Abstract
Background
Nanoparticle-based drugs are new inventions in the management of the Human immunodeficiency virus (HIV) pandemic, especially resistant forms of the virus in anatomical sanctuary sites and organs such as the testis. However, safety issues must be resolved to attain the optimal potential of newer nano-drug formulations.
Aim
The study investigated the toxicological potential of synthesized Tenofovir Nanoparticles (TDF-N) on testicular indices when used for the prevention and treatment of HIV.
Methodology
Fifteen male Sprague–Dawley (SD) rats with weight ranging from 230 g to 250 g were randomly assigned into groups A (control, saline), B (TDF), and C (TDF-N). The testes were removed for sperm analysis and processed for H/E and PAS stains. Cell counts and cellular measurements; the diameter and the area of the testicular seminiferous tubules were measured using ImageJ and Leica software 2.0.
Results
A significant reduction (p < 0.05) in sperm count was noticed in the TDF-N group. Also observed in the TDF and TDF-N groups was a significant reduction (p < 0.05) in sperm motility and in the number of dead sperms compared with the control. Sperm abnormalities such as distorted basement membranes, loss of germ cells, hypocellular interstitium, and loss of spermatogenic series were increased in the TDF and TDF-N groups. There was also a significant reduction (p < 0.05) in the cell count, diameter, and area of seminiferous tubules observed in these groups.
Conclusion
TDF and TDF-N may be detrimental to the testis and testicular tissue, leading to significantly reduced sperm counts, motility, and ultimately–male fertility.
Similar content being viewed by others
Avoid common mistakes on your manuscript.
1 Introduction
The development of nanoparticles (NPs) with unique physicochemical properties has revolutionized healthcare treatment, allowing for greater and more efficient use of therapies hitherto problematic due to issues of penetration or accessibility to target tissues [1]. This has been largely possible because of the particles very high surface area-to-volume ratios with its consequent ability to greatly modify their biophysical and biochemical characteristics. Nanomaterial use in medicine could be in the form of drug delivery systems, gene therapy [2, 3], fluorescent biological labels, imaging contrast [4], or microsurgical technology [5]. Nanomedicine has provided a new and powerful tool for tissue regeneration, imaging, and in the development of new medical devices [1, 6, 7].
Nanocarriers to improve drug delivery in HIV infections have evolved with tenofovir (TDF) nanoemulsion systems employing novel dendritic ester derivatives (NDED) with proven superior transdermal penetration [8]. This is a useful tool with the capacity to enter HIV reservoirs within the testes which are still reported to persist despite treatment with highly active antiretroviral therapy (HAART) [9]. This phenomenon may be linked to a potential inadequacy of antiretroviral drugs (ARVs) to enter into the seminal fluid of HIV-positive men undergoing treatment in therapeutic concentrations [9,10,11,12,13,14,15,16].
Whilst extensive research support for nanotechnology-driven innovations continues to generate wide attention in the Republic of South Africa (as seen globally) [17], especially within the health sector, concerns relating to safety [18] remain challenging. Some experts express concerns about how the interactions between the constituent elements of nanoparticles and the biological/tissue samples could lead to deleterious effects. There is a pressing need to fully comprehend the cellular responses that occur when nanomaterials undergo biological degradation inside the cell. These particles may build up inside the cellular environment and result in intracellular changes, which include gene distortion and alteration of organelle integrity. The hepatotoxicity and nephrotoxicity of Zirconia oxide nanoparticles in experimental rats have been documented [19]. In vivo studies have reported increased allergic vulnerability in the offspring of mouse dams that were intranasally insufflated with NPs [20]. Other adverse effects were reported on spermatogenesis, morphological alterations in testicles, and gene expression in the brain following maternal subcutaneous injections of TiO2 nanoparticles [20].
