Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Research
  • Published:

Candesartan cilexetil protects cavernous tissue in spontaneously hypertensive rats

Abstract

In previous experiments, our group demonstrated morphological changes in erectile tissue from male spontaneously hypertensive rats (SHR). The present study was performed to determine whether an angiotensin II receptor blocker could protect cavernous tissue (CT) from these structural alterations in SHR. Male SHR and Wistar-Kyoto (WKY) rats were studied during 4 months. Rats were divided into three groups: SHR (n=10), SHR with candesartan cilexetil (n=10) and WKY rats (n=10). Candesartan cilexetil 7.5 mg/kg/day was administered orally throughout the study. CT was processed for pathology studies. The amount of (1) cavernous smooth muscle (CSM), (2) vascular smooth muscle (VSM), (3) collagen type III, and the rat endothelial cell antibody (RECA-1)/tunica media ratio in cavernous arteries were evaluated. SHR with candesartan cilexetil showed a lower blood pressure, a lower percentage of CSM, smaller VSM area, with a higher RECA-1/media ratio, and a lower percentage of collagen type III, when compared to untreated SHR. In addition, SHR showed a positive correlation between systolic blood pressure (SBP) and CSM amount (r=0.91; P<0.01), and SBP and the percentage of collagen type III (r=0.88; P<0.01); these correlations were not observed either in SHR treated with candesartan cilexetil or in WKY rats. We conclude that candesartan cilexetil provides a significant protective role against morphologic changes in vessels as well as in cavernous spaces of the erectile tissue, caused by high blood pressure, in SHR.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

References

  1. Feldman HA et al. Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts male aging study. Prev Med 2000; 30: 328–338.

    Article  CAS  Google Scholar 

  2. Feldman HA et al. Impotence and its medical and pshychosocial correlates: results of the male aging study. J Urol 1994; 151: 54–61.

    Article  CAS  Google Scholar 

  3. Ledda A . Cigarette smoking, hypertension and erectile dysfunction. Curr Med Res Opin 2000; 16(Suppl 1): S13–S16.

    Article  Google Scholar 

  4. Wei M et al. Total cholesterol and high density lipoprotein cholesterol as important predictors of erectile dysfunction. Am J Epidemiol 1994; 140: 930–937.

    Article  CAS  Google Scholar 

  5. Bansal S . Sexual dysfunction in hypertensive men. A critical review of the literature. Hypertension 1988; 12: 1–10.

    Article  CAS  Google Scholar 

  6. Burchardt M et al. Erectile dysfunction is a marker for cardiovascular complications and psychological functioning in men with hypertension. Int J Impot Res 2001; 13: 276–281.

    Article  CAS  Google Scholar 

  7. Levine LA . Diagnosis and treatment of erectile dysfunction. Am J Med 2000; 109(Suppl 9A): 3S–12S.

    Article  Google Scholar 

  8. Burchardt M et al. Hypertension is associated with severe erectile dysfunction. J Urol 2000; 164: 1188–1191.

    Article  CAS  Google Scholar 

  9. Johannes CB et al. Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study. J Urol 2000; 163: 460–463.

    Article  CAS  Google Scholar 

  10. Brock GB, Lue TF . Drug induced male sexual dysfunction. Drug Safety 1993; 8: 414–426.

    Article  CAS  Google Scholar 

  11. Toblli JE et al. Morphologic changes in cavernous tissue in spontaneously hypertensive rats. Am J Hypertens 2000; 13: 686–692.

    Article  CAS  Google Scholar 

  12. Chitaley K, Webb RC, Dorrance AM, Mills TM . Decreased penile erection in DOCA-salt and stroke prone-spontaneously hypertensive rats. Int J Impot Res 2001; 13 (Suppl 5): S16–S20.

    Article  Google Scholar 

  13. Gavras H . Update on the clinical pharmacology of candesartan cilexetil. Am J Hypertens 2000; 13(1 Pt 2): 25S–30S.

    Article  CAS  Google Scholar 

  14. Virag R . Impotence: a new field in angiology. Int Angiol 1984; 3: 217–219.

    Google Scholar 

  15. Benson CB, Vickers MA . Sexual impotence caused by vascular disease: diagnosis with duplex sonography. Am J Roentgenol 1989; 153: 1149–1152.

    Article  CAS  Google Scholar 

  16. Azadzoi KM, Goldstein I . Erectile dysfunction due to atherosclerotic vascular disease: the development of an animal model. J Urol 1992; 147: 1675–1681.

    Article  CAS  Google Scholar 

  17. Azadzoi KM, Siroky MB, Goldstein I . Study of etiologic relationship of arterial atherosclerosis to corporal veno-occlusive dysfunction in the rabbit. J Urol 1996; 155: 1795–1800.

    Article  CAS  Google Scholar 

  18. Azadzoi KM, Goldstein I, Siroky MB . Relationship between cavernosal ischemia and corporal veno-occlusive dysfunction in an animal model. J Urol 1997; 157: 1011–1017.

    Article  CAS  Google Scholar 

  19. Nitahara KS, Lue TF . Microscopic anatomy of the penis, chap 4. In: Carson C, Kirby R, Goldstein I (eds). Textbook of Erectile Dysfunction. Isis Medical Media Ltd: Oxford, UK, 1999, pp 31–41.

    Google Scholar 

  20. Andersson KE, Wagner G . Physiology of penile erection. Physiol Rev 1995; 75: 191–236.

    Article  CAS  Google Scholar 

  21. Wespes E et al. Computerized analysis of smooth muscle fibers in potent and impotent patients. J Urol 1991; 146: 1015–1017.

    Article  CAS  Google Scholar 

  22. Persson C et al. Correlation of altered penile ultrastructure with clinical arterial evaluation. J Urol 1989; 142: 1462–1468.

