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Abbaszadeh M, Sayadi MH, Kharkan J. Impact of polyvinyl chloride microplastic and paraquat herbicide on the blood cells, biochemical parameters, liver enzymes and morphological changes of aqueduct fish. CHEMOSPHERE 2024; 362:142643. [PMID: 38897326 DOI: 10.1016/j.chemosphere.2024.142643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Revised: 05/27/2024] [Accepted: 06/16/2024] [Indexed: 06/21/2024]
Abstract
In recent years, the surge in plastic production has led to pervasive pollution across all environments, earning us the title of inhabiting a "plastic world." Consequently, this research endeavors to explore alterations in biochemical parameters, liver enzymes, and tissue integrity within the gills, intestines, and liver of black fish subjected to polyvinyl chloride (PVC) microplastics and paraquat herbicide, both individually and in combination. For this purpose, we allocated 90 blackfish specimens into 9 groups consisting of 10 individuals each through random selection. Following a period of 28 days, we carried out an assessment to investigate the toxic effects of PVC and paraquat, both separately and in combination. Subsequently, The results indicate that the number of red blood cells (RBCs, millions/mm3) in all studied groups (Group G: 3.6 ± 0.18; Group H: 3.5 ± 0.17; and Group I: 3.2 ± 0.16) is significanly lower than the control group (Pvalue<0.05). The glucose levels in all studied groups (Group B: 47 ± 5.12; Group C: 48 ± 3.79; Group D: 51 ± 4.14; Group E: 48 ± 5.37; Group F: 53 ± 7.48; Group G: 53 ± 9.24; Group H: 58 ± 10.43; and Group I: 61 ± 8.71) are higher than the control group (46 ± 3.71). The results indicate that the levels of AST enzyme in all studied groups (group B: 30 ± 0.17; group C: 32 ± 1.61; group D: 34 ± 1.92; group E: 33 ± 1.17; group F: 38 ± 2.27; group G: 38 ± 1.71; group H: 43 ± 2.15; and group I: 46 ± 2.33). Groups F, G, H, and I exhibit significantly higher levels of AST enzyme compared to the control group, with a p-value<0.05. Morphological changes observed in erythrocytes include deformation and cell vacuolation. The maximum amount of changes in the morphology of erythrocytes occurs when black fish is exposed to 2 mg/L of PVC and 0.4 mg/L of paraquat (group I). The histological harm caused by the combination of PVC and paraquat is significant. Findings indicate that increasing the concentration of both microplastics and paraquat enhances their toxicity when combined. Consequently, it's imperative to assess the toxic impact of microplastics (MPs) and paraquat individually, as well as in combination, on aquatic organisms to safeguard them from the detrimental effects of these substances.
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Affiliation(s)
- Mohammad Abbaszadeh
- Department of Environmental Sciences, School of Natural Resources and Environmental, University of Birjand, Birjand, Iran
| | - Mohammad Hossein Sayadi
- Faculty of Natural Resources and Environment, Shahid Bahonar University of Kerman, Kerman, Iran.
| | - Javad Kharkan
- Department of Environmental Sciences, School of Natural Resources and Environmental, University of Birjand, Birjand, Iran
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Han Y, Liu Z, Lu L, Wang B, Li W, Yuan X, Ding J, Zhang H, Liu J. Tetrabromobisphenol A reduces male rats reproductive organ coefficients and disrupting sexual hormone by causing oxidative stress. Toxicology 2024; 505:153837. [PMID: 38763426 DOI: 10.1016/j.tox.2024.153837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 05/14/2024] [Accepted: 05/16/2024] [Indexed: 05/21/2024]
Abstract
Tetrabromobisphenol A (TBBPA) has become a topic of public attention due to its pervasive detection in the environment and organisms in recent decades. However, limited information is available regarding the toxicity of TBBPA on reproductive ability of male mammals. Herein, the reproductive toxicity of TBBPA was investigated in male rats to fill the knowledge gap. In this study, male rats were exposed to TBBPA (0, 10, 100, and 1000 mg/kg) for 6 weeks. Subsequently, body and organ indexes, histopathological evaluation of testis and epididymis, ultrastructural observation of sperm, testosterone and progesterone levels, and oxidative stress indicators were conducted to reveal corresponding mechanisms. Results obtained showed that compare to the control group, the body weight, testes weight, epididymis weight, seminal vesicle and coagulation glands weight of rats in the 1000 mg/kg group lost 8.30%, 16.84%, 20.16%, 19.72% and 26.42%, respectively. Intriguingly, exposure to TBBPA (10, 100, 100 mg/kg) resulted in substantial pathological damage in testis, epididymis and sperm. TBBPA exposure also increased malondialdehyde (MDA) and hydrogen peroxide (H2O2) contents, as well as superoxide dismutase (T-SOD) and catalase (CAT) activities in testicular tissue. What's more, the testosterone and progesterone levels in male rat serum were significantly decreased after exposure to TBBPA for 6 weeks. Meanwhile, results of molecular docking showed that TBBPA has a strong affinity with estrogen receptors (ERs). These findings demonstrated that TBBPA exposure negatively impacts the reproductive ability of male rats, thus providing new insights for risk assessment for reproductive health under TBBPA exposure.
