Evidence map›Paper›PMID 42310631›Full record

ArticleBMC cancer2026

Hepatorenal protective and antitumor effects of astaxanthin-loaded chitosan nanoparticles against ehrlich ascites carcinoma in mice through antioxidant, anti-inflammatory, and apoptotic pathway modulation.

Mohammed Saleh Alfawaz, Ekramy M Elmorsy, Huda A Al Doghaither, Ayat B Al-Ghafari, Ahd A Mansour, Ahmad Najem Alshammari, Manal S Fawzy, Mona M Elghareeb

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Article in BMC cancer, 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

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

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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

8 authors.

Mohammed Saleh AlfawazDepartment of Medical Laboratory Technology, College of Applied Medical Sciences, Northern Border University, Arar, 73213, Saudi Arabia.
Ekramy M ElmorsyCenter for Health Research, Northern Border University, P.O. Box 1321, Arar, 91431, Saudi Arabia. Ekramy.elmorsy@nbu.edu.sa.
Huda A Al DoghaitherDepartment of Biochemistry, Faculty of Science, King Abdulaziz University, Jeddah, 21589, Saudi Arabia.
Ayat B Al-GhafariDepartment of Biochemistry, Faculty of Science, King Abdulaziz University, Jeddah, 21589, Saudi Arabia.
Ahd A MansourMedical Laboratory Sciences Department- MLS program, Fakeeh Care Group, Fakeeh College for Medical Sciences, Jeddah, 21461, Saudi Arabia.
Ahmad Najem AlshammariDepartment of Medical Laboratory Technology, College of Applied Medical Sciences, Northern Border University, Arar, 73213, Saudi Arabia.
Manal S FawzyCenter for Health Research, Northern Border University, P.O. Box 1321, Arar, 91431, Saudi Arabia.
Mona M ElghareebPhysiology department Faculty of Veterinary Medicine, Mansoura University, Mansoura, 35516, Egypt. monael_ghareeb@mans.edu.eg.

Funding

Northern Borders University NBU-CRP-2026-2510
6 · The paper itself

Abstract

backgroundEhrlich ascites carcinoma (EAC) is an aggressive experimental tumor model associated with severe oxidative stress, inflammation, and hepatorenal injury. Astaxanthin (ASX), a potent natural antioxidant carotenoid, has demonstrated anticancer and cytoprotective properties; however, its therapeutic application is limited by poor bioavailability and stability. Therefore, this study investigated the anticancer and hepatorenal protective effects of astaxanthin-loaded chitosan nanoparticles (ASX-CNPs) compared with free ASX in EAC-bearing mice.

methodsNinety female Swiss albino mice were randomly allocated into six groups: control, ASX, ASX-CNPs, EAC, EAC + ASX, and EAC + ASX-CNPs. Tumor progression, survival rate, oxidative stress biomarkers, inflammatory mediators, apoptotic markers, and histopathological alterations in hepatic and renal tissues were evaluated. Antioxidant parameters included SOD, CAT, GPx, GSH, TAC, and TBARS. Inflammatory and apoptotic signaling pathways were assessed through measurement of COX-2, TNF-α, IFN-γ, IL-1β, Bcl-2, Bax, and caspase-3 expression levels.

resultsASX-CNPs markedly suppressed tumor progression and improved survival compared with free ASX. Treatment with ASX-CNPs significantly downregulated Bcl-2 expression while upregulating Bax and caspase-3, indicating enhanced apoptotic activity. Antioxidant defenses were significantly restored, as evidenced by increased SOD, CAT, GPx, GSH, and TAC levels, alongside reduced TBARS. Inflammatory responses were attenuated through decreased COX-2 activity and reduced TNF-α, IFN-γ, and IL-1β levels. Histopathological examination confirmed substantial protection against EAC-induced hepatic and renal damage. Overall, ASX-CNPs demonstrated greater therapeutic efficacy than free ASX across biochemical, molecular, and histopathological assessments.

conclusionsASX-loaded chitosan nanoparticles exerted potent anticancer, antioxidant, anti-inflammatory, and hepatorenal protective effects in EAC-bearing mice. The enhanced efficacy of ASX-CNPs relative to free ASX is likely attributable to improved bioavailability and targeted modulation of oxidative stress, inflammatory, and apoptotic pathways, supporting their potential as a promising nanotherapeutic strategy for cancer-associated organ injury.

Indexed as

Anti-Inflammatory AgentsAntineoplastic AgentsAntioxidantsCarcinoma, Ehrlich TumorChitosanNanoparticlesAnimalsApoptosisFemaleKidneyLiverMiceOxidative StressSignal TransductionXanthophyllsAnti-Inflammatory AgentsAntineoplastic AgentsAntioxidantsastaxanthineChitosanXanthophyllsAntioxidant defenseApoptosisAstaxanthinChitosan nanoparticlesEhrlich ascites carcinomaInflammation

Identifiers

PMID42310631
PMCPMC13539798

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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.