    Article  CAS  Google Scholar 

  23. Jevtich MJ, Khawand NY, Vidic B . Clinical significance of ultrastructural findings in the corpora cavernosa of normal and impotent men. J Urol 1990; 143: 289–293.

    Article  CAS  Google Scholar 

  24. Navar LG et al. Paracrine regulation of the renal microcirculation. Physiol Rev 1996; 76: 425–536.

    Article  CAS  Google Scholar 

  25. De Nicola L, Blantz RC, Gabbai FB . Nitric oxide and angiotensin II. Glomerular and tubular interaction in the rat. J Clin Invest 1992; 89: 1248–1256.

    Article  CAS  Google Scholar 

  26. Sigmon DH, Beierwaltes WH . Renal nitric oxide and angiotensin II interaction in renovascular hypertension. Hypertension 1993; 22: 237–242.

    Article  CAS  Google Scholar 

  27. Kifor I et al. Tissue angiotensin II as a modulator of erectile function. I. Angiotensin peptide content, secretion and effects in the corpus cavernosum. J Urol 1997; 157: 1920–1925.

    Article  CAS  Google Scholar 

  28. Park JK et al. Renin angiotensin system in rabbit corpus cavernosum: functional characterization of angiotensin II receptors. J Urol 1997; 158: 653–658.

    Article  CAS  Google Scholar 

  29. Bunkenburg B, van Amelsvoort T, Rogg H, Wood JM . Receptor-mediated effects of angiotensin II on growth of vascular smooth muscle cells from spontaneously hypertensive rats. Hypertension 1992; 20: 746–754.

    Article  CAS  Google Scholar 

  30. Jin XQ et al. Angiotensin II type 2 receptor gene transfer downregulates angiotensin II type 1a receptor in vascular smooth muscle cells. Hypertension 2002; 39: 1021–1027.

    Article  CAS  Google Scholar 

  31. Ling S et al. Matrix-dependent gene expression of egr-1 and PDGF A regulate angiotensin II-induced proliferation in human vascular smooth muscle cells. Hypertension 1999; 34: 1141–1146.

    Article  CAS  Google Scholar 

  32. Stanley AG, Patel H, Knight AL, Williams B . Mechanical strain-induced human vascular matrix synthesis: the role of angiotensin II. J Renin Angiotensin Aldosterone Syst 2000; 1: 32–35.

    Article  CAS  Google Scholar 

  33. Laursen JB et al. Role of superoxide in angiotensin-II-induced but not catecholamine-induced hypertension. Circulation 1997; 95: 588–593.

    Article  CAS  Google Scholar 

  34. Griendling KK et al. Angiotensin II stimulates NADH and NADPH oxidase activity in cultured smooth muscle cells. Circ Res 1994; 74: 1141–1148.

    Article  CAS  Google Scholar 

  35. Mancini JGB et al. Angiotensin converting enzyme inhibition with quinapril improves endothelial dysfunction in patients with coronary artery disease. Circulation 1996; 94: 258–265.

    Article  CAS  Google Scholar 

  36. Prasad A et al. Acute and chronic angiotensin-1 receptor antagonism reverses endothelial dysfunction in atherosclerosis. Circulation 2000; 101: 2349–2354.

    Article  CAS  Google Scholar 

  37. Schiffrin EL et al. Correlation of arterial structure and endothelial dysfunction in human essential hypertension by the angiotensin receptor antagonist losartan. Circulation 2000; 101: 1653–1659.

    Article  CAS  Google Scholar 

  38. Dorrance AM, Lewis RW, Mills TM . Captopril treatment reverses erectile dysfunction in stroke prone spontaneously hypertensive rats. Int J Impot Res 2002; 14: 494–497.

    Article  CAS  Google Scholar 

  39. Hale TM, Okabe H, Heaton JPW, Adams MA . Antihypertensive drugs induce structural remodeling of the penile vasculature. J Urol 2001; 166: 739–745.

    Article  CAS  Google Scholar 

  40. Kawamura M et al. TCV-116, a novel angiotensin II receptor antagonist, prevents intimal thickening and impairment of vascular function after carotid injury in rats. J Pharmacol Exp Ther 1993; 266: 1664–1669.

    CAS  PubMed  Google Scholar 

  41. Hara K et al. Effects of TCV-116 on endothelin-1 and PDGF A-chain expression in angiotensin II-induced hypertensive rats. Hypertens Res 2001; 24: 55–64.

    Article  CAS  Google Scholar 

  42. Kubo A et al. Inhibitory effect of an angiotensin II type 1 receptor antagonist on growth of vascular smooth muscle cells from spontaneously hypertensive rats. J Cardiovasc Pharmacol 1996; 27: 58–63.

    Article  CAS  Google Scholar 

  43. El Mabrouk M, Touyz RM, Schiffrin EL . Differential ANG II-induced growth activation pathways in mesenteric artery smooth muscle cells from SHR. Am J Physiol Heart Circ Physiol 2001; 281: H30–H39.

    Article  CAS  Google Scholar 

  44. Llisterri JL et al. Sexual dysfunction in hypertensive patients treated with losartan. Am J Med Sci 2001; 321: 336–341.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank Dr Peter Morsing, who kindly provided us with candesartan cilexetil in the present study, and the valuable contribution of Ana Uceda and Mariana Feldman, who helped with the preparation of laboratory experiments, and Jaquelina Mastantuono, who thoroughly reviewed the style of this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J E Toblli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Toblli, J., Stella, I., Mazza, O. et al. Candesartan cilexetil protects cavernous tissue in spontaneously hypertensive rats. Int J Impot Res 16, 305–312 (2004). https://doi.org/10.1038/sj.ijir.3901146

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijir.3901146

Keywords

This article is cited by

Search

Quick links