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Malathion induced testicular toxicity and oxidative damage in male mice: the protective effect of curcumin

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The organophosphorus (OP) pesticide malathion is a highly neurotoxic compound, leading to cholinergic syndrome. Malathion produces reproductive toxicity.


To investigate the protective effects of curcumin on the testicular toxicity induced in male mice orally administrated with malathion.

Materials and methods

Forty-eight mature male mice were used. The mice were divided into four groups, 12 mice each, and treated for 4 weeks as follows: the control (G1), curcumin-treated group (G2), malathion-treated group (G3), and the curcumin plus malathion-treated group (G4). At the end of the experiment, the mice were sacrificed and dissected, and tissue samples were obtained and antioxidant parameters were examined. Tissue samples were also histopathologicaly and immunohistochemically assessed. Samples of blood were collected for assessing the levels of serum hormones, namely follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone, and acetylcholinesterase activity (AChE).


Malathion exposure caused a decrease in serum testosterone and LH levels and antioxidant enzymes (SOD and CAT) and elevation of oxidative stress marker (MDA). Histological changes were as well observed in the form of maturation abnormalities, intratubular necrosis, and inflammatory infiltrate in malathion-treated mice. Co-administration of curcumin with malathion reduced lipid peroxidation (LPO) activity and improved spermatogenesis and increased catalase (CAT), superoxide dismutase (SOD), and testosterone levels.


The current study showed that curcumin could ameliorate the elevated concentration of lipid peroxidation products, increase the levels of antioxidative markers, and improve the pathological changes in the testis induced by malathion administration. The capacity of curcumin to work as antioxidant supposedly relates to its structure.


The widespread use of the organophosphorus (OP) pesticide (malathion) in agricultural and household applications and the high rates of food contamination can lead to exposure of humans to high levels of this toxic chemical (Babu et al. 2006; dos Santos et al. 2011; Salama et al. 2015; Ibrahim et al. 2011).

Exposure to malathion [O, O-dimethyl-S-(1,2-dicarbethoxyethyl) phosphorodithioate] causes distinct cytopathological and histopathological changes in the male mammal’s reproductive system. Uzunhisarcikli et al. reported that the duration and concentration of exposure to malathion have the major role of these changes that include higher percentage of sperm abnormality, defects in spermatogenesis, and lowered sperm count (Mahgoub and El-Medany 2001; Bustos-Obregón and González-Hormazabal 2003; Uzunhisarcikli et al. 2007). Geng et al. found in addition marked loss of the testis weights, final body weight, and sperm mobility (Geng et al. 2015).

The ability of organophosphorus compounds including malathion to cross the blood–testis barrier accounts for the damage that affect the testis (Nahid et al. 2016). The testicular biological membranes are damaged by malathion through oxidative stress mechanism and lipid peroxidation induction (Geng et al. 2015).

Leydig and spermatogenic cell degeneration might occur in this condition as a result of the oxidative damage, which decreases the sperm counts and deactivates spermatogenesis (Uzunhisarcikli et al. 2007; Penna-Videau et al. 2012). Penna-Videau and his colleagues reported that steroidogenesis is impaired by malathion exposure and this in turn stimulates the proliferation of the seminiferous epithelium beside the apoptosis that affect germ cells (Penna-Videau et al. 2012). Moreover, reduced chromatin and damaged DNA can be caused by malathion exposure that affect the maturation of spermatogenic cells in mice in its late stages (Ojha and Srivastava 2014; Moore et al. 2011). The structure of the microtubules and mitochondrial enzymes of the sperm could be affected and injured by the oxidative damage induced by OPs that affects and destroys the sperm. Latchoumycandane et al. reported previously that the functions of the sperm and their mobility are reduced, causing infertility because of reactive oxygen species generation (Latchoumycandane et al. 2002).

Previous researchers have identified the mechanism of testicular damage induced by malathion exposure in rats and humans: first, because of the lipophilic feature of malathion which in turn facilitates its prompt tissue diffusion. This diffusion causes accumulation of acetylcholine in the target organ causing all the manifestations of OP poisoning (Bajgar 2005). Induction of the oxidative stress damage with the generation of reactive oxygen species (ROS) and the loss of balance between the oxidant/antioxidant systems are another way of organ damage by malathion (Bayrami et al. 2012).

