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In vitro effect of relaxin in the rat corpus cavernosum under hyperglycemic and normoglycemic conditions

Abstract

Relaxin, an endogenous peptide hormone, elicits vascular relaxation by its direct effect or by modulating the endothelium-dependent relaxation response and is clinically evaluated for the treatment of coronary artery disease. However, its effect on penile tissue has not been explored yet. This study aimed to investigate the effect of serelaxin, recombinant human relaxin-2, on rat corpus cavernosum (CC) under healthy and hyperglycemic conditions. Strips of CC obtained from thirty-nine male Wistar rats weighing 300–350 g were used in organ baths for isometric tension studies to investigate the serelaxin-mediated relaxation (10−12–10−7 M) under normoglycemic conditions and the effect of serelaxin on endothelium-dependent [nitric oxide (NO)- and prostacyclin-mediated] relaxation responses under hyperglycemic conditions. The in vitro hyperglycemia model was created by 3 h of incubation with 44 mM glucose monohydrate +120 μM methylglyoxal. NO-dependent relaxation responses were evaluated by cumulative acetylcholine (10−9–10−4 M) administration in the presence of indomethacin (10−6 M). Prostacyclin-mediated relaxation was evaluated by cumulative administration of iloprost (10−9–10−6 M), a prostacyclin analog. Maximum relaxation responses to serelaxin were not significantly different compared to the time-control (p = 0.480). Three hours of incubation of rat CC in hyperglycemic conditions impaired NO- and prostacyclin-mediated relaxation responses (p = 0.032 and p = 0.047, respectively). Serelaxin coincubation worsened NO-mediated relaxation responses (p = 0.016) but did not affect prostacyclin-mediated responses (p = 0.425). Together, our results demonstrate that in vitro administration of serelaxin does not cause relaxation in penile tissue and short-term in vitro serelaxin treatment in hyperglycemic conditions mimicked diabetes modulates endothelium-dependent responses by worsening NO-mediated responses. Serelaxin exerts different effects via different mechanism on endothelium-dependent responses depending on the dose and duration of exposure. Therefore, proper timing and dosing of serelaxin administration in the penile tissue need to be investigated in further studies in diabetic animal models.

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Fig. 1: Study protocol.
Fig. 2: Serelaxin-mediated relaxation relative to the time-control in the CC.
Fig. 3: Effect of hyperglycemia on endothelium-dependent relaxations.
Fig. 4: Effect of serelaxin on NO-mediated relaxations under hyperglycemic conditions.
Fig. 5: Effect of serelaxin on prostacyclin-mediated relaxations under hyperglycemic conditions.

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References

  1. Lue TF, Takamura T, Schmidt RA, Palubinskas AJ, Tanagho EA. Hemodynamics of erection in the monkey. J Urol. 1983;130:1237–41.

    Article  CAS  PubMed  Google Scholar 

  2. Ignarro LJ, Bush PA, Buga GM, Wood KS, Fukuto JM, Rajfer J. Nitric oxide and cyclic GMP formation upon electrical field stimulation cause relaxation of corpus cavernosum smooth muscle. Biochem Biophys Res Commun. 1990;170:843–50.

    Article  CAS  PubMed  Google Scholar 

  3. Hurt KJ, Musicki B, Palese MA, Crone JK, Becker RE, Moriarity JL, et al. Akt-dependent phosphorylation of endothelial nitric-oxide synthase mediates penile erection. Proc Natl Acad Sci USA 2002;99:4061–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Jeremy JY, Morgan RJ, Mikhailidis DP, Dandona P. Prostacyclin synthesis by the corpora cavernosa of the human penis: evidence for muscarinic control and pathological implications. Prostaglandins Leukot Med. 1986;23:211–6.

    Article  CAS  PubMed  Google Scholar 

  5. Castela A, Gomes P, Domingues VF, Paíga P, Costa R, Vendeira P, et al. Role of oxidative stress-induced systemic and cavernosal molecular alterations in the progression of diabetic erectile dysfunction. J Diabetes. 2015;7:393–401.

