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Redox Report
Communications in Free Radical Research
Volume 22, 2017 - Issue 6
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Original Articles

Betulinic acid protects against N-nitrosodimethylamine-induced redox imbalance in testes of rats

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ABSTRACT

Objectives: N-nitrosodimethylamine (NDMA) is known to elicit carcinogenic activity in the liver and kidney of animals. There is a dearth of information of its effect in testis. This study evaluated the protective role of betulinic acid (BA) against NDMA-induced redox imbalance in testes of rats.

Methodology: Twenty-four male rats were assigned into four groups and treated with normal saline, BA, NDMA and [BA+NDMA]. BA (25 mg/kg) was given for 14 days, while NDMA (5 mg/kg) was given on days 7 and 12.

Results: Administration of NDMA significantly increased the weight and relative weight of testes by 51 and 71%, respectively, while treatment with BA attenuated the weight-gain. Furthermore, NDMA decreased the sperm count, motility and live–dead ratio by 57, 36 and 37%, respectively, and increased total sperm abnormality by 56%. However, BA attenuated the changes in the spermiogram of NDMA-treated rats. NDMA significantly decreased the activities of antioxidative enzymes, follicle-stimulating and luteinizing hormones, while testicular levels of thiobarbituric acid reactive substances and total cholesterol were increased. Also, NDMA increased the activities of aniline hydroxylase and aminopyrine-N-demethylase. Supplementation with BA attenuated NDMA-induced alteration in these biochemical indices.

Conclusion: BA protects against NDMA-induced redox imbalance via activation of antioxidative pathway.

Introduction

Humans and animals are exposed to N-nitrosamines through chemical industries, processed foods, ground water and polluted environment, giving rise to toxicological implications [Citation1]. The toxicity of NDMA has been associated with free radicals, reactive metabolites and inflammatory substances [Citation2]. N-nitrosamines are activated by N-nitrosodimethylamine-N-demethylases I and II via α-hydroxylation [Citation3]. The α-hydroxy nitrosamine formed is finally converted to an alkyl nitrenium or carbonium ion, which can alkylate DNA and other macromolecules [Citation4]. It is also known that the carcinogenicity of nitrosamines is directly proportional to activities of the activating enzymes [Citation5]. Recently, our studies on the hepatorenal toxicity of NDMA linked the toxicity of the toxicant to increase in DNA fragmentation, expression of Bcl-2, p53, Ki-67 and CD15 in rats [Citation6,Citation7]. However, there is a dearth of information on the effects of NDMA on male reproductive system.

Betulinic acid (BA) (3β-hydroxy-lup-20(29)-en-28-oic acid) is a pentacyclic lupane-type triterpene, first isolated from the bark of birch tree (Betula pendula Roth) [Citation8]. This triterpene has also been found in other plants, including Aziziphus species, Syzygium species, Diospyros species and Orthosiphon stamineus [Citation9–12]. BA possesses biological properties, including anti-inflammatory and apoptotic effects [Citation13,Citation14]. Some outstanding biological activities of BA include selective anticancer activity against metastatic over non-metastatic cancer cells, selectivity against cancerous cells over non-cancerous cells and exhibition of cytotoxicity against cancers that are resistant to conventional cancer drugs [Citation15–18]. BA elicits antioxidant activity by reducing reactive oxygen species (ROS) production, and reversing superoxide anion-induced decrease in nitric oxide and endothelial nitric oxide synthase [Citation19]. We hypothesized that BA, a polyphenolic compound, will readily lose electrons in vivo to terminate metabolites (mostly radicals) generated during NDMA metabolism, and thus ameliorates redox imbalance in testes of rats.

Materials and methods

Chemicals

NDMA and BA were purchased from Sigma Chemical Co. (Saint Louis, MO, U.S.A). Glutathione, hydrogen peroxide, 5,5′-dithios-bis-2-nitrobenzoic acid (DTNB) and epinephrine were purchased from Sigma Chemical Co., Saint Louis, MO, U.S.A. Trichloroacetic acid and thiobarbituric acid (TBA) were purchased from British Drug House (BDH) Chemical Ltd, Poole, UK. Other chemicals and reagents were of analytical grade and purest quality available.

