International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - Vol 05 Issue 14, July, 2013

Pages: 05-15

Date of Publication: 29-Jul-2013

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Author: Shilpa Dogra, Pamita Awasthi, Ritu Barthwal

Category: General Sciences

Abstract:Mitoxantrone (MTX) - 1, 4\?dihydroxy\?5, 8\?bis [[2\?[2\?hydroxyethyl) amino] amino]\?9, 10\?anthracenedione is, clinically well established anthracycline class of anticancer drug. Till today no structural details confirm the interaction of mitoxantrone with its receptor site i.e. DNA Although it has been proposed and confirmed that drug binds to DNA specifically at 5'-CpG-3' site and flanking sequences play an important role. Also, functional group present on the tricyclic aromatic chromophore plays vital role in interactions. Molecular modeling tool has been applied to study binding interaction of mitoxantrone (MTX) with two hexameric DNA sequences i.e d-(ATCGAT)2, d-(CTCGAG)2 . The electrostatic interactions play a vital role in sequence specific identification at receptor site. Study indicates the partial intercalation of mitoxantrone into 5'-CpG-3' base pair step while side chains at 5, 8 position interacts with backbone phosphate group futher stabilizes the complex. The conformation flexibility of the minimized complex is studied by backbone torsional angle as well helical parameters. It has been seen that MTX exhibit sequence specific binding. It is n+1, n+2, n+3/n-1, n-2/n-3 base pairs play important role in binding process. Studies propose the partial intercalation mode of binding.

Keywords: molecular modeling, DNA, mitoxantrone, hexamer sequences

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Mitoxantrone (MTX), a synthetic anthraquinone drug (Fig. 1), exhibit considerable promise as an antitumor agent in the treatment of acute nonlymphocytic leukemia, advanced breast cancer, and non-Hodgkin's lymphomas1 . Preferential accumulation of mitoxantrone in nucleoli, binding of the drug to chromatin and to cytoplasmic RNA, high affinity for DNA and RNA in solution, all points out to the fact that both DNA transcription as well as RNA processing is influenced by the drug2, 3. Number of mechanisms of MTX action involving formation of MTX-DNA complexes have been proposed, including trapping of the topII complex, aggregation and compaction of chromatin4-7 . The DNA-MTX-topII cleavable complex is a reversible molecular event. It leads to cell death probably due to halting ongoing cellular processes, which ultimately trigger of the cell death program7 . Another type of DNA damage arises probably by the formation of free radicals by MTX8 . Evidence for intercalative binding mode of mitoxantrone to DNA has been reported by electron microscopy study9,10. It is very well established from several physiochemical techniques that the intercalation of mitoxantrone with cellular DNA contributes significantly towards its cytotoxic action10-13 , however the exact mode of DNA interaction at present is unclear. The experimental studies confirmed its biological effects via intercalation at 5’-CpG-3’ site on DNAs followed by electrostatic cross links with DNA backbone to stabilize the process13-15. Recently Phillips et al. reported that the cytosine methylation enhances mitoxantrone-DNA adduct formation and also the 3-fold enhancement in transcriptional blockage at methylated site16 . Intercalative mode of binding of mitoxantrone to DNA has been proposed via 1H and 31P NMR studies13, 17-20. Further, computational studies indicates the pyrimidine (3’-5’) purine step for preferential intercalation site for drug21. It is dispersion energy and electrostatic interaction which contribute towards the stability of complex22. Therefore, this is an important area of interest to understand the structural factors at atomic level which control the chemical recognition process via MTX at DNA. Structural tools such as X-ray crystallography and NMR spectroscopy coupled with molecular modeling technique have made considable impact on our understanding of molecular basis of drug-DNA interactions. Therefore, in this research article we propose molecular modeling study of mitoxantrone with oligonuclotide sequences i.e d-(ATCGAT)2 and d-(CTCGAG)2 using MOE (molecular operating environment software tool). Our approach is to understand the molecular interactions at atomic level as proposed by various groups and further confirm the same via experimental tool. This piece of work is a part of research program undergoing our labortary on drug-DNA interaction study. Results of the present study is complied in the form of total interaction energy and structural conformation of drug as well as DNA before and after binding. We are in progress of solving the detailed structural parameters involved during MTX-DNA interactions by IH and 31P NMR tool which will be repoted subsequently.

