The Open Biomedical Engineering Journal




ISSN: 1874-1207 ― Volume 13, 2019

Intraoperative Near-infrared Fluorescence Imaging with Novel Indocyanine Green-Loaded Nanocarrier for Spinal Metastasis: A Preliminary Animal Study



Toru Funayama, Masataka Sakane*, Tetsuya Abe, Isao Hara, Eiichi Ozeki, Naoyuki Ochiai
1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan/ Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba

Abstract

Marginal resection during resection of a spinal metastasis is frequently difficult because of the presence of important tissues such as the aorta, vena cava, and dura mater, including the spinal cord adjacent to the vertebral body. Thus, there is an urgent need for novel intraoperative imaging modalities with the ability to clearly identify bone metastasis. We have proposed a novel nanocarrier loaded with indocyanine green (ICG) (ICG-lactosome) with tumor selectivity attributable to its enhanced permeation and retention (EPR) effect. We studied its feasibility in intraoperative near-infrared (NIR) fluorescence diagnosis with ICG-lactosome for imaging spinal metastasis. A rat model of subcutaneous mammary tumor and a rat model of spinal metastasis of breast cancer were used. Fluorescence emitted by the subcutaneous tumors and the spinal metastasis were clearly detected for at least 24 h. Moreover, imaging of the dissected spine revealed clear fluorescence emitted by the metastatic lesion in the L6 vertebra while the normal bone lacked fluorescence. This study was the first report on NIR fluorescence imaging of spinal metastasis in vivo. NIR fluorescence imaging with ICG-lactosome could be an effective intraoperative imaging modality for detecting spinal metastasis.

Keywords: Animal study, indocyanine green, intraoperative imaging modality, nanocarrier, near-infrared fluorescence imaging, spinal metastasis..


Article Information


Identifiers and Pagination:

Year: 2012
Volume: 6
First Page: 80
Last Page: 84
Publisher Id: TOBEJ-6-80
DOI: 10.2174/1874120701206010080

Article History:

Received Date: 22/12/2011
Revision Received Date: 28/2/2012
Acceptance Date: 1/3/2012
Electronic publication date: 14/6/2012
Collection year: 2012

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© Funayama et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.


* Address correspondence to this author at the 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan/ Department of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba; Tel: +81-29-8533219; Fax: +81-29-8533214; Emails: sakane-m@md.tsukuba.ac.jp, sakane.masataka@gmail.com




INTRODUCTION

Breast cancer is the most frequent site of origin of spinal metastasis [1Bohm P, and Huber J, "The surgical treatment of bony metastases of the spine and limbs", J. Bone Joint Surg. Br, vol. vol. 84, no. no. 4, pp. 521-529, 2002., 2Schaberg J, and Gainor B J, "A profile of metastatic carcinoma of the spine", Spine (Phila Pa 1976), vol. vol. 10, no. no. 1, pp. 19-20, 1985.]. Previous studies reported that spinal metastasis would occur even if the primary lesion is controlled, and it is significantly associated with deterioration of the quality of life (QOL) of these patients due to pain and metastatic epidural spinal cord compression [3Abrahm J L, Banffy M B, and Harris M B, "Spinal cord compression in patients with advanced metastatic cancer: "all I care about is walking and living my life"", JAMA, vol. vol. 299, no. no. 8, pp. 937-946, 2008., 4Oka H, Kondoh T, Seichi A, Hozumi T, and Nakamura K, " "Incidence and prognostic factors of Japanese breast cancer patients with bone metastasis", J. Orthop. Sci, vol. vol. 11, no. no. 1, pp. 13-19, 2006.]. Although recent advances in surgery has improved the QOL of patients [5Ibrahim A, Crockard A, Antonietti P, Boriani S, Bunger C, Gasbarrini A, Grejs A, Harms J, Kawahara N, Mazel C, Melcher R, and Tomita K, "Does spinal surgery improve the quality of life for those with extradural (spinal) osseous metastases? An international multicenter prospective observational study of 223 patients. Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2007", J. Neurosurg. Spine, vol. vol. 8, no. no. 3, pp. 271-278, 2008., 6Patchell R A, Tibbs P A, Regine W F, Payne R, Saris S, Kryscio R J, Mohiuddin M, and Young B, "Direct decompressive surgical resection in the treatment of spinal cord compression caused by metastatic cancer: a randomised trial", Lancet, vol. vol. 366, no. no. 9486, pp. 643-648, 2005.], local recurrence is relatively common [7Cole J S, and Patchell R A, "Metastatic epidural spinal cord compression", Lancet Neurol, vol. vol. 7, no. no. 5, pp. 459-466, 2008., 8Sakaura H, Hosono N, Mukai Y, Ishii T, Yonenobu K, and Yoshikawa H, "Outcome of total en bloc spondylectomy for solitary metastasis of the thoracolumbar spine", J. Spinal Disord. Tech, vol. vol. 17, no. no. 4, pp. 297-300, 2004.] and the therapeutic options after recurrence are often limited to such as radiation therapy [7Cole J S, and Patchell R A, "Metastatic epidural spinal cord compression", Lancet Neurol, vol. vol. 7, no. no. 5, pp. 459-466, 2008.]. Therefore, it is important to control spinal metastasis, and there is an urgent need for novel intraoperative imaging modalities that are capable of identifying metastatic cancer tissue in bone.

