Investigation of the Effect of Quercetin in Experimental Ischemia-Reperfusion Injury Model in Rat Testicle

Authors

  • Rabia Gezer Bingol State Hospital, Bingol, Turkey
  • Mehmet Cudi TUNCER Dicle University, Medical School, Deparment of Anatomy, Diyarbakır, Turkey
  • Zeynettin KASIRGA Kilis 7 Aralik University, Vocational School of Health Services, Department of Therapy and Rehabilitation, Physiotherapy Pr., Kilis, Turkey
  • Engin DEVECİ Dicle University, Medical School, Deparment of Histology and Embryology, Diyarbakır, Turkey
  • Fırat Aşır Dicle University, Medical School, Deparment of Histology and Embryology, Diyarbakır, Turkey

Abstract

Testicular torsion (TT) is the most important cause of acute scrotum in childhood. It is an emergency surgical problem that can lead to loss of organ if left untreated. The aim of treatment is to reduce or eliminate the torsion/detorsion damage. The affect of antioxidants is one of the methods to be used for this reason. In this study, a special bioflavonoid and quercetin, an antioxidant known to protect against oxidative damage, were used to avoid experimentally caused torsion/detorsion damage in rats.

32 male Sprague Dawley rats, 12 weeks old, weighing 250–300 g, were used in the study.Rats were randomized into 4 groups. No surgical procedure was performed in the control group. 5-hour ischemia was achived by applying torsion to the left testicle in the torsion group. After 5 hours of ischemia, a 2-hour reperfusion was applied in the torsion/detorsion group. In the torsion/detorsion+quercetin group, 2 hours of reperfusion was applied after 5 hours of ischemia and i.p. quercetin was injected.

 A significant decrease was observed in the quercetin-administered group in terms of spermatocyte degeneration and inflamation. There was a decrease in dilatation data in the quercetin group, but it was not statistically significant.

Quercetin, which has a strong antioxidant effect, has been shown to have positive effects on experimentally induced torsion/detorsion damage.

Keywords: Testicular torsion, ischemia-reperfusion, antioxidan, quercetin, Inflammation 

Keywords:

Testicular torsion, ischemia-reperfusion, antioxidant, quercetin, Inflammation

DOI

https://doi.org/10.22270/jddt.v13i6.6106

Author Biographies

Rabia Gezer, Bingol State Hospital, Bingol, Turkey

Bingol State Hospital, Bingol, Turkey

Mehmet Cudi TUNCER, Dicle University, Medical School, Deparment of Anatomy, Diyarbakır, Turkey

Dicle University, Medical School, Deparment of Anatomy, Diyarbakır, Turkey

Zeynettin KASIRGA, Kilis 7 Aralik University, Vocational School of Health Services, Department of Therapy and Rehabilitation, Physiotherapy Pr., Kilis, Turkey

Kilis 7 Aralik University, Vocational School of Health Services, Department of Therapy and Rehabilitation, Physiotherapy Pr., Kilis, Turkey

Engin DEVECİ, Dicle University, Medical School, Deparment of Histology and Embryology, Diyarbakır, Turkey

Dicle University, Medical School, Deparment of Histology and Embryology, Diyarbakır, Turkey

Fırat Aşır, Dicle University, Medical School, Deparment of Histology and Embryology, Diyarbakır, Turkey

Dicle University, Medical School, Deparment of Histology and Embryology, Diyarbakır, Turkey

References

Tasci A, Uguralp S, Akatli AN, Arslan AK, Karabulut AB. Long-term effects of orchiopexy and orchiectomy on the testes of rats with testicular torsion. J Pediatr Urol., 2022; 18:376.e1-376.e7. https://doi.org/10.1016/j.jpurol.2022.04.007

Lacy A, Smith A, Koyfman A, Long B. High risk and low prevalence diseases:

Testicular torsion. Am J Emerg Med., 2023; 66:98-104. https://doi.org/10.1016/j.ajem.2023.01.031

Vaos G, Zavras N. An tioxidants in experimental ischemia-reperfusion injury of the testis: where are we heading towards? World J Methodol., 2017; 7:37-45. https://doi.org/10.5662/wjm.v7.i2.37

Michail A, Ioanna G, Euaggelia S, Ioannis T, Christina P, Ioannis P. New insights about prognosis of Spermatic Cord Torsion. Urologia., 2023: 3915603231155676. https://doi.org/10.1177/03915603231155676