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Affiliation(s)
- Yu Han
- School of Life Sciences, Central South University, Changsha 410083, China; School of Life and Environmental Sciences, Hangzhou Normal University, Hangzhou 311121, China
| | - Zhiquan Liu
- School of Engineering, Hangzhou Normal University, Hangzhou 311121, China
| | - Liping Lu
- School of Public Health Hangzhou Normal University, Hangzhou 311121, China
| | - Binhao Wang
- School of Engineering, Hangzhou Normal University, Hangzhou 311121, China
| | - Wenbing Li
- School of Engineering, Hangzhou Normal University, Hangzhou 311121, China
| | - Xia Yuan
- School of Engineering, Hangzhou Normal University, Hangzhou 311121, China
| | - Jiafeng Ding
- School of Engineering, Hangzhou Normal University, Hangzhou 311121, China
| | - Hangjun Zhang
- School of Engineering, Hangzhou Normal University, Hangzhou 311121, China.
| | - Jing Liu
- School of Life Sciences, Central South University, Changsha 410083, China; Department of Hematology, the Second Xiangya Hospital, Molecular Biology Research Center, School of Life Sciences, Hunan Province Key Laboratory of Basic and Applied Hematology, Central South University, Changsha 410011, China.
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Farag AA, Bayoumi H, Radwaan SE, El Gazzar WB, Youssef HS, Nasr HE, Badr AM, Mansour HM, Elalfy A, Sayed AEDH, Kharboush TG, Aboelkomsan EAF, Sliem RE. Melatonin counteracts polyethylene microplastics induced adreno-cortical damage in male albino rats. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2024; 279:116499. [PMID: 38805828 DOI: 10.1016/j.ecoenv.2024.116499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Revised: 05/03/2024] [Accepted: 05/21/2024] [Indexed: 05/30/2024]
Abstract
There are various substances that can disrupt the homeostatic mechanisms of the body, defined as endocrine-disrupting chemicals (EDCs). The persistent nature of microplastics (MPs) is a cause for concern due to their ability to accumulate in food chains and widespread use, making their toxic effects particularly alarming. The potential of MPs for disrupting the endocrine system was observed in multiple tissues. Moreover, the adrenal gland is known to be extremely sensitive to EDCs, while with the effect of MPs on the adrenal gland has not previously been studied. This study aimed to highlight the potential polyethylene microplastics (PE-MPs) induced adreno-toxic effects rather than exploring the implicated mechanisms and concluding if melatonin (Mel) can afford protection against PE-MPs induced adreno-toxicity. To fulfill the goal, six groups of rats were used; control, Mel, PE-MPs (3.75 mg/kg), PE-MPs (15 mg/kg), PE-MPs (3.75 mg/kg) +Mel, and PE-MPs (15 mg/kg) +Mel. PE-MPs induced toxic changes in the adrenal cortex, which was evident by increased adrenal weight, histopathological examination, and ultrastructural changes detected by electron microscope. A reduction in serum cortisol and an increase in serum adrenocorticotropic hormone resulted from the adreno-toxic effects of PE-MPs. Mechanisms may include the reduction of steroidogenesis-related genes, as PE-MPs drastically reduce mRNA levels of StAR, Nr0b1, Cyp11A1, as well as Cyp11B1. Also, oxidative stress that results from PE-MPs is associated with higher rates of lipid peroxidation and decreased superoxide dismutase and glutathione. PE-MPs inflammatory effect was illustrated by elevated expression of IL-1β and NF-ķB, detected by immunohistochemical staining, in addition to increased expression of caspase-3 and mRNA of Bax, markers of proapoptotic activity. The impacts of PE-MPs were relatively dose-related, with the higher dose showing more significant toxicity than the lower one. Mel treatment was associated with a substantial amelioration of PE-MPs-induced toxic changes. Collectively, this study fills the knowledge gap about the MPs-induced adrenal cortex and elucidates various related toxic mechanisms. It also supports Mel's potential protective activity through antioxidant, anti-inflammatory, anti-apoptotic, and gene transcription regulatory effects.
