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Journal of Veterinary Medicine and Research

Correlation among B Hydroxybutyric Acid (BHBA), Total Antioxidant Capacity (TAC) and Protein Profile Pre and Post-Partum in Shall Ewes

Research Article | Open Access

  • 1. Department of Clinical Science, Shahid Chamran University, Iran
  • 2. Department of Clinical Science, Tehran University, Iran
  • 3. Department of Clinical Science, Islamic Azad University, Iran
  • 4. Young Researchers and Elite Club, Garmsar Branch, Islamic Azad University, Iran
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Corresponding Authors
Amir Zakian, Department of Clinical Science, Faculty of Veterinary medicine, Shahid Chamran University, Ahvaz, Iran
Abstract

Nowadays, the role of pregnancy on antioxidant capacity of body in animals established in many studies. The aim of present study was to determine the correlation among b hydroxybutyric acid (BHBA), glucose, total antioxidant capacity (TAC) and protein profile pre and post-partum in shall sheep. In this study 112 heads sheep from shall breed in Qazvin city pre and postpartum to measurements amount of TAC, BHBA, glucose, protein profile and investigation of TAC modification were examined. The level of TAC prepartum significantly lower than postpartum (P< 0.03) and was found a negative correlation between BHBA and TAC pre (r = -0.731, P< 0.000) and post (r= -0.390, P< 0.003) partum. The concentration of TAC pre and post-partum with increase and decrease of BHBA changed, also were found a positive correlation between TAC and glucose pre(r= 0.683, P< 0.000) and post (r= 0.393, P< 0.003) partum. The value of total protein (P< 0.05), albumin (P< 0.05) and A/G ratio (P< 0.05) pre-partum were significantly higher than post-parturm, whereas globulin levels (P> 0.05) have not significant changed.

Keywords


•    BHBA
•    TAC
•    FRAP
•    Shall breed
•    Qazvin
•    Iran

Citation

Zakian A, Lotfollahzadeh S, Tehrani-Sharif M, Faramarzian K, Gholami N, et al. (2015) Correlation among Β Hydroxybutyric Acid (BHBA), Total Antioxidant Capacity (TAC) and Protein Profile Pre and Post-Partum in Shall Ewes. J Vet Med Res 2(5): 1038.

ABBREVIATIONS

BHBA: β Hydroxybutyric Acid; TAC: Total Antioxidant Capacity; BCS: Body Condition Score; FRAP: Ferric Reducing Ability of Plasma.

INTRODUCTION

Measurement of biochemical markers in blood have an indispensable role for detection of metabolic diseases. One of the important characteristics of metabolic disorders is increased or decreased of blood biochemical factors. Ruminants for daily milk production and to maintain reproductive performance required high level of glucose or its precursors. The blood glucose concentration in ewes depending on various physiological conditions and the level of production, could be different [1], as well as in various stages of some metabolic diseases will be changed. In the absence of glucose, ketone bodies and urea concentrations produced from fat and protein catabolism increase from normal condition up to different physiological status [2- 6] and pathological condition [7,8]. Therefore, the appropriate information about the normal values of blood biochemical factors for prevention and control of many production diseases in farm animals is necessary and would be useful index for distinction of the physiological appearance in non-pregnant and pregnant ewes.

Protein profile of serum in ruminants with aging, some of diseases, hormonal and environmental changes associated with seasons can be different. Any alteration in normal range of serum protein reflects the pathological or physiological conditions of ruminants and can be a useful and inexpensive diagnostic methods for monitoring of livestock health [9-11].

Magnitude of negative energy balance during the last stage of pregnancy is considered as an important indicator to the development of disease and hyperketonemia [12,13]. In hyperketonemic animals in which body fuel is mainly supplied from fat, the concentration of ketones begins to increase in the blood and other body fluids and may reach 10 mmol/L of blood, which is 10-fold higher than concentrations in healthy animals [14,15]. It was reported that ketone body, acetoacetate, can generate superoxide radicals that can then form hydroxyl radicals [16]. Markers of oxidative stress were increased in cows with subclinical ketosis [17] and in hyperketonemic compared with normoketonemic people with type 1 diabetes [16,18]. The amount of antioxidant capacity in the blood can be measured by ferric reducing ability of plasma (FRAP) method.