Near-infrared (NIR) fluorescence optical imaging has become an increasingly attractive technology for the noninvasive diagnosis of diseases [9Pierce M C, Javier D J, and Richards-Kortum R, "Optical contrast agents and imaging systems for detection and diagnosis of cancer", Int. J. Cancer, vol. vol. 123, no. no. 9, pp. 1979-1990, 2008.]. Recently, there has been considerable focus on the potential use of indocyanine green (ICG) in intraoperative real-time imaging [10Schaafsma B E, Mieog J S, Hutteman M, van der Vorst J R, Kuppen P J, Lowik C W, Frangioni J V, van de Velde C J, and Vahrmeijer A L, "The clinical use of indocyanine green as a near-infrared fluorescent contrast agent for image-guided oncologic surgery", J. Surg. Oncol, vol. vol. 104, no. no. 3, pp. 323-32, .-16Schubert G A, Schmieder K, Seiz-Rosenhagen M, and Thome C, "ICG Videography Facilitates Interpretation of Vascular Supply and Anatomical Landmarks in Intramedullary Spinal Lesions: Two Case Reports", Spine, vol. vol. 36, no. no. 12, pp. E811-813, 2011.]. However, the strong binding of plasma proteins with ICG and its subsequent rapid clearance by the liver results in binding of ICG to the tumor only for a short duration after administration; thus, the use of ICG for tumor imaging applications is limited [17Licha K, Riefke B, Ntziachristos V, Becker A, Chance B, and Semmler W, "Hydrophilic cyanine dyes as contrast agents for near-infrared tumor imaging: synthesis, photophysical properties and spectroscopic in vivo characterization", Photochem. Photobiol, vol. vol. 72, no. no. 3, pp. 392-398, 2000.].

