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Journal of Trace Elements in Medicine and Biology 25 (2011) 5966

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Journal of Trace Elements in Medicine and Biology


journal homepage: www.elsevier.de/jtemb

Toxicology

Effect of selenium on carbimazole-induced testicular damage and oxidative


stress in albino rats
Saber Abdul Ruhman Sakr , Hoda Abdel-hafez Mahran, Amany Ebrahem Nofal
Zoology Department, Faculty of Science, Menoua University, Shebin El-kom, Egypt

a r t i c l e i n f o a b s t r a c t

Article history: Carbimazole is an antithyroid drug used in treatment of hyperthyroidism. The present investigation
Received 7 January 2010 studied the effect of carbimazole on testicular activity in albino rats and the ameliorative role of sele-
Accepted 23 July 2010 nium. Treating rats with carbimazole (1.35 mg/kg b.w) daily for 8 weeks caused reduction in the body
and testes weight. Moreover, the diameters of the seminiferous tubules and heights of their germi-
Keywords: nal epithelium were signicantly reduced. Testes of treated rats showed many histological alterations
Carbimazole
included congestion of blood vessels, hemorrhage, degeneration of interstitial tissue and degeneration of
Selenium
spermatogenic cells with apoptosis and necrosis. Histochemical results revealed reduction in polysaccha-
Testis
Rat
rides, total proteins and nucleic acids contents in testicular tissue. In addition, the level of testosterone,
Antioxidant luteinizing hormone (LH), T3 , T4 and thyroid stimulating hormone (TSH) was signicantly decreased in
sera of treated animals. Moreover, a high lipid peroxidation with a decrease in the enzymatic antioxi-
dant status, superoxide dismutase (SOD) and catalase (CAT) was recorded in testes homogenate. Treating
animals with carbimazole and selenium showed an improvement in the histological structure as well as
histochemical components of the testis with an increase in the number of spermatogenic cells. There
was an increase in testosterone, LH, T3 , T4 and TSH levels. Moreover, administration of selenium led to
decrease in malondialdehyde and increase in catalase and superoxide dismutase activities. It is suggested
that the curative effect of selenium against testicular damage induced by carbimazole may be due to its
antioxidant properties.
2010 Elsevier GmbH. All rights reserved.

Introduction time and appears to be considerable higher than after radioiodine


treatment [5].
Carbimazole is a thionamide drug used in treatment of hyper- Selenium is an essential element involved in various biological
thyroidism and reduce thyroid function before surgery. On the processes in nearly all tissues of animals and human [6]. It is impor-
other hand, many authors reported that the use of carbimazole tant in many biochemical and physiological processes including the
was accompanied by deleterious effects. Vilchez et al. [1] reported biosynthesis of coenzyme Q (a component of mitochondrial elec-
that within 15 days following the start of carbimazole therapy, tron transport systems), regulation of ion uxes across membranes,
both minor (e.g., pruritus, rash, urticaria, fever and arthralgias) maintenance of the integrity of keratins, stimulation of antibody
and potentially life-threatening (e.g., agranulocytosis, hepatotox- synthesis, and activation of glutathione peroxidase [7]. Grtner [8]
icity with severe cholestatic jaundice) were developed. Marazuela reported that the plasma selenium levels indicate the amount of cir-
et al. [2] mentioned that carbimazole was capable of inducing acute culating selenoproteins and selenoenzymes. These are important
pancreatitis and cholestatic hepatitis in a 33-year-old female. Zaidi for modulating the immune system and also for thyroid hormone
et al. [3] reported that carbimazole administration even in thera- metabolism. Moreover, sodium selenite is commonly used as a
peutic dose during pregnancy and lactation resulted into alteration direct supplement for the treatment of selenium deciency. Sele-
of the thyroid microstructure of newborn. Calanas-Continente et nium has a long history in chemoprevention of mammary and colon
al. [4] reported a necrotizing glomerulonephritis and pulmonary cancers in rodent models and has shown promise in prevention of
hemorrhage associated with carbimazole therapy. After carbima- prostate and other human cancers [9]. Liao et al. [10] reported that
zole treatment, the risk of thyroid carcinoma increases with the selenium played a benecial role for prevention of cisplatin hepa-
totoxicity in mice. Jihen et al. [11] mentioned that selenium has
a cooperative effect in the protection against cadmium-induced
Corresponding author. Tel.: +20 482316262. structural damage in the liver of rat. El-Shenawy and Hassan [12]
E-mail address: sabsak@yahoo.com (S.A.R. Sakr). reported that selenium has a protective effect against liver and