Growing body of evidence implicating nano-delivery particles needs urgent attention as there is increasing interest in the delivery of nanoformulated antiretroviral drugs to overcome the adverse complications. Notably, recent in-vivo and in-vitro studies have demonstrated advances and promising results have been noted when TDF-loaded nanoparticles were studied on various cell lines and rat organs for their potential application to manage HIV and associated complications [21,22,23]. Although, the current HIV treatment regimen in South Africa containing the preferred first-line ART combination of tenofovir disoproxil fumarate, lamivudine, and dolutegravir (TLD) has produced better treatment outcomes such as viral load suppression, enhanced immune response, and improved clinical indices [24,25,26]. Emerging studies have documented several adverse effects including virologic failure and cardio-metabolic disorders secondary to excessive weight gain following initiation and treatement with dolutegravir-based regimen [27,28,29]. The dearth of literature on the potential toxicity of Tenofovir Nano- antiretroviral delivery systems poses enormous challenges to the health of patients and the outcome of therapeutic interventions. Thus, this study therefore was designed to fill the gap in knowledge on the effects of TDF-N on the testis of experimental rats.
2 Materials and methods
2.1 Ethical statement
This study was performed following the ARRIVE guidelines and the National Council’s guide for the care and use of laboratory Animals.
2.2 Ethical clearance
Ethical approval for this study was received from the Animal Ethics Committee of the University of KwaZulu-Natal (UKZN), South Africa with approval number AREC/010/016PD.
2.3 Animal care
A total of fifteen male Sprague-Dawley (SD) rats, kept under standard animal house conditions at the Biomedical Resources Unit, UKZN, were used for this study. The rats received humane care following the guidelines of the National Council for Care and Use of Laboratory Animals. Various environmental enrichments such as play tunnels and nutritional supplements like sunflower seed were offered to the Animals to cater to their psychological welfare in such a way that emulates the natural environment of captive animals and prevents abnormal behaviour. The baseline body weights were measured before the rats were randomly assigned into three (3) groups of five (5) rats each.
2.4 Experimental design
Fifteen adult male SD rats weighing between 230 and 250 g were randomly assigned into 3 groups viz- Group A control which received normal Saline, Group B was administered with TDF (4.3 mg/kg), Group C was administered with TDF-N (4.3 mg/kg). All animals were injected intraperitoneally once daily for 4 weeks between 8:00 am and 10:00 am and this time was kept constant throughout the experiment.
2.4.1 Preparation of nanoparticles
Tenofovir disoproxil fumarate (TDF) was bought from Sinobright Pharmaceutical Company Limited (China). Also, triethylamine, Solutol HS 15®, hydroxypropylmethylcellulose (HPMC), and PEG 400, were procured from Sigma-Aldrich Co.Ltd., (USA). Milli-Q water purification system (Millipore Corp., USA) was used to obtain purified water to prepare formulations. TDF-N was synthesized following the procedure described by Rambharose et al. [30]. The nanoemulsion was produced using an ultra-sonication technique by mixing the Smix and oily phase Linolenic acid and adequate milli-Q water. The blank nanoemulsion was formed by sonicating (Ultrasonic Homogenizer, Kennesaw, USA) the solution at 20 °C for 10 minutes at an amplitude of 30%. Thereafter, the Tenofovir-loaded nanoemulsion was prepared by the emulsification process in a temperature-regulated ice bath [30]. Drugs were dissolved and prepared for administration at calculated human therapeutic dose level equivalentsof 4.3mg/kg body weight.
2.4.2 Weight determination
The body weight of the rats was taken by electronic weighing balance (Zeiss West Germany (Pty) Ltd) on the first day of the experiment, and consequently weekly at the same times each day, while the last weight was taken on the last day of the experiment.
2.4.3 Animal sacrifice and collection of samples
Twenty-four (24) hours after the last administration, the rats were euthanized by excess Halothane after which blood samples were collected via transcardial puncture. From each rat, five milliliters (5 ml) of blood were obtained into a plain bottle and the serum obtained by centrifuging at 3000 rpm for 10 min. The testes were removed and separated from the cauda epididymis. The testes (both left and right) were weighed individually by electronic balance (Mettler Toledo; Microstep (Pty) Ltd., Greifensee Switzerland), and the average for each animal was recorded. One testis per rat was fixed in Bouin`s fluid for histological analysis.
