|  Investigating the prenatal 
                                  exposure of hydro-alcoholic extract of ginger 
                                  on the function of Pituitary  Gonad axis 
                                  in male mature offspring rats
 
 Nasim Zamani (1, 2)
 Ebrahim Hosseini (3)
 Mehrdad Modaresi (4)
 Abdallah Ghasemi Pirbalouti (5)
 (1) Department of Biology, College of Science, 
                                  Fars Science and Research, Branch, Islamic Azad 
                                  University, Fars, Iran(2) Department of Biology, College of Science, 
                                  Shiraz Branch, Islamic Azad University, Shiraz, 
                                  Iran.
 (3) Department of Biology, Shiraz Branch, Islamic 
                                  Azad University, Shiraz, Iran
 (4) Department of animal science, Isfahan (Khorasgan) 
                                  Branch, Islamic Azad University, Isfahan, Iran
 (5) Research Center for Medical Plants, Shahrekord 
                                  Branch, Islamic Azad University, Shahrekord, 
                                  Iran
 Correspondence:Ebrahim Hosseini
 Department of Biology,
 Shiraz Branch,
 Islamic Azad University,
 Shiraz, Iran
 
                                   
                                    | Abstract
 
 Background and Objective: Ginger 
                                        has been used for a long time as a spice 
                                        in food as well as pharmaceutics in a 
                                        wide variety of diseases. Ginger has been 
                                        shown to prevent the nausea in pregnant 
                                        women. The aim of the present study was 
                                        to examine the effect of hydro-alcoholic 
                                        extract of ginger (HEG) on function of 
                                        pituitary  gonad axis in mature 
                                        male rats exposed to HEG in the prenatal 
                                        period.
 Method: 
                                        In this experimental study, 40 pregnant 
                                        female rats were divided into four groups. 
                                        Groups contained control, placebo (daily 
                                        received 0.5 ml normal saline), and treatment 
                                        groups receiving 50 mg/kg and 100 mg/kg 
                                        of HEG in pregnancy period. At the end 
                                        of the infancy period, males of groups 
                                        were separated and 10 rats out of each 
                                        group were randomly chosen in maturity. Upon the time of 
                                        maturity of chosen male rats, blood samples 
                                        were drawn for measurement of the levels 
                                        of sex hormones in male rats. Also the 
                                        number of Leydig, Sertoli, spermatogonia, 
                                        spermatocytes and spermatide cells were 
                                        counted. Results: 
                                        Administration of HEG in groups received 
                                        50mg/kg and 100 mg/kg which resulted in 
                                        a significant increase in concentration 
                                        of testosterone, LH and FSH hormones in 
                                        male progenies. HEG administration also 
                                        significantly increased the number of 
                                        Leydig and Sertoli cells, spermatogonia, 
                                        spermatocytes and spermatid.  Conclusion: 
                                        With regard to the results of this research, 
                                        consumption of HEG in the perinatal period 
                                        results in increase in function of Pituitary 
                                         Gonad axis in born male adult rats. Key words: Ginger; 
                                        testosterone; Luteinizing Hormone; Follicle 
                                        Stimulator Hormone; Spermatocyte, |  
 Despite many achievements in modern medicine, 
                                  the main problem is still the usage of synthetic 
                                  chemical drugs for the treatment of diseases 
                                  causing serious side effects in patients receiving 
                                  them (1). Nowadays traditional medicine has 
                                  been revisited as the use of herbal medicine 
                                  is markedly increasing due to it possessing 
                                  lower side effects (2). So the current approach 
                                  is to apply herbal medicine to obtain a high 
                                  standard of therapy for the treatment of myriad 
                                  diseases with minimum side/adverse effects. 
                                 Ginger (Zingiber officinale) belongs to the 
                                  Zingeber Aceae family. As spice, ginger has 
                                  been used in the diet and pharmaceutical components. 
                                  Historically medicine has shown that ginger 
                                  has been widely used in China, Japan and India 
                                  for the treatment of nausea and vomiting in 
                                  women during pregnancy (3).  The ingredients of ginger contain water, protein, 
                                  fat, minerals (including iron, calcium and phosphorus), 
                                  vitamins (such as thiamine, riboflavin, niacin 
                                  and vitamin C), fiber and carbohydrate. These 
                                  compounds may be different as a result of variation 
                                  in agricultural, drying and storage conditions. 
                                  In the rhizome of fresh ginger, gingerols are 
                                  the main components. Special aroma and the taste 
                                  of ginger come from the mixture of gingerols, 
                                  shogaol and zynjerun which are found in ginger 
                                  (4 and 5).  Until now, more than 50 types of antioxidants 
                                  have been isolated from the rhizome of ginger. 
                                  Gingerols are the most important components 
                                  of ginger that have significant antioxidant 
                                  properties. In addition, they have a high antioxidant 
                                  activity due to containing vitamins such as 
                                  A, B, C and E as well as flavonoids and glutathione 
                                  (6). Ginger has a wide variety of pharmaceutical 
                                  properties to treat many health problems over 
                                  the years, including stomach ache and intestinal 
                                  problems. Because of possessing cholinergic 
                                  and anti-histamine properties, ginger has desirable 
                                  effects on reducing the nausea and vomiting 
                                  in women during pregnancy (7). Ginger is able 
                                  to stimulate blood circulation, increase cell 
                                  activity and metabolism. It also can have anti-cancer 
                                  property because of antioxidant activity and 
                                  ability in inactivating the effective factors 
                                  on carcinogenesis (8). Regular intake of ginger 
                                  in the dietary regimen can improve the activity 
                                  of heart and circulation system (9). Ginger 
                                  causes a significant decrease in the physical 
                                  signs of initial dysmenorrhoea (10). Studies 
                                  indicate that the extract of ginger stimulates 
                                  menstruation, eliminates the irregularities 
                                  in the menstruation cycle, increases spermatogenesis 
                                  and enhances sperm fertility factors (11, 12). 
                                  Furthermore, ginger is used to treat fever, 
                                  rheumatism, neuronal diseases, gingivitis, tooth 
                                  pain, asthma and coughing (13).  There are many concerns about using chemical 
                                  drugs in women during pregnancy for the nausea 
                                  and vomiting owing to possible deformities in 
                                  fetus. Hence, using herbal components paves 
                                  the way for alternative treatment in pregnant 
                                  women. Based on the above evidence, having less 
                                  side effects for ginger usage has opened a new 
                                  horizon to treat such complications in women 
                                  during pregnancy (14).  Research has shown that ginger increases spermatogenesis 
                                  and effectiveness of sperm fertility parameters. 
                                  Regarding high prevalence of mens infertility 
                                  in the world which is resulting from the production 
                                  of damaged sperm and malfunction of the cells 
                                  responsible for spermatogenesis, there is a 
                                  need for an alternative therapy for the treatment 
                                  of infertility due to the high cost of therapeutic 
                                  agents and severe side effects. Several lines 
                                  of evidence suggest ginger has a beneficial 
                                  role in spermatogenesis and sperm parameters 
                                  because of the antioxidant properties of ginger. 
                                  In light of the effectiveness of ginger on spermatogenesis, 
                                  the present study was established to examine 
                                  the effect of prenatal exposure to HEG on pituitary 
                                   gonad axis hormones and spermatozoa of 
                                  young adult male rats. 
 In this study, 40 Wistar adult female rats 
                                  weighing between 200-220 gr were grouped into 
                                  4 groups (10 per group) including control, placebo 
                                  and two treatment groups. In addition, 8 Wistar 
                                  adult male rats were used for crossbreeding. Rats were kept in Animal House of Azad Islamic 
                                  University of Falavarjan in a 12 hour light/12 
                                  hour dark cycle in 25 ° c and relative humidity 
                                  ranging from 40-60% in order to be acclimatized 
                                  in their new place. Also, water and food were 
                                  provided ad libitum.  To prepare the HEG, the rhizome of ginger was 
                                  obtained from the Agricultural Research Center 
                                  of Isfahan. For this purpose, fresh and intact 
                                  plants were used. Then herbarium no.128/3/001/001 
                                  was approved by the plant specialists of Islamic 
                                  Azad University of Falavarjan. After that, ginger 
                                  rhizome was dried and then ground and finally 
                                  the resulting powder was extracted by maceration. 
                                 Before crossbreeding the female rats with males, 
                                  in order to synchronize the menstrual cycles 
                                  of female rats, 100 mg estradiol valerate was 
                                  dissolved into 0.2 ml olive oil and then was 
                                  injected into the rat muscles using insulin 
                                  syringes. After 42 hours of the first injection 
                                  50 mg of progesterone was injected into the 
                                  muscles of rats. After 6 hours of the second 
                                  injection, a vaginal smear was obtained from 
                                  the rats. Marcondes method was used for 
                                  recognizing the steps of estrous cycle. In this 
                                  method, each step of the cycle is recognized 
                                  based on the proportion among three cell populations 
                                  including epithelial, horny and leukocytes observed 
                                  in the vaginal smear (15).  Microscopic observations showed that synchronizing 
                                  the cycle of rats had occurred in the estrous 
                                  s step. Then, for crossbreeding, 8 adult male 
                                  rats were co-caged with female rats (16). Upon 
                                  observing sperm in vaginal smears the day 0 
                                  of pregnancy was defined. During pregnancy for 
                                  two treatment groups 50 mg/kg and 100 mg /kg 
                                  HEG were intraperitoneally injected every day. 
                                  The control group received no treatment. The 
                                  placebo group daily received 0.5ml normal saline. At the end of the 
                                infancy period, male and female offspring were 
                                separated and kept without any treatment for up 
                                to 2 months. Then, 10 male rats of each four groups 
                                were randomly selected for analysis of hormones. 
                                To do that, blood was obtained from their hearts 
                                after being anesthetized. Blood samples were centrifuged 
                                at 300 rpm for 5 minutes and kept in -20° 
                                C until usage. The levels of FSH, and LH hormones were measured 
                                  by electro-chemiluminesence luminescence method 
                                  (ECL) and the levels of testosterone hormones 
                                  were measured by enzyme linked immunosorbent 
                                  assay (ELISA). Kits used for measuring FSH and 
                                  LH were purchased from (Cusabio, USA) and one 
                                  for testosterone with mark IBL, GmbH made in 
                                  Germany, respectively. In order to count the number of sexual dynastic 
                                  cells, at first, right testicles of male rats 
                                  were removed and placed in a 10% solution of 
                                  formalin. Soon after, dehydration by ethanol, 
                                  clearing by xylenol alcohol and tissue embedding 
                                  were done. Next, using Rotary Microtome (LEIYZ 
                                  Australian model 1512) 5 micron thickness tissue 
                                  sections were provided. Then, the obtained sections 
                                  were stained by hematoxylin and eosin. The number 
                                  of Leydig, Sertoli, spermatogonia, spermatocytes 
                                  and spermatide cells were counted using light 
                                  microscopy. Finally, data were analyzed by SPSS 
                                  software by one-way analysis of variance (ANOVA) 
                                  and Tukey HSD test. Significance level was considered 
                                  if p value was less than 0.05.  
                                   
