1. Revisiting the Regenerative Therapeutic Advances Towards Erectile Dysfunction
- Author
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Meng Lin Chang, Ya Chun Wang, Shauh Der Yeh, Wei Hung Chen, Ming Che Liu, and Chien Chih Wu
- Subjects
Male ,Chemokine ,intracavernosal injection ,platelet-rich plasma (PRP) ,030232 urology & nephrology ,Cell- and Tissue-Based Therapy ,Biocompatible Materials ,Review ,Bioinformatics ,intracavernosal pressure (ICP) ,Regenerative Medicine ,Regenerative medicine ,03 medical and health sciences ,0302 clinical medicine ,Erectile Dysfunction ,stem cells ,Medicine ,Animals ,Humans ,Progenitor cell ,Adverse effect ,lcsh:QH301-705.5 ,biology ,Cell-Free System ,business.industry ,General Medicine ,medicine.disease ,erectile dysfunction (ED) ,Erectile dysfunction ,regenerative therapy ,Treatment Outcome ,lcsh:Biology (General) ,030220 oncology & carcinogenesis ,Nerve cells ,biology.protein ,platelet-derived biomaterials ,Stem cell ,business ,Homing (hematopoietic) - Abstract
Erectile dysfunction (ED) is an inability to attain or maintain adequate penile erection for successful vaginal intercourse, leading to sexual and relationship dissatisfaction. To combat ED, various surgical and non-surgical approaches have been developed in the past to restore erectile functions. These therapeutic interventions exhibit significant impact in providing relief to patients; however, due to their associated adverse effects and lack of long-term efficacy, newer modalities such as regenerative therapeutics have gained attention due to their safe and prolonged efficacy. Stem cells and platelet-derived biomaterials contained in platelet-rich plasma (PRP) are thriving as some of the major therapeutic regenerative agents. In recent years, various preclinical and clinical studies have evaluated the individual, as well as combined of stem cells and PRP to restore erectile function. Being rich in growth factors, chemokines, and angiogenic factors, both stem cells and PRP play a crucial role in regenerating nerve cells, myelination of axons, homing and migration of progenitor cells, and anti-fibrosis and anti-apoptosis of damaged cavernous nerve in corporal tissues. Further, platelet-derived biomaterials have been proven to be a biological supplement for enhancing the proliferative and differentiation potential of stem cells towards neurogenic fate. Therefore, this article comprehensively analyzes the progresses of these regenerative therapies for ED.
- Published
- 2020