Loading

JSM Nanotechnology and Nanomedicine

Heparin-Pluronic Coated Magnetic Nanoparticles for Doxorubicin Delivery

Research Article | Open Access | Volume 5 | Issue 3

  • 1. Graduate University of Science and Technology, Vietnam Academy of Science and Technology,Vietnam
  • 2. Department of Biomaterials & Bioengineering, Institute of Applied Materials Science, Vietnam Academy of Science and Technology, Vietnam
+ Show More - Show Less
Corresponding Authors
Dai Hai Nguyen, Department of Biomaterials & Bioengineering, Institute of Applied Materials Science, Vietnam Academy of Science and Technology, 01 TL29, District 12, Ho Chi Minh City, Hanoi, Vietnam, Tel: 84-(08)3-8298987;
Abstract

In this study, superparamagnetic Fe3 O4 nanoparticles were surface coated with heparinPluronic (HP) for Doxorubicin (DOX) delivery. In detail, Fe3 O4 nanoparticles were prepared and then coated with HP (Fe3 O4 @HP) conjugate by co-precipitation method. Furthermore, the formation of Fe3 O4 @HP was demonstrated by fourier transform infrared (FT-IR) and Powder X-ray diffraction (XRD). The superparamagnetic property of Fe3 O4 @HP was also showed by hysteresis loop analysis, the saturation magnetization reached 24.92 emu g-1. In addition, sizes and morphologies of Fe3 O4 and Fe3 O4 @HP nanoparticles were spherical shape with average diameter of 19 nm as compared with Fe3 O4 nanoparticles (12 nm), were determined by transmission electron microscopy (TEM). Especially, DOX was effectively loaded into the coated magnetic nanoparticles, 66.9% ± 2.7% for drug loading efficiency and slowly released up to 120 h. These results suggest that the potential application of Fe3 O4 @HP nanoparticles in the development of stable drug delivery system for cancer therapy.

Keywords

Superparamagnetic iron oxide , Pluronic ,  Heparin , Doxorubicin , Magnetic nanoparticles

Citation

Nguyen DH (2017) Heparin-Pluronic Coated Magnetic Nanoparticles for Doxorubicin Delivery. JSM Nanotechnol Nanomed 5(3): 1054

INTRODUCTION

Magnetic nanoparticles (MNPs) have been used as an effective agent that can be targeted to specific organs, tissues, and cells in biomedical applications, such as magnetic resonance imaging (MRI), drug delivery systems (DDS), hyperthermic treatment, and gene delivery [1]. Superparamagnetic iron oxide nanoparticles (SPIO NPs), in particular, are the primary choice for biological and biomedical applications due to their biocompatibility, chemical stability, and superparamagnetic behaviour. However, there are several inherent drawbacks of SPIO NPs including weak physiological stability, fast blood clearance from the circulation, and lack of target specificity, which may limit their potential clinical application [1,2].

Surface modification, one of the most outstanding approaches, have been studied for the purpose of overcoming disadvantages of SPIO NPs, such as amphiphilic molecules, bi-functional polymeric ligands, or biomolecules. Among different types of synthetic and natural macromolecules for stabilizing magnetic particles, natural macromolecules containing proteins and polysaccharides are more promising owing to their excellent biocompatibility and biodegradability. Particularly, heparin (Hep) has been attracting a great attention for improving dynamic stability of MNPs because of its high biocompatibility, relevant biodegradability, and low toxicity. Hep not only has a variety of biological functions due to the specific interaction with protein in its domain [3], but also shows extra- and intra-cellular interactions that may enhance the bioactivity of drugs. Moreover, it has a variety of therapeutic activities including anticoagulant activity, inhibition of angiogenesis, and tumor development [4,5]. Lately, it was investigated that Hep showed anti-cancer activity in the progress of tumor by inducing apoptotic cell death [6]. For instance, Javid Amaneh and co-workers determined the anti-cancer effect of Doxorubicin (DOX), loaded Hep-based SPIO NPs (SPIO-DOXHP) on the human cell lines of A2780. Cytotoxicity tests showed that SPIO-DOX-HP had higher cell toxicity than Hep alone [7]. In addition, Mohammad Fazilati reported the anti-neoplastic effect of Hep coated magnetic NPs on the human ovarian cancer cells of CP70. The result demonstrated that Hep-based MNPs have potential applications as anti-cancer drug delivery systems and also have an enhanced anticancer effect [8]. Considering the effectiveness of the modification of MNPs, Pluronic was also used in order to develop better MNPs for anti-cancer therapy. Pluronic, amphiphilic tri-block copolymers, shows drastic sensitization of multidrug-resistant cancer (MDR) tumors to various anticancer agents, and enhances the bioavailability of various drugs [9-11]. Shin young Park et al., developed DOX-loaded thiolated Pluronic decorated MNPs for A549 cell lines.DOX-loaded MNPs showed lower cytotoxicities against A549 cells compared to the individual DOX [12]. These experiments indicated the potential properties of Hep and Pluronic for modification of the surface MNPs in the treatment of cancer.

