PMID- 35227771 OWN - NLM STAT- MEDLINE DCOM- 20220322 LR - 20220322 IS - 1879-0631 (Electronic) IS - 0024-3205 (Linking) VI - 296 DP - 2022 May 1 TI - Vitamin E rescues valproic acid-induced testicular injury in rats: Role of autophagy. PG - 120434 LID - S0024-3205(22)00134-5 [pii] LID - 10.1016/j.lfs.2022.120434 [doi] AB - AIMS: Valproic acid (VPA), a commonly used antiepileptic drug, can induce testicular oxidative stress and injury. Altered autophagic response usually follows testicular injury. The study aims to evaluate the role of autophagy in the protective effect of the antioxidant vitamin E (Vit E) against VPA-induced testicular injury. MATERIALS AND METHODS: VPA (100, 300, and 500 mg/kg/day) was administered for 8 days. The protective group received both Vit E (50 mg/kg) and VPA (500 mg/kg). The testicular weight, sperm analysis, and serum testosterone concentration, as well as testicular histopathology, steroidogenic gene expression, and oxidative stress markers were evaluated. The mRNA or protein expression of autophagy-related proteins [adenosine monophosphate-activated protein kinase (AMPK), mammalian target of rapamycin (mTOR), microtubule-associated protein light chain 3 (LC3), Beclin1, and p62] were measured using RT-PCR or immunohistochemistry. KEY FINDINGS: VPA resulted in lower testes weight and sperm quality with aberrant morphology. VPA dose-dependently induced testicular oxidative stress, which was associated with decreased steroidogenic gene expression and serum testosterone levels, as well as deteriorated histopathology. These biochemical and histological changes were also associated with autophagy induction (higher LC3 and Beclin1, and lower p62) that was lost with the highest toxic dose (500 mg/kg). The attenuated autophagy with the highest dose was accompanied by AMPK downregulation and mTOR upregulation. Vit E protected against VPA-mediated oxidative stress and toxicity while also restoring autophagic response and AMPK/mTOR levels. SIGNIFICANCE: The study highlights vitamin E as a valuable protective asset against VPA-induced testicular injury, possibly through AMPK-mTOR-dependent autophagy induction. CI - Copyright (c) 2022 Elsevier Inc. All rights reserved. FAU - Alsemeh, Amira Ebrahim AU - Alsemeh AE AD - Department of Human Anatomy and Embryology, Faculty of Medicine, Zagazig University, Egypt. FAU - Ahmed, Marwa Mahmood AU - Ahmed MM AD - Department of Human Anatomy and Embryology, Faculty of Medicine, Zagazig University, Egypt. FAU - Fawzy, Amal AU - Fawzy A AD - Department of Biochemistry, Faculty of Medicine, Zagazig University, Egypt. FAU - Samy, Walaa AU - Samy W AD - Department of Biochemistry, Faculty of Medicine, Zagazig University, Egypt. FAU - Tharwat, Marwa AU - Tharwat M AD - Department of Human Anatomy and Embryology, Faculty of Medicine, Zagazig University, Egypt. FAU - Rezq, Samar AU - Rezq S AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy, Zagazig University, Egypt. Electronic address: srezq@umc.edu. LA - eng PT - Journal Article DEP - 20220225 PL - Netherlands TA - Life Sci JT - Life sciences JID - 0375521 RN - 0 (Beclin-1) RN - 0 (Becn1 protein, rat) RN - 0 (LC3 protein, rat) RN - 0 (Microtubule-Associated Proteins) RN - 1406-18-4 (Vitamin E) RN - 3XMK78S47O (Testosterone) RN - 4Y8F71G49Q (Malondialdehyde) RN - 614OI1Z5WI (Valproic Acid) RN - EC 1.11.1.6 (Catalase) RN - EC 1.15.1.1 (Superoxide Dismutase) RN - EC 2.7.1.1 (mTOR protein, rat) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/genetics MH - Animals MH - Autophagy/*drug effects/physiology MH - Beclin-1/metabolism MH - Catalase/metabolism MH - Gene Expression Regulation/drug effects MH - Male MH - Malondialdehyde/metabolism MH - Microtubule-Associated Proteins/metabolism MH - Rats MH - Sperm Motility/drug effects MH - Superoxide Dismutase/metabolism MH - TOR Serine-Threonine Kinases/genetics MH - Testis/*drug effects/*pathology/physiology MH - Testosterone/blood MH - Valproic Acid/*adverse effects MH - Vitamin E/*pharmacology OTO - NOTNLM OT - Autophagy OT - Steroidogenesis OT - Testicular injury OT - Valproic acid OT - Vitamin E EDAT- 2022/03/02 06:00 MHDA- 2022/03/23 06:00 CRDT- 2022/03/01 05:47 PHST- 2021/10/31 00:00 [received] PHST- 2022/02/13 00:00 [revised] PHST- 2022/02/22 00:00 [accepted] PHST- 2022/03/02 06:00 [pubmed] PHST- 2022/03/23 06:00 [medline] PHST- 2022/03/01 05:47 [entrez] AID - S0024-3205(22)00134-5 [pii] AID - 10.1016/j.lfs.2022.120434 [doi] PST - ppublish SO - Life Sci. 2022 May 1;296:120434. doi: 10.1016/j.lfs.2022.120434. Epub 2022 Feb 25.