Evidence map›Paper›PMID 42900252›Full record

ArticlePediatric surgery international2026

Protective effects of astaxanthin on BDL-induced liver fibrosis: regulating MRP3 and AQP8 in cholestatic rats.

Naoki Hashizume, Ryusuke Shin, Jun Akiba, Takanori Matsui, Naoki Sotogaku, Yoshinori Koga, Ami Sotokawauchi, Daisuke Masui, Saki Sakamoto, Koshiro Sugita and 3 more

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Article in Pediatric surgery international, 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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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

13 authors.

Naoki HashizumeDivision of Pediatric Surgery, Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. hashidume_naoki@kurume-u.ac.jp.
Ryusuke ShinDepartment of Pharmacology, Kurume University School of Medicine, Kurume, Japan.
Jun AkibaDepartment of Pathology, Kurume University School of Medicine, Kurume, Japan.
Takanori MatsuiDepartment of Bioscience and Biotechnology, Fukui Prefectural University, Eiheiji, Japan.
Naoki SotogakuLaboratory of Functional Molecular Pharmaceutics, Faculty of Pharmaceutical Sciences, Aomori University, Aomori, Japan.
Yoshinori KogaDivision of Pediatric Surgery, Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Ami SotokawauchiDivision of Pediatric Surgery, Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Daisuke MasuiDivision of Pediatric Surgery, Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Saki SakamotoDivision of Pediatric Surgery, Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Koshiro SugitaDivision of General and Thoracic Surgery, Translational Medicine Program, The Hospital for Sick Children, Toronto, Canada.
Sho-Ichi YamagishiDivision of Diabetes, Metabolism and Endocrinology, Showa University Graduate School of Medicine, Tokyo, Japan.
Akinori NishiDepartment of Pharmacology, Kurume University School of Medicine, Kurume, Japan.
Tatsuru KajiDivision of Pediatric Surgery, Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLiver fibrosis induced by cholestasis involves oxidative stress and activation of hepatic stellate cells. Astaxanthin (ASX), a potent antioxidant, may modulate this pathological process. This study aimed to evaluate the effect of ASX on cholestasis-induced fibrosis in a bile duct ligation (BDL) rat model.

methodsMale Wistar rats were randomly assigned to three groups: sham-operated, BDL with no treatment (NT), and BDL treated with ASX (100 mg/kg/day orally for 20 days). On day 21 post-surgery, liver and serum samples were collected. Biochemical assays, histological staining, immunohistochemistry, and quantitative PCR were performed to assess liver function, fibrosis, inflammation, and expression of aquaporins (AQP) and multidrug resistance-associated protein (MRP) transporters.

resultsThe ASX group showed significantly improved body weight gain and serum albumin compared to the NT group. While liver enzymes and bilirubin remained elevated, AQP8 expression was partially restored, and MRP3 was further upregulated by ASX. Although the degree of NF-κB staining grade and histological fibrosis grade in NT group was significantly higher than those in sham group, no significant differences were observed between sham group and ASX group.

conclusionThe postoperative administration of ASX induced beneficial effects, resulting in the reduction of hepatic fibrosis via mechanisms involving the inhibition of NF-κB expression and improvement of AQP8 expression and enhancement of compensatory MRP3 activity.

Indexed as

AquaporinsATP-Binding Cassette, Sub-Family C ProteinsCholestasisLiver CirrhosisAnimalsAntioxidantsDisease Models, AnimalLigationMaleRandom AllocationRatsRats, WistarXanthophyllsAntioxidantsAquaporinsastaxanthineATP-Binding Cassette, Sub-Family C Proteinsmultidrug resistance-associated protein 3XanthophyllsAquaporinAstaxanthinBile duct ligationCholestasisLiver fibrosis

Identifiers

PMID42900252

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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.