0946-672X/$ see front matter 2010 Elsevier GmbH. All rights reserved.
doi:10.1016/j.jtemb.2010.07.002
60 S.A.R. Sakr et al. / Journal of Trace Elements in Medicine and Biology 25 (2011) 5966

kidney damage induced by mercury chloride in rats. The present determined according to the method of Rest and Spitznagel [23]
work was undertaken to study the effect of selenium on testicular and catalase activity was determined using Aebi et al. [24] method.
damage induced by carbimazole in albino rats.
Statistical analysis
Materials and methods
The results were expressed as mean SD of different groups.
Animals The differences between the mean value were evaluated by ANOVA
followed by Students t test using Minitab 12 computer program
Sexually mature male albino rats (Rattus norvegicus) weighing (Minitab Inc., State Collage, PA).
115 5 g and aged 15 weeks were purchased from the breed-
ing center of experimental animals at Helwan University, Helwan, Results
Egypt. The animals were kept in the laboratory under constant tem-
perature (22 1 C) for at least 1 week before and along the period Change in body and testes weight
of the experimental work. They were maintained on a standard
rodent diet composed of 55% corn starch, 20% casein, 15% corn oil, Data exist in Fig. 1 showed that daily treatment with carbima-
5% salt mixture and 5% vitaminized starch (Egyptian Company of zole for 8 weeks caused signicant decrease in body and testes
Oils and Soap Kafr-Elzayat, Egypt). Water available ad libitum. weight of rats in comparison with control group. The daily adminis-
tration of carbimazole and selenium for 8 weeks caused signicant
increase in body and testes weight of rats in comparison with car-
Experimental design
bimazole group. When selenium was given to animals, insignicant
change in body and testes weight was recorded.
The animals were divided into 4 groups. Group 1: animals of this
group (20 rats) were served as normal control. Group 2: animals
Morphometric results
of this group (30 rats) were orally given carbimazole (1.35 mg/kg
b.w) (equivalent to the therapeutic dose for human [13]) dissolved
Fig. 2 showed the morphometric changes in the diameter of the
in water, daily for 8 weeks. Group 3: animals of this group (30
seminiferous tubules and their epithelial heights. Treating rats with
rats) were orally given sodium selenite (10 g/kg b.w) dissolved
selenium for 8 weeks caused insignicant increase in the diame-
in water, daily for 8 weeks. Group 4: animals of this group (30 rats)
ters of the seminiferous tubules compared with control group. Rats
were orally administered carbimazole (1.35 mg/kg b.w) and sodium
daily treated with carbimazole for 4 and 8 weeks showed signif-
selenite (10 g/kg b.w) [14] daily for 8 weeks. All the experiments
icant decrease (P < 0.05) in tubules diameters and their epithelial
were done in compliance with the Guide for the Care and Use of
heights. On the other hand, animals daily treated with carbima-
Laboratory animals. The treated animals were sacriced by cervical
zole and selenium for 4 and 8 weeks showed highly signicant
decapitation after 4 and 8 weeks of treatment.
increase (P < 0.001) in the diameter of seminiferous tubules and
their epithelial heights in comparison with carbimazole group.