Experimental animals

Male Wistar rats (135.7 ± 6.6 g; 128–142 g) were purchased from the Animal House of the Faculty of Basic Medical Sciences of the University of Ibadan, Nigeria. They were housed in plastic cages and fed on rats pellets and given drinking water ad libitum. The rats were acclimatized for 7 days before the experiment and subjected to 12-hour light/dark cycle and temperature of 29 ± 2°C. The study was approved by the Faculty of Basic Medical Sciences, University of Ibadan Animal Ethics Committee.

Study design

Twenty-four male Wistar rats were randomly assigned into four groups of six rats each. The first group (control) was given normal saline, second group (BA) was given BA alone (25 mg/kg body weight), third group (NDMA) was given NDMA alone (5 mg/kg body weight), while the fourth group (BA + NDMA) was given BA (25 mg/kg body weight) and NDMA (5 mg/kg body weight). The BA and NDMA were separately dissolved in normal saline. The choice of dosage and vehicle was based on a previous study [Citation7]. BA was given by gavage for 14 consecutive days, while NDMA was given intraperitoneally on days 7 and 12 of the study. Administration of NDMA (days 7 and 12) was staggered purposively to produce the desired toxicity in the rats without mortality.

Collection of semen, blood and testes

The rats were fasted overnight after the last dose of BA on day 14. Blood was collected by ocular bleeding, allowed to clot and then centrifuged at 3000g for 10 minutes to obtain serum. Animals were euthanized by exsanguination, and semen was collected from epididymis immediately for analysis. The testes were excised, washed in ice-cold 1.15% potassium chloride solution to remove blood stains, dried and weighed. One portion of testicular tissue was homogenized using a Teflon homogenizer and centrifuged using a high speed refrigerated centrifuge (HITACHI) at 10,000g for 10 minutes to obtain postmitochondrial fraction. The other portion of the tissue was fixed in Bouin solution for histological analysis.

Sperm analysis

Sperm count and sperm motility were determined according to the method described by Oehninger et al. [Citation20]. Sperm abnormalities were determined by assessing the morphological features, including sperm head, mid-piece and tail, as described by Duran et al. [Citation21].

Biochemical analysis

Protein determination

Testicular protein levels were determined according to the method of Lowry et al. [Citation22] using bovine serum albumin as the standard.

Hormonal assays

Serum testosterone was assayed by the enzyme-linked immunoabsorbent assay (ELISA) as described by Tietz [Citation23] using Serozyme I Serono (Diagnostics, Freiburg, Germany). The testosterone concentration was obtained by correlating the absorbance of the test sample at 550 nm with the corresponding absorbance on the standard curve. The FSH, prolactin and LH concentrations were determined based on a solid-phase enzyme-linked immunoabsorbent assay, as described by Uotila et al. [Citation24].

Determination of aniline hydroxylase activity

Aniline hydroxylase activity was determined based on the formation of p-aminophenol during the hydroxylation of aniline hydrochloride, as described by Ko et al. [Citation25].

Determination of aminopyrine-N-demethylase activity

Activity of aminopyrine-N-demethylase was determined according to the method of Tu and Yang [Citation26]. The assay is based on the N-demethylation of aminopyrine (4-dimethyl aminoantipyrine) to 4-aminoantipyrine with a stepwise formation of formaldehyde. The amount of formaldehyde formed was estimated by the method of Nash [Citation27].

Determination of uridyl diphosphoglucuronsyl transferase activity

The uridyl diphosphoglucuronsyl transferase (UDPGT) activity was determined according to the method of Letelier et al. [Citation28]. The activity is proportional to the rate of conjugation of p-nitrophenol with UDP-glucuronic acid.

Determination of total cholesterol, triglyceride and phospholipids levels

Testicular total cholesterol (TC), phospholipids (PL) and triglyceride (TG) levels were estimated according to the methods of Naito [Citation29] and Buccolo and David [Citation30].

