A review on Carbonic Anhydrase IX and XII Inhibitors

Review Article | DOI: https://doi.org/10.31579/2688-7517/208

A review on Carbonic Anhydrase IX and XII Inhibitors

  • Shalini Singh 1*
  • Ashna Qureshi 1
  • Asha Singh 2
  • Sarvesh Datta 1

1Quantitative Structure Activity Relationship (QSAR) and Cheminformatics Laboratory, Department of Chemistry, Bareilly College, India. 

2Department of Botany, Bareilly College, Bareilly under M.J.P. Rohil Khand University, Bareilly.

*Corresponding Author: Shalini Singh, Quantitative Structure Activity Relationship (QSAR) and Cheminformatics Laboratory, Department of Chemistry, Bareilly College, India.

Citation: Shalini Singh, Ashna Qureshi, Asha Singh and Sarvesh Datta, (2024), A review on Carbonic Anhydrase IX and XII Inhibitors, J. Pharmaceutics and Pharmacology Research, 7(9); DOI:10.31579/2688-7517/208

Copyright: © 2024, Shalini Singh. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 13 July 2024 | Accepted: 06 August 2024 | Published: 09 September 2024

Keywords: carbonic anhydrases; cytosolic proteins; hypoxic tumours; off-target inhibition

Abstract

Carbonic Anhydrases are metalloenzymes that catalyse the carbon di-oxide hydration/ dehydration reaction. Crucial biological processes in most organisms are related to such a reversible reaction viz. respiration, photosynthesis, pH regulation, CO2 and HCO3 transportation etc. Excess production of CA IX and CA XII are fraught with production of malignant tumours and, therefore, the two varieties need selective inhibition. Indiscriminate inhibition leads to suppression of those varieties also that are required for metabolic activities of organisms. Isoform specific CA inhibition is a priority of research in this direction.

Introduction

Carbonic Anhydrases [CAs,EC 4.2.1.1] are a super family of metalloenzymes that catalyse the Carbon di oxide hydration / dehydration reaction which is of utmost importance amongst living beings. The hydration / dehydration reaction goes on in absence of the metalloenzyme catalyst also but the rate of reaction is not enough so as to support the physiological requirements of organisms. Carbonic Anhydrases possess Zn (II) ion which is coordinated by three histidine residues (His94, His96 and His119) and a water molecule at their active sites, which acts as the nucleophile required for the catalytic activity. [1-6]. These enzymes play important role in many physiological andpatological processes like transport of carbon dioxide/ bicarbonate ion pH homeostatis, respiration, electrolytic secretion in various tissues, gluconeogenesis, lipogenesis, ureagenesis and development of tumours [6-9]. CAs I and II play roles in many normal and routine physiological activities of organisms such as maintaining equilibrium between acid and base. Development of many drugs with different pharmacological properties like diuretic [10], antiglaucoma [11], antiepileptic [12] and antiobesity [13] are the result of inhibition of these two isoforms. Expression of CAIX and CAXII is restricted in normal tissues as these two isoforms are mainly detected in tumour cells and induced by tumour hypoxia. This is why these membranes bound isozymes have become targets for antitumour activity. [14-18]. Carbonic Anhydrases are classified into seven genetically different families namely, α, β, γ, δ,ζ, η and  θ [19-21]. All human (h) Carbonic Anhydrases are α class enzymes [21]. Fifteen different isoforms of human Carbonic Anhydrases have been identified and characterized, so far. Of these, twelve are catalytically active viz. hCAs I- IV, VA, VB, VI, VII, IX, XII-XIV. Human Carbonic Anhydrases can be further divided into four subsets depending upon their location in the cell organnels. Among these, identified as hCA I, II, III, VII, VIII, X, XI, XIII are cytosolic proteins, hCA VA and VB are present in the mitochondria, hCA VI is a secreted enzyme, hCA IV is a glycosylphosphatidylinositol (GPI) – anchored protein and hCA IX, XII and XIV are trans -membrane protein isoforms [19,21]. These enzymes are present in different organs and tissues and are responsible for very important physiological functions. Dysregulated expression or abnormal activity of hCAs can transform into pathological conditions [19, 22-25]. The hCA IX and hCA XII, two trans-membrane isoforms, are found overexpressed in tumour cells. In turn, it aids to cancer progression, metastatis and also impairs certain therapeutic responses. Both these isoforms have been used as makers of the disease progression in many hypoxic tumours and their inhibition is related to the reduction of growth of both the primary tumours and metastases. The validation of hCAIX has been done as an imaging agent for hypoxic as well as metastatic hypoxic tumours. hCA XII has also been found predominantly expressed in a variety of cancers. It has been reported that hCAXII expression can be correlated to the type of cancer.

