Evidence map›Paper›PMID 35888772›Full record

ArticleMetabolites2022

Upregulation of Nrf2/HO-1 Signaling and Attenuation of Oxidative Stress, Inflammation, and Cell Death Mediate the Protective Effect of Apigenin against Cyclophosphamide Hepatotoxicity.

Wesam Al-Amarat, Mohammad H Abukhalil, Reem S Alruhaimi, Haifa A Alqhtani, Nouf Aldawood, Manal A Alfwuaires, Osama Y Althunibat, Saleem H Aladaileh, Abdulmohsen I Algefare, Abdulkareem A Alanezi and 3 more

Open access · goldAbstract read
In one paragraph

Article in Metabolites, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
6.6field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Plants (Basel, Switzerland) · 2026
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  14. Review
  15. Article
  16. Frontiers in nutrition · 2025
    Review
  17. Hepatoprotective and antioxidant effects ofInternational journal of biochemistry and molecular biology · 2025
    Article
  18. Article
  19. Review
  20. Review
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

13 authors at 8 institutions in 5 countries.

Wesam Al-AmaratDepartment of Medical Support, Al-karak University College, Al-Balqa' Applied University, As-Salt 206, Jordan.
Mohammad H AbukhalilDepartment of Medical Analysis, Princess Aisha Bint Al-Hussein College of Nursing and Health Sciences, Al-Hussein Bin Talal University, Ma'an 71111, Jordan.ORCID 0000-0002-4018-6925
Reem S AlruhaimiDepartment of Biology, College of Science, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi Arabia.ORCID 0000-0003-3746-8582
Haifa A AlqhtaniDepartment of Biology, College of Science, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi Arabia.
Nouf AldawoodDepartment of Biology, College of Science, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi Arabia.
Manal A AlfwuairesDepartment of Biological Sciences, Faculty of Science, King Faisal University, Al-Ahsa 31982, Saudi Arabia.
Osama Y AlthunibatDepartment of Medical Analysis, Princess Aisha Bint Al-Hussein College of Nursing and Health Sciences, Al-Hussein Bin Talal University, Ma'an 71111, Jordan.ORCID 0000-0002-3406-9634
Saleem H AladailehDepartment of Medical Analysis, Princess Aisha Bint Al-Hussein College of Nursing and Health Sciences, Al-Hussein Bin Talal University, Ma'an 71111, Jordan.
Abdulmohsen I AlgefareDepartment of Biological Sciences, Faculty of Science, King Faisal University, Al-Ahsa 31982, Saudi Arabia.
Abdulkareem A AlaneziDepartment of Pharmaceutics, College of Pharmacy, University of Hafr Al-Batin, Hafr Al-Batin 31991, Saudi Arabia.
Ali M AbouEl-EzzDepartment of Molecular Biology, Faculty of Science, New Mansoura University, Mansoura 35511, Egypt.ORCID 0000-0003-1262-1616
Ahmad F AhmedaDepartment of Basic Medical Sciences, College of Medicine, Ajman University, Ajman 346, United Arab Emirates.ORCID 0000-0001-5962-9573
Ayman M MahmoudPhysiology Division, Zoology Department, Faculty of Science, Beni-Suef University, Beni-Suef 62514, Egypt.ORCID 0000-0003-0279-6500
Al-Hussein Bin Talal University · JOPrincess Nourah bint Abdulrahman University · SAKing Faisal University · SAAjman University · AEAl-Balqa Applied University · JOBeni-Suef University · EGMansoura University · EGUniversity of Hafr Al-Batin · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver injury is among the adverse effects of the chemotherapeutic agent cyclophosphamide (CP). This study investigated the protective role of the flavone apigenin (API) against CP-induced liver damage, pointing to the involvement of Nrf2/HO-1 signaling. Rats were treated with API (20 and 40 mg/kg) for 15 days and received CP (150 mg/kg) on day 16. CP caused liver damage manifested by an elevation of transaminases, alkaline phosphatase (ALP), and lactate dehydrogenase (LDH), and histological alterations, including granular vacuolation, mononuclear cell infiltration, and hydropic changes. Hepatic reactive oxygen species (ROS), malondialdehyde (MDA), and nitric oxide (NO) were increased and glutathione (GSH) and antioxidant enzymes were decreased in CP-administered rats. CP upregulated the inflammatory markers NF-κB p65, TNF-α, IL-6, and iNOS, along with the pro-apoptotic Bax and caspase-3. Pre-treatment with API ameliorated circulating transaminases, ALP, and LDH, and prevented histopathological changes in CP-intoxicated rats. API suppressed ROS, MDA, NO, NF-κB p65, iNOS, inflammatory cytokines, oxidative DNA damage, Bax, and caspase-3 in CP-intoxicated rats. In addition, API enhanced hepatic antioxidants and Bcl-2 and boosted the Nrf2 and HO-1 mRNA abundance and protein. In conclusion, API is effective in preventing CP hepatotoxicity by attenuating oxidative stress, the inflammatory response, and apoptosis. The hepatoprotective efficacy of API was associated with the upregulation of Nrf2/HO-1 signaling.

Indexed as

chemotherapyflavonoidsliver injuryNrf2oxidative stress

Identifiers

PMID35888772
PMCPMC9322057
OpenAlexW4285596568

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.