2.4.4 Sperm motility, sperm count, and sperm morphology
The cauda epididymis from each rat was minced in 5 milliliters of normal saline and used for the analyses of sperm morphology, sperm motility, and sperm count. The sperm motility examination was performed by preparing a drop of epididymal fluid on a glass slide, covering it with a coverslip (22 × 22 mm), and examined under a light microscope [31]. The microscope fields were scanned, and sperm motility was assessed and graded as dead, progressive, and non-progressive. A minimum of, 10 microscope fields were examined at 400× magnification. The relative percentage of motile spermatozoa of all examined fields was documented to the nearest 5% using a consistent subjective method [31, 32].
The standard hemocytometer method was employed for the epididymal spermatozoa counts. The epididymal fluid was carefully minced and 10 μl of this diluted specimen was transferred to each side of the counting chamber on the hemocytometer. Thereafter, the sperm counts were counted with Bio-Rad equipment and the average was computed to the nearest millions /milliliter [33].
The spermatozoa morphology was examined using dry-smeared spermatozoa stained with eosin-nigrosine placed on a glass slide and observed under a light microscope (Leica DM 500) at 400× magnification. The percentage of normal sperms, and sperms exhibiting abnormal heads, abnormal tails, and abnormal midpieces were documented [34].
2.4.5 Relative organ weight
The percentage relative organ (testicular) weights were determined by using the formula stated below [35, 36]:
2.5 Histomorphometric studies
Bouin’s fluid was used to fix the testicular tissue and then transferred to 70% ethanol. These tissues were subsequently processed by graded ethanol sets, embedded in paraffin and sectioned into 5 µm-thick slices using a microtome (microm HM 315 microtome, Walldorf, Germany). Thereafter, the sections were stained with hematoxylin and eosin (H&E) and periodic acid Schiff (PAS) and subsequently scanned and captured by the Leica Microsystems.
To perform the histomorphometric examination, approximately seven sections on a vertical axis starting from the polar to the equator were studied using unbiased stereological techniques to measure the seminiferous tubular area and height [37].
The systematic random sampling technique was adopted to examine the seminiferous cell count to ensure fair distribution from the sampled sections. In total, eighteen seminiferous tubules exhibiting round profiles were randomly picked from each slide. The vertical diameter of the seminiferous tubule was denoted as d1, and the horizontal diameter was indicated as d2 while the mean diameter indicated as (D) was documented as an observation. This was employed to reduce the longitudinal profiles that showed different degrees of irregular shrinkage or damage [37]. The diameter and height of the seminiferous tubular epithelium were scanned using Leica SCN 400 (Leica Microsystems GmbH, Wetzlar, Germany) and measured using the image analyzer and Leica microsystem software, while cell counts were done through image J software. To compute the cross-sectional area of the seminiferous tubule, the formula given below was employed [33];
where π equal to 3.142 and D is the mean of the diameter of the seminiferous tubule.
2.6 Statistical analysis
The data obtained were subjected to statistical analysis using a one-way ANOVA followed by Fisher’s least significant difference (post-hoc) test using Statistical Graph Pad version 6.0. For the results obtained, P < 0.05 was regarded as statistically significant.
3 Results
3.1 Weight difference
There were no weight differences between the control and treated groups (Fig. 1a). Also, we reported no significant difference (p < 0.05) in the relative testicular weight between the Nano groups and control (Fig. 1b).
3.2 Sperm parameter
A significant reduction (p < 0.05) in Spermatozoa count was observed in the TDF-N group when compared with the control (Fig. 2a). Sperm motility was significantly reduced (p < 0.05) in both TDF-N and TDF-treated animals (Fig. 2b and c). Also, a significant increase (p < 0.05) in dead sperm count was observed in the treated groups (B and C). Sperm morphology revealed no significant difference (p < 0.05) across the groups (Fig. 2d and e). There was, however, a non-significant increase in abnormality of the midpiece (Fig. 2f) and tail (Fig. 2g) in the TDF and TDF-N groups. In contrast, no abnormalities were observed in the head in both the control and treatment groups (Fig. 2f).
