Evidence map›Paper›PMID 40973956›Full record

ArticleBMC pharmacology & toxicology2025

Obeticholic acid prevents cyclophosphamide-induced placental injury via SIRT1 and TLR4/NF-κB pathways.

Walaa Yehia Abdelzaher, Hanaa Mohamed Khalaf, Sara M Ahmed, Mina Ezzat Attya, Abdelaleem Abdelnour Mohamed, Asmaa Mohamed Mahmoud Ali, Shereen S Gaber, Ahmed K A Abdel-Hakeem, Enas Mostafa Mohammed, Marwa Hassan

Abstract read
In one paragraph

Article in BMC pharmacology & toxicology, 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
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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.

Walaa Yehia AbdelzaherDepartment of Medical Pharmacology, Faculty of Medicine, Minia University, Minia, 61519, Egypt. walaa.hamada@mu.edu.eg.ORCID 0000-0001-6511-1797
Hanaa Mohamed KhalafDepartment of Medical Pharmacology, Faculty of Medicine, Minia University, Minia, 61519, Egypt.
Sara M AhmedDepartment of Medical Pharmacology, Faculty of Medicine, Minia University, Minia, 61519, Egypt.
Mina Ezzat AttyaDepartment of Pathology, Faculty of Medicine, Minia University, Minia, 61519, Egypt.
Abdelaleem Abdelnour MohamedDepartment of Medical Physiology, Faculty of Medicine, Minia University, Minia, 61519, Egypt.
Asmaa Mohamed Mahmoud AliDepartment of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Minia University, Minia, 61519, Egypt.
Shereen S GaberDepartment of Medical Biochemistry, Faculty of Medicine, Minia University, Minia, 61519, Egypt.
Ahmed K A Abdel-HakeemDepartment of Obstetrics & Gynecology, Faculty of Medicine, Minia University, Minia, 61519, Egypt.
Enas Mostafa MohammedDepartment of Obstetrics & Gynecology, Faculty of Medicine, Minia University, Minia, 61519, Egypt.
Marwa HassanDepartment of Medical Pharmacology, Faculty of Medicine, Minia University, Minia, 61519, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the current study is to identify the possible protective effect of obeticholic acid (OCA) on placental injury caused by cyclophosphamide (CP). OCA was administered in the presence and absence of CP.

methodsThirty-two pregnant female rats were randomly assigned to four groups: control group, OCA group: received OCA (10 mg/kg /day, orally), CP group: received CP 20 mg/kg intraperitoneally at 12th day, OCA + CP group. Placental weight and placental growth factor (PlGF) were measured. Placental oxidative stress parameters (malondialdahide (MDA) and total antioxidant capacity (TAC)), besides Sirtuin type 1 (SIRT1), nuclear factor erythroid 2-related factor 2 (Nrf2), myeloid differentiation factor 88 (Myd88) and caspase-3 biomarkers, were evaluated. Nuclear factor-kappa B (NF-κB) and tumor necrosis factor-alpha (TNF-α) gene expression were also measured. Placental histopathological examination, toll- like receptor4 (TLR4) and forkhead-box transcription factor1 (FOXO1) immunohistochemical study were performed.

resultsCP significantly decreased PlGF, placental weight, TAC, SIRT1 and Nrf2 with increased placental MDA, Myd88, caspase-3, NF-κB and TNF-α. Histopathological findings of placental damage and high TLR4, FOXO1 immunoexpressions were detected. OCA significantly increased PlGF level, placental weight and normalized the distributed oxidative stress, inflammatory, and apoptotic biomarkers with a prompt improvement in the histopathological picture and decrease TLR4 and FOXO1 immunoexpressions.

conclusionAccordingly, these findings suggest that OCA protects CP-induced placental injury by modulating TLR4/Myd88/NF-κB; SIRT1-dependant signaling pathways.

Indexed as

Chenodeoxycholic AcidCyclophosphamidePlacentaAnimalsFemaleMyeloid Differentiation Factor 88NF-E2-Related Factor 2NF-kappa BOxidative StressPregnancyRatsRats, WistarSignal TransductionSirtuin 1Toll-Like Receptor 4Chenodeoxycholic AcidCyclophosphamideMyeloid Differentiation Factor 88Nfe2l2 protein, ratNF-E2-Related Factor 2NF-kappa Bobeticholic acidSirt1 protein, ratSirtuin 1Tlr4 protein, ratToll-Like Receptor 4CyclophosphamideObeticholic acidPlacentaSIRT1TLR4

Identifiers

PMID40973956
PMCPMC12449799

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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.