                                     
                                       
                                         
                                           
                                             
                                               
                                                 
                                                   
                                                     
                                                       
                                                         
                                                           
                                                             
                                                               
                                                                 
                                                                   
                                                                     
                                                                       
                                                                         
                                                                           
                                                                             
                                                                               
                                                                                 
                                                                                   
                                                                                     
                                                                                       
                                                                                         
                                                                                           
                                                                                             
                                                                                               
                                                                                                 
                                                                                                   
                                                                                                     
                                                                                                      Results 
                                                                                                        obtained 
                                                                                                        from 
                                                                                                        data 
                                                                                                        analysis 
                                                                                                        showed 
                                                                                                        that 
                                                                                                        there 
                                                                                                        wasnt 
                                                                                                        any 
                                                                                                        significant 
                                                                                                        difference 
                                                                                                        between 
                                                                                                        serum 
                                                                                                        mean 
                                                                                                        of 
                                                                                                        LH, 
                                                                                                        FSH 
                                                                                                        and 
                                                                                                        testosterone 
                                                                                                        hormones 
                                                                                                        and 
                                                                                                        sex 
                                                                                                        lineage 
                                                                                                        cells, 
                                                                                                        while 
                                                                                                        HEG 
                                                                                                        in 
                                                                                                        both 
                                                                                                        used 
                                                                                                        doses 
                                                                                                        resulted 
                                                                                                        in 
                                                                                                        significant 
                                                                                                        increase 
                                                                                                        in 
                                                                                                        serum 
                                                                                                        mean 
                                                                                                        of 
                                                                                                        LH 
                                                                                                        and 
                                                                                                        testosterone 
                                                                                                        hormones 
                                                                                                        and 
                                                                                                        also 
                                                                                                        in 
                                                                                                        serum 
                                                                                                        mean 
                                                                                                        of 
                                                                                                        FSH 
                                                                                                        hormones 
                                                                                                        in 
                                                                                                        P0.01 
                                                                                                        in 
                                                                                                        the 
                                                                                                        groups 
                                                                                                        receiving 
                                                                                                        a 
                                                                                                        high 
                                                                                                        dose 
                                                                                                        of 
                                                                                                        HEG 
                                                                                                        (Table 
                                                                                                        1).
 In 
                                                                                                        addition, 
                                                                                                        results 
                                                                                                        obtained 
                                                                                                        from 
                                                                                                        counting 
                                                                                                        lineage 
                                                                                                        cells 
                                                                                                        showed 
                                                                                                        that 
                                                                                                        administration 
                                                                                                        of 
                                                                                                        HEG 
                                                                                                        in 
                                                                                                        both 
                                                                                                        doses 
                                                                                                        resulted 
                                                                                                        in 
                                                                                                        significant 
                                                                                                        increase 
                                                                                                        in 
                                                                                                        the 
                                                                                                        number 
                                                                                                        of 
                                                                                                        Leydig, 
                                                                                                        spermatogonia, 
                                                                                                        Sertoli, 
                                                                                                        spermatocytes 
                                                                                                        and 
                                                                                                        spermatide 
                                                                                                        cells 
                                                                                                        in 
                                                                                                        these 
                                                                                                        groups 
                                                                                                        in 
                                                                                                        comparison 
                                                                                                        to 
                                                                                                        controls 
                                                                                                        in 
                                                                                                        P0.01 
                                                                                                        level 
                                                                                                        (Table 
                                                                                                        2 
                                                                                                        and 
                                                                                                        Figure 
                                                                                                        1).
 Click 
                                                                                                        here 
                                                                                                        for 
                                                                                                        Table 
                                                                                                        1. 
                                                                                                        Comparison 
                                                                                                        of 
                                                                                                        the 
                                                                                                        mean 
                                                                                                        serum 
                                                                                                        level 
                                                                                                        of 
                                                                                                        LH, 
                                                                                                        FSH 
                                                                                                        hormones 
                                                                                                        and 
                                                                                                        testosterone 
                                                                                                        in 
                                                                                                        the 
                                                                                                        groups 
                                                                                                        treated 
                                                                                                        with 
                                                                                                        HEG
 
 Clock 
                                                                                                        here 
                                                                                                        for 
                                                                                                        Table 
                                                                                                        2: 
                                                                                                        the 
                                                                                                        number 
                                                                                                        of 
                                                                                                        lineage 
                                                                                                        sex 
                                                                                                        cells 
                                                                                                        in 
                                                                                                        the 
                                                                                                        groups 
                                                                                                        treated 
                                                                                                        with 
                                                                                                        HEG 
                                                                                                        in 
                                                                                                        comparison 
                                                                                                        to 
                                                                                                        control
 Click 
                                                                                                        here 
                                                                                                        for 
                                                                                                        Figure 
                                                                                                        1: 
                                                                                                        Light 
                                                                                                        photomicrograph 
                                                                                                        of 
                                                                                                        thyroid 
                                                                                                        tissue 
                                                                                                        in 
                                                                                                        group 
                                                                                                        1(control), 
                                                                                                        Placebo 
                                                                                                        group 
                                                                                                        (2) 
                                                                                                        (3) 
                                                                                                        group 
                                                                                                        received 
                                                                                                        the 
                                                                                                        extract 
                                                                                                        of 
                                                                                                        HEG 
                                                                                                        with 
                                                                                                        dose 
                                                                                                        50 
                                                                                                        mg/kg 
                                                                                                        (4) 
                                                                                                        group 
                                                                                                        received 
                                                                                                        HEG 
                                                                                                        with 
                                                                                                        dose 
                                                                                                        100 
                                                                                                        mg/kg 
                                                                                                        H 
                                                                                                        & 
                                                                                                        E 
                                                                                                        was 
                                                                                                        used 
                                                                                                        for 
                                                                                                        staining 
                                                                                                        the 
                                                                                                        tissues. 
                                                                                                        
