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超氧化物歧化酶对一氧化氮介导及电场刺激的糖尿病兔海绵体平滑肌舒张的影响。

The effect of superoxide dismutase on nitric oxide-mediated and electrical field-stimulated diabetic rabbit cavernosal smooth muscle relaxation.

作者信息

Khan M A, Thompson C S, Jeremy J Y, Mumtaz F H, Mikhailidis P, Morgan R J

机构信息

Department of Urology, Royal Free and University College Medical School (University College London), Royal Free Campus & The Royal Free Hampstead NHS Trust, London, UK.

出版信息

BJU Int. 2001 Jan;87(1):98-103. doi: 10.1046/j.1464-410x.2001.00965.x.

Abstract

OBJECTIVE

To investigate the effect of superoxide dismutase (SOD, the enzyme that accelerates the breakdown of the superoxide anion, O2- to H2O) on nitric oxide (NO)-mediated and electrical field stimulated (EFS) relaxation in diabetic rabbit cavernosal smooth muscle. Materials and methods Diabetes was induced with alloxan (65 mg/kg) in six adult New Zealand White rabbits. After 6 months, cavernosal smooth muscle strips from age-matched controls and diabetic animals were mounted in organ baths. After precontraction with phenylephrine (10 micromol/L) in the presence of atropine (1 micromol/L), guanethidine (5 micromol/L) and indomethacin (10 micromol/L), relaxation responses to EFS (1-20 Hz), carbachol (10(-8)-10(-4) mol/L) and sodium nitroprusside (SNP, 10(-9)-10(-4) mol/L) were assessed in the presence and absence of SOD (100 IU/mL).

RESULTS

SNP- and carbachol-mediated (endothelium-independent and -dependent, respectively) relaxations were impaired in the diabetic cavernosal smooth muscle strips compared with controls (concentration required for 50% inhibition, 1.4 micromol/L for diabetic and 0.75 micromol/L for control with SNP, and 44 micromol/L for diabetic and 0.4 micromol/L for control with carbachol). SOD significantly enhanced both SNP- and carbachol-mediated diabetic cavernosal smooth muscle relaxations (both P < 0.05). EFS-mediated relaxations were also significantly (P < 0.05) impaired in the diabetic cavernosal smooth muscle strips; these relaxations were also significantly (P < 0.05) enhanced by SOD.

CONCLUSION

NO- and EFS-mediated cavernosal smooth muscle relaxation is impaired in a rabbit model of diabetes but SOD significantly reversed the impaired relaxation. Therefore, in diabetes, the generation of reactive oxygen species may play an important role in the development of erectile dysfunction.

摘要

目的

研究超氧化物歧化酶(SOD,一种能加速超氧阴离子O₂⁻分解为H₂O的酶)对糖尿病兔海绵体平滑肌中一氧化氮(NO)介导的及电场刺激(EFS)诱导的舒张作用。材料与方法:用四氧嘧啶(65mg/kg)诱导6只成年新西兰白兔患糖尿病。6个月后,将年龄匹配的对照动物和糖尿病动物的海绵体平滑肌条安装在器官浴槽中。在存在阿托品(1μmol/L)、胍乙啶(5μmol/L)和吲哚美辛(10μmol/L)的情况下,用去氧肾上腺素(10μmol/L)预收缩后,在有和没有SOD(100IU/mL)的情况下,评估对EFS(1 - 20Hz)、卡巴胆碱(10⁻⁸ - 10⁻⁴mol/L)和硝普钠(SNP,10⁻⁹ - 10⁻⁴mol/L)的舒张反应。

结果

与对照相比,糖尿病海绵体平滑肌条中SNP介导的(分别为非内皮依赖性)和卡巴胆碱介导的(内皮依赖性)舒张功能受损(50%抑制所需浓度,糖尿病组用SNP时为1.4μmol/L,对照组为0.75μmol/L;糖尿病组用卡巴胆碱时为44μmol/L,对照组为0.4μmol/L)。SOD显著增强了糖尿病海绵体平滑肌中SNP介导的和卡巴胆碱介导的舒张作用(均P < 0.05)。糖尿病海绵体平滑肌条中EFS介导的舒张也显著受损(P < 0.05);SOD也显著增强了这些舒张作用(P < 0.05)。

结论

在糖尿病兔模型中,NO介导的和EFS介导的海绵体平滑肌舒张功能受损,但SOD显著逆转了受损的舒张。因此,在糖尿病中,活性氧的产生可能在勃起功能障碍的发生发展中起重要作用。

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