Clin Exp Reprod Med Search

CLOSE


Clin Exp Reprod Med > Volume 53(2); 2026 > Article
Novin, Novin, Abdollahifar, Raee, Moradi, Mosleh, Nazarian, and Mofarahe: Effects of quercetin-loaded nanoselenium on spermatogenesis in a mouse model of cyclophosphamide-induced testicular damage

Abstract

Objective

Cyclophosphamide (CP), a chemotherapeutic agent, has been shown to inhibit spermatogenesis. Accordingly, the primary objective of this study was to evaluate the potential therapeutic benefits of quercetin‑loaded nanoselenium (quercetin‑loaded selenium nanoparticles [SeNPs]) in mice treated with CP.

Methods

Thirty‑five adult male mice were randomly assigned to five groups (n=7 per group): control, quercetin‑loaded SeNPs (20 mg/kg, daily for 5 weeks), CP (200 mg/kg, single dose), treatment A (CP+quercetin‑loaded SeNPs), and treatment B (CP+quercetin, 20 mg/kg daily for 5 weeks). Sperm parameters, DNA fragmentation index, catalase activity, levels of glutathione (GSH), glutathione disulfide (GSSG), malondialdehyde (MDA), and reactive oxygen species (ROS) were evaluated in all groups, along with histological assessments of testicular tissue.

Results

In CP‑treated mice, administration of quercetin‑loaded SeNPs (treatment A) significantly improved sperm parameters, including total count, motility, morphology, and DNA integrity. Treatment also markedly increased the numbers of spermatogonia, primary spermatocytes, spermatids, Sertoli cells, and Leydig cells in testicular tissue. Furthermore, treatment with quercetin‑loaded SeNPs resulted in a significant increase in catalase activity and GSH levels while significantly reducing GSSG, MDA, and ROS levels in CP‑induced testicular damage.

Conclusion

These findings suggest that quercetin‑loaded SeNPs enhance spermatogenesis in a CP‑induced mouse model by improving the antioxidant profile and testicular stereological parameters.

Introduction

It is well established that chemotherapeutic agents adversely affect spermatogenesis, thereby reducing male fertility potential. Such drugs impair spermatogenesis by compromising germ cell DNA integrity and inducing apoptosis in spermatogenic cells. In particular, alkylating agents are known for their genotoxic effects, frequently leading to long‑term azoospermia [1-3].
Cyclophosphamide (CP) is a widely used alkylating chemotherapeutic drug that is converted into active metabolites by liver cytochrome P450 enzymes [4,5]. CP exerts a significant negative impact on male fertility by causing DNA cross‑linking in rapidly dividing germ cells, which impairs spermatogenesis and may lead to oligozoospermia or azoospermia, potentially resulting in temporary or permanent infertility. Additionally, CP adversely affects Leydig cells, thereby reducing testosterone synthesis and causing hormonal imbalances [6-10]. Oxidative stress is a key mediator of CP’s detrimental effects on male fertility. Upon administration, CP is converted into active metabolites that increase reactive oxygen species (ROS) production. Excessive ROS inflicts oxidative damage on lipids, proteins, and DNA, particularly in the delicate germ cells involved in spermatogenesis, thus reducing sperm quality. Moreover, oxidative stress compromises the blood‑testis barrier, leading to testicular inflammation and further impairing spermatogenesis. Consequently, antioxidant supplements and pharmacological agents that enhance endogenous antioxidant defenses are under investigation to preserve male fertility during CP therapy [6-10].
Quercetin is a flavonoid with intrinsic antioxidant properties due to its capacity to scavenge free radicals and chelate heavy metals, and it is primarily found in fruits and vegetables. It exhibits various biological effects, including cardiovascular protection, anticancer, antidiabetic, and immunomodulatory actions [11,12]. Furthermore, quercetin has demonstrated potential in preventing oxidative damage to spermatogenic cells by inhibiting lipid peroxidation, preserving mitochondrial integrity, and significantly reducing germ cell apoptosis, thereby improving sperm parameters. Its therapeutic potential is being explored in dietary supplements and pharmaceutical formulations, often in combination with other antioxidants, to counteract oxidative damage and enhance testicular function [13,14].
Selenium (Se) is an essential trace element that plays critical roles in human health. As a key component of selenoproteins such as thioredoxin reductases and glutathione (GSH) peroxidases, Se helps maintain cellular redox balance. Its antioxidant properties protect cellular membranes and DNA, thus supporting overall cellular function. Se is integral to male reproductive biology and endocrine function, influencing spermatogenesis and testosterone synthesis while protecting spermatozoa from oxidative damage [15,16]. Additionally, Se supplementation has been investigated in various pathological conditions affecting male fertility, with studies demonstrating improvements in semen quality in both animal models and human subjects [17-19].
Selenium nanoparticles (SeNPs) offer a novel drug delivery system to enhance the therapeutic effects of antioxidants. SeNPs exhibit anti‑inflammatory, antioxidant, and immunomodulatory properties with significantly lower toxicity [16]. Nanoscale Se improves bioavailability, cellular uptake, and pharmacokinetic characteristics. Their multivalent surface and modifiable properties allow for efficient loading of chemical drugs or biomacromolecules via covalent or non‑covalent bonds [20]. Thus, SeNPs can function as nanocarriers for natural antioxidants, enabling controlled release and higher local concentrations of therapeutic agents, thereby effectively mitigating oxidative stress. Additionally, SeNPs possess inherent antioxidant properties, further enhancing their therapeutic potential [16,21-23]. Beyond their potential applications in male infertility [24,25], SeNPs can deliver antioxidants to protect spermatogenic cells from oxidative damage and improve sperm quality. Their dual function as both a carrier and an antioxidant makes them a promising option for treating oxidative stress‑related conditions, including chemotherapy‑induced infertility.
Based on these considerations, the present study aims to investigate the potential therapeutic effects of quercetin‑loaded SeNPs in alleviating CP‑induced testicular damage. To date, no data have addressed the impact of quercetin‑loaded SeNPs on CP‑induced testicular damage in mice.

