Hesham N. Mustafa

@hmustafa.kau.edu.sa

King Abdulaziz University / Faculty of Medicine / Professor



                                

https://researchid.co/hesham977

RESEARCH, TEACHING, or OTHER INTERESTS

Anatomy, Embryology

31

Scopus Publications

469

Scholar Citations

13

Scholar h-index

13

Scholar i10-index

Scopus Publications

  • Ameliorative potential of the quercetin on lead-induced testicular damage: morphohistometric and biochemical analysis
    Hesham N. Mustafa

    Springer Science and Business Media LLC
    Abstract Background Quercetin, a naturally occurring flavonoid known for its potent antioxidant properties, has been investigated for its potential in counteracting the harmful effects of lead (Pb) toxicity, which induces apoptosis and oxidative damage in various human tissues. This study aims to assess the reparative effects of quercetin on lead-induced testicular damage. Methods Four groups, each comprising ten adult male albino rats, were randomly assigned as follows: Quercetin group, Pb group, Pb + Quercetin group, and control group. All treatments were administered orally via gavage daily for a duration of 30 days. Evaluation of sex hormone levels (serum testosterone, FSH, and LH), cytokines and inflammatory mediators (IL-1β, TNF-α, MCP-1), lead concentration, oxidative and antioxidant stress markers (superoxide anion [O2−], MDA, SOD, CAT, GSH), and sperm characteristics were carried out. Results The results demonstrated a significant decline in sex hormones and antioxidants, accompanied by an increase in lead concentrations, cytokines, inflammatory mediators, and oxidative stress indicators (O2−, MDA), while SOD, CAT, and GSH levels were reduced. The Pb-intoxicated group exhibited a substantial increase in dead and abnormal sperm, along with significant reductions in sperm concentration and motility. Morphometrically, a marked decrease was observed in spermatogonia, primary spermatocytes, spermatids, and sertoli cells per seminiferous tubule, as well as epithelial height. Furthermore, coadministration of quercetin exhibited notable benefits. It significantly elevated testosterone levels (P < 0.001), testicular SOD, CAT, and GSH activities, while decreasing MDA levels (P < 0.001). Quercetin also mitigated the deleterious effects of lead toxicity on sperm parameters and restored morphometric variations, including epithelial height. Conclusions Quercetin supplementation alongside lead exposure showed a potential for ameliorating degenerative changes caused by lead toxicity in the testicles. This cotreatment effectively reduced oxidative stress, cytokine levels, inflammatory mediators, and restored biochemical alterations, thereby improving morphometric parameters.

  • The pattern of branching and intercommunications of the musculocutaneous nerve for surgical issues: anatomical study
    M. G. Al-Sobhi, A. I. Zaki, F. A. Abd El Hamid, R. A Alshali, and H. N. Mustafa

    VM Media Group sp. z o.o
    BACKGROUND The aim of the present work was to provide evidence about the anatomical variations as regard the origin, distribution, and branching pattern of the musculocutaneous nerve (MCN). MATERIALS AND METHODS Brachial plexus was dissected in 40 upper limbs of 20 male adult cadavers. The pattern of the musculocutaneous nerve was photographed by a digital camera. RESULTS The location and length of the nerve branches between left and right arms were recorded and statistically analyzed. In (90%) of specimens the MCN originates from the lateral cord of the brachial plexus, in (5%) it arose from the median nerve (MN), while in the remaining (5%) specimen, it was absent. The musculocutaneous nerve pierced the coracobrachialis muscle in 90% of specimens, and in the remaining (10%) did not pierce it. The motor branches to biceps brachii muscle were categorized into: Type 1 (90%): one branch that divides to supply the two heads of biceps; Type 2 (5%): double branches, innervating each head of biceps separately. The motor branches to brachialis muscle were categorized into: Type 1 (82.9%): one branch; Type 2 (14.2%): double branches and Type 3 (2.9%): three branches that innervating brachialis muscle. Communications between the MCN and the MN were observed in 35% of specimens. CONCLUSIONS The knowledge of the common and uncommon musculocutaneous nerve variations is important especially to the surgeons for carrying out surgical procedures in axilla and arm.

  • Morphohistometric analysis of the effects of Coriandrum sativum on cortical and cerebellar neurotoxicity
    Prof. Dr. Hesham N. Mustafa


    Objective: Natural compounds can act as metal chelators and oxygen free radical scavengers, which allows them to be used as bioactive antagonists to heavy metals neurotoxicity. The aim of the study to analyze the morphometric effects of Coriandrum sativum (C. sativum) on lead-induced neurotoxicity. Materials and Methods: Forty Sprague-Dawley albino rats were divided into four equal groups (ten in each group): control group; coriander group: received aqueous C. sativum extracts (600 mg/kg BW for 60 days orally); lead (Pb) group: received a daily dose of lead acetate (Pb) (10 mg/kg BW for 60 days orally); Pb+ coriandrum group: received: aqueous C. sativum extract (600 mg/kg BW) prior to 10 mg/kg BW of Pb. The following parameters malondialdehyde (MDA), superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GPx) were measured. Layers thickness and nuclei density were analyzed. Results: Lead levels in blood and tissues were decreased significantly in the Pb group and those findings were corrected significantly (p=0.001) with C. sativum addition. Data exhibited an increase in oxidative stress marker MDA and a decrease in antioxidant enzymes activities (SOD, CAT, and GPx) significantly in the Pb group and those effects were reversed significantly (p=0.001) by C. sativum administration. The cerebellar cortex and all layers of the somatosensory cortex thickness and nuclei density were diminished significantly in the Pb group. The morphometrical measurements were corrected significantly (p=0.001) by C. sativum. Conclusion: From the findings of the current study, Pb caused noticeable structural and functional variations in the cerebellar cortex and somatosensory cortex. C. sativum corrected these parameters as it possesses chelating and antioxidant potentials.

