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植物制品治疗糖尿病相关性勃起功能障碍的疗效评估

Efficacy Evaluation of Plant Products in the Treatment of Erectile Dysfunction Related to Diabetes.

作者信息

Nobili Stefania, Lucarini Elena, Murzilli Stefania, Vanelli Arianna, Di Cesare Mannelli Lorenzo, Ghelardini Carla

机构信息

Department of Neurosciences, Imaging and Clinical Sciences, "G. d'Annunzio" University of Chieti-Pescara, Via L. Polacchi 11, 66100 Chieti, Italy.

Department of Neuroscience, Psychology, Drug Research and Child Health-Neurofarba-Section of Pharmacology and Toxicology, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy.

出版信息

Nutrients. 2021 Dec 17;13(12):4520. doi: 10.3390/nu13124520.

Abstract

Erectile dysfunction affects more than 50% of diabetic male patients, with a higher prevalence compared with the general population. Age, clinical factors, and lifestyle habits have been suggested to contribute to the pathophysiology and worsening of erectile dysfunction in diabetic patients. First- and second-line standard treatments are represented by phosphodiesterase type 5 (PDE5) inhibitors and alprostadil, respectively. However, natural compounds have been suggested to ameliorate this clinical condition. This study aims to preclinically characterize the potential synergism among plant-derived products for the improvement of erectile dysfunction in the diabetic condition. The effects of a nutritional supplement composed of , and rutin, as single agents or as a mixture, were evaluated in a streptozotocin (STZ)-induced diabetic rat model with erectile dysfunction. The treatment efficacy was evaluated by measuring sexual-related parameters (i.e., mount and intromission latencies, the mount and intromission frequencies and the ejaculation latency). Results showed that only the mixture was able to significantly reduce the diabetes-related delay in mount latency ( < 0.01). Substantial similar effects were observed by measuring the intromission latency and the mean number of mounts was very similar between rats treated with the mixture and controls. Single agent treatments showed very low effects in terms of intromission frequency, whereas the mixture was able to increase this parameter. Additionally, a statistically significant reduced ejaculation latency was observed in rats treated with the mixture compared with the STZ control. These results are in agreement with the available literature and suggest that the study mixture may ameliorate sexual behavior compared with the administration of the study natural compounds as single agents in diabetic rats. Further preclinical and clinical studies are needed to perform a more comprehensive evaluation of the efficacy and safety of the study mixture.

摘要

勃起功能障碍影响超过50%的糖尿病男性患者,其患病率高于普通人群。年龄、临床因素和生活习惯被认为与糖尿病患者勃起功能障碍的病理生理学及病情恶化有关。一线和二线标准治疗分别以5型磷酸二酯酶(PDE5)抑制剂和前列地尔为代表。然而,天然化合物已被认为可改善这种临床状况。本研究旨在临床前表征植物源产品之间改善糖尿病状态下勃起功能障碍的潜在协同作用。在链脲佐菌素(STZ)诱导的伴有勃起功能障碍的糖尿病大鼠模型中,评估了由 、 和芦丁组成的营养补充剂作为单一药物或混合物的效果。通过测量与性行为相关的参数(即爬跨潜伏期、插入潜伏期、爬跨频率、插入频率和射精潜伏期)来评估治疗效果。结果显示,只有混合物能够显著缩短与糖尿病相关的爬跨潜伏期(<0.01)。通过测量插入潜伏期观察到了类似的显著效果,并且用混合物治疗的大鼠与对照组之间的平均爬跨次数非常相似。单一药物治疗在插入频率方面显示出非常低的效果,而混合物能够增加这个参数。此外,与STZ对照组相比,用混合物治疗的大鼠射精潜伏期在统计学上显著缩短。这些结果与现有文献一致,并表明与在糖尿病大鼠中单独给予研究中的天然化合物相比,该研究混合物可能改善性行为。需要进一步的临床前和临床研究来对该研究混合物的疗效和安全性进行更全面的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd7/8707335/427deb430f49/nutrients-13-04520-g001.jpg

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