Study of Properties and Applications Nicotine Alkaloids

Case Report

Study of Properties and Applications Nicotine Alkaloids

  • Jaya Pandey 1*
  • Ragini Dubey 1
  • D.K. Awasthi 2
  • 1* Department of Chemistry, Amity University, Lucknow, U.P. India
  • 2 Department of Chemistry, Sri.J.N.P.G. College, Lucknow, U.P

*Corresponding Author: Jaya Pandey, Department of Chemistry, Amity University, Lucknow, U.P. India

Citation: Pandey J. , Murthy S. , Dubey R. and D.K. Awasthi (2021) Study of Properties and Applications Nicotine Alkaloids. Clinical Cancer and Oncology Research 1(2) DOI: 10.31579/CCOR-2021/007

Copyright: © 2021, Jaya Pandey, 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: 06 June 2021 | Accepted: 12 July 2021 | Published: 17 July 2021

Keywords: nicotine alkaloids, beta-endorphin, dopamine, norepinephrine, serotonin, and acth

Abstract

Nicotine = Nicotine may be a plant alkaloid, found within the tobacco plant, and addictive focal sensory system (CNS) energizer that causes either ganglionic incitement in low portions or ganglionic blockage in high dosages. Nicotine goes about as an agonist at the nicotinic cholinergic receptors within the autonomic ganglia, at neuromuscular intersections, and within the medulla and therefore the mind. Nicotine's CNS-animating exercises could be intervened through the arrival of a couple of synapses, including acetylcholine, beta-endorphin, dopamine, norepinephrine, serotonin, and ACTH. Subsequently, fringe vasoconstriction, tachycardia, and raised pulse could be seen with nicotine admission. This specialist may likewise animate the chemoreceptor trigger zone, subsequently instigating queasiness and spewing.

Introduction

(S)- Nicotine may be a 3-(1-methylpyrrolidin-2-yl) pyridine during which the chiral focus has S-setup. The normally happening and most dynamic enantiomer of nicotine, disengaged from common tobacco. it's a neighborhood as a phytogenic bug spray, a teratogenic specialist, a neurotoxin, an anxiolytic medication, a nicotinic acetylcholine receptor agonist, a biomarker, an immunomodulator, a mitogen, a fringe sensory system drug, a psychotropic medication, a plant metabolite and a xenobiotic. It’s a form base of a (S)- nicotinium(1+). It’s an enantiomer of a (R) - nicotine.

Nicotine, a natural compound that's the central alkaloid of tobacco. (An alkaloid is one among a gathering of nitrogenous natural mixtures that have stamped physiological consequences for people.) Nicotine happens during the tobacco plant and particularly within the leaves. The compound comprises around 5% of the plant by weight. Both the tobacco plant (Nicotiana tabacum) and therefore the compound are named for Jean Nicot, a French envoy to Portugal, who sent tobacco seeds to Paris in 1550.

Occurance

Nicotine is economically acquired from tobacco scraps and is employed as a bug spray and as a veterinary vermifuge. Nitric corrosive or other oxidizing specialists convert it to nicotinic corrosive, or niacin, which is employed as a food supplement.

Nicotine is additionally called 3-(1-methyl-2-pyrrolidinyl) pyridine consistent with the IUPACa nomenclature. It’s a bicyclic compound with a pyridine cycle and a pyrrolidine cycle. The molecule possesses an asymetric carbon then exists in two enantiomeric compounds. In nature, nicotine only exists within the S shape, which is levogyre.

