Allium cepa Linn juice protect against alterations in reproductive functions induced by maternal dexamethsone treatment during lactation in male offspring of Wistar rats

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Study Justification:
The study aimed to investigate the protective effects of Allium cepa Linn (Red Onion) juice against oxidative stress and reproductive dysfunction induced by maternal dexamethasone treatment during lactation in male offspring of Wistar rats. Dexamethasone treatment during lactation has been reported to cause oxidative stress in the testis of the offspring, and Allium cepa Linn is known for its potent free radical scavenging properties. This study aimed to assess the potential protective role of Allium cepa Linn against testicular oxidative stress and reproductive dysfunction in this context.
Highlights:
– Dexamethasone treatment during lactation caused significant reductions in testes weights, sperm quality indices, serum testosterone, FSH, and LH levels, as well as testicular antioxidant enzyme activities.
– Maternal treatment with Allium cepa Linn juice significantly improved indices of reproductive function and testicular antioxidant enzymes.
– These findings suggest that Allium cepa Linn has a protective effect against testicular oxidative stress and reproductive dysfunction induced by maternal dexamethasone treatment during lactation.
Recommendations for Lay Reader:
Based on the study findings, it can be recommended that the consumption of Allium cepa Linn (Red Onion) juice may have potential benefits in protecting against reproductive dysfunction caused by oxidative stress. Further research is needed to explore the specific mechanisms of action and optimal dosage of Allium cepa Linn for maximum protective effects. Individuals concerned about reproductive health may consider incorporating Allium cepa Linn into their diet, but it is important to consult with a healthcare professional before making any dietary changes.
Recommendations for Policy Maker:
The study findings suggest that Allium cepa Linn juice has a protective effect against testicular oxidative stress and reproductive dysfunction induced by maternal dexamethasone treatment during lactation. This information can be used to inform policies and guidelines related to reproductive health and the potential use of natural antioxidants in mitigating the adverse effects of certain medications. Further research and collaboration between healthcare professionals, researchers, and policymakers are needed to explore the potential applications of Allium cepa Linn and other natural antioxidants in reproductive health interventions.
Key Role Players:
1. Researchers and Scientists: Conduct further studies to explore the mechanisms of action and optimal dosage of Allium cepa Linn for maximum protective effects.
2. Healthcare Professionals: Provide guidance and advice to individuals concerned about reproductive health and the potential benefits of incorporating Allium cepa Linn into their diet.
3. Policy Makers: Incorporate the study findings into policies and guidelines related to reproductive health and the use of natural antioxidants in mitigating the adverse effects of medications.
Cost Items for Planning Recommendations:
1. Research Funding: Allocate resources for further research on the protective effects of Allium cepa Linn and other natural antioxidants in reproductive health.
2. Healthcare Professional Training: Provide training and education for healthcare professionals to enhance their knowledge and ability to provide guidance on reproductive health interventions involving natural antioxidants.
3. Public Awareness Campaigns: Allocate funds for public awareness campaigns to educate individuals about the potential benefits of Allium cepa Linn and other natural antioxidants in reproductive health and encourage informed decision-making.
4. Collaboration and Networking: Allocate resources for facilitating collaboration and networking between researchers, healthcare professionals, and policymakers to promote evidence-based reproductive health interventions involving natural antioxidants.

The strength of evidence for this abstract is 7 out of 10.
The evidence in the abstract is rated 7 because the study design includes a control group and the results show statistically significant differences between the treatment groups. However, the sample size is small (n=5 per group) and there is no mention of randomization or blinding. To improve the evidence, the study could be replicated with a larger sample size and a randomized, blinded design.

Treatment with dams with dexamethasone during lactation has been reported to induce oxidative stress in the testis of the offspring. Allium cepa L (Red Onion) is known to be a potent free radical scavenger. The protective role of Allium cepa against oxidative stress induced in testis following treatment with dexamehasone during lactation in Wistar rats was assessed. Twenty female rats were assigned into four groups (n = 5) during lactation and they were treated as follows: Group 1 serve as Control (distilled water), Group 2, 3, and four were admistered dexamethasone (60 μg/kg), Allium cepa (5 ml/kg) and dexamethasone + Allium cepa respectively. Testicular descent, pubertal age, sperm quality indices, and serum hormonal profile were assessed as indices of reproductive function. Testicular malondialdehyde (MDA) reduced glutathione (GSH) as well as superoxide dismutase (SOD) and catalase activities were assessed as measures of oxidative stress. Results obtained showed that dexamethasone caused significant (P < 0.05) reduction in testes weights, indices of sperm quality, serum testosterone, FSH, LH levels and testicular antioxidant enzyme activities. There was significant delay (P < 0.05) in days of testes descent, preputial separation and increase in testicular MDA. However, maternal treatment with Allium cepa Linn juice significantly (P < 0.05) improved both indices of reproductive function and testicular antioxidant enzymes. These findings suggest that Allium cepa Linn has a protective effect against testicular oxidative stress and reproductive dysfunction following treatment of dams with dexamethasone during lactation.