In this study, we report the fabrication and characterization of magnetite nanoparticles coated with Hep-Pluronic (HP) for DOX delivery system. Fe3 O4 NPs were prepared by coprecipitation method and further coated by polymeric outer layer HP. The obtained samples were characterized by powder X-ray diffraction (XRD), vibration sample magnetometer (VSM), transmission electron microscopy (TEM), and Fourier transform infrared spectra (FT-IR). Especially, either drug loading efficiency or drug release behaviour of DOX loaded Fe3 O4 @HP NPs were also evaluated. This study is expected to improve the stability of magnetic NPs for controlled delivery systems in cancer therapy.

EXPERIMENTS

Materials

DOX, succinic anhydride, dimethylamino pyridine (DMAP), 4-morpholinoethanesulfonic acid (MES), 1-eyhyl3-[3-(dimethylamino) propyl] carbodiimide (EDC), N-hydroxysuccinimate (NHS), Iron (III) chloride hexahydrate (FeCl3 .6H2 O, 97%), iron (II) chloride tetrahydrate (FeCl2 .4H2 O, 99%), oleic acid (OA, 99%), and Pluronic F127 were obtained from Sigma-Aldrich (St. Louis, MO, USA). Hep sodium and triethylamine (TEA) were purchased from Acros Organics (Geel, Belgium).All chemicals and solvents were analytical grade and used without further purification.

Preparation of heparin-Pluronic (HP)

HP was prepared by utilizing cross-linking agent as previous report with minor modification. Briefly, DMAP (0.339 g, 3.0 mmol) and TEA (0.281 g, 3.0 mmol) were added into the mixture of succinic anhydride (0.334 g, 3.3 mmol) and Pluronic F127 (35 g, 2.8mmol) dissolved in 400 mL of dioxane. The mixture was then stirred at 30o C for 24 h under nitrogen atmosphere. Carboxylated Pluronic was produced by evaporation, precipitation in cold diethyl ether, filter and drying overnight under vacuum. Next, the carboxylated Pluronic was conjugated to Hep, 12.5 g (1.0 mmol) of carboxylated Pluronic was dissolved in 140 mL of 0.5 M MES buffer (Ph 4.75), immediately followed by addition of EDC (1.2 mmol) and NHS (0.6 mmol). After 15 min, the activated Pluronic solution was added into the Hep solution (2 g of Hep was dissolved into 80 mL of MES buffer (0.5 M)). The reaction was kept for 24 h under stirring at room temperature. The resulting solution was dialyzed using dialysis membrane (MWCO 50 kDa, Spectrum Laboratories, Inc., USA) against distilled water for 4 days at room temperature. Distilled water was changed 5-6 times a day and the resulting solution was then lyophilized to obtain HP conjugate.

Preparation of Fe3O4 and Fe3O4@HP MNPs

Fe3 O4 NPs were prepared by chemical co-precipitation method described previously with some modifications [13]. Initially, 80 mL mixture of 0.2 M of FeCl3 .6H2 O and 0.1 M of FeCl2 .4H2 O (the molar ratio of Fe2+: Fe3+ = 1:2) were added into the three-necked flask and constantly stirred under nitrogen. NH4 OH solution (10%, w/w) was injected into the mixture and the reaction was maintained at room temperature under vigorously stirring for 1 h until pH reach to 10. The color of the solution changed to dark black. Thereafter, the precipitate was isolated by super magnet bar and then rinsed with deionized water several times.

