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IJCRR - 10(1), January, 2018

Pages: 38-46

Date of Publication: 10-Jan-2018


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Characterization and Invitro Cytotoxicity of T-2 Toxin Isolated from Corn

Author: P. Rachitha, K. Krupashree, Fouzia Amreen, Farhath Khanum

Category: Healthcare

Abstract:Aim: Main objective of the study is to characterize and evaluate invitro cytotoxicity of T-2 toxin isolated from corn.
Methodology: The fungal strain was isolated by standard blotter method; morphological identification was done using scanning electron microscope (SEM). The fungal strain was identified as F. sporotrichioides based on its cultural and morphological characteristics and internal transcribed spacer (ITS/ITS4) primers. The toxin was characterized using thin layer chromatography (TLC), HPLC and Fourier Transform Infrared Spectroscopy (FTIR) Result: 100ml of culture filtrate yielded 10.126\?g of toxin. The functional groups of toxin were identified by (FTIR) method. Invitro cytotoxicity of T-2 toxin was evaluated on human keratinocytes, hepatoma and neuron cell lines. HaCaT and HepG2 cells were
found to be more sensitive than SHSY5Y to T-2 toxin exposure at 50-100ng and 100-200ng.
Discussion and conclusion: T-2 toxin was extracted and characterized from corn samples, by analytical and molecular methods in addition FTIR analysis verifies the functional groups of T-2 toxin. Further invitro cytotoxicity was evaluated using different human cell lines. Comparably skin and liver cell lines found more sensitive to T-2 toxin exposure. Sensitivity of the cell lines to the toxin at ng may be due to the purity of the toxinKey Words: Plasma Fibrinogen, Haemodialysis, Diabetes.

DOI: 10.7324/IJCRR.2018.1019

Full Text:

INTRODUCTION
T-2 mycotoxin, a low molecular weight (250-500 Daltons) non-volatile compound produced by fungi of the genera Fusarium, Myrothecium, and Stachybotrys1 . Predominantly F. sporotrichioides is responsible for the production of T-2 toxin and HT-2 toxin. The most important factors that influence T-2 toxin production are weather conditions and moisture content. T-2 toxin is produced under a wide temperature range (0 to 32 °C), with maximum production at temperatures below 15 °C 2, 3. T-2 toxin is tremendously heat stable and is the only mycotoxin known to have been used as a bio threat weapon delivered via food or water sources, as well as, by means of droplets, aerosols, or smoke from various scattering systems and exploding munitions 4, 5. Chemically, T-2 toxin is a tetra cyclic sesquiterpenoid with 12, 13- epoxytrichothec-9-ene ring system6 with hydroxyl group at the C-3 position, acetyloxy groups at C-4 and C-15 positions, atom of hydrogen at C-7 position and an esterlinked isovaleryl group at the C-8 position 7 . The toxicity can be reduced by the cleavage of esters 8, 9. T-2 toxin is a well known inhibitor of protein, DNA and RNA syntheses and also it is known to interfere with the metabolism of membrane phospholipids and increase the level of liver lipid peroxides 10, 11. The T-2 toxin is well-known to cause acute and chronic toxicity, as well as alimentary toxic aleukia (ATA) and KashinBeck Disease (KBD) in humans and animals. It has been shown to cause alteration of blood–brain barrier (BBB)12- 15. T-2 toxin toxicological effects have been summarized in Food and Agricultural Organization (FAO), World Health Organization (WHO), Council for Agricultural Science and Technology and the Expert Committee on Food Additives 16, 17. European Union states; T-2 toxin as a common contaminate to cereals and cereal based products and there are several reports from different regions of the world associating damage of agricultural field by T-2 toxin and its producing organisms and it extends to humans and animals 18,19. Sensitive and precise analytical methods have been developed for measuring mycotoxins in cereals and cereal based products in order to gauge the risk of animal /human exposure 1-3. T-2 toxin toxicity is the most severe compare to other trichothecenes. Major target organs include skin, liver, nerves etc. In the present study, the fungal species growing on corn was isolated and identified as T-2 Toxin producing organism by molecular characterization and T-2 Toxin identified by FTIR analysis and toxicity of the toxin produced was evaluated in human keratinocytes, hepatoma, and neuron cells in vitro.

MATERIALS AND METHOD
Potato dextrose agar, Potato dextrose broth, glutaraldehyde(Himedia Bangalore), methanol, ethyl acetate, ethanol, silica gel, (SRL, Bangalore), T-2 toxin (Chempure Mumbai), ethidium bromide (Sigma Banglore) were used.

