Abstract
Cadmium (Cd), an environmental pollutant, has been shown to be highly toxic to both humans and animals. Its widespread industrial use has led to its accumulation in the environment. Cd has been shown to target multiple organs following acute intoxication, causing nephrotoxicity, immunotoxicity, osteotoxicity, and reproductive toxicity. Cd can cross the placental barrier and cause a wide range of defects during fetal development. The current study was aimed to assess the effect of Cd on the female reproductive system. Female rats were exposed to Cd [50/200 ppm] from embryonic day 9 to 21 through drinking water. Serum steroid hormone concentrations, hematological parameters, antioxidant enzyme levels, and ovarian histopathology were described. Water consumption, gravid uterine/body weight decreased in both the doses of Cd-treated dams. The hematological parameters analyzed in rat pups showed a significant reduction in both doses of Cd studied, while hemoglobin showed a significant reduction in 200 ppm Cd treatment alone. MCHC levels did not show any variation in 50 ppm Cd treatment, while 200 ppm Cd treatment significantly increased. Specific activities of superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase, glutathione-S-transferase, and serum testosterone, estradiol, and progesterone were significantly decreased. The levels of hydrogen peroxide and lipid peroxidation were increased in 50 and 200 ppm Cd-treated rats. These changes were accompanied with disrupted ovarian histoarchitecture, an extended estrous cycle, and delayed pubertal onset in Cd-treated rats. The data generated from the present study suggest that gestational Cd treatment induces ovarian toxicity and reproductive dysfunction through increased oxidative stress.
Keywords: Cadmium, Ovary, Oxidative stress, Puberty, Anemia
Introduction
Cadmium (Cd; atomic number 48; relative atomic mass 112.40) has been recognized as an occupational health hazard for many decades. Cd exists widely in the environment, as it is a constituent of sulfide ores of zinc (Zn), lead (Pb), and copper (Cu) [1]. In addition, the industrial emission particularly from metal refining industries [2] has resulted in increased accumulation of Cd in the environment. Cd commonly exists in +2 state and has a long biological half-life of 15–30 years [3], mainly due to its low rate of excretion from the body, and accumulates in blood, kidney, and liver as well as in the reproductive organs [4–6]. Hence, it has elicited diverse toxic effects and caused nephrotoxicity, carcinogenity, teratogenicity, endocrine, and immune toxicities [6–8]. India has contributed substantially (700 tons) to the worldwide production of Cd (18,800 tons) during 2008–2009 [9]. In Mumbai, India, lung injury and respiratory distress syndrome were identified among workers in the silver jewellery industry accidentally exposed to metal (Cd) fumes [10, 11]. Cd has also been shown to effect reproductive toxicity either directly targeting gonads or indirectly by interfering with the hypothalamus-pituitary-gonadal axis [12]. Pregnant and lactating female animals were reported to absorb and retain substantially more dietary Cd than do their non-pregnant counterparts [13] and Cd can be transferred to fetus [14, 15]. Acute Cd exposure-induced toxicity in pregnant rats were known to cause placental necrosis and hemorrhages, with an increased rate of fetal death [16]. It also decreases production of hCG and inhibits placental transfer of oxygen and nutrients to the fetus [17]. Preterm delivery and lower birth weight of newborn infants were reported in women occupationally exposed to Cd and also the birth weight is inversely correlated with maternal and cord blood Cd concentrations [18]. Laudanski et al. [19] reported that the mean blood concentration of Cd in mothers of preterm infants was higher than that of women who went to full term in an area with high amounts of lead and cadmium in the soil. All the above studies clearly suggest that occupational Cd treatment had adverse effects on female reproductive system and pregnancy outcome. The goal of the present investigation was to understand the mechanisms underlying the gestational Cd treatment-induced ovotoxicity and the delay in sexual maturation. The specific objectives were (1) to study the effect of gestational exposure to Cd on the reproductive effects in mother rats, (2) to study the effect of gestational exposure to Cd on the changes in hematological and steroid hormonal profiles in developing rats, and (3) to study the effect of gestational exposure to Cd on the histological alterations in ovarian tissue, pubertal onset, and length of estrous cycles in developing rats.
