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移植KCNMA1修饰的骨髓间充质干细胞疗法治疗糖尿病性勃起功能障碍。

Transplantation KCNMA1 modified bone marrow-mesenchymal stem cell therapy for diabetes mellitus-induced erectile dysfunction.

作者信息

He Y, He W, Qin G, Luo J, Xiao M

机构信息

Department of Urology, the First Affiliated Hospital, Chongqing Medical University, Chongqing, China; Chongqing Key Laboratory of Neurology, the First Affiliated Hospital, Chongqing Medical University, Chongqing, China; Department of Urology, Suining Central Hospital, Sichuan, China.

出版信息

Andrologia. 2014 Jun;46(5):479-86. doi: 10.1111/and.12104. Epub 2013 May 6.

Abstract

This study assessed the effect of KCNMA1 transfected bone marrow-mesenchymal stem cells (BM-MSCs) on the improvement of erectile function in diabetic rats. Sixty male Sprague-Dawley rats were injected with streptozotocin (STZ) and screened with apomorphine (APO) to establish diabetes mellitus-induced erectile dysfunction (DMED). DMED rats were randomly divided into four groups: rats in each group underwent intracavernous injection with either phosphate buffer solution (DMED+PBS), nontransfected MSCs (DMED+MSCs), empty vector transfected MSCs (DMED+null-MSCs) or KCNMA1 transfected MSCs (DMED+KCNMA1-MSCs). Before injection, high levels of KCNMA1 expression were confirmed in KCNMA1-MSCs using RT-PCR and Western blotting. The lentivirus transfected MSCs maintained their potential for multidirectional differentiation. Four weeks after injection, erectile function was ascertained by measuring intracavernous pressure (ICP). Penile tissues were collected for immunohistochemical analysis. The expression of KCNMA1 in the corpus cavernosum was increased, and the DMED+KCNMA1-MSCs group displayed a significant improvement of erectile function. We concluded that KCNMA1 was able to enhance the positive effect of MSCs in the treatment of diabetes-associated erectile dysfunction.

摘要

本研究评估了转染KCNMA1的骨髓间充质干细胞(BM-MSCs)对改善糖尿病大鼠勃起功能的作用。将60只雄性Sprague-Dawley大鼠注射链脲佐菌素(STZ)并用阿扑吗啡(APO)进行筛选,以建立糖尿病诱导的勃起功能障碍(DMED)。将DMED大鼠随机分为四组:每组大鼠进行海绵体内注射,分别注射磷酸盐缓冲溶液(DMED+PBS)、未转染的MSCs(DMED+MSCs)、空载体转染的MSCs(DMED+空载体-MSCs)或KCNMA1转染的MSCs(DMED+KCNMA1-MSCs)。注射前,使用RT-PCR和蛋白质印迹法在KCNMA1-MSCs中证实了高水平的KCNMA1表达。慢病毒转染的MSCs保持了其多向分化潜能。注射后四周,通过测量海绵体内压(ICP)确定勃起功能。收集阴茎组织进行免疫组织化学分析。海绵体中KCNMA1的表达增加,并且DMED+KCNMA1-MSCs组的勃起功能有显著改善。我们得出结论,KCNMA1能够增强MSCs在治疗糖尿病相关性勃起功能障碍中的积极作用。

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