Evidence map›Paper›PMID 41128913›Full record

ArticleJournal of molecular histology2025

Vortioxetine protects against methotrexate-induced ovarian toxicity through anti-inflammatory, antioxidant and antiapoptotic pathways: a multi-marker immunohistochemical study.

Emine Sarman, Halil Asci, Kadriye Nilay Ozcan, Oznur Kolay, Irem Nazıroglu

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Article in Journal of molecular histology, 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.

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4 · The record

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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.

Emine SarmanFaculty of Medicine, Department of Histology and Embryology, Afyonkarahisar Health Sciences University, Afyonkarahisar, Türkiye. emine.sarman@afsu.edu.tr.ORCID http://orcid.org/0000-0002-4671-9315
Halil AsciFaculty of Medicine, Department of Pharmacology, Suleyman Demirel University, Isparta, Türkiye.ORCID http://orcid.org/0000-0002-1545-035X
Kadriye Nilay OzcanFaculty of Medicine, Department of Gynecology and Obstetrics, Suleyman Demirel University, Isparta, Türkiye.ORCID http://orcid.org/0000-0002-5270-5630
Oznur KolayDepartment of Medical Pharmacology, Institute of Health Sciences, Suleyman Demirel University, Isparta, Türkiye.ORCID http://orcid.org/0009-0002-3768-7996
Irem NazırogluFaculty of Medicine, Department of Histology and Embryology, Afyonkarahisar Health Sciences University, Afyonkarahisar, Türkiye.ORCID http://orcid.org/0009-0009-3353-730X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsMethotrexate (MTX), a commonly used chemotherapeutic and immunosuppressive agent, is known to induce significant ovarian toxicity through mechanisms involving oxidative stress, inflammation, and apoptosis. Vortioxetine (VTX), a novel antidepressant with proven neuroprotective and anti-inflammatory properties, has not yet been evaluated in the context of chemotherapy-induced gonadotoxicity. This study aimed to investigate the protective effects of VTX against MTX-induced ovarian injury in a rat model by employing comprehensive histopathological and immunohistochemical evaluations. METHODS AND

resultsThirty-two adult female Wistar Albino rats (300-350 g) were randomly divided into four equal groups (n = 8): Control, MTX, MTX + VTX, and VTX. Ovarian damage was induced with a single intraperitoneal injection of MTX (20 mg/kg), while VTX was administered daily (10 mg/kg) by oral gavage for five days. Rats were sacrificed on day 5, and bilateral ovaries were collected. Histopathological evaluation included follicular degeneration, vascular congestion, hemorrhage, and inflammatory cell infiltration. Immunohistochemical analyses were performed for 8-Hydroxy-2'-deoxyguanosine (8-OHdG), nuclear factor kappa B (NF-κB), tumor necrosis factor-alpha (TNF-α), caspase 3 (Cas-3), and Anti-Müllerian hormone (AMH) to assess oxidative stress, inflammation, apoptosis, and ovarian reserve. MTX administration caused severe follicular atresia, hemorrhage, and dense neutrophil infiltration. Immunohistochemically, 8-OHdG, NF-κB, TNF-α, and Cas-3 expressions were significantly elevated, while AMH was markedly reduced. VTX co-treatment significantly attenuated histological damage and modulated the expression of all biomarkers, indicating potent protective effects. VTX alone did not induce deleterious changes.

conclusionVTX exhibits a robust protective effect against MTX-induced ovarian injury via suppression of oxidative stress, inflammatory response and apoptotic pathways, while simultaneously preserving ovarian reserve. These findings highlight a novel application for VTX in fertility preservation strategies during chemotherapeutic interventions.

Indexed as

Anti-Inflammatory AgentsAntioxidantsApoptosisMethotrexateOvaryPiperazinesSulfidesAnimalsBiomarkersFemaleImmunohistochemistryInflammationNF-kappa BOxidative StressRatsRats, WistarAnti-Inflammatory AgentsAntioxidantsBiomarkersMethotrexateNF-kappa BPiperazinesSulfides8-Hydroxy-2'-deoxyguanosineAnti-müllerian hormoneCaspase 3InflammationOxidative stress

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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.