Evidence map›Paper›PMID 41992995›Full record

ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2026

Effect of allopurinol and oxypurinol treatment on apoptosis in an experimental testicular torsion model.

Emine Bilaloglu, Levent Duman, Yalcin Erzurumlu, Onur Ertunc, Yeliz Kart

Abstract read
In one paragraph

Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Emine BilalogluDepartment of Pediatric Surgery, Bayburt State Hospital, Bayburt-Türkiye.
Levent DumanDepartment of Pediatric Surgery, Suleyman Demirel University Faculty of Medicine, Isparta-Türkiye.
Yalcin ErzurumluDepartment of Biochemistry, Suleyman Demirel University Faculty of Pharmacy, Isparta-Türkiye;4Department of Drug Research and Development, Institute of Health Sciences, Suleyman Demirel University, Isparta-Türkiye.
Onur ErtuncDepartment of Pathology, Gazi University Faculty of Medicine, Ankara-Türkiye.
Yeliz KartDepartment of Pediatric Surgery, Suleyman Demirel University Faculty of Medicine, Isparta-Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate whether allopurinol and oxypurinol treatment could mitigate oxidative stress and germ cell apoptosis in testicular ischemia-reperfusion (IR) injury.

methodsThirty-two male rats were divided into four groups: Group 1 (Sham-Operated, n=8), in which the testicle was exposed but torsion was not performed; Group 2 (IR + Saline, n=8), in which torsion/detorsion was applied to the left testicle and 1 mL of normal saline was administered; Group 3 (IR + Allopurinol, n=8), in which torsion/detorsion was applied to the left testicle and 50 mg/kg allopurinol was administered; and Group 4 (IR + Oxypurinol, n=8), in which torsion/detorsion was applied to the left testicle and 50 mg/kg oxypurinol was administered. On postoperative day 28, left testicular tissue samples were collected, and total antioxidant status (TAS), total oxidant status (TOS), and oxidative stress index (OSI) levels were measured. Additionally, the gene expression levels of Bax, B-cell lymphoma 2 (Bcl-2), endothelial nitric oxide synthase (eNOS), and vascular endothelial growth factor A (VEGF-A) were analyzed.

resultsAllopurinol and oxypurinol significantly decreased OSI levels (p<0.001). Oxypurinol was found to be significantly more effective in reducing oxidative stress (p<0.001). Both allopurinol and oxypurinol significantly reduced Bax gene expression levels (p<0.001). Treatment with allopurinol (p=0.009) and oxypurinol (p=0.001) significantly increased Bcl-2 levels. Additionally, both agents significantly reduced the apoptosis index (p<0.001). Allopurinol (p1=0.007, p2<0.001) and oxypurinol (p1,2<0.001) treatments significantly increased eNOS and VEGF-A gene expression levels.

conclusionAllopurinol and oxypurinol reduce oxidative stress in the testis following IR injury, with oxypurinol demonstrating a greater antioxidant effect. Both treatments also reduce apoptosis by contributing positively to the eNOS and VEGF-A-mediated repair processes. Therefore, allopurinol and oxypurinol may serve as potential therapeutic agents for clinical application in testicular torsion.

Indexed as

AllopurinolApoptosisOxypurinolReperfusion InjurySpermatic Cord TorsionAnimalsDisease Models, AnimalMaleOxidative StressRatsTestisVascular Endothelial Growth Factor AAllopurinolOxypurinolVascular Endothelial Growth Factor A

Identifiers

PMID41992995
PMCPMC13059651

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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.