\\n\\n
More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\\n\\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\\n\\n“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\\n\\nAdditionally, each book published by IntechOpen contains original content and research findings.
\\n\\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
\\n\\n\\n\\n
\\n"}]',published:!0,mainMedia:{caption:"IntechOpen Maintains",originalUrl:"/media/original/113"}},components:[{type:"htmlEditorComponent",content:'
Simba Information has released its Open Access Book Publishing 2020 - 2024 report and has again identified IntechOpen as the world’s largest Open Access book publisher by title count.
\n\nSimba Information is a leading provider for market intelligence and forecasts in the media and publishing industry. The report, published every year, provides an overview and financial outlook for the global professional e-book publishing market.
\n\nIntechOpen, De Gruyter, and Frontiers are the largest OA book publishers by title count, with IntechOpen coming in at first place with 5,101 OA books published, a good 1,782 titles ahead of the nearest competitor.
\n\nSince the first Open Access Book Publishing report published in 2016, IntechOpen has held the top stop each year.
\n\n\n\nMore than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\n\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\n\n“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\n\nAdditionally, each book published by IntechOpen contains original content and research findings.
\n\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
\n\n\n\n
\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"8637",leadTitle:null,fullTitle:"Recent Advances in Analytical Chemistry",title:"Recent Advances in Analytical Chemistry",subtitle:null,reviewType:"peer-reviewed",abstract:"This book focuses on recent and future trends in analytical methods and provides an overview of analytical chemistry. As a comprehensive analytical chemistry book, it takes a broad view of the subject and integrates a wide variety of approaches. The book provides separation approaches and method validation, as well as recent developments and applications in analytical chemistry. It is written primarily for researchers in the fields of analytical chemistry, environmental chemistry, and applied chemistry. The aim of the book is to explain the subject, clarify important studies, and compare and develop new and groundbreaking applications. Written by leading experts in their respective areas, the book is highly recommended for professionals interested in analytical chemistry because it provides specific and comprehensive examples.",isbn:"978-1-78985-810-5",printIsbn:"978-1-78985-809-9",pdfIsbn:"978-1-83962-122-2",doi:"10.5772/intechopen.79436",price:119,priceEur:129,priceUsd:155,slug:"recent-advances-in-analytical-chemistry",numberOfPages:162,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"9d61b693f14e24d81342f6c36fc5ba32",bookSignature:"Muharrem Ince and Olcay Kaplan Ince",publishedDate:"April 10th 2019",coverURL:"https://cdn.intechopen.com/books/images_new/8637.jpg",numberOfDownloads:10160,numberOfWosCitations:24,numberOfCrossrefCitations:19,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:35,numberOfDimensionsCitationsByBook:0,hasAltmetrics:1,numberOfTotalCitations:78,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"July 10th 2018",dateEndSecondStepPublish:"September 4th 2018",dateEndThirdStepPublish:"November 3rd 2018",dateEndFourthStepPublish:"January 22nd 2019",dateEndFifthStepPublish:"March 23rd 2019",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6,7",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"258431",title:"Prof.",name:"Muharrem",middleName:null,surname:"Ince",slug:"muharrem-ince",fullName:"Muharrem Ince",profilePictureURL:"https://mts.intechopen.com/storage/users/258431/images/system/258431.jpg",biography:"Professor Muharrem Ince received his Ph.D. in Analytical Chemistry from Firat University, Turkey, in 2008. From 2009 to 2012, he worked as a research analytical chemist at Mus Alparslan University, Turkey. He is currently a professor at Munzur University. From 2013 to 2016, he served as head of the Department of Chemical Engineering, Munzur University. He is an editorial board member of several international journals as well as an author and co-author of more than forty papers published in respectable international journals. His expertise is in analytical method development, spectroscopic and chromatographic techniques, environmental sciences, water pollution identification and prevention, food analysis and toxicology, green and sustainable chemistry, nanoscience, and nanotechnology.",institutionString:"Munzur University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"3",totalChapterViews:"0",totalEditedBooks:"4",institution:{name:"Munzur University",institutionURL:null,country:{name:"Turkey"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:{id:"266549",title:"Dr.",name:"Olcay",middleName:null,surname:"Kaplan Ince",slug:"olcay-kaplan-ince",fullName:"Olcay Kaplan Ince",profilePictureURL:"https://mts.intechopen.com/storage/users/266549/images/system/266549.jpg",biography:"Prof. Dr. Olcay Kaplan Ince received a BS from Hacettepe University, Turkey, and a Ph.D. in Analytical Chemistry from Firat University, Turkey, in 2008. She is a research analytical chemist and previous head of the Food Engineering Department, Munzur University, Turkey. She serves as editor-in-chief of the International Journal of Pure and Applied Sciences. She is the author of more than forty papers published in respectable journals. Her research interests include trace and toxic element analysis, analytical chemistry, instrumental analysis, problem-solving in analytical chemistry, food science and chromatography, nanoscience and cytotoxicity, and deep eutectic solvents.",institutionString:"Munzur University",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"2",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Munzur University",institutionURL:null,country:{name:"Turkey"}}},coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"479",title:"Bioorganic Chemistry",slug:"chemistry-analytical-chemistry-bioorganic-chemistry"}],chapters:[{id:"63893",title:"Quantitative and Qualitative LC-High-Resolution MS: The Technological and Biological Reasons for a Shift of Paradigm",doi:"10.5772/intechopen.81285",slug:"quantitative-and-qualitative-lc-high-resolution-ms-the-technological-and-biological-reasons-for-a-sh",totalDownloads:2254,totalCrossrefCites:4,totalDimensionsCites:10,hasAltmetrics:0,abstract:"Today, high-resolution mass spectrometry (HRMS: Q-TOF-MS, Orbitrap-MS) shows sensitive and reliable quantifications of a large variety of compounds while acquiring in high-resolution full-scan mode. Interestingly, HRMS shows equal quantitative performance than triple-quadrupole-MS (QQQ-MS), which is the MS technology traditionally used for quantification. But, in contrast to QQQ-MS that performs “narrow-minded” ion transitions (targeted prior determination), analysis using HRMS can record HR-full scan that detects virtually all ions (e.g., from m/z = 80 to 1000) and gives a global picture of what is in the biological sample (diagnostic screening). This is more and more seen as a key advantage because on top of targeted and quantitative analyses, many other routine or research determinations can be performed such as qualitative (identification), simultaneous quantitative/qualitative (quan/qual), and omics (untargeted) assays. The high versatility and performance of most actual HRMS instruments placed them as new gold standards in LC-MS analysis. Indeed, only HRMS can answer new analytical requests from systems biology and personalized medicine requesting more holistic approaches with untargeted analyses (e.g., proteomics and metabolomics). In the light of the new HRMS-based paradigm, concrete examples revealing quantitative, qualitative, simultaneous quan/qual, and omics capabilities of HRMS in the context of routine and research analyses will be given.",signatures:"Bertrand Rochat",downloadPdfUrl:"/chapter/pdf-download/63893",previewPdfUrl:"/chapter/pdf-preview/63893",authors:[{id:"268132",title:"Dr.",name:"Bertrand",surname:"Rochat",slug:"bertrand-rochat",fullName:"Bertrand Rochat"}],corrections:null},{id:"65177",title:"Modern Extraction and Cleanup Methods of Veterinary Drug Residues in Food Samples of Animal Origin",doi:"10.5772/intechopen.82656",slug:"modern-extraction-and-cleanup-methods-of-veterinary-drug-residues-in-food-samples-of-animal-origin",totalDownloads:1557,totalCrossrefCites:5,totalDimensionsCites:7,hasAltmetrics:1,abstract:"Extensive research on the presence of veterinary drug residues in food samples has been conducted and is still underway. The inappropriate or excessive use of veterinary drugs in food producing animals may result in trace quantities of these drugs or their metabolites in food samples. Food contamination by veterinary drug residues is one of the main challenges worldwide to public health with drug resistance being the biggest threat. One of the challenges in veterinary drug residue analysis is their occurrence in trace amounts that are normally below limits of detection of most analytical instruments. Various efficient, economical, miniaturized and environmentally friendly extraction methods have been developed in recent years to pre-concentrate these analytes before instrumental analysis to enhance their detection and also to overcome the limitations of traditional extraction methods such as liquid-liquid extraction and solid phase extraction. These methods include quick, easy, cheap, effective, rugged and safe (QuEChERS), molecularly imprinted polymers, dispersive liquid-liquid microextraction and hollow fiber liquid-phase microextraction, and they will be discussed in this chapter.",signatures:"Babra Moyo and Nikita Tawanda Tavengwa",downloadPdfUrl:"/chapter/pdf-download/65177",previewPdfUrl:"/chapter/pdf-preview/65177",authors:[{id:"282181",title:"Dr.",name:"Nikita",surname:"Tavengwa",slug:"nikita-tavengwa",fullName:"Nikita Tavengwa"},{id:"282292",title:"Ms.",name:"Barbara",surname:"Moyo",slug:"barbara-moyo",fullName:"Barbara Moyo"}],corrections:null},{id:"64974",title:"Contribution of Infrared Spectroscopy to the Vibrational Study of Ethylenediammonium Chloride Thiocyanate: (C 2 H 10 N 2 )(Cl NCS)",doi:"10.5772/intechopen.82661",slug:"contribution-of-infrared-spectroscopy-to-the-vibrational-study-of-ethylenediammonium-chloride-thiocy",totalDownloads:1123,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"The C2H10N2 Cl NCS (EDCT) compound is characterized by using infrared spectroscopy. The infrared spectrum of the title compound was recorded (400–4000 cm−1) at room temperature and discussed, essentially in terms of vibrational modes of [C2H10N2]2+ cations and [SCN]− and [Cl]− anions. Ethylenediammonium thiocyanate chloride crystallizes, at room temperature, in the triclinic system, space group P1 (Ci). The entities [C2H10N2]2+, [SCN]− and [Cl]− occupy sites of symmetry (C1). Several ground state thermodynamic parameters were calculated using the ab initio Hartree-Fock (HF) and DFT (B3LYP) methods with 6-31++G (d, p) and 6-311++G (d, p) basic sets such as vibration frequencies, rotation constants, and optimized molecular geometry. The comparison between the theoretical and experimental infrared spectrum showed good agreement.",signatures:"Sahel Karoui and Slaheddine Kamoun",downloadPdfUrl:"/chapter/pdf-download/64974",previewPdfUrl:"/chapter/pdf-preview/64974",authors:[{id:"254764",title:"Ph.D.",name:"Sahel",surname:"Karoui",slug:"sahel-karoui",fullName:"Sahel Karoui"},{id:"261221",title:"Prof.",name:"Slaheddine",surname:"Kamoun",slug:"slaheddine-kamoun",fullName:"Slaheddine Kamoun"}],corrections:null},{id:"65007",title:"Characterization of Whole and Fragmented Wild-Type Porcine IgG",doi:"10.5772/intechopen.82792",slug:"characterization-of-whole-and-fragmented-wild-type-porcine-igg",totalDownloads:1129,totalCrossrefCites:1,totalDimensionsCites:1,hasAltmetrics:0,abstract:"Glycoproteomic analyses of tryptic (glyco)peptides from wild-type (WT) porcine IgG were performed. In a first protocol, intact antibody was digested with trypsin, followed by glycopeptide enrichment and liquid chromatography-tandem MS (HPLC–MS/MS). This procedure allowed to detect N-glycopeptides observed previously (Lopez, P. G. et al., Glycoconj. J. 2016, 33 (1), 79), plus other non-reported N-glycopeptides. The method provided useful information but did not allow to discern between Fab (antigen-binding region) and Fc (constant region, fragment crystallizable) peptides/glycopeptides. In a second scheme, glycoproteomic analysis was attempted for Fab and Fc fragments obtained by papain and Fabulous™ hydrolysis. Usually employed for milligram amounts of antibodies, the papain and Fabulous™ protocols were adapted to 200 μg of WT IgG. Fab and Fc fragments were separated by size-exclusion (SEC) HPLC. Fractions collected were reanalyzed by