Evidence map›Paper›PMID 42650271›Full record

ArticleAntioxidants (Basel, Switzerland)2026

Hesperetin-Loaded PLGA Nanoparticles Ameliorate Cisplatin-Induced Oxidative Stress and Testicular Dysfunction in Rats: Association with NRF2/HO-1, NF-κB, and ACSL4/GPX4/SLC7A11 Signaling Modulation.

Mohammed A Akeel, Ekramy M Elmorsy, Aly A M Shaalan, Fahad Alshammari, Ezzat A Ismail, Gehad E Elshopakey, Manal S Fawzy, Shaimaa A Shehata

Abstract read
In one paragraph

Article in Antioxidants (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.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mohammed A AkeelDepartment of Human Anatomy, Faculty of Medicine, Jazan University, Jazan 45142, Saudi Arabia.ORCID 0000-0002-2573-9309
Ekramy M ElmorsyCenter for Health Research, Northern Border University, Arar 73213, Saudi Arabia.ORCID 0000-0002-7444-2499
Aly A M ShaalanDepartment of Human Anatomy, Faculty of Medicine, Jazan University, Jazan 45142, Saudi Arabia.ORCID 0000-0003-1908-4788
Fahad AlshammariDepartment of Biology, College of Science, Jouf University, Sakaka 72341, Aljouf, Saudi Arabia.ORCID 0009-0002-6160-5284
Ezzat A IsmailDepartment of Urology, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt.ORCID 0000-0001-5540-0819
Gehad E ElshopakeyDepartment of Clinical Pathology, Faculty of Veterinary Medicine, Mansoura University, Mansoura 35516, Egypt.ORCID 0000-0003-2924-9670
Manal S FawzyCenter for Health Research, Northern Border University, Arar 73213, Saudi Arabia.ORCID 0000-0003-1252-8403
Shaimaa A ShehataDepartment of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt.ORCID 0000-0002-2810-3613

Funding

Northern Border University NBU-CRP-2026-1442
6 · The paper itself

Abstract

backgroundCisplatin is a widely used chemotherapeutic agent whose gonadotoxic effects, largely driven by oxidative stress and inflammation, pose a major threat to male reproductive health. This study evaluated whether hesperetin (HES) and hesperetin-loaded poly (lactic-co-glycolic acid) nanoparticles (HES-PLGA-NPs) can protect against cisplatin-induced testicular dysfunction in adult male Sprague Dawley rats.

methodsSixty rats were randomly assigned to six groups: control, HES, HES-PLGA-NPs, cisplatin (CIS), CIS + HES, and CIS + HES-PLGA-NPs. CIS (7.5 mg/kg/week, i.p.) was given intraperitoneally for four weeks, while HES and nano-HES (50 mg/kg/day, p.o.) were orally administered concurrently. Reproductive hormones, testicular weight, sperm parameters, oxidative stress and antioxidant markers, NRF2/HO-1 and NF-κB signaling, apoptotic indices, ferroptosis-related markers, histopathology, and GPX4/ACSL4 immunoexpression were assessed.

resultsCIS caused marked reproductive dysfunction, including reduced testosterone, FSH, and LH, decreased testicular weight, and impaired sperm quality. These changes were associated with severe oxidative and nitrosative stress (↑ MDA, NO, 8-OHdG), depletion of antioxidant defenses (↓ SOD, CAT, GSH), reduced NRF2/HO-1, elevated NF-κB activity and pro-inflammatory cytokines, apoptosis-related changes (↑ Bax, caspase-3; ↓ Bcl-2), and ferroptosis-associated alterations (↑ Fe

conclusionsHES-PLGA-NPs were associated with multi-mechanistic protection against cisplatin-induced oxidative, inflammatory, apoptotic, and ferroptosis-associated damage in the testes, and may represent a promising nanoantioxidant candidate warranting further investigation for preserving male reproductive function during chemotherapy.

Indexed as

cisplatinferroptosishesperetinmale reproductive healthNF-κBNRF2/HO-1oxidative stressPLGA nanoparticles

Identifiers

PMID42650271
PMCPMC13509406

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Registered trials

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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.