Testosterone and Erection: Practical Management for the Patient with Erectile Dysfunction

Therapeutic potential of Mucuna pruriens (Linn.) on ageing induced damage in dorsal nerve of the penis and its implication on erectile function: an experimental study using albino rats

OBJECTIVE

To study the effect of ethanolic seed extract of Mucuna pruriens on damaged dorsal nerve of the penis (DNP) in aged rat in relation to penile erection.

METHODS

The rats were divided into four groups Young (3 months), Aged (24 - 28 months), Aged + M. pruriens, and Young + M. pruriens (200 mg/kg b.w/60 days) and were subjected to the hypophysial - gonadal axis, nerve conduction velocity (NCV), and penile reflex. DNP sections were stained with nitric oxide synthase (nNOS), nicotinamide adenine dinucleotide phosphate (NaDPH) diaphorase, androgen receptor (AR), and osmium tetroxide. Terminal deoxynucleotidyl transferase (TdT) dUTP Nick-End Labeling (TUNEL) staining, electron microscopy(EM) and histometric analyses were done.

RESULTS

Significant disturbance in hypophysial - gonadal axis was noted in aged rat. With reduced number of myelinated fibers, diameter, vacuolization, indentation of the myelin sheath, and degeneration. nNOS and its cofactor (NaDPH diaphorase) were reduced in aged rat DNP. NCV was slow in aged rats and concomitant poor penile reflex was also noted. AR showed reduced expression in aged rat DNP when compared to young and control groups. TUNEL positive cells were increased in aged rat DNP. These pathological changes were remarkably reduced or recovered in M. pruriens treated aged rats.

CONCLUSIONS

The results indicate a multi-factorial therapeutic activity in penile innervations towards sustaining the penile erection in the presence of the extract in aged rats and justifying the claim of traditional usage.

Down-regulation of murine testicular 17β-HSD3 and hepatic CYP1A2 enzymes by a bovine testes extract

Purpose

We investigated the effects of a bovine testes extract (BTE), which was developed as an alternative product for andropausal men, on expression of testicular enzymes responsible for sex hormone synthesis genes and a carcinogen activation related gene.

Methods

Expression of testicular CYP1A2, CYP11A1, CYP17, 3β-HSD, and 17β-HSD3 mRNAs as well as hepatic CYP1A2 mRNA were semi-quantitatively determined by RT-PCR. In addition, expression of hepatic CYP1A2 protein and methoxyresorufin O-demethylase activity were carried out.

Results

Bovine testes extract did not alter the testicular expression of CYP11A1, CYP17, and 3β-HSD mRNAs, while that of CYP11A1 was significantly down-regulated by testosterone. Interestingly, administration of BTE for 3 weeks significantly suppressed testicular 17β-HSD3 and hepatic CYP1A2 mRNA. Correspondingly, methoxyresorufin O-demethylase (MROD) activity and expression of hepatic CYP1A2 protein were significantly decreased.

Conclusions

These findings strongly suggested considering risks versus benefits and raised concerns regarding the use of BTE as an alternative medication or health supplement in andropausal men due to its potential for suppressing expression of both 17β-HSD3 and CYP1A2 mRNAs, testicular enzymes responsible for sex hormone gene synthesis.