and a prolonged diestrus phase leading to impaired fertility in rats. Administration of chromium (Cr) VI significantly ( P < 0.05) reduced the antioxidant markers such as superoxide dismutase (SOD) and reduced glutathione (GSH), along with significant ( P < 0.05) increase in peroxidation markers such as malondialdehyde and protein carbonyls in ovaries. The functional marker in serum such as total protein was decreased, whereas other functional markers viz alanine transaminase (ALT), blood urea nitrogen (BUN) and creatinine were increased. Prominent pathological changes were observed in the uterus and ovaries of Cr-treated group. Co-treatment with α-tocopherol significantly (P < 0.05) reversed the (Cr) VI induced changes.

Keywords: α-tocopherol, chromium, female reproductive system, oxidative stress


How to cite this article:
Balakrishnan R, Kumar CS, Rani M U, Kavita K, Boobalan G, Reddy A G. Evaluation of protective action of α-tocopherol in chromium-induced oxidative stress in female reproductive system of rats. J Nat Sc Biol Med 2013;4:87-93

How to cite this URL:
Balakrishnan R, Kumar CS, Rani M U, Kavita K, Boobalan G, Reddy A G. Evaluation of protective action of α-tocopherol in chromium-induced oxidative stress in female reproductive system of rats. J Nat Sc Biol Med [serial online] 2013 [cited 2021 Jan 17];4:87-93. Available from: http://www.jnsbm.org/text.asp?2013/4/1/87/107266


   Introduction Top


Chromium is a transition element found in many compounds of Earth's crust [1] and ranks 21 st in elemental abundance. Chromium also comes from anthropogenic sources as: Chemical, metallurgical, refractory industry. [2] Chromium (Cr) is found in the environment in two valence states: Trivalent Cr (III) and hexavalent Cr (VI). Chromium (III) compounds have been reported to be less toxic than Cr (VI) compounds because latter can cross the cell membrane easily. Reduction of Cr (VI) to Cr (III) results in the formation of reactive oxygen species (ROS) that induce oxidative damage. [3] This, in turn, is responsible for various health hazards including cancers, dermatitis, damage to the liver and kidneys, infertility in both males and females, defects in embryo and developmental problems in young children. [4] Chromium exposure through drinking water has been shown to impair ovarian follicular maturation and differentiation. [1] Chromium (VI) as reproductive toxicant is recently recognized and less studied. [5]

The potential role of oxidative stress in injury associated with Cr 6+ exposure suggests that anti-oxidant supplementation may mitigate chromate-induced toxicity. Vitamin E (α-tocopherol) is an important component in human diet and considered the most effective liposoluble anti-oxidant found in the biological system. It reacts with peroxy radicals 10,000-fold faster than do polyunsaturated lipids. Therefore, vitamin E is potentially useful as therapeutic agent in the treatment of several disorders associated with oxidative damage. [6] It might diminish lipid peroxidation (LPO) induced by heavy metals, including dichromate and protects the body's biological systems. [7] The first well known and the most established function of vitamin E is the regulation of reproductive functions in both male and female. [8] Because of the health problems induced by many environmental pollutants, much effort has been expended in evaluating the relative antioxidant potency of vitamin E. [9]

In light of the above data, the present study was undertaken to assess the effects of chromium on ovarian steroidogenesis and its possible protection by α-tocopherol.


   Materials and Methods Top


Chemicals

All the chemicals were of analytical grade and obtained from commercial sources.

Animals

Adult Wistar rats (24), aged about 60 days with average body weight of 140 ± 10 g were obtained from National Institute of Nutrition (NIN), Hyderabad. The animals kept in polypropylene cages were maintained under standard conditions prescribed by the committee for the purpose of control and supervision on experiments on animals (CPCSEA). The experimental protocol was approved by the Institutional Animal Ethics Committee (Approval No. I/7/2012).

Experimental design

A total of 24 rats were randomly divided into four groups with six rats in each. Group 1 was maintained as normal, while group 2 rats acted as Cr toxicity control. These rats were given Cr as K 2 Cr 2 O 7 dissolved in sterile saline (NaCl 0.9%) @ 10 mg/kg b.wt. as a single s.c. injection. Group 3 received Cr as above, but along with α-tocopherol, daily for 14 days by oral gavage. Group 4 was maintained as α-tocopherol control and was given α-tocopherol daily for 14 days by oral gavage. The study was approved by Institutional Animal Ethics Committee.

