Title
Author
DOI
Article Type
Special Issue
Volume
Issue
White tea aqueous extract counteracts cumene hydroperoxide-induced oxidative damage in human sperm: a comparative study with L-ascorbic acid
1Department of Medical Biosciences, University of the Western Cape, 7535 Bellville, South Africa
2LogixX Pharma, RG7 4AB Reading, UK
DOI: 10.22514/jomh.2026.008 Vol.22,Issue 1,January 2026 pp.90-105
Submitted: 18 August 2025 Accepted: 21 October 2025
Published: 30 January 2026
*Corresponding Author(s): Chinyerum S. Opuwari E-mail: copuwari@uwc.ac.za
Background: Oxidative stress (OS) damages sperm by overwhelming antioxidant defences with excess free radicals, damaging seminal parameters and contributing to male infertility. Antioxidants from Camellia sinensis (white tea) are known to scavenge excessive reactive oxygen species (ROS), thereby protecting seminal parameters. Measuring OS using oxidative stress markers after antioxidant treatment is crucial for determining the redox state in biological samples and establishing an effective dosage. Methods: This study investigated the effect of white tea aqueous (0.465, 4.65, 46.5, 465 µg/mL) extract on normozoospermic samples following the induction of OS. Oxidative stress was induced using sperm wash media supplemented with 100 µM of cumene hydroperoxide at 37 ◦C for 60–120 minutes on motility and viability, as well as for 60 minutes on oxidation-reduction potential (ORP), ROS, mitochondrial membrane potential (MMP), and sperm-DNA-fragmentation (SDF) and acrosome reaction. Results: Cumene hydroperoxide-induced OS significantly decreased (p < 0.05) the integrity of the measured seminal parameters. The aqueous extract of white tea demonstrated protective effects on normozoospermic samples following the induction of OS, reducing DNA fragmentation, ORP, and ROS production while increasing intact MMP, vitality and motility (p < 0.05). Ascorbic acid had positive effects at a lower concentration, increasing acrosome reaction and lowering ORP (p < 0.05). At a higher concentration, it increased motility and sperm viability but also reduced acrosome reaction, MMP, and increased SDF (p < 0.05) with no significance for ROS (p > 0.05). Conclusions: White tea extract has a similar positive effect on sperm parameters as ascorbic acid, suggesting its potential in treating male infertility caused by OS.
Oxidative stress; Seminal parameters; Antioxidant therapy; Herbal medicinal plants; Reactive oxygen species; Pro-oxidant
Ndivhuho B. Takalani,Thomas K. Monsees,Ralf Henkel,Chinyerum S. Opuwari. White tea aqueous extract counteracts cumene hydroperoxide-induced oxidative damage in human sperm: a comparative study with L-ascorbic acid. Journal of Men's Health. 2026. 22(1);90-105.
[1] Bayefsky MJ, Caplan A. Treating infertility as a missing capability, not a disease: a capability approach. Journal of Medical Ethics. 2025; 51: 416–419.
[2] Boeri L, Pozzi E, Salonia A. Work-up of male infertility. In Laganà AS, Guglielmino A (eds.) Management of infertility (pp. 41–53). Academic Press: San Diego. 2023.
[3] Schilit SLP. Recent advances and future opportunities to diagnose male infertility. Current Sexual Health Reports. 2019; 11: 331–341.
[4] Abebe MS, Afework M, Abaynew Y. Primary and secondary infertility in Africa: systematic review with meta-analysis. Fertility Research & Practice. 2020; 6: 20.
[5] Carson SA, Kallen AN. Diagnosis and management of infertility: a review. JAMA. 2021; 326: 65–76.
[6] Ayad B, Omolaoye TS, Louw N, Ramsunder Y, Skosana BT, Oyeipo PI, et al. Oxidative stress and male infertility: evidence from a research perspective. Frontiers in Reproductive Health. 2022; 4: 822257.
[7] Agarwal A, Bui AD. Oxidation-reduction potential as a new marker for oxidative stress: correlation to male infertility. Investigative and Clinical Urology. 2017; 58: 385–399.
[8] Takalani NB, Monsees TK, Henkel R, Opuwari CS. Protective effects of Aspalathus linearis against oxidative stress in human spermatozoa: comparison with ascorbic acid. South African Journal of Botany. 2025; 186: 448–463.
