Potential gonadal-beneficial effect of sitagliptin against paclitaxel-induced testicular dysfunction via mediating

Kareman M El-Beheiry1, Nagla A El-Shitany2, Magda El-Sayed El-Sayad2

  • 1Department of Pharmacology and Toxicology, Faculty of Pharmacy, Tanta University, Tanta, 31527, Egypt. kariman@pharm.tanta.edu.eg.

Scientific Reports
|March 15, 2026
PubMed

Insights

Sitagliptin (SIT) protects against paclitaxel (PTX)-induced testicular damage by improving sperm quality and reducing inflammation and apoptosis. It works by modulating the PERK/CHOP/NLRP3/Sestrin2 signaling pathway.

Area of Science:

  • Pharmacology
  • Toxicology
  • Reproductive Biology

Background:

  • Paclitaxel (PTX) is a widely used chemotherapy agent with known testicular toxicity.
  • Understanding protective mechanisms against PTX-induced testicular damage is crucial for patient care.

Purpose of the Study:

  • To investigate the protective effects of sitagliptin (SIT) against PTX-induced testicular injury in rats.
  • To elucidate the underlying molecular mechanisms, including endoplasmic reticulum (ER) stress, inflammation, and apoptosis.

Main Methods:

  • Rats were treated with PTX alone or in combination with different doses of SIT.
  • Evaluations included histopathological analysis, sperm analysis, and assessment of key molecular markers (e.g., NLRP3, caspase-3, Cyt.c, testosterone, pPERK, CHOP, sestrin2).

Main Results:

  • SIT significantly improved sperm count, motility, and viability while reducing abnormalities.
  • SIT demonstrated antioxidant effects by increasing glutathione and catalase and decreasing malondialdehyde.
  • SIT mitigated ER stress, inflammation (NLRP3, IL-1β), and apoptosis (caspase-3, Cyt.c).

Conclusions:

  • Sitagliptin ameliorates paclitaxel-induced testicular dysfunction.
  • The protective effects are mediated through the modulation of the PERK/CHOP/NLRP3/Sestrin2 signaling pathway, highlighting its potential therapeutic role.