Methods

1. Preparation of quercetin-loaded SeNPs

To prepare quercetin‑loaded SeNPs, 0.3 g of low molecular weight chitosan was dissolved in 1% acetic acid under stirring at 40 °C for 30 minutes. Separately, 0.3 g of sodium selenite was dissolved in 10 cm3 of deionized water and stirred at room temperature for 30 minutes. The sodium selenite solution was then added dropwise to the chitosan solution and allowed to react for 6 hours. At room temperature, 0.3 g of quercetin was dissolved in 10 mL of dimethyl sulfoxide (DMSO) and added dropwise to the mixture. For each milliliter of the quercetin solution, 10 µL of Tween (polysorbate) 20 was added dropwise at 15‑minute intervals. After 1 hour, 0.1 g of ascorbic acid was dissolved in 10 mL of deionized water and added dropwise. The reaction was indicated by a color change from yellow to orange. Chitosan and Tween 20 served as stabilizers. Finally, the solution was centrifuged for 30 minutes at 5,000 rpm and filtered through a 0.22‑µm syringe filter. The particle size distribution was determined by dynamic light scattering, and the zeta potential was measured using a zeta sizer.

2. Animals and experimental design

This study was approved by the Research Ethics Committee of Shahid Beheshti University of Medical Sciences (IR.SBMU.AEC.1402.082), and all procedures were conducted in accordance with relevant guidelines and regulations. Thirty‑five adult male Naval Medical Research Institute (NMRI) mice (8 weeks old, weighing 25 to 30 g) were housed at room temperature under a 12‑hour light/dark cycle with ad libitum access to food and water. The mice were randomly divided into five groups (n=7 per group): (1) control, (2) quercetin‑loaded SeNPs (20 mg/kg daily for 5 weeks), (3) CP (200 mg/kg, single intraperitoneal [ip] injection), (4) treatment A (CP+quercetin‑loaded SeNPs), and (5) treatment B (CP+quercetin, 20 mg/kg daily for 5 weeks). Mice were sacrificed using ketamine/xylazine (80 and 10 mg/kg, ip, respectively) for subsequent assessments. The CP‑induced mouse model was established based on previously published studies [9]. The study schedule is illustrated in Figure 1. Notably, on the day of sacrifice, all mice were 18 weeks old, and the CP dose was selected based on prior studies [9,26].

