Volume 19, Issue 6 (June 2021)                   IJRM 2021, 19(6): 545-558 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Fallahi S, Rajaei M, Hesam M J, Koolivand M, Malekzadeh K. The Effect of Phoenix dactylifera pollen on the expression of NRF2, SOD2, CAT, and GPX4 genes, and sperm parameters of fertile and infertile men: A controlled clinical trial. IJRM 2021; 19 (6) :545-558
URL: http://ijrm.ir/article-1-1922-en.html
1- Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
2- International Institute of French Studies, University of Strasbourg, 2 Allée René Capitant, 67081, Strasbourg, France.
3- Department of Biochemistry, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Hormozgan, Iran.
4- Molecular Medicine Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran. Department of Medical Genetics, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran. , keyanooshmalek@gmail.com
Abstract:   (1610 Views)
Background: Oxidative stress is caused by the imbalance occurring between the creation and clearance of the reactive oxygen species (ROS), which is responsible for 30-40% of male infertility. The positive impact of phoenix dactylifera pollen (Date palm pollen, DPP) on the improvement of sperm parameters has been well documented in animal models.
Objective: For evaluating the effect(s) of DPP on sperm parameters, ROS levels, expression of antioxidant genes, and activity of antioxidant enzymes of infertile men.
Materials and Methods: In this controlled clinical trial, a total of 60 male case with infertility and 20 normospermic fertile men were recruited. Before and after the treatment with DPP, the case were administered 400 mg/kg of gelatinous capsules daily for 30 consecutive days and semen samples were taken. Quantitative real-time polymerase chain reaction was applied for the evaluation of the mRNA expression levels of Nuclear factor erythroid 2-related factor 2 (NRF2), superoxide dismutase (SOD2), glutathione peroxidase 4 (GPX4), and catalase (CAT) genes.
Results: The mRNA expression levels of NRF2, SOD2, GPX4, and CAT (p < 0.05 for all) and significantly increased after treatment with DPP. The increased expressions of all antioxidant genes and enzymes significantly correlated with improvement in semen parameters including count         (p = 0.01), motility (p = 0.05), and morphology (p = 0.01) of sperm. A significant correlation between the alteration of SOD2 gene expression and SOD activity, GPX4 and GPX, and CAT were also observed (p = 0.05).
Conclusion: DPP can increase the expressions of NRF2, GPX4, SOD2, and CAT genes and also improve the semen quality in infertile men.
Full-Text [PDF 525 kb]   (688 Downloads) |   |   Full-Text (HTML)  (362 Views)  
Type of Study: Original Article | Subject: Fertility & Infertility

References
1. Agarwal A, Mulgund A, Hamada A, Chyatte MR. A unique view on male infertility around the globe. Reprod Biol Endocrinol 2015; 13: 37-46. [DOI:10.1186/s12958-015-0032-1] [PMID] [PMCID]
2. Poongothai J, Gopenath TS, Manonayaki S. Genetics of human male infertility. Singapore Med J 2009; 50: 336-347.
3. Shamsi MB, Kumar K, Dada R. Genetic and epigenetic factors: Role in male infertility. Indian J Urol 2011; 27: 110-120. [DOI:10.4103/0970-1591.78436] [PMID] [PMCID]
4. Kumar N, Singh AK. Trends of male factor infertility, an important cause of infertility: A review of literature. J Hum Reprod Sci 2015; 8: 191-196. [DOI:10.4103/0974-1208.170370] [PMID] [PMCID]
5. Skakkebæk NE, Jørgensen N, Main KM, Meyts ERD, Leffers H, Andersson AM, et al. Is human fecundity declining? Int J Androl 2006; 29: 2-11. [DOI:10.1111/j.1365-2605.2005.00573.x] [PMID]
6. Agarwal A, Virk G, Ong C, Du Plessis SS. Effect of oxidative stress on male reproduction. World J Mens Health 2014; 32: 1-17. [DOI:10.5534/wjmh.2014.32.1.1] [PMID] [PMCID]