    Article  CAS  PubMed  Google Scholar 

  6. Costa C, Soares R, Castela A, Adães S, Hastert V, Vendeira P, et al. Increased endothelial apoptotic cell density in human diabetic erectile tissue–comparison with clinical data. J Sex Med. 2009;6:826–35.

    Article  PubMed  Google Scholar 

  7. Guven H, Durmus N, Hocaoglu N, Guner O, Acar S, Akan P, et al. Protective effects of wheat germ oil against erectile and endothelial dysfunction in streptozotocin-induced diabetic rats. Int J Impot Res. 2022;34:581–7.

    Article  CAS  PubMed  Google Scholar 

  8. Hisaw FL. Experimental relaxation of the pubic ligament of the guinea pig. Proc Soc Exp Biol Med. 1926;23:661–3.

    Article  Google Scholar 

  9. Wilkinson TN, Speed TP, Tregear GW, Bathgate RA. Evolution of the relaxin-like peptide family. BMC Evol Biol. 2005;5:14.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Kohsaka T, Hamano K, Sasada H, Watanabe S, Ogine T, Suzuki E, et al. Seminal immunoreactive relaxin in domestic animals and its relationship to sperm motility as a possible index for predicting the fertilizing ability of sires. Int J Androl. 2003;26:115–20.

    Article  CAS  PubMed  Google Scholar 

  11. Sasaki Y, Kohsaka T, Kawarasaki T, Sasada H, Ogine T, Bamba K, et al. Immunoreactive relaxin in seminal plasma of fertile boars and its correlation with sperm motility characteristics determined by computer‐assisted digital image analysis. Int J Androl. 2001;24:24–30.

    Article  CAS  PubMed  Google Scholar 

  12. Essig M, Schoenfeld C, D’Eletto RT, Amelar R, Steinetz BG, O’Byrne EM, et al. Relaxin in human seminal plasma. Ann NY Acad Sci. 1982;380:224–30.

    Article  CAS  PubMed  Google Scholar 

  13. Yki-Järvinen H, Wahlström T, Seppälä M. Immunohistochemical demonstration of relaxin in the genital tract of men. J Reprod Fertil. 1983;69:693–5.

    Article  PubMed  Google Scholar 

  14. Feng S, Agoulnik IU, Bogatcheva NV, Kamat AA, Kwabi-Addo B, Li R, et al. Relaxin promotes prostate cancer progression. Clin Cancer Res. 2007;13:1695–702.

    Article  CAS  PubMed  Google Scholar 

  15. Ferlin A, Menegazzo M, Gianesello L, Selice R, Foresta C. Effect of relaxin on human sperm functions. J Androl. 2012;33:474–82.

    Article  CAS  PubMed  Google Scholar 

  16. Gianesello L, Ferlin A, Menegazzo M, Pepe A, Foresta C. RXFP1 is expressed on the sperm acrosome, and relaxin stimulates the acrosomal reaction of human spermatozoa. Ann NY Acad Sci. 2009;1160:192–3.

    Article  PubMed  Google Scholar 

  17. Fisher C, MacLean M, Morecroft I, Seed A, Johnston F, Hillier C, et al. Is the pregnancy hormone relaxin also a vasodilator peptide secreted by the heart? Circulation. 2002;106:292–5.

    Article  CAS  PubMed  Google Scholar 

  18. Lian X, Beer-Hammer S, König GM, Kostenis E, Nürnberg B, Gollasch M. RXFP1 receptor activation by relaxin-2 induces vascular relaxation in mice via a Gαi2-protein/PI3Kß/γ/Nitric oxide-coupled pathway. Front Physiol. 2018;1234:1–13.

