You have accessJournal of UrologyStem Cell Research1 Apr 2014PD8-11 TIME COURSE OF TREATMENT EFFECT OF AUTOLOGOUS ADIPOSE STROMAL VASCULAR FRACTION IN TYPE 2 DM RATS (ZFDM) WITH ERECTILE DYSFUNCTION Geehyun Song, Dalsan You, Bo Hyun Kim, Myoung Jin Jang, Choung-Soo Kim, and Tai Young Ahn Geehyun SongGeehyun Song More articles by this author , Dalsan YouDalsan You More articles by this author , Bo Hyun KimBo Hyun Kim More articles by this author , Myoung Jin JangMyoung Jin Jang More articles by this author , Choung-Soo KimChoung-Soo Kim More articles by this author , and Tai Young AhnTai Young Ahn More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.805AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Recent evidence suggests that adipose stromal vascular fraction (aSVF) may attenuate cavernosal destruction in diabetic erectile dysfunction (ED). However, so far, no study has investigated the effects of autologous aSVF on the time course of the structural, mechanical, and remodeling properties in diabetes ED. METHODS Thirty two 10-week old male type-II diabetic fa/fa Zucker Fatty Diabetes Mellitus (ZFDM) rats as DM group and ten fa/+ ZFDM lean rats as normal control group underwent weight and blood glucose measurement every one week. At age 22 weeks, in the DM group, intracavernosal (IC) injection of autologous aSVF (n=22) (2 X 106 cells/100μL) as DM treated group and PBS (n=10) (100μL) as DM control group, respectively. We evaluated IC pressure (ICP), mean arterial pressure (MAP), immunohistochemistry (vWF) and western blot (eNOS, nNOS) at 1d (n=3), 3d (n=3), 7d (n=3), 28d (n=10) and 56d (n=3) after IC injection of aSVF. RESULTS Blood glucose (BG) level and body weight (Bwt) steadily increased in DM group between age 10 and 22weeks. Differences in non-fasting BG level between DM and normal control group were evident as early as 11 weeks of age (fa/fa 349.0±123.0mg/dl vs. fa/+ 130.3±6.9mg/dl, p = 0.008), and were maintained until 22 weeks of age (fa/fa 353±189.2 mg/dl vs. fa/+ 124.0±10.9 mg/dl, p = 0.029). However, there were no differences in the Bwt because of same high fat diet. The ratio of maximal ICP and MAP (maxICP/MAP) were significantly increased in DM group treated with aSVF than DM control group treated with PBS after 7 days injecting aSVF and PBS, respectively. At 28 days, maxICP/MAP was shown maximum levels in DM group treated with aSVF. However, at 56 days, maxICP/MAP decreased significantly compared to DM group treated with aSVF at 28 days (0.81±0.13, 0.63±0.04, p=0.022). At days of 1, 3 and 28, vWF were gradually increased in penis of ZFDM rats (18.7 vs. 21.7 vs. 23.7, p=0.06). At 28 days, eNOS on western blot increased significantly from DM-control groups (23.6 vs. 32.8, p<0.001). However, at 28 days after injection of autologous aSVF, the level of nNOS expression in the penile dorsal nerves were similar with DM control and control groups. The rest of the histologic results are pending. CONCLUSIONS Intracavernous injection of aSVF gradually restored erectile function via regeneration of the destructed cavernous endothelium in Type 2 DM. However, in uncontrolled type 2 DM, the regenerative effect of aSVF may decrease after certain period of time functionally. Further investigations are needed on the time course of treatment effect with aSVF. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e221 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Geehyun Song More articles by this author Dalsan You More articles by this author Bo Hyun Kim More articles by this author Myoung Jin Jang More articles by this author Choung-Soo Kim More articles by this author Tai Young Ahn More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
Read full abstract