3.3 Seminiferous tubular diameter and area count
In this study, a decrease in the diameter and area of seminiferous tubules among TDF-N animals was observed compared to control and TDF animals (Fig. 3a). In addition, a decrease in cell counts among TDF and TDF –N animals was noticed compared to controls (Fig. 3b).
3.3.1 Histology of the testis
The testicular section of the control animal stained with H & E (Fig. 4a–c) showed a well-preserved cellular orientation in the germinal cell epithelium (G), normal interstitial (I) space with well-populated Leydig cells and normal lumen filled with immotile spermatozoa (S). In contrast, the histology of animals in TDF and TDF-N (H & E) displayed a loss of germ cells, widened interstitium, altered basement membrane, and loss of spermatogenic lineage with shrunken seminiferous tubules. In addition, increased staining intensity (PAS) was observed in TDF and TDF-N groups compared to control (Fig. 4d–f).
4 Discussion
Limitations associated with current available HIV drugs contribute significantly to poor therapeutic outcomes and suboptimal patient management. Conventional drugs have limitations in crossing the blood testes barrier to attack HIV. Nanoformulated-drugs have great potential to attack HIV sequestered in sanctuary sites [38]. This potential may not be realized unless safety concerns are met. This study was carried out to investigate the effects of TDF-N on the testis of Sprague Dawley rats using standard laboratory procedures.
It was observed that chronic exposure to TDF-N and TDF for 30 days did not induce any abnormality in weights or relative testicular weight when compared with controls. This suggests that the drug did not interfere with the feeding habits of the laboratory animals. In a similar study, Peter and colleagues [39] observed no significant effects in the weights and relative organ weights among TDF and TDF-loaded nanoparticles. Similarly, this report agrees with Ng. Stock [40] who found no significant effects on the body weight of the experimental mice following 13 weeks of oral administration of TDF.
Also observed are significant perturbations in sperm parameters with a significant reduction in sperm count in the TDF-N group when compared with the control group, indicating that the TDF-N was toxic to sperm cells. This result agrees with a previous study which revealed that nanoparticles accumulate in organs such as the testis, destroying the Sertoli, Leydig, and germ cells to alter sperm indices [41]. The exact mechanism of toxicity of nanoparticles however still remains unclear. Studies have suggested that nanoparticles produce reactive oxygen species (ROS), which alters the concentration of intracellular calcium, activates transcription factors, and modifies the inflammatory biomarkers [42, 43]. Although, recent finding shows that the activity of ROS is required for spermatozoa to attain morphological and functional maturity, they are nevertheless more vulnerable to oxidative stress damage than any other type of cell [44].
The observed reduction in sperm motility and the significant increase in the number of dead sperms in the TDF group indicate toxic effects of TDF. Similar clinical cohort and in vivo studies have documented a deleterious effect of TDF on semen and sperm indices such as count, motility, and morphology [45,46,47]. Previous studies have implicated highly active antiretroviral therapy in various reproductive perturbations such as a significant decrease in sperm count, alteration to spermatozoa, and increased abnormal sperm forms [48, 49]. All these findings taken together, indicate the adverse effect of TDF on sperm indices and morphology.
Moreover, sperm morphology including normal, head, mid-pierce, and tail abnormalities was not significantly different amongst the treated groups, suggesting that a short duration of exposure (4 weeks) to TDF and TDF-N might be responsible for this negative finding. This is on account that many factors including long-term exposure to antiretroviral therapy and nanoparticles have been described as major causes of organ toxicity [50, 51].
There is a clear indication that TDF-N reduces both sperm count and motility and as such could cause male infertility which accounts for approximately 50% of overall (primary and secondary) infertility. It is important to note that sperm analysis provides an initial evaluation and useful information concerning sperm count, sperm motility and viability, and patency of the male genital tract, however, it is not a definitive test of fertility [52].
The observed reduction in area and alterations in the seminiferous tubules in both the TDF-N and TDF groups suggests testicular injury which corroborates a previous study that linked alterations on seminiferous tubules such as epithelial sloughing and shrinkage to testicular perturbations [53]. In addition, the observed increase in collagen deposition in the TDF-N group strongly suggests testicular inflammation. Collagen is a powerful marker of fibrosis in testicular tissues, and its increase usually occurs following tissue inflammation and cellular injury [54]. Nanoparticles concentrate in testicular tissues [55] and may account for the changes reported in this study.