[9] Sadeghi N, Boissonneault G, Tavalaee M, Nasr-Esfahani MH. Oxidative versus reductive stress: a delicate balance for sperm integrity. Systems Biology in Reproductive Medicine. 2023; 69: 20–31.
[10] Agarwal A, Leisegang K, Majzoub A, Henkel R, Finelli R, Panner Selvam MK, et al. Utility of antioxidants in the treatment of male infertility: clinical guidelines based on a systematic review and analysis of evidence. The World Journal of Men’s Health. 2021; 39: 233–290.
[11] Saleh R, Sallam H, Elsuity MA, Dutta S, Sengupta P, Nasr A. Antioxidant therapy for infertile couples: a comprehensive review of the current status and consideration of future prospects. Frontiers in Endocrinology. 2025; 15: 1503905.
[12] Dutta S, Sengupta P, Roychoudhury S, Chakravarthi S, Wang CW, Slama P. Antioxidant paradox in male infertility: ‘a blind eye’ on inflammation. Antioxidants. 2022; 11: 167.
[13] Agarwal A, Mulgund A, Hamada A, Chyatte M. A unique view on male infertility around the globe. Reproductive Biology and Endocrinology. 2015; 13: 37.
[14] Leslie SW, Soon-Sutton TL, Khan MA. Male infertility. StatPearls Publishing: Treasure Island (FL). 2025.
[15] Esteves SC, Miyaoska R. Sperm physiology and assessment of spermatogenesis kinetics in vivo. In Watson RR (ed.) Handbook of fertility (pp. 383–396). Academic Press: San Diego. 2015.
[16] Esteves SC, Roque M, Bedoschi G, Haahr T, Humaidan P. Intracytoplasmic sperm injection for male infertility and consequences for offspring. Nature Reviews. Urology. 2018; 15: 535–562.
[17] Prasad AGD, Shyma TB, Raghavendra MP. Traditional herbal remedies used for management of reproductive disorders in Wayanad district, Kerala. International Journal of Research in Pharmacy and Chemistry. 2014; 4: 333–341.
[18] Malviya N, Malviya D, Jain S, Vyas S. A review of the potential of medicinal plants in the management and treatment of male sexual dysfunction. Andrologia. 2016; 48: 880–893.
[19] Yılmaz B, Acar-Tek N. White tea: its history, composition, and potential effects on body weight management. eFood. 2023; 4: e89.
[20] Banihani SA, Aljabali SM. Men with oligozoospermia had lower level of seminal plasma pyridoxine compared to normozoospermic men. Heliyon. 2022; 8: e11983.
[21] Oliveira PF, Tomás GD, Dias TR, Martins AD, Rato L, Alves MG, et al. White tea consumption restores sperm quality in prediabetic rats preventing testicular oxidative damage. Reproductive BioMedicine Online. 2015; 31: 544–556.
[22] Roychoudhury S, Agarwal A, Virk G, Cho CL. Potential role of green tea catechins in the management of oxidative stress-associated infertility. Reproductive BioMedicine Online. 2017; 34: 487–498.
[23] Fraga CG, Motchnik PA, Shigenaga MK, Helbock HJ, Jacob RA, Ames BN. Ascorbic acid protects against endogenous oxidative DNA damage in human sperm. Proceedings of the National Academy of Sciences of the United States of America. 1991; 88: 11003–11006.
[24] Mangoli E, Talebi AR, Anvari M, Taheri F, Vatanparast M, Rahiminia T, et al. Vitamin C attenuates negative effects of vitrification on sperm parameters, chromatin quality, apoptosis and acrosome reaction in neat and prepared normozoospermic samples. Taiwanese Journal of Obstetrics and Gynecology. 2018; 57: 200–204.
[25] Akmal M, Qadri JQ, Al-Waili NS, Thangal S, Haq A, Saloom KY. Improvement in human semen quality after oral supplementation of vitamin C. Journal of Medicinal Food. 2006; 9: 440–442.
[26] Cheraghi E, Piroozmanesh H, Mehranjani MS. The effects of vitamin C on the quality of semen, testicular tissue, and apoptosis in mice exposed to sodium arsenite. Pharmaceutical and Biomedical Research. 2022; 8: 13–22.
[27] Cyrus A, Kabir A, Goodarzi D, Moghimi M. The effect of adjuvant vitamin C after varicocele surgery on sperm quality and quantity in infertile men: a double blind placebo controlled clinical trial. International Brazilian Journal of Urology. 2015; 41: 230–238.
