1. Introduction
Diabetes mellitus (DM) is a collection of metabolic illnesses known as chronic hyperglycaemia. It is one of the most common chronic diseases caused by insulin functions or secretions deficiency, which may cause carbohydrate and lipoprotein metabolism to be disrupted ( 1 ). The pituitary-gonadal axis malfunctions, testicular tissue dysfunctions and poor quality of sperms are all symptoms of DM, which is one of the most common causes of reproductive abnormalities ( 2 ). In diabetic patients, the increased levels of reactive oxygen species (ROS) may reduce antioxidant enzyme function. Excessive production of reactive oxygen species (ROS) and a reduction of endogenous antioxidant defences leave tissues vulnerable to oxidative stresses, which can contribute to diabetes problems ( 3 ). Various natural antioxidants can help to reduce oxidative stress. As natural antioxidants, much attention has been given recently to herbs and spices, and several plant remedies have been shown to improve sperm parameters ( 4 ).
Ginseng is one of the most widely used herbal medicines; ginsenoside (saponin), polyacetylene, polyphenolic chemicals, and acidic polysaccharides are among the medicinal ingredients ginsenosides are the most pharmaceutically active. Up to the present time, 38 ginsenosides were isolated from ginsengs, with 5 primary ginsenosides (Rb1, Rb2, Rc, Re & Rg1) accounting for > (80%) of total ginsenoside ( 5 ).
The major group among total phenolic components is flavonoids, which are in higher quantity in Ginseng ( 6 ). Ginseng reduces overall chromosomal aberrations, sperm abnormalities, and testosterone concentration while increasing sperm quantity and motility ( 5 , 7 ). Hwang, Kim ( 8 ) found that Ginseng enhances the quality and lifespan of sperms in Guinea pigs exposed to tetrachloro-dibenzo P-dioxin (TCDD) and stimulates Spermatogenesis, according to research. Ginseng can also be a beneficial factor for protecting against the toxic impacts of the endocrine disrupter, particularly testicular toxicity ( 8 ).
The epididymal sperm counts in a ginseng-treated group were found in another study to be considerably higher for (56) days than its counts in the controls. Ginseng-enhanced glial cell-derived neurotrophic factor (GDNF). These findings point to a possible link between higher GDNF levels and Spermatogenesis. Ginseng also affects Spermatogenesis by inducing the expression of GDNF. Ginseng has been shown to lessen the adverse effects of cytostatic chemotherapeutics ( 9 ). Through that, Park, Shin ( 10 ) reported that Ginseng treatment caused the elevation of cAMP-responsive element modulator (CREM) mRNA with protein expressions in rats. Such findings suggest that Ginseng can lead to sperm total number and motility improvement via activating CREM, with no serious adverse effects ( 10 ).
The current study has been designed to demonstrate the impacts of treatment with Ginseng oil oxidative stress-induced physiological and histological alterations in the male reproductive system in rats.
2. Materials and Methods
2.1. Experimental Animals
The experiment was performed at the Veterinary Medicine College–University of Basrah's animal home. Wistar male rats (n=30) were sexually mature at 15-18 weeks, and weight (225±25gm) was used. They were kept under unified standard environmental conditions at a temperature of 24-28°C, and the humidity rate was about 50 %). They were fed standard pellets (protein 18.8%, barely 37%, corn 15 %) (ad libitum), and fresh, clean water was supplied at libitum. Animals were categorized into 3 groups at random, control of the first group, second and third groups injected with a single dose of alloxan subcutaneously (120 mg/kg body weight) ( 11 ), the third group treated with orally ginseng oil (5 g/kg/day) for 30 days.
2.2. Semen Fluid Analysis
2.2.1. Sperm Analysis according to Adamkovicova, Toman ( 12 )
After scarification, each animal's caudal epididymis was dissected and placed in a clean Petri dish with 5ml of rewarmed normal saline. Microsurgical scissors are used to cut the epididymis tissue into small pieces, which are then placed in a water bath for ( 5 ) minutes at (37°C) so that the sperms be able to swim out to the media and to allow efficient studying of the epididymal sperm characteristics ( 13 ).
