Loading

Journal of Human Nutrition and Food Science

Effects of High Dietary Fat Intake on Biochemical Variables and Pancreas Histoarchitecture in Diabetic Rats

Research Article | Open Access | Volume 3 | Issue 1

  • 1. Department of Physiology, College of Health Sciences, Bowen University, Nigeria
+ Show More - Show Less
Corresponding Authors
Magnus Michael Chukwudike Anyakudo, Department of Physiology, College of Health Sciences, Bowen University, Nigeria
Abstract

Consumption of dietary fat has been implicated in some metabolic and cardiovascular disorders of public health importance. The effects of high dietary fat intake on glycemic tolerance (GT), organ weights, lipid profile (LP) and pancreatic tissue histology were investigated respectively in 2 groups (n=8, each) of experimental male diabetic and healthy albino rats following treatment with composed high-fat diet for 6 weeks while another 2 similar groups (n=8, each) on normal diets served as normal and diabetic controls respectively in this experimentally-controlled designed study. Induction of diabetes (100mg/dL, intraperitoneally) was achieved with freshly prepared alloxan monohydrate solution after 15 hours overnight fast while oral GT test and LP analysis were conducted on blood samples. Organs were extracted and weighed while sections of pancreatic tissues histologically examined. Body weight significantly increased (P < 0.05) in both experimental healthy (40.1%) and diabetic (41.3%) rats. No significant organ weight change observed relative to high fat diet. GT improved significantly in both experimental rats with much delayed glycemic response in diabetic rats. Histopathological changes in pancreatic islets of experimental diabetic rats were observed while normal histoarchitecture and regeneration of some b cells observed in healthy and diabetic control rats respectively. Triacylglycerides (72.24±1.00mg/dL) and cholesterol (90.50±1.50mg/ dL) increased significantly in both experimental rats with higher values observed in diabetic rats. Consumption of high dietary fat in this study altered blood lipid profile with significant weight gain - a potential risk factors for metabolic and cardiovascular problems. However, consumption and recommendation of dietary fat in individuals should be rationalized to achieve positive impact on glycemic and lipid profiles

Keywords

•    High-fat diet
•    Glycemic tolerance
•    Lipid profile
•    Pancreas histoarchitecture

Citation

Chukwudike Anyakudo MM, Omotayo P (2015) Effects of High Dietary Fat Intake on Biochemical Variables and Pancreas Histoarchitecture in Diabetic Rats. J Hum Nutr Food Sci 3(1): 1053.

INTRODUCTION

Fat intake, in any of its forms, i.e., mono-unsaturated, polyunsaturated, trans and cis saturated, has long being investigated in relation to human health and a number of observational studies [1-3] have reported link between dietary fat consumption and metabolic and cardiovascular disorders. Experimental studies have shown that high-fat-induced hyperlipidemia leads to pancreatic endocrine and exocrine alterations with possible risk of pancreatic cancer [4-6]. Diabetics who have their carbohydrate intake restricted consume greater proportion of fat and such high fat intake has been linked with insulin resistance and poor glycemic control and profile [7]. The aim of diet therapy in diabetics is to achieve normoglycemia and maintain ideal body weight. In addition, dietary advice given in diabetes mellitus primarily aimed at averting symptoms of hyper- and hypoglycemia, eliminate or postpone secondary complications and normalize serum insulin concentrations, blood lipid abnormalities and blood pressure elevation. This study was carried out to determine the effects of high intake of dietary fat on glycemic tolerance (GT), organ weights, lipid profile (LP) and pancreatic tissue histology of alloxan-induced male diabetic albino rats with the rationale that findings obtained from the study may lend necessary insights to the correlation between dietary fat and glycemic control with necessary precautions and guide provided in planning, selecting and recommending dietary menu to the diabetics.