3. Semen analysis

The caudal region of the epididymis was placed in a Petri dish containing 1 mL of pre‑warmed Ham's F10 medium, minced, and incubated at 37 °C with 5% CO₂ for 15 to 20 minutes. Ten microliters of the sperm mixture were then used to evaluate sperm parameters. Sperm count, motility, and morphology were assessed using a bright‑field microscope following the previously described method [27]. Normal sperm morphology in mice was defined as having a smooth head without deformities or vacuoles, a straight, slender midpiece properly attached to the head, and a uniform tail without bends, breaks, or cytoplasmic droplets [27]. The DNA fragmentation index was determined using the sperm chromatin dispersion assay with the sperm DNA fragmentation assay kit (IVF, Tehran, Iran) according to the manufacturer's instructions, and the percentage of sperm with DNA fragmentation was recorded [28].

1) Tissue preparation and stereological study

Tissue samples were fixed in Bouin's solution for 24 hours. Serial sections of 5 and 20 μm thickness were obtained using a rotary microtome and stained with hematoxylin and eosin (H&E). Sections were selected via systematic uniform random sampling, and stereological analyses were performed in a blinded manner.
The optical dissector technique was used to estimate the numerical density (Nv) of cells in the testes [27]:
Nv=ΣQΣP×h×af×tBA
In this equation, ΣQ represents the estimated number of testicular cells. This estimation was carried out using a counting frame probe and a microcator (Heidenhain) connected to the microscope stage. The microcator was used to measure the height of the dissector (h) and the actual thickness of the tissue section (t). Additionally, ΣP denotes the total number of fields that were counted. The a/f represents the ratio of the area of the probe to the magnification, whereas the BA refers to the tissue section thickness.

4. Measurement of ROS by flow cytometry

A 100 μL sample was incubated with 2′,7′‑dichlorodihydrofluorescein diacetate (DCFH‑DA) at a concentration of 20 μM for 45 minutes at 37 °C in the dark. Subsequently, 900 μL of phosphate-buffered saline was added, and the sample was centrifuged at 1,200 rpm for 5 minutes at 4 °C. Finally, the sample was analyzed using a BD FACSLyric flow cytometer (BD Biosciences) with excitation at 495 nm.

5. Glutathione production

Eighty microliters of sample were added to test tubes, followed by 20 μL of R2 solution in each tube. The tubes were centrifuged for 10 minutes at 4,000 to 5,000 rpm. Next, 10 μL of the supernatant or standard was transferred to a microplate, and 200 μL of R3 solution was added. The mixture was then incubated at room temperature for 5 minutes before measuring absorbance at 412 nm. GSH activity was calculated based on the absorbance readings.

6. Glutathione disulfide production

Test tubes were prepared by adding 25 μL of the standard solution to some tubes and 25 μL of sample to others; an additional 25 μL of deionized water was added to the standard tubes. A working solution was then prepared by mixing 25.2 mL of glutathione disulfide (GSSG) buffer, 90 μL of cofactor, 420 μL of enzyme, 460 μL of deionized water, and 90 μL of 5,5′‑dithiobis‑(2‑nitrobenzoic acid) (DTNB). Next, 150 μL of the working solution was added to each test tube. The optical absorbance was measured at a wavelength of 412 nm (range, 400 to 420).

7. Measurement of catalase enzyme activity

Twenty microliters of the sample were added to 30 μL of catalase methanol and mixed thoroughly. Then, 20 μL of the catalase substrate was added to each well to initiate the reaction. The plate was covered and incubated at room temperature for 20 minutes. Subsequently, 30 μL of the catalase stop solution was added to each well, followed by 30 μL of catalase chromogen, and incubated for 10 minutes at room temperature. Finally, 10 μL of catalase periodate was added, and after a further 5 minutes, absorbance was measured at a wavelength range of 520 to 560 nm.

8. Evaluation of lipid peroxidation (malondialdehyde levels)

After preparing the necessary solutions and allowing them to reach ambient temperature, 50 μL of each sample or standard solution was added to separate microtubes. Subsequently, 1 mL of chromogenic solution was added, and the tubes were incubated for 1 hour. The tubes were then placed in boiling water, cooled on ice, and centrifuged for 10 minutes at 4,000 rpm. Next, 200 μL of the pink supernatant was transferred to a microplate, and absorbance was measured at 535 nm using an enzyme-linked immunosorbent assay reader. Malondialdehyde (MDA) levels were calculated based on the standard curve obtained.