Isolation of Fusarium species from corn sample
Isolation of Fusariumwas carried out by standard blotter method. Corn samples were collected from different localities. Corn seeds were incubated for 3-5 days under moist condition on petriplates. As the spore of fungi developed into mycelia, it was transferred aseptically to sub-culture on potato dextrose agar to develop pure colonies, and the colony morphology was examined under microscope.

Scanning electron microscopy
After observation under microscope the sample subjected to scaning electron microscopy (SEM). The mycelia were fixed in glutaraldehyde in 0.1M PBS for 30 min., washed with 0.1M PBS and dehydrated by immersing in ice cold ethanol for 10min. The dehydrated samples were smeared on silver stub like a thin film, and were coated by cathodic spraying (Polaron gold). The SEM observations were made using a ZEISS Instrument (EHT=15.00 kv, signal A=VPSE G3).

Fusarium species DNA Extraction
7 days old mycelium mat was collected and frozen at -800 C and lyophilized. Lyophilized sample were homogenizedinlysis buffer and extraction was carried by phenol chloroform method. DNA was quantified in nanodrop spectrophotometer, PCR was performed to amplify DNA 20.

Polymerase Chain Reaction
The PCR of fusarium was performed using universal primers (ITS/ITS4 primers). Standard protocol was followed to amplify the DNA, after successful amplication products were inspected by agarosegel electrophoresis containing (0.01%) ethidium bromide and observed under UV(Ultra violet) light. Gels were documented using Gbox (GE Health Care, Mumbai).

Fusarium culture for toxin production
Culture preparation F. sporotrichioides MTCC 1894 Venkataramana et al. 21was used as the test organism and was obtained from Department of Microbiology, Defence Food Research Laboratory, Mysuru. The fungus was purified and harvested at room temperature on potato dextrose broth (PDB).

Toxin extraction and purification
The F. sporotrichioides was inoculated to PDB broth and incubated at for 3 weeks incubation method was followed according to Busman et al., 22 with slight modification. After incubation the broth was filtered and the filtrate was collected and mixed with equal volume of ethanol and incubated for 24 hrs, then it was concentrated using flash evaporator. The extracted toxin was stored in amber vial for further characterization.

Thin Layer Chromatography (TLC)
T-2 toxin was extracted and detected by thin layer chromatographic method23.The plates were prepared by adding 50 ml of distilled water to 25g silica gel powder and mixed uniformly to get homogenous mixture (slurry) and then drawn on glass plates of 20 x 20cm using TLC applicator with thickness of 2mm and allowed to dry. The coated plates were activated by drying in forced draft hot air oven at 1100 C for one to two hours. The activated plates were then cooled to room temperature. Extracted toxin (crude) was spotted on TLC plate with capillary tube and allowed to run using toluene: ethyl acetate: formic acid (6:3:1) as mobile phase. After that the plate were dried, viewed under UV light (366nm) and calculated Rf value.

High performance liquid chromatography (HPLC)
Reverse phase HPLC with C-18 column was used. The extracted toxin dissolved in methanol was passed through membrane filters, Methanol: water (70:30) mixture was used as mobile phase. 20 µl of the toxin was injected to HPLC column and made to run through the column for 20 min. The flow rate of the column was adjusted to 0.7 ml and wavelength to 228nm. Toxin was detected in UV detector system. Standard toxin was also injected to determine the appropriate peak and concentration of toxin extracted23.

Fourier transformed infrared spectroscopy
The functional groups of extracted toxin were anlyzed using FTIR ( Nicolet 380 Thermo) based on the peak values in the region of IR radiation. The toxin was passed into the FTIR, the functional groups of the compounds were separated based on their peaks ratio. The FTIR spectra were recorded in the absorption range between 4000 and 500cm‾1.

Cell Culture Studies
The Human skin cell line HaCaT, human liver cancer cell line HepG2 and human neuroblastoma cell line SHSY5Y was procured from National Center for Cell Sciences, Pune, India. The SHSY5Y and HaCaT cell lines were cultured in DMEM/F-12 mixture and HepG2 cell line were cultured in MEM/F-12 mixture supplemented with 10% FBS, antimycotic solution (Sigma, St.Louis, MO, USA). Cells were maintained and incubated at 37°C in a humidified atmosphere and 5% CO2 atmosphere 95% air at 370 C. The three cell lines were treated with different concentration of T-2 toxin (ng) for 24 hr.

Cell viability assay
To asses the changes in the metabolic activity of the cell MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] was used. The Tetrazolium dye used to measure the cell proliferation and cell viability. The HaCaT, HepG2 and SHSY5Y cell were seeded in different 96 well plates and treated with T-2 toxin at different concentration. After treatment incubated with MTT (0.5 mg/ml) at 370 C for 4hrs and the formed formazan crystals dissolved in DMSO. The absorbance measured at 540nm (VERSA max Hidex plate chameleon TM V (Finland)). The cell viability expressed as percent of control.

