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Journal of Veterinary Medicine and Research

Development of Real-Time Duplex RT-PCR for Thedetection of Bovine Viral Diarrhea Virus and Bovine Rotavirus in Cattle

Research Article | Open Access

  • 1. Department of Biotechnology, Guangxi Veterinary Research Institute, China
  • 2. Guangxi Key Laboratory of Animal Vaccines and Diagnostics, China
  • 3. Pathobiology and Veterinary Science, University of Connecticut, USA
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Corresponding Authors
Mazhar I. Khan, Pathobiology and Veterinary Science, University of Connecticut, 61 North Eagleville Road, Storrs, CT 06269, USA
Abstract

Bovine viral diarrhea virus (BVDV) and bovine rotavirus (BRV) are important pathogens of cattle. These pathogenselicitsigns that is sometimes difficult to differentiate. A real-time duplex RT-PCR assay would allow the simultaneous detection of the two viruses in the same sample. A real-time duplex RT-PCR assay was developed and optimized. The detection limit of the assay was 5 TCID50 or 100 RNA copies of BVDV and 20 TCID50 or 100 RNA copies for BRV. No cross reactivity with other bovine pathogens was detected. Both standard curves have amplification efficiency (E) of 1.06-0.95 and a correlation coefficient (R2) of 0.9917-0.9988, with the dynamic range of detection between 103 to 108copies per reaction. The sensitivity and specificityof this assay were compared with single real-time RT-PCR and conventional RT-PCR assays to verify its accuracy and sensitivity.The standardized duplex realtime RT-PCR confirmed the presence of viral RNA in 26 of 93 clinical samples. Two clinical samples were shown to be co-infected with both BVDV and BRV. This optimized real-time assay will be useful as a new sensitive diagnostic tool in epidemiological investigations of diarrheas in cattle.

Keywords


•    BVDV
•    BRV
•    Duplex real-time RT-PCR
•    Detection
•    Hydrolysi

Citation

Xie Z, Fan Q, Xie Z, Pang Y, Deng X, et al. (2015) Development of Real-Time Duplex RT-PCR for Thedetection of Bovine Viral Diarrhea Virus and Bovine Rotavirus in Cattle. J Vet Med Res 2(2): 1020.

ABBREVIATIONS

BVDV= Bovine viral diarrhea virus; BRV=Bovine Rotavirus;; RT-PCR=Reverse transcription-polymerase chain reaction; TCID50= tissue cultureinfected dose; FAM =Fluorescein amidite; HEX=Hexachloro-fluoresceine ; 5’-UTR: 5’= untranslated region; NCDV=Newcastle disease virus

INTRODUCTION

Bovine viral diarrhea virus (BVDV) is a member of the Pestivirus genus of the family Flaviviridae. It is an important pathogen of dairy cattle [1]. It causes multiple clinical syndromes including acute diarrhea, mucosal disease, and fetal infection. Both horizontal and vertical transmission occurs, with a high attack rate and low mortality [2]. On the other hand, Bovine Rotavirus (BRV) is a double-stranded RNA virus, a member of the family Reoviridae. Rotavirus infections are the major cause of acute diarrhea among newborn animals and humans, as well as subclinical infection. Deaths occur as a consequence of dehydration [3].

These two major infections lead to economic losses that are detrimental to the farming industry in China [4]. Currently, diagnostic methods for these two bovine viral infections include virus isolation incell culture, immunoassay, serology and conventional reverse transcription PCR [5-10]. The aim of this study was to develop a rapid and sensitive real-time duplexRT-PCR assay for simultaneous detection and differentiation of BVDV and BRV in cattle.

MATERIALS AND METHODS

Samples

The BVDV and BRVreference strains, field isolates and other non-diarrheal pathogens used in the study are listed in Table 1. All samples positive for BVDV and BRV as well as the negative were confirmed using ELISA (antigen detection)test kits(BVDV:IDEXX, USA; and BRV:BIOK, USA) and with conventional RT-PCR. Negative controls, included one bovine nasal swab and 1 bovine blood sample from healthy cattle and fecal samples collected at the Yangming Slaughterhouse, Nanning, China during preslaughter examinations.