Pregnancy toxaemia is a metabolic disorder with a high mortality rate and occurrence in end of gestation [19]. Characteristic symptom of the disease is maternal hypoglycemia and has been attributed to an increase in glucose uptake by the twin-bearing uterus [19]. Also some risk factors such as diseases, nutritional disorders or stress led to decrease energy intake and increase negative energy balance that seems to be critical for the progress of pregnancy ketosis [20]. Insulin exhibits selectivity among extra hepatic tissue and facilitates uptake of glucose by muscles [21,22] and adipose tissues [23,24]

Meat production is the first priority of sheep breeding in Iran and wool production is second or third purpose. The sheep population in Iran is about 53 million heads (14 breeds) [13] and more than 1.6 million people in Iran are directly involved in sheep and goats breeding which plays a significant economic role in rural and nomadic livelihood. Shall sheep with an approximate population is 1 million in Alborz and Qazvin province is one of the important meat breed in Iran, that more than 45% meat of Qazvin province comes from this breed [25]. Some characteristics of mentioned breed including: high percentage of twining (approximately 30-35%), high conversion efficiency, high daily weight gain in the finishing period and about 1 kg wool production annually, led be superior to other meat breeds in Iran.The objective of current study was evaluation of possible correlation between BHBA, TAC and protein profile pre and postparturition in Shall ewes.

MATERIALS AND METHODS

Animals

During this research in 2013 from January to March, 4 large flocks suburbs of Qazvin city, Iran with similar nutrition management program selected and 112 heads clinically healthy sheep from Shall breed (each flock 28 heads) studied. All flocks were in the winter pasture and the extra ration used consist of approximately 0.5 kg alfalfa hay per ewe, 1.5 kg wheat straw per ewe and 0.25 kg hand-made concentrate (containing 25% wheat bran, 20% corn, 20.5% wheat, 15% rice bran, 10% canola meal, 6% molasses, 1.5% calcium carbonate, 1% sodium bicarbonate, 1% enzymes and 0.5% sodium chloride per ewe) being offered daily. Water was given ad libitum. It should be mentioned before and after parturition extra ration have not changed.

Sample collection

Blood sample from jugular vein of sheeps, after overnight fasting in the morning by sterile venoject tubes (6 ml, MediPlus Co., UK) collected. First blood sample 4-6 weeks before lambing and second blood sample 2 months after parturition were taken. Age and body condition score (BCS) (scale of 0 to 5 point) based on Russel, 1991 [17] of each sampled sheep recorded. Blood samples transferred to laboratory 30 min after collection beside ice pack, then serum isolated by centrifugation (1500× g for 15 min) and until 2 hours analyzed.

Analytical procedures

Biochemical analysis were carried out on the serum samples to measure of BHBA (Ranbut kit, Randox Laboratories Ltd., Ardmore, UK), glucose (Pars Azmoon Co, Iran), total protein (Pars Azmoon Co., Iran), albumin (Pars Azmoon Co., Iran) and TAC (FRAP) based on spectrophotometric methods. The automated method for measuring the FRAP or with other words the measurement of “antioxidant power” was modified by [26] to a manual assay. Our protocol is shortly as follows:

Making reagents: 1) Acetate buffer: 300 mmol/L pH 3.6 (3.1 g sodium acetate × 3 H2 O and 16 ml conc. acetic acid per 1 of buffer solution)

2) 40 mmol/L Dilute HCl: 1.46 ml conc. HCl (11M), distilled water (d.w.) to 1 liter store at room temperature

3) 10 mmol/L TPTZ (2,4,6-tri[2-pyridyl]-s-triazine): 0.031 g TPTZ in 10 ml of 40 mmol/LHCl, dissolved at 50?C in water bath, made fresh on day of assay in a new corning tube

4) 20 mmol/L Ferric chloride: 0.054 g FeCl3 × 6 H2 O, dissolved in 10 ml distilled water, made fresh on day of assay in a new corning tube

Making standards: 1 mmol/L Ferrous sulphate solution: 0.278 g FeSO4 × 7 H2 O in 1 liter distilled water dilute as follows to made a series of standards shown in Table 1, below:

Statistical evaluation

The results of biochemical examination of serum samples were analyzed with SPSS (SPSS, Ver. 16, Inc., Chicago, IL). Normal distribution of data with Shapiro-Wilk test checked, then descriptive statistics and paired sample T-test for compare means of biochemical factors before and after parturition done. Biochemical parameters changes between flocks pre and postpartum were compared by one way ANOVA. Pearson correlation tests were performed to evaluate the relationship among serum parameters in flocks. Value of P< 0.05 was considered to be significant