Lactate dehydrogenase (LDH) leakage assay
Lactate dehydrogenase (LDH), leakage a biomarker of cellular cytotoxicity and cytolysis. Cell injury was assessed by measuring the LDH efflux to the media after cells has been treated for 24 hr. The protocol following the manufacturers’ instructions (LDH-estimation kit (Agappe-11407002, Mysore, India)). The HaCaT, HepG2 and SHSY5Y cell were seeded in different 24 well plates and cell count set as 1X104 cell/well. The cells were subjected to different concentration of T-2 Toxin. After the treatment the cells were centrifugedat 2500Xg for 5min at 40 C and supernatant was collected and measured the LDH activity estimated.

Propidium iodide staining
The HaCaT, HepG2 and SHSY5Y cells were seeded at 1X104 cell/well into a six well plate. At 90% confluence, the cells were treated with T-2 toxin and incubated for 24 hrs. After incubation the cells were washed with PBS and fixed with 100% ethanol. The fixed cells stained with 100ng/ml propidium iodide for 20 min and observed under fluorescent microscope.

Statistical analysis
The data were represented as the mean ± SD. Experiments were analyzed using one-way ANOVA followed by Tukey post hoc test. Statistical significance is indicated *p ≤ 0.05, **p ≤ 0.01, and ***p ≤ 0.001.

RESULTS
Morphological observation of isolated sample
Morphological identifications of the fungal isolates were made using the criteria of 24-26. The isolated sample on PDA formed cottony colony brownish, thread like filaments the hyphae and each branching contains aerial mycelia, clusters of hyphae, called sporodochia. These species have irregular shaped globular microconidia, that are measured 5-7 μm in diameter (Figure 1).

Microscopic observation of isolated hyphae
The microscopic observation was done in inverted microscope and scanning electron microscope (40 x magnification).The isolated hyphae were in tubular shape and conidia was identified with branches. The mycelia were measured in inverted microscope found to be 3.5µm and in scanning electron microscopy measured around 1-5 µm (Figure 2).

Molecular Identification
The morphological identifications were further confirmed by molecular method (PCR) (Figure 3). A single band of 500bp was obtained from the isolate and that was compared with standard culture of Fusarium sporotrichioides and amplified with ITS/ITS4 primers.

Thin Layer Chromatography (TLC)
The samples showed sky blue colour bands under UV transilluminator at 365nm. Rf valueof T-2 toxin on silica gel found to be 0.48mm, comparable to standard T-2 toxin (Figure 4).

High performance liquid chromatography (HPLC)
High performance liquid chromatography was used to quantify the toxin in the extract with UV detector. The amount of toxin was found to be 10.126 µg from 100ml broth culture (Figure 5).

Fourier transformed infrared spectroscopy
FTIR is qualitative and quantitative analytical technique for identification of functional groups of organic, inorganic samples and chemical compounds. The extracted sample revealed the presence of alkanes, alkenes, esters, alcohols and carboxylic acid, compared with standard (Figure 6 and Table 1 and 2).

Cell viability assay Cell viability was determined by Tetrazolium dye for T-2 toxin with increasing concentration on three different cell lines: HaCaT, HepG2 and SHSY5Y. The results showed that, after 24 hr exposure T-2 toxin decreased cell viability in a dose dependent manner. 50-75ng T-2 toxin was sufficient to reduce viability of HaCaT cells is 50-70% for HepG2 cells 100-150ng of toxin was required and for SHSY5Y 200-250ng was required (Figure 7). Compare to HaCaT and HepG2 cells SHSY5Y showed increased cell viability. The HaCaT cell line more sensitive to T-2 toxin. Lactate dehydrogenase (LDH) leakage assay The cytotoxicity of T-2 toxin further carried out by assuring LDH activity in the culture media. The LDH a cytosolic enzyme leakes into the surrounding medium if the plasma membrane gets damaged and is used to asses membrane damage with T-2 Toxin challenge of HaCaT, HepG2 and SHSY5Y cells in dose dependent manner. As cell viability showed that HaCaT is more sensitive to T-2 Toxin. The highest LDH release was found in HaCat cells 50-75ng, followed by HepG2 (100-150ng) and SHSY5Y (200-250). As shown in Figure 7(C), The shape of T-2 Toxin treated cells become irregular and destruction of monolayer was observed and compared with control cells. Propidium iodide staining To confirm the cytotoxic effects of T-2 toxin on cell lines, nuclear condensation was studied by Propidium iodide staining. The Propidium iodide does not pass through viable cell membrane however reach the nucleus and it can pass through the damaged membranes. In Control cells had minimal propidium iodide stained cells, while treated groups had increased number of propidium iodide stained cells (Figure 8).

