Evidence map›Paper›PMID 42529972›Full record

ArticleJournal of biochemical and molecular toxicology2026

Sex-Specific Anti-Inflammatory Effects of Alternate Day Fasting via TLR4 and Leptin Signaling in Middle-Aged Rats.

Ozgen Kilic-Erkek, Gulsah Gundogdu, Abdullah Coguplugil, Yavuz Dodurga

Abstract read
In one paragraph

Article in Journal of biochemical and molecular toxicology, 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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0cells of the map it votes in
0citing papers 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ozgen Kilic-ErkekDepartment of Physiology, Pamukkale University, Faculty of Medicine, Denizli, Turkey.ORCID https://orcid.org/0000-0001-8037-099X
Gulsah GundogduDepartment of Physiology, Pamukkale University, Faculty of Medicine, Denizli, Turkey.ORCID https://orcid.org/0000-0002-9924-5176
Abdullah CoguplugilPamukkale University, Experimental Surgery Application And Research Center, Denizli, Turkey.ORCID https://orcid.org/0009-0009-8346-2510
Yavuz DodurgaDepartment of Medical Biology, Pamukkale University, Faculty of Medicine, Denizli, Turkey.ORCID https://orcid.org/0000-0002-4936-5954

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alternate-day fasting (ADF) may exert age-related anti-inflammatory effects by modulating key metabolic and immune pathways. This study aimed to investigate the sex-specific effects of ADF on inflammation in middle-aged male and female rats and focused on the Toll-like receptor 4 (TLR4) and leptin signaling pathways. A total of 32 rats (16 males, 16 females; 14 months old) were assigned to four groups (n = 8): ad libitum-fed and ADF groups for each sex. The ADF protocol consisted of 24-h fasting every other day for 2 months. Serum and hypothalamic samples were analyzed via ELISA to measure triglyceride, total cholesterol, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), suppressor of cytokine signaling 3 (SOCS3), leptin, and ObRb levels. TLR4 gene expression in the brain and liver was assessed via qRT-PCR. Two months of ADF significantly reduced body weight and retroperitoneal fat mass compared with those of the control groups (p < 0.001). Cumulative food intake and fasting glucose levels decreased in both sexes following ADF (p < 0.001), and serum triglyceride, total cholesterol, TNF-α, and IL-6 levels (p < 0.001) were significantly reduced. Hypothalamic SOCS3 and leptin levels decreased, whereas ObRb expression increased (p < 0.05). Additionally, TLR4 gene expression was significantly downregulated in both tissues (p < 0.001). These findings suggest that ADF is associated with reduced age-related inflammation and alterations in the TLR4 and leptin signaling pathways. The observed downregulation of SOCS3 and upregulation of ObRb indicate enhanced leptin sensitivity, highlighting ADF as a promising strategy to counteract sex-specific aging-related inflammation and leptin resistance.

Indexed as

AgingFastingInflammationLeptinSignal TransductionToll-Like Receptor 4AnimalsFemaleInterleukin-6Intermittent FastingMaleRatsSuppressor of Cytokine Signaling 3 ProteinInterleukin-6LeptinSocs3 protein, ratSuppressor of Cytokine Signaling 3 ProteinTlr4 protein, ratToll-Like Receptor 4agingalternate‐day fastinginflammationleptinSOCS3TLR4

Identifiers

PMID42529972
PMCPMC13419936

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.