Advertisement

Dexrazoxane Improves Testicular Tissue Oxidative Stress in Cisplatin-Intoxicated Mice

Research Article | DOI: https://doi.org/10.31579/2834-5126/007

Dexrazoxane Improves Testicular Tissue Oxidative Stress in Cisplatin-Intoxicated Mice

  • Ojo Olajumoke Omolara 1*
  • Fajemisin Tomilola Christiana 1

1School of Medicine,Tehran University of Medical Sciences, Tehran, Iran.

*Corresponding Author: Ojo Olajumoke Omolara, Department of Biochemistry, Ekiti- State University Ado-Ekiti, Nigeria. Email: olajumoke.ojo@eksu.edu.ng

Citation: Ojo O. Omolara, Fajemisin T. Christiana, (2022). Dexrazoxane Improves Testicular Tissue Oxidative Stress in Cisplatin-Intoxicated Mice. J. Clinical trials and clinical research, 1(2); DOI:10.31579/2834-5126/007

Copyright: © 2022, Ojo Olajumoke Omolara. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 21 November 2022 | Accepted: 30 November 2022 | Published: 02 December 2022

Keywords: dexrazoxane; testicular tissue; oxidative stress; cisplatin-intoxicated mice; CPT; dexrazoxane hydrochloride

Abstract

Cisplatin (CPT) compound has shown important biological activities such as antitumor, antituberculous and antimicrobial. However, several researchers have reported the adverse effects of this drug especially on male reproductive system following its administration. Therefore, this study explores the possible ameliorative effect of dexrazoxane against cisplatin-induced testicular tissue using mouse model. Swiss albino mice were randomly selected into three groups (n=5). Group I served as control while group II received 5mg/kg cisplatin and mice in group III were co-treated with 5mg/kg/bwt cisplatin +10mg/kg/bwt dexrazoxane via intraperitoneal injection respectively. Experimental animals from each group were sacrificed at the intervals of 6 hr, 12 hr and 24 hr. The estimation of biochemical and hormonal analyzes by enzyme immunosorbent assay (ELISA) were carried out. Sperm quality and role of apoptosis were also measured in this study. Data were analyzed by Duncan ANOVA at p<0.05. It was observed that CPT leads to significant decrease in level of all the antioxidants measured. CPT leads to significant decrease in the testicular testosterone level and all the antioxidant enzymes measured. Cisplatin leads to depletion in the number of spermatozoa cells and increased aberrant spermatozoa cells structure. However, recovery was seen in the group co-treated with dexrazoxane. This study gives insight on the adverse effects of cisplatin compound on male reproductive system also shows that melatonin remarkably improved the deleterious effect seen in the all parameters tested.

Introduction

Cisplatin is a platinum based chemotherapy agent. It has been used for treatment of numerous human cancers including testicular cancers. Cisplatin mode of action has been linked to its ability to crosslink with the purine bases on the DNA; interfering with the DNA repair mechanisms, causing DNA damage, and subsequently inducing apoptosis in cancer cells [1-3]. However, due to numerous undesirable side effects especially in younger patients and fetus, its use was restricted but combination therapies of cisplatin with other drugs have been highly encouraged to overcome drug-resistance and reduce toxicity. Dexrazoxane hydrochloride is a cardioprotective agent used to protect the heart against the cardiotoxic side effects of chemotherapeutic drugs such as anthracyclines [4], daunorubicin or doxorubicin or other chemotherapeutic agents [5]. Based on the available data legally binding the decision to implement dexrazoxane in order to allow children to receive dexrazoxane as primary cardioprotection against anthracyclineinduced cardiotoxicity without reducing anthracycline activity and without enhancing secondary malignancies [6], It was therefore speculated that dexrazoxane could be used for further investigation to synthesize new drugs [7]. Hence, this study, explore dexrazoxane use in the ameliorating the deleterious effect of cisplatin in testicular tissue dysfunction. 

2.0. Methods 

2.1 Ethnical Approval

The studies were conducted in accordance with the standards and permission established by The Ethics Committee of Animal, Ekiti State University Ado-Ekiti, Nigeria. Male Swiss-albino mice were housed in room at 22 ± 2°C with 40% relative humidity and with a 12-hr light ± dark cycle. They were fed with a standard rat chow and tap water ad libitum.