 Results 
                                                                                                        of 
                                                                                                        this 
                                                                                                        study 
                                                                                                        showed 
                                                                                                        that 
                                                                                                        administration 
                                                                                                        of 
                                                                                                        HEG 
                                                                                                        in 
                                                                                                        both 
                                                                                                        doses 
                                                                                                        resulted 
                                                                                                        in 
                                                                                                        significant 
                                                                                                        increase 
                                                                                                        in 
                                                                                                        the 
                                                                                                        levels 
                                                                                                        of 
                                                                                                        testosterone, 
                                                                                                        LH 
                                                                                                        and 
                                                                                                        FSH 
                                                                                                        hormones. 
                                                                                                        HEG 
                                                                                                        also 
                                                                                                        increased 
                                                                                                        the 
                                                                                                        number 
                                                                                                        of 
                                                                                                        germ 
                                                                                                        cell 
                                                                                                        lineage. 
                                                                                                        In 
                                                                                                        view 
                                                                                                        of 
                                                                                                        increase 
                                                                                                        in 
                                                                                                        number 
                                                                                                        of 
                                                                                                        Leydig, 
                                                                                                        spermatogonia, 
                                                                                                        spermatocytes 
                                                                                                        and 
                                                                                                        spermatid 
                                                                                                        cells 
                                                                                                        along 
                                                                                                        with 
                                                                                                        increase 
                                                                                                        in 
                                                                                                        testosterone 
                                                                                                        hormone, 
                                                                                                        it 
                                                                                                        seems 
                                                                                                        that 
                                                                                                        testosterone 
                                                                                                        hormone 
                                                                                                        plays 
                                                                                                        an 
                                                                                                        important 
                                                                                                        role 
                                                                                                        in 
                                                                                                        division 
                                                                                                        of 
                                                                                                        Gametes, 
                                                                                                        nourishing 
                                                                                                        the 
                                                                                                        dividing 
                                                                                                        gametes. 
                                                                                                        HEG 
                                                                                                        could 
                                                                                                        have 
                                                                                                        a 
                                                                                                        beneficial 
                                                                                                        role 
                                                                                                        in 
                                                                                                        sperm 
                                                                                                        through 
                                                                                                        direct 
                                                                                                        effect 
                                                                                                        on 
                                                                                                        Sertoli 
                                                                                                        cells 
                                                                                                        and 
                                                                                                        excretion 
                                                                                                        of 
                                                                                                        tube 
                                                                                                        fluid 
                                                                                                        and 
                                                                                                        various 
                                                                                                        proteins 
                                                                                                        including 
                                                                                                        growth 
                                                                                                        factor 
                                                                                                        and 
                                                                                                        transferrin 
                                                                                                        (17). 
                                                                                                        Subsequently, 
                                                                                                        given 
                                                                                                        the 
                                                                                                        important 
                                                                                                        role 
                                                                                                        of 
                                                                                                        testosterone 
                                                                                                        in 
                                                                                                        spermatogenesis, 
                                                                                                        it 
                                                                                                        is 
                                                                                                        obvious 
                                                                                                        that 
                                                                                                        increasing 
                                                                                                        the 
                                                                                                        levels 
                                                                                                        of 
                                                                                                        this 
                                                                                                        hormone 
                                                                                                        could 
                                                                                                        increase 
                                                                                                        the 
                                                                                                        number 
                                                                                                        of 
                                                                                                        sperm. 
                                                                                                        Our 
                                                                                                        findings 
                                                                                                        show 
                                                                                                        a 
                                                                                                        significant 
                                                                                                        increase 
                                                                                                        in 
                                                                                                        the 
                                                                                                        count 
                                                                                                        of 
                                                                                                        sperm 
                                                                                                        after 
                                                                                                        treatment 
                                                                                                        with 
                                                                                                        ginger. 
                                                                                                       In 
                                                                                                        similar 
                                                                                                        studies, 
                                                                                                        the 
                                                                                                        concentration 
                                                                                                        of 
                                                                                                        testosterone 
                                                                                                        and 
                                                                                                        LH 
                                                                                                        in 
                                                                                                        groups 
                                                                                                        receiving 
                                                                                                        ginger 
                                                                                                        extract 
                                                                                                        was 
                                                                                                        significantly 
                                                                                                        increased 
                                                                                                        in 
                                                                                                        comparison 
                                                                                                        to 
                                                                                                        controls. 
                                                                                                        Since 
                                                                                                        the 
                                                                                                        testosterone 
                                                                                                        is 
                                                                                                        an 
                                                                                                        androgenic 
                                                                                                        hormone 
                                                                                                        produced 
                                                                                                        by 
                                                                                                        Leydig 
                                                                                                        cells 
                                                                                                        which 
                                                                                                        belong 
                                                                                                        to 
                                                                                                        testis 
                                                                                                        stimulated 
                                                                                                        by 
                                                                                                        the 
                                                                                                        excretion 
                                                                                                        LH 
                                                                                                        from 
                                                                                                        pituitary 
                                                                                                        gland, 
                                                                                                        it 
                                                                                                        would 
                                                                                                        be 
                                                                                                        plausible 
                                                                                                        that 
                                                                                                        the 
                                                                                                        mechanism 
                                                                                                        underlying 
                                                                                                        this 
                                                                                                        phenomenon 
                                                                                                        might 
                                                                                                        be 
                                                                                                        due 
                                                                                                        to 
                                                                                                        the 
                                                                                                        direct 
                                                                                                        effect 
                                                                                                        of 
                                                                                                        HEG 
                                                                                                        on 
                                                                                                        luteotropic 
                                                                                                        cells 
                                                                                                        of 
                                                                                                        anterior 
                                                                                                        pituitary 
                                                                                                        increased 
                                                                                                        levels 
                                                                                                        of 
                                                                                                        LH( 
                                                                                                        17). 