Dexamethasone-BP (DEX) tablets (Xasthen®, Jiangsu Penyao Pharmaceuticals Ltd, China) was suspended in distilled water in a dose of 60 μg/kg. Allium cepa Linn. juice was prepared according to the method of Ola-Mudathir et al. (2008). The Kano Red Creole variety of fresh Allium cepa bulbs was obtained. It was identified at the herbarium of Botany Department, University of Ibadan and National Institute of Horticultural Studies (NIHORT), Ibadan. The fresh (100 g) Allium cepa bulbs were washed, cut into small pieces and homogenized in a blender. The resultant slurry was filtered and the filtrate was used. The Allium cepa bulb extract was administered to the rats with the aid of a flexible oral gavage tube throughout the course of the study. Fresh juice was prepared daily every morning. Twenty virgin female (180–200 g) and ten male Wistar rats (200–250 g) (12 weeks of age) were obtained from the Central Animal House, College of medicine, University of Ibadan. The animals were housed in well ventilated cages with access to adequate rodent's feed and water ad libitum. Acclimatization took place for two weeks. Female rats were mated overnight during their proestrous phase with proven male breeders in ratio 2:1 (female to male). After mating had been established, female rats were randomly divided into four groups of five animals each and were treated during lactation (Table 1). Parturition was allowed to occur naturally and maternal dexamethasone administration commenced on Postnatal Day (PND) 1. Litter size was standardized to six pups per litter. All animal experiments were conducted in accordance with the International Ethical Norms on Animal Care and Use as contained in NIH publication/85-23, revised in 1985. The study was approved by Ethical committee on the use of laboratory animals, Department of Physiology, Cross River University of Technology, Calabar, Nigeria. Experimental groups. n=5. Treatment lasted for 21 days PND 1–21. The male pups were weaned on PND 28. Testis descent and preputial separation were monitored starting from PND 21 and PND 42 respectively. Body weight was measured at PND 56 (8 weeks) and PND 84 (12 weeks) to examine the progression in growth rate. The animals were sacrificed under Sodium thiopentone anesthesia (50 mg/kg, i. p.) at the end of PND 96 (14 weeks) (Pereda et al., 2006). Blood samples were collected via cardiac puncture and serum was obtained for hormonal analysis. The testis was harvested, weighed and placed in phosphate buffer solution for oxidative status analysis. Blood was obtained via cardiac puncture (PND 96) into polythene tubes and allowed to clot for 1 h. The blood samples were centrifuged at 3000 rpm for 10 min. Serum was aspirated and stored at 4 °C. Serum testosterone, FSH, LH and corticosterone were assayed using enzyme-linked immunosorbent assay (ELISA) kits (Fortress Diagnostics, UK) according to the protocol in respective manufacturer's manual. The testis was harvested, weighed and homogenized in phosphate buffer solution for oxidative status analysis. The homogenate was centrifuge at 10,000 rpm in a cold centrifuge. The supernatant was aspirated into a plane tube, stored at 4 °C until use. The assays were done within 48 h of collecting the sample. Level of Lipid peroxidation was evaluated by method of Buege and Aust (1978). Catalase activity was evaluated by method of Sinha (1972). The SOD activity was evaluated by method of Misra and Fridovich (1972). The GST activity was evaluated by the method of Habig et al. (1974). Protein estimation was done by method of Lowrey et al. (1951). GSH content was evaluated by the method of Beutler et al. (1963). Sperm analysis was done by microscopy as previously described (Raji and Bolarinwa, 1997; Raji et al., 2003). Epididymal spermatozoa were obtained by mincing the epididymis with anatomical scissors in 5ml of pre-warmed physiological saline and incubated for 2 min. An aliquot of this solution was placed in improved Neubauer counting hemocytometer and motile sperm were counted by using microscope at 400× magnification. Non-motile sperm numbers were first determined, followed by counting of total sperm. Sperm motility was expressed as a percentage of motile sperm of the total sperm counted. Percentage of morphologically abnormal spermatozoa was determined by preparing two slides with Hemaoxylin and Eosin stains for morphological examination of live–dead ratio. A total of 400 sperm cells were counted on each slide under light microscope at 400× magnifications. Sperms with abnormal head and/or tail were considered abnormal. Sperm motility, viability and count were done immediately and quickly. A sperm viability test was done using eosin/negrosin stain (containing 1 g of Eosin and 4 g of Negrosin in 100 ml phosphate buffer). A drop of the epididymal fluid was placed on the slide and two drops of the stain was added. A thick smear was made from this and dried. After this, the slide was studied under light microscope using 40x objective lens. The unstained spermatic cells were considered as live sperms while the stained ones was considered as dead sperm. A minimum of 100 spermatic cells (both stained and unstained) was counted and an average was taken for the percentage live sperm. Data were presented as mean ± SEM and Anova was used for comparison of results, followed by Tukey's post-hoc test to compare the differences in means of the different treatment groups. P < 0.05 was considered significant. The data analysis was done with the use of Graphpad Prism Version 7.0 for Windows.

