Ameli Mojtaba, Hashemi Mohaddeseh Sadat, Moghimian Maryam, Shokoohi Majid
Department of clinical Sciences, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
Department of Basic Sciences, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
Andrologia. 2018 Oct;50(8):e13068. doi: 10.1111/and.13068. Epub 2018 Jun 19.
This study used a rat model to investigate the protective effect of tadalafil and verapamil on testicular function and oxidative stress after torsion/detorsion.
Animals were randomly divided into five groups: G1, Sham group; G2, testicular torsion followed by detorsion (TD); G3, testicular torsion/detorsion received 0/4 mg/kg of tadalafil (TDT); G4, testicular torsion/detorsion received 0/1 mg/kg of verapamil (TDV); and G5, testicular torsion/detorsion received 0/1 mg/kg of verapamil and 0/4 mg/kg of tadalafil (TDTV). All treated groups were received the treatment 30 min before detorsion. Also, after reperfusion period (24 hr), the parameters of spermatozoa were assayed, and blood was measured for oxidative stress markers such as superoxide dismutase (SOD), glutathione peroxidase (GPx), activity of malondialdehyde (MDA) and blood levels of testosterone. The histological parameters investigated by Johnson's scores (JS), and also the seminiferous tubule diameter (STD) and the height of the germinal epithelium (HE) were measured using the linear eyepiece grids on the light microscope.
Between Sham and other groups were observed a significant change in histological parameters. Also, the levels of SOD, GPx and testosterone hormone were significantly decreased in TD while these increased in therapeutic groups. In the duration of ischaemia, the MDA level increased. Treatment with tadalafil and verapamil decreased the MDA level in treatment groups and also observed a significant change in sperm parameters between Sham and other groups.
Tadalafil and verapamil can be protected the testis tissue damage and replaced the testicular function by suppressing oxidative stress after testicular torsion.
本研究采用大鼠模型,探讨他达拉非和维拉帕米对睾丸扭转/复位后睾丸功能及氧化应激的保护作用。
将动物随机分为五组:G1,假手术组;G2,睾丸扭转后复位组(TD);G3,睾丸扭转/复位后接受0/4mg/kg他达拉非组(TDT);G4,睾丸扭转/复位后接受0/1mg/kg维拉帕米组(TDV);G5,睾丸扭转/复位后接受0/1mg/kg维拉帕米和0/4mg/kg他达拉非组(TDTV)。所有治疗组在复位前30分钟接受治疗。此外,在再灌注期(24小时)后,检测精子参数,并检测血液中的氧化应激标志物,如超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPx)、丙二醛(MDA)活性及睾酮血药浓度。通过约翰逊评分(JS)研究组织学参数,并使用光学显微镜上的线性目镜网格测量生精小管直径(STD)和生精上皮高度(HE)。
假手术组与其他组之间在组织学参数上观察到显著变化。此外,TD组中SOD、GPx和睾酮激素水平显著降低,而治疗组中这些指标升高。在缺血期间,MDA水平升高。他达拉非和维拉帕米治疗降低了治疗组的MDA水平,并且在假手术组与其他组之间观察到精子参数有显著变化。
他达拉非和维拉帕米可通过抑制睾丸扭转后的氧化应激来保护睾丸组织损伤并恢复睾丸功能。