[28] Alagbonsi AI, Olayaki LA. Vitamin C ameliorates tetrahydrocannabinol-induced spermatotoxicity in-vitro. BMC Nutrition. 2020; 6: 59.
[29] Coker SJ, Dyson RM, Smith-Díaz CC, Vissers MCM, Berry MJ. Effects of low vitamin C intake on fertility parameters and pregnancy outcomes in guinea pigs. Nutrients. 2023; 15: 4107.
[30] Hackerova L, Pilsova A, Pilsova Z, Zelenkova N, Tymich Hegrova P, Klusackova B, et al. Boar sperm motility assessment using computer-assisted sperm analysis: current practices, limitations, and methodological challenges. Animals. 2025; 15: 305.
[31] World Health Organisation. WHO laboratory manual for the examination and processing of human semen. 6th edn. World Health Organization: Geneva. 2021.
[32] Pasciu V, Nieddu M, Sotgiu FD, Baralla E, Berlinguer F. An overview on assay methods to quantify ROS and enzymatic antioxidants in erythrocytes and spermatozoa of small domestic ruminants. Animals. 2023; 13: 2300.
[33] Henkel R, WO F, Hipler UC, Wiegand C, Schreiber G, Menkveld R, et al. Typha capensis (Rohrb.)N.E.Br. (bulrush) extract scavenges free radicals, inhibits collagenase activity and affects human sperm motility and mitochondrial membrane potential in vitro: a pilot study. Andrologia. 2011; 44: 287–294.
[34] Shalaweh S, Bouic P, Weitz F, Henkel R. Cissampelos capensis rhizome extract induces intracellular ROS production, capacitation and DNA fragmentation in human spermatozoa. International Scholarly and Scientific Research & Innovation. 201; 9: 576–583.
[35] Sharma R, Masaki J, Agarwal A. Sperm DNA fragmentation analysis using the TUNEL assay. Methods in Molecular Biology. 2013; 927: 121–136.
[36] Pardillo-Díaz R, Carrascal L, Ayala A, Nunez-Abades P. Oxidative stress induced by cumene hydroperoxide evokes changes in neuronal excitability of rat motor cortex neurons. Neuroscience. 2015; 289: 85–98.
[37] Moustakli E, Christopoulos P, Potiris A, Zikopoulos A, Matsas A, Arkoulis I, et al. Reductive stress and the role of antioxidants in male infertility: a narrative review. Archives of Gynecology and Obstetrics. 2025; 312: 1503–1514.
[38] Abdal Dayem A, Hossain MK, Lee SB, Kim K, Saha SK, Yang GM, et al. The role of reactive oxygen species (ROS) in the biological activities of metallic nanoparticles. International Journal of Molecular Sciences. 2017; 18: 120.
[39] Kamel-Chouider A, Hariti M, Akdader-Oudahamne S, Hamouli-Said Z. The potential role of ascorbic acid in attenuating infertility induced by emamectin benzoate via suppressing oxidative stress and ameliorating sperm count in male rats. Reproductive Toxicology. 2025; 133: 108852.
[40] Akhigbe RE. Editorial: oxidative stress and male fertility. Frontiers in Reproductive Health. 2025; 7: 1657872.
[41] Du Plessis SS, Agarwal A, Halabi J, Tvrda E. Contemporary evidence on the physiological role of reactive oxygen species in human sperm function. Journal of Assisted Reproduction and Genetics. 2015; 32: 509–520.
[42] Collins GG, Rossi BV. The impact of lifestyle modifications, diet, and vitamin supplementation on natural fertility. Fertility Research & Practice. 2015; 1: 11.
[43] Dias TR, Alves MG, Rato L, Casal S, Silva BM, Oliveira PF. White tea intake prevents prediabetes-induced metabolic dysfunctions in testis and epididymis preserving sperm quality. The Journal of Nutritional Biochemistry. 2016; 37: 83–93.
[44] Evgeni E, Kothari P. Sperm motility. In Agarwal A, Boitrelle F, Saleh R, Shah R (eds.) Human semen analysis: from the WHO manual to the clinical management of infertile men (pp. 61–101). Springer International Publishing: Cham. 2024.
[45] Alvarez JG, Touchstone JC, Blasco L, Storey BT. Spontaneous lipid peroxidation and production of hydrogen peroxide and superoxide in human spermatozoa superoxide dismutase as major enzyme protectant against oxygen toxicity. Journal of Andrology. 1987; 8: 338–348.