2.2.2. Sperm Concentration
The sperms were counted using a Neubauer hemocytometer chamber, previously used to count RBCs and WBCs. The epididymis was placed in a Petri plate with 5 mL 0.9 % normal saline. Using a sharp scalpel, cut the epididymis into 6-10 pieces. A clean piece of gauze was used to filter the suspension from the previous stage in the test tube. A drop from the filtrate was poured into Neubauers slide chamber, which was already covered with a cover slip. The sperms were counted on the five ruled squares for RBC counting with the objective lens (40×). In one mm3, the sperms were computed according to the following equation:
Sperm/mm3=N × 10,000 (N=Number of sperms in (5) squares)
2.2.3. The sperm motility percentages
The motility of epididymal sperm has been determined using a principle of graduation proposed by Chemineau, Cagnie ( 14 ) according to the following steps:
1. On a clean and warm slide, one drop of diluted epididymal sperm was placed and covered by a cover slip at 37°C.
2. The sperms were inspected under a microscope at a magnification of 40×.
The percentage is calculated based on the movement of progressive forward sperm, as well as the power and speed of their movement (Table 1).
Type of motion | Degree | Percentage |
---|---|---|
Sperms move rapidly and straightly. | 5 | (90–100) |
Sperms move rapidly, and some of them with a circular movement | 4 | (75–85) |
Sperms move on a straight slope, with no shivering movement | 3 | (45–65) |
Some sperms move with the simple irregular shivering movement | 2 | (20–40) |
Sperms move very slowly, with shivering and swinging tail | 1 | 10 |
Sperms without movement | 0 | 0 |
2.2.4. Abnormality of Sperms
The percentage of abnormal sperms was counted on the slide, which was used for measuring the irritability in the epididymis via examining 200 sperms under the 100× lens of the light microscope ( 15 ). On a warm, clean slide, diluted sperm was dropped.
The warm Eosin–Nigrosine dye was applied to stain the semen and carefully mixed with a glass rod. The smear is performed by placing the slide in an angular position upon the semen’s slide and dragging it in a horizontal position. For a while, the slide has been left for drying. A microscope has viewed the slide at a magnification of 40 times. Living sperms were shown in white, while dead ones were shown in red. The following substances were the Eosin- Nigrosine constituents: Eosin stain (1.67 g), Nigrosine stain (10 gm), Sodium citrate (2.9 g), and Distilled water (100 ml).
3. Results
The results of a recent study showed in table 2 that when rats were treated with alloxan (120 mg/kg), it caused a significant reduction (P≤0.05) as compared with the controls in terms of sperm count but, When compared to the alloxan group, the sperm count in the alloxan+Ginseng oil group increased significantly (P≤0.05). It was also discovered that compared to the control group, alloxan reduced enormous sperm motility substantially (P≤0.05). Massive sperm motility was dramatically increased in the alloxan+Ginseng oil group compared to the alloxan group.
Parameters | Sperm count (n×106/mm3) | Massive motility (%) | Individual motility (%) | Dead Sperm (%) | Abnormal Sperm (%) |
---|---|---|---|---|---|
Groups | |||||
Control | 195.2±0.3A | 90±0.4A | 90±0.6A | 11±1.4C | 12.5±2.1C |
Alloxan | 66.5±1.0C | 10±0.7C | 10±0.6C | 96±1.4A | 31±1.4A |
Alloxan+ginseng oil | 155.7±1.5B | 77.5±3.5B | 57.5±3.5B | 32.5±3.5B | 20±1.4B |
In addition, as can be seen from the table, alloxan reduced individual sperm motility significantly (P≤0.05) compared to the controls and the Ginseng oil+alloxan group; individual sperm motility was much higher in the last group than in the alloxan group.
The alloxan group's dead sperm ratio increased significantly compared to the control and alloxan+ginseng oil groups (P≤0.05).In the alloxan+ginseng oil group, the dead sperm ratio was decreased significantly in comparison with alloxan groups at (P≤0.05).
It is also evident from the table 2 that alloxan caused the abnormal sperm ratio to increase significantly (P≤0.05) in comparison with the controls. In the alloxan+ginseng oil group, the abnormal sperm ratio decreased significantly compared to the alloxan group.
3.1. Histological Results
The testes in the control group had normal seminiferous tubule anatomy and Spermatogenesis (Figure 1). Figure 2 showed suppression of Spermatogenesis, some tubules without spermatozoa, another with few spermatozoa, poor Spermatogenesis, interstitial space enlargement and congestion.
