» Articles » PMID: 32774364

Advantages of Phosphodiesterase Type 5 Inhibitors in the Management of Glucose Metabolism Disorders: A Clinical and Translational Issue

Overview
Publisher Wiley
Specialty Endocrinology
Date 2020 Aug 11
PMID 32774364
Citations 5
Authors
Affiliations
Soon will be listed here.
Abstract

Among metabolic diseases, carbohydrate metabolism disorders are the most widespread. The most common glucose pathological conditions are acquired and may increase the risk of type 2 diabetes, obesity, heart diseases, stroke, and kidney insufficiency. Phosphodiesterase type 5 inhibitors (PDE5i) have long been used as an effective therapeutic option for the treatment of erectile dysfunction (ED). Different studies have demonstrated that PDE5i, by sensitizing insulin target tissues to insulin, play an important role in controlling the action of insulin and glucose metabolism, highlighting the protective action of these drugs against metabolic diseases. In this review, we report the latest knowledge about the role of PDE5i in the metabolic diseases of insulin resistance and type 2 diabetes, highlighting clinical aspects and potential treatment approaches. Although various encouraging data are available, further in vivo and in vitro studies are required to elucidate the mechanism of action and their clinical application in humans.

Citing Articles

Insulin Resistance, a Risk Factor for Alzheimer's Disease: Pathological Mechanisms and a New Proposal for a Preventive Therapeutic Approach.

Affuso F, Micillo F, Fazio S Biomedicines. 2024; 12(8).

PMID: 39200352 PMC: 11351221. DOI: 10.3390/biomedicines12081888.


Hydrogen Peroxide Stimulates Dihydrotestosterone Release in C2C12 Myotubes: A New Perspective for Exercise-Related Muscle Steroidogenesis?.

Antinozzi C, Duranti G, Ceci R, Lista M, Sabatini S, Caporossi D Int J Mol Sci. 2022; 23(12).

PMID: 35743011 PMC: 9223901. DOI: 10.3390/ijms23126566.


Sildenafil Counteracts the In Vitro Activation of CXCL-9, CXCL-10 and CXCL-11/CXCR3 Axis Induced by Reactive Oxygen Species in Scleroderma Fibroblasts.

Antinozzi C, Sgro P, Marampon F, Caporossi D, Del Galdo F, Dimauro I Biology (Basel). 2021; 10(6).

PMID: 34073032 PMC: 8229934. DOI: 10.3390/biology10060491.


Research Trends in the Efficacy of Stem Cell Therapy for Hepatic Diseases Based on MicroRNA Profiling.

Kweon M, Kim J, Jun J, Kim G Int J Mol Sci. 2021; 22(1).

PMID: 33383629 PMC: 7795580. DOI: 10.3390/ijms22010239.


Role of Phosphodiesterase in the Biology and Pathology of Diabetes.

Kilanowska A, Ziolkowska A Int J Mol Sci. 2020; 21(21).

PMID: 33153226 PMC: 7662747. DOI: 10.3390/ijms21218244.

References
1.
Liu V, Huang P . Cardiovascular roles of nitric oxide: a review of insights from nitric oxide synthase gene disrupted mice. Cardiovasc Res. 2007; 77(1):19-29. PMC: 2731989. DOI: 10.1016/j.cardiores.2007.06.024. View

2.
Giannattasio S, Corinaldesi C, Colletti M, Di Luigi L, Antinozzi C, Filardi T . The phosphodiesterase 5 inhibitor sildenafil decreases the proinflammatory chemokine IL-8 in diabetic cardiomyopathy: in vivo and in vitro evidence. J Endocrinol Invest. 2018; 42(6):715-725. PMC: 6531405. DOI: 10.1007/s40618-018-0977-y. View

3.
Gowans G, Hawley S, Ross F, Grahame Hardie D . AMP is a true physiological regulator of AMP-activated protein kinase by both allosteric activation and enhancing net phosphorylation. Cell Metab. 2013; 18(4):556-66. PMC: 3791399. DOI: 10.1016/j.cmet.2013.08.019. View

4.
Zhang X, Ji J, Yan G, Wu J, Sun X, Shen J . Sildenafil promotes adipogenesis through a PKG pathway. Biochem Biophys Res Commun. 2010; 396(4):1054-9. DOI: 10.1016/j.bbrc.2010.05.064. View

5.
Aversa A, Fittipaldi S, Francomano D, Bimonte V, Greco E, Crescioli C . Tadalafil improves lean mass and endothelial function in nonobese men with mild ED/LUTS: in vivo and in vitro characterization. Endocrine. 2017; 56(3):639-648. DOI: 10.1007/s12020-016-1208-y. View