ORIGINAL ARTICLE Antioxidant effect of manganese on the testis structure and sperm parameters of formalin-treated mice S. Tajaddini1, S. Ebrahimi2, B. Behnam3,4, M. Bakhtiyari3,5, M. T. Joghataei3,5, M. Abbasi5, M. Amini3, S. Amanpour6 & M. Koruji3,5 1 2 3 4 5 6 Department of Basic Sciences, Payame Noor University, Iran; Department of Basic Sciences, Payame Noor University, Iran; Cellular and Molecular Research Center, Tehran University of Medical Sciences, Tehran, Iran; Department of Medical Genetics and Molecular Biology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Department of Anatomical Science, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Vali-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran Keywords Formaldehyde—manganese—sperm parameters—testicular structure Correspondence Morteza Koruji, Cellular and Molecular Research Center and Department of Anatomical Sciences, School of Medicine, Tehran University of Medical Sciences, Hemmat Highway, PO Box 14155-5983, Tehran, Iran. Tel.: +98 21 86704603; Fax: +98 21 88058689; E-mail: [email protected] Accepted: December 12, 2012 doi: 10.1111/and.12069 Summary Manganese inhibits oxidative stress damage. The aim of this study was to investigate the protective role of manganese on testis structure and sperm parameters in adult mice exposed to formaldehyde (FA). Twenty adult male NMRI mice were selected and randomly divided into four groups: (i) control; (ii) sham; (iii) ‘FA’-exposed group; and (iv) ‘FA and manganese chloride’exposed group. The FA-exposed groups received 10 mg kg1 FA daily for 14 days, and manganese chloride was just injected intraperitoneally 5 mg kg1 on 2nd weeks. Mice were sacrificed, and spermatozoa were collected from the cauda of the right epididymis and analysed for count, motility, morphology and viability. The other testicular tissues were weighed and prepared for histological examination upon removal. Seminiferous tubules, lumen diameters and epithelium thickness were also measured. The findings revealed that FA significantly reduced the testicular weight, sperm count, motility, viability and normal morphology compared with control group (P 0.05). In addition, seminiferous tubules atrophied and seminiferous epithelial cells disintegrated in the FA group in comparison with the control group (P 0.05). However, manganese improved the testicular structure and sperm parameters in FA-treated mice testes (P 0.05). According to the results, manganese may improve and protect mice epididymal sperm parameters and testis structure treated with FA respectively. Introduction Spermatogenesis is a complex process of cellular changes by which the spermatogonial stem cells begin to differentiate to mature spermatozoa. It also includes mitotic, meiotic and post-meiotic phases (Kolasa et al., 2012). Spermatogenesis begins 5–7 days and 10–13 years after birth in rodents and humans respectively (Dym et al., 2009), and continues throughout adult lifetime (McLean, 2005). One-tenth of couples worldwide are affected by reduced fertility, and infertile men account for about half of these cases (Okabe et al., 1998). Among numerous factors that influence male fertility, oxidative stress has been 246 reported as one of the most effective factors on semen quality (Tuncer et al., 2010) that has an important impact on the motility and fertilising ability of spermatozoa (Aydemir et al., 2006). Formaldehyde (FA) (CH2O) is an important chemical for the global economy and is considered as a ubiquitous environmental pollutant. It is widely used in domestic and work environments including cosmetics, heating and cooking emissions, hospitals, industrial settings, dissecting room for fixing cadavers and routine histology and histopathology techniques (Ye et al., 2005; Gules & Eren, 2010). Various studies indicated the harmful effects of FA on the reproduction, respiratory and haematological systems © 2013 Blackwell Verlag GmbH Andrologia 2014, 46, 246–253 S. Tajaddini et al. (Collins, 2004; Ye et al., 2005; Zhou et al., 2006b). Some studies on mice demonstrated that formaldehyde