Loading

Annals of Biometrics and Biostatistics

A t-SNE-Plot-Aided Generalized F-test for Analysis of Gene Expression Data

Research Article | Open Access | Volume 7 | Issue 1

  • 1. Daniel Hand High School, Madison, CT 06443, USA
  • 2. Department of Biostatistics, Bioinformatics and Biomathematics, Georgetown University, Washington, DC 20057, USA
  • 3. Next-Gen Intelligent Science Training, Ann Arbor, MI 48105, USA
+ Show More - Show Less
Corresponding Authors
Jeffrey Liang, Danniel Hand High School, Madison, CT 06443, USA, 286 Green Hill Road, Madison, CT 06443, USA, Tel: +1 475-355-3112
Abstract

In this paper, we introduce a novel approach for analyzing gene expression data by integrating the t-distributed Stochastic Neighbor Embedding (t-SNE) for data clustering with a generalized F-test for multiple mean comparison. High-dimensional gene expression data often poses challenges when the number of features exceeds the total sample size from individual clusters, limiting the applicability of traditional multivariate methods such as Multivariate Analysis of Variance (MANOVA). By employing t-SNE, we first perform nonlinear dimensionality reduction to cluster gene expression data, providing clear visual separation of different groups. Following this, a generalized F-test is applied to compare the mean expression levels across these clusters. The method is further enhanced through projections onto lower dimensions using Principal Component Analysis (PCA), ensuring robustness across different projection spaces. Our approach provides an efficient solution to the problem of multiple mean comparison in high-dimensional settings, where traditional methods fall short. We demonstrate the effectiveness of the proposed method through a case study involving real gene expression data, highlighting its practical utility for researchers in genomics and bioinformatics. Future work will explore post-hoc analyses after rejecting the null hypothesis of equal mean expression levels.

KEYWORDS
  • Dimension reduction; Gene expression data; Multiple mean comparison; tSNE plot; Generalized F-test
CITATION

Liang J, Fang HB, Bai Y (2024) A t-SNE-Plot-Aided Generalized F-test for Analysis of Gene Expression Data. Ann Biom Biostat 7(1): 1041.

ABBREVIATIONS

IID: Independent Identically Distributed; MANOVA: Multivariate Analysis of Variance; PCA: Principal Component Analysis; t-SNE: t-Stochastic Neighbor Embedding 

INTRODUCTION

The analysis of gene expression data has become increasingly complex with the advent of high-throughput technologies, which generate large-scale, high-dimensional data. One of the challenges associated with this type of data is the need to accurately classify and compare gene expressions across different experimental conditions or samples. Traditional multivariate statistical methods, such as Multivariate Analysis Of Variance (MANOVA), are often limited by the curse of dimensionality [1], particularly when the number of dimensions exceeds the number of observations. In such cases, standard methods may fail to deliver meaningful insights due to the overfitting of models, leading to unstable or unreliable results. To address these challenges, novel approaches that combine nonlinear dimensionality reduction with robust statistical tests are becoming essential [2,3]. This paper introduces a method that integrates the t-distributed Stochastic Neighbor Embedding (t-SNE, [4]) technique with the generalized F-test [5] for the analysis of gene expression data. The primary aim is to utilize the strength of t-SNE for classifying high dimensional gene expression data into meaningful clusters and subsequently applying the generalized F-test to compare means across these clusters. The method capitalizes on the nonlinear dimensionality reduction capability of t-SNE to visualize complex gene expression data structures, followed by the application of a statistical test suitable for situations where traditional methods such as MANOVA are not applicable due to the data’s high dimensionality relative to sample sizes.

The t-SNE algorithm is particularly advantageous in high- dimensional data contexts as it effectively preserves the local structure of the data while allowing for a global arrangement that reflects meaningful clusters. This method is especially useful for visualizing gene expression data, where intricate relationships between genes can be difficult to interpret using standard dimensionality reduction techniques. By mapping highdimensional gene expression profiles into a lower- dimensional space, t-SNE helps reveal natural groupings of gene expressions, which can be crucial for identifying distinct biological processes or experimental conditions.