  • Neuro-amelioration of cinnamaldehyde in aluminum-induced Alzheimer’s disease rat model
    Hesham N. Mustafa

    Informa UK Limited
    ABSTRACT Aluminum (Al) is a neurotoxic substance which has played an important role in the etiology, pathogenesis, and development of amyloid-β (Aβ) plaques. This study was carried out to evaluate the neuroprotective effect of aqueous cinnamon extract against aluminum chloride (AlCl3)-induced Alzheimer’s disease. Forty adult male albino rats, randomly divided into four equal groups. Control group; ACE200 group administered aqueous cinnamon extract (ACE) orally; AlCl3 group received daily intraperitoneal (i.p.) injection of AlCl3 for 60 days to induce neurotoxicity and AlCl3 + ACE200 group received a combination of AlCl3 and ACE in the same dose and route as previous groups. Aluminum administration significantly enhanced the memory impairment and the Aβ formation in the rat model. The cerebellum exhibited a significant reduced number of Purkinje cells, marked decrease in the density of dendritic arborization and prominent perineuronal spaces in the molecular layer. There was loss of dendritic spines, neurofibrillary degeneration, and appearance of neuritic plaques. Concomitant administration of AlCl3 and ACE displayed an observable protection against these changes with progressive improvement in memory and intellectual performance. In conclusion, ACE may play a protective role against formation of amyloid-β plaques in cerebellum.

  • Anterolateral ligament in pediatric knees: A radiographic study
    Adel Hegaze, Khalid Khashoggi, Abdulraof Alqrache, Abdullah Ashour, and Hesham N. Mustafa

    Ovid Technologies (Wolters Kluwer Health)
    Background: The anterolateral ligament (ALL) is a true well-defined ligament in the knee first described in 1879 by Segond. After the work of Claes et al., several studies were conducted about biomechanics and its role in stability of the knee. The anatomical existence of the ALL has been studied by and various radiographic diagnostic modalities and in cadavers. It originates from lateral femoral epicondyle and is inserted between Gerdy’s tubercle and the fibular head. There has been controversy about the existence of ALL in pediatric patients. The aim of this work was to confirm the presence of ALL in pediatric patients by using MRI. Materials and Methods: We reviewed the knee MRI scans of 100 pediatric patients (ages between one and 12 yr) who had no knee injury or congenital deformity and had been evaluated by an expert radiologist. Results: The ALL was detected in 90% of the pediatric patients with the use of MRI. Conclusions: The main finding of this study was that ALL can be seen in pediatric patients using MRI. Despite numerous studies, additional research is needed to further define the role of the ALL in knee function. Level of Evidence: Level IV.

  • One-year mortality rate after hip fracture in the western region of Saudi Arabia: A retrospective cohort study
    Amro Al-Hebshi, Adel Hegaze, Hesham N. Mustafa, Bayan Tash, Dana Sawan, and Khalid Al-Faris

    Ovid Technologies (Wolters Kluwer Health)
    Background: The mortality rate of elderly patients who sustain a hip fracture is high compared to the general population. Identifying risk factors can help predict patients at risk of hip fracture to reduce the mortality rate. No studies have shown the mortality rate of patients with hip fractures in the western region of Saudi Arabia. Therefore, this study aimed to identify the risk factors associated with the mortality of patients with hip fractures admitted to the King Abdulaziz Hospital and compare the results with other studies. Methods: The mortality rate (within 1 yr or less) in 177 patients over the age of 60 yr who were admitted to the university hospital between July, 2007, and September, 2012, with hip fractures was retrospectively studied. The patients were assessed with regard to gender, age, type of hip fracture, and type of surgical intervention. Results: The overall mortality rate 1 yr after hip fracture was 12.43%, and the mean age was 77.77 yr old. The risk factors most associated with mortality were as follows: advanced age (71 to 80 and 81 to 90 yr old), male, peritrochanteric (extracapsular) fracture, and operative fixation with dynamic hip screw. Conclusions: The mortality rate of patients with hip fractures within 1 yr has a high-risk potential, especially for male patients over 71 yr of age with peritrochanteric (extracapsular) fractures. Surgical treatment with dynamic hip screw also was shown to be a risk factor between the different treatment options. Level of Evidence: Level IV.

  • Correlation between ACL injury and involvement of the anterolateral ligament: A retrospective study
    Adel Hegaze, Khalid Khashoggi, Mohammed Alsayyad, Rawan Hafiz, Abdulraof Alqrache, and Hesham N. Mustafa

    Ovid Technologies (Wolters Kluwer Health)
    Background: Clinical testing has demonstrated the role of the anterolateral ligament (ALL) in controlling anterolateral laxity and knee instability at high angles of flexion. Few studies have discussed the association between an anterior cruciate ligament (ACL) injury and ALL injury, specifically after residual internal rotation and a post-ACL reconstruction positive pivot-shift that could be attributed to ALL injury. The goal of this study was to assess the correlation between ALL injury and ALL injury with concomitant ACL injury using MRI. Material and Methods: This was a retrospective study of 246 patients with unilateral ACL knee injuries from a database that was reexamined to identify whether ALL injuries occurred in association with ACL injuries. We excluded the postoperative reconstructed cases. The charts were reviewed on the basis of the presence or absence of diagnosed ACL injury with no regard for age or sex. Results: Of the 246 patients with ACL injury, there were 165 (67.1%) patients with complete tears, 55 (22.4%) with partial tears, and 26 (10.6%) with sprains. There were 176 (71.5%) patients with ALL and associated ACL injuries, whereas 70 (28.5%) did not have associated ACL injuries. There was a significant statistical relationship between ACL and ALL injuries (P<0.0001). Conclusions: There is high incidence of ALL tears associated with ACL injuries. Clinicians should be aware of this injury and consider the possibility of simultaneous ALL and ACL repair to prevent further knee instability. Level of Evidence: Level IV.

