Evidence map›Paper›PMID 41695244›Full record

ArticleMetabolism open2026

Protective effects of medicinal honey against doxorubicin-induced hepatorenal toxicity in rats: A novel grading index (PAD score) based on phenolic content and antioxidant capacity.

Mahdi Honarbakhsh, Nafiseh Erfanian, Amir Hossein Saberi, Pouria Mohammad Parast Tabas, Motahhareh Mohammadi, Ahmad Bavali-Gazik, Asghar Zarban

Abstract read
In one paragraph

Article in Metabolism open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Mahdi HonarbakhshStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
Nafiseh ErfanianAssistant Professor of Molecular Medicine, Cellular and Molecular Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Amir Hossein SaberiStudent Research Committee, Iran University of Medical Sciences, Tehran, Iran.
Pouria Mohammad Parast TabasStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
Motahhareh MohammadiStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
Ahmad Bavali-GazikStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
Asghar ZarbanProfessor of Biochemistry, Clinical Biochemistry Department, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Doxorubicin is an effective anticancer drug whose clinical use is limited by oxidative liver and kidney toxicity. High-PAD-score honey, a novel index reflecting honey quality and bioactive potential, is rich in phenolic compounds and antioxidants and may mitigate these toxic effects. This study aimed to evaluate the protective effects of PAD-classified honey against doxorubicin-induced hepatorenal toxicity in rats. Methods: Fifteen honey samples collected from different regions of Iran were biochemically characterized using a novel PAD scoring system calculated as the sum of four parameters: total phenolic content, antioxidant capacity, protein concentration, and diastase activity. Based on their PAD values, honeys were classified into high-, moderate-, and low-PAD categories and pooled accordingly. Thirty-five male Wistar rats were randomly assigned to five groups and orally treated with 20% (w/v) PAD-classified honey for four weeks, followed by doxorubicin administration (20 mg/kg, i.p.) to induce hepatorenal toxicity. Serum biochemical markers, oxidative stress indices, and histopathological alterations in liver and kidney tissues were subsequently evaluated. Results: Doxorubicin increased liver and kidney injury markers, oxidative stress parameters, and glucose levels. Medium- and high-PAD honeys improved biochemical homeostasis, enhanced antioxidant defense, and, as confirmed by histopathological analysis, attenuated hepatic and renal degeneration, necrosis, inflammation, and structural damage. Conclusion: High-PAD-score honey, owing to its antioxidant and phenolic properties, may exert protective effects against doxorubicin-induced organ toxicity in experimental models. However, further mechanistic studies and carefully designed investigations are required before any implications for supportive or clinical use can be considered.

Indexed as

AntioxidantsDoxorubicinHepatoprotectionHoneyNephroprotectionPAD score

Identifiers

PMID41695244
PMCPMC12905748

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.