A potential approach to overcoming this disadvantage is delivering ICG in a nanocarrier that can provide increased stability and protection from nonspecific plasma protein binding and offer enhanced circulation time [18Altinoglu E I, Russin T J, Kaiser J M, Barth B M, Eklund P C, Kester M, and Adair J H, "Near-infrared emitting fluorophore-doped calcium phosphate nanoparticles for in vivo imaging of human breast cancer", ACS Nano, vol. vol. 2, no. no. 10, pp. 2075-2084, 2008.-20Tanisaka H, Kizaka-Kondoh S, Makino A, Tanaka S, Hiraoka M, and Kimura S, "Near-infrared fluorescent labeled peptosome for application to cancer imaging", Bioconjug. Chem, vol. vol. 19, no. no. 1, pp. 109-117, 2008.]. A novel nanocarrier, ICG-lactosome [21Makino A, Kizaka-Kondoh S, Yamahara R, Hara I, Kanzaki T, Ozeki E, Hiraoka M, and Kimura S, " "Near-infrared fluorescence tumor imaging using nanocarrier composed of poly(L-lactic acid)-block-poly(sarcosine) amphiphilic polydepsipeptide", Biomaterials, vol. vol. 30, no. no. 28, pp. 5156-5160, 2009.], which is a molecular assembly composed of hydrophobic poly(L-lactic acid) (PLLA) and hydrophilic poly(sarcosine) (PSar) amphiphilic block polydespsipeptide including ICG labeled PLLA in the hydrophobic inner core, provides good tumor imaging without accumulation to the liver. ICG-lactosome having a diameter of 30-40 nm shows high escape ability, stealth property in other word, from reticuloendothelial system (RES), and accumulated to the tumor region by the enhanced permeation and retention (EPR) effect [22Matsumura Y, and Maeda H, "A new concept for macromolecular therapeutics in cancer chemotherapy: mechanism of tumoritropic accumulation of proteins and the antitumor agent smancs", Cancer Res, vol. vol. 46, no. no. 12 Pt 1, pp. 6387-6392, 1986.]. This is because the high density of hydrophilic PSar chains so called polymer brush around the molecular assemblies contributes to the inhibition from RES recognition.

In this study, we aimed to investigate the usefulness of intraoperative NIR fluorescence imaging using ICG-lactosome in the detection of spinal metastasis.

MATERIALS AND METHODS

Tumor Cell Lines and Animal Care

The rat mammary adenocarcinoma cell line CRL-1666 (also known as 13762 MAT B III) was selected and purchased from the American Type Culture Collection (Manassas, VA). The cells were cultured in Dulbecco’s modified Eagle’s medium (DMEM) containing 10% fetal bovine serum, 80.5 pg/ml streptomycin, 80.5 U/ml penicillin, and 1% l-glutamine, and maintained in the humidified atmosphere containing 5% CO2 at a temperature at 37°C. All animals were cared for in accordance with the guidelines of the Laboratory Animal Resource Center of University of Tsukuba. The rats were anesthetized by intraperitoneal injection of sodium pentobarbital (Somnopentil, 32.5 mg/kg body weight) before initiation of all the experiments.

Materials and Instruments

A chloroform solution (1.0 ml) of PSar70-PLLA30 (1.16 μmol) and ICG labeled PLLA30 (17.4 nmol) was dripped into test tube. The solvent was removed under the reduced pressure and thin film was formed on wall surface of the tube. Ultrapure water (3 ml) was added into the tube and the solution was incubated at 85 degrees C for 20 minutes. The resulting solution was lyophilized after filtration by 0.2 μm pore size. The hydrodynamic diameter of ICG-lactosome was 38 nm. Before imaging, the rats were intravenously injected with 0.5 ml of 1 mg/ml ICG-lactosome solution (dissolved in saline) via the tail vein. The concentration of ICG was 1.93 μmol/L. NIR fluorescence images were taken by Clairvivo OPT (Shimadzu Corporation, Kyoto, Japan). Four laser diodes at 785 nm with a total power of 1 mW/cm2 for fluorescence excitation and a filter set (excitation at 785 nm and emission at 845 nm) were used for imaging. Prior to imaging, the rats were anesthetized as described previously, and the hair of the lesion was cut using clippers.

NIR Fluorescence Imaging of Subcutaneous Mammary Tumors

We used four 8-week-old female Fischer-344 rats in this study. The rats received subcutaneous injection of 1.5 × 106 CRL-1666 cells near the right mammary gland. A subcutaneous tumor (approximately 1 cm in size) was created 10 days after the injection. One rat (No. 1) was imaged just before the ICG-lactosome injection (as a control) and at 1 min and 1, 3, and 6 h after the injection. The other 3 rats (No. 2, 3, and 4) were imaged 12, 24, and 48 h after the injection, respectively (Table 1). All the rats were placed in the supine position during imaging.

