1. Protective role of irbesartan against cyclophosphamide-induced testicular damage in rats via up-regulating PPAR-γ signaling and ameliorating NF-κB/NLRP3/IL-18 inflammatory axis.
- Author
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Abu-Risha SE, Mousa MA, and Elsisi AE
- Subjects
- Animals, Cyclophosphamide pharmacology, Infertility, Male chemically induced, Infertility, Male drug therapy, Infertility, Male metabolism, Infertility, Male pathology, Male, Rats, Cyclophosphamide adverse effects, Interleukin-18 biosynthesis, Irbesartan pharmacology, NF-kappa B biosynthesis, NLR Family, Pyrin Domain-Containing 3 Protein biosynthesis, PPAR gamma biosynthesis, Signal Transduction drug effects, Testicular Diseases chemically induced, Testicular Diseases drug therapy, Testicular Diseases metabolism, Testicular Diseases pathology, Up-Regulation drug effects
- Abstract
Background: Cancer and its therapies can impact fertility in various ways, and therefore a growing number of cancer survivors face fertility as a significant concern. The cytotoxic alkylating agent cyclophosphamide (CP) is commonly used as an antineoplastic agent; unfortunately, its use is significantly associated with male infertility and damage to the reproductive system., Aim: The present study aimed to assess the possible beneficial effects of Irbesartan (IRB) in a rat model of CP-induced testicular toxicity., Main Methods: The effects of treatment were assessed by measuring peroxisome proliferator-activated receptor gamma (PPAR-γ) expression via qRT-PCR, the immunohistochemical (IHC) assessment of apoptotic markers, NOD-like receptor protein 3 (NLRP3), and nuclear factor-κB (NF-κB), determination of the count and viability of epididymal sperm, oxidative stress markers via biochemical analysis, serum testosterone, caspase-1, and interleukin-18 (IL-18) levels via ELISA, histopathological assessment, and fibrosis by Masson's trichrome (MT) stain., Key Findings: There was a significant increase in malondialdehyde (MDA), caspase-1, and IL-18 contents, NF-κB, NLRP3, Bcl-2-associated X protein (Bax), caspase-3, and MT staining in testicular tissue after CP administration compared to the normal control group. Whereas reduced glutathione (GSH), superoxide dismutase (SOD), PPAR-γ expression, B-cell lymphoma-2 (Bcl-2) staining, serum testosterone, and the count and viability of epididymal sperm were decreased compared to the normal control group. The IRB treatment has reversed CP-induced testicular toxicity., Significance: It is possible to conclude that IRB revealed a significant testicular protective effect against CP via antioxidant, anti-apoptotic, and anti-inflammatory effects., (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Published
- 2022
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