After visualizing and identifying clusters with t-SNE, the generalized F-test is employed to perform multiple mean comparisons across the clusters. The generalized F-test has been recognized as a robust alternative to traditional methods when dealing with highdimensional data, particularly in cases where the dimensionality exceeds the total number of samples. Unlike classical MANOVA, which is limited by the requirement that the total sample size must exceed the number of variables, the generalized F-test accommodates the high-dimensional setting, allowing for the comparison of multiple group means even when the data’s dimensionality is greater than the total sample sizes from individual clusters. This approach offers several benefits for the analysis of gene expression data. First, the use of t-SNE allows for the visualization of complex gene expression patterns, providing a clear and interpretable view of the data’s structure. This is particularly valuable for understanding the underlying biological processes and for identifying distinct groups of gene expressions that may correspond to different functional pathways or disease states [6,7]. Second, the generalized F-test enables robust statistical inference in high-dimensional settings, avoiding the limitations of traditional multivariate analysis techniques. By combining these two methods, researchers can gain both an intuitive visual understanding of their data and a rigorous statistical framework for comparing group means.

In summary, this paper presents a novel approach that combines the t-SNE plot’s clustering and visualization capabilities with the generalized F-test’s statistical rigor for analyzing high-dimensional gene expression data. The proposed method allows for effective classification of gene expressions and robust comparison of means across clusters, making it particularly suitable for applications in genomics where traditional methods may falter due to the high dimensionality of the data. Section 2 presents the basic idea of the t-SNE plot and its illustration through real datasets. Section 3 gives simple introduction to the generalized F-test and its implementation on real datasets. Related methods such as MANOVA and other approaches to multivariate multiple mean comparison are also discussed in Section 3. Some concluding remarks are summarized in the last section.

THE T-SNE PLOT AND ITS ILLUSTRATION

Steps for implementing a t-SNE plot can be summarized as follows.

• Data preprocessing: start by preparing high-dimensional data (e.g., gene expression data). This often involves normalizing or scaling the data so that features have similar scales. Ensure the data is in matrix form, with samples as rows and features (such as gene expression levels) as columns.

• Compute pairwise distances: t-SNE works by comparing the pairwise similarities between data points. For each data point in the high-dimensional space, compute the distances to every other point. This is typically done using Euclidean distance.

• Convert distances to probabilities: for each data point, convert the pairwise distances to probability distributions that represent how likely two points are neighbors in high-dimensional space. This is done using a Gaussian probability distribution, where closer points have higher probabilities of being neighbors.

• Project data into low-dimensional space: t-SNE maps the high-dimensional data into a lower-dimensional space (usually 2D for simple visualization purpose) by finding a similar probability distribution of points in the new space. t-SNE minimizes the difference (or divergence) between the two distributions (highdimensional and low dimensional) using a cost function called Kullback-Leibler (KL) divergence [8,9].

• Optimize the mapping: t-SNE uses an optimization method, typically gradient descent, to iteratively adjust the points in the lower-dimensional space. The goal is to find a configuration in the lower-dimensional space that best reflects the distances and relationships from the high-dimensional space.

• Visualize the results: once the optimization process is complete, the data points are mapped to a lower dimensional space. These can be visualized in a scatter plot. The clusters or groupings formed can reveal meaningful patterns or relationships in the data.

• Parameter tuning: t-SNE has parameters such as “perplexity” (which balances local and global data structure) and “learning rate” that can be adjusted to improve the results. These parameters are typically set through trial and error or based on the data characteristics

There are three key parameters in implementing the t-SNE plot: perplexity, it controls how to balance local and global aspects of the data; learning rate: it affects the speed and effectiveness of the optimization process; and number of iterations: the number of optimization steps, increasing this can improve the quality of the mapping. This implementation is typically done using libraries like Python’s `scikit-learn` or `TensorFlow`, which have built-in functions to perform t-SNE. Because the t-SNE plot depends on a careful choice of its parameters such as the perplexity, which typically ranges between 5 and 50. Smaller values of perplexity emphasize local data structure, while larger values focus more on global data structure. A practical implementation of the t-SNE plot can be done by running the Rtsne package that is free to download and running install. packages(“Rtsne”) under the R command line after installing the general R software from https://cran.r-project.org/, and then running library(Rtsne) under the R command window. We illustrate its application in the following example.

