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Neuroprotective effects of melatonin on erectile dysfunction in streptozotocin-induced diabetic rats
Jiang-Lei Zhang1, Yu Hui1, Feng Zhou2
1Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.
Purpose:
To explore the neuroprotective effects and its possible mechanisms of melatonin (MT) on erectile dysfunction in streptozotocin-induced diabetic rats.
Methods:
Twenty-eight Sprague-Dawley rats received intraperitoneal injection of streptozotocin and 8 weeks later, the determined diabetic rats randomly got intraperitoneal injection of phosphate buffer solution (PBS) or MT. Another 12 normal rats received PBS treatment. Four weeks later, intracavernous pressure, mean arterial pressure, pathological changes in penis, and major pelvic ganglion (MPG) were measured. Malondialdehyde, superoxide dismutase, p38 and p-p38 levels in penis were detected.
Results:
Diabetic rats showed significant decreases of erectile function accompanied with serious neuropathy in dorsal penile nerve (DPN) and MPG, meanwhile collagen deposition, oxidative stress, and p-p38 levels in penis were elevated. Melatonin treatment partially but significantly improved the erectile function, ameliorated neuropathy in DPN and MPG, and decreased collagen deposition, oxidative stress, and p-p38 levels in diabetic rats.
Conclusions:
Melatonin treatment helps improve erectile function and ameliorate neuropathy and fibrosis in diabetic rats. These may be associated with reductions in oxidative stress, p38MAPK signaling pathway, and neuropathy.
Insights
Melatonin (MT) treatment improved erectile function in diabetic rats by reducing oxidative stress and nerve damage. This antioxidant effect may help combat diabetic complications affecting sexual health.
Area of Science:
- Neuroscience
- Endocrinology
- Urology
Background:
- Diabetic erectile dysfunction (ED) is a common complication linked to oxidative stress and neuropathy.
- Melatonin is a hormone with known antioxidant and anti-inflammatory properties.
Purpose of the Study:
- To investigate the neuroprotective effects of melatonin on erectile dysfunction in rats with streptozotocin-induced diabetes.
- To elucidate the underlying mechanisms, including oxidative stress and nerve damage.
Main Methods:
- Diabetic rats were induced using streptozotocin and treated with melatonin or a placebo.
- Erectile function, penile and major pelvic ganglion (MPG) pathology, and molecular markers of oxidative stress and inflammation were assessed.
- Key measurements included intracavernous pressure, mean arterial pressure, collagen deposition, and levels of malondialdehyde, superoxide dismutase, and p38/p-p38.
Main Results:
- Diabetic rats exhibited impaired erectile function, neuropathy in penile nerves and MPG, increased collagen, oxidative stress, and elevated p-p38 levels.
- Melatonin treatment significantly improved erectile function and ameliorated neuropathy and fibrosis in the penile tissues.
- Melatonin administration reduced oxidative stress markers and decreased p-p38 levels in diabetic rats.
Conclusions:
- Melatonin demonstrates neuroprotective effects, improving erectile function in diabetic rats.
- These benefits are likely mediated by reducing oxidative stress, inhibiting the p38 MAPK pathway, and mitigating neuropathy and fibrosis.
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