Numao Noboru, Masuda Hitoshi, Sakai Yasuyuki, Okada Youhei, Kihara Kazunori, Azuma Hiroshi
Department of Urology, Tokyo Medical and Dental University, Yushima, Tokyo, Japan.
BJU Int. 2007 Jun;99(6):1495-9. doi: 10.1111/j.1464-410X.2007.06860.x. Epub 2007 Apr 8.
To investigate whether changes in neuronal nitric oxide synthase (nNOS) protein expression and arginase activity are implicated in impairing the neurogenic cavernosal relaxation in aged rabbits, as NO is important in the neurogenic relaxation of corpus cavernosum during the erectile state.
Cavernosal specimens of young adult (3-6 months old) and aged (36-48 months old) rabbits were used for isometric tension experiments, Western blot analysis, cGMP determination and measurements of NOS and arginase activities.
The neurogenic relaxation and cGMP production in response to electrical-field stimulation were significantly impaired in aged cavernosal specimens. Western blot analysis showed that nNOS protein was highly expressed in cavernosal specimens from young rabbits, but was undetectable or greatly decreased in old rabbits, with no change in overall NOS activity. Arginase activity in aged cavernosal specimens was significantly higher than in young rabbits. Supplementing with excess l-arginine, or giving S-(2-boronoethyl)-l-cysteine as an arginase inhibitor, significantly increased the neurogenic relaxation at lower frequencies only in the younger rabbits.
These results suggest that impairment of neurogenic and NO-mediated relaxation in the aged corpus cavernosum possibly results from the down-regulation of nNOS protein. The reduced l-arginine bioavailability to nNOS due to accelerated arginase activity would lead to further impairment of neurogenic NO production, in concert with decreased nNOS protein expression.
鉴于一氧化氮(NO)在勃起状态下海绵体神经源性舒张中起重要作用,研究神经元型一氧化氮合酶(nNOS)蛋白表达变化和精氨酸酶活性是否与老年兔海绵体神经源性舒张功能受损有关。
使用年轻成年(3 - 6个月大)和老年(36 - 48个月大)兔的海绵体标本进行等长张力实验、蛋白质免疫印迹分析、环磷酸鸟苷(cGMP)测定以及一氧化氮合酶(NOS)和精氨酸酶活性测量。
老年海绵体标本中,电场刺激引起的神经源性舒张和cGMP生成显著受损。蛋白质免疫印迹分析显示,nNOS蛋白在年轻兔海绵体标本中高表达,但在老年兔中未检测到或显著降低,而总体NOS活性无变化。老年海绵体标本中的精氨酸酶活性显著高于年轻兔。仅在年轻兔中,补充过量的L - 精氨酸或给予精氨酸酶抑制剂S -(2 - 硼乙基)- L - 半胱氨酸,仅在较低频率下显著增加神经源性舒张。
这些结果表明,老年海绵体神经源性和NO介导的舒张功能受损可能是由于nNOS蛋白下调所致。精氨酸酶活性加速导致nNOS可利用的L - 精氨酸生物利用度降低,这将与nNOS蛋白表达降低协同导致神经源性NO生成进一步受损。