In this experiment, the dose of Cr to induce oxidative stress was based on a report by Biber et al. [10] The selected dose of α-tocopherol was as per Laura et al. [7] who stated that α-tocopherol at a dose of 125 mg/kg body wt. for 14 days effectively protected the kidney against Cr-induced alteration in lipid patterns.

Body weights were recorded at the beginning and at the end of experiment. Further, the rats were observed for occurrence of estrus cycle for 3 consecutive cycles. After completion of 14 days, the blood samples were collected from retro-orbital plexus of experimental rats for studying serum biochemical profile (ALT, BUN, creatinine and total protein). Then all the rats were euthanized. Uterus along with ovaries was collected immediately and ovaries were kept in ice cold phosphate buffer. A portion of the ovaries was homogenized with tissue homogenizer individually to make 10% homogenate to assay antioxidants, peroxidation and functional markers. Pieces of tissues from ovary and uterus were immediately kept in 10% of formalin fixative to study histological alterations, if any. Pieces of ovary were also kept in glutaraldehyde fixative to study subcellular alterations.

Occurrence of estrus cycle

The rats were observed for occurrence of estrus cycle every day in the morning between 9.00 AM and 10.00 AM by examination of cellular morphology of vagina by cotton swab smear technique. [11] The cotton wool tip was moistened slightly by dipping in saline. The rat was held around the thorax, ventral surface facing up. The tip of the swab stick was inserted carefully into the vagina to a depth of about 1 cm with a rotating action of swab and at an angle of 45° to animal body. The tip was rolled gently onto a clean pre labelled glass slide and the smears were examined under light microscope. Basing on the cell types, viz nucleated epithelial cells - Proestrus (PE), swollen cornified cells - Estrus (E), combination of nucleated epithelial cells, swollen cornified cells and leucocytes - Metestrus (ME), leucocytes-Diestrus (DE), each phase of estrus cycle was identified. The rats were examined for estrus cycle phase continuously for 3 consecutive cycles. The findings were tabulated as % of each estrus cycle phase continuously in 3 consecutive cycles.

Biochemical analysis

Antioxidant markers

SOD was estimated by the method that involved inhibition of superoxide-dependent reduction of tetrazolium dye methyl thiazolyl tetrazolium (MTT) to its formazan. [12] GSH was estimated based on a reaction of reduced glutathione with 5-5ditiobis-2-nitrobenzoic acid (DTNB). [13]

Peroxidation markers

Malondialdehyde, the product of lipid peroxidation, was estimated by reaction with thiobarbituric acid as per the method prescribed by Balasubramanian et al.[14] Protein carbonyls were estimated, based on the reaction of amino carbonyls with 2, 4-dinitrophenyl hydrazine to form hydrazones, which can be detected spectrophotometrically at 372 nm. [15]

Sero-biochemical markers

Total protein, ALT, BUN and creatinine were estimated in serum by using the standard diagnostic kits.

Total Protein

Total protein in the ovarian tissue was quantified as per Lowry et al.'s [16] method.

Histology

For light microscopy examination, the formalin fixed tissues were dehydrated through ascending grades of alcohol, cleared in three changes of xylene, and were embedded in paraffin. Serial sections, each of 4-micron thickness, were cut and stained with H and E as per standard protocols. [17] For transmission electron microscopy (TEM), the glutaraldehyde-fixed tissues were used. Specimen preparation, staining and the observations were done at the designated RUSKA Lab, Hyderabad.

Statistical analysis

The data were subjected to statistical analysis by applying one way ANOVA using statistical package for social sciences (SPSS) version 12.0. Differences between means were tested using Duncan's multiple comparison tests and significance was set at P < 0.05.


   Results Top


The average body weight gain was significantly ( P < 0.05) reduced in group 2 compared to control. But co-administration of α-tocopherol with chromium exposure (group 3) showed a significant ( P < 0.05) increase in weights as compared to group 2 [Figure 1].
Figure 1: Photomicrograph of Mean weights of different groups of rats

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Vaginal smear examination of group I rats revealed normal cyclicity with 4 to 5 days of estrus cycle with appropriate duration of all four phases. Group II animals showed prolongation of diestrus phase with slight reduction of proestrus and metestrus phase. Co-administration of α-tocopherol along with chromium showed normal estrus cycle phases that were comparable to control [Table 1].
Table 1: Effect of α -tocopherol on frequency of estrus cycle