  • Liver ischemia/reperfusion injury, a setting in which the functional mass is reduced and the role of PDE5 inhibitor


  • Morphohistometric study of the ligamentum flavum in cervical, thoracic and lumbar vertebrae: Comparative approach


  • A study on the toxic effect of different doses of diclofenac sodium on the development of the kidney in the postnatal period
    Hesham N Mustafa, Isinsu Alkan, Ömür Gülsüm Deniz, Berrin Zuhal Altunkaynak, Ebru Annaç, and Suleyman Kaplan

    SciELO Agencia Nacional de Investigacion y Desarrollo (ANID)
    The toxic effects of different doses of diclofenac sodium (DS) on the kidney on the postnatal period (0-7 days) by morphometrical and immunohistochemical methods were investigated. For this purpose, 15 female adult wistar albino rats were use d and divided into 5 main groups. Group Ia served as normal control, physiologic group Ib received normal saline, group II received l ow dos (3.9 mg/kg), group III received medium dose (9 mg/kg) and group IV received high dose (18 mg/kg). Male offspring’s from 0-7 days af ter birth were used in this study. On the 8th day of postnatal life, all animals were anesthetized. Then, the kidney samples were analyze d. Haematoxylin and eosin staining showed degeneration and necrosis, apparent atrophy of the glomeruli, mononuclear cell infiltration, congeste d vessels, increased fibrous tissue and distortion of the proximal convoluted tubules with interruption of the brush margin of the DS trea t d group. Increased level of Caspase-3 and upregulation of TNFα with different doses of DS. In light of our findings, DS may lead to adverse effects that are dose-dependent in the prenatal subjected kidney to this drug.

  • Thymoquinone ameliorates oxidative damage and histopathological changes of developing brain neurotoxicity
    Hamid A Saleh, Gamal S. Abd El-Aziz, Hesham N. Mustafa, Magdy El-Fark, Ahmed Mal, Majdah Aburas, and Abdel Halim Deifalla

    Informa UK Limited
    ABSTRACT Lead (Pb) toxicity is known to be a chief environmental health issue, especially for pregnant women and young children. Today, the use of medicinal herbs in the treatment of many diseases and different toxic agents has become highly accepted due to their effectiveness and lower costs. Thymoquinone (TQ), which is extracted from Nigella sativa seeds, is a potent antioxidant and anti-inflammatory agent. This study was designed to explore the optional protectivity of TQ against maternal and fetal oxidative stress and brain damage induced by Pb administration. Pregnant rats were distributed into seven groups: control group, TQ group, DMSO group, two groups Pb-treated (160 and 320 ppm), and two groups Pb-treated (160 and 320 ppm) co-treated with TQ. Administration started from gestation day 1 (GD1) to day 20 (GD20) through oral gavage once daily. Lead administration caused a dose-dependent toxicity for both mothers and fetuses. Also, the histopathological assessment of the brains from Pb-treated groups showed marked alterations. Co-treatment of with TQ and Pb caused a significant decrease in Pb levels as compared with those treated with Pb alone and amelioration of histopathological changes in the brains. It was concluded that co-treatment of TQ along with gestational Pb exposure could mitigate the effects against Pb-induced maternal and fetal neurotoxicity.

  • Analytical study of clinicopathological data of saudi patients with osteoarthritis subjected to total knee arthroplasty
    Gamal S Abd-El-Aziz, Wafaey Gomaa, Adel Hegaze, Hesham N Mustafa, and Amr Al-Hibshi

    SciELO Agencia Nacional de Investigacion y Desarrollo (ANID)
    Knee osteoarthritis (OA) is a common disabling disease. Epidemiological studies have revealed various risk factors for OA, including sex, aging, obesity, occupational illnesses, and chronic diseases. Here we evaluate the clinical, pat hological, and radiological findings of knee OA in a subset of Saudi patients who were subjected to total knee replacement (TKA). The stud y population included 30 Saudi patients with knee OA who were operated by TKA (from June 2014 to December 2015) in the Department of Orthopedics, Faculty of Medicine, King Abdulaziz University, Saudi Arabia. Patient’s clinical and radiological data were col lect d from the hospital files. Pathological examination of the excised superior articular surface of tibia and femoral condyles were done. Pearson Chi-squared analysis was used to test for differences between the variables in associated risk factors. There were more women than men. Sixty per cent of patients were older than 60 years [mean age, 59.2 (females) and 61.7 (men) years-old]. All patients exceed d obesity class 1, with females being more obese than males. Pathological examination of the superior articular surface of tibia and femor l condyles showed high score lesions, which was more apparent in females than in males. Radiological findings showed that most le sions were high grade. The findings of this study will help to understand the pathogenesis of OA and improve treatment decision makin g relevant to TKA in knee OA in Saudi Arabia and elsewhere.

  • Thymoquinone ameliorates oxidative damage and histopathological changes of developing brain neurotoxicity


  • Biomarkers of Systemic Lupus Erythematosus and Systemic Sclerosis diseases activity in a sample of Egyptian patients:Soluble Intercellular Adhesion Molecule-1 and Soluble Interleukin-2 Receptor, Case Control Study
    Gehan A. Hegazy, Olfat Shaker, Safaa Sayed, Amr Abd Elzaher, Khaled Fathy, Iman Wahby, Ayman Elsamanoudy, and Hesham N. Mustafa

