Rapamycin protects testes against germ cell apoptosis and oxidative stress induced by testicular ischemia-reperfusion

Morteza Ghasemnejad-Berenji1,2,3, Mahmoud Ghazi-Khansari1, Iraj Yazdani1,2

  • 1Department of Pharmacology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

Insights

Rapamycin treatment significantly reduced testicular damage caused by ischemia-reperfusion injury in rats. This immunosuppressant improved tissue health and decreased cell death, offering potential therapeutic benefits.

Area of Science:

  • Urology
  • Pharmacology
  • Cell Biology

Background:

  • Ischemia-reperfusion (I/R) injury is a significant concern in testicular torsion.
  • Rapamycin, an immunosuppressant, has shown promise in mitigating I/R injury in other organs.

Purpose of the Study:

  • To investigate the efficacy of rapamycin in preventing testicular ischemia-reperfusion injury in a rat model.

Main Methods:

  • Adult male Wistar rats underwent testicular torsion/detorsion (T/D).
  • Rats were treated with varying doses of rapamycin or vehicle prior to detorsion.
  • Biochemical markers (MDA, caspase-3, antioxidant enzymes), histopathology (MSTD), and apoptosis (TUNEL) were assessed.

Main Results:

  • Testicular T/D significantly increased apoptosis, MDA, and caspase-3, while decreasing antioxidant enzyme activity.
  • Rapamycin treatment dose-dependently reduced MDA and caspase-3 levels.
  • Rapamycin administration increased superoxide dismutase, catalase, and glutathione peroxidase activities, decreased germ cell apoptosis, and improved mean seminiferous tubule diameter.

Conclusions:

  • Rapamycin effectively mitigates testicular ischemia-reperfusion injury.
  • The findings suggest rapamycin's potential as a therapeutic agent for testicular torsion.

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