9. Statistical analysis

Data were analyzed using GraphPad Prism ver. 9 (GraphPad Software Inc.) and are presented as mean±standard deviation. The Shapiro–Wilk test was employed to assess normality. Statistical significance was determined by one‑way analysis of variance (ANOVA) followed by Tukey’s post hoc test, with p<0.05 considered statistically significant. All significant differences are reported at p<0.05 for clarity.

Results

1. Characterization of quercetin-loaded SeNPs

As shown in Figure 2, the quercetin‑loaded SeNPs had a particle size of 108 nm and a zeta potential of –5.8 mV.

2. Sperm parameters

As depicted in Figure 3, CP administration significantly reduced sperm count, total motility, progressive motility, normal morphology, and DNA integrity compared to controls (p<0.05). Treatment with quercetin‑loaded SeNPs (treatment A) significantly improved sperm count, total motility, progressive motility, and DNA integrity relative to the CP group (p<0.05); however, it did not significantly affect the percentage of normal sperm morphology (p>0.05). In contrast, treatment B (CP+quercetin) did not yield significant improvements in any of these parameters compared to the CP group (p>0.05). No significant differences were observed among the study groups regarding sperm non‑progressive motility (p>0.05). Additionally, there were no significant differences between the control and quercetin‑loaded SeNPs groups (p>0.05) for these parameters.

3. Number of cells in testicular tissue

Figure 4 displays histological sections of testicular tissue from the study groups, highlighting CP‑induced effects on the seminiferous tubules’ germinal epithelium. Figure 5A-5E presents the counts of various cell types in the testicular tissue, while Figure 5F shows a photomicrograph of mouse testicular tissue illustrating different cell types.
CP injection significantly reduced the numbers of spermatogonia, primary spermatocytes, spermatids, Leydig cells, and Sertoli cells compared to the control group (p<0.05). Both treatment A (CP+quercetin‑loaded SeNPs) and treatment B (CP+quercetin) groups exhibited significant increases in spermatogonia, spermatids, Leydig cells, and Sertoli cells relative to the CP group (p<0.05). However, only treatment A showed a significant increase in primary spermatocyte numbers compared to the CP group (p<0.05), whereas the increase in the treatment B group was not significant (p>0.05). No significant differences were found between the control and quercetin‑loaded SeNPs groups for these parameters (p>0.05).

4. Catalase activity and markers of oxidative stress

Figure 6 illustrates the results for catalase activity and oxidative stress markers across the study groups. The CP group exhibited significant reductions in catalase activity and GSH levels, along with significant increases in GSSG, MDA, and ROS levels in testicular tissue compared to controls (p<0.05). Both treatment A and treatment B groups showed significant improvements in catalase activity and GSH levels, as well as significant reductions in GSSG, MDA, and ROS levels relative to the CP group (p<0.05). Notably, treatment A was significantly more effective than treatment B in enhancing the antioxidant/oxidant profile in CP‑induced mice, as evidenced by higher catalase activity and GSH levels and lower GSSG and ROS levels (p<0.05). Additionally, no significant differences were observed between the control and quercetin‑loaded SeNPs groups (p>0.05).