    Oriental Scientific Publishing Company
    Systemic Lupus Erythematosus (SLE) and systemic sclerosis (SSc) are systemic inflammatory autoimmune disorders characterized by a large spectrum of clinical and laboratory features. The aim of the present study was to investigate the possible use of serum level of soluble intercellular adhesion molecule-1(sICAM-1) and soluble interleukin-2 receptor (sIL-2Ra) as biomarkers for monitoring of SLE and SSc disease activity. Moreover, it aimed to compare the specificity and sensitivity as well as cut-off value of both biomarkers in a sample of Egyptian patients. 50 SLE patients, 30 SSc patients and 60 age and sex matched healthy controls were enrolled in our study. sICAM-1and sIL-2Ra were measured in serum samples obtained from all participants. In addition to Erythosedimentation rate (ESR), complete blood count (CBC), Antineuclearantibodies (ANA) estimation, disease activity of both diseases were also assessed. sICAM-1and sIL-2Ra levels were higher in SLE and SSc patients versus control. Both parameters are correlated with each other as well as the activity parameters. A cut-off levels of 455.59 (ng/ml) &2525935 (pg/ml) in both SLE & SSs respectively was observed with the highest specificity and sensitivity. It could be concluded that sICAM-1 and sIL-2Ra are noninvasive biomarkers for SLE and SSc that could play a pathophysiologic role in development and progression of both diseases. Moreover, sICAM-1 and sIL-2Ra are correlated with the disease activity at cut-off values of 455.59 (ng/ml) & 2525935(pg/ml) respectively.

  • Zingiber officinale alleviates maternal and fetal hepatorenal toxicity induced by prenatal cadmium
    Gamal S. Abd El-Aziz, Hesham N. Mustafa, Hamid Abdulraouf Saleh, and Magdy M.O. El-Fark2

    Oriental Scientific Publishing Company
    This study was designed to address the protective effects of Zingiber officinale on the toxic outcomes of prenatal Cadmium administration on pregnancy outcome. Pregnant female Sprague-Dawley rats were randomly divided into four groups (eight rats/each), control group received distilled water, 2nd group treated with 8.8 mg of CdCl2/kg b. wt, 3rd group treated with 250 mg of Zingiber officinale/kg b. wt, and 4th group treated with 250 mg of Zingiber officinale/kg b. wt, followed by 8.8 mg of CdCl2/kg b.wt. Daily body weight of pregnant was recorded from GD1-GD20, and then pregnant rats were sacrificed at GD20. Samples of maternal and fetal livers and kidneys were processed for histological examination. Administration of Cd to pregnant rats showed adverse effects on pregnant mothers and their fetuses; reduced maternal weight gain, reduced absolute organ weights, reduced fetal growth parameters and placental weights together with altered histological appearance of the maternal and fetal livers and kidneys. While co-administration of Zingiber officinale showed an improvement of these toxic alterations. Zingiber officinale through its antioxidant activity could be beneficial against toxic outcomes of Cd exposure during pregnancy.

  • Immunohistochemical study of the ameliorative effect of Vitamin E on liver regeneration after different periods of partial hepatectomy
    Mervat M. Halawani, Gamal S. Abdul Aziz, Hanan A. Amin, Hesham N. Mustafa, and Amira A. Elhaggagy

    Oriental Scientific Publishing Company
    The liver is almost unique in its capacity for regeneration after hepatectomy but the exact mechanisms are not yet fully clarified. Antioxidants have been shown to promote liver regeneration after major hepatectomy. The present study evaluated the ameliorative effect of vitamin E administration on the liver regeneration after different periods of partial hepatectomy (PH) in rats. Fifty-six adult male albino rats were divided into three groups: Control sham operated group; partially hepatectomized group which were divided into three subgroups sacrificed at 1day, 3 days and 7days after the operation respectively; Partially Hepatectomized group with vitamin E pretreatment before PH where the rats were given a daily oral dose of vitamin E until the time of sacrifice of the rats. Immunohistochemical detection of proliferating cell nuclear antigen (PCNA) and labeling index were demonstrated. After PH, the PCNA positive hepatocytes and the PCNA labeling indices were significantly high after the 1st day and then much decreased after the 3rd day, to be followed by a slight increase at the 7th day. Vitamin E pretreatment in PH rats resulted in a decrease in PCNA positive cells and its labeling indices in the 1st day with a gradual increase in the 3rd and 7th days. Vitamin E has an inhibitory effect in the first 24 hours on liver regeneration followed by stimulatory effect at the third and seventh days after PH. These data indicated that vitamin E pretreatment has an important role in regulation and enhancement of liver regeneration after PH.

  • Beneficial effects of curcumin in maternal and fetal oxidative stress and brain damage induced by gestational lead administration
    Hamid A. Saleh, Gamal S. Abd El-Aziz, Hehsam N. Mustafa, Magdy El-Fark, Jawad Mansour Tashkandi, Anas Hassan Alzahrani, Ahmed Mal, Magda AboRass, and Abdel Halim Deifalla

    Oriental Scientific Publishing Company
    This study was planned to explore the protective role of curcumin (Cur) against maternal and fetal oxidative stress and cerebral damage induced by lead (Pb) during pregnancy. Positively pregnant female rats were divided into seven groups: control group, Cur group (300 mg/kg of Cur/b.wt.), DMSO group (50% DMSO), two Pb-treated groups (exposed to 160 and 320 mg/kg b.wt./day of Pb acetate, respectively), and two groups treated with both Pb and Cur (exposed to Pb as previous groups together with 300 mg/kg b.wt./day of Cur). Treatments through oral gavage once a day started from gestation day 1 (GD1) till day 20 (GD20), where the mother rats of different experimental groups were sacrificed to obtain the fetuses. Different chemical parameters were assessed. Brain specimens of mother and fetal groups were processed with examination. The results displayed that Pb administration to pregnant rats resulted in a dose-dependent toxicity for both mothers and fetuses. Also, there was a significant rise in lipid peroxidation and decreased antioxidant enzyme activities in the brains of the different Pb-treated groups. The histological examination of the brain of treated dams and fetuses showed marked alterations. Co-treatment of Cur along with Pb caused a significant decrease in Pb levels as compared with those treated with Pb alone, improving the oxidative condition with amelioration of the brain’s histopathological changes. Co-administration of Cur could have ameliorative effect against Pb-induced neurotoxicity through the reduction of oxidative stress and reversal of histopathological changes.