In summary, the conjugation of tenofovir disoproxil fumarate with nanoparticles (TDF-N) represents an innovative approach in antiretroviral therapy, particularly aimed at enhancing drug delivery and efficacy against HIV. This combination aims to leverage the unique properties of nanoemulsions which improve drug distribution, targeted delivery, and enhance antiviral activity while also potentially reducing toxicity and resistance [56].
5 Conclusion
Various stakeholders have acknowledged that potential health, environmental, and safety risks of nanomaterials may hinder nanotechnology from reaching its full potential. In this study, it has been shown that TDF-N may predispose to degenerative changes of the seminiferous tubules with disruption of the spermatogenic series, abnormality of sperm parameters, and testicular fibrosis. Hence, since sperm count and motility are critical components of sperm analysis, patients on this drug (TDF), as well as nanodrug (TDF-N), should be cautioned on the reproductive consequences.
5.1 Limitations of the study
Although this study provides some insight into the status of testicular histomorphology following the administration of TDF and TDF-N in a rat model, further studies should investigate the effect of TDF-N on the testicular antioxidant defense system, male reproductive hormones, and testicular modulators that were not reported in this study.
Data availability
All the data generated during research and analysis to support the findings of this research are embedded in this manuscript.
Abbreviations
- ANOVA:
-
Analysis of variance
- ARVs:
-
Antiretroviral drugs
- H&E:
-
Hematoxylin and Eosin
- HAART:
-
Highly active antiretroviral therapy
- HIV:
-
Human Immunodeficiency Virus
- NDED:
-
Novel dendritic ester derivative
- NPS:
-
Nanoparticles
- PAS:
-
Periodic acid–Schiff
- ROW:
-
Relative organ weight
- SD:
-
Sprague–Dawley
- TDF:
-
Tenofovir Disoproxil fumarate
- TDF-N:
-
Tenofovir Nanoparticle
References
Hofmann-Amtenbrink M, Grainger DW, Hofmann H. Nanoparticles in medicine: current challenges facing inorganic nanoparticle toxicity assessments and standardizations. Nanomed: Nanotechnol, Biol Med. 2015;11(7):1689–94.
Parboosing R, et al. Nanotechnology and the treatment of HIV infection. Viruses. 2012;4(4):488–520.
Tyagi S, Yadav P, Saxena S. Clinical applications of nanomedicines: a review. 2010.
Ostrowski A, et al. Overview about the localization of nanoparticles in tissue and cellular context by different imaging techniques. Beilstein J Nanotechnol. 2015;6(1):263–80.
Salata OV. Applications of nanoparticles in biology and medicine. J Nanobiotechnol. 2004;2(1):1–6.
Murphy M, et al. Current development of silver nanoparticle preparation, investigation, and application in the field of medicine. J Nanomater. 2015;2015:5–5.
Sanvicens N, Marco MP. Multifunctional nanoparticles–properties and prospects for their use in human medicine. Trends Biotechnol. 2008;26(8):425–33.
Rambharose S, et al. Novel dendritic derivatives of unsaturated fatty acids as promising transdermal permeation enhancers for tenofovir. J Mater Chem B. 2015;3(32):6662–75.
Le Tortorec A, Dejucq-Rainsford N. HIV infection of the male genital tract–consequences for sexual transmission and reproduction. Int J Androl. 2010;33(1):e98–108.
van Praag RM, et al. Penetration of the nucleoside analogue abacavir into the genital tract of men infected with human immunodeficiency virus type 1. Clin Infect Dis. 2001;33(8):e91–2.
Pereira AS, et al. The pharmacokinetics of amprenavir, zidovudine, and lamivudine in the genital tracts of men infected with human immunodeficiency virus type 1 (AIDS clinical trials group study 850). J Infect Dis. 2002;186(2):198–204.