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In Cr toxic group, the peroxidation markers such as malondialdehyde (MDA) and protein carbonyls in ovaries were significantly ( P < 0.05) increased and the levels of anti-oxidants such as SOD and reduced GSH were significantly ( P < 0.05) reduced compared with control. Co-administration of α-tocopherol significantly ( P < 0.05) reversed the above values [Table 2].
Table 2: Effect of α -tocopherol on antioxidant defenses and peroxidation biomarkers in ovarian homogenates

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The functional marker of ovaries viz total cholesterol was significantly ( P < 0.05) increased when compared to control. The functional markers of liver in serum such as total protein were significantly ( P < 0.05) decreased, while the ALT levels were significantly ( P < 0.05) increased following Cr administration. Kidney functional markers such as serum creatinine and BUN were also significantly ( P < 0.05) increased compared to those of control group. The above altered functional markers were significantly ( P < 0.05) reversed with co-administration of α-tocopherol [Table 3].
Table 3: Effect of α -tocopherol on functional markers of rats

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Uterus of chromium-treated group showed atrophy of endometrial glands, fibrous tissue proliferation [Figure 2] and hyperplasia of uterine epithelium [Figure 3]. Ovarian sections from group 2 revealed severe congestion, degeneration of follicles. In addition, cystic follicles were seen in large numbers [Figure 4]. Ultrastructural changes like distorted nucleus, swollen and elongated mitochondria, altered epithelial size and shape were also noticed in group 2 rats [Figure 5]. Recovery from histological injury was observed in α-tocopherol co-administered rats, with mild cloudy swelling in uterus [Figure 6] and congestion in ovaries [Figure 7]. Ultrastructurally, no changes were noticed in group 3 rats [Figure 8]. In group 4, treatment with α-tocopherol alone, revealed normal architecture of uterus [Figure 9] and ovaries [Figure 10],[Figure 11].
Figure 2: Photomicrograph of uterus showing marked atrophy of endometrial glands and fibrous tissue proliferation H and E ×200 (Group 2)

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Figure 3: Photomicrograph of uterus showing hyperplasia of uterine epithelium. H and E ×400 (Group 2)

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Figure 4: Photomicrograph of ovary showing congestion and cystic follicles. H and E ×200 (Group 2)

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Figure 5: Photomicrograph of ovary of TEM (×5000) showing altered epithelial cell size and shape, distorted nucleus, swollen and elongated mitochondria, margination of chromatin (Group 2)

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Figure 6: Photomicrograph of uterus showing mild cloudy swelling. H and E ×200 (Group 3)

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Figure 7: Photomicrograph of ovary showing mild congestion. H and E ×200 (Group 3)

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Figure 8: Photomicrograph of ovaries of TEM (×5000) showing various stages of follicle (Group 3)

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Figure 9: Photomicrograph of uterus showing normal histoarchitecture. H and E ×200 (Group 4)

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Figure 10: Photomicrograph of ovaries showing normal histoarchitecture. H and E ×200 (Group 4)

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Figure 11: Photomicrograph of ovaries of TEM (×5000) showing normal follicles and basement membrane with adipose tissue (Group 4)

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   Discussion Top


Hexavalent chromium is an important reproductive and developmental toxicant as Office of Environmental Health Hazard Assessment (OEHHA) and the Developmental and Reproductive Toxicant Identification Committee (DARTIC) mentioned in 2007. [5] Due to their extensive use in industry, there is a need to investigate the multi-organ toxicity due to Cr (VI) and mitigative role of vitamin E.

Previous studies showed that dichromate exposure increases the concentration of reactive oxygen species (ROS), [18] and provokes oxidative damage in hepatocytes, [19] kidney, [20] ovaries and uterus. [21]

Administration of Cr resulted in prolongation of diestrus phase. Estradiol is responsible for changes in the reproductive tract, mammary glands and for the regulation of gonadotropins. The stages of estrus cycle and their interconversions are mainly governed by the hormones viz., estrogens and progesterone. [22] Any change in these hormones would lead to changes in the cyclicity and impaired fertility. Hence, the persistent diestrus phase of the estrus cycle in the chromium treated rats could be correlated with decreased estradiol levels. These findings are in consistent with earlier report by Rao et al. [23]

Steroid hormone synthesis is controlled by activity of several highly substrate selective cytochrome P 450 enzymes and a number of steroid dehydrogenases and reductases. Interferences with steroid biosynthesis may result in impaired reproduction, alterations in development, sexual differentiation and growth. [24] The steroidogenic dehydrogenases are important regulatory enzymes necessary for the synthesis of steroid hormones. The exploration of these enzymes after chromium treatment results in blockage of steroidogenic pathway, which is evident by significant accumulation of cholesterol in ovaries of chromium treated rats.