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Affiliation(s)
- Amina A Farag
- Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Benha University, Benha City 13518, Egypt
| | - Heba Bayoumi
- Department of Histology and Cell Biology, Faculty of Medicine, Benha University, Benha City 13518, Egypt
| | - Shaimaa E Radwaan
- Department of Zoology, Faculty of Science, Benha University, Benha City 13518, Egypt
| | - Walaa Bayoumie El Gazzar
- Department of Anatomy, Physiology and Biochemistry, Faculty of Medicine, the Hashemite University, Zarqa 13133, Jordan; Department of Medical Biochemistry and Molecular biology, Faculty of Medicine, Benha University, Benha city 13518, Egypt
| | - Heba S Youssef
- Department of Physiology, Faculty of Medicine, Benha University, Benha City 13518, Egypt
| | - Hend Elsayed Nasr
- Department of Medical Biochemistry and Molecular biology, Faculty of Medicine, Benha University, Benha city 13518, Egypt
| | - Amira M Badr
- Department of Pharmacology and Toxicology, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt
| | - Heba M Mansour
- Department of Pharmacology and Toxicology, College of Pharmaceutical Sciences and Drug Manufacturing, Misr University for Science and Technology, October City 12573, Egypt
| | - Amira Elalfy
- Department of Histology and Cell Biology, Faculty of Medicine, Benha University, Benha City 13518, Egypt
| | - Alaa El-Din Hamid Sayed
- Department of Zoology, Faculty of Science, Assiut University, 71516, Egypt; Molecular Biology Research & Studies Institute, Assiut University, 71516 Assiut, Egypt.
| | - Tayseir G Kharboush
- Department of Pharmacology and therapeutics, Faculty of Medicine, Benha University, Benha City 13518, Egypt
| | | | - Rania E Sliem
- Department of Zoology, Faculty of Science, Benha University, Benha City 13518, Egypt
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Dainelli M, Castellani MB, Pignattelli S, Falsini S, Ristori S, Papini A, Colzi I, Coppi A, Gonnelli C. Growth, physiological parameters and DNA methylation in Spirodela polyrhiza (L.) Schleid exposed to PET micro-nanoplastic contaminated waters. PLANT PHYSIOLOGY AND BIOCHEMISTRY : PPB 2024; 207:108403. [PMID: 38290343 DOI: 10.1016/j.plaphy.2024.108403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 01/09/2024] [Accepted: 01/25/2024] [Indexed: 02/01/2024]
Abstract
The effects of polyethylene terephthalate micro-nanoplastics (PET-MNPs) were tested on the model freshwater species Spirodela polyrhiza (L.) Schleid., with focus on possible particle-induced epigenetic effects (i.e. alteration of DNA methylation status). MNPs (size ∼ 200-300 nm) were produced as water dispersions from PET bottles through repeated cycles of homogenization and used to prepare N-medium at two environmentally relevant concentrations (∼0.05 g L-1 and ∼0.1 g L-1 of MNPs). After 10 days of exposure, a reduction in fresh and dry weight was observed in treated plants, even if the average specific growth rate for both frond number and area was not altered. Impaired growth was coupled with a MNP-induced decrease of chlorophyll fluorescence parameters (i.e. ΨETo and Piabs, indicators of photochemical efficiency) and starch concentration, as well as with alterations in plant ionomic profile and oxidative status. The methylation-sensitive amplification polymorphism (MSAP) technique was used to assess possible changes in DNA methylation levels induced by plastic particles. The analysis showed unusual hypermethylation in 5'-CCGG sites that could be implicated in DNA protection from dangerous agents (i.e. reactive oxygen species) or in the formation of new epialleles. This work represents the first evidence of MNP-induced epigenetic modifications in the plant world.
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Affiliation(s)
- Marco Dainelli
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
| | - Maria Beatrice Castellani
- Institute of Bioscience and Bioresources (IBBR), National Research Council (CNR), Via Madonna del Piano 10, 50019, Sesto Fiorentino, Italy
| | - Sara Pignattelli
- Institute of Bioscience and Bioresources (IBBR), National Research Council (CNR), Via Madonna del Piano 10, 50019, Sesto Fiorentino, Italy
| | - Sara Falsini
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
| | - Sandra Ristori
- Department of Chemistry, University of Florence, Via della Lastruccia 3, Sesto Fiorentino, 50019, Firenze, Italy
| | - Alessio Papini
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
| | - Ilaria Colzi
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy.
