Beta-carotene prevents the spermatogenic disorders induced by exogenous scrotal hyperthermia through modulations of oxidative stress, apoptosis, and androgen biosynthesis in mice

  • Yon, Jung-Min (College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Jae Seung (College of Veterinary Medicine, Chungbuk National University) ;
  • Lin, Chunmei (College of Chinese Medicinal Materials, Jilin Agricultural University) ;
  • Park, Seul Gi (College of Veterinary Medicine, Chungbuk National University) ;
  • Gwon, Lee Wha (College of Veterinary Medicine, Chungbuk National University) ;
  • Lee, Jong-Geol (College of Veterinary Medicine, Chungbuk National University) ;
  • Baek, In-Jeoung (Asan Institute for Life Sciences, University of Ulsan College of Medicine) ;
  • Nahm, Sang-Seop (College of Veterinary Medicine, Konkuk University) ;
  • Nam, Sang-Yoon (College of Veterinary Medicine, Chungbuk National University)
  • Received : 2019.02.21
  • Accepted : 2019.05.30
  • Published : 2019.06.30


We investigated whether ${\beta}$-carotene (${\beta}-CA$) or ellagic acid (EA), originating from various fruits and vegetables, has a preventive effect against male infertility induced by exogenous scrotal hyperthermia. ICR adult mice were intraperitoneally treated with 10 mg/kg of ${\beta}-CA$ or EA daily for 13 days consecutively. During this time, mice were subjected to transient scrotal heat stress in a water bath at $43^{\circ}C$ for 20 min on day 7, and their testes and blood were obtained on day 14 for histopathologic and biochemical analyses. Heat stress induced significant testicular weight reduction, germ cell loss and degeneration, as well as abnormal localization of phospholipid hydroperoxide glutathione peroxidase (PHGPx) and manganese superoxide dismutase (MnSOD) in spermatogenic and Leydig cells. Heat stress also altered the levels of oxidative stress (lipid peroxidation, SOD activity, and PHGPx, MnSOD, and $HIF-1{\alpha}$ mRNAs), apoptosis (Bax, Bcl-xL, caspase 3, $NF-{\kappa}B$, and $TGF-{\beta}1$ mRNAs), and androgen biosynthesis (serological testosterone concentration and $3{\beta}$-hydroxysteroid dehydrogenase mRNA) in testes. These changes were all improved significantly by ${\beta}-CA$ treatment, but only slightly improved by EA treatment. These findings indicate that ${\beta}-CA$, through modulations of oxidative stress, apoptosis, and androgen biosynthesis, is a potent preventive agent against testicular injuries induced by scrotal hyperthermia.


Mammalian testes are located in an external scrotum; therefore, most mammal testes are 2–8oC below normal body temperature due to their presence outside the body. This lower temperature provides optimal spermatogenesis results [1]. However, modern lifestyles and environmental toxins such as cigarette smoking and cadmium exposure can induce scrotal hyperthermia and abnormal testicular thermoregulation (varicocele), resulting in male infertility. Indeed, testicular heating caused by modern lifestyle factors such as going to a sauna or spa, wearing tight underwear, using a laptop on one’s lap, driving, and using heating pads could be harmful to spermatogenesis [2-5]. In patients with varicocele-related infertility, the high temperature of the testis causes gonad cell DNA damage, apoptotic cell death, and abnormal hormone balance [6]. About 20% of modern couples worldwide are infertile, and approximately half of these cases are male related [7]. Accordingly, there is a need to identify effective substances that can prevent male infertility.

A recent study showed that experimental scrotal heat stress (HS) in mice causes a hypoxic state and severe oxidative damage leading to a remarkable reduction in blood circulation in the testis, which leads to spermatogenesis disorders [8]. Hypoxic conditions of testes have been shown to result in apoptosis and adverse effects on Leydig cell (LC) competence and therefore spermatogenesis [9]. A large amount of free radicals and reactive oxygen species (ROS) produced in response to endogenous or exogenous toxic agents such as superoxide anion and hydrogen peroxide can be harmful to spermatogenesis and result in hindered male fertility in response to DNA injury [10,11]. Furthermore, LCs that produce steroids in the presence of luteinizing hormone (LH) are very sensitive to HS [12]. The reduction of testosterone production by selective destruction of LCs induces the death of spermatogenic cells via apoptosis in the rat testis [11], and follicle stimulating hormone, LH, and testosterone are known to be essential survival factors for testicular cells [13]. Therefore, bioactive agents originating from natural materials that have antioxidative, anti-apoptotic, and androgen biosynthetic activities might be useful in the prevention of testicular disorders induced by HS.