Example: The gene expression dataset consists of gene mapping data of different time points using mass spectrometry technology. The original data were collected from a study of Metabolic Syndrome (MetS), which is a collection of metabolic risk factors, including central adiposity, hyperglycemia, hypertension and dyslipidemia. Yu ZR, et al. [10] studied the identification of potential biomarkers of metabolic syndrome by taking urine samples from 36 male patients who were policemen in the City of Tianjin. The original data were obtained through both positive mode and negative mode method by mass spectrometry technology. The experimental data from 36 patients were matched paired with 36 normal patients as the control group. Both the negative-mode and positive-mode data consist of a total of 36 patients in the experimental group and 36 patients in the control group. The urine sample was carried out for 869 time points for negative-mode data and for 552 time points for positive-mode data using mass spectrometry technology. We tale each observation as the gene expression data for 36 patients in the trial group. So the data the dimension p=36, the sample size n=869 for the negative-mode data and n=552 for the positive- mode data. Both of the set of negative-mode data and the set of positive-mode data consist of a total of 36 patients in the trial (experimental) group and 36 patients in the control group. The original data are available upon request.

When determining the possible number of clusters for a gene expression dataset, the elbow plot [11] can be implemented, which is a method of plotting the WCSS=withincluster sum of squares against the number of clusters. The elbow method is based on the k-means algorithm which is provided by the R package “kmeans”. The elbow plot for the negative-mode dataset is given in Figure 1.

Figure 1 Elbow plots for negative-mode and positive-mode data for the trial and control groups.

Figure 1: Elbow plots for negative-mode and positive-mode data for the trial and control groups.

From the elbow plots, it seems that the better number of clusters for both negative-mode and positive-mode data may be 3, 4, and 5. We summarize the number of observations (the gene expression levels) for each case in Tables 1,2.

The t-SNE plots for both negative-mode and positive-mode data with different number of clusters under different perplexity parameters are shown in the following Figures 2-7.

Figure 2 t-SNE plot for negative-mode data from 36 patients in the trial group (clusters=3).

Figure 2: t-SNE plot for negative-mode data from 36 patients in the trial group (clusters=3).

Figure 3 t-SNE plot for negative-mode data from 36 patients in the trial group (clusters=4).

Figure 3: t-SNE plot for negative-mode data from 36 patients in the trial group (clusters=4).

Figure 5 t-SNE plot for positive-mode data from 36 patients in the trial group.

Figure 5: t-SNE plot for positive-mode data from 36 patients in the trial group.

Figure 6 t-SNE plot for positive-mode data from 36 patients in the trial group (clusters=4).

Figure 6: t-SNE plot for positive-mode data from 36 patients in the trial group (clusters=4).

Figure 7 t-SNE plot for positive-mode data from 36 patients in the trial group (clusters=5)

Figure 7: t-SNE plot for positive-mode data from 36 patients in the trial group (clusters=5)

Summary observation from Figures 1-7: for both negative- mode and positive-mode data, a better classification of the data seems to be four clusters because: 1) classification of three to four clusters leads to a big decrease in the elbow plot as shown in Figure 1; 2) classification of four to five clusters only leads to a small decrease in the elbow plot as shown in Figure 1; and 3) the classification of five clusters shows more overlapped observations than those for the classification of four clusters. Therefore, it is better option to classify both negative-mode and positive-mode data into four clusters, respectively.

