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Annals of Vascular Medicine and Research

24-Methylenecycloartanyl Ferulate Protects against Expression of Pro-Angiogenesis Related Genes through Peroxisome ProliferatorActivated Receptor Gamma 2 in Human Breast Cancer MCF7 Cells

Original Research | Open Access | Volume 9 | Issue 2

  • 0. both contributed equally
  • 1. Chingchai Wanidworanun, MD section, Professional Limited Liability Company, USA
  • 2. Institute of Life Science & Resources and Department of Food Science & Biotechnology, Kyung Hee University, South Korea
  • 3. Research Institute of Medical Science, KonKuk University, South Korea
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Corresponding Authors
Jong Hwan Park, Research Institute of Medical Science, KonKuk University, School of Medicine, 120 Neungdongro, Gwangjin-gu, 143-701 Seoul, South Korea, Tel: +82-11-4177-6014; Fax: 82-2-2049-6192; Email: nihpark@yahoo.com
Abstract

Peroxisome proliferator-activated receptor gamma 2 (PPARγ2) has currently been considered as molecular target for angiogenesis signaling. Here, we investigated the effect of 24-methylenecycloartanyl ferulate (24-MCF) induced PPARγ2 on expression of angiogenesis-related genes in MCF7 cells. cDNA microarray, real-time PCR revealed that 24-MCF mediated the expression of genes related to angiogenesis in MCF-7 cells. We identified PPAR-response elements (PPRE) located in the LIF promoter regions (-1192 to -802), and VEGF (-452 to +1). Luciferase reporter assay demonstrated that activation of the LIF gene, an anti-angiogenesis factor, was increased upon both 24-MCF treatment and PPARγ2 overexpression; whereas activation of VEGF promoters, known pro-angiogenesis factors, was decreased upon 24-MCF treatment and PPARγ2 overexpression. While these mutations individually appeared to have no effect. Treatment with 24-MCF also decreased VEGF production in MCF7 cells and PMA-stimulated tube formation in HUVECs. Our findings suggest that 24-MCF induces PPARγ2-mediated regulation of angiogenesis-related genes via PPRE motifs.

Keywords

24-methylenecycloartanyl ferulate; Angiogenesis; PPARγ2; LIF; VEGF

Citation

Lee GK, Kim HY, Park JH (2022) 24-Methylenecycloartanyl Ferulate Protects against Expression of Pro-Angiogenesis Related Genes through Peroxisome Proliferator-Activated Receptor Gamma 2 in Human Breast Cancer MCF7 Cells. Ann Vasc Med Res 9(2): 1146.

ABBREVIATIONS

24-MCF: 24-Methylenecycloartanyl ferulate; PPARγ2: Proliferator Activated-receptor gamma 2; VEGF: Vascular Endothelial Growth Factor; LIF: Leukemia Inhibitory Factor

INTRODUCTION

24-Methylenecycloartanyl ferulate (24-MCF), a gamma oryzanol (γ-oryzanol) compound, is a non-toxic dietary compound that exhibits important pharmacological activities, such as anti-cholesterol [1], anti-platelet aggregation [2], and anti-tumor properties [3]. Our previous studies showed that 24-MCF-induced peroxisome proliferator-activated receptor gamma 2 (PPARγ2) activation increased parvin-β expression, leading to the inhibition of oncogenic integrin-linked kinase (ILK), which is associated with tumor angiogenesis signaling in MCF7 cells [3].

PPAR represents a nuclear hormone receptor superfamily of ligand-inducible transcription factors that regulate genes in various metabolic processes. The PPAR family comprises three isoforms: PPARα, PPARβ/δ, and PPARγ [4]. Activated PPARα regulates genes involved in the β-oxidation pathway [5]; PPARβ/δ enhances glucose metabolism; and activation of PPARγ causes insulin sensitization and enhances glucose metabolism [6]. Three different isoforms of PPARγ have been identified and were generated as a result of alternative splicing: PPARγ1, PPARγ2, and PPARγ3 [7]. PPARγ2 is expressed exclusively in adipose tissue and accelerates adipocyte differentiation [8]. A potential role for PPARγ2 in carcinogenesis was highlighted by the ability of the ligands to affect cellular proliferation and differentiation [9]. Because of its potent effects on the regulation of cell fate, PPARγ2 has attracted interest as a potential target for cancer therapy [3,7]. Furthermore, numerous studies have shown that PPARγ2 activation leads to the regulation of anti- and pro-angiogenic pathways [10].