  19. McGuane JT, Debrah JE, Sautina L, Jarajapu YP, Novak J, Rubin JP, et al. Relaxin induces rapid dilation of rodent small renal and human subcutaneous arteries via PI3 kinase and nitric oxide. Endocrinology. 2011;152:2786–96.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Dschietzig T, Brecht A, Bartsch C, Baumann G, Stangl K, Alexiou K. Relaxin improves TNF-α-induced endothelial dysfunction: the role of glucocorticoid receptor and phosphatidylinositol 3-kinase signalling. Cardiovasc Res. 2012;95:97–107.

    Article  CAS  PubMed  Google Scholar 

  21. Ng HH, Leo CH, Parry LJ. Serelaxin (recombinant human relaxin-2) prevents high glucose-induced endothelial dysfunction by ameliorating prostacyclin production in the mouse aorta. Pharmacol Res. 2016;107:220–8.

    Article  CAS  PubMed  Google Scholar 

  22. Boydens C, Pauwels B, Vanden Daele L, Van, de Voorde J. Protective effect of resveratrol and quercetin on in vitro-induced diabetic mouse corpus cavernosum. Cardiovasc Diabetol. 2016;15:46.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Kerstein MD, Saroyan M, McMullen-Laird M, Hyman AL, Kadowitz P, McNamara DB. Metabolism of prostaglandins in human saphenous vein. J Surg Res. 1983;35:91–100.

    Article  CAS  PubMed  Google Scholar 

  24. Bassiouni W, Daabees T, Louedec L, Norel X, Senbel A. Evaluation of some prostaglandins modulators on rat corpus cavernosum in-vitro: Is relaxation negatively affected by COX-inhibitors? Biomed Pharmacother. 2019;111:1458–66.

    Article  CAS  PubMed  Google Scholar 

  25. Liu K, Sun T, Xu W, Song J, Chen Y, Ruan Y, et al. Relaxin-2 prevents erectile dysfunction by cavernous nerve, endothelial and histopathological protection effects in rats with bilateral cavernous nerve injury. World J Mens Health. 2022. https://doi.org/10.5534/wjmh.220003. Online ahead of print.

  26. Willcox JM, Summerlee A, Murrant CL. Relaxin induces rapid, transient vasodilation in the microcirculation of hamster skeletal muscle. J Endocrinol. 2013;218:179–91.

    Article  CAS  PubMed  Google Scholar 

  27. Leo CH, Jelinic M, Parkington HC, Tare M, Parry LJ. Acute intravenous injection of serelaxin (recombinant human relaxin‐2) causes rapid and sustained bradykinin‐mediated vasorelaxation. J Am Heart Assoc. 2014;3:e000493.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Leo C, Jelinic M, Ng H, Tare M, Parry L. Time‐dependent activation of prostacyclin and nitric oxide pathways during continuous iv infusion of serelaxin (recombinant human H2 relaxin). Br J Pharmacol. 2016;173:1005–17.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Jeremy JY, Thompson CS, Mikhailidis DP, Dandona P. Experimental diabetes mellitus inhibits prostacyclin synthesis by the rat penis: pathological implications. Diabetologia. 1985;28:365–8.

    Article  CAS  PubMed  Google Scholar 

  30. Baccari MC, Traini C, Garella R, Cipriani G, Vannucchi MG. Relaxin exerts two opposite effects on mechanical activity and nitric oxide synthase expression in the mouse colon. Am J Physiol Endocrinol Metab. 2012;303:E1142–50.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

This project was funded by Dokuz Eylül University Scientific Research Projects Coordination Unit (2018.KB.SAG.065).

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ND designed the study. SAS and OG conducted the experiments. SAS and ND did the analysis. SAS, ND, TKT and MA interpreted the data and drafted the manuscript. ND obtained the funding and did supervision.

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Correspondence to Nergiz Durmus.

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The authors declare no competing interests.

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This study was approved by the Animal Care and Investigational Committee of Dokuz Eylül University (02/2020).

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Acar-Sahan, S., Guner, O., Ates, M. et al. In vitro effect of relaxin in the rat corpus cavernosum under hyperglycemic and normoglycemic conditions. Int J Impot Res 36, 72–77 (2024). https://doi.org/10.1038/s41443-022-00653-6

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