Inhibition of Carbonic Anhydrases has clinical importance for treatment of a variety of diseases like glaucoma, epilepsy, obesity and gastric ulcers etc. Studies on the subject have shown that CA inhibition has an important role in carcinogenesis and metastatis. The selectivity of clinically used inhibitors designed for various isoforms is important for targeting a certain disease without undesired effects. During past few years, search for isoform specific CA inhibitors has gained momentum as off-target inhibition has been found associated with undesired effects. The off-target inhibition is brought about by the classical inhibitors like sulphonamides.The sulphonamide group interacts with the zinc ion in the active site of the CA enzyme and is the main pharmacophoric group for studies related to CA inhibition. No doubt, sulphonamide derivatives with aromatic or hetero- aromatic rings are strong inhibitors. Non-selective primary sulphonamides like acetazolamide (AAZ) have been in use for treatment of glaucoma on regular basis for more than sixty years. Second generation antiglaucoma drugs viz. dorzolamide and brinzolamide are highly selective CAII inhibitors. They are used for topical application with side effects reduced substantially.

The CA II is an important target in the treatment of glaucoma. CA inhibitors with high selectivity of CAII and having strong inhibition potency are focus of interest in the development of new antiglaucoma medicines. 4-sulfamoylphenylthiourea derivatives carrying amines, amino acids and oligopeptides have been reported to have hCA I and IV isoenzymes inhibitory properties. The water-soluble derivatives incorporating hydroxyl and mercapto amino acids displayed, in particular, selective inhibition in the low nanomolar range. The compounds with balanced hydrophilic and lipophilic properties also showed in vivo interesting pharmacological properties. These finding lead to the clue that the 4-sulfamoylphenyl derivative selective hCA II inhibitors may be good candidates for developing new antiglaucoma medicines with the least or no ocular side effects. It is reported that cyanoguanidine moiety has been used as a bioisosteric group to reduce side effects and improve pharmacological and pharmacokinetic properties. The cynoguanine derivatives containing a 4-sulfamoylphenyl moiety showed potent inhibition of hCA II isoenzyme in low nanomolar range as well as high selectivity for hCA II isozyme over hCA I, IV, and IX isoenzymes.

Many classes of non-classical inhibitors have been developed and studied during past few years and Coumarins are one such important class [26]. Coumarins are a type of heterocyclic compounds and occupy place of a privileged scaffold in medicinal chemistry. These are widely distributed in nature and possess a variety of pharmacological activities like antibacterial, anticonvulsant, antifungal, antihyperglycemic, anticancer, inhibitors of enzymes. In addition, Coumarins have been found to be potent and highly selective CA IX and CA XII inhibitors. These have been found to inhibit CAs not by binding to the zinc metal in the active site cavity but by occlusion of the active site entrance. Thus, the binding mechanism being different, Coumarins are categorised as non-classical CA inhibitors. Coumarin linked 1,2,4-oxadiazoles are still more selective inhibitors of CA IX and CA XII. The five membered heterocycle, 1,2,4- oxadiazole is an important scaffold in medicinal chemistry and acts as bio isostere for amides and carboxylic acids. It is reported to have diverse activities like anthelmintic, antileishmanial, antitrypanosomial, antispasmodic, anti-tussive, analgesic and anti-inflammatory. In the light of selectivity of coumarins for hCAIX and XII and to explore 1,2,4-oxadiazoles for CA inhibition, it was decided to club both the heterocycles and synthesize coumarin-1,2,4-oxadiazole hybrid. The synthesized compounds, having various substituents at the phenyl ring, were evaluated against four physiologically and pharmacologically relevant isoforms, hCAI, hCAII, hCAIX and hCAXII with Acetazolamide (AAZ) taken as the standard. The results were as under with regard to the structure-activity relationship of synthesized compounds.

