Ameliorative effect of morin on diclofenac-induced testicular toxicity in rats: An investigation into different signal pathways

Document Type : Original Article

Authors

1 Department of Physiology, Faculty of Medicine, Aksaray University, Aksaray, Türki̇ye

2 Department of Histology and Embryology, Faculty of Medicine, Aksaray University, Aksaray, Türki̇ye

3 Department of Medical Laboratory Techniques, Vocational School of Health Services, Atatürk University, Erzurum, Türki̇ye

4 Department of Veterinary Biochemistry, Faculty of Veterinary, Atatürk University, Erzurum, Türki̇ye

5 Department of Animal Science, Horasan Vocational College, Atatürk University, Erzurum, Türki̇ye

6 Department of Medical Biochemistry, Faculty of Medicine, Aksaray University, Aksaray, Türki̇ye

Abstract

Objective(s): Diclofenac (Diclo) is a therapeutic agent used in the treatment of pain and inflammatory diseases, but it is also toxic to the human body. Morin is a flavonoid found naturally in plants and has many biological and pharmacological activities, including anti-inflammatory, anti-oxidant, and anticancer activities. This study aimed to investigate the efficacy of Morin in Diclo-induced testicular toxicity. 
Materials and Methods: Morin (50 mg/kg and 100 mg/kg) was administered orally for five days, while Diclo was administered intraperitoneally at 50 mg/kg on days 4 and 5. Biochemical, molecular, and histological methods were used to investigate oxidative stress, inflammation, apoptosis, and endoplasmic reticulum (ER) stress damage indicators in testicular tissue. 
Results: Morin treatment attenuated Diclo-induced oxidative stress damage by increasing anti-oxidant levels (SOD, CAT, GPx, GSH, Nrf-2, HO-1, and NQO1) and decreasing MDA levels, an indicator of lipid peroxidation. Morin reduced levels of the inflammatory mediators NF-κB protein. Increases in apoptotic Bax and Caspase-3 by Diclo were reduced by Morin, while decreased antiapoptotic Bcl-2 level was increased. Morin reduced Diclo-induced ER stress injury by decreasing ATF-6, PERK, IRE1, GRP-78, and CHOP levels. Also, Diclo decreased COX-2 levels.
Conclusion: Overall, Morin may be an effective treatment of choice for testicular tissue damage associated with Diclo toxicity and may reduce the level of damage.