RESULTS AND DISCUSSION

Table 2 showed the range, min and max and mean±S.D serum value of BHBA, TAC, glucose, total protein, albumin, globulin and A/G ratio before and after parturition. Mean serum BHBA, TAC, glucose, Total protein, albumin, globulin and A/G ratio before parturition 1.11±0.30 mmol/L, 0.37±0.72 mmol/L, 51.78±3.84 mg/dl, 68.1±4.73, 39.7±6.51, 28.4±2.29 g/L, 1.39±0.78 and after parturition were 0.40±0.19 mmol/L, 0.42±0.99 mmol/L, 61.32±3.31 mg/dl, 65.3±3.28, 34.3±2.22, 31±4.16 g/L and 1.10±0.64 respectively. Statistic analysis shown that serum BHBA in pregnant sheeps was significantly higher than non-pregnant sheeps (P< 0.01), also the serum concentration of glucose in non-pregnant sheeps was more than pregnant sheeps (P< 0.01) significantly. The value of TAC in pregnant sheeps was higher than non-pregnant sheeps significantly (P< 0.03). The level of total protein (P< 0.05), albumin (P< 0.05) and A/G ratio (P< 0.05) pre-partum were significantly higher than post-partum, while globulin values have not significant change pre and post-partum (P> 0.05). The serum concentration of biochemical parameters of 4 flocks studied shown with details in Table 3. There were a significant difference (P< 0.05) between concentrations of BHBA, TAC, glucose and albumin in all flocks pre and post-partum. The value of total protein was significantly lower (P< 0.05) post than pre-partum in flock C and globulin had significantly difference (P< 0.05) only in flock A pre-partum. A/G ratio in pre-partum was more than post-partum in flocks A and D (P<0.05). Flock C showed significant changes than other flocks in BHBA and glucose concentrations pre and post-partum (P< 0.05) and TAC level Post-partum (P< 0.01). Significant difference (P< 0.05) observed in pre-partum levels of globulin and A/G ratio of flock C and in post-partum levels of globulin and A/G ratio in flock B than other flocks.

Correlation between biochemical parameters pre and post parturition shown in table 4.There are a strong negative correlation between BHBA and TAC in pregnant sheeps (r= -0.731, P< 0.000) and a weak negative correlation (r= -0.390, P< 0.003) in non-pregnant sheeps. Were found a very strong negative correlation between BHBA and glucose in pregnant sheeps (r= -0.959, P< 0.000) and in non-pregnant sheeps (r= -0.932, P< 0.000) also, relative positive correlation between TAC and glucose (r= 0.683, P< 0.000) in pregnant sheeps and a weak positive correlation (r= 0.393, P< 0.003) in non-pregnant sheeps. There are relative positive correlation between albumin and globulin pre (r= 0.403, P< 0.01) and post (r= 0.415, P< 0.01) partum. A relative negative correlation between BHBA and albumin in pregnant sheep (r= -0.387, P< 0.01) and non-pregnant sheep (r= -0.397, P< 0.01) were found.

Several studies have shown that plasma concentrations of glucose in pregnancy and during early lactation is changed [27- 29]. Serum glucose concentrations were significantly lower at pre-partum period than post-partum. The increase may reflect the recovery of feed intake and improving energy status of the ewe after lambing. Negative energy balance appears to be related to the glucose demands of the fetal-placental unit in pregnant ewes. The energy needs of the fetus and placenta are met almost entirely by glucose and lactate [30]. Serum glucose in current study had a significant negative correlation with BHBA pre and post-partum.

Measuring serum BHBA concentrations may serve as a useful method for monitoring the energy status in pregnant ewes [31]. Blood concentrations of BHBA between 0.8 to 1.6 mmol/L are indicative of a negative energy balance. In present study 51/120 heads sheep (42.5%) pre-partum and 15/120 heads sheep (12.5%) post-partum have a BHBA level more than 0.8 mmol/L that indicate of negative energy balance in studied sheep flocks of Qazvin, which among them, 36/51 heads (70.6%) pre-partum and 12/15 heads sheep (80.0%) post-partum have a age more than 3 year, as a result a significant positive correlation (r= 0.60,P< 0.01) between age and negative energy balance were found. There are negative significant correlation between age with total protein pre (r= -0.694,P< 0.05) and post (r= -0.713,P< 0.05) partum. Our results about age-related alteration of total protein in shall ewes were similar with results of Alberghina et al. [32] in goats (caprahircus). In recent study of Qazvin, 23/120 heads sheep (20.5%) pre-partum and 7/120 heads sheep (5.8%) post-partum have a BCS 3 or greater than 3, but there was no significant correlation (P> 0.05) between level of BHBA and BCS. Relationship between BCS and incidence of metabolic disease in cattle have been thoroughly reported with Ford et al. [33] and Schlumbohm and Harmeyer [34].

