Wei Shichao, Xiao Junshen, Ju Feng, Hu Zhaoyang
Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Laboratory of Anesthesia and Critical Care Medicine, National-Local Joint Engineering Research Centre of Translational Medicine of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Andrology. 2025 May;13(4):934-954. doi: 10.1111/andr.13750. Epub 2024 Sep 10.
Testicular torsion/detorsion can cause testis loss and infertility. Aloperine is a major active alkaloid extracted from Sophora alopecuroides Linn. It has been shown to have organ-protective effects. However, the effects of aloperine on the testis and its underlying mechanisms remain unclear.
This study investigated the effect of aloperine on testicular torsion/detorsion injury in rats.
Male Sprague-Dawley rats were randomized to the sham-operated (sham), testicular I/R (TI/R), or aloperine preconditioning (ALOPre) or postconditioning (ALOPost) groups. All rats except for the sham-operated rats were subjected to 3 h of right spermatic cord torsion (720°, clockwise), followed by 3 h of detorsion. Aloperine (10 mg/kg) was intravenously administered before testicular torsion (ALOPre) or at the onset of testicular detorsion (ALOPost). The therapeutic efficacy of aloperine was evaluated by histological analysis, oxidative stress evaluation, inflammatory response examination, apoptosis analysis, protein analysis, and immunohistological assessment.
Compared with TI/R, aloperine protected both the ipsilateral and contralateral testes against unilateral testicular I/R, as evidenced by a reduced testicular weight to body weight (TW/BW) ratio (ALOPre: p = 0.0037; ALOPost: p = 0.0021) and volume (ALOPre: p = 0.0020; ALOPost: p = 0.0009), less structural damage with better Johnsen (ALOPre: p = 0.0013; ALOPost: p = 0.0021), and Cosentino scores (ALOPre: p < 0.0001; ALOPost: p < 0.0001), increased mean seminiferous tubule diameter and mean seminiferous tubule epithelial height, decreased testicular apoptosis, and less oxidative stress and inflammatory response. In addition, aloperine significantly stimulated the phosphorylation of signal transducer and activator of transcription (STAT)-3 in the ipsilateral testes following detorsion. Administration of Ag490 suppressed STAT-3 phosphorylation, thereby abrogating the protective effects exerted by aloperine on the ipsilateral testis.
Aloperine has a strong testicular protective effect on the ipsilateral and contralateral testes after testicular torsion/detorsion. This aloperine-induced ipsilateral testicular protection is mediated via the STAT-3 signaling pathway.
睾丸扭转/复位可导致睾丸丧失和不育。苦豆碱是从苦豆子中提取的一种主要活性生物碱。已证明其具有器官保护作用。然而,苦豆碱对睾丸的作用及其潜在机制仍不清楚。
本研究探讨苦豆碱对大鼠睾丸扭转/复位损伤的影响。
将雄性Sprague-Dawley大鼠随机分为假手术组(sham)、睾丸缺血/再灌注组(TI/R)、苦豆碱预处理组(ALOPre)或后处理组(ALOPost)。除假手术组大鼠外,其余大鼠均接受3小时右侧精索扭转(720°,顺时针),随后3小时复位。在睾丸扭转前(ALOPre)或睾丸复位开始时(ALOPost)静脉注射苦豆碱(10mg/kg)。通过组织学分析、氧化应激评估、炎症反应检测、凋亡分析、蛋白质分析和免疫组织学评估来评价苦豆碱的治疗效果。
与TI/R组相比,苦豆碱可保护同侧和对侧睾丸免受单侧睾丸缺血/再灌注损伤,表现为睾丸重量与体重(TW/BW)比值降低(ALOPre组:p = 0.0037;ALOPost组:p = 0.0021)和体积减小(ALOPre组:p = 0.0020;ALOPost组:p = 0.0009),结构损伤减轻,Johnsen评分更高(ALOPre组:p = 0.0013;ALOPost组:p = 0.0021),Cosentino评分更高(ALOPre组:p < 0.0001;ALOPost组:p < 0.0001),生精小管平均直径和生精小管上皮平均高度增加,睾丸凋亡减少,氧化应激和炎症反应减轻。此外,苦豆碱在复位后显著刺激同侧睾丸中信号转导和转录激活因子(STAT)-3的磷酸化。给予Ag490可抑制STAT-3磷酸化,从而消除苦豆碱对同侧睾丸的保护作用。
苦豆碱对睾丸扭转/复位后的同侧和对侧睾丸具有强大的保护作用。苦豆碱诱导的同侧睾丸保护作用是通过STAT-3信号通路介导的。