Quantitative Methods for Alkaline Protease Determination and its Applications: A Comprehensive Review

Case Report | DOI: https://doi.org/10.31579/2690-4861/072

Quantitative Methods for Alkaline Protease Determination and its Applications: A Comprehensive Review

  • Raid D. Thanoon 1
  • Mahmood H. Mahmood 2
  • Essam A. Makky 3
  • Homady, M. H 4

1College of Science Department of Biology, Cihan University-Erbil, Kurdistan Region, Iraq. 

2Faculty of Industrial Sciences & Technology, University Malaysia Pahang, 26300 Gambang, Kuantan, Pahang, Malaysia, 

3Center of Excellence for Advanced Research in Fluid Flow (CARIFF), University Malaysia Pahang, 26300 Gambang, Kuantan, Pahang, Malaysia, 

4College of Science, Department of Biomedical Sciences, Cihan University-Erbil, Kurdistan Region, Iraq. 

*Corresponding Author: Homady, M. H, College of Science, Department of Biomedical Sciences, Cihan University-Erbil, Kurdistan, Region, Iraq.

Citation: R D. Thanoon, M H. Mahmood, E A. Makky, Homady, M. H. (2021) Quantitative Methods for Alkaline Protease Determination and its Applications: A Comprehensive Review. International Journal of Clinical Case Reports and Reviews. 6(1); DOI:10.31579/2690-4861/072

Copyright: © 2021 Merza H. Homady, This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: 01 October 2020 | Accepted: 28 December 2020 | Published: 04 January 2021

Keywords: alkaline protease; quantitative; protocols; applications

Abstract

Proteases break peptide bonds. It is often necessary to measure and/or compare the activity of alkaline proteases using different procedures in the lab. Many studies with keen interest on alkaline proteases mostly use quantitative and/or qualitative assay methods to assay the enzyme activity of proteases. There is need to select a suitable assay method from the reported ones which will be ideal for any proposed study. There could be challenges when choosing the right assay method from the existing ones, thereby prompting the need for a review of the various methods for the quantitative assay of alkaline protease, the quantitative methods and protocols used from 1938 until now and their industrial applications were chronologically reviewed.

Introduction

Introduction

Microorganisms are known to play a vital role in technology for the production of intracellular and extracellular enzymes on industrial scale [1, 2]. For maximum yield, selected organisms are grown in fermenters under optimum conditions and can be further used to make products such as cheese, bread, wine and beer [3, 4]. Most reactions within the living cells which are essential for life depends on enzymes, which act as catalysts [5, 6, 7].

1.1 Proteases (EC 3:4, 11-19, 20-24, 99) constitutes a large and complex group of enzymes [8]. This is the group of enzyme which carries out proteolysis (the breakdown of proteins through the hydrolysis of the peptide bond that exists between two amino acids of polypeptide chains) [9]. Proteases differ in properties such as substrate specificity, active site, and catalytic mechanism, pH, and temperature optima [10]. Proteases are ubiquitous and widely distributed, found in a wide diversity of sources such as plants, animals, and microorganisms. The inability of plants and animal proteases to satisfy current world demands led to increase in the demand for microbial proteases [11]. Alkaline proteases are important industrial enzymes which can be produced by many bacterial genera such as Aeromonas, Alcaligenes, Arthrobacter, Bacillus, Halomonas, Pseudomonas, and Serratia [12].

1.2 Classification of Proteases:

Barrett [10] classified proteases based on three criteria: (i) the type of reaction they catalyzed; (ii) the evolutionary relationship with reference to the structure, and (iii) the chemical nature of the catalytic site.

Based on their site of action, proteases are broadly classified as exopeptidases and endopeptidases. From the catalytic point of view, proteases are classified into four types, (i) the serine proteases; (ii) the aspartic proteases; (iii) the cysteine proteases, and (iv) the metalloproteases. Depending on the pH for optimal activity, proteases are classified into acidic, neutral, and alkaline proteases.

1.3 Alkaline proteases: (EC.3.4.21-24, 99) are proteases which are active at a neutral to alkaline pH. They either have a serine center (serine protease) or a metallo-type (metallo protease) [1]. Alkaline proteases are of considerable importance owing to their activity and stability at alkaline pH [13]. Commercial alkaline proteases are produced by Bacillus species due to their stability at high pH and temperature [14, 15, 1]. Alkaline proteases have commercial applications in the detergent, food, leather, chemical, brewing, pharmaceutical, photographic, and textile industries. The present study aimed to review the most applicable quantitative assays methods of alkaline protease enzymes.

