Prolonged tadalafil exposure promotes skeletal muscle myogenesis and regulates early myogenic markers activation in C2C12 cell lines, 2026, Antinozzi+

SNT Gatchaman

Senior Member (Voting Rights)
Staff member
Prolonged tadalafil exposure promotes skeletal muscle myogenesis and regulates early myogenic markers activation in C2C12 cell lines
Antinozzi, Cristina; Di Luigi, Luigi

PURPOSE
The regeneration of skeletal muscle depends on the activation and differentiation of myogenic progenitor cells. Tadalafil, one of the phosphodiesterase type 5 inhibitors, is known to modulate nitric oxide/cGMP signaling; however, its prolonged effects on myogenic progression are not well understood. This study investigates the impact of prolonged tadalafil exposure on C2C12 myoblasts and early myogenic progenitor markers activation.

METHODS
C2C12 cells were treated with 1 µM tadalafil for up to seven days, and analyzed for proliferation, viability, myogenesis activation and myokine release.

RESULTS
Prolonged tadalafil treatment significantly increased cell proliferation and survival, reducing cell death at all time points. Although tadalafil enhanced the expression of early myogenic factors, it simultaneously delayed terminal differentiation, reducing MHC-positive multinucleated myotubes, while maintaining higher expression levels of Pax7 and Myf6 after seven days, consistent with a less differentiated phenotype. This result was accompanied by the upregulation of Sirt3 and IL6, and the downregulation of myostatin and TGFβ.

CONCLUSIONS
Tadalafil promoted a highly proliferative state and preventing premature differentiation. These findings suggest its potential use as an adjuvant pharmacological therapy in the treatment of muscle-wasting disorders. However, the potent improvement of muscle regenerative machinery raises critical concerns regarding its potential misuse as a performance-enhancing drug in sport, highlighting the need for evaluation by anti-doping agencies.

Web | DOI | PDF | Molecular Biology Reports | Paywall
 
One of the most significant findings of our study is the apparent discrepancy between the upregulation of MyoD and Myogenin, and the delayed formation of multinucleated myotubes. This result suggested that tadalafil induced a state of ‘myogenic priming’ rather than immediate terminal differentiation. By maintaining high levels of both Pax7 and MyoD simultaneously, tadalafil appeared to stabilize the myoblast population in an activated, highly proliferative state while preventing the premature depletion of progenitor cells. This preservation of a ‘regeneration-ready’ phenotype is further evidenced by the sustained expression of Pax7 at day 7. Overall, these findings indicate that tadalafil enhances early myogenic factor expression by maintaining elevated levels of selected regulatory genes over time and promoting satellite cell activation and expansion rather than rapid differentiation and fusion.

Taken together, our results suggest that prolonged treatment with tadalafil enhances cell proliferation and survival, delays terminal differentiation, and supports transcriptional programs associated with satellite cells; tadalafil may therefore increase the regenerative potential of skeletal muscle cells. These effects may have important implications for conditions characterized by impaired muscle regeneration or muscle wasting, such as muscular dystrophies, sarcopenia, cachexia, and prolonged immobilization. Tadalafil may lower the threshold for muscle hypertrophy, making it a candidate for “exercise-mimetic” therapies in patients with limited mobility or as an adjuvant to rehabilitation protocols to accelerate recovery after severe muscle injury.

Interestingly, clinical interest in PDE5 inhibitors for neuromuscular disorders like Duchenne Muscular Dystrophy (DMD) has primarily focused on improving microcirculation, our data highlight a direct, cell-autonomous effect of tadalafil on myogenic progenitors providing a solid basis for further investigating tadalafil as a pharmacological tool to counteract muscle wasting in conditions where satellite cell function is compromised.
 
Do we have any case studies or accounts of pwME/LC taking this drug?

I think I remember one or two people talking about it on covidlonghaulers back in the day under it's brand name cialis.

Edit: found these-




 
Do we have any case studies or accounts of pwME/LC taking this drug?
There's some on PhoenixRising (search for Tadalafil)


 
Back
Top Bottom