Synthesis of Nicotine

Nicotine is additionally called 3-(1-methyl-2-pyrrolidinyl) pyridine consistent with the IUPACa nomenclature. It’s a bicyclic compound with a pyridine cycle and a pyrrolidine cycle. The molecule possesses an asymetric carbon then exists in two enantiomeric compounds. In nature, nicotine only exists within the S shape, which is levogyre.

a - Hydroxyketone 3 is obtained by a halogen-lithium exchange of 3-bromopyridine 1 with n-BuLi followed by treatment with the lactone 2.
b - The oxidation of the compound 3 to the aldehyde is accomplished with the Swern method: (COCl)2, DMSO, NEt3.
c - The desired product 4' is obtained by the reaction of (pyridin-3'-yl)-4-oxobutanone 4 with 2, 3, 4, 6-tetra-O-pivaloyl-b-D-galactopyranosylamine a.
d - Acidic hydrolysis of 4' affords optically pure (S)- nornicotine: 1M HCl /MeOH.

Total enantioselective synthesis of (R)-nicotine

Nicotine is additionally called 3-(1-methyl-2-pyrrolidinyl) pyridine consistent with the IUPACa nomenclature. It’s a bicyclic compound with a pyridine cycle and a pyrrolidine cycle. The molecule possesses an asymetric carbon then exists in two enantiomeric compounds. In nature, nicotine only exists within the S shape, which is levogyre.

Retrosynthetic analysis

Retrosynthetic analysis

Synthesis

Synthesis

a - The first step is the allylation of pyridinecarboxaldehyde 1 with 2, 2 equivalents of B-allyldiisopinocampheylborane in Et2O at -100°C. The (S)-homoallylicalcool 2 is obtained in 86% yield with an enantiomeric excess of 94%.

b - The chiral azide 3 is obtained from alcohol 2 using the Thompson procedure with a 90% yield and without racemisation. DBU (1, 2 equivalents), (PhO) 2P(O)-N3 (1,2 equivalents), Toluene

c- Intramolecular hydroboration-cycloalkylation of the azido-olefin 3 

2,2 equivalents of  B(C6H11)2H in THF. This step proceeds by the hydroboration of the double bond of 3 followed by the formation of a boron-nitrogen bond between the azide and the trialkylborane.
Finally, ring closure occurs by migration of the borane methylene group to nitrogen-1 with concomitant loss of nitrogen.

d- Alkylation of (R)-Nornicotine 4 in (R)-Nicotine.

(i) EtOCOCl (1,2 equiv.), Et3N (1,3 equiv.), Et2O

(ii) LiAlH4 (1, 2 equiv.), THF, 0°C

Important applications of nicotine

Nicotine is exceptionally addictive, except if utilized in lethargic delivery forms. Animal exploration proposes that MAO inhibitors present in tobacco smoke may upgrade nicotine's addictive properties. A traditional cigarette yields around 2 mg of consumed nicotine. The assessed lower portion limit for deadly results is 500–1,000 mg of ingested nicotine for a grown-up (6.5–13 mg/kg). Nicotine fixation includes drug-supported conduct, enthusiastic use, and backslide following abstinence. Nicotine reliance includes resistance, sensitization, actual reliance, and mental dependence. Nicotine reliance causes distress. Nicotine withdrawal side effects incorporate discouraged disposition, stress, tension, touchiness, trouble focusing, and rest disturbances. Mild nicotine withdrawal indications are quantifiable in unhindered smokers, who experience typical mind-sets even as their blood nicotine levels top, with each cigarette. On stopping, withdrawal manifestations deteriorate pointedly, at that time continuously improve to a standard state.

Uses of Nicotine

Medical

The essential remedial utilization of nicotine is getting nicotine reliance kill smoking and therefore the harm it does to wellbeing. Controlled degrees of nicotine are given to patients through gums, dermal patches, capsules, inhalers, or nasal showers to wean them off their reliance. 

Nicotine on Parkinson's disease

Epidemiological examinations show that smoking is said with a lower frequency of Parkinson's illness (PD). This finding is critical on the grounds that it could give hints about remedial procedures to security against this crippling development issue. Smoke contains various synthetic compounds that would be in charge of the clear defensive impact. Here, employment for nicotine is assumed of, in light of the very fact that this compound invigorates mind dopaminergic frameworks and provides some suggestive advantage in PD. Nicotine likewise features a neuroprotective activity. Putative factors and flagging pathways engaged with the activities of nicotine are talked about. A comprehension of the sub-atomic reason for the decreased event of PD in tobacco clients is pivotal for the advancement of intercession techniques to diminish or stop infection movement.