Ghosn J, et al. Penetration of enfuvirtide, tenofovir, efavirenz, and protease inhibitors in the genital tract of HIV-1-infected men. AIDS. 2004;18(14):1958–61.
Cruciani M, et al. Penetration of didanosine in semen of HIV-1-infected men. J Antimicrob Chemother. 2006;57(6):1244–7.
Van Leeuwen E, et al. Penetration of atazanavir in seminal plasma of men infected with human immunodeficiency virus type 1. Antimicrob Agents Chemother. 2007;51(1):335–7.
Moreau M, et al. Impact of short-term HAART initiated during the chronic stage or shortly post-exposure on SIV infection of male genital organs. PLoS ONE. 2012;7(5): e37348.
Matusali G, et al. Detection of simian immunodeficiency virus in semen, urethra, and male reproductive organs during efficient highly active antiretroviral therapy. J Virol. 2015;89(11):5772–87.
Musee N, Brent AC, Ashton PJ. A South African research agenda to investigate the potential environmental, health and safety risks of nanotechnology. S Afr J Sci. 2010;106(3):1–6.
Ray PC, Yu H, Fu PP. Toxicity and environmental risks of nanomaterials: challenges and future needs. J Environ Sci Health C. 2009;27(1):1–35.
Arefian Z, et al. Potential toxic effects of Zirconia Oxide nanoparticles on liver and kidney factors. Biomed Res. 2015;26(1):89–97.
Ema M, et al. Reproductive and developmental toxicity studies of manufactured nanomaterials. Reprod Toxicol. 2010;30(3):343–52.
Obisesan OS, Tshweu LL, Chauke S, Malatji KB, Ramalapa B, Alexandre KB, Mufhandu HT. Synthesis and characterization of tenofovir disoproxil fumarate loaded nanoparticles for HIV-1 treatment. Nano Select. 2024. https://doi.org/10.1002/nano.202300157.
Lawal S, Olojede SO, Sulaiman SO, Aladeyelu OS, Moodley R, Naidu ECS, Rennie CO, Azu OO. Tenofovir-silver nanoparticles conjugate ameliorates neurocognitive disorders and protects ultrastructural and cytoarchitectonic properties of the prefrontal cortex in diabetic rats. Bosn J Basic Med Sci. 2022;22(4):569–79. https://doi.org/10.17305/bjbms.2021.6699.
Olojede SO, Lawal SK, Faborode OS, et al. Testicular ultrastructure and hormonal changes following administration of tenofovir disoproxil fumarate-loaded silver nanoparticle in type-2 diabetic rats. Sci Rep. 2022;12:9633. https://doi.org/10.1038/s41598-022-13321-y.
van Heerden JK, Meintjes G, Barr D, Zhao Y, Griesel R, Keene CM, Wiesner L, Galileya LT, Denti P, Maartens G. Relationship between tenofovir diphosphate concentrations in dried blood spots and virological outcomes after initiating tenofovir–lamivudine–dolutegravir as first-line or second-line antiretroviral therapy. JAIDS J Acqu Immune Defici Syndr. 2024;95(3):260–7.
Ojo OY, Ahmed A, Adeniran A, Onigbogi OO, Onigbogi MO, Alausa KO. Assessment of treatment outcomes for HIV Positives transitioned from Tenofovir/Lamivudine/Efavirenz to Tenofovir/Lamivudine/Dolutegravir in a Nigerian Tertiary Hospital. Babcock Univer Med J. 2023;6(2):142–53. https://doi.org/10.38029/babcockuniv.med.j.v6i2.2993.
Kouamou V, Machekano R, Mapangisana T, Maposhere C, Munyati S, Mutsvangwa J, Shamu T, McCarty K, Katzenstein D, Manasa J. Tenofovir, lamivudine, and dolutegravir among rural adolescents in Zimbabwe: a cautionary tale. AIDS Res Human Retrovir. 2022. https://doi.org/10.1089/aid.2021.0140.
