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Departments of 1 Urology and 2 Physiology and Biophysics, Institute for Smooth Muscle Biology, Albert Einstein College of Medicine, Bronx, New York 10461
Alterations in the nitric
oxide (NO)/cGMP levels in hypothalamic nuclei, including the medial
preoptic area (MPOA), regulate critical aspects of sexual behavior and
penile reflexes. However, the effects of altered central nervous system
(CNS) NO/cGMP levels at the end organ level, that is, on the
magnitude/quality of the erection so achieved [intracavernous pressure
(ICP) response], has yet to be evaluated. The goal of this report was
to evaluate the effects of intrathecal administration of modulators of
NO and cGMP levels on ICP responses to stimulation of the MPOA and cavernous nerve in rats in vivo. In all cases, intrathecal
administration of compounds that increase and decrease cGMP and NO
levels, respectively, was associated with corresponding increases and
decreases in the MPOA-stimulated ICP response. Specifically, sodium
nitroprusside (SNP), 8-bromo-cGMP, and sildenafil increased the
MPOA-stimulated ICP response, whereas
N
-nitro-L-arginine methyl ester
reduced it. None of the intrathecal treatments had detectable effects
on blood pressure or the cavernous nerve-stimulated ICP response,
although intravenous sildenafil increased the latter. These data
clearly indicate that intrathecal drug administration affects central
and not peripheral neural mechanisms and, moreover, documents that CNS
NO/cGMP levels can affect erectile capacity per se (i.e., ICP) in the
rat model.
nitric oxide; guanosine 3',5'-cyclic monophosphate; rat; erection
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