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Effects of dietary polyphenols on vasculogenic erectile dysfunction: a systematic review of pre-clinical studies

datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorGeraldo, Rafaela
dc.contributor.authorCastro, Catarina
dc.contributor.authorPinto, Elisabete
dc.contributor.authorVasconcelos, Marta W.
dc.contributor.authorNeves, Delminda
dc.date.accessioned2025-03-26T18:45:17Z
dc.date.available2025-03-26T18:45:17Z
dc.date.issued2025-06-01
dc.description.abstractErectile dysfunction (ED) is a medical condition characterized by the inability to achieve or maintain a satisfactory erection, primarily treated with oral phosphodiesterase type 5 inhibitors. Treatment effectiveness is diminished in severe vasculogenic ED, particularly in patients with diabetes mellitus, highlighting the need for exploring alternative/complementary interventions. Among them, dietary phenolic compounds are known for their antioxidant and anti-inflammatory properties. This systematic review focuses on catechin (EGCG), quercetin, resveratrol, and curcumin and their influence on the pathophysiology of ED. Following PRISMA 2020 guidelines (PROSPERO registration number CRD42023402016) searches across PubMed, Scopus, and Web of Science until October 2024 were conducted using relevant keywords. Inclusion criteria required original articles in English, while in silico studies, review articles, editorials, and original studies lacking essential polyphenol administration information were excluded. After an initial search that located 409, 445, and 285 publications in each database respectively, rigorous screening resulted in 26 publications comprising animal, ex vivo, and in vitro studies. Their quality was assessed using GRADE and SYRCLE ROB tools, revealing an overall “medium-high” or “high quality.” These polyphenols consistently demonstrated improvements in erectile function, encompassing behavioral, functional, molecular, and hormonal aspects. However, limitations were identified, such as the predominant reliance on animal models and in vitro trials, which may not precisely reflect human physiological responses. Further clinical investigations are needed to ascertain data translational potential, standardize dosages, and establish safe and effective prescription recommendations. Prioritizing clinical trials is essential for validating the widespread applicability and efficacy of polyphenols in managing ED.eng
dc.identifier.doi10.1002/ptr.8477
dc.identifier.eid105000254475
dc.identifier.issn0951-418X
dc.identifier.pmid40098420
dc.identifier.urihttp://hdl.handle.net/10400.14/52822
dc.identifier.wos001446735400001
dc.language.isoeng
dc.peerreviewedyes
dc.rights.uriN/A
dc.subjectCatechin
dc.subjectCurcumin
dc.subjectDiabetes Mellitus
dc.subjectErectile dysfunction
dc.subjectQuercetin
dc.subjectResveratrol
dc.titleEffects of dietary polyphenols on vasculogenic erectile dysfunction: a systematic review of pre-clinical studieseng
dc.typereview article
degois.publication.issue6
dspace.entity.typePublication
oaire.citation.endPage2444
oaire.citation.startPage2428
oaire.citation.titlePhytotherapy Research
oaire.citation.volume39
oaire.versionhttp://purl.org/coar/version/c_ab4af688f83e57aa

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