Hirigo AT, Yilma D, Astatkie A, Debebe Z. Effect of dolutegravir-based first-line antiretroviral therapy on weight and body mass index among adult people living with HIV on follow up at health facilities in Hawassa city administration, Southern Ethiopia: a retrospective cohort study. Ann Med. 2023;55(2):2242250. https://doi.org/10.1080/07853890.2023.2242250.
Adeiza MA, Kekulah I, Wachekwa I, Ogbuagu O. Dolutegravir hypersensitivity reaction: the need for strengthening pharmacovigilance systems with optimization of antiretroviral therapy in HIV programs in resource-limited settings: case report. PAMJ Clin Med. 2022. https://doi.org/10.11604/pamj-cm.2022.8.47.33930.
Chen GJ, Sun HY, Chen LY, Hsieh SM, Sheng WH, Liu WD, Chuang YC, Huang YS, Lin KY, Wu PY, Chang HY. Low-level viraemia and virologic failure among people living with HIV who received maintenance therapy with co-formulated bictegravir, emtricitabine and tenofovir alafenamide versus dolutegravir-based regimens. Int J Antimicrob Agents. 2022;60(3): 106631.
Rambharose S, Kalhapure RS, Govender T. Nanoemulgel using a bicephalous heterolipid as a novel approach to enhance transdermal permeation of tenofovir. Coll Surf, B. 2017;154:221–7.
World Health Organization, W.H., Department of Reproductive Health and Research. WHO laboratory manual for the examination and processing of human semen, Switzerland. 2010, WHO Press.
World Health Organization, W.H., WHO laboratory manual for the examination and processing of human semen. 2021: World Health Organization.
Ogedengbe OO, et al. Coconut oil extract mitigates testicular injury following adjuvant treatment with antiretroviral drugs. Toxicol Res. 2016;32:317–25.
Jegede A, et al. Effect of co-administration of Hypoxis hemerocallidea extract and antiretroviral therapy (HAART) on the histomorphology and seminal parameters in Sprague Dawley rats. Andrologia. 2017;49(2): e12640.
Kent Christensen A, Peacock KC. Increase in Leydig cell number in testes of adult rats treated chronically with an excess of human chorionic gonadotropin. Biol Reprod. 1980;22(2):383–91.
El-Aziz GSA, El-Fark MO, Hamdy RM. Protective effect of Eruca sativa seed oil against oral nicotine induced testicular dam- age in rats. Tissue Cell. 2016;48(4):340–8. https://doi.org/10.1016/j.tice.2016.05.006.
Patrick-Iwuanyanwu KC, Udowelle NA, Okereke CJ. Testicular toxicity and sperm quality following exposure to Solignum®: a Permethrin-containing wood preservative in adult male Wistar rats. J Interdiscipl Histopathol. 2016;4(1):13–6. https://doi.org/10.5455/jihp.20151125081952.
Morishita Y, et al. Distribution and histologic effects of intravenously administered amorphous nanosilica particles in the testes of mice. Biochem Biophys Res Commun. 2012;420(2):297–301.
Peter AI, et al. Investigating organ toxicity profile of tenofovir and tenofovir nanoparticle on the liver and kidney: experimental animal study. Toxicol Res. 2018;34:221–9.
Ng HH, et al. Tenofovir disoproxil fumarate: toxicity, toxicokinetics, and toxicogenomics analysis after 13 weeks of oral administration in mice. Int J Toxicol. 2015;34(1):4–10.
van Leeuwen E, et al. Effects of antiretroviral therapy on semen quality. AIDS. 2008;22(5):637–42.
Wang R, Song B, Wu J, Zhang Y, Chen A, Shao L. Potential adverse effects of nanoparticles on the reproductive system. Int J Nanomed. 2018;11(13):8487–506. https://doi.org/10.2147/IJN.S170723.
Buzea C, Pacheco II, Robbie K. Nanomaterials and nanoparticles: sources and toxicity. Biointerphases. 2007;2:MR17–71.
Drevet JR, Hallak J, Nasr-Esfahani MH, Aitken RJ. Reactive oxygen species and their consequences on the structure and function of mammalian spermatozoa. Antioxid Redox Signal. 2022;37(7–9):481–500. https://doi.org/10.1089/ars.2021.0235.
