Podlasek C A, Zelner D J, Bervig T R, Gonzalez C M, McKenna K E, McVary K T
Department of Urology and Physiology Northwestern University Medical School Chicago, Illinois, USA.
J Urol. 2001 Aug;166(2):746-55.
Erectile dysfunction is a common pathological development in individuals with diabetes mellitus. Nitric oxide synthase (NOS) is essential for regulation of normal penile erection and NOS protein activity has been shown to be altered with diabetes. Several different isoforms and subtypes of NOS exist. However, little is known about how the distribution and abundance of these isoforms are altered with diabetes. We characterized the distribution and abundance of NOS isoforms and explored how they are altered with diabetes and result in erectile failure.
In situ hybridization and quantitative reverse transcriptase-polymerase chain reaction were done to measure the abundance and distribution of NOS-Ia, NOS-Ib, NOS-Ic, NOS-II and NOS-III in control and diabetic (BB/WOR) rats. Protein was localized by immunohistochemical analysis and alterations in protein abundance with diabetes were examined by Western blot analysis.
NOS-I, NOS-II and NOS-III were observed in the endothelium lining the cavernous spaces and in the epithelium of the urethra. NOS-I protein was also present in the nerves of control and diabetic penes. We observed an increase in NOS-II expression around the dorsal nerves of diabetic penes, a decrease in NOS-III expression in diabetic pelvic ganglia and a decrease in NOS-Ib expression in the diabetic penis. NOS-I protein abundance was significantly decreased in diabetic pelvic ganglia.
To our knowledge this is the first report of regional differences in the distribution of NOS-III in the urethra and altered NOS-Ib gene expression with diabetes.
勃起功能障碍是糖尿病患者常见的病理发展情况。一氧化氮合酶(NOS)对于正常阴茎勃起的调节至关重要,并且已表明NOS蛋白活性会因糖尿病而改变。存在几种不同的NOS同工型和亚型。然而,关于这些同工型的分布和丰度如何因糖尿病而改变,人们知之甚少。我们对NOS同工型的分布和丰度进行了表征,并探讨了它们如何因糖尿病而改变并导致勃起功能障碍。
采用原位杂交和定量逆转录聚合酶链反应来测量对照和糖尿病(BB/WOR)大鼠中NOS-Ia、NOS-Ib、NOS-Ic、NOS-II和NOS-III的丰度和分布。通过免疫组织化学分析对蛋白质进行定位,并通过蛋白质印迹分析检查糖尿病状态下蛋白质丰度的变化。
在海绵体腔内衬的内皮细胞和尿道上皮中观察到了NOS-I、NOS-II和NOS-III。NOS-I蛋白也存在于对照和糖尿病阴茎的神经中。我们观察到糖尿病阴茎背神经周围的NOS-II表达增加,糖尿病盆腔神经节中的NOS-III表达减少,以及糖尿病阴茎中的NOS-Ib表达减少。糖尿病盆腔神经节中NOS-I蛋白丰度显著降低。
据我们所知,这是关于尿道中NOS-III分布的区域差异以及糖尿病导致NOS-Ib基因表达改变的首次报道。