PMID- 22098724 OWN - NLM STAT- MEDLINE DCOM- 20140409 LR - 20211203 IS - 1532-2777 (Electronic) IS - 0306-9877 (Linking) VI - 78 IP - 2 DP - 2012 Feb TI - Adriamycin induced spermatogenesis defect is due to the reduction in epididymal adipose tissue mass: a possible hypothesis. PG - 218-20 LID - 10.1016/j.mehy.2011.10.027 [doi] AB - Adriamycin is an anthracycline antibiotic used as anticancer drug since past few decades. Though effective against cancer, it is cardiotoxic, nephrotoxic, hepatotoxic and also toxic for reproductive system. Although a number of potential toxic mechanisms have been identified following exposure to adriamycin, the major pathogenic mechanism appears to be the generation of toxic reactive oxygen species (ROS). Animals treated with adriamycin have shown a decrease in total sperm count. This implies that adriamycin impairs the process of spermatogenesis. Epididymal white adipose tissue (EWAT) is necessary for normal spermatogenesis, and decrease in the EWAT causes disturbance in spermatogenesis. Factor X is an unknown molecule synthesized by EWAT that plays crucial role in spermatogenesis. Adriamycin inhibits Kruppel-like factor 4 (KLF-4) and thus downregulates the adipogenesis process needed to maintain the EWAT mass. Apart form adipocytes, KLF-4 and peroxisome proliferator-activated receptor gamma (PPAR-gamma) are also found in spermatogonium and testis, implying its vital role in spermatogenesis. Adriamycin treatment inhibits KLF-4 and thus PPAR-gamma in EWAT and spermatogonium. Reduction of EWAT might cause a decrease in Factor X level. Declining of Factor X level, KLF-4 and PPAR-gamma together will lead to disturbance in spermatogenesis process. CI - Copyright (c) 2011 Elsevier Ltd. All rights reserved. FAU - Pichiah, P B Tirupathi AU - Pichiah PB AD - Department of Food Science & Human Nutrition, Chonbuk National University, 664-14 Duckjin-dong, Jeonju, Jeonbuk 561-756, Republic of Korea. FAU - Sankarganesh, A AU - Sankarganesh A FAU - Kalaiselvi, S AU - Kalaiselvi S FAU - Indirani, K AU - Indirani K FAU - Kamalakkannan, S AU - Kamalakkannan S FAU - SankarGanesh, D AU - SankarGanesh D FAU - Hwang, Pyoung-Han AU - Hwang PH FAU - Cha, Youn Soo AU - Cha YS FAU - Achiraman, S AU - Achiraman S LA - eng PT - Journal Article DEP - 20111117 PL - United States TA - Med Hypotheses JT - Medical hypotheses JID - 7505668 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (KLF4 protein, human) RN - 0 (Kruppel-Like Factor 4) RN - 0 (Kruppel-Like Transcription Factors) RN - 0 (PPAR gamma) RN - 0 (Reactive Oxygen Species) RN - 80168379AG (Doxorubicin) SB - IM MH - Adipose Tissue/*drug effects MH - Adipose Tissue, White/drug effects MH - Animals MH - Antibiotics, Antineoplastic/*adverse effects MH - Doxorubicin/*adverse effects MH - Epididymis/*drug effects MH - Humans MH - Kruppel-Like Factor 4 MH - Kruppel-Like Transcription Factors/metabolism MH - Male MH - PPAR gamma/metabolism MH - Reactive Oxygen Species MH - Sperm Count MH - Spermatogenesis/*drug effects EDAT- 2011/11/22 06:00 MHDA- 2014/04/10 06:00 CRDT- 2011/11/22 06:00 PHST- 2011/08/13 00:00 [received] PHST- 2011/10/23 00:00 [accepted] PHST- 2011/11/22 06:00 [entrez] PHST- 2011/11/22 06:00 [pubmed] PHST- 2014/04/10 06:00 [medline] AID - S0306-9877(11)00554-8 [pii] AID - 10.1016/j.mehy.2011.10.027 [doi] PST - ppublish SO - Med Hypotheses. 2012 Feb;78(2):218-20. doi: 10.1016/j.mehy.2011.10.027. Epub 2011 Nov 17.