While the histological section of rats that administrated ginseng oil and alloxan show seminiferous tubules with an increased number of primary and secondary spermatocytes (increase spermatocytes), as shown in figure 3.
4. Discussion
Results of the current study in table 2 showed that the rats treated with alloxan had a significant (P≤0.05) decrease in total sperm counts, alive sperms, and individual sperm motility, whereas showing a significant (P≤0.05) increase in dead and abnormal sperm, when it compared with the control group these results agree with Green, Brand ( 16 ) which has the same results because of alloxan activity by producing free radicals which damage pancreas tissue resulting increase blood glucose as well as ROS in mitochondria converted to hydrogen peroxide the last ion react with hydroxyl group lead to damage the living cell.
In another study, diabetes has been linked to a decrease in pituitary-gonadal axis activity. It was also discovered that oxidative stress influenced germ cell death in adult diabetic rats' testicular tissue diabetes caused by insulin shortage ( 17 ).
Previous studies have shown that diabetes has a detrimental effect on the hypophysis-gonadal hormone axis, resulting in a decrease in gonadotropin and testosterone secretion, which causes spermatogenesis impairment and sperm motility defects ( 18 ).
On the other hand, our results of the current study showed the diabetic animals which administrated Ginseng oil had significantly increased (P≤0.05) in total sperm counts, alive sperms and individual sperm motility and a significant (P≤0.05) decrease in dead and abnormal sperm, as comparative with the alloxan group and these results agreed with Kumar, Sharma ( 7 ) and Hwang, Kim ( 8 ). They found that Ginseng protects the testis by lowering testicular acid phosphatase activity, lowering lipid peroxidation, and significantly enhancing alkaline phosphatase activity. Their ability to eliminate free radicals and protect the cell membrane from lipid peroxidations’ and their influence on the endocrine system could explain their protective function ( 7 , 8 ).
Ginseng has preventive and curative benefits on the damage of testis caused by ZEN, indicating that it could be a beneficial tool to avoid and treat any damage to the test caused by environmental pollutants ( 5 ). Hwang, Kim ( 8 ) stated that Ginseng enhances the lifespan as well as the quality of sperms of Guinea pigs exposed to tetrachloro-dibenzo P-dioxin (TCDD) and stimulates Spermatogenesis, according to research.
Histological results indicated testicular degeneration and suppression of Spermatogenesis due to alloxan activity; in diabetic groups, male sex cell numbers, Sertoli cells and Leydig cells are reduced. Furthermore, in people with diabetes, seminiferous tubule diameters, seminiferous epithelium heights and fertility rate was reduced. Diabetes can also raise the risk of degeneration of the seminiferous tubules. In diabetic rats, the sperm quality parameters and Sertoli cell number were significantly lower ( 2 ).
Furthermore, diabetic rat testes showed decreased seminiferous tubule width and tubular epithelium thickness ( 2 ). The spermatogenic cell decrease and seminiferous tube diameter reduction indicate failure of histopathological Spermatogenesis among rats with diabetes ( 7 ). Whereas the Ginseng oil administration repairs the damaged testicular tissue, Ginseng may provide significant protection against testicular damage caused by radiation. Ginseng supplementation before gamma radiation therapy effectively protected the germ cell population in mice from gamma radiation ( 7 ).
Depending on the present study, we conclude that all oxen group causes a decrease in the sperm count, massive sperm motility and individual motility while it causes an increase in the dead sperm ratio and abnormal sperm ratio. It is also evident that the alloxan+Ginseng oil group causes an increase the sperm count, massive sperm motility and individual motility while it causes a decrease in the dead sperm ratio and abnormal sperm ratio. It was observed in the histological section in the alloxan group change in tubules and interstitial space, and in the histological section of rats that administrated ginseng oil and alloxan group showed abnormal seminiferous tubules and spermatocytes (increased spermatocytes).
Authors' Contribution
Study concept and design: A. A. M.
Acquisition of data: A. A. M.
Analysis and interpretation of data: B. F. H.
Drafting of the manuscript: A. S. M.
Critical revision of the manuscript for important intellectual content: A. S. M.
Statistical analysis: A. A. M.
Administrative, technical, and material support: A. A. M.
Ethics
The Ethics Review Board at the Middle Technical University, Baghdad, Iraq.
Conflict of Interest
The authors declare that they have no conflict of interest.
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