Oxidative stress might be relieved by using antioxidant therapy. Recently, there is a major inclination toward the utilization of natural products as antioxidant agents. This pattern requires the assessment of the pharmaceutical properties of these natural products (Sepand et al. 2013; Kim et al. 2018; Huang et al. 2018; Ibrahim et al. 2018). Curcumin (diferuloylmethane), a polyphenol, is the active component of the condiment turmeric (Curcuma longa) and has been used for treatment purposes for hundreds of decades (Gupta et al. 2012; Joint 2003; Bulku et al. 2012). It acts as a free radical scavenger and antioxidant (Ak and Gülçin 2008) inhibiting lipid peroxidation and oxidative DNA damage and enhances the activities of antioxidant enzymes such as glutathione-S-transferase (Piper et al. 1998). Its free radical scavenging antioxidant property helps it in reducing genotoxic damage caused by organophosphorus exposure (Kumar et al. 2014).

Curcumin has been used in clinical trials as anticancer agents with its activity resulting from multiple biochemical mechanisms. Studies have shown that this compound can inhibit the malignant proliferation of tumor cells and enhance chemosensitivity of liver cancer, gastric cancer, and colon cancer (Kunati et al. 2018; Gall Troselj and Kujundzic 2014).

The protective effect of curcumin has been investigated against the effect of many OP compounds on several organs (Hassani et al. 2015). This study was designed to evaluate the protective activity of curcumin on malathion-induced testicular toxicity in male mice by assessment of histopathological changes of the testis, oxidative markers, plasma testosterone level, and plasma acetylcholinesterase activity.

Materials and methods

Experimental animals

Forty-eight sexually mature male Swiss albino mice, ~ 2 months in age (weighing approximately 20–30 g), were utilized in this study. Plastic cages were used for housing of the animals (six mice in each), and a standard laboratory diet was used for the fed of mice with water ad libitum. The mice were maintained at a laboratory temperature of 20 ± 2/C and exposed to a 12-h light/dark cycle. Before beginning the experiments, the mice were quarantined for 10 days.

Chemical items

  1. a)

    Malathion: high technical grade (98% purity), was purchased from the branch of the Ministry of Agriculture, Egypt. All the utilized solvents in this research were of high grade and were purchased from Sigma Chemical Company (St. Luis, MO, USA).

  1. b)

    Curcumin powder: supplies as orange powder, molecular formula [HOC6H3 (OCH3) CH=CHCO]2 CH2, molecular weight 368.38 g/mol and stored at room temperature (provided by Sekem’s Company, Cairo, Egypt). A Soxhlet apparatus was used to extract the curcumin from the turmeric powder. Filter paper was used to filter the extract, and a rotary evaporator was utilized to evaporate the solvent; then, an oven at 40 °C for 24 h was used to dehydrate the resultant extract and left at 4 °C until use. Then, the extract was concentrated and lyophilized in a freeze dryer. Five grams of curcumin was produced from 100 g of turmeric (Deters et al. 2000).

  1. c)

    Kits: MDA, malondialdehyde; SOD, superoxide dismutase; CAT, catalase; GSH, glutathione; GPx, glutathione peroxidase; LH, luteinizing hormone; and FSH, follicle-stimulating hormone; and testosterone were purchased from Sigma Chemical Company (St. Luis, MO, USA).

Animal treatment schedule

The mice were divided into two groups, namely, the control (n = 12) and experiment groups (n = 36). The mice in the experiment group were divided into three groups, namely, the curcumin-treated group (n = 12), the malathion-treated group (n = 12), and the curcumin plus malathion-treated group (n = 12). All the materials were given to mice every morning (between 09:00 and 10:00 h). The first day of animal treatment was considered as day 0. At the end of the period of experiment (4 weeks), the mice in each group were sacrificed and dissected, and the testes were extracted and antioxidant parameters were assessed. Sections from the testes were also subjected to histopathological and immunohistochemical assessment. Samples of blood were obtained to assess the follicle-stimulating hormone (FSH) level in the serum, with luteinizing hormone (LH) level, and testosterone level. In addition, acetylcholinesterase activity (AChE) was examined.

Control group (G1)

Corn oil at a dose of 0.2 ml per animal was given via gavage, once a day for the total period of experiment.

Curcumin-treated group (G2)

Once a day, the mice were given curcumin and corn oil orally at a dose of 200 mg/kg/day and continued daily for the total period of experiment (Hassani et al. 2015).

Malathion-treated group (G3)

Once a day, the mice were administered with malathion dissolved in corn oil at a dose of 27 mg/kg bw (1/50 of the LD50 for an oral dose) (John et al. 2001) via gavage and continued daily for the total period of experiment.

