Sheng Wen, Zhang Yao-Sheng, Li Yue-Qing, Wu Xiao-Ni, Chai Li-Min, Yue Li-Feng, Ding Jin, Li Xian-Rui, Chen Meng, Shang Jian-Wei
Department of Andrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Department of General Surgery, The Fourth Hospital of Changsha, Hunan Normal University, Changsha, China.
Afr J Tradit Complement Altern Med. 2017 Jun 5;14(4):87-95. doi: 10.21010/ajtcam.v14i4.11. eCollection 2017.
Kidney tonifying - spleen strengthening method being one of the modalities for treatment of astheno-oligozoospermia is currently commonly used in the clinical setting. To investigate the mechanism of YiShenJianPi (YSJP) Recipe, used in Traditional Chinese Medicine to benefit "the kidney" and strengthen "the spleen".
Oligoasthenozoospermia, male BALB/c mice were randomly divided into normal control, disease model, positive control, low-dosage and high-dosage groups. Oligoasthenozoospermia was induced by tripterygium glucosides intragastric administration before treatment started. Through using computer-aided sperm analysis to test the changes in sperm quality, utilizing flow cytometry to test the percentage of sperm with normal mitochondrial transmembrane potential (JC-1 + %), utilizing X-ray microscopy to observe epididymal sperm ultra-microstructure placing special emphasis and photographing the differences in mitochondria of the flagellum region.
Compared with DM, sperm quality of the treated mice was significantly better (P<0.05, respectively). Compared with PC, the LD group had significantly better quality sperms, while the parameters in the HD group were numerically better. Compared with NC, all other groups had significantly lower percentage of sperms with normal mitochondrial membrane potential. In PC, LD and HD groups, the percentage of sperms with normal mitochondrial membrane potential was significantly higher than that of D. The 9+9+2 mitochondrial sheath structure was complete in NC but damaged in DM. In the treatment groups, this structure was fairly clear.
YSJP improved semen quality with oligoasthenozoospermia by improving sperm mitochondrial membrane potential and restoring sperm mitochondrial ultrastructure.
补肾健脾法是目前临床治疗弱精子症和少精子症常用的方法之一。为探讨中医益肾健脾方(YSJP)补肾健脾的作用机制。
将少弱精子症雄性BALB/c小鼠随机分为正常对照组、疾病模型组、阳性对照组、低剂量组和高剂量组。在开始治疗前通过给予雷公藤多苷灌胃诱导少弱精子症。通过计算机辅助精子分析检测精子质量的变化,利用流式细胞术检测线粒体跨膜电位正常的精子百分比(JC-1 + %),利用X射线显微镜观察附睾精子超微结构,特别强调并拍摄鞭毛区域线粒体的差异。
与疾病模型组相比,治疗后小鼠的精子质量明显更好(P<0.05)。与阳性对照组相比,低剂量组的精子质量明显更好,而高剂量组的各项参数在数值上更好。与正常对照组相比,所有其他组线粒体膜电位正常的精子百分比均显著降低。在阳性对照组、低剂量组和高剂量组中,线粒体膜电位正常的精子百分比明显高于疾病模型组。正常对照组9+9+2线粒体鞘结构完整,疾病模型组受损。在治疗组中,这种结构相当清晰。
益肾健脾方通过改善精子线粒体膜电位和恢复精子线粒体超微结构,提高了少弱精子症患者的精液质量。