MATERIALS AND METHODS

Experimental Animals And Diets

Thirty two male albino rats weighing 200-250g were purchased from the disease-free stock of the animal house of the Department of Biochemistry, Bowen University, Iwo, Osun state, Nigeria. The rats were kept in polypropylene plastic cages and maintained at normal and standard laboratory conditions of temperature (28 ± 2 o C) and relative humidity (46 ± 6%) with 12-hour light-dark cycle and adequate ventilation for two weeks to allow for acclimatization to their environment. The rats were weighed twice weekly to ensure that no rat outside the initial weight range of 200g-250g was used. The rats were initially fed with commercially available standard rat feed (Ladokun feeds Nig. Ltd.) purchased from a commercial branch depot and water ad libitum during the period of acclimatization and thereafter were grouped into four groups: two groups (n=8, each) containing diabetic rats and other two groups (n=8, each) containing healthy rats. One of the healthy and diabetic groups respectively were fed with normal diet as controls while the remaining groups were fed with high-fat diet as experimental groups according to the experimental design for a period of 6 weeks. The weights of the rats were recorded for the six weeks period of the study prior to laboratory investigations. This study using experimental animals was conducted in accordance with the internationally accepted principles for laboratory animals [8].

Induction of Diabetes

After 15 hour overnight fast, rats in two groups were injected intraperitoneally with freshly prepared alloxan monohydrate (Sigma chemicals, USA) dissolved in sterile normal saline at a dose of 100 mg/kg body weight. Diabetes was confirmed 4-7 days later by use of glucometer (On Call Plus Blood Glucose Monitoring System, ACON Laboratories, Inc. San Diego, USA.). Rats with Fasting Blood Glucose (FBG) level > 150mg/dl were considered diabetic and used for this study.

Test Diets

The normal and the high-fat diets (Table 1) were processed and prepared by an animal science nutritionist in the department of Animal Science and Nutrition, Bowen University, Iwo, Osun State, Nigeria with the following feed compositions (% per 100g of feed):

Table 1: Percentage Compositions of normal and experimental diets.

NUTRIENT COMPONENTS INGREDIENTS USED NORMAL DIET (ND) (% per 100g of feed) HIGH FAT DIET (HFD) (% per 100g of feed)
Protein Fish meal 50% 25%
Fats and oils Groundnut cake 35% 60%
Carbohydrates Maize 10% 10%
Fibers Rice thusk 0.1% 0.1%
Premix (Vitamins) Vitamins B, C, D 0.4% 0.4%
Amino acids Lysine, Methionine 0.2% 0.2%
Water Water 5% 5%

Experimental Design

The animals after 2 weeks acclimatization period and induction were randomly divided into 4 broad categories of 8 rats each:

GROUP A: Diabetic rats on high-fat diet (DHF group)

GROUP B: Diabetic rats on normal diet (DNF group) – Diabetic control

GROUP C: Non-diabetic rats on high-fat diet (NDHF group) and

GROUP D: Non-diabetic rats on normal diet (NDNF group) – Normal control

Biochemical Assays

Oral glucose tolerance test (OGTT): The OGTT was conducted at the end of the 6 weeks of study. Animals in all groups after 15 hour overnight fast with free access to water were treated with an oral D?glucose load of 2 gm kg?1 (dissolved in distilled water) administered by means of cannula. Blood samples were withdrawn from the cordal (tail) vein of each animal (tail snipping) to determine the fasting blood sugar concentration at time 0 minute (before ingestion of glucose) and subsequently at intervals of 30, 60, 90 and 120 minutes after oral glucose administration.

Lipid profile test (LPT): The lipid profile was conducted at the beginning and then 6 weeks later at the end of the study for comparison. Blood samples from the Posterior Vena Cava vein were collected and transferred into the k3 EDTA (Ethylene Diamine Tetraacetic Acid) sample bottles. Samples were centrifuged at 3000 revolutions to obtain the plasma fractions which was kept in a refrigerator (at -70ºC) until used and the sera obtained were used for the biochemical assay of the lipid profile. Plasma concentration of total cholesterol (TC), high density lipoprotein (HDL) and Triacylglycerol (TAG) were measured by the enzymatic colorimetric method after centrifugation using a dry-chemical automatic analyzer AU-5200 OLYMPUS (Randox Laboratories, San Francisco, USA). LDL level was determined by the Friedewald formula [9] as follows:

VLDL (mg/dL) = TAG/5

LDL (mg/dL) = TC - VLDL – HDL

Extraction of organs and organ weights

After 6 weeks of test study, animals in all groups were given light anaesthesia using Ethyl Ether in a glass dome and then dissected to extract some organs. Organ weights (liver, heart, kidney, lungs, spleen and testes) were measured and recorded as a percentage of final body weight together with the absolute values while the pancreatic tissues were histologically examined.