Discussion

This study investigated the therapeutic efficacy of quercetin‑loaded SeNPs in a mouse model of CP‑induced testicular damage, providing insights into potential mechanisms, therapeutic implications, and future research directions. To our knowledge, no previous studies have examined the protective effects of quercetin‑loaded SeNPs against CP‑induced testicular damage.
CP treatment caused a significant decline in sperm parameters, whereas quercetin‑loaded SeNPs demonstrated promising efficacy in improving sperm count, motility (both total and progressive), morphology, and DNA integrity in CP‑treated mice. Furthermore, treatment with quercetin‑loaded SeNPs significantly increased the number of testicular cells, indicating its potential to mitigate chemotherapy‑induced testicular damage. The observed increase in Sertoli cell numbers is unlikely due to de novo proliferation, given that adult Sertoli cells are postmitotic [29]; rather, it likely reflects a protective effect by reducing CP‑induced apoptosis or structural damage and preserving the existing Sertoli cell population. Additionally, these treatments may enhance the testicular microenvironment, thereby supporting Sertoli cell survival and functional recovery—mechanisms that warrant further investigation. Previous studies have shown that Se supplementation can improve spermatogenesis in CP‑induced mouse models, partly by upregulating glutathione peroxidase 4 (GPx4), an enzyme that protects against membrane lipid peroxidation, and by increasing the expression of solute carrier family 7 member 11 (SLC7A11), which is essential for cysteine/GSH homeostasis in Sertoli cells [30,31]. Moreover, quercetin has been reported to exert preventive effects against CP‑induced testicular damage by modulating multiple pathways involved in apoptosis and oxidative stress responses [32]. However, none of these studies employed a nanoparticle‑based approach to combine these effects, as was achieved with quercetin‑loaded SeNPs.
In this study, CP administration significantly reduced catalase activity and GSH levels while markedly increasing GSSG (oxidized GSH), MDA, and ROS in mouse testicular tissue. These findings support other studies indicating that oxidative stress is a key contributor to CP‑induced testicular injury [33,34]. Treatment with both quercetin‑loaded SeNPs and quercetin significantly increased catalase activity and GSH levels and decreased GSSG, MDA, and ROS compared to the CP group. Notably, quercetin‑loaded SeNPs were significantly more effective than quercetin alone in improving the antioxidant/oxidant profile, underscoring the promise of a nanotechnology approach that combines the antioxidant properties of both quercetin and Se. quercetin has been shown to protect spermatogenic cells by preventing lipid peroxidation, preserving mitochondrial integrity, and reducing germ cell apoptosis, thereby improving sperm parameters [13,14]. As mentioned earlier, Se, a critical component of selenoproteins such as GPxs and thioredoxin reductases, maintains cellular redox equilibrium and protects cellular membranes and DNA [15,16]. Thus, the combined delivery of quercetin and Se via quercetin‑loaded SeNPs may potentiate the antioxidant effect compared to quercetin alone.
In conclusion, our findings indicate that quercetin‑loaded SeNPs enhance spermatogenesis in a CP‑induced mouse model by improving both the antioxidant profile and testicular stereological parameters. Moreover, quercetin‑loaded SeNPs outperform quercetin alone in mitigating oxidative stress, a key factor in chemotherapy‑induced testicular dysfunction. Further studies are necessary to thoroughly evaluate the safety, therapeutic efficacy, and optimal dosing of quercetin‑loaded SeNPs, which will be crucial in establishing their translational potential for future clinical applications in combating chemotherapy‑induced reproductive toxicity.

Conflict of interest

No potential conflict of interest relevant to this article was reported.

Acknowledgements

This study is derived from the thesis of Mahsa Ghaffari Novin, a Ph.D. student of reproductive biology at the Department of Biology and Anatomical Sciences, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Author contributions

Conceptualization: MGN (Mahsa Ghaffari Novin), MGN (Marefat Ghaffari Novin), HN, ZSM. Methodology: MGN (Mahsa Ghaffari Novin), MGN (Marefat Ghaffari Novin), MAA, PR, AM, HM, ZSM. Formal analysis: HN, ZSM. Data curation: HN, ZSM. Funding acquisition: HN, ZSM. Project administration: HN, ZSM. Visualization: HN, ZSM. Validation: MGN (Mahsa Ghaffari Novin), HN, ZSM. Investigation: MGN (Mahsa Ghaffari Novin), MGN (Marefat Ghaffari Novin), MAA, PR, AM, HM, ZSM. Writing-original draft: MGN (Mahsa Ghaffari Novin), MGN (Marefat Ghaffari Novin), AM, HM. Writing-review & editing: PR, HN, ZSM. Approval of final manuscript: MGN (Mahsa Ghaffari Novin), MGN (Marefat Ghaffari Novin), MAA, PR, AM, HM, HN, ZSM.

