Research Article

The synthetic cannabinoid JWH-018 induces testicular oxidative stress and alters nitric oxide synthase expression in mice

Volume: 42 Number: 4 December 31, 2025
EN

The synthetic cannabinoid JWH-018 induces testicular oxidative stress and alters nitric oxide synthase expression in mice

Abstract

Thirty adult male CD-1 mice were randomly assigned to six groups (n = 5 each): two control groups (C1, C2), two ethanol vehicle groups (E1, E2), and two JWH-018–treated groups (JWH1, JWH2). Control groups received saline, ethanol groups received 1% ethanol in saline (vehicle), and JWH groups received JWH-018 (0.3 mg/kg, i.p.) once daily for nine days. Acute effects were assessed in C1, E1, and JWH1 animals sacrificed two days post-treatment, while recovery potential was evaluated in C2, E2, and JWH2 animals sacrificed 45 days later. JWH-018 exposure caused significant reductions in seminiferous tubule diameter and CSA, with germinal epithelium thickness preserved. Morphological damage was partially reversed in the recovery group (JWH2). Immunohistochemical analysis revealed increased iNOS and eNOS expression, particularly in Leydig cells, indicating oxidative stress, while PAS staining revealed apoptotic-like germ cells in JWH groups. Our findings indicate that JWH-018 induces testicular injury through oxidative stress–mediated pathways, causing structural and cellular alterations. Partial recovery was observed after a full spermatogenic cycle; however, some changes persisted, suggesting potential long-term reproductive consequences. These results provide novel insights into the mechanisms of JWH-018–induced reproductive toxicity and underscore the importance of further investigation into potential interventions.

Keywords

Supporting Institution

This study was supported by The Scientific and Technological Research Council of Turkey (TÜBİTAK) within the scope of the 2209-A University Students Research Projects Support Program (Project No: 1919B012218136 and 1919B012222905).

Ethical Statement

All animal handling and experimental protocols strictly adhered to the ethical principles outlined in the Guide for the Care and Use of Laboratory Animals and were conducted in accordance with the Animal Welfare Act. Ethical approval for this study was obtained from the Local Animal Experiments Ethics Committee of Burdur Mehmet Akif Ersoy University (Approval No: 466-2018).

Thanks

The authors would like to thank Dr. Serkan Koksoy for kindly providing JWH-018 for research purposes, which was used in the experimental procedures. Some of the data in this manuscript were previously presented as a oral presentation at the Turkish & Italian Joint International Animal Reproduction Congress, held in Antalya, Türkiye, on October 10–13, 2024.

References

  1. van Amsterdam J, Brunt T, van den Brink W. The adverse health effects of synthetic cannabinoids with emphasis on psychosis-like effects. J Psychopharmacol. 2015;29(3):254–263.
  2. Tai S, Fantegrossi WE. Pharmacological and toxicological effects of synthetic cannabinoids and their metabolites. Curr Top Behav Neurosci. 2017;32:249–262.
  3. Pertwee RG. The diverse CB1 and CB2 receptor pharmacology of three plant cannabinoids: delta9- tetrahydrocannabinol, cannabidiol and delta9-tetrahydrocannabivarin. Br J Pharmacol. 2008;153(2):199–215.
  4. De Luca MA, Castelli MP, Loi B, Porcu A, Martorelli M, Miliano C, et al. Native CB1 receptor affinity, intrinsic activity and accumbens shell dopamine stimulant properties of third generation SPICE/K2 cannabinoids: BB-22, 5F-PB-22, 5F-AKB-48 and STS-135. Neuropharmacology. 2016;105:630–638.
  5. El-Talatini MR, Taylor AH, Elson JC, Brown L, Davidson AC, Konje JC. Localisation and function of the endocannabinoid system in the human ovary. PLoS One. 2009;4(2):e4579.
  6. Brents LK, Prather PL. The K2/Spice phenomenon: emergence, identification, legislation and metabolic characterization of synthetic cannabinoids in herbal incense products. Drug Metab Rev. 2014;46(1):72–85.
  7. Lewis SE, Akhtar MM, Al-Azzawi F, Thompson W, Kumar S. Long-term use of HU210 adversely affects spermatogenesis in rats by modulating the endocannabinoid system. Int J Androl. 2012;35(5):731–740.
  8. Seely KA, Lapoint J, Moran JH, Fattore L. Spice drugs are more than harmless herbal blends: a review of the pharmacology and toxicology of synthetic cannabinoids. Prog Neuropsychopharmacol Biol Psychiatry. 2012;39(2):234–243.