Histology of pancreas

Histological examination was based on an earlier protocol [10]. Slices of the pancreatic tissue were fixed in 10% formalin solution for 24 h. All samples were then dehydrated in graded ethanol series, cleared in toluene and embedded in paraffin wax; 5-6 μm sections were routinely stained with Harris hematoxylin and eosins stains (Sigma-Aldrich) and were assessed under light microscope (Nikon Eclipse E400).

Statistical Analysis

Data was analyzed using appropriate statistical methods and program of Microsoft Excel and SPSS v. 19. Results (all mean values) are expressed as group Mean ± SEM (Standard Error of Mean). Comparisons between groups and the significant difference between the control and the experimental groups were analyzed using one way analysis of variance (ANOVA) followed by Duncan’s multiple range tests. P values of < 0.05 were considered statistically significant.

RESULT

Body and Organ Weights

As shown in Table 2 below, the mean body weights of the rats were almost the same (~250 g) in all groups at the onset of the study. At the time of sacrifice, the mean body weight increased significantly (P< 0.05) in groups fed with high-fat diets compared with those groups on normal diets (controls). Percentage increase in mean body weights of rats in DHF and NDHF groups were 41.3% and 40.1% respectively while that of the DNF and NDNF groups (control) were 14.5% and 13.0% respectively. High dietary fat intake had significant impact on body weight. No significant change was observed in the mean weights of organs (liver, heart, kidney, lung, spleen and testes).

Table 2: Effect of composed normal and high-fat diets on body and organ weights of experimental rats (n = 8).

             Experimental Animal Categories
     DHF    DNF    NDHF    NDNF
Body Weight (g)        
Initial 250.00±1.03a 250.00±1.51a 250.50±1.67a 250.00±0.93a
Final 353.17 ±4.32b 286.33±1.05a 350.17±3.70b 282.50±1.34a
% increase 41.3% 14.5% 40.1% 13.0%
Organ Weights (g)
Lung 1.17±0.00 1.18±0.00 1.21±0.07 1.20±0.00
Heart 0.58±0.02 0.59±0.00 0.57±0.03 0.60±0.00
Spleen 0.73±0.00 0.78±0.01 0.75±0.02 0.77±0.00
Liver 5.52±0.04 5.56±0.00 5.50±0.00 5.56±0.02
Kidney 1.44±0.00 1.46±0.00 1.41±0.03 1.43±0.00
Testes 2.24±0.06 2.22±0.01 2.25±0.02 2.16±0.01

Means with the different letter (superscripts) within the same row are significantly different at P value < 0 .05. DHF = Diabetic rats on high fat diet; DNF = Diabetic rats on normal diet; NDHF = Non-diabetic rats on high fat diet; NDNF = Non-diabetic rats on normal diet.

Glycemic Tolerance Test

Postprandial glycemic response to high-fat diet showed improved glycemic tolerance over that of normal composed diet. The high-fat fed diabetic rats displayed slower and decreased glycemic response to oral glucose challenge compared with normally-fed healthy and diabetic rats. High-fat fed healthy rats displayed relative normoglycemic response curves. Figure 1 below shows the mean glycemic tolerance curves to test and control diets.

 Effect of composed normal and high-fat diets on glycemic tolerance of experimental rats.

Figure 1: Effect of composed normal and high-fat diets on glycemic tolerance of experimental rats.

DHF = Diabetic grouped rats on high fat diet; DNF = Diabetic grouped rats on normal diet; NDHF = Non-diabetic grouped rats on high fat diet and NDNF = Non-diabetic grouped rats on normal diet.