Figure 1.
Comprehensive timeline of the current study. NMRI, Naval Medical Research Institute; CP, cyclophosphamide; SeNP, selenium nanoparticle; ip, intraperitoneal.
cerm-2025-07801f1.jpg
Figure 2.
Characterization of the quercetin-loaded selenium nanoparticles (SeNPs). (A) Zeta potential analysis of quercetin-loaded SeNPs. The surface charge was determined to be –5.8 mV. Measurements were performed using a Zetasizer (Malvern Panalytical). (B) Size distribution profile of quercetin-loaded SeNPs. The average diameter was measured as 108 nm by dynamic light scattering (DLS).
cerm-2025-07801f2.jpg
Figure 3.
Comparison of sperm parameters between study groups. (A-F) All data are presented as mean±standard deviation. Normal sperm morphology (E) was assessed based on the following criteria: a smooth head without deformities or vacuoles, a straight and slender midpiece properly attached to the head, and a uniform tail free of bends or breaks, with no cytoplasmic droplets or abnormal shapes. (G, H) Representative photomicrographs of sperm with intact (G) and fragmented (H) DNA content (×100 objective). a, fast progressive motility; b, slow progressive motility; a+b, progressive motility; c, non-progressive motility; SeNP, selenium nanoparticle. a),b),c)No statistically significant differences between groups (p>0.05), whereas different letters indicate significant differences (p<0.05).
cerm-2025-07801f3.jpg
Figure 4.
Representative photomicrographs of hematoxylin and eosin-stained seminiferous tubules across study groups (×10 and ×40 objective). Microscopic examination of the testicular tissue structure in the cyclophosphamide (CP) group revealed significant damage to the germinal epithelium, shrinkage of the seminiferous tubule walls, and an increased intertubular space compared to the control group. Furthermore, both treatment groups showed a marked improvement in the testicular tissue structure compared to the CP group. Treatment A, CP+quercetin-loaded selenium nanoparticles (SeNPs); treatment B, CP+quercetin.
cerm-2025-07801f4.jpg
Figure 5.
Quantification of testicular cell types across study groups. (A-E) Data are expressed as mean±standard deviation. (F) Representative photomicrographs of hematoxylin and eosin-stained testicular tissue illustrating distinct cell types. Treatment A, cyclophosphamide (CP)+quercetin-loaded selenium nanoparticles (SeNPs); treatment B, CP+quercetin; SeNP, selenium nanoparticle; LC, Leydig cell; SC, Sertoli cell; SG, spermatogonia; PS, primary spermatocyte; ST, spermatid. a),b),c)No statistically significant differences between groups (p>0.05), whereas different letters indicate significant differences (p<0.05).
cerm-2025-07801f5.jpg
Figure 6.
Catalase activity and markers of oxidative stress in the study groups. (A-E) All data are presented as mean±standard deviation. SeNP, selenium nanoparticle; Treatment A, cyclophosphamide (CP)+quercetin-loaded selenium nanoparticles (SeNPs); treatment B, CP+quercetin; GSH, glutathione; GSSG, glutathione disulfide; MDA, malondialdehyde; ROS, reactive oxygen species. a),b),c)No statistically significant differences between groups (p>0.05), whereas different letters indicate significant differences (p<0.05).
cerm-2025-07801f6.jpg