                                                                                                       Ginger 
                                                                                                        has 
                                                                                                        many 
                                                                                                        types 
                                                                                                        of 
                                                                                                        antioxidants. 
                                                                                                        Among 
                                                                                                        these 
                                                                                                        compounds, 
                                                                                                        gingerols 
                                                                                                        are 
                                                                                                        of 
                                                                                                        note. 
                                                                                                        Gingerols 
                                                                                                        possess 
                                                                                                        anti-oxidant, 
                                                                                                        anti-serotonergic 
                                                                                                        and 
                                                                                                        anti-inflammatory 
                                                                                                        properties. 
                                                                                                        (18) 
                                                                                                        In 
                                                                                                        line 
                                                                                                        with 
                                                                                                        the 
                                                                                                        results 
                                                                                                        of 
                                                                                                        this 
                                                                                                        study, 
                                                                                                        Khaki 
                                                                                                        et 
                                                                                                        al 
                                                                                                        in 
                                                                                                        an 
                                                                                                        experimental 
                                                                                                        study 
                                                                                                        have 
                                                                                                        shown 
                                                                                                        that 
                                                                                                        ginger 
                                                                                                        can 
                                                                                                        increase 
                                                                                                        the 
                                                                                                        number 
                                                                                                        of 
                                                                                                        sperm 
                                                                                                        and 
                                                                                                        their 
                                                                                                        motility 
                                                                                                        which 
                                                                                                        may 
                                                                                                        be 
                                                                                                        attributed 
                                                                                                        to 
                                                                                                        gingerols 
                                                                                                        and 
                                                                                                        shogaol. 
                                                                                                        They 
                                                                                                        stimulate 
                                                                                                        the 
                                                                                                        androgens 
                                                                                                        especially 
                                                                                                        the 
                                                                                                        testosterone 
                                                                                                        (19). 
                                                                                                       In 
                                                                                                        addition 
                                                                                                        to 
                                                                                                        the 
                                                                                                        above 
                                                                                                        properties, 
                                                                                                        ginger 
                                                                                                        has 
                                                                                                        a 
                                                                                                        high 
                                                                                                        anti-oxidant 
                                                                                                        activity 
                                                                                                        because 
                                                                                                        of 
                                                                                                        the 
                                                                                                        vitamins 
                                                                                                        including 
                                                                                                        vitamin 
                                                                                                        A, 
                                                                                                        B, 
                                                                                                        C 
                                                                                                        and 
                                                                                                        E 
                                                                                                        also 
                                                                                                        flavonoids 
                                                                                                        and 
                                                                                                        glutathione 
                                                                                                        (18). 
                                                                                                        Vitamin 
                                                                                                        E 
                                                                                                        is 
                                                                                                        considered 
                                                                                                        as 
                                                                                                        a 
                                                                                                        strong 
                                                                                                        non-enzyme 
                                                                                                        antioxidant 
                                                                                                        which 
                                                                                                        can 
                                                                                                        inhibit 
                                                                                                        the 
                                                                                                        peroxidation 
                                                                                                        lipids 
                                                                                                        of 
                                                                                                        the 
                                                                                                        cell 
                                                                                                        membrane 
                                                                                                        through 
                                                                                                        scavenging 
                                                                                                        the 
                                                                                                        free 
                                                                                                        radicals 
                                                                                                        (20). 
                                                                                                        In 
                                                                                                        the 
                                                                                                        male 
                                                                                                        genital 
                                                                                                        system, 
                                                                                                        the 
                                                                                                        antioxidant 
                                                                                                        activity 
                                                                                                        of 
                                                                                                        vitamins 
                                                                                                        has 
                                                                                                        been 
                                                                                                        reported 
                                                                                                        and 
                                                                                                        is 
                                                                                                        thought 
                                                                                                        to 
                                                                                                        be 
                                                                                                        a 
                                                                                                        result 
                                                                                                        of 
                                                                                                        inhibition 
                                                                                                        the 
                                                                                                        destructive 
                                                                                                        effects 
                                                                                                        of 
                                                                                                        free 
                                                                                                        radicals 
                                                                                                        in 
                                                                                                        the 
                                                                                                        testis 
                                                                                                        (21) 
                                                                                                        and 
                                                                                                        sperm 
                                                                                                        (22 
                                                                                                        and 
                                                                                                        23). 
                                                                                                        Moreover, 
                                                                                                        vitamin 
                                                                                                        E 
                                                                                                        can 
                                                                                                        strengthen 
                                                                                                        the 
                                                                                                        antioxidant 
                                                                                                        defense 
                                                                                                        system 
                                                                                                        of 
                                                                                                        testis 
                                                                                                        and 
                                                                                                        sperm 
                                                                                                        cells 
                                                                                                        (24). 
                                                                                                       Studies 
                                                                                                        have 
                                                                                                        shown 
                                                                                                        that 
                                                                                                        ROS 
                                                                                                        are 
                                                                                                        produced 
                                                                                                        by 
                                                                                                        two 
                                                                                                        different 
                                                                                                        sources 
                                                                                                        in 
                                                                                                        sperm 
                                                                                                        fluid 
                                                                                                        containing 
                                                                                                        damaged 
                                                                                                        spermatozoa 
                                                                                                        cells 
                                                                                                        and 
                                                                                                        active 
                                                                                                        white 
                                                                                                        blood 
                                                                                                        cells 
                                                                                                        whereby 
                                                                                                        a 
                                                                                                        high 
                                                                                                        amount 
                                                                                                        of 
                                                                                                        them 
                                                                                                        results 
                                                                                                        in 
                                                                                                        male 
                                                                                                        infertility 
                                                                                                        through 
                                                                                                        breakage 
                                                                                                        in 
                                                                                                        the 
                                                                                                        DNA 
                                                                                                        structure, 
                                                                                                        decrease 
                                                                                                        in 
                                                                                                        live 
