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IJCRR - 13(3), February, 2021

Pages: 43-49

Date of Publication: 03-Feb-2021


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Gene Expression Regulation by Epigenetic Mechanism an Emerging Way in Alcoholics

Author: Anjali Vagga, Ajay Meshram, Lata Kanyal, Komal Meshram

Category: Healthcare

Abstract:Environmental factors can impose most of their harmful effects, including harmful substances and drugs, by modifying the usual sequence of genes, advances to unusual expression or attempting to silence the major DNA sequences and their encoded proteins. Epigenetic is the research of modifications of DNA sequences and subsequent proteins, with no modification of the nucleotide sequences, Methylation of the DNA, alteration in Histone and RNA-mediated targeting control. Many biochemical reactions influences in human cell function, a pattern of their modification occurs in alcoholics. This review is focused on the regulation of gene expression by the epigenetic mechanism in alcoholics. Chronic consumption of alcohol in humans affects the brain, bringing the modifications in the expression of genes. Chronic alcohol intake also creates the desire for alcohol, loss of control, ultimately leading to liver damage. Such changes result in the expression of gene and cell cycle disturbance, facilitating the development of cirrhosis and cancer of the liver. DNA methylation, histone modifications and miRNA are the important common epigenetic modifications used as biomarkers of alcoholic liver disorders. While we are in the early stages of understanding the complex epigenetic regulatory system, the preliminary evidence provided here indicates that we could be at the dawn of the advancement of epigenetic factors in the diagnosis of various disorders.

Keywords: Epigenetic, Alcoholics, DNA methylation, DNA hypomethylation, Histone modification and MicroRNA

Full Text:

INTRODUCTION

Features of Alcoholic disease (ALD) includes inflammation, hepatic steatosis and deposition of fat that brings with it cirrhosis and hepatocellular carcinoma.1 Cognitive and affective states influence the pathogenesis of alcoholism which promotes the alcohol intake, might be due to different allostatic variables in multiple areas of the brain.2-4 Different researches have demonstrated the genetic and or environmental factors have played a key role in the development of alcoholism.5-7 It is proved that chronic consumption of Alcoholism is a replacing the brain disorders, chronic consumption of alcohol is characterized by loss of control while limiting alcohol intake, gets a negative emotional state while withdrawal and making the desire to seek alcohol.8,9 In animal models and humans, frequent alcohol consumption causes widespread brain changes in gene regulation.

Most of these contribute to cellular adaptations which at the end lead to dependence on alcohol and psychological tolerance. It is appreciated for the role of epigenetic changes in alcohol-induced modifications of expression and behaviour of genes for chronic alcoholism. e.g., chronic alcohol consumption results towards the shift in methylation of histone, DNA and Micro RNA transcription with different gene response to various brain cells types  (e.g. glia and neurons) and proceeds to malfunction of cognitive function and plasticity of the brain involving the abuse of alcohol and dependence over it.10 Environmental conditions can impose most of their harmful effects, including harmful substances and drugs11, by modifying the usual epigenetic patterns, advancing to unusual expression or attempt to silencing the important sequences of DNA and their encoded proteins. Alcohol is quickly evolving as one of the key elements for changing the epigenome of cells and tissues from across organisms.12  

What is epigenetics?

The term "epigenetic" simply means "in addition to changes in the genome." The concept has expanded to include all mechanism that involves the expression of a gene without modifying the sequence of DNA and advances to alterations which can be incorporated to new nucleoli (although studies indicate that certain genetic mutations can be altered). Exactly what the word will possibly continue to be discussed. Alterations in DNA which do not modify the sequence of DNA might alter the expression of genes. Chemical substances applied to separate genes may control their functioning; these changes are called epigenetic alterations.  The epigenome contains all the chemical blends applied to the whole of particular DNA (genome) as a form of controlling its function (about expression) of entire genes in the genome.  The epigenome's chemical blends are not a part of the particular DNA code, but are on or added to the DNA, epigenetic changes occur as cells divide, and may often be inherited through the gene.

Epigenetic modifications will boost to evaluate may be the genes are switched on or off, and which can impact protein synthesis in certain cells, assure that only proteins are synthesized that are required. For eg. The proteins are not synthesized in muscle cells, which help the growth of bone. Epigenetic change of pattern varies amongst individuals, growing tissues of the individual and also various cells.

