Effects of Date Palm Pollen Supplementations on The Expression of PRDX1 and PRDX6 Genes in Infertile Men: A Controlled Clinical Trial

Document Type : Original Article

Authors

1 Department of Medical Genetics, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2 Hormozgan Institute of Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

3 Medical Genetics and Prenatal Diagnostic Lab, Shahid Mohammadi Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

Abstract

Background: Accumulating evidences suggest that date palm pollen (DPP) induces antioxidant activity and improves
semen parameters in male rats. However, there is a few scientific evidences in support of the DPP effects on human
male fertility. Hence, the effect of oral consumption of DPP on sperm parameters and expression pattern of Peroxiredoxin-
1 (PRDX1) and Peroxiredoxin-6 (PRDX6) genes was evaluated in men with infertility.
Materials and Methods: The current controlled clinical trial included 40 men with infertility (DPP group) and 10 normospermic
fertile men as controls. The DPP group received gelatinous capsules of DPP (400 mg/kg) for 74 days. Semen
sampling was done before and after treatment in the both groups. Semen analysis and 8-isoprostane concentration assessments
were performed by computer-assisted sperm analysis and ELISA methods, respectively. Quantitative reverse transcription
polymerase chain reaction (qRT-PCR) assays were employed to explore expression of PRDX1 and PRDX6 genes.
Results: DPP consumption significantly improved semen volume (P=0.030), count (P<0.001) and morphology of
sperm (P=0.023). Concentration of 8-isoprostane was significantly decreased after intervention in the DPP group
(P<0.001). DPP consumption led to a significant elevation in the expression of PRDX1 and PRDX6 genes (P<0.001).
Elevated gene expression of PRDX6 and PRDX1 was positively correlated with improved parameters of sperm including
count, volume, motility and morphology.
Conclusion: Taken together, DPP seems to promote sperm quality through a decrease in reactive oxygen species
(ROS) by increasing expression of antioxidant genes. Further large-scale studies are required to challenge this hypothesis
(registration number: IRCT2015021221014N2)

