PMID- 28540228 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220410 IS - 2223-4691 (Print) IS - 2223-4691 (Electronic) IS - 2223-4683 (Linking) VI - 6 IP - 2 DP - 2017 Apr TI - Research in pharmacotherapy for erectile dysfunction. PG - 207-215 LID - 10.21037/tau.2016.11.17 [doi] AB - Although oral phosphodiesterase-5 (PDE5) inhibitors are generally accepted as an effective therapy for erectile dysfunction (ED), men with ED from diabetes or radical prostatectomy respond poorly to these drugs. Many researchers have tried to develop novel therapeutics that target alternative molecular pathways. A group of therapeutics belongs to centrally acting agents that target dopamine and melanocortin receptors. The other one is the peripherally acting agents that target soluble guanylate cyclase, Rho-kinase pathway, and Maxi-K channel, etc. Also, a variety of preclinical studies by the application of biotherapies in the concept of therapeutic angiogenesis or neural regeneration as well as anti-fibrosis to regenerate damaged erectile tissue have been reported. This article will address the current therapeutic targets for ED under clinical or preclinical development, including pharmacotherapy and biotherapy which comprises protein therapy and gene therapy. In spite of numerous clinical trials that target alternative pathways, these agents have yet to reach the market. The results from preclinical studies targeting therapeutic angiogenesis, neural regeneration, and anti-fibrosis are promising. FAU - Ryu, Ji-Kan AU - Ryu JK AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon 400-711, Korea. FAU - Suh, Jun-Kyu AU - Suh JK AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon 400-711, Korea. FAU - Burnett, Arthur L AU - Burnett AL AD - Department of Urology, The James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. LA - eng PT - Journal Article PT - Review PL - China TA - Transl Androl Urol JT - Translational andrology and urology JID - 101581119 PMC - PMC5422707 OTO - NOTNLM OT - Erectile dysfunction (ED) OT - clinical trial OT - pharmacotherapy OT - preclinical studies COIS- Conflicts of Interest: The authors have no conflicts of interest to declare. EDAT- 2017/05/26 06:00 MHDA- 2017/05/26 06:01 PMCR- 2017/04/01 CRDT- 2017/05/26 06:00 PHST- 2017/05/26 06:00 [entrez] PHST- 2017/05/26 06:00 [pubmed] PHST- 2017/05/26 06:01 [medline] PHST- 2017/04/01 00:00 [pmc-release] AID - tau-06-02-207 [pii] AID - 10.21037/tau.2016.11.17 [doi] PST - ppublish SO - Transl Androl Urol. 2017 Apr;6(2):207-215. doi: 10.21037/tau.2016.11.17.