2 Quantitative assay methods for alkaline protease enzymes

2.1 Anson method: The proteolytic activity was quantitatively assayed using a slightly modified method. The reaction mixture contained 1.0 mL of crude enzyme extract and 2.0 mL of casein [15 % (w/v) in 20 mM borate buffer, pH 9.0]. This mixture was incubated at 50 °C for 20 min and the reaction was stopped by the addition of 2.5 mL of 10 % (w/v) trichloroacetic acid. The mixture was vortexed to ensure a complete mixing of the content, incubated further for 15 min at room temperature (RT), and then centrifuged at 10,000 revolutions per minute (rpm) for about 15 min. The supernatant was used to estimate the amount of free tyrosine released according to the protein estimation method of Lowry [16], using tyrosine as a standard. One unit of protease activity was defined as the amount of enzyme required to liberate 1.0 μg of tyrosine per min per mL under standard assay conditions [17].

2.2 Anson and Folin & Ciocalteu method: The alkaline protease activity was assayed using the slightly modified method of [18,19]. The reaction mixture consists of Casein 0.65 % w/v in a 50 mM potassium phosphate buffer, pH 7.5, and culture filtrate. The reaction mixture was incubated for 10 min at 37 °C and later terminated by adding 5 mL of 110 mM TCA to the test and blank preparations. The solution was filtered through Whatman No.1 filter paper. For the assay of tyrosine in the filtrate, 5 mL of 500 mM sodium carbonate solution and 1 mL of Folin & Ciocalteu’s phenol reagent (1N) were added to 2 mL of the culture filtrate and incubated for 30 min at RT before reading the absorbance of the reaction mixture at 660 nm. The concentration of tyrosine in the filtrate was determined from a standard curve already prepared. One unit of alkaline protease activity was defined as the amount of enzyme that liberated one micromole of tyrosine per mL per minute under standard experimental conditions.

2.3 Kunitz et al method: The reaction mixture contained the enzyme solution and 0.5 % (w/v) casein in 0.1 M potassium phosphate buffer (pH 8.0). The mixture was incubated at 60 °C for 10 min after which the reaction was terminated by the addition of 5 % (w/v) trichloroacetic acid (TCA) solution. The resulting precipitate after the addition of the TCA was removed by centrifugation and the protease activity in the filtrate estimated by using a tyrosine standard curve. One unit of alkaline protease activity (U) was taken as the amount of enzyme liberating 1μg of tyrosine/min under the assay conditions [20].

2.4 Kunitz method: The reaction mixture contained suitably diluted enzyme and casein in 0.1M sodium carbonate buffer pH 10. The reaction mixture was incubated at 40 °C for 10 min. after incubation; the reaction was terminated by adding 3 mL of 10 % TCA to the mixture. The reaction mixture after termination was incubated at RT for 30 min. The precipitate formed after the addition of TCA was filtered through Whatman No. 1 filter paper. The absorbance of the filtrate was read at 280 nm. Tyrosine was used as standard and one unit of protease activity was defined as the amount of enzyme which liberates one micromoles of tyrosine per minute per gram dry substrate under the standard experimental conditions. Protein estimation was done using the Lowry method of protein estimation [21, 22].

2.5 McDonald and Chen method: One mL of the enzyme was added into 2 mL of casein (1 % w/v in 0.1N Glycine – NaOH buffer, pH 10) and the mixture incubated for 15 min at 60 °C. The reaction was terminated by adding 3 mL of 10 % TCA reagent and then, centrifuged for 15 min at 10,000 rpm. Then, 1 mL of the filtrate was mixed with 5 mL of alkaline copper reagent. After 15 min, 0.5 mL of Folin-ciocalteau reagent was added and kept for 30 min. The absorbance of the mixture was read at 700 nm. Similarly, the blank was prepared by distilled water instead of enzyme solution. One unit of enzyme activity was defined as the amount of enzyme that releases 1μg of tyrosine per mL per min under the standard assay conditions. Tyrosine within the concentration range of 50–250 μg was used as standard [23].

