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The effect of DA-8159 on corpus cavernosal smooth muscle relaxation and penile erection in diabetic rabbits

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Abstract

A previous study showed that DA-8159, a potent type 5 phosphodiesterase inhibitor, enhanced the relaxation of the smooth muscles in the normal rabbit corpus cavernosum. In this study, we investigated the in vitro effects of DA-8159 on cavernosal smooth muscle relaxation and the in vivo erectogenic potential in diabetic rabbits, since erectile dysfunction is a well-known sequela of diabetes mellitus. Diabetes mellitus was induced in male New Zealand White rabbits with alloxan monohydrate. Cavernosal strips from age-matched control and 8-week diabetic animals were mounted in organ baths. The relaxation responses to sodium nitroprusside (10-9∼10-5 M), a nitric oxide donor, were assessed in the presence or absence of DA-8159 (10-9∼10-6 M). For the penile erection test, DA-8159 was given orally (1~10 mg/kg) to diabetic rabbits and the length of the uncovered penile shaft was measured in a time-course manner in the presence or absence of intravenous sodium nitroprusside. The sodium nitroprusside-stimulated relaxations were significantly impaired in the corpus cavernosum from the diabetic group (IC50=1.07×10-6 M following 8 weeks of diabetes mellitus; compared with 0.48×10-6 M for age-matched controls). DA-8159 significantly and dose-dependently enhanced the sodium nitroprusside-stimulated relaxation in the diabetic groups. In addition, DA-8159 induced a dose-dependent penile erection in diabetic rabbits, which was potentiated by intravenous sodium nitroprusside. These results suggest that DA-8159 is an effective treatment for diabetic erectile dysfunction but further evaluation of the efficacy on human needs to be performed.

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References

  1. Saenz de Tejada I, Goldstein I, Azadzoi K, Krane RJ, Cohen RA (1989) Impaired neurogenic and endothelium mediated relaxation of penile smooth muscle from diabetic men with impotence. New Engl J Med 320:1025

    PubMed  Google Scholar 

  2. McCulloch DK, Campbell IW, Wu FC, Prescott RJ, Clarke BF (1980) The prevalence of diabetic impotence. Diabetologia 18:279

    Google Scholar 

  3. Murray FT, Wyss HU, Thomas RG, Spevack M, Glaros AG (1987) Gonadal dysfunction in diabetic men with organic impotence. J Clin Endocrinol Metabol 65:127

    Google Scholar 

  4. Utkan T, Yildirim MK, Yildirim S, Sarioglu Y (2001) Effects of the specific phosphodiesterase inhibitors on alloxan-induced diabetic rabbit cavernous tissue in vitro. Int J Impot Res 13:24

    Article  CAS  PubMed  Google Scholar 

  5. Vernet D, Cai L, Garban H, Murray FT, Rajfer J, Gonzalez-Cadavid NF (1995) Reduction of penile nitric oxide synthase in diabetic BB/WORdp (type 1) and BBZ/WORdp (type II) rats with erectile dysfunction. Endocrinol 136:5709

    Google Scholar 

  6. Kuan J, Brock G (2002) Selective phosphodiesterase type 5 inhibition using tadalafil for the treatment of erectile dysfunction. Expert Opinion Investigational Drugs 11:1605

    CAS  Google Scholar 

  7. Price DE, Gingell JC, Gepi-Attee S, Wareham K, Yates P, Boolell M (1998) Sildenafil: study of a novel oral treatment for erectile dysfunction in diabetic men. Diabet Med 15:821

    Google Scholar 

  8. Wagner G, Saenz de Tejada I (1998) Fortnightly review update on male erectile dysfunction. Brit Med Journal 316:678

    CAS  Google Scholar 

  9. Hellstrom WJ, Gittelman M, Karlin G, Segerson T, Thibonnier M, Taylor T, Padma-Nathan H (2002) Vardenafil for treatment of men with erectile dysfunction: efficacy and safety in a randomized, double-blind, placebo-controlled trial. J Androl 23:763

    CAS  PubMed  Google Scholar 

  10. Pryor J (2002) Vardenafil: update on clinical experience. Int J Impot Res 14:S65

    Article  PubMed  Google Scholar 

  11. Eardley I, Cartledge J (2002) Tadalafil (Cialis) for men with erectile dysfunction. Int J Clin Pract 56:300

    CAS  PubMed  Google Scholar 

  12. Doh H, Shin CY, Son M, Ko JI, Yoo M, Kim SH, Kim WB (2002) Mechanism of erectogenic effect of the selective phosphodiesterase type 5 inhibitor, DA-8159. Arch Pharmacol Res 25:873