Lipid Profile

Table 3 below shows the comparative effects of the test diets on the lipid profile of the experimental and control rats. After 6 weeks of diet, levels of the constituting parameters of the lipid profile (except HDL) increased in all groups but much more significant in rats fed with high-fat diets.

Table 3: Effect of dietary high fat intake on lipid profile of experimental rats (n=8).

Time (weeks) Experimental groups
DHF DNF (Diabetic control) NDHF NDNF (Normal control)
Total cholesterol (TC) mg/dl
  0 52.00±1.47 51.20±3.05 50.00±3.25 51.23±2.25
  6 90.50± 1.50b 59.22±6.85a 80.05±0.95ab 57.40 ±2.60a
Triacylglycerol (TG) mg/dl
  0 21.05±1.30 20.45±2.00 21.00±2.35 20.05±2.30
  6 72.24±1.00b 28.34±2.90a 69.44±1.00b 29.54±2.70a
High density lipoprotein cholesterol (HDL- C) mg/dl
  0 5.85 ±1.85 5.75 ±1.05 6.05 ±1.75 5.95 ±1.75
  6 8.35±2.50a 10.46±1.34b 8.00±2.85a 11.00±1.80b
Low density lipoprotein cholesterol (LDL- C) mg/dl
  0 41.94±7.25 41.36±6.30 40.00±5.25 41.26±6.25
  6 67.70± 0.65b 43.07±1.20a 58.16±2.00ab 40.49±0.03a

Means with the same letter in same row are not significantly different. P value < 0.05 is significant.
DHF = Diabetic rats on high fat diet; DNF = Diabetic rats on normal diet; NDHF = Non-diabetic rats on high fat diet; NDNF = Non-diabetic rats on normal diet

Histological Analysis

Under high power magnification light microscopic examination, the photomicrographs of the pancreas of the experimental and controlled diabetic and normal rats were closely examined. Pancreatic islet cells from NDNF and NDHF grouped rats exhibited normal histoarchitecture with marked increase in islets size seen in NDNF rats while degenerated islets with vacuolation of β-cells were observed in pancreatic tissue of rats in DHF and DNF Groups (Figures 2-5).

Photomicrograph of the pancreas from normal control (NDNF group) rat demonstrating normohistoarchitecture. Blood capillaries are  surrounded by centroacinar cells containing serous acini (hematoxylin and eosin; original magnification x400). I - islet.

Figure 2: Photomicrograph of the pancreas from normal control (NDNF group) rat demonstrating normohistoarchitecture. Blood capillaries are surrounded by centroacinar cells containing serous acini (hematoxylin and eosin; original magnification x400). I - islet.

Photomicrograph of the pancreas from a diabetic rat on high fat diet (DHF group) showing vacuolation, degranulation and degeneration of  serous acini (hematoxylin and eosin; original magnification x400).

Figure 3: Photomicrograph of the pancreas from a diabetic rat on high fat diet (DHF group) showing vacuolation, degranulation and degeneration of serous acini (hematoxylin and eosin; original magnification x400).

Photomicrograph of the pancreas from a diabetic rat on normal feed diet (DNF) showing degenerated serous acini, although some  regeneration is also visible (hematoxylin and eosin; origin magnification x400).

Figure 4: Photomicrograph of the pancreas from a diabetic rat on normal feed diet (DNF) showing degenerated serous acini, although some regeneration is also visible (hematoxylin and eosin; origin magnification x400).

 Photomicrograph of the pancreas from normal rat on high-fat diet (NDHF group) showing normal pancreatic histoarchitecture with  marked increased in islets size (hematoxylin and eosin; original magnification x400). I- Islets.

Figure 5: Photomicrograph of the pancreas from normal rat on high-fat diet (NDHF group) showing normal pancreatic histoarchitecture with marked increased in islets size (hematoxylin and eosin; original magnification x400). I- Islets.