Histological and histochemical examination
Hormonal results
Ten rats were weighted and sacriced from treated and con-
trol groups after 4 and 8 weeks. Their testes were excised and
Testosterone hormone and luteinizing hormone
weighted. For histological study, testes were xed in alcoholic
Treating animals with carbimazole for 4 and 8 weeks showed
Bouins uid, dehydrated in ethyl alcohol, cleared in xylol and
signicant reduction (P < 0.05) in serum testosterone hormone and
embedded in parafn wax. Sections of 5 m thickness were cut and
luteinizing hormone in comparison with control group (Fig. 3).
stained with haematoxylin and eosin for histological examination.
Treatment with carbimazole and selenium for 4 and 8 weeks caused
For histochemical study, specimens were xed in Carnoys uid.
signicant increase (P < 0.001) in serum testosterone and LH in
Periodic acid Schiffs reaction [15] was used for demonstration of
comparison with rats treated with carbimazole. There was insignif-
polysaccharides. Total proteins were detected using the mercury
icant increase in levels of these hormones in sera of animals treated
bromophenol blue method [16]. Nucleic acids (DNA & RNA) were
with selenium for 4 and 8 weeks in comparison with control group.
determined using Schiff-methylene blue method [17]. The mean
diameter of the seminiferous tubules and the height of the germinal
Total T3 , T4 and TSH
epithelia were determined using an ocular micrometer.
Fig. 4 revealed that animals treated with carbimazole showed
signicant reduction (P < 0.05) in serum T3 , T4 and TSH hormones
Biochemical analysis after 8 weeks of treatment in comparison with control group. There
was insignicant change in T3 , T4 and TSH hormones in sera of ani-
Hormonal assays mals daily treated with selenium for 8 weeks in comparison with
The blood samples were obtained from the animals by heart control group. On the other hand, treating animals with carbima-
puncture. The serum level of testosterone was determined accord- zole and selenium for 8 weeks caused signicant increase in serum
ing to Abraham [18], luteinizing hormone was detected according T3 , T4 and TSH hormones in comparison with rats treated with
to Jaffe and Behrman [19]. Total T3 and T4 were determined accord- carbimazole.
ing to Evered et al. [20] while TSH was detected according to
Ronnov-Jessen et al. [21] using radioimmunoassay kits produced Oxidative and antioxidant enzymes
from Immunotech (Marseille, France) by Immulite analyzer.
Malondialdehyde
Oxidative stress and antioxidant enzymes assays Data exist in Fig. 5 revealed that there was signicant (P < 0.05)
For determination of oxidative stress and antioxidant enzymes increase in the level of malondialdehyde in the testes homogenates
in the testes, supernatant obtained after centrifugation of testicular of animals daily treated with carbimazole for 4 and 8 weeks com-
tissue homogenates was used. Malondialdehyde was assayed as pared with control group. Animals treated daily with carbimazole
described by Ohkawa et al. [22], superoxide dismutase activity was and selenium showed decrease of the MDA level compared with
S.A.R. Sakr et al. / Journal of Trace Elements in Medicine and Biology 25 (2011) 5966 61