Keywords

Main Subjects


1. Varışlı B, Caglayan C, Kandemir FM, Gür C, Ayna A, Genç A, et al. Chrysin mitigates diclofenac-induced hepatotoxicity by modulating oxidative stress, apoptosis, autophagy and endoplasmic reticulum stress in rats. Mol Biol Rep 2023; 50: 433-442.
2.    Owumi SE, Aliyu-Banjo NO, Odunola OA. Selenium attenuates diclofenac-induced testicular and epididymal toxicity in rats. Andrologia 2020; 52: e13669.
3.    Amanullah A, Upadhyay A, Dhiman R, Singh S, Kumar A, Ahirwar DK, et al. Development and challenges of diclofenac-based novel therapeutics: Targeting cancer and complex diseases. Cancers 2022; 14: 4385-4403.
4.    Waly H, Abd-Elkareem M, Raheem SA, Abou Khalil NS. Berberine protects against diclofenac sodium-induced testicular impairment in mice by its anti-oxidant and anti-apoptotic activities. Iran J Basic Med Sci 2022; 25: 767-774.
5.    Mousa AA, Elweza AE, Elbaz HT, Tahoun EAE, Shoghy KM, Elsayed I. Eucalyptus globulus protects against diclofenac sodium induced hepatorenal and testicular toxicity in male rats. J Tradit Complement Med 2020; 10: 521-528.
6.    Tella T, Adegbegi A, Emeninwa C, Odola A, Ayangbenro A, Adaramoye O. Evaluation of the anti-oxidative potential of diisopropyldithiocarbamates sodium salt on diclofenac-induced toxicity in male Albino rats. Toxicol Rep 2022; 9: 828-833.
7.    İleriturk M, Kandemir O, Akaras N, Simsek H, Genc A, Kandemir FM. Hesperidin has a protective effect on paclitaxel-induced testicular toxicity through regulating oxidative stress, apoptosis, inflammation and endoplasmic reticulum stress. Reprod Toxicol 2023; 118: 108369.
8.    Varışlı B, Caglayan C, Kandemir FM, Gür C, Bayav İ, Genç A. The impact of Nrf2/HO-1, caspase-3/Bax/Bcl2 and ATF6/IRE1/PERK/GRP78 signaling pathways in the ameliorative effects of morin against methotrexate-induced testicular toxicity in rats. Mol Biol Rep 2022; 49: 9641-9649.
9.    Gencer S, Gür C, İleritürk M, Küçükler S, Akaras N, Şimşek H, et al. The ameliorative effect of carvacrol on sodium arsenite-induced hepatotoxicity in rats: Possible role of Nrf2/HO-1, RAGE/NLRP3, Bax/Bcl-2/Caspase-3, and Beclin-1 pathways. J Biochem Mol Toxicol 2024; 38: e23863.
10.    Kankılıç NA, Küçükler S, Gür C, Akarsu SA, Akaras N, Şimşek H, et al. Naringin protects against paclitaxel-induced toxicity in rat testicular tissues by regulating genes in pro-inflammatory cytokines, oxidative stress, apoptosis, and JNK/MAPK signaling pathways. J Biochem Mol Toxicol 2024; 38: e23751.
11.    Kuzu M, Kandemir FM, Yildirim S, Kucukler S, Caglayan C, Turk E. Morin attenuates doxorubicin-induced heart and brain damage by reducing oxidative stress, inflammation and apoptosis. Biomed Pharmacother 2018; 106: 443-453.
12.    Gur C, Kandemir FM, Darendelioglu E, Caglayan C, Kucukler S, Kandemir O, et al. Morin protects against acrylamide-induced neurotoxicity in rats: An investigation into different signal pathways. Environ Sci Pollut Res 2021; 28: 49808-49819.
13.    Hussein MM, Gad E, Ahmed MM, Arisha AH, Mahdy HF, Swelum AAA, et al. Amelioration of titanium dioxide nanoparticle reprotoxicity by the anti-oxidants morin and rutin. Environ Sci Pollut Res 2019; 26: 29074-29084.
14.    S JP, Evan Prince S. Diclofenac-induced renal toxicity in female Wistar Albino rats is protected by the pre-treatment of aqueous leaves extract of Madhuca longifolia through suppression of inflammation, oxidative stress and cytokine formation. Biomed Pharmacother 2018; 98: 45-51.
15.    Lawrence RA, Burk RF. Glutathione peroxidase activity in selenium-deficient rat liver. Biochem Biophys Res Commun  1976; 71: 952-958.
16.    Sun YI, Oberley LW, Li Y. A simple method for clinical assay of superoxide dismutase. Clin Chem 1988; 34: 497-500.
