M. Ulhasan et al., EXPRESSION OF TGF-BETA-1 MESSENGER-RNA AND ULTRASTRUCTURAL ALTERATIONS IN PHARMACOLOGICALLY INDUCED PROLONGED PENILE ERECTION IN A CANINE MODEL, The Journal of urology, 160(6), 1998, pp. 2263-2266
Pupose: Transforming growth factor beta (TGF-beta) is known to induce
fibrosis. Our objective was to study the role of TGF-beta as a possibl
e mediator of fibrosis that may follow prolonged penile erection. Mate
rials and Methods: Prolonged penile erection was induced in seven adul
t male mongrel dogs by intracavernosal injection of papaverine into on
e of the corpora cavernosa while the other was used as a control. Intr
acavernosal pressure measurements were carried out prior to administra
tion of papaverine and at the end of the procedure. Penile tissue was
collected from anesthetized animals prior to euthanasia for histologic
al and electron microscopic (EM) studies. RT-PCR was carried out for d
etection of mRNA on same tissue samples. Results: The light microscopy
showed stasis of blood in the cavernosal sinusoids. EM studies reveal
ed sporadic endothelial defects, loss of plasma membrane integrity and
cytoplasmic condensation. There was expression of TGF-beta 1 mRNA in
66.7% of the experimental group compared with 16.7% of the control gro
up.Conclusions: Pharmacologically induced low flow prolonged penile er
ection in canine models is associated with histomorphological changes
in relatively short periods of time, suggesting that early therapeutic
intervention is desirable. The gene expression for TGF-beta 1 may be
a mediator of fibrosis; therefore the use of anti-TGF-beta agents pres
ents a possible tool for therapeutic intervention.