Hadziselimovic F, Geneto R, Emmons LR. Increased apoptosis in the contralateral testes of patients with testicular torsion as a factor for infertility. J Urol., 1998; 160:1158-60. https://doi.org/10.1097/00005392-199809020-00053

Qin KR, Qu LG. Diagnosing with a TWIST: Systematic Review and Meta-Analysis of a Testicular Torsion Risk Score. J Urol., 2022; 208:62-70. https://doi.org/10.1097/JU.0000000000002496

Almarzouq D, Al-Maghrebi M. NADPH Oxidase-Mediated Testicular Oxidative Imbalance Regulates the TXNIP/NLRP3 Inflammasome Axis Activation after Ischemia Reperfusion Injury. Antioxidants (Basel)., 2023; 12:145. https://doi.org/10.3390/antiox12010145

Sophocleous A, Idris AI. Ovariectomy/Orchiectomy in Rodents. Methods Mol Biol., 2019; 1914:261-267. https://doi.org/10.1007/978-1-4939-8997-3_13

Cuzzocrea S, Riley DP, Caputi AP, Salvemini D. Antioxidant therapy: a new pharmacological approach in shock, inflammation, and ischemia/reperfusion injury. Pharmacol Rev., 2001; 53:135-59. PMID: 11171943.

Saçık U, Çavdar Z, Ural C, Ersoy N, Özoğul C, Erbil G. Effect of ferulic acid on testicular damage caused by torsion-detorsion in rats. Biotech Histochem., 2023; 98:77-85. https://doi.org/10.1080/10520295.2022.2110615

Taheri S, Davoodi F, Raisi A, Zakian A, Rajabzadeh A, Hablolvarid MH, Khezri A, Ahmadvand H. Co-administration of Salvia miltiorrhiza and verapamil inhibits detrimental effects of torsion/detorsion on testicular tissue in rats. Andrologia., 2021; 53:e14049. https://doi.org/10.1111/and.14049

Demir S, Kazaz IO, Kerimoglu G, Ayazoglu Demir E, Colak F, Yilmaz S, Mentese A. Astaxanthin protects testicular tissue against torsion/detorsion-induced injury via suppressing endoplasmic reticulum stress in rats. J Invest Surg., 2022; 35:1044-1049. https://doi.org/10.1080/08941939.2021.1995540

Sallam AA, Ahmed MM, El-Magd MA, Magdy A, Ghamry HI, Alshahrani MY, Abou El-Fotoh MF. Quercetin-Ameliorated, Multi-Walled Carbon Nanotubes-Induced Immunotoxic, Inflammatory, and Oxidative Effects in Mice. Molecules., 2022; 27:2117. https://doi.org/10.3390/molecules27072117

Chow JM, Shen SC, Huan SK, Lin HY, Chen YC. Quercetin, but not rutin and quercitrin, prevention of H2O2-induced apoptosis via anti-oxidant activity and heme oxygenase 1 gene expression in macrophages. Biochem Pharmacol., 2005; 69:1839-51. https://doi.org/10.1016/j.bcp.2005.03.017

Mahmoud MF, Hassan NA, El Bassossy HM, Fahmy A. Quercetin protects against diabetes-induced exaggerated vasoconstriction in rats: effect on low grade inflammation. PLoS One., 2013; 8:e63784. https://doi.org/10.1371/journal.pone.0063784

Abdelnour SA, Sindi RA, Abd El-Hack ME, Khalifa NE, Khafaga AF, Noreldin AE, Samir H, Tufarelli V, Losacco C, Gamal M, Imam MS, Swelum AA. Quercetin: Putative effects on the function of cryopreserved sperms in domestic animals. Reprod Domest Anim., 2023; 58:191-206. https://doi.org/10.1111/rda.14291

Taş F, Erdemci F, Aşır F, Maraşlı M, Deveci E. Histopathological examination of the placenta after delivery in pregnant women with COVID-19. J Health Sci Med, 2022; 5(3), 868-874. https://doi.org/10.32322/jhsm.1100731

Peker N, Deger U, Asır F. Investigation of the effects of carvacrol on experimental ischemia/reperfusion model of rat ovaries by immunohistochemistry. Anal Quant Cytopathol Histopathol, 2021; 42 (6):197-204.