                                                                                                        sperm 
                                                                                                        percentage 
                                                                                                        and 
                                                                                                        dissociation 
                                                                                                        of 
                                                                                                        sperm 
                                                                                                        from 
                                                                                                        ovule 
                                                                                                        surface 
                                                                                                        (25 
                                                                                                        and 
                                                                                                        26). 
                                                                                                        These 
                                                                                                        compounds 
                                                                                                        increase 
                                                                                                        the 
                                                                                                        amount 
                                                                                                        of 
                                                                                                        malone-di-aldehyde. 
                                                                                                        Malone-di-aldehyde 
                                                                                                        leads 
                                                                                                        to 
                                                                                                        distortion 
                                                                                                        in 
                                                                                                        distribution 
                                                                                                        of 
                                                                                                        lipid 
                                                                                                        in 
                                                                                                        cell 
                                                                                                        membrane 
                                                                                                        through 
                                                                                                        penetration 
                                                                                                        of 
                                                                                                        the 
                                                                                                        structure 
                                                                                                        of 
                                                                                                        cell 
                                                                                                        membrane. 
                                                                                                        Furthermore, 
                                                                                                        ROS 
                                                                                                        can 
                                                                                                        cause 
                                                                                                        chromosome 
                                                                                                        disintegration 
                                                                                                        by 
                                                                                                        intercalating 
                                                                                                        into 
                                                                                                        the 
                                                                                                        DNA. 
                                                                                                        Vitamin 
                                                                                                        E 
                                                                                                        can 
                                                                                                        make 
                                                                                                        a 
                                                                                                        breakage 
                                                                                                        between 
                                                                                                        two 
                                                                                                        peroxide 
                                                                                                        lipid 
                                                                                                        bonds 
                                                                                                        thereby 
                                                                                                        the 
                                                                                                        inhibition 
                                                                                                        producing 
                                                                                                        free 
                                                                                                        radical 
                                                                                                        (27). 
                                                                                                        Another 
                                                                                                        crucial 
                                                                                                        vitamin 
                                                                                                        in 
                                                                                                        ginger 
                                                                                                        is 
                                                                                                        vitamin 
                                                                                                        C 
                                                                                                        that 
                                                                                                        acts 
                                                                                                        as 
                                                                                                        a 
                                                                                                        neutralizing 
                                                                                                        antioxidant 
                                                                                                        scavenging 
                                                                                                        the 
                                                                                                        free 
                                                                                                        radicals 
                                                                                                        produced 
                                                                                                        by 
                                                                                                        ROS. 
                                                                                                        It 
                                                                                                        has 
                                                                                                        been 
                                                                                                        demonstrated 
                                                                                                        that 
                                                                                                        it 
                                                                                                        would 
                                                                                                        facilitate 
                                                                                                        the 
                                                                                                        entrance 
                                                                                                        of 
                                                                                                        other 
                                                                                                        antioxidants 
                                                                                                        such 
                                                                                                        as 
                                                                                                        vitamin 
                                                                                                        E 
                                                                                                        and 
                                                                                                        uric 
                                                                                                        acid 
                                                                                                        to 
                                                                                                        the 
                                                                                                        cycle 
                                                                                                        (28). 
                                                                                                       Glutathione 
                                                                                                        peroxidase 
                                                                                                        (GPx) 
                                                                                                        enzyme 
                                                                                                        plays 
                                                                                                        an 
                                                                                                        important 
                                                                                                        role 
                                                                                                        in 
                                                                                                        protecting 
                                                                                                        the 
                                                                                                        sperm 
                                                                                                        and 
                                                                                                        epididymis 
                                                                                                        in 
                                                                                                        which 
                                                                                                        the 
                                                                                                        reduction 
                                                                                                        of 
                                                                                                        GPx 
                                                                                                        results 
                                                                                                        in 
                                                                                                        infertility. 
                                                                                                        Extract 
                                                                                                        of 
                                                                                                        ginger 
                                                                                                        increases 
                                                                                                        the 
                                                                                                        activity 
                                                                                                        and 
                                                                                                        expression 
                                                                                                        of 
                                                                                                        GPx 
                                                                                                        enzyme 
                                                                                                        cells 
                                                                                                        of 
                                                                                                        liver, 
                                                                                                        kidney, 
                                                                                                        breast, 
                                                                                                        testis, 
                                                                                                        etc. 
                                                                                                        Studies 
                                                                                                        show 
                                                                                                        that 
                                                                                                        antioxidant 
                                                                                                        enzymes 
                                                                                                        including 
                                                                                                        GPx 
                                                                                                        and 
                                                                                                        superoxide 
                                                                                                        dismutase 
                                                                                                        protect 
                                                                                                        the 
                                                                                                        cell 
                                                                                                        through 
                                                                                                        hindrance 
                                                                                                        of 
                                                                                                        the 
                                                                                                        formation 
                                                                                                        of 
                                                                                                        the 
                                                                                                        peroxide 
                                                                                                        and 
                                                                                                        oxidative 
                                                                                                        reactions. 
                                                                                                        (29) 
                                                                                                        Therefore, 
                                                                                                        GPx 
                                                                                                        prevents 
                                                                                                        the 
                                                                                                        deleterious 
                                                                                                        effects 
                                                                                                        of 
                                                                                                        DNA 
                                                                                                        breakage 
                                                                                                        consequences 
                                                                                                        in 
                                                                                                        the 
                                                                                                        sperm 
                                                                                                        and 
                                                                                                        sperm-producing 
                                                                                                        cells. 
                                                                                                        It 
                                                                                                        also 
                                                                                                        protects 
                                                                                                        the 
                                                                                                        sperm 
                                                                                                        nuclei 
                                                                                                        and 
                                                                                                        epididyme 
                                                                                                        fluid 
                                                                                                        against 
                                                                                                        free 
                                                                                                        radicals, 
                                                                                                        resulting 
                                                                                                        in 
                                                                                                        correct 
                                                                                                        maturation 
                                                                                                        of 