Curcumin plus malathion-treated group (G4)

The mice were treated with curcumin and corn oil at a dose of 200 mg/kg/day once daily, by gavage, and then after half an hour, malathion dissolved in corn oil with a dose of (27 mg/kg bw/day) was given by gavage all throughout the experimental period.

Body and reproductive organ weights

Initial (in the beginning of experiment) and final (by the end of experiment) body weights were recorded. Male mice from all groups were sacrificed after anesthesia by cervical dislocation after 4 weeks of exposure. The testis absolute weights were determined after their extraction and blotting. Gross signs of body and reproductive organs were examined for toxicological parameters. The relative testis weight to body weight was calculated as the ratio of tissue wet weight (g) to body weight (g) (Relative testis weight = testis wet weight/final body weight × 100).

Hormone assays

Serum levels of LH and FSH were measured using automated immunofluorescent assay-based commercial kits and a Brahms Kryptor immunoassay analyzer. Levels of testosterone were measured using a chemiluminescence immunoassay-based commercial kit and an Access immunoassay analyzer.

Plasma acetylcholinesterase activity (AChE)

Acetylcholinesterase activity was measured using the method of Ellman et al. (1961). The method uses DTNB (5,5-dithio-bis-2-nitrobenzoic acid) to measure the amount of thiocholine produced as acetylthiocholine is hydrolyzed by AChE. The color of DTNB adduct can be measured using spectrophotometry at 412 nm. AChE activity was expressed as micromole sulfhydryl (SH) groups per gram tissue per minute.

Lipid peroxidation (LPO)

Testicular level of MDA was estimated according to Bulku’s technique (Bulku et al. 2012). Briefly, 0.67% 2-thiobarbituric acid (TBA) and 20% trichloroacetic acid solution were blended with 0.2 mL supernatant of testis homogenate and heated for 30 min in a boiling water bath. The reaction of TBA with MDA formed a pink-colored chromogen, which is estimated spectrophotometrically at 532 nm. The measured outcomes were presented as MDA millimoles per gram tissue.

Testicular superoxide dismutase (SOD) estimation

Testicular homogenate activity of SOD was estimated according to Masayasu and Hiroshi (1979) technique. This method is based on the production of superoxide anions by pyrogallol autoxidation, detection of produced superoxide anions by nitro blue tetrazolium (NBT) formazan color development, and estimation of the amount of produced superoxide anions scavenged by SOD (the inhibitory level of formazan color development). The spectrophotometer is used to measure the increase in the absorbance for 5 min at 560 nm. The measured outcomes were presented as units per gram tissue.

Measurement of testicular CAT activity

The method of Aebi (1984) was used to determine the testicular catalase (CAT) activity in tissue homogenates. The rate of H2O2 decomposition was followed by monitoring absorption at 240 nm in 50 mM phosphate buffer, pH 7.0, containing 10 mM H2O2. One unit of catalase activity is defined as the amount of enzyme required to decompose 1 μmol of hydrogen peroxide in 1 min. The measured outcomes were presented as units per gram tissue.

Measurement of testicular GSH level and GPx activity

GSH level was estimated according to Beutler et al (1963) technique, and glutathione peroxidase (GPx) level was estimated according to Lawrence and Burk (1976) technique.


The tissues of the right testis were fixed in Bouin’s solution and then processed and embedded in paraffin. Then, paraffin-embedded sections (5 μm) were cut, put on slides, and deparaffinized after being rehydrated. The slides were stained with hematoxylin and eosin (HE) to be examined by light microscopy.

Histopathological evaluation

First, sections were examined by screening and low power to assess adequacy of specimen and take initial impression of overall heterogeneity and assess for tubular diameters, intratubular neoplasia, granulomas, tubular and interstitial fibrosis, or inflammation. Then, sections were examined by high power to assess types and proportions of germ cells.

Hypo-spermatogenesis was defined as the presence of mature sperms in decreased than expected quantities ± Sertoli cell prominence or increased number of small diameter tubules. In addition, if there are hyalinized tubules or Sertoli cell only, tubules scattered on a background of normal tubules.