Determination of thiobarbituric acid reactive substances level

Testicular lipid peroxidation (LPO) was estimated by determining the concentration of thiobarbituric acid reactive substance (TBARs), as described by Ohkawa et al. [Citation31]. The method is based on the reactivity of an end product of LPO, malondialdehyde (MDA), with TBA to produce a pink adduct. The absorbance of the clear supernatant was read in a spectrophotometer against a reference blank at 532 nm. LPO was expressed in micromole MDA formed/mg protein using a molar extinction coefficient of 1.56 × 105/m/cm.

Determination of superoxide dismutase activity

Testicular superoxide dismutase (SOD) activity was determined by the method of Misra and Fridovich [Citation32]. The method was based on the ability of SOD to inhibit the autoxidation of epinephrine (pH 10.2, 30°C). The increase in absorbance of assay reaction at 480 nm was monitored spectrophotometrically at 30 seconds intervals for 150 seconds. The specific activity of SOD was expressed in units/mg protein.

Determination of glutathione peroxidase, catalase and glutathione-S-transferase activities

Testicular glutathione peroxidase (GPx), catalase (CAT) and glutathione-S-transferase (GST) activities were determined by the methods of Andersen et al. [Citation33], Aebi [Citation34] and Habig et al. [Citation35], respectively.

Assay of GPx

Assay is based on the reduction of organic peroxide in a reaction mixture and oxidation of reduced glutathione (GSH) to form disulfide glutathione (GSS). The GSSG is then reduced by glutathione reductase and NADPH in the reaction mixture forming NADP+, resulting in decreased absorbance at 412 nm. The decrease in absorbance at 412 nm is directly proportional to the activity of GPx. The GPx activity was expressed as mmol/mg protein.

Assay of CAT

The method is based on the ability of CAT to promote the decomposition of H2O2 in a reaction mixture. The change in absorbance during 3 minutes at 240 nm is a measure of CAT activity. CAT activity was expressed as units/mg protein.

Assay of GST

The method is based on the ability of GST to catalyze the conjugation of l-glutathione and CDNB to form a conjugate (GS-DNB), with an absorbance at 340 nm. Hence, the rate of increase in the absorption at 340 is directly proportional to GST activity in the sample. One unit of GST activity is defined as the amount of enzyme producing 1 mmol of GS-DNB conjugate per minute under the conditions of the assay. Specific activity of GST was expressed as micromoles of GS-DNB conjugate formed per minute per mg protein using an extinction coefficient of 9.61/mmol/cm.

Determination of GSH level

Testicular GSH level was determined using the method described by Mitchell et al. [Citation36]. Briefly, the assay is involved in the oxidation of GSH by the sulfhydryl reagent DTNB to form a yellow derivative, 5′-thio-2-nitrobenzoic acid, with an absorbance at 412 nm. GSH level is proportional to absorbance at 412 nm. Values were expressed as µmol/g tissue.

Histology

A section of the testicular tissue fixed in Bouin solution was dehydrated in 95% ethanol and then cleared in xylene before embedded in paraffin. Microsections (3 μm) were prepared and stained with hematoxylin and eosin (H&E) dye, and were examined under a light microscope by a histopathologist who was ignorant of the treatment groups.

Statistical analysis

All values were expressed as the mean ± standard deviation of six animals per group. Data were analyzed using one-way analysis of variance followed by the post hoc Duncan multiple range test for the analysis of biochemical data using SPSS (10.0). Statistically significant values were taken at P < 0.05.

