Loading

JSM Nanotechnology and Nanomedicine

Effect on the Liposome Morphology of DOPS in Ionic Solution

Research Article | Open Access | Volume 5 | Issue 1

  • 1. Centro de Investigación en Ciencia Aplicada y Tecnología Avanzada, México
  • 2. Unidad Multidisciplinaria de Docencia e Investigación - Facultad de Ciencias, México
  • 3. Departamento de Recursos de la Tierra, Universidad Autónoma Metropolitana-Lerma, México
  • 4. Departamento de Recursos de la Tierra, Universidad Autónoma Metropolitana-Lerma, México
+ Show More - Show Less
Corresponding Authors
Martínez-Balbuena L, Unidad Multidisciplinaria de Docencia e Investigación, Universidad Nacional Autónoma de México - Facultad de Ciencias-Campus Juriquilla, Boulevard Juriquilla, 3001, C.P. 76230, Juriquilla, Querétaro, México, Tel: (442)1926224
Abstract

DOPS liposome formation experiments using the rehydration technique in ionic solutions are reported. We present observations on the ionic strength dependence of the liposome morphology and size. Shape changes from spheres to coiled cylindrical vesicles as the salt concentration increases. From optical microscopy observations and a Winterhalter-Helfrich theoretical model we infer that the counter ion presence leads to an increase in the liposome curvature elasticity, in such a way that small mechanical perturbations are able to radically transform the liposome morphology

Keywords

 Liposome; Coiled cylindrical vesicles; DOPS; Bending curvature;  Phospholipids; Debye length.

Citation

Arteaga-Jiménez A, Martínez-Balbuena L*, Hernández-Zapata E, López-Esparza R (2017) Effect on the Liposome Morphology of DOPS in Ionic Solution. JSM Nanotechnol Nanomed 5(1): 1046.

INTRODUCTION

Biological membranes are thin interfaces that enclose the cell and its organelles. Its basic structure is a lipid bilayer formed by complex lipids (phospholipids) and immersed proteins. Lipid bilayers form spontaneously to avoid contact between water and the hydrophobic regions of the phospholipid molecules. Its stability is maintained by a combination of hydrophobic interactions, covalent bonds and other kinds of attractive and repulsive forces such as van der Waals and electrostatic forces [1]

Biological membranes have multiple functions. They act as a boundary for both cells and the organelles of eukaryotic cells [2], constituting a semi permeable barrier for the flow of substances in both directions through the membrane, taking part in both passive and active transport [3,4]. They play an important role in catalytic processes since enzymes may be incorporated into the membranes or interact strongly with it, and typically the enzymatic reactions occur at the membrane surface [5]. Membranes are also the place where protein receptors interact with specific substances of biological importance triggering biochemical processes inside the cells.

Liposomes are a good model system for the study of physicochemical properties of biological membranes. They are vesicles with a central aqueous cavity covered by one or more phospholipid bilayers that may be separated from each other by aqueous spaces. The bilayer structure of a liposome is a good model to understand certain biological properties such as permeability, surface charge, elasticity, and morphology and membrane structure [6,7]. The simplest studies are carried out using isolated liposomes in aqueous solutions where it is possible to directly observe its deformations and structural changes.

The study of liposome physical properties is of interest for several topics of applied science, such as the analysis of biological processes such as endocytosis and exocytosis [8- 10], the production of appropriate vehicles for the controlled transport, delivery and release of drugs in the human body [4,11], applications in the food and cosmetic industries [12], as well as in the administration of therapeutic genes [13]. On the other hand, characterization of the aggregate mechanical properties is of vital importance to reliably control their stability in physiological environments.

In the present paper we analyze the behavior of negatively charged liposomes immersed in aqueous solutions in the presence of monovalent salt at different concentrations. Specifically, we study the change in morphology and size of the aggregates as the salt concentration is modified. The observed morphologies are discussed in the context of a Winterhalter-Helfrich theoretical model [14], which describes the interplay between electrostatic and thermodynamic interactions and the bilayer geometric properties from and expression of the system free energy.

