Department of Urology, Center for Reproductive Medicine, Peking University Third Hospital, Beijing, China.
Department of Urology, Peking University First Hospital, Beijing, China; Institute of Urology, Peking University, Beijing, China; Department of andrology, Peking University First Hospital, Beijing, China.
Free Radic Biol Med. 2024 Mar;214:193-205. doi: 10.1016/j.freeradbiomed.2024.02.006. Epub 2024 Feb 17.
Diabetes mellitus (DM) is a widespread metabolic disease presenting with various complications, including spermatogenic dysfunction. However, the underlying mechanisms are still unclear. Ferroptosis, a novel type of programmed cell death, is associated with much metabolic diseases. Here, we investigated the role of ferroptosis in spermatogenic dysfunction of streptozotocin (STZ)-induced type 1 diabetic mice (diabetic mice), high glucose (HG)-treated GC-2 cells (HG cells) as well as testicular tissues of diabetic patients. We found an accumulation of iron, elevated malondialdehyde level and reduced glutathione level in the testis tissues of diabetic mice and HG cells. Histological examination showed a decrease in spermatogenic cells and spermatids within the seminiferous tubules as well as mitochondrial shrinkage in the testis tissues of diabetic mice. Ferrostatin-1 (Fer-1), the inhibitor of ferroptosis, mitigated ferroptosis-associated iron overload, lipid peroxidation accumulation and spermatogenic dysfunction of diabetic mice. Furthermore, we observed a downregulation of GPX4, FTL and SLC7A11 in diabetic mice and HG cells. Fer-1 treatment and GPX4 overexpression counteracted the effects of HG on cell viability, reactive oxygen species, lipid peroxidation and glutathione via inhibition of ferroptosis. Moreover, we found an elevation of ferroptosis in testicular tissues of diabetic patients. Taken together, our results identify the crucial role of ferroptosis in diabetic spermatogenic dysfunction and ferroptosis may be a promising therapeutic target to improve spermatogenesis in diabetic patients.
糖尿病(DM)是一种广泛存在的代谢性疾病,表现出多种并发症,包括生精功能障碍。然而,其潜在机制尚不清楚。铁死亡是一种新型的程序性细胞死亡,与许多代谢性疾病有关。在这里,我们研究了铁死亡在链脲佐菌素(STZ)诱导的 1 型糖尿病小鼠(糖尿病小鼠)、高葡萄糖(HG)处理的 GC-2 细胞(HG 细胞)以及糖尿病患者睾丸组织中生精功能障碍中的作用。我们发现糖尿病小鼠和 HG 细胞的睾丸组织中铁积累、丙二醛水平升高和谷胱甘肽水平降低。组织学检查显示糖尿病小鼠睾丸组织中的生精细胞和精细胞减少,以及线粒体缩小。铁死亡抑制剂 Fer-1 减轻了糖尿病小鼠铁过载、脂质过氧化积累和生精功能障碍。此外,我们观察到糖尿病小鼠和 HG 细胞中 GPX4、FTL 和 SLC7A11 的下调。Fer-1 处理和 GPX4 过表达通过抑制铁死亡拮抗了 HG 对细胞活力、活性氧、脂质过氧化和谷胱甘肽的影响。此外,我们发现糖尿病患者睾丸组织中铁死亡增加。总之,我们的研究结果表明,铁死亡在糖尿病生精功能障碍中起关键作用,铁死亡可能是改善糖尿病患者生精功能的有前途的治疗靶点。
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