gel electrophoresis (SDS-PAGE). Bands were excised, and fragments digested in-gel, followed by matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) MS and HPLC/MS–MS. In the protocol no glycopeptide enrichment was involved, that is, whole tryptic digests were analyzed. Fc N-glycopeptides were identified, and greater numbers of non-glycosylated peptides were tabulated. Very few peptides overlapped between Fc and Fab, as most peptides were clearly from Fc or Fab. HPLC-MS/MS detected more sialylated glycoforms than MALDI-TOF-MS. Sections of Fab and Fc were assigned de novo, through a database search or manually.",signatures:"Claudia Nelson, Raymond Bacala, Baylie Gigolyk, Evelyn Ang, Haley Neustaeter,\nEmy Komatsu, Oleg Krokhin, Dave Hatcher and Hélène Perreault",downloadPdfUrl:"/chapter/pdf-download/65007",previewPdfUrl:"/chapter/pdf-preview/65007",authors:[{id:"271050",title:"Prof.",name:"Hélène",surname:"Perreault",slug:"helene-perreault",fullName:"Hélène Perreault"},{id:"283187",title:"Ms.",name:"Claudia",surname:"Nelson",slug:"claudia-nelson",fullName:"Claudia Nelson"},{id:"283190",title:"Mr.",name:"Raymond",surname:"Bacala",slug:"raymond-bacala",fullName:"Raymond Bacala"},{id:"283191",title:"Ms.",name:"Baylie",surname:"Gigolyk",slug:"baylie-gigolyk",fullName:"Baylie Gigolyk"},{id:"283192",title:"Ms.",name:"Evelyn",surname:"Ang",slug:"evelyn-ang",fullName:"Evelyn Ang"},{id:"283193",title:"Ms.",name:"Haley",surname:"Neustaeter",slug:"haley-neustaeter",fullName:"Haley Neustaeter"},{id:"283195",title:"MSc.",name:"Emy",surname:"Komatsu",slug:"emy-komatsu",fullName:"Emy Komatsu"},{id:"283196",title:"Prof.",name:"Oleg",surname:"Krokhin",slug:"oleg-krokhin",fullName:"Oleg Krokhin"},{id:"283200",title:"Dr.",name:"Dave",surname:"Hatcher",slug:"dave-hatcher",fullName:"Dave Hatcher"}],corrections:null},{id:"66021",title:"Bioanalytical Method Development and Validation: A Review",doi:"10.5772/intechopen.81620",slug:"bioanalytical-method-development-and-validation-a-review",totalDownloads:2350,totalCrossrefCites:1,totalDimensionsCites:4,hasAltmetrics:0,abstract:"For various types of drug approval processes like INDs, NDAs, ANDAs, veterinary drug approval, the data related to bioanalytical method development and validation is needed to sponsors. Various agencies namely US FDA, American association of pharmaceutical scientists (AAPS), Health protection Branch (HPB), Association of analytical chemists (AOAC), Center for Veterinary Medicine (CVM), U.S. Department of Health and Human Services Food and drug Administration, Center for Drug Evaluation and Research (CDER), European Medicine Agency (EMA), China Food and Drug administration(CFDA), European Bioanalytical Forum (EBF), Global CRO council (GCC), ANVISA (Brazil), Japan Bioanalytical Forum (JBF) had done collective efforts at different timings to regulate and harmonize bioanalytical method development and validation.",signatures:"Mahesh Mukund Deshpande, Veena Sanjay Kasture, Mahalaxmi Mohan\nand Macchindra J. Chavan",downloadPdfUrl:"/chapter/pdf-download/66021",previewPdfUrl:"/chapter/pdf-preview/66021",authors:[{id:"270956",title:"Dr.",name:"Mahesh",surname:"Deshpande",slug:"mahesh-deshpande",fullName:"Mahesh Deshpande"},{id:"271075",title:"Dr.",name:"Veena",surname:"Kasture",slug:"veena-kasture",fullName:"Veena Kasture"},{id:"271076",title:"Prof.",name:"Mahalaxmi",surname:"Mohan",slug:"mahalaxmi-mohan",fullName:"Mahalaxmi Mohan"},{id:"271077",title:"Dr.",name:"Machhindra",surname:"Chavan",slug:"machhindra-chavan",fullName:"Machhindra Chavan"}],corrections:null},{id:"66038",title:"Aptamers for Diagnostics with Applications for Infectious Diseases",doi:"10.5772/intechopen.84867",slug:"aptamers-for-diagnostics-with-applications-for-infectious-diseases",totalDownloads:1749,totalCrossrefCites:7,totalDimensionsCites:12,hasAltmetrics:1,abstract:"Aptamers are in vitro selected oligonucleotides (DNA, RNA, oligos with modified nucleotides) that can have high affinity and specificity for a broad range of potential targets with high affinity and specificity. Here we focus on their applications as biosensors in the diagnostic field, although they can also be used as therapeutic agents. A small number of peptide aptamers have also been identified. In analytical settings, aptamers have the potential to extend the limit of current techniques as they offer many advantages over antibodies and can be used for real-time biomarker detection, cancer clinical testing, and detection of infectious microorganisms and viruses. Once optimized and validated, aptasensor technologies are expected to be highly beneficial to clinicians by providing a larger range and more rapid output of diagnostic readings than current technologies and support personalized medicine and faster implementation of optimal treatments.",signatures:"Muslum Ilgu, Rezzan Fazlioglu, Meric Ozturk, Yasemin Ozsurekci\nand Marit Nilsen-Hamilton",downloadPdfUrl:"/chapter/pdf-download/66038",previewPdfUrl:"/chapter/pdf-preview/66038",authors:[{id:"272293",title:"Dr.",name:"Muslum",surname:"Ilgu",slug:"muslum-ilgu",fullName:"Muslum Ilgu"},{id:"272326",title:"Prof.",name:"Marit",surname:"Nilsen-Hamilton",slug:"marit-nilsen-hamilton",fullName:"Marit Nilsen-Hamilton"},{id:"290213",title:"Mr.",name:"Meric",surname:"Ozturk",slug:"meric-ozturk",fullName:"Meric Ozturk"},{id:"290214",title:"Ms.",name:"Rezzan",surname:"Fazlioglu",slug:"rezzan-fazlioglu",fullName:"Rezzan Fazlioglu"},{id:"290215",title:"Prof.",name:"Yasemin",surname:"Ozsurekci",slug:"yasemin-ozsurekci",fullName:"Yasemin Ozsurekci"}],corrections:null}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},subseries:null,tags:null},relatedBooks:[{type:"book",id:"8863",title:"Hydrocarbon Pollution and its Effect on the Environment",subtitle:null,isOpenForSubmission:!1,hash:"25243b6684e6a441a6bf1f854d49f9e8",slug:"hydrocarbon-pollution-and-its-effect-on-the-environment",bookSignature:"Muharrem Ince and Olcay Kaplan Ince",coverURL:"https://cdn.intechopen.com/books/images_new/8863.jpg",editedByType:"Edited by",editors:[{id:"258431",title:"Prof.",name:"Muharrem",surname:"Ince",slug:"muharrem-ince",fullName:"Muharrem Ince"}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}},{type:"book",id:"9407",title:"Biochemical Toxicology",subtitle:"Heavy Metals and 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\r\n\tThe goal of this book will be to introduce the current change in ambulatory care affected by the new development of medical knowledge, new technology, and social ethics. The COVID-19 pandemic plays an important role in the acceleration of the adoption of telehealth or telemedicine in medical care. Both patients and medical providers adopt it quickly. The new devices make it possible for remote measuring or monitoring vitals or other physical parameters and communication pathways that provide other tools for medical providers to change the pattern of management of different chronic diseases, like hypertension, diabetes, obesity, congestive heart failure, etc. Some techniques can switch some procedures from the hospital to the patient’s home or clinic so, which will not just make such procedures more convenient for patients but also save expense on medical care. The quality of medical care will improve once both medical providers and patients understand such changes, and cooperate proactively. Medical providers can learn how and what tools they can update and apply for caring for patients. Patients can understand and learn how to proactively engage in their health management.
\r\n\r\n\tThe quest to ensure a perfect patient safety record is at the heart of the decades-long quest to improve quality, enhance value, and increase trust in our healthcare delivery systems. Beginning with the landmark report, To Err Is Human, the Institute of Medicine set an ambitious agenda for the medical community to reduce the number of patients harmed by healthcare-related errors and preventable adverse events. As a result, large-scale initiatives were initiated, including electronic medical records, trainee work hours restrictions, and the advent of evidence-based care bundles. To help support the effort, various governmental and non-governmental agencies established funding for patient safety research and actively fostered the development of well-defined Patient Safety Goals via the National Quality Forum. Parallel to targeted efforts aimed at reducing human and systemic errors leading to patient harm, legislative efforts resulted in bills intended to increase public reporting of medical errors and a paradigm shift allowing public support of the concept that most patient injuries are a result of system failures and not provider errors. This book will intend to provide the reader with a comprehensive overview of the current state-of-the-art in patient safety, featuring an easy-to-follow, vignette-based format that focuses on the most important evidence-based developments in this critically important area.
",isbn:"978-1-83768-192-1",printIsbn:"978-1-83768-191-4",pdfIsbn:"978-1-83768-193-8",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!0,isSalesforceBook:!1,isNomenclature:!1,hash:"fa37d79f81893fd0a9ab346ae1c3e4a9",bookSignature:"Dr. Xin-Nong Li",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/12102.jpg",keywords:"Pandemic, Telehealth, Communication, High Technology, Chronic Disease, Remote, Monitor, Quality, Diabetes, Hypertension, Digital Device, Cardiovascular Disease",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:null,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"May 26th 2022",dateEndSecondStepPublish:"June 23rd 2022",dateEndThirdStepPublish:"August 22nd 2022",dateEndFourthStepPublish:"November 10th 2022",dateEndFifthStepPublish:"January 9th 2023",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"7 days",secondStepPassed:!0,areRegistrationsClosed:!1,currentStepOfPublishingProcess:3,editedByType:null,kuFlag:!1,biosketch:"Dr. Li, MD, graduated from Sun Yat-Sen University of Medical Sciences as an Outstanding Student. He later retrained as a resident in the department of internal medicine at the University of Pittsburgh Medical Center. He gained rich professional experience by working at Basel University, Switzerland, the University of Alabama at Birmingham, USA, and Medical School, the University of California at Davis. He is a Fellow of the American College of Physicians and a member of the American Medical Association.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"345917",title:"Dr.",name:"Xin-Nong",middleName:null,surname:"Li",slug:"xin-nong-li",fullName:"Xin-Nong Li",profilePictureURL:"https://mts.intechopen.com/storage/users/345917/images/system/345917.jpg",biography:"Dr. Xin-Nong Li, MD is an internal medicine specialist in Fair Oaks, CA. Dr. Li completed a residency at U Pittsburgh MC Shadyside. He currently practices at Xin-Nong Li, MD, and is affiliated with Mercy San Juan Medical Center. He accepts multiple insurance plans. Dr. Li is board-certified in Internal Medicine.\r\n\r\nEducation:\r\nU Pittsburgh MC Shadyside, Residency Hospital — 1999\r\nU Pittsburgh MC Shadyside, Internship Hospital — 1997\r\nSun Yat Sen University Med Sci, Medical School — 1982",institutionString:"Sutter Health",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Sutter Health",institutionURL:null,country:{name:"United States of America"}}}],coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"16",title:"Medicine",slug:"medicine"}],chapters:null,productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"466997",firstName:"Patricia",lastName:"Kerep",middleName:null,title:"Ms.",imageUrl:"https://mts.intechopen.com/storage/users/466997/images/21565_n.jpg",email:"patricia@intechopen.com",biography:"As an Author Service Manager my responsibilities include monitoring and facilitating all publishing activities for authors and editors. From chapter submission and review, to approval and revision, copyediting and design, until final publication, I work closely with authors and editors to ensure a simple and easy publishing process. I maintain constant and effective communication with authors, editors and reviewers, which allows for a level of personal support that enables contributors to fully"}},relatedBooks:[{type:"book",id:"6550",title:"Cohort Studies in Health Sciences",subtitle:null,isOpenForSubmission:!1,hash:"01df5aba4fff1a84b37a2fdafa809660",slug:"cohort-studies-in-health-sciences",bookSignature:"R. Mauricio Barría",coverURL:"https://cdn.intechopen.com/books/images_new/6550.jpg",editedByType:"Edited by",editors:[{id:"88861",title:"Dr.",name:"R. Mauricio",surname:"Barría",slug:"r.-mauricio-barria",fullName:"R. 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The exact timing of this rhythm is established by cell-autonomous mechanisms, called cellular clocks, which are controlled by a transcription-/translation-based negative feedback loop [2, 3]. In both vertebrates and invertebrates, cellular clocks are scattered throughout their bodies; thus, the circadian system comprises both central and peripheral oscillators [4].