usage can lead to testicular atrophy and decreases testes weight, diameter of seminiferous tubules and seminiferous epithelial height (Ye et al., 2005; Golalipour et al., 2007; Gules & Eren, 2010). It decreases the motility and number of spermatozoids (Golalipour et al., 2007). FA exposure can also inhibit spermatogenesis and induce apoptosis of spermatogenetic cells in testicular tissue (Ozen et al., 2002; Cheng et al., 2003; Tang et al., 2003; Zhou et al., 2006b,c). FA induces cellular injury and oxidative damage in many tissues by increasing the production of reactive oxygen species (ROS) (Zhou et al., 2006b). To date, antioxidants have been used to reduce the oxidative stress that breaks the oxidative chain reaction (Miller et al., 1993; Chen et al., 2006; Bilaspuri & Bansal, 2008; Elbetieha et al., 2011). Manganese chloride, a well-known antioxidant, plays an important role in scavenging free oxygen radicals and stabilising the cell membranes (Chen et al., 2006; Elbetieha et al., 2011). Manganese is able to quench the peroxyl radicals and acts as a chain breaking antioxidant. Some studies indicated that manganese – as a potent inhibitor of oxidative stress – can reduce the oxidative stress and improve sperm motility or semen quality under in vitro conditions (Lapointe et al., 1996; Bansal & Bilaspuri, 2008; Bilaspuri & Bansal, 2008; Cheema et al., 2009). Eybl & Kotyzova (2010) showed that Mn2+ pre-treatment in acute cadmium intoxication significantly protects testes against oxidative damage in vivo. Although in vivo antioxidant effects of Mn2+ (including lipid peroxidation, antioxidant defence system and cadmium distribution in the tissues of mice) have been indicated, its impact on sperm parameters and testes structure remained to be clarified. Therefore, this study was designed to investigate effects of manganese pre-treatment on the mouse sperm profile and testes structure in a model of formalin treated and to answer the question whether Mn2+ can reverse the effects of formalin. Material and methods Animals Fifty adult male NMRI mice (ages of 6–8 weeks, weight 30–35 g) were purchased from Pasture’s Institute (Tehran, Iran) and kept at the animal house of Tehran University of Medical Sciences (Tehran, Iran). The animals were housed in plastic cages at 12-h light/dark cycle, 22 °C and fed with standard commercial laboratory chew and water. Five animals were housed in a cage to prevent overcrowding. The research was conducted in accordance with the National Research Council guidelines. © 2013 Blackwell Verlag GmbH Andrologia 2014, 46, 246–253 Manganese treatment in formalin-treated mice Selection of optimal dose for manganese chloride To determine optimal and toxic amounts of manganese chloride and formaldehyde, different doses were injected. The animals were segregated into six groups each consisting of five male mice (n = 30, 6–8 weeks old). Formaldehyde and manganese chloride were injected to the animals intraperitoneally (10 and 15 mg kg1) for 14 days and 5, 10, 20 and 30 mg kg1 respectively. Experimental design The animals (n = 20, 6–8 weeks old) were randomly divided into four groups each consisting of five male mice including: (i) control group: mice have normal mode, (ii) sham group: mice intraperitoneally received physiological saline (Samen Pharmaceutical Co., Mashhad, Iran) for 2 weeks (one spermiogenesis period in mice), (iii) single FA treatment group (FAt): mice intraperitoneally received 10 mg kg1 FA for 14 days (Merck, Darmstadt, Germany) (twice per day) and (iv) combined manganese chloride and FA-treated group (FAt-Mn2+): mice intraperitoneally received manganese chloride (Merck) at the dose of 5 mg kg1 per day in 2nd weeks and exposed to FA by administration at a dose of 10 mg kg1 (twice per day) for 2 weeks. Results from five separate experiments were used for all groups. Epididymal sperm parameters The mice were sacrificed by cervical dislocation following treatments. The caudae of the right epididymes were excised and minced and incubated in a pre-warmed Petri dish containing 1 ml of