Objective: The aim of this study was to evaluate the effect of cyanidin-3-O-β-D-glucopyranoside (C3G) concentrated materials from mulberry fruit on improvement and protection of erectile function. Materials and Methods: Sprague-Dawley rats (12 weeks old) were divided into three groups (n = 12 in each): normal control, diabetes mellitus (DM), and DM with C3G concentrated material treatment (DM + C3G). DM and DM + C3G group rats received a single injection of streptozotocin (50 mg/kg), and 4 weeks after induction of diabetes, the DM + C3G group rats were treated with daily concentrated material treatment (10 mg/kg) dissolved in water for 8 weeks. After 12 weeks of streptozotocin injections, the rats in each group underwent intracavernosal pressure measurement and then the corporal tissues were sampled. Results: The DM group rats showed markedly lower erectile parameters than those in the control group, whereas rats in the DM + C3G group showed improved erectile function by minimizing corporal apoptosis and increasing the expression of endothelial nitric oxide synthase (NOS) and neuronal NOS protein. A significant increase in 8-hydroxy-2-deoxyguanosine (8-OHdG) was shown in the DM group compared with the normal group. However, in the DM + C3G group, 8-OHdG was statistically significantly reduced compared with the DM group. Conclusions: The current study is the first to suggest that C3G concentrated materials may have a potency to improve and protect erectile function under conditions of diabetes-induced oxidative stress.

1.
Burnett AL: Erectile dysfunction. J Urol 2006;175:S25–S31.
2.
Fedele D, Bortolotti A, Coscelli C, Santeusanio F, Chatenoud L, Colli E, Lavezzari M, Landoni M, Parazzini F: Erectile dysfunction in type 1 and type 2 diabetics in Italy. On behalf of Gruppo Italiano Studio Deficit Erettile nei Diabetici. Int J Epidemiol 2000;29:524–531.
3.
Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB: Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts Male Aging Study. J Urol 2000;163:460–463.
4.
Blanco R, Saenz de Tejada I, Goldstein I, Krane RJ, Wotiz HH, Cohen RA: Dysfunctional penile cholinergic nerves in diabetic impotent men. J Urol 1990;144:278–280.
5.
Pegge NC, Twomey AM, Vaughton K, Gravenor MB, Ramsey MW, Price DE: The role of endothelial dysfunction in the pathophysiology of erectile dysfunction in diabetes and in determining response to treatment. Diabet Med 2006;23:873–878.
6.
Escrig A, Marin R, Abreu P, Gonzalez-Mora JL, Mas M: Changes in mating behavior, erectile function, and nitric oxide levels in penile corpora cavernosa in streptozotocin-diabetic rats. Biol Reprod 2002;66:185–189.
7.
Becker AJ, Uckert S, Stief CG, Scheller F, Knapp WH, Machtens SA, Kuczyk MA, Jonas U: Systemic and cavernous plasma levels of vasoactive intestinal polypeptide during sexual arousal in healthy males. World J Urol 2002;20:59–63.
8.
Palmer RM, Ferrige AG, Moncada S: Nitric oxide release accounts for the biological activity of endothelium-derived relaxing factor. Nature 1987;327:524–526.
9.
Rajfer J, Aronson WJ, Bush PA, Dorey FJ, Ignarro LJ: Nitric oxide as a mediator of relaxation of the corpus cavernosum in response to nonadrenergic, noncholinergic neurotransmission. N Engl J M 1992;326:90–94.
10.
Jeremy JY, Jones RA, Koupparis AJ, Hotston M, Persad R, Angelini GD, Shukla N: Reactive oxygen species and erectile dysfunction: possible role of NADPH oxidase. Int J Impot Res 2007;19:265–280.
11.
Keegan A, Cotter MA, Cameron NE: Effects of diabetes and treatment with the antioxidant alpha-lipoic acid on endothelial and neurogenic responses of corpus cavernosum in rats. Diabetologia 1999;42:343–350.
12.
Khan MA, Thompson CS, Jeremy JY, Mumtaz FH, Mikhailidis P, Morgan RJ: The effect of superoxide dismutase on nitric oxide-mediated and electrical field-stimulated diabetic rabbit cavernosal smooth muscle relaxation. BJU Int 2001;87:98–103.
13.