Yecies T, Bandari J, Schneck F, Cannon G. Direction of rotation in testicular torsion and identification of predictors of testicular salvage. Urology., 2018; 114:163-166. https://doi.org/10.1016/j.urology.2017.11.034

Jacobsen FM, Rudlang TM, Fode M, Østergren PB, Sønksen J, Ohl DA, Jensen CFS; CopMich Collaborative. The impact of testicular torsion on testicular function. World J Mens Health., 2020; 38:298-307. https://doi.org/10.5534/wjmh.190037

Yesil S, Ozdemir C, Arslan M, Gundogdu AC, Kavutcu M, Atan A. Protective effect of cerium oxide on testicular function and oxidative stress after torsion/detorsion in adult male rats. Exp Ther Med., 2022; 25:1. https://doi.org/10.3892/etm.2022.11700

Dursun R, Sen A, Yaman M, Durgun HM, Asır F. Effects of carvacrol on experimental testicular torsion-detorsion model: Investigation by immunohistochemistry. Anal Quant Cytopathol Histpathol., 2020; 42:125-132.

Yesil S, Ozdemir C, Arslan M, Gundogdu AC, Kavutcu M, Atan A. Protective effect of cerium oxide on testicular function and oxidative stress after torsion/detorsion in adult male rats. Exp Ther Med., 2022; 25:1. https://doi.org/10.3892/etm.2022.11700

Doğan G, İpek H. The protective effect of Ganoderma lucidum on testicular torsion/detorsion-induced ischemia-reperfusion (I/R) injury. Acta Cir Bras., 2020; 35:e202000103. https://doi.org/10.1590/s0102-865020200010000003

Meštrović J, Pogorelić Z, Drmić-Hofman I, Vilović K, Todorić D, Popović M. Protective effect of urapidil on testicular torsion-detorsion injury in rats. Surg Today., 2017; 47:393-398. https://doi.org/10.1007/s00595-016-1388-3

Caspase-9-dependent pathway to murine germ cell apoptosis: mediation by oxidative stress, BAX, and caspase 2. Caspase-9-dependent pathway to murine germ cell apoptosis: mediation by oxidative stress, BAX, and caspase 2. Cell Tissue Res., 2007; 328:411-9. https://doi.org/10.1007/s00441-006-0341-y

Li P, Zhou L, Zhao T, Liu X, Zhang P, Liu Y, Zheng X, Li Q. Caspase-9: structure, mechanisms and clinical application. Oncotarget., 2017; 8:23996-24008. https://doi.org/10.18632/oncotarget.15098

Kim B, Srivastava SK, Kim SH. Caspase-9 as a therapeutic target for treating cancer. Expert Opin Ther Targets., 2015; 19:113-27. https://doi.org/10.1517/14728222.2014.961425

Jacobo P, Guazzone VA, Theas MS, Lustig L. Testicular autoimmunity. Autoimmun Rev., 2011; 10:201-4. https://doi.org/10.1016/j.autrev.2010.09.026

Postal M, Appenzeller S. The role of tumor necrosis factor-alpha (TNF-α) in the pathogenesis of systemic lupus erythematosus. Cytokine., 2011; 56:537-43. https://doi.org/10.1016/j.cyto.2011.08.026

Söğütçü N, Yokus B. Effects of gallic acid on ischemia-reperfusion induced testicular injury in a rat testicular torsion model. Anal Quant Cytopathol Histpathol., 2021; 43:1-7

Published

2023-06-15
Statistics
Abstract Display: 609
PDF Downloads: 501
PDF Downloads: 49

How to Cite

1.
Gezer R, TUNCER MC, KASIRGA Z, DEVECİ E, Aşır F. Investigation of the Effect of Quercetin in Experimental Ischemia-Reperfusion Injury Model in Rat Testicle. J. Drug Delivery Ther. [Internet]. 2023 Jun. 15 [cited 2026 Jan. 21];13(6):60-5. Available from: https://jddtonline.info/index.php/jddt/article/view/6106

How to Cite

1.
Gezer R, TUNCER MC, KASIRGA Z, DEVECİ E, Aşır F. Investigation of the Effect of Quercetin in Experimental Ischemia-Reperfusion Injury Model in Rat Testicle. J. Drug Delivery Ther. [Internet]. 2023 Jun. 15 [cited 2026 Jan. 21];13(6):60-5. Available from: https://jddtonline.info/index.php/jddt/article/view/6106

Most read articles by the same author(s)

<< < > >>