Elshafey M, Erfan OS, Risha E, Badawy AM, Ebrahim HA, El-Sherbiny M, El-Shenbaby I, Enan ET, Almadani ME, Eldesoqui M. Protective effect of Stevia on diabetic induced testicular damage: an immunohistochemical and ultrastructural study.
Eur Rev Med Pharmacol Sci 2023;
27:11039-11056. [PMID:
38039035 DOI:
10.26355/eurrev_202311_34473]
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Abstract
OBJECTIVE
Diabetes mellitus (DM) has been considered a major problem because of its related complications and growing incidence worldwide. Testicular dysfunction has become a predominant diabetic complication characterized by impaired reproductive function and testicular damage. Stevia rebaudiana Bertoni has been known for its antioxidant effect on diabetes, inflammation, and obesity. The current study investigates the protective effect of Stevia on diabetic-induced testicular injury.
MATERIALS AND METHODS
Sprague Dawley adult male rats were divided into three groups: the control group, the diabetic group, and the diabetic + Stevia group, type 2 diabetes is induced by a high-fat diet (HFD) and a single dose of 35 mg/kg streptozotocin injection. The effects of Stevia were evaluated regarding biochemical, oxidative stress, histopathological and ultrastructural changes, and immunohistochemical expression of vascular endothelial growth factor (VEGF), vascular cell adhesion molecule-1 (VCAM-1), receptor-interacting serine/threonine-protein kinase 1 (RIPK 1), and caspase 3.
RESULTS
Stevia extract attenuated the diabetic-induced oxidative stress, restored the testicular architecture, and decreased testicular damage, inflammation, necroptosis, and apoptosis by upregulating VEGF and downregulating VCAM 1, RIPK 1, and caspase 3.
CONCLUSIONS
The current study highlights the importance of Stevia as an antioxidant anti-inflammatory that ameliorates diabetic-induced testicular injury by modulating oxidative stress, inflammation, necroptosis, and apoptosis.
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