Materials and Methods
Animals
Proven fertile female Wistar rats (Rattus norvegicus) from our own colony maintained in our animal house were used in the present study. They were maintained in plastic animal cages in a light-controlled room (12 h day light) at 23–25°C and provided with standard rat pellet diet and clean drinking water ad libitum. Male rats (200–250 g body weight) were allowed to mate with proven-fertile female rats (1:2) at late proestrous phase. Successful mating was confirmed by the presence of vaginal plug or sperm in the morning vaginal smear, and the day was counted as “0” day post-coitum and the following day as embryonic day (ED) 1. The day of parturition was counted as postnatal day (PND) 1. Pregnant rats (n = 54) were divided into three groups: (I) Control (n = 18), (II) 50 ppm Cd containing water from ED9-ED21 (n = 18), (III) 200 ppm Cd containing water from ED9–ED21 (n = 18).
On the day of birth, male pups were removed and female pups were left with their respective mother (four female pups per mother). After weaning, on PND 10 and 21, female pups from six mother rats (n = 24; 4 pups/mother) from each group [control, CdCl2, 50 ppm (50 mg/L), CdCl2, 200 ppm (200 mg/L)] were killed by decapitation. Blood and ovarian tissue were then collected. Female pups from three mother rats (n = 12; 4pups/mother) from each group [control, CdCl2, 50 ppm (50 mg/L), CdCl2, 200 ppm (200 mg/L)] were used to study the pubertal onset and estrous cyclicity. All the chemicals used in the present study were purchased from sigma chemical company, St.Louis, USA.
Reproductive Effects
The maternal reproductive toxic effects of Cd were calculated by measuring the number of fetus per dam, number of implantation sites, number of resorption sites, gravid uterine weight, and dam weight. Under general anesthesia, an incision was made in the abdomen of pregnant female rats (n = 3) from each group [control, CdCl2, 50 ppm (50 mg/L), CdCl2, 200 ppm (200 mg/L)] on ED 19, and the gravid uterus was removed and weighed accurately.
Hematological Analysis
A Neubauer chamber was used to determine erythrocyte numbers, and hematocrit levels were measured by micro-hematocrit method and the hemoglobin levels were measured by cyanmethemoglobin method.
Pubertal Onset and Estrous Cycle
Vaginal opening was observed in rats from PND 22, every 24 h to determine puberty, as this was used as an index of onset of puberty. After the onset of puberty, vaginal smears were examined every morning as described in our previous paper [20].
Tissue Preparation for Enzyme Assays
Ovary was dissected out and washed in ice-cold physiological saline repetitively, weighed accurately, and placed in 0.1 mol/l Tris–HCl buffer, pH 7.4. The samples were homogenized well to produce 10% homogenates. The protein concentrations of the tissue homogenates were determined by the method of Lowry et al. [21] using bovine serum albumin as the standard. The detailed methodology for the antioxidant enzymes and reactive oxygen species assays were described in our earlier paper [20].
Antioxidant Enzymes
Superoxide dismutase (SOD) activity was estimated according to the method of Marklund and Marklund [22]. The enzyme activity was expressed as units per milligram protein. Catalase activity was quantified colorimetrically [23]. The catalase activity was expressed as millimoles of hydrogen peroxide (H2O2) utilized per minute per milligram protein. Glutathione peroxidase (GPx) activity was determined colorimetrically [24]. GPx enzyme activity was expressed as units per milligram protein. Glutathione-S-transferase (GST) activity was determined by estimating the amount of enzyme that catalyzed the conjugation of a known amount of 1-chloro-2, 4-dibenzene with GSH [25]. GST enzyme activity was expressed as micromoles of GSH consumed per minute per milligram protein. Glutathione reductase (GR) activity was assayed colorimetrically [26]. GR activity was expressed as nanomoles of NADPH oxidized per minute per milligram protein.
Reactive Oxygen Species
Lipid peroxidation (LPO) was measured by the method Devasagayam and Tarachand [27]. The results were expressed as nanomoles of MDA formed per milligram protein. H2O2 production was assessed spectrophotometrically, and the content was expressed as micromoles per minute per milligram protein.