 2.2 Experimental Procedure 

Male Swiss-albino mice used for this study were weighed. The animals were randomly divided into three group I-III and treated as shown in the table below. 

Dosing 

Table: Dosing

2.3 Testicular Testosterone (T) and Luteinizing hormone (LH) concentrations. 

The testicular testosterone and luteinizing hormone levels in three mice from each group were measured. Briefly, testicular proteins were extracted with phosphate buffer (50 mM, pH 7.4) and centrifuged at 10,000 g for 20 min. The supernatant was used to estimate T and LH levels using ELISA, and were expressed in ng/ml. 

2.5 Biochemical Estimations study

Testicular tissues from each mouse were stored at -20oC for different biochemical assays Protein quantity was estimated according to Lowry’s method. 10% tissue homogenates (w/v) were prepared in chilled 100 mMTris-HCL buffer (pH 7.4). The values were expressed per mg of protein.

2.6 GSH Determination

Tetsis tissues were homogenized in 10 ml TCA (trichloroacetic acid) which is at the rate of 10%, and then centrifuged at +4 °C for 15 minutes. Afterwards, 0,5 ml of supernatant was taken, and mixed with 0,3 M 2 ml Na2HPO4. The mixture was thoroughly vortexed. This mixture was vortexed by the addition of 0,2 ml DTBN (Dithiobisnitrobenzene: prepared by dissolving in 1% sodium citrate). Absorbance was measured at 412 nm.

2.7. Measurement of reactive oxygen species (ROS) level 

The ROS assay was performed by the method of Hayashi., et al. (2017). In brief, 50 µl of testicular tissue homogenate and 1400 µl sodium acetate buffer was transferred to a cuvette. After then, 1000 ul of reagent mixture (N, N-diethyl paraphenylenediamine 6 mg/ml with 4.37 µM of ferrous sulfate dissolved in 0.1M sodium acetate buffer pH- 4.8) was added at 37°C for 5 minutes. The absorbance was measured at 505 nm using spectrophotometer [8].

2.8.          Measurement of MDA 

Testes tissues were homogenized in 10 ml TCA (trichloroacetic acid) which is at the rate of 10%, and then centrifuged at +4°C for 15 minutes. 750μl of the supernatant which was obtained was mixed with 0.67% TBA (thiobarbituric acid) in a ratio of 1:1. Afterwards, the solution was left in the water bath for 15 minutes. Finally, the absorbance was measured spectrophotometrically at 535 nm.

2.9. Superoxide dismutase (SOD) activity 

Superoxide dismutase (SOD) activity was assayed by a spectrophotometric method. Assay mixture containing sodium pyrophosphate buffer (pH 8.3, 0.052M), phenazine methosulfate (186 µM), nitroblue tetrazolium (300 µM) and NADH (780 µM) were diluted with appropriate enzyme in total volume of 3 ml. The mixture was incubated at 37oC for 90 sec and reaction was stopped by addition of glacial acetic acid. The reaction mixture was mixed vigorously by adding n-butanol and allowed to stand for 10 min before the collection of butanol layer. The intensity of chromogen in butanol was measured at 520 nm.

2.10. Sperm Parameters 

Caudal epididymidis was removed from each mouse and cleaned off from the epididymal fat pad, and minced in a pre-warmed Petri dish containing 500 µl phosphate buffer saline solutions (PBS, pH 7.4) at 37oC. Sperm motility was estimated and expressed as percentage incidence [4]. For sperm count, an aliquot of this suspension was charged into the Neubauer’s counting chamber and the spermatozoa were counted under light microscope. Total sperm count was calculated as the average of the spermatozoa count (N) in each chamber X multiplication factor (106) X dilution factor and was expressed in millions/ml. The sperm morphology was also evaluated [9].

2.11. Capases Estimation

Briefly, 1ml of assay buffer (20mM HEPES, 10% glycerol, 1M DTT, and 14ml of n-acetyl-DEVD-AMC/ml of buffer), and 50ml of sample were added to a microcentrifuge tube and protected from the light. Samples were incubated at 37°C for 60 mins after which fluorescence was measured on a spectrofluorometer with an excitation wavelength of 380nm and an emission wavelength of 440nm.

