Loading

Archives of Palliative Care

First Molecular Detection of Babesia canis vogeli in Dogs and Rhipicephalus sanguineus from Mexico

Research Article | Open Access

  • 1. National Research Center for Veterinary Parasitology, INIFAP, Mexico
  • 2. National Center for Validation Services on Animal Health, SENASICA, Mexico
+ Show More - Show Less
Corresponding Authors
Julio V. Figueroa Millan, National Research Center for Veterinary Parasitology, INIFAP, Boulevard Cuauhnahuac No. 8534, Jiutepec, Morelos, 62550, Mexico
Abstract

At the global level, three distinct subspecies for B. canis have been identified: B. caniscanis in Europe; B. canisrossi in Africa, while in America the presence of B. canis vogeli has been demonstrated. However, B. canisrossi has recently been reported in the USA and B. canis vogeli in South Africa and Europe. In order to optimize two methods for the molecular detection of the subspecies of canine babesiosis in Mexico from blood samples and Rhipicephalus sanguineus ticks, 30 blood samples and 18 tick specimens were collected in dogs with clinical manifestations compatible with canine babesiosis and a history of exposure to ticks. The analysis of Restriction Fragment Length Polymorphisms in PCR-amplified and digested DNA with restriction enzyme TaqI and HinfI (PCR-RFLP) allowed detection of the corresponding pattern for the B. canis vogeli subspecies (203 bp, 171 bp and 26 bp) in two blood samples and in one of the specimens of ticks subject to the PCR-RFLP analysis. With the nested PCR assay, the fragment of interest (192 bp) was detected in three blood samples and in three of the ticks that were analyzed for the B. canis vogeli subspecies. The presence of B. canis in Mexico had already been demonstrated microscopically, however, so far this is the first report on the molecular detection of the subspecies B. canis vogeli in our country and confirmed by DNA sequencing.

ABBREVIATIONS

PCR: Polymerase Chain Reaction; nPCR: nested Polymerase Chain Reaction; RFLP: Restriction Fragment Length Polymorphism; DNA: Deoxyribonucleic Acid

Citation

Lira-Amaya JJ, Rojas-Martinez C, Alvarez-Martinez A, Pelaez-Flores A, Martinez-Ibañez F, et al. (2017) First Molecular Detection of Babesia canis vogeli in Dogs and Rhipicephalus sanguineus from Mexico. Arch Palliat Care 2(2): 1013.

INTRODUCTION

Canine babesiosis is a tick-borne cosmopolitan disease affecting domestic dogs, and its distribution is is related to vector presence being more prevalent in regions with tropical and subtropical climates. The disease is caused by B. canis and B. gibsoni In traerythrocytic parasites [1]. The species of B. canis has been re-classified into three subspecies based on the vector that transmits the pathogen and its distribution: B. caniscanis, whose vector for transmission is the Dermacentor reticulatus tick; B. canisrossi transmitted by Haemaphysalis leachi; and B. canisvogeli transmitted by Rhipicephalus sanguineus in tropical and subtropical areas. These tick species are distributed in Europe, South Africa and America, respectively [2], although the presence of B. canis rossi in the USA and B. canis vogeli in South Africa and Europe has recently been reported [3-5]. The direct diagnosis can be made through the microscopic observation of the parasites in blood smears stained with Giemsa dye, and the indirect type using commercial serological packages. The main signs of the disease are characterized by fever, lethargy, vomiting, hemoglobinuria and anemia [1,6], whereas in more severe cases clinical manifestations may also include anorexia, Weight loss, jaundice, hematuria, depression, ascites, lymphadenopathy, splenomegaly, central nervous system abnormalities and renal complications [7].