7. Chen SJ, Allam JP, Duan YG, Haidl G. Influence of reactive oxygen species on human sperm functions and fertilizing capacity including therapeutical approaches. Arch Gynecol Obstet 2013; 288: 191-199. [DOI:10.1007/s00404-013-2801-4] [PMID]
8. Chen H, Zhao HX, Huang XF, Chen GW, Yang ZX, Sun WJ, et al. Does high load of oxidants in human semen contribute to male factor infertility? Antioxid Redox Signal 2012; 16: 754-759. [DOI:10.1089/ars.2011.4461] [PMID]
9. Morrow JD, Hill KE, Burk RF, Nammour TM, Badr KF, Roberts LJ. A series of prostaglandin F2-like compounds are produced in vivo in humans by a non-cyclooxygenase, free radical-catalyzed mechanism. Proc Natl Acad Sci U S A 1990; 87: 9383-9387. [DOI:10.1073/pnas.87.23.9383] [PMID] [PMCID]
10. Tremellen K. Oxidative stress and male infertility-a clinical perspective. Hum Reprod Update 2008; 14: 243-258. [DOI:10.1093/humupd/dmn004] [PMID]
11. Kensler TW, Wakabayashi N, Biswal S. Cell survival responses to environmental stresses via the Keap1-Nrf2-ARE pathway. Annu Rev Pharmacol Toxicol 2007; 47: 89-116. [DOI:10.1146/annurev.pharmtox.46.120604.141046] [PMID]
12. Walczak-Jedrzejowska R, Wolski JK, Slowikowska-Hilczer J. The role of oxidative stress and antioxidants in male fertility. Cent European J Urol 2013; 66: 60-67. [DOI:10.5173/ceju.2013.01.art19] [PMID] [PMCID]
13. Yu B, Lin H, Yang L, Chen K, Luo H, Liu J, et al. Genetic variation in the Nrf2 promoter associates with defective spermatogenesis in humans. J Mol Med (Berl) 2012; 90: 1333-1342. [DOI:10.1007/s00109-012-0914-z] [PMID]
14. Kolahdooz M, Nasri S, Modarres SZ, Kianbakht S, Huseini HF. Effects of Nigella sativa L. seed oil on abnormal semen quality in infertile men: A randomized, double-blind, placebo-controlled clinical trial. Phytomedicine 2014; 21: 901-905. [DOI:10.1016/j.phymed.2014.02.006] [PMID]
15. Baharin A, Hashim NE, Sonsudin F, Hashim NH. Morphine and Phoenix dactylifera (dates) effects on the histological features of male rat reproductive organs. J Res Med Sci 2020; 25: 20. [DOI:10.4103/jrms.JRMS_681_16] [PMID] [PMCID]
16. Saeed HSM, Osman B, El-Hadiyah TMH, Mohamed MS, Osman WJA, Abdoon IH, et al. Date palm pollen grains as a potential manager for male sub-fertility: A clinical trial. J Pharm Res Int 2020: 32: 83-95. [DOI:10.9734/jpri/2020/v32i630451]
17. Fallahi S, Rajaei M, Malekzadeh K, Kalantar SM. Would Phoenix dactylifera pollen (palm seed) be considered as a treatment agent against Males' infertility? A systematic review. Electron Physician 2015; 7: 1590-1596. [DOI:10.19082/1590] [PMID] [PMCID]
18. World Health Organization. WHO laboratory manual for the examination and processing of human semen. 5th Ed. Switzerland: World Health Organization; 2010.
19. Cooper TG, Noonan E, Von Eckardstein S, Auger J, Baker HW, Behre HM, et al. World Health Organization reference values for human semen characteristics. Hum Reprod Update 2010; 16: 231-245. https://doi.org/10.1093/humupd/dmp048 [DOI:10.1093/humupd/dmq020] [PMID]
20. Al-Snafi AI, Bahaaldeen EF, Marbeen MI, Marbut MM. The effect of date palm pollens and zinc sulphate in the treatment of human male infertility. Tikrit Journal of Pharmaceutical Sciences 2006; 2: 31-34.
21. Rasekh A, Jashni HK, Rahmanian K, Jahromi AS. Effect of palm pollen on sperm parameters of infertile man. Pak J Biol Sci 2015; 18: 196-199. [DOI:10.3923/pjbs.2015.196.199] [PMID]
22. Al-Dujaily SS, AL-Shahery NJ, Zabbon AA. Effect of phoenix dactylifera pollen on in vitro sperm activation of infertile men. Al-Mustansiriyah J Sci 2012; 23: 27-34.
23. Bahmanpour S, Panjeh Shahin MR, Talaei T, Vojdani Z, Poust Pasand A, Zareei S, et al. Effect of phoenix dactylifera pollen on sperm parameters and reproductive system of adult male rats. IJMS 2006; 31: 208-212.