Administration of Cr resulted in oxidative stress in female reproductive system of rats that was reflected by altered histoarchitecture, with atrophy of endometrial glands in uterus, hyperplasia of uterine epithelium and fibrous tissue proliferation. Ovarian sections revealed severe congestion and degeneration of follicles. In addition, cystic follicles were seen in large numbers. Severe histological changes like follicular atresia, induced fibrosis and necrosis of primary and secondary follicles of Cr treated rats were earlier reported by Royce et al. [25] Cr induces free radical production by multiple mechanisms leading to peroxidation, which in the present study was evinced by significant increase in peroxidation markers such as MDA and protein carbonyls, and decrease in anti-oxidant markers such as SOD and GSH in ovaries. Peroxidative damage also occurred in liver and kidney, which resulted in reduced hepatic and kidney function, and was reflected by significant decrease in total protein with significant increase in ALT activity indicating hepatotoxicity. Significant increase in serum levels of BUN and creatinine in this study was suggestive of nephrotoxicity. The results of the present study are in agreement with earlier findings of reduction in the anti-oxidant markers with simultaneous increase in peroxidation markers and functional markers in rats under Cr influence. [21]

Vitamin E, a lipid soluble membrane localized anti-oxidant, protects cells and tissues from oxidative damage induced by a wide variety of free radical species. It functions as a chain breaking anti-oxidant that prevents the propagation of free radical reaction and preserves cell membranes by protecting against lipid peroxidation through reaction with lipid peroxyl radicals and conversion to a non-reactive tocopheroxyl radical. [26] In the present study, when vitamin E was supplemented along with chromium, a remarkable resurgence was observed in all the parameters. The results of the present study were in agreement with previous studies, where supplementation of vitamin E restored ovarian steroidogenic indices and cyclicity to normal in rats administered potassium dichromate. [23]

In conclusion, the study revealed that chromium exposure affected ovarian steroidogenesis and cyclicity along with histological alterations in ovaries and uterus, which affected the fertility potential of treated females, besides affecting hepatic and renal function. However, vitamin E supplementation along with chromium to rats, manifested significant protective effects.

 
   References Top

1.Banu SK, Samuel JB, Arosh JA, Burghardt RC, Aruldhas MM. Lactational exposure to hexavalent chromium delays puberty by impairing ovarian development, steroidogenesis and pituitary hormone synthesis in developing wistar rats. Toxicol Appl Pharmacol 2008;232:180-9.  Back to cited text no. 1
[PUBMED]    
2.Quinteros FA, Machiavelli LI, Miler EA, Cabilla JP, Duvilanski BH. Mechanisms of chromium (VI)-induced apoptosis in anterior pituitary cells. Toxicology 2008;249:109-15.  Back to cited text no. 2
[PUBMED]    
3.Manerikar RS, Apte AA, Ghole VS. In vitro and in vivo genotoxicity assessment of Cr (VI) using comet assay in earthworm coelomocytes. Environ Toxicol Pharmacol 2008;25:63-8.  Back to cited text no. 3
[PUBMED]    
4.Kanojia RK, Junaid M, Murthy RC. Embryo and fetotoxicity of hexavalent chromium: A long-term study. Toxicol Lett 1998;95:165-72.  Back to cited text no. 4
[PUBMED]    
5.Epa.gov. U.S: EPA, Toxicology profile for chromium. Inc. 2001. Available from: http://www.epa.gov. [Last cited in 2001].  Back to cited text no. 5
    
6.Halliwell B, Gutteridge JM. Free radicals, other reactive species and disease. In: Halliwell B, Gutteridge JM, editors. Free radicals in biology and medicine. 3 rd ed. Oxford: Clarendon Press; 1999. p. 617-783.  Back to cited text no. 6
    
7.Arreola-Mendoza L, Reves JL, Melendez E, Martin D, Namorado MC, Sanchez E, et al. Alpha-tocopherol protects against the renal damage caused by potassium dichromate. Toxicology 2006;218:237-46.  Back to cited text no. 7
    
8.Azhar S. Alpha-tocopherol and male fertility. In: Preedy VR, Watson RR, editors. The Encyclopedia of Vitamin E. London: CABI Publishing; 2007. p. 497-508.  Back to cited text no. 8
    