The generalized F-test for multiple mean comparison

In this section, we will employ the generalized F-test [5] for multiple mean comparison among the four clusters of negativemode and positive-mode data in the last section. For an i.i.d. (independent identically distributed) sample from each cluster, we follow the notation in [5]. Let

????! = the mean level of observations in cluster ????, ???? = 1, … , ????, ???? ≥ 2

We want to test if the mean levels for all k clusters are the same. That is, we want to test the statistical hypothesis

against the general alternative hypothesis that at least two means differ. Note that each mean level is a vector of p-dimension with p=the number of patients in each mode (negative or positive)=36. The sample size n=the gene expression levels (n=869 for negative-mode data, and n=552 for positive-mode data). Denote the observations from each cluster by 

It is known that hypothesis (1) is the problem of Multivariate Analysis of Variance (MANOVA). It can be tested by the classical Wilks-Lambda statistic [1] if the total sample size is greater than the data dimension . Here we employ the generalized F-test [5] to test hypothesis (1) and the two-by-two paired comparison between any two clusters. The generalized F-test is applicable for both cases of ???? > ???? an ≤ . Accordin t [5], the generalized F-test is computed as follows. Let

Define the eigenvalue-eigenvector problem

Where ???? = (d1 , ..., dp ): ???? × ???? consist o th eigenvectors an Λ ????????????????(????1 , , ????p )) is a diagonal matrix consists of the eigenvalues ????1 ≥ ? ≥ ????p ≥ 0. Let

The generalized F-statistic is defined by

Liang and Tang [5] gave the probability distribution of GF by

under the null hypothesis (1) and the multivariate normal assumption with equal covariance matrices for the data from all clusters, and the sample size is large enough. Here F(???? 1 ???? − 2 stands for the distribution function of the F-distribution ????(1 ???? − 2) and ???? = min(???? − 1 1th numbe of positiv eigenvalue in (4). The p-value of the generalized F-test (6) for hypothesis (1) is computed by 

Where ????????0 is computed from the sample data through equations (2)-(6). A small p-value implies rejection of hypothesis (1).

The number q in constructing the generalized F-statistic (6) acts as the projection dimension in the PCA (principal component analysis) problem (4). In general q should be chosen as the number of positive eigenvalues to ensure there exists variation in the data projected to the PCA direction. Based on the PCA theory [12], the idea of explanation of variation of the eigenvalues can be employed to determine q, for example, q can be chosen as the number such that the first q eigenvalues can explain a given percentage 0 < ???? 1:

We apply the GF-test (6) to the multiple mean comparisons for the clusters in tables 1,2

Table 1: Classification of negative-mode data into different number of clusters for the trial group.

 

 

No. of observations

 

 

No. of clusters

Cluster 1

Cluster 2

Cluster 3

Cluster 4

Cluster 5

Total

3

3

38

828

 

 

869

4

732

21

113

3

 

869

5

145

14

3

37

670

869

Table 2: Classification of positive-mode data into different number of clusters for the trial group.

 

 

No. of observations

 

 

No. of clusters

Cluster 1

Cluster 2

Cluster 3

Cluster 4

Cluster 5

Total

3

30

517

5

 

 

552

4

482

10

56

4

 

552

5

92

411

10

35

4

552

and summarize the p-values for all comparisons in tables 3,4, where

Table 3: P-values for the generalized F-tests for multiple mean comparison (negative-mode data).

Proj. dim.

???? = 35

???? # = 5

???? , = 2

???? / = 1

???? 0 = 1

No. of clusters 3 p-value

????????(???? )

= 376

????????(???? #)

= 376

????????(???? ,)

= 376

????????(???? /)

= 376

????????(???? 0)

= 376

0.0000

0.0000

0.0000

0.0000

0.0000

No. of clusters 4 p-value

????????(???? ) = 54

????????(???? #) = 54

????????(???? ,) = 54

????????(???? /) = 54

????????(???? 0) = 54

0.0000

0.0000

0.0000

0.0000

0.0000

No. of clusters 5 p-value

????????(???? ) = 79

????????(???? #) = 79

????????(???? ,) = 79

????????(???? /) = 79

????????(???? 0) = 79

0.0000

0.0000

0.0000

0.0000

0.0000

Abbreviations: Proj. dim.: Projection Dimension

Table 4: P-values for the generalized F-tests for multiple mean comparison (positive-mode data).

Proj. dim.