Radioimmunoassay
Serum levels of estradiol, progesterone, and testosterone were estimated by radioimmunoassay as we described earlier [28]. The maximum binding of the estradiol antibody was 37–40%, and the sensitivity of the assay was 0.3 pg/ml. The concentration of estradiol in serum is expressed as picograms per milliliter. The percentage of binding of the testosterone antibody was 36%, and the sensitivity of the assay was 0.3 pg testosterone per milliliter. Testosterone levels in serum is expressed as nanograms per milliliter. The maximum binding of progesterone antibody was 40%, and sensitivity of the assay was 0.3 pg/ml. Progesterone level is expressed as nanograms per milliliter.
Ovarian Histopathology
The ovaries were removed from the animals and immersed in Bouin's fixative for 2–4 h. Tissues were dehydrated, embedded in paraffin, sectioned (5 μm), and stained with hematoxylin and eosin and analyzed under Nikon research microscope.
Statistical Analysis
Data were statistically analyzed using analysis of variance. When the F ratio was statistically significant, the data were subjected to Student's Newman–Keul's test. Values were considered significant at p < 0.05.
Results
Cd treatment leads to dose-dependent changes in the specific activities of ovarian antioxidant enzymes, free radicals, and hormones.
Reproductive Effects
Characteristics of rats subjected to different Cd doses during pregnancy are described in Table 1. As shown, the 50 and 200 ppm Cd had significantly reduced water consumption and the final body weight of dams. The gravid uterine weight also recorded significant decrease in rats exposed to both doses of Cd. In order to test the reproductive toxic effects of Cd, we first recorded the number of fetus per dam, implantation sites, and resorption sites in ED19 rats exposed to Cd. The number of fetus and the number of implantation sites showed a significant reduction in 200 ppm Cd-treated group, while the resorption sites significantly increased in ED19 rats exposed to Cd.
Table 1.
Initial body weight (g) | Final body weight (g) | Food consumption (g) | Water consumption (ml) | Gravid uterine weight (g) | Number of fetuses | Number of implantation sites | Number of resorption sites | |
---|---|---|---|---|---|---|---|---|
Control | 188 ± 5.7 | 283 ± 5.9 | 16.80 ± 0.8 | 31.12 ± 2.81 | 57.8 ± 2.1 | 12.41 ± 0.81 | 13.3 ± 0.74 | 0 |
50 ppm Cd | 186 ± 6.3 | 269 ± 6.3a | 15.71 ± 0.9 | 25.47 ± 2.54a | 43.2 ± 0.91a | 11.38 ± 0.34 | 12.5 ± 0.85 | 0.41 ± 0.03a |
200 ppm Cd | 183 ± 6.8 | 251 ± 7.3a | 14.83 ± 0.61a | 19.45 ± 1.31a.b | 37.9 ± 0.84a | 8.55 ± 0.51a,b | 7.9 ± 0.43a,b | 1.1 ± 0.07a,b |
Each value represents the mean and SEM of three pregnant female rats. See “Materials and Methods” for experimental details. Statistical significance of difference among groups at p < 0.05
aControl versus experiment
b50 versus 200 ppm
Body and Ovary Weight
Gestational exposure to Cd significantly reduced the ovary weight in 200 ppm Cd-treated group, while both the doses [50 and 200 ppm] significantly reduced the body weight on PND10 and PND21 rats (Table 2).
Table 2.
Body weight (g) | Ovary weight (mg) | |||
---|---|---|---|---|
PND10 | PND21 | PND10 | PND21 | |
Control | 9.13 ± 0.48 | 22.3 ± 1.41 | 20.2 ± 2.5 | 33.1 ± 2.12 |
50 ppm Cd | 7.1 ± 0.61a | 19.2 ± 1.38a | 16.2 ± 1.8 | 29.7 ± 1.31 |
200 ppm Cd | 5.9 ± 0.31a, b | 17.1 ± 1.33a | 13.6 ± 1.1a | 26.4 ± 1.40a |
Each value represents the mean and SEM of 24 female rats (from six mothers). See “Materials and Methods” for experimental details. Statistical significance of difference among groups at p < 0.05
aControl versus experiment
b50 versus 200 ppm
Hematological Analysis
The hematocrit (PND10) and M.C.V levels (PND10 and 21) in rat pups showed a significant reduction in both doses (50/200 ppm) of Cd studied, while hemoglobin content showed a significant reduction in 200 ppm Cd treatment alone. MCHC level significantly increased in 200 ppm Cd-treated rats. However, number of erythrocytes increased significantly on PND10 and 21 by 200 ppm Cd treatment and on PND10 by 50 ppm Cd treatment (Table 3).