OVERVIEW

In this section we review a theoretical model, due to Winterhalter and Helfrich [14], that describes a charged membrane behavior in the presence of ions in solution. An expression for the free energy of a charged interface immersed in an electrolyte solution can be obtained from the Helfrich theory [15]. Considering the Poisson-Boltzmann equation and the Debye-Hückel approximation [16], it can be derived an expression for the total membrane electrostatic energy (per unit area), which allows to obtain the electrostatic contributions to the Helfrich parameters (surface tension, bending rigidity, gaussian curvature modulus, and spontaneous curvature [15].

Mean curvature of liposomes in ionic solutions (Winterhalter-Helfrich model)

The membrane is modelled as a two-dimensional surface with a fixed surface density of elementary charges, σ. Its thermodynamic behavior can be described using a modified grand potential (per unit area) that satisfy the following equation [16]:

Where KB the Boltzmann is constant, T is the absolute temperature, and Φ is the value of the dimensionless electrostatic potential at the surface. The effect of the salt ions on the membrane is obtained by calculating the electrostatic potential and substituting it into equation (1). When the potential is small, Φ(r) 1, ? ? (high salt concentrations) the Poisson-Boltzmann (PB) can be linearized and directly solved, which in Gaussian units, for diluted solutions and small electrostatic potential is given as follows [16]:

Where 1 KD − is the Debye length. It should be noted that this quantity depends explicitly on the salt concentration through 

Here ns is the monovalent ion concentration, e is the elementary charge, and e is the solution dielectric constant.

Equation (2) is solved for planar, spherical, and cylindrical geometries, obtaining in each case the corresponding electrostatic energy (per unit area). The electrostatic contribution to the Helfrich parameters (surface tension, γ, bending rigidity,

κ c , gaussian curvature modulus, elect κ c ? , and spontaneous curvature 0 elect C ) are obtained thus comparing this results to the corresponding Helfrich elastic energies [15]:

As can be observed in equations (3 - 6) an increase on the monovalent ion concentration leads to a decrease in the surface tension(γ) and in the modulus associated with the mean curvature elasticity ( ) elect κ c and the gaussian curvature

elasticity ( elect κ c ? ). Thus, the salt ions inhibit the repulsive electrostatic interactions between the different parts of the membrane leading to a decrease in the membrane rigidity. In the results section these theoretical predictions are confirmed. We will observe there that negatively charged DOPS liposomes in an ionic environment modify their shape and they turn more flexible as the salt concentration increases.

MATERIALS AND METHODS

For the liposome formation it was used the phospholipid 1, 2-Dioleoyl-sn-glycero-3-phospho-l-serine (DOPS) dissolved in chloroform at a concentration of 10mg/ml. The phospholipid was provided by Avanti Polar Lipids. The DOPS molecule has a hydrocarbon double chain, with 18 carbon atoms and a double bond in each chain. The polar group is serine that has a negative charge. It has a molecular mass of 810.025u and a gel/fluid phase transition temperature of -11ºC [18].

In order to obtain the proper optical contrast it was used sucrose from Fluka with a purity of 95%. The salts employed in the present study were sodium chloride, NaCl, and potassium chloride, KCl. Both were provided by Sigma Aldrich with a purity of 99.5%. Water used in the solutions was deionized using the water purification system MilliQ with a conductivity of 18.2 (M?cm)-1.

Liposomes were prepared using the rehydration technique. The first step in this process consists on the dehydration of a 5 ml phospholipid solution in order to eliminate the organic solvent (ether and chloroform). To avoid sample contamination, evaporation of the organic solvent was carried out in a high vacuum chamber. Temperature was kept at 25ºC during the three-hour process. The next step was the hydration of the film with different aqueous solutions in a chamber formed by cover slips and finally the samples are analyzed using optical microscopy.