Results

Effects of BA on body-weight gain and reproductive indices in NDMA-treated rats

As shown in , NDMA caused a 44% decrease in body-weight gain of rats relative to controls. In the group treated with BA alone, body-weight gain was observed to increase insignificantly (P > 0.05) when compared with controls. However, in rats co-treated with NDMA and BA, the body-weight gain was found to increase by 52% relative to NDMA-treated animals. Furthermore, NDMA administration significantly (P < 0.05) increased the weight and relative weight of testes by 51 and 71%, respectively, when compared with controls. Upon supplementation with BA, both the weight and relative weight of testes were attenuated (). In addition, NDMA administration significantly (P < 0.05) decreased the sperm count, motility and live–dead ratio of rats by 36, 31 and 29%, and increased total sperm abnormality by 62%, respectively, relative to controls. However, supplementation with BA significantly (P < 0.05) attenuated the NDMA-induced alteration in spermiogram. Importantly, the sperm volume was insignificantly affected by NDMA intoxication (). depicts the effect of BA on the levels of reproductive hormones in NDMA-treated rats. Administration of NDMA significantly (P < 0.05) decreased the serum concentrations of LH, FSH and testosterone by 30, 43 and 37%, respectively, when compared with controls. Supplementation with BA significantly (P < 0.05) increased the serum levels of LH, FSH and testosterone by 21, 57 and 39%, respectively, relative to NDMA-treated rats. The level of serum prolactin was insignificantly (P > 0.05) affected by treatment with NDMA and BA.

Table 1. Body weight and relative weight of testes of rats treated with NDMA and BA (alone and in combination).

Table 2. Sperm qualities of rats treated with NDMA and BA (alone and in combination).

Table 3. Follicle-stimulating hormone, testosterone and prolactin levels in the rats treated with NDMA and BA (alone and in combination).

Effects of BA on lipid parameters and antioxidant status of NDMA-treated rats

Effects of NDMA on the levels of testicular TC, TG and PL are given in . Treatment with NDMA significantly (P < 0.05) increased TC (0.52 ± 0.18 mM/l) and TG (1.12 ± 0.39 mM/l) relative to controls (0.37 ± 0.09 and 0.45 ± 0.30 mM/l, respectively), while NDMA significantly (P < 0.05) decreased PL (1.02 ± 0.28 mM/l) relative to control (1.80 ± 0.37 mM/l). Also, NDMA increased TC/PL ratios from 0.17 (control) to 0.51 (NDMA-treated group). Interestingly, supplementation with BA significantly attenuated the NDMA-induced alteration in testicular lipid profile of the animals. Furthermore, treatment with NDMA increased the levels of TBARS by 94% (), with a concomitant significant (P < 0.05) decrease in the activities of testicular SOD (29%), CAT (41%), GPx (48%), GST (37%) and level of GSH (35%) () when compared with their respective controls. However, supplementation with BA significantly (P < 0.05) attenuated the effects of TBARS, and the antioxidative parameters in the testes of rats.

Figure 1. The levels of testicular TBARS in rats treated with NMDA and BA (alone and combination).

Figure 1. The levels of testicular TBARS in rats treated with NMDA and BA (alone and combination).

Figure 2. Activity of SOD in rats treated with NMDA and BA (alone and combination).

Figure 2. Activity of SOD in rats treated with NMDA and BA (alone and combination).

Figure 3. The activities of glutathione peroxidase and CAT in rats treated with NMDA and BA (alone and combination).

Figure 3. The activities of glutathione peroxidase and CAT in rats treated with NMDA and BA (alone and combination).

Figure 4. Levels of testicular GSH in rats treated with NMDA and BA (alone and combination).

Figure 4. Levels of testicular GSH in rats treated with NMDA and BA (alone and combination).

Figure 5. Activity of testicular GST in rats treated with NMDA and BA (alone and combination).

Figure 5. Activity of testicular GST in rats treated with NMDA and BA (alone and combination).

Table 4. Testicular TC, TG and PL levels in the rats treated with NDMA and BA (alone and in combination).

Effects of BA on drug-metabolizing enzymes and histomorphometry of testes in NDMA-treated rats

Effects of NDMA administration on phase I enzymes; aniline-4-hydroxylase (AnH) and aminopyrine-N-demethylase (AmD) and phase II enzyme; UDPGT are given in . NDMA administration significantly (P < 0.05) increased the activities of AnH and AmD in testes of rats by 326 and 59%, respectively, while UDPGT activity was lowered by 42% relative to controls. However, supplementation with BA reduced the alteration caused by NDMA on these biochemical parameters. Histological examination of the testicular tissues revealed that NDMA induced severe sub-capsular congestion, cyto-architectural changes and spermato-cellular necrosis in rats when compared with controls. Such cytological lesions were reduced in group supplemented with BA ().

