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ISSN 2320-7078
Volume 1 Issue 3
Online Available at www.entomoljournal.com
Journal of Entomology and Zoology Studies
Vol. 1 No. 3 2013 www.entomoljournal.com Page | 52
Evaluation of genetic potential of Bacopa monnieri extract in
Mouse bone marrow cells by chromosomal analysis test
Shilki Vishnoi 1*
and R.C. Agarwal 1
1. Department of Research, Jawaharlal Nehru Cancer Hospital & Research Centre, Idgah Hills, Bhopal, (MP)
India.
[E-mail: shilki.vishnoi@gmail.com]
Herbs have always been used as a common source of medicines, the Bacopa monnieri is an important herb used in
Aruveda as a traditional medicinal system of India. In the present investigations, the genotoxic potential of monnieri
Hydromethanolic extract (BMH) was evaluated employing Chromosomal analysis assay invivo. BMH was
administered to Swiss Albino mice as i.p. dose of 80mg/kg, 160mg/kg, 240mg/kg body wt., 24 hours prior the
administration of cyclophosphamide (CP) (positive control) at the dose of 50 mg/kg body wt. A dose-dependent,
significant decrease in chromosome aberration was observed with respect to control. Result suggested that BMH
have a preventive potential against CP induced chromosomal aberration in Swiss albino mouse bone marrow cells at
the dose tested. Therefore seems to have a preventive potential against Chromosomal aberrations in Swiss Albino
mouse bone marrow cells.
Keyword: Bacopa monnieri Hydromethanolic Extrtract (BMH) , Cyclophosphamide, Chromosomal Aberration.
1. Introduction
Bacopa monnaieri (L.) Pennell belonging to the
family Scrophulariaceae is an amphibious plant of
the tropics and normally found growing on the
banks of rivers and lakes. It is commonly called
Brahmi in Sanskrit and in Hindi & water hyssop in
English. Bacopa monnieri has been used in the
Ayurvedic system of medicine for centuries
(Mukherjee and Dey 1966). Bacopa is a small
succulent creeper that thrives in warm climates
throughout the world, growing in moist places and
along waterways. It is a plant, native to both India
and Australia. Bacopa’s botanical name has
numerous synonyms, commonly encountered ones
include: Bacopa monniera Wettst., Bacopa
monniera Linn., and Herpestis monniera (Morgan
& Bone 1999; Russo & Borrelli 2005). Bacopa
monnieri is referred to as one of the greatest
multipurpose miracle herb of oriental medicine
capable of improving memory and treating several
neurological disorders. Bacopa monnieri rich in
pharmacological activities. The plant, plant extracts
and isolated bacosides have been extensively
investigated in several laboratories for their
neuropharmacological effects, the active principles
apart from the facilitating learning and memory in
normal fats, inhibited the amnesic effects of
scopolamine, electroshock and immobilization
stress.
2. Material & method
2.1. Collection of plant & extraction
The plant of Bacopa monnieri collected from
Herbal garden of NBRI, Lucknow (U.P.). After
authentification, the aerial parts of plant material
were shade dried & powdered by a mechanical
grinder. Powdered material weighed & soaked in
petroleum ether for ½ an hr. & then the extract was
taken out and dried and then again it was soaked in
50% methanol in a pear shaped separating funnel.
Journal of Entomology and Zoology Studies
Vol. 1 No. 3 2013 www.entomoljournal.com Page | 53
Mixture was agitated at regular intervals for 24
hours. The extract was filtered using what man filter
paper (No.1) and then concentrated in a vaccum at
45 ˚C in Waterbath. The extracts were stored at
about 2-8 ˚C.
2.2. Chemicals
Cyclophosphamide was purchased from Sigma
Chemical Co. USA. All other chemicals were
analytically grade & were procured locally.
2.3. Animals & treatment
Male Swiss albino mice 7 week old weighing 18-20
gm were used in present study. The experiment was
done in the JNCH & RC, animal house in wide
cages & well aerated rooms & they will be fed on
special diets & sterilized water ad libitum.
2.4. Experimental Protocol
The Chromosomal aberration assay was performed
as per the method reported by Schmidt [11]
and
modified by Aron et al. (1989) and standardized [1]
.