In order to prepare Fe3 O4 @HP MNPs, 300 mg of HP was dissolved in 50 mL of deionized water. Then, 154 mg of Fe3 O4 dissolved in 50 mL of deionized water was added into the previous solution under ultra-sonicated at room temperature for 6 h. The HP conjugates were adsorbed on the surface of the nanoparticles during this process and the obtained substance was centrifuged and lyophilized for further use.

Characterization

The magnetization curves of the magnetite-polymer nanoparticles were measured with a vibrating sample magnetometer (EV11, USA) at room temperature from −15 to 15 kOe. The crystalline structure of the Fe3 O4 and Fe3 O4 @HP and their sizes were assessed using Rigaku D/Max-2550 V diffractometer at a scanning rate of 4°/min in the 2θ range of 30–70° (λ = 0.15405 nm, 40 kV, 40 mA). FT-IR analysis of bare Fe3 O4 and Fe3 O4 @HP was carried out using the FT-IR spectrophotometer (Nicolet 5700, Thermo Electron Corporation, MA, USA) with KBr pellets in the range of 500–4000 cm−1 to investigate the presence of HP coating on the surface of Fe3 O4 NPs.Morphology and size of the resulting magnetite nanoparticles were confirmed with the transmission electron microscope (TEM, JEM-1400, Tokyo, Japan).

DOX loaded Fe3O4@HP MNPs, DOX loading contents and in vitro DOX release

In order to prepare DOX loaded Fe3 O4 @HP MNPs, 10 mg of DOX and 100 mg Fe3 O4 @HP MNPs were dissolved in 10 mL of deionized water. Next, the mixture was sonicated for 60 min for 24 h and then dialyzed by distilled water for removing freedrug. The resulting solution was freeze-dried for obtaining DOX loaded Fe3 O4 @HP MNPs. The drug loading efficiency (DLE) and drug loading content (DLC) were quantified using a UV-Vis spectrophotometer (NIR-V670-JASCO, Japan) and presented by equation (1) and (2), respectively:

In vitro release of DOX from Fe3 O4 @HP MNPs was performed in PBS buffer (0.01 M, pH 7.4) at 37°C using dialysis method. First,1 mL of DOX loaded Fe3 O4 @HP MNPs suspended in PBS (DOX content, 0.3 mg/mL) was transferred to dialysis bag (MWCO 12-14 kDa, Spectrum Laboratories, Inc., USA) and immersed it into 14 mL of fresh medium at 37°C. The samples were placed in an orbital shaker bath, which was maintained at 37o C and horizontally shaken at 100 rpm. At predetermined time intervals, 14 mL of the released medium was withdrawn, filtered (pore size=0.20 µm), and replaced with an equal amount of fresh medium. Following lyophilization of the collected medium, the amount of released DOX was determined using UV-Vis spectrophotometer.

RESULT AND DISCUSSION

After preparation of Fe3 O4 NPs by chemical co-precipitation, the obtained nanoparticles were coated with HP to form Fe3 O4 @ HP, which was then characterized by XRD, VSM, TEM, and FT-IR. As shown in Figure 1a,

Figure 1: (a) XRD pattern

Figure 1: (a) XRD pattern

the characteristic adsorption peaks for Fe3 O4 NPs marked by their indices ((220), (311), (400), (422), (511) and (440)) could be observed in the X-ray diffraction patterns of either Fe3 O4 NPs or Fe3 O4 @HP. These six diffraction peaks are the standard pattern for crystalline magnetite with spinal structure. The insignificant effects of the outer-modifiers on the core of samples were also indicated by XRD data, Fe3 O4 NPs still maintained their structure after polymeric coating. In addition, the crystallite sizes D (311) of Fe3 O4 and Fe3 O4 @HP particles were 2.53 and 2.52 Å, while the particle sizes were 12 and 18 nm calculated by Debye-Sherrer method, respectively.

Magnetization curve of Fe3 O4 and Fe3 O4 @HP is shown in Figure 1b.

