Kuwahara Tomohiro, Wada Yoshihiro, Takahashi Wataru, Yoshida Masaki, Iwashita Hitoshi, Kikukawa Hiroaki, Nakanishi Juro, Ueda Shoichi
Department of Urology, Kumamoto University School of Medicine, Honjo, Kumamoto, Japan.
Urol Int. 2003;71(4):399-407. doi: 10.1159/000074094.
We evaluated the effects of diabetes on nitric oxide-mediated relaxations and nitric oxide synthase activity in male rat corpus cavernosum smooth muscles.
Eight-week-old male rats were assigned to three groups: control (injected with the vehicle), DM (diabetes mellitus, induced by injection with 65 mg/kg streptozotocin), and TES (testosterone, testosterone supplemented after induction of diabetes). After 8 weeks, corpus cavernosum smooth muscle strips were mounted in an organ bath for isometric tension recordings. Electrical field stimulation (EFS, 2-ms pulse duration, 0.3-20 Hz and 3 s train) was applied to the strips precontracted with 30 microM phenylephrine. The microdialysis probe was inserted into the strip, and Krebs-Henseleit solution was perfused into the probe. The dialysate during EFS was collected, and the amount of NO(-)(2)/NO(-)(3) (NOx) released in the dialysate was measured by the Greiss method. Sodium nitroprusside (0.1 nM to 10 mM) and carbachol (1 nM to 10 mM) were cumulatively added to the strips precontracted with 30 microM phenylephrine.
EFS caused frequency-dependent relaxations and NOx releases of the strips. Pretreatment with N(omega)-nitro-L-arginine (100 microM) and tetrodotoxin (1 microM) completely inhibited the relaxations and NOx releases. The maximum relaxation was significantly greater in the DM group than in the control or TES group. The release of NOx was significantly greater in the DM group than in the control or TES group. Sodium nitroprusside, the endothelium-independent vasodilator, relaxed the tissues in all three groups. There were no significant differences among control, DM and TES groups in the maximum relaxation to sodium nitroprusside.
The present data suggest that diabetes enhances nitric oxide synthase activity and nitric oxide-mediated relaxations in the male rat corpus cavernosum by the reduced testosterone level in the diabetic animals.
我们评估了糖尿病对雄性大鼠阴茎海绵体平滑肌中一氧化氮介导的舒张作用及一氧化氮合酶活性的影响。
将8周龄雄性大鼠分为三组:对照组(注射赋形剂)、糖尿病组(通过注射65mg/kg链脲佐菌素诱导糖尿病)和睾酮组(糖尿病诱导后补充睾酮)。8周后,将阴茎海绵体平滑肌条安装在器官浴槽中进行等长张力记录。对用30μM去氧肾上腺素预收缩的肌条施加电场刺激(EFS,脉冲持续时间2ms,频率0.3 - 20Hz,串刺激持续3s)。将微透析探针插入肌条中,并向探针中灌注克雷布斯 - 亨氏液。收集EFS期间的透析液,采用格里斯方法测定透析液中释放的NO⁻₂/NO⁻₃(NOx)量。将硝普钠(0.1nM至10mM)和卡巴胆碱(1nM至10mM)累积添加到用30μM去氧肾上腺素预收缩的肌条中。
EFS引起肌条频率依赖性舒张和NOx释放。用Nⁿ-硝基-L-精氨酸(100μM)和河豚毒素(1μM)预处理可完全抑制舒张和NOx释放。糖尿病组的最大舒张幅度显著大于对照组或睾酮组。糖尿病组的NOx释放量显著大于对照组或睾酮组。硝普钠,一种不依赖内皮的血管舒张剂,使三组组织均发生舒张。对照组、糖尿病组和睾酮组对硝普钠的最大舒张反应无显著差异。
目前的数据表明,糖尿病通过降低糖尿病动物的睾酮水平,增强了雄性大鼠阴茎海绵体中的一氧化氮合酶活性及一氧化氮介导的舒张作用。