Acute tadalafil administration increases plasma fatty acids without changes in inflammatory response in healthy men

  • Roberta Ceci Università degli Studi di Roma FORO ITALICO
  • Guglielmo Duranti Università degli Studi di Roma FORO ITALICO
  • Paolo Sgrò Università degli Studi di Roma FORO ITALICO
  • Stefania Sabatini Università degli Studi di Roma FORO ITALICO
  • Luigi Di Luigi Università degli Studi di Roma FORO ITALICO
Keywords: Tadalafil, Lipolysis, FFAs, Cytokines, cGMP


Purpose: The phosphodiesterase type 5 inhibitor (PDE5I) tadalafil has been shown to reduce visceral adipose tissue in rabbit and to improve lean mass content in non-obese men. In order to clarify this effect in humans, in the present study we determined the impact of an acute oral tadalafil administration on lipolysis by evaluating plasma free fatty acids (FFAs) and glycerol. FFAs are potential modulator of inflammation response that we evaluated through tumor necrosis factor alpha (TNFa), interleukin 6 (IL6), interleukin 8 (IL8) and interleukin 10 (IL10) plasma levels. Moreover, we determined whether the effects of tadalafil would be reflected in variation of plasma levels of cGMP and NO, twoimportant molecules involved in PDE5Is signaling.

Methods: Twelve healthy subjects were supplemented with tadalafil 20 mg or a placebo, in a double-blind, randomized, cross-over design. Blood samples were collected immediately before, and at 2, 6, and 24 hours post ingestion, and assayed for biochemical analysis.

Results: A condition effect was noted for FFAs and glycerol with values higher for tadalafil compared to placebo group at 2 and 6 hours post ingestion. No statistically significant effects were noted for glucose, cGMP, nitrate and nitrite. No inflammatory response was induced by tadalafil.

Conclusion: Tadalafil, in human subjects, increases lipolysis as evidenced by a significant increase in circulating FFAs and glycerol without affecting plasma cGMP and NO levels, noticeable the increase in FFAs did not develop an inflammatory response. Further well-controlled studies are warranted to assess the impact of tadalafil administration on weight/fat loss.


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