Department of Urology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
J Urol. 2012 Nov;188(5):2007-13. doi: 10.1016/j.juro.2012.07.009. Epub 2012 Sep 20.
We investigated the effect of micronized purified flavonoid fraction on the prevention of testicular pathologies following varicocele induction.
A total of 66 adolescent (6-week-old) male Wistar rats were included in study. Rats were divided into 7 groups, including group 1--control, group 2--sham operation, group 3--left varicocele induced, group 4--varicocele induced, varicocelectomy done 4 weeks later and micronized purified flavonoid fraction administered for 4 weeks, group 5--varicocele induced and micronized purified flavonoid fraction administered for 8 weeks, group 6--varicocele induced and beginning 4 weeks later micronized purified flavonoid fraction administered for 4 weeks, and group 7--varicocele induced and varicocelectomy done 4 weeks later. Before sacrifice bilateral real-time testicular microvascular perfusion of all rats was measured using the PeriFlux System 5000 PF 5010 LDPM Unit (Perimed, Järfälla, Sweden). All testes were graded according to the Johnsen scoring system. To assess apoptosis caspase-3 levels were measured.
Testicular weight in group 3 was markedly decreased and the extent of seminiferous tubular damage was significantly increased compared with the other groups. Bilateral testicular blood flow and the number of apoptotic germ cells were greater in group 3. Significantly higher Johnsen scores and a meaningful decrease in the apoptotic index were detected in groups 4 to 7 compared with group 3.
We observed favorable effects of micronized purified flavonoid fraction on the regression of testicular damage secondary to varicocele.
研究微粉化纯化黄酮类混合物对精索静脉曲张诱发的睾丸病变预防的影响。
共纳入 66 只 6 周龄雄性 Wistar 大鼠进行研究。大鼠分为 7 组,包括第 1 组(对照组)、第 2 组(假手术组)、第 3 组(左侧精索静脉曲张诱发组)、第 4 组(精索静脉曲张诱发组,4 周后行精索静脉曲张结扎术并给予微粉化纯化黄酮类混合物治疗 4 周)、第 5 组(精索静脉曲张诱发组并给予微粉化纯化黄酮类混合物治疗 8 周)、第 6 组(精索静脉曲张诱发组,4 周后开始给予微粉化纯化黄酮类混合物治疗 4 周)和第 7 组(精索静脉曲张诱发组,4 周后行精索静脉曲张结扎术)。在处死前,使用 PeriFlux System 5000 PF 5010 LDPM 单元(Perimed,Järfälla,瑞典)测量所有大鼠双侧实时睾丸微血管灌注。根据 Johnsen 评分系统对所有睾丸进行分级。为评估细胞凋亡,测量了 caspase-3 水平。
与其他组相比,第 3 组睾丸重量明显减轻,生精小管损伤程度显著增加。第 3 组双侧睾丸血流和凋亡性生殖细胞数量增加。与第 3 组相比,第 4 组至第 7 组的 Johnsen 评分显著升高,凋亡指数明显下降。
我们观察到微粉化纯化黄酮类混合物对精索静脉曲张继发睾丸损伤的消退有有利影响。