Official review and Approval

The collection of these samples from the Yang ming Slaughter house could be considered as part of regular and routine examinations, therefore no official review and approval of the Guangxi Veterinary Research Institute was needed.

Extraction of viral RNA/DNA

The genomic viral RNA was extracted from 250 ul of infected culture supernatant by using the TRIZOL (Invitrogen, USA) in accordance with the manufacture’s protocol, and viral and bacterial DNA used for evaluating the specificity of the new assay was extracted by using TIA Namp Genomic DNA kit (Tiangen, Beijing, China).The extracted RNA and DNA was re-suspended in distilled water and stored at -70 until used. cDNA was synthesized by random primers using the Revert Aid TM First Strand cDNA Synthesis Kit (Fermantas, USA), according to the manufacturer’s protocol.

Primers and probes

Two pairs of primers and hydrolysis probes were designed and synthesized according to the conserved gene sequence of the BVDV 5’ untranslated region (5’-UTR) and from the BRV VP6 gene [11-13]. The nucleotide sequences available on Gen Bank for BVDV1and 2 and BRV were aligned using DNAStart MegAlign software, then primers and probes were design using the Primer Express software 2.0 according to the restrict design rules of real-time PCR primer and probes. A BLAST search was performed to verify oligonucleotide specificity. The BVDV-probe and BRV-probe, were labeled with FAM (emission wavelength of 518nm, the detection channel was 530) and HEX (554nm, 560) fluorophores at the 5’ends, respectively, and a nonfluoresent quencher BHQ1was attached at the 3’ends of each. These were compatible with a duplex format. Two sets of detection primers, which have been verified for the detection of BVDV and BRV, were used in this study. These primers and probes were synthesized and HPLC-purified by Invitrogen Inc. (Guangzhou, China). The details of the oligonucleotides for primers and probes are shown in Table 2.

RNA standard preparation

The synthesized DNA was amplified by a RT-PCR reaction kit (Tiangen, Beijing, China). The amplified DNA product was cloned into a pGM-T vector (TaKaRa, Dalian, China) according to the manufacturer’s directions and was sequenced for accuracy. The recombinant plasmids pGM-T-VP6 and pGM-T-5’UTR were linearized using Not I restriction enzyme, gel purified, and used as a template with a Ribo Max T7 In-vitro Transcription System (Promega, Madison, Wisconsin, USA) according to the manufacturer’s protocol. The RNA quantities were determined using UV spectrophotometry at 260 nm. Each concentration was converted to copy number of RNA moleculesasdescribed previously [14]. The standards of BVDV and BRV, each containing transcript RNA from108 to 1copies/µl, were prepared from thestock by 10-fold serial dilution in RNase-free H2 O. All RNA standards were stored at −70 till use.

Conventional RT-PCR

Conventional RT-PCR assay using the primers BVDV-F3/ BVDV-F4 for BVDV1, 2 genotypes and BRV-F3/BRV-F4 for BRV (Table 2). BVDV-F3/BVDV-F4 are recommend by professional standard protocol of Entry-exit Inspection and Quarantine of China [15,16]. Briefly, the RT-PCR amplification was performed using RT-PCR master mix kit (QIAGEN Inc, Beijing, China), 1 µl (20 ng) of cDNA template and 50 pmol of each primer in a 25- µl reaction volume was used as per the manufacturer’s protocol. The following thermal cycling times were used: initial cycle of 94° C for 5 min, 35 cycles of 94° C for 30 s, 55° C for 30 s, and 72° C for 30 s. After RT-PCR was performed, a 10-µl portion was analyzed using 1% agarose gel electrophoresis, and the amplified DNA product was visualized by ethidium bromide staining as described.

Real-time duplex RT-PCR

The real-time duplex RT-PCR reactions containing both primers and hydrolysis probes of BVDVand BRV were carried out using the Perfect Real Time RT-PCR Kit (TaKaRa, Dalian, China) according to the manufacturer’s protocols. Real-time duplex PCR was performed using the Light Cycler 2.0 system (Roche, Molecular Biochemical, Mannheim Germany).The duplex RT-PCR reaction mixture contained 2×real time RT-PCR Premix (Perfect Real Time RT-PCR kit, TaKaRa, China), 0.2 μM primer of BVDV-F1 and BVDV-F2, 0.1μM probe of BVDV, 0.2μM primer of BRV-F1 and BRV-F2, 0.2μM probe of BRV, 1μl transcribedcDNA for clinical samples, for each positive control 1μl (20ng) of cDNAtemplate. Distilled H2 O was added to bring the final volume to 20 μL. The RT-PCR amplification consisted of 95° C for 20 seconds (activation of Taq DNA polymerase), followed by 40 cycles of 95° C for 15 seconds and 60° C for 15 seconds. Fluorescence was measured at the end of each of 60° C incubations. The entire duplex real-time RT-PCR amplification was performed for 1 h without post-RTPCR handling