| | - Andrea Coppi
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
| | - Cristina Gonnelli
- Department of Biology, Università degli Studi di Firenze, via Micheli 1, 50121, Florence, Italy
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Liu Z, Hua X, Zhao Y, Bian Q, Wang D. Polyethylene nanoplastics cause reproductive toxicity associated with activation of both estrogenic hormone receptor NHR-14 and DNA damage checkpoints in C. elegans. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 906:167471. [PMID: 37778542 DOI: 10.1016/j.scitotenv.2023.167471] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 09/27/2023] [Accepted: 09/28/2023] [Indexed: 10/03/2023]
Abstract
As the most commercial polymer, the polyethylene nanoparticle (PE-NP) has been discharged into the environment and poses potential risks to organisms. However, the possible reproductive toxicity of PE-NP and underlying mechanisms remain largely unknown. In this study, Caenorhabditis elegans was employed as the animal model to effects of PE-NP (100 nm) and their leachates on reproduction and underlying mechanisms. Nematodes were exposed to PE-NP at 0.1-100 μg/L from L1-larvae to adult day 1 (approximately 4.5 days). Both brood size and number of fertilized eggs in uterus were decreased by 10 and 100 μg/L PE-NP, but could not be affected by their leachates. In addition, number of mitotic cells, length, and area of gonad were reduced by 10 and 100 μg/L PE-NP, but were not altered by their leachates. Accompanied with alteration in expressions of genes (egl-1, ced-9, ced-4, and ced-3) governing cell apoptosis, germline apoptosis was enhanced by PE-NP. Meanwhile, DNA damage was involved in the enhancement germline apoptosis after PE-NP exposure. PE-NP further increased expression of nhr-14 encoding estrogenic hormone receptor, and RNAi of nhr-14 suppressed PE-NP reproductive toxicity. Moreover, RNAi of nhr-14 decreased expression of egl-1, ced-4, ced-3, and mrt-2 in PE-NP exposed nematodes. Therefore, exposure to PE-NPs rather than in their leachates potentially caused reproductive toxicity by activating both estrogenic hormone receptor NHR-14 and DNA damage checkpoints (CLK-2, HUS-1, and MRT-2) in nematodes. These findings provide important insights into the exposure risk of PE-NPs on reproduction of environmental organisms.
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Affiliation(s)
- Zhengying Liu
- Key Laboratory of Environmental Medicine Engineering of Ministry of Education, Medical School, Southeast University, Nanjing, China
| | - Xin Hua
- Key Laboratory of Environmental Medicine Engineering of Ministry of Education, Medical School, Southeast University, Nanjing, China
| | - Yue Zhao
- Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China
| | - Qian Bian
- Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China
| | - Dayong Wang
- Key Laboratory of Environmental Medicine Engineering of Ministry of Education, Medical School, Southeast University, Nanjing, China; Shenzhen Ruipuxun Academy for Stem Cell & Regenerative Medicine, Shenzhen, China.
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Liu Z, You XY. Recent progress of microplastic toxicity on human exposure base on in vitro and in vivo studies. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 903:166766. [PMID: 37666331 DOI: 10.1016/j.scitotenv.2023.166766] [Citation(s) in RCA: 17] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 08/30/2023] [Accepted: 08/31/2023] [Indexed: 09/06/2023]
Abstract
Microplastics are widely distributed in the environment, including the atmosphere, soil and water bodies. They have been found to have toxic effects on organisms. The impact on human health is also receiving considerable attention. Microplastics can be found in drinking water, food, air and plastic products, and they can enter human body through the pathways such as ingestion, inhalation, and skin contact. After exposure to microplastics, they can induce cellular toxicity and produce toxic effects on multiple organs and systems, including the digestive, respiratory, nervous, reproductive and cardiovascular systems. This paper presents a comprehensive review and analysis on the recent progress of human exposure studies, in vitro experiments, rodent experiments, and other model experiments in microplastic human toxicity research. It comprehensively analyzes the potential human toxic effects of microplastics, providing a theoretical basis for further research on microplastic human toxicity and its mechanisms. Furthermore, this paper highlights the knowledge gaps and provides the recommendations for future research on human toxicity of microplastics.
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Affiliation(s)
- Zhengguo Liu
- Tianjin Engineering Center of Urban River Eco-purification Technology, School of Environmental Science and Engineering, Tianjin University, Jinnan District, Tianjin 300350, China
| | - Xue-Yi You
- Tianjin Engineering Center of Urban River Eco-purification Technology, School of Environmental Science and Engineering, Tianjin University, Jinnan District, Tianjin 300350, China.