Fig. 1. Effect of different treatments on (a) body weight and (b) testes weight. * Signicant at P < 0.05 in comparison with control group. ** Highly signicant at P < 0.001 in
comparison with carbimazole group.

Fig. 2. Effect of different treatments on (a) the diameter of seminiferous tubules and (b) the epithelial heights of seminiferous tubules.

Fig. 3. Effect of different treatments in serum level of (a) testosterone hormone (ng/ml) and (b) luteinizing hormone (mI/ml).

Fig. 4. Change in serum level of (a) total T3 hormone (ng/ml), (b) total T4 hormone (ng/ml) and (c) total TSH (LU/ml) in different treatments.
62 S.A.R. Sakr et al. / Journal of Trace Elements in Medicine and Biology 25 (2011) 5966

Fig. 5. Effect of different treatments on (a) testicular MDA (nmol/ml), (b) testicular catalase (mol/s/ml) and testicular SOD (/ml).

carbimazole group. No signicant change was recorded between normal-like shape and the number of spermatogenic cells increased
control and selenium-treated group. (Fig. 8b).

The antioxidant enzymes (superoxide dismutase and catalase) Histochemical results


Animals treated with carbimazole for 4 and 8 weeks showed
decrease in the level of testes superoxide dismutase and catalase Polysaccharides
enzymes compared with control group. Animals given carbima- Testis of control rat showed a strong PAS-positive material in
zole and selenium showed signicant increase in the level of SOD tunica albuginea as well as in the intertubular connective tissue.
and CAT compared with carbimazole group. No signicant change The spermatogenic cells exhibited weak reaction while the sperms
was obtained in SOD and CAT levels in testes homogenates of rats showed strong reaction (Fig. 9a). Testes of carbimazole-treated
treated with selenium for 4 and 8 weeks (Fig. 5). animals revealed gradual decrease of PAS-positive materials. This
decrease started after 4 weeks of treatment and reached its max-
Histopathological results imum after 8 weeks. In these specimens, tunica albuginea, the
boundaries of the seminiferous tubules as well as the intertubu-
Fig. 6 showed testis of control rat. Testes of rats administered lar connective tissue had a weak PAS-positive material (Fig. 9b).
with carbimazole for 4 weeks showed many histopathologi- Examination of testis of rats treated with carbimazole and selenium
cal changes. These changes included rupture of the intertubular showed a gradual increase of the polysaccharide content (Fig. 9c).
connective tissue, intertubular hemorrhage, degeneration of the
germinal epithelium and the presence of large spaces between Total proteins
the spermatogenic cells (Fig. 7a). Some spermatogenic cells exhib- The total proteins appeared in the testicular tissues of control
ited apoptosis (Fig. 7b). These histopathological alterations were rats as deeply stained granules inside the nuclei and cytoplasm
increased in rats treated for 8 weeks with carbimazole. In these of all spermatogenic cells. The tunica albuginea, intertubular con-
specimens, the seminiferous tubules were reduced in their diame- nective tissue as well as the boundaries of seminiferous tubules
ters and appeared with wide lumens with few sperms. Moreover, showed strong reaction (Fig. 10a). Animals treated with car-
spermatogenic cells were degenerated and reduced in the num- bimazole showed a noticeable decrease in the protein content
ber. The persist cells appeared with pyknotic nuclei (Fig. 8a). In of all the spermatogenic cells in both the nucleus and the cyto-
the same specimens, the Leydig cells were degenerated and blood plasm (Fig. 10b). Treating animals with carbimazole and selenium
hemorrhage was common in the intertubular connective tissue. revealed that spermatogenic cells contained a somewhat normal
Examination of testes of rats daily treated with carbimazole content of total protein (Fig. 10c).
and selenium for 8 weeks revealed less prominent histopathologi-
cal changes when compared with the same period of carbimazole Nucleic acids (DNA, RNA)
group. In these specimens, the seminiferous tubules restored their DNA present in the testis of control rat as granules of magenta
colour in the nuclei of all the spermatogenic cells. In addition, a
strong reaction was seen in the nuclei of Sertoli cells and the inter-
stitial cells. RNA was shown as blue ne granules in the cytoplasm
of all these cells (Fig. 11a). Marked loss of both RNA- and DNA-
containing particles was appeared after 8 weeks of the treatment
with carbimazole (Fig. 11b). Animals treated with carbimazole and
selenium showed an increase in RNA content in the cytoplasm
and the nuclei appeared with marked DNA-stainability and symp-
toms of regaining of a normal-like picture of nuclear structure was
observed (Fig. 11c).

Discussion

Our results indicated that carbimazole affected testis structure


and function in albino rats. Sera of rats treated with carbimazole
revealed a signicant decrease in T3 , T4 , TSH, testosterone and LH
level. Similarly, Upadhyaya et al. [25] noticed considerable reduc-
Fig. 6. Section in the testis of a control rat showing seminiferous tubules. (A): type
A spermatogonia, (SP): primary spermatocytes, (SZ): spermatozoa, (IT): interstitial tion in T3 and T4 with trend towards the rise in plasma levels
tissue (H&E, 400). of monoamine oxidase and histaminase in carbimazole-treated
S.A.R. Sakr et al. / Journal of Trace Elements in Medicine and Biology 25 (2011) 5966 63

Fig. 7. Seminiferous tubules obtained from a rat treated with carbimazole for 4 weeks showing (a) rupture in the spermatogenic layer (arrow) and intertubular hemorrhage
(He) and (b) apoptotic cells (arrows), (H&E, 400).