Table 1

Rats Examined in this Study




NIR Fluorescence Imaging of Rat Spinal Metastasis of Breast Cancer

We selected a rat model of spinal metastasis of breast cancer [23Mantha A, Legnani F G, Bagley C A, Gallia G L, Garonzik I, Pradilla G, Amundson E, Tyler B M, Brem H, and Gokaslan Z L, "A novel rat model for the study of intraosseous metastatic spine cancer", J. Neurosurg. Spine, vol. vol. 2, no. no. 3, pp. 303-307, 2005.] for this investigation. Four female Fischer 344 rats (11-week-old) were used. A breast cancer section (1 mm × 1 mm × 1 mm) of CRL-1666 cells was implanted into a hole created in the L6 vertebral body of the rats [24Abe T, Sakane M, Ikoma T, Kobayashi M, Nakamura S, and Ochiai N, "Intraosseous delivery of paclitaxel-loaded hydroxyapatitealginate composite beads delaying paralysis caused by metastatic spine cancer in rats", J. Neurosurg. Spine, vol. vol. 9, no. no. 5, pp. 502-510, 2008.]. Two rats were imaged at 1 min and 3, 6, 12 (No. 5), and 24 h (No. 6) after ICG-lactosome injection on day 7 after cell implantation. The remaining 2 rats with hind-limb paralysis (No. 7 and 8) were imaged on days 11 and 18, respectively (Table 1). All the rats were placed in the prone position during imaging. After the whole-body imaging procedure was completed, the animals were sacrificed and their lumbar spines were dissected, set in the supine position, and imaged again.

After the NIR fluorescence imaging, the dissected spines were fixed in 10% formalin solution, decalcified, and processed for hematoxylin and eosin (H&E) staining. Axial cross-sections of the L6 vertebra were histologically inspected.

RESULTS

NIR Fluorescence Imaging

Fluorescence emitted at the subcutaneous tumor site (Fig. 1) was detected 1 min after the ICG-lactosome injection and gradually increased with time until 6 h (No. 1). Thereafter, the fluorescence intensity remained high until 24 h (No. 2 and 3). The fluorescence emitted from the tumor decreased, and was detected in the bladder at 48 h (No. 4). Fluorescence was also detected in hairless portions of the body such as the mouth, foot, and tail until 24 h. Fluorescence of the lumbar spine (Fig. 2) was detected from 1 min after the ICG-lactosome injection, and the fluorescence intensity remained high until 24 h (No. 5 and 6). Fluorescence intensity of the lumbar spine of the rats with hind-limb paralysis (No. 7 and 8) was also found to be high, without the presence of any other lesions. Imaging of the dissected spine revealed clear fluorescence emitted by the metastatic lesion in the L6 vertebra (Fig. 3).

Fig. (1)

Imaging for subcutaneous mammary tumor. No fluorescence was detected before the ICG-lactosome injection was administered (A). Fluorescence emitted by the subcutaneous tumor site detected at 1 min after the ICG-lactosome injection (B), gradually increased with time until 6 h (C, D, and E). Thereafter, the fluorescence intensity remained high until 24 h (F and G) and decreased at 48 h (H).



Fig. (2)

Whole-body imaging for spinal metastasis of breast cancer. Fluorescence was first detected in the lumbar spine at 1 min after the ICG-lactosome injection (A), and its intensity remained high until 24 h (B, C, D, and E). The fluorescence intensity in the lumbar spine of the rats with hind-limb paralysis was also high, and no other lesions were detected (F and G).



Fig. (3)

Ex vivo imaging and histological examination of the dissected spine (Rat No. 7). The dissected lumbar spine was set in the supine position (A). Fluorescence can be clearly detected in the metastatic lesion in the L6 vertebra (B). Histological examination (C) of the axial cross-sections of the L6 vertebra (H&E staining, scale bar = 1 mm) shows invasion of the vertebral bone marrow spaces by cancer cells (b). The metastatic lesion destroyed the trabecular bone structures of the spinal canal (m), and compressed the spinal cord (c) on day 11 after tumor implantation.



Histological Examination

Histological examination revealed that the tumor developed into osteolytic lesions. Further, on day 7 after tumor implantation, the cancer cells had invaded the vertebral bone marrow spaces. On day 11 after implantation, the metastatic lesion destroyed the trabecular bone structures of the vertebra, invaded the spinal canal, and compressed the spinal cord (Fig. 3).