Carotenoids are natural pigments ranging in color from pale yellow to red that are produced by plants and fruits and known to contribute to the prevention of a variety of diseases. Three carotenoids, beta-carotene (β-CA), alpha-carotene, and beta-cryptoxanthin, have vitamin A activity, and βCA is one of the primary carotenoids consumed by humans and the most widely studied [14,15]. The biological level of β-CA is associated with biomarkers implicated under cardiometabolic conditions and cancer [16]. β-CA not only exerts anti-inflammatory activity by blocking redox-based nuclear factor kappa-light-chain-enhancer of activated B cells (NFκB) activation but also shows an antioxidative effect that increases cellular antioxidant enzyme activity and reduces oxidative stress [17,18].

Ellagic acid (EA), which exists in a hydrolyzable tannin form known as ellagitannin in plants, is a natural polyphenol present in grapes, cranberries, raspberries, strawberries, blueberries, pomegranates, vegetables, and nuts. EA exerts chemopreventive effects via its ROS-reducing, anti-apoptotic, and anti-inflammatory properties [19].

In the current study, we investigated the effects of β-CA and EA on spermatogenic disorders induced by experimentally applied transient scrotal HS in the testes of adult mice. The regulatory mechanisms associated with the effects of βCA and EA on the spermatogenic potential reduced by HS were also studied.

Materials and Methods

Animals and chemicals

Male ICR mice (8 weeks old; Koatech, Korea) were raised in a well-ventilated room kept at a temperature of 21oC±2oC and a relative humidity of 55% ± 10% on a 12 h light/dark cycle. The mice used in the experiment were provided with feed and water ad libitum. Animal experiments were performed according to the Guide for the Care and Use of Animals of the Chungbuk National University Animal Care Committee (CBNUA-469-13-02).

EA and β-CA purchased from Sigma (USA) were dissolved in isotonic saline and corn oil, respectively.

Experimental design

Mice were separated into four experimental groups: normal control (con), HS alone (HS), 10 mg/kg EA treatment with HS (HS+EA), and 10 mg/kg β-CA treatment with HS(HS+β-CA). Each group included 20 animals and the best effective quantity and route of EA or β-CA treatment was determined by our preliminary studies. EA and β-CA treatments were intraperitoneally administered once a day for 13 consecutive days. Additionally, HS application to the mice was conducted once on day 7 under intraperitoneal anesthesia with Zoletil (Virbac Korea Co. Ltd., Korea). Briefly, each mouse was sedated, after which they were immersed to below the forelimbs in a 43oC water bath for 20 min. Con trol mice treated with each vehicle were anesthetized with Zoletil and then immersed in a water bath at room temperature. Following HS application, mice were dried, checked for scrotal damage, and then returned to their cages.

There was no damage to the scrotal skin in mice after HS treatment. At day 7 after HS, mice were autopsied after being sacrificed by inhalation anesthesia with diethyl ether. Testes and blood were then obtained for biochemical or histopathological investigations.

Body and testicular weights

Body and testicular weights of each animal were measured from day 1 to the end of the experiment (prior to sacrifice).

Tissue processing and immunohistochemistry

The testes were fixed with Bouin’s fixative, followed by alcohol dehydration and paraffin embedding. After paraffin embedment, 4 μm sections were stained with hematoxylin and eosin for histopathologic evaluation. For immunohistochemical analysis, the pretreatment process to reduce nonspecific reactions in the tissues, the reaction process for specific antibodies, the color development process, and the dehydration process using alcohol and xylene were performed as described in our previous paper [20]. In this study, a phospholipid hydroperoxide glutathione peroxidase (PHGPx; Abcam [ab102530; 1:50]; UK) antibody, a VECTASTAIN Elite ABC kit (PK-6101; rabbit IgG; Vectastain Elite ABC kit; Vector, USA), and diaminobenzidine (Vector) were used for the detection of specific antioxidant enzymes expressed in spermatogenic cells.

