AI Article Synopsis

  • Previous research indicated that injecting adipose stem cells and stromal vascular fraction (SVF) prevented tunica albuginea (TA) fibrosis during the inflammatory phase of Peyronie's disease in rats.
  • The study aimed to determine if local SVF injections could reduce established fibrosis in chronic Peyronie's disease using a rat model with three groups: sham, PD without treatment, and PD treated with SVF.
  • Results showed that while erectile function was similar across groups, SVF injections effectively reversed fibrosis in the TA, demonstrating potential therapeutic benefits for chronic Peyronie's disease.

Article Abstract

Previous studies have shown that the injection of adipose stem cells and stromal vascular fraction(SVF) into the tunica albuginea (TA) during the inflammatory phase in a rat model of Peyronie's disease(PD) prevented the development of TA fibrosis. Our aim was to investigate whether local injection of SVF can reduce established fibrosis in a rat model of chronic phase of PD. Eighteen-male 12-wk-old Sprague-Dawley rats were divided in three equal groups: sham, PD without treatment (PD) and PD treated with SVF(PD-SVF). Sham rats underwent 2 injections of vehicle into the TA one month apart. PD rats underwent TGF-β1 injection and injection of vehicle one month later. PD-SVF rats underwent TGF-β1 injection followed by SVF (1-million cells) one month later. One month after the last treatment, the animals, n = 6 rats per group, underwent measurement of intracorporal and mean arterial pressure during electrostimulation of the cavernous nerve. Following euthanasia, penises were harvested for in-vitro study. Erectile function was not statistically significantly different between groups. PD animals developed subtunical areas of fibrosis and elastosis with upregulation of collagen III protein. These fibrotic changes were reversed after injection of SVF. We provide evidence that local injection of SVF reverses TA fibrosis in a rat model of chronic phase of PD.

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http://dx.doi.org/10.1038/s41443-019-0136-9DOI Listing

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