The requisite dose was dissolved in DDW and
administered to Swiss albino mice before 24 hrs of
Cyclophosphamide (CP) administration to 6
animals intraperitoneally (i.p.). The animals were
sacrificed 24 hrs after the CP (50 mg/kg b. wt.)
administration. The animals were sacrified by
cervical dislocation after the 24 hrs treatment.
Colchicine (Metaphase arresting agent)
(0.25gm/50ml DDW) was administered i.p. at 2 hrs
before killing the animals. The slides were prepared
essentially as per modified method of Preston[8]
.
Briefly, femur bone were excised & the bone
marrow extracted in 0.56% KCl. The harvested
cells were incubated at 37 o
C for 20 min & then
centrifuged for 10 min at 1000 rpm. Cells were
fixed in Cornoy’s fixative (methanol : acetic acid
=3:1) and burst opened on a clean slide to release
chromosomes. The slides were stained with 5%
Giemsa solution for 15 min & mounted with DPX.
A total of 100 well spread metaphase plates were
scored for the chromosomal aberration at a
magnification of 1000 (100×10x) for each group.
Different types of chromosomal aberrations such as
chromatid breaks, gaps,centromeric association etc
were scored and expressed as % chromosomal
aberrations.
2.5. Experimental Groups
Swiss albino mice were divided into 5 groups for
the present study.
I Group: (CP Alone): This group served as a
positive control group. These animals received
Cyclophosphamide (CP) i.p. at the dose of 50mg/kg
body wt.
II Group: (BMH extract +CP): These animals
received BMH extract (80mg/kg body wt) i.p. After
24 hours, Cyclophosphamide (CP) (50mg/kg body
wt.) was given i.p.
III Group (BMH extract +CP): These animals/
received BMH extract (160mg/kg body wt) i.p.
After 24 hours, Cyclophosphamide (CP) (50mg/kg
body wt.) was given i.p.
IV Group (BMH extract + CP): These animals
received BMH extract (240mg/kg body wt) i.p.
After 24 hours, Cyclophosphamide (CP) (50mg/kg
body wt.) was given i.p.
V Group: (BMH extract Alone): These animals
received BMH extract i.p. at dose of (80mg/kg body
wt).
2.6. Statistical Analysis
The effect of different doses of extract were
compared by one way ANOVA & all other data
were analyzed by student ‘t’ test using graph PAD
Instat software. A value of P<0.05 was considered
statistically significant.
3. Result
In genotoxic studies, single application of BMH at
the dose of 80, 160 and 240 mg/kg body weight, 24
hours prior the i.p. administration of
cyclophosphamide (at the dose of 50 mg/kg) have
significantly prevented the Chromosomal
aberrations in dose dependent manner in bone
marrow cells of mice as compared to
Cyclophosphamide group. However, BMH alone
has not induced Chromosomal aberrations in bone
marrow cells as compared to control group (Table 1
& figure. No. 2 & 3).
Journal of Entomology and Zoology Studies
Vol. 1 No. 3 2013 www.entomoljournal.com Page | 54
Table 1. Effect of B. monnieri Hydromethanolic (BMH) extract on Chromosomal Aberrations induced by Cyclophosphamide (CP) in
bone marrow cells of Swiss Albino mice.
S. No. Groups Treatment Mean ±
S.E.
Diff. Aberrations in % %
InhibitionCB CF CG RF CA
1. Group
I
CP Alone (50 mg/kg
body wt.
57.5 ±
4.457
15 13 3 11 14 -
2. Group II BMH extract (80 mg/
kg body wt.) + CP
(50 mg/kg body wt.)
35.5 ±
2.236*
10 13 3 5 5 37.3
3. Group III BMH extract (160 mg/
kg body wt.) + CP
(50 mg/kg body wt.)
29.9 ±
1.178*
9 7 5 6 2 48.0
4. Group IV BMH extract (240 mg/
kg body wt.) + CP
(50 mg/kg body wt.)
24.08 ±
2.10*
6 5 8 2 3 58.2
5. Group V BMH extract Alone (80
mg/kg body wt.)
15.4 ±
1.873
3 3 2 2 5 -
* Denotes Statistical Significance at P<0.05 in‘t’ test. When compared with respective positive control group. Each group consists of
six animals.