To guarantee that an organism’s behavior remains tied to the rhythms of its environment, the circadian clock must respond to environmental stimuli to be reset [5]. The main cue for animals is light, which is provided by the day-night cycle. It has been proposed that in mammals the light-induced resetting of the circadian clock is dependent on transcription activation in the suprachiasmatic nucleus (SCN), where the central clock is located [6]. The mammalian route for the regulation of the circadian clock by light uses the retinohypothalamic tract (RHT), which connects directly to the central clock located in the SCN [7]. This makes it difficult to understand the mechanisms underlying light regulation of the circadian clock at a cellular level. Thus, although changes in gene expression have been implicated in the light-induced phase shift of the circadian clock [6, 8], the induction of the expression of clock genes by light and the exact mechanism by which these gene products work remain to be elucidated at the cellular level.
Zebrafish peripheral clocks display a striking characteristic in that they are directly light responsive [9, 10]. Light induces the expression of clock genes and the circadian expression of several clock-related genes in zebrafish peripheral cells [11]. In addition, zebrafish embryonic cell lines can recapitulate the light-response characteristics of a vertebrate clock. In these cell lines, the oscillations of clock gene expression can be entrained to a new light-dark cycle, showing that cultured zebrafish cells have the clock components required for light-induced circadian clock resetting, and the cultured cell system thus provides a valuable tool for studying the light-dependent regulation of the circadian clock at a cellular level [12, 13]. Zebrafish cellular clocks can be studied in cultured cells, which facilitate the study of the photic responses of clock genes encoding cellular-clock regulators, and have revealed cellular signaling pathways that are involved in the light-dependent regulation of the cellular clock [14, 15, 16, 17, 18]. Additionally, an increased understanding of light-dependent cellular-clock regulation in zebrafish has suggested intriguing associations among the circadian clock, DNA repair, and cell cycle control [19, 20, 21, 22, 23].
Here we describe selected light-dependent regulatory aspects of vertebrate circadian machinery.
In mammals, the cellular clock comprises the CLOCK, NPAS2, BMAL1, BMAL2, PER1, PER2, CRY1, and CRY2 proteins [1, 24]. These cellular clock components are called clock proteins. CLOCK or NPAS2 proteins heterodimerize with BMALs to form an active transcription complex that transactivates clock-controlled genes, including
Circadian clocks regulate various biochemical, physiological, and behavioral processes with a periodicity of approximately 24 hours. Under natural conditions, circadian rhythms are entrained to this 24-hour day by environmental time cues, with light level being the most important [5]. The eye is the principal mediator of light input to the central clock in mammals. Rods and cones receive visual information within the retina [29, 30] (Figure 1). These cells, however, are dispensable for photoreception of circadian clocks. Indeed, rodents that lack classical visual responses are still capable of circadian photoentrainment [31]. Retrograde tracing experiments have identified retinal cells projecting to the SCN through the RHT, but not to the visual centers of the brain [32]. These cells constitute a small subset of retinal ganglion cells (RGCs) localized in the ganglion cell layer (GCL), and they have been shown to display intrinsic phototransduction abilities, with photic properties matching those of clock entrainment [33]. The main candidate for the circadian photoreceptor is melanopsin, which is an opsin found in the eye and other photoreceptive structures in amphibians and exclusively in retinal RGCs in primates and rodents. Photic information received by RGCs is conveyed through the retinohypothalamic tract to the SCN central clock in mammals [33, 34].
Retinal cells responsible for vision and photoreception for circadian clock regulation.
Dopamine is the major catecholamine in the vertebrate retina and plays a central role in neural adaptation to light. Indeed, light stimulates the synthesis, turnover, and release of retinal dopamine, which makes dopamine an important mediator of light signaling to retinal cellular clocks [35, 36, 37]. Among the members of the dopamine-receptor family, the dopamine D2 receptor (D2R) has been shown to control light-induced reset of the circadian clock in the mouse retina [38, 39, 40]. At the molecular level, it has been reported that signaling mediated by the D2R enhances the transcriptional capacity of the CLOCK:BMAL complex. This effect involves the extracellular signal-regulated kinase (ERK)/MAPK transduction cascade and is associated with a D2R-induced increase in phosphorylation of the transcriptional coactivator, cAMP-responsive element-binding protein (CREB) and its recruitment to the CLOCK:BMAL complex [40]. Importantly, this activation of CLOCK:BMAL1-dependent transcription is responsible for the induction of the
Light resets the circadian clock by its phase-shifting properties. In particular, the phase-shifting effects of light only occur during the nighttime period of the circadian cycle. In nocturnal mammals kept in darkness, a light pulse during the subjective night (that is, the time of day corresponding to the dark period in a normal light-dark cycle) can reset the clock by evoking changes in the SCN-controlled rhythms [41, 42, 43]. If the light pulse is given at an early point in time during the subjective night, it induces a shift in SCN-controlled rhythms to a later time (phase delay). Conversely, if the light pulse is provided at the end of the subjective night, the SCN-controlled rhythms will be shifted to an earlier position in the circadian cycle (phase advance). Photic signals perceived by the retina are conveyed to the SCN through the RHT [32]. Glutamate has been identified as the major neurotransmitter responsible for transducing the photic information to the SCN along the RHT [44] (Figure 2). Once glutamate is released by the SCN, it binds to N-methyl-d-aspartate (NMDA) receptors, which in turn leads to the Ca2+ influx, that is, finally responsible for the activation of calcium-/calmodulin-dependent protein kinase (CaMK).
Signaling cascade transducing photic signal perceived by the retina to the transcription of clock genes in SCN.
The involvement of the ERK/MAPK pathway in the light-input system of the circadian clock in the SCN has been well established. Mice exposed to light pulses during their subjective night display rapid ERK upregulation (phosphorylation) in the SCN [45]. Furthermore, disruption of the MAPK pathway has been shown to block light-induced phase shifting of the circadian clock at the behavioral level [46]. This finding suggests that the ERK cascade is integrally involved in photic entrainment of mammalian circadian rhythms. Events downstream of the light-induced signaling pathway in the SCN lead to the phosphorylation of cAMP-response element-binding protein (CREB), which then stimulates expression of Per1 and Per2 genes, which contain a calcium-/cAMP-response element (CRE) in their promoters [6, 47, 48]. Although the exact mechanism by which light induces early gene expression remains to be elucidated, it has been shown that a single light pulse engenders chromatin remodeling via the phosphorylation of histone H3 at Ser10 [49].
The appropriate synchronization of cellular clocks in tissues and organs is required for the generation of circadian rhythms in a variety of physiological processes, such as sleep and metabolism [50]. In addition, the light-dependent induction of
The zebrafish constitutes an attractive alternative to the mammalian system with which to study the complexity of circadian clock machinery and light’s influence on it [9]. Characterization of the molecular components of the zebrafish circadian oscillator has revealed that the negative feedback loop in zebrafish consists of components similar to those of mammals [11]. Organ- and tissue-culture explant experiments have demonstrated that peripheral circadian oscillators are present throughout the tissues and organs of the zebrafish and that they display the remarkable feature of being light responsive [10, 13].
The characterization of components of the zebrafish cellular clock has revealed duplication of most clock genes. There are two, three, four, and eight homologues of the
The CLOCK (NPAS2):BMAL complex and/or light regulates the expression of zebrafish repressor types of
In vertebrates, cellular clocks in zygotes and early embryos are not functional and become gradually set in motion during development [57, 58]. In mammals, it is quite difficult to analyze the processes of cellular-clock formation during development because embryogenesis proceeds inside the maternal uterus. Thus, the molecular mechanisms underlying the establishment of cellular clocks during vertebrate development are not well understood. Zebrafish eggs are externally fertilized and are transparent [11, 54]. In addition, zebrafish embryos develop rapidly from fertilized eggs to larvae that swim, making them an excellent model for studies investigating the ontology of vertebrate clocks.
During zebrafish development, organogenesis is completed within 2 days postfertilization (dpf) [59]. Zebrafish larvae hatch within four dpf and start to display locomotor behavior. Zebrafish cellular clocks are autonomously set in motion during development within 1–4 dpf but are out of phase with each other in tissues and organs. Light synchronizes the phases of the cellular clocks to establish behavioral rhythms [50, 60]. Our recent study generated
Studies using cultured zebrafish cells have identified cellular signaling cascades involved in the light-dependent regulation of cellular clocks. In several organisms, external stimuli are connected to a cell’s nucleus via MAPK signaling pathways [61]. There are three major MAPKs: c-JUN N-terminal kinase (JNK), p38, and ERK. Light has been reported to activate these signaling cascades in zebrafish cells. Using a pharmacological approach, it was established that light-induced
It has been proposed that the light-dependent transcription of
The toxic effects of oxidative stress have been linked to cellular ROS production induced by light-activated flavin-containing oxidases [67]. The absorbance of light in the near violet-blue region by these enzymes activates them and induces photoreduction of the flavin adenine dinucleotide (FAD) moiety, leading to ROS production. Accordingly, signaling by flavoproteins frequently induces a change in the redox state of cells [67]. Recent studies have provided evidence that flavin-containing oxidases are responsible for the light-dependent production of ROS that are second messengers coupling photoreception to photoreactivation and the circadian clock in zebrafish [62, 66] (Figure 3).
Light signaling pathway regulating clock gene induction in zebrafish.
Solar radiation has both beneficial and harmful effects for most species. Beneficial aspects include its role in photosynthesis and the entrainment of circadian clocks [28]. However, the UV component of solar radiation can produce cytotoxic, mutagenic, and carcinogenic lesions in DNA, which can transform or kill cells. In particular, the UV component of solar radiation produces cytotoxic and mutagenic lesions in DNA called cyclobutane pyrimidine dimers (CPDs) and pyrimidine [6-4] pyrimidone photoproducts. Photoreactivation is a light-dependent DNA repair mechanism mediated by DNA photolyases (PHRs), which bind to and repair UV-induced DNA damage using visible light as an energy source [43, 68]. Two classes of PHRs have been identified, one specific for CPDs (CPD PHRs) and the other specific for [6-4] photoproducts (64PHRs). Importantly, both the induction of PHRs in response to light and the subsequent light-dependent repair of DNA by PHRs are essential for successful photoreactivation in zebrafish cells [21]. Notably, the expression level of the
In mammals, light signals are received by the retina and then integrated with the SCN cellular clocks [7]. The SCN cellular clocks then transmit light information to peripheral cellular clocks via humoral signals and synchronize them. Recent studies have reported that factors other than cellular clocks in the SCN can synchronize peripheral cellular clocks in a light-dependent manner [42]. In contrast, in zebrafish, light directly synchronizes peripheral cellular clocks in addition to central cellular clocks [9]. Despite the differences between the light-dependent regulation of peripheral cellular clocks in mammals and zebrafish, both require similar MAPK signaling pathways and light induction of clock genes to regulate cellular clocks in a light-dependent manner.