Evaluation of real-time duplex RT-PCR

The sensitivity of the real-time duplex RT-PCR was determined by testing 10-fold serial dilutions of cell cultures infected with BVDV-CV24 (105.7TCID50/mL), 10-fold serial dilutions of cell cultures infected with BRV-NCDV (104.3TCID50/ mL) and each RNA standards diluted serially 10-fold. [14,17].

To determine the linearity of the reaction .Ct values were obtainedafter amplification andwere plotted against RNA copies. The standard curve was generated by plotting the Ct values versus log10RNA transcript copies of BDVD and BRV, respectively

To evaluate its analytical specificity, the real-time duplex RTPCR test was performed on a panel of viral strains (Table 1). The known 28 fecal samples, one nasal mucus sample, and one blood sample were collected from normal cattle at the slaughterhouse. These cattle were asymptomatic and tested negative for BVDV/ BRV by antibody test (BVDV: IDEXX ELISA; BRV: RIOK ELISA). Four strains of BVDV, two strains of BRV, eight isolates of BRV and four different bovine DNA and RNA viruses were used to test the specificity of the Real-time duplex RT-PCR assay.

The intra-assay reproducibility was evaluated by testing five replicates of five different RNA titers of BVDV-CV24, GX014,or BRV-NCDV, and the inter-assay reproducibility were determined with five different titers of RNA from each virus on three separated days.

Various concentrations of RNA transcript containing BVDVCV24 and BRV-NCDV were mixed together, and tested by realtime duplex RT-PCR and single real-time RT-PCR to assess the interference between high and low concentration templates, as described [18].

Testing of clinical samples

93 fecal swab samples were collected randomly from cattle with diarrhea from various dairy farms (as shown in Table 4) in the Guangxi province during 2013. A written informed consent was obtained from each participating farm owner for the taking of fecal swab samples. The veterinarians of the participating farms collected fecal swab samples from the calves, and the fecal samples were considered as part of regular and routine clinicaldiagnostic care. No official review and approval of the animal protocol by Guangxi Veterinary Research Institute was needed. 92 clinical samples were tested including samples from 32 calves that were less than 6 month old, 41 calves/cow from 6 months to 3 years old and 20 heifers over 3 years old. The swab samples were placed into 1ml sterile water, and then extraction of RNA was processed as described above. The concentration range of RNA was from 103 ng to 620ng. Real-time duplex RT-PCR assay and conventional RT-PCR were performed as describe above to assess the reliability of the methods for the rapid detection of clinical samples. The positive amplified amplicon products were cloned into PMD-18T vector (TaKaRa, Dalian, China) and sequenced to verify for the false positive amplifications.

Table 1: Pathogens used.