The metabolism of ewes pregnant with several fetuses is often severely stressed during the end of the pregnancy, which may cause pregnancy toxaemia. The significant increase in the concentration of TAC and strong negative correlation with BHBA in ewes in present study are supported by results from a study of periparturient dairy cows [35].

Our results was consistent with the observations of Antunovie et al. and Deghnouche et al. [11,36],who shown high serum concentration of protein in the last trimester of pregnancy occur, but is in contradiction with results of Shetaewi and Daghash [27] who mentioned albumin value decrease in pregnancy compared with lactation period. Several papers have been published comparing the different methods for total antioxidant activity measurement [37]. We used FRAP method which was elaborated by Benzie and Strain [38] for human cases originally. Our results shown that the rise and fall of BHBA level of serum leads to changes in the total antioxidant capacity of body before and after parturition. In recent study, we found that before parturition is characterized by depleted antioxidant status. This physiological phase can impose oxidative stress as indicated by a decrease of TAC. Bernabucci et al. [35] demonstrated that is the metabolic and endocrine adjustments, related to metabolism of fetus and mammary gland might be responsible for some variation of the oxidative status in transition cows. The results of biochemical analysis in late pregnancy appears to be a higher challenge to the energy metabolism in Shall ewes, and antioxidant capacity in late pregnancy dramatically decline, as a result, it is possible of lipolysis and release of free radicals was cause of this condition that maybe with balance of energy in end of pregnancy or increasing the amount of antioxidant in diet, this physiological situation be rather control.

Table 1: The composition of chemical substances to determine the standard concentrations in FRAP.

Standard Concentration
(mmol/L)
FeSO4× 7 H2O solution
(ml)
Distilled water (d.w.)
(ml)
0.1 1 9
0.2 2 8
0.4 4 6
0.6 6 4
0.8 8 2
1.0 10 0
FRAP working solution: 200 ml acetate buffer [1], 20 ml TPTZ solution [3], 20 ml FeCl3 × 6 H2 O solution [4] and 24 ml distilled water. Keep in a plastic bottle in water container at 37?C.

Table 2: Descriptive statistics of biochemical parameters before and after parturition.

  Prepartum (No.:112) Postpartum (No.:112)
Biochemical factors Range Min - Max Mean± S.D Range Min - Max Mean± S.D p-value
BHBA
(mmol/L)
1.15 0.75-1.90 1.11±0.3 0.81 0.11-0.92 0.4±0.194 < 0.01
TAC
(mmol/L)
0.34 0.22 - 0.57 0.37±0.72 0.40 0.19-0.59 0.42±0.991 < 0.03
Glucose
(mg/dl)
13.45 42.14-55.59 51.78±3.84 13.04 53.21 -66.25 61.324±3.31 < 0.01
Total Protein(g/L) 15.28 56.22-71.50 68.1±4.73 15.05 53.19- 68.15 65.31±3.28 < 0.05
Albumin
(g/L)
11.73 32.87-43.34 39.7±6.51 14.10 26.11 - 40.21 34.3±2.22 < 0.05
Globulin
(g/L)
7.05 29.10-36.15 28.4±2.290 9.04 26.16 - 35.20 31±4.160 ns
A/G ratio 0.069 1.129-1.198 1.397±0.788 0.144 0.998 - 1.142 1.10±0.645 < 0.05
No: number, ns: not significant at p>0.05.

Table 3: Serum concentration of biochemical parameters before and after parturition in flocks (Mean±S.D) from each flock 28 sheeps selected.