Molecular operating environment (MOE) from chemical computing group, Montréal, Canada has been used for MTX-oligonucleotide interaction study. X3DNA software (downloaded from has been applied for conformational analysis and vizulization of oligonucleotide sequences before and after simulations. All the simulations has been carried out on SunBlade 2500 workstation load with Sun Solaris operating system. Models of d(ATCGAT)2 d-(CTCGAG)2 has been generated using “Create Sequence” panel of Builder module. Similarly Builder and Editor module is applied for construction of mitoxantrone model followed by energy minimization protocol to set up atomic coordinates with least potential energy. Non-linear optimization technique is used to determine the atomic position. MMFF94x force field is used for potential set up on atoms23 . ETotal = Estr + Eang + Estb + Eoop + Etor + Evdw + Eele + Esol +Eres All bonded, Van Der Waal’s, electrostatic and restrained energy forms were enabled. Distance dependant dielectric constant was fixed at 1.0 alongwith cut off value for non-bonding interactions at 8.0. The temperature of the medium was keep at 300 K through out as explicit water salvation model has been followed in order to impass realistic approach. All bonds involving hydrogen atoms and lone pairs are constrained and all water molecules have been treated as rigid bodies. NVT (where N = number of particles, V = volume, T = Temprature) statistical ensamble has been specified for molecular dynamics simulations. Duration of simulations was fixed as 100 ps with 0.5 ps time step. In totality 200 structures were saved at regular interval of 0.5 ps. The trajectory of 200 structure were saved in dynamics trajectory database (*mdb). Data base browser of the MOE software used to visualize the trajectory. Same protocol is followed for all molecules i.e oligonucleotide alone as well as complex. Minimum energy conformations of DNA alone as well as in complex mode with MTX has been chosen for further analysis. The interaction energy (E_I.E) of both the complxes is calculated using24 , 25 eq. (1) E_I.E = E_T.E – (E_drug + E_Oligo) Where E_T.E = total potential energy of the complex, E_drug = energy term for mitoxantrone and E_Oligo = energy term for oligonucleotide sequences. Focus on E_tor, E_vdw and E_electrostatic as they are considered to be major contributors towards interaction between MTX and oligohexanucleotide. The conformational changes at structure of oligonucleotide before and after simulation in alone and complex mode has been studied deeply via X3DNA software. RESULTS AND DISCUSSION Drug-DNA Binding Study Energy profile and H-bonding interaction study The comparative energy analysis of binding of MTX to DNA hexamer sequences i.e d(ATCGAT)2 and d-(CTCGAG)2 has been carried out. MTX has been allowed to place itself at 5’- C3pG4-3’ base pair step at both hexamer DNA sequences. The total energy, interaction energy and other fragment of energy i.e torsion energy and van der waal’s energy has been tabulated in Table 1. The total energy of both the hexameric sequences goes more negative upon binding to MTX which demonstrate the stabilization of complexes. Rise in interaction energy up to 143.54 kcal/mol has been observed in case of MTX-CTCGAG complex. Not much of the difference could be seen in case E_vdw while E_tor is on rise and E_elc. is going more negative in case of MTX- CTCGAG complex (Table 1). Hydrogen bonding/electrostatic interactions between MTX and oligonucleotide are an important area of study. We have observed few common and some additional interaction between drug atoms and DNA bases. Common interaction site for both the complexes is phosphate group at T2pC3 and T3pC9 steps where as in MTXATCGAT complex, 12NH at side arm of MTX forming hydrogen bond with N7 of G4 residue while 1OH group of MTX is interacting oxygen atom of sugar molecule at G4 base (Fig. 2). This observation is in accordance to the experimental results based on DNA foot printing study confirms the role played by 1OH/4OH groups at C1 and C4 position of anthraquinone chromophore in recognition of preffered nucleotide sequences and further flanking base pairs at n+1/n-1 or n+2/n-2 do play role in recognition26. On replacing A1 base by C1 in case of d-(CTCGAG)2 hexameric sequences, though interaction energy going up which means gap between drug-DNA is on rise. Rise in gap leads to destabilization of the complex and at the same time important interaction between 1OH at C1 with base pair sugar molecules is also missing. But if we go through the energy profile i.e E_tor which is on rise while E_elc is coming down in comparison to MTX- ATCGAT complex. Conformational changes in DNA Sequence specific protein/ligand interactions with DNA unambiguously depends upon the DNA conformation/configuration i.e DNA base pairs, flanking sequences, sugar-phosphate backbone etc. This explains the relative significance/ importance of each of these interactions on the structure and function of DNA. We have chosen two oligonucleotide and observed the difference in interactions energy and also interms of interatomic interaction in complex using semiempicical model. Idea is to explore the difference in change in DNA conformations at sugarphosphate backbone, inter-intra base pair interactions. DNA Backbone