Fig 1: showing the Normal Chromosomes in S. Albino mice Fig 2: showing CH Aberration
Fig 3: showing CH Aberration
Where:
CA- Centromeric Association CG- Chromatid Gap
CF- Chromatid Fragment RF- Ring Formation
CB- Chromatid Break
Journal of Entomology and Zoology Studies
Vol. 1 No. 3 2013 www.entomoljournal.com Page | 55
4. Discussion
Many conventional drugs that are available today
also originate from plant sources. For example,
Aspirin is derived from Willow bark [12]
.
Alternation in gene function occurring as a result
of several different kinds of cancer [13]
, indicating
the probable involvement of chromosomal
aberrations in carcinogenesis. Consistent with this
relationship, chromosomal aberrations are
induced by many known mutagenes and/or
carcinogenes [4,8]
. The chromosomal aberration
assay in rodent bone marrow nucleated cells can
detect a wide spectrum of changes, which result
from breakage of one or more chromatids as the
initial event. Breakage of chromatids or
chromosomes can result into micronucleus
formation if an acentric fragment is produced.
Therefore, assays detecting either chromosomal
aberration or micronuclei are acceptable for
detecting clastogens [3]
. In vivo chromosomal
aberration assays assess the potential of a test
chemical to cause DNA damage that may affect
chromosome structure, or interfere with the
mitotic apparatus causing changes in
chromosome number. CAs were classified
according to Savage [10]
as gaps, breaks,
deletions, fragments, rings, and dicentric
chromosomes. Structural chromosome
aberrations (gaps, breaks, ring, fragments,
association). This preliminary study of the
genotoxic potential of BMH revealed that the
aberrations induced by CP were found to be
chromatid break, fragments, gaps, ring formation
& centromeric association. Extract alone failed to
induce Ch. Aberra. significantly confirming its
non mutagenicity. The BMH extract treated
experimental groups (Group II, III & IV) the
bone marrow cells of mice showed a prevention
of chromosomal aberrations in dose dependent
manner as compared with that of the
Cyclophosphamide positive control group (Group
I). The mechanism underlying genotoxic potential
of BMH is not clear; the beneficial effect of
BMH may be due to either individual or
combined effects of its constituents.
5. References
1. Agrawal RC, Kumar S. Prevention of
Cyclophosphamide induced chromosomal
aberrations in mouse bone marrow by Indole-
3-carbinol. Toxicology Letters 1999; 106:137-
141.
2. Aron CS, Sorg R, Zimmer D. The mouse bone
marrow micronucieus test. Evaluation of 21
drug candidates. Mutation research 1989;
223:129-140.
3. CSGMT (The Collaborative Study Group for the
Micronucleus Test). Micronucleus test with
mouse peripheral blood erythrocytes by
acridine orange supra vital staining: The
summary report of the 5th collaborative study
by CSGMT/JEMS: MMS. Mutat Res 1992; 278:
83-98.
4. Kawauchi S, Furuya T, Ikemoto K, Nakao M,
Yamamoto S, Oka M. DNA copy number
aberrations associated with aneuploidy and
chromosomal instability in breast cancers.
Oncol Rep 2010; 24:875-883.
5. Morgan M, Bone K. Bacopa. Modern
Phytotherapist 1999; 21-27.
6. Mukherjee GD Dey CD. Clinical Trial on Brahmi-
Part I. Journal of Experimental Medical Science
1966; 10:5-11.
7. Preston RJ, Av W, Bender MA, Brewen JG,
Carrano AV, Heddle JA et al. Mammalian in vivo
and in vitro cytogenetic assays. A report of the
Gene. Tox Prog Mut Res 1983; 87:143-188.
8. Preston RJ, Dean BJ, Galloway AF, Sheldy MF.
Mammalian in vivo cytogenetic assay-analysis
of chromosomal aberration in bone marrow
cells. Mutat Res 1987; 189:157-165.
9. Russo A, Borrelli F. Bacopa monniera, a reputed
nootropic plant: an Overview. Phytomedicine
2005; 12:305-317.
10. Savage JR. Classification and relationships of
induced chromosomal structural changes. J Med
Genet 1976; 13:103-122.
11. Schmid W. The micronucleus test. Mutat Res
1975; 31:9-15.
12. Vickers A, Zollman C. ABC of complementary
medicine: herbal medicine. British Medical
Journal 1999; 319:1050-1053.
