Alterations of selected biomarkers and reproductive tissues histoarchitecture in offspring of artemether-lumefantrine treated lactating dams

Abstract

Background: Evidence from previous studies suggests that most antimalarial agents adversely affect reproductive functions. The deleterious effects of artemether-lumefantrine on reproductive functions have also been documented but there is dearth of knowledge on the generational reproductive outcomes during lactation. Hence, we investigated the reproductive outcomes in offspring of dams treated with artemether-lumefantrine during lactation.

Methods: Ten lactating dams were randomly assigned into two groups (n=5) and treated as follows: Group I (control) received distilled water (1 ml/kg BW, p.o.) while Group II received artemether-lumefantrine (4/24 mg/kg BW, p.o.) for seven (7) consecutive days immediately after parturition. Pups were thereafter weaned and later given rat chow with water ad libitum daily, before they were euthanized at postnatal day 90 (PND 90).

Results: The results showed that although the anti-malarial drug caused a significant decrease in serum testosterone and estrogen levels in offspring of the treated group, relative to the control group; however, follicle stimulating and luteinizing hormones, sperm motility, sperm viability and sperm count were not significantly different between the two groups. Moreover, only testicular catalase activity was significantly decreased with a concomitant interstitial edema and defective histoarchitectural presentation in the testis and ovary. Nevertheless, the level of malondialdehyde was unaltered in both testes and ovarian tissues of the treated group as compared with control.

Conclusion: Therefore, this study suggests that exposure to artemether-lumefantrine during lactation could disrupt steroidogenic functions in both testicular and ovarian tissues of offspring in adult life.