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The study mentioned in the description investigates the potential protective effects of Allium cepa Linn juice (Red Onion) against oxidative stress and reproductive dysfunction induced by maternal dexamethasone treatment during lactation in male offspring of Wistar rats. The study involved administering dexamethasone and Allium cepa Linn juice to different groups of rats and assessing various reproductive function indices, including testicular descent, pubertal age, sperm quality, and serum hormonal profile. The study found that Allium cepa Linn juice significantly improved reproductive function and testicular antioxidant enzyme activities in the offspring.

It’s important to note that this study is specific to animal models and further research is needed to determine the potential applicability of Allium cepa Linn juice in improving access to maternal health in humans.
AI Innovations Description
The recommendation to improve access to maternal health based on the provided information is to further study the potential benefits of Allium cepa Linn juice in protecting against reproductive dysfunction induced by maternal dexamethasone treatment during lactation in male offspring of Wistar rats. This study suggests that Allium cepa Linn juice may have a protective effect against testicular oxidative stress and reproductive dysfunction caused by dexamethasone treatment. Further research can be conducted to explore the potential use of Allium cepa Linn juice as an innovative intervention to improve maternal health outcomes.
AI Innovations Methodology
Based on the provided description, it seems that the study is focused on assessing the protective effect of Allium cepa Linn (Red Onion) juice against oxidative stress and reproductive dysfunction induced by maternal dexamethasone treatment during lactation in male offspring of Wistar rats. The methodology involves the following steps:

1. Animal selection and grouping: Twenty virgin female rats and ten male Wistar rats were obtained and housed in well-ventilated cages with access to food and water. The female rats were mated and divided into four groups of five animals each.

2. Treatment administration: Maternal dexamethasone treatment was initiated on Postnatal Day 1 and lasted for 21 days. The treatment groups included a control group (distilled water), a dexamethasone group (60 μg/kg), an Allium cepa group (5 ml/kg), and a dexamethasone + Allium cepa group.

3. Assessment of reproductive function: Testicular descent, pubertal age, sperm quality indices, and serum hormonal profile were assessed as indices of reproductive function. Testicular weights, sperm quality, serum testosterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH) levels, and testicular antioxidant enzyme activities were measured.

4. Evaluation of oxidative stress: Testicular malondialdehyde (MDA), reduced glutathione (GSH), superoxide dismutase (SOD), and catalase activities were assessed as measures of oxidative stress.

5. Statistical analysis: Data were presented as mean ± SEM. Analysis of variance (ANOVA) was used for comparison of results, followed by Tukey’s post-hoc test to compare the differences in means of the different treatment groups. A significance level of P < 0.05 was considered.

To simulate the impact of the recommendations on improving access to maternal health, a different methodology would be required. The provided study focuses on assessing the protective effect of Allium cepa Linn juice on reproductive function in male offspring. To simulate the impact on improving access to maternal health, a methodology could include:

1. Identify the target population: Determine the specific population or region where access to maternal health services is limited or inadequate.

2. Assess the current barriers: Conduct a comprehensive assessment to identify the existing barriers that hinder access to maternal health services, such as geographical distance, lack of healthcare facilities, limited availability of skilled healthcare providers, cultural beliefs, financial constraints, etc.

3. Identify potential innovations: Explore various innovations that have the potential to improve access to maternal health services. These could include technological solutions, community-based interventions, telemedicine, mobile health applications, training programs for healthcare providers, etc.

4. Evaluate the impact of innovations: Develop a simulation model to assess the potential impact of each innovation on improving access to maternal health services. This could involve collecting data on key indicators such as the number of women accessing prenatal care, the rate of institutional deliveries, maternal and neonatal mortality rates, etc.

5. Analyze the results: Analyze the simulation results to determine the effectiveness of each innovation in improving access to maternal health services. Compare the outcomes of different innovations and identify the most promising ones.

6. Implement and monitor: Based on the simulation results, select the most effective innovations and implement them in the target population or region. Continuously monitor and evaluate the impact of the implemented innovations to ensure their sustainability and effectiveness.

It is important to note that the provided study does not directly address improving access to maternal health services. Therefore, the methodology described above is a general approach to simulate the impact of recommendations on improving access to maternal health and may not be directly applicable to the specific study.

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