Strain Virus/Genetic group source duplex Real-time RTPCR resul
BVDV/530 BRV/560
BVDV-1      
NADL CVCC - -
AV68 CVCC - -
GX-4 GVRI - -
GX-0013 GVRI - -
GX-0443 GVRI - -
GX-7718 GVRI - -
GX-12 GVRI - -
BVDV-2      
GX-041 GVRI - -
GX-6136 GVRI - -
GX-1220 GVRI - -
GX-17 GVRI - -
GX-114 GVRI - -
Bovine rotavirus (BRV) NCDV CVCC - 1732
BRV014 CVCC - -
NCDV CVCC - -
GX-BRV-1 GVRI - -
GX-BRV-2 GVRI -- -
GX-BRV-3 GVRI - -
GX-BRV-4 GVRI - -
GX-BRV-5 GVRI - -
GX-BRV-6 GVRI - -
GX-BRV-7 GVRI - -
GX-BRV-8 GVRI - -
Other pathogens      
Border Disease Virus(BDV) GVRI - -
Mycobacterium bovis(MB) GVRI - -
classical swine fever virus( CSFV) GVRI - -
Infective bovine rhinotracheitis 
virus(IBRV)
CVCC - -
BovineCoronavirus (BC) GVRI - -
Negative control      
Negative tissue sample      
Nasal mucus of normal bovine SH - -
Blood of normal bovine SH - -
Fecal negative sample      
A/Bos primigenius taurus / 1732 SH - -
A/ Bos primigenius taurus / 3363 SH - -
A/ Bos primigenius taurus /4523 SH - -
A/ Bos primigenius taurus /4462 SH - -
A Bos primigenius taurus /21 SH - -
A Bos primigenius taurus /12 SH - -
A Bos primigenius taurus /789 SH - -
A Bos primigenius taurus /35 SH - -
A Bos primigenius taurus /4520 SH - -
A Bos primigenius taurus /7 SH - -
A Bos primigenius taurus /3620 SH - -
A Bos primigenius taurus /49 SH - -
A Bos primigenius taurus /332 SH - -
A Bos primigenius taurus /28 SH - -
A Bos primigenius taurus /0137 SH - -
A Bos primigenius taurus /703 SH - -
A Bos primigenius taurus /46 SH - -
A Bos primigenius taurus /789 SH - -
A Bos primigenius taurus /45 SH - -
A Bos primigenius taurus /733 SH - -
A Bos primigenius taurus /719 SH - -
A Bos primigenius taurus /776 SH - -
A Bos primigenius taurus /782 SH - -
A Bos primigenius taurus /713 SH - -
A Bos primigenius taurus /708 SH - -
A Bos primigenius taurus /730 SH - -
A Bos primigenius taurus /744 SH - -
A Bos primigenius taurus /760 SH - -

Table 2: Primers and probes design for conventional RT-PCR and Real-time duplex RT-PCR assays.

Primers and Probes Sequences(5’-3’) Positionsa (bp) Products (bp)
Real-time RT-PCR BVDV-F1 TAGCCATGCCCTTAGTAGGACT 104-125 102
BVDV-F2 GAACCACTGACGACTACCCTGT 184-205
BVDV-probe FAM-CAGTGGTGAGTTCGTTGGATGGCT-BHQ1 148-171
Conventional RT-PCR BVDV-F3 AGGCTAGCCATGCCCTTAGT 100-119 244
BVDV-F4 TCTGCAGCACCCTATCAGG 324-342
Real-time RT-PCR BRV-F1 TCATTTCAGTTGATGAGACCACC 984-916 112
BRV-F2 ATTCAATTCTAAGCGTGAGTCCTAC 891-1005
BRV-probe HEX-AATATGACACCAGCGGTAGCGGC-BHQ1 918-940
Conventional RT-PCR BRV-F3 GTATGGTATTGAATATACCAC 51-71 .342
BRV-F4 GATCCTGTTGGCCATCC 376-392

a The positions correspond to genomes of BVDV Oregon CV24 strain(GenBank accession no.AF091605.1). The primers of BRV real-time PCR is derived form VP6 gene(GenBank accession no.AF317127.1), and the primers of conventional RT-PCR is derived from VP7 gene(GenBank accession no.M12394.1)

Table 3: Results of different concentrations of BVDV and BRV used in real-time duplex PCR assays

  CT value
RNA mixture of different concentration (BVDV/BRV) 
(copies/μL)
103 and108 108 and103 107 and 105 107 and 105
BVDV-specific single real-time PCR at 530 channel 30.34 13.47 16.82 23.59
Real-time duplex RT-PCR at 530 channel 29.71 13.50 16.65 23.54
BRV-specific single real-time PCR at 560 channel 9.79 26.53 19.87 13.19
Real-time duplex RT-PCR at 560 channel 9.51 26.74 20.69 12.78

Table 4: The results of real-time duplex PCR of clinical sample.