2.6 Horikoshi method: The quantitative analysis of alkaline protease activity in the supernatant was determined using the modified method of Horikoshi [24]. In this method, 200 μL of the enzyme solution (diluted 5 times) was added into 2.5 mL of 0.6 % casein solution prepared in 0.05 M Glycine–NaOH buffer, pH 11.0. The mixture was incubated at 30 °C for 20 min and later stopped by adding 2.5 mL of TCA  (0.11M T.C.A, 0.22M CH3COONa, 0.33M CH3COOH) to the reaction mixture. The mixture was again incubated at 30 °C for 20 min, and then, centrifuged at 10,000 rpm for 5 min. The absorbance of the clear supernatant was measured at 275 nm. The blank was prepared in a similar way but the buffer solution was used instead of the enzyme. One unit of protease activity was defined as the quantity of enzyme which liberates amino acids and non-precipitated peptides equivalent to 1 μg/mL of tyrosine per minute under the standard assay conditions.

2.7 Higerd method: One mL of the sample (enzyme) was added into 5 mL of 0.6 % casein and incubated at 30 °C for 10 min. The reaction was stopped by adding 5 mL of TCA mixture made up of 36 mL of 50 % (w/v) TCA solution, 220 mL of 1M sodium acetate solution, and 330 mL of 1 M acetic acid solution in a total volume of 1000 mL solution. The unreacted casein was precipitated and the resulting precipitates were filtered off using Whatman´s No. 1 filter paper. The optical density (OD) of the sample was measured at 610 nm against appropriate substrate and enzyme blanks. A standard curve was prepared with pure L‐tyrosine at a concentration of 0‐1000 mg/mL [25]. One unit of proteolytic activity was defined as the amount of enzyme which will liberate 1μg of tyrosine in one minute under the defined assay conditions.

2.8 Leighton et al method: The protease activity was assayed in small volumes using the micro plates and the ELISA reader [26].  Azocasein was used as the substrate.. In duplicates using micro centrifuge tubes, 50 μL of 1 % (w/v) azocasein (Sigma), prepared in 0.2 M Tris-HCl, pH 7.2, was incubated with 30 μL of the crude enzyme extract for 60 min at 25 °C. About 240 μL of   10 % (w/v) TCA was then added to stop the reaction. After 15 min, the tubes were centrifuged for 5 min at 8,000 g. About 70 μL of the supernatants were then added to 130 μL of 1 M NaOH on an ELISA plate, and the absorbance of the mixture measured in an ELISA reader (Bio-rad 550) at 450 nm against a blank prepared in the same way, but replacing the crude enzyme extract with 0.9 % (w/v) NaCl. One unit (U) of enzyme activity was defined as the amount of enzyme able to hydrolyze azocasein, giving an increase of 0.001 units of absorbance per minute.

2.9 Meyers and Ahearn method: The alkaline protease activity was assayed with some modifications of the reaction mixtures. The reaction mixture contained 0.5 mL of the enzyme, 0.5 mL of 5 %TCA solution 0.5 mL of 0.2 M Glycine NaOH buffer, pH 10.0, and 1 mL of Casein solution (1 % in 0.2 M glycine-NaOH buffer, pH 10.0). The reaction mixture was incubated for 20 min at 45 °C, and the reaction terminated by adding 4 mL of 5 % TCA to the test and control preparations. The tubes were incubated for 1 h at RT, and filtered through Whatrnan No. 1 filter paper. For the color development during the tyrosine assay in the filtrate, 5 mL of 0.4 M sodium carbonate and 0.5 mL of Folin phenol reagent were added to 1 mL of the filtrate and immediately vortexed before incubation for 20 min at RT. The optical density (OD) was read at 660 nm. The concentration of tyrosine in the filtrate was read from a standard tyrosine curve. One unit of alkaline protease activity was defined as the amount of enzyme that liberated one 1µM of tyrosine per mL per minute under the experimental conditions [27].

2.10 Chopra and Mathur method: The alkaline protease activity was determined using a reaction mixture made up of 5 mL of casein (prepared in 50 mM of Tris buffer, pH 8.0) and an aliquot of 1.0 mL of the enzyme solution. The mixture was incubated for 30 min and the reaction later stopped by adding 5 mL of 0.11M TCA solution. After 30 min, the mixture was filtered and 2 mL of the filtrate was added to 5.0 mL of 0.5 M sodium carbonate, followed by1.0 mL of Folin-Ciocalteu’s phenol reagent. The mixture was kept for 30 min at 37 °C. The OD of the solutions was read against the sample blank at 660 nm using the UV-Vs spectrophotometer. One unit of enzyme activity was defined as the amount of enzyme required to liberate 1 μg of tyrosine per mL per min under the standard assay conditions [28].

