Hydrogen Sulfide Regulates Erectile Function through Stimulation of Antioxidant Defense in the Corpus Cavernosum
Authors: Azeez Tooyib , Rhein Paige , Pierre Clifford , Burnett Arthur , La Favor Justin 
Published: May 2024

Hydrogen sulfide (H2S) is a gaseous cell signaling molecule with vasodilatory properties. Diminished H2S production has been implicated in the pathology of several cardiovascular diseases. H2S may protect against oxidative stress through scavenging of reactive oxygen species (ROS) or through stimulation of the Nrf2-mediated cellular antioxidant defense systems. We have previously demonstrated that mice fed a western diet for 12 weeks develop elevated penile ROS levels and impaired erectile function, which coincides with diminished corpus cavernosal expression of cystathionine γ-lyase (CSE), a major H2S producing enzyme. The objective of this study was to investigate the role of H2S in the regulation of erectile function and penile redox balance. We hypothesized that H2S levels will be positively associated with cellular antioxidant defense and erectile function. Young male C57Bl/6J mice (n = 120) were fed a control diet (CD) or western diet (WD) ad libitum for 18 weeks. For the final six weeks of the dietary intervention, half of the mice were switched to an equivalent diet containing the H2S pro-drug SG1002 at approximately 20 mg/kg/day. Separately, male CSE knockout mice (n = 26) and wild type (WT) littermate controls (n = 26) were fed a standard diet and studied at 6 months. Following the interventions, erectile function was assessed by measuring intracavernosal pressure (ICP) and mean arterial pressure (MAP) during cavernous nerve stimulation (1, 2, 4 V). In separate mice, penile in vivo ROS production was measured via microdialysis. Relative expression of 18 genes related to cellular antioxidant defense were assessed from naïve corpus cavernosum tissue by qRT-PCR. Group differences were determined by two-way ANOVA, with an α-level of 0.05. Erectile function was impaired in CSE KO mice (2V ICP/MAP - WT: 0.70±0.039 vs. KO: 0.55±0.043; p<0.05). Erectile function was similarly impaired in the untreated WD-fed mice (CD: 0.68±0.035 vs. WD: 0.49±0.012; p<0.05), while SG1002 induced a 54% functional restoration in WD mice (WD+SG1002: 0.59±0.019; p<0.05). Penile production of the ROS hydrogen peroxide and superoxide were elevated in CSE KO mice (WT: 0.73±0.04 vs. KO: 1.19±0.13; p<0.01). Penile ROS were also elevated in the WD mice (CD: 0.71±0.07 vs. WD: 1.09±0.15; p<0.01), which were normalized by SG1002 treatment (WD+SG1002: 0.83±0.07; p<0.01 vs. WD). Five antioxidant genes (Gclc, Gpx1, Gpx4, Prdx3, and Hmox1) that were stimulated by SG1002 treatment were also downregulated in CSE KO cavernosal tissues. Conversely, Txnip, a negative regulator of the thioredoxin antioxidant system was suppressed by SG1002 treatment and increased in CSE KO tissues. These results indicate that H2S is a key regulator of the cellular antioxidant systems and ROS balance in the penis, which may also regulate erectile function. Grant number K01DK115540 from the National Institutes of Health. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.