Quantitative PCR

Quantitative real-time PCR was conducted according to the method described in our previous paper [21]. Briefly, total RNA was extracted from a mouse testis to synthesize cDNA, after which quantitative real-time PCR was performed. Each PCR was amplified using the following primers: PHGPx, manganese superoxide dismutase (MnSOD), BCL2-associated X protein (Bax), B-cell lymphoma-extra large (Bcl-xL), caspase 3, NF-κB, transforming growth factor-beta 1 (TGFβ1), hypoxia inducible factor-1α (HIF-1α), 3β-hydroxysteroid dehydrogenase (3β-HSD), and β-actin (Table 1). Triplicate data were examined by performing six independent analyses according to a comparative Ct method [22].

Table 1. Primers used for quantitative real-time polymerase chain reaction analysis

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Lipid peroxidation determination

Lipid peroxidation was assessed in mouse testes according to our previous method [21]. Briefly, the concentration of thiobarbituric acid-reactive species was measured in the testis and expressed as malondialdehyde (MDA) equivalents. Data were obtained from five independent experiments.

SOD activity assay

Total SOD activity in the testes was measured using a SOD assay kit (Dojindo Laboratories, Japan) according to our previous method [23]. All experimental data were obtained five times independently.

Testosterone level analysis

Mouse blood collected from the abdominal aorta was centrifuged at 1000 × g for 14 minutes to acquire supernatant. The supernatant was preserved at −70oC until use. The testosterone concentration was measured in the obtained serum using an ELISA kit for mouse testosterone (Cusabio, China).

Statistical analysis

Differences among groups were assessed by one-way ANOVA and Tukey's multiple comparison test. A p <0.05 was considered statistically significant. Overall data were expressed as mean ± standard error (SEM) values. All statistical assays were performed using SPSS for Windows, version 10.0 (SPSS Inc., USA).


Relative testicular weights

Body weights showed no marked changes among groups during the experimental periods (data not shown). Measurement of relative testicular weight to body weight on day 7 after HS revealed a significant decrease in testis weight (Fig. 1). Specifically, the testis weight of the HS groups was significantly lower (0.42 ± 0.04-fold, p < 0.05) than that of the control group; however, HS combined with β-CA administration led to a significant increase in weight by 0.79 ± 0.05-fold (p < 0.05) relative to that of the HS only group.

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Fig. 1. Effects of β-CA or EA on HS-induced testicular weight changes. EA and β-CA were administered intraperitoneally once a day for 2 weeks and relative testicular weight was measured on day 7 after HS. Data are presented as mean ± standard error values (n = 20). a; vs. normal control (Con) group. b; vs. HS group at p < 0.05. Con, normal control; HS, heat stress; EA, ellagic acid; β-CA, βcarotene.

Histopathological results

Histopathological examination revealed that the testes of the control group had normal features and spermatogenesis, containing abundantly normal spermatogenic cells in the seminiferous tubules (Fig. 2A). Conversely, the HS group showed diffuse and severe atrophy of seminiferous tubules characterized by loss of spermatogenic cells, cellular degeneration, multinucleated cell formation, and vacuolation; moreover, the tubules were smaller in diameter than those of the normal tubules of the control group. Furthermore, the basement membrane of seminiferous tubules was thickened and LCs in interstitial tissues were also degenerative (Fig. 2B). However, this damage was less severe in the HS+EA group (Fig. 2C) than the HS group. Furthermore, the HS+βCA group showed a dramatic improvement in histological appearance relative to that of the HS group (Fig. 2D). The relative severities of histopathological findings are shown in Table 2. Preand post-treatment of β-CA in conjunction with HS restored the testes to a structure similar to that of the normal group, resulting in preservation of the tubular structure and the presence of many tubules including plentiful spermatids and spermatocytes.