13. Yoshida S, Ikehara N, Aoyama N, Shirasaka D,
Sakashita M, Semba S et al. Relationship of
BRAF mutation, morphology, and apoptosis in
Journal of Entomology and Zoology Studies
Vol. 1 No. 3 2013 www.entomoljournal.com Page | 56
early colorectal cancer. Int J Colorectal Dis
2008; 23:7-13.

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Sp.1

  • 1. ISSN 2320-7078 Volume 1 Issue 3 Online Available at www.entomoljournal.com Journal of Entomology and Zoology Studies Vol. 1 No. 3 2013 www.entomoljournal.com Page | 52 Evaluation of genetic potential of Bacopa monnieri extract in Mouse bone marrow cells by chromosomal analysis test Shilki Vishnoi 1* and R.C. Agarwal 1 1. Department of Research, Jawaharlal Nehru Cancer Hospital & Research Centre, Idgah Hills, Bhopal, (MP) India. [E-mail: shilki.vishnoi@gmail.com] Herbs have always been used as a common source of medicines, the Bacopa monnieri is an important herb used in Aruveda as a traditional medicinal system of India. In the present investigations, the genotoxic potential of monnieri Hydromethanolic extract (BMH) was evaluated employing Chromosomal analysis assay invivo. BMH was administered to Swiss Albino mice as i.p. dose of 80mg/kg, 160mg/kg, 240mg/kg body wt., 24 hours prior the administration of cyclophosphamide (CP) (positive control) at the dose of 50 mg/kg body wt. A dose-dependent, significant decrease in chromosome aberration was observed with respect to control. Result suggested that BMH have a preventive potential against CP induced chromosomal aberration in Swiss albino mouse bone marrow cells at the dose tested. Therefore seems to have a preventive potential against Chromosomal aberrations in Swiss Albino mouse bone marrow cells. Keyword: Bacopa monnieri Hydromethanolic Extrtract (BMH) , Cyclophosphamide, Chromosomal Aberration. 1. Introduction Bacopa monnaieri (L.) Pennell belonging to the family Scrophulariaceae is an amphibious plant of the tropics and normally found growing on the banks of rivers and lakes. It is commonly called Brahmi in Sanskrit and in Hindi & water hyssop in English. Bacopa monnieri has been used in the Ayurvedic system of medicine for centuries (Mukherjee and Dey 1966). Bacopa is a small succulent creeper that thrives in warm climates throughout the world, growing in moist places and along waterways. It is a plant, native to both India and Australia. Bacopa’s botanical name has numerous synonyms, commonly encountered ones include: Bacopa monniera Wettst., Bacopa monniera Linn., and Herpestis monniera (Morgan & Bone 1999; Russo & Borrelli 2005). Bacopa monnieri is referred to as one of the greatest multipurpose miracle herb of oriental medicine capable of improving memory and treating several neurological disorders. Bacopa monnieri rich in pharmacological activities. The plant, plant extracts and isolated bacosides have been extensively investigated in several laboratories for their neuropharmacological effects, the active principles apart from the facilitating learning and memory in normal fats, inhibited the amnesic effects of scopolamine, electroshock and immobilization stress. 2. Material & method 2.1. Collection of plant & extraction The plant of Bacopa monnieri collected from Herbal garden of NBRI, Lucknow (U.P.). After authentification, the aerial parts of plant material were shade dried & powdered by a mechanical grinder. Powdered material weighed & soaked in petroleum ether for ½ an hr. & then the extract was taken out and dried and then again it was soaked in 50% methanol in a pear shaped separating funnel.
