162 Fluoride Vol. 32 No. 3 162-170 1999 Research Report BENEFICIAL EFFECTS OF THE AMINO ACIDS GLYCINE AND GLUTAMINE ON TESTIS OF MICE TREATED WITH SODIUM FLUORIDE NJ Chinoya and Dipti Mehta Ahmedabad, India SUMMARY: Biochemical effects of feeding sodium fluoride (NaF, 5 mg/kg body weight) for 30 and 45 days on testis of male mice (Mus musculus) were investigated. The reversibility of fluoride-induced effects on testicular protein levels and the activities of 3β- and 17β-hydroxysteroid dehydrogenases (HSD) and succinate dehydrogenase (SDH) by withdrawal of NaF treatment were also investigated, as well as the effects of administration of glycine and glutamine alone and in combination. Withdrawal of NaF for 30 days resulted in partial recovery of these parameters, with greater recovery after 45 days. Administration of glycine and glutamine individually during the withdrawal periods significantly enhanced recovery. In combination, these two amino acids were even more effective and restored all parameters almost to control levels or, in the case of protein, even higher. Testicular cholesterol levels were not significantly affected throughout any of the treatments. These results show that NaF affects testicular steroidogenesis, protein levels, and HSD and SDH activities in mice. The effects, however, are transient and reversible, with the amino acids glycine and glutamine producing marked beneficial effects. A protein-supplemented diet might therefore ameliorate the toxic effects of fluoride in endemic areas. Keywords: Fluoride-treated mice, Glutamine, Glycine, Hydroxysteroid dehydrogenase, Male mice, Mouse testis, Protein levels, Sodium fluoride, Succinate dehydrogenase, Testicular steroidogenesis, Testosterone, Toxicity reversal. INTRODUCTION Human populations are exposed to fluoride from soil, water and air. Excess fluoride in drinking water leads to fluorosis, a disease with a variety of symptoms which can be crippling. It is estimated that nearly 25 million people are afflicted with fluorosis in 15 states of India. Extensive research has been carried out during the past several decades on skeletal and dental fluorosis.1,2 However, the effects of fluoride on the reproductive organs as well as fertility impairment are not fully understood, and the data are conflicting. Messer et al3,4 reported that a low fluoride intake by female mice impaired their reproductive capacity and fertility, although growth rate and litter size were not affected. On the other hand, Tao and Suttie5 observed that, with adequate iron intake, fluoride had no real effect on reproduction in female mice. Earlier reports from our laboratory revealed that fluoride ingestion altered the structure and functions of reproductive organs of male rodents.6,7 The present study was undertaken to investigate the effects of fluoride ingestion for 30 and 45 days on the testes of mice to determine the degree of recovery after withdrawal of treatment, as well as the effect of supplementa——————————————— aFor Correspondence: Reproductive Physiology and Endocrinology Unit, Department of Zoology, School of Sciences, Gujarat University, Ahmedabad 380 009, India. Amino acid effects on testis of NaF-treated mice 163 tion with the amino acids glycine and glutamine administered alone and in combination during the withdrawal period. MATERIALS AND METHODS Adult male mice (Mus musculus) of Swiss strain weighing between 20-30 g were used. The animals were maintained on standard laboratory food and water was given ad libitum. The animals were divided into eight groups, and daily treatments (administered orally in water by a feeding tube attached to a hypodermic syringe) were given as shown in Table 1. Table 1. Experimental Protocol Group Treatment I Control (untreated) II Control + Glycine (1 mg/animal/day) Control + Glutamine (1 mg/animal/day) NaF (5 mg/kg body wt/mouse/day) Same as group IVa,b then withdrawal for further 30, 45 days Same as group Va + glycine (1 mg/animal/day) for 30 days Same as group Va + glutamine (1 mg/animal/day) for 30 days Same as group Va + glycine + glutamine for 30 days III IVa,b Va,b VI VII VIII Treatment length (days) - Autopsy day No. of animals 10 30 Sacrificed with treated groups 31st 30 31st 10 30 + 45 30 + 30 45 + 45 30 + 30 31st, 46th 61st 91st 61st 20 10 10 10 30 + 30 61st 10 30 + 30 61st 10 10 After the respective treatments, the animals were sacrificed by cervical dislocation. The testes were excised, blotted free of blood, weighed on a micro balance, and utilized for determining the first four of the biochemical parameters listed below. Blood collected by cardiac puncture was allowed to clot and the serum separated by centrifugation for testosterone assay. The biochemical parameters studied were: 1. Protein: Protein levels in the testis were determined by the method of Lowry et al8 and expressed as mg/100 mg fresh tissue weight. 