The GSE is a rich source of antioxidants (
10). Inflammation, cell proliferation, and apoptosis are affected by GSE, not only through antioxidant activity alone but also by gene expression modulation (
20). The effect of GSE on male fertility has been reported. Supplementation with GSE restores the spermatogenic process and fertility damage due to toxic heavy metals (
21) and decreases oxidative stress-induced effects on spermatogenesis in Swiss mice treated with cadmium (
22). A study by Bayatli et al. showed that GSE corrected sperm motility, reduced oxidative damage, and blocked apoptosis (
23). The GSE exerted potent effects against oxidative stress and inhibited the generation of free radicals (
24). Grape antioxidants can affect the transcription factor nuclear factor kappa B by suppressing its DNA-binding ability to suppress cancer cell invasion (
25). The GSE resulted in intracellular ROS accumulation as its main mechanism for growth inhibition, apoptosis, and DNA damage, significantly reversed by the antioxidant N-acetylcysteine (
26). Grape polyphenolic compounds play an important role in protecting endothelial cells against oxidative damage and reducing the inactivation of nitric oxide radicals through the modulation of oxidation enzymes, such as NADPH oxidase, superoxide dismutase, and glutathione peroxidase (
10).
In this study, the concentration of 50 μg/mL of vitamin C increased the survival rate, and the concentration of 25 μg/mL increased the BCL2 gene expression in SSCs. Culture supplementation with the appropriate vitamin C concentration can protect cells against the ROS damaging effects by inhibiting ROS generation, regulating the expression of apoptosis-associated genes, and promoting stem cell proliferation. Vitamin C can activate anti-apoptotic signals and inhibit pro-apoptotic signals in vitro. Antioxidants at a proper concentration are capable of inhibiting apoptotic signals, activating anti-apoptotic signals, and increasing the SSC population and viability. They prevent SSCs from damaging their cellular structure and apoptosis through a decrease in the level of oxidative stress, as their well-known and innate characteristics (
18).
Recent studies also demonstrate that vitamin C is associated with epigenetic reprogramming (
27). Suitable vitamin C doses blocked ROS generation and regulated the apoptosis signaling pathway (
28). Antioxidants have a possible mediating role in the expression of many factors associated with cell apoptosis, such as Bcl2 (
29). However, vitamin C acts as a growth promoter to improve cell proliferation and synthesis of DNA and is protective against ROS’s detrimental effects (
15).