17.    Aebi H. Catalase in vitro. Methods Enzymol 1984; 105:121-1266.
18.    Sedlak J, Lindsay RH. Estimation of total, protein-bound, and nonprotein sulfhydryl groups in tissue with Ellman’s reagent. Anal Biochem 1968; 25: 192-205.
19.    Placer ZA, Cushman LL, Johnson BC. Estimation of product of lipid peroxidation (malonyl dialdehyde) in biochemical systems. Anal Biochem 1966; 16: 359-364.
20.    Lowry OH, Rosebrough NJ, Farr AL, Randall RJ. Protein measurement with the Folin phenol reagent. J Biol Chem 1951; 193: 265-275.
21.    Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2−ΔΔCT method. Methods 2001; 25: 402-408.
22.    İleriturk M, Kandemir O, Kandemir FM. Evaluation of protective effects of quercetin against cypermethrin-induced lung toxicity in rats via oxidative stress, inflammation, apoptosis, autophagy, and endoplasmic reticulum stress pathway. Environ Toxicol 2022; 37: 2639-2650. 
23.    Ezihe CO, Solomon Tsekohol AGU, Nathaniel Daniel RABO, OCHIGBO VI. Hydroethanolic leaf extract of erythrina senegalensis attenuates diclofenac sodium-ınduced testicular and epididymal perturbation in male wistar rats. Sch Int J Biochem 2023; 6: 60-69.
24.    Alabi QK, Akomolafe RO. Kolaviron diminishes diclofenac-induced liver and kidney toxicity in Wistar rats via suppressing inflammatory events, upregulating anti-oxidant defenses, and improving hematological indices. Dose-Response 2020; 18: 1559325819899256.
25.    Elshopakey GE, Elazab ST. Cinnamon aqueous extract attenuates diclofenac sodium and oxytetracycline mediated hepato-renal toxicity and modulates oxidative stress, cell apoptosis, and inflammation in male albino rats. Vet Sci 2021; 8: 9-27.
26.    Mohammadi N, Asle-Rousta M, Rahnema M, Amini R. Morin attenuates memory deficits in a rat model of Alzheimer’s disease by ameliorating oxidative stress and neuroinflammation. Eur J Pharmacol 2021; 910: 174506.
27.    Salem HA, Elsherbiny N, Alzahrani S, Alshareef HM, Abd Elmageed ZY, Ajwah SM, et al. Neuroprotective effect of morin hydrate against attention-deficit/hyperactivity disorder (ADHD) induced by MSG and/or protein malnutrition in rat pups: Effect on oxidative/monoamines/inflammatory balance and apoptosis. Pharmaceuticals 2022; 15: 1012-1035.
28.    Banihani SA. Effect of diclofenac on semen quality: A review. Andrologia 2021; 53: e14021.
29.    Ozyigit F, Deger AN, Kocak FE, Ekici MF, Simsek H, Arık O. Protective effects of hesperidin in gastric damage caused by experimental ischemia-reperfusion injury model in rats. Acta Cir Bras 2024; 39: e391124.
30.    Keleş O, Can S, Cigsar G, Colak S, Erol H, Akaras N, et al. Hepatoprotective effects of B-1, 3-(D)-glucan on bortezomib-induced toxicity in male rats: Role of oxidative stress and inflammation. Biomed Pharmacother 2023; 157: 113997.
31.    Erisir M, Kandemir FM, Yüksel M. The effects of caesarean section on lipid peroxidation and some anti-oxidants in the blood of newborn calves. Veterinarski Arhiv 2013; 83: 153-159.
32.    Kandemir FM, Ozkaraca M, Küçükler S, Caglayan C, Hanedan B. Preventive effects of hesperidin on diabetic nephropathy induced by streptozotocin via modulating TGF-β1 and oxidative DNA damage. Toxin Rev 2018; 37: 287-293.
33.    Akaras N, Gur C, Kucukler S, Kandemir FM. Zingerone reduces sodium arsenite-induced nephrotoxicity by regulating oxidative stress, inflammation, apoptosis and histopathological changes. Chem Biol Interac 2023; 374: 110410.
34.    Şimşek H, Akaras N, Gür C, Küçükler S, Kandemir FM. Beneficial effects of chrysin on cadmium‐induced nephrotoxicity in rats: Modulating the levels of Nrf2/HO‐1, RAGE/NLRP3, and caspase-3/Bax/Bcl-2 signaling pathways. Gene 2023; 875: 147502.
35.    Aksakal E, Akaras N, Tanboga IH, Kurt M, Halici Z, Odabasoglu F, Unal B. Relationship between oxidative stress and cardiomyopathic changes in ovariectomized rats. Cardiology 2011; 119: 235-241.