The sections from the testes were processed as described above but using positively charged slides. Immunohistochemistry was conducted following instructions of SABC kits. Briefly, slides were treated with 3% H2O2 and 5% BSA blockage for antigen retrieval, then incubated with primary antibodies, caspase3 and Bcl-2, overnight at 4 °C. Horseradish peroxidase (HRP)-conjugated secondary antibody was used at a 1:700 in blocking solution for1 h at 37 °C. 3,3-Diaminobenzidine tetrahydrochloride (DAB) was used as chromagen, and hematoxylin (Vector, Houston, TX) was used as a counter stain for the nuclei. Randomly selected ten seminiferous tubules from each slide were examined. Sections were examined by a light microscope on low and high power. Semi-quantitative method was used to assess intensity of stain, which was expressed as mild, moderate, or marked. Distribution of stain among germ cells was also considered. Cytoplasmic staining was considered for both Bcl-2 and Caspase3. The percent areas of immunohistochemical reaction were analyzed using image analyzer computer system (Image J software).

Statistical analysis

Statistical analysis was done using SPSS software, version 22 for windows (SPSS, Inc., Chicago, IL, USA). Numerical data obtained from the experiment were expressed as mean ± SD. After ascertaining the homogeneity of variance between treatment groups, one way analysis of variance (ANOVA) followed by Student-Newman-Keuls test was performed. Values of p < 0.05 were considered to be statistically significant.


No animal mortalities were found throughout the experimental period.

Effects of malathion and curcumin on body weight gain and testis weights

As can be seen from Table 1, the relative body weight is significantly decreased in malathion-treated group (p < 0.05) and the animals regain their weight gains after the co-administration of curcumin with malathion in group 4, and the body weights become near those of the control group (p > 0.05). Relative testis weight is markedly affected in malathion-treated group (p < 0.05). This effect significantly improved in group 4 which was treated with curcumin and malathion (p < 0.05).

Table 1 Changes in body weight and testis weight of mice after 4 weeks of exposure to curcumin (200 mg/kg/day), malathion (27 mg/kg bw), and their combination. n = 12 mice for each group

Effects of malathion and curcumin on serum levels of LH, FSH, and testosterone and acetylcholinesterase activity

As can be seen from Table 2, compared with the control and curcumin groups (groups 1 and 2, respectively), serum LH levels, testosterone level, and acetylcholinesterase activity in the malathion-treated group (group 3) were significantly lower (p < 0.05) and the serum FSH levels were significantly increased (p < 0.05). Co-administration of curcumin with malathion in group 4 improves the serum levels of these hormones and enzymes and regains them to near control group levels (p < 0.05). Non-significant difference was found in all the parameters between the control group and curcumin with malathion group (p > 0.05).

Table 2 Changes in serum levels of LH, FSH, testosterone, and acetylcholinesterase of mice after 4 weeks of exposure to curcumin (200 mg/kg/day), malathion (27 mg/kg bw), and their combination. n = 12 mice for each group

Effects of malathion and curcumin on oxidative stress markers in the testis

SOD, CAT, and GPx were determined as important endogenous antioxidant enzymes with GSH in the testis. As can be seen from Table 3 and compared with the control and curcumin groups (groups 1 and 2, respectively), the malathion-treated group has MDA levels that were substantially increased (p < 0.05), and their SOD, CAT, GPx, and GSH levels were significantly reduced (p < 0.05). However, compared to those in the malathion-treated group, there was a significant increase in SOD, CAT, GPx, and GSH level (p < 0.05) and decreased level of MDA in group 4 which was treated with curcumin and malathion. Non-significant difference was found in all the parameters between control group and curcumin with malathion group (p > 0.05).

Table 3 Changes in oxidative stress markers in the testis of mice after 4 weeks of exposure to curcumin (200 mg/kg/day), malathion (27 mg/kg bw), and their combination. n = 12 mice for each group

Effect of malathion and curcumin on the histological structure of the testis

Sections examined from cases of control group (Fig. 1a, b) and group treated with curcumin alone (Fig. 1c, d) revealed normal testicular tissue with seminiferous tubules showing full maturation to spermatids and mature spermatozoa in the lumen. Sections from the group treated with malathion (Fig. 2a–c) showed hypospermatogenesis, maturation arrest at stages of primary and secondary spermatocytes focally in 100% of cases, foci of germ cell aplasia (Sertoli cell only) in about 40% of cases, sloughing and disorganization, foci of intratubular necrosis and inflammatory infiltrate, interstitial edema and Leydig cell hyperplasia. Sections from the group treated by both malathion and curcumin (Fig. 3a, b) showed normal spermatogenesis in 50% of cases, mixed hypospermatogenesis and maturation arrest in 50% of cases, no germ cell aplasia, sloughing and disorganization (50%), no necrosis or inflammatory infiltrate, mild interstitial edema in 25% of cases, and no Leydig cell hyperplasia.