Table 2. The severities of histopathological findings

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Fig. 2. Preventive effects of β-CA or EA against spermatogenic disorders induced by exogenous scrotal HS. Hematoxylin and eosin-stained testes from the normal control group (A), HS group (B), HS plus EA group (C) and HS plus β-CA group (D). The testes exposed to HS showed multinucleated giant cells (arrows) and atrophic spermatogenic cells (arrowheads), small to large vacuoles (asterisks) and irregular spaces in seminiferous tubules, thickened basal membranes, and degenerative Leydig cells in interstitial tissues. However, when mice were preand post-treated with β-CA under HS, testes revealed almost normal features (D), whereas severe spermatogenic disorders were detected in the HS plus EA group (C). Bar: 100 μm. βCA, β-carotene; EA, ellagic acid; HS, heat stress.

Abnormal distribution of testicular PHGPx induced by HS is recovered by β-CA co-treatment

As it is a biomarker for spermatogenic cells, PHGPx localization was examined in testes by undertaking immunohistochemical analysis (Fig. 3). PHGPx in the normal testes was strongly detected in round and elongated spermatids and in spermatozoa, but was slightly observed in interstitial LCs (Fig. 3A). However, PHGPx levels in testes exposed to HS was greater in degenerative germ cells of seminiferous tubules and interstitial LCs (Fig. 3B). Conversely, these abnormal distributions of PHGPx in the testes in response to HS treatment were restored to almost normal by the administration of β-CA (Fig. 3D); however, strong PHGPx immunoreactivity remained in the multinucleated giant cells in the atrophic seminiferous tubules of the HS+EA group (Fig. 3C).

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Fig. 3. Testicular localization of PHGPx following by exogenous scrotal HS and/or β-CA or EA co-treatment. PHGPx immunoreactivity in the testes from the normal control group (A), HS group (B), HS plus EA group (C) and HS plus β-CA group (D). PHGPx was detected at high levels in round and elongated spermatids in seminiferous tubules and at low levels in interstitial Leydig cells (A, C, and D), but strongly observed in interstitial Leydig cells of HS group (arrow; B). Bar: 100 μm. PHGPx, phospholipid hydroperoxide glutathione peroxidase; HS, heat stress; β-CA, β-carotene; EA, ellagic acid.

Expression levels of PHGPx and MnSOD mRNAs

The mRNA levels of PHGPx and MnSOD were significantly lower in the HS group (0.52and 0.72-fold, respectively) than in the control group (1-fold, p < 0.05). However, compared to the control group (1.0-fold), the decrease in PHGPx mRNA level induced by HS increased significantly in response to treatment with EA or β-CA, 0.84and 1.42fold increases, respectively (Fig. 4A). Furthermore, treatment with EA or β-CA recovered the MnSOD mRNA level reduced by HS to approximately 1.00and 1.16-fold, respectively, compared to that of the control group (1.0-fold, Fig. 4B).

Lipid peroxidation levels

The level of testicular lipid peroxidation was assessed by assessing MDA equivalents. As shown in Fig. 4C, the MDA level (14.1 ± 0.4 nmol/mg) of the HS group was significantly higher than that of the control group (5.7 ± 0.5 nmol/ mg; p < 0.05). In contrast, co-treatment with β-CA significantly decreased the MDA level to 3.7 ± 0.5 nmol/mg relative to that of the HS group (p < 0.05), and similar to that of the control group, whereas the MDA level in the HS+EA group showed only a slight decrease (11.5 ± 1.0 nmol/mg) from that of the HS group.

SOD activity levels

Testes exposed to HS showed significantly reduced SOD activity (0.65 ± 0.04 U/mg protein) relative to that of the control group (0.90 ± 0.04 U/mg protein; p < 0.05). However, co-treatment with β-CA significantly elevated the SOD activity level (0.89 ± 0.03 U/mg protein; p < 0.05) relative to that of the HS group, whereas the SOD activity level in the HS+ EA group showed only a slight increase (0.72 ± 0.12 U/mg protein; Fig. 4D) from that of the HS group.

