The effects of combined free radical scavenger and sildenafil therapy on age-associated erectile dysfunction: An animal model

Introduction: Aging results in erectile dysfunction that is partially attributed to decreased nitric oxide (NO) and increased free radical generation. Vitamin E enhances endothelial cell function and acts as a free radical scavenger; however, its benefits on erectile function in the elderly are unkn...

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Main Authors: Jason R Kovac, Ling DeYoung, Kyle J Lehmann, Eric Chung, Gerald B Brock
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Urology Annals
Subjects:
Online Access:http://www.urologyannals.com/article.asp?issn=0974-7796;year=2014;volume=6;issue=4;spage=314;epage=320;aulast=Kovac
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author Jason R Kovac
Ling DeYoung
Kyle J Lehmann
Eric Chung
Gerald B Brock
author_facet Jason R Kovac
Ling DeYoung
Kyle J Lehmann
Eric Chung
Gerald B Brock
author_sort Jason R Kovac
collection DOAJ
description Introduction: Aging results in erectile dysfunction that is partially attributed to decreased nitric oxide (NO) and increased free radical generation. Vitamin E enhances endothelial cell function and acts as a free radical scavenger; however, its benefits on erectile function in the elderly are unknown. Aims: The aim of the following study is to determine if Vitamin E alone, or in combination with the phosphodiesterase 5 inhibitor sildenafil, may improve erectile function and the NO signaling in a cohort of aged (13-15 month old) rats. Materials and Methods: Male Sprague-Dawley rats (n = 28) were divided based upon age into young (4-5 months old, n = 7) and aged (13-15 months old, n = 21) cohorts. Aged rats were treated with Vitamin E, sildenafil or a combination of both. Penile cavernosal and dorsal nerve tissues were evaluated for neuronal nitric oxide synthase (nNOS) and caveolin-1 expression. Erectile function was assessed through intra-cavernous pressure (ICP) recordings. Results: nNOS and cavoelin-1 were significantly decreased in aged rats compared with young controls. In aged rats, both Vitamin E and sildenafil partially recovered nNOS expression but when combined, a synergistic elevation in nNOS was observed. The significant decreases in ICP recorded in aged rats were improved with sildenafil; however, Vitamin E did not yield any additional improvements in ICP. Conclusions: Diminished levels of nNOS and caveolin-1 are found in aged rats. When combined with sildenafil, Vitamin E synergistically increased nNOS expression. Since biochemical gains were not realized physiologically, other contributing factors likely exist.
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spelling doaj.art-e7363701156e45c5a262eab4e78a00ea2022-12-22T01:31:30ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342014-01-016431432010.4103/0974-7796.140993The effects of combined free radical scavenger and sildenafil therapy on age-associated erectile dysfunction: An animal modelJason R KovacLing DeYoungKyle J LehmannEric ChungGerald B BrockIntroduction: Aging results in erectile dysfunction that is partially attributed to decreased nitric oxide (NO) and increased free radical generation. Vitamin E enhances endothelial cell function and acts as a free radical scavenger; however, its benefits on erectile function in the elderly are unknown. Aims: The aim of the following study is to determine if Vitamin E alone, or in combination with the phosphodiesterase 5 inhibitor sildenafil, may improve erectile function and the NO signaling in a cohort of aged (13-15 month old) rats. Materials and Methods: Male Sprague-Dawley rats (n = 28) were divided based upon age into young (4-5 months old, n = 7) and aged (13-15 months old, n = 21) cohorts. Aged rats were treated with Vitamin E, sildenafil or a combination of both. Penile cavernosal and dorsal nerve tissues were evaluated for neuronal nitric oxide synthase (nNOS) and caveolin-1 expression. Erectile function was assessed through intra-cavernous pressure (ICP) recordings. Results: nNOS and cavoelin-1 were significantly decreased in aged rats compared with young controls. In aged rats, both Vitamin E and sildenafil partially recovered nNOS expression but when combined, a synergistic elevation in nNOS was observed. The significant decreases in ICP recorded in aged rats were improved with sildenafil; however, Vitamin E did not yield any additional improvements in ICP. Conclusions: Diminished levels of nNOS and caveolin-1 are found in aged rats. When combined with sildenafil, Vitamin E synergistically increased nNOS expression. Since biochemical gains were not realized physiologically, other contributing factors likely exist.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2014;volume=6;issue=4;spage=314;epage=320;aulast=KovacAgingantioxidanterectile dysfunctionimpotencenitric oxidesildenafilvitamin E
spellingShingle Jason R Kovac
Ling DeYoung
Kyle J Lehmann
Eric Chung
Gerald B Brock
The effects of combined free radical scavenger and sildenafil therapy on age-associated erectile dysfunction: An animal model
Urology Annals
Aging
antioxidant
erectile dysfunction
impotence
nitric oxide
sildenafil
vitamin E
title The effects of combined free radical scavenger and sildenafil therapy on age-associated erectile dysfunction: An animal model
title_full The effects of combined free radical scavenger and sildenafil therapy on age-associated erectile dysfunction: An animal model
title_fullStr The effects of combined free radical scavenger and sildenafil therapy on age-associated erectile dysfunction: An animal model
title_full_unstemmed The effects of combined free radical scavenger and sildenafil therapy on age-associated erectile dysfunction: An animal model
title_short The effects of combined free radical scavenger and sildenafil therapy on age-associated erectile dysfunction: An animal model
title_sort effects of combined free radical scavenger and sildenafil therapy on age associated erectile dysfunction an animal model
topic Aging
antioxidant
erectile dysfunction
impotence
nitric oxide
sildenafil
vitamin E
url http://www.urologyannals.com/article.asp?issn=0974-7796;year=2014;volume=6;issue=4;spage=314;epage=320;aulast=Kovac
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