Although several key components of the angiogenesis process and the angiogenic switch have been reported [11], the complete underlying molecular mechanisms are not yet fully known. Previous studies showed that the promoter sequence of the pro-angiogenic factor VEGF contained a PPAR response element (PPRE) motif [12], and demonstrated that PPAR-γ2 activation decreased pro-angiogenic VEGF [12]. Although 24-MCF has recently been shown to possess anti-tumor properties [3,4], its molecular mechanism is not fully understood and its potential effects on angiogenesis have remained largely unknown.

In this study, we hypothesized that 24-MCF regulated PPARγ2-mediated angiogenesis. We first examined whether angiogenesis-related genes identified by microarray in MCF-7 cells treated with 24-MCF were PPARγ2 target genes.

MATERIALS AND METHODS

The rice bran compound 24-MCF was provided by the Korean National Institute of Crop Science (Jeollabuk-do, Korea). Each gene on the array Agilent Human Whole Genome 44K v2 chip was provided by E-Biogen Inc. (Seoul, Korea). Total RNA was extracted from human breast cancer MCF7 cells using a TRIzol reagent kit (Invitrogen, San Diego, CA) following the manufacturer’s instructions. Antibodies against VEGF and β-actin antibodies were purchased from Santa Cruz (Santa Cruz, CA).

Cell culture

Human breast cancer MCF7 cells were cultured in Dulbecco’s Modified Eagle’s Medium (HyClone, Logan, UT) supplemented with 10% heat-inactivated fetal bovine serum (HyClone, Logan, UT), 100 U/ml penicillin, and 100 µg/ml streptomycin in 5% CO2 at 37°C. Human umbilical vein endothelial cells (HUVECs; Lonza, Walkersville, MD) were cultured in EBM-2 medium supplemented with EGM-2 Single Quots. EBM-2 and EGM-2 Single Quots were purchased from Cambrex Company (Lonza, Walkersville, MD).

Plasmid constructs

We collected the putative PPRE motifs using the Dragon PPAR Response Element Spotter v.2.0 (www.cbrc.kaust.edu.sa/ppre/). To construct promoter-reporter plasmids, promoter fragments containing PPRE motifs were amplified and ligated into the XhoI and Hind III sites of the pGL3-basic vector, which contains firefly luciferase coding sequences but lacks eukaryotic promoter or enhancer elements. Oligonucleotides used in this experiment were as follows: LIF were 5′-TTGATCTCAGGTCAGGGTCAGGCGGAA-3′ (wild type-forward), 5′-TTGATCTCAAATAAGAATTTGGCGGAA-3′ (mutant-forward); and 5′-GTCGCTGGTCCCTTCCAGAC3′(reverse). VEGF were5′- GGGGAGAAGGCCAGGGGTCACTCCA-3′ (wild type-forward) and 5′-GGGGAGAAGGTTAGGTATTTCTCCA3′(mutant-forward); and 5′-TCCTCCCCGCTACCAGCCGA-3′ (reverse). Const-ruction of pcDNA-human PPARγ2 (accession no. NM_015869) expression plasmid was described previously [3]. Plasmids were confirmed by DNA sequencing.

Microarray

Microarrays were generated and cRNA probes were hybridized using the Low RNA Input Linear Amplification Kit (Agilent Technology, Santa Clara, CA) according to the manufacturer’s instructions. Labeled cRNA was purified on a cRNA Cleanup Module (Agilent Technology, Santa Clara, CA) according to the manufacturer’s instructions. Fragmented cRNA was resuspended with 2× hybridization buffer and directly pipetted onto the assembled Human Oligo Microarray (44K; Agilent Technology). Arrays were hybridized at 65°C for 17 h using a hybridization oven (Agilent Technology, Santa Clara, CA). Hybridized microarrays were washed according to the manufacturer’s protocol (Agilent Technology).