36.    Zeren S, Bayhan Z, Kocak FE, Kocak C, Akcılar R, Bayat Z, et al. Gastroprotective effects of sulforaphane and thymoquinone against acetylsalicylic acid-induced gastric ulcer in rats. J Surg Res 2016; 203: 348-359. 
37.    Simsek H, Akaras N. Acacetin ameliorates acetylsalicylic acid-induced gastric ulcer in rats by interfering with oxidative stress, inflammation, and apoptosis. Int J Med Biochem 2023; 6: 96-103.
38.    Akaras N, Abuc OO, Koc K, Bal T, Geyikoglu F, Atilay H, et al. (1→ 3)‐β‐d‐glucan enhances the toxicity induced by Bortezomib in rat testis. J Food Biochem 2020; 44: e13155.
39.    Akarsu SA, Gür C, İleritürk M, Akaras N, Küçükler S, Kandemir FM. Effect of syringic acid on oxidative stress, autophagy, apoptosis, inflammation pathways against testicular damage induced by lead acetate. J Trace Elem Med Biol 2023; 80: 127315.
40.    Gur C, Kandemir FM, Caglayan C, Satıcı E. Chemopreventive effects of hesperidin against paclitaxel-induced hepatotoxicity and nephrotoxicity via amendment of Nrf2/HO-1 and caspase-3/Bax/Bcl-2 signaling pathways. Chem Biol Interact 2022; 365: 110073.
41.    Kankılıç NA, Şimşek H, Akaras N, Gür C, İleritürk M, Küçükler S, et al. Protective effects of naringin on colistin‐induced damage in rat testicular tissue: Modulating the levels of Nrf‐2/HO‐1, AKT‐2/FOXO1A, Bax/Bcl2/Caspase‐3, and Beclin‐1/LC3A/LC3B signaling pathways. J Biochem Mol Toxicol 2024; 38: e23643.
42.    Kankılıç NA, Şimşek H, Akaras N, Gür C, Küçükler S, İleritürk M, et al. The ameliorative effects of chrysin on bortezomib-induced nephrotoxicity in rats: Reduces oxidative stress, endoplasmic reticulum stress, inflammation damage, apoptotic and autophagic death. Food Chem Toxicol 2024; 190: 114791.
43.    Akaras N, Gür C, Caglayan C, Kandemir FM. Protective effects of naringin against oxaliplatin-induced testicular damage in rats: Involvement of oxidative stress, inflammation, endoplasmic reticulum stress, apoptosis, and histopathology. Iran J Basic Med Sci 2024; 27: 466-474.
44.    Gur C, Akarsu SA, Akaras N, Tuncer SC, Kandemir FM. Carvacrol reduces abnormal and dead sperm counts by attenuating sodium arsenite‐induced oxidative stress, inflammation, apoptosis, and autophagy in the testicular tissues of rats. Environ Toxicol 2023;38:1265-1276.
45.    Semis HS, Gur C, Ileriturk M, Kandemir FM, Kaynar O. Evaluation of therapeutic effects of quercetin against Achilles tendinopathy in rats via oxidative stress, inflammation, apoptosis, autophagy, and metalloproteinases. Am J Sports Med 2022; 50: 486-498.
46.    Kızıl HE, Caglayan C, Darendelioğlu E, Ayna A, Gür C, Kandemir FM, et al. Morin ameliorates methotrexate-induced hepatotoxicity via targeting Nrf2/HO-1 and Bax/Bcl2/caspase-3 signaling pathways. Mol Biol Rep 2023; 50: 3479-3488.
47.    Şimşek H, Küçükler S, Gür C, İleritürk M, Aygörmez S, Kandemir FM. Protective effects of zingerone against sodium arsenite-induced lung toxicity: A multi-biomarker approach. Iran J Basic Med Sci 2023; 26: 1098-1106.
48.    Mostafa RE, El-Marasy SA, Jaleel GAA, Bakeer RM. Protective effect of royal jelly against diclofenac-induced hepato-renal damage and gastrointestinal ulcerations in rats. Heliyon 2020; 6: e03330.
49.    Akcılar R, Akcılar A, Koçak C, Koçak FE, Bayat Z, Şimşek H, et al. Effects of Ukrain on intestinal apoptosis caused by ischemia-reperfusion injury in rats. Int J Clin Exp Med 2015; 8: 22158-22166.
50.    Güçlü A, Erken HA, Erken G, Dodurga Y, Yay A, Özçoban Ö, et al. The effects of ozone therapy on caspase pathways, TNF-α, and HIF-1α in diabetic nephropathy. Int Urol Nephrol 2016; 48: 441-450.