???? = 35

???? # = 3

???? , = 1

???? / = 1

???? 0 = 1

No. of clusters 3 p-value

????????(???? ) = 28

????????(???? #) = 28

????????(???? ,)= 28

????????(???? /)= 28

????????(???? 0)= 28

0.0000

0.0000

0.0000

0.0000

0.0000

No. of clusters 4 p-value

????????(???? ) = 30

????????(???? #)= 30

????????(???? ,)= 30

????????(???? /)= 30

????????(???? 0)= 30

0.0000

0.0000

0.0000

0.0000

0.0000

No. of clusters 5 p-value

????????(???? ) = 19

????????(???? #)= 3.7

????????(???? ,)= 3.7

????????(???? /)= 3.7

????????(???? 0)= 3.7

0.0004

0.1596

0.0563

0.0563

0.0563

Abbreviations: Proj. dim.: Projection Dimension

That is, 1 is the smallest projection dimension such that the first 1 PCA directions can explain a least 90% data variation; i th smalles projectio dimensio suc tha th firs PC direction ca explai leas 80% dat variation/ is the smallest projection dimension such that the first / PC directions can explain a least 70 data variation; and i the smallest projection dimension such that the first PC directions can explain a least 60% data variation (Tables 3,4).

The p-values in tables 3,4 imply that it is practicable to classify the negative-mode data for the trial group into either 3, 4, or 5 clusters depending on practical needs, while it is impractical to classify the positive-mode data for the trial group into 5 clusters. This conclusion is basically consistent with the data visualization from the t-SNE plots in Figures 2-7. Note that when choosing the projection dimension q=1, the generalized F-test reduces to the Läuter’s exact F-test [13] under the null hypothesis (1) and the multivariate normal assumption on all clustered data. This makes generalized F-test more applicable than the classical MANOVA method, which generally relies on large sample size to obtain the asymptotic null distribution.

CONCLUDING REMARKS

In conclusion, the integration of the t-SNE plot with the generalized F-test offers a powerful and flexible approach to analyzing gene expression data. By utilizing the t-SNE plot, this method effectively tackles the challenge of classifying high-dimensional gene expression data into distinct clusters, leveraging nonlinear dimensionality reduction to reveal patterns and relationships that may be missed by linear methods. The visual clarity of the classified data enhances understanding and interpretation, making it a valuable tool in biological data analysis.

The application of the generalized F-test for multiple mean comparison in this context is particularly innovative. It addresses the limitations of traditional MANOVA method, which may fail when the dimensionality of the data exceeds the total sample sizes of the clusters. By employing Principal Component Analysis (PCA) to project the data into various dimensions, the test can be applied across different projected spaces. This layered approach not only strengthens the robustness of the hypothesis testing but also offers a means of validating results across multiple dimensions, adding another layer of reliability.

The combination of the t-SNE plot and the generalized F-test bridges visualization and statistical rigor, allowing researchers to make data-driven decisions with confidence. However, the rejection of the null hypothesis in this context opens new doors for further investigation. Future research should focus on the underlying biological significance of the gene clusters and explore other statistical methodologies for deeper insight into differential gene expression patterns. Overall, this approach represents a meaningful step forward in the exploration and understanding of high-dimensional gene expression data, promising to contribute significantly to the field of bioinformatics.

ACKNOWLEDGMENTS

The authors thank Prof. Xi Chen at Tianjin Medical University, China, for providing the real gene expression data in the example of this paper.

Conflicts of Interest: There is no conflict of interest.

