Hypoandrogenism and the mode of cell death in the penile cavernosum tissue of male rats.
- Author:
Xin ZHAO
1
;
Jing LI
2
;
Rui JIANG
1
Author Information
1. Department of Urology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, China.
2. Department of Surgery, Hejiang County Hospital of Traditional Chinese Medicine, Luzhou, Sichuan 646000, China.
- Publication Type:Journal Article
- Keywords:
hypoandrogenism;
erectile dysfunction;
pyroptosis;
apoptosis;
caspase;
rat
- MeSH:
Animals;
Male;
Penis/cytology*;
Rats;
Rats, Sprague-Dawley;
Apoptosis;
Caspase 3/metabolism*;
Caspase 1/metabolism*;
Testosterone/blood*;
Cell Death;
Orchiectomy
- From:
National Journal of Andrology
2025;31(4):291-299
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To study the mode of cell death in the penile cavernosum tissue of male rats in the hypoandrogenic state.
METHODS:We equally randomized 36 10-week-old SD male rats into six groups: 4-week sham-operation (4-wk SO), 8-week sham-operation (8-wk SO), 4-week castration (4-wk C), 8-week castration (8-wk C), 4-week castration + testosterone replacement (4-wk C+T), and 8-week castration + T replacement (8-wk C+T). The rats in the SO groups received incision of the scrotal skin with preservation of the testis and epididymis, those in the C groups underwent bilateral orchiectomy and epididymectomy, and those in the C+T groups were subcutaneously injected with T propionate at 3 mg/kg qd alt. We measured the ratio of maximum intracavernous pressure to mean arterial pressure (ICPmax/MAP), the concentration of serum T and the level of nitric oxide (NO), and determined the expressions of active caspase-1 and caspase-3 in the penile cavernosum of all the animals.
RESULTS:The ICPmax/MAP ratio, serum T and NO levels and smooth muscle / collagen ratio were significantly lower in the C than in the SO and C+T groups (all P<0.05). The rats in the 4-wk C group, compared with those in the SO group, showed dramatic increases in the rates of endothelial cell pyroptosis ([15.31 ± 0.55]% vs [0.78 ± 0.53]%, P<0.01), endothelial cell apoptosis ([16.32 ± 0.97]% vs [0.88 ± 0.39]%, P<0.01), total cell pyroptosis ([9.67 ± 0.49]% vs [1.53 ± 0.24]%, P<0.01) and total cell apoptosis ([11.27 ± 0.94]% vs [1.68 ± 0.15]%, P<0.01) in the penile cavernous tissue, and so did those of the 8-wk C group in the rates of endothelial cell pyroptosis ([27.37 ± 0.65]% vs [1.02 ± 0.65]%, P<0.01), endothelial cell apoptosis ([24.27 ± 0.54]% vs [1.00 ± 0.63]%, P<0.01), total cell pyroptosis ([14.85 ± 0.55]% vs [1.72 ± 0.52]%, P<0.01) and total cell apoptosis ([15.92 ± 0.53]% vs [1.27 ± 0.31]%, P<0.01). The rats of the 8-wk C group exhibited an even more significant elevation than those of the 4-wk C group in the rates of endothelial cell pyroptosis ([27.37 ± 0.65]% vs [15.31 ± 0.55]%, P<0.05) and endothelial cell apoptosis ([24.27 ± 0.54]% vs [16.32 ± 0.97]%, P<0.05) .
CONCLUSION:Pyroptosis and apoptosis are the main modes of death of endothelial cells in the penile cavernosum of male rats after 4 weeks of castration and, with the progression of the disease, both increase with minimally expressed caspase-1 and caspase-3 in the smooth muscle cells. Endothelial cells and smooth muscle cells have different modes of death in different stages of hypoandrogenism.