  • Protective effect of garlic extract against maternal and foetal cerebellar damage induced by lead administration during pregnancy in rats
    H. A. Saleh, G. S. Abdel El-Aziz, H. N. Mustafa, A. H. A. Saleh, A. O. Mal, A. H. S. Deifalla, and M. Aburas

    VM Media SP. zo.o VM Group SK
    BACKGROUND In spite of its industrial usefulness and varied daily uses, lead (Pb) pollution is a widespread ecological problem that faces the humans in the 21th century. Pb was found to produces a wide range of toxic effects including neurotoxicity especially to the developing and young offspring. Recently, the utilisation of herbal plants has received a significant attention where there has been rising awareness in their therapeutic use; among these is the garlic. In light of the above, the current study is designed experimentally in female pregnant rats in order to investigate the beneficial role of garlic extract in the protection from the maternal and foetal cerebellar damage produced by administration of different doses of Pb during pregnancy. MATERIALS AND METHODS Positively pregnant female rats were divided into five groups; one control group, two Pb-treated groups (exposed to 160 and 320 mg/kg b.w. of Pb, respectively) and two groups treated with both Pb and garlic (exposed to Pb as previous groups together with 250 mg/kg b.w./day of garlic extract). Treatments started from day 1 to day 20 of pregnancy, where the mother rats of different experimental groups were sacrificed to obtain the foetuses. Pb level in the maternal and foetal blood and cerebellum was estimated by spectrophotometry. Specimens of the cerebellum of different mother and foetal groups were processed to histological and immunohistochemical staining for microscopic examination. RESULTS The results showed that administration of Pb to pregnant rats resulted in a dose-dependent toxicity for both mothers and foetuses in the form of decrease in maternal weight gain, placental and foetal weights, brain weight and diminished foetal growth parameters, which were prominent in rat's group treated with larger dose of Pb. In Pb-treated rats, Pb level in blood and cerebellum was high when compared with the control group. The histopathological examination of the cerebellum of treated dams and foetuses showed marked alterations mainly in the form of Purkinje cell degeneration and lack of development of foetal cerebellum. Co-treatment of garlic extract along with Pb resulted in a significant decrease in Pb levels as compared with those treated with Pb alone with improvement of the histopathological changes. CONCLUSIONS This study was useful in evaluating the hazardous effects of uncontrolled use of Pb in general and in assessing the developmental and neurotoxicity of foetuses due to exposure during pregnancy in particular. Co-administration of garlic has beneficial effects in amelioration of Pb-induced neurotoxicity and reversing the histopathological changes of the cerebellum of mother rats and foetuses. (Folia Morphol 2018; 77, 1: 1-15).

  • The ameliorative potential of dexmedetomidine and Benincasa cerifera extract in renal ischemia/reperfusion injury in a streptozotocin-induced diabetic model
    Gehan A. Hegazy, Hesham N. Mustafa, Rawan M. Atahi, and Jehad M. Yousef

    Oriental Scientific Publishing Company
    Renal ischemia/reperfusion injury (IRI) represents the main reason for acute kidney injury (AKI). Dexmedetomidine (Dex) and Benincasa cerifera (BC) have wide benefits due to their anti-inflammatory and antioxidant properties. This study aims to illustrate the protective effects of BC and Dex on renal IRI in a diabetic model. Sixty adult male albino rats (Wistar strain), weighing 250–300 g, were included in the study. The rats were divided into four groups, as follows: sham group: (non-diabetic); diabetes mellitus (DM) + IRI group: streptozotocin (STZ)-induced diabetic rats exposed to renal IRI on day 30 after diagnosis of diabetes; DM + IRI + BC group: STZ-induced diabetic rats treated with BC (500 mg/kg) for 30 days after diagnosis of diabetes, then exposed to renal IRI; and DM + IRI + Dex group: STZ-induced diabetic rats treated with Dex (100 µg/kg intraperitoneally) 5 min before induction of ischemia on day 30 after diagnosis of diabetes, then exposed to renal IRI. Biochemical parameters, histopathological examination, and immunohistochemical markers were evaluated. A significant improvement in the biochemical, histopathological, and immunohistochemical parameters were observed in the DM + IRI + BC group, while the DM + IRI + Dex group showed improvements in renal IRI and dyslipidemia. The present study demonstrated that oxidative stress plays a chief role in renal IRI in the STZ-induced diabetic model. Treatment with BC achieved excellent ameliorative effects, while treatment with DEX improved renal IRI.

  • Protective role of CoQ10 or L-carnitine on the integrity of the myocardium in doxorubicin induced toxicity
    Hesham N. Mustafa, Gehan A. Hegazy, Sally A. El Awdan, and Marawan AbdelBaset

    Elsevier BV


  • Does allicin combined with Vitamin B-complex have superior potentials than alpha-tocopherol alone in ameliorating lead acetate-induced Purkinje cell alterations in rats? An immunohistochemical and ultrastructural study
    H. N. Mustafa and A. M. Hussein

    VM Media SP. zo.o VM Group SK
    BACKGROUND The current article aims to explore the protective potentials of α-tocopherol alone and the combination of allicin and vitamin B-complex against lead-acetate neurotoxicity on the cerebellar cortex. MATERIALS AND METHODS Forty rats were divided into four groups (n = 10). Group 1 was the control group; Group 2 received 10 mg/kg body weight (BW) of lead acetate; Group 3 was exposed to 10 mg/kg BW of lead acetate plus a combination of allicin (100 mg/kg BW) and vitamin B-complex (40 mg/kg BW); Group 4 was administered lead acetate (10 mg/kg BW) and α-tocopherol (100 mg/kg BW). The animals received the treatment for 60 days by oral gavage. All the groups were studied ultrastructurally and immunohistochemically with glial fibrillary acidic protein (GFAP). RESULTS The affected groups revealed shrunken and degenerated Purkinje cells with irregular nuclei. The cytoplasm comprised several lysosomes, unhealthy mitochondria, and dilated Golgi saccules. The myelinated nerve fibres demonstrated breaking of the myelin sheaths, apparent vacuoles, and broad axonal spaces. Immunohistochemically, there was a tremendous surge in GFAP-positive astrocytes in the lead acetate-treated group. These histological and ultrastructural variations were ameliorated by the administration of a-tocopherol and the combination of allicin and vitamin B complex. Moreover, an apparent decrease in the number of GFAP-positive astrocytes was obvious in the protected groups. CONCLUSIONS Although both a-tocopherol and the combination of allicin and vitamin B-complex can be used as possible adjuvant therapies to ameliorate nervous system ailments attributable to lead acetate, α-tocopherol showed more protective potential.