Epigenetic modification

Histone modification

Post-translational modification of histone which involves the incorporation of phosphorus, incorporation of ubiquitin, methylation, Small Ubiquitin-like Modifier (SUMO) proteins are attached to or detached from other proteins and acetylene. The PTM formed for histones can vary gene expression by modifying the genetic makeup of chromatins or by including histone modifiers. Histone proteins work for inserting DNA into the chromosomes, DNA gets wrapped around eight histones. Histone alterations work in different biological procedures. Such as to the activation or deactivation the synthesis of mRNA, packing in the chromosome and genes repair or damage.  Generally for most of the animal's incorporation of acetic acid to histone H3 is done with lysine 9, 14, 18, 23 and 56, methylation with Arginine 2 and Lysine 4,9,36 and 79 and phosphorylation at Ser 10 and 28, Thr 3 and 11.   Acetylation of Histone H4 occurs with residues of Lysine at positions 16, 8, 5, 16, methylation of the Arginine at position 3, and of the lysine at position  20 and Phosphorylation of the serine at position 1. 

To quantify particular modification of histone may provide good information for better understanding of the epigenetic regulation, cellular mechanism and the production of enzyme-based drugs to modify Histones.

Acetylation and Deacetylation of Histone

Incorporation of acetic acid to histone is done by the addition of acetyl groups from CoA. Incorporation of acetyl groups to Histone (Figure 1) has importance in maintaining different mechanisms inside the cell involving gene expression, repair of DNA, chromatin mechanics and transcription, nuclear import, repression of neurons, apoptosis, and progression of the cell cycle, DNA replication and differentiation. Enzymes Histone acetyltransferases (HATs) carry out the incorporation of the acetyl group to  Histones and has an important role to regulate the incorporation of acetyl groups to Histones H3 and H4. About 20 HATs are known and are categorized as five families like GNAT 1, TAFII 250, P300/CBP MYST and co-activators like ACTR for nuclear receptors.13 Histone deacetylases (HDACs) inhibition increases Histone H3 Acetylation and inhibition of cap decreases the acetylation. Hydrolytic separation of acetyl groups from lysine residue of histone is done by enzymes named Histone Deacetylases (HDACs). Cancer development and genesis of Tumor is linked with an imbalance in Histone acetylation equilibrium.  Histone H3 acetylation of the Lysine residue analysis can confer important knowledge to identify sites or patterns of acetylation, which provides deeper lights on epigenetic regulation of activation of the genes and production of HAT based drugs. Like that of HATs, HDACs also have key roles in particular mechanisms involving Histone H3 and H4. So far four groups of HDACs have been established. 1,2,3 and 8 are included in class I HDAC, Class II HDAC include 4, 5, 6, 7, 9 and 10, Class III includes molecules like sirtuins which requires a cofactor with NAD+ and comprises of  SIRTs 1-7 and a class IV group of enzymes includes  HDAC 11 and has both classes I & II functionality. By inhibiting HDAC gets impact on the cellular mechanisms, apoptosis and differentiation of the cancer cells. HDAC inhibitors act like anticancer agents.14

Figure 1: Represent the reactions of acetylation and deacetylation. In the acetylation process relaxation of chromatin structure with which TF bind easily. Deacetylation leads to chromatin inactivation.15

Histone Methylation and Demethylation

Addition of methyl group to Histone is a phenomenon carried out by histone methyltransferases (HMTs) comprising either 1, 2 or 3  CH3 units derived from SAM to Lys or Arg residues of Histones. Methylation of DNA is regulated by HMTs by the processes activation or repression of transcription in the chromatins. Methylation in the Histone occurring in the cell nucleus, different genes of the DNA, which are complexed with histone can be suppressed or activated16. Arginine and Lysine residues which are modified by histone methyl transferases are of different types e.g. SET 1, SET 7/9, Histone H3, ALL-1, Ash 1, ALR, MLL, SMYD3 and Trx are Histone methyltransferases which brings the transfer of methyl group to Histone H3 in mammalian cells at Lys 4 (H3-K4).

Enzyme Histone methyltransferases like SUV 39- h1, SUV 39- h2, Dim -5, G9a and Eu- HMT brings the transfer of CH3 group to Histone H3 in mammalian cells at Lys 9 (H3-K9). Histone methyltransferase enzymes like EZH2 and G9a brings the CH3 group transfer to Histone H3 in mammalian cells at Lys 27 (H3-K27)17.  CH3 group transfer to H3-(K9 and K27) helps in the synthesis for heterochromatin and also plays a role in signals for silencing of gene expression over the euchromatic sites. Increase in H3-K27 methylation amount globally is also found to be associated with a pathological condition like the progression of cancer.