Flocks Factors A B C D
BHBA (mmol/L)
 Pre-partum
Post-partum
p- value
1.121±0.168
0.384±0.169
< 0.05
1.149±0.254
0.397±0.115
< 0.05
0.996±0.367*
0.375±0.228*
< 0.05
1.159±0.414
0.467±0.143
< 0.05
TAC (mmol/L)
Pre-partum
Post-partum
p- value
0.374±0.653
0.428±0.123
< 0.05
0.367±0.605
0.419±0.260
< 0.05
0.380±0.141
0.461±0.578**
< 0.05
0.365±0.293
0.405±0.901
< 0.05
Glucose (mg/dl)
Pre-partum
Post-partum
p- value
53.40±2.16
62.21±3.35
< 0.05
49.32±1.58
61.34±4.31
< 0.05
55.14±3.30*
65.29±2.68*
< 0.05
49.26±2.91
57.66±1.09
< 0.05
Total Protein (g/L)
Pre-partum
Post-partum
p- value
67.31±1.24
65.62±1.39
> 0.05
65.93±2.61
63.53±0.11
> 0.05
70.66±0.94
66.71±0.69
< 0.05
68.52±2.01
65.40±2.87
> 0.05
Albumin (g/L)
Pre-partum 
Post-partum 
p- value
39.73±1.25
33.21±0.64
< 0.05
39.62±1.16
36.52±0.76
< 0.05
38.54±1.39
34.39±1.18
< 0.05
40.91±0.89
33.11±1.23
< 0.05
Globulin (g/L)
Pre-partum
Post-partum
p- value
27.58±0.46
32.41±1.02
< 0.05
26.31±1.03
27.01±1.46*
> 0.05
32.12±0.87*
32.32±0.51
> 0.05
27.61±0.93
32.29±1.74
> 0.05
A/G ratio
 Pre-partum
Post-partum
p- value
1.44±0.13
1.02±0.17
< 0.05
1.50±0.23
1.35±0.62*
> 0.05
1.19±0.09*
1.06±0.21
> 0.05
1.48±0.18
1.02±1.42
< 0.05
*P< 0.05 and ** P< 0.01 between flocks.

Table 4: Correlation between biochemical parameters pre and postparturition

Biochemical 
parameters
BHBA TAC Glucose TPP Albumin Globulin A/G
BHBA
prepartum
 postpartum
  -0.731**
-0.390*
-0.959**
-0.932**
ns
ns
0.387*
-0.397*
ns
ns
ns
ns
TAC
prepartum
 postpartum
-0.731**
-0.390*
  0.683**
0.393*
ns
ns
ns
ns
ns
ns
ns
ns
Glucose
prepartum
 postpartum
-0.959**
-0.932**
0.683**
0.393*
  ns
ns
ns
ns
ns
ns
ns
ns
TPP
prepartum
 postpartum
ns
ns
ns
ns
ns
ns
  ns
ns
ns
ns
ns
ns
Albumin
prepartum
 postpartum
-0.387*
-0.397*
ns
ns
ns
ns
ns
ns
  0.403*
0.415*
ns
ns
Globulin
prepartum
 postpartum
ns
ns
ns
ns
ns
ns
ns
ns
0.403*
0.415*
  ns
ns
A/G
prepartum
 postpartum
ns
ns
ns
ns
ns
ns
ns
ns
ns
ns
ns
ns
 
ns: not significant, p>0.05
significant correlations are indicated :* p<0.01, ** p<0.001
 

 

CONCLUSION

This study approved that the physiological and hormonal changes in pregnancy have a remarkable effects on serum concentration of BHBA, TAC, glucose, total protein, albumin and A/G ratio in shall sheeps. Also, increasing BHBA value of serum has a significant influence on TAC concentration.

ACKNOWLEDGEMENTS

The authors thank to the biochemistry laboratory of Karaj and Garmsar University for their kind cooperation, and the Agricultural Research, Education & Extension Organization (AREEO) of Qazvin, Qazvin Province for their support. We also acknowledge the participating farmers and technical staff for their help during the recent project.

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Received : 05 Oct 2015
Accepted : 18 Dec 2015
Published : 19 Dec 2015
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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
Annals of Public Health and Research
ISSN : 2378-9328
Launched : 2014
Annals of Orthopedics and Rheumatology
ISSN : 2373-9290
Launched : 2013
Journal of Clinical Nephrology and Research
ISSN : 2379-0652
Launched : 2014
Annals of Community Medicine and Practice
ISSN : 2475-9465
Launched : 2014
Annals of Biometrics and Biostatistics
ISSN : 2374-0116
Launched : 2013
JSM Clinical Case Reports
ISSN : 2373-9819
Launched : 2013
Journal of Cancer Biology and Research
ISSN : 2373-9436
Launched : 2013
Journal of Surgery and Transplantation Science
ISSN : 2379-0911
Launched : 2013
Journal of Dermatology and Clinical Research
ISSN : 2373-9371
Launched : 2013
JSM Gastroenterology and Hepatology
ISSN : 2373-9487
Launched : 2013
Annals of Nursing and Practice
ISSN : 2379-9501
Launched : 2014
JSM Dentistry
ISSN : 2333-7133
Launched : 2013
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