Table 3.
R.B.C. (106 × mm3) | Hemoglobin (g/100 ml) | Hematocrit (%) | M.C.V. (fL) | M.C.H.C. (pg) | ||||||
---|---|---|---|---|---|---|---|---|---|---|
PND10 | PND21 | PND10 | PND21 | PND10 | PND21 | PND10 | PND21 | PND10 | PND21 | |
Control | 2.15 ± 0.15 | 3.93 ± 0.23 | 5.8 ± 0.48 | 7.52 ± 0.47 | 18.4 ± 1.9 | 29.3 ± 3.1 | 38.6 ± 3.7 | 59.9 ± 3.9 | 17.4 ± 2.1 | 29.2 ± 4.5 |
50 ppm Cd | 2.89 ± 0.21a | 4.1 ± .05 | 5.1 ± 0.41 | 7.1 ± 0.35 | 15.6 ± 1.5 | 22.5 ± 2.3 a | 31.4 ± 2.9a | 49.3 ± 4.1 a | 21.3 ± 3.3 | 33.1 ± 3.1 |
200 ppm Cd | 3.24 ± 0.31a | 4.4 ± 0.61 a | 4.7 ± 0.32a | 6.7 ± 0.21 a | 12.5 ± 0.9a | 20.7 ± 3.3 a | 26.7 ± 2.5a | 45.4 ± 5.8 a | 25.8 ± 2.4a | 35.8 ± 2.9 a |
Explanations and n values are same as given under Table 2
Histopathology
In order to check, whether the decreased body/ovary weight and the impaired hematological parameters were associated with the histoarchitecture of ovary, we studied the histopathology of ovary of experimental offspring.
Figure 1a–c represents the ovarian histoarchitecture of control, 50 ppm, 200 ppm Cd-treated rats at PND10. The 50 ppm Cd treatment affected both primary and secondary follicles in PND10 ovary, while the secondary follicles experienced heavy damage due to cell dissociation, oocyte resorption, and also loss of cells in follicular epithelium with a deformed oocyte in the center was observed. Theca interna and theca externa also appeared to be affected (Fig. 1b). The 200 ppm Cd treatment leads to disorganized secondary follicles and secondary follicles with altered oocytes due to onset of resorption on PND 10 ovary (Fig. 1c). Figure 2a–c represents the ovarian histoarchitecture of control, 50 ppm, 200 ppm Cd-treated rat ovary on PND21. Cd treatment has lead to complete loss of cumulus oophorus and the remnants of disorganized granulosa cells in the antral fluid. Shrunken oocyte was evidenced with no trace of a nucleolus. Cd treatment (50 ppm) resulted in more numbers of follicles at various stages of degeneration, and the graffian follicles are found scattered throughout the ovary without oocytes (Fig. 2b). Cd treatment (200 ppm) on PND21 ovary revealed numerous atretic follicles at various stages of degeneration. In atretic follicles, the cumulus oophorus was completely lost and the remnants of disorganized granulosa cells were seen suspended in the antral fluid. The cumulus oophorus has lost a group of granular cells on one side, facing the antral cavity. The oocyte lacks zona pellucida and nucleolus. The cumulus oophorus has lost the oocyte in one of the Graafian follicles (Fig. 2c).
Onset of Puberty
Vaginal opening has been used as an index of onset of puberty. To evaluate the effect of Cd on the onset of puberty, we observed the vaginal opening every 24 h in rats from PND22 onwards (Fig. 3). Puberty was significantly delayed in Cd-treated rats in a dose-dependent manner.
