Evidence map›Paper›PMID 42498903›Full record

ArticleInflammopharmacology2026

Imeglimin confers protection against intestinal ischemia/reperfusion injury in rats through AMPK-dependent inhibition of NF-κB/NLRP3 inflammasome signaling and mitigation of oxidative stress and apoptosis.

Walaa Yehia Abdelzaher, Hanaa Mohamed Khalaf, Rabeh Khairy Saleh, Nehal Refaat Raouf, Youssra Magdy Hassan, Maggi Mofeed Ayad, Rania Rady Fadl

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Article in Inflammopharmacology, 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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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Walaa Yehia AbdelzaherDepartment of Medical Pharmacology, Faculty of Medicine, Minia University, Minya, 61519, Egypt.
Hanaa Mohamed KhalafDepartment of Medical Pharmacology, Faculty of Medicine, Minia University, Minya, 61519, Egypt.
Rabeh Khairy SalehDepartment of Pathology, Faculty of Medicine, Minia University, Minya, 61519, Egypt.
Nehal Refaat RaoufDepartment of Public Health and Preventive Medicine, Faculty of Medicine, Minia University, Minya, 61519, Egypt.
Youssra Magdy HassanDepartment of Anatomy, Faculty of Medicine, Minia University, Minya, 61519, Egypt.
Maggi Mofeed AyadOccupational Medicine and Environmental Health, Faculty of Medicine, Minia University, Minya, 61519, Egypt.
Rania Rady FadlDepartment of Medical Pharmacology, Faculty of Medicine, Minia University, Minya, 61519, Egypt. rania.rady@mu.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimIntestinal ischemia/reperfusion (I/R) injury is a critical condition characterized by oxidative stress, inflammation, and apoptosis, leading to significant tissue damage. Imeglimin (IMEG), a novel antidiabetic agent, has recently shown cytoprotective effects through modulation of mitochondrial function, oxidative stress, and inflammatory pathways. We aimed to investigate the potential protective effects of IMEG against II/R injury and to explore the underlying mechanisms involved. METHODOLOGY: Thirty-two adult male Wistar albino rats were divided into four groups; sham group, IMEG group, intestinal I/R group, IMEG + Intestinal I/R group. Oxidative stress markers [malondialdehyde (MDA), reduced glutathione (GSH)], and histopathological changes were assessed. Biochemical analyses included measurement of phosphorylated AMP-activated protein kinase (p-AMPK), NOD-like receptor protein 3 (NLRP3) and caspase-3. Also, gene expression of interleukin (IL)-1β, caspase-1, apoptotic Bcl-2-associated protein x (BAX) and anti-apoptotic B-cell leukemia/lymphoma 2 protein (Bcl-2) were measured. Nuclear factor-κB (NF-κB) immuno expression was estimated.

resultsMDA, NLRP3, caspase-3 levels, IL-1β, caspase-1, Bax gene expression, and NF-κB immunohistochemical expression were all significantly elevated in the intestinal I/R group while GSH, p-AMPK levels and Bcl-2 gene expression were significantly decreased. Every metric indicated a notable improvement with IMEG.

conclusionIMEG exerts a protective effect against intestinal I/R injury through its antioxidant, anti-inflammatory, and anti-apoptotic properties (Fig. 1).

Indexed as

ApoptosisInflammasomesNF-kappa BNLR Family, Pyrin Domain-Containing 3 ProteinOxidative StressReperfusion InjuryAMP-Activated Protein KinasesAnimalsIntestinesMaleRatsRats, WistarSignal TransductionAMP-Activated Protein KinasesInflammasomesNF-kappa BNLR Family, Pyrin Domain-Containing 3 ProteinNlrp3 protein, ratAMPKImegliminIntestinal ischemia reperfusionNF-κBNLRP3

Identifiers

PMID42498903
PMCPMC13525062

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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.