Testosterone concentration and expression patterns of 3β-HSD mRNA

The serological testosterone level in the HS group was reduced significantly (0.07 ± 0.01 ng/mL) compared to that of the control group (0.31 ± 0.03 ng/mL). However, treatment with EA or β-CA in conjunction with HS led to significant recovery to 0.20 ± 0.06 and 0.24 ± 0.1 ng/mL, respectively (p < 0.05; Fig. 4E).

To evaluate whether LCs function normally following HS treatment, 3β-HSD mRNA levels were investigated in the testes after HS treatment and/or co-treatment with EA or βCA by using real-time PCR. The 3β-HSD mRNA following HS was significantly decreased when compared to that of the control group (0.51-fold of the control group; p < 0.05), but co-treatment with EA or β-CA significantly increased the 3βHSD mRNA level to 1.16and 2.02-fold, respectively (p < 0.05; Fig. 4F).

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Fig. 4. Oxidative stress (A-D) and androgen biosynthesis (E, F) patterns in testes following exogenous scrotal HS and/or β-CA or EA co-treatment. The expression of PHGPx and MnSOD mRNA and SOD activity was significantly restored by co-treatment with β-CA or EA relative to that in the HS group. Co-treatment with β-CA leads to a significant decrease in MDA levels compared to that in the HS group. Testosterone and 3β-HSD mRNA levels are significantly restored by EA or β-CA co-treatment. Data are presented as mean ± standard error values (n = 10). a; vs. con group. b; vs. HS group at p < 0.05.
Con, normal control; HS, heat stress; EA, ellagic acid; β-CA, β-carotene; PHGPx, phospholipid hydroperoxide glutathione peroxidase.

Gene expression patterns of hypoxiaand apoptosismodulating proteins

The HIF-1α mRNA levels significantly increased in the HS group (3.67-fold) when compared to that of the control group. However, treatment with EA or β-CA led to significant attenuation of HIF-1α mRNA level to 2.89and 2.02fold that of the control group, respectively (Fig. 5A). Additionally, NF-κB (1.55-fold of the control group) and TGF-β1 (1.88-fold of the control group) mRNA levels were significantly upregulated by HS, whereas β-CA co-treatment significantly decreased the NF-κB and TGF-β1 mRNA levels to 0.96or 1.17-fold relative to that of the control group, respectively (p < 0.05; Fig. 5B and C). As shown in Fig. 5D, BclxL mRNA expression remarkably decreased, by 0.37-fold, after HS treatment relative to the control group (p < 0.05), but that reduced Bcl-xL mRNA level was significantly restored by co-treatment with EA or β-CA (0.72and 0.93-fold, respectively;  p < 0.05) relative to the control group (1.0-fold). Moreover, Bax and caspase 3 mRNA levels in the HS group increased significantly by 3.83and 3.26-fold, respectively, over that of the control group (p < 0.05), while co-treatment with EA or β-CA significantly decreased the Bax mRNA level to 1.78and 1.49-fold, respectively, and the caspase 3 mRNA level to 2.45and 0.98-fold, respectively, relative to the control group (1.0-fold) (p < 0.05; Fig. 5E and F).

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Fig. 5. The mRNA expression of hypoxia and apoptosis-modulating proteins: HIF-1α (A), NF-κB (B), TGF-β1 (C), Bcl-xL (D), Bax (E), and caspase 3 (F) following exogenous scrotal HS and/or β-CA) or EA co-treatment. The Bcl-xL mRNA level is significantly recovered by co-treatment with β-CA or EA compared to that in the HS group. Moreover, mRNA levels of HIF-1α, NF-κB, TGFβ1, Bax, and caspase 3 are significantly upregulated after HS exposure, but co-treatment with EA or β-CA significantly reduced the HS-elevated mRNA expression of hypoxia and apoptosis-related proteins. Data are presented as mean ± standard error values (n = 10). a; vs. Con group. b; vs. HS group at p < 0.05.
Con, normal control; HS, heat stress; EA, ellagic acid; β-CA, β-carotene.