Figure 1: (a) XRD pattern and (b) hysteresis loops of (i) Fe3O4 and (ii) Fe3O4@HP NPs

Figure 1:  (b) hysteresis loops of (i) Fe3O4 and (ii) Fe3O4@HP NPs

The size of magnetite nanoparticles is a crucial factor in its magnetic properties. If the size is small enough, such nanostructures have superparamagnetic properties. The saturation magnetization value (Ms) of Fe3 O4 NPs and Fe3 O4 @HP were 68.9 emu g-1 and 24.92 emu g-1, respectively. These results demonstrate that both structures are superparamagnetic, which allow their rapid and easy separation from the reaction mixture. Furthermore, lower Ms of the coated Fe3 O4 is the result of the non-magnetic layer coated on Fe3 O4 NPs. As a result, after coating, Fe3 O4 @HP NPs are more suitable for magnetic separation for DDS

Fourier-transform infrared (FT-IR) spectra of (i) Fe3 O4 and (ii) Fe3 O4 @HP NPs are shown in Figure 2.

Figure 2: FT-IR spectra of Fe3O4 (i) and Fe3O4@HP (ii)

Figure 2: FT-IR spectra of Fe3O4 (i) and Fe3O4@HP (ii)

The characteristic peaks of Fe3 O4 at 571 cm-1and 578 cm-1 could be obtained in Figure 2i and 2ii. Moreover, the presences of Fe3 O4 particles were identified by the O-H stretching vibration at 3416 cm-1 and 3420 cm-1, which were detected in both Figure 2i and ii. As compared with the spectrum of Fe3 O4 , there was a strong shift between Fe-O stretching (570-578 cm−1) of Fe3 O4 because of the existence of HP. The band appearing at 1400 cm-1 is related to the C-O of alcoholic groups of Hep. Additionally, the peaks at around 2925 cm-1 and at 3430 cm-1 corresponds to the C-H stretching band and the hydroxyl groups of HP, which was overlapped by the O-H groups stretching vibration of Fe3 O4 NPs, respectively. These results demonstrate that HP was synthesized and attached onto the surface of Fe3 O4 NPs.

Figure 3

Figure 3: TEM images and particle size distribution of Fe3O4 (a) Fe3O4@HP (b)

Figure 3: TEM images and particle size distribution of Fe3O4 (a) Fe3O4@HP (b)

exhibits morphologies and particle sizes of Fe3 O4 and Fe3 O4 @HP NPs. As shown in Figure 3, Fe3 O4 @HP NPs still maintain the morphological property of Fe3 O4 particles except for larger particle size. It is stated that HP polymeric matrix was covered on the surface of Fe3 O4 particles (Figure 3b). The structure of Fe3 O4 @HP NPswas looser and its size were bigger. The average particle size of Fe3 O4 and Fe3 O4 @HP NPs were found to be 12 nm and 19 nm in diameter, respectively

Magnetic nanoparticles have mostly used to control drug release with an external magnetic field. The corporation of magnetic particles vibrate under a magnetic force and the vibration accelerates drug release from the nanoparticles. Figure 4

Figure 4: In vitro release profiles of DOX from Fe3O4@HP MNPs

Figure 4: In vitro release profiles of DOX from Fe3O4@HP MNPs

shows the release profile of DOX from Fe3 O4 @HP NPs in PBS pH 7.4 at 37o C, the nanoparticles exhibit sustained-release profile up to 120 h. The drug release ability of Hep?DOX conjugate based nanoparticle without external magnetic field in the same PBS buffer had been studied in Wenchuan’s research [15]. The release of DOX from nanoparticle was only 20% at pH 7.4 after 56 h incubation. Compared when the present of Fe3 O4 which created the magnetic field, the release ability is significant increase. The magnetic field showed the high potential in controllingdrug release after incubation with PBS at 37o C for 48 h, the cumulative release amount of DOX from Fe3 O4 @HP was 59.9%. Due to the high interaction between DOX and HP, the release of loaded drug from the coated MNPs can therefore be taken a longer time for DOX to diffuse through the nanoparticles into the aqueous medium. Taken together, Fe3 O4 @HP NPs may serve as a promising candidate for controlled drug delivery system.

CONCLUSION

In this study, HP have been conjugated and successfully coated on Fe3 O4 NPs with 19 nm in size and high saturation magnetization. The DOX-loaded magnetic nanoparticles showed a steady and sustained release profile in vitro up to 120 h. These results suggest that the DOX-loaded Fe3 O4 @HP NPs may serve as a promising platform of MNPs with dual therapeutic effects (hyperthermia combined with chemotherapy) for cancer therapy.