Keywords


  1. Wagner H, Cheng JW, Ko EY. Role of reactive oxygen species in male infertility: an updated review of literature. Arab J Urol. 2017; 16(1): 35-43.
  2. Bisht S, Dada RJ. Oxidative stress: major executioner in disease pathology, role in sperm DNA damage and preventive strategies. Front Biosci (Schol Ed). 2017; 9(3): 420-447.
  3. Kothandaraman N, Agarwal A, Abu-Elmagd M, Al-Qahtani MH. Pathogenic landscape of idiopathic male infertility: new insight towards its regulatory networks. NPJ Genom Med. 2016; 1: 16023.
  4. Bisht S, Faiq M, Tolahunase M, Dada R. Oxidative stress and male infertility. Nat Rev Urol. 2017; 14(8): 470-485.
  5. Scarlata E, O'Flaherty C. Antioxidant enzymes and male fertility: lessons from knockout models. Antioxid Redox Signal. 2020; 32(8): 569-580.
  6. Rhee SG. Overview on peroxiredoxin. Mol Cells. 2016; 39(1): 1-5.
  7. Liu Y, O’Flaherty C. In vivo oxidative stress alters thiol redox status of peroxiredoxin 1 and 6 and impairs rat sperm quality. Asian J Androl. 2017; 19(1): 73-79.
  8. O’Flaherty C. Peroxiredoxin 6: The protector of male fertility. Antioxidants (Basel). 2018; 7(12): 173.
  9. Skoko JJ, Attaran S, Neumann CA. Signals getting crossed in the entanglement of redox and phosphorylation pathways: phosphorylation of peroxiredoxin proteins sparks cell signaling. Antioxidants (Basel). 2019; 8(2): 29.
  10. Liu Y, O'Flaherty C. In vivo oxidative stress alters thiol redox status of peroxiredoxin 1 and 6 and impairs rat sperm quality. Asian J Androl. 2017; 19(1): 73-79.
  11. Wang H, Liu N, Zeng H. Peroxiredoxin I in sperm and reactive oxygen species in seminal plasma in patients with idiopathic asthenozoospermia. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014; 39(8): 842-848.
  12. Schmid N, Flenkenthaler F, Stockl JB, Dietrich KG, Kohn FM, Schwarzer JU, et al. Insights into replicative senescence of human testicular peritubular cells. Sci Rep. 2019; 9(1): 15052.
  13. O’Flaherty C. Redox regulation of mammalian sperm capacitation. Asian J Androl. 2015; 17(4): 583-590.
  14. Mehraban F, Jafari M, Akbartabar Toori M, Sadeghi H, Joodi B, Mostafazade M, et al. Effects of date palm pollen (Phoenix dactylifera L.) and Astragalus ovinus on sperm parameters and sex hormones in adult male rats. Int J Reprod Biomed. 2014; 12(10): 705-712.
  15. Bahmanpour S, Talaei T, Vojdani Z, Panjehshahin M, Poostpasand A, Zareei S, et al. Effect of phoenix dactylifera pollen on sperm parameters and reproductive system of adult male rats. Iran J Med Sci. 2015; 31(4): 208-212.
  16. 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.
  17. Iftikhar S, Bashir A, Anwar MS, Mastoi SM, Shahzad M. Effect of date palm pollen (dpp) on serum testosterone levels in prepubertal albino rats. Pak J Med Health Sci. 2011; 5(4): 639-644.
  18. Al Alawi R, Alhamdani MSS, Hoheisel JD, Baqi Y. Antifibrotic and tumor microenvironment modulating effect of date palm fruit (Phoenix dactylifera L.) extracts in pancreatic cancer. Biomed Pharmacother. 2020; 121: 109522.
  19. Saibabu V, Fatima Z, Khan LA, Hameed S. Therapeutic potential of dietary phenolic acids. Adv Pharmacol Sci. 2015; 2015: 823539.
  20. Alahyane A, Harrak H, Ayour J, Elateri I, Ait-Oubahou A, Benichou M. Bioactive compounds and antioxidant activity of seventeen Moroccan date varieties and clones (Phoenix dactylifera L.). S Afr J Bot. 2019; 121: 402-409.
  21. Abed EL-Azim MHM, El-Mesalamy AMD, Yassin FA, Khalil SA. Identification phenolic and biological activities of methanolic extract of date palm pollen (Phoenix dactylifera). J Microb Biochem Technol. 2015; 7: 47-50.
  22. Vieira M. New World Health Organization reference values for semen analysis: where do we stand? Einstein (Sao Paulo). 2013; 11(2): 263-264.
  23. Shibahara H, Suzuki T, Obara H, Hirano Y, Onagawa T, Taneichi A, et al. Accuracy of the normal sperm morphology value by sperm quality analyzer IIC: comparison with the strict criteria. Int J Androl. 2002; 25(1): 45-48.
  24. Goodrich R, Johnson G, Krawetz SA. The preparation of human spermatozoal RNA for clinical analysis. Arch Androl. 2007; 53(3): 161-167.
  25. Rasekh A, Jashni HK, Rahmanian K, Jahromi AS. Effect of palm pollen on sperm parameters of infertile man. Pak J Biol Sci. 2015; 18(4): 196-199.
  26. Abdi F, Roozbeh N, Mortazavian AM. Effects of date palm pollen on fertility: research proposal for a systematic review. BMC Res Notes. 2017; 10(1): 363.
  27. Tahvilzadeh M, Hajimahmoodi M, Rahimi R. The role of date palm (Phoenix dactylifera L) pollen in fertility: a comprehensive review of current evidence. J Evid Based Complementary Altern Med. 2016;21(4): 320-324.
  28. Fallahi S, Rajaei M, Malekzadeh K, Kalantar SM. Would Phoenix dactyflera pollen (palm seed) be considered as a treatment agent against Males’ infertility? A systematic review. Electron Physician. 2015; 7(8): 1590-1596.
  29. Adeosun AM, Oni SO, Ighodaro OM, Durosinlorun OH, Oyedele OM. Phytochemical, minerals and free radical scavenging profilesof Phoenix dactilyfera L. seed extract. J Taibah Univ Med Sci. 2016; 11(1): 1-6.
  30. Bouhlali EdT, Alem C, Ennassir J, Benlyas M, Mbark AN, Zegzouti YF. Phytochemical compositions and antioxidant capacity of three date (Phoenix dactylifera L.) seeds varieties grown in the South East Morocco. J Saudi Soc Agric Sci. 2017; 16(4): 350-357.
  31. Khosrowbeygi A, Zarghami N. Seminal plasma levels of free 8-isoprostane and its relationship with sperm quality parameters. Indian J Clin Biochem. 2008; 23(1): 49-52.
  32. Baharara J, Amini E, Salek-Abdollahi F, Nikdel N, Asadi-Samani M. Protective effect of date palm pollen (Phoenix dactylifera) on sperm parameters and sexual hormones in male NMRI mice exposed to low frequency electromagnetic field (50 Hz). J HerbMed Pharmacol. 2015; 4(3): 75-80.
  33. Ener K, Aldemir M, Işık E, Okulu E, Özcan MF, Uğurlu M, et al. The impact of vitamin E supplementation on semen parameters and pregnancy rates after varicocelectomy: a randomised controlled study. Andrologia. 2016; 48(7): 829-834.
  34. Lukusa K, Lehloenya K. Selenium supplementation improves testicular characteristics and semen quality of Saanen bucks. Small Rumin Res. 2017; 151: 52-58.
  35. Ihsan AU, Khan FU, Khongorzul P, Ahmad KA, Naveed M, Yasmeen S, et al. Role of oxidative stress in pathology of chronic prostatitis/ chronic pelvic pain syndrome and male infertility and antioxidants function in ameliorating oxidative stress. Biomed Pharmacother. 2018; 106: 714-723.
  36. Abdelkhalek F, Said M, El Nabtity S, Darwish W. Nutritive value, and pharmacological effects of dates (Phoenix dactylifera L.): a mini review. Zagazig Vet J. 2022; 50(1): 73-86.
  37. Miyamoto N, Izumi H, Miyamoto R, Kondo H, Tawara A, Sasaguri Y, et al. Quercetin induces the expression of peroxiredoxins 3 and 5 via the Nrf2/NRF1 transcription pathway. Invest Ophthalmol Vis Sci. 2011; 52(2): 1055-1063.
  38. Bumanlag E, Scarlata E, O'flaherty C. Peroxiredoxin 6 peroxidase and Ca2+-independent phospholipase A2 activities are essential to support male-mouse fertility. Antioxidants. 2022; 11(2): 226.