The relaxant effect of methanolic extract of yohimbe bark (Pausinystalia yohimbe) on rabbit corpus cavernosum smooth muscles

Abstract

Background: Development and maintenance of penile erection requires the relaxation of corpus cavernosum smooth muscle (CCSM) cells and it is essentially mediated by nitric oxide (NO). Pausinystalia yohimbe bark is traditionally used for the treatment of erectile dysfunction (ED). Objectives and Methods: This study aimed to evaluate the effects of the methanolic extract of P. yohimbe bark (10 mg/ml) on isolated rabbit corpus cavernosum smooth muscle (CCSM). Results: Methanolic extract of P. yohimbe bark blocked contractions in CCSM induced by adrenergic agonists, through facilitating NO release from the endothelial cells. Conclusion: The obtained results revealed that, methanolic extract of P. yohimbe bark caused relaxation of CCSM that validates its traditional aphrodisiac property, thus it could be used to initiate and maintain erection in cases of erectile dysfunction.

Share and Cite:

Hozeifa, M. , Eldin, I. , Elhadi, M. , Elwahab, H. and Nizar, S. (2012) The relaxant effect of methanolic extract of yohimbe bark (Pausinystalia yohimbe) on rabbit corpus cavernosum smooth muscles. Health, 4, 656-659. doi: 10.4236/health.2012.49103.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Kandeel, R.F., Koussa, V.K.T. and Swerdloff, R.S. (2001) Male sexual function and its disorders: Physiology, pathophysiology, clinical investigation and treatment. Endocrine Reviews, 22, 342-388. doi:10.1210/er.22.3.342
[2] Koda-Kimble, M.A., Lloyd, Y.Y., Alldredge, B.K., Corelli, R.L., Guglielmo, J.B., Kradjan, W.A. and Williams, B.R. (2009) Applied therapeutics: The clinical use of drugs. 9th Edition, Lippincott Williams & Wilkins, Philadelphia.
[3] Fecik, S.E. (1998) Drug-induced sexual dysfunction. Medical Update for Psychiatrists, 3, 176-181. doi:10.1016/S1082-7579(98)00024-7
[4] Carson, C.C. (2000). Erectile dysfunction: Diagnosis and management with newer oral agents. Baylor University Medical Center Proceedings, 13, 356-360
[5] Matfin, G. (2003) New treatments for erectile dysfunction. Sexuality, Reproductive and Menopause, 1, 40-45. doi:10.1016/j.sram.2004.02.023
[6] Drewes, E.S., Jacob, G. and Fatima, K. (2003) Recent finding on natural products with erectile-dysfunction activity. Phytochemistry, 62, 1019-1025. doi:10.1016/S0031-9422(02)00621-0
[7] Khosravi, M., Oryan, S., Rohani, S.A.H., Parivar, K. and Marandi, R. (2006) Control of environmental health and removal of rats by α2-adrenergic antagonists and potassium channel blocker. Iranian Journal of Environmental Health Science and Engineering, 3, 255-260.
[8] Brunton, L., Keith, P., Donald, B. and Iain, B. (2008) Goodman and Gilman’s manual of pharmacology and therapeutics. 11th Edition, McGraw-Hill Medical Publishing Division, New York.
[9] Zanolari, B. (2003) Natural aphrodisiacs. Studies of commercially-available herbal recipes, and phytochemical investigation of Erythroxylum vacciniifolium Mart. (Erythroxylaceae) from Brazil. PhD Thesis, University of Lausanne, Lausanne.
[10] De Tejada, I.S. et al. (1999) Design and evaluation of nitrosylated α-adrenergic receptor antagonists as potential agents for the treatment of impotence. Journal of Pharmacology and Experimental Therapeutics, 290, 121-128.
[11] Allex, T.C., John, D.S., Richard, A.M. and William, D.S. (1998) Sildenafil, a type-5 cGMP phosphodiesterase inhibitor, specifically amplifies endogenous cGMP-dependent relaxation in rabbit corpus cavernosum smooth muscle in vitro. Journal of Urology, 160, 257-261. doi:10.1016/S0022-5347(01)63100-8
[12] Siddig, I.A. (2001) Some pharmacological properties of the sudanese plant Clerodendorn capitatum. M.Sc. Thesis, University of Khartoum, Khartoum.
