Gao Peng-Chao, Tan Xiao-Hui, Xia Man-Cheng, Li Ke-Fan, Zhao Fang-Zhou, Ying Hong-Gang, Zhou Zhuo, Yuan Yi-Ming, Nan Tie-Gui, Guan Rui-Li
Department of Urology, Peking University First Hospital, Beijing 100034, PR China.
State Key Laboratory for Quality Ensurance and Sustainable Use of Dao-di Herbs, National Resource Center for Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing 100700, PR China.
Sex Med. 2025 Aug 6;13(4):qfaf059. doi: 10.1093/sexmed/qfaf059. eCollection 2025 Aug.
BACKGROUND: Erectile dysfunction (ED) is a significant health issue affecting the global male population, with a complex and multifaceted etiology. High-fat diet (HFD) is known to impair endothelial function and promote the development of ED. Hinokiflavone (HINO), a naturally occurring biflavonoid, has garnered attention for its notable antioxidant and anti-inflammatory activities, suggesting its potential therapeutic role in treating ED. AIM: This study aims to investigate the therapeutic effects and underlying mechanisms of HINO in HFD-induced ED. METHODS: Network pharmacology and molecular dynamics simulation were employed to predict relevant targets and analyze their binding kinetics. Rat corpus cavernosum endothelial cells (RCCECs) were treated with palmitic acid to induce metabolic dysfunction. The ED model was established by feeding male rats an HFD (60 kcal% fat). OUTCOMES: The primary outcomes were the target genes and pathways associated with HINO and the evaluation of its therapeutic potential in HFD-induced ED. RESULTS: Bioinformatics analyses identified the epidermal growth factor receptor (EGFR) and protein kinase B (Akt) as key molecular targets of HINO. Treatment with HINO promoted RCCEC proliferation, enhanced antioxidant activities, and increased nitric oxide production. The administration of HINO ameliorated erectile dysfunction, improved serum lipid profiles, and reduced oxidative stress in HFD-fed rats. The protective effects of HINO against endothelial dysfunction and impaired cell viability were mediated through modulation of the EGFR/PI3K/Akt/eNOS signaling pathway. CLINICAL TRANSLATION: The results provide a strong rationale for further investigation of HINO as a novel therapeutic agent for ED, with promising implications for future clinical applications. STRENGTHS AND LIMITATIONS: In this study, we found that HINO could mitigate HFD-induced ED. Limitations of the study include that the alternative mechanisms of HINO were not fully explored in these settings. CONCLUSIONS: Our findings underscore the pharmacological properties of HINO in the management of ED, particularly through the modulation of critical targets such as EGFR.
背景:勃起功能障碍(ED)是一个影响全球男性人口的重要健康问题,其病因复杂且多方面。已知高脂饮食(HFD)会损害内皮功能并促进ED的发展。扁柏黄酮(HINO)是一种天然存在的双黄酮,因其显著的抗氧化和抗炎活性而受到关注,表明其在治疗ED方面具有潜在的治疗作用。 目的:本研究旨在探讨HINO对高脂饮食诱导的ED的治疗作用及其潜在机制。 方法:采用网络药理学和分子动力学模拟来预测相关靶点并分析其结合动力学。用棕榈酸处理大鼠海绵体内皮细胞(RCCECs)以诱导代谢功能障碍。通过给雄性大鼠喂食高脂饮食(60千卡%脂肪)建立ED模型。 结果:主要结果是与HINO相关的靶基因和途径,以及评估其在高脂饮食诱导的ED中的治疗潜力。 结果:生物信息学分析确定表皮生长因子受体(EGFR)和蛋白激酶B(Akt)是HINO的关键分子靶点。用HINO处理可促进RCCEC增殖,增强抗氧化活性,并增加一氧化氮生成。给予HINO可改善高脂饮食喂养大鼠的勃起功能障碍,改善血脂谱,并降低氧化应激。HINO对内皮功能障碍和细胞活力受损的保护作用是通过调节EGFR/PI3K/Akt/eNOS信号通路介导的。 临床转化:这些结果为进一步研究HINO作为ED的新型治疗药物提供了有力依据,对未来的临床应用具有广阔前景。 优点和局限性:在本研究中,我们发现HINO可以减轻高脂饮食诱导的ED。本研究的局限性包括在这些情况下未充分探索HINO的其他机制。 结论:我们的研究结果强调了HINO在ED管理中的药理特性,特别是通过调节关键靶点如EGFR。
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