Examination of the Toxicity Pattern and Influence of Azadirachta indica on Testicular Function and Expression of Proliferating Cell Nuclear Antigen in Plasmodium berghei-Infected Mice

Background: Malaria, a parasitic disease caused by a single-celled parasite called Plasmodium, poses a significant global health burden, especially in tropical regions such as Africa. The impact of malaria on human health is well-documented; however, its effects on the male reproductive system and the impact of herbal extracts remain underexplored. Objectives: This study aims to investigate Azadirachta indica's toxicity and its antimalarial potency's influence on testicular function and expression of proliferating cells nuclear antigen (PCNA). Methods: The antimalarial activity of Azadirachta indica was determined using standard procedures. Thirty male mice were used and grouped into six. Group 1 (normal control), group 2 (P. berghei infected only - negative control), group 3 (Plasmodium berghei infected + lonart - standard drug), group 4 (P. berghei infected + 100 mg/kg BWT crude ethanol extract), group 5 (P. berghei infected + 200 mg/kg BWT crude ethanol extract), group 6 (P. berghei infected + 400 mg/kg BWT crude ethanol extract). Administration of A. indica leaf extract to infected mice for four consecutive days demonstrated promising results. Results: The extract significantly suppressed parasite multiplication, ameliorated testicular damage, and improved sperm quality. The non-toxic extract also reduced oxidative stress in the testes, suggesting its potential effectiveness as phytotherapy against malaria-induced male reproductive impairments. Conclusions: The beneficial effects of A. indica emphasize its potential as a natural remedy for malaria-induced reproductive complications, offering a new avenue for therapeutic intervention in malaria-endemic regions. This study contributes to our knowledge of the intricate relationship between malaria and male reproductive health and provides valuable insights for future research and clinical applications.