Evidence map›Paper›PMID 41079109›Full record

ReviewFrontiers in oncology2025

Potential effect of FLASH radiotherapy on testicular damage: a review of current evidence.

Xiaoyu Zhi, Lehui Du, YaNan Han, Weiwei Li, Pei Zhang, Xingdong Guo, Yuan Wang, Na Ma, Xiao Lei, Baolin Qu

Abstract readReview
In one paragraph

Review in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. COPS5 is Essential for Sertoli Cell Function and Male Fertility in Mice.bioRxiv : the preprint server for biology · 2025
    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.

Xiaoyu Zhi *The First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Lehui Du *The First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
YaNan Han *The First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Weiwei LiThe 81st Group Army Hospital of the Chinese PLA, Zhangjiakou, China.
Pei ZhangThe First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Xingdong GuoThe First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Yuan WangThe First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Na MaThe First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Xiao LeiThe First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Baolin QuThe First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiotherapy is a major source of ionizing radiation that adversely affects the male reproductive system. FLASH radiotherapy (FLASH-RT), a novel technique delivering ultra-high dose rate (UHDR) radiation, has shown promise in reducing normal tissue damage while maintaining antitumor efficacy-a phenomenon known as the "FLASH effect". Male fertility depends on the coordinated function of spermatogenic, Sertoli, and Leydig cells in the testes, which display differential sensitivity to radiation exposure. Due to ethical limitations in human studies, rodent models are indispensable for exploring radiation-induced testicular injury. This review summarizes current evidence of the FLASH effect across rodent organs and the impact of ionizing radiation at different dose rates on testicular cells. Given the current lack of direct evidence for the FLASH effect in testicular tissue, it also reviews mechanisms observed in other organs that may contribute to its potential protective role in the testes. A deeper understanding of these mechanisms could inform fertility-preserving strategies in male cancer patients receiving radiotherapy.

Indexed as

FLASH irradiationradiation damagereproductive cellstesticular tissueultra-high dose rate

Identifiers

PMID41079109
PMCPMC12507575

What OpenQuestion holds

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Registered trials

None linked

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.