Single intratesticular injection of blood‐serum‐derived exosomes can potentially alleviate testopathy following testicular torsion

BACKGROUND: Testicular torsion (TT) is an acute inflammatory process leading to male infertility. Today, anti‐inflammatory effects of exosomes derived from blood serum are used in various laboratory procedures. In the present study, the anti‐inflammatory effects of blood‐serum‐derived exosomes in treatment of acute inflammation following TT in mice were evaluated. MATERIALS AND METHODS: Eighteen male mice were grouped as healthy control, TT, and TT + exosome. TT was induced surgically, and exosomes were extracted from blood serum and administrated by a single intratesticular injection (10 IU). Malondialdehyde (MDA) and Griess assays were used to evaluate the level of oxidative stress. Sperm indices, testosterone (Tes), and apoptotic gene expression (p‐53, Bcl2, and Caspase‐3) were also assessed. H&E and immunohistochemistry (IHC) stainings were used for histopathological investigations. Data analysis was applied by SPSS (v.19) software. RESULTS: Oxidative stress and apoptotic genes expression were increased significantly (p < 0.05) in TT group compared with control. Sperm parameters and Tes were significantly increased, and expression of apoptotic genes was significantly reduced in TT + exosome group (p < 0.05). CONCLUSION: Since the blood‐serum‐derived exosomes have anti‐inflammatory features, the intratesticular application of blood‐serum‐derived exosomes can be used clinically in acute phase of orchitis following TT to inhibit testicular inflammation.