PMID- 32170840 OWN - NLM STAT- MEDLINE DCOM- 20210809 LR - 20210809 IS - 2047-2927 (Electronic) IS - 2047-2919 (Linking) VI - 8 IP - 5 DP - 2020 Sep TI - Intracavernous delivery of Dickkopf3 gene or peptide rescues erectile function through enhanced cavernous angiogenesis in the diabetic mouse. PG - 1387-1397 LID - 10.1111/andr.12784 [doi] AB - BACKGROUND: Severe peripheral angiopathy in patients with diabetes is a major contributing factor for low response rate to phosphodiesterase-5 inhibitors. OBJECTIVES: To examine whether and how Dickkopf3 (DKK3), a secreted modulator of the Wnt pathway that known to be involved in endothelial cell repair and vascular progenitor cell migration, restores erectile function in diabetic mice. METHODS: Eight-week-old C57BL/6 mice received intraperitoneal injections of streptozotocin (50 mg/kg for 5 days). Eight weeks after the diabetes was induced, the efficacy of DKK3 was determined by three independent experiments: experiment 1 (DKK3 peptide [5 mug in 20 muL PBS]); experiment 2 (DKK3 plasmid DNA with electroporation [10, 40, or 100 mug in 20 muL PBS, respectively]); and experiment 3 (DKK3 adenovirus [1 x 10(7) , 1 x 10(8) , 1 x 10(9) virus particles per 20 muL, respectively]). Erectile function was measured by electrical stimulation of the cavernous nerve one week (for peptide) or two weeks (for genes) after treatment. The angiogenic activity of DKK3 was determined in diabetic penis in vivo and in primary cultured mouse cavernous endothelial cells (MCECs) in vitro. RESULTS: The cavernous expression of DKK3 protein was significantly lower in the diabetic mice than in controls. DKK3 peptide or adenovirus significantly improved erectile function in diabetic mice (70% of the control values). DKK3 adenovirus profoundly restored cavernous endothelial cell and pericyte contents and increased endothelial junction proteins in diabetic mice in vivo. DKK3 peptide induced upregulation of angiogenic factors (angiopoietin-1, vascular endothelial growth factor, and basic fibroblast growth factor) and accelerated tube formation in MCECs cultivated under the high-glucose condition in vitro. CONCLUSION: DKK3 restored cavernous vascular integrity and improved erectile function in diabetic mice. Therapeutic cavernous angiogenesis by the use of DKK3 will be a promising therapeutic strategy to treat diabetic erectile dysfunction. CI - (c) 2020 American Society of Andrology and European Academy of Andrology. FAU - Song, Kang-Moon AU - Song KM AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon, Korea. FAU - Kim, Woo-Jean AU - Kim WJ AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon, Korea. AD - Department of Anatomy, Kosin University College of Medicine, Busan, Korea. FAU - Choi, Min-Ji AU - Choi MJ AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon, Korea. FAU - Limanjaya, Anita AU - Limanjaya A AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon, Korea. FAU - Ghatak, Kalyan AU - Ghatak K AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon, Korea. FAU - Minh, Nguyen Nhat AU - Minh NN AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon, Korea. FAU - Ock, Jiyeon AU - Ock J AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon, Korea. FAU - Yin, Guo Nan AU - Yin GN AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon, Korea. FAU - Hong, Soon-Sun AU - Hong SS AD - Department of Drug Development, Inha University School of Medicine, Incheon, 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, Korea. FAU - Ryu, Ji-Kan AU - Ryu JK AUID- ORCID: 0000-0003-0025-6025 AD - National Research Center for Sexual Medicine and Department of Urology, Inha University School of Medicine, Incheon, Korea. AD - Department of Urology, Inha University Hospital, Incheon, Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200410 PL - England TA - Andrology JT - Andrology JID - 101585129 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Dkk3 protein, mouse) SB - IM MH - Adaptor Proteins, Signal Transducing/*metabolism MH - Animals MH - Diabetes Mellitus, Experimental/*complications MH - Erectile Dysfunction/*etiology/*metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Neovascularization, Physiologic/*physiology MH - Penile Erection/physiology OTO - NOTNLM OT - Dickkopf3 OT - angiogenesis OT - diabetes mellitus OT - endothelial dysfunction OT - erectile dysfunction EDAT- 2020/03/15 06:00 MHDA- 2021/08/10 06:00 CRDT- 2020/03/15 06:00 PHST- 2020/02/21 00:00 [received] PHST- 2020/03/11 00:00 [accepted] PHST- 2020/03/15 06:00 [pubmed] PHST- 2021/08/10 06:00 [medline] PHST- 2020/03/15 06:00 [entrez] AID - 10.1111/andr.12784 [doi] PST - ppublish SO - Andrology. 2020 Sep;8(5):1387-1397. doi: 10.1111/andr.12784. Epub 2020 Apr 10.