sample Origin/source real-time duplex RT-PCR conventional RT-PCR
BVDV BRV BVDV BRV
Sample 1 Holstein cow/Guangxi/NN + - + -
Sample2 Holstein cow/Guangxi/NN + - + -
Sample3 Holstein cow/Guangxi/NN + - + -
Sample4 Holstein cow/Guangxi/NN + - a -
Sample5 Holstein cow/Guangxi/NN + - + -
Sample6 Holstein cow/Guangxi/NN + - + -
Sample7 Holstein cow/Guangxi/GL + + + -
Sample8 Holstein cow/Guangxi/GL + - + +
Sample9 Holstein cow/Guangxi/GL + + + -
Sample10 Holstein cow/Guangxi/GL + - + +
Sample11 Holstein cow/Guangxi/GL + - + -
Sample12 Holstein cow/Guangxi/LZ + - + -
Sample13 Holstein cow/Guangxi/LZ + - + -
Sample14 Holstein cow/Guangxi/LZ + - + -
Sample15 Holstein cow/Guangxi/LZ + - + -
Sample16 Holstein cow/Guangxi/LZ + - + -
Sample17 Holstein cow/Guangxi/LZ + - a -
Sample18 Holstein cow/Guangxi/LZ - - - -
Sample19 Holstein cow/Guangxi/LZ - + - +
Sample20 Holstein cow/Guangxi/NN - + - a
Sample30 Holstein cow/Guangxi/NN - + - +
Sample31 Holstein cow/Guangxi/ LZ -- + - +
Sample33 Holstein cow/Guangxi/ LZ - + - +
Sample34 Holstein cow/Guangxi/ LZ - + - +

NN: Jinguang diary farm, Nanning, Guanxi province; LZ: Zhegucun diary farm, Nanning, Guanxi province; GL: fushui diary farm, Guilin, Guanxi province a false negative samples determined by sequence analysis.

RESULTS AND DISCUSSION

Sensitivity of the real-time duplex RT-PCR

By using 10-fold serial dilutions of cell culture infected with BVDV-CV24 or BRV-NCDV, the detection limits of the real-time duplex RT-PCR were determined to be 5 TCID50 for BVDV and 20 TCID50 for BRV. Using the RNA transcribed from the plasmids as standards, the detection limits of the real-time duplex RTPCR were determined to be 100copies/µl for both of the viruses (Figure 1A and 1B), whereas the conventional RT-PCR could only detect 105 copies/µl for BVDV and 104 copies/µl for BRV(date not show). Real-time duplex RT-PCR was about 100-fold higher insensitivity than conventional RT-PCR assay. To define the cutoff value, 30 negative samples were tested using real-time duplex RT-PCR to calculate the mean of CT cycles (x ) and the standard deviation (SD) among negative samples. The cut-off valuewas defined by a formula: cut-off value = x ±3SD. The cut-off CT value for positive and negative results was determined as 35 cycles. Tested samples with CT values below 35 were considered as positive, and vice versa for negative samples.

Standard curve

The standard curves (CT value vs. log10 RNA copies) of the real-time duplex RT-PCR and single real-time RT-PCR were linear with a dynamic range of detection between 108 to 103 copiesof in-vitro transcribed RNA per reaction for standards of BVDV and BRV (Figure 2A and B). The amplification efficiency was not markedly affected in the real-time duplex assay compared to the single assay.

Specificity of the real-time duplex RT-PCR

The real-time duplex RT-PCR for BVDV, using spectrometer channel 530, detected the2 reference strains of BVDV1 and 5 field isolates of BVDV1. Also, it detected 5 strains of BVDV. The realtime duplex RT-PCR for BRV, using spectrometer channel 560, detected 2 reference strains, and eightfield isolates of BRV. Realtime duplex RT-PCR didn’t detect the otherpathogens (Table 1).

Reproducibility of the real-time duplex RT-PCR

The coefficients of variation (CVs) of CT values for cell cultures infected with CV24, NADL, GX-041, NCDV and BRV014 were carried out in five replicates. The intra-assay CVs for CT values ranged from 0.96% and 2.71%, and the CVs of the inter-assay ranged between 0.89% and 1.41%, indicating the reproducibility of the new assay (data not shown)

Interference test of the real-time duplex RT-PCR

As shown in Table 3, there was no difference in amplification efficiency of BVDV and BRV between the singlereal-time RT-PCR and real-time duplex RT-PCR formats, as measured by the slopes of amplification curves during the exponential phase and the CT values obtained with individual samples.Although there were some variationsin the amplification curves, when comparing the duplex assay with the single-target assays, the detection levels were not affected. The results suggest that variable viral concentrations do not result in significant differences in amplification performance.

