Evidence map›Paper›PMID 40857035›Full record

ArticleMedicine and science in sports and exercise2026

Sex Differences in Response to Acute Doxorubicin Cardiorespiratory Muscle Dysfunction and Preconditioning Exercise.

Ryan N Montalvo, Branden L Nguyen, Vivian Doerr, Imtiaz M Dowllah, Christopher C Wendler, Dryden R Baumfalk, Jacob C Babuschak, Ryan W Krueger, Ashley J Smuder

Abstract read
In one paragraph

Article in Medicine and science in sports and exercise, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Ryan N MontalvoDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL.
Branden L Nguyen
Vivian Doerr
Imtiaz M Dowllah
Christopher C Wendler
Dryden R Baumfalk
Jacob C Babuschak
Ryan W Krueger

Funding

Training In Rehabilitation and Neuromuscular PlasticityT32HD043730 · NICHD · UNIVERSITY OF FLORIDA · PI DAVID D FULLER · 2003 to 2026
$5.3M
Breathing Research and Therapeutics (BREATHE)T32HL134621 · NHLBI · UNIVERSITY OF FLORIDA · PI Gordon S. Mitchell · 2017 to 2026
$3.4M
Doxorubicin cardiotoxicity and the protective effects of exerciseR01HL144858 · NHLBI · UNIVERSITY OF FLORIDA · PI SMUDER, ASHLEY · 2019 to 2023
$1.9M
Doxorubicin-induced respiratory dysfunction and the protective effects of exerciseR01HL146443 · NHLBI · UNIVERSITY OF FLORIDA · PI SMUDER, ASHLEY · 2019 to 2023
$1.9M
Acquisition of timsTOF Pro for Complex Lipidomic AnalysesS10OD030250 · OD · UNIVERSITY OF FLORIDA · PI BASSO, KARI B · 2022 to 2022
$658k
Acquisition of a Q Exactive HF Hybrid Quadrupole-OrbitrapS10OD021758 · OD · UNIVERSITY OF FLORIDA · PI BASSO, KARI B · 2017 to 2017
$600k
American Heart Association P915282NHLBI NIH HHS R01 HL144858NHLBI NIH HHS R01 HL146443NHLBI NIH HHS T32 HL134621NICHD NIH HHS T32 HD043730NIH HHS S10 OD021758NIH HHS S10 OD030250
6 · The paper itself

Abstract

purposeDoxorubicin (DOX) is a potent chemotherapeutic agent whose clinical use is limited due to cardiorespiratory muscle toxicity. The objective of this study was to evaluate sex differences in the severity of DOX myotoxicity and to determine the effectiveness of preconditioning exercise to confer protection.

methodsAdult male and female Sprague-Dawley rats remained sedentary (Sed) or performed 2 wk of exercise preconditioning (5 d·wk -1 , 60 min·d -1 , 30 m·min -1 ) (Ex). Twenty-four hours after the final exercise bout, rats received saline (Sal) or DOX (20 mg·kg -1 IP). Forty-eight hours later, cardiac and respiratory muscle functions were assessed and tissues were collected.

resultsExercise preconditioning increased exercise tolerance in both male and female Sal- and DOX-treated rats compared with their Sed counterpart (male: Sed-DOX = 26.89 ± 2.30 min vs Ex-DOX = 39.01 ± 2.76 min; female: Sed-DOX = 24.65 ± 1 .81 min vs Ex-DOX = 45.14 ± 3.72 min). DOX reduced left ventricle fractional shortening (FS%) and maximal diaphragm muscle force production compared with Sal-treated rats in males and females, which were only prevented with exercise in female DOX-treated rats (FS% male: Sed-DOX = 35.57 ± 1.59% vs Ex-DOX = 35.12 ± 0.67%; female: Sed-DOX = 36.84 ± 1.11% vs Ex-DOX = 43.99 ± 2.56% and force male: Sed-DOX = 17.93 ± 1.13 N·cm -2 vs Ex-DOX = 20.91 ± 1.01 N·cm -2 ; female: Sed-DOX = 19.71 ± 0.68 N·cm -2 vs Ex-DOX = 22.00 ± 1.47 N·cm -2 ). These effects were associated with sex-specific differences in circulating hormones, muscle DOX accumulation, and gene expression.Conclusions: Cardiorespiratory muscle toxicity occurred after acute DOX exposure in male and female rats. Although, exercise preconditioning elicited a robust increase in cardiorespiratory endurance in both sexes, the beneficial effects of exercise on cardiac and diaphragm muscle function occurred exclusively in female rats.

Indexed as

Antibiotics, AntineoplasticDoxorubicinPhysical Conditioning, AnimalRespiratory MusclesAnimalsCardiotoxicityExercise ToleranceFemaleMaleRatsRats, Sprague-DawleySex FactorsAntibiotics, AntineoplasticDoxorubicinADRIAMYCINCHEMOTHERAPYDIAPHRAGMHEARTPHYSICAL ACTIVITY

Identifiers

PMID40857035
PMCPMC12911280

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.