The samples used to form liposomes in pure (salt-free) water solution, and that were considered as the reference, were rehydrated with a 0.2 M sucrose solution. On the other hand, different phospholipid solutions were prepared by rehydrating the film with a mixture of100 µl of a sucrose solution and100 µl of electrolyte solution, for different salt concentrations varying in the range between 0.02M and2M.

Experimental observations were carried out using an inverted optical microscope Oympus Ix2-ILL100 with 60X objective lens and a Hitachi camera coupled in order to obtain videos or photos of the samples

RESULTS AND DISCUSSION

In order to understand the behavior of the liposomes in ionic environments, observations by optical microscopy in real time were carried out. As described in the experimental section, in order to register the evolution of the aggregated population, photographs were taken using a digital camera coupled to the microscope. The studied region was determined after analyzing the whole sample and it was chosen considering the observed diversity and dynamics of the liposome population. It was even possible to observe the transformation of a chosen individual liposome.

Liposomes used as reference were formed by using the rehydration technique in a (salt-free) sucrose solution to increase the optical contrast in the microscope. As shown in Figure (1),

Figure 1 DOPS liposomes formed using the rehydration technique, as  observed with optical microscopy. The aggregates are multilamellar  and they typically have spherical shapes. The white bar at the lower  left side of the figure represents 20 micrometers.

Figure 1 DOPS liposomes formed using the rehydration technique, as observed with optical microscopy. The aggregates are multilamellar and they typically have spherical shapes. The white bar at the lower left side of the figure represents 20 micrometers.

the population consists of spherical aggregates of different sizes (polidispersity). From the photographs, it was estimated that the liposome diameters were in the range between 5 and 40 µm. The aggregates obtained using the rehydration technique may be unilamellar or multilamellar, that is, they may be formed by many concentric spherical bilayers stacked on top of each other [19,20].

As explained in the experimental section, in order to obtain liposomes immersed in ionic environments the dehydrated DOPS film is rehydrated with a sucrose solution at different salt concentrations. This way we can ensure that the internal and external pressure are equal, eliminating a possible difference in osmotic pressure [21]. This let us rule out the possibility that the observed morphological changes are due to pressure differences and therefore the observed transformations were attributed only to the presence of salt. For salt concentrations larger than 2M, liposomes were not observed for both salts used.

Figure (2)

Figure 2 Changes in the DOPS liposome morphology as a function of  the the NaCl concentration. The evolution of the aggregate geometry is  due to the increasing membrane curvature elasticity. The electrostatic  screening effect at the liposome surface leads to a decrease in its  effective anionic charge. As a consequence the liposomes acquire an  stick-like cylindrical structure.

Figure 2 Changes in the DOPS liposome morphology as a function of the the NaCl concentration. The evolution of the aggregate geometry is due to the increasing membrane curvature elasticity. The electrostatic screening effect at the liposome surface leads to a decrease in its effective anionic charge. As a consequence the liposomes acquire an stick-like cylindrical structure.

shows the morphological changes for a DOPS liposome population as the NaCl concentration increases. Figure (3)

Figure 3 Changes in the DOPS liposome morphology as a function of  the KCl concentration. The observed behavior is very similar to the  one obtained with NaCl.

Figure 3 Changes in the DOPS liposome morphology as a function of the KCl concentration. The observed behavior is very similar to the one obtained with NaCl.

shows the corresponding results obtained when NaCl is substituted by KCl. As can be observed, the salt concentration diminishes the population and eliminates the regularity in the liposome shapes.

Figures (2) and (3) shows that the evolution in shape and size for liposomes immersed in NaCl and KCl solutions follow the same pattern. This result was to be expected since both are monovalent salts (however, the cylindrical structures present themselves for smaller KCl concentrations than in the case of NaCl). In the range of salt concentration between 0 and0.05M liposomes have a spherical shape but they present surface roughness and small deviations from the spherical shape that increase with the ionic strength. The addition of salt has also the effect of making more visible the multilamellarity of the aggregates. In the range between 0.05M and 0.2M the liposomes lose their spherical shape and transform into cylindrical and coiled cylindrical vesicles. For higher salt concentrations liposomes are not observed anymore and the scarce visible aggregates have irregular shapes with no apparent pattern.