Fig. 1

Photomicrograph of the testis section stained with hematoxylin and eosin from the control and curcumin groups under the study. a, b (control group) showing a uniform seminiferous tubules (black arrows), with small clusters of Leydig cells in interstitial tissue (arrow heads) (H&E, × 10) and b uniform spermatogenesis, with identification of sperm in tubular lumens tubules (black arrows), with small clusters of Leydig cells in interstitial tissue (arrow heads) (H&E, × 20). c, d (curcumin group); c uniform seminiferous tubules (black arrows), with small clusters of Leydig cells in interstitial tissue (arrow heads) (H&E, × 10) and d uniform spermatogenesis, with identification of sperm in tubular lumens tubules (black arrows), with small clusters of Leydig cells in interstitial tissue (arrow heads) (H&E, × 20)

Fig. 2

Photomicrograph of the testis section stained with hematoxylin and eosin from the malathion group under the study. ac showing a seminiferous tubules become irregular in shape and show disrupted sloughed lining (black arrows), with widened edematous hemorrhagic interstitial tissue (arrow heads). There are foci of Leydig cell hyperplasia (red arrow) (H&E, × 10). b Spermatogenic cells show maturation arrest with no identifiable sperm in the lumens. There are sloughed swollen cells in the lumens (black arrows). There are foci of Leydig cell hyperplasia (red arrows). Some tubules show only Sertoli cell lining (arrow head) (H&E, × 20). c Seminiferous tubules show disturbed sloughed lining (black arrows), with late maturation arrest. No sperm is seen in lumens. Many degenerated swollen sloughed spermatogenic cells are seen (blue arrows). Some tubules show few neutrophilic infiltrate within lining cells (arrow heads). Leydig cells show hyperplasia (red arrows) (H&E, × 20)

Fig. 3

Photomicrograph of the testis section stained with hematoxylin and eosin from the malathion + curcumin group under the study. a, b showing a uniform seminiferous tubules (black arrows), with small clusters of Leydig cells in interstitial tissue (arrow heads) (H&E, × 10). b Uniform regular seminiferous tubules with uniform full spermatogenesis, with identification of sperm in tubular lumens tubules (black arrows), with significant reduction in number of Leydig cells in interstitial tissue (arrow heads) (H&E, × 20)


Bcl-2 was expressed in the testis of mice from all groups but with different intensity and distribution. In the control, curcumin, and malathion + curcumin groups, there was moderate cytoplasmic Bcl-2 expression. Expression was prominent mainly in spermatocytes and spermatids. Leydig cells also showed some immunoreactivity. Bcl-2 expression was weak in the malathion-treated group. There was no expression in spermatogonia (Fig. 4). As regards percent area of expression of Bcl-2 immunoreaction of the testis, a statistically significant difference was observed between malathion-treated group and both control and curcumin groups (p < 0.05). There was a statistically significant difference in the expression of Bcl-2 immunoreaction in the malathion + curcumin group compared with the malathion group (p < 0.05) as presented in Table 4.

Fig. 4

Photomicrographs of a cytoplasmic Bcl-2 expression in the testis of mice showing moderate immunoreactivity in control group. b Cytoplasmic Bcl-2 expression in the testis of mice showing moderate immunoreactivity in control group. Expression is prominent mainly in spermatocytes (black arrows) and spermatids (blue arrows). Leydig cells (red arrowheads) also show some immune reactivity. c Cytoplasmic Bcl-2 expression in the testis of mice showing moderate immunoreactivity in seminiferous tubules of curcumin-treated group. d Cytoplasmic Bcl-2 expression in the testis of mice showing moderate immunoreactivity in seminiferous tubules of curcumin-treated group. Leydig cells (red arrowheads) also show some immune reactivity. e Cytoplasmic Bcl-2 expression in the testis of mice showing weak immunoreactivity in the malathion-treated group. Expression is prominent mainly in spermatocytes (black arrows) and spermatids (blue arrows). Leydig cells (red arrowheads) also show some immune reactivity. f Cytoplasmic Bcl-2 expression in the testis of mice showing weak immunoreactivity in the malathion-treated group. Expression is prominent mainly in spermatocytes (black arrows) and spermatids (blue arrows). g Cytoplasmic Bcl-2 expression in the testis of mice showing moderate immunoreactivity in seminiferous tubules of the curcumin + malathion-treated group. h Cytoplasmic Bcl-2 expression in the testis of mice showing moderate immunoreactivity in seminiferous tubules of the curcumin + malathion-treated group. Leydig cells (red arrowheads) also show some immune reactivity. Photomicrographs of a, c, e, and g are at × 100 resolution by immunohistochemistry staining using anti-Bcl-2 monoclonal antibody with hematoxylin counterstain. Photomicrographs of b, d, f, and h are at × 400 resolution by immunohistochemistry staining using anti-Bcl-2 monoclonal antibody with hematoxylin counterstain