Gmen C, Seçilmiş A, Kumcu EK, Ertuğ PU, Onder S, Dikmen A, Baysal F: Effects of vitamin E and sodium selenate on neurogenic and endothelial relaxation of corpus cavernosum in the diabetic mouse. Eur J Pharmacol 2000;398:93–98.
14.
Asano N, Yamashita T, Yasuda K, Ikeda K, Kizu H, Kameda Y, Kato A, Nash RJ, Lee HS, Ryu KS: Polyhydroxylated alkaloids isolated from mulberry trees (Morus alba L.) and silkworms (Bombyx mori L.). J Agric Food Chem 2001;49:4208–4213.
15.
Dugo P, Mondello L, Errante G, Zappia G, Dugo G: Identification of anthocyanins in berries by narrow-bore high-performance liquid chromatography with electrospray ionization detection. J Agric Food Chem 2001;49:3987–3992.
16.
Mitcheva M, Astroug H, Drenska D, Popov A, Kassarova M: Biochemical and morphological studies on the effects of anthocyans and vitamin E on carbon tetrachloride induced liver injury. Cell Mol Biol (Noisy-le-grand) 1993;39:443–448.
17.
Seeram NP, Momin RA, Nair MG, Bourquin LD: Cyclooxygenase inhibitory and antioxidant cyanidin glycosides in cherries and berries. Phytomedicine 2001;8:362–369.
18.
Serraino I, Dugo L, Dugo P, Mondello L, Mazzon E, Dugo G, Caputi AP, Cuzzocrea S: Protective effects of cyanidin-3-o-glucoside from blackberry extract against peroxynitrite-induced endothelial dysfunction and vascular failure. Life Sci 2003;73:1097–1114.
19.
Kim HB, Kim SL, Koh SH, Seok YS, Kim YS, Sung GB, Kang PD: The development of natural pigment with mulberry fruit as a food additive. Kor J Crop Sci 2011;56:18–22
20.
Saenz de Tejada I, Goldstein I, Azadzoi K, Krane RJ, Cohen RA: Impaired neurogenic and endothelium-mediated relaxation of penile smooth muscle from diabetic men with impotence. N Engl J Med 1989;320:1025–1030.
21.
Keegan A, Cotter MA, Cameron NE: Effects of chelator treatment on aorta and corpus cavernosum from diabetic rats. Free Radic Biol Med 1999;27:536–543.
22.
Qutub AA, Popel AS: Reactive oxygen species regulate hypoxia-inducible factor 1alpha differentially in cancer and ischemia. Mol Cell Biol 2008;28:5106–5119.
23.
Evgenov OV, Liaudet L: Role of nitrosative stress and activation of poly(adp-ribose) polymerase-1 in cardiovascular failure associated with septic and hemorrhagic shock. Curr Vasc Pharmacol 2005;3:293–299.
24.
Akingba AG, Burnett AL: Endothelial nitric oxide synthase protein expression, localization, and activity in the penis of the alloxan-induced diabetic rat. Mol Urol 2001;5:189–197.
25.
Cellek S, Foxwell NA, Moncada S: Two phases of nitrergic neuropathy in streptozotocin-induced diabetic rats. Diabetes 2003;52:2353–2362.
26.
Peixoto EB, Pessoa BS, Biswas SK, Lopes de Faria JB: Antioxidant SOD mimetic prevents NADPH oxidase-induced oxidative stress and renal damage in the early stage of experimental diabetes and hypertension. Am J Nephrol 2009;29:309–318.
27.
Speciale A, Canali R, Chirafisi J, Saija A, Virgili F, Cimino F: Cyanidin-3-o-glucoside protection against TNF-alpha-induced endothelial dysfunction: involvement of nuclear factor-kappa b signaling. J Agric Food Chem 2010;58:12048–12054.
28.
Kang TH, Hur JY, Kim HB, Ryu JH, Kim SY: Neuroprotective effects of the cyanidin-3-o-beta-d-glucopyranoside isolated from mulberry fruit against cerebral ischemia. Neurosci Lett 2006;391:122–126.
29.
Allen DA, Yaqoob MM, Harwood SM: Mechanisms of high glucose-induced apoptosis and its relationship to diabetic complications. J Nutr Biochem 2005;16:705–713.
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