1.The two cytosolic isoforms, CAI and CAII were not at all inhibited by the synthesized compounds (Ki > 10000 nM)

2. The tumour associated isoform CAIX was inhibited in a low to moderate nano molar range with the Ki values in the range of 23.6 to 315.6 nM. The best inhibition was shown by the compound having a methoxy group in para position of the phenyl ring located at the 5th position of 1,2,4-oxadiazole ring. (Ki 23.6 nM).

3. The other tumour related isoform, hCAXII was inhibited by synthesized compounds in a low to moderate nano molar range. The best inhibition was achieved with the compound having a tertiary butyl group in the para position of the phenyl ring located at the 5th position of the 1,2,4-oxadiazole ring. It showed a Ki value of 1.00 nM which is 5.7 times more than that of the standard compound, AAZ.

 There are many more which fall under this category viz. Sulfocoumarins (1,2-Bezoxathiine-2,2-dioxides), coumarin inspired sulphonamide derivatives, N- substituted saccharin derivatives and the latest one being the 1H-indole-2,3-dione 3-thiosemicarbazones with 3-sulfamoylphenyl moiety as reported by C.T.Supuran and co- workers vide a paper accepted for publication by the journal, Arch Pharma DPhG on April 1, 2022.

Sulfocoumarins i.e., 1,2-bezoxathiine 2,2-dioxides have been investigated for their inhibitory activity against for human (h) CA isoforms viz. the cytosolic and wide spread hCAI and II (off-target isoforms) as well as the transmembrane and tumour associated hCAIX and XII (anti-cancer drug targets). It has been found that they have a similar mechanism of CA inhibition as the Coumarins and are effective inhibitors of this enzyme. The sulfocoumarins were hydrolysed by the esterase CA ativity to 2-hydroxyphenyl vinyl sulfonic acids which later bound within the enzyme active site in a region rarely occupied by other classes of inhibitors such as sulphonamides or dithiocarbamates which are Zn (II) ion binders. The X-ray crystal structure of one of the investigated 6-hydroxy-1,2-benzoxathiine 2,2-dioxides in the adduct with a modified CAII enzyme, having two amino acid residues from the CAIX active site, helped in working out the mechanism of inhibition. The working group observed that vinylsulfonic acid formed by the hydrolysis of the sulfocoumarin was anchored to the zinc –coordinated water molecule making favourable interactions with Thr200 and Pro201. Simple coumarins were not found effective against hCAI and hCAII, these being micromolar inhibitors of the same. Compounds with 1,2,3-triazole moieties showed nanomolar inhibitory action against tumour associated hCAIX and hCAXII and proved less effective against cytosolic isoforms, hCAI and II. Thus, sulfocoumarins like coumarins are effective and isoform selective class of inhibitors targeting tumour associated isoforms, CAIX and CAXII.

The most common approach to design small molecules targeting Carbonic Anhydrases is to insert zinc binding moiety into the structure of the inhibitor. The sulphonamide group is one of the most important and widely used such moiety.[27]. It was earlier reported through crystallographic and molecular modelling studies that the primary sulphonamide derivatives bind to the catalytic zinc ion in the active site of the Carbonic Anhydrase in their deprotonated form. Later, it was also demonstrated that secondary and even tertiary sulphonamides can selectively inhibit the cancer related CAIX and XII isoforms. The group of scientists, Melissa D’Ascenzio, Simone Carradori, Celeste De Monte, Daniela Secci, Mariangela Ceruco and Claudiu T. Supuran chose N-substituted derivatives of saccharin to obtain tertiary sulphonamide derivatives and investigated them for their ability to inhibit four human CA isoforms viz. the two cancer related isoforms, CAIX and XII and the most common off- targets of antitumoral CAIs, CA I and II. All investigated compounds showed no affinity for CAI while all of them inhibited CAXII in low micromolar/ nanomolar range. Some of the new compounds synthesized were not active as CAI and II inhibitors, showing effective inhibition of CAXII. The results obtained with these compounds have put up a promising start for the development of new selective inhibitors of this less investigated isoform of CA as novel anticancer agents based on toxicologically safe scaffold of saccharin.