The development of circadian clocks would be one way to segregate daytime from nighttime processes, with light-dark cycles acting as selective pressures [28]. In this scenario, increasing levels of oxygen free radicals during the daytime may have been a decisive factor in relegating the anabolic processes of mitosis, growth, and consolidation to the dark hours. Thus, it is reasonable to propose that redox signaling and stress responding pathways such as MAPKs are utilized in the light-dependent regulation of the circadian clock.
This work was supported in part by a Japan Society for the Promotion of Science (JSPS) Grant-in-Aid for Scientific Research [19K12900 (J.I.) and 18KT0068 (J.H.)]. This work was also supported by grants from the Watanabe Foundation and the Smoking Research Foundation (J.H.).
Death is the final fate of cells and organisms and is a normal biological phenomenon in the living world. Cell death plays a crucial role in the development of plants and animals in nature and in maintaining ecological balance [1]. For example, in the developing vertebrate nervous system, as many as half or more of the nerve cells usually die soon after they are formed. In a healthy adult human, billions of cells die every hour in the bone marrow and intestines. So much cell death seems very wasteful, especially when the vast majority of cells are perfectly healthy at the time of suicide.
In general, cell death can be divided into two types: programmed cell death (PCD) and accidental cell death (necrosis) [2]. The former is a controlled process of intracellular death program, also vividly referred to as cellular suicide. The latter is caused by external factors (i.e., injury, infection, etc.). The study of PCD (especially apoptosis) processes has led to a better understanding of the pathogenesis of certain diseases. The 2002 Nobel Prize in Physiology and Medicine was awarded to Britons Sydney Brenner, Jone E. Sulston, and H Robert Horvitz for their discovery of how genes regulate organ growth and programmed cell suicide processes, using the nematode
A coordinated balance between cell proliferation and apoptosis is crucial for normal development and tissue homeostasis. Once this balance is permanently disrupted, normal cells may be transformed into mutant cells whose clonal survival and uncontrolled proliferation may lead to the development of tumors and various other diseases.
Apoptosis is the process of cellular suicide by activating an intracellular death program or by the orderly breakdown of cells from within. The term was first introduced by Kerr J. F. R. in the 1970s and was not accepted by the general public until the 1990s.
Although apoptosis is only one form of Programmed cell death (PCD), it is by far the most common and well-understood form, and, confusingly, biologists often use the terms PCD and apoptosis interchangeably [3].
For a multicellular organism, a highly organized community, cell numbers are tightly regulated not only by controlling the rate of cell division but also by controlling the rate of cell death. Thus, apoptosis is important not only for tissue remodeling and elimination of transitional organs during the development of an organism, but also for the clearance of cellular senescence inactive metabolic organs, such as blood cells and epithelial cells in the digestive system, and cells with damaged or mutated DNA [4, 5, 6]. In a nutshell, apoptosis is an essential mechanism complementary to proliferation to ensure homeostasis in all tissues.
Unlike apoptosis, necrosis is a form of cell injury that leads to the premature death of cells in living tissues due to autolysis, usually caused by stronger external factors such as infection, toxins, or trauma, ultimately resulting in the unregulated of cellular components, always harmful and potentially fatal to the organism [7, 8]. Necrosis usually causes a local inflammatory response. The reason for this is that when nearby macrophages engulf these necrotic cells, they may release microorganisms that destroy the surrounding tissue causing collateral damage and inhibiting the healing process.
Typically, cell death due to necrosis does not follow the apoptotic signaling transduction pathway, but rather various receptors are activated, leading to loss of cell membrane integrity and uncontrolled release of cell death products into the extracellular space. In contrast, apoptosis is a naturally occurring programmed and targeted cause of cell death and usually provides beneficial effects to the organism. A brief comparison of them can be summarized as follows (Figure 1).
Structural change of cells undergoing necrosis and apoptosis.
As mentioned above, necrosis is a form of traumatic cell death caused by acute cellular injury. In contrast, apoptosis is a process of active cellular suicide. Multicellular organisms eliminate mutated, damaged, or unwanted cells by this type of active suicide. Apoptosis plays an important role in tissue sculpting during embryonic development and in the maintenance of tissue homeostasis throughout life [6].
The process has distinct morphological features, including cell rounding and contraction, blebbing and PS externalization of the plasma membrane, cytoplasmic vacuolization including endoplasmic reticulum expansion and cisternae swelling to form vesicles and vacuoles, nuclear condensation, border aggregation or fragmentation, chromatin compaction, pyknosis, and ultimately fragmentation between nucleosomes by endonucleases, resulting in regular DNA degradation and inhibition of protein translation, and ultimately to the eventual rupture of the cell into small spheres surrounded by membranes called apoptotic bodies, which contain “packed” cell contents with an electron cloud density similar to chromatin; and a sub-G1 curve preceding the G1 phase peak is observed in cytometric histogram [9]. Apoptotic bodies can be recognized and digested by phagocytosis of neighboring macrophages through the presence of phosphatidylserine (PS) on their surface [10]. In this way, the apoptotic cells can be rapidly removed by tissue phagocytes through phagocytosis, without releasing harmful substances that can initiate inflammation, which can cause a significant amount of tissue damage. Because apoptotic cells are always rapidly eaten and digested, dead cells are usually rarely seen, even when large numbers of cells die from apoptosis. This may be the reason why biologists once ignored the phenomenon of apoptosis and may still underestimate its extent.
Abnormal apoptosis contributes to many important diseases, including cancer, autoimmune diseases, diabetes, and neurodegenerative diseases. Various types of cellular stress, such as DNA damage or growth factor deprivation, can trigger apoptosis through intrinsic or extrinsic pathways.
Apoptosis can be triggered by both internal stimuli, such as abnormalities in DNA, and external stimuli, such as certain cytokines from different pathways, respectively [11]; or it can be induced by physiological or pathological factors.
Specifically, physiological triggers can include the following two aspects [12]: (1) Direct action of certain hormones and cytokines: for example, glucocorticoids are typical signals of apoptosis in lymphocytes; thyroxine plays an important role in the apoptotic degeneration of tadpoles’ tails; TNF can induce apoptosis in a variety of cells. (2) Indirect effects of certain hormones and cytokines: for example, testosterone deficiency caused by testicular dysplasia can lead to apoptosis of prostate epithelial cells. Inadequate secretion of adrenocorticotropic hormone by the pituitary gland can promote apoptosis of adrenocortical cells, etc.
While pathological triggers usually include the following two aspects: (1) It is generally believed that apoptosis can be induced by many factors that can cause damage to cells, such as stress, radiation, chemical toxins, viral infections, and chemotherapeutic drugs, and even malnutrition and excessive functional complexes can induce apoptosis. (2) Some factors such as various chemical carcinogens and certain viruses (e.g., EBV) inhibit apoptosis. Therefore, it is thought that the ability to induce cells may be related to the type, intensity, and duration of the harmful factors.
The initiation of apoptosis is tightly regulated by different signaling pathways. The best-understood two are the intrinsic pathway (also known as the mitochondrial pathway) and the extrinsic pathway (also known as the death receptor pathway). The mitochondrial pathway is generally activated by intracellular signals and depends on proteins released from the intermembrane space between the mitochondrial bilayers. The death receptor pathway is activated by extracellular ligands, and the activated extracellular ligands bind to their specific death receptors on the cell surface, inducing the formation of death-inducing signaling complexes (DISC) [13, 14]. Here, we will discuss the extrinsic and intrinsic pathways separately. However, it should be noted that there is crosstalk between these pathways and that extracellular apoptotic signaling can also lead to activation of the intrinsic pathway.
The extrinsic death pathway triggers receptor-mediated apoptosis. Its major components include pro-apoptotic ligands, receptors that recognize/bind ligands, and adaptor proteins that bind to the cytoplasmic face of the receptor. In addition, the pathway recruits other molecules, including cysteine-specific proteases (caspases), the initiator of the death process, and the executors, to execute the apoptotic process [15]. For example, TNF is a common pro-apoptotic ligand and TNFR1 on the cell membrane is the receptor. When TNF binds to TNFR1, the activated receptor binds to two different cytoplasmic adaptor proteins (tumor necrosis factor-related death domain protein, TRADD, and fas-associating protein with death domain, FADD) and procaspase-8, forming a multi-protein complex on the inner surface of the plasma membrane, containing an 80 amino acid death structure domain through which a death-inducing signaling complex (DISC). The cytoplasmic structural domains of the TNF receptor, FADD, and TRADD interact through homologous regions called death structural domains present in each protein [16]. Procaspase-8 and FADD interact through homologous regions called death effector domains. Procaspase 8 in DISC is activated and active caspase 8 is released into the cytoplasm, where it cleaves and activates effector caspases (e.g., procaspase 3), triggering a caspase cascade that further cleaves a number of death substrates, including BID and cytoskeletal proteins, if glued, leading to apoptosis (Figure 2). Notably, inhibitors of apoptosis (IAPs) can inactivate caspases by specifically binding to their active sites. Caspase activator (SMAC)/Diablo and its functional homologs in flies, including Grim, Reaper, and Hid, can in turn target binding and degrade IAPs [17].
Schematic diagram of apoptotic signaling.
In addition, it should be noted that the interaction between TNF and TNFR1 may also activate other signaling pathways and allow cell survival rather than self-destruction.
In general, internal stimuli such as irreparable genetic damage, hypoxia (lack of oxygen), very high concentrations of cytosolic Ca2+, viral infection, or severe oxidative stress (i.e., production of large amounts of damaging free radicals) and cytotoxic drug treatment trigger apoptosis via the intrinsic pathway.
The intrinsic death pathway, i.e., the mitochondrial-received apoptotic pathway, is a death receptor non-dependent apoptotic pathway [18]. This pathway is activated by the release of cytochrome C (Cyto C) from mitochondria in response to various stresses and developmental death cues. The process specifically involves multiple steps as follows: apoptotic signals (various types of cellular stress), lead to the insertion of pro-apoptotic members of the Bcl-2 family of proteins (e.g., Bax), into the outer mitochondrial membrane, forming pores that mediate the release of Cyto C from the mitochondrial intermembrane space into the cell membrane. Once in the cell membrane, Cyto C molecules bind to Apaf-1 (a homolog of mammalian CED4) and further recruit procaspase-9 to form a complex of multiple subunits called the apoptosome. Then procaspase-9 is activated to become active caspase-9. Then the caspase-9 molecule cleaves and activates the downstream executor caspase (Caspase-3, 6,7) to carry out the apoptotic process (Figure 2) [19].
