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Abstract Erectile dysfunction (ED) commonly results from endothelial dysfunction of the penile vasculature. Stem cell-based therapies targeting the penile endothelium have been gaining momentum in preclinical studies. This work aimed to investigate the administration of mesenchymal stem cells (MSCs) in the cavernous tissues of aged rats (n=144). They were subjected to intracavernous injection of 1.5, 3.0 million MSCs and followed for 3 & 4 weeks (short term) and another groups were injected by 0.5, 1.0 million MSCs followed for 4 & 5 months (long term). Dissected cavernous tissues were assessed for cGMP, HO enzyme activity, NOS activity, RT-PCR of HO-1, intracavernous pressure (ICP) and histopathology. In short term study, cavernous cGMP, HO and NOS enzyme activities and ICP were significantly increased in rats that received 1.5 million MSCs than 3.0 million doses compared with controls. In long term study, there was also a significant increase of these parameters in rats that received 1 million MSCs more than 0.5 million doses compared with controls |