Nicotine as antioxidant and potential protective agents against in vitro oxidative haemolysis

The limit of 11 nicotine alkaloids to decrease oxidative pressure was explored. to offer a design action connections examination, new nicotine subsidiaries with a substituent brought into the pyrrolidine ring were incorporated and researched alongside nicotine and its known analogs. All recently orchestrated mixtures were described by 1H, 13C NMR and EI-MS procedure. The cancer prevention agent properties of nicotine, its known analogs and recently created subsidiaries, were assessed by different cell reinforcement tests such 1,1-diphenyl-2-picryl-hydrazyl free revolutionary (DPPH•) searching, ferrous particles (Fe2+) chelating movement and absolute decreasing capacity assurance by Fe3+ → Fe2+ change measure. The defensive impacts of all mixtures tried against 2, 2′-azobis(2-methylpropionamidine) dihydrochloride (AAPH) and tert-butyl hydroperoxide (t-BuOOH)- incited oxidative haemolysis and morphological injury of human erythrocytes, were assessed in vitro. The outcomes showed that nicotine alkaloids displayed different antiradical viability and cell reinforcement movement during a design and some subordinate way. Furthermore, the limit of nicotine alkaloids to shield erythrocytes from AAPH-and t-BuOOH-prompted oxidative haemolysis, was reliant on its brooding time with cells. Our discoveries showed that synthetic and organic examinations directed all the while can give complete information concerning the cell reinforcement capability of nicotine alkaloids. This information are often useful in better understanding the properties of nicotine alkaloids under oxidative pressure conditions.

Pesticide

Nicotine has been utilized as an insect spray since in any event the 1690s, as tobacco extracts (albeit different parts of tobacco likewise appear to possess pesticide effects). Nicotine pesticides haven't been monetarily accessible within the US since 2014, and hand crafted pesticides are prohibited on natural crops and not suggested for small gardeners. Nicotine pesticides are restricted within the EU since 2009. Foods are imported from nations during which nicotine pesticides are permitted, like China, however food varieties might not surpass most extreme nicotine levels. Neonicotinoids, which are gotten from and basically like nicotine, are broadly utilized as farming and veterinary pesticides starting at 2016.

Adverse Effect of Nicotine

Nicotine is delegated a poison. However, at dosages utilized by buyers, it presents on the brink of nothing if any peril to the user. A 2018 Cochrane Collaboration audit records 9 fundamental unfriendly occasions identified with nicotine substitution treatment: migraine, wooziness/light‐headedness, sickness/spewing, gastro‐intestinal indications, rest/dream issues, non‐ischemic palpitations and chest torment, skin responses, oral/nasal responses and hiccups. Many of those were likewise basic within the fake treatment bunch without nicotine. The palpitations and chest torment were considered "uncommon" and there was no proof of an expanded number of genuine cardiovascular issues contrasted with the fake treatment bunch, even in individuals with found out heart condition. The essential results from nicotine openness are recorded within the table underneath. Genuine unfriendly occasions due to the use of nicotine substitution treatment are very rare. At low sums, it's a mild pain relieving effect. At adequately high dosages, nicotine may cause queasiness, heaving, loose bowels, salivation, bradyarrhythmia, and maybe seizures, hypoventilation, and spending. 

Sleep

Nicotine is exceptionally addictive. Its addictiveness relies upon how it's administered. Animal exploration proposes that MAO inhibitors in tobacco smoke may improve its addictiveness. Nicotine reliance includes parts of both mental reliance and actual reliance, since stopping of stretched use has been seemed to create both filled with feeling (e.g., uneasiness, crabbiness, wanting, anhedonia) and physical (gentle engine dysfunctions like quake) withdrawal symptoms. 