Curcumin inspired sulphonamide derivatives have been investigated and found to act as CA inhibitors of isoforms, I, II, IX, XII. The investigating group comprised scientists from NIPER, Hyderabad, India and Claudiu T.Supuran of Italy. In view of lack of selectivity and side effects with existing drugs, exhaustive search for superior CAIs is an ongoing process. The focus is on synthesis of new derivatives of existing drugs or finding new molecular bases including natural products. Natural products such as resveratrol, catechin, silymarin, dobutamin and curcumin are found to possess CA inhibitory activity. Curcumin is the main ingredient of the popular Indian spice turmeric (Curcuma longa) and reported to have neuroprotective properties, which may be effective in treatment of glaucoma. Curcumin and its analogues and 4’-(phenylurenyl) chalcones have been found to be Carbonic Anhydrase inhibitors [28-29]. The group prepared various derivatives of curcumin containing sulphonamides checked them for their purity and tested in vitro for their activity against physiologically relevant hCA isoforms, I, II, IX and XII by means of stopped flow carbon di-oxide hydration assay and their activities were compared to the standard CA inhibitor, acetazolamide (AAZ). Interesting inhibitory activities were found against all these isoforms. These synthetic compounds inhibited hCAI (found responsible for some eye diseases) moderately with Kis in the range of 191.8 to 904.2 nM, hCAII (an antiglaucoma drug target) very potently with Kis in the range of 0.75 to 8.8 nM, hCAIX (an isoform related to cancer) significantly with Kis in the range of 2.3 to 87.3 nM and hCAXII (antiglaucoma and anticancer drug target) with Kis in the range of 6.1 to 71.8 nM.

The most common approach to design small molecules for targeting this family of metalloenzymes is to insert zinc binding moieties into the structure of the inhibitor. The sulphonamide group is one such important and widely used moiety. Studies show that the primary sulphonamide derivatives bind to the catalytic zinc ion in the active site of Carbonic Anhydrase in its deprotonated form. However, it has been demonstrated that even secondary and tertiary sulphonamides also inhibit selectively the cancer related isoforms, CA IX and CA XII. The group consisting of Melissa D’Ascenzio, Simone Carradori, C.T.Supran and others have worked on this project and reported their findings in the journal, Bioorganic & Medicinal Chemistry {22 (2014) 1821-1831 }.

The group prepared a series of tertiary sulphonamides by functionalizing nitrogen atom of saccharin, a well-known sweetener, characterized by a safe toxicological profile and a peculiar ability of inhibiting Carbonic Anhydrse isoforms in high nanomolar/low micromolar range. The group synthesized a number of compounds in which the nitrogen atom saccharin was converted to tertiary N atom substituted by a variety of groups/ moieties. The compounds synthesized were  tested for identification and purity. Then, these were evaluated for their biological activity against tumour related CA IX and CA XII and corresponding off-target analogues, CA I and CA II. For this purpose, a photophysics stopped –flow instrument was pressed in service for assaying Carbonic Anhydrase catalyzed CO2 hydration reaction. Phenol red in 0.2mM concentration was used as indicator, working at absorbance maxima 557 nm, with20 nM Hepes (pH 7.5, for α-CAs) as buffer and 20 mM Sodium Chlorate for maintaining constant ionic strength. The reaction time was chosen from 10 to 100 seconds. For determining kinetic parameters and inhibition constants, the CO2 concentration was kept 1.7 mM to 17 mM. The rates of uncatalyzed reactions were determined in the same manner and subtracted from the total observed rates. Stock solutions of inhibitor of 1μM concentration were prepared in distilled and deionised water and diluted to 0.1nM concentration with the assay buffer. Both inhibitor and enzyme solutions were preincubated together at room temperature for 15 minutes prior to assay to allow formation of the E1 complex or for the active site mediated hydrolysis of the inhibitor. The inhibition constants were worked out by non-linear least squares method using PRISM 3 and Cheng-Prusoff equation.The group’s findings were as follows.