REFERENCES
  1. Anderson TW. An Introduction to Multivariate Statistical Analysis, 3rd ed. Wiley Inc: USA; 2003.
  2. Roweis ST, Saul LK. Nonlinear dimensionality reduction by locally linear embedding. Science. 2000; 290: 2323-2326.
  3. Tenenbaum JB, Silva VD, Langford JC. A global geometric framework for nonlinear dimensionality reduction. Science. 2000; 290: 2319-2323.
  4. van der Maaten L, Hinton G. Visualizing data using t-SNE. Journal of Machine Learning Research. 2008; 9: 2579-2605.
  5. Liang J, Tang ML. Generalized F-tests for the multivariate normal mean. Computational Statistics & Data Analysis. 2009; 53: 1177-1190.
  6. Konstorum A, Jekel N, Vidal E, Laubenbacher R. Comparative analysis of linear and nonlinear dimension reduction techniques on mass cytometry data. BioRxi. 2018.
  7. Amir el-AD, Davis KL, Tadmor MD, Simonds EF, Levine JH, Bendall SC, et al. viSNE enables visualization of high dimensional single-cell data and reveals phenotypic heterogeneity of leukemia. Nat Biotechnol. 2013; 31: 545-552.
  8. Kullback S, Leibler RA. On information and sufficiency. The Annals of Mathematical Statistics. 1951; 22: 79-86.
  9. Joyce JM. Kullback-leibler divergence. In: International Encyclopedia of Statistical Science. Lovric M, editor. Springer; 2014. pp. 720-722.
  10. Yu ZR, Ning Y, Yu H, Tang NJ. A HPLC-Q-TOF-MS-based urinary metabolomic approach to identification of potential biomarkers of metabolic syndrome. J Huazhong Univ Sci Technolog Med Sci. 2014; 34: 276-283.
  11. Ketchen DJ, Shook CL. The application of cluster analysis in strategic management research: an analysis and critique. Strategic Management Journal 1996; 17: 441-458.
  12. Jolliffe IT. Principal Component Analysis. Springer, New York, 1986.
  13. Läuter J. Exact t and F tests for analyzing studies with multiple endpoints. Biometrics 1996; 52: 964-930

Liang J, Fang HB, Bai Y (2024) A t-SNE-Plot-Aided Generalized F-test for Analysis of Gene Expression Data. Ann Biom Biostat 7(1): 1041.