                                                                                                        sperm. 
                                                                                                       Consistent 
                                                                                                        with 
                                                                                                        these 
                                                                                                        results, 
                                                                                                        Mohammadi 
                                                                                                        et 
                                                                                                        al 
                                                                                                        studied 
                                                                                                        the 
                                                                                                        effect 
                                                                                                        of 
                                                                                                        ginger 
                                                                                                        on 
                                                                                                        testicles 
                                                                                                        of 
                                                                                                        rats 
                                                                                                        by 
                                                                                                        treating 
                                                                                                        the 
                                                                                                        cells 
                                                                                                        with 
                                                                                                        Cyclophosphamide. 
                                                                                                        They 
                                                                                                        found 
                                                                                                        that 
                                                                                                        ginger 
                                                                                                        had 
                                                                                                        protective 
                                                                                                        effect 
                                                                                                        on 
                                                                                                        the 
                                                                                                        testis 
                                                                                                        of 
                                                                                                        rats 
                                                                                                        because 
                                                                                                        of 
                                                                                                        high 
                                                                                                        antioxidant 
                                                                                                        content 
                                                                                                        (30). 
                                                                                                       In 
                                                                                                        a 
                                                                                                        study 
                                                                                                        conducted 
                                                                                                        by 
                                                                                                        Hafez 
                                                                                                        in 
                                                                                                        Greece 
                                                                                                        on 
                                                                                                        the 
                                                                                                        effect 
                                                                                                        of 
                                                                                                        a 
                                                                                                        ginger 
                                                                                                        and 
                                                                                                        cinnamon 
                                                                                                        combination 
                                                                                                        on 
                                                                                                        infertile 
                                                                                                        diabetic 
                                                                                                        rats, 
                                                                                                        a 
                                                                                                        significant 
                                                                                                        increase 
                                                                                                        was 
                                                                                                        observed 
                                                                                                        in 
                                                                                                        sperm 
                                                                                                        parameters 
                                                                                                        and 
                                                                                                        reproductive 
                                                                                                        behavior 
                                                                                                        in 
                                                                                                        terms 
                                                                                                        of 
                                                                                                        sperm 
                                                                                                        parameters 
                                                                                                        including 
                                                                                                        count, 
                                                                                                        motility 
                                                                                                        and 
                                                                                                        viability 
                                                                                                        (31). 
                                                                                                        Another 
                                                                                                        study 
                                                                                                        was 
                                                                                                        conducted 
                                                                                                        by 
                                                                                                        Abo-Ghanema 
                                                                                                        et 
                                                                                                        al 
                                                                                                        using 
                                                                                                        the 
                                                                                                        combination 
                                                                                                        of 
                                                                                                        ginger 
                                                                                                        and 
                                                                                                        L-carnitine 
                                                                                                        to 
                                                                                                        treat 
                                                                                                        infertile 
                                                                                                        rats. 
                                                                                                        The 
                                                                                                        authors 
                                                                                                        showed 
                                                                                                        that 
                                                                                                        this 
                                                                                                        combination 
                                                                                                        increased 
                                                                                                        the 
                                                                                                        weight 
                                                                                                        of 
                                                                                                        testicles 
                                                                                                        and 
                                                                                                        seminal 
                                                                                                        vesicles, 
                                                                                                        improved 
                                                                                                        the 
                                                                                                        quality 
                                                                                                        and 
                                                                                                        quantity 
                                                                                                        of 
                                                                                                        semen 
                                                                                                        (32). Selenium 
                                                                                                        is 
                                                                                                        another 
                                                                                                        antioxidant 
                                                                                                        found 
                                                                                                        in 
                                                                                                        ginger. 
                                                                                                        Selenium 
                                                                                                        is 
                                                                                                        a 
                                                                                                        quasi-metal 
                                                                                                        micro-nutrient 
                                                                                                        which 
                                                                                                        is 
                                                                                                        requisite 
                                                                                                        for 
                                                                                                        the 
                                                                                                        dietary 
                                                                                                        regimen 
                                                                                                        of 
                                                                                                        mammals 
                                                                                                        found 
                                                                                                        in 
                                                                                                        plant 
                                                                                                        and 
                                                                                                        animal 
                                                                                                        products. 
                                                                                                        Various 
                                                                                                        reports 
                                                                                                        of 
                                                                                                        research 
                                                                                                        implies 
                                                                                                        that 
                                                                                                        the 
                                                                                                        positive 
                                                                                                        effect 
                                                                                                        of 
                                                                                                        selenium 
                                                                                                        on 
                                                                                                        male 
                                                                                                        health 
                                                                                                        is 
                                                                                                        by 
                                                                                                        reducing 
                                                                                                        the 
                                                                                                        signs 
                                                                                                        and 
                                                                                                        symptoms 
                                                                                                        of 
                                                                                                        diseases 
                                                                                                        such 
                                                                                                        as 
                                                                                                        infertility, 
                                                                                                        viral 
                                                                                                        infections, 
                                                                                                        cancer 
                                                                                                        and 
                                                                                                        cardiovascular 
                                                                                                        diseases. 
                                                                                                        Selenium 
                                                                                                        is 
                                                                                                        an 
                                                                                                        essential 
                                                                                                        antioxidant 
                                                                                                        for 
                                                                                                        spermatogenesis 
                                                                                                        and 
                                                                                                        male 
                                                                                                        fertility 
                                                                                                        (33, 
                                                                                                        34). 
                                                                                                        Investigation 
                                                                                                        carried 
                                                                                                        out 
                                                                                                        in 
                                                                                                        this 
                                                                                                        regard 
                                                                                                        showed 
                                                                                                        that 
                                                                                                        selenium 
                                                                                                        stimulates 
                                                                                                        the 
                                                                                                        motility 
                                                                                                        of 
                                                                                                        sperm 
                                                                                                        (35). 
                                                                                                        
