Evidence map›Paper›PMID 40952537›Full record

ArticleJournal of molecular histology2025

Protective effect of ambroxol on cyclophosphamide-induced intestinal damage: involvement of oxidative stress, inflammation, and Keap-1/Nrf2/HO-1 signaling.

Reem S Alruhaimi, Sulaiman M Alnasser, Hanan S Althagafy, Sherif M A Mansour, Omnia A M Abd El-Ghafar, Ayman M Mahmoud, Emad H M Hassanein

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Article in Journal of molecular histology, 2025. 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

7 authors.

Reem S AlruhaimiDepartment of Biology, College of Science, Princess Nourah bint Abdulrahman University, Riyadh, 11671, Saudi Arabia.
Sulaiman M AlnasserDepartment of Pharmacology and Toxicology, College of Pharmacy, Qassim University, Buraydah, 52571, Saudi Arabia.
Hanan S AlthagafyDivision of Biochemistry, Department of Biological Sciences, Faculty of Science, University of Jeddah, 21589, Jeddah, Saudi Arabia.
Sherif M A MansourDepartment of Pharmacology, Faculty of Medicine, Al-Azhar University, Assiut,, 71524, Egypt.
Omnia A M Abd El-GhafarDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Nahda University, Beni Suef, 62518, Egypt.
Ayman M MahmoudDepartment of Life Sciences, Faculty of Science and Engineering, Manchester Metropolitan University, Manchester, M1 5GD, UK. a.mahmoud@mmu.ac.uk.
Emad H M HassaneinDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Al-Azhar University, Assiut,, 71524, Egypt. emadhassanien@azhar.edu.eg.

Funding

Princess Nourah Bint Abdulrahman University PNURSP2025R381
6 · The paper itself

Abstract

Cyclophosphamide (CP) is an effective chemotherapeutic agent whose clinical efficacy is often limited by toxicity, including intestinal injury. Oxidative stress and inflammation are central to CP-induced tissue damage and represent a valuable target to attenuate intestinal injury. Ambroxol (ABX), a clinically approved mucolytic agent, has demonstrated antioxidant, anti-inflammatory, and mucoregulatory properties that may confer multi-organ protection. This study investigated the protective effects of ABX against CP-induced intestinal injury in rats, exploring the involvement of oxidative stress, inflammation and Keap-1/Nrf2/HO-1 signaling. Adult male rats received ABX (20 mg/kg/day) orally for seven consecutive days, with CP (100 mg/kg, i.p.) administered on the fifth day. CP induced significant intestinal injury manifested by intestinal mucosal atrophy, decreased length of villi and goblet cell depletion. CP triggered oxidative stress characterized by increased MDA and decreased GSH, SOD, and catalase, upregulated NF-κB, IL-6, and TNF-α, and increased caspase-3 expression in the intestine. ABX attenuated histopathological alterations, mitigated oxidative stress, suppressed NF-κB and cytokines, and downregulated caspase-3. In addition, ABX preserved intestinal goblet cells while modulating the Keap-1/Nrf2/HO-1 pathway in intestinal tissue. These findings demonstrate the protective role of ABX against CP-induced intestinal injury via antioxidant, anti-inflammatory, and mucoprotective mechanisms, supporting its potential repurposing as an adjuvant during CP chemotherapy. The protective mechanism of ABX involves its ability to modulate the Keap-1/Nrf2/HO-1 signaling pathway.

Indexed as

AmbroxolCyclophosphamideInflammationIntestinal MucosaAnimalsAntioxidantsAtrophyDisease Models, AnimalGene Expression RegulationGoblet CellsHeme Oxygenase (Decyclizing)Kelch-Like ECH-Associated Protein 1MaleNF-E2-Related Factor 2Oxidative StressProtective AgentsAmbroxolAntioxidantsCyclophosphamideHeme Oxygenase (Decyclizing)Hmox1 protein, ratKEAP1 protein, ratKelch-Like ECH-Associated Protein 1Nfe2l2 protein, ratNF-E2-Related Factor 2Protective AgentsAmbroxolCyclophosphamideInflammationIntestinal injuryOxidative stress

Identifiers

What Socratic holds

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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 Socratic graph.