Loading

JSM Sexual Medicine

Sex Reversal Induced by Steroid Hormones in Glandirana rugosa Frogs

Mini Review | Open Access | Volume 4 | Issue 7

  • 1. Waseda Research Institute for Science and Engineering, Waseda University, Japan
  • 2. Department of Biology, Waseda University, Japan
+ Show More - Show Less
Corresponding Authors
Masahisa Nakamura, Waseda Research Institute for Science and Engineering, 3-4-1 Okubo, Shinjuku-ku, Waseda University, Tokyo, 169-8555, Japan,
ABSTRACT

In general, sex is determined at fertilization of zygotes by sex chromosome composition; this is known as genotypic sex determination in many vertebrate species. Interestingly, steroid hormones can reverse sex of many species in fish, amphibians and reptiles; androgens induce the female-to-male sex reversal, whereas estrogens cause the male-to-female one. For such sex reversal, a functioning sex-determining gene on the sex chromosome is not required. However, little is known about the mechanisms involved in the sex-reversal at histological and molecular levels. To clarify the mechanism of sex reversal, it is very important to detect the first signs of histological changes in the sex-reversing gonads. For this purpose, we have determined a threshold dosage of steroid hormones to induce sex reversal. When tadpoles of Glandirana (G.) rugosa are reared in water containing a threshold dosage of steroid hormones, genetic females and males form a mixture of testis and ovary, the so-called ovotestis during the transit period of sex reversal. This enables us to understand what is happening in the sex-reversing gonads of amphibians. The first sign of histological changes in the male-to-female sex-reversing gonads occurs in the medulla and later in the cortex. This direction is opposite to that observed during female-to-male sex reversal in this frog. Thus, this frog is an ideal experimental animal to clarify the mechanism of sex reversal induced by steroid hormones in vertebrate species.

CITATION

Nakamura M, Oike A, Ito E (2020) Sex Reversal Induced by Steroid Hormones in Glandirana rugosa Frogs. JSM Sexual Med 4(7): 1056.

INTRODUCTION

The sex of many vertebrate species is generally determined by a key-gene on the sex chromosome or a sex-determining gene. Since the discovery of the SRY on the Y chromosome in humans [1,2], many efforts have been made by researchers to understand the mechanism of the sex determination in mammals. In mice, Sry acts synergistically with steroidogenic factor 1 (SF1), an orphan nuclear receptor, through an enhancer of Sox9 to promote Sertoli cell differentiation [3]. Are steroid hormones involved in sex determination in mammals? It is known that androgenic effects are mediated by tissue-specific transcriptional control of target genes via the nuclear androgen receptor (AR) [4]. In AR-knockout mice, males have a female-like appearance and body weight, but female-to-male sex reversal does not occur [5,6]. Thus, it is unlikely that androgens participate in sex determination at least in mice.

Figure 1 Direction of histological changes in the gonad during sex reversal in G. rugosa.

Figure 1: Direction of histological changes in the gonad during sex reversal in G. rugosa.

In reptiles, the sex of many species is determined by the ambient temperature during egg incubation [7]. Recently, Ge et al. [8] have shown that the histone H3 lysine 27 (H3K27) demethylase KDM6B exhibits temperature-dependent sexually dimorphic expression in early Trachemys scripta elegans embryos before the gonad is distinct and that KDM6B directly promotes the transcription of the male sex-determining gene Dmrt1 by eliminating the trimethylation of H3K27 near its promoter. The effects of androgens and estrogens on eggs of Emys orbicularis [9], and E. orbicularis and Testugo graeca [10,11], respectively have been examined also. According to these reports, estrogens induce various degrees of gonadal feminization at male-producing temperature, which depends on the embryonic stages and on the dose of estrogens. However, no difference is observed in structures between estrogen- and temperature-induced ovaries [12]. By contrast, androgens do not reverse the sex from female to male at the female-producing temperature [12]. Thus, the mechanism underlined for the temperature-dependent gonadal formation does not differ from that for the steroid hormone-dependent gonadal formation in reptiles.