Figure 6. Representative photomicrographs of testes from control and NDMA-treated rats. Control testes (A) showed normal morphology. Treatment-related lesions such as mild congestion, degeneration of the seminiferous tubules and distortion in the testes of NDMA-treated rats (C) were reduced in [NDMA+BA]-treated rats (D), while photomicrographs from BA-treated rats (B) appeared similar to the control (A). BA: betulinic acid; NDMA: N-nitrosodimethylamine.

Figure 6. Representative photomicrographs of testes from control and NDMA-treated rats. Control testes (A) showed normal morphology. Treatment-related lesions such as mild congestion, degeneration of the seminiferous tubules and distortion in the testes of NDMA-treated rats (C) were reduced in [NDMA+BA]-treated rats (D), while photomicrographs from BA-treated rats (B) appeared similar to the control (A). BA: betulinic acid; NDMA: N-nitrosodimethylamine.

Table 5. Activities of phase 1 enzymes [aniline hydroxylase (AnH) and aminopyrine-N-demethylase (AmD)] and phase II enzyme (UDPGT) in the testis of rats treated with NDMA and BA (alone and in combination).

Discussion

The major findings from the NDMA administered rats were: decrease in body-weight gain, increase in weight and relative weight of testes, induction of phase I enzymes and inhibition of phase II enzyme, alteration in lipid, hormonal and antioxidant profiles as well as cyto-architectural changes in testes of rats. Notably, BA when given to NDMA-treated rats was able to mitigate against NDMA-induced adverse effects in these animals.

The observed increase in testicular weight seen in this study may have resulted from NDMA-induced testicular hypertrophy and necrotic degeneration of seminiferous tubules [Citation37]. The ability of BA to reduce the weight and relative weight of testes of NDMA-treated indicates that this triterpenoid could protect against NDMA-induced testicular hypertrophy. NDMA is a toxicant found in processed foods and ground water, and its adverse impacts on organs, especially liver and kidney, have been studied [Citation7]. However, there is a dearth of information on the effect of this toxicant on male reproductive system. In the present study, NDMA-intoxication increased the level of TBARS (index of LPO) in the testes of rats. LPO is simply the process of oxidation of polyunsaturated fatty acids by ROS to produce hydroperoxide and peroxyl radicals which can be converted to reactive aldehyde, such as MDA [Citation38]. The elevated level of TBARS in the testes of NDMA-treated rats confirmed the induction of oxidative damage. Also, the observed decrease in testicular activities of SOD and CAT in NDMA-treated rats confirms enzyme inhibition probably due to the action of NDMA metabolites, which may enhance superoxide radical and H2O2 accumulation and thus exposed the testes to oxidative stress. SOD is involved in the control of decidual cell differentiation in rats and regulation of cell proliferation [Citation39]. The decrease in SOD activity of NDMA-treated rats observed in this study is similar to the findings of Choi et al. [Citation40], in which NDMA intoxication decreased hepatic SOD, CAT and GST activities of treated rats. In addition, administration of NDMA caused significant depletion of testicular glutathione and rapid loss of activities of enzymes of GSH pathway such as GPx and GST. GSH, a key cellular antioxidant, has been identified as the critical factor needed for spermatozoa maturation in aged animals [Citation42]. Thus, the observed decrease in GSH is an indication of anti-fertility effect of NDMA. Furthermore, GPx and GST activities were significantly reduced in the testes of NDMA-treated rats. GPx protects against oxidative damage by reducing hydrogen peroxide to water [Citation43]. The combined depletion of GSH, reduction of GPx and GST activities strongly suggest that NDMA may adversely affect glutathione metabolic pathway and promote oxidative damage in the testes. The observed effect of NDMA on markers of oxidative stress is consistent with previous studies [Citation6,Citation7,Citation41]. However, supplementation with BA improved the antioxidant status (enzymatic and non-enzymatic) of NDMA-treated animals.