Bcl-2, the mammalian homolog of Ced-9, prevents apoptosis by inhibiting the release of CytoC from mitochondria [20]. IAPs, second mitochondrial activators of caspases (Smac), endonuclease G (Endo G), and AIF also have important roles in the apoptotic process [21]. Notably, Endo G and AIF are specifically activated by apoptotic stimuli and are able to induce ribosomal breakage of DNA independently of caspases. Endo G is a mitochondria-specific nuclease that translocates to the nucleus and cleaves chromatin DNA during apoptosis. AIF is a flavin adenine dinucleotide-containing, NADH-dependent oxidoreductase that resides in the mitochondrial intermembrane space, and its specific enzymatic activity remains unknown. In the presence of apoptosis, AIF undergoes proteolysis and translocates to the nucleus, where it triggers chromatin condensation and massive DNA degradation in a caspase-independent manner.
Previously, it was thought that the only apoptotic pathways were the mitochondrial pathway and the death receptor signaling pathway. Now, an increasing number of studies have shown that the endoplasmic reticulum (ER) also senses and transmits apoptotic signals [22, 23]. The sustained action of various apoptosis-inducing factors may induce a complex unfolded protein response (UPR) by interfering with the correct protein folding process. The UPR response causes endoplasmic reticulum stress, leading to cellular apoptosis due to the accumulation of intracellular misfolded proteins. ER, in addition to being the site of protein folding, it is also the main intracellular Ca2+ reservoir. Disturbing intracellular Ca2+ homeostasis can also induce the typical ER stress response. Interestingly, the localization of Bcl-2 family proteins (including Bcl-1, Bax, Bak,
It has been suggested that procaspase-12 is a proximal effector of apoptosis associated with the ER. Recent studies have found that although caspase-12 is processed and activated in ER stress-induced apoptosis in mouse cells, the enzyme is not absolutely necessary for this process. On the other hand, cells lacking caspase-8 or caspase-9 were highly resistant to ER stress-induced apoptosis. One of the mechanisms that could explain caspase-8 activation in the ER involves the recent discovery of an ER-resident potential apoptosis initiator, named neurotrophic receptor-like death domain protein (NRADD). This protein has a transmembrane and cytoplasmic region that is highly homologous to the death receptor. Induction of apoptosis by NRADD is dependent on caspase-8 activation but does not require the mitochondrial component of the death program.
In addition to propagating death-inducing stress signals, ER contributes to apoptosis initiated by cell surface death receptors and to pathways resulting from DNA damage. Modulation of ER calcium stores can sensitize mitochondria to direct pro-apoptotic stimuli and promote activation of cytoplasmic death pathways.
In short, the extrinsic (receptor-mediated), intrinsic (mitochondria-mediated), and endoplasmic reticulum stress-mediated apoptotic pathways ultimately converge by activating the same caspases, which cleave the same cellular targets. Apoptosis-inducing factors can be involved in diseases by activating apoptotic pathways that affect the rate of apoptosis, and may predominantly involve the first two pathways or all three of these pathways.
The mechanism by which apoptosis occurs is highly conserved in all animal cells. It is dependent on a family of proteins called caspases (c for cysteine and asp for aspartic acid). This family of proteins has many members and generally exists as inactive precursors (procaspases). Procaspases are generally activated by the catalytic cleavage of other (already active) caspases, forming an amplified network of protein cascades. The activation process of procaspases involves the formation of a heterodimer by cleavage and the combination of two dimers to form an active tetramer. During apoptosis, those responsible for initiation are known as initiator caspases; those responsible for cleavage of specific target proteins (e.g. nuclear lamina proteins, DNA degradation enzymes, cytoskeletal proteins, and cell–cell adhesion proteins) are the executor caspases.
Apoptotic mechanisms are present throughout the initial to final stages of animal development. Only the process requires a trigger to be activated for its occurrence. So, how is the first member of the caspase cascade reaction described above initiated? Initiator procaspases usually contain a caspase recruitment domain (CARD). This structural domain can assemble into an activation complex with an adaptor protein when the cell receives an apoptotic signal. The formation of this complex means that the promoter caspase will be activated by cleavage.
As mentioned above, there are numerous members of the caspases family, most of which are involved in apoptosis, but not all of them mediate apoptosis [24]. For example, the first discovered caspase, human interleukin-l-converting enzyme (ICE), was not associated with apoptosis but was responsible for mediating the inflammatory response. After the discovery of ICE, similar proteins to ICE were identified in
Peroxisomes, similar to the mitochondria, are a membranous subcellular organelle within eukaryotic cells. The peroxisome contains enzymes related to fatty acid and amino acid oxidation processes that produce hydrogen peroxide and also degrade hydrogen peroxide [25]. This gives the peroxisome its name and it plays an important role in maintaining intracellular oxidative metabolic homeostasis.
Because of the crucial role of the peroxisome, its dysfunction is associated with various pathological conditions, organ dysfunction, and aging [26, 27, 28]. For example, deficiency of Pex3, a peroxisomal membrane protein essential for membrane assembly, a member of the peroxisome (Pex) family, leads to complete loss of peroxisome function, while deficiency of Pex5, a peroxisome transporter, leads to Pex5 (a peroxisomal transporter) leads to the loss of peroxisomal matrix proteins. Mutations in this class of Pex genes may lead to human developmental abnormalities, such as human autosomal recessive disorders [29].
Peroxisomes play important roles in biosynthesis and signal transduction, which cannot be achieved without interaction with other organelles in the cell. In particular, peroxisomes interact functionally with mitochondria [30]. They cooperate with each other to perform biological functions such as production, fission, proliferation and degradation through vesicular transport, signaling, and membrane contact [31]. On the other hand, they can act synergistically to clear excess intracellular ROS, resist extracellular stresses through immune responses, and play an important role in the maintenance of lipid homeostasis through fatty acid β-oxidation [32, 33, 34]. In one word, peroxisomes are essential for the maintenance of normal mitochondrial and even whole cell function. Some chemotherapeutic drugs have been found to trigger mitochondrial dysfunction, leading to apoptosis by overwhelming cells with ROS. For example, Vorinostat (Vor), an FDA-approved histone deacetylase inhibitor (HDACi) for lymphoma treatment, has been well documented to trigger mitochondrial-mediated apoptosis through ROS accumulation. Acute Vor treatment has been shown to induce the expression of peroxisome proteins, thereby increasing peroxisome proliferation in a lymphoma model system. In addition, the knockdown of peroxisomes by gene silencing of Pex3 enhances Vor-induced ROS-mediated apoptosis [35].
In short, peroxisome dysfunction severely affects mitochondrial metabolism, cellular morphological stability, and biosynthesis, directly or indirectly contributing to a number of apoptosis-related diseases such as cancer [36, 37], cardiovascular disease [38, 39, 40], and neurodegenerative disorders [41].
Apoptosis is an important way for the organism to maintain the numerical homeostasis of the cell population. Excessive or insufficient apoptosis can lead to disease.
Crosstalk between mitochondria and other organelles is important in tumorigenesis. Mitochondria and peroxisomes are important organelles for ROS production and scavenging. Under normal conditions, both maintain intracellular ROS homeostasis. Impaired peroxisome function inevitably leads to increased levels of ROS in mitochondria, which impairs mitochondria, exacerbates impaired ROS clearance, leads to low levels of apoptosis, and thus promotes tumorigenesis and progression [42, 43, 44].
ROS act as signaling molecules to regulate various physiological and pathological processes [45]. H2O2 is a member of the ROS family and plays an important role in the signaling of epidermal growth factor (EGF) and platelet-derived growth factor (PDGF). H2O2 prevents protein tyrosine phosphatase 1B (PTP1B) from dephosphorylating EGF, thereby facilitating EGF stimulation. In addition, activation of PDGF requires H2O2 to promote oxidation and inactivation of PDGF-receptor-associated phosphatases and SHP-2, thereby facilitating the signaling pathway [46, 47]. Excessive ROS production can lead to cellular genomic instability (including mutations in the mitochondrial genome) on the one hand. Notably, ROS can promote tumor cell proliferation under hypoxic conditions. The reason for this is that the transcription factors hypoxia-inducible factors (HIFs) are upregulated under hypoxic conditions, thus promoting the expression of oncogenes. Although some proteases such as prolyl hydroxylases (PHDs) can degrade HIFs, the increased release of ROS induced by hypoxia can prevent the action of PHDs on HIFs. In this case, HIFs can then promote tumor progression under hypoxic conditions.
Briefly, because disruption of the functional balance between mitochondria and peroxidases may lead to increased ROS production, the increased ROS may inhibit apoptosis-inducing genes (bcl2 and p53, etc.), resulting in non-apoptosis of cells that should be apoptotic. Alternatively, the apoptotic process may be inhibited due to a decrease in the activity of apoptosis-related enzymes (caspases, etc.), leading to malignant cell transformation and tissue malignant proliferation. Both of these aspects are considered to be one of the important mechanisms leading to tumorigenesis and infiltrative metastasis.
Apoptosis is a form of death of terminally differentiated cardiomyocytes. Clinical data suggest that ROS generation, DNA damage, and other factors activate apoptosis, resulting in the loss of large numbers of cardiomyocytes in patients with advanced congestive heart failure, patients with myocardial infarction, and patients with diabetic cardiomyopathy. The evidence suggests that apoptosis may be an important pathogenetic mechanism in cardiovascular disease [38]. Apoptosis, in concert with necrosis, may also lead to foam cell death and thus to the formation of a necrotic core, which contributes to lesion instability and increases the risk of lesion rupture and thrombosis.
Lower levels of ROS production can lead to chronic remodeling of the heart, whereas high levels of ROS can directly lead to apoptosis in the cardiomyocytes [48]. It is therefore interesting that catalase overexpression inhibits cardiomyocyte apoptosis by protecting the cells from ROS [49]. Peroxisomal antioxidant enzymes and plasmalogens protect cardiomyocytes via the degradation and trapping of ROS and the maintenance of ROS homeostasis. Apoptosis of cardiac cells has been demonstrated in several cardiovascular diseases, including myocardial ischemia–reperfusion injury (I/R) and atherosclerosis [50, 51, 52]. Atherosclerosis, a major cause of heart failure and myocardial infarction, can likewise predispose to acute coronary heart disease. There is evidence that thrombosis and plaque rupture may be due to apoptosis of a large number of smooth muscle cells and macrophages in unstable atherosclerotic plaques [53, 54]. Rupture of atherosclerotic plaques with concomitant thrombus formation may lead to coronary artery occlusion, which affects the blood supply to the myocardium, resulting in myocardial infarction and leading to patient death. Reperfusion is an effective treatment for acute myocardial infarction, but it may cause reperfusion injury while restoring blood flow [55]. Studies in the last decade or so have shown that cardiac cell death occurring during reperfusion after myocardial infarction is mainly apoptosis, not cell necrosis, which breaks the long-held misconception [56, 57, 58]. Usually, what occurs during I/R is mostly cell apoptosis, whereas necrosis occurs more often after prolonged ischemia. In addition, apoptosis also plays an important role in myocardial remodeling after infarction. There is evidence that a large number of apoptotic cells can be detected in myocardium at the marginal zone of myocardial infarction [56]. Since the regenerative capacity of myocardium is limited, people show great interest in preventing apoptosis of myocardial cells during I/R.
There is also a connection between chronic heart failure and apoptosis [59]. It has been reported that patients with advanced heart failure have higher rates of cardiac myocyte apoptosis than normal subjects. Using transgenic mice with cardiac tissue-specific expression of caspase-8, it was found that apoptosis of cardiomyocytes, even at very low levels, can lead to fatal dilated cardiomyopathy as long as it occurs chronically [60]. In addition, the use of caspase inhibitors prevented left ventricular dilatation and improved ventricular function, suggesting that long-term apoptosis can lead to a significant reduction in cardiomyocyte numbers, which in turn gradually decreases cardiac contractile function. As a result, the remaining cardiomyocytes become overcompensated and contribute to cardiac hypertrophy, leading to the development of heart failure [61].