                                                                                                       Tantalizing 
                                                                                                        evidence 
                                                                                                        suggests 
                                                                                                        a 
                                                                                                        key 
                                                                                                        role 
                                                                                                        for 
                                                                                                        oxidative 
                                                                                                        stress 
                                                                                                        in 
                                                                                                        the 
                                                                                                        development 
                                                                                                        of 
                                                                                                        infertility 
                                                                                                        in 
                                                                                                        men 
                                                                                                        implying 
                                                                                                        that 
                                                                                                        further 
                                                                                                        studies 
                                                                                                        are 
                                                                                                        warranted 
                                                                                                        to 
                                                                                                        unravel 
                                                                                                        the 
                                                                                                        role 
                                                                                                        of 
                                                                                                        oxidative 
                                                                                                        stress 
                                                                                                        in 
                                                                                                        the 
                                                                                                        progression 
                                                                                                        of 
                                                                                                        male 
                                                                                                        infertility 
                                                                                                        (36). 
                                                                                                        Regarding 
                                                                                                        the 
                                                                                                        protective 
                                                                                                        role 
                                                                                                        of 
                                                                                                        ginger 
                                                                                                        on 
                                                                                                        sperm 
                                                                                                        through 
                                                                                                        antioxidant 
                                                                                                        properties 
                                                                                                        and 
                                                                                                        deleterious 
                                                                                                        effects 
                                                                                                        of 
                                                                                                        oxidative 
                                                                                                        agents 
                                                                                                        on 
                                                                                                        them, 
                                                                                                        it 
                                                                                                        is 
                                                                                                        suggested 
                                                                                                        that 
                                                                                                        antioxidants 
                                                                                                        found 
                                                                                                        in 
                                                                                                        ginger 
                                                                                                        could 
                                                                                                        be 
                                                                                                        used 
                                                                                                        as 
                                                                                                        a 
                                                                                                        potential 
                                                                                                        therapeutic 
                                                                                                        agent 
                                                                                                        for 
                                                                                                        the 
                                                                                                        treatment 
                                                                                                        and 
                                                                                                        alleviation 
                                                                                                        of 
                                                                                                        infertility 
                                                                                                        in 
                                                                                                        men.
  