  1. All of the compounds tested were found inactive (Ki >50 μM) against hCA I, the common off-target isoform of anticancer CAIs. The hCA I is wide spread in the body and is found in high concentration in blood and the gastro-intestinal tract. The hCA II isoform was also poorly inhibited (Ki   > 50μM) by most of the compounds tried in the experiment. 
  2. All the compounds investigated showed inhibition of hCA XII in low micromolar/ nanomalar range with the exception of three compounds designated as 11a,PH010918 and S763217 which were not active at concentrations higher than 50 μM. Introduction of small unsaturated carbon chains on the sulphonamide nitrogen of saccharin showed an increase of activity of the obtained compounds against CA XII though no selectivity was obtained against the off-target isoform CA II. The compound with substituent R of four carbons with double bond between second and third  Carbon atoms was found to be more active against CA II (Ki = 36.7 nM) than against the cancer related isoforms CA IX and XII (Ki =97 nM and 0.21 μM, respectively).When the unsaturated substituent was replaced by a cyano  group, the derivative produced showed a slight loss of activity against CA IX and XII (Ki =0.29 μM and 0.71 μM, respectively) with a gain of selectivity (Ki > 50 μM towards CA I and II). Introduction of a three-methylene long spacer between the sulfonamidic nucleus of saccharin and the cyano group, however, caused loss of activity against CA XII (Ki > 50 μM) and selectivity against CA II (Ki =1.26 μM). The group of workers also prepared saccharin derivatives having electron poor benzyl groups at the sulfonamidic nitrogen. Of these compounds, those in which the aromatic ring was substituted with an ortho/ meta nitro group or bromine atom showed the highest activity against CA XII (21.1 nM < Ki xss=removed>50 μM), while compound with benzyl ring having Cl atoms at 3,4 positions inhibited both CA IX and XII. A similar effect was noticed on introducing an extra carbonyl group between the methylene and the aromatic ring of the benzyl group. Benzoyl derivatives were found to inhibit CA XII only in low micro molecular range (Ki =1.78 μM, 0.97 μM and 2.01 μM,for the three derivatives prepared,respectively ) and were inactive towards CA I, II and IX at concentrations higher than 50 μM.

However, the best results were obtained with regard to activity and selectivity with the ethyl carboxylic ester as R in the saccharin molecule. Its hydrolysed product, the acid, inhibited CA XII isoform in nanomolar concentrations (Ki =76.5 nM and 41.9 nM respectively) with the free carboxylic group containing derivative being the most selective compound in the whole series. It is for the well-known hydrolytic activity of some CA isoenzymes that the ethyl carboxylic ester derivative could be considered a prodrug. However, conversion of the free acid to the N-methylamide did not cause any loss of activity against CA XII (Ki =28.4 nM) though it significant loss of selectivity towards CA II. As against this, the change of the carboxylic group to carbonyl or an oxime caused a switch of selectivity towards CA II.

3. The tumour related isoform hCA IX was inhibited by some of the saccharin derivatives prepared by the study group and some of these were also found to be inactive. These were compounds with R as benzene ring, and having some substituents on it (Ki =50 μM). The derivative 9, having R with NO2 group attached in meta position, was found to be effective hCA IX inhibitor: inhibition constant ,11 nM (better than acetazolamide). Other derivatives were found to be inhibitors of medium potency, with inhibition constants between 91 and 400 nM. Modifications in the structures of these inhibitors brought about drastic changes in their hCA IX inhibition power viz. regioisomers having NO2 group in ortho and meta positions of benzene ring of R, the substituent on the saccharin molecule, differed in their affinity for hCA IX by a factor of 8.3. The same kind of behaviour was observed for regioisomers with bromine atom as substituent on the benzene ring in place of NO2.

4. N-substitution vs. O-substitution of saccharin: Alkylation of saccharin under alkaline conditions is known to take place at both the nitrogen and oxygen atoms of the lactam ring, giving a mixture product [30]. However, derivatization products generally reported for saccharin are all N-alkylated products, which are believed too more stable thermodynamically. It was observed by this study group that only N-alkylated products are able to inhibit the four isoforms of CAs under consideration. (The Ki values for O-alkylated products in case of all four isoforms viz. hCA I, II, IX, XII were above 50000 nM.) 