Received : 07 Oct 2024
Accepted : 22 Oct 2024
Published : 24 Oct 2024
Journals
Annals of Otolaryngology and Rhinology
ISSN : 2379-948X
Launched : 2014
JSM Schizophrenia
Launched : 2016
Journal of Nausea
Launched : 2020
JSM Internal Medicine
Launched : 2016
JSM Hepatitis
Launched : 2016
JSM Oro Facial Surgeries
ISSN : 2578-3211
Launched : 2016
Journal of Human Nutrition and Food Science
ISSN : 2333-6706
Launched : 2013
JSM Regenerative Medicine and Bioengineering
ISSN : 2379-0490
Launched : 2013
JSM Spine
ISSN : 2578-3181
Launched : 2016
Archives of Palliative Care
ISSN : 2573-1165
Launched : 2016
JSM Nutritional Disorders
ISSN : 2578-3203
Launched : 2017
Annals of Neurodegenerative Disorders
ISSN : 2476-2032
Launched : 2016
Journal of Fever
ISSN : 2641-7782
Launched : 2017
JSM Bone Marrow Research
ISSN : 2578-3351
Launched : 2016
JSM Mathematics and Statistics
ISSN : 2578-3173
Launched : 2014
Journal of Autoimmunity and Research
ISSN : 2573-1173
Launched : 2014
JSM Arthritis
ISSN : 2475-9155
Launched : 2016
JSM Head and Neck Cancer-Cases and Reviews
ISSN : 2573-1610
Launched : 2016
JSM General Surgery Cases and Images
ISSN : 2573-1564
Launched : 2016
JSM Anatomy and Physiology
ISSN : 2573-1262
Launched : 2016
JSM Dental Surgery
ISSN : 2573-1548
Launched : 2016
Annals of Emergency Surgery
ISSN : 2573-1017
Launched : 2016
Annals of Mens Health and Wellness
ISSN : 2641-7707
Launched : 2017
Journal of Preventive Medicine and Health Care
ISSN : 2576-0084
Launched : 2018
Journal of Chronic Diseases and Management
ISSN : 2573-1300
Launched : 2016
Annals of Vaccines and Immunization
ISSN : 2378-9379
Launched : 2014
JSM Heart Surgery Cases and Images
ISSN : 2578-3157
Launched : 2016
Annals of Reproductive Medicine and Treatment
ISSN : 2573-1092
Launched : 2016
JSM Brain Science
ISSN : 2573-1289
Launched : 2016
JSM Biomarkers
ISSN : 2578-3815
Launched : 2014
JSM Biology
ISSN : 2475-9392
Launched : 2016
Archives of Stem Cell and Research
ISSN : 2578-3580
Launched : 2014
Annals of Clinical and Medical Microbiology
ISSN : 2578-3629
Launched : 2014
JSM Pediatric Surgery
ISSN : 2578-3149
Launched : 2017
Journal of Memory Disorder and Rehabilitation
ISSN : 2578-319X
Launched : 2016
JSM Tropical Medicine and Research
ISSN : 2578-3165
Launched : 2016
JSM Head and Face Medicine
ISSN : 2578-3793
Launched : 2016
JSM Cardiothoracic Surgery
ISSN : 2573-1297
Launched : 2016
JSM Bone and Joint Diseases
ISSN : 2578-3351
Launched : 2017
JSM Bioavailability and Bioequivalence
ISSN : 2641-7812
Launched : 2017
JSM Atherosclerosis
ISSN : 2573-1270
Launched : 2016
Journal of Genitourinary Disorders
ISSN : 2641-7790
Launched : 2017
Journal of Fractures and Sprains
ISSN : 2578-3831
Launched : 2016
Journal of Autism and Epilepsy
ISSN : 2641-7774
Launched : 2016
Annals of Marine Biology and Research
ISSN : 2573-105X
Launched : 2014
JSM Health Education & Primary Health Care
ISSN : 2578-3777
Launched : 2016
JSM Communication Disorders
ISSN : 2578-3807
Launched : 2016
Annals of Musculoskeletal Disorders
ISSN : 2578-3599
Launched : 2016
Annals of Virology and Research
ISSN : 2573-1122
Launched : 2014
JSM Renal Medicine
ISSN : 2573-1637
Launched : 2016
Journal of Muscle Health
ISSN : 2578-3823
Launched : 2016
JSM Genetics and Genomics
ISSN : 2334-1823
Launched : 2013
JSM Anxiety and Depression
ISSN : 2475-9139
Launched : 2016
Clinical Journal of Heart Diseases
ISSN : 2641-7766
Launched : 2016
Annals of Medicinal Chemistry and Research
ISSN : 2378-9336
Launched : 2014
JSM Pain and Management
ISSN : 2578-3378
Launched : 2016
JSM Women's Health
ISSN : 2578-3696
Launched : 2016
Clinical Research in HIV or AIDS
ISSN : 2374-0094
Launched : 2013
Journal of Endocrinology, Diabetes and Obesity
ISSN : 2333-6692
Launched : 2013
Journal of Substance Abuse and Alcoholism
ISSN : 2373-9363
Launched : 2013
JSM Neurosurgery and Spine
ISSN : 2373-9479
Launched : 2013
Journal of Liver and Clinical Research
ISSN : 2379-0830
Launched : 2014
Journal of Drug Design and Research
ISSN : 2379-089X
Launched : 2014
JSM Clinical Oncology and Research
ISSN : 2373-938X
Launched : 2013
JSM Bioinformatics, Genomics and Proteomics
