Abstract
Cyclophosphamide (CPA) is an anticancer drug .Fennel (
The present work studied the effect of fennel oil against testicular damage and oxidative stress induced by the anticancer drug, cyclophosphamide (CPA) in albino rats.
Animals were divided into 4 groups: group1, control, group2, orally given fennel oil, group3 treated with CPA and group4 treated with CPA and fennel oil. The testes were removed for histological and immune histochemical preparation. Blood was collected and sera were prepared for hormonal and biochemical analysis.
The results revealed that CPA caused histological alterations in the testis including decrease in diameter and germinal epithelial height of the seminiferous tubules, degeneration of germ cells, cytoplasmic vacuolation and congestion of blood vessels. Cell proliferation marker was decreased and apoptotic marker caspase-3 was decreased. Biochemical results revealed decrease in the hormones LH and testosterone. Moreover, the serum activity of the antioxidant enzymes, SOD, CAT was decreased and the lipid peroxidation marker, DMA was increased. Treating rats with CPA and fennel oil caused an improvement in the histological structure of the testis. There was an increase in LH ,testosterone,SOD and CAT, while MDA level decreased.
It is concluded that administration of fennel oil exhibited protective effects against CPA-induced reproductive toxicity in male rats. The protective effect of fennel oil might be due to induction of antioxidant defense systems by one or more of its constituents.
Author Contributions
Copyright© 2017
A.Sakr Saber, et al.
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Introduction
Cyclophosphamide (CPA) is a nitrogen mustard alkylating agent, and anti-neoplastic drug. It is used to treat Hodgkin’s disease, lymphomas, leukemia, granulomatosis, severe rheumatoid arthritis, and lupus erythematosus. It is also used in combination with other drugs to treat breast cancer, leukemia, and ovarian cancer. The drug also has immunosuppressive action when it has used in smaller doses Cardiotoxicity is a major problem with people treated with higher dose regimens Medicinal plants contain phytochemicals and numerous chemical compounds, which are used in treatment of different diseases. Fennel plants (
Materials And Methods
Endoxan was obtained as tablets from Baxter Oncology Halle, Germany. Each tablet contain 50mg cyclophosphamide. Endoxan was dissolved in distilled water and orally given by gastric tube at a dose level of 15 mg/kg body weight once a week for six weeks Fennel essential oil (FEO) was purchased from a localmarket at shebin El-Kom ,Menufyia Governement (ElMasry Everline company). The main oil components of oil were found to be Forty eight healthy adult Wister male albino rats, three months age weighting 150±10 g were purchased from experimental rat house localized in Helwan. Animals were kept in plastic cages (each contained six animals) in the animal house for two weeks before the experimental work. Animals were kept at 25 ± 2 ْC with relative humidity of 50-60% and on 12h light/ 12h dark cycle. They received a standard diet composed of 50% barley, 20% yellow corn, 20% dry milk, 10% different vegetables and tap water. The study and all procedures were approved by the Animal Care and Bioethics Committee, Menoufia University, Egypt (Approval No. MNSH173). Animals were divided into four groups For histological study, testes were immediately removed after 3 and 6 weeks, and fixed in 10% formalin for 24 hours. Specimens were dehydrated in ascending series of ethyl alcohol, cleared in two changes of xylene, infiltrated in three changes of molten paraffin (melting point 58-60 °C) and then embedded in molten paraffin blocks. Paraffin sections (5 micron thickness) were sectioned using a rotary microtome and mounted on clean glass slides. Sections were stained with Ehrlich s hematoxylin and counter stained with eosin for histological examination For Immunostaining methods of kip67 and Caspase-3, slides were deparaffinized in xylene and rehydrated in a series of graded alcohol concentrations. then rinsed in phosphate-buffered saline (PBS)containing 0.1% tween-20. Antigen retrival was performed by placing slides in sodium citrate solution (PH 6.0) at 90°C. Avidin (0.001% in PBS) and biotin (0.001% in PBS) were blocked in each section by using Avidin/biotin blocking solutions, where sections were incubated and rinsed with PBS between steps. Sections were incubated with monoclonal primary rat antibodies (Neo Markers, Cat.#Ms-113-P, Fremont, CA,USA), at appropriate dilution (1:200) in antibody diluent, directed against rat Ki-67 or Caspase (each antibody was used separately to react on different slides) at room temperature. Slides were washed in PBS-Tween 20. Sections were incubated in peroxidase blocking solution (3%H2O2 in PBS) at room temperature. Slides were washed in PBS-Tween 20. Sections were incubated in biotinylated secondary antibody in PBS at room temperature. Slides were washed in PBS-Tween 20. For detection, sections were incubated in horse radish peroxidase (HRP)-streptavidin solution at room temperature. Slides were washed in PBS-Tween 20. Sections were incubated in peroxidase substrate solution 3,3-diaminobenzidine tetra hydro chloride (DAP) until adequate color was developed. Slides were washed in PBS-Tween 20. Sections were counterstained with hematoxylin, dehydrated through garded alcohol series, clear in xylene and mounted with DPX For biochemical analysis, blood samples were collected in clean centrifuge tubes. Blood samples left to clot in room temperature and then serum separated by centrifugation at 3000 rpm for 20 minutes. The collected serum stored at -18 -20 °C until analysis. The activity ofsuperoxide dismutase (SOD) was estimated according to Data were expressed as mean ± standard deviation (SD). The significance of differences means was evaluated by using independent sample t test. All statistical analysis was performed using SPSS statistical version 16 software package.