[46] Aguilar Diaz De Leon J, Borges CR. Evaluation of oxidative stress in biological samples using the thiobarbituric acid reactive substances assay. Journal of Visualized Experiments. 2020; 10.3791/61122.
[47] Vahedi Raad M, Firouzabadi AM, Tofighi Niaki M, Henkel R, Fesahat F. The impact of mitochondrial impairments on sperm function and male fertility: a systematic review. Reproductive Biology and Endocrinology. 2024; 22: 83.
[48] Dias TR, Alves MG, Tomás GD, Socorro S, Silva BM, Oliveira PF. White tea as a promising antioxidant medium additive for sperm storage at room temperature: a comparative study with green tea. Journal of Agricultural and Food Chemistry. 2014; 62: 608–617.
[49] Berilli P, Fanaro GB, Santos JP, Reyes Reyes FG, Iglesias AH, Reis M, et al. White tea modulates antioxidant defense of endurance-trained rats. Current Research in Physiology. 2022; 5: 256–264.
[50] Teixeira LG, Lages PC, Jascolka TL, Aguilar EC, Soares FLP, Pereira SS, et al. White tea (Camellia sinensis) extract reduces oxidative stress and triacylglycerols in obese mice. Journal of Food Science and Technology. 2012; 32: 733–741.
[51] Chakraborthy A, Ramani P, Sherlin H, Premkumar P, Natesan A. Antioxidant and pro-oxidant activity of Vitamin C in oral environment. Indian Journal of Dental Research. 2014; 25: 499.
[52] Ahmad G, Agarwal A, Esteves SC, Sharma R, Almasry M, Al-Gonaim A, et al. Ascorbic acid reduces redox potential in human spermatozoa subjected to heat-induced oxidative stress. Andrologia. 2017; 49: e12773.
[53] de Oliveira DCX, Rosa FT, Simões-Ambrósio L, Jordao AA, Deminice R. Antioxidant vitamin supplementation prevents oxidative stress but does not enhance performance in young football athletes. Nutrition. 2019; 63–64: 29–35.
[54] Unachukwu UJ, Ahmed S, Kavalier A, Lyles JT, Kennelly EJ. White and green teas (camellia sinensis var. sinensis): variation in phenolic, methylxanthine, and antioxidant profiles. Journal of Food Science. 2010; 75: C541–C548.
[55] Agnihotri SK, Agrawal AK, Hakim BA, Vishwakarma AL, Narender T, Sachan R, et al. Mitochondrial membrane potential (MMP) regulates sperm motility. In Vitro Cellular & Developmental Biology—Animal. 2016; 52: 953–960.
[56] Chikhoune A, Stouvenel L, Iguer-Ouada M, Hazzit M, Schmitt A, Lorès P, et al. In-vitro effects of Thymus munbyanus essential oil and thymol on human sperm motility and function. Reproductive Biomedicine Online. 2015; 31: 411–420.
[57] Ross C, Morriss A, Khairy M, Khalaf Y, Braude P, Coomarasamy A, et al. A systematic review of the effect of oral antioxidants on male infertility. Reproductive Biomedicine Online. 2010; 20: 711–723.
[58] Agarwal A, Parekh N, Panner Selvam MK, Henkel R, Shah R, Homa ST, et al. Male oxidative stress infertility (MOSI): proposed terminology and clinical practice guidelines for management of idiopathic male infertility. World Journal of Men’s Health. 2019; 37: 296–312.
[59] Verma A, Kanwar KC. Human sperm motility and lipid peroxidation in different ascorbic acid concentrations: an in vitro analysis. Andrologia. 1998; 30: 325–329.
[60] Kocyigit A, Selek S. Exogenous antioxidants are double-edged swords. Bezmialem Science. 2016; 4: 70–75.
[61] Shiva M, Gautam AK, Verma Y, Shivgotra V, Doshi H, Kumar S. Association between sperm quality, oxidative stress, and seminal antioxidant activity. Clinical Biochemistry. 2011; 44: 319–324.
[62] Elia J, Imbrogno N, Delfino M, Mazzilli R, Rossi T, Mazzilli F. The importance of the sperm motility classes—future directions. The Open Andrology Journal. 2010; 2: 42–43.
[63] Checa J, Aran JM. Reactive oxygen species: drivers of physiological and pathological processes. Journal of Inflammation Research. 2020; 13: 1057–1073.