The decrease in effective surface charge density for the aggregates (due to the presence of monovalent ions that screen the electrostatic interactions) is one of the main reasons for the The decrease in effective surface charge density for the aggregates (due to the presence of monovalent ions that screen the electrostatic interactions) is one of the main reasons for the changes in morphology. The screening of the electrostatic forces increases the membrane curvature elasticity. This hypothesis is in agreement with the results obtained with the WinterhalterHelfrich model (equation 3), according to which the bending rigidity decreases with the salt concentration.

The observed change in geometry has also been reported on mixtures of neutral and charged phospholipids. Paredes-Quijada et al. [19], analyzed the behavior of liposomes formed by SOPC and SOPS in the absence of salt. They observed that the neutral phospholipid (SOPC) form spherical and cylindrical liposomes while with the charged phospholipid (SOPS) only spherical liposomes are obtained. For SOPC: SOPS ratios of 90:10 and 70:30, they obtain a high density of cylindrical liposomes and coiled cylindrical vesicles (which are produced as a result of mechanical perturbations on the cylindrical liposomes). Thus, there are particular ratios for which the mixture of neutral and charged molecules increases the membrane curvature flexibility which allows for any fluctuation to modify the geometry of the aggregate. This behavior is similar to the one we observed on DOPS liposomes for monovalent salt concentrations between 0.05M and 0.2M.Therefore; we conclude that the aggregate bending flexibility depends on the effective surface charge of the membrane.

Finally, the results obtained in this work are in agreement with previous studies on EYPC liposomes in the presence of monovalent NaCl and KCl salt [22]. Sabin et al used dynamic light scattering and electrophoretic mobility to observe that, in the low salt regime, the liposome diameter decreases for higher salt concentrations. The decrease in size is explained by the membrane impermeability to the ions, which produces osmotic forces due to the difference in ion concentration in both sides of the membrane. As a consequence, water tends to migrate towards the liposome exterior leading to a decrease in vesicle size. This explains why in the DOPS experiments for high salt concentrations, aggregates are rarely observed and the visible structures do not have an irregular structure (See Figures 2 and 3). The structures obtained in the high salt regime may be thus the result of a squeezed liposome as a consequence of osmotic forces.

DISCUSSION

DOPS liposomes were produced using the rehydration technique in the presence of monovalent salt. It was shown that the charged phospholipid DOPS forms spherical liposomes in the absence of salt. High concentrations (above 2M) of monovalent salt were observed to inhibit the formation of aggregates. This is probably due to the osmotic pressure generated by the ion concentration in the exterior of the membrane leading to the extraction of water from inside the liposome and to the corresponding squeezing of the aggregate.

For intermediate salt concentrations (between 0.05M and 0.2M) the liposomes have a cylindrical shape due to a decrease in bending rigidity, as predicted by the Winterhalter-Helfrich model. The higher flexibility makes possible for small mechanical perturbations to transform the cylindrical structures into coiled cylindrical vesicles.

The comparison of our experimental results to theoretical  predictions and other experimental observations reported in the literature makes possible to explain the pattern of morphology transformations of the aggregates in the presence of monovalent ions in solution.

ACKNOWLEDGEMENTS

We acknowledge useful discussions with Paredes-Quijada G and Maldonado-Arce A.

REFERENCES

1. Lawrence IR. Structure and function of biological membranes. Academic Press. New York. 1971.

2. Philip LY. The structure of biological membranes. CRC Press. New York. 2012

3. Harvey Lodish, Arnold Berk, Lawrence Zipursky S, Paul Matsudaira, David Baltimore, James Darnel. Molecular cell biology.WH. Freeman. New York. 2000.