Nicotine has been seemed to create birth absconds in some creature species, yet not others; therefore, it's viewed as a possible teratogen in humans. In creature considers that caused birth surrenders, analysts found that nicotine adversely influences fetal psychological state and pregnancy outcomes; the negative consequences for early psychological state are related with irregularities in mind digestion and synapse framework function. Nicotine crosses the placenta and is found within the bosom milk of moms who smoke even as moms who inhale detached smoke.

Nicotine openness in utero is responsible for a couple of complexities of pregnancy and birth: pregnant ladies who smoke are at more serious danger for both premature delivery and stillbirth and newborn children presented to nicotine in utero will generally have lower birth weights.[109] Some proof proposes that in utero nicotine openness impacts the event of specific conditions sometime down the road, including type 2 diabetes, corpulence, hypertension, neurobehavioral surrenders, respiratory brokenness, and infertility.

Cancer

The rundown of cancer growths purportedly related to nicotine is extending and as of now incorporates little cell and non-little cell lung carcinomas, even as head and neck, gastric, pancreatic, gallbladder, liver, colon, bosom, cervical, bladder and kidney diseases. The mutagenic and tumor-advancing exercises of nicotine may result from its capacity to harm the genome, disturb cell metabolic cycles, and encourage development and spreading of changed cells. The nicotinic acetylcholine receptors (nAChRs), which are enacted by nicotine, can initiate a couple of flagging pathways which will have tumorigenic impacts, and these receptors could possibly be focused for disease treatment or anticipation. there's additionally developing proof that the remarkable hereditary cosmetics of a private , for instance , polymorphisms in qualities encoding nAChR subunits, may impact the weakness of that person to the pathobiological impacts of nicotine. The arising information about the cancer-causing instruments of nicotine activity need to be considered during the assessment of guidelines on nicotine item assembling, appropriation and promoting.

Nicotine in different form

Cigarettes: The measure of nicotine contained during a single cigarette varies. Just alittle amount of the nicotine is inhaled since an outsized portion of it pops as side-stream smoke within the normal smoker. Nicotine poisonousness from smoking is further limited because the consequences of inhaled nicotine happen quickly (in practically no time), restricting further intake. Nicotine poisonousness can happen through the ingestion of cigarettes or butts, commonly eaten by small kids, during which case an outsized measure of nicotine are often absorbed.

Chewing tobacco: Chewing tobacco is additionally called smokeless tobacco, or "plunge." The nicotine is absorbed through the oral surface. The nicotine content are often just about as high as that of "low nicotine cigarettes." Chewing tobacco is related to a really high danger of cancers within the mouth and throat.

Nicotine gum: Nicotine gums are used as an aide to smoking cessation. Gum contains a limited quantity of nicotine and raises the nicotine concentration within the body slower than cigarette smoking. Excess use of the gum is restricted by adverse effects.

Nicotine patches: These patches contain an outsized measure of nicotine to allow the medication to be delivered consistently for an extended time a day. On the off chance that the fix is bitten and ingested, nicotine may leak and severe poisonousness may happen.

E-cigarettes: this is often a battery-powered device that vaporizes fluid nicotine, sometimes called "e-fluid" or "e-juice." The nicotine in these preparations is usually profoundly concentrated, and could be mixed with a seasoning agent like blueberry, chewing gum, or vanilla. The containers range from the dimensions of an eye-drop bottle to a gallon container, and sometimes have designs that are appealing to a child, resulting in concerns that children are going to be poisoned by these things. Moreover, there are concerns that the straightforwardness and straightforward accessibility of those items could be a pathway to nicotine dependence for non-smokers. Its role in smoking cessation is currently unclear however likely might be beneficial.