In amphibians, the Japanese pond frog G. rugosa is known to be the only vertebrate species carrying the two sex-determining systems or the XX/XY and ZZ/ZW systems within one species [13]. The AR is located on the sex (X, Y, W and Z) chromosomes, reportedly on the inverted region of the Y and W chromosomes [14]. The AR on the W chromosome (W-AR) is barely expressed in this frog, whereas the Z-AR is well expressed [15]. In addition, indifferent male gonads of G. rugosa synthesize more androgens than females [16]. These results suggest that the AR could be a candidate for the male sex-determinant in this frog. In fact, incomplete female-to-male sex-reversal occurs in Z-AR transgenic female frogs [17]. Complete female-to-male sex-reversal takes place in the AR-transgenic ZW female frogs when a low dosage of T is supplied in the rearing water of tadpoles [18]. However, no sex reversal is observed in AR-knockdown ZW females when the gonads are treated with dosages of T high enough to induce complete female-to-male sex reversal in wild type frogs [18]. Thus, AR with its androgen ligand undoubtfully functions as the male sex-determinant in G. rugosa. This is the first report showing that androgen and its receptor determine the sex of a vertebrate species.

Steroid hormones strongly influence gonadal differentiation in many species of amphibians [19,20] just as they do in fish [21], reptiles [22] and birds [23]. In G. rugosa, steroidogenic genes are expressed in indifferent gonads of male and female tadpoles before sex determination [24]. The CYP19 expression is significantly higher in the indifferent female gonads of G. rugosa than in those of males [24]. Steroidogenic enzymes such as CYP17, 3βHSD and 17βHSD are present and active in indifferent gonads during sex differentiation in G. rugosa [16]. Indifferent female gonads can convert progesterone into androstenedione more efficiently than indifferent male gonad of G. rugosa [16]. CYP17 is expressed at high levels in the indifferent male gonads. Its expression becomes much stronger in the female ovary of G. rugosa when female tadpoles are reared in water containing T for sex reversal [25]. Thus, this frog is an ideal animal to study the role of steroid hormones in gonadal sex determination and differentiation.

What is happening in the gonad of vertebrates in the presence of steroid hormones? In some species of amphibians such as the Ranidae and Hylidae, female-to-male sex reversal occurs in response to T [25,26]. However, the mechanism of this sex reversal still remains unclear at both the histological and molecular levels. To clarify the mechanism of sex reversal, it is very important to find the first signs of histological changes in the gonad during sex reversal in amphibians. For this purpose, it is necessary to determine a threshold dosage of steroid hormones and correlated the histological changes with the dosage of steroid hormones, because expectedly G. rugosa females transform the ovary to the testis at different degrees depending on the sensitivity of individuals to the drug.

At a threshold dosage of T, female froglets form different types of masculinized gonads with histological changes reflecting various levels of transformation [27]. Histological analysis reveals that at the threshold dosage of T the oocytes disappear in the cortex of the ovary and, later, in the medulla. In parallel, small germ cells specific to male gonads begin to proliferate in the cortex and then spread toward the medulla. Positive signals of CYP17 involved in testis formation are localized in the cortex of the ovary at the initial stage of masculinization and they increase toward the medulla as masculinization proceeds [27]. Thus, the internal structure in masculinizing gonads changes from the cortex toward the medulla. In these gonads, the expression levels of Dmrt1 and Cyp17a necessary for testis formation are increased, whereas Pat1a and CYP19 for ovary formation are decreased.

