Mesenchymal Stem Cells Enhance Vascular Endothelial Growth Factor-A, Endothelial Nitric Oxide Synthetase, and HSP70 Expression in Improving Erectile Dysfunction in Streptozotocin-induced Diabetic Rats
DOI:
https://doi.org/10.3889/oamjms.2021.7801Keywords:
Mesenchymal stem cells, Erectile dysfunction, Vascular endothelial growth factor A-A, Endothelial nitric oxide synthetase, HSP70Abstract
This study investigated the therapeutic role of mesenchymal stem cells (MSCs) on erectile function in a diabetes mellitus erectile dysfunction (DMED) rat model by analyzing the expression of endothelial nitric oxide synthetase (eNOS), vascular endothelial growth factor (VEGF), and the 70 kilodalton heat shock proteins (HSP70). MSCs were isolated from umbilical cords (UCs), and their characteristics identified by flow cytometry and osteogenic differentiation analysis. Thirty 8-week-old rats were divided into four groups: sham, control, T1, and T2. After a 16 h fast, 24 rats were randomly selected and intraperitoneally injected with streptozotocin (STZ) to induce DM. At 8 weeks after STZ injection, rats with DMED were classified into four groups, sham, control group [DMED rats received 500 μL phosphate buffer saline (PBS)]; T1 [DMED rats treated with 500 μL PBS containing 1 × 106 UC-MSCs]; T2 [DMED rats treated with 500 μL PBS containing 2 × 106 UC-MSCs]. Eight weeks after MSCs administration, the rats’ erectile function was measured by cavernous nerve stimulation. The blinded histological and gene expression assessment were used to analyze the eNOS, HSP70 content, and VEGF expression on the penile tissues. MSCs administration, rats in T1 and T2 groups showed a significant enhancement of erectile response that showed a trend of increase of VEGF mRNA level expression was 2.2 ± 0.61 in T2 Group supported with the optimum recovery of eNOS, in which the value of eNOS expression was 20.66% ± 2.32%. While optimum decrease of HSP70 content, the value of HSP70 expression was 15.50% ± 0.90%. IHC results showed that the DMED induction in rats caused a significant decrease of eNOS content in corpus cavernosum tissue. MSCs could ameliorate DMED in rats by increasing VEGF and decreasing HSP70 and eNOS, indicating these cells offer a potential application for DMED patients’ treatment.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Kouidrat Y, Pizzol D, Cosco T, Thompson T, Carnaghi M, Bertoldo A, et al. High prevalence of erectile dysfunction in diabetes: A systematic review and meta-analysis of 145 studies. Diabet Med. 2017;34(9):1185-92. https://doi.org/10.1111/dme.13403 PMid:28722225 DOI: https://doi.org/10.1111/dme.13403
Qiu X, Sun C, Yu W, Lin H, Sun Z, Chen Y, et al. Combined strategy of mesenchymal stem cell injection with vascular endothelial growth factor gene therapy for the treatment of diabetes-associated erectile dysfunction. J Androl. 2012;33(1):37-44. https://doi.org/10.2164/jandrol.110.012666 PMid:21311050 DOI: https://doi.org/10.2164/jandrol.110.012666
Davies KP. Development and therapeutic applications of nitric oxide-releasing materials. Future Sci OA. 2015;1(1):FSO50. https://doi.org/10.4155/FSO.15.50 PMid:28031864 DOI: https://doi.org/10.4155/fso.15.53