DISCUSSION

The results of this study revealed that NIR fluorescence imaging with the aid of ICG-lactosome could be used to selectively visualize spinal metastasis of breast cancer and subcutaneous mammary tumor. The fluorescence intensity of the lesions remained high for at least 24 h in all cases. This study was the first report on NIR fluorescence imaging of spinal metastasis in vivo. Further, we dissected the lumbar spine of the rats to investigate the efficacy of ex vivo NIR fluorescence imaging. The spinal metastasis lesion was clearly detected with fluorescence, and the normal bone lacked fluorescence and was easily identified.

In the process of bone metastasis, unique interactions are found between metastatic cancer cells and osteoclasts [25Yoneda T, and Hiraga T, "Crosstalk between cancer cells and bone microenvironment in bone metastasis", Biochem. Biophys. Res. Commun, vol. vol. 328, no. no. 3, pp. 679-687, 2005.]. Since these interactions are critical to the development and progression of bone metastasis, a local treatment including control of the margin is very important. However, marginal resection during resection of a spinal metastasis is frequently difficult because of the presence of important tissues such as the aorta, vena cava, and dura mater, including the spinal cord adjacent to the vertebral body. Moreover, spinal metastasis is often associated with small skip lesions, which may be a cause of recurrence. Surgeon ought to rely on preoperative diagnostic modalities and intraoperative macroscopic inspection alone. Therefore, a novel intraoperative local imaging modality such as the one developed in the present study, which can clearly differentiate between metastasis and normal bone, could serve as a useful tool in the safe resection of spinal metastasis.

The NIR light excitation wavelength allows a penetration from approximately 2 to several centimeters into tissue [26Mitsunaga M, Ogawa M, Kosaka N, Rosenblum L T, Choyke P L, and Kobayashi H, "Cancer cell-selective in vivo near infrared photoimmunotherapy targeting specific membrane molecules", Nat. Med, vol. vol. 17, no. no. 12, pp. 1685-1691, 2011., 27Starkey J R, Rebane A C, Drobizhev W K, Meng M A, Gong F, Elliott A, McInnerney K, and Spangler C W, "New two-photon activated photodynamic therapy sensitizers induce xenograft tumor regressions after near-IR laser treatment through the body of the host mouse", Clin. Cancer Res, vol. vol. 14, no. no. 20, pp. 6564-6573, 2008.]. Thus, the NIR fluorescence imaging may be suitable for intraoperative using, while it is not appropriate for screening of human body. Since a CCD camera and a microscope with an ICG filter, which enabled visualization of the invisible near-infrared light, have been previously used in surgery [11Colby G P, Coon A L, Sciubba D M, Bydon A, Gailloud P, and Tamargo R J, "Intraoperative indocyanine green angiography for obliteration of a spinal dural arteriovenous fistula", J. Neurosurg. Spine, vol. vol. 11, no. no. 6, pp. 705-709, 2009., 12V T, Katare R G, Nishimori H, Wariishi S, Fukutomi T, Yamamoto M, Sasaguri S, and Sato T, "New device for intraoperative graft assessment: HyperEye charge-coupled device camera system", General Thorac Cardiovasc. Surg, vol. vol. 58, no. no. 2, pp. 68-77, 2010., 14Oh J K, Shin H C, Kim T Y, Choi G H, Ji G Y, Yi S, Ha Y, Kim K N, and Yoon D H, "Intraoperative indocyanine green video-angiography: spinal dural arteriovenous fistula", Spine. [Epub Ahead of print]-16Schubert G A, Schmieder K, Seiz-Rosenhagen M, and Thome C, "ICG Videography Facilitates Interpretation of Vascular Supply and Anatomical Landmarks in Intramedullary Spinal Lesions: Two Case Reports", Spine, vol. vol. 36, no. no. 12, pp. E811-813, 2011.], ICG-lactosome could function as a novel imaging probe, enabling the surgeon to easily diagnose the safety margin and small skip lesions intraoperatively.