Data analysis

Hybridized images were scanned using a DNA microarray scanner (Agilent Technology, Santa Clara, CA) and quantified with Feature Extraction software (Agilent Technology). All data normalization and selection of genes whose expression changed were performed using Gene Spring GX 7.3 (Agilent Technology). The averages of normalized ratios were calculated by dividing the average of the normalized signal channel intensity by the average of the normalized control channel intensity. Functional annotation of genes was performed according to the Gene Ontology Consortium (http://www.geneontology.org/index. shtml) using Gene Spring GX 7.3. Genes were classified based on searches performed by BioCarta (http://www.biocarta.com/), GenMAPP (http://www.genmapp.org/), DAVID (http://david. abcc.ncifcrf.gov/), and Medline (http://www.ncbi.nlm.nih.gov/).

Western blot analysis

Western blot analysis was performed according to a standard method as previously described [3]. Protein samples (20 µg) were separated on a 4-12% NuPAGE gel (Invitrogen, San Diego, CA) and then transferred to a nitrocellulose membrane using standard procedures. The membrane was blotted with anti-VEGF antibody or anti-β-actin antibody as a control, and analyzed using the Multi Gauge V3.1 program (Fujifilm Tokyo, Japan).

RNA isolation and real-time PCR analysis

Total RNA was isolated using TRIzol reagent (Invitrogen, San Diego, CA) according to the manufacturer’s protocol. Total RNA (1 µg) was converted to cDNA using oligo-dT primer and AccuPower RT premix (Bioneer, Korea) in a 20 µl reaction. Primers for realtime PCR are shown in Table 2. The reactions were dispensed into into 96-well optical plates and amplification was carried out using 10 ul amplification mixtures containing Power SYBR Green PCR Master MIX (BioRad, USA) under the following conditions: 50°C for 2 min, 95°C for 10 min followed by 40 cycles of 95°C for 15 sec and 60°C for 1 min. Melting curve: 95°C for 15 sec, 60°C for 15 sec, 95°C for 15 sec. Three replicates were performed per cDNA sample. Reactions were run on a CFX96 Real-Time System (BioRad, USA). A threshold cycle was observed in the exponential phase of amplification, and quantification of relative expression levels was determined by the ??Ct method, according to the manufacturer’s recommendation.

Luciferase assay

MCF7 cells (30,000 cells / well) were seeded in 24-well plates 12-16 h before transfection. Cells were co-transfected using Lipofectamine LTX (Invitrogen, San Diego, CA) according to the manufacturer’s instruction with the following plasmids: 500 ng of WT-reporter plasmid (LIF or VEGF) or its mutant firefly luciferase reporter plasmid, 50 ng of Renilla luciferase reporter plasmid (pRL-TK) (Promega, Madison, WI), and either 500 ng of pcDNA empty or pcDNA-PPARγ2. Twenty-four hours later, cells were incubated with a medium containing dimethyl sulfoxide (DMSO) or 24-MCF (25, 50, and 100 µM). After 24 h, both firefly and Renilla luciferase activities were quantified using a DualLuciferase Reporter Assay system (Promega, Madison, WI) according to the manufacturer’s instructions. Relative luciferase activity was calculated as the ratio of firefly /Renilla activity. All experiments were performed in triplicate.

Quantification of VEGF protein

VEGF was quantified using the Quantikine human VEGF enzyme-linked immunosorbent assay (ELISA) kit (R&D Systems, Minneapolis, MN) according to the manufacturer’s instructions. Briefly, MCF7 cells were seeded in 12-well plates and cultured until 90 % confluent. Cells were switched to fresh serum-free medium containing 24-MCF. After 12 h, the conditioned medium was collected and the number of cells in each well was counted. The secretion of VEGF in the conditioned medium (200 µl) was determined and normalized against the number of cells in the well. A serial dilution of human recombinant VEGF was performed in each assay to obtain a standard curve. All experiments were performed in triplicate.

Tube formation assays

Endothelial tube formation was assessed by an in vitro cell-based assay (Cayman Chemical, Ann Arbor, MI) in HUVECs according to the manufacturer’s instructions. Phorbol 12-myristate 13-acetate (PMA), known as a stimulator of angiogenesis, pretreatment enhanced the ability of HUVECs to organize into a cell networking structure (termed tube formation). A suspension of HUVECs in medium was then seeded in 96-well plates coated with cell-based extracellular matrix gel at a density of 105 cells/ml and treated with 24-MCF in the presence of 1 µM PMA. After 12 h, tube formation was observed by calcein staining under an inverted fluorescence microscope (Olympus IX71, Tokyo, Japan).

Statistical analyses All data were evaluated by a one-way analysis of variance (ANOVA). The results were considered statistically significant when p values were *p ≤ 0.05, **p ≤ 0.001.