phosphate-buffered saline (PBS, pH = 7.4) at 37 °C. The spermatozoon was allowed to disperse (20–25 min), and sperm suspension was analysed under light microscope at a magnification of 9400. The sperm profile was assessed according to criteria of the World Health Organization (fifth edition) with modification (Khaki et al., 2008, 2009; Awodele et al., 2010; Eybl & Kotyzova, 2010). To determine the percentage of motile spermatozoa, the suspension was prepared by repipetting. One drop of the suspension was placed on a clean glass slide for film recording with a video microscope (Olympus, Tokyo, Japan). At least five fields from each slide were recorded with camera for sperm motility assessment via analysing the recorded films and counting progressive, nonprogressive and immotile spermatozoa graded from 0 to II. Viability was assessed by eosin B staining (0.5% in saline). Twenty microlitre sample of the sperm suspension was placed on a glass slide, mixed with 7-ll eosin and observed under a light microscope (9400 magnification). 247 Manganese treatment in formalin-treated mice S. Tajaddini et al. Live spermatozoa remained colourless following staining, whereas red sperm heads were considered and classified as dead. Morphology of 200 sperm heads was counted from each sample in five fields of vision randomly, and the percentage of live spermatozoa was recorded. For sperm counting, 1 ml of the sperm suspension was diluted with 1 ml of formaldehyde fixative (10% formalin in PBS). Ten microlitre from the diluted solution was transferred into a haemocytometer (Thoma, assistant Sondheim/Rhön, Germany), and sperm count was evaluated per 250 small squares of a haemocytometer. To assay sperm morphology, smears were prepared from the sperm suspension (10 ll) and stained with the Papanicolaou method. The morphology of 200 spermatozoa was observed under 91000 oil immersion lens. With the staining, the nuclei turn blue, and acrosome and tail become pink. Abnormal morphology was counted from each sample in five fields of vision randomly, and percentage of abnormal morphology was recorded categorised into three groups including head, neck and tail abnormality. Morphological analysis of testes For histological study, the right-side testes were dissected, weighed, fixed in a fresh Bouin’s solution for 24 h and finally dehydrated and embedded in paraffin. Then, 5-lm sections were cut and stained with haematoxylin–eosin (H&E) protocol. The pictures of the specimens were taken, and the diameters of seminiferous tubules and lumen in addition to the height of seminiferous epithelium were measured utilising the camera microscope (Olympus) and Software Image J (version 1.240; National Institutes of Health, USA). For each testis, above-mentioned parameters were measured in 100 randomly selected round or nearly round tubular profiles. Measuring the change in body weight, testis weight and gonadosomatic index (GSI) To determine the changes in body weight (at the beginning of the experiment), each of the male mice was weighed before being anaesthetised. After washing the testis, their weight was measured. The ratio of the weight of both testicles to the body weight was calculated, and the percentage was determined and recorded as GSI. Statistical analysis Differences between groups were determined using one-way analysis of variance (ANOVA) followed Tukey’s tests. The results are presented as mean and were regarded as being significant at P 0.05. 248 an by SD All calculations were performed using the software version 16.0 (SPSS Inc., Chicago, IL, USA). SPSS, Results Optimal dose for manganese chloride In these studies, the doses were selected based on the mortality rate of mice. A comparison among FA-exposed (10 and 15 mg kg1) and control groups indicated that mortality rates were increased at 15 mg kg1, statistically and significantly. Most deaths occurred during 1st week of the study. Overall survival rates at the end of 14th day were 80% and 20% for the doses 10 and 15 mg kg1 compared to the control group (100%) respectively. So, the dose of 10 mg kg1 FA was picked up for the study. Also, at the several high doses of MnCl2 (10, 20, 30 mg kg1), many mice died in 1st week (7 days of treatment). Survival rates at the end of 14th day were 100%, 25%, 25% and 20%, at 5, 10, 20 and 30 mg kg1 (MnCl2) and control groups respectively. At the adequate doses (10 mg kg1 FA and 5 mg kg1 MnCl2), all animals were survived. Therefore, assessments were just performed in low optimal doses. Testicular weight, body weight and gonadosomatic index (GSI) As shown in Table 1, upon sacrificing the mice, the mean (testicular and body) weights were (0.19 0.01, 5.25 0.5), (0.16 0.01, 0.82 0.4), (0.19 0.01, 5.74 1.1) g in the ‘control’, ‘FA’ and ‘FA+Mn2+’groups respectively. The testicular and body weights of mice were significantly decreased in mice of FA groups in comparison with those in the control group (P 0.05). However, treatment with Mn2+ prevented this decline of testicular weight (P 0.05) significantly. Meanwhile, the testicular and body weights showed a significant increase in the ‘FA+Mn2+’ group compared with FA group Table 1 The effects of manganese on testis weight, body weight and GSI (gonadosomatic index) in adult mice exposed to formaldehyde Groups Testis weight (g) Control Sham FA FA+Mn2+ 0.38 0.37 0.33 0.38 0.02 0.01 0.03* 0.01 Body weight (g) 5.25 6.48 0.82 5.74 0.5 2.4 0.4* 1.1 GSI 1.08 1.06 0.10 1.03 0.09 0.07 0.11 0.07 Results from five separate experiments were used for all groups. Values are the mean SD at different times. *Significant difference versus other groups in the same column (P 0.05). © 2013 Blackwell Verlag GmbH Andrologia 2014, 46, 246–253 S. Tajaddini et al. Manganese treatment in formalin-treated mice (P 0.05). In all groups, differences in GSI were not significant. Epididymal sperm analysis Sperm count, motility, viability and rate of normal morphology showed a significant decrease in the FA-treated group compared to the control group (Table 2) (P 0.05). Although treatment with Mn2+ significantly prevented the decline of sperm quantity and quality in ‘FA+Mn2+’ group (P 0.05), the sperm profiles were not the same as in the control group. In the ‘FA+Mn2+’ group, sperm count, motility, viability and normal morphology significantly increased compared to FA group (P 0.05). The results showed a high level of abnormality in the sperm tail in mice exposed to FA compared to the control group (Table 3, Fig. 1). Morphological analysis of testes Histological examinations of the testes revealed that there were significant histological changes in mice testes in the FA group (Table 4, Fig. 2). In this group, the diameters of testicular seminiferous and epithelial tubules significantly decreased compared to the control group (P 0.05). However, in the ‘FA+Mn2+’ groups, Table 2 The effects of manganese on sperm profile in adult mice exposed to FA Groups Sperm viability (%) Control Sham FA FA+Mn2+ 86.02 82.76 35.63 66.73 1.2 6.6 1.7* 6.3** Sperm motility (%) 64.47 62.98 23.22 43.48 2.6 4.7 7.7* 1.5** Sperm count 9106 17.18 16.60 5.89 13.76 0.43 0.66 0.18* 0.36*,** Normal morphology (%) 81.26 83.95 15.91 86.25 3.0 3.0 4.6* 4.6 Results from five separate experiments were used for all groups. Values are the mean SD at different times. *Significant difference versus other groups in the same column (P 0.05). **Significant difference versus control group in the same column (P 0.05). Table 3 The effects of manganese on sperm morphology in adult mice exposed to FA Groups Normal (%) Control Sham FA FA+Mn2+ 81.25 84.46 15.92 84.53 3.08 4.10 4.69* 3.57 Head abnormal (%) 0.33 0.51 2.99 0.69 0.22 0.38 1.26* 1.16 Neck abnormal (%) 1.20 2.11 2.78 1.03 0.82 2.11 2.70 0.94 Tail abnormal (%) 17.22 12.92 78.32 13.75 2.84 1.78 5.82* 3.10 Results from five separate experiments were used for all groups. Values are the mean SD at different times. *Significant difference versus other groups in the same column (P 0.05). Fig. 1 Different types of sperm shape abnormality. Sperm suspension was smeared onto glass slides and stained using the method of Papanicolaou. Spermatozoa were counted and categorised as normal, head