Based on the above observations, it can be concluded that none of the compounds under investigation showed affinity for CA I while they inhibited CA XII in low micromolar/ nanomolar quantities. Some of the new compounds were not active as CA I and II inhibitors but showing effective inhibition of CA XII. This group of compounds is a promising lot for developing new and selective inhibitors of CAs as novel anticancer agents based on toxicologically safe frame of saccharin molecule. The latter was discovered in 1879 by Constantin Fahlberg in the laboratory of Ira Remsen at Johns Hopkins university, USA. It is about 600 times as sweet as sucrose. It has no food value and is used as sweetening agent by diabetic patients.

Cabonic Anhydrase Inhibitors (CAIs) can be classified into different groups based on their binding mode to the enzyme active site and zinc binders are most effective and also most investigated for drug design purpose. Within this sub-class, sulphonamides are the ideal zinc binding group due to a peculiar combination of interactions this moiety can establish with the zinc ion and the residues nearby. Amongst others, pyrazoline sulphonamides have also been reported as CA inhibitors as well as inhibitors of AchE. Replacement of sulphonamide by sulfamate group, a cogener of sulphonamide, presented interesting examples of selective inhibitors of CAs. These considerations led the group comprising Davide Moi, Alessio Nocentini, Alessandro Deplano, Gianfranco Balboni, Claudiu T. Supuran and Valentina Onnis to work on the prospective CA inhibitors of this class of compounds. The group also carried out full Structure Activity relationship of these new-found CAIs.

The inhibitory strength of sulfamate derivatives was tested by the above group who first synthesized sulfamates and established their identity and structure.For elucidation of structures of various sulfamates , they recorded NMR spectra on an Inova 500 spectrometer (Varian, Palo Alto, CA, USA).The chemical shifts (δ) were recrded on parts per million downfield from tetramethylsilane (TMS)used as internal standard. The spectra were recorded in hexadeuteriodimethylsulphoxide (DMSO-d6). IR spectra were recorded on a Vector 22 spectrometer (Bruker, Bremen, Germany) in Nujol mulls. IR bands were recorded in cm-1. Positive- ion electrospray ionization (ESI) mass spectra were recorded on double –focusing MAT 95 instrument with BE geometry. Melting Points were determined on SMP 1 Melting Point apparatus (Stuart Scientific, Stone, UK) and reported as such. All products analysed showed 1H NMR spectra in agreement with the assigned structures. The purity of the tested compounds was determined by combustion elemental analysis carried out at the Microanalytical Laboratory of the Chemistry Department of the University of Ferrara with a MT-5 CHN recoder elemental analyser (Yanagimoto, Kyoto, Japan) and the values obtained were witin 0.4% of theoretical values.  Then, they used the stopped flow instrument with CO2 hydrase assay in the presence of acetazolamide as a standard inhibitor.

Their findings have been as under.

