Evidence map›Paper›PMID 41870773›Full record

ArticleInflammopharmacology2026

Evaluation of the anti-inflammatory effect of ectoine-leflunomide combination in adjuvant-induced arthritis in rats, and its colonic protective action against leflunomide-induced gastrointestinal injury.

Nour El-Hoda Gamal Mosaad, Eman Abdel-Fattah Selima, Rowaida Refaat Shehata, Amany Hussein Kazem, Mona Abdelrazek Salama, Ghada Osama Hammad

Abstract read
In one paragraph

Article in Inflammopharmacology, 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Nour El-Hoda Gamal MosaadDepartment of Pharmacology, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Eman Abdel-Fattah SelimaDepartment of Pharmacology, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Rowaida Refaat ShehataDepartment of Pharmacology, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Amany Hussein KazemDepartment of Pathology, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Mona Abdelrazek SalamaDepartment of Pharmacology, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Ghada Osama HammadDepartment of Pharmacology and Therapeutics, Faculty of Pharmacy, Pharos University in Alexandria, Alexandria, Egypt. ghada.osama@pua.edu.eg.ORCID http://orcid.org/0000-0001-9843-9959

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is an autoimmune disease with an intriguing pathophysiological mechanism that primarily affects the joints and leads to extra-articular manifestations. Leflunomide is one of the most effective disease-modifying anti-rheumatic drugs (DMARDs), utilized in RA treatment, but its use comes with frequent gastrointestinal adverse effects, which might necessitate therapy discontinuation. The current work aimed to explore the antirheumatic and gastroprotective effects of ectoine, a compatible solute found in nature, on adjuvant-induced arthritis (AIA) in rats, and to compare its efficacy with that of leflunomide. In this study, animals were divided into five groups: Normal control rats, Untreated adjuvant arthritis (AA) rats, Leflunomide group treated with 10 mg/kg/day, Ectoine group treated with 100 mg/kg/ day, and AA rats treated orally with the combination of ectoine and leflunomide daily with the same dosses. Ectoine administration significantly abolished both articular and extraarticular inflammatory responses in AA rats. Serum levels of nitric oxide (NOx), Interleukin-1β (IL-1β), and anti-cyclic citrullinated peptide (anti-CCP) were significantly reduced, with a significant increase in IL-10. It dramatically suppressed tibiotarsal tissue expression of tumor necrosis factor-α (TNF-α), nuclear factor-kappa B-p65 (NF-κB-p65), receptor activator of NF-κB ligand (RANKL), and matrix metalloproteinase-9 (MMP-9). Colonic examination also showed lower expression levels of TNF-α, NF-κB-p65, intracellular adhesion molecule-1 (ICAM-1), and MMP-9, in addition to a significant antioxidant effect by enhancing reduced glutathione synthesis (GSH) and reduction of myeloperoxidase (MPO) and malondialdehyde (MDA) levels. Our results demonstrate that ectoine has a strong potential for being an efficient anti-inflammatory and anti-rheumatic agent.

Indexed as

Amino Acids, DiaminoAnti-Inflammatory AgentsArthritis, ExperimentalLeflunomideAnimalsAntirheumatic AgentsColonDrug Therapy, CombinationMaleRatsAmino Acids, DiaminoAnti-Inflammatory AgentsAntirheumatic AgentsectoineLeflunomideAdjuvant arthritisColitisCombination therapyEctoineLeflunomide

Identifiers

PMID41870773
PMCPMC13083497

What Socratic holds

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LicenceCC BY
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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.