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El Gazzar WB, Sliem RE, Bayoumi H, Nasr HE, Shabanah M, Elalfy A, Radwaan SE, Gebba MA, Mansour HM, Badr AM, Amer MF, Ashour SS, Morsi H, Aboelkomsan ESAF, Baioumy B, Sayed AEDH, Farag AA. Melatonin Alleviates Intestinal Barrier Damaging Effects Induced by Polyethylene Microplastics in Albino Rats. Int J Mol Sci 2023; 24:13619. [PMID: 37686424 PMCID: PMC10488227 DOI: 10.3390/ijms241713619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 08/27/2023] [Accepted: 08/29/2023] [Indexed: 09/10/2023] Open
Abstract
There have been concerns about the potential health risks posed by microplastics (MP). The detection of MP in a variety of food products revealed that humans are ingesting MP. Nevertheless, there is a paucity of data about their impacts, as well as their uptake, on intestinal barrier integrity. This study examined the toxic effects of oral administration of two doses of polyethylene microplastics (PE-MP) (3.75 or 15 mg/kg/day for 5 weeks; mean particle size: 4.0-6.0 µm) on the intestinal barrier integrity in rats. Moreover, the effect of melatonin treatment with MP exposure was also assessed. The PE-MP particle uptake, histopathological changes, Alcian blue staining, Muc2 mRNA, proinflammatory cytokines (IL-1β and TNF-α), and cleaved caspase-3, as well as tight junction proteins (claudin-1, myosin light-chain kinase (MLCK), occludin, and zonula occludens-1 (ZO-1)) were assessed. Oral administration of PE-MP resulted in apparent jejunal histopathological alterations; significantly decreased mucin secretion, occludin, ZO-1, and claudin-1 expression; and significantly upregulated MLCK mRNA, IL-1β concentration, and cleaved caspase-3 expression. Melatonin reversed these altered parameters and improved the PE-MP-induced histopathological and ultrastructure changes. This study highlighted the PE-MP's toxic effect on intestinal barrier integrity and revealed the protective effect of melatonin.
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Affiliation(s)
- Walaa Bayoumie El Gazzar
- Department of Anatomy, Physiology and Biochemistry, Faculty of Medicine, The Hashemite University, P.O. Box 330127, Zarqa 13133, Jordan
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Benha University, Benha 13518, Egypt;
| | - Rania E. Sliem
- Department of Zoology, Faculty of Science, Benha University, Benha 13518, Egypt; (R.E.S.); (S.E.R.)
| | - Heba Bayoumi
- Department of Histology and Cell Biology, Faculty of Medicine, Benha University, Benha 13518, Egypt; (H.B.); (A.E.)
| | - Hend Elsayed Nasr
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Benha University, Benha 13518, Egypt;
| | - Manar Shabanah
- Department of Physiology, Faculty of Medicine, Mansoura University, Mansoura 35511, Egypt;
| | - Amira Elalfy
- Department of Histology and Cell Biology, Faculty of Medicine, Benha University, Benha 13518, Egypt; (H.B.); (A.E.)
| | - Shaimaa E. Radwaan
- Department of Zoology, Faculty of Science, Benha University, Benha 13518, Egypt; (R.E.S.); (S.E.R.)
| | - Mohammed A. Gebba
- Department of Anatomy and Embryology, Faculty of Medicine, Benha University, Benha 13518, Egypt; (M.A.G.)
- Department of Anatomy and Embryology, Faculty of Medicine, Merit University, Sohag 82524, Egypt
| | - Heba M. Mansour
- Department of Pharmacology and Toxicology, College of Pharmaceutical Sciences and Drug Manufacturing, Misr University for Science and Technology, 6th of October City 12573, Egypt;
| | - Amul M. Badr
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Cairo University, Cairo 11451, Egypt; (A.M.B.); (M.F.A.); (S.S.A.); (H.M.)
| | - Marwa Fathy Amer
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Cairo University, Cairo 11451, Egypt; (A.M.B.); (M.F.A.); (S.S.A.); (H.M.)
| | - Sara S. Ashour
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Cairo University, Cairo 11451, Egypt; (A.M.B.); (M.F.A.); (S.S.A.); (H.M.)
| | - Heba Morsi
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Cairo University, Cairo 11451, Egypt; (A.M.B.); (M.F.A.); (S.S.A.); (H.M.)
| | | | - Bodour Baioumy
- Department of Anatomy and Embryology, Faculty of Medicine, Benha University, Benha 13518, Egypt; (M.A.G.)
| | | | - Amina A. Farag
- Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Benha University, Benha 13518, Egypt;
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