4. Lapinski MM, Castro-Forero A, Greiner AJ, Ofoli RY, Blanchard GJ. Comparison of liposomes formed by sonication and extrusion: rotational and translational diffusion of an embedded chromophore. Langmuir. 2007; 23:11677-11683.

5. Küchler A Yoshimoto M, Luginbühl S Mavelli F, Walde P. Enzymatic reactions in confined environments. Nat Nanotechnol. 2016; 11: 409- 420.

6. Georg Pabst, Norbert Kucerka, Mu-Ping Nieh, John Katsaras. Liposomes, Lipid Bilayers and Model Membranes: From Basic Research to Application. CRC Press. New York. 2014.

7. Svetina S, Zeks B. Shape behavior of lipid vesicles as the basis of some cellular processes. Anat Rec. 2002; 268: 215-225.

8. Raucher D Sheetz MP. Membrane expansion increases endocytosis rate during mitosis. J Cell Biol. 1999; 144: 497-506.

9. Xiaoming Xu, Diane J, Burgges. Liposomes as carriers for controlled drug delivery, chapter in Long actin injections and implants. Series Advances in delivery science and technology. Springer US. 2011; 195- 220.

10. Lei G, MacDonald RCJ. Effects on interactions of oppositely charged phospholipid vesicles of covalent attachment of polyethylene glycol oligomers to their surfaces: Adhesion, Hemifusion, Full Fusion and Endocytosis . J Membr Biol. 2008; 221: 97-106.

11. Cans AS, Wittenberg N, Karlsson R, Sombers L, Karlsson M, Orwar O, et al. Artificial cells: unique insights into exocytosis using liposomes and lipid nanotubes. Proc Natl Acad Sci. 2003; 100: 400-404.

12. Lasic DD. Applications of liposomes. In: Handbook of Biological Volume 1 edited by R. Lipowsky and E. Sackmann. Elsevier. North Holland. 1995.

13. Simões S, Filipe A, Faneca H, Mano M, Penacho N, Düzgünes N, et al. Cationic liposomes for gene delivery. Expert Opin Drug Deliv. 2005; 2: 237-254.

14. Winterhalter M, Helfrich W. Effect of Surface Charge on the Curvature Elasticity of Membranes. J Phys Chem.1988; 92: 6865-6867.

15. Helfrich W. Elastic properties of lipid bilayers: theory and possible experiments. Z Naturforsch C. 1973; 28: 693-703.

16. Safran SA. Statistical thermodynamics of surfaces, interfaces, and membranes. Perseus Book, Cambridge, Massachusetts. 1994.

17. Israelachvili JN. Intermolecular and surface forces. Academic press. California. 2010.

18. Leventis PA, Grinstein S. The distribution and function of phosphatidylserine in cellular membranes. Annu Rev Biophys. 2010; 39: 407-427.

19. Paredes-Quijada G, Aranda-Espinoza H, Maldonado A. Shapes of mixed phospholipid vesicles. J Biol Phys. 2006; 32: 177-181.

20. Gerardo Paredes-Quijada, Helim Aranda-Espinoza, Amir Maldonado. Shapes and Coiling of Mixed Phospholipid Vesicles. Lipids. 2009; 44: 283-289.

21. Bangham AD, Hill MW, Miller NGA. Preparation and use of liposomes as models of biological membranes. Chapter in: Methods in membrane biology (Edward K. Korn). Springer US. Volume 1. 1974.

22. Sabín J, Prieto G, Ruso JM, Hidalgo-Alvarez R, Sarmiento F. Size and stability of liposomes: a possible role of hydration and osmotic forces. Eur Phys J E Soft Matter. 2006; 20: 401-408

Arteaga-Jiménez A, Martínez-Balbuena L*, Hernández-Zapata E, López-Esparza R (2017) Effect on the Liposome Morphology of DOPS in Ionic Solution. JSM Nanotechnol Nanomed 5(1): 1046.

Received : 11 Jan 2017
Accepted : 21 Feb 2017
Published : 23 Feb 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
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
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