Evidence map›Paper›PMID 40001595›Full record

ArticleBiomolecules2025

Protective Effects of Bromelain in Testicular Torsion-Detorsion: Reducing Inflammation, Oxidative Stress, and Apoptosis While Enhancing Sperm Quality.

Seda Yakut, Merve Karabulut, Recep Hakkı Koca, Elif Erbaş, Seçkin Özkanlar, Berrin Tarakçı Gençer, Adem Kara, K J Senthil Kumar

Abstract read
In one paragraph

Article in Biomolecules, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Seda YakutDepartment of Histology and Embryology, Faculty of Veterinary Medicine, Burdur Mehmet Akif Ersoy University, Burdur 15030, Türkiye.ORCID 0000-0003-1673-5661
Merve KarabulutDepartment of Surgery, Faculty of Veterinary Medicine, Bingöl University, Bingöl 12000, Türkiye.
Recep Hakkı KocaDepartment of Reproduction and Artificial Insemination, Faculty of Veterinary Medicine, Bingöl University, Bingöl 12000, Türkiye.
Elif ErbaşDepartment of Histology and Embryology, Faculty of Medicine, Atatürk University, Erzurum 25240, Türkiye.
Seçkin ÖzkanlarDepartment of Biochemistry, Faculty of Veterinary Medicine, Atatürk University, Erzurum 25240, Türkiye.
Berrin Tarakçı GençerDepartment of Histology and Embryology, Faculty of Veterinary Medicine, Fırat University, Elazığ 23119, Türkiye.
Adem KaraDepartment of Molecular Biology and Genetics, Faculty of Science, Erzurum Technical University, Erzurum 25100, Türkiye.
K J Senthil KumarDepartment of Biotechnology, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Chennai 602105, Tamil Nadu, India.ORCID 0000-0002-8310-0546

Funding

National Science and Technology Council, Taiwan NSTC 111-2313-B-005-052- MY3
6 · The paper itself

Abstract

Inflammation and increased oxidative stress in testicular tissue are documented side effects of torsion of the testicles. The preventive role of Bromelain (Bro) against testicle torsion-induced ischemia/reperfusion (I/R) injury was investigated in this research. Five groups of six animals each were created: ischemia, Ischemia+Reperfusion (I+R), Ischemia+Reperfusion+Bromelain (I+R+Bro; 10 mg/kg), control (sham), and Bromelain (Bro; 10 mg/kg). An I/R damage resulted from two hours of 720° clockwise twisting of the left testis. Blood samples and epididymal sperm were collected after reperfusion to analyze sperm parameters (recovery, motility, viability, and morphology) and cytokines that promote inflammation (IL-1β, IL-6, and TNF-α). Using Western blotting, testicular tissue was examined for histopathological alterations, antioxidant enzymes (GSH, SOD), lipid peroxidation (MDA), apoptosis, and survival-related proteins (TLR4, Caspase-3, Bcl-2, NRF-2, HO-1, PI3K, mTOR, AKT-1). While raising the activities of GSH and SOD, two antioxidant enzymes, Bro administration dramatically reduced MDA concentrations. The I+R+Bro group had significantly reduced amounts of cytokines that promoted inflammation compared to the I+R group. Bro's protective properties are also attributed to proteins that are altered by it and participate in the apoptosis and survival of cells. Sperm morphology, motility, and concentration notably improved in the bromelain-treated group, according to spermatological examination. Testicular samples treated with bromelain showed less tissue damage according to histological evaluations than the untreated I+R group. These findings imply that Bro has anti-inflammatory, anti-apoptotic, and antioxidant qualities. It effectively reduces oxidative stress and inflammation by modulating the PI3K/Akt/mTOR and NRF-2/HO-1 pathways, hence minimizing I/R injury.

Indexed as

ApoptosisBromelainsInflammationOxidative StressSpermatic Cord TorsionSpermatozoaAnimalsAntioxidantsCytokinesMaleRatsReperfusion InjurySperm MotilityTestisAntioxidantsBromelainsCytokinesapoptosisBromelainischemia/reperfusion injuryNRF-2/HO-1PI3K/Akt/mTORtesticular torsion

Identifiers

PMID40001595
PMCPMC11852452

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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.