The limitations of this study are as follows. (a) The control sample of the spinal metastasis model was not performed. We believe that no fluorescence should have been detected before the ICG-lactosome injection in the spinal metastasis model as well as the subcutaneous tumor model. However, the animal models were different between the subcutaneous model and the spinal metastasis model. This point should be considered in the future study. (b) The quantitative analysis data of the pathologic lesion and the specificity of ICG-lactosome to tumor tissues are unknown. Adequate quantitative analysis that is focused on these points should be investigated in the future studies.

Although further studies are needed, NIR fluorescence imaging for spinal metastasis using ICG-lactosome could be a useful intraoperative imaging modality. Moreover, ICG injection and NIR light irradiation have photodynamic effects on spinal metastasis [28Funayama T, Sakane M, Abe T, and Ochiai N, "Photodynamic therapy with indocyanine green injection and near-infrared light irradiation has phototoxic effects and delays paralysis in spinal metastasis", Photomed. Laser Surg, vol. vol. 30, no. no. 1, pp. 47-53, 2012.]. Thus, the combination of ICG-lactosome and NIR light irradiation could be a novel therapeutic system, including the intraoperative imaging modality and photodynamic therapy.

CONCLUSIONS

We were able to selectively image spinal metastasis of breast cancer by NIR fluorescence imaging with the aid of ICG-lactosome. Although this is a preliminary study, our results demonstrate that imaging aided by ICG-lactosome could be a useful intraoperative imaging modality for spinal metastasis.

CONFLICT OF INTEREST

No conflicting financial interests exist.

ACKNOWLEDGEMENTS

This study was partially supported by a grant from the Japan Science and Technology Agency, Innovation Satellite Ibaraki, and Shimadzu Corporation.

REFERENCES

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[22] Matsumura Y, and Maeda H, "A new concept for macromolecular therapeutics in cancer chemotherapy: mechanism of tumoritropic accumulation of proteins and the antitumor agent smancs", Cancer Res, vol. vol. 46, no. no. 12 Pt 1, pp. 6387-6392, 1986.
[23] Mantha A, Legnani F G, Bagley C A, Gallia G L, Garonzik I, Pradilla G, Amundson E, Tyler B M, Brem H, and Gokaslan Z L, "A novel rat model for the study of intraosseous metastatic spine cancer", J. Neurosurg. Spine, vol. vol. 2, no. no. 3, pp. 303-307, 2005.
[24] Abe T, Sakane M, Ikoma T, Kobayashi M, Nakamura S, and Ochiai N, "Intraosseous delivery of paclitaxel-loaded hydroxyapatitealginate composite beads delaying paralysis caused by metastatic spine cancer in rats", J. Neurosurg. Spine, vol. vol. 9, no. no. 5, pp. 502-510, 2008.
[25] Yoneda T, and Hiraga T, "Crosstalk between cancer cells and bone microenvironment in bone metastasis", Biochem. Biophys. Res. Commun, vol. vol. 328, no. no. 3, pp. 679-687, 2005.
[26] Mitsunaga M, Ogawa M, Kosaka N, Rosenblum L T, Choyke P L, and Kobayashi H, "Cancer cell-selective in vivo near infrared photoimmunotherapy targeting specific membrane molecules", Nat. Med, vol. vol. 17, no. no. 12, pp. 1685-1691, 2011.
[27] Starkey J R, Rebane A C, Drobizhev W K, Meng M A, Gong F, Elliott A, McInnerney K, and Spangler C W, "New two-photon activated photodynamic therapy sensitizers induce xenograft tumor regressions after near-IR laser treatment through the body of the host mouse", Clin. Cancer Res, vol. vol. 14, no. no. 20, pp. 6564-6573, 2008.
[28] Funayama T, Sakane M, Abe T, and Ochiai N, "Photodynamic therapy with indocyanine green injection and near-infrared light irradiation has phototoxic effects and delays paralysis in spinal metastasis", Photomed. Laser Surg, vol. vol. 30, no. no. 1, pp. 47-53, 2012.