2.12. Statistical Analysis 

All data were expressed as mean ±standard error of the mean (SEM) and analyzed by one-way ANOVA followed by Duncan’s multiple comparison test using SPSS software version 22 (SPSS Inc., Chicago, Illinois). p<0> were considered statically significant.

3.1 The effect on Reactive oxygen species 

A significant increase was observed in CPT-treated group compared to the control group (P<0>

Figure1: Bar chart showing the effect of CPT on testicular reactive oxygen species (ROS) generation level and protective effect of DRX in mice. All values are expressed as SEM (n=5). ***p<0>

3.2 The effect on Malonialdehyde

There was an increase observed in CPT-treated group compared to the control group (P<0>

Figure 2: Bar chart showing the effect of CPT on malonialdehyde and protective effect of DRX in mice. All values are expressed as SEM (n=5). ***p<0>

3.3 Effect on antioxidant status

There was significant decrease in the superoxide dismustase, catalase and glutathione when the mice were treated with CPT (P>0.01) compared to the control. When co-treated with DZX+CPT there was significant recovery compared to the CPT-treated group (figures 3, 4 & 5).

Figure 3: Bar chart showing the effect of CPT on superoxide dismutase and protective effect of DRX on mice. All values are expressed as SEM (n=5). ***p<0>
Figure 4: Bar chart showing the effect of CPT on catalase and protective effect on DRX on mice. All values are expressed as SEM (n=5). ***p<0>
Figure 5: Bar chart showing the effect of CPT on glutathione and the protective effect of DRX on mice. All values are expressed as SEM (n=5). ***p<0>

3.6 Effect of on Sperm Head Count 

There was significant increase in CPT-treated group compared to the control (P<0>

Figure 6: Bar showing the effect of CPT on sperm head count and the protective effect of DRX on mice. All values are expressed as SEM (n=5). ***p<0>
Figure 7: Bar chart showing the effect of CPT on sperm motility and the protective effect on DRX on mice. All values are expressed as SEM (n=5). ***p<0>
Figure 8: Bar chart showing the effect of CPT on incidence morphological abnormal sperm and protective effect of DRX on mice. All values are expressed as SEM (n=5). ***p<0>

 3.9 Effect on Caspase 3 and 9

There was significant decrease in CPT-treated group compared to the control group (P>0.01). When treated with DZX+CPT group, there is significant increase in cysteine aspartic proteases compared to the CPT-treated group (figures 9 & 10).

Figure 9: Bar chart showing the effect of CPT on cysteine aspartic proteases 3 and protective effect of DRX on mice. All values are expressed as SEM (n=5). ***p<0>
Figure 10: Bar chart showing the effect of CPT on cysteine aspartic proteases 9 and protective effect of DRX on mice. All values are expressed as SEM (n=5). ***p<0> 

Discussion

Cisplatin induces excessive ROS production that disrupts physiological balance of redox and anti-oxidation activities [10] It had been previously shown that both in-vitro and in-vivo cisplatin compromised mitochondria total antioxidant capacity, and as a consequence, it led to imbalanced mitochondria redox processes and caspase 3-associated apoptosis [11,12]. Other studies also showed cisplatin induced dose-dependent testicular damage, ROS generation and ER stress in rat testis. It was observed from the experiment that cisplatin significantly increases ROS production. Cancer cells exhibit greater reactive oxygen species stress that normal cells do, partly due to oncogenic stimulation, increased metabolic activity and mitochondrial malfunction. Oxidative stress is the one of the most important mechanisms involved in cisplatin toxicity. The mitochondrion is the primary target for cisplatin induced oxidative stress, resulting in loss of mitochondrial protein sulfhydrl group, calcium uptake inhibition and reduction of mitochondrial membrane potential [13]. Exposure to oxidative stress can upset regular biological functions. Cisplatin can also induce reactive oxygen species that trigger cells death besides DNA damage.

 Cells death occurs upon immediate activation of numerous signaling pathways, whereas the definite pathways depend on the cells. The formation of reactive oxygen species depends on the concentration of cis-diamminedichloro platinum (II) and the length of exposure [14]. The intracellular redox homeostasis is maintained by the thiol group (-SH) containing molecules. Under certain conditions a thiol group may lead to the formation of thiyl radicals that in turn can interact with   oxygen, therefore generating reactive oxygen species [15].

