Mechanisms of testosterone action on the male pelvic autonomic nervous system: the role of estrogens

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The aim of this project is to understand how the circulating hormone, testosterone, affects the autonomic nervous system in adult males. We are particularly interested in the effects this hormone has on the nerve supply of the urogenital organs, ie. the lower urinary tract and reproductive organs. We have already found that many different parts of this pelvic autonomic nervous system are androgen-sensitive, and if the levels of hormones drop significantly, then many properties of the neurons change. This is likely to impact negatively on reflexes like penile erection, prostate secretion and propulsion of seminal fluid. Our recent experiments suggest that many of these actions may be caused by testosterone acting in a way that does not involve the typical activation of its receptor molecule (the androgen receptor) and we think it is very likely that it is first converted by some pelvic autonomic neurons into estradiol. We have recently shown that estradiol has potent actions on signalling cascades in these neurons, and that many of the neurons make estrogen receptors. It is also possible that testosterone causes the release of growth factors from the organs, and these growth factors cause changes in their nerve supply. We will investigate both of these possibilities. The outcomes of this study will be relevant for understanding how pelvic autonomic reflexes are affected by endocrine disorders, ageing and various drugs that act on the endocrine system. Our results may also be useful for designing drugs that act on the endocrine system but with less side-effects on the nervous system.