Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Therapeutic Effects of Edaravone on Azoospermia: Free Radical Scavenging and Autophagy Modulation in Testicular Tissue of Mice

Authors
1 Mens Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Islamic Azad University Science and Research Branch, Tehran, Iran
2 Department of Biology and Anatomical Sciences, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Anatomical Sciences & Cognitive Neuroscience, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
Abstract
Background: Chemotherapeutic agents such as cyclophosphamide and busulfan have been shown to have a negative impact on the spermatogenesis process. Based on this fact, the objective of this study was to investigate the effects of edaravone on spermatogenesis in busulfan-induced mice. Methods: Forty adult male mice were equally divided into the four groups: 1) control, 2) edaravone, 3) busulfan, and 4) busulfan + edaravone. Then, the sperm parameters, histopathological examinations, and serum levels of testosterone, follicle-stimulating hormone (FSH), and luteinizing hormone (LH) were also assessed. Caspase-3, Beclin-1, and ATG-7 mRNA levels were also determined using real-time PCR. Results: Our results revealed that treatment of mice with edaravone in busulfan-induced azoospermia significantly improves sperm parameters, including total count, morphology, and viability (p<0.05). Furthermore, edaravone administration led to a significant increase in serum testosterone (p<0.0001) and FSH (p<0.001) levels, as well as testis weight (p<0.05) and volume (p<0.01). Edaravone also prevented a decrease in the number of testicular cells including spermatogonia (p<0.0001), primary spermatocytes (p< 0.001), round spermatids (p<0.0001), Sertoli (p<0.01), and Leydig cells (p<0.0001) in busulfan-treated mice. Additionally, in busulfan-induced azoospermia, edaravone significantly reduced the percentage of sperm with immature chromatin (p<0.0001). Following treatment with edaravone, a decrease in reactive oxygen species (ROS) and an increase in glutathione (GSH) production were noted compared to busulfan-treated mice. Further-more, caspase-3 (p<0.05), Beclin-1, and ATG-7 (p<0.001) genes expression decreased significantly in treatment groups compared to busulfan-induced azoospermia. Conclusion: According to our findings, edaravone can improve spermatogenesis in busulfan-induced azoospermia through free radical scavenging and autophagy modulation in testicular tissue.
Keywords

  1. Ziaeipour S, Rezaei F, Piryaei A, Abdi S, Moradi A, Ghasemi A, et al. Hyperthermia versus busulfan: Finding the effective method in animal model of azoospermia induction. Andrologia. 2019;51(11): e13438.
  2. Panahi S, Karamian A, Sajadi E, Aliaghaei A, Na-zarian H, Abdi S, et al. Sertoli cell–conditioned medium restores spermatogenesis in azoospermic mouse testis. Cell Tissue Res. 2020;379(3):577-87.
  3. Caroppo E, Colpi GM. Hormonal treatment of men with nonobstructive azoospermia: what does the evidence suggest? J Clin Med. 2021;10(3):387.
  4. Schlegel PN, Sigman M, Collura B, De Jonge CJ, Eisenberg ML, Lamb DJ, et al. Diagnosis and treat-ment of infertility in men: AUA/ASRM guideline part II. Fertil Steril. 2021;115(1):62-9.
  5. Zhang HL, Zhao LM, Mao JM, Liu DF, Tang WH, Lin HC, et al. Sperm retrieval rates and clinical out-comes for patients with different causes of azoosper-mia who undergo microdissection testicular sperm extraction-intracytoplasmic sperm injection. Asian J Androl. 2021;23(1):59-63.
  6. Zhankina R, Baghban N, Askarov M, Saipiyeva D, Ibragimov A, Kadirova B, et al. Mesenchymal stro-mal/stem cells and their exosomes for restoration of spermatogenesis in non-obstructive azoospermia: a systemic review. Stem Cell Res Ther. 2021;12(1): 229.