References

1. Eisenberg ML, Esteves SC, Lamb DJ, Hotaling JM, Giwercman A, Hwang K, et al. Male infertility. Nat Rev Dis Primers 2023;9:49.
crossref pmid pdf
2. Bernstein AP, Loloi J, Reddy R, Ramsoomair C, Campbell K, Maura F, et al. Mutagenic effect of chemotherapy on sperm DNA and implications for family planning. Nat Rev Urol 2022;19:511-2.
crossref pmid pdf
3. Qu N, Itoh M, Sakabe K. Effects of chemotherapy and radiotherapy on spermatogenesis: the role of testicular immunology. Int J Mol Sci 2019;20:957.
crossref pmid pmc
4. Al-Amarat W, Abukhalil MH, Alruhaimi RS, Alqhtani HA, Aldawood N, Alfwuaires MA, et al. Upregulation of Nrf2/HO-1 signaling and attenuation of oxidative stress, inflammation, and cell death mediate the protective effect of apigenin against cyclophosphamide hepatotoxicity. Metabolites 2022;12:648.
crossref pmid pmc
5. Harahap Y, Yanuar A, Muhammad C, Melhan M, Purwanto DJ. Quantification of 3-hydroxypropyl mercapturic acid in the urine of patients with breast cancer to monitor cyclophosphamide toxicity. Ther Drug Monit 2020;42:548-53.
crossref pmid
6. Ghobadi E, Moloudizargari M, Asghari MH, Abdollahi M. The mechanisms of cyclophosphamide-induced testicular toxicity and the protective agents. Expert Opin Drug Metab Toxicol 2017;13:525-36.
crossref pmid
7. Khamis T, Hegazy AA, El-Fatah SS, Abdelfattah ER, Abdelfattah MM, Fericean LM, et al. Hesperidin mitigates cyclophosphamide-induced testicular dysfunction via altering the hypothalamic pituitary gonadal axis and testicular steroidogenesis, inflammation, and apoptosis in male rats. Pharmaceuticals (Basel) 2023;16:301.
crossref pmid pmc
8. Timar M, Salimnejad R, Golmohammadi MG, Banaei S, Mehraban Z. Impact of saponin on cyclophosphamide-induced testicular damage. Physiol Pharmacol 2024;28:3-9.
crossref pdf
9. Raee P, Aghamiri S, Novin MG, Afshar A, Aghajanpour F, Abdi F, et al. Therapeutic effects of curcumin nanoemulsion on cyclophosphamide-induced testicular toxicity in adult male mice. Clin Exp Reprod Med 2025;52:157-66.
crossref pmid pdf
10. Liu X, Li Q, Wang Z, Liu F. Identification of abnormal protein expressions associated with mouse spermatogenesis induced by cyclophosphamide. J Cell Mol Med 2021;25:1624-32.
crossref pmid pmc pdf
11. Anand David AV, Arulmoli R, Parasuraman S. Overviews of biological importance of quercetin: a bioactive flavonoid. Pharmacogn Rev 2016;10:84-89.
crossref pmid pmc
12. Poudineh S, Sarlak A, Mohamadian S, Najafi S, Behzadi E, Poudineh M. Quercetin and male fertility: a literature review. J Health Sci Surveill Syst 2023;11:679-85.

