Evidence map›Paper›PMID 40991174›Full record

ArticleInflammopharmacology2025

Gastroprotective effect of nifuroxazide against indomethacin-induced gastric ulcers in rats via modulation of Nrf2/HO-1, HMGB1/TLR4/NF-κB p65, and apoptotic caspase-3 signaling pathways.

Sara S Aboelmagd, Dina M Khodeer, Ahmed E Khodir, Naglaa F El-Orabi

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

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Sara S AboelmagdDepartment of Pharmacology and Biochemistry, Faculty of Pharmacy, Horus University-Egypt, New Damietta, 34518, Egypt. ssamir@horus.edu.eg.ORCID http://orcid.org/0009-0008-9282-9583
Dina M KhodeerDepartment of Pharmacology, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
Ahmed E KhodirDepartment of Pharmacology and Biochemistry, Faculty of Pharmacy, Horus University-Egypt, New Damietta, 34518, Egypt.
Naglaa F El-OrabiDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Suez Canal University, Ismailia, 41522, Egypt.

Funding

Deanship of Scientific Research, Imam Mohammed Ibn Saud Islamic University IMSIU-DDRSP2501
6 · The paper itself

Abstract

backgroundGastric ulcer (GU) is a common gastrointestinal disease linked to the consumption of non-steroidal anti-inflammatory drugs (NSAIDs), with traditional therapies often causing several adverse effects and drug interactions.

aimThe primary aim of this study was to assess the protective effects of nifuroxazide at three different doses against indomethacin-induced GU.

methodsRats were pretreated orally once daily for 14 days with either nifuroxazide (10, 20, or 40 mg/kg) or famotidine (25 mg/kg), the standard reference drug. After 24 h of fasting, a single oral dose of 50 mg/kg indomethacin was used to induce GU. Six hours later, rats were anesthetized using ketamine.

resultsNifuroxazide dose-dependently mitigated the rise in ulcer index, retained gastric mucin content, and alleviated histopathological changes. These gastroprotective effects were due to the attenuation of oxidative stress, evidenced by reduced malondialdehyde (MDA) levels and increased levels of reduced glutathione (GSH), catalase (CAT), superoxide dismutase (SOD), nuclear factor erythroid 2-related factor 2 (Nrf2), and heme oxygenase-1 (HO-1). Furthermore, nifuroxazide lessened gastric mucosal inflammation by lowering gastric high mobility group box 1 protein (HMGB1), nuclear factor kappa B p65 (NF-κB p65), tumor necrosis factor-alpha (TNF-α), and signal transducer and activator of transcription 3 (STAT3) levels, toll-like receptor 4 (TLR4) and interleukin-1 beta (IL-1β) expressions, as well as serum levels of C-reactive protein (CRP). In addition, nifuroxazide mitigated apoptosis by inhibiting immunohistochemical expression of caspase-3.

conclusionsNifuroxazide has the potential to be repurposed as a novel gastroprotective therapy that restores gastric mucosal barrier integrity via the mitigation of gastric oxidative stress, inflammation, and apoptosis.

Indexed as

HydroxybenzoatesNitrofuransStomach UlcerAnimalsAnti-Inflammatory Agents, Non-SteroidalAnti-Ulcer AgentsApoptosisCaspase 3Dose-Response Relationship, DrugHeme Oxygenase-1Heme Oxygenase (Decyclizing)HMGB1 ProteinIndomethacinMaleNF-E2-Related Factor 2Oxidative StressAnti-Inflammatory Agents, Non-SteroidalAnti-Ulcer AgentsCaspase 3Hbp1 protein, ratHeme Oxygenase-1Heme Oxygenase (Decyclizing)HMGB1 ProteinHmox1 protein, ratHydroxybenzoatesIndomethacinNfe2l2 protein, ratNF-E2-Related Factor 2nifuroxazideNitrofuransTlr4 protein, ratToll-Like Receptor 4Transcription Factor RelACaspase-3Gastric ulcerHMGB1/TLR4/NF-κB p65/IL-1βIndomethacinNifuroxazideNrf2/HO-1 cascadeTNF-α pathway

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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.