On the other hand, estradiol-17β (E2) can induce male-tofemale sex reversal in fish [28], amphibians [29] and reptiles [30]. However, the first signs in histological changes in the gonads are not known during this sex reversal. For this purpose, we need to determine a threshold dosage of E2 and correlate the histological changes with the dosage of E2. When male tadpoles are reared in water containing a threshold dosage of E2, male froglets form phenotypically four types of the gonads; the ovary, testis and ovotestis [31]. First, the gonad testis filled with small germ cells. The basement membrane of the gonad is the same as that of the wild-type of testis. Second and third, the gonads are the ovotestes. In the former, small germ cells specific to the testis have disappeared from the medulla and the basement membrane has been disrupted. Immuno-positive signals of Pat1a specific to oocytes are undetectable in the gonad. CYP17 signals have disappeared from the medulla of the gonad. In the latter, small germ cells are observed in only the cortex. Testis structure is completely disrupted, followed by emergence of many oocytes in the gonad. The basement membrane has been rearranged in the feminizing gonad. CYP17-signals are observed in the cortex of the gonad. Fourth, the gonad is the ovary filled with many oocytes. The basement membrane has been reconstructed just like that of the ovary. The expression of Dmrt1, AMHRII and Sox9 is significantly decreased in the feminizing gonads of G. rugosa [31]. Thus, the treatment of tadpoles with a threshold dosage of E2 would be very useful to detect primary changes in the histology of the gonad during male-to-female sex reversal in G. rugosa. Most interestingly, the structural changes in the gonad during femaleto-male sex reversal proceed outward from the cortex, whereas those during male-to-female sex-reversal are directed inward from the medulla (Figure 1). Further work must be performed to understand why the opposite directions are observed during male-to-female sex reversal and vice versa.

ACKNOWLEDGEMENTS

Funding: This work was supported in part by a grant-in-aid for scientific research from the Ministry of Education, Culture, Sports, Science and Technology of Japan to MN (No. 18K06432).

REFERENCES

1. Sinclair AH, Berta P, Palmer MS, Hawkins JR, Griffiths BL, Smith MJ, et al. A gene from the human sex-determining region encodes a protein with homology to a conserved DNA-binding motif. Nature. 1990; 346: 240-244.

2. Koopman P, Gubbay J, Vivian N, Goodfellow P, Lövell-Badge R. Male development of chromosomally female mice transgenic for Sry. Nature. 1991; 351: 117-121.

3. Sekido R, Lövell-Badge R. Sex determination involves synergistic action of SRY and SF1 on a specific Sox9 enhancer. Nature. 2008; 453: 930-934.

4. Sato T, Matsumoto T, Yamada T, Watanabe T, Kawano H, Kato S. Late onset of obesity in male androgen receptor-deficient (ARKO) mice. Biochem Biophys Res Commun. 2003; 300: 167-171.

5. Yeh S, Tsai MY, Xu Q, Mu XM, Lardy H, Huang KE, et al. Generation and characterization of androgen receptor knockout (ARKO) mice: An in vivo model for the study of androgen functions in selective tissues. Proc Natl Acad Sci. USA. 2002; 99: 13498-13503.

6. Kerkhofs S, Denayer S, Haelens A, Claessens F. Androgen receptor knockout and knock-in mouse models. J Mol Endocrinol. 2009; 42: 11-17.

7. Ramsey M, Crews D. Analyzing the coordinated gene network underlying temperature-dependent sex determination in reptiles. Semin Cell Dev Biol. 2009; 20: 283-292.

8. Ge C, Ye J, Weber C, Sun W, Zhang H, Zhou Y, Cai C, et al. The histone demethylase KDM6B regulates temperature-dependent sex determination in a turtle species. Science. 2018; 360: 645-648.

9. Pieau C. Differénciation de sexe en fonction de la temperature chez less embryons d’Emys orbicularis L (Chélonien): effects des hormones sexuelles. Ann Embryolo Morpholog. 1974; 7: 365-394.

10. Pieau C. Effects of an estrogen hormone, estradiol benzoate, on the Moorish turtle (Testudo graeca L.) embryo urogenital apparatus. C R Acad Sci Hebd Seances Acad Sci D. 1969; 269: 2222-2225.

11. Pieau C. Effects of estradiol on the genital apparatus of the embryo of the Mauresque turtle (Testudo graceca L.) Arch Anat Microsc Morphol Exp. 1970; 59: 295-318.

12. Pieau C, Dorizzi M, Richard-Mercier N. Temperature-dependent sex determination and gonadal differentiation in reptiles. In “Genes and Mechanisms in Vertebrate Sex Determination” (Eds Scherer G, Schmid M). Birkhäuser Verlag Basel, Switzerland. 2001; 117-141.

13. Nishioka M, Hanada H. Sex of reciprocal hybrids between the Hamakita (XX-XY type) population and the Murakami (ZW-ZZ type) population of Rana rugosa. Sci Rep Lab Amphib Biol Hiroshima Univ. 1994; 13: 35-50.