  • Prophylactic role of coenzyme Q10 and Cynara scolymus L on doxorubicin-induced toxicity in rats: Biochemical and immunohistochemical study
    HeshamN Mustafa, SallyA El Awdan, GehanA Hegazy, and GehadA Abdel Jaleel

    Medknow
    Objective: The study aims to evaluate the protective effects of coenzyme Q10 (CoQ10) and Cynara scolymus L (CS) on doxorubicin (dox)-induced toxicity. Materials and Methods: Sixty male rats were divided into six groups. Group 1 as a control. Group 2 received dox (10 mg/kg) intraperitoneally. Group 3 received CoQ10 (200 mg/kg). Group 4 received CS (500 mg/kg). Group 5 received CoQ10 (200 mg/kg) and dox (10 mg/kg). Group 6 received CS (500 mg/kg) and dox (10 mg/kg). The rats were then evaluated biochemically and immunohistochemically. Results: Dox produced a significant deterioration of hepatic and renal functional parameters. Moreover, an upsurge of oxidative stress and nitrosative stress markers. The expression of alpha-smooth muscle actin (α-SMA) was increased and proliferating cell nuclear antigen (PCNA) expression was decreased. Administration of CoQ10 and CS resulted in a significant improvement of hepatic and renal functional parameters, and an improvement of both α-SMA and PCNA. Conclusion: It is concluded that pretreatment with CoQ10 and CS is associated with up-regulation of favorable protective enzymes and down-regulation of oxidative stress. That can be advised as a supplement to dox-treated patients.

  • Potential alleviation of Chlorella vulgaris and Zingiber officinale on lead-induced testicular toxicity: An ultrastructural study
    Hesham Noaman Mustafa

    Institute of Systematics and Evolution of Animals, Polish Academy of Sciences
    Natural, products were studied to combat reproductive alterations of lead. The current work aimed to disclose the efficacy of Chlorella vulgaris and Zingiber officinale to alleviate lead acetate induced toxicity. Sixty adult male Wistar rats were distributed into four groups. Group 1 was considered control, group 2 received 200 mg/l PbAc water, group 3 received 50 mg/kg/rat of C. vulgaris extract and 200 mg/l PbAc water, and group 4 received 100 mg/kg/rat of Z. officinale and 200 mg/l PbAc water for 90 days. Testis samples were subjected to ultrastructural examination. It was observed that PbAc caused degenerative alterations in the spermatogenic series in many tubules, with a loss of germ cells and vacuoles inside the cytoplasm and between the germ cells. Mitochondria exhibited ballooning, with lost cristae and widening of the interstitial tissue, while nuclear envelopes of primary spermatocytes were broken up, and axonemes of the mid-pieces of the sperms were distorted. With the treatment with C. vulgaris or Z. officinale, there were noticeable improvements in these modifications. It was concluded that both C. vulgaris and Z. officinale represent convincing medicinal components that may be used to ameliorate testicular toxicity in those exposed to lead in daily life with superior potentials revealed by C. vulgaris due to its chelating action.

  • The ameliorative potential of Hyphaene thebaica on streptozotocin-induced diabetic nephropathy
    M. AbdEl-moniem, H. N. Mustafa, H. A. Megahed, M. H. Agaibyi, G. A. Hegazy, and M. A. El-Dabaa

    VM Media SP. zo.o VM Group SK
    BACKGROUND Diabetic nephropathy (DN) is the leading cause of end-stage renal disease. The aim of the current study is to investigate the possible beneficial effects of Hyphaene thebaica in DN. MATERIALS AND METHODS For this, 50 male albino rats were divided into five groups: group I - represented the control group; group II - received Hyp-haene thebaica extracts of 150 mg/kg BW by oral gavage for 6 weeks; group III - received single intraperitoneal injections of streptozotocin (50 mg/kg BW) to induce type-2 diabetes mellitus; group IV (protective) - diabetic rats recei-ved Hyphaene thebaica extract (150 mg/kg BW) orally for 6 weeks; group V (curative) - received Hyphaene thebaica extract (150 mg/kg BW) orally after the diagnosis of DN. RESULTS In the DN protected group, blood glucose, urea, and creatinine decreased significantly, while insulin and C-peptide increased significantly. Moreover, cystatin C and neutrophil gelatinase-associated lipocalin decreased. Collagen fibre deposition is increased with an apparent thickening of the parietal layer of Bowman's capsules and the basal lamina of convoluted tubules, as well as increase of the immune-reaction of caspase-3 and desmin. The introduction of Hyphaene thebaica led to greater amelioration in the biochemical markers, apoptotic alterations, and podocyte injuries of the protected group than in the curative group. CONCLUSIONS Hyphaene thebaica may be advised as a good choice that can delay diabetic renal complications.

