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Research Article

Effects of Citrulline Combined with Tadalafil on Monocrotaline-Induced Pulmonary Hypertension in Rats Compared with Arginine

Fuminobu Ishikura1*, Mai Egawa2, Yuri Takano2, Kota Kumagai3, Takashi Suzuki3 and Masahiko Morita3
1Department of Health and Nutrition Faculty of Liberal Arts, Osaka Shoin Women’s University, Osaka, Japan
2School of Allied Health Sciences, Osaka University, Faculty of Medicine, Osaka, Japan
3Healthcare Products Development Center, Kyowa Hakko Bio Co., Ltd., Ibaraki, Japan
Corresponding Author : Fuminobu Ishikura, M.D.
Department of Health and Nutrition Faculty of Liberal Arts
Osaka Shoin Women’s University, 4-2-26, Hishiyanishi
Higashi-Osaka, 577-8550, Japan
Tel: (+81) 0-6723-8135
Fax: (+81) 6-6723-8135
E-mail: ishikura.fuminobu@osaka-shoin.ac.jp
Received: July 06, 2015; Accepted: August 08 2015; Published: August 12, 2015
Citation: Ishikura F, Egawa M, Takano Y, Kumagai K, Suzuki T, et al. (2015) Effects of Citrulline Combined with Tadalafil on Monocrotaline-Induced Pulmonary Hypertension in Rats Compared with Arginine. A Systematic Review. J Nov Physiother 5:269. doi:10.4172/2165-7025.1000269
Copyright: © 2015 Ishikura F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Purpose: Tadalafil, phosphodiesterase5 (PDE5) inhibitor, was reported to have a therapeutic effect on pulmonary hypertension (PH) and citrulline is an amino acid to dilate arteries as an extracellular supplement to improve nitric oxide (NO) production. Therefore, it is expected that combination of tadalafil and citrulline exert a stronger effect for PH. The aim of this study is to evaluate the combination effects of tadalafil and citrulline on monocrotaline (MCT) -induced PH in rats compared with the combination effects of tadalafil and arginine.

Methods: We used 4-week-old male SD rats which developed PH by 5-times subcutaneous injection of MCT. We evaluated heart function by echocardiography and calculated the ratio of RV to LV weight of heart before and after 6-times administration per two weeks of saline, tadalafil alone, citrulline alone and tadalafil and citrulline or arginine.

Results: The survival rate of tadalafil and citrulline administration was 91.7%, which was higher than other groups. The ratio of RV to LV weight in a tadalafil group and a tadalafil+citrulline group were significantly lower than other 3 groups.

Conclusion: Combination therapy of tadalafil and citrulline useful to prevent deterioration of pulmonary hypertension and improve survival rate compared with concomitant use of arginine.

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