Chen S, Zhu J, Wang M, Huang Y, Qiu Z, Li J, et al. Comparison of the therapeutic effects of adipose-derived and bone marrow mesenchymal stem cells on erectile dysfunction in diabetic rats. Int J Mol Med. 2019;44(3):1006-14. https://doi.org/10.3892/ijmm.2019.4254 PMid:31257465 DOI: https://doi.org/10.3892/ijmm.2019.4254
Jin H, Kim WJ, Song JS, Choi MJ, Piao S, Shin SH, et al. Functional and morphologic characterizations of the diabetic mouse corpus cavernosum: Comparison of a multiple low-dose and a single high-dose streptozotocin protocols. J Sex Med. 2009;6(12):3289-304. https://doi.org/10.1111/j.1743-6109.2009.01464.x PMid:19732306 DOI: https://doi.org/10.1111/j.1743-6109.2009.01464.x
Zhang Y, Chen Z, Wang T, Yang J, Li R, Wang S, et al. Treatment of diabetes mellitus-induced erectile dysfunction using endothelial progenitor cells genetically modified with human telomerase reverse transcriptase. Oncotarget. 2016;7(26):39302-15. https://doi.org/10.18632/oncotarget.9909 PMid:27283992 DOI: https://doi.org/10.18632/oncotarget.9909
Wang H, Zhang K, Ruan Z, Sun D, Zhang H, Lin G, et al. Probucol enhances the therapeutic efficiency of mesenchymal stem cells in the treatment of erectile dysfunction in diabetic rats by prolonging their survival time via Nrf2 pathway. Stem Cell Res Ther. 2020;11(1):302. https://doi.org/10.1186/s13287-020-01788-3 PMid:32693824 DOI: https://doi.org/10.1186/s13287-020-01788-3
Kim SW, Zhu GQ, Bae WJ. Mesenchymal stem cells treatment for erectile dysfunction in diabetic rats. Sex Med Rev. 2020;8(1):114-21. https://doi.org/10.1016/j.sxmr.2019.09.003 PMid:31653438 DOI: https://doi.org/10.1016/j.sxmr.2019.09.003
Putra A, Rosdiana I, Darlan DM, Alif I, Hayuningtyas F, Wijaya I, et al. Intravenous administration is the best route of mesenchymal stem cells migration in improving liver function enzyme of acute liver failure. Folia Med (Plovdiv). 2020;62(1):52-8. https://doi.org/10.3897/folmed.e47712 PMid:32337897 DOI: https://doi.org/10.3897/folmed.62.e47712
Sungkar T, Putra A, Lindarto D, Sembiring RJ. Intravenous umbilical cord-derived mesenchymal stem cells transplantation regulates hyaluronic acid and interleukin-10 secretion producing low-grade liver fibrosis in experimental rat. Med Arch. 2020;74(3):177-82. https://doi.org/10.5455/medarh.2020.74.177-182 PMid:32801431 DOI: https://doi.org/10.5455/medarh.2020.74.177-182
Bae JH, Shrestha KR, Park YH, Kim IG, Piao S, Jung AR, et al. Comparison between subcutaneous injection of basic fibroblast growth factor-hydrogel and intracavernous injection of adipose-derived stem cells in a rat model of cavernous nerve injury. Urology. 2014;84(5):1248.e1-7. https://doi.org/10.1016/j.urology.2014.07.028 PMid:25443945 DOI: https://doi.org/10.1016/j.urology.2014.07.028
Darlan DM, Munir D, Jusuf NK, Putra A, Ikhsan R, Alif I. In vitro regulation of IL-6 and TGF-ß by mesenchymal stem cells in systemic lupus erythematosus patients. Med Glas (Zenica). 2020;17(2):408-13. https://doi.org/10.17392/1186-20 PMid:32602296
Putra A, Pertiwi D, Milla MN, Indrayani UD, Jannah D, Sahariyani M, et al. Hypoxia-preconditioned MSCs have superior effect in ameliorating renal function on acute renal failure animal model. Open Access Maced J Med Sci. 2019;7(3):305-10. https://doi.org/10.3889/oamjms.2019.049 PMid:30833992 DOI: https://doi.org/10.3889/oamjms.2019.049