Toxicity of Nicotine

Today nicotine is a smaller amount generally utilized in horticultural insect sprays, which was a fundamental wellspring of harming. Later instances of harming ordinarily give off an impact of being as Green Tobacco Sickness, inadvertent ingestion of tobacco or tobacco items, or ingestion of nicotine-containing plants. People that gather or develop tobacco may encounter Green Tobacco Sickness (GTS), a kind of nicotine harming caused by dermal openness to wet tobacco leaves. This happens most typically in youthful, unpracticed tobacco gatherers who don't devour tobacco. People are often presented to nicotine within the work environment by breathing it in, skin retention, gulping it, or eye to eye connection. The Occupational Safety and Health Administration (OSHA) has set as far as possible (passable openness limit) for nicotine openness within the work environment as 0.5 mg/m3 skin openness over a 8-hour workday. The US National Institute for Occupational Safety and Health (NIOSH) has set a suggested openness limit (REL) of 0.5 mg/m3 skin openness over an 8-hour workday. At natural degrees of 5 mg/m3, nicotine is promptly risky to life and wellbeing.

Fluid nicotine and smokeless tobacco items are the most sources of nicotine harming. This is often on the grounds that the nicotine is cleaner. Additionally, you'll feel that these sorts of items are safer than tobacco smoke and afterward burn-through a greater amount of them.

Biosynthesis

The biosynthetic pathway of nicotine includes a coupling response between the 2 cyclic constructions that involve nicotine. Metabolic investigations show that the pyridine ring of nicotine is gotten from niacin (nicotinic corrosive) while the pyrrolidine is gotten from N-methyl-Δ1-pyrrollidium cation. Biosynthesis of the 2 segment structures continues by means of two free amalgamations, the NAD pathway for niacin and therefore the tropane pathway for N-methyl-Δ1-pyrrollidium cation.

The NAD pathway within the class Nicotiana starts with the oxidation of aspartic corrosive into α-imino succinate by aspartate oxidase (AO). This is often trailed by a buildup with glyceraldehyde-3-phosphate and a cyclization catalyzed by quinolinate synthase (QS) to offer quinolinic corrosive. Quinolinic corrosive at that time responds with phosphoriboxyl pyrophosphate catalyzed by quinolinic corrosive phosphoribosyl transferase (QPT) to shape niacin mononucleotide (NaMN). The response currently continues through the NAD rescue cycle to deliver niacin by means of the change of nicotinamide by the compound nicotinamidase.

The N-methyl-Δ1-pyrrollidium cation utilized within the union of nicotine may be a middle of the road within the amalgamation of tropane-determined alkaloids. Biosynthesis starts with decarboxylation of ornithine by ornithine decarboxylase (ODC) to deliver putrescine. Putrescine is then changed over into N-methyl putrescine by means of methylation by SAM catalyzed by putrescine N-methyltransferase (PMT). N-methylputrescine then goes through deamination into 4-methylaminobutanal by the N-methylputrescine oxidase (MPO) catalyst, 4-methylaminobutanal then suddenly cyclize into N-methyl-Δ1-pyrrollidium cation.

The last advance within the amalgamation of nicotine is that the coupling between N-methyl-Δ1-pyrrollidium cation and niacin. Despite the very fact that reviews close some sort of coupling between the 2 part structures, the positive interaction and system stays unsure. The present concurred hypothesis includes the transformation of niacin into 2,5-dihydropyridine through 3,6-dihydronicotinic corrosive. The 2, 5-dihydropyridine transitional would then respond with N-methyl-Δ1-pyrrollidium cation to border enantiomerically unadulterated (−) - nicotine.

Conclusion

Nicotine is that the boss addictive fixing within the tobacco utilized in cigarettes, stogies, and snuff. In its psychoactive impacts, nicotine may be a one among a sort substance with a biphasic impact; when breathed briefly puffs it's an energizer impact, yet when smoked in profound hauls it can have a sedating impact. This is often the rationale smoking can feel empowering at certain occasions and may appear to obstruct upsetting upgrades at others. Nicotine is additionally an addictive medication, however, and smokers naturally show a solid inclination to backslide after having effectively quit smoking for a period. At the purpose when ingested in bigger portions, nicotine may be a profoundly poisonous toxic substance that causes spewing and sickness, migraines, stomach torments, and, in serious cases, seizures, loss of motion, and demise.

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