Evidence map›Paper›PMID 31134491›Full record

ArticleDaru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences2019

Protective effect of Echinacea purpurea (Immulant) against cisplatin-induced immunotoxicity in rats.

Abdelazeem Ali Khalaf, Shaymaa Hussein, Adel Fathy Tohamy, Sherif Marouf, Hanan Dawood Yassa, Amr Reda Zaki, Anupam Bishayee

Open access · bronzeAbstract read
In one paragraph

Article in Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 33 citations in OpenAlex.

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  3. The ameliorative effects ofOpen veterinary journal · 2025
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  8. Polysaccharides fromMolecular medicine reports · 2023
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  11. Plants (Basel, Switzerland) · 2022
    Review
  12. Protective Effect of Polysaccharides Extracted fromInternational journal of molecular sciences · 2021
    Article
  13. Article
  14. Pharmaceuticals (Basel, Switzerland) · 2020
    Article
  15. The Possible Ameliorative Effect ofJournal of microscopy and ultrastructure
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Abdelazeem Ali KhalafDepartment of Toxicology and Forensic Medicine, Faculty of Veterinary Medicine, Cairo University, Cairo, Egypt.
Shaymaa HusseinDepartment of Cytology and Histology, Faculty of Veterinary Medicine, Cairo University, Cairo, Egypt.
Adel Fathy TohamyDepartment of Toxicology and Forensic Medicine, Faculty of Veterinary Medicine, Cairo University, Cairo, Egypt.
Sherif MaroufDepartment of Microbiology, Faculty of Veterinary Medicine, Cairo University, Cairo, Egypt.
Hanan Dawood YassaDepartment of Anatomy and Embryology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
Amr Reda ZakiDepartment of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt. amrzaki2030@yahoo.com.
Anupam BishayeeLake Erie College of Osteopathic Medicine, 5000 Lakewood Ranch Boulevard, Bradenton, FL, 34211, USA. abishayee@lecom.edu.ORCID http://orcid.org/0000-0001-9159-960X
Cairo University · EGBeni-Suef University · EGLake Erie College of Osteopathic Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCisplatin, one of the most effective anticancer drugs, is known to cause undesirable adverse effects, including immunotoxicity. Echinacea purpurea is an important medicinal plant with immunostimulatory and anti-inflammatory activities. We have investigated the protective effect of an herbal formulation (Immulant) containing E. purpurea extract against cisplatin-induced immunotoxicity in rats.

methodsForty mature albino rats were randomized into four groups (10 rats/group). Control (group 1) animals were subjected to intraperitoneal (i.p.) injection of saline solution (0.2 ml) once every 3 days. Group 2 animals received cisplatin (3.5 mg/kg, i.p.) once every 3 days for successive 2 weeks. Group 3 rats received oral Immulant (150 mg/kg) once daily for 2 weeks. Group 4 animals received oral Immulant treatment as in group 3 in addition to cisplatin as in group 2. Serum level of total protein and albumin, total and differential leukocytic count, phagocytic activity of monocytes, humoral activity and splenic histopathology and immunohistochemistry were used as diagnostic markers of immunotoxicity.

resultsCisplatin induced marked inhibition of cellular immunity as exhibited by significant decrease of leukocytic count, lymphocyte percentage and phagocytic activity with marked increase in neutrophil percentage. Humoral immunity represented by marked inhibition in total protein and γ-globulin concentration and significant inhibition in antibody titer against Mycoplasma gallisepticum were recorded. Histopathological and immunohistochemical observation of the spleen of cisplatin-treated rats revealed obvious pathological findings of marked depletion and degeneration of lymphoid tissue. Co-oral administration of Immulant resulted in substantial improvement of various immunotoxicological indices compared to cisplatin control.

conclusionThe herbal medicine Immulant is an immunostimulant which could be used to treat the immunotoxic effects of cisplatin. Graphical abstract Cisplatin (CP) is a highly effective antineoplastic DNA alkylating agent. CP induces free radical production causing an oxidative damage.Cisplatin induced marked inhibition in cellular and humoral immunityEchinacea purpurea (Immulant) is a powerful anticytotoxic agent against cisplatin toxicity.

Indexed as

Administration, OralAnimalsCisplatinDisease Models, AnimalDrug-Related Side Effects and Adverse ReactionsEchinaceaHumansImmunity, HumoralLeukocyte CountMalePhagocytosisPlant ExtractsRandom AllocationRatsTreatment OutcomeCisplatinPlant ExtractsCisplatinEchinacea purpureaImmulantImmunotoxicityRats

Identifiers

PMID31134491
PMCPMC6593030
OpenAlexW2946902881

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.