51.    Ekinci Akdemir FN, Yildirim S, Kandemir FM, Aksu EH, Guler MC, Kiziltunc Ozmen H, et al. The anti-apoptotic and anti-oxidant effects of eugenol against cisplatin‐induced testicular damage in the experimental model. Andrologia 2019; 51: e13353.
52.    Ileriturk M, Ileriturk D, Kandemir O, Akaras N, Simsek H, Erdogan E, et al. Naringin attenuates oxaliplatin‐induced nephrotoxicity and hepatotoxicity: A molecular, biochemical, and histopathological approach in a rat model. J Biochem Mol Toxicol 2024; 38: e23604.
53.    Şimşek H, Demiryürek Ş, Demir T, Atabay HD, Çeribasi AO, Bayraktar R, et al. Assessment of expressions of Bcl-XL, b-FGF, Bmp-2, Caspase-3, PDGFR-α, Smad1 and TGF-β1 genes in a rat model of lung ischemia/reperfusion. Iran J Basic Med Sci 2016; 19: 209-214.
54.    Şimşek H, Gür C, Küçükler S, İleritürk M, Akaras N, Öz M, et al. Carvacrol reduces mercuric chloride-induced testicular toxicity by regulating oxidative stress, inflammation, apoptosis, autophagy, and histopathological changes. Biol Trace Elem Res 2024; 202: 4605-4617.
55.    Orabi SH, Abd Eldaium D, Hassan A, El Sabagh HS, Abd Eldaim MA. Allicin modulates diclofenac sodium induced hepatonephro toxicity in rats via reducing oxidative stress and inflammatory biomarkers. Environ Toxicol 2023; 38: 2214-2224.
56.    Akaras N, Ileriturk M, Gur C, Kucukler S, Oz M, Kandemir FM. The protective effects of chrysin on cadmium-induced pulmonary toxicity; a multi-biomarker approach. Environ Sci Pollut Res 2023; 30: 89479-89494.
57.    Cakmak F, Kucukler S, Gur C, Comakli S, Ileriturk M, Kandemir FM. Morin provides therapeutic effect by attenuating oxidative stress, inflammation, endoplasmic reticulum stress, autophagy, apoptosis, and oxidative DNA damage in testicular toxicity caused by ifosfamide in rats. Iran J Basic Med Sci 2023; 26: 1227-1236.
58.    Gur C, Kandemir FM. Molecular and biochemical investigation of the protective effects of rutin against liver and kidney toxicity caused by malathion administration in a rat model. Environ Toxicol 2023; 38: 555-565.
59.    Şimşek H, Küçükler S, Gür C, Akaras N, Kandemir FM. Protective effects of sinapic acid against lead acetate-induced nephrotoxicity: A multi-biomarker approach. Environ Sci Pollut Res 2023; 30: 101208-101222.
60.    Akcılar R, Akcılar A, Şimşek H, Koçak FE, Koçak C, Yümün G, et al. Hyperbaric oxygen treatment ameliorates lung injury in paraquat intoxicated rats. Int J Clin Exp Pathol 2015; 8:13034-13042.
61.    Taştan Bal T, Akaras N, Demir Ö, Ugan RA. Protective effect of astaxanthin and metformin in the liver of rats in which the polycystic ovary syndrome model was formed by giving letrozole. Iran J Basic Med Sci 2023; 26: 688-694.
62.    Akaras N, Bal T, Atilay H, Selli J, Halici MB. Protective effects of agomelatine on testicular damage caused by bortezomib. Biotech Histochem 2017; 92: 552-559.
63.    Semis HS, Kandemir FM, Kaynar O, Dogan T, Arikan SM. The protective effects of hesperidin against paclitaxel-induced peripheral neuropathy in rats. Life Sci 2021; 287: 120104.
64.    Yılmaz S, Küçükler S, Şimşek H, Aygörmez S, Kandemir FM. Naringin protects against colistin-induced sciatic nerve damage by reducing oxidative stress, apoptosis and inflammation damage. J Exp Clin Med 2024; 41: 53-59.
65.    Motawi TK, Ahmed SA, El-Boghdady NA, Metwally NS, Nasr NN. Protective effects of betanin against paracetamol and diclofenac induced neurotoxicity and endocrine disruption in rats. Biomarkers 2019; 24: 645-651.
66.    El-Megharbel SM, Al-Salmi FA, Al-Harthi S, Alsolami K, Hamza RZ. Chitosan/selenium nanoparticles attenuate diclofenac sodium-induced testicular toxicity in male rats. Crystals 2021; 11: 1477-1488.
67.    Vyas A, Purohit A, Ram H. Assessment of dose-dependent reproductive toxicity of diclofenac sodium in male rats. Drug Chem Toxicol 2019; 42: 478-486.