Marino L, Castaldi MA, Rosamilio R, Ragni E, Vitolo R, Fulgione C, et al. Mesenchymal stem cells from the Wharton’s jelly of the human umbilical cord: Biological properties and therapeutic potential. Int J Stem Cells. 2019;12(2):218-26. https://doi.org/10.15283/ijsc18034 PMid:31022994 DOI: https://doi.org/10.15283/ijsc18034
Maron BA, Michel T. Subcellular localization of oxidants and redox modulation of endothelial nitric oxide synthase. Circ J. 2012;76(11):2497-512. https://doi.org/10.1253/circj.cj-12-1207 PMid:23075817 DOI: https://doi.org/10.1253/circj.CJ-12-1207
Jeon SH, Zhu GQ, Bae WJ, Choi SW, Jeong HC, Cho HJ, et al. Engineered mesenchymal stem cells expressing stromal cell-derived factor-1 improve erectile dysfunction in streptozotocin-induced diabetic rats. Int J Mol Sci. 2018;19(12):3730. https://doi.org/10.3390/ijms19123730 PMid:30477146 DOI: https://doi.org/10.3390/ijms19123730
Zhou F, Hui Y, Xin H, Xu Y De, Lei HE, Yang BC, et al. Therapeutic effects of adipose-derived stem cells-based microtissues on erectile dysfunction in streptozotocin-induced diabetic rats. Asian J Androl. 2017;19(1):91-7. https://doi.org/10.4103/1008-682X.182817 PMid:27345005 DOI: https://doi.org/10.4103/1008-682X.182817
Li T, Liu Y, Yu L, Lao J, Zhang M, Jin J, et al. Human umbilical cord mesenchymal stem cells protect against SCA3 by modulating the level of 70 kD heat shock protein. Cell Mol Neurobiol. 2018;38(3):641-55. https://doi.org/10.1007/s10571-017-0513-1 PMid:28667374 DOI: https://doi.org/10.1007/s10571-017-0513-1
Madrigal M, Rao KS, Riordan NH. A review of therapeutic effects of mesenchymal stem cell secretions and induction of secretory modification by different culture methods. J Transl Med. 2014;12(1):260. https://doi.org/10.1186/s12967-014-0260-8 PMid:25304688 DOI: https://doi.org/10.1186/s12967-014-0260-8
Fiori A, Terlizzi V, Kremer H, Gebauer J, Hammes HP, Harmsen MC, et al. Mesenchymal stromal/stem cells as potential therapy in diabetic retinopathy. Immunobiology. 2018;223(12):729-43 https://doi.org/10.1016/j.imbio.2018.01.001. PMid:29402461 DOI: https://doi.org/10.1016/j.imbio.2018.01.001
Heaton JP, Varrin SJ, Morales A. The characterization of a bio-assay of erectile function in a rat model. J Urol. 1991;145(5):1099-102. https://doi.org/10.1016/s0022-5347(17)38543-9 PMid:2016801 DOI: https://doi.org/10.1016/S0022-5347(17)38543-9
Wu Z, Wang H, Ni F, Jiang X, Xu Z, Liu C, et al. Islet transplantation improved penile tissue fibrosis in a rat model of Type 1 diabetes. BMC Endocr Disord. 2018;18(1):49. https://doi.org/10.1186/s12902-018-0276-9 DOI: https://doi.org/10.1186/s12902-018-0276-9
Costa-Beber LC, Hirsch GE, Heck TG, Ludwig MS. Chaperone duality: The role of extracellular and intracellular HSP70 as a biomarker of endothelial dysfunction in the development of atherosclerosis. Arch Physiol Biochem. 2020:1-8. https://doi.org/10.1080/13813455.2020.1745850 PMid:32293198 DOI: https://doi.org/10.1080/13813455.2020.1745850
Downloads
Published
How to Cite
License
Copyright (c) 2021 Ade Indra Mukti, Syafruddin Ilyas, Syah Mirsya Warli, Agung Putra, Nur Rasyid, Delfitri Munir, Kamal Basri Siregar, Muhammad Ichwan, Iffan Alif, Nurul Hidayah (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0