Evidence map›Paper›PMID 39963909›Full record

ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2025

Effects of lupeol on experimental testicular ischemiareperfusion damage in rats.

Abdurrahman Azzam, Ramazan Karabulut, Cem Kaya, Sibel Eryılmaz, Alparslan Kapisiz, Zafer Turkyilmaz, Mehmet Arda Inan, Gizem Yaz Aydin, Ali Atan, Kaan Sonmez

Abstract read
In one paragraph

Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Gastrodin mitigates testicular ischemia-reperfusion injury in rats.Veterinary research forum : an international quarterly journal · 2026
    Article
  3. 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

10 authors.

Abdurrahman AzzamDepartment of Pediatric Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.
Ramazan KarabulutDepartment of Pediatric Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.
Cem KayaDepartment of Pediatric Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.
Sibel EryılmazDepartment of Pediatric Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.
Alparslan KapisizDepartment of Pediatric Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.
Zafer TurkyilmazDepartment of Pediatric Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.
Mehmet Arda InanDepartment of Pathology, Gazi University Faculty of Medicine, Ankara, Türkiye.
Gizem Yaz AydinDepartment of Biochemistry, Gazi University Faculty of Medicine, Ankara, Türkiye.
Ali AtanDepartment of Urology, Gazi University Faculty of Medicine, Ankara, Türkiye.
Kaan SonmezDepartment of Pediatric Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfertility and organ loss are possible outcomes of testicular torsion, a urological emergency. This study aimed to demonstrate the impact of lupeol on testicular ischemia/reperfusion damage.

methodsThirty adult male Spraque-Dawley rats were randomized into five groups: Control (C), Lupeol (L), Ischemia (Isc), Treatment 1 (T1), and Treatment 2 (T2). In the study groups, detorsion was applied to the left testicles by creating a 720-degree testicular torsion for 2 h. Additionally, in the T1 and T2 groups, 100 mg/kg of lupeol was injected intraperitoneally 30 minutes before and immediately after detorsion. At the sixth hour,aBACKGROUND: Infertility and organ loss are potential consequences of testicular torsion, a urological emergency. This study aimed to evaluate the impact of lupeol on testicular ischemia-reperfusion damage.

methodsThirty adult male Sprague-Dawley rats were randomly assigned to five groups: Control (C), Lupeol (L), Ischemia (Isc),Treatment 1 (T1), and Treatment 2 (T2). In the study groups, detorsion was applied to the left testicles following the induction of 720-degree testicular torsion for two hours. In the T1 and T2 groups, 100 mg/kg of lupeol was administered intraperitoneally 30 minutes before and immediately after detorsion. At the sixth hour, blood and testicular tissue samples were collected from each rat. Measurements included serum interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α), tissue glutathione (GSH), malondialdehyde (MDA), and caspase-3 levels. Histopathological analysis was performed to assess the Johnsen Tubular Biopsy Score (JTBS).

resultsLevels of caspase-3 (2.74+-0.32), MDA (1.71+-0.26), IL-6 (4.92+-0.57), and TNF-α (113.18+-29.77) were elevated in Group Isc compared to Group C and showed a significant reduction in Group T2 (2+-0.67, 1.16+-0.36, 3.95+-0.17, and 106.13+-12.49, respectively) and particularly in Group T1 (1.65+-0.50, 0.95+-0.143, 80+-0.35, and 104.86+-8.42, respectively) (p=0.001). However, while TNF-αlevels decreased in both treatment groups, the difference was not statistically significant (p=0.768). GSH levels decreased in Group Isc(140.63+-25.71) but increased in Group T2 (211.58+-95.05) (p=0.753) and particularly in Group T1 (219.9+-48.21)(p=0.078). The JTBS was lowest in Group Isc (7.67+-0.25). However, improvements were observed in both treatment groups (8.93+-0.16 and 8.82+-0.22, respectively) (p=0.001).

conclusionThis study, the first to use lupeol in an experimental testicular torsion model, demonstrated its antioxidant, antiinflammatory, anti-apoptotic, histopathological damage-reducing, and protective effects. blood and testicular tissue samples were obtained from each rat. Serum interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α), tissue glutathione (GSH), malondialdehyde (MDA), and caspase-3 measurements were also obtained. Histopathological analysis was used to evaluate the Johnsen Tubular Biopsy Score (JTBS).

resultsCaspase-3 (2,74+-0,32), MDA (1,71+-0,26), IL-6 (4,92+-0,57), and TNF-ɑ (113,18+-29,77) values increased in Group Isc compared to Group C and significantly decreased in T2 (2+-0,67, 1,16+-0,36, 3,95+-0,17, and 106,13+-12,49) and particularly T1 groups (1,65+-0,50, 0,95+-0,143, 80+-0,35, and 104,86+-8,42) (p=0.001). However, TNF-α levels decreased in both treatment groups, with no statistically significant difference (p=0.768). GSH levels decreased in Group Isc (140,63+-25,71) but increased in T2 (211,58+-95,05) (p=0.753) and particularly in T1 groups (219,9+-48,21) (p=0.078). JTBS was lowest in Group Isc (7,67+-0,25). Improvement was observed in both treatment groups (8,93+-0,16 and 8,82+-0,22) (p=0.001).

conclusionThis study, which is the first to use lupeol in an experimental testicular torsion model, demonstrated its antioxidant, anti-inflammatory, antiapoptotic, and histopathological damage-reducing and protective effects.

Indexed as

Pentacyclic TriterpenesReperfusion InjurySpermatic Cord TorsionTestisAnimalsDisease Models, AnimalInterleukin-6LupanesMaleRandom AllocationRatsRats, Sprague-DawleyTumor Necrosis Factor-alphaInterleukin-6LupaneslupeolPentacyclic TriterpenesTumor Necrosis Factor-alpha

Identifiers

PMID39963909
PMCPMC11843417

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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.