    CAS  Google Scholar 

  13. Oh TY, Kang KK, Ahn BO, Yoo M, Kim WB (2000) Erectogenic effect of the selective phosphodiesterase type 5 inhibitor, DA-8159. Arch Pharmacol Res 23:471

    CAS  Google Scholar 

  14. Azodzoi KM, Saenz de Tejada I (1992) Diabetes mellitus impairs neurogenic and endothelium-dependent relaxation of rabbit corpus cavernosum smooth muscle. J Urol 148:1587

    PubMed  Google Scholar 

  15. Ayan S, Yildirim S, Ucar C, Sarioglu Y, Gultekin Y, Butuner C (1999) Corporal reactivity to adenosine and prostaglandin E1 in alloxan-induced diabetic rabbit corpus cavernosum, and the effect of insulin therapy. BJU Int 83:108

    Google Scholar 

  16. Dey J, Shepherd MD (2002) Evaluation and treatment of erectile dysfunction in men with diabetes mellitus. Mayo Clin Proc 77:276

    PubMed  Google Scholar 

  17. Francis SH, Turko IV, Corbin JD (2001) Cyclic nucleotide phosphodiesterases: relating structure and function. Prog Nucleic Acid Res Mol Biol 65:1

    CAS  PubMed  Google Scholar 

  18. Beavo JA (1995) Cyclic nucleotide phosphodiesterases: functional implications of multiple isoforms. Physiol Rev 75:725

    CAS  PubMed  Google Scholar 

  19. Juilfs DM, Soderling S, Burns F, Beavo JA (1999) Cyclic GMP as substrate and regulator of cyclic nucleotide phosphodiesterases (PDEs). Rev Physiol Biochem Pharmacol 135:67

    Google Scholar 

  20. Fawcett L, Baxendale R, Stacey P, McGrouther C, Harrow I, Soderling S, Hetman J, Beavo JA, Phillips SC (2000) Molecular cloning and characterization of a distinct human phosphodiesterase gene family: PDE11A. Proc Natl Acad Sci U S A 97:3702

    Google Scholar 

  21. Jeremy JY, Ballard SA, Naylor AM, Miller MA, Angelini GD (1997) Effects of sildenafil, a type-5 cGMP phosphodiesterase inhibitor, and papaverine on cyclic GMP and cyclic AMP levels in the rabbit corpus cavernosum in vitro. Br J Urol 79:958

    Article  CAS  PubMed  Google Scholar 

  22. Corbin JD, Francis SH (1999) Cyclic GMP phosphodiesterase-5: target of sildenafil. J Biol Chem 274:13729

    Article  CAS  PubMed  Google Scholar 

  23. Gopal VK, Francis SH, Corbin JD (2001) Allosteric sites of phosphodiesterase-5 (PDE5). A potential role in negative feedback regulation of cGMP signaling in corpus cavernosum. Eur J Biochem 268:3304

    Article  CAS  PubMed  Google Scholar 

  24. Boolell M, Allen MJ, Ballard SA, Gepi-Attee S, Muirhead GJ, Naylor AM, Osterloh IH, Gingell C (1996) Sildenafil: an orally active type 5 cyclic GMP-specific phosphodiesterase inhibitor for the treatment of penile erectile dysfunction. Int J Impot Res 8:47

    CAS  PubMed  Google Scholar 

  25. Uckert S, Kuthe A, Stief CG, Jonas U (2001) Phosphodiesterase isoenzymes as pharmacological targets in the treatment of male erectile dysfunction. World J Urol 19:14

    CAS  PubMed  Google Scholar 

  26. Hosogai N, Hamada K, Tomita M, Nagashima A, Takahashi T, Sekizawa T, Mizutani T, Urano Y, Kuroda A, Sawada K, Ozaki T, Seki J, Goto T (2001) FR226807: a potent and selective phosphodiesterase type 5 inhibitor. Eur J Pharmacol 428:295

    Article  CAS  PubMed  Google Scholar 

  27. Wallis RM, Corbin JD, Francis SH, Ellis P (1999) Tissue distribution of phosphodiesterase families and the effects of sildenafil on tissue cyclic nucleotides, platelet function, and the contractile responses of trabeculae carneae and aortic rings in vitro. Am J Cardiol 83:3C

    Google Scholar 

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Acknowledgements

This study was supported in part by a grant of the Korea Health 21 R&D Project, Ministry of Health & Welfare, Republic of Korea (02-PJ2-PG4-PT01-0024).

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Correspondence to Kyung Koo Kang.

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Kang, K.K., Choi, S.M., Ahn, G.J. et al. The effect of DA-8159 on corpus cavernosal smooth muscle relaxation and penile erection in diabetic rabbits. Urol Res 32, 107–111 (2004). https://doi.org/10.1007/s00240-003-0387-1

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