24. Mattar AG, Adaay MH. Effect of aqueous and ethanolic extracts of Tribulus terrestris, Phoenix dactylifera and Nasturtium officinale mixture on some reproductive parameters in male mice. Baghdad Sci J 2012; 9: 640-650. [DOI:10.21123/bsj.9.4.640-650]
25. Ali-Mohamed AY, Khamis ASH. Mineral ion content of the seeds of six cultivars of Bahraini date palm (Phoenix dactylifera). J Agric Food Chem 2004; 52: 6522-6525. [DOI:10.1021/jf030518x] [PMID]
26. Rahman MS, Kwon WS, Pang MG. Calcium influx and male fertility in the context of the sperm proteome: An update. Biomed Res Int 2014; 2014: 2014841615: 1-14. [DOI:10.1155/2014/841615] [PMID] [PMCID]
27. Ebisch IMW, Thomas CMG, Peters WHM, Braat DDM, Steegers-Theunissen RPM. The importance of folate, zinc and antioxidants in the pathogenesis and prevention of subfertility. Hum Reprod Update 2007; 13: 163-174. [DOI:10.1093/humupd/dml054] [PMID]
28. Nakamura BN, Lawson G, Chan JY, Banuelos J, Cortés MM, Hoang YD, et al. Knockout of the transcription factor NRF2 disrupts spermatogenesis in an age-dependent manner. Free Radic Biol Med 2010; 49: 1368-1379. [DOI:10.1016/j.freeradbiomed.2010.07.019] [PMID] [PMCID]
29. Imai H, Hakkaku N, Iwamoto R, Suzuki J, Suzuki T, Tajima Y, et al. Depletion of selenoprotein GPx4 in spermatocytes causes male infertility in mice. J Biol Chem 2009; 284: 32522-33252. [DOI:10.1074/jbc.M109.016139] [PMID] [PMCID]
30. Diaconu M, Tangat Y, Böhm D, Kühn H, Michelmann HW, Schreiber G, et al. Failure of phospholipid hydroperoxide glutathione peroxidase expression in oligoasthenozoospermia and mutations in the PHGPx gene. Andrologia 2006; 38: 152-157. [DOI:10.1111/j.1439-0272.2006.00729.x] [PMID]
31. Schneider M, Forster H, Boersma A, Seiler A, Wehnes H, Sinowatz F, et al. Mitochondrial glutathione peroxidase 4 disruption causes male infertility. FASEB J 2009; 23: 3233-3242. [DOI:10.1096/fj.09-132795] [PMID]
32. Peeker R, Abramsson L, Marklund SL. Superoxide dismutase isoenzymes in human seminal plasma and spermatozoa. Mol Hum Reprod 1997; 3: 1061-1066. [DOI:10.1093/molehr/3.12.1061] [PMID]
33. Aitken RJ, Buckingham DW, Carreras A, Irvine DS. Superoxide dismutase in human sperm suspensions: Relationship with cellular composition, oxidative stress, and sperm function. Free Radic Biol Med 1996; 21: 495-504. [DOI:10.1016/0891-5849(96)00119-0]
34. Murawski M, Saczko J, Marcinkowska A, Chwiłkowska A, Gryboś M, Banaś T. Evaluation of superoxide dismutase activity and its impact on semen quality parameters of infertile men. Folia Histochem Cytobiol 2007; 45: S123-S126.
35. Faure C, Leveille P, Dupont C, Julia C, Chavatte-Palmer P, Alifert G, et al. Are superoxide dismutase 2 and nitric oxide synthase polymorphisms associated with idiopathic infertility? Antioxid Redox Signal 2014; 21: 565-569. [DOI:10.1089/ars.2014.5831] [PMID]
36. Yan L, Liu J, Wu S, Zhang S, Ji G, Gu A. Seminal superoxide dismutase activity and its relationship with semen quality and SOD gene polymorphism. J Assist Reprod Genet 2014; 31: 549-554. [DOI:10.1007/s10815-014-0215-2] [PMID] [PMCID]
37. Ruiz-Sanz JI, Aurrekoetxea I, Matorras R, Ruiz-Larrea MB. Ala16Val SOD2 polymorphism is associated with higher pregnancy rates in in vitro fertilization cycles. Fertil Steril 2011; 95: 1601-1165. [DOI:10.1016/j.fertnstert.2010.11.022] [PMID]
38. Macanovic B, Vucetic M, Jankovic A, Stancic A, Buzadzic B, Garalejic E, et al. Correlation between sperm parameters and protein expression of antioxidative defense enzymes in seminal plasma: a pilot study. Disease markers 2015; 2015: 436236: 1-6. [DOI:10.1155/2015/436236] [PMID] [PMCID]
39. Forsberg L, Lyrenäs L, Morgenstern R, de Faire U. A common functional CT substitution polymorphism in the promoter region of the human catalase gene influences transcription factor binding, reporter gene transcription and is correlated to blood catalase levels. Free Radic Biol Med 2001; 30: 500-505. [DOI:10.1016/S0891-5849(00)00487-1]
40. Sabouhi S, Salehi Z, Bahadori MH, Mahdavi M. Human catalase gene polymorphism (CAT C‐262 T) and risk of male infertility. Andrologia 2015; 47: 97-101. [DOI:10.1111/and.12228] [PMID]
41. Daoud A, Malika D, Bakari S, Hfaiedh N, Mnafgui K, Kadri A, et al. Assessment of polyphenol composition, antioxidant and antimicrobial properties of various extracts of date palm pollen (DPP) from two Tunisian cultivars. Arab J Chem 2019; 12: 3075-3086. [DOI:10.1016/j.arabjc.2015.07.014]
42. Yeh CT, Yen GC. Involvement of p38 MAPK and Nrf2 in phenolic acid-induced P-form phenol sulfotransferase expression in human hepatoma HepG 2 cells. Carcinogenesis 2006; 27: 1008-1017. [DOI:10.1093/carcin/bgi281] [PMID]
43. Varì R, D'Archivio M, Filesi C, Carotenuto S, Scazzocchio B, Santangelo C, et al. Protocatechuic acid induces antioxidant/detoxifying enzyme expression through JNK-mediated Nrf2 activation in murine macrophages. J Nutr Biochem 2011; 22: 409-417. [DOI:10.1016/j.jnutbio.2010.03.008] [PMID]

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb