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JSM Invitro Fertilization

The Effect of Leptin on Luteal Angiogenic Factors in the Developing Porcine Corpus Luteum

Research Article | Open Access | Volume 2 | Issue 3

  • 1. Department of Animal, Rangeland & Wildlife Science, Texas A&M UniversityKingsville, USA
  • 2. Division of Animal Sciences, University of Missouri, USA
  • 3. Animal Reproduction Laboratory, Texas A&M University, USA
  • 4. Department of Agriculture,Texas State University, USA
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Corresponding Authors
Michelle R Garcia, Department of Animal, Texas A&M University-Kingsville, Rangeland & Wildlife Sciences, Kleberg Ag. Bldg. Rm 133, Kingsville, TX 78363, USA, Tel: 1-361-593-3197; Fax: 1-361-593-3788
Abstract

Defects or abnormalities in a CL are believed to account for approximately 65% of recurrent miscarriages. Abnormalities can be associated with incomplete angiogenesis, which leads to a decrease in progesterone production and potential loss of a conceptus. Luteal angiogenesis is regulated by factors, such as fibroblast growth factor-2 (FGF2), vascular endothelial growth factor (VEGF), and angiopoietin-1 (Ang1). Leptin can influence the expression of VEGF, Ang1, and FGF2 in a caprine CL. Therefore, it is hypothesized that leptin is involved in luteal angiogenesis during CL development in the porcine species. Twenty-four mature crossbred gilts were allocated to one of four groups relative to day of the estrous cycle in preparation for CL collection: day (D) 4, 5, 6, or 7 of the estrous cycle (n = 6 gilts/D). Luteal tissue was divided and either frozen in liquid nitrogen for RNA analysis or enzymatically dispersed for cell culture. Gene expression for VEGF, Ang1, FGF2, leptin (tissue only), and leptin receptor (ObRb, tissue only) in CL tissue and cell cultures was determined by qPCR. Dispersed cells were cultured with or without leptin (0, 10-12, 10-11, 10-10, 10-9, 10-8 M; n = 3 wells/dose/gilt) for 24 hours. The expression of FGF2 in luteal tissue significantly (P<0.0003) varied relative to D and Ang1 tended (P=0.1) to be highest in D 6 CL. Leptin increased (P<0.05) Ang1 in D4 cultured dispersed lutea and decreased (P<0.03) FGF2 in D7 cultured dispersed lutea. Collectively, leptin appears to be involved in the angiogenic process in the developing CL.

Keywords

• Leptin angiogenesis development CL

CITATION

Katchko RA, Wiles JR, Benavides EA, Ramirez MA, Ayala1 L, et al. (2017) The Effect of Leptin on Luteal Angiogenic Factors in the Developing Porcine Corpus Luteum. JSM Invitro Fertil 2(3): 1020.

ABBREVIATIONS

VEGF: Vascular Endothelial Growth Factor; FGF2: Fibroblast Growth Factor; Ang1: Angiopoietin 1; D: Day; CL: Corpus Luteum; IGF-1: Insulin-Like Growth Factor 1

INTRODUCTION

Abnormal vasculature of the CL is a defect that leads to abnormal development, decreased progesterone production, and subsequent loss of a conceptus [1,2]. Identifying and understanding the underlying mechanisms of luteal angiogenesis may lead to a reduction in luteal-related infertility and alternate methodology for regulation of reproductive cycles. The luteal neo-vascularization process is attributed to the biological activity of fibroblast growth factor 2 (FGF2), angiopoietin 1 (Ang1), and vascular endothelial growth factor (VEGF). Both VEGF and FGF2 promote capillary membrane destabilization, endothelial cell differentiation, proliferation, migration, and vascular tube formation in human, bovine, and ovine luteal tissue [3,4]. Maturation and stabilization of nascent vessels is then promoted by Ang1 through the recruitment of stromal support cells, including pericytes and smooth muscle cells [5]. Each of these angiogenic regulatory factors is regulated by leptin in both nonovarian and ovarian tissues [6-8].