2.11 Ledoux and Lamy method: The proteolytic activity of the enzyme was assayed in triplicates using casein (Hi Media, India) as the substrate. Initially, a mixture of 400 μL of casein solutions (2% (w/v) in 50 mM Tris-HCl buffer, pH 7.2) and 100 μL of the sample were added to a test tube. The reactions were carried out at 65 °C in a water bath (Memert, Germany) for 10 min and then terminated by adding 1 mL 10 % (w/v) TCA solution. The mixture was centrifuged at 14000 rpm for 20 min and the supernatant (500 μL), carefully aspirated to measure the tyrosine content using the Folin-phenol method [29]. One unit of protease activity (U) was defined as the amount of enzyme that hydrolyzed casein to produce 1.0 μM of tyrosine per minute at 65 °C.

2.12 Tsuchida et al method: A reaction mixture of 500 μL of 1 % (w/v) of casein in 50 mM phosphate buffer, pH 7 and 200 μL of crude enzyme extract was incubated in a water bath at 40 °C for 20 min. After 20 min, the enzyme reaction was terminated by adding 1 mL of 10 % (w/v) TCA solution and kept at RT for 15 min. The reaction mixture was then centrifuged at 10,000 rpm for 5 min to separate the unreacted casein. The supernatant was mixed with 2.5 mL of 0.4 M Na2CO3. About 1 mL of a 3-fold diluted Follin Ciocalteus phenol reagent was added and the resulting solution incubated at RT in the dark for 30 min.  The absorbance of the developed blue color was measured at 660 nm against a reagent blank using a tyrosine standard [21]. One unit of protease was defined as the amount of enzyme that will release 1 μg of tyrosine per mL per min under the standard conditions [30].

2.13 Kole et al method: The protease activity was assayed in duplicates with cell-free culture supernatants, using azocasein as the substrate. The enzymatic hydrolysis of azocasein produces stable dye-labelled peptides and amino acids which can be easily measured. The azocasein protease activity was measured by incubating 1 mL of the culture supernatant and 1 mL of 0.5 % (w/v) azocasein (Sigma) in 0.2 M Tris-hydroxymethyl amino methane hydrochloride (Tris-HCl) buffer, pH 7.4 in an incubator (Innova, New Brunswick Scientific) at 75 °C for 1 h. The reaction was stopped by adding 2 mL of 10 % (w/v) TCA solution [31]. The test tubes were allowed to stand for 30 min at RT. The mixture was thoroughly mixed using a vortex mixer (VF2, Jankel and Keunkel Kika Larbotechnik) before being centrifuged at 3 000 rpm for 10 min to remove the yellow precipitates. The absorbance of the supernatant was measured at 440 nm using a Shimadzu UV-120-2 spectrophotometer. The activity of the protease was expressed in arbitrary units, where 1 unit of activity was equivalent to a change in the optical density of 0.01 nm per min at 440 nm. The enzyme assays were done in duplicate for each sample.

2.14 Takami et al method: About 1.25 mL of Tris buffer (100 Mm, pH 9.0) and 0.5 mL of 1 % aqueous casein was added to 0.25 mL of the collected culture supernatant. The mixture was incubated at 30 °C for 30 min. Next, 3 mL of 5 % TCA solution was added to the mixture which led to the formation of precipitates. The mixture was incubated for 10 min at 4 °C and later centrifuged at 5,000 rpm for 15 min. About 0.5 mL of the supernatant was aspirated and added to 2.5 ml of 0.5 M of sodium carbonate. The mixture was well mixed and incubated for 20 min. Thereafter, 0.5 mL of Folin reagent was added to the mixture and analyzed under Uv-Vis at a wavelength of 660 nm. One unit of alkaline protease activity was defined as the amount of the enzyme capable of producing 1 μg of tyrosine in 1 min under standard assay conditions. All enzyme activity assays were carried out in triplicate [32].