DISCUSSION
T-2 toxin is a type A trichothecene mycotoxin produced by different fusarium species, including F. sporotrichioides, F. poae and F. acuminatum27-29. These species grow on a variety of cereals, grains, particularly in oats, barley, rye,wheat, maize, rice, beans, soybean and in some cereal-based products especially in cold climate region or wet storage condition 30. Several surveys have revealed F. sporotrichioides causes root, stem and ear rot, with severe reductions in crop yield. In addition F. sporotrichioidesis capable of producing T-2 toxin which can infect pre harvest plants or stored grains31,32. There are an array of studies on fusarium isolation, its characterization and inhibition of toxin producing species. The present study focused on molecular and analytical characterization of T-2 toxin and T-2 toxin producing organism. FTIR characterization was unaccustomed method for exploration of functional groups in microbiology. Fusarium mycotoxin can be produced on every part of the plant, hence the need for accurate identification at the species level. Fusarium isolation was carried out by standard blotter method. However identification was based on morphological features and molecular method. In the bright field microscope, hyphae and conidia measured 5-7 μm in diameter. Identification of fusarium and other species followed through the SEM for morphological investigation, microconidia were with a smooth cell wall and maintained membrane structure, diameters measured around 1-5μm33,34. Many studies have been discovered ITS/ITS4 primers established recognition of fusarium35-38. Taking into consideration all these available datawe aimed to confirm the rDNA region by providing ITS/ITS4 target sequence for molecular detection of F. sporotrichioides. PCR method with above primers successfully tested against isolates which exhibited greatest homology in the target. T-2 toxin a metabolite of F. sporotrichioides was extracted in ethanol and characterized using TLC, HPLC and FTIR.T-2 toxin visualized as bluish spot on the TLC plates and compared with standard toxin Rf value found to be 0.48 mm. In our study quantification of T-2 toxin was done as per the method of 19with slight modification using UV detector investigated 10.126 µg toxin.

According to previous reports T-2 toxin is more toxic than other mycotoxin. In the present study, we tested T-2 toxin cytotoxicity by MTT and LDH leakage assays. The data showed human skin cell line and liver cell line are the more sensitive of all the cell lines tested, whereas neuronal cell is the least cytotoxic to T-2 toxin. Albarenque et al. 39showed T-2 toxin decreased the cell viability at 25 μg in rat keratinocyte primary cultures. In the present study HaCaT cell viability decreased at 50-75ng. According to Bouaziz et al.40 T-2 toxin induced maximum cell death in HepG2 compare to zearalenone and ochratoxin A at 60nM with increasing concentration, this report proves that cell viability of Hepg2 with T-2 toxin causes toxicity (100-150ng) comparably same concentration. Therefore, these results suggest T-2 toxin are potent inducer of hepatotoxicity. Weidner et al 41 worked on T-2 toxin induced neurotoxicity with human astrocytes primary culture and shown that T-2 toxin disturb the blood-brain barrier (BBB) in vitro. They reported cytotoxicity at 10 nM and disturbance of barrier at 75nM. In our study using SHSY5Y cell line to the toxicity was noticeable at 200 -250mg.In the present study we could grow the T-2 toxin producing fusarium species on corn, isolate and characterize the species upto molecular level. T-2 Toxin was extracted and characterized. And toxicity of the toxin at cellular level was carried out using three different cell lines, A liver cell line (HepG2), a skin cell line (HaCaT) and neuroblastoma (SHSY5Y) cell line. The results obtained are qualitatively similar to the once reported by others. Sensitivity of the cell lines to the toxin at ng may be due to the purity of the toxin.

CONCLUSION
F. sporotrichioides was isolated from corn sample and T-2 Toxin was extracted, characterization of species done by molecular method and T-2 toxin was quantified using analytical techniques. Further different dosage of T-2 toxin in different cell lines evaluated cytotoxicity

ACKNOWLEDGMENTS
The authors are grateful to Ex Director Dr. HV Batra and Present Director R.K Sharma, Defence Food Research Laboratory, Mysuru, for providing all the necessary facilities, constant guidance and encouragement during this investigation. Authors acknowledge the immense help received from the scholars whose articles are cited and included in references of this manuscript. The authors are also grateful to authors/ editors/ publishers of all those articles, journal and books from where this article has been reviewed and discussed.

Conflict of interest: None
???????Source of funding: None

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A study by Singh R. et al. entitled \"A Prospective Study to Find the Association of Astigmatism in Patients of Vernal Keratoconjunctivitis (VKC) in a Tertiary Health Care Centre in India (Vindhya Region MP)\" is awarded Best Article for Vol 14 issue 15
A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
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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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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