Fig. 8. Seminiferous tubules of a rat (a) treated with carbimazole for 8 weeks showing marked degeneration of spermatogenic cells, intertubular hemorrhage (He) and
pyknotic nucleus (arrow) and (b) treated with carbimazole and selenium showing normal spermatogenic cells, (H&E, 400).

Fig. 9. Seminiferous tubules of (a) a control rat showing strong PAS-positive reaction, seminiferous tubules and boundaries tissue, (b) a rat treated with carbimazole for 8
weeks showing marked decrease of PAS-positive materials (arrow) and a rat daily treated with carbimazole and selenium for 8 weeks showing nearly normal content of
PAS-positive materials, (PAS, 400).

Fig. 10. Seminiferous tubules of (a) a control rat showing strong protein contents in all layers of spermatogenic cells, Leydig cells, and sperms head, (b) a rat treated with
carbimazole for 8 weeks showing marked decrease of total proteins and (c) a rat treated with carbimazole and selenium for 8 weeks showing improvement of protein
materials (bromophenol blue, 400)..
64 S.A.R. Sakr et al. / Journal of Trace Elements in Medicine and Biology 25 (2011) 5966

Fig. 11. Seminiferous tubules showing (a) normal content of RNA and DNA-containing particles in spermatogenic cells of a control rat, (b) reduction of RNA-containing particles
in cytoplasm of spermatogenic cells of an animal treated with carbimazole for 8 weeks, DNA particles are also reduced and (c) an increase of RNA and DNA-containing particles
in all spermatogenic cells of an animal treated with carbimazole and selenium for 8 weeks (Schiff-methylene reaction, 1000).

