Sitagliptin exhibits protective effects against methotrexate-induced testicular toxicity: The involvement of oxidative stress-related factors

IF 3.3 4区 医学 Q2 REPRODUCTIVE BIOLOGY
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Abstract

Methotrexate (MTX) is widely prescribed to treat different malignancies as well as autoimmune diseases. However, it causes a range of side effects in different organs such as testis. This study aims to clarify the role of dipeptidyl peptidase 4 (DPP4) in MTX-induced testicular damage via pathways involved in oxidative stress and evaluates the protective effects of sitagliptin as a DPP4 inhibitor. Twenty-four animals randomly allocated into four groups including: (I) control, (II) MTX (20 mg/kg, i.p.), (III) sitagliptin (20 mg/kg, i.p., for four consecutive days), and MTX + sitagliptin in which received chemicals resembling group II and III. Histopathological examinations conducted to assess the structural changes in testes of different experimental groups. Also, ELISA method employed to investigate the levels of DPP4, AKT, p-AKT, nuclear factor erythroid 2-related factor 2 (Nrf2), and heme oxygenase-1 (HO-1). In addition, the total malondialdehyde (MDA) content and the activity of superoxide dismutase (SOD) were assessed. The results indicated that MTX administration was accompanied with testicular damage, which reversed by sitagliptin treatment. The biochemical observations demonstrated that MTX markedly increased the levels of DPP4, decreased p-AKT/AKT ratio followed by a marked decrement in Nrf2 and HO-1 levels. Also, it was observed that MTX decreased the activity of SOD and increased total MDA content in testicular specimen. However, sitagliptin treatment diminished mentioned alterations effectively. Altogether, our findings supported the possible role of DPP4 in MTX-induced testicular toxicity along with the potential protective features of sitagliptin via suppressing of the histopathological and biochemical alterations induced by MTX.

西他列汀对甲氨蝶呤引起的睾丸毒性有保护作用:氧化应激相关因素的参与
甲氨蝶呤(MTX)被广泛用于治疗各种恶性肿瘤和自身免疫性疾病。然而,它对不同器官(如睾丸)产生一系列副作用。本研究旨在阐明二肽基肽酶4(DPP4)通过氧化应激途径在MTX诱导的睾丸损伤中的作用,并评估西他列汀作为DPP4抑制剂的保护作用。将 24 只动物随机分为四组,包括:(I) 对照组;(II) MTX(20 毫克/千克,静注)组;(III) 西他列汀组(20 毫克/千克,静注,连续四天);以及 MTX + 西他列汀组,其中 MTX 组接受的化学物质与 II 组和 III 组相似。进行组织病理学检查以评估不同实验组睾丸的结构变化。此外,还采用 ELISA 方法检测了 DPP4、AKT、p-AKT、核因子红细胞 2 相关因子 2(Nrf2)和血红素加氧酶 1(HO-1)的水平。此外,还评估了丙二醛(MDA)总含量和超氧化物歧化酶(SOD)的活性。结果表明,MTX 会导致睾丸损伤,而西格列汀可逆转这种损伤。生化观察结果表明,MTX明显增加了DPP4的水平,降低了p-AKT/AKT比率,随后Nrf2和HO-1水平明显下降。此外,还观察到 MTX 降低了 SOD 的活性,增加了睾丸标本中 MDA 的总含量。然而,西他列汀治疗可有效减轻上述变化。总之,我们的研究结果支持了DPP4在MTX诱导的睾丸毒性中可能扮演的角色,以及西他列汀通过抑制MTX诱导的组织病理学和生化改变而具有的潜在保护功能。
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来源期刊
Reproductive toxicology
Reproductive toxicology 生物-毒理学
CiteScore
6.50
自引率
3.00%
发文量
131
审稿时长
45 days
期刊介绍: Drawing from a large number of disciplines, Reproductive Toxicology publishes timely, original research on the influence of chemical and physical agents on reproduction. Written by and for obstetricians, pediatricians, embryologists, teratologists, geneticists, toxicologists, andrologists, and others interested in detecting potential reproductive hazards, the journal is a forum for communication among researchers and practitioners. Articles focus on the application of in vitro, animal and clinical research to the practice of clinical medicine. All aspects of reproduction are within the scope of Reproductive Toxicology, including the formation and maturation of male and female gametes, sexual function, the events surrounding the fusion of gametes and the development of the fertilized ovum, nourishment and transport of the conceptus within the genital tract, implantation, embryogenesis, intrauterine growth, placentation and placental function, parturition, lactation and neonatal survival. Adverse reproductive effects in males will be considered as significant as adverse effects occurring in females. To provide a balanced presentation of approaches, equal emphasis will be given to clinical and animal or in vitro work. Typical end points that will be studied by contributors include infertility, sexual dysfunction, spontaneous abortion, malformations, abnormal histogenesis, stillbirth, intrauterine growth retardation, prematurity, behavioral abnormalities, and perinatal mortality.
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