“…1 Given the broad safety prole of EL root extracts and the abundance of bioactive species (mainly quassinoids, canthin-6-one alkaloids, and b-carboline alkaloids), [1][2][3] these extracts are utilized in numerous medicinal applications: they are used for improving male sexual performance 4 and treating sexual dysfunction, malaria, cancer, diabetes, constipation, inammation, fever, fatigue, leukemia, and infectious and bone diseases. 3,5,6 The aphrodisiac activities of EL are attributed to canthin-6one alkaloids, such as canthin-6-one-9-O-b-D-glucopyranoside (C6OG), 9-methoxycanthin-6-one (MCO), canthin-6-one (C6O), and 9-hydroxycanthin-6-one (HCO), which exert their effects by inhibiting phosphodiesterase type 5 (IC 50 = 2.86 ± 0.23, 3.30 ± 1.03, 4.31 ± 0.52, and 4.66 ± 1.13 mM, respectively). 7 In addition, HCO may be associated with penile erection and delayed ejaculation in rats, by interfering with Ca 2+ mobilization and, thus, antagonistically toning the smooth muscles of the corpus cavernosum and seminal vesicle.…”