Estrous Cyclicity
In order to evaluate the effect of Cd on the duration of estrous cycle, vaginal cytology was determined daily (Fig. 4). The estrous cycle was significantly extended in metestrus and diestrus stage in both doses of Cd tested.
Antioxidant Enzymes
Figure 5 represents the effect of Cd on the specific activities of antioxidant enzymes in rat ovary. The specific activity of SOD, catalase (CAT), GPx, GR, and GST showed a dose-dependent significant decrease in ovary of both treatment groups when compared with control.
Lipid Peroxidation and H2O2 Concentration
Figure 6 represents the concentrations of LPO and H2O2 generation in control, 50 and 200 ppm Cd-treated rat ovary. Increased concentrations of LPO and H2O2 generation were observed in Cd-treated rats.
Serum Steroid Hormones
Table 4 represents circulating levels of steroid hormones in control, 50 ppm, and 200 ppm Cd-treated rats. Both doses of Cd decreased steroid hormones at PND 10 and 21 when compared with control.
Table 4.
Testosterone (ng/mL) | Estradiol (pg/mL) | Progesterone (ng/mL) | ||||
---|---|---|---|---|---|---|
PND10 | PND21 | PND10 | PND21 | PND10 | PND21 | |
Control | 0.81 ± 0.05 | 0.17 ± 0.02 | 23.8 ± 1.5 | 38.7 ± 2.7 | 2.8 ± 0.8 | 4.9 ± 1.3 |
50 ppm Cd | 0.68 ± 0.06a | 0.11 ± 0.01a | 20.1 ± 1.3a | 31.4 ± 2.1a | 2.1 ± 1.1 | 3.1 ± 1.1 |
200 ppm Cd | 0.52 ± 0.03a, b | 0.07 ± 0.01a, b | 17.9 ± 1.6a, b | 23.9 ± 1.7a, b | 1.2 ± 0.6a | 2.7 ± 0.5a |
Explanations and n values are same as given under Table 2
Discussion
The major physiological function of the female reproductive system is to produce ovum necessary for healthy progeny. Ovarian steroid hormones play a vital role in the production of ovum and other functions associated with reproductive behavior. The hormones secreted by the hypothalamus and pituitary also regulate regular cyclical changes in the ovary and endometrium. Cd has been shown to target ovary and suppress the synthesis and secretion of hormones [29].
Recently, we have reported the hexavalent chromium (CrVI)-induced delay in follicular development, impaired ovarian steroidogenesis [28, 30], delayed puberty, and associated oxidative stress [20]. In the present study, body weight and ovarian weight were decreased significantly which may be due to the decreased availability and production of steroids. The decrease in body weight and ovary weight in animals exposed to Cd is consistent with previous observations [29, 31]. The observed decrease in food and water consumption in Cd-treated animals might be responsible for reduced body and ovary weight. It has been reported that the feto-placental unit is considered as a target for Cd toxicity mainly during third trimester of gestation in rodents [32]. Progesterone and estrogen are required to maintain pregnancy. Optimal levels of gonadotropins are required for steroid hormone production [33]. Hence, the observed decrease in the levels of testosterone, estradiol, and progesterone in Cd-treated rats may be due to impaired gonadotropin levels reported in an earlier study [34]. Further, enzymes required for the biosynthesis of ovarian steroid hormones have been shown to be affected [29]. Hence, the decline in the levels of ovarian hormones might be mediated through impaired gonadotropin levels and/or steroidogenic enzymes.
In the present study, Cd treatment exhibited a pubertal delay in a dose-dependent manner compared to control rats with an extended estrous cycle. Rat estrous cycle averages 4 to 5 days in length, occurs throughout the year without seasonal influence in laboratory colonies, and occurs from pubertal onset until senescence. The cycle consists of four stages; proestrous (12 h), estrous (12 h), metestrus (21 h), and diestrus (57 h). During metestrus and diestrus, the female will not accept males, and the vaginal cytology have lots of leukocytes. This stage had the signs of estrogen stimulation subside and the corpus luteum starts to form and the uterine lining begins to secrete progesterone [35]. Earlier, we have reported permanent damage to ovarian primordial and primary follicles in Cr-exposed rats [28, 30] with extended estrous cycle [20]. In a similar way, Cd might have caused damage to ovary, which might contribute to the delayed pubertal onset and extended estrous cycle. These observations together highlight the deleterious effects of heavy metals on female reproductive system.
