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[参精固本丸对修复大鼠氧化应激诱导的睾丸生精损伤的作用]

[Shenjing Guben Pills for repairing testicular spermatogenic injury induced by oxidative stress in rats].

作者信息

Deng Yu-Fei, Weng Zhi-Wei, Liang Ai-Jun, Li Ling, Weng Hao-Wei, Liu Zhi-Dan, Zhou Shao-Hu

机构信息

The First School of Clinical Medicine, Guangzhou University of Chinese Medicine The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China.

Department of Reproductive Medicine, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China.

出版信息

Zhonghua Nan Ke Xue. 2019 Dec;25(12):1118-1125.

Abstract

OBJECTIVE

To investigate the antioxidative and spermatogenesis-repairing effects of Shenjing Guben Pills (SGP), a Chinese medicine for invigorating the kidney and blood circulation, on the testis, epididymis and sperm in rats with oxidative stress injury (OSI) induced by cadmium chloride.

METHODS

Seventy-two male Wistar rats were equally randomized into six groups: normal control, OSI model control, Wuzi Yanzong Pills (WYP) and low-, medium- and high-dose SGP. The OSI model was made in the latter five groups by intraperitoneal injection of cadmium chloride at 1 mg/kg, and 24 hours later, the rats of the normal and model control groups treated intragastrically with 0.9% normal saline, those of the WYP group with WYP at 4.5 g/kg/d, and those of the low-, medium- and high-dose SGP groups with SGP at 2.8, 5.6 and 11.2 g/kg/d, respectively, all for 56 days. Then, all the animals were sacrificed for obtainment of the visceral indexes and histopathological changes of the testis, epididymis and seminal vesicle, measurement of sperm concentration and motility and the percentage of morphologically normal sperm (MNS) in the epididymis, and determination of the levels of glutathione perox-idase (GSH-PX), superoxide dismutase (SOD), malondial-dehyde aldehyde (MDA) and serum testosterone (T).

RESULTS

Compared with the OSI model controls, the rats in the high-, medium- and low-dose SGP groups showed significantly higher visceral indexes of the testis ([0.237 ± 0.098] vs [0.403 ± 0.090], [0.357 ± 0.150] and [0.348 ± 0.140] g/100 g, P < 0.05) and seminal vesicle ([0.241 ± 0.118] vs [0.347 ± 0.115], [0.336 ± 0.090] and [0.320 ± 0.065] g/100 g, P < 0.05) and those of the high-dose SGP group in the epididymal index ([0.099 ± 0.088] vs [0.156 ± 0.030] g/100 g, P < 0.05). In comparison with the OSI model controls, the animals of the high-, medium- and low-dose SGP groups exhibited significant increases in sperm concentration ([10.5 ± 17.7] vs [58.1 ± 32.2], [36.0 ± 36.2] and [31.9 ± 32.7] ×10⁶/ml, P < 0.05) and serum T ([2.56 ± 0.75] vs [3.62 ± 0.96], [3.48 ± 1.33] and [3.24 ± 0.83] nmol/L, P < 0.05 or P < 0.01), and those of the high- and medium-dose SCG groups in total sperm motility ([9.5 ± 13.0]% vs [26.5 ± 15.5]% and [18.9 ± 8.2]%, P < 0.05) and MNS ([36.2 ± 40.2]% vs [85.3 ± 23.3]% and [65.8 ± 28.1]%, P < 0.05) and the levels GSH-PX ([3.62 ± 2.22] vs [5.70 ± 1.73] and [5.42 ± 2.35] U/mg prot, P < 0.05 ) and SOD ([41.3 ± 8.8] vs [52.7 ± 14.6] and [51.3 ± 14.7] U/mg prot, P < 0.05). The MDA level, however, was markedly decreased in the high-, medium- and low-dose SGP groups ([0.41 ± 0.29], [0.44 ± 0.19] and [0.47 ± 0.20] nmol/mg prot) as compared with that in the OSI model controls ([0.69 ± 0.28] nmol/mg prot) (P < 0.05). Histopathological examinations manifested coagulative necrosis, calcification and disappearance of spermatogenic and Sertoli cells in the seminiferous tubules of the OSI model controls, with decreased intraluminal secretions and atrophic epithelial papillae in the seminal vesicles and non-sperm cells in the narrowed lumens of the atrophic epididymis. With the increased dose of SGP, the proportion of normal seminiferous tubules was enlarged, the epithelia of the seminal vesicle became column-shaped again, and the epididymal lumens grew lager with more sperm cells, which indicated a dose-dependent therapeutic efficacy. Medium- and high-dose SGP achieved a significantly better effect than WYP.