[64] Baker MA, Aitken RJ. The importance of redox regulated pathways in sperm cell biology. Molecular and Cellular Endocrinology. 2004; 216: 47–54.
[65] Beigi SAD, Khalili MA, Nabi A, Hosseini M, Sarcheshmeh AA, Sabour M. Prolonged semen incubation alters the biological characteristics of human spermatozoa. Clinical and Experimental Reproductive Medicine. 2022; 49: 270–276.
[66] Calamera JC, Fernandez PJ, Buffone MG, Acosta AA, Doncel GF. Effects of long-term in vitro incubation of human spermatozoa: functional parameters and catalase effect. Andrologia. 2001; 33: 79–86.
[67] Maulana T, Afiati F, Gunawan M, Kaiin EM. Kinematics motility of friesian-holstein sperm sexing in l-ascorbic acid treatments. IOP Conference Series: Earth and Environmental Science. 2021; 762: 012081.
[68] Baqir Al-Dhalimy AM, Alabsawy SK, Al-Mousaw M, Al-Dhalemi DM. Ameliorated effect of ascorbic acid and selenium against the stress effect on sperm quality of rats. Archives of Razi Institute. 2021; 76: 1137–1142.
[69] Singh P, Agarwal S, Singh H, Singh S, Verma PK, Butt MS, et al. Effects of ascorbic acid as antioxidant semen additive in cryopreservation of cross-bred cattle bull semen. International Journal of Current Microbiology and Applied Sciences. 2020; 9: 3089–3099.
[70] Maldonado Rosas I, Ramirez Dominguez LB, Jimenez Medina I, Villar Munoz LG, Solorzano Vazquez JF, Simopoulou M, et al. P-226 efficiency of different antioxidants in reducing the supra-physiological oxidation reduction potential levels in human embryo culture media. Human Reproduction. 2022; 37: deac107.218.
[71] Panner Selvam MK, Finelli R, Agarwal A, Henkel R. Evaluation of seminal oxidation–reduction potential in male infertility. Andrologia. 2021; 53: e13610.
[72] de Lamirande E, Jiang H, Zini A, Kodama H, Gagnon C. Reactive oxygen species and sperm physiology. Reviews of Reproduction. 1997; 2: 48–54.
[73] Ickowicz D, Finkelstein M, Breitbart H. Mechanism of sperm capacitation and the acrosome reaction: role of protein kinases. Asian Journal of Andrology. 2012; 14: 816–821.
[74] Serafini S, O’Flaherty C. Redox regulation to modulate phosphorylation events in human spermatozoa. Antioxidants & Redox Signaling. 2022; 37: 437–450.
[75] Breitbart H, Grinshtein E. Mechanisms that protect mammalian sperm from the spontaneous acrosome reaction. International Journal of Molecular Sciences. 2023; 24: 17005.
[76] Zhang X, Chao S, Ye N, Ouyang D. Emerging trends in sperm selection: enhancing success rates in assisted reproduction. Reproductive Biology and Endocrinology. 2024; 22: 67.
[77] Agarwal A, Virk G, Ong C, du Plessis SS. Effect of oxidative stress on male reproduction. World Journal of Men’s Health. 2014; 32: 1–17.
[78] Aitken RJ. Impact of oxidative stress on male and female germ cells: implications for fertility. Reproduction. 2020; 159: R189–R201.
[79] Dorostghoal M, Kazeminejad SR, Shahbazian N, Pourmehdi M, Jabbari A. Oxidative stress status and sperm DNA fragmentation in fertile and infertile men. Andrologia. 2017; 49: e12762.
[80] Di Meo S, Reed TT, Venditti P, Victor VM. Role of ROS and RNS sources in physiological and pathological conditions. Oxidative Medicine and Cellular Longevity. 2016; 2016: 1245049.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Directory of Open Access Journals (DOAJ) DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone.
SCImago The SCImago Journal & Country Rank is a publicly available portal that includes the journals and country scientific indicators developed from the information contained in the Scopus® database (Elsevier B.V.)
Publication Forum - JUFO (Federation of Finnish Learned Societies) Publication Forum is a classification of publication channels created by the Finnish scientific community to support the quality assessment of academic research.
Scopus: CiteScore 1.1 (2024) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Norwegian Register for Scientific Journals, Series and Publishers Search for publication channels (journals, series and publishers) in the Norwegian Register for Scientific Journals, Series and Publishers to see if they are considered as scientific. (https://kanalregister.hkdir.no/publiseringskanaler/Forside).
Top