PMID- 35074407 OWN - NLM STAT- MEDLINE DCOM- 20220221 LR - 20220221 IS - 1879-0631 (Electronic) IS - 0024-3205 (Linking) VI - 293 DP - 2022 Mar 15 TI - Role of JNK, ERK, and p38 MAPK signaling pathway in protective effect of sildenafil in cyclophosphamide-induced placental injury in rats. PG - 120354 LID - S0024-3205(22)00054-6 [pii] LID - 10.1016/j.lfs.2022.120354 [doi] AB - AIMS: Chemotherapeutic agents; cyclophosphamide (CYC) is used for treatment of cancer and autoimmune diseases. Grievously, CYC is non-selective as it affects both tumor and healthy cells resulting in systemic toxicity including placenta. The present study aimed to evaluate the effect of phosphodiesterase 5 inhibitor, sildenafil (Sild) on CYC-induced placental injury in rats. MATERIALS AND METHODS: Thirty-two female Wister rats were randomly divided into 4 experimental groups. Group 1: control pregnant group; Group 2: Sild-treated pregnant rats; Group 3: pregnant rats received CYC; Group 4: pregnant rats received Sild and CYC. Placental malondialdehyde (MDA), total nitrite/nitrate (NOx), reduced glutathione (GSH), tumor necrosis factor-alpha (TNF-alpha), platelet growth factor (PlGF), c-Jun N-terminal kinase (JNK), p38 mitogen-activated protein kinase (p38MAPK), extracellular signal-regulated kinase (ERK) and cleaved caspase-3 were measured. Histological changes, Nuclear Factor kappa-light-chain-enhancer of activated B (NF-kappaB), Connexin 43 (GJA1) and proliferating cell nuclear antigen (PCNA) immuno-expressions were also evaluated. KEY FINDINGS: CYC showed significant decrease in placental GSH, NOx, PlGF, GJA1 and PCNA immuno-expressions but significant increase in placental MDA, TNF-alpha, JNK, P38MAPK, ERK, caspase-3 and NF-kB immuno-expression. Sild showed significant improvement in all oxidative, inflammatory and apoptotic parameters. SIGNIFICANCE: Sild is a promising protective drug against placental injury induced by CYC through antagonizing MAPK (JNK, ERK, and p38) signaling pathway with anti-oxidant, anti-inflammatory and anti-apoptotic effects. CI - Copyright (c) 2022. Published by Elsevier Inc. FAU - Abdelzaher, Walaa Yehia AU - Abdelzaher WY AD - Department of Pharmacology, Faculty of Medicine, Minia University, Minia 61511, Egypt. FAU - Bahaa, Haitham Ahmed AU - Bahaa HA AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia 61511, Egypt. FAU - Elkhateeb, Reham AU - Elkhateeb R AD - Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia 61511, Egypt. FAU - Atta, Medhat AU - Atta M AD - Department of Anatomy, Faculty of Medicine, Minia University, Minia 61511, Egypt. FAU - Fawzy, Michael Atef AU - Fawzy MA AD - Department of Biochemistry, Faculty of Pharmacy, Minia University, Minia 61511, Egypt. FAU - Ahmed, Amira F AU - Ahmed AF AD - Department of Histology and Cell Biology, Faculty of Medicine, Minia University, Minia, 61511, Egypt. FAU - Rofaeil, Remon Roshdy AU - Rofaeil RR AD - Department of Pharmacology, Faculty of Medicine, Minia University, Minia 61511, Egypt; Department of Pharmacology, Deraya University, New Minia, Egypt. Electronic address: remon.roshdy@deraya.edu.eg. LA - eng PT - Journal Article DEP - 20220121 PL - Netherlands TA - Life Sci JT - Life sciences JID - 0375521 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Phosphodiesterase 5 Inhibitors) RN - 8N3DW7272P (Cyclophosphamide) RN - BW9B0ZE037 (Sildenafil Citrate) SB - IM MH - Animals MH - Antineoplastic Agents, Alkylating/*toxicity MH - Cyclophosphamide/*toxicity MH - Female MH - MAP Kinase Signaling System/*drug effects/physiology MH - Male MH - Phosphodiesterase 5 Inhibitors/*pharmacology MH - Placenta/*drug effects/pathology MH - Pregnancy MH - Rats MH - Rats, Sprague-Dawley MH - Rats, Wistar MH - Sildenafil Citrate/*pharmacology OTO - NOTNLM OT - Cyclophosphamide OT - ERK OT - JNK OT - Placental injury OT - Sildenafil OT - p38 MAPK EDAT- 2022/01/26 06:00 MHDA- 2022/02/22 06:00 CRDT- 2022/01/25 05:40 PHST- 2021/11/10 00:00 [received] PHST- 2022/01/14 00:00 [revised] PHST- 2022/01/18 00:00 [accepted] PHST- 2022/01/26 06:00 [pubmed] PHST- 2022/02/22 06:00 [medline] PHST- 2022/01/25 05:40 [entrez] AID - S0024-3205(22)00054-6 [pii] AID - 10.1016/j.lfs.2022.120354 [doi] PST - ppublish SO - Life Sci. 2022 Mar 15;293:120354. doi: 10.1016/j.lfs.2022.120354. Epub 2022 Jan 21.