Terminalia arjuna induced testicular assault through Leydig cell derangement: an in vitro approach

Terminalia arjuna (TA) has been widely used as folk medicine since ancient times. Apart from its therapeutic properties it also has anti-spermatogenic activity, but its effectiveness and mode of action on male gonadal activity remains to be revealed.

TA bark extract was dissolved in 1% dimethyl sulfoxide and applied in primary Leydig cell culture from rat testis in dose dependent manner. After 24 h of treatment cellular toxicity marker, cytokines, steroid 5-alpha-reductase 1 (SRD5A1) and androgen receptor (AR) were measured.

Present study first proposed the cytotoxic impacts of TA on Leydig cells via leakage of lactate dehydrogenase and inflammatory responses by altering the pro- and anti-inflammatory cytokines in dose-dependent-manner. Furthermore, down regulation of SRD5A1 and AR indicated inhibition of normal steroidogenesis which well corroborated with cytotoxity and inflammation related parameters to promote damage of Leydig cell function. Nevertheless, it can be speculated that the inhibition of normal steroidogenesis and thereby spermatogenesis induced by TA is possibly due to the presence of β-sitosterol.

Therefore, the dose and duration of treatment should be carefully monitored in cases of its medicinal uses and longer duration should be avoided to protect reproductive health and fertility.