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ORIGINAL RESEARCH article

Front. Pharmacol.

Sec. Experimental Pharmacology and Drug Discovery

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1665356

Wuzi-Yanzong-Wan Inhibits Testicular Mitochondrial Apoptosis in Rats by Downregulating TAp73-Mediated P38 MAPK-ADAM17 Pathway

Provisionally accepted
Ziao  LiuZiao LiuXiaohan  NiXiaohan NiJingya  LiJingya LiMin  PanMin PanFengqing  XuFengqing XuHongsu  ZhaoHongsu ZhaoLi  LiLi LiTongsheng  WangTongsheng Wang*
  • Anhui University of Chinese Medicine, Hefei, China

The final, formatted version of the article will be published soon.

Objective: This study investigates the relationship between TAp73 protein overexpression and sperm quality, and evaluates the prophylactic and therapeutic effects of Wuzi-Yanzong-Wan (WZYZW) on oligoasthenospermia (OA) induced by tripterygium glycosides (TGs) and etoposide in rats. Furthermore, it elucidates the underlying mechanism by analyzing the intervention's role in downregulating TAp73 protein expression and modulating the P38 MAPK-ADAM17 signaling pathway, ultimately providing empirical evidence to support its clinical application. Methods:SD rats received TGs (40 mg/kg/d for 8 weeks) to induce OA. Intervention groups were treated with either WZYZW (1 or 2 g/kg/d) or Shengjing Capsule (SJJN). Meanwhile, a TAp73-overexpressing Sertoli-germ cell co-culture system was established using etoposide (200 μM for 48 hours) and treated with WZYZW-containing serum (2.5%-10%), to explore the mechanisms associated with TAp73. Results: The in vivo experimental results demonstrated that WZYZW treatment significantly ameliorated testicular atrophy in model rats, evidenced by increased testicular volume and elevated testicular/epididymal indices. Simultaneously, WZYZW effectively reversed sperm quality impairment in the model group, manifesting as significantly increased sperm density, enhanced sperm motility, and reduced sperm abnormality rate. Furthermore, WZYZW treatment significantly upregulated serum levels of key sex hormones. Mechanistic investigations revealed that WZYZW markedly suppressed germ This is a provisional file, not the final typeset article cell apoptosis (flow cytometry confirmed a significant decrease in apoptotic cell proportion) and attenuated DNA damage (indicated by significantly reduced γ-H2AX (a DNA damage marker) fluorescence intensity). WZYZW effectively restored impaired mitochondrial function and suppressed the expression of key proteins in the mitochondrial apoptotic pathway .In vivo experimental results showed that WZYZW significantly inhibited cell apoptosis, effectively suppressed membrane potential depolarization in TAp73-overexpressing model cells, inhibited the opening of the mitochondrial permeability transition pore, and concurrently suppressed the expression of proteins associated with the mitochondrial apoptotic pathway. Collectively, these changes blocked the TAp73-p38 MAPK/ADAM17 axis-activated mitochondrial apoptotic cascade, thereby exerting its testicular protective effects. Conclusion: This study highlights that WZYZW effectively alleviates testicular DNA damage and mitochondrial apoptosis, suggesting that its mechanism may be associated with reduced TAp73 expression. These experimental findings provide a novel therapeutic target for the clinical application of WZYZW in OA treatment.

Keywords: TAp73, Oligoasthenospermia, Wuzi-Yanzong-Wan, P38 MAPK-ADAM17 pathway, Mitochondrial apoptotic pathway

Received: 14 Jul 2025; Accepted: 21 Aug 2025.

Copyright: © 2025 Liu, Ni, Li, Pan, Xu, Zhao, Li and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Tongsheng Wang, Anhui University of Chinese Medicine, Hefei, China

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