Evidence mapPaperPMID 41953201Full record

ReviewFrontiers in pharmacology2026

Genetic biomarkers associated with risk and therapeutic response in erectile dysfunction: a systematic review.

Letícia Perticarrara Ferezin, Cezar Kayzuka, Mauriely Paiva de Alcântara E Silva, Cecilia Nogueira Tavares Peixeiro, Vitória Carolina Rondon-Pereira, Jose Eduardo Tanus-Santos, Riccardo Lacchini

Abstract readReview
In one paragraph

Review in Frontiers in pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Letícia Perticarrara FerezinDepartment of Genetics - Ribeirao Preto Medical School- University of Sao Paulo, Ribeirao Preto, Brazil.
Cezar KayzukaDepartment of Psychiatric Nursing and Human Sciences - Ribeirao Preto College of Nursing - University of Sao Paulo, Ribeirao Preto, Brazil.
Mauriely Paiva de Alcântara E SilvaDepartment of General and Specialized Nursing - Ribeirao Preto College of Nursing - University of Sao Paulo, Ribeirao Preto, Brazil.
Cecilia Nogueira Tavares PeixeiroDepartment of Clinical Analyses, Toxicology and Food Science - School of Pharmaceutical Sciences of Ribeirao Preto - University of Sao Paulo, Ribeirao Preto, Brazil.
Vitória Carolina Rondon-PereiraDepartment of Pharmacology - Ribeirao Preto Medical School - University of Sao Paulo, Ribeirao Preto, Brazil.
Jose Eduardo Tanus-SantosDepartment of Pharmacology - Ribeirao Preto Medical School - University of Sao Paulo, Ribeirao Preto, Brazil.
Riccardo LacchiniDepartment of Psychiatric Nursing and Human Sciences - Ribeirao Preto College of Nursing - University of Sao Paulo, Ribeirao Preto, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Erectile dysfunction (ED) is a multifactorial condition influenced by vascular, neuroendocrine, metabolic, and psychological factors. Growing evidence suggests that genetic variation may contribute to individual susceptibility, severity, and therapeutic response, particularly regarding nitric oxide (NO) signaling and vascular pathways. To systematically synthesize evidence on genetic biomarkers associated with the risk, severity, or therapeutic response of ED in adult men. Methods: A systematic review was conducted following PRISMA 2020 guidelines and registered in PROSPERO (CRD420251144891). Searches were performed in MEDLINE, Embase, Scopus, LILACS, and Web of Science. Observational studies evaluating genetic polymorphisms or related biomarkers in adult men with Erectile dysfunction were included. Two reviewers independently screened studies, extracted data, and assessed methodological quality using JBI tools and the certainty of evidence using GRADE. Results: Thirty-five studies met inclusion criteria. The genetic markers most frequently investigated involved pathways related to nitric oxide synthesis and endothelial function, including Discussion/Conclusion: Current evidence suggests that genetic polymorphisms related to nitric oxide signaling, vascular regulation, and PDE5 inhibitor pharmacodynamics are associated with variability in erectile dysfunction risk and treatment response. However, the overall certainty of evidence is low, and further validation in well-designed, multiethnic studies is required before clinical translation.

Indexed as

biomarkerserectile dysfunctiongenetic polymorphismpersonalized medicinepharmacogenetics

Identifiers

PMID41953201
PMCPMC13055537

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.