2. Succinate dehydrogenase (SDH) (E.C1.3.99.1): SDH activity in the testis was determined by the tetrazolium reduction method of Beatty et al9 and expressed as µg formazan formed/mg protein. 3. Cholesterol: Cholesterol concentrations in the testis were estimated by the procedure of Zlatkis et al10 and expressed as mg/100 mg fresh tissue weight. 4. 3β- and 17β-Hydroxysteroid dehydrogenases (HSD) (E.C.1.1.1.51): The activities of these enzymes were assayed in testis by the method of Talalay 11 and expressed as nmol of androstanedione formed/mg protein/minute. Fluoride 32 (3) 1999 164 Chinoy, Mehta 5. Testosterone: Serum testosterone levels of control and treated mice were assayed by the double antibody technique of Peterson and Swerdloff. 12 Specificity of the antibody to testosterone was 100% with 1.7% cross reactivity to dihydrotestosterone (DHT) and 5.2 x 10 -5% and 5.9 x 10-2% cross reactivity to progesterone and estradiol, respectively. Sensitivity of the assay was found to be less than or equal to 15 ng/dL with 4.3% inter-assay variation. Intra-assay variation was found to be 6.3%. The concentration of testosterone is given as ng/mL. Statistics: For each biochemical parameter a minimum of 5-6 replicates were assayed, and the data were statistically analyzed by Student’s ‘t’ test and ANOVA. RESULTS 1. Protein: The protein content of testis showed a significant durationdependent decrease (p<0.001) after fluoride treatment (Groups IVa,b) as compared to controls (Groups I, II, and III) (Table 2). The withdrawal of treatment for 30 days (Group Va) did not result in recovery as compared to Group IVa, whereas, withdrawal of treatment for 45 days (Group Vb) restored the protein levels significantly (p<0.001), almost to those of the control (Group I) (Table 2). The individual treatments with either glycine or glutamine in the withdrawal period (Groups VI and VII) resulted in significant recovery (p<0.001) as compared to treated animals in Group IVa, and the levels were similar to those of the respective controls (Groups II and III). The treatment with glycine and glutamine together in the withdrawal period (Group VIII) resulted in a significant increase (p<0.001) in the protein levels compared to those in the control group (Table 2). 2. Succinate dehydrogenase (SDH): The activity of SDH in testis was decreased significantly (p<0.001) depending on the duration of NaF treatment as compared to the control (Table 2). The withdrawal of NaF after 45 days alone resulted in recovery of SDH activity significantly (p<0.001) as compared to treated group IVb. In Groups VI and VII, where individual glycine and glutamine treatments were given during the withdrawal period, the recovery in SDH activity was better than in Group Va. However, by combined treatment with both amino acids (Group VIII), the enzyme activity was restored almost to the control state (Table 2). 3. Cholesterol: The levels of cholesterol in the testis were not significantly affected throughout the treatments as compared to the controls (Table 3). 4. Testosterone: The serum testosterone levels were decreased (p<0.05) in animals treated with NaF for 45 days (Group IVb) as compared to the control. The withdrawal of NaF treatment did not bring about a recovery in testosterone levels. However, by giving glycine or glutamine individually (Groups VI and VII), the recovery was significant (Group VI: p<0.05; Group VII: p<0.01) as compared to Group IVb. In Group VIII (glycine + glutamine Fluoride 32 (3) 1999 Amino acid effects on testis of NaF-treated mice 165 treatment given in the withdrawal period), the testosterone levels were the same as in the control groups (Table 3). 5. 3β-Hydroxysteroid Dehydrogenase (3β-HSD): The activity of 3β-HSD was significantly reduced (p<0.001) after 45 days of NaF treatment (Group IVb). After withdrawal for 45 days, the activity recovered (p<0.02). A significant restoration of 3β-HSD activity occurred by treatment with glycine alone (Group VI) (p<0.001). In Groups VII and VIII, the activity was restored significantly (p<0.001 almost to the control state (Table 4). 