  • 2. Journal of Entomology and Zoology Studies Vol. 1 No. 3 2013 www.entomoljournal.com Page | 53 Mixture was agitated at regular intervals for 24 hours. The extract was filtered using what man filter paper (No.1) and then concentrated in a vaccum at 45 ˚C in Waterbath. The extracts were stored at about 2-8 ˚C. 2.2. Chemicals Cyclophosphamide was purchased from Sigma Chemical Co. USA. All other chemicals were analytically grade & were procured locally. 2.3. Animals & treatment Male Swiss albino mice 7 week old weighing 18-20 gm were used in present study. The experiment was done in the JNCH & RC, animal house in wide cages & well aerated rooms & they will be fed on special diets & sterilized water ad libitum. 2.4. Experimental Protocol The Chromosomal aberration assay was performed as per the method reported by Schmidt [11] and modified by Aron et al. (1989) and standardized [1] . The requisite dose was dissolved in DDW and administered to Swiss albino mice before 24 hrs of Cyclophosphamide (CP) administration to 6 animals intraperitoneally (i.p.). The animals were sacrificed 24 hrs after the CP (50 mg/kg b. wt.) administration. The animals were sacrified by cervical dislocation after the 24 hrs treatment. Colchicine (Metaphase arresting agent) (0.25gm/50ml DDW) was administered i.p. at 2 hrs before killing the animals. The slides were prepared essentially as per modified method of Preston[8] . Briefly, femur bone were excised & the bone marrow extracted in 0.56% KCl. The harvested cells were incubated at 37 o C for 20 min & then centrifuged for 10 min at 1000 rpm. Cells were fixed in Cornoy’s fixative (methanol : acetic acid =3:1) and burst opened on a clean slide to release chromosomes. The slides were stained with 5% Giemsa solution for 15 min & mounted with DPX. A total of 100 well spread metaphase plates were scored for the chromosomal aberration at a magnification of 1000 (100×10x) for each group. Different types of chromosomal aberrations such as chromatid breaks, gaps,centromeric association etc were scored and expressed as % chromosomal aberrations. 2.5. Experimental Groups Swiss albino mice were divided into 5 groups for the present study. I Group: (CP Alone): This group served as a positive control group. These animals received Cyclophosphamide (CP) i.p. at the dose of 50mg/kg body wt. II Group: (BMH extract +CP): These animals received BMH extract (80mg/kg body wt) i.p. After 24 hours, Cyclophosphamide (CP) (50mg/kg body wt.) was given i.p. III Group (BMH extract +CP): These animals/ received BMH extract (160mg/kg body wt) i.p. After 24 hours, Cyclophosphamide (CP) (50mg/kg body wt.) was given i.p. IV Group (BMH extract + CP): These animals received BMH extract (240mg/kg body wt) i.p. After 24 hours, Cyclophosphamide (CP) (50mg/kg body wt.) was given i.p. V Group: (BMH extract Alone): These animals received BMH extract i.p. at dose of (80mg/kg body wt). 2.6. Statistical Analysis The effect of different doses of extract were compared by one way ANOVA & all other data were analyzed by student ‘t’ test using graph PAD Instat software. A value of P<0.05 was considered statistically significant. 3. Result In genotoxic studies, single application of BMH at the dose of 80, 160 and 240 mg/kg body weight, 24 hours prior the i.p. administration of cyclophosphamide (at the dose of 50 mg/kg) have significantly prevented the Chromosomal aberrations in dose dependent manner in bone marrow cells of mice as compared to Cyclophosphamide group. However, BMH alone has not induced Chromosomal aberrations in bone marrow cells as compared to control group (Table 1 & figure. No. 2 & 3).
  • 3. Journal of Entomology and Zoology Studies Vol. 1 No. 3 2013 www.entomoljournal.com Page | 54 Table 1. Effect of B. monnieri Hydromethanolic (BMH) extract on Chromosomal Aberrations induced by Cyclophosphamide (CP) in bone marrow cells of Swiss Albino mice. S. No. Groups Treatment Mean ± S.E. Diff. Aberrations in % % InhibitionCB CF CG RF CA 1. Group I CP Alone (50 mg/kg body wt. 57.5 ± 4.457 15 13 3 11 14 - 2. Group II BMH extract (80 mg/ kg body wt.) + CP (50 mg/kg body wt.) 35.5 ± 2.236* 10 13 3 5 5 37.3 3. Group III BMH extract (160 mg/ kg body wt.) + CP (50 mg/kg body wt.) 29.9 ± 1.178* 9 7 5 6 2 48.0 4. Group IV BMH extract (240 mg/ kg body wt.) + CP (50 mg/kg body wt.) 24.08 ± 2.10* 6 5 8 2 3 58.2 5. Group V BMH extract Alone (80 mg/kg body wt.) 15.4 ± 1.873 3 3 2 2 5 - * Denotes Statistical Significance at P<0.05 in‘t’ test. When compared with respective positive control group. Each group consists of six animals. Fig 1: showing the Normal Chromosomes in S. Albino mice Fig 2: showing CH Aberration Fig 3: showing CH Aberration Where: CA- Centromeric Association CG- Chromatid Gap CF- Chromatid Fragment RF- Ring Formation CB- Chromatid Break