Regarding the major pathways involved in apoptotic signaling in the heart, the death receptor pathway, the mitochondrial, and ER-stress death pathways are all involved [62]. The cross-talk between death receptors and mitochondrial cell death pathways has been demonstrated in cardiomyocytes and the heart [63, 64]. For example, Date
In recent years, ER stress pathway has been reported to be in cross-talk with both the death receptor pathway and the mitochondrial pathway [13, 67, 68]. One study found that application of TNF-α induced HL-1 myoblast cell lines that activated both caspase-3 and -12 [69]. Bcl-2, which targets ER, inhibited mitochondrial membrane depolarization in apoptotic cells and also inhibited cytochrome c release [70]. Caspase-8 cleaves BAP31, an ER-associated protein, and the cleaved fragment induces Ca2+ release from ER, into the mitochondria, and initiates apoptosis [71]. It has also been reported that Bik proteins can activate Bax/Bak in the ER membrane after localization to the mitochondria, initiating Ca2+ release [72].
Regardless of the causative factor, and regardless of which signal transduction pathway or pathways are involved, oxidative stress due to the interaction of peroxisomes and mitochondria plays a pivotal role in triggering apoptosis and thus contributing to the development of cardiovascular disease.
Apoptosis plays a key role in the normal development of the central nervous system and is involved in the pathogenesis of adult brain-related diseases, such as stroke [73] and neurodegenerative diseases [74].
There is growing evidence that the decline in peroxisome function with age may be associated with age-related neurodegenerative diseases such as Alzheimer’s disease (AD) and Parkinson’s disease (PD) [75]. In the brains of patients with Alzheimer’s disease and Parkinson’s disease, plasmin levels are significantly reduced [76, 77], which suggests peroxisome dysfunction in neurodegenerative diseases. The lack of peroxisome activity in aged cells accumulates cellular ROS, which can compromise the integrity of organelles including mitochondria and the peroxisome itself. Subsequent defects in energy production mediated by peroxisomal fatty acid metabolism and mitochondrial oxidative phosphorylation may lead to metabolic failure in aged postmitotic cells, thereby inducing apoptosis associated with neurodegeneration.
Huntington’s disease (HD), a prototypical neurodegenerative disorder, is caused by a mutation in the Huntingtin protein due to a repeat amplification of the CAG in the Huntington gene. Patients with this disease suffer from neuronal dysfunction due to massive apoptosis of nerve cells, which in turn manifests as mental cognitive and motor impairment, and even disability [74].
ROS can easily poison neurons due to their series of characteristics, such as rich in fatty acids, easy intracellular production of large amounts of hydroxyl radicals, weak antioxidant capacity, and low regenerative capacity. In addition, because of the high metabolic rates, neurons require a high energy supply from mitochondria, which are both the most important intracellular organelle for ROS production and also vulnerable to ROS attack. It has been shown that treatment of isolated cultured cerebellar granule neurons with hydrogen peroxide induces mitochondrial fission within 1 hour [78]. Furthermore, treatment of mice with nitric oxide in stroke leads to massive fission of neuronal mitochondria before the onset of neuronal loss [79]. In the presence of calcium, acute exposure to high levels of ROS can induce massive opening of mitochondrial membrane transition pores and increased permeability, which in turn causes cell Apoptosis or necrosis occurs. ROS production in mitochondria forms a vicious cycle with oxidative stress and is toxic to cells. There is some evidence in transgenic mouse models of HD that showed that Tauroursodeoxycholic acid (TUDCA), a hydrophilic bile acid with antioxidant properties, prevents the production of reactive oxygen species, mitigates mitochondrial insufficiency and apoptosis, in part, by inhibiting Bax translocation from cytosol to the mitochondria [80]. TUDCA prevented striatal degeneration and ameliorated locomotor and cognitive deficits in a 3-NP (3-nitropropionic acid) rat model of HD. Keene
Apoptosis is a highly regulated cell death program that can be induced by a variety of physiological and pathological factors and has specific morphological and biochemical characteristics. The mechanism of its onset has not been completely elucidated to date, and it is now accepted that it is mediated by a number of pathways including the death receptor signaling pathway, the mitochondrial signaling pathway, and the endoplasmic reticulum signaling pathway. As an important way for the organism to maintain the numerical homeostasis of the cell population, apoptosis plays a key role in the pathogenesis of various human diseases. Peroxisomes and mitochondria are membrane-bound organelles in the cytoplasm of eukaryotic cells and are closely related to each other in their organelle synthesis and function. One of their important roles in cooperating with each other is to regulate the level and extent of apoptosis by maintaining the homeostasis of reactive oxygen species in the cell. Peroxisome dysfunction severely affects mitochondrial metabolism, cellular morphological stability, and biosynthesis, and therefore contributes directly or indirectly to a number of apoptosis-related diseases. Based on the available relevant findings, this chapter presents and summarizes the important potential role of peroxisomes in apoptosis-related diseases such as tumors, cardiovascular diseases, and neuropsychiatric disorders.
This work was supported in part by grants from National Natural Science Foundation of China (22176002), Anhui Provincial Natural Science Foundation (2008085 MB49), Natural Science Foundation of Anhui Provincial Department of Education (KJ2021A0215), Anhui Medical University Research Enhancement Program (2021xkjT004), and Open Project Fund of the Key Laboratory of the Ministry of Education for the Birth Population (JKZD20202).
The authors report no conflicts of interest.
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This Biochemistry Series will address the current research on biomolecules and the emerging trends with great promise.",coverUrl:"https://cdn.intechopen.com/series/covers/11.jpg",latestPublicationDate:"June 29th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:32,editor:{id:"31610",title:"Dr.",name:"Miroslav",middleName:null,surname:"Blumenberg",slug:"miroslav-blumenberg",fullName:"Miroslav Blumenberg",profilePictureURL:"https://mts.intechopen.com/storage/users/31610/images/system/31610.jpg",biography:"Miroslav Blumenberg, Ph.D., was born in Subotica and received his BSc in Belgrade, Yugoslavia. He completed his Ph.D. at MIT in Organic Chemistry; he followed up his Ph.D. with two postdoctoral study periods at Stanford University. Since 1983, he has been a faculty member of the RO Perelman Department of Dermatology, NYU School of Medicine, where he is codirector of a training grant in cutaneous biology. Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:10,paginationItems:[{id:"14",title:"Cell and Molecular Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",slug:"rosa-maria-martinez-espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",biography:"Dr. Rosa María Martínez-Espinosa has been a Spanish Full Professor since 2020 (Biochemistry and Molecular Biology) and is currently Vice-President of International Relations and Cooperation development and leader of the research group 'Applied Biochemistry” (University of Alicante, Spain). Other positions she has held at the university include Vice-Dean of Master Programs, Vice-Dean of the Degree in Biology and Vice-Dean for Mobility and Enterprise and Engagement at the Faculty of Science (University of Alicante). She received her Bachelor in Biology in 1998 (University of Alicante) and her PhD in 2003 (Biochemistry, University of Alicante). She undertook post-doctoral research at the University of East Anglia (Norwich, U.K. 2004-2005; 2007-2008).\nHer multidisciplinary research focuses on investigating archaea and their potential applications in biotechnology. She has an H-index of 21. She has authored one patent and has published more than 70 indexed papers and around 60 book chapters.\nShe has contributed to more than 150 national and international meetings during the last 15 years. Her research interests include archaea metabolism, enzymes purification and characterization, gene regulation, carotenoids and bioplastics production, antioxidant\ncompounds, waste water treatments, and brines bioremediation.\nRosa María’s other roles include editorial board member for several journals related\nto biochemistry, reviewer for more than 60 journals (biochemistry, molecular biology, biotechnology, chemistry and microbiology) and president of several organizing committees in international meetings related to the N-cycle or respiratory processes.",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"79367",title:"Dr.",name:"Ana Isabel",middleName:null,surname:"Flores",slug:"ana-isabel-flores",fullName:"Ana Isabel Flores",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRpIOQA0/Profile_Picture_1632418099564",institutionString:null,institution:{name:"Hospital Universitario 12 De Octubre",institutionURL:null,country:{name:"Spain"}}},{id:"328234",title:"Ph.D.",name:"Christian",middleName:null,surname:"Palavecino",slug:"christian-palavecino",fullName:"Christian Palavecino",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000030DhEhQAK/Profile_Picture_1628835318625",institutionString:null,institution:{name:"Central University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"186585",title:"Dr.",name:"Francisco Javier",middleName:null,surname:"Martin-Romero",slug:"francisco-javier-martin-romero",fullName:"Francisco Javier Martin-Romero",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSB3HQAW/Profile_Picture_1631258137641",institutionString:null,institution:{name:"University of Extremadura",institutionURL:null,country:{name:"Spain"}}}]},{id:"15",title:"Chemical Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",slug:"sukru-beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",biography:"Dr. Şükrü Beydemir obtained a BSc in Chemistry in 1995 from Yüzüncü Yıl University, MSc in Biochemistry in 1998, and PhD in Biochemistry in 2002 from Atatürk University, Turkey. He performed post-doctoral studies at Max-Planck Institute, Germany, and University of Florence, Italy in addition to making several scientific visits abroad. He currently works as a Full Professor of Biochemistry in the Faculty of Pharmacy, Anadolu University, Turkey. Dr. Beydemir has published over a hundred scientific papers spanning protein biochemistry, enzymology and medicinal chemistry, reviews, book chapters and presented several conferences to scientists worldwide. He has received numerous publication awards from various international scientific councils. He serves in the Editorial Board of several international journals. 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He is a member of the Turkish Biochemical Society, American Chemical Society, and German Genetics society. Dr. Ekinci published around ninety scientific papers, reviews and book chapters, and presented several conferences to scientists. He has received numerous publication awards from several scientific councils. 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He was associate professor at the University of Limoges (1987) before becoming full professor of biochemistry at the Université d’Artois (1996). He worked on the structure-function relationships of glycoconjugates and his main project was the investigations on the biological roles of the de-N-glycosylation enzymes (Endo-N-acetyl-β-D-glucosaminidase and peptide-N4-(N-acetyl-β-glucosaminyl) asparagine amidase). From 2002 he contributes to the understanding of the Blood-brain barrier functioning using proteomics approaches. He has published more than 70 papers. 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Since 1995, he has been working on: i) the determination in biological fluids (serum, urine, bronchoalveolar lavage, sputum) of proteolytic activities involved in the degradation processes of connective tissue matrix, and ii) on the identification of biological markers of lung diseases. In this context, he has developed and validated new methodologies (e.g., Capillary Electrophoresis coupled to Laser-Induced Fluorescence, CE-LIF) whose application enabled him to determine both the amounts of biochemical markers (Desmosines) in urine/serum of patients affected by Chronic Obstructive Pulmonary Disease (COPD) and the activity of proteolytic enzymes (Human Neutrophil Elastase, Cathepsin G, Pseudomonas aeruginosa elastase) in sputa of these patients. More recently, Prof. Iadarola was involved in developing techniques such as two-dimensional electrophoresis coupled to liquid chromatography/mass spectrometry (2DE-LC/MS) for the proteomic analysis of biological fluids aimed at the identification of potential biomarkers of different lung diseases. He is the author of about 150 publications (According to Scopus: H-Index: 23; Total citations: 1568- According to WOS: H-Index: 20; Total Citations: 1296) of peer-reviewed international journals. He is a Consultant Reviewer for several journals, including the Journal of Chromatography A, Journal of Chromatography B, Plos ONE, Proteomes, International Journal of Molecular Science, Biotech, Electrophoresis, and others. 