torsional angle study Backbone torsional angles for d-(ATCGAT)2, d(CTCGAG)2 (alone) and MTX-ATCGAT, MTXCTCGAG complexes has been analyzed using X3DNA software. Torsion angles along the backbone of the oligonucleotide are defined as P – α- O5’ – β- C5’ – γ- C4’ – δ- C3’ – ε- O3’ – ζ- P and χ is glycosyl angle. For a nucleotide in a BDNA conformation, the phosphate groups are normally found in gauche, gauche (g,g) conformation, whereas after interacting with drug molecules they transform into gauche, trains (g,t) conformation. This transition from g,g to g,t on intercalation of drug chromophore is associated with opening of adjacent base pairs at intercalation site. It is observed in the complex of MTX- ATCGAT, angle alpha (α) through zeta (ζ) show variations with base residues. The angle α varies in a range -50? to -90? except for A11 residue where value has been increased to trans conformation. The angle beta (β) shows appreciable variations and adopts trans conformation for all the residues. The variation of gamma (γ) is in the range 50-82? and adopt gauche+ conformation for all the residues. Delta (δ) angle, which is known to be correlated with sugar pucker remain in the region C2’-endo pucker having value ~150? except for T12 and C9 residues. Epsilon (ε) angle adopt trans conformation except for G10 residue where value is found to be gauche- conformation. Zeta (ζ) angle show fluctuations from B-DNA structure and large variation has been observed for T2 and G4 residues. Sugar pucker and glycosidic torsional angles are typical parameters that define the geometry of nucleotide. It is observed the glycosidic angle (χ) are in medium anti conformation range for C3/G10 and G4/C9 residues whereas for all other residues it is in high anti range as typically found in B-DNA27 . The P value lies in the range of 116-190? while exception has been observed for T12 residue. C9 residue has minimum P value (116? ) while C3 residue has a maximum value (189? ). Overall Pseudorational phase angle adopts a favorable S conformation (Table 3). Similarly it has been observed in MTXCTCGAG complex, angle alpha (α) through zeta (ζ) show variations with base residues. Alpha (α) angle fall within the range of B-DNA with little flucuation in value has been observed for A5 residue. The angle beta (β) shows the variation specifically for middle residues, but overall it adopts trans conformation. Gamma (γ) value lies in the range of 50-67? and adopt gauche+ conformation, characteristic of B-DNA27 . Delta (δ) angle adopt trans conformation for all the residues and not much variation has been observed. Epsilon (ε) angle shows fluctuations at intercalation site i.e C3/G4. Exception behavior in Zeta (ζ) angle has been observed for terminal thymine residues i.e T2 and T8. Glycosidic angle (χ) is in medium anti conformation range and Pseudorational phase angle adopts a favorable S conformation for all the residues. Values for all the backbone torsional angles α, β, γ, δ, ε, ζ as well as χ and P are near to B-DNA structure that means B-DNA geometry remain maintained throughout the simulations. Little variation in α i.e A1pT2:A11pT12 (trans) for d(ATCGAT)2 and C1pT2:A11pG12 (gauche) for d-(CTCGAG)2 respectively, ε at C3pG4:C9pG10 step is trans for d-(ATCGAT)2 and gauche for d(CTCGAG)2. Also ζ showed little fluctuation at both the nucleotides. Helicoidal Parameters The complete DNA conformation thus obtained has been described in terms of helicoidal parameters, which describe the conformation of the nucleotide pairs within the duplex. Intra base pair parameters shear, stretch, stagger, buckle, propeller and opening values for both complexes as calculated and compared to the B - DNA structure (Table 4). In MTX-ATCGAT complex, shear, stretch and stagger show significant variation and maximum deviation has been observed in the terminal base pairs. Buckling angle also shows variations and large buckling has been observed for above and below the intercalation site. Propeller and opening values also show fluctuations for all the base pairs. Maximum propeller value has been observed in terminal base pairs and on the other hand maximum opening value is observed at intercalation site. In MTX-CTCGAG complex, shear, stretch and stagger values show variation along the base steps. But not much deviation as in MTXATCGAT complex has been observed. Buckling angle show fluctuations and maximum buckling have been observed in terminal base pairs. This could be due to intercalation of MTX at the central base pair, affecting the flaking base pairs. Propeller and opening base also show fluctuations. But in this complex, opening value for central base pair is not much larger as in case of MTX-ATCGAT complex. Similarly inter base pair parameters shift, slide, rise, tilt, roll and twist values are tabulated (Table 5). In MTX-ATCGAT complex; shift does not show significant variation from B-DNA structure. Slide is maximum for central base pair step C3pG4:C9pG10 and minimum for terminal step. The rise per residue lie in the range of 3.2-4.0 A? except for a central base pair, it is 7.04 A? almost double to other base pair as expected for intercalation cavity. The tilt angle shows large fluctuations and maximum values are observed for T2pC3/G10pA11 step. The roll angle is negative for all the base pairs. The