Azarnezhad A, Samadian H, Jaymand M, Sobhani M, Ahmadi A. Toxicological profile of lipid-based nanostructures are they considered as completely safe nanocarriers? Crit Rev Toxicol. 2020. https://doi.org/10.1080/10408444.2020.1719974.
Imaz A, et al. Seminal tenofovir concentrations, viral suppression, and semen quality with tenofovir alafenamide, compared with tenofovir disoproxil fumarate (spanish HIV/AIDS research Network, PreEC/RIS 40). Clin Infect Dis. 2019;69(8):1403–9.
Awodele O, et al. Investigations into the risk of reproductive toxicity following exposure to highly active anti-retroviral drugs in rodents. Tokai J Exp Clin Med. 2018;43(2):54–63.
Kushnir VA, Lewis W. Human immunodeficiency virus/acquired immunodeficiency syndrome and infertility: emerging problems in the era of highly active antiretrovirals. Fertility Steril. 2011;96(3):546–53. https://doi.org/10.1016/j.fertnstert.2011.05.
Barboza JM, Medina H, Doria M, Rivero L, Hernandez L, Joshi NV. Use of atomic force microscopy to reveal sperm ultrastructure in HIV-patients on highly active antiretroviral therapy. Arch Androl. 2004;50:121–9.
Akhigbe RE, Hamed MA, Odetayo AF. HAART and anti-Koch’s impair sexual competence, sperm quality and offspring quality when used singly and in combination in male Wistar rats. Andrologia. 2021;53: e13951. https://doi.org/10.1111/and.13951.
Azarnezhad A, Samadian H, Jaymand M, Sobhani M, Ahmadi A. Toxicological profile of lipid-based nanostructures: are they considered as completely safe nanocarriers? Crit Rev Toxicol. 2020;50(2):148–76. https://doi.org/10.1080/10408444.2020.1719974.
Vasan S. Semen analysis and sperm function tests: how much to test? Ind J Urol: IJU. 2011;27(1):41.
Owembabazi E, Nkomozepi P, Mbajiorgu EF. Impact of concurrent exposure of diabetic male sprague dawley rats to alcohol and combination antiretroviral therapy (cART) on reproductive capacity. Appl Sci. 2023;13(8):5096. https://doi.org/10.3390/app13085096.
Varga J, Brenner DA, Phan SH. Fibrosis research: methods and protocols. Berlin: Springer; 2008. p. 117.
Bose T, et al. Overview of nano-drugs characteristics for clinical application: the journey from the entry to the exit point. J Nanopart Res. 2014;16:1–25.
Tewabe A, Abate A, Tamrie M, Seyfu A, Abdela Siraj E. Targeted Drug Delivery - From Magic Bullet to Nanomedicine: Principles, Challenges, and Future Perspectives. J Multidiscip Healthc. 2021 5(14):1711-1724. https://doi.org/10.2147/JMDH.S313968.
Acknowledgements
The authors acknowledge the award of operational funds by the College of Health Science, University of KwaZulu-Natal, to Dr. ECS Naidu. We also acknowledge the technical support from Drs. S. Singh and L. Bester of Biomedical Research Unit, University of KwaZulu-Natal.
Funding
No funding was received for this study.
Author information
Authors and Affiliations
Contributions
ECN and OOA conceived and designed the research; ECS, SOO and SKL performed the study and acquired the data; OOA, ECN, SOO and SKL analysed the data, performed statistical analyses and wrote the manuscript. ECN, OOA, SOO, LSK proofread and edited the manuscript. All the authors did the drafting and revising of the manuscript. Also, all the authors read and approved the manuscript.
Corresponding author
Ethics declarations
Competing interests
The authors declare that they have no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Naidu, E.C., Olojede, S.O., Lawal, S.K. et al. Histomorphometric changes in testis following administration of tenofovir nanoparticles in an animal model. Discover Nano 19, 56 (2024). https://doi.org/10.1186/s11671-024-04002-y
Received:
Accepted:
Published:
DOI: https://doi.org/10.1186/s11671-024-04002-y