Both leptin and its receptor, ObRb, have been identified in normal and polycystic ovaries of various species [9-12], particularly in steroidogenically active follicles and luteal tissue where it has been reported to influence the synthesis and secretion of progesterone [8,13]. However, in order to substantially modify steroid production cells are usually incubated with leptin in the presence of an additional growth promotant, such as IGF-I [13- 17], which suggests that a potential ancillary role for leptin in ovarian tissue, such as angiogenesis, may exist. It has recently been reported that leptin is present in luteal vascular endothelial cells and in small and large luteal cells of an early stage CL [8]. Furthermore, leptin upregulates the expression of angiogenic factors in the early caprine CL [8]. Collectively, the evidence supports the supposition that leptin may be involved in the development of a CL, which may include proper vascularization of the tissue. Understanding the mechanisms of the development of luteal tissue may lead to a future reduction in the occurrence of luteal-associated infertility. Therefore, it is hypothesized that leptin is involved in luteal angiogenesis during CL development in the porcine species. The study herein characterizes the primary angiogenic growth promotants VEGF, Ang1, FGF2, leptin, ObRb in developing lutea and investigates the effect of leptin on the production of the angiogenic factors throughout early luteal development.

MATERIALS AND METHODS

Animals and management

Twenty-four, mature crossbred (Yorkshire x Landrace) gilts, Sus scrofa, of similar age and weight, from the Texas A&M University-Kingsville (TAMUK) Farm were utilized. Gilts were randomly allocated to one of four groups relative to day of the estrous cycle in preparation for CL collection: day (D) 4, 5, 6, or 7 of the estrous cycle (n = 6 gilts/D). Ovulation in the porcine species occurs between 10 and 85 hours after the onset of estrus [18], therefore, CL collection began on D4 of the estrous cycle to allow for completion of the ovulation process. Animals were housed in concrete pens (7 m x 13 m) in an outdoor, sheltered facility and had ad libitum access to water and a corn-soy based diet [19]. Females were checked twice daily (30 minutes) for classical, behavioral estrus using an intact boar. Tissue collection occurred on the third cycle after animals exhibited two consistent consecutive cycles. On the day of CL tissue collection, blood samples were collected, via jugular venipuncture, for analysis of serum progesterone for confirmation of normal luteal function.

Corpus luteum collection

Feed was removed from the gilts for a period of 24 hours prior to tissue collection. On the day of CL tissue collection, body weight was recorded and the gilts were transported to a surgical facility located on the TAMUK farm. Gilts were pre-anesthetized with sodium thiopental (2.5%) administered intravenously (ear vein) using a butterfly infusion set (25G x 1.65 cm needle, 30.48 cm tubing; Abbott Laboratories, Chicago, IL). For a surgical plane of anesthetization, the inhalation agent, isoflurane, was utilized. Gilts received isoflurane gas from an isoflurane vaporizer that was set to 3-4%. Corpora luteal were harvested from the ovaries and placed in ice-cold Hank’s Balanced Salt Solution (1X) (HyQ HBSS; HyClone, Logan, UT) for transportation. Harvested tissue was divided and processed for RNA extraction, or enzymatically digested and dispersed for cell culture.

Serum analyses

Serum and culture media were analyzed for progesterone concentration by radioimmunoassay (Coat-A-Count®; Diagnostics Product Corporation, Los Angeles, CA) [20,21] to confirm a functional CL at the time of tissue harvest, cell viability during culture process, and response to culture treatment. Serum concentrations of leptin were determined using ovine specific leptin RIA validated for porcine serum [19,22]. Inter- and intraassay coefficients of variation for progesterone and leptin assays were < 10% as previously reported [19,23].

Dispersed CL cell cultures

Luteal tissue (n=6 animals/per day assignment) was processed as previously reported [8]. Briefly, tissue was mechanically minced and enzymatically dissociated in digestion media (Type IA collagenase, 1.27 mg/ml, 0.5% BSA in Dulbecco’s Modified Eagle’s Medium; DMEM) for 90 minutes at 37°C with gentle agitation in a shaking water bath. Cells were filtered through a metal mesh (80 μm) and centrifuged twice at 150 X g for 4 minutes and the enzymatic supernatant was removed. Cells were re-suspended and the numbers of viable cells were determined using the Trypan Blue Exclusion Test. Cell viability was greater than 85% for each cell culture. The dispersed cells were seeded in a treated polystyrene 24-well cluster dishes (Sigma) at 3 X 106 cells/well in attachment serum media [1 ml/ well; DMEM supplemented with 10% (v/v) charcoal stripped fetal calf serum and 5,000 μg/mL penicillin/streptomycin] and incubated for 24 hours in a humidified atmosphere of 5% CO2 in air at 37°C to equilibrate cells to culture condition, allow aggregation, and promote adherence. Following the 24 hour incubation, attachment serum media was aspirated and replaced with culture media (1 ml/well; DMEM, 0.1% (w/v) BSA, 2.0% (v/v) charcoal stripped fetal calf serum, 0.5 mM ascorbic acid, and 5,000 μg/mL penicillin/streptomycin) containing recombinant ovine leptin (0, 10-12, 10-11, 10-10, 10-9, 10-8 M; Cell Sciences) in triplicate (3 wells/dose/gilt) for 24 hours in a humidified atmospere of 5% CO2 in air at 37°C. Doses of leptin were based on previous studies examining the in vitro effect of leptin in metabolically active cells [8,24] and conditions where leptin stimulates the MAPK signal transduction cascade [25]. Biologically active ovine leptin protein, which is >92% identical porcine leptin (UniProt access. #Q29406 and # G8BLB2), was substituted due to availability. After 24 hours, the cell culture media was aspirated and stored at -80°C for measurement of secreted progesterone as a marker for cell responsiveness to leptin in vitro [8,26,27]. Denaturing solution [1 ml/well; 25 mM sodium citrate (pH 7.0), 0.5% (w/v) N-laurylsarcosine, 4 M guanidine thiocyanate with 0.7% (v/v) 2-mercaptoethanol] was added to cells, aspirated, pooled by dose, and stored at -80°C for total RNA extraction and mRNA analysis of VEGF, Ang1, and FGF2.