Increasing male infertility and low birth rate are becoming widespread problems. Although a variety of methods and agents have been utilized to cure male infertility, effective and economical natural materials for maintenance of normal spermatogenesis in the presence of various testicular toxicants are lacking. Sex-determining region Y (Sry) and SOX9 have critical roles in male sexual development in mammals, including mice and humans [24]. Moreover, mammalian spermatogenesis progresses from the base to the lumen of the seminiferous tubule. However, because the developmental duration of human testicular epithelia (6 stages) is longer than that of mouse epithelia (12 stages), studies of mouse spermatogenesis have provided more details than those from human studies [25]. On that basis, we conducted a sensitive, exacting experiment using mouse testes to search for a novel natural protective agent against male infertility.

Ellagic acid is a natural polyphenol that originates from plants and has antioxidative and anti-apoptotic properties that function through the chelation of metal ions, which prevents ironand copper-catalyzed formation of ROS in testes that have been treated with cisplatin [26]. Moreover, β-CA has been shown to be a potent free radical and singlet oxygen scavenger [18]. Therefore, β-CA and EA could be considered good natural candidates for the protection of testes from various environmental toxicants.

Heat stress causes severe spermatogenic disorders such as desquamation and degeneration of spermatogenic cells and size reduction in seminiferous tubules [27]. Cryptorchidism is a clinical testicular HS-related condition (a physiological HS) that occurs because the testes do not descend into the scrotum and instead remain in the abdominal cavity innately, resulting in abnormal testicular function and spermatogenic disorders [28]. In addition, exogenous scrotal HS (a supraphysiologic HS) that occurs when the testicle is exposed to an external environmental temperature much higher than body temperature can obstruct spermatogenesis, causing spermatogenic cell death and subfertility [8]. Both types of testicular heating induce histological changes in the testes such as apoptotic germ cell death, suggesting that apoptosis can be a major mechanism of impaired spermatogenesis caused by HS [29]. In the present study, mice exposed to transient scrotal hyperthermia had lower relative testes weights than control mice. Furthermore, the HS group showed atrophic changes in the seminiferous tubules including degeneration, reduction and disorganization of germ cells, appearance of multinucleated giant cells, small to large vacuoles and irregular spaces in the epithelium, and degenerative LCs in interstitial tissues. Moreover, a rise in testicle temperature can affect male fertility by decreasing testes weight. These results correspond to those acquired in cryptorchid and acute heat-treated rats [30]. However, compared to the control group co-treatment of HS and β-CA recovered the HSreduced relative testicular weight significantly. We also demonstrated that HS provoked severe spermatogenic disorders, but these testicular injuries were greatly improved by βCA co-treatment.

The testes are very sensitive to lipid peroxidation due to the abundance of polyunsaturated fatty acid. Moreover, spermatogenesis, high rates of cell division, and steroidogenesis of LCs in the testes are susceptible to ROS that cause damages to membranes, proteins, RNA, and DNA [7]. Thus, normal testicular function must be protected against oxidative stress. The testes express various antioxidants such as SOD, GPx, and catalase, which have the ability to act as ROS scavengers of superoxide ion and hydrogen peroxide [31]. In rat testes exposed to HS, increased hydrogen peroxide and lipid peroxidation were accompanied by decreased activities of SOD and catalase [32]. PHGPx is expressed at higher levels in the testes than in other organs, and low PHGPx has been observed in cryptorchidic mice [33]. In the current study, remarkable PHGPx immunostaining was detected in round and elongated spermatids and immature spermatozoa. Such distributional results are correlated with the localization of PHGPx in the testes [33]. However, in the HS group, PHGPx immunoreactivity was mainly detected in degenerative germ cells. The present results support a previous observation that degenerative germ cells are formed by aggregation with round spermatids [34]. Pino et al. [35] showed that compared to pachytene spermatocytes, round spermatids have more antioxidant ability at 40oC, suggesting that pachytene spermato-cytes are more vulnerable to ROS related to high temperatures, but that temperature-resistant mitochondrial uncoupling and high antioxidant ability protects round spermatids from high temperatures. Conversely, the testicular injuries induced by HS were less severe in the HS+EA group than in the HS group, and PHGPx and MnSOD expression patterns in the HS+β-CA group were similar to those of the control group. Testes exposed to HS also showed increased MDA levels and reduced PHGPx and MnSOD mRNA expressions and lowered SOD activity. However, EA or β-CA co-treatment significantly improved these abnormal levels, to those similar to control levels. Indeed, co-treatment with β-CA further reduced MDA levels and increased the PHGPx mRNA and SOD activity levels in comparison with those of the HS+EA group. These results suggest that co-treatment with EA or β-CA could protect the testes from HS-induced oxidative stress via functional activation of the representative testicular antioxidative enzymes, PHGPx and SOD, and that β-CA might be a potent antioxidant for improvement of spermatogenic disorders induced by HS.