RESULTS

Gene expression profiles of 24-MCF treated MCF7 cells

We analyzed changes in global gene expression profiles in MCF7 cells treated with 24-MCF (100 µM) and those treated with DMSO control using a microarray; and identified 30,552 differentially expressed genes out of 44,000 arrayed genes (69.4 %), by microarray hybridization (Supplementary 1). Genes with a fold change of 2.0 or above were considered positively regulated, whereas those with a fold change of 0.5 or below were considered negatively regulated. Figure 1A shows a scatter plot representing the average log2-fold changes; a total of 914 upregulated and 642 downregulated genes were identified in MCF7 cells treated with 24-MCF. Quantitatively, unmodified genes by an average log2-fold change of ≤ 2.0 or ≥ 0.5 were assigned a rate of 94.9 % (Figure 1A). Scatter plot analyses showed 5.1 % (1,556 genes) of the differentially expressed under 24-MCF treatment. To examine the biological functions affected by 24-MCF treatment, we performed functional annotation clustering analysis of the differentially expressed genes using the Gene Ontology Consortium program. The differentially expressed genes were associated with inflammation, angiogenesis, extracellular matrix, immune response, cell proliferation, and cell migration (Figure 1B), indicating that several cellular metabolic pathways are linked directly or indirectly to the response to 24-MCF treatment.

Validation of microarray data using real-time PCR

From the functional annotation clustering analysis, we then selected 10 genes in the angiogenesis categorization that were differentially expressed. Genes with fold change > 2 were upregulated and genes with fold change < 0.5 were downregulated in the MCF7 cells treated with 24-MCF (Figure 1C and 1D). Table 1 provides further characterization of 10 genes that were more strictly responsive to 24-MCF; literature search for these genes classified them as anti- and pro-angiogenesis related genes based on their reported functions. For validation of 10 genes that were differentially expressed among all genes in the angiogenesis category, we next analyzed expression levels of these genes using real-time PCR with the primers listed in Table 2. These results showed that at 12 h after 24-MCF treatment, anti-angiogenesis-related genes (LIF, NPPB, EGR1, and PPARγ2 genes) were significantly upregulated(DMSO control vs p ≤ 0.001) (Figure 1C), whereas pro-angiogenesis-related genes (MMP11, L1Cam, Pbx1, HOXA7, RHOT1, and VEGF genes) were markedly downregulated in MCF7 cells (DMSO control vs p ≤ 0.001) (Figure 1D). Furthermore, these effects occurred in a dose-dependent manner. These findings help validate the microarray results.

PPARγ2 modulates the promoter activity of angiogenesis-related genes via PPRE motifs

To investigate whether the PPARγ2 can directly regulate gene expression through peroxisome proliferator response elements (PPREs), we pursued the computational prediction of PPREs on the promoter region of the angiogenesis-related genes (Table 1). Putative PPRE was identified in the promoter region of candidate genes containing a single half-site (GGGTCA or AGTTCA). We performed luciferase assays using promoter sequences from two of the identified genes (Figure 2A and 2D). We observed that the activation of the LIF reporter vector by 24-MCF or PPARγ2 expression was significantly increased in comparison with the control (control vs p ≤ 0.001, empty vector vs p ≤ 0.001) (Figure 2B and 2C). The activation of VEGF reporter vector by 24-MCF or PPARγ2 were significantly decreased in comparison with the control (control vs p ≤ 0.05, empty vector vs p ≤ 0.001) (Figure 2E and 2F); while these mutation sites had no effect (Figure 2B, 2C, 2E, and 2F), indicating that PPARγ2 mediated transcriptiona induction of LIF and VEGF via PPRE motifs.

24-MCF inhibited VEGF production in MCF-7 cells and tube formation in HUVECs

To determine whether 24-MCF treatment exhibits antiangiogenic activity, we investigated activation of VEGF in 24-MCF-treated MCF-7 cells using ELISA and western blot. 24- MCF treatment gradually decreased secretion of VEGF (DMSO control vs p ≤ 0.001) (Figure 3A) and level of VEGF protein (DMSO control vs p ≤ 0.001) (Figure 3B) in MCF7 cells in a dosedependent manner.

