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他达拉非对慢性不可预测轻度应激诱导的雄性大鼠性行为的影响。

Effects of tadalafil on sexual behavior of male rats induced by chronic unpredictable mild stress.

作者信息

Wang Heng, Liu Xue, Zhang Ziheng, Han Ziyang, Jiang Yongsheng, Qiao Yu, Liu Tao, Chen Jianhuai, Chen Yun

机构信息

Department of Andrology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China.

Department of Reproductive Center, Affiliated Huai'an No. 1 People's Hospital of Nanjing Medical University, Huai'an 223001, China.

出版信息

Sex Med. 2023 May 26;11(2):qfad019. doi: 10.1093/sexmed/qfad019. eCollection 2023 Apr.

Abstract

BACKGROUND

Few studies have investigated psychogenic sexual dysfunction including psychogenic erectile dysfunction (pED); the effect of tadalafil on sexual behavior of male rats induced by chronic unpredictable mild stress (CUMS) remains unclear.

AIM

The aim was to explore the influence of CUMS on sexual behavior of male rats and the effects of tadalafil on that.

METHODS

Adult male rats were divided into 3 groups, including the normal group without CUMS, the model group with 6 weeks' CUMS, and the tadalafil group with treatment of tadalafil during CUMS. CUMS consists of water deprivation, food deprivation, stroboscopic lightning, white noise, cage tilting, weeding packing, and housing 2 unfamiliar rats. The apomorphine test and vaginal smear test were conducted with the aim to screen out male rats with good erectile function and make preparation for the sexual behavior test, respectively.

OUTCOMES

At the end of the study period, the level of anhedonia and sexual function were evaluated by the sucrose preference test, sexual behavior test, and measurement of serum testosterone, dopamine, and 5-HT.

RESULTS

Sucrose preference showed significant decrease in rats after CUMS. The intromission ratio and total intromission frequency decreased significantly, while the mount latency and ejaculation latency prolonged significantly in CUMS-induced rats when compared with normal rats. Meanwhile, the treatment of tadalafil reversed the level of anhedonia and sexual function in CUMS-induced rats. However, there were no statistical differences in the levels of serum testosterone, dopamine, and 5-HT among groups.

CLINICAL IMPLICATIONS

The study constructed an animal model that can provide clinical insights into the mechanism of psychogenic sexual dysfunction and supports the application of tadalafil in pED therapy.

STRENGTHS AND LIMITATIONS

We found that CUMS-induced rats exhibited anhedonia and poor sexual function that could be prevented by tadalafil administration. Future research needs to construct the standard of pED model and explore the mechanism of tadalafil on central nervous system.

CONCLUSION

Tadalafil could prevent the changes of depression and poor sexual function in rats induced by CUMS, and the method of CUMS and the sexual behavior test should be used in the future for pED modeling.

摘要

背景

很少有研究调查包括心因性勃起功能障碍(pED)在内的心因性性功能障碍;他达拉非对慢性不可预测轻度应激(CUMS)诱导的雄性大鼠性行为的影响尚不清楚。

目的

探讨CUMS对雄性大鼠性行为的影响以及他达拉非对此的作用。

方法

成年雄性大鼠分为3组,包括未接受CUMS的正常组、接受6周CUMS的模型组以及在CUMS期间接受他达拉非治疗的他达拉非组。CUMS包括禁水、禁食、频闪照明、白噪声、笼子倾斜、垫料更换以及与2只陌生大鼠同笼饲养。分别进行阿扑吗啡试验和阴道涂片试验,目的是筛选出勃起功能良好的雄性大鼠并为性行为试验做准备。

结果

在研究期结束时,通过蔗糖偏好试验、性行为试验以及血清睾酮、多巴胺和5-羟色胺的测定来评估快感缺失水平和性功能。

结果

CUMS后大鼠的蔗糖偏好显著降低。与正常大鼠相比,CUMS诱导的大鼠插入比例和总插入频率显著降低,而爬跨潜伏期和射精潜伏期显著延长。同时,他达拉非治疗逆转了CUMS诱导大鼠的快感缺失水平和性功能。然而,各组之间血清睾酮、多巴胺和5-羟色胺水平无统计学差异。

临床意义

该研究构建了一个动物模型,可为心因性性功能障碍的机制提供临床见解,并支持他达拉非在pED治疗中的应用。

优点和局限性

我们发现CUMS诱导的大鼠表现出快感缺失和性功能障碍,他达拉非给药可预防这些情况。未来的研究需要构建pED模型标准并探索他达拉非对中枢神经系统的作用机制。

结论

他达拉非可预防CUMS诱导大鼠出现的抑郁和性功能障碍变化,未来pED建模应采用CUMS方法和性行为试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a5e/10225468/bd8f348b4d24/qfad019f1.jpg

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