In Mexico, the molecular diagnosis for canine babesiosis has not been implemented, therefore, there are no reports that demonstrate and identify what subspecies of the B. canis protozoan is present in the blood of infected domestic dogs or in the tick vector. The polymerase chain reaction (PCR) has been used for amplification of the 18S rRNA gene, which has facilitated the detection and identification of B. canis rossi, and B. canis vogeli in samples of naturally infected dogs in regions of Italy [4], these subspecies have also been described in Northern Portugal, suggesting the presence and distribution of the vector tick [5] whereas in Brazil B. canis vogeli is the only subspecies that has been identified [8,9]. The analysis of polymorphisms in length of amplified and digested restriction enzyme fragments (PCR-RFLP), is an alternative for the discrimination among the subspecies of B. canis. In France and Italy, PCR amplification of the 18S rRNA gene fragment (400 bp) allowed the differentiation of the B. canis canis, B. canis vogeli and B. canisrossi subspecies using the TaqI and HinfI enzymes, obtaining fragments of 203bp, 171 bp and 26 bp for B. canis vogeli and 227 subsets of B. canis [BCC] bp and 174 bp for B. canis rossi. In the case of B. canis canis, and since the amplified sequence does not have restriction sites for both enzymes [10,11], the fragment is not digested with any of these enzymes, in this way it is possible to discriminate the subspecies of B. canis canis. Currently in Mexico there is little information about infection of Rhipicephalus sanguineus ticks with the protozoan parasite Babesia canis, however, in other countries such as Australia, France and Tunisia, they have been able to implement the molecular characterization of the parasite using the PCR assay [12-14]. The objective of this work was to optimize two methods for the molecular detection of the subspecies of the etiological agent of canine babesiosis in Mexico from blood samples and Rhipicephalus sanguineus ticks collected from dogs.

 

MATERIALS AND METHODS

A total of 30 blood samples were collected in dogs by puncture of the cephalic vein in tubes with anticoagulant (EDTA). The dogs were referred to a particular veterinary clinic in the city of Cuautla, Morelos, Mexico with clinical manifestations, including fever, anemia, lethargy or epistaxis, consistent and suspicious of canine babesiosis and history of previous exposure or presence of ticks. An aliquot was taken and spread on a slide to be fixed with methanol and stained with Giemsa dye, each slide was observed by microscopy for at least 20 minutes. The cellular package containing red and white blood cells was separated from the plasma by centrifugation at 4,000 rpm and stored at -20°C until use. At the time of the physical inspection of the dogs, 18 specimens of ticks were collected, which were identified by taxonomic codes as R. sanguineus [15], only one of them could be checked by light microscopy from a dog infected with Babesia canis for which a parasitemia of about 80% was estimated.

Extraction of the genetic material from the cellular package was done with a commercial kit (ZR Genomic DNA II Kit; ZYMO RESEARCH). For the DNA extraction of the ticks analyzed in this study, the mortar crushing method was used prior to the use of a commercially available kit (ZR Tissue and Insect DNA Miniprep; ZYMO RESEARCH) according to the manufacturer’s recommendations. The PCR test was performed with the enzyme Go Taq Green Master Mix 2X (PROMEGA), with a final volume of 25μl in a thermocycler (BIO-RAD Icycler). The detection of Babesia sp. was performed by amplifying the variable portion of the 18S rRNA gene using the pair of generic primers named PIRO-A sense (5’-AATACCCAATCCTGACACAGGG-3’) and antisense PIRO-B (5’-TTAAATACGAATGCCCCCACC-3’), under the following protocol: 94° C for 5 min in the initial denaturation, (94° C, 1 min, 55° C 1 min, 72° C 1min) for 35 cycles and 72° C for 15 min for the final extension [10] , The semi-nested PCR assay included a first step with external primers 455-479 sense (5’-GTCTTGTAATTGGAATGGTGAC-3’) and antisense 793-772 (5’ATGCCCCCAACCGTTCCTATTA-3) under the amplification protocol (95° C 5 min , 95° C 45 sec, 58° C 45 sec, 72° C 45 sec, 72° C 5 min with 50 repeating cycles, subsequently for the semi-nested PCR specific primers were included for each one of the subsets of B. caniscanis [BCC] sense (5’-TGCGTTGACGGTTTGACC-3 ‘), B. canis rossi (BCR) sense (5’-GCTTGGCGGTTTGTTGC-3’), and B. canis vogeli (BCV) sense (5’GTTCGAGTTTGCCATTCGTT-3’)], and antisense primer 793-772 (5’ATGCCCCCAACCGTTCCTATTA-3’) using the same prior amplification protocol with 30 repeat cycles [1].

The PCR products amplified with the generic primers were digested with the restriction enzymes TaqI and HinfI for the differentiation of the species of Babesia sp. For the analysis of PCR and PCR-RFLP products, 3% agarose gels were electrophoresed for 45 min at 100 V and visualized in a transilluminator with ultraviolet light (UV). The obtained amplicons were cloned into a T vector and the transformation was carried out with chemically competent E. coli cells using a commercial kit (pGEM -T Easy Vector System II; PROMEGA). Two representative white (recombinant) colonies were selected, which were scored in boxes with LB medium and ampicillin. Purification of the plasmid DNA was performed with a commercial kit (PureYield Plasmid Miniprep System Protocol; PROMEGA), for later use as a template for sequencing by the fluorinated dideoxynucleotide termination method in an automated sequencer (Applied Biosystems). The DNA sequences obtained were analyzed by searching for sequence identity in the databases using the blastn application (http://blast.ncbi.nlm.nih.gov/Blast/blastn).