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She gained considerable experience in developing and validating new methodologies whose applications allowed her to determine both the amount of biomarkers (Desmosine and Isodesmosine) in the urine of patients affected by COPD, and the activity of proteolytic enzymes (HNE, Cathepsin G, Pseudomonas aeruginosa elastase) in the sputa of these patients. Simona Viglio was also involved in research dealing with the supplementation of amino acids in patients with brain injury and chronic heart failure. She is presently engaged in the development of 2-DE and LC-MS techniques for the study of proteomics in biological fluids. The aim of this research is the identification of potential biomarkers of lung diseases. 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She is now a lecturer at the University of Witwatersrand, South Africa, and a principal researcher at the Health Economics and Epidemiology Research Office (HE2RO), South Africa. Dr. Moolla holds a Ph.D. in Psychology with her research being focused on mental health and resilience. In her professional work capacity, her research has further expanded into the fields of early childhood development, mental health, the HIV and TB care cascades, as well as COVID. She is also a UNESCO-trained International Bioethics Facilitator.",institutionString:"University of the Witwatersrand",institution:{name:"University of the Witwatersrand",country:{name:"South Africa"}}},{id:"419588",title:"Ph.D.",name:"Sergio",middleName:"Alexandre",surname:"Gehrke",slug:"sergio-gehrke",fullName:"Sergio Gehrke",position:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000038WgMKQA0/Profile_Picture_2022-06-02T11:44:20.jpg",biography:"Dr. Sergio Alexandre Gehrke is a doctorate holder in two fields. The first is a Ph.D. in Cellular and Molecular Biology from the Pontificia Catholic University, Porto Alegre, Brazil, in 2010 and the other is an International Ph.D. in Bioengineering from the Universidad Miguel Hernandez, Elche/Alicante, Spain, obtained in 2020. In 2018, he completed a postdoctoral fellowship in Materials Engineering in the NUCLEMAT of the Pontificia Catholic University, Porto Alegre, Brazil. He is currently the Director of the Postgraduate Program in Implantology of the Bioface/UCAM/PgO (Montevideo, Uruguay), Director of the Cathedra of Biotechnology of the Catholic University of Murcia (Murcia, Spain), an Extraordinary Full Professor of the Catholic University of Murcia (Murcia, Spain) as well as the Director of the private center of research Biotecnos – Technology and Science (Montevideo, Uruguay). Applied biomaterials, cellular and molecular biology, and dental implants are among his research interests. He has published several original papers in renowned journals. In addition, he is also a Collaborating Professor in several Postgraduate programs at different universities all over the world.",institutionString:null,institution:{name:"Universidad Católica San Antonio de Murcia",country:{name:"Spain"}}},{id:"342152",title:"Dr.",name:"Santo",middleName:null,surname:"Grace Umesh",slug:"santo-grace-umesh",fullName:"Santo Grace Umesh",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/342152/images/16311_n.jpg",biography:null,institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}},{id:"333647",title:"Dr.",name:"Shreya",middleName:null,surname:"Kishore",slug:"shreya-kishore",fullName:"Shreya Kishore",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/333647/images/14701_n.jpg",biography:"Dr. Shreya Kishore completed her Bachelor in Dental Surgery in Chettinad Dental College and Research Institute, Chennai, and her Master of Dental Surgery (Orthodontics) in Saveetha Dental College, Chennai. She is also Invisalign certified. She’s working as a Senior Lecturer in the Department of Orthodontics, SRM Dental College since November 2019. She is actively involved in teaching orthodontics to the undergraduates and the postgraduates. Her clinical research topics include new orthodontic brackets, fixed appliances and TADs. She’s published 4 articles in well renowned indexed journals and has a published patency of her own. Her private practice is currently limited to orthodontics and works as a consultant in various clinics.",institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}},{id:"323731",title:"Prof.",name:"Deepak M.",middleName:"Macchindra",surname:"Vikhe",slug:"deepak-m.-vikhe",fullName:"Deepak M. Vikhe",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/323731/images/13613_n.jpg",biography:"Dr Deepak M.Vikhe .\n\n\t\n\tDr Deepak M.Vikhe , completed his Masters & PhD in Prosthodontics from Rural Dental College, Loni securing third rank in the Pravara Institute of Medical Sciences Deemed University. He was awarded Dr.G.C.DAS Memorial Award for Research on Implants at 39th IPS conference Dubai (U A E).He has two patents under his name. He has received Dr.Saraswati medal award for best research for implant study in 2017.He has received Fully funded scholarship to Spain ,university of Santiago de Compostela. He has completed fellowship in Implantlogy from Noble Biocare. \nHe has attended various conferences and CDE programmes and has national publications to his credit. His field of interest is in Implant supported prosthesis. Presently he is working as a associate professor in the Dept of Prosthodontics, Rural Dental College, Loni and maintains a successful private practice specialising in Implantology at Rahata.\n\nEmail: drdeepak_mvikhe@yahoo.com..................",institutionString:null,institution:{name:"Pravara Institute of Medical Sciences",country:{name:"India"}}},{id:"204110",title:"Dr.",name:"Ahmed A.",middleName:null,surname:"Madfa",slug:"ahmed-a.-madfa",fullName:"Ahmed A. Madfa",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204110/images/system/204110.jpg",biography:"Dr. Madfa is currently Associate Professor of Endodontics at Thamar University and a visiting lecturer at Sana'a University and University of Sciences and Technology. He has more than 6 years of experience in teaching. His research interests include root canal morphology, functionally graded concept, dental biomaterials, epidemiology and dental education, biomimetic restoration, finite element analysis and endodontic regeneration. Dr. Madfa has numerous international publications, full articles, two patents, a book and a book chapter. Furthermore, he won 14 international scientific awards. Furthermore, he is involved in many academic activities ranging from editorial board member, reviewer for many international journals and postgraduate students' supervisor. Besides, I deliver many courses and training workshops at various scientific events. Dr. Madfa also regularly attends international conferences and holds administrative positions (Deputy Dean of the Faculty for Students’ & Academic Affairs and Deputy Head of Research Unit).",institutionString:"Thamar University",institution:null},{id:"210472",title:"Dr.",name:"Nermin",middleName:"Mohammed Ahmed",surname:"Yussif",slug:"nermin-yussif",fullName:"Nermin Yussif",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/210472/images/system/210472.jpg",biography:"Dr. Nermin Mohammed Ahmed Yussif is working at the Faculty of dentistry, University for October university for modern sciences and arts (MSA). Her areas of expertise include: periodontology, dental laserology, oral implantology, periodontal plastic surgeries, oral mesotherapy, nutrition, dental pharmacology. She is an editor and reviewer in numerous international journals.",institutionString:"MSA University",institution:null},{id:"204606",title:"Dr.",name:"Serdar",middleName:null,surname:"Gözler",slug:"serdar-gozler",fullName:"Serdar Gözler",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204606/images/system/204606.jpeg",biography:"Dr. Serdar Gözler has completed his undergraduate studies at the Marmara University Faculty of Dentistry in 1978, followed by an assistantship in the Prosthesis Department of Dicle University Faculty of Dentistry. Starting his PhD work on non-resilient overdentures with Assoc. Prof. Hüsnü Yavuzyılmaz, he continued his studies with Prof. Dr. Gürbüz Öztürk of Istanbul University Faculty of Dentistry Department of Prosthodontics, this time on Gnatology. He attended training programs on occlusion, neurology, neurophysiology, EMG, radiology and biostatistics. In 1982, he presented his PhD thesis \\Gerber and Lauritzen Occlusion Analysis Techniques: Diagnosis Values,\\ at Istanbul University School of Dentistry, Department of Prosthodontics. As he was also working with Prof. Senih Çalıkkocaoğlu on The Physiology of Chewing at the same time, Gözler has written a chapter in Çalıkkocaoğlu\\'s book \\Complete Prostheses\\ entitled \\The Place of Neuromuscular Mechanism in Prosthetic Dentistry.\\ The book was published five times since by the Istanbul University Publications. Having presented in various conferences about occlusion analysis until 1998, Dr. Gözler has also decided to use the T-Scan II occlusion analysis method. Having been personally trained by Dr. Robert Kerstein on this method, Dr. Gözler has been lecturing on the T-Scan Occlusion Analysis Method in conferences both in Turkey and abroad. Dr. Gözler has various articles and presentations on Digital Occlusion Analysis methods. He is now Head of the TMD Clinic at Prosthodontic Department of Faculty of Dentistry , Istanbul Aydın University , Turkey.",institutionString:"Istanbul Aydin University",institution:{name:"Istanbul Aydın University",country:{name:"Turkey"}}},{id:"240870",title:"Ph.D.",name:"Alaa Eddin Omar",middleName:null,surname:"Al Ostwani",slug:"alaa-eddin-omar-al-ostwani",fullName:"Alaa Eddin Omar Al Ostwani",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/240870/images/system/240870.jpeg",biography:"Dr. Al Ostwani Alaa Eddin Omar received his Master in dentistry from Damascus University in 2010, and his Ph.D. in Pediatric Dentistry from Damascus University in 2014. Dr. Al Ostwani is an assistant professor and faculty member at IUST University since 2014. \nDuring his academic experience, he has received several awards including the scientific research award from the Union of Arab Universities, the Syrian gold medal and the international gold medal for invention and creativity. Dr. Al Ostwani is a Member of the International Association of Dental Traumatology and the Syrian Society for Research and Preventive Dentistry since 2017. He is also a Member of the Reviewer Board of International Journal of Dental Medicine (IJDM), and the Indian Journal of Conservative and Endodontics since 2016.",institutionString:"International University for Science and Technology.",institution:{name:"Islamic University of Science and Technology",country:{name:"India"}}},{id:"42847",title:"Dr.",name:"Belma",middleName:null,surname:"Işik Aslan",slug:"belma-isik-aslan",fullName:"Belma Işik Aslan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/42847/images/system/42847.jpg",biography:"Dr. Belma IşIk Aslan was born in 1976 in Ankara-TURKEY. After graduating from TED Ankara College in 1994, she attended to Gazi University, Faculty of Dentistry in Ankara. She completed her PhD in orthodontic education at Gazi University between 1999-2005. Dr. Işık Aslan stayed at the Providence Hospital Craniofacial Institude and Reconstructive Surgery in Michigan, USA for three months as an observer. She worked as a specialist doctor at Gazi University, Dentistry Faculty, Department of Orthodontics between 2005-2014. She was appointed as associate professor in January, 2014 and as professor in 2021. Dr. Işık Aslan still works as an instructor at the same faculty. She has published a total of 35 articles, 10 book chapters, 39 conference proceedings both internationally and nationally. Also she was the academic editor of the international book 'Current Advances in Orthodontics'. She is a member of the Turkish Orthodontic Society and Turkish Cleft Lip and Palate Society. She is married and has 2 children. Her knowledge of English is at an advanced level.",institutionString:"Gazi University Dentistry Faculty Department of Orthodontics",institution:null},{id:"178412",title:"Associate Prof.",name:"Guhan",middleName:null,surname:"Dergin",slug:"guhan-dergin",fullName:"Guhan