9.Arreola-Mendoza L, Del Razo LM, Mendoza-Garrido ME, Martin D, Namorado MC, Calderon-Salinas JV, et al. The protective effect of alpha-tocopherol against dichromate-induced renal tight junction damage is mediated via ERK1/2. Toxicol Lett 2009;191:279-88.  Back to cited text no. 9
[PUBMED]    
10.Biber TU, Mylle M, Baines AD, Gottschalk CW, Oliver JR, Macdowell MC. A study by micropuncture and microdissection of acute renal damage in rats. Am J Med 1968;44:664-705.  Back to cited text no. 10
[PUBMED]    
11.Oecd.org [home page on internet]. OECD Guidance Report part - 5, Inc. 2009. Available from: http://www.oecd.org/dataoecd/29/38/43754782.pdf.  Back to cited text no. 11
    
12.Madesh M, Balasubramanian KA. Microtiter plate assay for superoxide dismutase using MTT reduction by superoxide. Indian J Biochem Biophys 1988;35:184-8.  Back to cited text no. 12
    
13.Moron MS, Depierre JW, Mannervik B. Levels of glutathione, glutathione reductase and glutathione S transferase in rat lung and liver. Biochim Biophys Acta 1979;582:67-78.  Back to cited text no. 13
[PUBMED]    
14.Balasubramanian KA, Manohar M, Mathan VI. An unidentified inhibitor of lipid peroxidation in intestinal mucosa. Biochim Biophys Acta 1988;962:51-8.  Back to cited text no. 14
[PUBMED]    
15.Levine RL, Garland D, Oliver CN, Amici A, Climent I, Lenz AG, et al. Determination of carbonyl content in oxidatively modified proteins. Methods Enzymol 1990;186:464-78.  Back to cited text no. 15
[PUBMED]    
16.Lowry OH, Rosenbrough MJ, Farr AL, Rawdall RA. Protein measurement with the Folin phenol reagent. J Biol Chem 1951;193:265-75.  Back to cited text no. 16
    
17.Bancroft JD, Gamble M. In: Bancroft JD, Gamble M, editors. Theory and practice of histological techniques. 5 th ed. New York: Churchill Livingstone; 2003. p. 593-620.  Back to cited text no. 17
    
18.O'Brien TJ, Ceryak S, Patierno SR. Complexities of chromium carcinogenesis: Role of cellular response, repair and recovery mechanisms. Mutat Res 2003;533:3-36.  Back to cited text no. 18
[PUBMED]    
19.Patlolla AK, Barnes C, Hackett D, Tchounwou PB. Potassium dichromate induced cytotoxicity, genotoxicity and oxidative stress in human liver carcinoma (HepG 2 ) cells. Int J Environ Res Public Health 2009;6:643-53.  Back to cited text no. 19
[PUBMED]    
20.Bosqelmez II, Guvendik G. Effects of taurine on oxidative stress parameters and chromium levels altered by acute hexavalent chromium exposure in mice kidney tissue. Biol Trace Elem Res 2004;102:209-25.  Back to cited text no. 20
    
21.Samuel JB, Stanley JA, Vengatesh G, Princess RA, Muthusami S, Roopha DP, et al. Ameliorative effect of vitamin C on hexavalent chromium-induced delay in sexual maturation and oxidative stress in developing wistar rat ovary and uterus. Toxicol Ind Health 2012;28:720-33.  Back to cited text no. 21
[PUBMED]    
22.Freeman ME. The ovarian cycle of rat. In: Knobil E, Neill JD, editors. The physiology of reproduction. New York: Raven Press; 1988. p. 1893-928.  Back to cited text no. 22
    
23.Rao MV, Chawla SL, Sharma SR. Ameliorative effect of vitamin E on nickel and/or chromium induced effect on gonadal steroidogenesis and cyclicity in mice. J Herb Med Toxicol 2011;5:83-8.  Back to cited text no. 23
    
24.Sanderson JT. The steroid hormone biosynthesis pathway as a target for endocrine- disrupting chemicals. Toxicol Sci 2006;94:3-21.  Back to cited text no. 24
[PUBMED]    
25.Royce R, Jawahar S, Joe A, Jehoon L, Michael A, Sakhila B. Chromium toxicity induces ovarian follicular developmental arrest, apoptosis, and deregulated steroidogenesis: Vitamin C restores follicular survival and function. Biol Reprod 2007;77:215.  Back to cited text no. 25
    
26.Clarke MW, Burnett JR, Croft KD. Vitamin E in human health and disease. Crit Rev Clin Lab Sci 2008;45:417-50.  Back to cited text no. 26
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6], [Figure 7], [Figure 8], [Figure 9], [Figure 10], [Figure 11]
 
 
    Tables

  [Table 1], [Table 2], [Table 3]


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