Evidence map›Paper›PMID 42355406›Full record

ArticleLife (Basel, Switzerland)2026

Pilot Study on the Effects of First-Line Antituberculosis Drugs and Their Combinations on Selected Reproductive Endpoints in Female Rats.

Elif Esra Uyar, Bulent Yavuzer, Mansura Babayeva, Nurinisa Yucel, Murat Gunay, Halis Suleyman

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Article in Life (Basel, Switzerland), 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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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

6 authors.

Elif Esra UyarDepartment of In Vitro Fertilization, Clinic of Gynecology and Obstetrics, Lokman Hekim Istanbul Hospital, Istanbul 34912, Turkey.
Bulent YavuzerDepartment of Pharmacology, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan 24100, Turkey.ORCID 0000-0001-7576-0678
Mansura BabayevaDepartment of Internal Medicine 2, Azerbaijan Medical University, Baku AZ1022, Azerbaijan.ORCID 0009-0002-5109-7052
Nurinisa YucelPharmacy Services Program, Vocational School of Health Services, Erzincan Binali Yıldırım University, Erzincan 24036, Turkey.ORCID 0000-0001-5431-111X
Murat GunayDepartment of Medical Biochemistry, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan 24100, Turkey.
Halis SuleymanDepartment of Pharmacology, Faculty of Medicine, Erzincan Binali Yıldırım University, Erzincan 24100, Turkey.ORCID 0000-0002-9239-4099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe reproductive toxicity of first-line antituberculosis drugs remains poorly understood, particularly when used in combination. Rifampicin, isoniazid, pyrazinamide, and ethambutol are essential in tuberculosis therapy, but their potential influence on female fertility is uncertain. This pilot study evaluated their effects, given alone or in dual, triple, and quadruple combinations, on oxidative stress, endocrine markers, and reproductive outcomes in healthy female rats. MATERIALS AND

methodsNinety-six albino Wistar-type female rats were divided into sixteen groups of six animals each and treated with single, dual, triple, or quadruple regimens of first-line antituberculosis drugs for 28 days. After treatment, two sexually mature males were introduced per group, and therapy continued for seven additional days. Serum malondialdehyde (MDA), total glutathione (tGSH), prolactin, and anti-Mullerian hormone (AMH) levels were measured, and fertility outcomes were evaluated.

resultsIn single-drug groups, MDA increased and tGSH decreased, but detectable infertility was not recorded. Prolactin remained stable except in the pyrazinamide group, where it declined. Dual-drug regimens increased oxidative imbalance; fertility failure occurred only in pyrazinamide-lacking groups and was accompanied by higher prolactin and lower AMH. Triple and quadruple combinations produced prominent oxidative imbalance. In triple-drug regimens, infertility was lower in pyrazinamide-containing groups than in the pyrazinamide-free group, but this pattern was not maintained in the quadruple regimen. Fertility impairment was not consistently aligned with the degree of oxidative stress and may involve prolactin and AMH alterations.

conclusionsThese findings suggest that reproductive impairment under these experimental conditions may involve endocrine alterations and cannot be explained solely by serum oxidative imbalance. Pyrazinamide-associated fertility preservation appeared context-dependent and requires further confirmation in larger mechanistic studies with broader reproductive and endocrine assessment.

Indexed as

anti-mullerian hormoneantituberculosis agentsethambutolfemale infertilityisoniazidoxidative stressprolactinpyrazinamideratsrifampicin

Identifiers

PMID42355406
PMCPMC13302617

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