 

RESULTS AND DISCUSSION

Two positive samples were identified by microscopic analysis, with predominance of trophozoite stages in one sample and trophozoites and merozoites consistent with Babesia spp. in the second sample. However, the parasitemias were very low to be quantified (< 0.01%), (Figure 1). DNA amplification by means of the PCR test with the generic primers for the B. canis species allowed the identification of two positive blood samples from the total of samples analyzed, whereas from the tick samples analyzed in this study it was demonstrated consistently the presence of a 400 bp fragment in three samples (Figure 2). The results of the amplified products that were digested with the restriction enzymes could demonstrate partial digestion with the enzyme TaqI in two blood samples and only one of the tick samples subject to the reaction, which corresponded to the expected size of the fragments with bands of approximately 203 bp, 171 bp and 26 bp (Figure 3) coincident with the RFLP pattern corresponding to B. canis vogeli [10]. The analysis of results with the seminested PCR assay allowed identifying three positive samples from blood and three from ticks consistent with the amplification of a 192 bp fragment (Figure 4) when the BCV subspecies specific primer was used in the semi-nested PCR test [1]. Two amplified fragments obtained by PCR using the primers PIRO-A and PIRO-B, containing the 400 bp variable portion of the 18S rRNA gene were cloned and sequenced. The result of blast analysis of the cloned fragments showed an identity of 99% in nucleotide sequences (403 out of 405 residues), existing between the sequences of the two Mexican cases of B. canis vogeli (Genebank accession numbers MG430179 and MG430180, respectively) and those corresponding to isolates from Venezuela (Babesia canis vogeli from Venezuela 18S rRNA gene, gb DQ297390.1), Brazil, Japan and the United States.

The classic form for the detection of Babesia canis is by observing the intraerithrocytic forms in blood smears stained with Giemsa dye, which is considered as the gold test in acute cases of canine babesiosis and it is a relatively simple technique to perform. Molecular tests are highly reliable tools for the genotyping of parasites that cause canine babesiosis in acute and subacute clinical cases. They are a valid and necessary resource because it allows to classify the different subspecies of B. canis at the regional and global levels to determine the origin or a possible route of transmission of B. canis from the tick to the canine host, as it has been done in other latitudes [4,5,10,11]. However, nested PCR proved to be the test with the highest analytical sensitivity and specificity to differentiate B. canis species in both blood and tick DNA samples [12-14].

According to the work done on the distribution of the brown dog tick (Rhipicephalus sanguineus) in the state of Morelos, Mexico, the results of the present study on R. sanguineus ticks found in dogs coincide with previously reported in the cities of Cuernavaca [16], and Morelos State in Mexico [17]. The detection of infection in the positive ticks of this study suggests that B. canis vogeli is most likely transmitted by this tick species, according to what has been previously reported in the literature [1,2,10]. In Mexico, the presence of B. canis in Mexico had already been demonstrated microscopically [18], however, so far this is the first report on the molecular detection of the subspecies B. canis vogeli in our country and confirmed by DNA sequencing.

 

CONCLUSION

The semi-nested PCR technique used in this study has a higher analytical sensitivity and a better specificity for the differentiation between the subspecies of B. canis. The subspecies detected for the first time in Mexico, B. canisvogeli, associated with canine babesiosis in this study, was confirmed by DNA sequencing

ACKNOWLEDGEMENTS

This study was partially financed by INIFAP, project SIGI No. 16321431988 and by CONACYT Problem as Nacionales 2015, Project No. 1336. The authors acknowledge Azul G. Comas González, owner of the veterinary clinic and the proprietaries of The dogs, for the facilities provided to collect samples.

REFERENCES

1. Birkenheuer AJ, Levy MG, Breitschwerdt EB. Development and evaluation of a seminested PCR for detection and differentiation of Babesia gibsoni (Asian genotype) and B. canis DNA in canine blood samples. J Clin Microbiol. 2003; 41: 4172-4177.

 2. Uilenberg G, Franssen FF, Perié NM, Spanjer AA. Three groups of Babesia canis distinguished and a proposal for nomenclature. Vet Q. 1989; 11: 33-40. 