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Patrice Talaga
(UCB S.A., Belgium)

"Open access journals are a novel concept in the medical literature. They offer accessible information to a wide variety of individuals, including physicians, medical students, clinical investigators, and the general public. They are an outstanding source of medical and scientific information."


Jeffrey M. Weinberg
(St. Luke's-Roosevelt Hospital Center, USA)

"Open access journals are extremely useful for graduate students, investigators and all other interested persons to read important scientific articles and subscribe scientific journals. Indeed, the research articles span a wide range of area and of high quality. This is specially a must for researchers belonging to institutions with limited library facility and funding to subscribe scientific journals."


Debomoy K. Lahiri
(Indiana University School of Medicine, USA)

"Open access journals represent a major break-through in publishing. They provide easy access to the latest research on a wide variety of issues. Relevant and timely articles are made available in a fraction of the time taken by more conventional publishers. Articles are of uniformly high quality and written by the world's leading authorities."


Robert Looney
(Naval Postgraduate School, USA)

"Open access journals have transformed the way scientific data is published and disseminated: particularly, whilst ensuring a high quality standard and transparency in the editorial process, they have increased the access to the scientific literature by those researchers that have limited library support or that are working on small budgets."


Richard Reithinger
(Westat, USA)

"Not only do open access journals greatly improve the access to high quality information for scientists in the developing world, it also provides extra exposure for our papers."


J. Ferwerda
(University of Oxford, UK)

"Open Access 'Chemistry' Journals allow the dissemination of knowledge at your finger tips without paying for the scientific content."


Sean L. Kitson
(Almac Sciences, Northern Ireland)

"In principle, all scientific journals should have open access, as should be science itself. Open access journals are very helpful for students, researchers and the general public including people from institutions which do not have library or cannot afford to subscribe scientific journals. The articles are high standard and cover a wide area."


Hubert Wolterbeek
(Delft University of Technology, The Netherlands)

"The widest possible diffusion of information is critical for the advancement of science. In this perspective, open access journals are instrumental in fostering researches and achievements."


Alessandro Laviano
(Sapienza - University of Rome, Italy)

"Open access journals are very useful for all scientists as they can have quick information in the different fields of science."


Philippe Hernigou
(Paris University, France)

"There are many scientists who can not afford the rather expensive subscriptions to scientific journals. Open access journals offer a good alternative for free access to good quality scientific information."


Fidel Toldrá
(Instituto de Agroquimica y Tecnologia de Alimentos, Spain)

"Open access journals have become a fundamental tool for students, researchers, patients and the general public. Many people from institutions which do not have library or cannot afford to subscribe scientific journals benefit of them on a daily basis. The articles are among the best and cover most scientific areas."


M. Bendandi
(University Clinic of Navarre, Spain)

"These journals provide researchers with a platform for rapid, open access scientific communication. The articles are of high quality and broad scope."


Peter Chiba
(University of Vienna, Austria)

"Open access journals are probably one of the most important contributions to promote and diffuse science worldwide."


Jaime Sampaio
(University of Trás-os-Montes e Alto Douro, Portugal)

"Open access journals make up a new and rather revolutionary way to scientific publication. This option opens several quite interesting possibilities to disseminate openly and freely new knowledge and even to facilitate interpersonal communication among scientists."


Eduardo A. Castro
(INIFTA, Argentina)

"Open access journals are freely available online throughout the world, for you to read, download, copy, distribute, and use. The articles published in the open access journals are high quality and cover a wide range of fields."


Kenji Hashimoto
(Chiba University, Japan)

"Open Access journals offer an innovative and efficient way of publication for academics and professionals in a wide range of disciplines. The papers published are of high quality after rigorous peer review and they are Indexed in: major international databases. I read Open Access journals to keep abreast of the recent development in my field of study."


Daniel Shek
(Chinese University of Hong Kong, Hong Kong)

"It is a modern trend for publishers to establish open access journals. Researchers, faculty members, and students will be greatly benefited by the new journals of Bentham Science Publishers Ltd. in this category."


Jih Ru Hwu
(National Central University, Taiwan)


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