{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:17:25Z","timestamp":1787764645212,"version":"build-2784847793"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Testicular torsion causes ischemic injury, and torsion causes reperfusion injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Evaluating the role of augmenter of liver regeneration (ALR) in testicular ischemia and ischemia\/reperfusion injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Method(s):<\/jats:title>\n                    <jats:p>\n                      Seventy-eight (78) healthy Wistar albino male rats were randomly divided into four groups; control (C) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6), sham (S) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 24), torsion (T) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 24), and torsion\/detorsion (T\/D) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 24). S, T, and T\/D groups were divided into four subgroups (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6) as 1\n                      <jats:sup>st<\/jats:sup>\n                      , 2\n                      <jats:sup>nd<\/jats:sup>\n                      , 3\n                      <jats:sup>rd<\/jats:sup>\n                      , and 4\n                      <jats:sup>th<\/jats:sup>\n                      hours. Blood, tissue ALR, and histology analyses were performed between groups and subgroups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The increase in plasma ALR values at the 3\n                      <jats:sup>rd<\/jats:sup>\n                      and 4\n                      <jats:sup>th<\/jats:sup>\n                      hours compared to the 1\n                      <jats:sup>st<\/jats:sup>\n                      hour in the T group were significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001, respectively). In the T\/D group, a significant increase was observed in plasma ALR values at the 3\n                      <jats:sup>rd<\/jats:sup>\n                      and 4\n                      <jats:sup>th<\/jats:sup>\n                      hours compared to the 1\n                      <jats:sup>st<\/jats:sup>\n                      hour (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001, respectively). Plasma ALR values at the 1\n                      <jats:sup>st<\/jats:sup>\n                      , 2\n                      <jats:sup>nd<\/jats:sup>\n                      , 3\n                      <jats:sup>rd<\/jats:sup>\n                      , and 4\n                      <jats:sup>th<\/jats:sup>\n                      hours were higher in the T and T\/D groups than in the C group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05, respectively). Plasma ALR values were higher in the T group at the 1\n                      <jats:sup>st<\/jats:sup>\n                      , 2\n                      <jats:sup>nd<\/jats:sup>\n                      , 3\n                      <jats:sup>rd<\/jats:sup>\n                      , and 4\n                      <jats:sup>th<\/jats:sup>\n                      hours than in the S group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). A significant increase was observed in tissue ALR at the 3\n                      <jats:sup>rd<\/jats:sup>\n                      and 4\n                      <jats:sup>th<\/jats:sup>\n                      hours than at the 1\n                      <jats:sup>st<\/jats:sup>\n                      hour in the T group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001, respectively). A significant increase was observed in tissue ALR at the 3\n                      <jats:sup>rd<\/jats:sup>\n                      and 4\n                      <jats:sup>th<\/jats:sup>\n                      hours than in the 1\n                      <jats:sup>st<\/jats:sup>\n                      hour in the T\/D group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>ALR in plasma and testicular tissue has a potential role in the early diagnosis of testicular torsion and in predicting the prognosis of T and T\/D.<\/jats:p>\n                  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