  7. Barati E, Nikzad H, Karimian M. Oxidative stress and male infertility: current knowledge of patho-physiology and role of antioxidant therapy in dis-ease management. Cell Mol Life Sci. 2020;77(1): 93-113.
  8. Dutta S, Henkel R, Sengupta P, Agarwal A. Physiological role of ROS in sperm function. In: Parekattil SJ, Esteves SC, Agarwal A, editors. Male Infertility. Switzerland: Springer, Cham; 2020. p. 337-45.
  9. Sanocka D, Kurpisz M. Reactive oxygen species and sperm cells. Reprod Biol Endocrinol. 2004;2:12.
  10. Tanaka M. [Pharmacological and clinical profile of the free radical scavenger edaravone as a neuro-protective agent]. Nihon Yakurigaku Zasshi. 2002; 119(5):301-8. Japanese.
  11. Ismail H, Shakkour Z, Tabet M, Abdelhady S, Kobaisi A, Abedi R, et al. Traumatic brain injury: Oxidative stress and novel anti-oxidants such as Mitoquinone and Edaravone. Antioxidants (Basel). 2020;9(10):943.
  12. Chen H, Chen Y, Wang X, Yang J, Huang C. Edaravone attenuates myocyte apoptosis through the JAK2/STAT3 pathway in acute myocardial in-farction. Free Radic Res. 2020;54(5):351-9.
  13. Kassab AA, Aboregela AM, Shalaby AM. Edara-vone attenuates lung injury in a hind limb ische-mia-reperfusion rat model: a histological, immuno-histochemical and biochemical study. Ann Anat. 2020;228:151433.
  14. Ommati MM, Attari H, Siavashpour A, Shafaghat M, Azarpira N, Ghaffari H, et al. Mitigation of cholestasis-associated hepatic and renal injury by edaravone treatment: evaluation of its effects on oxidative stress and mitochondrial function. Liver Res. 2021;5(3):181-93.
  15. Tsounapi P, Saito M, Dimitriadis F, Koukos S, Shimizu S, Satoh K, et al. Antioxidant treatment with edaravone or taurine ameliorates diabetes-in-duced testicular dysfunction in the rat. Mol Cell Biochem. 2012;369(1-2):195-204.
  16. Zhao X, Zhang E, Ren X, Bai X, Wang D, Bai L, et al. Edaravone alleviates cell apoptosis and mito-chondrial injury in ischemia–reperfusion-induced kidney injury via the JAK/STAT pathway. Biol Res. 2020;53(1):28.
  17. Wang B, Lin W. Edaravone protects against pan-creatic and intestinal injury after acute pancreatitis via nuclear factor-κB signaling in mice. Biol Pharm Bull. 2020;43(3):509-15.
  18. Yalcin Comert HS, Imamoglu M, Ercin ME, Eksi E, Kandaz M, Alver A, et al. Effect of edaravone on lungs and small intestine in rats with induced radiotherapy. Indian J Exp Biol. 2021;59:162-7.
  19. Zarei L, Sadrkhanlou R, Shahrooz R, Malekinejad H, Eilkhanizadeh B, Ahmadi A. Protective effects of vitamin E and Cornus mas fruit extract on methotrexate-induced cytotoxicity in sperms of adult mice. Vet Res Forum. 2014;5(1):21-7.
  20. Fernández JL, Muriel L, Goyanes V, Segrelles E, Gosálvez J, Enciso M, et al. Simple determination of human sperm DNA fragmentation with an im-proved sperm chromatin dispersion test. Fertil Steril. 2005;84(4):833-42.
  21. Ziaeipour S, Ahrabi B, Naserzadeh P, Aliaghaei A, Sajadi E, Abbaszadeh H-A, et al. Effects of sertoli cell transplantation on spermatogenesis in azoo-spermic mice. Cell Physiol Biochem. 2019;52(3): 421-34.