  1. All pyrazoline sulfamates showed low inhibitory activity in general towards CA I except a few analogues having H, OCH3, and F in para position of phenyl ring as substituent R of the main compound. These analogues rather, showed better inhibitory values as compared to the reference compound, acetazolamide.
  2. As regards CA II isozyme, the 5- Aryl substituted analogue (8a-1) showed high activity (Ki in the 0.8-13.2 range). The compound 8e, bearing a 4-trifluoromethylphenyl ring showed best results with Ki value of 0.8 nM. Substitution of the 4-trifluoromethyl with a chlorine atom viz. compound 8i reduced the activity while displacement of the chlorine atom from position-4 to position-3 (compound 8h) restored the activity (Ki =0.87 nM). Displacement of the chlorine atom to 2-position (compound 8g) as also the introduction of two chlorine atoms (compounds 8j, 8l) led to a reduction in activity as compared to the analogue 8h. Comparison of sulfamates 8 and 9 and their respective activities showed that the displacement of the 4-sulfamate group to 3-position resulted in reduction of activity. However, analogues 9e and 9i bearing 4-trifluromethyl and 4-chlorine moieties maintained high inhibitory activity. In the 17th series of the of pyrazoline sulfamates, the activity was found related to the presence of substituents on the 3-aryl ring. The compound 17a with H atom as substituent R showed the lowest activity in the series. The best analogue was 17c having a 4- methoxyphenyl group attached to the main pyrazoline molecule. The presence of 4-methyl, 4-nitro and 2,4-dichloro substituents was favourable to the activity in the pyrazoline 17 series whereas the presence of the same groups 5-aryl of pyrazoline 8 did not increase the activity. Pyrazoline sulfamates 18diplayed high activity as compared to their analogues 9 except for 18f, where the substituent R contains one Cl atom in 4 positions. The general observation was that displacement of the 4-sulfamate group of pyrazolines 17 into3-position to give pyrazolines 18 resulted in slight reduction in activity when substituents are present on the 5-aryl ring.
  3. With regard to inhibition of CA IX, the 3- chlorine derivative (8h) of the pyrazoline sulfamates put up the best show (Ki =0.72 nM) The displacement of the chlorine atom to 4-position (8i) led to a ten- fold reduction in activity. The replacement of the 4-chlorine of compound 8i with a methyl group (compound 8b) maintained the same activity while the replacement with a fluorine atom, sulfamate 8f, enhanced the activity. As against this, the presence of two chlorine atoms (8j and 8l) reduced the activity as compared to both the 8h and 8i analogues. The displacement of the 4-sulfamate group to 3-position to give the isomeric pyrazolines 9 induced similar or better activity in comparison to the corresponding analogues 8 except for three compounds,9g,9k and 9l. In the pyrazoline sulfamate 17 series the best activity was shown by the chlorine substituted compound, 17g whose Ki value was very similar to the analogue 8i as well as for the compounds 17a and 17c as compared to their analogues 8a and 8c.
  4. CA XII: The pyrazoline sulfamates, 8f,8h,9c,9f and 9i confirmed their good inhibition potency against this CA isoform. Thus, the presence of a halogen atom or a trifluoromethyl group in 4-position increased the activity in the series 9 while in the series 8 the best activity was correlated to the presence of 4-fluorine or 3-chlorine atom on the 5-aryl ring. The pyrazoline 17d showed the best activity of all four series (Ki =0.88 nM). The removal of the 4-nitro group of the sulfamate, 17d or its replacement with a methoxy group led to a ten-fold reduction in activity. Pyrazoline sulfamates of the series 18 showed reduced activity as compared to both pyrazolines, 17 and 9.

The investigating group of scientists also carried out molecular docking experiment with all the four CA isoforms to understand the binding patterns. Docking is a kind of bioinformatic modelling which involves the interaction of two or more molecules to give a stable adduct. Depending upon binding properties of ligand and the target, it predicts the three-dimensional structure of any complex. Molecular docking generates different possible adduct structures that are ranked and grouped together using scoring function in the software. Docking simulations predict optimized docked conformer based upon total energy of the system. In the present case, the crystal structures were selected for the presence of AAZ as co-crystallized ligand used as a reference for discussing experimental activities. It was found that the sulphate moiety of all compounds reproduced almost the same interactions with the sulphonamide group of AAZ. In detail the sulfamate group fit deeply into the active site with the negatively charged nitrogen coordinating with the zinc. Apart from this, the hydrogen of the sulfamate establish H-bond with T 199 oxygen of the hydroxyl group and the amidic hydrogen of the same residue binds the S =O oxygens and / or the Ph-O-S oxygen.

Receptor site of CAIX and CA XII site

It can be inferred from the above that the pyrazoline sulfamates did not inhibit hCA I effectively whereas many low nanomolar inhibitors were found against hCA II (Kis in the range of 0.42 to 90.1 nM),hCA IX (Kis inthe range of 0.72 to 63.6 nM) and hCA XII ( Kis in the range of 0.88 to 85.2 nM). The best substitution fragments at the pyrazoline ring included for CA II a 4-sufamic group on the 3-aryl and halogens on the 5-aryl or a metoxy group on the 3-aryl and a 4-sulfamic group on the 5-aryl. For CA IX and CA XII, the sulfamic group on the 3- or 4-position of the 5-aryl and an electron withdrawing group in the 4-position of the 3-aryl ring. The study group also took up the docking experiments which suggested that the selectivity and inhibition strength showed by some compounds may be related to the number of hydrogen bonds between the sulfamate compounds and the various CA isoforms.

