PMID- 32147433 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2050-1161 (Print) IS - 2050-1161 (Electronic) IS - 2050-1161 (Linking) VI - 8 IP - 2 DP - 2020 Jun TI - Effect of Icariside II and Metformin on Penile Erectile Function, Histological Structure, Mitochondrial Autophagy, Glucose-Lipid Metabolism, Angiotensin II and Sex Hormone in Type 2 Diabetic Rats With Erectile Dysfunction. PG - 168-177 LID - S2050-1161(20)30020-9 [pii] LID - 10.1016/j.esxm.2020.01.006 [doi] AB - INTRODUCTION: Type 2 diabetes mellitus erectile dysfunction (T2DMED) is one of the common complications of type 2 diabetes mellitus (T2DM). Icariside II (ICA II), a flavonoid derived from Epimedium, has been shown to improve erectile function in T2DMED rats. AIM: To investigate the effect of ICA II and metformin (MET) on penile erectile function, mitochondrial autophagy, glucose-lipid metabolism in rats with T2DMED. METHODS: In the control and T2DMED groups, rats were administered normal saline. In the MET group, rats were administered MET for 0.2 g/kg/day. In the ICA II+MET group, rats were administered ICA II for 10 mg/kg/day and MET for 0.2 g/kg/day. RESULTS: The number of mating rats, number of erectile rats, erection rate, erection frequency, intracorneal pressure, and intracorneal pressure/mean arterial pressure in the ICA II+MET group and control group were significantly higher than corresponding values in than T2DMED group. The absolute values of fasting plasma glucose, glycated haemoglobin in the ICA II+MET group, MET group, and control group were significantly lower than in the T2DMED group. The advanced glycation end product (AGE) values in the ICA II+MET group and the MET group were lower than in the T2DMED group. The receptors for the AGE values and angiotensin II values in the ICA II+MET group were lower than in the T2DMED and MET groups. The high-density lipoprotein values, testosterone values, nitric oxide synthase activity, and cyclic guanosine monophosphate content in the ICA II+MET and control groups were higher than in the T2DMED group. The low-density lipoprotein values, triglyceride values, estradiol values, and total cholesterol values in the ICA II+MET and control groups were lower than in the T2DMED group. CONCLUSION: ICA II could increase erectile function and smooth muscle cell/collagen fibril proportions, decreased mitochondrial autophagy, and AGE concentrations and improve lipid metabolism, nitric oxide synthase activity, cyclic guanosine monophosphate content, testosterone, estradiol, and Ang II in rat with T2DMED. Zhang J, Li S, Zhang S, et al. Effect of Icariside II and Metformin on Penile Erectile Function, Histological Structure, Mitochondrial Autophagy, Glucose-Lipid Metabolism, Angiotensin II and Sex Hormone in Type 2 Diabetic Rats With Erectile Dysfunction. J Sex Med 2020;8:168-177. CI - Copyright (c) 2020 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Zhang, Jian AU - Zhang J AD - Beijing Geriatric Hospital, Department of Urology, Beijing, China. FAU - Li, Shuang AU - Li S AD - Beijing Tong Ren Hospital, Capital Medical University, Department of Urology, Beijing, China. FAU - Zhang, Shiqing AU - Zhang S AD - Beijing Geriatric Hospital, Department of Urology, Beijing, China. FAU - Wang, Yonghui AU - Wang Y AD - Beijing Tong Ren Hospital, Capital Medical University, Department of Urology, Beijing, China. FAU - Jin, Shipeng AU - Jin S AD - Beijing Tong Ren Hospital, Capital Medical University, Department of Urology, Beijing, China. FAU - Zhao, Chunli AU - Zhao C AD - Affiliated Hospital of Hebei University, Department of Urology, Baoding, Hebei, China. FAU - Yang, Wenzeng AU - Yang W AD - Affiliated Hospital of Hebei University, Department of Urology, Baoding, Hebei, China. FAU - Liu, Yuexin AU - Liu Y AD - Beijing Tong Ren Hospital, Capital Medical University, Department of Urology, Beijing, China. Electronic address: doctorlyx@126.com. FAU - Kong, Guangqi AU - Kong G AD - Beijing Lu He Hospital, Capital Medical University, Department of Urology, Beijing, China. Electronic address: summerharvest11@163.com. LA - eng PT - Journal Article DEP - 20200305 PL - England TA - Sex Med JT - Sexual medicine JID - 101631053 PMC - PMC7261708 OTO - NOTNLM OT - Glucose-lipid Metabolism OT - Icariside Ⅱ OT - Mitochondrial Autophagy OT - Sex Hormone OT - Sexual function EDAT- 2020/03/10 06:00 MHDA- 2020/03/10 06:01 PMCR- 2020/03/05 CRDT- 2020/03/10 06:00 PHST- 2019/09/22 00:00 [received] PHST- 2020/01/07 00:00 [revised] PHST- 2020/01/27 00:00 [accepted] PHST- 2020/03/10 06:00 [pubmed] PHST- 2020/03/10 06:01 [medline] PHST- 2020/03/10 06:00 [entrez] PHST- 2020/03/05 00:00 [pmc-release] AID - S2050-1161(20)30020-9 [pii] AID - 10.1016/j.esxm.2020.01.006 [doi] PST - ppublish SO - Sex Med. 2020 Jun;8(2):168-177. doi: 10.1016/j.esxm.2020.01.006. Epub 2020 Mar 5.