  22. Ayoubi M, Naserzadeh P, Hashemi MT, Rostami MR, Tamjid E, Tavakoli MM, et al. Biochemical mechanisms of dose-dependent cytotoxicity and ROS-mediated apoptosis induced by lead sulfide/ graphene oxide quantum dots for potential bio-imaging applications. Sci Rep. 2017;7(1):12896.
  23. Tamamura M, Saito M, Kinoshita Y, Shimizu S, Satoh I, Shomori K, et al. Protective effect of edaravone, a free‐radical scavenger, on ischa-emia‐reperfusion injury in the rat testis. BJU Int. 2010;105(6):870-6.
  24. Homma T, Kobayashi S, Sato H, Fujii J. Edara-vone, a free radical scavenger, protects against fer-roptotic cell death in vitro. Exp Cell Res. 2019; 384(1):111592.
  25. Zhang J, Wang X, Vikash V, Ye Q, Wu D, Liu Y, et al. ROS and ROS-mediated cellular signaling. Oxid Med Cell Longev. 2016;2016:4350965.
  26. Sukmawan R, Yada T, Toyota E, Neishi Y, Kume T, Shinozaki Y, et al. Edaravone preserves coro-nary microvascular endothelial function after is-chemia/reperfusion on the beating canine heart in vivo. J Pharm Sci. 2007;104(4):341-8.
  27. Ito K, Ozasa H, Horikawa S. Edaravone protects against lung injury induced by intestinal ische-mia/reperfusion in rat. Free Radic Biol Med. 2005; 38(3):369-74.
  28. Hayashi C, Ito M, Ito R, Murakumo A, Yamamoto N, Hiramatsu N, et al. Effects of edaravone, a radical scavenger, on hepatocyte transplantation. J Hepatobiliary Pancreat Sci. 2014;21(12):919-24.
  29. Shichinohe H, Kuroda S, Yasuda H, Ishikawa T, Iwai M, Horiuchi M, et al. Neuroprotective effects of the free radical scavenger Edaravone (MCI-186) in mice permanent focal brain ischemia. Brain Res. 2004;1029(2):200-6.
  30. Zhao ZY, Luan P, Huang SX, Xiao SH, Zhao J, Zhang B, et al. Edaravone Protects HT22 Neurons from H2O2-induced Apoptosis by Inhibiting the MAPK Signaling Pathway. CNS Neurosci Ther. 2013;19(3):163-9.
  31. Li Y, Liu H, Zeng W, Wei J. Edaravone protects against hyperosmolarity-induced oxidative stress and apoptosis in primary human corneal epithelial cells. PLoS One. 2017;12(3):e0174437.
  32. Shimazaki H, Watanabe K, Veeraveedu PT, Ha-rima M, Thandavarayan RA, Arozal W, et al. The antioxidant edaravone attenuates ER-stress-medi-ated cardiac apoptosis and dysfunction in rats with autoimmune myocarditis. Free Radical Res. 2010; 44(9):1082-90.
  33. Qiao J, Wu Y, Liu Y, Li X, Wu X, Liu N, et al. Busulfan triggers intrinsic mitochondrial-depend-ent platelet apoptosis independent of platelet ac-tivation. Biol Blood Marrow Transplant. 2016;22 (9):1565-72.
  34. Cao Y, Klionsky DJ. Physiological functions of Atg6/Beclin 1: a unique autophagy-related protein. Cell Res. 2007;17(10):839-49.
  35. Wirawan E, Lippens S, Vanden Berghe T, Roma-gnoli A, Fimia GM, Piacentini M, et al. Beclin1: a role in membrane dynamics and beyond. Auto-phagy. 2012;8(1):6-17.
  36. Yin J, Zhou Z, Chen J, Wang Q, Tang P, Ding Q, et al. Edaravone inhibits autophagy after neuronal oxygen-glucose deprivation/recovery injury. Int J Neurosci. 2019;129(5):501-10.