negative roll value indicates widening of major groove and narrowing of the minor groove. Twist angle for all the base pairs lie in between 30-37? except for T2pC3/G10pA11 step, here value is increased to ~50? . This means large negative roll value for T2pC3/G10pA11 step is compensated by large positive twist value. On the other hand in MTX- CTCGAG complex, shift and slide value show variations, maximum shift value is observed for C1pT2/A11pG12 step and maximum slide value is observed for central step C3pG4/C9pG10. Like that in MTXATCGAT complex, rise value for central step is also increased, almost double to the other base pair. This means that MTX make a cavity for intercalation. Variation has been observed for tilt and roll value. Twist value has been observed in between 30-38? , almost compatible with B-DNA. CONCLUSION It is well established that base pair stacking interactions as well as hydrogen bonding interactions between base pair, hydrophobichydrophillic interactios between sugar and phosphate backbone add on to the stability of the DNA and the interaction site for all proteins and ligands. 5’-pyrimidine-purine-3’ is well established intercalation site and 5’-CpG-3’ step is the confirmed step where mitoxantrone is considered to be steping in. Theoretically using semi-emperical mode of calculations, we propose that it is not only n+1 & n-1 step but n+2, n+3 & n-2, n-3 step do effect the binding process and dictates the binding mechanism and overall stability of the complex as suggested by Phillips et al. 2004. We have chosen two hexanucotides sequences i.e d-(ATCGAT)2 and d-(CTCGAG)2 where ‘TCGA’ step is common. Interestingly, before binding both the hexanucleotide sequences posses equal total potential energy. After interacting with mitoxantrone, d-(ATCGAT)2 sequence considred to be better over d(CTCGAG)2 sequence in terms of interactions energy. Conformational analysis of drug before and after explains two extended arms of drug fanning towards 5’ and 3’ end of the oligonucleotide sequence as proposed by NMR and other experimental models13,22. We allowed MTX molecule to move through major groove as major groove binding mode was proposed13,23. N2 and N7 position on guanine at intercalation site are very important for MTX interactions as it has been considered to be absolute requirement for MTX-DNA stable complex formation, experimentally. Mitoxantrone posses NH and OH functional groups which favours hydrogen bonding with hydrogen acceptor region at the DNA major and minor groove. Experimentally it is well explained the involvement of 12NH, 14OH, 1OH, 4OH and 11NH group of MTX with exocyclic amino, oxo and endocyclic hetero atoms at the intercalation cavity23 i.e CpG. On comparing the experimental data from literature and data generated from our model, it has been observed that terminal 14OH of the mitoxantrone show common hydrogen bond interactions with phosphate of T2PC3 step while 12NH-N7G4 and 1OH-O’G4 interactions are observed in d-(ATCGAT)2 complex. These two H-bonding interctaions has been observed experimentally as well20. Also Phillips et al. 2004 model proposes the same. Therefore, as per sequence dependence interactions, DNA conformation/configuration play major role towards this. To confirm this we carried out detail DNA conformational analysis. T2pC3/G10A11 is a common base pair step in both oligonucleotide sequences. Twist angle is 50.75? in case of d(ATCGAT)2 sequence, which is very high in comparison to B-DNA sequence. At the same time no such observation has been encountered in d-(CTCGAG)2 sequence. 14OH of mitoxantrone is interacting with phosphate group of T2pC3 step in both the sequences. As per quantum mechanical study on stacking interactions and the twist angle of the DNA variation in DNA twist parameters could be due to the stacking interactions involving steric repulsion between exocyclic groups of nucleotide in minor and major groove and π-π interactions between the base28. Before interactions of MTX to d(ATCGAT)2 and d-(CTCGAG)2 hexanucleotide, twist angle show small variations. For B-DNA the twist anglen fall in the range 32-36? . But upon complex formation twist angle of C3pG4:C9pG10 of both the hexanucleotide having a value 28.9? and 32.42? for d-(ATCGAT)2 and d-(CTCGAG)2 respectively. For d(CTCGAG)2 it is close to B-DNA and did not observed any fluctuations at n+1, n-1 & n+2 step, but changes observed at n-2 step. In case of d(ATCGAT)2 huge variations has been seen at T2pC3:G10pA11 step. Therefore, interbase pair interactions above and below the binding step are the markers for ligand binding and can be a guiding force. We could not observed the uniform pattern for intra base pair interaction in both the cases i.e d-(ATCGAT)2 and d(CTCGAG)2 sequences as expected. Simultaneously, backbone torsional angles do vary in both the model in comparison to standard B-DNA model.


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A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award

A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award

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Disclaimer: International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal.


International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal


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