Murray F T, Johnson R D, Sciadini M, Katovich M J, Rountree J, Jewett H
Department of Medicine, University of Florida, Gainesville 32610.
Am J Physiol. 1992 Jul;263(1 Pt 1):E151-7. doi: 10.1152/ajpendo.1992.263.1.E151.
The pituitary-testicular axis, penile reflexes, and copulatory behavior were studied in male BB diabetic rats from 10 to 40 wk of diabetes. Serum testosterone was diminished from 18 to 28 wk of diabetes, and the responses to human chorionic gonadotropin stimulation were blunted. Serum luteinizing hormone (LH) in diabetic rats did not differ from that of the control rats before or after LH-releasing hormone stimulation. Serum follicle-stimulating hormone and prolactin levels were also similar to controls. After 26 wk of diabetes, androgen-sensitive reproductive accessory organs were significantly reduced in size. This also was true for the androgen-sensitive bulbocavernosus and ischiocavernosus muscles. Penile reflexes in these animals from 20 to 32 wk of diabetes were consistently reduced in number and demonstrated prolonged latency. Copulatory behavior was evaluated in these animals at 25 and 28 wk of diabetes and revealed a reduced number of BB diabetic rats showing normal behavior at 25 wk of diabetes. At 28 wk of diabetes, mount latency, intromission latency, ejaculatory latency, and the postejaculatory interval were all prolonged compared with controls. In addition, the number of diabetic animals showing normal behavior was reduced compared with controls. These studies demonstrate that chronically BB diabetic rats develop diminished testosterone and erectile dysfunction that precedes ejaculatory dysfunction in a similar fashion as impotence in diabetic men. We suggest that further studies in this animal model may be critical to the better understanding and treatment of impotence in diabetic men.
对雄性BB糖尿病大鼠病程10至40周期间的垂体 - 睾丸轴、阴茎反射及交配行为进行了研究。糖尿病病程18至28周时血清睾酮水平降低,对人绒毛膜促性腺激素刺激的反应减弱。糖尿病大鼠在促黄体生成素释放激素刺激前后,血清促黄体生成素(LH)水平与对照大鼠无差异。血清促卵泡激素和催乳素水平也与对照相似。糖尿病26周后,雄激素敏感的生殖附属器官体积显著减小。雄激素敏感的球海绵体肌和坐骨海绵体肌也是如此。糖尿病病程20至32周的这些动物的阴茎反射次数持续减少,潜伏期延长。在糖尿病病程25周和28周时对这些动物的交配行为进行评估,结果显示在糖尿病病程25周时表现出正常行为的BB糖尿病大鼠数量减少。在糖尿病病程28周时,与对照相比,爬跨潜伏期、插入潜伏期、射精潜伏期及射精后间隔均延长。此外,与对照相比,表现出正常行为的糖尿病动物数量减少。这些研究表明,长期患BB糖尿病的大鼠会出现睾酮水平降低及勃起功能障碍,且勃起功能障碍先于射精功能障碍出现,这与糖尿病男性阳痿的情况类似。我们认为,对该动物模型进行进一步研究对于更好地理解和治疗糖尿病男性阳痿可能至关重要。