Evidence map›Paper›PMID 39068256›Full record

ArticleScientific reports2024

Icariin alleviates cisplatin-induced premature ovarian failure by inhibiting ferroptosis through activation of the Nrf2/ARE pathway.

Fangfang Li, Fengyu Zhu, Siyuan Wang, Huiqing Hu, Di Zhang, Zhouying He, Jiaqi Chen, Xuqing Li, Linghui Cheng, Fei Zhong

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Article
  2. [Chronic iron overload induces diminished ovarian reserve in miceNan fang yi ke da xue xue bao = Journal of Southern Medical University · 2026
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  5. Article
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  17. Antioxidants (Basel, Switzerland) · 2025
    Article
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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

10 authors.

Fangfang Li *Department of Oncology, Fuyang Hospital of Anhui Medical University, Fuyang, 236000, China.
Fengyu Zhu *Department of Obstetrics and Gynecology, the First Affiliated Hospital of Anhui Medical University, No 218 Jixi Road, Shushan District, Hefei, 230022, Anhui, China.
Siyuan Wang *Department of Oncology, Fuyang Hospital of Anhui Medical University, Fuyang, 236000, China.
Huiqing HuDepartment of Oncology, Fuyang Hospital of Anhui Medical University, Fuyang, 236000, China.
Di ZhangDepartment of Oncology, Fuyang Hospital of Anhui Medical University, Fuyang, 236000, China.
Zhouying HeDepartment of Oncology, Fuyang Hospital of Anhui Medical University, Fuyang, 236000, China.
Jiaqi ChenDepartment of Oncology, Fuyang Hospital of Anhui Medical University, Fuyang, 236000, China.
Xuqing LiDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Anhui Medical University, No 218 Jixi Road, Shushan District, Hefei, 230022, Anhui, China. lixuqing2020@126.com.
Linghui ChengDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Anhui Medical University, No 218 Jixi Road, Shushan District, Hefei, 230022, Anhui, China. chenglinghui71@163.com.
Fei ZhongDepartment of Oncology, Fuyang Hospital of Anhui Medical University, Fuyang, 236000, China. zhongfei@ahmu.edu.cn.

Funding

Anhui Provincial Key Research and Development Project 2022e07020050Science Research Project of Anhui Health Commission AHWJ2021b097
6 · The paper itself

Abstract

Cisplatin is a widely used chemotherapeutic drug that can induce ovarian damage. Icariin (ICA), a natural antioxidant derived from Epimedium brevicornum Maxim., has been found to protect against organ injury. The aim of the present study was to investigate whether ICA can exert an ovarian-protective effect on cisplatin induced premature ovarian failure (POF) and the underlying mechanism involved. The preventive effect of ICA was evaluated using body weight, the oestrous cycle, ovarian histological analysis, and follicle counting. ICA treatment increased body weight, ovarian weight, and the number of follicles and improved the oestrous cycle in POF mice. ICA reduced cisplatin-induced oxidative damage and upregulated the protein expression levels of Nrf2, GPX4 and HO-1. Moreover, ICA reduced the expression levels of Bax and γH2AX and inhibited ovarian apoptosis. In addition, ICA activated the Nrf2 pathway in vitro and reversed changes in the viability of cisplatin-induced KGN cells, reactive oxygen species (ROS) levels, lipid peroxidation, and apoptosis, and these effects were abrogated when Nrf2 was knocked down or inhibited. Molecular docking confirmed that ICA promotes the release of Nrf2 by competing with Nrf2 for binding to Keap1. The inhibitory effects of ICA on cisplatin-induced oxidative stress, ferroptosis, and apoptosis may be mediated by its modulatory effects on the Nrf2 pathway, providing a novel perspective on the potential mechanisms by which ICA prevents POF.

Indexed as

CisplatinFerroptosisFlavonoidsNF-E2-Related Factor 2Primary Ovarian InsufficiencySignal TransductionAnimalsAntineoplastic AgentsAntioxidant Response ElementsApoptosisFemaleHumansMiceMolecular Docking SimulationOxidative StressPhospholipid Hydroperoxide Glutathione PeroxidaseAntineoplastic AgentsCisplatinFlavonoidsicariinNfe2l2 protein, mouseNF-E2-Related Factor 2Phospholipid Hydroperoxide Glutathione PeroxidaseReactive Oxygen SpeciesFerroptosisIcariinNrf2Ovarian damage

Identifiers

PMID39068256
PMCPMC11283570

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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.