ACKNOWLEDGEMENT

This work was financially supported by a grant from the Viet Nam Academy of Science and Technology, Institute of Applied Materials Science, Ho Chi Minh.

REFERENCES

1. Nguyen DH, Lee JS, Choi JH, Park KM, Lee Y, Park KD. Hierarchical self-assembly of magnetic nanoclusters for theranostics: Tunable size, enhanced magnetic resonance imagability, and controlled and targeted drug delivery. Acta Biomaterialia. 2016; 35: 109-117.

2. Chen X, Lv H, Ye M, Wang S, Ni E, Zeng F, et al. Novel superparamagnetic iron oxide nanoparticles for tumor embolization application: preparation, characterization and double targeting. Int J Pharm. 2012; 426: 248-255.

3. Nguyen DH, Lee JS, Choi JH, Lee Y, Son JY, Bae JW, et al. Heparin nanogel-containing liposomes for intracellular RNase delivery. Macromol Res. 2015; 23: 765-769.

4. Moon HT, Jeon OC, Byun Y, Kim YJ, Lee YK. Evaluation of the oral absorption of heparin conjugated with sodium deoxycholate as a facilitating agent in GI tract. Macromol Res. 2009; 17: 79-83.

5. Niers TM, Klerk CP, DiNisio M, Van Noorden CJF, Büller HR, Reitsma PH, et al. Mechanisms of heparin induced anti-cancer activity in experimental cancer models. Crit Rev Oncol Hematol. 2007; 61: 195- 207.

6. Tong NT, Nguyen TH, Nguyen DH, Nguyen CK, Tran NQ. Preparation of the cationic dendrimer-based hydrogels for controlled heparin release. J Macromol Sci. 2015; 52: 830-837.

7. Javid A, Ahmadian S, Saboury A, Rezaei ZS. Anticancer effect of doxorubicin loaded heparin based super-paramagnetic iron oxide nanoparticles against the human ovarian cancer cells. Int J Med Health. 2011; 50.

8. Fazilati M. Anti-neoplastic Applications of Heparin Coated Magnetic Nanoparticles against Human Ovarian Cancer. J Inorg Organomet Polymers Mat. 2013; 24: 551-559.

9. Nguyen DH, Bae JW, Choi JH, Lee JS, Park KD. Bioreducible crosslinked Pluronic micelles: pH-triggered release of doxorubicin and folate-mediated cellular uptake. J Bioactive Compatible Polymers. 2013; 28: 341-354.

10. Nguyen DH, Lee JS, Bae JWoo, Choi JH, Lee Y, Son JY, et al. Targeted doxorubicin nanotherapy strongly suppressing growth of multidrug resistant tumor in mice. Int J Pharm. 2015; 495: 329-335.

11. Chiappetta DA, Hocht C, Taira C, Sosnik A. Efavirenz-loaded polymeric micelles for pediatric anti-HIV pharmacotherapy with significantly higher oral bioavailability. Nanomedicine. 2010; 5: 11-23.

12. Park S, Kim HS, Kim WJ, Yoo HS. Pluronic@ Fe3 O4 nanoparticles with robust incorporation of doxorubicin by thermo-responsiveness. Int J Pharm. 2010; 424: 107-114.

13. Silva VAJ, Andrade PL, Silva MPC, Valladares Luis De Los Santos, Aguiar J Albino. Synthesis and characterization of Fe3 O4 nanoparticles coated with fucan polysaccharides. J Magnetism Magnetic Materials. 2013; 343: 138-143.

14. Nguyen DH, Choi JH, Joung YK, Park KD. Disulfide-crosslinked heparinpluronic nanogels as a redox-sensitive nanocarrier for intracellular protein delivery. J Bioactive Compatible Polymers. 2011; 26: 287-300.

15. She W, Li N, Luo K, Guo C, Wang G, Geng Y, et al. Dendronized heparin− doxorubicin conjugate based nanoparticle as pH-responsive drug delivery system for cancer therapy. Biomaterials. 2013; 34: 2252- 2264

Nguyen DH (2017) Heparin-Pluronic Coated Magnetic Nanoparticles for Doxorubicin Delivery. JSM Nanotechnol Nanomed 5(3): 1054.

Received : 08 Aug 2017
Accepted : 20 Aug 2017
Published : 23 Aug 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