DNA Methylation

The commonest form of epigenetic alteration is one, i.e. DNA methylation. There is the attachment of small molecules in DNA methylation, comprising of one carbon atom three hydrogen atoms, to DNA segments, called methyl groups.  When a specific gene is attached by methyl group that gene is turned off or can say it is silenced, then no protein has formed that gene. DNA methylation is the so far most studied epigenetic mechanism which occurs by cytosine modification by covalent means of joining CH3 group to base at 5’ cytosine ring carbon located inside CpG dinucleotides.  CpG dinucleotides more than 85% in number, are spread across the genome and are present in respective sequences are highly hypermethylated/ transcription silenced in the normal cells, the condition which is critical to the integrity of the structure of genome chromatin.

A vital role is played by DNA methylation for recombining, repairing and replication of DNA and also in controlling the activity of genes. The addition of the H3 group to the sequence of DNA at the 5’ cytosine base is necessary for the formation of CpG dinucleotide. A DNA methyltransferase (DNMTs) family brings out this process. CpG rich areas form the area generally called as the island with pieces of 200 bp and can form kilobases in length, and situated near the promoter regions of strong expressing genes, and these are the prone areas for methylation in human tumours, like prostate tumours. Islands of CpG produce the complex subunits and the processes occurring like methylation and demethylation ultimately produces activation or inactivation in nearly 55% of the cases. That is why the methylations of the CpG islands in gene promoter region can prevent or de-regulate gene product synthesis.18-20

Three major forms of DNMTs like (DNMT1, DNMT3A, and DNMT3B) are identified. DNMT2 known as the fourth enzyme has previously been not a methyltransferase of DNA. A clear sequence is present in DNMT3 or TRDMT 1 similarly with 5- methylcytosine methyltransferases, but methyl group position 38 in aspartic acid transfer RNA has been shown as enzyme and doesn’t methylated DNA. There is the belief that a small quantity of mammalian DNMT2 is referred to in recombining DNA, recognizing DNA damage and repairing mutations. DNA methylation patterns are preserved by responsible enzyme DNMT1.

At the replication fork, DNMT 1 is situated. Newly formed DNA gets methylated to DNMT3 A/B and cannot distinguish among unmethylated and hemimethylated CpG sites and they can’t copy a common trend of the CH3 group transfer or help to sustain the trend of CH3 transfer.21 When the DNA gets methylated, condensation of chromatin occurs and then the complex of transcriptions is not able to bind DNA and thereby silences gene expression. This type of proteins, in effect, involves the enzymes capable for further epigenetic changes which lead to condensed chromatin state.22,23

DNA hypomethylation

Most studies have indicated different triggers for DNA hypomethylation, including lack of precursors of S-adenosylmethionine or vitamin-like folic acid in the food or defect in the gene of the metabolic pathway for the CH3 group donor. A deficit of enzyme methyltransferase can cause hypomethylation of DNA. Hypomethylation of the sites called promoter regions of the genome may result in the decrease in the stability of the genome also by increasing the expression of transposons, which remain dormant due to methylation under normal physiological conditions. Low levels of methylations may result in lower stability of chromosome and lower activation of proto-oncogene.18-20

Eukaryotic genomes structural and functional organization is reflected by Chromatin24,25 and it is composed of RNA, DNA and variety of protein components.24 Nucleosome comprising146 bp is the main repeat unit of chromatin; it is placed such that it wraps around core histones H2A, H2B, H3 and H4 and then forms an octamer.26 Nuclear protein Histone acyl transferases (HATs) can reverse Histone tails which contain residues of amino acids, Histone lysine methyltransferases (KMTs), Histone deacetylases (HDACs) and Kinases are examples.27-29

Mechanism of epigenetic

During development, the prediction is that pattern of CpG methylation changes. During the development of the embryo, methylation is wiped out throughout the genome and then it is restored to all but CpG bunches (genome sites with dense CpG residues). Until some of the CpG bunches are methylated otherwise they remain hypomethylated later during the development. 30,31 Transcriptional repression is associated with further transfer of CH3 group to cyt in CpG groups and other similar CpG dinucleotides,31-33 particularly when such methylated sites include promoters or some different sites of gene regulation.33 Nonetheless, transfer of methyl group to DNA could be activated if it inhibits transcriptional repressors from being bound or restricts their expression. Recent research in mammalian promoters that define the degree of methylation indicates that methylation takes place at over a small quantity in the proportion of CpG dinucleotides and transcription inhibition occurs at only small regions of genes in differentiated cells, some of the repressed lengths of genes are particular to germline2, like the pluripotency genes, indicating that methylation is a critical mechanism for the suppression of main genes during their separation.32

