ROLE OF THE REACTIVE OXYGEN AND NITROGEN SPECIES IN THE DEVELOPMENT OF FIBROSIS IN THE TESTES OF RATS WITH PROLONGED CENTRAL DEPRIVATION OF TESTOSTERONE SYNTHESIS

Abstract

Prostate cancer is the second most common diagnosis in oncology and ranks the fifth among the causes of mortality in men around the world. 1,276,106 cases of newly diagnosed prostate cancer were recorded in 2018. Androgens play a large role in the development of prostate cancer. Elimination of androgens and blockade of their synthesis are key pathogenetic steps in the treatment of prostate cancer. Metabolic and morphological changes in the testes under prolonged central deprivation of testosterone synthesis are currently not well understood. The aim of this study was to establish the role of reactive oxygen and nitrogen species in the development of morphological changes in the testes of rats under prolonged central deprivation of testosterone synthesis. Materials and methods. The experiments were conducted on 20 sexually mature male Wistar rats. Animals were divided into 4 groups of 5 animals in each. The first group (control) received a subcutaneous injection of 0.9% sodium chloride for 180 days. The second group received a subcutaneous injection of diphereline (triptoreline) in a dose of 0.3 mg/kg of active agent for 30 days in order to simulate the central deprivation of testosterone synthesis. In the third group, diphereline was administered in a dose of 0.3 mg/kg of the active agent for 90 days. The fourth group received a subcutaneous injection of diphereline in a dose of 0.3 mg/kg of the active agent for 180 days. Small pieces of testes were fixed and enclosed in paraffin blocks; then 4-μm thick sections were made and stained with hematoxylin and eosin. Histological preparations were studied using an optical microscope with a digital microphotographic nozzle Olympus C 3040-ADU with programs adapted for these studies. The total activity of NO synthases (gNOS), the activity of the inducible isoform of NO synthase (iNOS) and constitutive isoforms (cNOS), as well as the production of superoxide anion radical (O2•-) were determined in 10% homogenate of testes. Results. Long-term central deprivation of testosterone synthesis leads to an increase in the interstitial space volume with the development of fibrotic changes in the testes on the 180th day of the experiment. The wall of seminiferous tubules was compacted, swollen, there were a large number of parietal macrophages from the outside compared to previous periods of the experiment. In the structure of some convoluted seminiferous tubules, first there was discompletion and disorientation, and then desquamation of spermatids. The number of spermatogonia type A and B decreased. Hypochromia and pycnosis were noted in the nuclei. The activities of gNOS and iNOS increased until the 90th day and decreased by 180th when compared with 90th day, remaining higher than the activities of the control group. Activity of cNOS was reduced in all experimental groups. O2•- production increased in all experimental groups. Conclusion: an increase in the production of nitric oxide by the inducible isoform of NO synthase leads to destructive changes in the testes of rats with the subsequent development of fibrotic changes on the 180th day of central deprivation of testosterone synthesis by enhancing the production of superoxide anion radical.