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Adverse Effects of Anabolic-Androgenic Steroids: A Literature Review. Healthcare (Basel) 2021; 9:healthcare9010097. [PMID: 33477800 PMCID: PMC7832337 DOI: 10.3390/healthcare9010097] [Citation(s) in RCA: 55] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Revised: 01/03/2021] [Accepted: 01/11/2021] [Indexed: 12/19/2022] Open
Abstract
Anabolic-androgenic steroids (AASs) are a large group of molecules including endogenously produced androgens, such as testosterone, as well as synthetically manufactured derivatives. AAS use is widespread due to their ability to improve muscle growth for aesthetic purposes and athletes’ performance, minimizing androgenic effects. AAS use is very popular and 1–3% of US inhabitants have been estimated to be AAS users. However, AASs have side effects, involving all organs, tissues and body functions, especially long-term toxicity involving the cardiovascular system and the reproductive system, thereby, their abuse is considered a public health issue. The aim of the proposed review is to highlight the most recent evidence regarding the mechanisms of action of AASs and their unwanted effects on organs and lifestyle, as well as suggesting that AAS misuse and abuse lead to adverse effects in all body tissues and organs. Oxidative stress, apoptosis, and protein synthesis alteration are common mechanisms involved in AAS-related damage in the whole body. The cardiovascular system and the reproductive system are the most frequently involved apparatuses. Epidemiology as well as the molecular and pathological mechanisms involved in the neuropsychiatric side-effects of AAS abuse are still unclear, further research is needed in this field. In addition, diagnostically reliable tests for AAS abuse should be standardized. In this regard, to prevent the use of AASs, public health measures in all settings are crucial. These measures consist of improved knowledge among healthcare workers, proper doping screening tests, educational interventions, and updated legislation.
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Santos LCDS, Lapa Neto CJC, Santos AMGD, Marinho KSDN, Nascimento BJD, Alves ER, Teixeir ÁAC, Wanderley-Teixeira V. Immunohistochemical and histophysiological study of prolonged use of nandrolone on reproductive organs and fertility. Biotech Histochem 2020; 96:468-486. [PMID: 32981356 DOI: 10.1080/10520295.2020.1822545] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
We investigated possible changes in morphology and immunohistochemistry of the uterus and ovaries of rats caused by nandrolone (ND); we also investigated effects on fertility. We used 30 rats divided into three experimental groups: control (C), control vehicle (CV) and 5 mg/kg ND. Rats treated with ND exhibited loss of estrous cyclicity with predominance of the estrus phase, increased body weight and an organosomatic index that was decreased for the ovaries, but increased for the uterus. In the ovary, we observed a reduction in primary and secondary follicles and an increase in tertiary follicles; no corpora lutea were observed. Estrogen and progesterone levels were reduced. In the uterus, the endometrium was edematous with hyperplasic glands. The cytokines, TNFα and IL6, and the apoptotic index were increased in rats treated with ND. VEGF-A was increased in the ovaries and decreased in the uterus. We conclude that ND disrupts ovarian and uterine histophysiology by establishing an anovulatory and inflammatory condition, which directly affects reproduction.
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Affiliation(s)
| | | | | | | | - Bruno José do Nascimento
- Department of Animal Morphology and Physiology, Rural Federal University of Pernambuco, Recife, Brazil
| | - Erique Ricardo Alves
- Department of Animal Morphology and Physiology, Rural Federal University of Pernambuco, Recife, Brazil
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Santana Oliveira AJ, Batista e Silva LL, Barin FR, Leite Pereira EC, Selistre-de-Araujo HS, de Cássia Marqueti R. Detraining and Anabolic-Androgenic Steroid Discontinuation Change Calcaneal Tendon Morphology. J Funct Morphol Kinesiol 2018; 4:jfmk4010001. [PMID: 33467316 PMCID: PMC7739234 DOI: 10.3390/jfmk4010001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Revised: 12/14/2018] [Accepted: 12/19/2018] [Indexed: 11/16/2022] Open
Abstract
Several side effects of anabolic-androgenic steroid (AAS) administration associated with training are reported in the biomechanical properties of the calcaneal tendon (CT) of rats. Thus, the aim of the present study is to evaluate the effects of the detraining and discontinuation of AAS administration on the CT morphology of rats submitted to exercise in water. Animals were divided into two groups (20/group): (1) Immediately after training (IA), and (2) Six weeks of detraining and AAS discontinuation (6W). The IA group included four subgroups: Sedentary (S), Trained (T), Sedentary with AAS administration (SAAS), and trained with AAS administration (TAAS). The 6W group included four subgroups: Sedentary (6W-S), six weeks of detrained (6W-T), six weeks of sedentary with AAS discontinuation (6W-SAAS), and six weeks of detrained with AAS discontinuation (6W-TAAS). Data show significant reduction in adipose cells volume density (Vv%) in the distal CT in 6W-TAAS group, indicating that training can exert a positive effect on the tendon. The 6W-SAAS group exhibited increased adipose cells Vv% in the distal region, compared with the W6-S and W6-T groups. A decrease in tendon proper cells Vv% and in peritendinous sheath cells Vv% of proximal and distal regions was also observed. In 6W-TAAS group showed increase in adipose cells, blood vessels, peritendinous sheath cells, and tendon proper cells Vv% in the distal region of the CT. The vertical jumps in water were not able to protect CT regions from the negative effects of AAS discontinuation for six weeks. However, after detraining and AAS discontinuation, many protective factors of the mechanical load in the long-term could be observed.
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Affiliation(s)
| | | | | | | | | | - Rita de Cássia Marqueti
- Faculty of Ceilândia, University of Brasília, Brasília, DF 72220-275, Brazil
- Correspondence: ; Tel.: +55-61-3107-8419
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Sretenovic J, Ajdzanovic V, Zivkovic V, Srejovic I, Corbic M, Milosevic V, Jakovljevic V, Milosavljevic Z. Nandrolone decanoate and physical activity affect quadriceps in peripubertal rats. Acta Histochem 2018; 120:429-437. [PMID: 29759662 DOI: 10.1016/j.acthis.2018.04.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 04/27/2018] [Accepted: 04/30/2018] [Indexed: 02/06/2023]
Abstract
Anabolic androgenic steroids (AASs) are synthetic analogs of testosterone often used by athletes to increase the skeletal muscle mass. Our goal was to examine the effects of physical activity and physical activity combined with supraphysiological doses of nandrolone on functional morphology of the quadriceps muscle. The study included 32 peripubertal Wistar rats, divided into 4 groups: control (T-N-), nandrolone (T-N+), physical activity (T+N-) and physical activity plus nandrolone (T+N+) groups. The T+N- and T+N+ group swam for 4 weeks, 1 h/day, 5 days/week. The T-N+ and T+N+ groups received nandolone decanoate (20 mg/kg b.w.) once per week, subcutaneously. Subsequently, the rats were sacrificed and muscle specimens were prepared for the processing. Tissue sections were histochemically and immunohistochemically stained, while the image analysis was used for quantification. Longitudinal diameter of quadriceps muscle cells was increased for 21% in T-N+, for 57% in T+N- and for 64% in T+N+ group while cross section muscle cell area was increased in T-N+ for 19%, in T+N- for 47% and in T+N+ group for 59%, compared to the control. Collagen fibers covered area was increased in T-N+ group for 36%, in T+N- for 109% and in T+N+ group for 159%, compared to the control. Erythrocyte depots were decreased in T-N+ group and increased in T+N- and T+N+ group, in comparison with T-N-. VEGF depots were increased in all treated groups. Chronic administration of supraphysiological doses of AASs alone or in combination with physical activity induces hypertrophy and significant changes in the quadriceps muscle tissue structure.
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Affiliation(s)
- Jasmina Sretenovic
- Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Vladimir Ajdzanovic
- Department of Cytology, Institute for Biological Research "Sinisa Stankovic", University of Belgrade, Belgrade, Serbia
| | - Vladimir Zivkovic
- Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Ivan Srejovic
- Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Milena Corbic
- Clinic of Neurology, KRH Klinikum Agnes Karll Laatzen, Hannover, Germany
| | - Verica Milosevic
- Department of Cytology, Institute for Biological Research "Sinisa Stankovic", University of Belgrade, Belgrade, Serbia.
| | - Vladimir Jakovljevic
- Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; Department of Human Pathology, 1st Moscow State Medical University IM Sechenov, Moscow, Russia
| | - Zoran Milosavljevic
- Department of Histology and Embryology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
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Rodrigues JM, Oliveira VPP, P Furlan J, Munhoz AC, S Rempel MR, Brito MN, Brito NA, Pedrosa MMD, M Costa CE. Immediate and residual effects of low-dose nandrolone decanoate and treadmill training on adipose and reproductive tissues of male Wistar rats. Arch Physiol Biochem 2017; 123:68-77. [PMID: 28019124 DOI: 10.1080/13813455.2016.1260592] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
CONTEXT Residual effects after nandrolone decanoate (ND) treatment are not reported. OBJECTIVE Immediate and residual effects of low-dose ND and treadmill training were investigated. MATERIALS AND METHODS Male rats were trained and/or ND-treated for four weeks and the assessments were made after this period or four weeks later. RESULTS The groups did not differ in final plasma glucose or AUC of the ivGTT, but hyperinsulinemia was noticed in some trained/treated groups. Training with ND increased muscle mass and ND decreased the reproductive structures. Decreased fat with training was reversed by detraining. DISCUSSION The anabolic action of ND on skeletal muscle was enhanced by training. Fat and lipid changes were more linked to training/detraining, but the effects of ND on the reproductive structures persisted after treatment. CONCLUSIONS The effects of training on fat and muscle were not maintained after detraining, but low-dose ND had persistent effects on the reproductive structures.
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Affiliation(s)
- Josilene M Rodrigues
- a Academic Specialization in Physiology, State University of Maringá , Maringá, Brazil
| | - Vinicius P P Oliveira
- a Academic Specialization in Physiology, State University of Maringá , Maringá, Brazil
| | - Julia P Furlan
- b Undergraduation in Physical Education, State University of Maringá , Maringá, Brazil
| | - Ana Claudia Munhoz
- c Undergraduation in Biological Sciences, State University of Maringá , Maringá, Brazil
| | - Marcelo R S Rempel
- d Undergraduation in Medicine, State University of Maringá , Maringá, Brazil , and
| | - Marcia N Brito
- e Department of Physiological Sciences , State University of Maringá , Maringá, Brazil
| | - Nilton A Brito
- e Department of Physiological Sciences , State University of Maringá , Maringá, Brazil
| | - Maria M D Pedrosa
- e Department of Physiological Sciences , State University of Maringá , Maringá, Brazil
| | - Cecília E M Costa
- e Department of Physiological Sciences , State University of Maringá , Maringá, Brazil
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de Melo Neto JS, de Campos Gomes F, Pinheiro PFF, Pereira S, Scarano WR, Fávaro WJ, Domeniconi RF. The effects of high doses of nandrolone decanoate and exercise on prostate microvasculature of adult and older rats. Life Sci 2015; 121:16-21. [DOI: 10.1016/j.lfs.2014.11.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Revised: 10/06/2014] [Accepted: 11/05/2014] [Indexed: 11/25/2022]
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Marqueti RC, Paulino MG, Fernandes MN, de Oliveira EM, Selistre-de-Araujo HS. Tendon structural adaptations to load exercise are inhibited by anabolic androgenic steroids. Scand J Med Sci Sports 2013; 24:e39-51. [DOI: 10.1111/sms.12135] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2013] [Indexed: 11/30/2022]
Affiliation(s)
- R. C. Marqueti
- Faculty of Ceilândia; University of Brasília; Brasilia DF Brazil
| | - M. G. Paulino
- Department of Physiological Sciences; Federal University of São Carlos; São Carlos SP Brazil
| | - M. N. Fernandes
- Department of Physiological Sciences; Federal University of São Carlos; São Carlos SP Brazil
| | - E. M. de Oliveira
- Laboratory of Biochemistry; School of Physical Education and Sports; University of São Paulo; São Paulo SP Brazil
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