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Testicular cytotoxicity of intravenous methotrexate in rats

F E Johnson1, S A Farr, M Mawad

  • 1Department of Surgery, St. Louis University Medical Center, MO 63110-0250.

Insights

Methotrexate causes reduced sperm counts in rats after a single intravenous dose, but not testicular atrophy. This study establishes a model for investigating methods to prevent drug-induced testicular damage.

Area of Science:

  • Toxicology
  • Reproductive Biology
  • Pharmacology

Background:

  • Previous studies on methotrexate's testicular toxicity in rats used non-intravenous routes and multiple doses.
  • A standardized model for evaluating single-dose intravenous methotrexate testicular toxicity is needed.

Purpose of the Study:

  • To characterize testicular toxicity in Sprague-Dawley rats following a single intravenous bolus of methotrexate.
  • To establish a reliable model for studying testicular damage induced by methotrexate.

Main Methods:

  • Rats received a single intravenous dose of methotrexate (0-700 mg/kg BW).
  • Testicular toxicity was assessed via histology, testicular weight, sperm head count, Johnsen score, repopulation index, and epididymal index.
  • Histology of heart, lung, liver, and kidney was also evaluated.

Main Results:

  • Oligospermia was observed at low and intermediate methotrexate doses.
  • No testicular atrophy was noted.
  • The 5-day lethal dose 50 (LD50) was approximately 300 mg/kg BW.

Conclusions:

  • Single intravenous administration of methotrexate induces oligospermia in rats without causing testicular atrophy.
  • This model provides a foundation for developing strategies to mitigate methotrexate-induced testicular toxicity.

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