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FK506 and sildenafil promote erectile function recovery after cavernous nerve injury through antioxidative mechanisms.

FK506 and sildenafil promote erectile function recovery after cavernous nerve injury through antioxidative mechanisms. Research Abstract Details 

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  • FK506 and sildenafil promote erectile function recovery after cavernous nerve injury through antioxidative mechanisms. Abstract Text:

    gwen lagodaGwen Lagoda,liming jinLiming Jin,todd j lehrfeldTodd J Lehrfeld,tongyun liuTongyun Liu,arthur l burnettArthur L Burnett,

    INTRODUCTION: Immunophilin ligands and phosphodiesterase type 5 (PDE5) inhibitors are touted to promote erectile function recovery after cavernous nerve (CN) injury. However, the mechanisms for their effects remain unclear. AIM: To compare the erection recovery effects of the immunophilin ligand FK506 and the PDE5 inhibitor sildenafil after CN injury and determine whether they involve antioxidative and/or antiapoptotic mechanisms. METHODS: Initial experiments established conditions of our CN injury model in adult male Sprague-Dawley rats. Subsequently, we evaluated treatment effects 14 days after: (i) unilateral CN injury (UNI) + saline (vehicle control); (ii) UNI + FK506 (5 mg/kg once daily, subcutaneous x 5 days); (iii) UNI + sildenafil (20 mg/kg every 8 hours, subcutaneous x 7 days); (iv) UNI + FK506/sildenafil; and (v) sham surgery. MAIN OUTCOME MEASURES: Intracavernous pressure (ICP) measurement after CN electrical stimulation to assess erectile function and Western blot analysis of expressions of glutathione peroxidase (GPX; antioxidant enzyme), nitrotyrosine (NT; oxidative stress marker), and phosphorylated and total Akt (antiapoptotic factor) in penes. RESULTS: In the UNI model, GPX expression was increased at Days 1 and 7, while p-Akt expression decreased at Day 1 and returned to baseline at Day 7. GPX expression was significantly higher in the UNI + FK506 group compared with the saline-treated group (P < 0.05). ICP increased in all treatment groups compared with that of the saline-treated group (P < 0.05). NT levels were increased after saline treatment (P < 0.05) but not after FK506 and sildenafil treatment, alone or in combination. GPX was localized to nerves coursing through the penis and to smooth muscle and endothelium of the dorsal vein and arteries. CONCLUSIONS: Both FK506 and sildenafil protect erectile function after CN injury by decreasing oxidative stress-associated tissue damage. FK506 may act through increased GPX activity. Further research is required to elucidate mechanisms associated with the beneficial effect of sildenafil.

    FK506 and sildenafil promote erectile function recovery after cavernous nerve injury through antioxidative mechanisms. Publishing Authors By Initials

    g lagodaG Lagoda,l jinL Jin,tj lehrfeldTJ Lehrfeld,t liuT Liu,al burnettAL Burnett,

    For similar chemical actions and uses: pharmacologic actions: therapeutic uses: cardiovascular agents: vasodilator agents research abstracts see: chemical actions and uses: pharmacologic actions: therapeutic uses: cardiovascular agents: vasodilator agents research

    PUBMED ID PMID:

    MEDLINE DATE:

    FK506 and sildenafil promote erectile function recovery after cavernous nerve injury through antioxidative mechanisms. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: The journal of sexual medicine

    VOLUME: 4

    Page Numbers: 908-16

    Journal Abbreviation:

    ISSN: 1743-6095

    DAY: 3

    MONTH: Jul

    YEAR: 2007

    FK506 and sildenafil promote erectile function recovery after cavernous nerve injury through antioxidative mechanisms. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 101230693

    FK506 and sildenafil promote erectile function recovery after cavernous nerve injury through antioxidative mechanisms. Keywords Mesh Terms:

    KEYWORDS: Vasodilator Agents

    MESH TERMS: pharmacology

    Chemical & Substance for Abstract: FK506 and sildenafil promote erectile function recovery after cavernous nerve injury through antioxidative mechanisms. Information

    Substance Name: Nitric Oxide Synthase

    Registry Number: EC 1.14.13.39

    Grant and Affiliation Information for FK506 and sildenafil promote erectile function recovery after cavernous nerve injury through antioxidative mechanisms.

    AFFILIATION: Department of Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins Hospital, 600 N. Wolfe Street/Marburg 407, Baltimore, MD 21287, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NIDDK

    GRANT: DK 064679

    ACRONYM: DK

    MEDLINETA: J Sex Med

    REFSOURCE:

    DATABASENAME:

    ACCESSION NUMBER:

    Number Hits: 0

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