Abstract
Recent studies have suggested that contraction of the smooth muscle in the cavernosal arterioles and in the walls of the cavernosal sinuses is maintained by the RhoA/Rho-kinase signaling pathway. However, this contraction activity must be overcome to permit the vasorelaxation essential for erection. We postulate that nitric oxide (NO) causes erection primarily by inhibiting the RhoA/Rho-kinase pathway. The following will discuss evidence in support of the important role of Rho-kinase-mediated vasoconstriction in the nonerect penis and how NO overrides this Rho-kinase-mediated vasoconstriction to permit vasodilation and erection.
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Mills, T., Lewis, R., Wingard, C. et al. Vasoconstriction, RhoA/Rho-kinase and the erectile response. Int J Impot Res 15 (Suppl 5), S20–S24 (2003). https://doi.org/10.1038/sj.ijir.3901068
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DOI: https://doi.org/10.1038/sj.ijir.3901068
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