Erectile dysfunction: Pathophysiologic mechanisms pointing to underlying cardiovascular disease

被引:41
作者
Ganz, P [1 ]
机构
[1] Harvard Univ, Sch Med, Brigham & Womens Hosp, Boston, MA 02115 USA
关键词
D O I
10.1016/j.amjcard.2005.07.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Evidence exists that erectile dysfunction (ED) is analogous to endothelial dysfunction, a known precursor to atherosclerosis in terms of molecular mechanisms and underlying risk factors. These findings are discussed, along with the biologic underpinnings for the clinical observation that ED is an "early warning system" for atherosclerosis. Molecular mechanisms of ED as potential targets of novel therapies are considered, as well as the role of phosphodiesterase 5 inhibitors-currently the most effective treatment of ED-as promising therapies of cardiovascular diseases characterized by endothelial dysfunction. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:8M / 12M
页数:5
相关论文
共 43 条
[21]   Platelets, oxidant stress and erectile dysfunction: an hypothesis [J].
Jeremy, JY ;
Angelini, GD ;
Khan, M ;
Mikhailidis, DP ;
Morgan, RJ ;
Thompson, CS ;
Bruckdorfer, KR ;
Naseem, KM .
CARDIOVASCULAR RESEARCH, 2000, 46 (01) :50-54
[22]   Impaired brachial artery endothelium-dependent and -independent vasodilation in men with erectile dysfunction and no other clinical cardiovascular disease [J].
Kaiser, DR ;
Billups, K ;
Mason, C ;
Wetterling, R ;
Lundberg, JL ;
Bank, AJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (02) :179-184
[23]   Acute type 5 phosphodiesterase inhibition with sildenafil enhances flow-mediated vasodilation in patients with chronic heart failure [J].
Katz, SD ;
Balidemaj, K ;
Homma, S ;
Wu, H ;
Wang, J ;
Maybaum, S .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (03) :845-851
[24]   The effect of superoxide dismutase on nitric oxide-mediated and electrical field-stimulated diabetic rabbit cavernosal smooth muscle relaxation [J].
Khan, MA ;
Thompson, CS ;
Jeremy, JY ;
Mumtaz, FH ;
Mikhailidis, P ;
Morgan, RJ .
BJU INTERNATIONAL, 2001, 87 (01) :98-103
[25]   A NITRIC-OXIDE LIKE FACTOR MEDIATES NONADRENERGIC-NONCHOLINERGIC NEUROGENIC RELAXATION OF PENILE CORPUS CAVERNOSUM SMOOTH-MUSCLE [J].
KIM, N ;
AZADZOI, KM ;
GOLDSTEIN, I ;
DETEJADA, IS .
JOURNAL OF CLINICAL INVESTIGATION, 1991, 88 (01) :112-118
[26]   Involvement of superoxide radical in the impaired endothelium-dependent relaxation of cavernous smooth muscle in hypercholesterolemic rabbits [J].
Kim, SC ;
Kim, IK ;
Seo, KK ;
Baek, KJ ;
Lee, MY .
UROLOGICAL RESEARCH, 1997, 25 (05) :341-346
[27]   PDE5 inhibitor sildenafil citrate augments endothelium-dependent vasodilation in smokers [J].
Kimura, M ;
Higashi, Y ;
Hara, K ;
Noma, K ;
Sasaki, S ;
Nakagawa, K ;
Goto, C ;
Oshima, T ;
Yoshizumi, M ;
Chayama, K .
HYPERTENSION, 2003, 41 (05) :1106-1110
[28]   Targeting Rho in cardiovascular disease [J].
Laufs, U ;
Liao, JK .
CIRCULATION RESEARCH, 2000, 87 (07) :526-528
[29]   Importance of asking questions about erectile dysfunction [J].
Levine, LA ;
Kloner, RA .
AMERICAN JOURNAL OF CARDIOLOGY, 2000, 86 (11) :1210-+
[30]   Androgen-dependent nitric oxide release in rat penis correlates with levels of constitutive nitric oxide synthase isoenzymes [J].
Marin, R ;
Escrig, A ;
Abreu, P ;
Mas, M .
BIOLOGY OF REPRODUCTION, 1999, 61 (04) :1012-1016