Mild scrotal HS has been shown to be associated with transient blood-testis barrier disruption and the induction of TGF-β expression [36]. Scrotal hyperthermia causes hypoxia by reducing the blood flow in the testes [3]. HIF-1α, which is a hypoxia-inducible protein, responds to changes in oxygen level [37], and HS was reported to produce an increase in HIF-1α mRNA and apoptosis [4]. NF-κB is a redox-sensitive transcription factor that participates in the inflammation process by binding the HIF-1α promoter under hypoxic states, resulting in apoptosis [38]. Heat stress eventually leads to intrinsic or extrinsic apoptosis of germ cells, and Bcl-2 family proteins such as anti-apoptotic proteins (Bcl-2, Bcl-xL, etc.), pro-apoptotic proteins (Bax and Bak), and apoptogenic proteins (Bad, NF-κB, TGF-β1, etc.) regulate apoptosis inside the cell [10]. In previous studies, EA inhibited the lipid peroxidation and apoptotic cell death of testis caused by cyclophosphamide. In addition, the expression of apoptosis-related genes was reduced when testes were pretreated with β-CA [39]. In the current study, Bcl-xL mRNA levels decreased in response to HS, but recovered significantly in response to cotreatment of HS with EA or β-CA. Moreover, mRNA levels of HIF-1α, NF-κB, TGF-β1, Bax, and caspase 3 were significantly higher after HS stimulation, but co-treatment with EA or β-CA significantly reduced the elevated mRNA expressions of hypoxia and apoptosis-related proteins, suggesting that the protective effects of β-CA and EA against HSinduced testicular toxicity might be involved in anti-apoptotic functions through modulation of hypoxia and NF-κB expression, as well as via the Bcl-2 and caspase 3 pathways.

In testes, testosterone is mainly produced in LCs and has an important role in spermatogenesis. However, testosterone production is seriously affected by HS in the testes [12]. The synthesis of testosterone in LCs relies on the expression of extremely regulated genes such as 3β-HSD and 17β-HSD [40]. In the current study, scrotal HS induced an abnormal production of PHGPx in LCs. Furthermore, serological testosterone levels and testicular 3β-HSD mRNA expression were greatly reduced in the HS group. However, β-CA or EA co-treatment significantly restored these decreases to levels almost equal to those of the control group; although β-CA showed higher androgen biosynthesis ability than EA in testes exposed to HS. These results suggest that β-CA and EA improve abnormal functioning of LCs associated with scrotal hyperthermia by recovering 3β-HSD and testosterone synthesis in LCs, subsequently leads to normal spermatogenesis.

Although high doses of β-CA (up to 180 mg/day) have been used without toxic side effects, humans are recommended to consume 3–6 mg β-CA /day to reduce their risk of chronic diseases [15]. According to this study, treatment with 0.3–0.4 mg β-CA/day repaired the hyperthermic damage caused in mouse testes. However, further studies to confirm this via different routes of administration should be conducted.

In conclusion, spermatogenic disorders induced by scrotal HS were greatly reduced by β-CA treatment, but only slightly reduced by EA treatment. These findings indicate that β-CA can potently protect against testicular injuries induced by scrotal hyperthermia through its modulation of oxidative stress, apoptosis, and androgen biosynthesis, and may offer a useful preventive and therapeutic choice for the treatment of male infertility caused by environmental toxicants.


This research was supported by the Basic Science Research Program (2016R1D1A1B01015625) through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology and the Research Year of Chungbuk National University in 2018.


Supported by : National Research Foundation of Korea (NRF), Chungbuk National University


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