RNA extraction and qPCR

Total RNA was extracted from CL tissue (~20 mg) and denatured cells using a phenol: chloroform based procedure [8,19,28]. Total RNA was quantified using a spectrophotometer (640 UV/Visible Beckmann) at UV absorbencies (A) of 260 to 280. Purity of the extracted RNA was evaluated by determining the A260/ A280 ratio. The extracted total RNA was then analyzed for VEGF, Ang1, FGF2, leptin (tissue only), and ObRb (tissue only) mRNA using quantitative polymerase chain reaction (qPCR) with the DNA Engine Opticon II (MJ Research, Inc., Miami, FL). Two µg of extracted total RNA was DNase (RQ1 DNase) (Promega, Madison, WI) treated and reverse transcribed using moloney murine leukemia virus reverse transcriptase (M-MLV RT; Promega). Briefly, total RNA was incubated at 37°C for 30 minutes for DNase 1 treatment, followed by 75°C incubation for 8 minutes to terminate DNase 1 activity. Samples were placed on ice and oligo dt15 (Promega) and M-MLV RT (Promega) were added. Samples were incubated at 37°C for 1 hour to RT mRNA into cDNA. Samples were then incubated at 85°C for 5 minutes to terminate the RT.

Four µl of cDNA were amplified by qPCR using 25 pmol of VEGF, Ang1, FGF2, leptin, ObRb, and cyclophilin primers previously published [8], all synthesized by Integrated DNA Technologies Inc. (Coralville, IA), using a SYBR® green kit (Takara Mirus Bio®, Madison, WI) and diethyl pyrocarbonate (Sigma) treated water in a 50 µl reaction. The PCR cycles were as follows: a 10 minute hotstart at 94°C, then 94°C for 1 minute, anneal temperature of 50°C for 30 seconds, 72°C for 1 minute for 35 cycles followed by a 10 minute extension at 72°C that was conducted at the end of the PCR. To control for potential primer-dimer formation, control tubes containing everything except total RNA were subjected to the same PCR conditions. Relative quantities of VEGF, Ang1, FGF2, leptin, and ObRb, and cyclophilin (housekeeping gene) were quantitated from a relative standard curve (1 μg to 10 pg of total RNA) obtained from qPCR of cyclophilin mRNA in porcine liver tissue [8,19,23,29]. Each qPCR was performed in duplicate to reduce experimental errors. Cycle threshold (Ct ), the cycle at which the amplification curve crosses threshold, was set to standardize each PCR run. Relative values obtained from the relative standard curve were transformed to log10 and normalized with cyclophilin. Cyclophilin mRNA was used to account for variability in sample preparation and procedural variability to normalize targeted amplicons. Dispersed luteal cell values are represented as a % of the control (0M) as previously reported [8]. PCR products were then separated on a 2% agarose gel by electrophoresis and visualized with ethidium bromide staining for estimated size verification.

Statistical analyses

qPCR values of VEGF, Ang1, FGF2, leptin, and ObRb gene expression in luteal tissue were transformed to log10 and analyzed using the PROC MIXED procedure of SAS with day of development as the source of variation. qPCR values of VEGF, Ang1, and FGF2 obtained in cultured cells were transformed to log10 and expressed as a percentage of 0M treatment dose. The effect of leptin on each of the angiogenic factors in vitro was analyzed using the PROC MIXED procedure of SAS. Leptin dose was the source of variation. Animal was used as the subject to account for correlated variation within all MIXED analysis procedure. The PDIFF option of least square mean (LS Mean) values was conducted to compare means where significance of the model was detected to determine the specific day (tissue and serum analyses) or doses (cell culture) that were significantly different than 0M. The values are represented as LS Means ± standard error of the mean.

