You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Basic Research1 Apr 20111124 PATHOPHYSIOLOGY OF PRIAPISM WITH VARIED DURATION: A NOVEL RAT MODEL STUDY USING THE MYOSIN II SPECIFIC INHIBITOR BLEBBISTATIN Xinhua Zhang, Arnold Melman, and Michael DiSanto Xinhua ZhangXinhua Zhang Camden, NJ More articles by this author , Arnold MelmanArnold Melman Bronx, NY More articles by this author , and Michael DiSantoMichael DiSanto Camden, NJ More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.721AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Priapism is an important but understudied and underfunded disease that is highly prevalent in the sickle cell population. The exact molecular basis for priapism remains unclear. Dog and rat models involving pharmacologically induced (e.g. papaverine) and vacuum-induced ischemia have been developed but do not fully recapitulate the human condition. Recently, transgenic mice have contributed to understanding this disorder, but weaknesses include low percent priapism, cost and unknown initiation/duration. Last year, we reported that blebbistatin (BLEB), a specific myosin II inhibitor, potently relaxed rat and human corpus cavernosum smooth muscle (CCSM) (J Sexual Med, 2009). Here, we validate a novel, extended duration BLEB-induced rat priapism model in which the penis can maintain erection for up to 4 days. METHODS BLEB was intracavernously injected (ICI) into adult rats. After 2h or 4h under anesthesia or 4d or 1wk in awake rats, intracavernous pressure (ICP) recording and histology (Hematoxylin & Eosin or Masson's Trichrome staining) were performed. Expression of molecules in major priapism-linked or well known CCSM contractile pathways was determined by Real-time RT-PCR. RESULTS ICI of 1.25 μmols BLEB induced priapism validated by visual full erection and ICP/MAP (∼0.75) up to 4d. At 2h & 4h, CC vasocongestion and ICP can almost be returned to baseline by flushing. Endothelial nitric oxide synthase (eNOS) expression decreased while phosphodiesterase V (PDE5), Rho-kinase alpha (ROKα), endothelin receptor A (ETA) and SM myosin heavy chain (SMMHC) increased. In contrast, 4d rat ICP is refractory to flushing exhibiting CC thrombosis and early fibrosis. eNOS, nNOS and endothelin receptor B (ETB) increased while PDE5, RhoA, ROKα, ETA, SMMHC and adrenergic receptors α1c & α1d decreased. At 1wk, there was severe fibroplasia preventing ICP recording and CC atrophy with SMMHC 10-fold decreased, TGFβ1 2.5-fold increased, NOS and ET receptors unchanged, ROKα/β and α1c decreased. Hypoxia inducible factor (HIF-1α) decreased at 4h but increased 2- and 4.5-fold at 4d and 1wk. CONCLUSIONS We established a novel, easily induced, long duration BLEB-induced rat priapism model. Importantly, this model showed CCSM contractile molecules upregulated and relaxation molecules downregulated with ICP reversible in the early compensated stage while these pathways were opposite (contraction decreased and relaxation increased with ICP irreversible) in the later decompensated stage with eventual severe fibrosis and atrophy. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e452 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Xinhua Zhang Camden, NJ More articles by this author Arnold Melman Bronx, NY More articles by this author Michael DiSanto Camden, NJ More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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