Clinical evaluation

To assess the sensitivity of the real-time duplex RT-PCR, we compared the assay with conventional RT-PCR. The results are shown in Table 4. Twenty-six fecal samples were positive by both real-time duplex RT-PCR and conventional RT-PCR assay, and the results were verified by sequence analysis. Two cases of coinfection by the BVDV and BRV were identified with the real-time duplex RT-PCR. Based on the standard reference curve developed for BVDV and BRV (Figure 2 A,B). These CT values of two BVDV discordant samples correspond to viral loads are 103.14 and 104.08 copies/µl, and the one BRV discordant samples had 103.63 copies/ µl. These values were below the detection limits of BVDV (105 ) and BRV (104 ) of conventional RT-PCR The results of age range of the BVDV and BRV positive cattle were as followed: the detection rate of BVDV was 31.7% (13/41) for animals between 6 to 36 months, and for BRV positive cattle the detection rate of 25 % (8/32) was seen in animals less than six months. No BRV positive was detected from the group of over 36 months of age.

Although BVDV and BRV infections are considered common events in cattle, limited data exist on the prevalence of these infections. This lack of knowledge could be attributable in part to an absence of suitable diagnostic techniques for these infections.

Virus isolation cannot be considered a valid diagnostic tool due to the poor replication of these viruses in the tissue cultures The aim of this study was to develop a rapid and sensitive realtime duplex RT-PCR assay for simultaneous detection of BVDV and BRV with high specificity, sensitivity, and reproducibility. Hydrolysis probes showed excellent assay specificity, and no cross-reactivity was observed with other bovine pathogens. The minimum detection levels of the in-vitro transcripts that were consistently detected by the real-time duplex RT-PCR were 100 RNA copies of BVDV and BVDV both. The R2 values of all of the standard curves were larger than 0.99, and the amplification efficiency was between 0.95 and 1.06, which meets the requirement for fluorescence quantitative RT-PCR standard curve. The assay is also timesaving and capable of extremely rapid and accurate diagnosis of both viruses within 1h.

Another important advantage of this real-time duplex RTPCR is recognition of co-infections, as described for other animal viral pathogens [19-21]. BVDV and BRV exhibit similar clinical signs in cows co-infected with these pathogens. Of the 93 field samples, two were co-infected with BVDV and BRV, in these young animals under 6 months of age. These 2 co-infected had diarrhea, high fever, in appetence and dehydration, and the duration of the diarrhea was more than 1 month. One died from the diarrhea (Table 4). This may be because co-infections aggravated one another [22]. There is a need for epidemiological surveillance of clinically normal cattle less than 6 months. Simultaneous detection and differentiation of these two viruses will be beneficial in disease control in cattle herds in China.

BVDV is a positive-sense, single stranded RNA virus with a genome size of approximately 12.5 kb. There are two major genotypes of BVDV1 and BVDV2 based on the genetic relatedness, and the 5’UTR are the most conserved region and there for esuitable for targets for reverse transcription polymerase chain reaction (RT-PCR) assays [23-25]. All 17 BVDV-positive samples those were confirmedby real-time RT-PCR were clustered within the BVDV1 genotype, as revealed by DNA sequence analysis of the 102 bp RT-PCR product. The real-time duplex -PCR method will be particularly useful in detecting BVDV from cattle herds in China.

CONCLUSION

The real-time duplex RT-PCR assay described in the present study meets the current need for rapid and sensitive detection of BVDV and BRV in cases of severe diarrheal disease of unknown etiology. This assay will be useful for the surveillance in the Chinese cattle population.

ACKNOWLEDGEMENTS

This research was supported by Guangxi Natural Science Foundation, code 2011GXNSFA018096 and Guangxi Government Senior Scientist Foundation, code 2011B020. Authors sincerely thank Dr. Herbert Vankruiningen for his critical review and correction of the manuscript.

Conflict of Interest

All authors declare that they have no conflict or financial interests.

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Received : 12 Mar 2015
Accepted : 26 Apr 2015
Published : 27 Apr 2015
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JSM Hepatitis
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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
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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