Evidence map›Paper›PMID 41825172›Full record

ArticleClinics (Sao Paulo, Brazil)2026

Comparative efficacy of melatonin and glutathione in mitigating carboplatin-induced ovarian toxicity in rats.

Halime Tozak Yıldız, Kübra Tuğçe Kalkan, Özge Cengiz Mat, Eda Köseoğlu, Özge Göktepe, Gözde Özge Önder, Arzu Yay

Abstract read
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 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. Review
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.

Halime Tozak YıldızDepartment of Histology and Embryology, Faculty of Medicine, Kirsehir Ahi Evran University, Kirsehir, Türkiye. Electronic address: htyildiz@ahievran.edu.tr.
Kübra Tuğçe KalkanDepartment of Histology and Embryology, Faculty of Medicine, Kirsehir Ahi Evran University, Kirsehir, Türkiye.
Özge Cengiz MatDepartment of Histology and Embryology, Faculty of Medicine, Erciyes University, Melikgazi, Kayseri, Türkiye.
Eda KöseoğluDepartment of Histology and Embryology, Faculty of Medicine, Erciyes University, Melikgazi, Kayseri, Türkiye.
Özge GöktepeDepartment of Histology and Embryology, Faculty of Medicine, Erciyes University, Melikgazi, Kayseri, Türkiye.
Gözde Özge ÖnderDepartment of Histology and Embryology, Faculty of Medicine, Erciyes University, Melikgazi, Kayseri, Türkiye.
Arzu YayDepartment of Histology and Embryology, Faculty of Medicine, Erciyes University, Melikgazi, Kayseri, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to compare the comparative protective effects of Melatonin (Mel) and Glutathione (GSH) against Carboplatin (CARB)-induced ovarian toxicity in rats, with a focus on folliculogenesis, oxidative stress, inflammation, and apoptosis.

methodsFemale Wistar rats were allocated into six groups: Control, GSH, Mel, CARB, GSH+CARB, and Mel+CARB. Mel and GSH were administered intraperitoneally for 7 days before CARB injection. Ovarian tissues were subjected to histopathological and morphometric analyses, while serum oxidative stress markers (MDA, SOD, CAT, GSH-Px), proinflammatory cytokines (TNF-α, IL-6), and AMH levels were quantified. Caspase-3 and NF-κB expressions were evaluated immunohistochemically.

resultsCARB caused severe ovarian injury characterized by marked follicular depletion, stromal edema, hemorrhage, inflammation, fibrosis, and a significant reduction in preantral and Graafian follicles, with a concomitant increase in atretic follicles (p < 0.01). Both Mel and GSH pre-treatment markedly reduced histological damage, restored follicular counts, improved antioxidant status, and suppressed inflammatory and apoptotic responses. Melatonin tended to exert stronger protective effects on certain parameters, particularly in preserving AMH levels, attenuating fibrosis, and reducing Caspase-3 and NF-κB expression, although the differences between Mel+CARB and GSH+CARB groups were not statistically significant in all comparisons.

conclusionPre-treatment with melatonin or glutathione effectively mitigated CARB-induced ovarian toxicity by modulating oxidative stress, inflammation, and apoptosis. Melatonin appeared to provide relatively greater protection in some parameters, but without consistent statistical superiority over glutathione. These results underscore the potential of antioxidant-based strategies for fertility preservation during chemotherapy. Further studies with larger sample sizes and direct comparative analyses are warranted to clarify relative efficacy and confirm translational relevance.

Indexed as

Antioxidant therapyCarboplatinChemotherapy-induced gonadotoxicityGlutathioneMelatoninOvarian toxicity

Identifiers

PMID41825172
PMCPMC12995866

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.