ISSN : 2576-1102
Launched : 2014
JSM Chemistry
ISSN : 2334-1831
Launched : 2013
Journal of Trauma and Care
ISSN : 2573-1246
Launched : 2014
JSM Surgical Oncology and Research
ISSN : 2578-3688
Launched : 2016
Annals of Food Processing and Preservation
ISSN : 2573-1033
Launched : 2016
Journal of Radiology and Radiation Therapy
ISSN : 2333-7095
Launched : 2013
JSM Physical Medicine and Rehabilitation
ISSN : 2578-3572
Launched : 2016
Annals of Clinical Pathology
ISSN : 2373-9282
Launched : 2013
Annals of Cardiovascular Diseases
ISSN : 2641-7731
Launched : 2016
Journal of Behavior
ISSN : 2576-0076
Launched : 2016
Annals of Clinical and Experimental Metabolism
ISSN : 2572-2492
Launched : 2016
Clinical Research in Infectious Diseases
ISSN : 2379-0636
Launched : 2013
JSM Microbiology
ISSN : 2333-6455
Launched : 2013
Journal of Urology and Research
ISSN : 2379-951X
Launched : 2014
Journal of Family Medicine and Community Health
ISSN : 2379-0547
Launched : 2013
Annals of Pregnancy and Care
ISSN : 2578-336X
Launched : 2017
JSM Cell and Developmental Biology
ISSN : 2379-061X
Launched : 2013
Annals of Aquaculture and Research
ISSN : 2379-0881
Launched : 2014
Clinical Research in Pulmonology
ISSN : 2333-6625
Launched : 2013
Journal of Immunology and Clinical Research
ISSN : 2333-6714
Launched : 2013
Annals of Forensic Research and Analysis
ISSN : 2378-9476
Launched : 2014
JSM Biochemistry and Molecular Biology
ISSN : 2333-7109
Launched : 2013
Annals of Breast Cancer Research
ISSN : 2641-7685
Launched : 2016
Annals of Gerontology and Geriatric Research
ISSN : 2378-9409
Launched : 2014
Journal of Sleep Medicine and Disorders
ISSN : 2379-0822
Launched : 2014
JSM Burns and Trauma
ISSN : 2475-9406
Launched : 2016
Chemical Engineering and Process Techniques
ISSN : 2333-6633
Launched : 2013
Annals of Clinical Cytology and Pathology
ISSN : 2475-9430
Launched : 2014
JSM Allergy and Asthma
ISSN : 2573-1254
Launched : 2016
Journal of Neurological Disorders and Stroke
ISSN : 2334-2307
Launched : 2013
Annals of Sports Medicine and Research
ISSN : 2379-0571
Launched : 2014
JSM Sexual Medicine
ISSN : 2578-3718
Launched : 2016
Annals of Vascular Medicine and Research
ISSN : 2378-9344
Launched : 2014
JSM Biotechnology and Biomedical Engineering
ISSN : 2333-7117
Launched : 2013
Journal of Hematology and Transfusion
ISSN : 2333-6684
Launched : 2013
JSM Environmental Science and Ecology
ISSN : 2333-7141
Launched : 2013
Journal of Cardiology and Clinical Research
ISSN : 2333-6676
Launched : 2013
JSM Nanotechnology and Nanomedicine
ISSN : 2334-1815
Launched : 2013
Journal of Ear, Nose and Throat Disorders
ISSN : 2475-9473
Launched : 2016
JSM Ophthalmology
ISSN : 2333-6447
Launched : 2013
Journal of Pharmacology and Clinical Toxicology
ISSN : 2333-7079
Launched : 2013
Annals of Psychiatry and Mental Health
ISSN : 2374-0124
Launched : 2013
Medical Journal of Obstetrics and Gynecology
ISSN : 2333-6439
Launched : 2013
Annals of Pediatrics and Child Health
ISSN : 2373-9312
Launched : 2013
JSM Clinical Pharmaceutics
ISSN : 2379-9498
Launched : 2014
JSM Foot and Ankle
ISSN : 2475-9112
Launched : 2016
JSM Alzheimer's Disease and Related Dementia
ISSN : 2378-9565
Launched : 2014
Journal of Addiction Medicine and Therapy
ISSN : 2333-665X
Launched : 2013
Journal of Veterinary Medicine and Research
ISSN : 2378-931X
Launched : 2013
Annals of Public Health and Research
ISSN : 2378-9328
Launched : 2014
Annals of Orthopedics and Rheumatology
ISSN : 2373-9290
Launched : 2013
Journal of Clinical Nephrology and Research
ISSN : 2379-0652
Launched : 2014
Annals of Community Medicine and Practice
ISSN : 2475-9465
Launched : 2014
JSM Clinical Case Reports
ISSN : 2373-9819
Launched : 2013
Journal of Cancer Biology and Research
ISSN : 2373-9436
Launched : 2013
Journal of Surgery and Transplantation Science
ISSN : 2379-0911
Launched : 2013
Journal of Dermatology and Clinical Research
ISSN : 2373-9371
Launched : 2013
JSM Gastroenterology and Hepatology
ISSN : 2373-9487
Launched : 2013
Annals of Nursing and Practice
ISSN : 2379-9501
Launched : 2014
JSM Dentistry
ISSN : 2333-7133
Launched : 2013
Author Information X