Miller M A, Morgan R J, Thompson C S, Mikhailidis D P, Jeremy J Y
Department of Urology, Royal Free Hospital Trust and School of Medicine, London, UK.
Br J Urol. 1994 Jul;74(1):106-11. doi: 10.1111/j.1464-410x.1994.tb16556.x.
To investigate the role of adenylate and guanylate cyclases in the mediation of erection in diabetic rats.
Hyperglycaemic diabetes mellitus was induced in 35 rats using streptozotocin. Two months later the penises and aortae of these rats were excised and cut into rings or segments before being treated with varying concentrations of acetylcholine (Ach), sodium nitroprusside (NaNP), prostaglandin E1 (PGE1) and adrenaline (AD). The levels of adenosine 3'5'-cyclic monophosphate (cAMP) and guanosine 3'5'-cyclic monophosphate (cGMP) so generated were measured by radioimmunoassay and the results compared with those from seven age-matched control rats that had not been given streptozotocin.
Ach-stimulated cGMP synthesis was impaired in the aortae in diabetic rats. Ach-stimulated cGMP synthesis was undetectable in the penis. NaNP-stimulated cGMP and PGE1-stimulated cAMP synthesis was enhanced in both the penises and aortae in diabetic rats compared with controls. AD-stimulated cAMP synthesis was enhanced in the aorta in diabetic rats compared with controls, but AD had no effect on cAMP synthesis in the penis.
Ach-stimulated nitric oxide (NO) synthesis is impaired in the vasculature of diabetic rats and an Ach-NO axis may not be present in the penis of the rat. The enhanced capacity of the penis and vasculature to generate cAMP and cGMP may constitute an adaptive response to counteract the reduction in receptor-linked NO release. Impaired adenylate or guanylate cyclase activity does not contribute to erectile dysfunction in diabetic rats.
研究腺苷酸环化酶和鸟苷酸环化酶在糖尿病大鼠勃起调节中的作用。
用链脲佐菌素诱导35只大鼠患高血糖型糖尿病。两个月后,切除这些大鼠的阴茎和主动脉,切成环或段,然后用不同浓度的乙酰胆碱(Ach)、硝普钠(NaNP)、前列腺素E1(PGE1)和肾上腺素(AD)进行处理。通过放射免疫分析法测定由此产生的3',5'-环磷酸腺苷(cAMP)和3',5'-环磷酸鸟苷(cGMP)水平,并将结果与7只未给予链脲佐菌素的年龄匹配对照大鼠的结果进行比较。
糖尿病大鼠主动脉中Ach刺激的cGMP合成受损。阴茎中未检测到Ach刺激的cGMP合成。与对照组相比,糖尿病大鼠阴茎和主动脉中NaNP刺激的cGMP和PGE1刺激的cAMP合成均增强。与对照组相比,糖尿病大鼠主动脉中AD刺激的cAMP合成增强,但AD对阴茎中的cAMP合成无影响。
糖尿病大鼠血管系统中Ach刺激的一氧化氮(NO)合成受损,大鼠阴茎中可能不存在Ach-NO轴。阴茎和血管系统产生cAMP和cGMP的能力增强可能构成一种适应性反应,以抵消受体相关NO释放的减少。腺苷酸或鸟苷酸环化酶活性受损对糖尿病大鼠勃起功能障碍无影响。