RESULTS

Neither serum concentrations of progesterone or leptin (Figure 1) significantly differed relative to day as the CL developed over the 4 day sampling period. However, serum progesterone values are indicative of a normal, functional CL at the time of tissue collection.

Vascular endothelial growth factor, ObRb, and leptin gene expression did not significantly differ by day of developing luteal tissue (Figure 2). However, FGF2 varied significantly (P<0.0003) by day, decreasing between D4 and D5, increasing between D5 and D6, and decreasing on D7 to concentrations detected in D4 tissue. Angiopoietin 1 tended (P=0.1) to differ relative to day increasing on D6 and, similar to FGF2, decreasing on D7 to concentrations detected in D4 tissue.

Leptin treatment (Figure 3) stimulated (P=0.05) Ang1 gene expression in D4 dispersed cell cultures at the -11M dose compared to all other doses, but did not upregulate VEGF or FGF2 at any dose. Leptin did not significantly influence gene expression of VEGF, Ang1, or FGF2 in the D5 or D6 cell cultures; however, leptin did significantly reduce (P<0.03) FGF2 in D7 cell cultures across all doses compared to 0M. Leptin influenced (P≤0.05) progesterone secretion in D4, 5, 6, and 7 cell cultures (Figure 4) verifying cellular responsiveness to leptin as previously reported [8,27].

DISCUSSION

Gene expression of VEGF, leptin, and ObRb did not differ by day in luteal tissue, which is not attributed to abnormal CL function since circulating concentrations of progesterone were normal for each day of the porcine estrous cycle [23] and serum leptin remained constant. Insignificant changes during the 4 days of early development does not necessarily imply that each factor would not have differed prior to or after the collection period as previously reported in the caprine [8], porcine [10] and human [30] CL. Vascular endothelial growth factor is reported to increase and remain elevated throughout the luteal lifespan to support angiogenic processes [3,4] and maintain vascular viability [31]. The expression of leptin and ObRb has also been reported to vary throughout the luteal phase in the caprine [8] and porcine [10] CL. However, leptin only appears to influence angiogenic factor expression in the early stage caprine CL [8], which implies leptin may potentially have an alternate role in the mature CL. Both Ang1 and FGF2 exhibited a similar pattern of expression in CL tissue where D7 expression appeared to be lower than in D6 CL. 

Figure 1 Serum concentrations of progesterone (Panel A) and leptin (Panel B) by day (D) in mature gilts (n=6 gilt/D). Blood samples were collected at the time of CL harvest on D4, 5, 6, and 7 of the estrous cycle. Serum concentrations of progesterone and leptin did not significantly differ by D. Similar superscripts represent LS means that are not statistically different (P>0.05).

Figure 1 Serum concentrations of progesterone (Panel A) and leptin (Panel B) by day (D) in mature gilts (n=6 gilt/D). Blood samples were collected at the time of CL harvest on D4, 5, 6, and 7 of the estrous cycle. Serum concentrations of progesterone and leptin did not significantly differ by D. Similar superscripts represent LS means that are not statistically different (P>0.05).

Figure 2 The gene expression of VEGF, Ang1, FGF2, leptin, and ObRb in CL tissue relative to day (D) from mature gilts (n=6 gilts/D). Total RNA was extracted and relatively quantitated using qPCR. Relative quantities of PCR amplicons were transformed to log10 and normalized with cyclophilin. No differences in VEGF, leptin, or ObRb gene expression was detected between D of the developing CL. FGF2 varied significantly (P<0.003) as the CL developed and Ang1 tended (P=0.1) to vary by D decreasing between D6 and 7. abcDifferent superscript represent LS means that significantly differ (P?0.05) within target gene by D.

Figure 2 The gene expression of VEGF, Ang1, FGF2, leptin, and ObRb in CL tissue relative to day (D) from mature gilts (n=6 gilts/D). Total RNA was extracted and relatively quantitated using qPCR. Relative quantities of PCR amplicons were transformed to log10 and normalized with cyclophilin. No differences in VEGF, leptin, or ObRb gene expression was detected between D of the developing CL. FGF2 varied significantly (P<0.003) as the CL developed and Ang1 tended (P=0.1) to vary by D decreasing between D6 and 7. abcDifferent superscript represent LS means that significantly differ (P≤0.05) within target gene by D.

