Diabetes mellitus in human and animal models has been correlated with low sperm count, testicular abnormalities, high levels of germ cell death, and oxidative stress. In this study, we focus on three questions: (1) Is germ cell apoptosis stage-specific in diabetic male rats? (2) Could ascorbic acid (AA) reverse oxidative and histological damage and restore testicular dysfunction? (3) Could AA treatment restore fertility parameters in diabetic rats? Adult Sprague-Dawley rats were divided into four groups: control, diabetic, control plus AA, and diabetic plus AA. Seminiferous tubules underwent severe histological damage, together with a change in frequency of some stages of the seminiferous cycle, and germ cell apoptosis was increased in a stage-dependent manner in diabetic rats. We found a significant decrease in testosterone and higher levels of lipid peroxidation in diabetic rats when compared with controls. A major finding was that AA reversed the histological damage and peroxidation levels to control levels in diabetic rats, but testosterone levels remained unchanged. The pregnancy rate was decreased in females that mated with diabetic rats and those treated with AA, but the litter size was only reduced in the second case. Interestingly, spermatozoa from diabetic and AA-treated rats showed reduced motility and hyperactivation, but only diabetic rats had higher levels of apoptosis when compared with controls. These results suggest that treatment with AA reverses testicular damage in diabetic rats but is insufficient to restore testosterone levels, sperm motility, and fertility in a rat model.

译文

人和动物模型中的糖尿病与精子数量低,睾丸异常,生殖细胞死亡水平高和氧化应激有关。在这项研究中,我们关注三个问题:(1)糖尿病雄性大鼠生殖细胞凋亡是否具有阶段特异性? (2)抗坏血酸(AA)能逆转氧化和组织损伤并恢复睾丸功能障碍吗? (3)AA治疗能恢复糖尿病大鼠的生育能力吗?将成年的Sprague-Dawley大鼠分为四组:对照组,糖尿病,对照组加AA和糖尿病加AA。曲细精管经历了严重的组织学损伤,并伴有曲细精循环某些阶段的频率变化,并且在糖尿病大鼠中生殖细胞凋亡以阶段依赖性的方式增加。我们发现与对照组相比,糖尿病大鼠睾丸激素显着降低,脂质过氧化水平更高。一个主要发现是,AA使糖尿病大鼠的组织学损伤和过氧化水平逆转至对照水平,但睾丸激素水平保持不变。与糖尿病大鼠交配的雌性和接受AA治疗的雌性,其妊娠率降低,但仅在第二种情况下,其产仔数减少。有趣的是,来自糖尿病和AA治疗的大鼠的精子显示出降低的运动性和过度激活,但是与对照组相比,只有糖尿病大鼠具有更高的细胞凋亡水平。这些结果表明,AA治疗可以逆转糖尿病大鼠的睾丸损伤,但不足以恢复大鼠模型中的睾丸激素水平,精子活动性和受精能力。

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