Background: Our goal was to assess if febuxostat (FEB) could prevent ovarian damage caused by cyclophosphamide (CP).
Material and methods: Four sets were created: control group, FEB group: received FEB 10 mg/kg orally for 14 days, CPgroup: a single ip dose of CP (200 mg/kg) at 8th day and CP+FEB group. Serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), anti-mullerian hormone (AMH), malondialdehyde (MDA), total antioxidant capacity (TAC), interluken-6 (IL-6), tumor necrosis factor alpha (TNF-α), Nod-like receptor protein 3 (NLRP3) were estimated. Apoptotic Bcl-2-associated protein x (Bax) and anti-apoptotic B-cell leukemia/lymphoma 2 protein (Bcl2) gene expression were measured. Histological alterations and immuno-expression of nuclear factor-kappa B (NF-κB) and toll like receptor4 (TLR4) were assessed.
Results: FSH, LH, MDA, IL-6, TNF-α, NLRP3 levels, Bax and Bax/Bcl-2 ratio gene expression, NF-κB and TLR4 immuno-expression were all significantly elevated in the CP group. AMH, TAC levels and Bcl-2 gene expression have significantly decreased. Every metric indicated a notable improvement with FEB.
Conclusion: By controlling the TLR4/NF-Κb/NLRP3 signaling pathway, FEB has strong mitigating effects against oxidative stress, inflammatory processes, and apoptosis that result from CP-induced ovarian toxicity.
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