Preclinical evidence 10
10 studies reported at therapy level; 10 evidence entries itemised.
RatTBIUnspecifiedWistar-derived albinofemalen = 28 rats, 7 per group across four groupsintraperitoneal10 mg/kgacute phase after injury
Model: Experimental severe head trauma (traumatic brain injury)
Sildenafil citrate significantly reduced pyknotic neuron counts and the pyknotic to total neuron ratio in both regions compared with untreated injury, with results similar to mannitol.
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RatRadiationProphylactic dosing before irradiation and therapeutic dosing after irradiation…
Model: Acute radiation proctitis induced by irradiation of the rectum
Sildenafil significantly reduced histopathological injury scores and inflammatory marker immunoreactivity relative to untreated radiation proctitis, and the prophylactic regimen outperformed the therapeutic regimen histopathologically; the high-dose group behaved similarly to the prophylaxis group.
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RatIschaemia-reperfusionOther / unspecifiedLewisMalen = 38 ratsIntraperitoneal injection0.5 mg/kg and 1 mg/kg once dailyAfter induction of ischaemia-reperfusion injury
Model: Unilateral acute retinal ischaemia-reperfusion injury induced by anterior chamber cannulation
No significant differences in electroretinography, retinal ganglion cell counts or retinal morphometry between sildenafil and saline treated experimental eyes. A non-significant tendency towards less necrosis and slightly lower PDE5, NOS2 and caspase-9 with higher Bcl-2 immunohistochemistry scores…
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RatOtherSprague-DawleyMaleAfter blast exposure
Model: Three consecutive blast exposures at 22 psi causing tinnitus, auditory impairment and traumatic brain injury
Sildenafil did not prevent acute tinnitus onset or hearing impairment, but significantly suppressed high-frequency tinnitus from 3 to 6 weeks after blast exposure and reduced hearing impairment during the first week. Startle force was reduced relative to untreated blast-exposed rats, suggesting pos…
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MouseOtherC57BL/6Given concurrently with the 14 day hyperoxia protocol
Model: Hyperoxia-induced bronchopulmonary dysplasia-like lung injury and pulmonary hypertension: chronic hyperoxia of 75 per cent oxygen for 14 days, or acute hyperoxia of 75 per cent oxygen for 24 h followed by 13 days in room air
Sildenafil attenuated medial wall thickness and right ventricular hypertrophy and restored pulmonary artery cyclic guanosine monophosphate signalling, but did not improve mean alveolar area or vessel density.
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RatBurnScaldWistarFemalen = 24 rats in 3 equal groupsNot stated10 mg/kg or 20 mg/kgAfter scald injury; exact interval not stated
Model: Severe scald burn covering 30 percent of total body surface area
Sildenafil raised glutathione peroxidase, catalase and total antioxidative capacity, lowered malondialdehyde, total oxidative stress and oxidative stress index and reduced lung inflammation scores, with 10 mg/kg apparently more effective than 20 mg/kg.
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MouseSpinal cord injuryContusionC57BL/6FemaleStarted immediately after injury
Model: Moderate contusive spinal cord injury in mice
Sildenafil increased spinal cord cyclic GMP concentrations and improved epicenter microvascular perfusion, but had no significant effect on angiogenesis at 7 days and no functional consequence for hindlimb locomotor recovery on Basso Mouse Scale or Treadscan analysis, indicating that acutely improv…
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RatWoundSprague-DawleyFemalen = 25 rats, 5 sacrificed at each of 5 time pointsTopical1% and 5% sildenafil citrate gel prepared with carbopol
Model: Four dorsal excisional skin defects healing by secondary intention
Sildenafil citrate gel reduced defect area from day 3, dose dependently after day 7, increased vascularity from day 3, and increased acute inflammation from day 5 with greater granulation amount and maturation and chronic inflammation from day 7.
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RatRadiationSprague-DawleyTopical5% sildenafil citrate hydrogel formulation (applied topical…After irradiation, during the acute wound healing phase
Model: Localised gamma-irradiation of skin to induce radiation skin wound and dermatitis, with a multi-dose trial over 10-55 Gy (15 Gy intervals) and a median 45 Gy dose selected for the acute wound healing studies
The 5% sildenafil citrate hydrogel significantly improved healing of 45 Gy irradiated skin relative to irradiated controls, with wound contraction of 88 plus or minus 1.02%, skin damage reduction of 81 plus or minus 0.82%, tensile strength improvement of 45 plus or minus 1.61% and nitric oxide and…
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RatWoundSprague-DawleyFemaleTopical
Model: Traumatic (excisional) skin wound
The sildenafil citrate hydrogel was stable and showed no acute dermal toxicity, and increased wound contraction, re-epithelialisation and tensile strength together with higher hydroxyproline, collagen, total protein and nitric oxide content. Histopathology confirmed enhanced re-epithelialisation, c…
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