A decrease was observed in catalase activity but an increased level of malonialdehyde. Relieving effect was observed when dexrazoxane was added. Appraisal of the results together with the literature suggests that cisplatin treatment disrupts both enzymatic antioxidant activities. Mitochondrial enzymes, glutathione and superoxide dismutase have been correlated with cellular anti-oxidation activity [16,17].

Cisplatin has been reported to exert its injurious effects on testis by increasing MDA levels and eliminating antioxidants [18,19]. Also, cisplatin-related injury including, depletion of germ cells, atrophy of seminiferous tubules and dropout of sertoli cells within lumen in testis had been been reported, this study shows possible potential of dexrazoxane protective effect against cisplatin-induced injury. It is possible that dexrazoxane protects testicles by many other mechanisms, because it has been recently pointed out that this bioflavonoid prevents chronic cadmium-induced nephrotoxicity by overexpressing endothelial nitric oxide synthase and cyclooxygenase-2 in rats [20].

Sperm motility and morphology were also affected by cisplatin, and this negative effect has been reversed by dexrazoxane. It is possible that the increased epididymal sperm quality might be a result of the antioxidant activity of dexrazoxane on the epididymis [21]. The epididymis, serving important functions in the transportation, maturation and storage of sperm cells, during which period the spermatozoa develop motility, it has been shown to be enlarged in dexrazoxane-treated mice [22]. The epididymis also protects spermatozoa from oxidative injury by encouraging scavengers of reactive oxygen species [23]. Testicular oxidative stress is known to play a role in a number of conditions detrimental to male fertility. It is generally accepted that the increased lipid peroxidation is one of the toxic manifestations of cisplatin administration in testis. The reduction in sperm motility and sperm morphology in cisplatin-treated rats may be caused by lipid peroxidation of unsaturated fatty acids in the sperm plasma membrane, causing in a loss of its fluidity and function. Previous studies shown that, the treatment of male rats with cisplatin resulted in a significant increase in testicular tissue levels of MDA [24]. In the present study, sperm quality, as evaluated by the epididymal sperm motility and sperm viability, was found to be improved by the dexraxozane treatment. Conclusively, cisplatin is considered as cytotoxic drug which kills cancer cells by damaging DNA, inhibiting DNA synthesis and mitosis, and inducing apoptotic cell death. Several molecular mechanisms of action including induction of oxidative stress as characterized by reactive oxygen species production and lipid peroxidation as being linked to the administration of this anticancer agent however its combination with dexrazoxane which target multiple mechanisms, such as reducing cisplatin uptake and inflammation, may offer the best chance for clinically meaningful prevention of cisplatin toxicity if further explored. 

References

Clinical Trials and Clinical Research: I am delighted to provide a testimonial for the peer review process, support from the editorial office, and the exceptional quality of the journal for my article entitled “Effect of Traditional Moxibustion in Assisting the Rehabilitation of Stroke Patients.” The peer review process for my article was rigorous and thorough, ensuring that only high-quality research is published in the journal. The reviewers provided valuable feedback and constructive criticism that greatly improved the clarity and scientific rigor of my study. Their expertise and attention to detail helped me refine my research methodology and strengthen the overall impact of my findings. I would also like to express my gratitude for the exceptional support I received from the editorial office throughout the publication process. The editorial team was prompt, professional, and highly responsive to all my queries and concerns. Their guidance and assistance were instrumental in navigating the submission and revision process, making it a seamless and efficient experience. Furthermore, I am impressed by the outstanding quality of the journal itself. The journal’s commitment to publishing cutting-edge research in the field of stroke rehabilitation is evident in the diverse range of articles it features. The journal consistently upholds rigorous scientific standards, ensuring that only the most impactful and innovative studies are published. This commitment to excellence has undoubtedly contributed to the journal’s reputation as a leading platform for stroke rehabilitation research. In conclusion, I am extremely satisfied with the peer review process, the support from the editorial office, and the overall quality of the journal for my article. I wholeheartedly recommend this journal to researchers and clinicians interested in stroke rehabilitation and related fields. The journal’s dedication to scientific rigor, coupled with the exceptional support provided by the editorial office, makes it an invaluable platform for disseminating research and advancing the field.

img

Dr Shiming Tang

Clinical Reviews and Case Reports, The comment form the peer-review were satisfactory. I will cements on the quality of the journal when I receive my hardback copy

img

Hameed khan