6. 17β-HSD: The activity of 17β-HSD was decreased (p<0.02) by 30 and 45 days NaF treatment as compared to the control group. The recovery was insignificant after 30 days of withdrawal but significant after 45 days (p<0.01). In Groups VI, VII and VIII, the enzyme activity was significantly (p<0.01) restored to almost the control level (Table 4). Table 2. Effects of NaF and amino acids on protein levels and succinate dehydrogenase (SDH) activity in testis of mice Group Treatment I II Control (untreated) Control + glycine (1 mg/animal/day) Control + glutamine (1 mg/animal/day) NaF for 30 days NaF for 45 days (5 mg/kg body wt/mouse/day) NaF as in group IVa then withdrawal for 30 days NaF as in group IVb then withdrawal for 45 days NaF withdrawal + glycine (1 mg/animal/day) for 30 days NaF withdrawal + glutamine (1 mg/animal/day) for 30 days NaF withdrawal + glycine + glutamine for 30 days III IVa IVb Va Vb VI VII VIII Protein (mg/100 mg tissue wt) 13.76 ± 0.4 13.47 ± 0.32 SDH (µg formazan formed/mg protein) 10.83 ± 1.3 10.81 ± 0.15 13.59 ± 0.14 10.80 ± 0.13 11.04 ± 0.42* 8.69 ± 1.35* 6.79 ± 1.15* 4.34 ± 0.83* 11.29 ± 0.5† 8.99 ± 0.51† 12.42 ± 1.70* 9.44 ± 0.43* 13.35 ± 0.19* 10.44 ± 0.35* 13.48 ± 0.48* 10.06 ± 0.22* 15.34 ± 0.5* 10.74 ± 0.37* Values are mean ± S.E. *p<0.001 †not significant For p values, comparisons were done between: Gr. I, II, III and IVa,b Gr IVa and Va Gr IVb and Vb Gr IVa and VI, VII, VIII Table 2A. Testis Protein ANOVA Source of Variation Groups Residual SS df MSS f(cal) F(tab) 178.47 47.812 9 45 19.8303 1.0624 18.66405 2.096 SS Sum of Squares df degrees of freedom MSS Mean sum of squares Fluoride 32 (3) 1999 166 Chinoy, Mehta Table 2B. Testis SDH ANOVA Source of Variation Groups Residual SS df 197.21 23.053 9 36 MSS 21.9121 0.64035 f(cal) F(tab) 34.2185 2.153 SS Sum of Squares df degrees of freedom MSS Mean sum of squares Table 3. Testicular cholesterol and serum testosterone levels Cholesterol (mg/100 mg tissue wt) 0.402 ± 0.09 0.412 ± 0.15 Group Treatment I II Testosterone (ng/mL) 2.55 ± 0.024 2.54 ± 0.021 Control (untreated) Control + glycine (1 mg/animal/day) III Control + glutamine 0.418 ± 0.01 2.545 ± 0.016 (1 mg/animal/day) IVa NaF for 30 days 0.406 ± 0.01‡ 2.304 ± 0.018‡ IVb NaF for 45 days 0.564 ± 0.03‡ 2.083 ± 0.027* (5 mg/kg body wt/day) Va NaF as in group IVa 0.410 ± 0.008‡ 2.335 ± 0.012‡ then withdrawal for 30 days Vb NaF as in group IVb 0.409 ± 0.012‡ 2.39 ± 0.018‡ then withdrawal for 45 days VI NaF withdrawal + glycine 0.419 ± 0.01‡ 2.502 ± 0.008* (1 mg/animal/day) for 30 days VII NaF withdrawal + glutamine 0.417 ± 0.01‡ 2.516 ± 0.012† (1 mg/animal/day) for 30 days VIII NaF withdrawal + glycine 0.414 ± 0.012‡ 2.545 ± 0.014† + glutamine for 30 days Values are mean ± S.E. *p<0.05 †p<0.01 ‡not significant For p values, comparisons were done between: Gr I, II, III and IVa,b Gr IVa and Va Gr IVb and Vb Gr IVa and VI, VII, VIII Table 3A. Testicular cholesterol ANOVA. Source of Variation Groups Residual SS df MSS f(cal) F(tab) 0.0109 0.0359 9 27 0.001211 0.001331 0.909896 2.250 SS Sum of Squares df degree of freedoms MSS Mean sum of squares Table 3B. Serum testosterone ANOVA Source of Variation Groups Residual SS df MSS f(cal) F(tab) 1.9069 0.2701 8 80 0.238 0.0037 64.34 2.05 SS Sum of Squares df degrees of freedom Fluoride 32 (3) 1999 MSS Mean sum of squares Amino acid effects on testis of NaF-treated mice 167 Table 4. Actives of testicular 3β- and 17β-Hydroxysteroid dehydrogenases (HSD) 3 β-HSDa 17β-HSDb Control (untreated) Control + glycine (1 mg/animal/day) Control + glutamine (1 mg/animal/day) NaF for 30 days NaF for 45 days (5 mg/kg body wt/mouse/day) NaF treatment then withdrawal for 30 days 0.184 ± 0.015 0.183 ± 0.004 0.055 ± 0.005 0.053 ± 0.0012 0.185 ± 0.003 0.054 ± 0.0017 0.138 ± 0.03§ 0.083 ± 0.01‡ 0.026 ± 0.003* 0.021 ± 0.004* 0.133 ± 0.009 0.035 ± 0.007§ Vb NaF treatment then withdrawal for 45 days 0.142 ± 0.02* 0.046 ± 0.002 VI NaF withdrawal + glycine (1 mg/animal/day) for 30 days 0.164 ± 0.015‡ 0.052 ± 0.003† VII NaF withdrawal + glutamine (1 mg/animal/day) for 30 days 0.182 ± 0.026‡ 0.050 ± 0.003† VIII NaF withdrawal + glycine + glutamine for 30 days 0.183 ± 0.021 0.053 ± 0.002 Group Treatment I II III IVa IVb Va a3 β-HSD (nmols of androstanedione formed/mg protein/minute) (nmols