abnormal, neck abnormal and tail abnormal spermatozoa. © 2013 Blackwell Verlag GmbH Andrologia 2014, 46, 246–253 249 Manganese treatment in formalin-treated mice S. Tajaddini et al. Table 4 The effect of manganese on testis structure in adult mice exposed to formaldehyde Groups Seminiferous tubule (lm) Control Sham FA FA+Mn2+ 195.64 196.93 164.95 209.35 13.4 6.4 9.4* 20.3 Seminiferous lumen (lm) 86.57 76.17 112.46 74.74 Seminiferous epithelial (lm) 9.9 5.03 11.0* 11.6 109.08 120.74 52.49 134.61 9.4 6.2 16.7* 14.0 Results from five separate experiments were used for all groups. Values are the mean SD at different times. *Significant difference versus other groups in the same column (P 0.05). (a) (b) (c) (d) Fig. 2 Morphology of tubules in the testis of (a) control, (b) sham and (c) FAt and (d) FAt + Mncl2 groups. Depleted and abnormal tubules without spermatozoa were observed in germinal epithelium of formalin-treated testis group (asterisk). Histological examinations of the testes FAt + Mncl2 group revealed that administration of manganese prevented from damage effects of FA (d). Scale bar = 200 lm. the diameters of seminiferous and epithelial tubules significantly increased compared to the FA group (P 0.05). Discussion The present study confirms previous findings that testicular weight, epididymal sperm parameters, diameter of seminiferous tubules and epithelium height were decreased in formalin-treated mice and that administration of manganese was associated with an increase in sperm parameters and testicular changes. During mouse spermatogenesis, round spermatids mature in 16 distinct steps via elongated spermatids to mature spermatozoa. Because it takes 13.5 days for mature spermatozoa to appear in the lumen of the seminiferous tubules (Russell et al., 1990), the mice received formaldehyde for 14 days intraperitoneally in this study. In previous studies, to determine the sperm profiles, histopathological and morphometric changes in the testis, experimental animals were exposed to formaldehyde for 250 5 days to 18 weeks (Tang et al., 2003; Zhou et al., 2006b; Golalipour et al., 2007). In the present study, epididymal sperm parameters decreased in formalin-treated mice and administration of manganese was associated with an increase in sperm parameters. Previous study showed that administered (Majumder & Kumar, 1995; Tang et al., 2003) and inhaled (Zhou et al., 2006b) formaldehyde decreased the motility, viability and number of spermatozoid cells in experimental animals. Also, in vitro exposure of semen to formaldehyde inhibited sperm motility and viability (Majumder & Kumar, 1995). Various studies showed that formaldehyde increases the production of ROS in many tissues (Gurel et al., 2005; Saito et al., 2005; Zhou et al., 2006b) including testicular tissue (Gules & Eren, 2010). Excessive free radicals in testis increase germ cell apoptosis and inhibit the activity of spermatozoa (Fujii et al., 2003; Ozen et al., 2005; Zhou et al., 2006b). The mechanism by which formaldehyde deteriorates the sperm profile has been elucidated. High levels of ROS are linked with lipid peroxidation of the sperm outer © 2013 Blackwell Verlag GmbH Andrologia 2014, 46, 246–253 S. Tajaddini et al. membrane, which in turn leads to loss of motility (Urata et al., 2001), decreased sperm–oocyte fusion capacity (Aitken, 1994) and increased chromatin damage (Aitken & Krausz, 2001). Interference in processes of membrane ion exchange and its enzymes decrease sperm motility (Woo et al., 2000; Garcia et al., 2010). ROS also inhibits intracellular enzyme; therefore, ATP cannot be available for sperm motility (Woo et al., 2000; Bilodeau et al., 2002; Arabi et al., 2003). On the other hand, the changes inducing peroxidation of sperm membrane components result in reduced enzymatic activity of Na/K-ATPase (as an ion pump involved in the movement) and ultimately declined sperm motility (Woo et al., 2000). Manganese chloride as an antioxidant plays an important role in consuming free oxygen radicals and stabilising the cell membranes (Chen et al., 2006; Elbetieha