3. Allison RW, Yeagley TJ, Levis K, Reichard MV. Babesia canis rossi infection in a Texas dog. Vet Clin Pathol. 2011; 40: 345-350.

4. Caccio SM, Antunovic B, Moretti A, Mangili V, Marinculic A, Baric RR, et al. Molecular characterization of Babesia canis canis and Babesia canis vogeli from naturally infected European dogs. Vet Parasitol. 2002; 106: 285-292.

5. Cardoso L, Costa A, Tuna J, Vieira L, Eyal O, Mekuzas YY, et al. Babesiacaniscanis and Babesiacanisvogeli infections in dogs from northern Portugal. Vet Parasitol. 2008; 156: 199-204.

6. Matjila TP, Nijhof AM, Taoufik A, Houwers D, Teske E, Penzhorn BL, et al. Autochthonous canine babesiosis in The Netherlands. Vet Parasitol. 2005; 131: 23-29.

7. Figueroa-Millan JV. Babesiosis. In: Quiroz-Romero H, Ibarra-Velarde OF, editors. Enfermedades parasitarias en perros. Mexico: Castdel Editorial. 2006; 29-45.

8. Garcia de Sá A, Figueiredo A, O´Dwyer LH, Barros D, Silva F, Fernandes R, et al. Detection and molecular characterization of Babesia canis vogeli from naturally infected Brazilian dogs. Int J Appl Res Vet Med. 2006; 4: 163-168.

9. Moraes PHG, Rufino CP, Baraúna ARF, Reis T, Agnol LTD, Meneses AMC, et al. Molecular characterization of Babesia vogeli in dogs from Belém, northern Brazil. Genet Mol Res. 2015; 14: 16364-16371.

10. Carret C, Walas F, Carcy B, Grande N, Précigout E, Moubri K, et al. Babesia canis canis, Babesia canis vogeli, Babesia canis rossi: Differentiation of the three subspecies by a Restriction Fragment Length Polymorphism analysis on amplified small subunit ribosomal RNA genes. J Eukaryot Microbiol. 1999; 46: 298-303.

11. Solano GL, Trotta M, Carli E, Carcy B, Caldinand M, Furlanello T. Babesia canis canis and Babesia canis vogeli clinicopathological findings and DNA detection by means of PCR-RFLP in blood from Italian dogs suspected of tick-borne disease. Vet Parasitol. 2008; 157: 211-221.

12. Jefferies R, Ryan UM, Muhlnickel CJ, Irwin PJ. Two species of canine Babesia in Australia: Detection and characterization by PCR. J Parasitol. 2003; 89: 409-412.

13. René M, Chêne J, Beaufils JP, Valiente MC, Bourdoiseau G, Mavingui P, et al. First evidence and molecular characterization of Babesia vogeli in naturally infected dogs and Rhipicephalus sanguineus ticks in southern France. Vet Parasitol. 2012; 187: 399-407.

14. M’ghirbi Y, Bouattour A. Detection and molecular characterization of Babesia canis vogeli from naturally infected dogs and Rhipicephalus sanguineus ticks in Tunisia. Vet Parasitol. 2008; 152: 1-7.

15. Martínez-Ibanez F. Garrapatas de importancia veterinaria. In: VivasRodriguez RI, editor. Tecnicas para el diagnostico de parasitos con importanciaen salud publica y veterinaria. Mexico: AMPAVE-CONASA. 2015; 258-305.

16. Morales SM, Cruz C. Fluctuaciones poblacionales de Rhipicephalus sanguineus, garrapata parásita de perros en el valle de Cuernavaca, Morelos, México. Estudio preliminar. Vet Méx. 1998; 29: 299-301.

17. Morales SM, Nava RA. Construcción de un control integral de Rhipicephalus (Rhipicephalus) sanguineus (LATREILLE) (ACARIDA: IXODIDAE) en Morelos, México. Investigación Agropecuaria. 2006; 3: 112-122.

18. Rodríguez VRI, Cob LA, Domínguez JL. Hemoparásitos en bovinos, caninos y equinos diagnosticados en el laboratorio de Parasitología de la Facultad de Medicina Veterinaria y Zootecnia de la Universidad Autónoma de Yucatán (1984-1999). Rev Biomed. 2000; 11: 277-282.

Received : 09 Oct 2017
Accepted : 11 Nov 2017
Published : 12 Nov 2017
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
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
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
Author Information X