NRF2 Plays a Critical Role in Both Self and EGCG Protection against Diabetic Testicular Damage

Chenyu Pan1, Shengzhu Zhou1, Junduo Wu2

  • 1Department of Anesthesiology, The Second Hospital of Jilin University, 218 Ziqiang St., Changchun, Jilin 130041, China.

Insights

Nuclear factor erythroid 2-related factor 2 (NRF2) is crucial for protecting against diabetic testicular damage (DTD). Activating NRF2, either naturally or with epigallocatechin gallate (EGCG), preserves testicular health in diabetic mice.

Area of Science:

  • Reproductive Biology
  • Endocrinology
  • Diabetology

Background:

  • Diabetic testicular damage (DTD) is a significant complication of diabetes.
  • Nuclear factor erythroid 2-related factor 2 (NRF2) activation shows promise in mitigating DTD.
  • The specific role of NRF2 in DTD and its response to NRF2-activating compounds like EGCG remains unclear.

Purpose of the Study:

  • To investigate the essential role of NRF2 in protecting against DTD.
  • To determine if epigallocatechin gallate (EGCG) exerts its protective effects against DTD via NRF2 activation.
  • To compare the protective effects of NRF2 activation with and without EGCG treatment in a mouse model of diabetes.

Main Methods:

  • Streptozotocin-induced diabetic wild-type (WT) and Nrf2 knockout (KO) mice were used.
  • Mice were treated with or without epigallocatechin gallate (EGCG) for 24 weeks.
  • Evaluated outcomes included testicular weight, sperm count, apoptosis, endoplasmic reticulum stress, inflammation, and oxidative damage.

Main Results:

  • Nrf2 KO diabetic mice showed exacerbated testicular damage compared to WT diabetic mice.
  • EGCG treatment preserved testicular weight and sperm count in WT diabetic mice.
  • EGCG attenuated apoptosis, endoplasmic reticulum stress, inflammation, and oxidative damage in WT diabetic mice, but not in Nrf2 KO diabetic mice.

Conclusions:

  • NRF2 is critical for both endogenous and EGCG-mediated protection against diabetic testicular damage.
  • EGCG's protective effects against DTD are dependent on NRF2 activation.
  • Targeting NRF2 pathways may represent a therapeutic strategy for managing DTD.