of androstanedione formed/mg protein/minute) b17β-HSD Values are mean ± S.E. *p<0.02 †p<0.01 ‡p<0.001 §not significant For p values, comparison were done between: Gr I, II, III and IVa,b Gr IVa and Va Gr IVb and Vb Gr IVa and VI, VII, VIII Table 4A. Testis 3β-HSD ANOVA Source of Variation Groups Residual SS df MSS f(cal) F(tab) 0.04179 0.04099 9 27 0.00464 0.00152 3.05844 2.25 SS Sum of Squares df degrees of freedom MSS Mean sum of squares Table 4B. Testicular 17β-HSD ANOVA Source of Variation Groups Residual SS df MSS f(cal) F(tab) 0.0058 0.0008 9 27 0.000643 0.0000292 21.9953 2.250 SS Sum of Squares df degrees of freedom MSS Mean sum of squares Fluoride 32 (3) 1999 168 Chinoy, Mehta DISCUSSION Earlier researchers have reported that increased fluoride intake results in a decline in food consumption which is inversely correlated with the increased plasma fluoride levels in rat.13 Schwarz and Milne14 reported that 1-2 µg F/g of diet stimulated the growth of rats fed a highly purified amino acid diet and maintained in a trace element controlled isolator. However, other workers 15,16 were not able to confirm these findings. It is known that fluoride inhibits biosynthesis of protein in vitro and in vivo, which is probably due to interference of fluoride with the binding of the amino acyl-t-RNA adducts to the ribosomal RNA template. 17,18 In the present study, NaF treatment caused a significant decrease in levels of total protein in the testis. Since testicular proteins, including inhibin and androgen-binding proteins, are important for several functions in testis, 19 their metabolism could be altered under fluoride treatment. The decrease in protein content could also be related to necrotic changes in the testis. 6 A decrease in protein from NaF treatment was also reported in the spermatozoa and reproductive organs of rat, mice, and rabbit,7,20,21,22,23 and in the serum of a fluorotic human population of North Gujarat.24 The significant decline in SDH activity in the testis of NaF-treated mice found in the present study is in agreement with earlier data. 20 This fact suggests that the treatment altered the metabolism of the testis. Since SDH is primarily a mitochondrial oxidative enzyme, it is possible that alteration in mitochondrial structure and metabolism might also have occurred in the testes after treatment, as observed in the ovary of NaF-treated mice (authors’ observations). Hence, histological and ultrastructural studies in this direction are called for in order to investigate this aspect. A hypercholesterolemic effect in the serum has been observed in NaFexposed animals,25 which may constitute a predisposition to atherosclerosis. In the present study, however, testicular cholesterol levels were not significantly altered, while the activities of testicular 3β- and 17β-hydroxysteroid dehydrogenases were decreased after 45 days of NaF administration. These results suggest that fluoride interferes to some extent with testicular steroidogenesis in mice. Similar results were reported by Narayana and Chinoy in fluorotic rats.26 It is known that testosterone concentrations decrease in males suffering from skeletal fluorosis,27 while in another study on a human population in endemic fluorosis areas of the Mehsana district of North Gujarat, India, the circulating testosterone levels were only slightly affected. 28 This discrepancy could be related to the degree of fluorosis in these populations. In the present study, the serum testosterone levels were decreased after 45 days in NaFtreated mice. The results of the present study reveal that fluoride has a definite effect on male reproduction. The withdrawal of NaF for 30 days was not effective in restoring the parameters to control levels. Withdrawal for 45 days, however, led to the recovery of testicular protein levels and 17β-HSD activity. The addition of the amino acids glycine and/or glutamine was beneficial in promot- Fluoride 32 (3) 1999 Amino acid effects on testis of NaF-treated mice 169 ing the recovery from fluoride-induced toxicity. The ameliorative effect of the amino acids was probably due to their roles in various physiological functions, including as biologically active antioxidants. 29 It is evident from the results that the effects of NaF may be transient and reversible if cessation of the fluoride intake is accompanied by amino acid ingestion. 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