We also performed tube formation assays in HUVEC cells using an in vitro cell-based assay. HUVECs were treated with 25 or 100 µM 24-MCF for 12 h under 1 µM PMA as a stimulator of angiogenesis [(Figure 3C, (b) - (e)] and then tube formation was observed by calcein staining under an inverted fluorescent microscope. We found that 24-MCF treatment [(Figure 3C, (d) - (e); 25 µM and 100 µM, respectively] decreased tube formation in comparison with HUVECs treated with 1 µM PMA alone (as a stimulator of angiogenesis) in Matrigel [(Figure 3C, (b)], similar to an inhibitor control with 1 µM JNJ-10198409 (as an inhibitor of angiogenesis) [(Figure 3C, (c)], indicating that 24-MCF treatment exhibits anti-angiogenic activity.

DISCUSSION

Angiogenesis is the formation of new blood vessels and is a hallmark of tumor development and metastasis [22]. In particular, PPARγ2 targets a set of genes that have a critical impact on numerous diseases including angiogenesis and cancer [23]. Our previous results showed that 24-MCF-induced PPARγ2 increased parvin-β expression, which inhibited oncogenic ILK signaling, anchorage-independent growth, and cell migration [3]. A recent study established PPARs as a group of ligandactivated transcriptional regulators that sit at the intersection of genes and the dietary environment [24]. Thus, PPARγ2 has shown predominately anti-angiogenic properties in vitro and in animal models [24]. Therefore, some research has examined the PPARγ2 activating potential of a wide range of natural products originating from traditionally used medicinal plants and dietary sources [25]. The γ-oryzanol compound 24-MCF has been reported to have important pharmacological activities, including anti-tumor properties [3]. It has non-toxicity and is used as a healthy food supplement [3]. Nonetheless, its mechanism is unclear. In addition, 24-MCF-induced gene expression changes have not been fully recognized until now.

Here we identified differentially expressed genes in MCF7 cells treated with 24-MCF using a microarray technique. We found that the genes differentially expressed in response to 24-MCF treatment were involved in various cellular responses, including the inflammatory response, angiogenesis, aging, extracellular matrix, cell proliferation, immune response, cell death, and cell migration. Based on the clustering results, we selected the most significantly angiogenesis-related genes, including four anti-angiogenesis-related genes that were upregulated (NPPB, LIF, PPARγ2 and EGR1 genes) and six pro-angiogenesis-related genes that were downregulated (HoxA7, L1Cam, MMP11, RHOT1, VEGF, and Pbx1 genes).

Angiogenesis is tightly regulated at the molecular level [26]. The imbalance of pro- and anti-angiogenic signaling within tumors creates an abnormal vascular network that is characterized by dilated, tortuous and hyperpermeable vessels [26]. Based on our results, we propose that 24-MCF induces PPARγ2 to function as an angiogenic switch that mediates the balance between pro- and anti-angiogenic molecular levels (Figure 4).

Our ELISA results showed that VEGF secretion was decreased in MCF7 cells treated with 24-MCF. Based on previous studies that displayed PMA-induced angiogenesis as VEGF-dependent [21], we analyzed the ability of HUVECs to undergo cell tube formation in response to 24-MCF treatment and found that PMAinduced tube formation of HUVEC cells was markedly attenuated by 24-MCF treatment. These results are consistent with previous results showing that VEGF can regulate all of the key steps of the angiogenic process, including proliferation, migration, and tube formation [21].

CONCLUSION

Our microarray analysis of MCF7 cells treated with 24-MCF identified 10 differentially expressed genes correlated with angiogenesis. 24-MCF treatment decreased VEGF production and tube formation. Together, this suggests that 24-MCF may be a new anti-angiogenic agent that could be important for the development of new cancer therapeutics in the future.

ACKNOWLEDGEMENTS

This research was supported by Basic Science Research Program through the National Research Foundation of  Korea (NRF) funded by the Ministry of Education (NRF-2014R1A1A2058125)

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Lee GK, Kim HY, Park JH (2022) 24-Methylenecycloartanyl Ferulate Protects against Expression of Pro-Angiogenesis Related Genes through Peroxisome Proliferator-Activated Receptor Gamma 2 in Human Breast Cancer MCF7 Cells. Ann Vasc Med Res 9(2): 1146.

Received : 04 Jul 2022
Accepted : 29 Jul 2022
Published : 30 Apr 2022
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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
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
Annals of Biometrics and Biostatistics
ISSN : 2374-0116
Launched : 2013
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
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