The protective effect of crocin on cisplatin-induced testicular impairment in rats

BMC Urol. 2021 Sep 1;21(1):117. doi: 10.1186/s12894-021-00889-2.

Abstract

Background: Side effects of cisplatin (CIS) such as testicular toxicity restrict its clinical use. Instead, evidence indicates that crocin (CR) has synergistic anti-cancer potential with CIS and exhibited beneficial effects on CIS-induced hepatorenal damage. The aim of this study was to investigate the protective potential of CR against CIS-induced testicular toxicity in rats.

Methods: Fifty adult male Wistar rats randomly assigned to five equal groups including control, CIS, and CIS plus CR at doses of 6.25 mg/kg (CIS + CR6.25), 25 mg/kg (CIS + CR25), and 100 mg/kg (CIS + CR100). CIS and CIS + CR groups received a single intraperitoneally (i.p.) injection of CIS (7 mg/kg). CR (6.25-100 mg/kg i.p.) injections were started three days before the CIS injection and continued once a day for up to 13 days. On the 14th day, all animals were sacrificed and their blood samples and testes were removed for biochemical and histological analyses.

Results: Compared to the control group, CIS significantly decreased relative testis weight (0.28 vs. 0.39, p < 0.001), testosterone level (0.3 vs. 2.31 ng/mL, p < 0.001), germinal layer area (25,886 vs. 35,320 µm2, p < 0.001), superoxide dismutase (SOD) (0.9 vs.1.73 U/mg, p < 0.001) and increased testicular lipid peroxidation (3.05 vs. 15.35 nmol/mg, p < 0.001). CR at 25 mg/kg ameliorated testicular lipid peroxidation and enhanced SOD activity compared to CIS group (p < 0.05). Besides, CR treatment at the maximum dose (100 mg/kg) resulted in reversing CIS effects on testis weight, testosterone level, SOD, lipid peroxidation, and germinal layer area.

Conclusions: These findings demonstrated that CR co-treatment could prevent CIS-induced testicular toxicity in rats.

Keywords: Cisplatin; Crocin; Germinal epithelium; Lipid peroxidation; Testis.

MeSH terms

  • Animals
  • Antineoplastic Agents / toxicity*
  • Antioxidants / pharmacology*
  • Body Weight / drug effects
  • Carotenoids / pharmacology*
  • Cisplatin / toxicity*
  • Drug Synergism
  • Lipid Peroxidation
  • Male
  • Malondialdehyde / metabolism
  • Organ Size / drug effects
  • Random Allocation
  • Rats
  • Rats, Wistar
  • Superoxide Dismutase / metabolism
  • Testis / drug effects*
  • Testis / enzymology
  • Testis / metabolism
  • Testis / pathology
  • Testosterone / blood

Substances

  • Antineoplastic Agents
  • Antioxidants
  • Carotenoids
  • Testosterone
  • Malondialdehyde
  • crocin
  • Superoxide Dismutase
  • Cisplatin