Department of Clinical Sciences, Faculty of Veterinary Medicine, Razi University, Kermanshah, Iran.
Department of Basic and Pathobiological Sciences, Faculty of Veterinary Medicine, Razi Universtiy, Kermanshah, Iran.
Biomed Pharmacother. 2021 Jun;138:111481. doi: 10.1016/j.biopha.2021.111481. Epub 2021 Mar 19.
There is growing concern that some cytotoxic regimens for cancer adversely affect spermatogenesis and male fertility. Increasing evidence demonstrated that melatonin has beneficial impacts on reproductive processes; however, whether melatonin can protect against bleomycin, etoposide, and cisplatin (BEP) chemotherapy regimen-induced testicular toxicity, remains obscure. The present study aimed to explore the effect of melatonin on BEP-evoked testicular injury in rats. Adult male Wistar rats (n = 10/group) were intraperitoneally (i.p.) injected with one cycle of 21 days of 0.33 therapeutically relevant dose levels of BEP (.5 mg/kg bleomycin, 5 mg/kg etoposide, and 1 mg/kg cisplatin) with or without melatonin. At the end of the study, sperm parameters, testosterone level, stereology of testes, testicular levels of malondialdehyde (MDA), nitric oxide (NO), and total antioxidant capacity (TAC), the expression of apoptosis-associated genes such as Bcl2, Bax, Caspase-3, p53, and TNF-α (Real-time PCR and Immunohistochemistry) were evaluated. Our findings showed that melatonin restored spermatogenesis by improving sperm count, motility, viability, and morphology. Testosterone level, histopathology, and stereology of testes were significantly improved in melatonin-administrated groups. Furthermore, melatonin recovered the oxidative status of the testes through elevating TAC and ameliorating MDA and NO levels. More importantly, melatonin therapy suppressed BEP-evoked apoptosis by modulating Bcl-2, Bax, Caspase-3, p53, and TNF-α expression in testes. In conclusion, melatonin protects the testes against BEP-induced testicular damage by attenuating nitro-oxidative stress, apoptosis, and inflammation, which provides evidence for melatonin as a possible clinical therapy against BEP-associated gonadotoxicity and male sub/infertility.
人们越来越担心某些用于癌症的细胞毒性疗法会对精子发生和男性生育力产生不利影响。越来越多的证据表明,褪黑素对生殖过程具有有益的影响;然而,褪黑素是否可以预防博来霉素、依托泊苷和顺铂(BEP)化疗方案引起的睾丸毒性,尚不清楚。本研究旨在探讨褪黑素对 BEP 诱发的大鼠睾丸损伤的影响。成年雄性 Wistar 大鼠(n=10/组)经腹腔注射一个周期的 21 天的 0.33 个治疗相关剂量水平的 BEP(0.5mg/kg 博来霉素、5mg/kg 依托泊苷和 1mg/kg 顺铂),并伴有或不伴有褪黑素。在研究结束时,评估精子参数、睾酮水平、睾丸体视学、睾丸丙二醛(MDA)、一氧化氮(NO)和总抗氧化能力(TAC)水平、凋亡相关基因如 Bcl2、Bax、Caspase-3、p53 和 TNF-α 的表达(实时 PCR 和免疫组织化学)。我们的研究结果表明,褪黑素通过提高精子计数、活力、活力和形态来恢复精子发生。在褪黑素给药组中,睾酮水平、组织病理学和睾丸体视学均有显著改善。此外,褪黑素通过提高 TAC 并改善 MDA 和 NO 水平来恢复睾丸的氧化状态。更重要的是,褪黑素治疗通过调节睾丸中 Bcl-2、Bax、Caspase-3、p53 和 TNF-α 的表达来抑制 BEP 诱导的细胞凋亡。总之,褪黑素通过减轻硝基-氧化应激、凋亡和炎症来保护睾丸免受 BEP 引起的睾丸损伤,为褪黑素作为治疗 BEP 相关性腺毒性和男性亚/不育症的潜在临床治疗提供了证据。
Drug Chem Toxicol. 2016
BMC Complement Med Ther. 2025-6-25
Antioxidants (Basel). 2024-11-23
Front Endocrinol (Lausanne). 2024