Results
The testis of control animal is formed of a number of seminiferous tubules each contain the different stages of spermatogenesis (spermatogonia,1ry,2nd spermatocytes and spermatozoa). Between the seminiferous tubules, the interstitial region, there are blood vessels and the interstatial cells (Leydige cells) ( Testes of animals examined after three weeks of treatment with cyclophosphamide exhibited a distinct histological change when compared with control group. The spermatogenic layers were degenerated and appeared with less compact spermatogenic cells. The basement membrane appeared in some tubules irregular and others were separated from the underline. Within the intertubular connective tissue, haemorrhage (Figure 1.C) and congested blood vessels were seen (Figure 1.D). Testis of animals treated with cyclophosphamide for six weeks showed exfoliated germ cells to the center of the tubules (Figure 2-A), Marked degeneration of the spermatogenic cells and appearance of vacuoles were observed (Figure 2-B). The interstitial connective tissue was degenerated and the number of germ cells was reduced (Figure 2-C). Testes of rats treated with cyclophosphamide and fennel oil for 3 weeks showed an improvement in the histological appearance of the testicular tissue, but intertubular haemorrhage was rarely seen. After 6 weeks of treatment with cyclophosphamide and fennel oil, the histological picture of the testes appeared better than testes of animals treated only with cyclophosphmide. There was an increase in number of spermatogenic cells (Figure 2-D). In control group, Ki-67 was expressed in the nuclei of the spermatogonia as brown color. On the other hand, the negative nuclei of the spermatocytes are stained blue with hematoxylin (Figure 5-A). Animals given fennel oil for six weeks showed expression of Ki-67 in the nuclei of the spermatogonia which is nearly similar to control group (Figure 5-B). A decrease expression of Ki-67 immunore activity was observed in most of the nuclei of the spermatogonia after six weeks of treatment with CPA (Figure 5-C). Testis sections obtained from rats treated with CPA followed by fennel oil for six weeks, showed an increase in expression of Ki-67 immunore activity in the nuclei of spermatogonia (Figure 5-D). The results in (
Discussion
In the present study, results revealed that treating rats with CPA induced many histological alteration in the testis and these alterations were more prominent in animals treated for six weeks and include degeneration of sperm cells, hemorrhage and congestion of blood vessels. Moreover, the diameter and germinal epithelial height of the seminiferous tubules were decreased. These results are in agreement with many studies which reported that a period of 3 to 6 weeks of CPA treatment leads to testicular toxicity. It was reported that the administration of CPA once a week for 5 weeks caused oligospermia, azoospermia, testicular damage Immunohistochemical observations revealed decrease in expression of Ki-67 and increase of caspase-3. Antigen KI-67 is a nuclear protein that is associated with cellular proliferation. Furthermore, it is associated with ribosomal RNA transcription Examination of sera of animals treated with CPA in the present study revealed a significant increase in the lipid peroxidation marker, MDA. It has been reported that CPA treatment resulted in elevated MDA levels because of the excessive generation of free radicals A reduction in the activities of the antioxidant enzymes (super oxide dismutase, catalase). Similarly, Manda and Bhatia, The current study, for the first time, showed that treating rats with CPA followed by fennel oil revealed nearly normal appearance of testicular tissue and increased the number of germ cells. In addition, animals treated with CPA and fennel oil caused an increase in expression of Ki-67 and decrease in expression of casepase-3. Sakr et al. Ibrahim Decrease in lipid peroxidation marker,MDA and increase in antioxidant enzymes, SOD, CAT and GSH was recorded in sera of animals treated with CPA and fennel oil. Several reports indicated the antioxidant effect of fennel oil. Pretreatments with fennel oil significantly inhibited the frequencies of aberrant metaphases, chromosomal abreactions, micronuclei formation, and cytotoxicity in mouse bone marrow cells induced by CPA and antagonized the reduction of CPA-induced SOD, CAT, and GSH activities and inhibited increased MDA content in the liver of mice