Article Main

SAIF SUBHI NOORI Abdullah Rafea Alkubaisi Elham Ahmed Mejbel Sara Hameed Rajab

Abstract

Cadmium is a widespread environmental pollutant known to impair male reproductive health through oxidative stress, hormonal disruption, and DNA damage. Natural agents with antioxidative and protective properties are increasingly investigated as potential countermeasures. The present study aimed to evaluate the protective effects of Tongkat Ali (Eurycoma longifolia) against cadmium-induced testicular toxicity in male rats. Forty adult male rats were randomly assigned into four groups (10 rats per group): a control group, a cadmium-only group, a Tongkat Ali-only group, and a group receiving cadmium co-administered with Tongkat Ali. The study evaluated testicular antioxidant enzyme activities, lipid peroxidation, sperm quality parameters, serum testosterone levels, and the sperm DNA fragmentation index (%DFI). Cadmium exposure significantly reduced superoxide dismutase (SOD) and glutathione peroxidase (GPx) activities by over 58%, elevated malondialdehyde (MDA) levels by 2.7-fold, and increased %DFI to 45.6%, indicating severe oxidative and genotoxic damage. Co-treatment with Tongkat Ali restored antioxidant status, reducing MDA by 44.9% and recovering SOD and GPx activities to 80.3% and 85.9% of control values, respectively. Tongkat Ali also mitigated testosterone suppression, improved sperm count, motility, and morphology, and reduced %DFI by 59.6%. Importantly, Tongkat Ali maintained normal testicular function under non-toxic conditions, confirming its safety profile.The findings affirm its potential as a natural therapeutic agent against environmental reproductive stressors, particularly heavy metals like cadmium. Further studies are warranted to elucidate its mechanisms and clinical applications in male reproductive health.


 

Article Details

Article Details

Keywords

Cadmium toxicity, Eurycoma longifolia, Oxidative stress, Sperm DNA fragmentation, Tongkat Ali