Epigenetic Modification in Alcoholics

Stress and alcoholism can contribute to changes in epigenetic mechanism and that can be associated with behavioural phenotypes and synaptic remodellings like depression and anxiety.34 At the outset, we will outline the molecule that regulates the synaptic plasticity, which is known to associate with the addiction of alcohol and disorders of stress and then we will overview their regulation by an epigenetic mechanism, specifically the DNA methylation and Histone acetylation/methylation, which underlies these disorders.  However, epidemiological findings of the effects of associated drinking and smoking, there is an indication that epigenetic processes are doubtful about alcohol consumption rather than to smoking. Heavy drinking (>80 g/d) and smoking one pack per day together raises the risk of cancer of oesophagus by up to 44 times.35 An epidemiological finding clearly indicates there is a distinct toxicity process of drinking and smoking which will confer the disease risk.

Likewise, it is shown that the risk of cancer and other smoking-related disorders are not only due to cigarette smoking, but other the associated effects of various toxic materials found in smoke, alcohol-related risks are linked to dosage and alcohol content, with the concentration of alcohol on the higher side, confers increased risk.36 From the viewpoint of the epigenetic mechanism, looking at observations, researchers carried out the specific evaluation of both candidate genes and deeper investigations using advanced array-based analysis platforms for the evaluation of fundamental processes at hand. The utility of current alcohol biomarkers is limited to.37  Measuring alcohol in the breath or serum will be the best bio-indicator for alcohol. Present an analysis determines the actual consumption of alcohol at present and do not differentiate acute consumption and chronic violence. Alcoholism has some biomarkers of adverse effects like specificity and sensitivity, which are not used as screening tools. Biomarkers are required, looking at the magnitude of health problems and community costs associated with drinking alcohol.

DNA methylation in alcoholic

For DNA methylation  S adenosyl methionine acts as a predominant methyl donor, in alcoholics, it is deficient, which leads to hyperhomocysteinemia which also occurs commonly in ALD patients.38 DNA methylation in alcoholics is also affected by reducing the amount of SAM. In the experiments over Rats, it is found that IV ingestion of alcohol diet for 9 weeks showed a drastic reduction in glutathione, SAM, Methionine and reduced methylation of DNA.39 DNA hypomethylation can advance to structural change in chromatin and expression of genes which may lead to strand breaks and DNA damage.39,40 which forms the environment for malignancy.41 In hepatocellular carcinoma, there is a strong correlation between alcohol consumption and reduced methylation of gene O6- methyl guanine DNA methyltransferase. It is shown by researchers that it is the alcohol-metabolizing enzyme, ADH1.

Alcoholic modifications of Histone

Phosphorylation, acetylation and transfer of CH3

In vivo and in vitro there is research evidence that alcohol consumption brings the epigenetic changes in organs like gastrointestinal system, liver and brain.42 Alcohol consumption brings out the effect of liver Histone acetylation/ methylation and phosphorylation. Specifically, transfer of acetyl groups to Histone H3 at Lys 9 (H3AcK9) has been reported in exposed Iry rat hepatocytes which were subjected to alcohol in vitro.43 Other lys residues like H3 lys 14, lys 18 and lys 23 were not acetylated. It is observed that alcohol consumption modulates H3 acetylation by increasing HAT activity and inhibition of HDAC.44 Acetylation of Histone depends on the HAT and HDAC activities.45 In some cases, the HAT / HDAC balance controls the Histone residues which are getting acetylated and regulation of gene expression.46 Consumption of alcohol seems to alter the function of HAT and HDAC in hepatocytes.43 Hepatic cell exposure to in vitro alcohol affects the role of HDAC6 which directly affects the dynamics of the microtubules.47 Liver cells exposed to alcohol show lower levels of Class III HDAC and sirtuin 1 (SIRT1) mRNA expression.48

Acetylation of Histone and methylation of DNA are involved in the transcription and/or silencing cycle of the genes in disease states.49 Generally, in target gene promoters, CpG islands having higher methylation leads to deacetylation of local histones, on the other hand, small quantities of transfer of acetyl groups to Histone appear to incite DNA for attachment of CH3 group. There is close co-operation of these two epigenetic pathways but is there any hierarchical order of the incidence is still not clear. In chronic alcoholic disorders, there is no connection between hyperacetylation of H3K9, elevated methylation of H3K4 and loss of methylation along with global DNA hypomethylation. Research carried out for interaction between epigenetic events can provide the required information for ALD mechanism. 

