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Therapeutic applications of phosphodiesterase inhibitors in male reproductive health: narrative review

delete2026-05-06
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PRE
AI
Y
Yashas Kiran Ninjoor, MSc
V
Vanishree Vasave Madhvacharya, MSc
S
Sandhya Kumari, PhD
M
M R Nagaraja, PhD
J
Jagadish P C, PhD
D
Dagur Singh Hanuman, MTech
E
Eerappa Rajakumara
S
Suranga P Kodithuwakku, PhD
S
Satish Kumar Adiga
K
Kshitish K. Acharya
G
Guruprasad Kalthur *
DOI:10.1093/sxmrev/qeag023delete
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Abstract

Abstract

En 中文
Phosphodiesterases (PDEs) are a family of enzymes that regulate intracellular levels of cyclic nucleotides, such as cyclic adenosine monophosphate and cyclic guanosine monophosphate. PDEs are considered key modulators of cellular signaling processes, including those governing male reproductive health. Owing to the pivotal role played by PDEs in male reproductive health, pharmacologic inhibition of PDEs has gained substantial attention in improving male reproductive health. However, despite the potential therapeutic application of PDE inhibitors (PDEis) in this field, a comprehensive understanding remains limited of the PDE subtype–specific actions in male reproductive tissues, the potential off-target effects, and the long-term safety of PDE inhibition, emphasizing a critical gap in current knowledge. A systematic evaluation of existing evidence on the role of PDEs, as well as the therapeutic application of PDEis and their safety, is necessary for a better understating in the context of male reproductive and sexual health.
Keywords:
Phosphodiesterases
Male reproductive health
PDE inhibitors
Cyclic nucleotides
Therapeutic applications

Journal

Sexual Medicine Reviews cover
Sexual Medicine Reviews
IF:
3.4
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584
Citations:
2.0K

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I
Institute of Bioinformatics and Applied Biotechnology
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49
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I
indian institute of technology
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University of Peradeniya
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Manipal Academy of Higher Education
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