[13] Boolell, M., Allen, M.J., Ballard, S.A., Gepi-Attee, S., Muirhead, G.J. and Naylor, A.M. (1996). Sildenafil: An orally active type 5 cyclic GMP-specific phosphodiesterase inhibitor for the treatment of penile erectile dysfunction. International Journal of Impotence Research, 8, 47.
[14] Ballard, S.A. (1998) Effects of sildenafil on the relaxation of human corpus cavernosum tissue in vitro and on the activities of cyclic nucleotide phosphodiesterase isozymes. Journal of Urology, 159, 2165-2171. doi:10.1016/S0022-5347(01)63299-3
[15] Andersson, K.E. and Wagner, G. (1995) Physiology of penile erection. Pharmacology Review, 75, 191-236.
[16] Maggi, M. et al. (2000) Erectile dysfunction: From biochemical pharmacology to advances in medical therapy. European Journal of Endocrinology, 143, 143-154. doi:10.1530/eje.0.1430143
[17] Ignarro, L.J., et al. (1990) Nitric oxide and cyclic GMP formation upon electrical field stimulation cause relaxation of corpus cavernosum smooth muscle. Biochemical and Biophysical Research Communications, 170, 843-850. doi:10.1016/0006-291X(90)92168-Y
[18] Eardley, I. (2002) Pathophysiology of erectile dysfunction. The British Journal of Diabetes and Vascular Disease, 2, 272-276. doi:10.1177/14746514020020040701
[19] Dean, C.R. and Lue, F.T. (2005) Physiology of penile erection and pathophysiology of erectile dysfunction. Urologic Clinics of North America, 32, 379-402. doi:10.1016/j.ucl.2005.08.007
[20] Filippi, S., Luconi, M., Granchi, S., Natali, A., Tozzi, P., Forti, G., Ledda F. and Maggi, M. (2002) Endothelium dependency of yohimbine-induced corpus cavernosum relaxation. International Journal of Impotence Research, 14, 295-307. doi:10.1038/sj.ijir.3900890
[21] Ernst, E. and Pittler, M.H. (1998) Yohimbine for erectile dysfunction: A systematic review and meta-analysis of randomized clinical trials. Journal of Urology, 159, 433-436. doi:10.1016/S0022-5347(01)63942-9
[22] Cary, P.M. and Johnson, T.B. (1996) Effectiveness of yohimbine in the treatment of erectile disorder: Four meta-analytic integrations. Archive of Sexual behavior, 25, 341-360.
[23] Teloken, C., Rhoden, E.L., Sogari, P., Dambros, M. and Vargas Souto, C.A. (1998) Therapeutic effects of high dose yohimbine hydrochloride on organic erectile dysfunction. The Journal of Urology, 159, 122-124. doi:10.1016/S0022-5347(01)64032-1
[24] Vogt, H.J., Brand, P., Kockoh, G., Schmitz, J.R. Wiegand, M.H., Schadrack, J. and Gierend, M. (1997) Double-blind, placebo-controlled safety and efficacy trial with yohimbine hydrochloride in the treatment of non-organic erectile dysfunction. International Journal of Impotence Research, 9, 155-161. doi:10.1038/sj.ijir.3900271
[25] Reid, K., Surrivge, D.H., Morales, A., Condra, M., Harris, C., Owen, J. and Fenemore, J. (1987) Double-blind trial of yohimbine in treatment of psychogenic impotence. Lancet, 2, 421-423. doi:10.1016/S0140-6736(87)90958-5
[26] Mann, K., Klingler, T., Noe, S., Roschke, J., Muller, S. and Benkert, O. (1996) Effect of yohimbine on sexual experiences and nocturnal penile tumescence and rigidity in erectile dysfunction. Archives of Sexual Behavior, 25, 1-16. doi:10.1007/BF02437904
[27] Rowland, D.L., Kallan, K. and Slob, A.K. (1997) Yohimbine, erectile capacity and sexual response in men. Archives of Sexual Behavior, 26, 49-62. doi:10.1023/A:1024521403389
[28] Guay, A.T., Spark, R.F., Jacobson, J., Murray, F.T. and Geisser, M.E. (2002) Yohimbine treatment of organic erectile dysfunction in a dose-escalation trial. International Journal of Impotence Research, 14, 25-31. doi:10.1038/sj.ijir.3900803

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.