  • 4. Journal of Entomology and Zoology Studies Vol. 1 No. 3 2013 www.entomoljournal.com Page | 55 4. Discussion Many conventional drugs that are available today also originate from plant sources. For example, Aspirin is derived from Willow bark [12] . Alternation in gene function occurring as a result of several different kinds of cancer [13] , indicating the probable involvement of chromosomal aberrations in carcinogenesis. Consistent with this relationship, chromosomal aberrations are induced by many known mutagenes and/or carcinogenes [4,8] . The chromosomal aberration assay in rodent bone marrow nucleated cells can detect a wide spectrum of changes, which result from breakage of one or more chromatids as the initial event. Breakage of chromatids or chromosomes can result into micronucleus formation if an acentric fragment is produced. Therefore, assays detecting either chromosomal aberration or micronuclei are acceptable for detecting clastogens [3] . In vivo chromosomal aberration assays assess the potential of a test chemical to cause DNA damage that may affect chromosome structure, or interfere with the mitotic apparatus causing changes in chromosome number. CAs were classified according to Savage [10] as gaps, breaks, deletions, fragments, rings, and dicentric chromosomes. Structural chromosome aberrations (gaps, breaks, ring, fragments, association). This preliminary study of the genotoxic potential of BMH revealed that the aberrations induced by CP were found to be chromatid break, fragments, gaps, ring formation & centromeric association. Extract alone failed to induce Ch. Aberra. significantly confirming its non mutagenicity. The BMH extract treated experimental groups (Group II, III & IV) the bone marrow cells of mice showed a prevention of chromosomal aberrations in dose dependent manner as compared with that of the Cyclophosphamide positive control group (Group I). The mechanism underlying genotoxic potential of BMH is not clear; the beneficial effect of BMH may be due to either individual or combined effects of its constituents. 5. References 1. Agrawal RC, Kumar S. Prevention of Cyclophosphamide induced chromosomal aberrations in mouse bone marrow by Indole- 3-carbinol. Toxicology Letters 1999; 106:137- 141. 2. Aron CS, Sorg R, Zimmer D. The mouse bone marrow micronucieus test. Evaluation of 21 drug candidates. Mutation research 1989; 223:129-140. 3. CSGMT (The Collaborative Study Group for the Micronucleus Test). Micronucleus test with mouse peripheral blood erythrocytes by acridine orange supra vital staining: The summary report of the 5th collaborative study by CSGMT/JEMS: MMS. Mutat Res 1992; 278: 83-98. 4. Kawauchi S, Furuya T, Ikemoto K, Nakao M, Yamamoto S, Oka M. DNA copy number aberrations associated with aneuploidy and chromosomal instability in breast cancers. Oncol Rep 2010; 24:875-883. 5. Morgan M, Bone K. Bacopa. Modern Phytotherapist 1999; 21-27. 6. Mukherjee GD Dey CD. Clinical Trial on Brahmi- Part I. Journal of Experimental Medical Science 1966; 10:5-11. 7. Preston RJ, Av W, Bender MA, Brewen JG, Carrano AV, Heddle JA et al. Mammalian in vivo and in vitro cytogenetic assays. A report of the Gene. Tox Prog Mut Res 1983; 87:143-188. 8. Preston RJ, Dean BJ, Galloway AF, Sheldy MF. Mammalian in vivo cytogenetic assay-analysis of chromosomal aberration in bone marrow cells. Mutat Res 1987; 189:157-165. 9. Russo A, Borrelli F. Bacopa monniera, a reputed nootropic plant: an Overview. Phytomedicine 2005; 12:305-317. 10. Savage JR. Classification and relationships of induced chromosomal structural changes. J Med Genet 1976; 13:103-122. 11. Schmid W. The micronucleus test. Mutat Res 1975; 31:9-15. 12. Vickers A, Zollman C. ABC of complementary medicine: herbal medicine. British Medical Journal 1999; 319:1050-1053. 13. Yoshida S, Ikehara N, Aoyama N, Shirasaka D, Sakashita M, Semba S et al. Relationship of BRAF mutation, morphology, and apoptosis in
  • 5. Journal of Entomology and Zoology Studies Vol. 1 No. 3 2013 www.entomoljournal.com Page | 56 early colorectal cancer. Int J Colorectal Dis 2008; 23:7-13.