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The Promise of Mesenchymal Stromal/stem Cells in Erectile Dysfunction Treatment: a Review of Current Insights and Future Directions

Abstract

Erectile dysfunction is a common and multifactorial condition that significantly impacts men's quality of life. Traditional treatments, such as phosphodiesterase type 5 inhibitors (PDE5i), often fail to provide lasting benefits, particularly in patients with underlying health conditions. In recent years, regenerative medicine, particularly stem cell therapies, has emerged as a promising alternative for managing erectile dysfunction. This review explores the potential of mesenchymal stromal/stem cells (MSCs) and their paracrine effects, including extracellular vesicles (EVs), in the treatment of erectile dysfunction. MSCs have shown remarkable potential in promoting tissue repair, reducing inflammation, and regenerating smooth muscle cells, offering therapeutic benefits in models of erectile dysfunction. Clinical trials have demonstrated positive outcomes in improving erectile function and other clinical parameters. This review highlights the promise of MSC therapy for erectile dysfunction, discusses existing challenges, and emphasizes the need for continued research to refine these therapies and improve long-term patient outcomes.

References
1.
Zhang Q, Hu Y, Hu J, Ding Y, Shen Y, Xu H . Sp1-mediated upregulation of Prdx6 expression prevents podocyte injury in diabetic nephropathy via mitigation of oxidative stress and ferroptosis. Life Sci. 2021; 278:119529. DOI: 10.1016/j.lfs.2021.119529. View

2.
Ng C, Kee L, Al-Masawa M, Lee Q, Subramaniam T, Kok D . Scalable Production of Extracellular Vesicles and Its Therapeutic Values: A Review. Int J Mol Sci. 2022; 23(14). PMC: 9315612. DOI: 10.3390/ijms23147986. View

3.
Dewitte M, Bettocchi C, Carvalho J, Corona G, Flink I, Limoncin E . A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM). Sex Med. 2021; 9(6):100434. PMC: 8766276. DOI: 10.1016/j.esxm.2021.100434. View

4.
Zhang Y, Liu Y, Liu H, Tang W . Exosomes: biogenesis, biologic function and clinical potential. Cell Biosci. 2019; 9:19. PMC: 6377728. DOI: 10.1186/s13578-019-0282-2. View

5.
Chen L, Qu J, Mei Q, Chen X, Fang Y, Chen L . Small extracellular vesicles from menstrual blood-derived mesenchymal stem cells (MenSCs) as a novel therapeutic impetus in regenerative medicine. Stem Cell Res Ther. 2021; 12(1):433. PMC: 8330084. DOI: 10.1186/s13287-021-02511-6. View