Details

Primary Language

English

Subjects

Histology and Embryology

Journal Section

Research Article

Publication Date

December 31, 2025

Submission Date

July 14, 2025

Acceptance Date

December 16, 2025

Published in Issue

Year 2025 Volume: 42 Number: 4

APA
Mutluay, D., Akı, R. H., Ar, M. Ş., Cezar, U. T., & Yücel Tenekeci, G. (2025). The synthetic cannabinoid JWH-018 induces testicular oxidative stress and alters nitric oxide synthase expression in mice. Deneysel Ve Klinik Tıp Dergisi, 42(4), 439-446. https://izlik.org/JA26RK57BT
AMA
1.Mutluay D, Akı RH, Ar MŞ, Cezar UT, Yücel Tenekeci G. The synthetic cannabinoid JWH-018 induces testicular oxidative stress and alters nitric oxide synthase expression in mice. J. Exp. Clin. Med. 2025;42(4):439-446. https://izlik.org/JA26RK57BT
Chicago
Mutluay, Duygu, Rüveyda Hilal Akı, Münteha Şilan Ar, Utku Tuna Cezar, and Gözde Yücel Tenekeci. 2025. “The Synthetic Cannabinoid JWH-018 Induces Testicular Oxidative Stress and Alters Nitric Oxide Synthase Expression in Mice”. Deneysel Ve Klinik Tıp Dergisi 42 (4): 439-46. https://izlik.org/JA26RK57BT.
EndNote
Mutluay D, Akı RH, Ar MŞ, Cezar UT, Yücel Tenekeci G (December 1, 2025) The synthetic cannabinoid JWH-018 induces testicular oxidative stress and alters nitric oxide synthase expression in mice. Deneysel ve Klinik Tıp Dergisi 42 4 439–446.
IEEE
[1]D. Mutluay, R. H. Akı, M. Ş. Ar, U. T. Cezar, and G. Yücel Tenekeci, “The synthetic cannabinoid JWH-018 induces testicular oxidative stress and alters nitric oxide synthase expression in mice”, J. Exp. Clin. Med., vol. 42, no. 4, pp. 439–446, Dec. 2025, [Online]. Available: https://izlik.org/JA26RK57BT
ISNAD
Mutluay, Duygu - Akı, Rüveyda Hilal - Ar, Münteha Şilan - Cezar, Utku Tuna - Yücel Tenekeci, Gözde. “The Synthetic Cannabinoid JWH-018 Induces Testicular Oxidative Stress and Alters Nitric Oxide Synthase Expression in Mice”. Deneysel ve Klinik Tıp Dergisi 42/4 (December 1, 2025): 439-446. https://izlik.org/JA26RK57BT.
JAMA
1.Mutluay D, Akı RH, Ar MŞ, Cezar UT, Yücel Tenekeci G. The synthetic cannabinoid JWH-018 induces testicular oxidative stress and alters nitric oxide synthase expression in mice. J. Exp. Clin. Med. 2025;42:439–446.
MLA
Mutluay, Duygu, et al. “The Synthetic Cannabinoid JWH-018 Induces Testicular Oxidative Stress and Alters Nitric Oxide Synthase Expression in Mice”. Deneysel Ve Klinik Tıp Dergisi, vol. 42, no. 4, Dec. 2025, pp. 439-46, https://izlik.org/JA26RK57BT.
Vancouver
1.Duygu Mutluay, Rüveyda Hilal Akı, Münteha Şilan Ar, Utku Tuna Cezar, Gözde Yücel Tenekeci. The synthetic cannabinoid JWH-018 induces testicular oxidative stress and alters nitric oxide synthase expression in mice. J. Exp. Clin. Med. [Internet]. 2025 Dec. 1;42(4):439-46. Available from: https://izlik.org/JA26RK57BT