Reproductive and cytogenetic toxicity of metronidazole in male mice

Abeer F el-Nahas1, Ibrahim M el-Ashmawy

  • 1Departments of Genetics and Pharmacology, Faculty of Veterinary Medicine Alexandria University, Egypt. abeerelnahas@hotmail.com

Insights

Metronidazole significantly harms male fertility and induces anemia and genotoxic effects in mice, even at high doses. These adverse impacts on male reproductive health and cellular integrity warrant careful consideration.

Area of Science:

  • Toxicology
  • Reproductive Biology
  • Genetics

Background:

  • Metronidazole is a widely used antibiotic.
  • Its potential adverse effects on male reproductive health and genotoxicity require thorough investigation.

Purpose of the Study:

  • To evaluate the impact of a high dose of metronidazole on male mouse fertility, blood parameters, and genotoxicity.
  • To determine the duration of these effects following drug administration.

Main Methods:

  • Mature male Swiss mice were administered metronidazole (500 mg/kg daily for 14 days).
  • Evaluations of reproductive organ weights, sperm parameters, hematological indices, mitotic activity, micronuclei, and chromosomal aberrations were conducted at 2 weeks, 1 month, and 2 months post-treatment.

Main Results:

  • Metronidazole significantly reduced testes, epididymides, and accessory sexual organ weights, with persistent effects on testes and epididymides up to 2 months.
  • Sperm motility decreased, and abnormalities increased after 1 month, while viability normalized by 2 months.
  • Anemia was induced, characterized by reduced erythrocyte and leukocyte counts, hemoglobin, and hematocrit.
  • Genotoxicity was evident through reduced mitotic activity (transient) and a persistent increase in chromosomal aberrations and micronuclei frequency.

Conclusions:

  • High-dose metronidazole (500 mg/kg) for 14 days adversely affects male fertility and induces anemia in mice.
  • The drug demonstrates genotoxic potential in somatic cells, with increased chromosomal aberrations and micronuclei.
  • These findings highlight potential risks associated with high-dose metronidazole exposure.

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