RECENT SCHOLAR PUBLICATIONS

  • Ameliorative potential of the Quercetin on lead induced testicular damage: Morphohistometric and biochemical analysis
    HN Mustafa
    Afr J Urol 29 (36), 1-8. Doi: 10.1186/s12301-023-00369-z 2023

  • The pattern of branching and intercommunications of the musculocutaneous nerve for surgical issues: Anatomical study
    MG Al-Sobhi, AI Zaki, FAAE Hamid, RA Alshali, HN Mustafa
    Folia Morphol (Warsz) 82 (1), 79–87. Doi:10.5603/FM.a2021.0139 2023

  • Morphohistometric analysis of the effects of Coriandrum sativum on Cortical and Cerebellar Neurotoxicity
    HN Mustafa
    Avicenna J Phytomed 11 (6), 589-598 Doi:10.22038/AJP.2021.18107 2021

  • Neuroprotective Potential of Aqueous Cinnamon Extract on Cerebellar Amyloid-β Plaques in Alzheimer's Disease
    HN Mustafa
    Focus on Microscopy 2021, P2-E/4 2021

  • Histomorphometric Analysis of the Effects of Quercetin on Testicular Apoptosis and Oxidative Damage
    HN Mustafa
    Focus on Microscopy 2021, P2-E/3 2021

  • Morphohistometric Analysis of the Effects of Coriandrum Sativum on Neurotoxicity
    HN Mustafa
    Focus on Microscopy 2021, P2-E/2 2021

  • Anterolateral ligament in pediatric knees: A radiographic study
    A Hegaze, K Khashoggi, A Alqrache, A Ashour, HN Mustafa.
    Curr Orthop Pract 31 (4), 390-393 Doi:10.1097/BCO.0000000000000885 2020

  • Neuro-amelioration of cinnamaldehyde in aluminum-induced Alzheimer’s disease rat model
    HN Mustafa
    J Histotechnol 43 (1), 11-20. Doi:10.1080/01478885.2019.1652994 2020

  • One-year mortality rate after hip fracture in the western region of Saudi Arabia: A retrospective cohort study
    A Al-Hebshi, A Hegaze, HN Mustafa, B Tash, D Sawan, K Al-Faris.
    Curr Orthop Pract 31 (2), 115-119 DOI:10.1097/BCO.0000000000000841 2020

  • Correlation between ACL injury and involvement of the anterolateral ligament: A retrospective study
    A Hegaze, K Khashoggi, MJ Alsayyad, R Hafiz, A Alqrache, HN Mustafa
    Curr Orthop Pract 31 (1), 23-29. DOI: 10.1097/BCO.0000000000000834 2020

  • Biomarkers of Systemic Lupus Erythematosus and Systemic Sclerosis diseases activity in a sample of Egyptian patients: Soluble Intercellular Adhesion Molecule-1 and Soluble
    GA Hegazy, O Shaker, S Sayed, AA Elzaher, K Fathy, I Wahby, ...
    Biomed Pharmacol J 12 (3), 1207-1216 DOI: 10.13005/bpj/1750 2019

  • Liver ischemia/reperfusion injury, a setting in which functional mass is reduced and the role of PDE5 inhibitor
    HN Mustafa, GA Hegazy, SAE Awdan, AA Alamoudi
    Eur J Anat 23 (5), 325-332 2019

  • Morphohistometric study of the ligamentum flavum in cervical, thoracic and lumbar vertebrae: comparative approach
    GSAE Aziz, SM Zaki, MMO El-Fark, HN Mustafa, RA Al-Shali, RM Hamdy, ...
    Eur J Anat 23 (5), 315-323 2019

  • Estudio Analtico de Datos Clnico-Patolgicos de Pacientes Sauditas con Osteoartritis Sometidos a Artroplastia Total de Rodilla
    GS Abd-El-Aziz, W Gomaa, A Hegaze, HN Mustafa, A Al-Hibshi
    Int J Morphol 37 (3), 1089-1094 2019

  • Analytical Study of Clinicopathological Data of Saudi Patients with Osteoarthritis Subjected to Total Knee Arthroplasty
    GSA El-Aziz, W Gomaa, A Hegaze, HN Mustafa, A Al-Hibshi
    Int J Morphol 37 (3), 1089-1094 2019

  • A study on the toxic effect of different doses of Diclofenac sodium on the development of the kidney in the postnatal period
    HN Mustafa, I Alkan, G Deniz, BZ Altunkaynak, E Anna, S Kaplan
    Int J Morphol 37 (3), 877-884 2019

  • Thymoquinone ameliorates oxidative damage and histopathological changes of developing brain neurotoxicity
    HA Saleh, GS Abd El-Aziz, HN Mustafa, M El-Fark, A Mal, M Aburas, ...
    J Histotechnol 42 (3), 116-127 2019

  • Zingiber Officinale Alleviates Maternal and Fetal Hepatorenal Toxicity Induced by Prenatal Cadmium
    GSA El-Aziz, HN Mustafa, HA Saleh, RA Alshali, S Alsaggaf, MMO El-Fark
    Biomed Pharmacol J 11 (3), 1369-1380 Doi:10.13005/bpj/1500 2018

  • Protective effect of garlic extract against maternal and fetal cerebellar damage induced by lead administration during pregnancy in rats
    HA Saleh, GSA El-Aziz, HN Mustafa, AHA Saleh, AO Mal, AHS Deifalla, ...
    Folia Morphol (Warsz) 77 (1), 1-15. DOI: 10.5603/FM.a2017.0063 2018

  • Beneficial effect of Curcumin in Maternal and Fetal Oxidative Stress and Brain Damage Induced by Gestational Lead Administration
    Hamid A Saleh, Gamal S Abd El-Aziz, Hesham N. Mustafa, Magdy El-Fark, Jawad ...
    Biomed Pharmacol J 11 (2), 871-887 DOI: 10.13005/bpj/1444 2018

MOST CITED SCHOLAR PUBLICATIONS

  • Prophylactic role of coenzyme Q10 and Cynara scolymus L on doxorubicin-induced toxicity in rats: Biochemical and immunohistochemical study
    HN Mustafa, SAE Awdan, GA Hegazy, GAA Jaleel
    Indian J Pharmacol 47 (6), 649-656. DOI: 10.4103/0253-7613.169588 2015
    Citations: 79

