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Role of tumor necrosis factor alpha (TNF-a) in the pathophysiology of erectile dysfunction

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Author(s):
Fernando Silva Carneiro
Total Authors: 1
Document type: Doctoral Thesis
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Instituto de Ciências Biomédicas (ICB/SDI)
Defense date:
Examining board members:
Rita de Cassia Aleixo Tostes Passaglia; Carmita Helena Najjar Abdo; Lusiane Maria Bendhack; Gilberto de Nucci; Luciana Venturini Rossoni
Advisor: Rita de Cassia Aleixo Tostes Passaglia
Abstract

Erectile dysfunction (ED) has been linked to cardiovascular diseases (CVD), which are associated with endothelial dysfunction and increased levels of pro-inflammatory cytokines, such as tumor necrosis factor-alpha (TNF-a). We hypothesized that TNF-a impairs corpus cavernosum (CC) reactivity, which favors ED. The CC of TNF-a-infused animals displayed: 1) decreased non-adrenergic non-cholinergic (NANC)-mediated relaxation; 2) increased sympathetic nerve-mediated contraction; 3) decreased endothelial nitric oxide synthase (eNOS) and neuronal nitric oxide synthase (nNOS) gene expression. The CC of TNF-a knockout animals displayed increased endothelium-dependent and NANC-mediated relaxation as well as increased eNOS and nNOS expression. Contractile responses mediated by sympathetic nerves were decreased in the CC of TNF-a knockout animals. In summary, the present study shows that TNF-a plays a detrimental role in erectile function. Strategies that aim to reduce the levels of this cytokine may represent an alternative approach for ED treatment. (AU)