Dergin",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178412/images/6954_n.jpg",biography:"Assoc. Prof. Dr. Gühan Dergin was born in 1973 in Izmit. He graduated from Marmara University Faculty of Dentistry in 1999. He completed his specialty of OMFS surgery in Marmara University Faculty of Dentistry and obtained his PhD degree in 2006. In 2005, he was invited as a visiting doctor in the Oral and Maxillofacial Surgery Department of the University of North Carolina, USA, where he went on a scholarship. Dr. Dergin still continues his academic career as an associate professor in Marmara University Faculty of Dentistry. He has many articles in international and national scientific journals and chapters in books.",institutionString:null,institution:{name:"Marmara University",country:{name:"Turkey"}}},{id:"178414",title:"Prof.",name:"Yusuf",middleName:null,surname:"Emes",slug:"yusuf-emes",fullName:"Yusuf Emes",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/178414/images/6953_n.jpg",biography:"Born in Istanbul in 1974, Dr. Emes graduated from Istanbul University Faculty of Dentistry in 1997 and completed his PhD degree in Istanbul University faculty of Dentistry Department of Oral and Maxillofacial Surgery in 2005. He has papers published in international and national scientific journals, including research articles on implantology, oroantral fistulas, odontogenic cysts, and temporomandibular disorders. Dr. Emes is currently working as a full-time academic staff in Istanbul University faculty of Dentistry Department of Oral and Maxillofacial Surgery.",institutionString:null,institution:{name:"Istanbul University",country:{name:"Turkey"}}},{id:"192229",title:"Ph.D.",name:"Ana Luiza",middleName:null,surname:"De Carvalho Felippini",slug:"ana-luiza-de-carvalho-felippini",fullName:"Ana Luiza De Carvalho Felippini",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/192229/images/system/192229.jpg",biography:null,institutionString:"University of São Paulo",institution:{name:"University of Sao Paulo",country:{name:"Brazil"}}},{id:"256851",title:"Prof.",name:"Ayşe",middleName:null,surname:"Gülşen",slug:"ayse-gulsen",fullName:"Ayşe Gülşen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/256851/images/9696_n.jpg",biography:"Dr. Ayşe Gülşen graduated in 1990 from Faculty of Dentistry, University of Ankara and did a postgraduate program at University of Gazi. \nShe worked as an observer and research assistant in Craniofacial Surgery Departments in New York, Providence Hospital in Michigan and Chang Gung Memorial Hospital in Taiwan. \nShe works as Craniofacial Orthodontist in Department of Aesthetic, Plastic and Reconstructive Surgery, Faculty of Medicine, University of Gazi, Ankara Turkey since 2004.",institutionString:"Univeristy of Gazi",institution:null},{id:"255366",title:"Prof.",name:"Tosun",middleName:null,surname:"Tosun",slug:"tosun-tosun",fullName:"Tosun Tosun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255366/images/7347_n.jpg",biography:"Graduated at the Faculty of Dentistry, University of Istanbul, Turkey in 1989;\nVisitor Assistant at the University of Padua, Italy and Branemark Osseointegration Center of Treviso, Italy between 1993-94;\nPhD thesis on oral implantology in University of Istanbul and was awarded the academic title “Dr.med.dent.”, 1997;\nHe was awarded the academic title “Doç.Dr.” (Associated Professor) in 2003;\nProficiency in Botulinum Toxin Applications, Reading-UK in 2009;\nMastership, RWTH Certificate in Laser Therapy in Dentistry, AALZ-Aachen University, Germany 2009-11;\nMaster of Science (MSc) in Laser Dentistry, University of Genoa, Italy 2013-14.\n\nDr.Tosun worked as Research Assistant in the Department of Oral Implantology, Faculty of Dentistry, University of Istanbul between 1990-2002. \nHe worked part-time as Consultant surgeon in Harvard Medical International Hospitals and John Hopkins Medicine, Istanbul between years 2007-09.\u2028He was contract Professor in the Department of Surgical and Diagnostic Sciences (DI.S.C.), Medical School, University of Genova, Italy between years 2011-16. \nSince 2015 he is visiting Professor at Medical School, University of Plovdiv, Bulgaria. \nCurrently he is Associated Prof.Dr. at the Dental School, Oral Surgery Dept., Istanbul Aydin University and since 2003 he works in his own private clinic in Istanbul, Turkey.\u2028\nDr.Tosun is reviewer in journal ‘Laser in Medical Sciences’, reviewer in journal ‘Folia Medica\\', a Fellow of the International Team for Implantology, Clinical Lecturer of DGZI German Association of Oral Implantology, Expert Lecturer of Laser&Health Academy, Country Representative of World Federation for Laser Dentistry, member of European Federation of Periodontology, member of Academy of Laser Dentistry. Dr.Tosun presents papers in international and national congresses and has scientific publications in international and national journals. He speaks english, spanish, italian and french.",institutionString:null,institution:{name:"Istanbul Aydın University",country:{name:"Turkey"}}},{id:"171887",title:"Prof.",name:"Zühre",middleName:null,surname:"Akarslan",slug:"zuhre-akarslan",fullName:"Zühre Akarslan",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/171887/images/system/171887.jpg",biography:"Zühre Akarslan was born in 1977 in Cyprus. She graduated from Gazi University Faculty of Dentistry, Ankara, Turkey in 2000. \r\nLater she received her Ph.D. degree from the Oral Diagnosis and Radiology Department; which was recently renamed as Oral and Dentomaxillofacial Radiology, from the same university. \r\nShe is working as a full-time Associate Professor and is a lecturer and an academic researcher. \r\nHer expertise areas are dental caries, cancer, dental fear and anxiety, gag reflex in dentistry, oral medicine, and dentomaxillofacial radiology.",institutionString:"Gazi University",institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"256417",title:"Associate Prof.",name:"Sanaz",middleName:null,surname:"Sadry",slug:"sanaz-sadry",fullName:"Sanaz Sadry",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/256417/images/8106_n.jpg",biography:null,institutionString:null,institution:null},{id:"272237",title:"Dr.",name:"Pinar",middleName:"Kiymet",surname:"Karataban",slug:"pinar-karataban",fullName:"Pinar Karataban",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/272237/images/8911_n.png",biography:"Assist.Prof.Dr.Pınar Kıymet Karataban, DDS PhD \n\nDr.Pınar Kıymet Karataban was born in Istanbul in 1975. After her graduation from Marmara University Faculty of Dentistry in 1998 she started her PhD in Paediatric Dentistry focused on children with special needs; mainly children with Cerebral Palsy. She finished her pHD thesis entitled \\'Investigation of occlusion via cast analysis and evaluation of dental caries prevalance, periodontal status and muscle dysfunctions in children with cerebral palsy” in 2008. She got her Assist. Proffessor degree in Istanbul Aydın University Paediatric Dentistry Department in 2015-2018. ın 2019 she started her new career in Bahcesehir University, Istanbul as Head of Department of Pediatric Dentistry. In 2020 she was accepted to BAU International University, Batumi as Professor of Pediatric Dentistry. She’s a lecturer in the same university meanwhile working part-time in private practice in Ege Dental Studio (https://www.egedisklinigi.com/) a multidisciplinary dental clinic in Istanbul. Her main interests are paleodontology, ancient and contemporary dentistry, oral microbiology, cerebral palsy and special care dentistry. She has national and international publications, scientific reports and is a member of IAPO (International Association for Paleodontology), IADH (International Association of Disability and Oral Health) and EAPD (European Association of Pediatric Dentistry).",institutionString:null,institution:null},{id:"202198",title:"Dr.",name:"Buket",middleName:null,surname:"Aybar",slug:"buket-aybar",fullName:"Buket Aybar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/202198/images/6955_n.jpg",biography:"Buket Aybar, DDS, PhD, was born in 1971. She graduated from Istanbul University, Faculty of Dentistry, in 1992 and completed her PhD degree on Oral and Maxillofacial Surgery in Istanbul University in 1997.\nDr. Aybar is currently a full-time professor in Istanbul University, Faculty of Dentistry Department of Oral and Maxillofacial Surgery. She has teaching responsibilities in graduate and postgraduate programs. Her clinical practice includes mainly dentoalveolar surgery.\nHer topics of interest are biomaterials science and cell culture studies. She has many articles in international and national scientific journals and chapters in books; she also has participated in several scientific projects supported by Istanbul University Research fund.",institutionString:null,institution:null},{id:"260116",title:"Dr.",name:"Mehmet",middleName:null,surname:"Yaltirik",slug:"mehmet-yaltirik",fullName:"Mehmet Yaltirik",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/260116/images/7413_n.jpg",biography:"Birth Date 25.09.1965\r\nBirth Place Adana- Turkey\r\nSex Male\r\nMarrial Status Bachelor\r\nDriving License Acquired\r\nMother Tongue Turkish\r\n\r\nAddress:\r\nWork:University of Istanbul,Faculty of Dentistry, Department of Oral Surgery and Oral Medicine 34093 Capa,Istanbul- TURKIYE",institutionString:null,institution:null},{id:"172009",title:"Dr.",name:"Fatma Deniz",middleName:null,surname:"Uzuner",slug:"fatma-deniz-uzuner",fullName:"Fatma Deniz Uzuner",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/172009/images/7122_n.jpg",biography:"Dr. Deniz Uzuner was born in 1969 in Kocaeli-TURKEY. After graduating from TED Ankara College in 1986, she attended the Hacettepe University, Faculty of Dentistry in Ankara. \nIn 1993 she attended the Gazi University, Faculty of Dentistry, Department of Orthodontics for her PhD education. After finishing the PhD education, she worked as orthodontist in Ankara Dental Hospital under the Turkish Government, Ministry of Health and in a special Orthodontic Clinic till 2011. Between 2011 and 2016, Dr. Deniz Uzuner worked as a specialist in the Department of Orthodontics, Faculty of Dentistry, Gazi University in Ankara/Turkey. In 2016, she was appointed associate professor. Dr. Deniz Uzuner has authored 23 Journal Papers, 3 Book Chapters and has had 39 oral/poster presentations. She is a member of the Turkish Orthodontic Society. Her knowledge of English is at an advanced level.",institutionString:null,institution:null},{id:"332914",title:"Dr.",name:"Muhammad Saad",middleName:null,surname:"Shaikh",slug:"muhammad-saad-shaikh",fullName:"Muhammad Saad Shaikh",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Jinnah Sindh Medical University",country:{name:"Pakistan"}}},{id:"315775",title:"Dr.",name:"Feng",middleName:null,surname:"Luo",slug:"feng-luo",fullName:"Feng Luo",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Sichuan University",country:{name:"China"}}},{id:"423519",title:"Dr.",name:"Sizakele",middleName:null,surname:"Ngwenya",slug:"sizakele-ngwenya",fullName:"Sizakele Ngwenya",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"University of the Witwatersrand",country:{name:"South Africa"}}},{id:"419270",title:"Dr.",name:"Ann",middleName:null,surname:"Chianchitlert",slug:"ann-chianchitlert",fullName:"Ann Chianchitlert",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Walailak University",country:{name:"Thailand"}}},{id:"419271",title:"Dr.",name:"Diane",middleName:null,surname:"Selvido",slug:"diane-selvido",fullName:"Diane Selvido",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Walailak University",country:{name:"Thailand"}}},{id:"419272",title:"Dr.",name:"Irin",middleName:null,surname:"Sirisoontorn",slug:"irin-sirisoontorn",fullName:"Irin Sirisoontorn",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Walailak University",country:{name:"Thailand"}}},{id:"355660",title:"Dr.",name:"Anitha",middleName:null,surname:"Mani",slug:"anitha-mani",fullName:"Anitha Mani",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}},{id:"355612",title:"Dr.",name:"Janani",middleName:null,surname:"Karthikeyan",slug:"janani-karthikeyan",fullName:"Janani Karthikeyan",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}},{id:"334400",title:"Dr.",name:"Suvetha",middleName:null,surname:"Siva",slug:"suvetha-siva",fullName:"Suvetha Siva",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"SRM Dental College",country:{name:"India"}}}]}},subseries:{item:{id:"9",type:"subseries",title:"Biotechnology - Biosensors, Biomaterials and Tissue Engineering",keywords:"Biotechnology, Biosensors, Biomaterials, Tissue Engineering",scope:"The Biotechnology - Biosensors, Biomaterials and Tissue Engineering topic within the Biomedical Engineering Series aims to rapidly publish contributions on all aspects of biotechnology, biosensors, biomaterial and tissue engineering. 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