  • Protective role of antioxidants on thioacetamide-induced acute hepatic encephalopathy: biochemical and ultrastructural study
    HN Mustafa, SA El Awdan, GA Hegazy
    Tissue Cell 45 (5), 350-362. 10.1016/j.tice.2013.06.001. 2013
    Citations: 70

  • Protective role of CoQ10 or L-carnitine on the integrity of the myocardium in doxorubicin induced toxicity
    HN Mustafa, GA Hegazy, SA El Awdan, M AbdelBaset
    Tissue Cell 49 (3), 410–426. DOI: 10.1016/j.tice.2017.03.007 2017
    Citations: 58

  • Neuro-amelioration of cinnamaldehyde in aluminum-induced Alzheimer’s disease rat model
    HN Mustafa
    J Histotechnol 43 (1), 11-20. Doi:10.1080/01478885.2019.1652994 2020
    Citations: 29

  • Protective effect of garlic extract against maternal and fetal cerebellar damage induced by lead administration during pregnancy in rats
    HA Saleh, GSA El-Aziz, HN Mustafa, AHA Saleh, AO Mal, AHS Deifalla, ...
    Folia Morphol (Warsz) 77 (1), 1-15. DOI: 10.5603/FM.a2017.0063 2018
    Citations: 27

  • Does allicin combined with vitamin B-complex have superior potentials than α-tocopherol alone in ameliorating lead acetate-induced Purkinje cell alterations in rats? An
    HN Mustafa, AM Hussein
    Folia Morphol (Warsz) 75 (1), 76–86. DOI: 10.5603/FM.a2015.0076 2016
    Citations: 26

  • The ameliorative potential of Hyphaene thebaica on streptozotocin-induced diabetic nephropathy
    M AbdEl-moniem, HN Mustafa, HA Megahed, MH Agaibyi, GA Hegazy, ...
    Folia Morphol (Warsz) 74 (4), 447–457. DOI: 10.5603/FM.2015.0106 2015
    Citations: 24

  • Effect of acrylamide on testis of albino rats. Ultrastructure and DNA cytometry study.
    HN Mustafa
    Saudi Med J 33 (7), 722-31. DOI: http://dx.doi.org/10.6084/m 2012
    Citations: 19

  • Potential Alleviation of Chlorella vulgaris and Zingiber officinale on Lead-Induced Testicular Toxicity: an Ultrastructural Study
    HN Mustafa
    Folia Biologica (Krakw). 63 (4), 269-278. DOI: 10.3409/fb63_4.269 2015
    Citations: 18

  • Effect of Sodium Selenite and Vitamin E on the Renal Cortex in Rats: An Ultrastructure Study
    AM Hussein, HA Saleh, HN Mustafa
    Tissue Cell 46 (3), 170-177. DOI: 10.1016/j.tice.2014.03.002 2014
    Citations: 16

  • A study on the toxic effect of different doses of Diclofenac sodium on the development of the kidney in the postnatal period
    HN Mustafa, I Alkan, G Deniz, BZ Altunkaynak, E Anna, S Kaplan
    Int J Morphol 37 (3), 877-884 2019
    Citations: 13

  • Thymoquinone ameliorates oxidative damage and histopathological changes of developing brain neurotoxicity
    HA Saleh, GS Abd El-Aziz, HN Mustafa, M El-Fark, A Mal, M Aburas, ...
    J Histotechnol 42 (3), 116-127 2019
    Citations: 13

  • The role of curcumin in streptozotocin-induced hepatic damage and the trans-differentiation of hepatic stellate cells
    HN Mustafa
    Tissue Cell 48 (2), 81-88. DOI: 10.1016/j.tice.2016.02.003 2016
    Citations: 13

  • Zingiber Officinale Alleviates Maternal and Fetal Hepatorenal Toxicity Induced by Prenatal Cadmium
    GSA El-Aziz, HN Mustafa, HA Saleh, RA Alshali, S Alsaggaf, MMO El-Fark
    Biomed Pharmacol J 11 (3), 1369-1380 Doi:10.13005/bpj/1500 2018
    Citations: 8

  • Analytical Study of Clinicopathological Data of Saudi Patients with Osteoarthritis Subjected to Total Knee Arthroplasty
    GSA El-Aziz, W Gomaa, A Hegaze, HN Mustafa, A Al-Hibshi
    Int J Morphol 37 (3), 1089-1094 2019
    Citations: 7

  • Beneficial effect of Curcumin in Maternal and Fetal Oxidative Stress and Brain Damage Induced by Gestational Lead Administration
    Hamid A Saleh, Gamal S Abd El-Aziz, Hesham N. Mustafa, Magdy El-Fark, Jawad ...
    Biomed Pharmacol J 11 (2), 871-887 DOI: 10.13005/bpj/1444 2018
    Citations: 7

  • The effects of diethylstilbestrol administration on rat kidney. Ultrastructural study
    AM Hussein, MH Badawoud, HN Mustafa
    Saudi Med J 34 (11), 1114-1124. DOI: http://dx.doi.org/10.608 2013
    Citations: 7

  • Morphohistometric analysis of the effects of Coriandrum sativum on Cortical and Cerebellar Neurotoxicity
    HN Mustafa
    Avicenna J Phytomed 11 (6), 589-598 Doi:10.22038/AJP.2021.18107 2021
    Citations: 6

  • Correlation between ACL injury and involvement of the anterolateral ligament: A retrospective study
    A Hegaze, K Khashoggi, MJ Alsayyad, R Hafiz, A Alqrache, HN Mustafa
    Curr Orthop Pract 31 (1), 23-29. DOI: 10.1097/BCO.0000000000000834 2020
    Citations: 6

  • The pattern of branching and intercommunications of the musculocutaneous nerve for surgical issues: Anatomical study
    MG Al-Sobhi, AI Zaki, FAAE Hamid, RA Alshali, HN Mustafa
    Folia Morphol (Warsz) 82 (1), 79–87. Doi:10.5603/FM.a2021.0139 2023
    Citations: 4