A mouse model of cavernous nerve injury-induced erectile dysfunction: Functional and morphological characterization of the corpus cavernosum

Hai Rong Jin, Yeun Goo Chung, Woo Jean Kim, Lu Wei Zhang, Shuguang Piao, Buyankhuu Tuvshintur, Guo Nan Yin, Sun Hwa Shin, Munkhbayar Tumurbaatar, Jee Young Han, Ji Kan Ryu, Jun Kyu Suh

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53 Scopus citations

Abstract

Introduction.: With the advent of genetically engineered mice, it seems important to develop a mouse model of cavernous nerve injury (CNI). Aim.: To establish a mouse model of CNI induced either by nerve crushing or by neurectomy and to evaluate time-dependent derangements in penile hemodynamics in vivo and subsequent histologic alterations in the cavernous tissue. Methods.: Twelve-week-old C57BL/6J mice were divided into 4 groups (N = 36 per group): control, sham operation, bilateral cavernous nerve crush, and bilateral cavernous neurectomy group. Main Outcome Measures.: Three days and 1, 2, 4, 8, and 12 weeks after CNI, erectile function was measured by electrical stimulation of the cavernous nerve. The penis was then harvested and TUNEL was performed. Immunohistochemical analysis was performed assaying for caspase-3, transforming growth factor-β1 (TGF-β1), phospho-Smad2, PECAM-1, factor VIII, and smooth muscle α-actin. The numbers of apoptotic cells and phospho-Smad2-immunopositive cells in endothelial cells or smooth muscle cells were counted. Results.: Erectile function was significantly less in the cavernous nerve crushing and neurectomy groups than in the control or sham group. This difference was observed at the earliest time point assayed (day 3) and persisted up to 4 weeks after nerve crushing and to 12 weeks after neurectomy. The apoptotic index peaked at 1 or 2 weeks after CNI and decreased thereafter. Cavernous TGF-β1 and phospho-Smad expression was also increased after CNI. The numbers of apoptotic cells and phospho-Smad2-immunopositive cells in cavernous endothelial cells and smooth muscle cells were significantly greater in the cavernous nerve crush and cavernous neurectomy groups than in the control or sham group. Conclusion.: The mouse is a useful model for studying pathophysiologic mechanisms involved in erectile dysfunction after CNI. Early intervention to prevent apoptosis in smooth muscle cells and endothelial cells or to inhibit cavernous tissue fibrosis is required to restore erectile function.

Original languageEnglish
Pages (from-to)3351-3364
Number of pages14
JournalJournal of Sexual Medicine
Volume7
Issue number10
DOIs
StatePublished - Oct 2010

Bibliographical note

Funding Information:
This work was supported by the Korea Science and Engineering Foundation (KOSEF) grant funded by the Korea government (MEST) (R0A-2007-000-20018-0, Jun-Kyu Suh). The authors thank Jennifer Holmes for help in preparing the manuscript.

Keywords

  • Animal Model
  • Erectile Dysfunction
  • Mouse
  • Radical Prostatectomy

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