Evidence map›Paper›PMID 40113827›Full record

ArticleScientific reports2025

Gallic and glycyrrhetinic acids prevent azithromycin-induced liver damage in rats by mitigating oxidative stress and inflammation.

Marwa Ahmed Mohamed Ali, Asmaa Ibrahim Matouk, Alaaeldin Ahmed Hamza, Amr Amin, Gehan Hussein Heeba

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  20. Oroxylin A FromCanadian respiratory journal · 2026
    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

5 authors.

Marwa Ahmed Mohamed AliAbu Qurqas Health Administration, Minia Directorate of Health, Ministry of Health, El-Minia, 61611, Egypt.
Asmaa Ibrahim MatoukDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Minia University, El-Minia, Egypt.
Alaaeldin Ahmed HamzaBiology Department, National Organization for Drug Control and Research, Giza, 12611, Egypt. alaa17mm@gmail.com.
Amr AminCollege of Medicine, University of Sharjah, Sharjah, 27272, UAE. a.amin@sharjah.ac.ae.
Gehan Hussein HeebaDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Minia University, El-Minia, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Natural products like gallic acid (GA), a phenolic compound, and glycyrrhetinic acid (GLA), a pentacyclic triterpene, have been shown to exhibit antioxidant, ant-inflammatory, and hepatoprotective properties. This study aims to investigate the protective effects of GA, GLA and their combination and to explore their underlying mechanisms against acute liver damage induced by azithromycin (AZM) in rats. Seven groups of male Wistar rats were used namely control, GA, GLA, AZM, AZM + GA, AZM + GLA, and AZM + GA + GLA groups. We treated the rats for 21 days, administering GA and GLA at 50 mg/kg one week prior to AZM (30 mg/kg). Serum levels of aspartate aminotransferase, alanine aminotransferase, and alkaline phosphatase in rats AZM-induced and pre-treated with of GA, GLA, and combination therapy were much lower than those in the AZM group Elevated levels of glutathione, catalase, and superoxide dismutase in preventive rats demonstrated that GA, GLA, and their combinations notably reduced AZM-induced malondialdehyde levels, an oxidative stress marker, improving the antioxidant system in those groups. Furthermore, GA, GLA, and their combinations reduced pro-inflammatory cytokines, such as tumor necrosis factor-α and nuclear factor kappa beta (NF-kB), thus reversing hepatic inflammation. We also discovered that AZM down-regulated nuclear factor erythroid 2-related factor 2 (Nrf2), and that its normal levels were restored post treatments with GA, GLA, and their combination suggesting a Nrf2 signaling pathway-mediated prevention of AZM-induced liver damage. In conclusion, GA, GLA, and their combination protected rats against AZM-induced liver injury through their demonstrated ability to lower oxidative stress and inflammation by preventing downregulation of Nrf2 and upregulation of NF-kB. After determining their efficacy and safety in clinical settings in future studies, GA and GLA could potentially make useful therapeutic drugs to mitigate AZM-induced hepatotoxicity.

Indexed as

AzithromycinChemical and Drug Induced Liver InjuryGallic AcidGlycyrrhetinic AcidInflammationOxidative StressAnimalsAntioxidantsLiverMaleNF-E2-Related Factor 2NF-kappa BRatsRats, WistarAntioxidantsAzithromycinGallic AcidGlycyrrhetinic AcidNF-E2-Related Factor 2NF-kappa BAzithromycinGallic acidGlycyrrhetinic acidsLiver damageNF-kBNrf2

Identifiers

PMID40113827
PMCPMC11926359

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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.