Angiopoietin 1 is important in the stabilization of nascent vessels [5], therefore, a tendency towards a decrease in Ang1 availability in D7 tissue may imply a vascular stabilization event in D6 tissue. The variation in FGF2 during the 4-day window of CL development suggests that as development occurs the requirement for FGF2 may alter in availability. Luteal FGF2 is believed to be a primary regulator of luteal angiogenesis during CL development [4,32,33]. However, FGF2 can mitigate cellular apoptosis in the ovary [34- 36], which may support the supposition that FGF2 is important for luteal angiogenic processes as well as the maintenance of forming luteal tissue. Therefore, the required availability of FGF2 may vary daily depending on the functional requirements of the hormone. Interestingly, leptin reduced FGF2 in D7 dispersed cell cultures rather than increase it, as observed for Ang1 in D4 cultures. A previous report in the caprine CL indicated that leptin stimulated VEGF, Ang1, and FGF2 in the early stage CL [8]. However, the development of the caprine CL is a slower process than in the porcine species [37]. Therefore, D4 in the current study may have been too late for detecting the stimulatory affect of leptin on all angiogenic factors in the porcine CL. The reduction of FGF2 in D7 cultures may explicate, in part, the decrease in FGF2 in D7 CL tissue, but this does not explicate the inhibitory rather than a stimulatory affect in vitro as previously reported [8]. This inhibitory and stimulatory variation was also observed in secreted progesterone in cell culture media where leptin increased progesterone secretion in dispersed cell cultures in the study herein, which is in contrast to previous reports. Leptin decreases progesterone secretion in luteinized bovine granulosa cells [14] and in dispersed caprine lutea [8], however, leptin can both increase or decrease progesterone secretion in cultured porcine luteinized granulosa cells [27]. The direction and magnitude through which leptin influences progesterone secretion can be altered by dose of leptin and/or the addition of growth promoting hormones such as IGF-I [18,27]. Collectively, leptin influences progesterone secretion in luteinized cells, which may be influenced by various factors as the CL experiences the daily biochemical and biophysical modifications that occur as a CL develops [38]. Therefore, variations in endogenous parameters that influence the affect of leptin on progesterone secretion may also influence the affect of leptin on luteal angiogenic factor expression.

Figure 3 The gene expression of VEGF, Ang1, and FGF2 gene in cultured dispersed lutea from mature gilts on days (D) 4, 5, 6, and 7 of the estrous cycle (n=6 gilts/D). Cells were incubated with or without leptin (0, 10-12, 10-11, 10-10, 10-9, 10-8 M) for 24 hours. Leptin increased (P=0.05) Ang1 in the -11M dose compared to all other doses in the D4 cells and significantly decreased (P<0.03) FGF2 in D7 cultures across all doses compared to 0M. abcDifferent superscript represent LS means that significantly differ (P?0.05) from control dose (0M).

Figure 3 The gene expression of VEGF, Ang1, and FGF2 gene in cultured dispersed lutea from mature gilts on days (D) 4, 5, 6, and 7 of the estrous cycle (n=6 gilts/D). Cells were incubated with or without leptin (0, 10-12, 10-11, 10-10, 10-9, 10-8 M) for 24 hours. Leptin increased (P=0.05) Ang1 in the -11M dose compared to all other doses in the D4 cells and significantly decreased (P<0.03) FGF2 in D7 cultures across all doses compared to 0M. abcDifferent superscript represent LS means that significantly differ (P≤0.05) from control dose (0M).

Figure 4 Concentrations of progesterone in aspirated cultured media. Leptin increased (P?0.05) progesterone secretion in D4, 5, 6, and 7 cell cultures. abDifferent superscript represent LS means that significantly differ (P?0.05) from control dose (0M).

Figure 4 Concentrations of progesterone in aspirated cultured media. Leptin increased (P≤0.05) progesterone secretion in D4, 5, 6, and 7 cell cultures. abDifferent superscript represent LS means that significantly differ (P≤0.05) from control dose (0M).

CONCLUSION

Leptin influences the expression of angiogenic factors during early luteal development supporting a potential role for leptin in the luteal angiogenic process of the porcine CL. Further investigation into the functional role of leptin in early luteal development is needed to definitively determine how leptin influences angiogenic processes in the developing CL.

ACKNOWLEDGEMENTS

We acknowledge with gratitude the TAMUK farm personnel for the use, care, and maintenance of the animals used on the project reported herein.

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Katchko RA, Wiles JR, Benavides EA, Ramirez MA, Ayala1 L, et al. (2017) The Effect of Leptin on Luteal Angiogenic Factors in the Developing Porcine Corpus Luteum. JSM Invitro Fertil 2(3): 1020.

Received : 18 Sep 2017
Accepted : 11 Oct 2017
Published : 13 Oct 2017
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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
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