2.15 McKevitt and Klinger method: The protease assay was determined using the Caseinolytic method [33]. The protease activity was assayed using 2 mL of 2 % casein in 0.65 mL of alkaline phosphate buffer. The casein solution was incubated with 0.5 mL of properly diluted enzyme at 37 °C for 30 min. After 30 min, 200 μL of NaCl was added and the reaction later terminated by adding 5 mL of 5 % TCA solution. The solution was centrifuged at 10,000 rpm for 10 min after which 0.1 mL of the sample was taken, and the volume made up to 1 mL with distilled water.  About 5 mL of solution-C (solution A in 50 mL of distilled water, 0.2 g of NaOH was dissolved in it, and 1 g of Na2CO3 added; solution B contained  0.5 % of CuSO4 in 1 % sodium potassium tartarate, solution C contained 50 mL of solution A + 1 mL of solution B) was added and incubated at RT for 10 min. These were preceded by the addition of 0.5 mL of Folin Ciocalteu reagent and incubated in the dark for 30 min. The developed color was read at 660 nm against a reagent blank prepared in the same manner. One unit of proteolytic enzyme activity was defined as the amount of enzyme that liberated 1 μg of tyrosine per mL per minute from casein under the specified assay conditions.

2.16 Lin et al method: The reaction mixtures (2 mL volume) contained 10 mg of casein, 200 μmol of sodium carbonate buffers, pH 9.7, and 0.1 mL of the enzyme solution. The reaction was carried out at 37 °C for 30 min, and then terminated by adding 3 mL of 5 % (w/v) TCA and 3.3 M HCl. The reaction was kept on ice for 1 h after which they were centrifuged for 30 min at 4,000 rpm. The absorbance of the TCA soluble mixtures were measured at 280 nm. The activity of the alkaline protease was also determined according to the method described by [34]. One gram of skim milk was dissolved in 100 mL of 20 mM Tris–HCl buffer, pH7.5 before adding 1.5 g of agar. After heating the solution, the hot mixture was poured into Petri dishes and allowed to solidify. After solidification, holes were punched on the media using a hole borer to accommodate about 25 μL of the enzyme solution. The plates were incubated overnight at 37 °C after which the clear zone (zones of inhibition) around each hole was measured and recorded.

2.17 Kembhavi et al method: The alkaline protease activity was measured using a previously reported method with some modifications [35]. About 0.5 mL of 50 mM glycine–NaOH pH 10.0, containing 1 % (w/v) of casein and 10 mM of CaCl2 was pre-incubated for 5 min at 50 °C. Then, 0.5 mL aliquot of the suitably diluted culture supernatants were mixed with the substrate solution and incubated for 20 min at 50 °C. The reaction was later terminated by adding 0.5 mL of 20 % (w/v) TCA solution. The mixture was allowed to stand for 15 min at RT and then centrifuged at 6000 rpm for 15 min to remove the precipitate. The acid-soluble materials were estimated using the Lowry method [16]. The control was prepared by adding TCA before the enzyme. A standard curve was prepared using tyrosine solutions at the concentration range of 0–100 μg/mL. One unit of protease activity was defined as the amount of enzyme required to liberate 1 μg of tyrosine per minute under the experimental conditions. All the enzyme assays were carried out in triplicates.

Conclusions

Conclusions

The use of extracellular enzymes has been a standard in many industries for many years. Alkaline proteases are one of the most important groups of enzymes used in various industries such as the detergent, pharmaceutical, leather, meat tenderizers, protein hydrolyzates, and food products, as well as in waste processing. Alkaline proteases play a crucial role in the bioprocessing of used X-ray or photographic films for silver recovery. Bacillus spp are the most widely exploited alkaline proteases-producing microorganism often used commercially in bioremediation, or as probiotic agent in aquaculture. The different evaluation methods for alkaline protease enzyme were reviewed through a collection of various quick and easy quantitative methods in chronological order since 1938 to present.

Acknowledgements

The author would like to thank Faculty of Industrial Sciences & Technology (FIST), University Malaysia Pahang (UMP) for technical assistance during this research. Moreover, the financial support from RDU160333 is highly acknowledged and appreciated.

Ethical Approvals:

‘The present research work does not contain any studies performed on animals/humans subjects by any of the authors’.

References

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Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

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Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

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Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

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Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

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Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

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Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

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Dr Maria Dolores Gomez Barriga

Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.

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Dr Maria Regina Penchyna Nieto

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.

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Dr Marcelo Flavio Gomes Jardim Filho

Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”

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Zsuzsanna Bene

Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner

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Dr Susan Weiner

My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.

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Lin-Show Chin

My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.

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Sonila Qirko

My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.

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Luiz Sellmann