Table 4 Percent area (%) stained by Bcl-2 and Caspase3 immunoreaction of the testis in mice after 4 weeks of exposure to curcumin (200 mg/kg/day), malathion (27 mg/kg bw), and their combination. n = 12 mice for each group

Caspase3 was moderately expressed in the testis of mice from all groups. The expression was mainly cytoplasmic. It presents in all cells from spermatogonia to spermatids. There was no difference in expression among groups (Fig. 5). As regards percent area of expression of Caspase3 immunoreaction of the testis, no statistically significant difference was observed among groups (p > 0.05) as presented in Table 4.

Fig. 5

Photomicrographs of a, b control group: normal seminiferous tubules showing moderate immunoreactivity for caspase 3 detected as cytoplasmic staining in all types of cells. c, d Curcumin-treated group: normally functioning seminiferous tubules showing moderate immunoreactivity for caspase 3 detected as cytoplasmic staining in all types of cells. e, f Malathion-treated group showing moderate immunoreactivity for caspase 3 detected as cytoplasmic staining in all types of cells. Note the more intense stain in the cytoplasm of enlarged degenerating spermatocytes. g, h Curcumin + malathion-treated group: seminiferous tubules showing moderate immunoreactivity for caspase 3 detected as cytoplasmic staining in all types of cells. Photomicrographs of a, c, e, and g are at × 100 magnification by immunohistochemistry staining using anti-caspase 3 monoclonal antibody with hematoxylin counterstain. Photomicrographs of b, d, f, and h are at × 400 magnification by immunohistochemistry staining using anti-caspase 3 monoclonal antibody with hematoxylin counterstain


Insecticides have been widely used for decades, and human exposure to these insecticides always causes public health concern. Malathion is an organophosphate insecticide widely used in agriculture, residential areas, public recreation areas, and pest control programs, and it is also used for the treatment of the head and body lice (Stone et al. 2014). The compounds of organophosphorus are broadly utilized as acaricides and insecticides in agriculture. They are likewise often utilized in drug and industry. Residues of organophosphate (OP) insecticides have been recognized in the food products, grains, vegetables, water bodies, and soil (Poet et al. 2004). In addition, because of the extensive accessibility of organophosphorus pesticides, toxicity is widespread (Garcia et al. 2003). Previous researches have reported that the male reproductive system have been affected by some OP insecticides (Farag et al. 2000). Malathion is an organophosphorus insecticide that affects the reproductive system. Humans, birds, and other animals are in contact to increased levels of this insecticide (malathion), due to its common utilization and the rising rates of food contamination (Babu et al. 2006).

In this study, we introduced malathion at a dose of 1/50 of the oral LD50 and observed the pathological changes in mice testes. None of the mice died during the interval of experiment.

Malathion caused changes in the mouse testis, notably by a decrease in their weight. The same finding was demonstrated in a research done by Geng et al. and Slimen et al. (2014; 2015). The reported data presented by Lafuente et al. (2008) dedicated that oral exposure to malathion caused adverse effects on the reproductive system of male mice following intake of 27 mg/kg per day for 1 month, including lowered weight of the body and testes.

LH and FSH activities depend on both the quantity of these hormones and availability of their specific receptors in the testis. It was clarified that there is an adverse effect on testicular function on exposure to environmental pollutants mediated by lowering LH secretion by pituitary and steroidogenesis by Leydig cell (Geng et al. 2015; Magnusson and Ljungvall 2014). By the end of the month of this study, the levels of LH and testosterone in the group treated by malathion were significantly lower than their levels in mice in the group taken as control and the FSH is higher in the malathion-treated group. Thus, malathion administration suppressed LH and testosterone release and increased the level of FSH. This is in line with the finding of Mahgoub and El-Medany (2001) who found elevated FSH in the insecticide-treated group. However, decreased levels of LH, FSH, and testosterone have been reported by other authors (Maitra and Mitra 2008; Elbetieha and Da’as 2003). This may be made clear by the supposed antagonism of malathion to androgen receptor. It is known that antagonists to androgen receptor can change the glycosylation of gonadotrophins, and this leads to the inhibition of their levels (Sikka and Naz 1999). Some researchers considered a change in the mechanism of production of steroid hormones. It is probable that production of gonadotropins was affected by malathion in male mice due to the interruption of the hypothalamic–pituitary–testicular axis (Roohbakhsh et al. 2011).

