Literature DB >> 22357177

Sirolimus-associated testicular toxicity: detrimental but reversible.

Jordi Rovira1, Fritz Diekmann, María José Ramírez-Bajo, Elisenda Bañón-Maneus, Daniel Moya-Rull, Josep M Campistol.   

Abstract

BACKGROUND: Mammalian target of rapamycin (mTOR) inhibition has been associated with gonadal dysfunction. The aim of this study was to characterize the effect of sirolimus (SRL) on male gonadal function in an experimental model.
METHODS: Male Wistar rats were treated with intraperitoneal administration of vehicle or SRL. Vehicle group was treated for 12 weeks. Rats treated with SRL were killed at 4, 8, and 12 weeks. A group of rats was treated with SRL for 4 weeks and then observed during 8 weeks to analyze the possible reversibility of the effect of mTOR inhibition. Body and testicular weight, testosterone, follicle-stimulating hormone level, and luteinizing hormone level were measured and testicular histology was analyzed including proliferation and apoptosis analysis.
RESULTS: Testicular weight was significantly lower in all SRL groups. After SRL withdrawal testicular weight had partially recovered. The expression of steroidogenic acute regulatory protein decreased during SRL treatment, which could explain the reduction of testosterone levels, because steroidogenic acute regulatory protein is crucial for testosterone synthesis. Spermatogenesis was blocked on the spermatogonial level by SRL treatment. Withdrawal of SRL treatment led to complete recovery.
CONCLUSIONS: mTOR inhibition in healthy animals produces sexual hormone dysfunction, seminiferous tubule dystrophy and spermatogenesis blockade. Furthermore, the spermatogenesis blockade produced by SRL is reversible.

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Year:  2012        PMID: 22357177     DOI: 10.1097/TP.0b013e31824bf1f0

Source DB:  PubMed          Journal:  Transplantation        ISSN: 0041-1337            Impact factor:   4.939


  17 in total

1.  The rapamycin analog Everolimus reversibly impairs male germ cell differentiation and fertility in the mouse†.

Authors:  Oleksandr Kirsanov; Randall H Renegar; Jonathan T Busada; Nicholas D Serra; Ellen V Harrington; Taylor A Johnson; Christopher B Geyer
Journal:  Biol Reprod       Date:  2020-10-29       Impact factor: 4.285

Review 2.  The Effect of Targeted Therapy for Genitourinary Malignancies on Sexual Function and Fertility.

Authors:  Bradley C Holland; Zubin Shetty; Shaheen Alanee
Journal:  Curr Urol Rep       Date:  2017-08       Impact factor: 3.092

3.  mTORC1/2 inhibition preserves ovarian function and fertility during genotoxic chemotherapy.

Authors:  Kara N Goldman; Devon Chenette; Rezina Arju; Francesca E Duncan; David L Keefe; Jamie A Grifo; Robert J Schneider
Journal:  Proc Natl Acad Sci U S A       Date:  2017-03-07       Impact factor: 11.205

Review 4.  mTOR inhibitors in pediatric kidney transplantation.

Authors:  Lars Pape; Thurid Ahlenstiel
Journal:  Pediatr Nephrol       Date:  2013-06-07       Impact factor: 3.714

Review 5.  Mammalian target of rapamycin (mTOR): a central regulator of male fertility?

Authors:  Tito T Jesus; Pedro F Oliveira; Mário Sousa; C Yan Cheng; Marco G Alves
Journal:  Crit Rev Biochem Mol Biol       Date:  2017-01-26       Impact factor: 8.250

Review 6.  Rapamycin: An InhibiTOR of Aging Emerges From the Soil of Easter Island.

Authors:  Sebastian I Arriola Apelo; Dudley W Lamming
Journal:  J Gerontol A Biol Sci Med Sci       Date:  2016-05-21       Impact factor: 6.053

Review 7.  Immunosuppression in pregnant women with renal disease: review of the latest evidence in the biologics era.

Authors:  Loredana Colla; Davide Diena; Maura Rossetti; Ana Maria Manzione; Luca Marozio; Chiara Benedetto; Luigi Biancone
Journal:  J Nephrol       Date:  2018-02-23       Impact factor: 3.902

8.  Erectile function in men with end-stage liver disease improves after living donor liver transplantation.

Authors:  You-Chiuan Chien; Heng-Chieh Chiang; Ping-Yi Lin; Yao-Li Chen
Journal:  BMC Urol       Date:  2015-08-13       Impact factor: 2.264

9.  Long-term impact of immunosuppressants at therapeutic doses on male reproductive system in unilateral nephrectomized rats: a comparative study.

Authors:  Yehui Chen; Zhi Zhang; Yun Lin; Huaxin Lin; Miaoyuan Li; Pin Nie; Lizhong Chen; Jiang Qiu; Yanmeng Lu; Linqiang Chen; Banglao Xu; Wuzhou Lin; Jing Zhang; Hong Du; Jianjian Liang; Zhiwei Zhang
Journal:  Biomed Res Int       Date:  2013-07-11       Impact factor: 3.411

Review 10.  Immunosuppressive drugs and fertility.

Authors:  Clara Leroy; Jean-Marc Rigot; Maryse Leroy; Christine Decanter; Kristell Le Mapihan; Anne-Sophie Parent; Anne-Claire Le Guillou; Ibrahim Yakoub-Agha; Sébastien Dharancy; Christian Noel; Marie-Christine Vantyghem
Journal:  Orphanet J Rare Dis       Date:  2015-10-21       Impact factor: 4.123

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