DISCUSSION

This study determined the effects of high intake of dietary fat on glycemic tolerance (GT), organ weights, lipid profile and pancreatic tissue histology in diabetic rats. The findings obtained from the study revealed increased cardiovascular and metabolic risks associated with consumption of high dietary fat as evidenced by significant weight gain and hyperlipidemia.

Consumption of high fat diet in this study significantly increases the total body weight while the effect on the organ weights was insignificant. At the time of sacrifice (6 weeks post fed), mean body weight of experimental rats was significantly higher (p < 0.05) than control: DHF (353.17±4.32g) NDHF (350.17±3.70g), DNF (286.33±1.05g) and NDNF (282.50±1.34g). This observed increase in the body weight agrees with the findings of few studies [1,12] which suggested that total dietary fat intake is linked to an increased risk of obesity and diabetes.

Glycemic profile (Figure 1) of rats in oral glucose challenge demonstrated a delayed glycemic response and improved glycemic tolerance in diabetic rats fed with high fat diet over that of the diabetic control. The observed pattern of the glycemic profiles agrees with the findings of Pagan [13] in his study which reflects the effect of diabetes mellitus on dietary glucose handling. Presence of large amount of fat in the study diet delays the peak but not the total glucose response as also observed in the studies of Moghaddam [14], Lan-Pidhainy [15] and Boyd [16].

Photomicrographs of the pancreas of the experimental and control rats in this study were closely examined under high power magnification light microscopy. Pancreatic islet cells from NDNF (normal control) rats exhibited normal histoarchitecture, namely clearly visible darkly stained serous acini containing centroacinar cells. Degenerated islets with degranulation and vacuolization of β-cells were observed in pancreatic tissues from diabetic highfat fed rats (DHF group) and diabetic normal-fed rats (DNF groups) as seen in figures 2-5. These observations comply with the findings of other study using alloxan-induced diabetic animal models [17]. Regeneration of some islets cells observed in the photomicrograph of the pancreas in the DNF grouped rats raises some hope of improving the course of diabetes with good dietary recommendations.

Analysis of the lipid profile showed significant increase in total cholesterol, triglycerides and low density lipoprotein levels in high-fat fed experimental healthy and diabetic rats as shown in Table 3 above. This observed hyperlipidemia demonstrates the impact of high fat diets on blood lipid chemistry as supported by results of other studies [18,19]. This abnormal increase in the levels of lipid components calls for reasonable caution. However, moderate consumptions of fatty foods according to some epidemiological studies [20-22] have revealed reasonable reductions in metabolic and cardiovascular risks associated with obesity.

CONCLUSION

High intake of dietary fat caused significant increase in total body weight, altered ultrastructure of pancreatic tissue and hyperlipidaemia in diabetic rats with delayed peak glycemic response and improved glycemic tolerance. While achieving good glycemic tolerant effect of fat in diets, recommendation of dietary fats in diabetic menu should be rationalized to minimize cardiovascular and metabolic risks associated with high-fat diets.

ACKNOWLEDGEMENT

We acknowledge Mr. Alabi of Animal Science and Nutrition Department who prepared the study diets.

REFERENCES

1. Astrup A. Dietary management of obesity. JPEN J Parenter Enteral Nutr. 2008; 32: 575-577.

2. Ma Y, Olendzki BC, Hafner AR, Chiriboga DE, Culver AL, Andersen VA. Low-carbohydrate and high-fat intake among adult patients with poorly controlled type 2 diabetes mellitus. Nutrition. 2006; 22: 1129- 1136.

3. Erkkilä A, de Mello VD, Risérus U, Laaksonen DE. Dietary fatty acids and cardiovascular disease: an epidemiological approach. Prog Lipid Res. 2008; 47: 172-187.

4. Popov D, Simionescu M, Shepherd PR. Saturated-fat diet induces moderate diabetes and severe glomerulosclerosis in hamsters. Diabetologia. 2003; 46: 1408-1418.

5. Chowdhury P, Nishikawa M, Blevins GW Jr, Rayford PL. Response of rat exocrine pancreas to high-fat and high-carbohydrate diets. Proc Soc Exp Biol Med. 2000; 223: 310-315.

6. Akiyama T, Tachibana I, Shirohara H, Watanabe N, Otsuki M. Highfat hypercaloric diet induces obesity, glucose intolerance and hyperlipidemia in normal adult male Wistar rat. Diabetes Res Clin Pract. 1996; 31: 27-35.

7. Westman EC, Yancy WS Jr, Mavropoulos JC, Marquart M, McDuffie JR. The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus. Nutr Metab (Lond). 2008; 5: 36.

8. Bazzocchi R, Grazia M, Bini A, Aurea P, Ussia G. [Bronchoplegic phenomena caused by vagal denervation. Experimental study]. Ann Ital Chir. 1989; 60: 303-307.

9. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972; 18: 499-502.

10. Humason GP. Animal tissue techniques. San Fransisco: W.H. Freeman and Company; 1979

11. Astrup A1. Dietary management of obesity. JPEN J Parenter Enteral Nutr. 2008; 32: 575-577.

12. Ma Y, Olendzki BC, Hafner AR, Chiriboga DE, Culver AL, Andersen VA. Low-carbohydrate and high-fat intake among adult patients with poorly controlled type 2 diabetes mellitus. Nutrition. 2006; 22: 1129- 1136.

13. Pagan, JD, Geor RJ, Caddel SE, Pryor PB, Hoekstra KE. The relationship between glycemic response and the incidence of OCD in Thoroughbred weanlings: A field study. In: Proc. 47th AAEP Conv, 2001; 322-325.

14. Moghaddam E, Vogt JA, Wolever TM. The effects of fat and protein on glycemic responses in nondiabetic humans vary with waist circumference, fasting plasma insulin, and dietary fiber intake. J Nutr. 2006; 136: 2506-2511.

15. Lan-Pidhainy X, Wolever TM. The hypoglycemic effect of fat and protein is not attenuated by insulin resistance. Am J Clin Nutr. 2010; 91: 98-105.

16. Boyd KA, O’Donovan DG, Doran S, Wishart J, Chapman IM, Horowitz M. High-fat diet effects on gut motility, hormone, and appetite responses to duodenal lipid in healthy men. Am J Physiol Gastrointest Liver Physiol. 2003; 284: G188-196.

17. Viana GS, Medeiros AC, Lacerda AM, Leal LK, Vale TG, Matos FJ. Hypoglycemic and anti-lipemic effects of the aqueous extract from Cissus sicyoides. BMC Pharmacol. 2004; 4: 9.

18. Hu T, Mills KT, Yao L, Demanelis K, Eloustaz M, Yancy WS Jr. Effects of low-carbohydrate diets versus low-fat diets on metabolic risk factors: a meta-analysis of randomized controlled clinical trials. Am J Epidemiol. 2012; 176 Suppl 7: S44-54.

19. Mensink RP, Zock PL, Kester AD, Katan MB. Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. Am J Clin Nutr. 2003; 77: 1146-1155.

20. Siri-Tarino PW, Sun Q, Hu FB, Krauss RM. Saturated fat, carbohydrate, and cardiovascular disease. Am J Clin Nutr. 2010; 91: 502-509.

21. Noakes M, Keogh JB, Foster PR, Clifton PM. Effect of an energyrestricted, high-protein, low-fat diet relative to a conventional high-carbohydrate, low-fat diet on weight loss, body composition, nutritional status, and markers of cardiovascular health in obese women. Am. J. Clin. Nutr. 2005; 8: 1298–1306.

22. Sacks FM, Bray GA, Carey VJ, Smith SR, Ryan DH, Anton SD. Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. N Engl J Med. 2009; 360: 859-873.

Chukwudike Anyakudo MM, Omotayo P (2015) Effects of High Dietary Fat Intake on Biochemical Variables and Pancreas Histoarchitecture in Diabetic Rats. J Hum Nutr Food Sci 3(1): 1053.

Received : 06 Jan 2015
Accepted : 16 Jan 2015
Published : 21 Jan 2015
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
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
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