Evidence map›Paper›PMID 41817870›Full record

ArticleJournal of biochemical and molecular toxicology2026

Protective Effects of Hesperidin on Letrozole-Induced Neurotoxicity: Involvement of Oxidative Stress, Apoptotic Signaling, and Inflammation.

İdris Ayhan, Munevver Nazlican Kaplan, Demet Dondu Kasim, Ozlem Ozmen, Osman Ciftci

Abstract read
In one paragraph

Article in Journal of biochemical and molecular toxicology, 2026. 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. 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

5 authors.

İdris AyhanDepartment of Pharmacology, Faculty of Medicine, Pamukkale University, Denizli, Türkiye.ORCID https://orcid.org/0000-0003-4625-7218
Munevver Nazlican KaplanDepartment of Pharmacology, Faculty of Medicine, Pamukkale University, Denizli, Türkiye.ORCID https://orcid.org/0000-0002-3536-6606
Demet Dondu KasimDepartment of Pharmacology, Faculty of Medicine, Pamukkale University, Denizli, Türkiye.ORCID https://orcid.org/0000-0003-0343-1255
Ozlem OzmenDepartment of Veterinary Pathology, Faculty of Veterinary Medicine, Burdur Mehmet Akif Ersoy University, Burdur, Türkiye.ORCID https://orcid.org/0000-0002-1835-1082
Osman CiftciDepartment of Pharmacology, Faculty of Medicine, Pamukkale University, Denizli, Türkiye.ORCID https://orcid.org/0000-0001-5755-3560

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Letrozole, a widely used aromatase inhibitor for hormone receptor-positive breast cancer, has been suggested to be associated with potential neurotoxic effects; however, the underlying mechanisms remain unclear. This study aimed to investigate the neurotoxic effects of letrozole and evaluate the neuroprotective potential of hesperidin, a natural flavonoid with antioxidant and anti-inflammatory properties. Adult female rats received letrozole alone or in combination with hesperidin for 4 weeks. Biochemical analyses showed that letrozole significantly increased total oxidant status (TOS) and decreased total antioxidant status (TAS), indicating oxidative stress. Gene expression results revealed upregulation of pro-apoptotic Bax and downregulation of anti-apoptotic Bcl2 in letrozole-treated rats, reflecting apoptotic activation. Additionally, inflammatory cytokine measurements demonstrated elevated pro-inflammatory markers (IL-1, IL-6, TNF-α) and reduced anti-inflammatory IL-10 following letrozole administration. Histopathological examination revealed cortical microhemorrhages, edema, and hyperemia. Importantly, co-treatment with hesperidin attenuated oxidative imbalance, normalized apoptotic gene expression, modulated inflammatory cytokine levels towards an anti-inflammatory profile, and ameliorated histological damage. These findings indicate that hesperidin confers neuroprotection by restoring redox balance, regulating apoptosis, and suppressing inflammation in letrozole-induced neurotoxicity. Further studies are warranted to elucidate the precise molecular mechanisms and potential therapeutic applications of hesperidin in letrozole-induced neurotoxicity.

Indexed as

ApoptosisHesperidinInflammationLetrozoleNeuroprotective AgentsNeurotoxicity SyndromesOxidative StressSignal TransductionAnimalsCytokinesFemaleRatsCytokinesHesperidinLetrozoleNeuroprotective Agentsapoptosishesperidinletrozoleneurotoxicityoxidative stress

Identifiers

PMID41817870
PMCPMC12981323

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.