Hematological parameters indicate the sub-lethal effects of pollutants [36]. Anemia has been observed in rats, mice, rabbits, and monkeys exposed to Cd. The data on hematological indices indicate that the animals exposed to Cd were in anemic condition. It is reported that oral Cd treatment reduces gastrointestinal uptake of iron, which can result in anemia [37]. It was well known that anemia reduces the supply of oxygen to tissues by lowering the oxygen-carrying capacity of the blood. This finding is consistent with previous studies of anemia in rodents exposed to Cd [38]. The present study showed that toxic effects of Cd leads to decreased hemoglobin, hematocrit, and M.C.V. levels in both age groups of Cd-treated rats. Reduction in food intake in these rats might have also contributed to reduced Hb levels.
Antioxidant enzymes play essential part in the cellular defense against free radical-mediated tissue or cellular damage. The involvement of oxidative stress in Cd-induced cellular toxicity was known [29]. Data from the present study on antioxidant and free radicals clearly suggest the onset of oxidative stress in the ovary of Cd-treated rats, as there was a significant increase in the concentration of H2O2 and LPO and subnormal activity of most of the antioxidant enzymes tested. Cd-induced production of ROS was reported [39], and ROS may propagate the initial attack on lipid membranes to cause lipid peroxidation [40]. Data on H2O2 and LPO point out the dose-dependent increase in H2O2 and LPO levels. The increase in H2O2 might have induced the peroxidation of polyunsaturated fatty acids and lead to the formation of MDA, one of the by-products of lipid peroxidation. In the present study, the observed increase in LPO level indicates the oxidative stress formed. Estradiol being a physiological antioxidant, its deficiency has been shown to be associated with oxidative stress [41]. Thus, in the present study, the impaired level of serum steroids might have lead to increased level of LPO.
SOD is considered as the first line of defense against harmful effects of oxyradicals in cells by catalyzing the removal of superoxide radical (O2˚¯), which damage the membrane and biological structures. The decrease in SOD activity may result in more accumulation of O2˚¯, which in turn may inhibit other antioxidant enzymes. Stajn et al. [42] and Sarkar et al. [43] reported the Cd-induced decrease in SOD levels in erythrocytes and kidneys. Casalino et al. [44] demonstrated that SOD activity is strongly inhibited by Cd, probably by interacting with metal moieties of SOD (Cu, Zn, or Mn) and thus reducing its activity. Reduced activity of SOD in ovary documented in the present study was in corroboration with previous reports [44]. The decrease in SOD activity in animals exposed to high dose of metals is associated with increased O2˚¯, which has been shown to inhibit CAT. In this study, CAT level was decreased in ovary of the Cd-treated animals. Along with CAT, GPx is also involved in the scavenging of H2O2. GPx in particular play a significant role in scavenging peroxides such as H2O2 and protects cell membranes from lipid peroxidation [45]. GR is an important enzyme responsible for maintaining the intracellular concentration of reduced glutathione (GSH). In the present study, the levels of antioxidant enzymes viz. SOD, CAT, GST, GR, GPx were decreased in ovary of Cd-treated rats.
Cd treatment-induced disruption of ovarian histoarchitecture was reported [46]. Recently, Gurel et al. [47] reported the ovarian follicular cell damage in Cd-treated female rats. The present study showed that gestational Cd treatment caused histoarchitectural changes in follicular cells and oocytes, with disruption of the follicles, deorganized cells, and shrunken oocytes. Thus, the present study revealed the ovo-toxic nature of Cd.
Conclusion
Based on the results from the present study, it may be concluded that gestational exposure to Cd affects the female reproductive health. Our results revealed that Cd-induced changes in the ovarian function are associated with altered ovarian histoarchitecture, oxidative stress, anemia, and delayed puberty with impaired steroid hormone levels. The present study taken together with earlier studies suggests the toxic effects of Cd on reproduction in laboratory animals and warrants investigations in human.
Acknowledgments
Conflict of interest
The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.
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