rats. Abbassy et al. [26] found that serum thyroxine, TSH and related protein and low-density lipoprotein receptor expression in
thyrotropin-binding inhibitory immunoglobulins are decreased rats. Meisami et al. [36] reported that testicular weight and DNA
after 2, 4 and 6 weeks of carbimazole treatment. Frenais et al. [27] content were markedly reduced in rat pups administered by propy-
reported that carbimazole converts to the active agent methima- lthiouracil. Mori [37] reported that carbimazole caused a signicant
zole which act on the thyroid to reduce production of the thyroid decrease of the proliferation, nucleic acids and protein synthe-
hormones, T3 and T4 . Methimazole is rapidly absorbed from the sis of the thyroid follicular and adrenocortical cells. Krasilnikova
gastrointestinal tract and reaches a peak plasma level about an hour et al. [38] reported that hypothyroidism induced by mercazolil
after administration. decreased protein kinase C activity in both membrane and cytosol
Treating rats with carbimazole caused reduction in body and as well as phospholipid and triacylglycerol synthesis in rat liver.
testes weight, and induced many histological alterations. The testis Examination of testes homogenates of animals treated with
showed reduction in the diameter of seminiferous tubules as well carbimazole in the present study indicated a signicant reduc-
as the germinal epithelial heights. The histological alterations tion in the activities of the antioxidant enzymes (SOD and CAT)
included congestion of blood vessels, hemorrhage, degeneration and increase in malondialdehyde. In agreement with these results,
of interstitial tissue and degeneration of spermatogenic cells with Vijayakumar and Nalini [30] indicated that superoxide dismutase,
apoptosis and necrosis. The effect of antithyroid drugs including catalase and glutathione peroxidase were reduced in erythrocytes
carbimazole on male reproductive system was studied in different of rats treated with carbimazole compared with control animals.
animals. Marty et al. [28] found that absolute testes, epididy- Choudhury et al. [39] concluded that activities of superoxide dis-
mal, prostate and seminal vesicle weights were decreased by mutase and catalase decreased in the post-mitochondrial fraction
6-propylthiouracil. Also, it signicantly decreased serum T4 level. of testes of hypothyroid rats. Sahoo et al. [40] found that feeding
Maran and Aruldhas [29] reported that daily administration of lactating mothers and adult rats with 0.05% 6-n-propylthiouracil in
0.05% methimazole to the nursing mothers induced many changes drinking water for 30 days or for 90 days from birth reduced tes-
in newborn male rats; signicantly reduced seminiferous tubules ticular superoxide dismutase, catalase, and glutathione reductase
diameter, the proliferation and differentiation of germ cells were and glutathione peroxidase activities.
arrested and their number were decreased. Also, the absolute Excess levels of reactive oxygen and nitrogen species can attack
weight of testes, plasma testosterone, estradiol and sex hormone biological molecules such as DNA, protein and phospholipids which
binding globulin levels were signicantly decreased. Vijayakumar led to increase of lipid peroxidation and depletion of the antiox-
and Nalini [30] reported that carbimazole administration of rat sig- idant enzymes (superoxide dismutase, catalase and glutathione
nicantly reduced T3 , T4 and testosterone levels. Hamouli-Said et peroxidase) [41]. In the present work, a high lipid peroxidation
al. [31] reported that treatment of lactating mothers rats with 6- with a concomitant decrease in the enzymatic antioxidant status,
propyl-2-thiouracil during 21 days was associated with reduction superoxide dismutase and catalase were recorded. Superoxide dis-
in testes weight, diameter of seminiferous tubules, hormonal levels mutase and catalase are closely related to the direct elimination of
and delay in maturation of germ cells of pups. Lee et al. [32] con- reactive oxygen. Therefore, the reduction in the activities of these
cluded that hypothyroidism induced in prepubertal male rats by enzymes may result in a number of deleterious effects due to the
interperitoneal injection of 10 mg/kg/day propylthiouracil for 30 accumulation of superoxide radicals and hydrogen peroxide. Thus,
days caused reduction in the total triiodothyronine and thyroxine it is suggested that carbimazole-induced oxidative stress which
serum level. resulted in the testicular alterations observed in the present work.
Results obtained in the present work revealed that treating rat Concerning the effect of selenium, the present study indicated
with carbimazole caused reduction in polysaccharides, total pro- that selenium had a time dependant ameliorative effect against
teins and nucleic acids contents in tissue of testes. These results the toxicity of carbimazole. Treating rats with carbimazole and
are in agreement with that obtained by some investigators. Palmero selenium revealed a histological, histochemical and biochemi-
et al. [33] reported that oral administration of methimazole from cal improvement. Moreover, administration of selenium led to
the day of birth of rats was characterized by a severe retardation decrease in malondialdehyde and increase in catalase and super-
of body and testis growth and a net inhibition of the increase in oxide dismutase activities. This is in agreement with Joanta et al.
Sertoli cell gamma-glutamyl transpeptidase activity as well as in [42] who concluded that selenium and carbimazole had opposite
androgen-binding protein and lactate production. These results are effects: selenium decreased blood lipid peroxides while carbima-
consistent with the impairment of protein synthesis in Sertoli cells zole increased lipid peroxides from both thyroid gland and serum.
from hypothyroid rats compared with control. Ram and Waxman Also, catalase and superoxide dismutase activities in the thy-
[34] concluded that treatment with the antithyroid drug methima- roid gland increased in selenium-treated animals and decreased
zole led to a 7585% depletion of hepatic microsomal p450 reductase under carbimazole administration. The protective effect of sele-
activity and protein in both male and female rats. Szanto et al. [35] nium against toxicity of different drugs and chemicals was studied
concluded that propylthiouracil decreased both hepatic receptor- by several investigators. Seema et al. [43] investigated the effect
S.A.R. Sakr et al. / Journal of Trace Elements in Medicine and Biology 25 (2011) 5966 65

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