One of the mechanisms of anti-gonadal action of NDMA may be the inhibitory effect on some biochemical processes in tissues of animals. It has been suggested that reactive metabolites from NDMA may suppress gonadotropins release (LH and FSH) by the pituitary [Citation44]. The normal production of FSH and LH by the pituitary is a factor required for spermatogenesis by seminiferous tubules [Citation45]. LH is known to induce Leydig cell to secrete testosterone which regulates spermatogenesis via androgen receptors, while FSH regulates spermatogenesis by stimulating the production of Sertoli cell factors. In this study, NDMA-intoxication decreased the production of LH and FSH, thus may impair the endocrine regulation of spermatogenesis and consequently affects the reproductive function of the testes. The significant reduction in the level of testosterone observed in NDMA-treated rats confirms impaired steroidogenesis. Testosterone plays an important role in the regulation of spermatogenesis [Citation46]. Thus, NDMA-administration decreased sperm count, sperm motility, live– dead ratio and increased total sperm abnormality in rats. The observed decline in sperm quality may be due to inadequate hormonal levels. The biochemical data from this study were also corroborated by the histology of testes, which showed that the NDMA-administration caused changes in cyto-architecture, congestion and degeneration of the seminiferous tubules. The histopathological result is consistent with the findings of Hard and Butler [Citation37] who reported necrotic degeneration of seminiferous tubules following NDMA intoxication. Notably, BA significantly reduced the adverse effects of NDMA on the reproductive hormones, thereby improving the sperm quality of the animals.

Studies have shown that N-nitrosamines could generate high amounts of ROS that may promote the damage of endothelial region of arterial vessels, resulting in cardiovascular diseases [Citation47]. The elevated levels of TC and TG, and decreased level of PL in NDMA-treated rats are indications that this toxicant could potentially impair lipid metabolism in the testes. Elevated levels of TC in testes may affect the hormonal response of this organ to the production of testosterone and may impair gonadal steroidogenesis. Furthermore, NDMA-intoxication in testes increased the activities of AnH and AmD, thus serving as inducers of these phase I enzymes. Induction of cytochrome P450-dependent monooxygenases will enhance xenobiotics metabolism, consequently forming more reactive metabolites. This may explain why NDMA metabolites could exert its toxic effect in the testes. This observation is in consistent with the findings of Sheweita and Mostafa [Citation5] who reported that the carcinogenicity of N-nitrosamines increased with increase in the N-nitrosamines metabolites. Also, a study by Erkekoglu and Baydar [Citation48] established that inhibition of N-Nitrosamines toxicity could be achieved via reduction in the activities of cytochrome P450-dependent enzymes. The UDPGT enzymes are located in the membrane of endoplasmic reticulum and catalyze the conjugation of xenobiotics with UDP-glucuronic acid to form polar conjugates that can be rapidly excreted [Citation49]. Owing to its role in drug detoxification, impairment of UDPGT may constitute important determinants of toxicologic predisposition, with respect to chemical carcinogenesis and teratogenesis [Citation50]. In this study, UDPGT activity was significantly reduced in NDMA-treated group, which may be an important factor for the observed toxicity of this nitrosamine. Interestingly, BA given to NDMA-treated rats restored the activities of phase I and II enzymes to near control values. This further confirms beneficial effect of BA in ameliorating NDMA-induced toxicity in rats.

In conclusion, our data showed that NDMA-induced redox imbalance in testes of rats led to endocrine disruption, dyslipidemia, lowered sperm quality and altered activities of drug-metabolizing enzymes which are amenable to BA supplementation.

Acknowledgments

This research was done without specific grant from any funding agency in the public, commercial or not-for-profit sectors.

Disclosure statement

No potential conflict of interest was reported by the authors.

Notes on contributors

Dr Oluwatosin A. Adaramoye, B.Sc., M.Sc., Ph.D., is affiliated with the Drug Metabolism and Toxicology Laboratories, Department of Biochemistry, College of Medicine, University of Ibadan, Nigeria.

Dr Emmanual G. Adelekei, B.Sc., M.Sc., Ph.D., is affiliated with the Department of Biochemistry, Ladoke Akintola University of Technology, Ogbomoso, Nigeria.

ORCID

Oluwatosin A. Adaramoye http://orcid.org/0000-0001-9960-6763

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