 Lately, a group of scientists namely, Nilgun Karali, Claudiu T.Supuran, Murat Bozdag, Emanuela Berrino, Atilla Akdemir and Pinar Eraslan-Elma have carried out investigation of 1H-indole-2,3-dione 3-thiosemicarbazones with 3-sulfamoylphenyl moiety as selective Carbonic Anhydrase inhibitors.  A lot of work has been done in establishing role of Carbonic Anhydrases in development of cancer and finding effectiveness of sulphonamide inhibitors towards mitigating the disease. Many Carbonic Anhydrase Inhibitors (CAIs) bearing benzene sulphonamide units have shown efficacy in inhibiting various tumour cell lines. These drugs are selective inhibitors of hCA IX and XII and it led to publication of several studies in which benzene sulphonamide derivatives have been synthesized and assayed as inhibitors of hCAIX and XII. [31-33].

1H-Indole-2,3-dione (Isatin) has been known as a versatile intermediate for designing compounds of pharmacological importance. Benzene sulphonamide derivatives bearing an isatin moiety revealed promising activity and different selectivity towards Carbonic Anhydrases. Many 3-imino/hydrazono-2-indolinone derivatives of benzene sulphonamides have shown different and highly selective inhibitory effects against CAs. 3-Imino-2Indolinone based benzene sulphonamides have shown selective inhibition of hCA IX (Ki 1.0-25.0 nM) and XII (Ki 2.8-53.8 nM) isoforms at low nanomolar levels.[34]. 3-Imino-2-Indolonone derivatives carrying amido/ureido- sustituted benzene sulphonamide groups have been found to inhibit hCA XII isoenzyme with Ki values in the range of 0.47-2.83 nM.[35]. The inhibitory effects of 1-alkyl/ benzyl-3-imino-2-indolinone derivatives incorporating an ureido-bezenesulfonamide moiety, which were intended for stronger hydrophobic interactions with the hCA IX active region were investigated against hCA IX. It was noticed that their inhibitory effects for hCA IX (Ki 4.7-86.1 nM) increased significantly as compared to N-substituted derivatives (Ki 192-239 nM). These derivatives were found to bind by van der Waals interactions inside a large hydrophobic pocket created by T73, P75, P76, L91, L123 and A128 in the hCA IX active region.

Based on this information the above working group synthesized 1H-indole-2,3-dione 3-thiosemicarbazone derivatives to investigate the contribution of the sulfamoyl residue at 3 positions of the phenyl ring to their hCA I, hCA II, hCA IX and hCA XII inhibitory activities and to establish structure –activity relationships involved. Findings of the group are summarised as under.

It has been observed that most of the compounds carrying a 3-sulfamoylphenyl moiety showed potent inhibitory activity against hCA II with high selectivity over other isoforms. It was also determined that 1-substituted compounds had higher inhibitory activity than those without substituents at position 1 against the hCA II isoform. Elongation of the alkyl chain and benzyl substitution increased the inhibitory activity. However, 1- benzyl substitution increased the activity against hCA IX and hCA XII isoforms while decreasing the selectivity for hCA II isoform as compared to 1-ethyl-sustituted compounds. The working group also established that both high inhibitory effect and selectivity for hCA II isoform were possible with chlorine atom at position 5 and the ethyl group at position 1 of the indole ring.

Acknowledgement

U.P. State Higher Education council.

References

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Virginia E. Koenig

Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.

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Delcio G Silva Junior

Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.

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Ziemlé Clément Méda

Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.

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Mina Sherif Soliman Georgy

We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.

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Layla Shojaie

The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.

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Sing-yung Wu

Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.

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Orlando Villarreal

Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.

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Katarzyna Byczkowska

Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.

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Anthony Kodzo-Grey Venyo

Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.

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Pedro Marques Gomes

Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.

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Bernard Terkimbi Utoo

This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.

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Prof Sherif W Mansour

Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.

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Hao Jiang

As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.

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Dr Shiming Tang

Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.

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Raed Mualem

International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.

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Andreas Filippaios

Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.

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Dr Suramya Dhamija

Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.

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Bruno Chauffert

I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!

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Baheci Selen

"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".

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Jesus Simal-Gandara

I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.

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Douglas Miyazaki

We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.

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Dr Griffith

I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.

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Dr Tong Ming Liu

I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.

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Husain Taha Radhi

I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.

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S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

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Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

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George Varvatsoulias

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