References
Ahmed, A. Y., Aowda, S. A. & Hadwan, M. H. (2021). A validated method to assess glutathione peroxidase enzyme activity. Chemical Papers, 75, 6625–6637. https://doi.org/10.1007/s11696-021-01826-1
Akarali. (2023). Tongkat Ali safety review: Mercury, lead, cadmium and arsenic levels. https://akarali.com/tongkat-ali-safety-review-mercury-lead-cadmium-and-arsenic-levels/
Akinloye, O., Arowojolu, A. O., Shittu, O. B. & Anetor, J. I. (2006). Cadmium toxicity: A possible cause of male infertility in Nigeria. Reproductive Biology, 6(1):17-30. PMID: 16604149.
Ali, W., Ma, Y., Zhu, J., Zou, H. & Liu, Z. (2022). Mechanisms of cadmium-induced testicular injury: A risk to male fertility. Cells, 11(22), 3601. https://doi.org/10.3390/cells11223601
Attia, A. & Zalata, A. (2012). DNA fragmentation in spermatozoa due to cadmium and lead intoxication among some Egyptian population. Ain Shams Journal of Forensic Medicine and Clinical Toxicology, 19(2), 104–112. DOI: 10.21608/ajfm.2012.19542
Chan, K. L., Low, B. S., Teh, C. H. & Das, P. K. (2009). The effect of Eurycoma longifolia on sperm quality of male rats. Natural Product Communications, 4(10), 1331–1336. https://doi.org/10.1177/1934578X0900401004
Das, S. C. & Al-Naemi, H. A. (2019). Cadmium toxicity: Oxidative stress, inflammation and tissue injury. Occupational Diseases and Environmental Medicine, 7, 144–163. DOI: 10.4236/odem.2019.74012 
EFSA Panel on nutrition, novel foods and food allergens. (2021). Safety assessment of Eurycoma longifolia. EFSA Journal, https://doi.org/10.2903/j.efsa.2021.6937
El-Refaiy, A. I. & Eissa, F. I. (2019). Histopathological and biochemical changes in the testes of rats exposed to cadmium. Environmental Science and Pollution Research, 26(6), 5401–5411.
Farag, M. A., et al. (2022). A multifaceted review of Eurycoma longifolia nutraceutical bioactives. Frontiers in Pharmacology, https://doi.org/10.1021/acsomega.2c06340
George, A., Henkel, R. & Agarwal, A. (2021). Tongkat Ali as a potential herbal supplement for male fertility: A systematic review. Andrologia,, 53(2), e13933.
Henkel, R. R., Wang, R., Bassett, S. H., Chen, T., Liu, N. & Zhu, Y. (2014). Tongkat Ali as a potential herbal supplement for physically active male and female seniors. Phytotherapy Research, 28(4), 544–550. https://doi.org/10.1002/ptr.5017
Henkel, R., Sandhu, I. S. & Agarwal, A. (2019). The role of oxidative stress in male infertility. Molecules, 24(7), 1367. https://doi.org/10.5534/wjmh.250290
Leisegang, K., et al. (2022). Eurycoma longifolia improves serum testosterone in men: A meta-analysis. Medicina, 58(8), 1047. https://doi.org/10.3390/medicina58081047
Low, B. S., Das, P. K. & Chan, K. L. (2013). Standardized Eurycoma longifolia extract improves reproductive performance in male rats. Journal of Ethnopharmacology, 145(3), 706–714. https://doi.org/10.1016/j.jep.2012.11.013
Ma, Y., et al. (2022). Oxidative stress-induced autophagy by cadmium exposure in kidney, liver, and bone damage, and neurotoxicity. International Journal of Molecular Sciences, 23(21), 13491. https://doi.org/10.3390/ijms232113491
Muratori, M., et al. (2015). Investigation on the origin of sperm DNA fragmentation: Role of apoptosis, immaturity and oxidative stress. Molecular Medicine, 21(1), 109–122. https://doi.org/10.2119/molmed.2014.00158
Nandi, A. & Chatterjee, I. B. (1988). Assay of superoxide dismutase activity in animal tissues. Journal of Biosciences, 13(3), 305–315. https://doi.org/10.1007/BF02712155
Oyewopo, A. O., Olaniyi, K. S. & Oyewopo, C. I. (2017). Testicular toxicity of cadmium: Role of oxidative stress and the protective effects of antioxidants. Toxicology Reports, 4, 381–387.
Pourentezari, M., Talebi, A. R., Mangoli, E., Anvari, M. & Rahimipour, M. (2016). Additional deleterious effects of alcohol consumption on sperm parameters and DNA integrity in diabetic mice. Andrologia, 48(5), 564–569. https://doi.org/10.1111/and.12481
Qiu, Y., et al. (2022). Cadmium exposure is associated with testosterone levels in men. Chemosphere, 307, 135786. https://doi.org/10.1016/j.chemosphere.2022.135786
Rehman, S. U., Choe, K. & Yoo, H. H. (2016). Review on a traditional herbal medicine, Eurycoma longifolia Jack. Molecules, 21(3), 331. https://doi.org/10.3390/molecules21030331
Senthilkumar, M., Amaresan, N. & Sankaranarayanan, A. (2021). Estimation of malondialdehyde (MDA) by thiobarbituric acid (TBA) assay. In Plant-Microbe Interactions (pp. 103–105). Springer Protocols Handbooks. https://doi.org/10.1007/978-1-0716-1080-0_25
Talbott, S. M., Talbott, J. A., George, A. & Pugh, M. (2013). Effect of Tongkat Ali on stress hormones and psychological mood state in moderately stressed subjects. Journal of the International Society of Sports Nutrition, 10(1), 28. https://doi.org/10.1186/1550-2783-10-28
Zhang, Y., Li, S. & Li, S. (2019). Relationship between cadmium content in semen and male infertility: A meta-analysis. Environmental Science and Pollution Research, 26(2), 1947–1953. https://doi.org/10.1007/s11356-018-3748-6
Zhu, Q., Li, X. & Ge, R. S. (2020). Toxicological effects of cadmium on mammalian testis. Frontiers in Genetics, 11, 527. https://doi.org/10.3389/fgene.2020.00527
Section
Research Articles

How to Cite

Role of Tongkat Ali extract in protecting testicular function and sperm DNA integrity in cadmium-exposed albino male rats. (2026). Journal of Applied and Natural Science, 18(1), 205-211. https://doi.org/10.31018/jans.v18i1.7189