et al., 2011). Previous studies demonstrated that Mn2+ supplementation increases the level of cAMP and improves movements or flagellar beating of spermatozoa (Bilaspuri & Bansal, 2008). Increase in the level of cAMP can also stimulate the Ca2+ uptake by the cell and increase the level of intracellular calcium (Ca2þ i ) (Guraya, 2000). At a higher level, increases membrane integrity and viability. In this Ca2þ i study, the effect of manganese was similar to results obtained by some other studies reporting a protection of epididymal sperm characteristics by manganese (Lapointe et al., 1996; Bilaspuri & Bansal, 2008; Eybl & Kotyzova, 2010; Elbetieha et al., 2011). In our study, the sperm morphology assay showed that sperm abnormality in general and abnormal sperm tail, in particular, increased in formalin-treated mice. However, abnormal sperm rate decreased following the manganese treatment. Abnormal sperm tail may propose some damage in proteins that is involved in the movements or flagellar/ciliary beating of spermatozoa (Lindemann & Goltz, 1988; Bilaspuri & Bansal, 2008). Also, the rate of sperm head abnormality may indicate formaldehyde general toxicity on germ cells and their genetic materials (Sikka, 1996; Tarin et al., 2000; Jauniaux et al., 2003; Tang et al., 2003; Saito et al., 2005). Tramer et al. (1998) showed that ROS cause lipid peroxidation of sperm cell membranes, hence damaging the mid piece, axonemal structure or disrupting the capacitation and acrosomal reaction, which finally results in infertility. In this study, manganese had more likely a protective effect on spermatozoa against ROS in formaldehyde-treated mice. There could be concordance between our finding and those reported previously (de Lamirande & Gagnon, 1995; Zhou et al., 2006c). In this study, it has also been demonstrated that formaldehyde exposure decreased diameter of seminiferous tubules and epithelium height in the testis of mouse and while manganese prevented these testicular deteriorations. © 2013 Blackwell Verlag GmbH Andrologia 2014, 46, 246–253 Manganese treatment in formalin-treated mice Cytotoxic effect of formaldehyde has been shown in the spermatogenesis process and seminiferous tubules (Zhou et al., 2006b,c, 2011). Feldman (1973) reported that intraperitoneal administration of formaldehyde caused the arrest of nucleic acid synthesis and proteins. Previous investigators demonstrated that intraperitoneal administration (Tang et al., 2003) and inhalation (Zhou et al., 2006a; Golalipour et al., 2007) of formaldehyde resulted in some anatomical disturbances in the testes. These abnormal changes include a decrease in the number or degeneration of spermatogenic cells and Leydig cells, atrophy of the seminiferous tubules and disorganisation of the seminiferous epithelial cells. These investigations are supported and interpreted by the recent findings in this study. Because formaldehyde decreases the effectiveness of the testicular antioxidant system (Zhou et al., 2006b), we conclude that administration of manganese chloride may scavenge directly free radical and protect the spermatogenic cells and testicular structure. In summary, the present study shows that manganese chloride systemic administration improves epididymal sperm profile and prevents testes morphological changes in formalin-treated mice. It is also shown that systemic administration of manganese chloride in low doses is much more effective than its higher doses. Therefore, for patients who fail to become fertile following working in formalin environments, manganese chloride treatment or vegetables containing manganese feeding might be a promising therapeutic and/or a preventive option and a more economical method. Of course, this is a preliminary investigation and further studies are necessary to clarify its effects on human testes and male fertility. Acknowledgements We appreciate the administrative contributions of Dr Z. Mazaheri, M. Bakhshayesh, F. Esmaili, M. Hadadi, Z. Fathi, S. Shabani and P. Hayat to this study. 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