MicroRNA

The small non-coding RNAs Micro RNAs (miRNAs) controls various physiologic and pathologic activities at the level of post- transcription by modulating gene expression. Different pieces of evidence provided the importance of miRNA in further advancement and severity of the diseases of the liver. Most of the studies analyzed the effect of miRNA on Alcoholic liver disease (ALD) and Non-alcoholic Fatty liver disease (NAFLD)50, which shares a similar underlying mechanism and pathological characteristics.

In reality, all the pathological and physiological processes involve human miRNAs, including signal transduction, cell proliferation and differentiation, viral host interaction, metabolism, oncogenesis and inflammation and immune response.51-52 The expressions of a wide range of miRNAs are controlled by several factors, like cigarette smoking, alcohol and diet and some drugs.53 Now miRNA has gained importance as one of the main factors for identifying the cause of various diseases and as potential biomarker therapeutic target and for diagnosis.52 Considering the fast investigations and analysis of the role of miRNAs over the last few years, an updated overview of the subject will be looked after first, followed by a note on miRNA changes common to both Non-Alcoholic Fatty Liver Disease and Alcoholic Liver Disease.

Role of micro-RNA in alcoholics

The occurrence of the various types of ALD like steatosis, alcoholic hepatitis and cirrhosis comprise chronic alcoholics and heavy drinkers along with the probability of disease. The underlying pathophysiology for ALD is based on the direct cytotoxic impact of alcohol intake and the change in inflammatory response influenced by ethanol.54 Enzymes like cytochrome P4502E1 (CYP2E1) and alcohol dehydrogenase (ADH) contributes for alcohol metabolism55 which leads to oxygen free radicals, acetaldehyde and nitric oxide, which in the flow may cause cellular damage and inflammation of the liver.56 Toxicity of acetaldehyde causes an increase in bacterial lipopolysaccharide (LPS) permeability to the intestine, which joins to receptors-4 (TLR-4) and incites stellate cells and Kupfer cells via pro-inflammatory cytokines, like tumour necrosis factor α - (TNF).57 The transmission of the inflammatory signal is through the pathway of the nuclear factor-KB (NF-KB), which proceeds to liver damage.58

Conclusion

Epigenetics is the research of DNA alteration and accompanying proteins, without any change in the sequence of the gene. Many biochemical reactions are regulated by DNA methylation, histone alteration, and RNA-mediated targeting and they have the main role in cellular functioning, these are modified in alcoholic subjects.  Alcoholism brings the changes in the expression of gene and cell cycle disturbance, facilitating the development of liver cancer like cirrhosis of the liver. DNA methylation, histone modifications and miRNA are the important common epigenetic modifications used as biomarkers of alcoholic liver disorders. While we are in the early stages of understanding the complex epigenetic regulatory system, the preliminary evidence provided here indicates that we could be at the dawn of the advancement of epigenetic factors in the diagnosis of various disorders.

Acknowledgment:

Nil.     

Conflict of interest:

Nil

Source of funding:

Nil

 

 

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‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A study by Dorothy Ebere Adimora et al. entitled \"Remediation for Effects of Domestic Violence on Psychological well-being, Depression and Suicide among Women During COVID-19 Pandemic: A Cross-cultural Study of Nigeria and Spain\" is awarded Best Article of Vol 14 issue 23
A study by Muhas C. et al. entitled \"Study on Knowledge & Awareness About Pharmacovigilance Among Pharmacists in South India\" is awarded Best article for Vol 14 issue 22
A study by Saurabh Suvidha entitled \"A Case of Mucoid Degeneration of Uterine Fibroid with Hydrosalphinx and Ovarian Cyst\" is awarded Best article of Vol 14 issue 21
A study by Alice Alice entitled \"Strengthening of Human Milk Banking across South Asian Countries: A Next Step Forward\" is awarded Best article of Vol 14 issue 20
A study by Sathyanarayanan AR et al. entitled \"The on-task Attention of Individuals with Autism Spectrum Disorder-An Eye Tracker Study Using Auticare\" is awarded Best article of Vol 14 issue 19
A study by Gupta P. et al. entitled \"A Short Review on \"A Novel Approach in Fast Dissolving Film & their Evaluation Studies\" is awarded Best Article of Vol 14 issue 18.
A study by Shafaque M. et al. entitled \"A Case-Control Study Performed in Karachi on Inflammatory Markers by Ciprofloxacin and CoAmoxicillin in Patients with Chronic Suppurative Otitis Media\" is awarded Best Article of Vol 14 issue 17
A study by Ali Nawaz et al. entitled \"A Comparative Study of Tubeless versus Standard Percutaneous Nephrolithotomy (PCNL) \? A Randomized Controlled Study\" is awarded Best Article for Vol 14 issue 16.
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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