Gonadotrophins and testosterone are key hormones, which regulate spermatogenesis. LH is secreted by the pituitary gland then induces Leydig cells to secrete testosterone. Many OPs were tested for their effect on plasma levels of testosterone (Blanco-Muñoz et al. 2010; Satar et al. 2004). In our experiment, introducing malathion for 4 weeks was associated with a reduction in plasma levels of testosterone. There may be pathological alterations in the interstitial cells of Leydig, which may be the reason for that effect. However, levels of plasma testosterone showed no significant effect under organophosphorus insecticide exposure as mentioned by Okamura et al. (2005). Some researchers described the adverse effect of malathion on the fertility through its reduction effect on levels of plasma testosterone (Contreras and Bustos-Obregón 1999). Studies have shown that many organophosphate pesticides including malathion can interfere with hormone levels through activating estrogen, androgen, and other hormone receptors (McKinlay et al. 2008; Mnif et al. 2011).

The current study depicted the low level of acetylcholinesterase in malathion-treated group. These results are similar to the previous researchers who stated that pseudocholinesterase and acetylcholinesterase activity have been inhibited by the organophosphorus pesticides in the body tissues (John et al. 2001; Kalender et al. 2006; Rubin et al. 2002). These changes depend on concentration and intensify with longer exposure. The effects of malathion and other OPs may be at least partially because of they are able to cross the blood–testis barrier and enhance oxidative stress and peroxidation of lipids causing damage to the testes (Uzunhisarcikli et al. 2007). Malathion does not directly inhibit action of the acetylcholinesterase before it is biotransformed. The toxicity to mammals of organophosphorus pesticides as malathion depends on mixed function oxidase (MFO) induced activation to its analogous oxygen correspondent, which directly inhibit acetylcholinesterase (Pope 1999). Therefore, biological effects of malathion can be due to electrophilic attack on the cells with concomitant production of reactive oxygen species (Johnson et al. 2000). Therefore, the harmful effects of malathion on reproductive system of male mice may be due to its electrophilic attack on their cells.

Erythrocyte membranes damage through a mechanism of oxidative stress had been reported in previous researches after malathion administration orally for more than 6 weeks at a dose of 0.13 mg/kg (John et al. 2001). In addition, alterations in CAT and SOD activity in the different regions of the brain and oxidative damage had been induced by malathion exposure (Fortunato et al. 2006a, b). Our results clearly verified other researches, which told that giving organophosphorus insecticides to male mice changed the activity of antioxidant enzymes in tissues of reproductive organs in the form of decreased GSH level with suppressed SOD, CAT, and GPx activity.

A major underlying mechanism of OP toxicity is oxidative stress that results from the generation of many free radicals, and correspondent depletion of antioxidant enzymes. The results are oxidation of DNA, protein, and lipids (Koltuksuz et al. 2000). Moreover, OPs themselves can directly attack cellular membranes and form lipid peroxidation products or enter the cytoplasm and generate free oxygen radicals. The result is increased oxidative stress, leading to a more depletion of antioxidant enzymes in the cell and disruption of the oxidant–antioxidant scale favoring the oxidant limb (Pearson and Patel 2016).

Insecticides can cause variable histopathological and cytopathological lesions in the testes of male mice (Mahgoub and El-Medany 2001; Uzunhisarcikli et al. 2007). These changes include defective spermatogenesis (Farag et al. 2000; Khan et al. 2001; Uzunhisarcikli et al. 2007).

The organophosphorus insecticides including malathion may lead to degeneration of the germ and Leydig cells. This disrupts spermatogenesis and reduces sperm numbers (Uzunhisarcikli et al. 2007). This coincides with our results that showed marked hypospermatogenesis and even germ cell aplasia in the group treated by malathion.