CONCLUSIONS

Shenjing Guben Pills can antagonize oxidative stress, elevate the levels of testicular antioxidant enzymes and serum T, repair pathological injury of the testis, epididymis and seminal vesicle, and improve semen quality and spermatogenic function.

摘要

目的

研究补肾活血中药制剂神经营本丸(SGP)对氯化镉诱导的氧化应激损伤(OSI)大鼠睾丸、附睾及精子的抗氧化及生精修复作用。

方法

将72只雄性Wistar大鼠随机分为6组:正常对照组、OSI模型对照组、五子衍宗丸(WYP)组及低、中、高剂量SGP组。后5组采用腹腔注射1 mg/kg氯化镉制备OSI模型,24小时后,正常对照组和模型对照组大鼠灌胃0.9%生理盐水,WYP组大鼠灌胃4.5 g/kg/d的WYP,低、中、高剂量SGP组大鼠分别灌胃2.8、5.6和11.2 g/kg/d的SGP,均连续给药56天。然后,处死所有动物,获取睾丸、附睾和精囊的脏器指数及组织病理学变化,检测精子浓度、活力及附睾中形态正常精子(MNS)的百分比,测定谷胱甘肽过氧化物酶(GSH-PX)、超氧化物歧化酶(SOD)、丙二醛(MDA)水平及血清睾酮(T)。

结果

与OSI模型对照组相比,高、中、低剂量SGP组大鼠睾丸脏器指数([0.237±0.098]对[0.403±0.090]、[0.357±0.150]和[0.348±0.140]g/100 g,P<0.05)和精囊脏器指数([0.241±0.118]对[0.347±0.115]、[0.336±0.090]和[0.320±0.065]g/100 g,P<0.05)显著升高,高剂量SGP组附睾指数([0.099±0.088]对[0.156±0.030]g/100 g,P<0.05)也显著升高。与OSI模型对照组相比,高、中、低剂量SGP组动物精子浓度([10.5±17.7]对[58.1±32.2]、[36.0±36.2]和[31.9±同32.7]×10⁶/ml,P<0.05)和血清T([2.56±0.75]对[3.62±0.96]、[3.48±1.33]和[3.24±0.83]nmol/L,P<0.05或P<0.01)显著升高,高、中剂量SGP组动物精子总活力([9.5±13.0]%对[26.5±15.5]%和[18.9±8.2]%,P<0.05)、MNS([36.2±40.2]%对[85.3±23.3]%和[65.8±28.1]%,P<0.05)以及GSH-PX水平([3.62±2.22]对[5.70±1.73]和[5.42±2.35]U/mg prot,P<0.05)和SOD水平([41.3±8.8]对[52.7±14.6]和[51.3±14.7]U/mg prot)显著升高。然而,与OSI模型对照组相比,高、中、低剂量SGP组MDA水平显著降低([0.41±0.同29]、[0.44±0.19]和[0.47±0.20]nmol/mg prot)([0.69±0.28]nmol/mg prot)(P<0.05)。组织病理学检查显示,OSI模型对照组曲细精管中生精细胞和支持细胞出现凝固性坏死、钙化和消失,精囊腔内分泌物减少,上皮乳头萎缩,萎缩附睾管腔内无精子细胞。随着SGP剂量增加,正常曲细精管比例增大,精囊上皮再次变为柱状,附睾管腔增大,精子细胞增多,表明具有剂量依赖性治疗效果。中、高剂量SGP的效果明显优于WYP。

结论

神经营本丸可拮抗氧化应激,提高睾丸抗氧化酶水平和血清T水平,修复睾丸、附睾和精囊的病理损伤,改善精液质量和生精功能。

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