14. Uno Y, Nishida C, Yoshimoto S, Ito M, Oshima Y, Yokoyama S, et al. A diversity of sex chromosomal origins in anurans inferred from comparative mapping of sexual differentiation genes for three anuran species. Chromosome Res. 2008; 16: 999-1011.

15. Yokoyama S, Oshima Y, Tokita J, Suda M, Shinozuka T, Nakamura M. Androgen Receptor of the Frog Rana rugosa: Molecular Cloning and Its Characterization. J Exp Zool. 2009; 311A: 1-17.

16. Sakurai N, Maruo K, Haraguchi S, Uno Y, Oshima Y, Tsutsui K, et al. Immunohistochemical and biological activities of CYP17 (P450c17) in the indifferent gonad of the frog Rana rugosa. J Steroid Biochem Mol Biol. 2008; 112: 5-12.

17. Fujii J, Kodama M, Oike A, Matsuo Y, Min M-S, Hasebe T, et al. Involvement of androgen receptor in sex determination in an amphibian species. PLoS ONE. 2014; 9: e93655.

18. Oike A, Kodama M, Yasumasu S, Yamamoto T, Nakamura Y, Ito E, et al. Participation of androgen and its receptor in sex determination of an amphibian species. PLoS ONE. 2017. 12: e0178067.

19. Schmid M, Nanda I, Steinlein C, Kausch K, Haaf T, Epplen JT. Amphibian Cytogenetics and Evolution. In: Sex-determining mechanisms and sex chromosomes in amphibia. Green DM, Sessions SK (Eds), Academic Press, New York. 1991; 393-428.

20. Nakamura M. The mechanism of sex determination and differentiation in amphibians – are sex steroids a key factor? J Exp Zool. 2010; 313A: 381-398.

21. Yamamoto T, Kajishima T. Sex hormone induction of sex reversal in the goldfish and evidence for male heterogamity. J Exp Zool. 1968; 168: 215-221.

22. Bull JJ, Gutzke WH, Crews D. Sex reversal by estradiol in three reptilian orders. Gen Comp Endocrinol. 1988; 70: 425-428.

23. Vaillant S, Dorizzi M, Pieau C, Richard-Mercier N. Sex reversal and aromatase in chicken. J Exp Zool. 2001; 290: 727-740.

24. Maruo K, Suda M, Yokoyama S, Oshima Y, Nakamura M. Steroidogenic gene expression during sex determination in the frog Rana rugosa. Gen Comp Endocrinol. 2008; 158: 87-94.

25. Iwade R, Maruo K, Okada G, Nakamura M. Elevated expression of P450c17 (CYP17) during testicular formation in the frog. Gen Comp Endocrinol. 2008; 155: 79-87.

26. Wallace H, Badawy GMI, Wallace BMN. Amphibian sex determination and sex reversal. Cell Mol Life Sci. 1999; 55: 901-909.

27. Oike A, Kodama M, Nakamura Y, Nakamura M. A threshold dosage of testosterone for female-to-male sex-reversal in Rana rugosa frogs. J Exp Zool. 2016. 325A: 532-538.

28. Baroiller JF, D’Cotta H. The reversible sex of gonochoristic fish: Insights and consequences. Sex Dev. 2016; 10: 242-266.

29. Flament S. Sex reversal in amphibians. Sex Dev. 2016; 10: 267-278.

30. Barske LA, Capel B. Estrogen represses SOX9 during sex determination in the red-eared slider turtle Trachemys scripta. Dev Biol. 2010; 341: 305-314.

31. Oike A, Nakamura Y, Yasumasu S, Ito E, Nakamura M. A threshold dosage of estrogen for male-to-female sex reversal in the Glandirana rugosa frog. J Exp Zool-A. 2020: 1-8.

Nakamura M, Oike A, Ito E (2020) Sex Reversal Induced by Steroid Hormones in Glandirana rugosa Frogs. JSM Sexual Med 4(7): 1056.

Received : 01 Sep 2020
Accepted : 15 Sep 2020
Published : 17 Sep 2020
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
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