Uzun et al. (2009) declared malathion-caused necrosis in the seminiferous tubules and edema in interstitial tissue. This agrees with our results. The same researchers also mentioned that destruction of DNA, proteins, and lipids through a mechanism of oxidative stress had been promoted by the deleterious effects of OPs (malathion) within the testis. This same happened when curcumin was used in our experiment to reduce the oxidative injuries. Oldereid et al. (2001) stated also that the spermatogenic inhibition induced by cisplatin may be due to the formation of free radicals in the testicular tissue. Spermatogenesis improved among curcumin-treated mice. This may be associated with the antioxidant and free radical scavenger properties of the curcumin. This coincides with our hypothesis about curcumin.

Oldereid et al. (2001) had reported that all male germ cell levels in humans may undergo spontaneous apoptosis. Bcl-2 family proteins have been suggested to play a particular role in the process of maturation and differentiation occurs in spermatogenesis of human, as they have been found to be distributed within distinguished germ cell levels. In the current study, expression was more prominent in spermatocytes and spermatids. However, Tanaka et al. (2002) showed that Bcl-2, BAX, caspase1, and caspase3 are expressed in germ cells of the human testes, especially in basal cells such as spermatogonia, with expression only rarely in spermatids.

Previous studies have reported that utilization of caspase3 apoptosis played a vital role in the process of human testicular spermatogenesis, and the increase in apoptosis has been mentioned to happen in the process of hypospermatogenesis, maturation arrest, and syndrome of Sertoli cell only (Almeida et al. 2013).

Geng et al. (2015) concluded that malathion effects on the testicular spermatogenic function of male rats and its working mechanism may involve cell apoptosis induced by the downregulation of Bcl-2 and upregulation of Bax. This coincides with our results that showed weak Bcl-2 in the group that was exposed to malathion. This was mentioned previously by Khorsandi et al. (2013) in their study.

Our research clarified that curcumin administration minimized malathion-induced testicular toxicity. Therefore, we can assume that curcumin could protect against oxidative stress caused by free radical. It does so by scavenging free radicals and minimizing lipid peroxidation and decreasing antioxidant consumption. Majority of antioxidants have either a functional phenolic or a β-diketone group. Curcumin has several functional groups, including the β-diketone group, carbon–carbon double bonds, and phenyl rings having variable content of methoxy and hydroxyl substituents (Priyadarsini et al. 2003; Wright 2002). However, curcumin was said to be incapable to prevent MDA production (Reyes-Gordillo et al. 2007). After absorption from the intestine, curcumin is bio-transformed to dihydrocurcumin, tetrahydrocurcumin, and hexahydrocurcumin. These compounds are conjugated to glucuronide, and then, they are more polar and better absorbed than curcumin. Therefore, the pharmacological actions of curcumin are largely induced by curcumin’s hydro soluble metabolites (Maheshwari et al. 2006). The methoxy and phenolic groups on benzene rings of curcumin are vital structures which contribute to antioxidant capabilities of curcumin (Samuhasaneeto et al. 2009).

Curcumin has been popular in the past 20 years due to its multiple biological and pharmacological effects, which can modify multiple cell-signaling pathways. Its action is mediated by direct or indirect interaction with multiple molecular targets (Aggarwal and Sung 2009). Its metabolites, curcumin glucuronide (COG) and curcumin sulfate (COS), may retain some of the pharmacological activities of curcumin and responsible for its biological effects (Prasad et al. 2014).

Our finding that giving curcumin to malathion-exposed mice mollified the toxic effects of malathion on the testis supports the idea that malathion causes their harmful effects by causing destructive oxidation of lipids, proteins, and DNA of testicular tissue.


This study showed that curcumin ameliorates malathion-induced testicular damage. The curcumin effect is mediated through the enhancement of antioxidant enzymes and suppression of oxidative stress markers. Other in vitro studies are needed to define the pathways involved in curcumin actions while competing malathion-induced testicular damage.







Follicle-stimulating hormone


Glutathione peroxidase




Luteinizing hormone


Lipid peroxidation






Superoxide dismutase


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The author would also like to thanks the Department of Pathology, College of Medicine, Saudi Digital Library and University Library providing the facility for literature survey and collection.


The authors would like to acknowledge financial support for this work, from the Deanship of Scientific Research, Jouf University, Aljouf, Saudi Arabia, under the no. (420/37).

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Correspondence to Mahrous Abdelbasset Ibrahim.

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  • Malathion
  • Toxicity
  • Curcumin
  • Oxidative stress
  • Testis