13. Zhang X, Tang Y, Lu G, Gu J. Pharmacological activity of flavonoid quercetin and its therapeutic potential in testicular injury. Nutrients 2023;15:2231.
crossref pmid pmc
14. Ezim OE, Nebeolisa CE, Emeagwali-John IG, Obinna VC, Abarikwu SO. Effect of co-administration of gallic acid and quercetin or gallic acid and rutin on impaired spermatogenesis and oxidative damage in a busulfan-treated rat model. Drug Chem Toxicol 2025;48:463-76.
crossref pmid
15. Genchi G, Lauria G, Catalano A, Sinicropi MS, Carocci A. Biological activity of selenium and its impact on human health. Int J Mol Sci 2023;24:2633.
crossref pmid pmc
16. Yuan S, Zhang Y, Dong PY, Chen Yan YM, Liu J, Zhang BQ, et al. A comprehensive review on potential role of selenium, selenoproteins and selenium nanoparticles in male fertility. Heliyon 2024;10:e34975.
crossref pmid pmc
17. Rezaeian Z, Yazdekhasti H, Nasri S, Rajabi Z, Fallahi P, Amidi F. Effect of selenium on human sperm parameters after freezing and thawing procedures. Asian Pac J Reprod 2016;5:462-6.
crossref
18. Ghafarizadeh AA, Vaezi G, Shariatzadeh MA, Malekirad AA. Effect of in vitro selenium supplementation on sperm quality in asthenoteratozoospermic men. Andrologia 2018;50:e12869.
crossref pmid pdf
19. Shi LG, Yang RJ, Yue WB, Xun WJ, Zhang CX, Ren YS, et al. Effect of elemental nano-selenium on semen quality, glutathione peroxidase activity, and testis ultrastructure in male Boer goats. Anim Reprod Sci 2010;118:248-54.
crossref pmid
20. Guan B, Yan R, Li R, Zhang X. Selenium as a pleiotropic agent for medical discovery and drug delivery. Int J Nanomedicine 2018;13:7473-90.
crossref pmid pmc pdf
21. Wu Y, Liu H, Li Z, Huang D, Nong L, Ning Z, et al. Pectin-decorated selenium nanoparticles as a nanocarrier of curcumin to achieve enhanced physicochemical and biological properties. IET Nanobiotechnol 2019;13:880-6.
crossref pmid pmc pdf
22. Lv C, Chen YW, Dai SH, Jiang XF, Li X. Fabrication of gallic acid loaded SeNPs and their neuroprotection effect for treatment of ischemic stroke. J Clust Sci 2022;33:1427-33.
crossref pdf
23. ALRashdi BM, Hussein MM, Mohammed RM, Abdelhamed NW, Asaad ME, Alruwaili M, et al. Turmeric extract-loaded selenium nanoparticles counter doxorubicin-induced hepatotoxicity in mice via repressing oxidative stress, inflammatory cytokines, and cell apoptosis. Anticancer Agents Med Chem 2024;24:443-53.
crossref pmid pdf
24. Hamoud AE. Possible role of selenium nano-particles on gentamicin-induced toxicity in rat testis: morphological and morphometric study. Egypt J Histol 2019;42:861-73.
crossref
25. Keshta AT, Fathallah AM, Attia YA, Salem EA, Watad SH. Ameliorative effect of selenium nanoparticles on testicular toxicity induced by cisplatin in adult male rats. Food Chem Toxicol 2023;179:113979.
crossref pmid
26. Poojary KK, Nayak G, Vasani A, Kumari S, Dcunha R, Kunhiraman JP, et al. Curcumin nanocrystals attenuate cyclophosphamide-induced testicular toxicity in mice. Toxicol Appl Pharmacol 2021;433:115772.
crossref pmid
27. Ghaffari Novin M, Sabbagh Alvani M, Mafi Balani M, Aliaghaei A, Afshar A, Aghajanpour F, et al. Therapeutic effects of edaravone on azoospermia: free radical scavenging and autophagy modulation in testicular tissue of mice. J Reprod Infertil 2022;23:73-83.
crossref pmid pmc
28. Fernandez JL, Muriel L, Rivero MT, Goyanes V, Vazquez R, Alvarez JG. The sperm chromatin dispersion test: a simple method for the determination of sperm DNA fragmentation. J Androl 2003;24:59-66.
crossref pmid
29. O’Donnell L, Smith LB, Rebourcet D. Sertoli cells as key drivers of testis function. Semin Cell Dev Biol 2022;121:2-9.
crossref pmid
30. Xiao F, Cheng WJ, Yuan GX, Cheng JQ, Liu PY. Improving effect of selenium on spermatogenesis in mice with cyclophosphamide-induced spermatogenic impairment and its underlying mechanism. Zhonghua Nan Ke Xue 2024;30:291-9.
pmid
31. Liu Z, Wang H, Larsen M, Gunewardana S, Cendali FI, Reisz JA, et al. The solute carrier family 7 member 11 (SLC7A11) is regulated by LH/androgen and required for cystine/glutathione homeostasis in mouse Sertoli cells. Mol Cell Endocrinol 2022;549:111641.
crossref pmid
32. Uzun-Goren D, Uz YH. Preventive effects of quercetin against inflammation and apoptosis in cyclophosphamide-induced testicular damage. Iran J Basic Med Sci 2024;27:647-56.
crossref pmid pmc
33. Cengiz M, Sahinturk V, Yildiz SC, Sahin IK, Bilici N, Yaman SO, et al. Cyclophosphamide induced oxidative stress, lipid per oxidation, apoptosis and histopathological changes in rats: protective role of boron. J Trace Elem Med Biol 2020;62:126574.
crossref pmid
34. Wang Y, Bai L, Zhang J, Li H, Yang W, Li M. Lepidium draba L. leaves extract ameliorated cyclophosphamide-induced testicular toxicity by modulation of ROS-dependent Keap1/Nrf2/HO1, Bax/Bcl2/p53/caspase-3, and inflammatory signaling pathways. J Food Biochem 2021;45:e13987.
crossref pmid pdf


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital
82 Gumi-ro 173, Bundang-gu, Seongnam 13620, Korea
Tel: +82-31-787-7254    CP: +82-10-9072-3154    E-mail: blasto@snubh.org                

Copyright © 2026 by Korean Society for Reproductive Medicine.

Developed in M2PI

Close layer
prev next