                                                         
                                                           
                                                             
                                                               
                                                                 
                                                                   
                                                                     
                                                                       
                                                                         
                                                                           
                                                                             
                                                                               
                                                                                 
                                                                                   
                                                                                     
                                                                                       
                                                                                         
                                                                                           
                                                                                             
                                                                                               
                                                                                                 
                                                                                                   
                                                                                                     
                                                                                                       
                                                                                                        
                                                                                                         
                                                                                                           
                                                                                                             
                                                                                                               
                                                                                                                 
                                                                                                                   
                                                                                                                     
                                                                                                                       
                                                                                                                         
                                                                                                                           
                                                                                                                             
                                                                                                                               
                                                                                                                                 
                                                                                                                                   
                                                                                                                                     
                                                                                                                                       
                                                                                                                                         
                                                                                                                                           
                                                                                                                                             
                                                                                                                                               
                                                                                                                                                 
                                                                                                                                                   
                                                                                                                                                     
                                                                                                                                                       
                                                                                                                                                         
                                                                                                                                                         1. 
                                                                                                                                                          Ashtiyani 
                                                                                                                                                          SC, 
                                                                                                                                                          Zarei 
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                                                                                                                                                          study 
                                                                                                                                                          of 
                                                                                                                                                          the 
                                                                                                                                                          effects 
                                                                                                                                                          of 
                                                                                                                                                          Physalis 
                                                                                                                                                          Alkekengi 
                                                                                                                                                          alcoholic 
                                                                                                                                                          extract 
                                                                                                                                                          on 
                                                                                                                                                          certain 
                                                                                                                                                          plasma 
                                                                                                                                                          biochemical 
                                                                                                                                                          factors 
                                                                                                                                                          in 
                                                                                                                                                          rats. 
                                                                                                                                                          AUMJ; 
                                                                                                                                                          14: 
                                                                                                                                                          18-25.2. 
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                                                                                                                                                          A, 
                                                                                                                                                          Ashtiyani 
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                                                                                                                                                          effect 
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                                                                                                                                                          alkekengi 
                                                                                                                                                          extracts 
                                                                                                                                                          on 
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 3. 
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                                                                                                                                                          M, 
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                                                                                                                                                          N, 
                                                                                                                                                          Jabeen 
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                                                                                                                                                          shah 
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                                                                                                                                                          Kamali 
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                                                                                                                                                          Food 
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 7. 
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                                                                                                                                                          Comparison 
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                                                                                                                                                          ginger 
                                                                                                                                                          and 
                                                                                                                                                          vitamin 
                                                                                                                                                          B6 
                                                                                                                                                          efficacy 
                                                                                                                                                          in 
                                                                                                                                                          the 
                                                                                                                                                          treatment 
                                                                                                                                                          of 
                                                                                                                                                          neausea 
                                                                                                                                                          and 
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                                                                                                                                                          during 
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                                                                                                                                                          Hormozgan 
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                                                                                                                                                          [Article 
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                                                                                                                                                          Sabar 
                                                                                                                                                          a 
                                                                                                                                                          sky 
                                                                                                                                                          Hoda 
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                                                                                                                                                          Protective 
                                                                                                                                                          effect 
                                                                                                                                                          of 
                                                                                                                                                          ginger 
                                                                                                                                                          (zingiber 
                                                                                                                                                          officinale 
                                                                                                                                                          ) 
                                                                                                                                                          on 
                                                                                                                                                          adramycin 
                                                                                                                                                           
                                                                                                                                                          induced 
                                                                                                                                                          hepatotxicity 
                                                                                                                                                          in 
                                                                                                                                                          albino 
                                                                                                                                                          rats. 
                                                                                                                                                          Journal 
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                                                                                                                                                          medicinal 
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                                                                                                                                                          140.
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                                                                                                                                                          Ezz 
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                                                                                                                                                          GM 
                                                                                                                                                          Abd 
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                                                                                                                                                          hepatoprotective 
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                                                                                                                                                          a 
                                                                                                                                                          and 
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                                                                                                                                                          tetrachloride 
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                                                                                                                                                          liver 
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                                                                                                                                                          in 
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                                                                                                                                                          ) 
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                                                                                                                                                          1971 
                                                                                                                                                          .
 10. 
                                                                                                                                                          Saadat 
                                                                                                                                                          nejad 
                                                                                                                                                          N 
                                                                                                                                                          Koushki 
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 11. 
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