Regulation of PDE5 expression in normal prostate, benign prostatic hyperplasia, and adenocarcinoma.


Journal

Andrology
ISSN: 2047-2927
Titre abrégé: Andrology
Pays: England
ID NLM: 101585129

Informations de publication

Date de publication:
03 2020
Historique:
received: 15 05 2019
revised: 17 07 2019
accepted: 18 07 2019
pubmed: 23 8 2019
medline: 20 1 2021
entrez: 22 8 2019
Statut: ppublish

Résumé

Type 5 phosphodiesterase (PDE5) expression in the normal and pathological prostate is controversial. This study aimed at identifying the cell type/s, if any, expressing PDE5 in human healthy or pathological prostate sections in order to further validate the rationale of PDE5 inhibitor (PDE5i) treatment of benign prostatic hyperplasia (BPH) and their safety in the treatment of erectile dysfunction following prostate cancer (PCa) surgery. By immunohistochemical analysis, we studied PDE5 expression in tissue microarrays containing sections obtained from healthy, BPH, and PCa samples. Our results showed that PDE5 is barely expressed in the epithelial or stromal compartment of normal human prostates, but it is highly expressed in the stromal compartment of BPH sections. We also found that a low but significant number of PCa samples (22%) expressed PDE5 in the epithelial cancer cells but not in stromal cells and that such expression was not correlated with the tumor aggressiveness, according to their Gleason score. PDE5 overexpression in the stromal compartment of BPH samples supports the rationale of PDE5 as a target in lower urinary tract symptoms of BPH. PDE5 expression in a significant percentage of PCa samples but the lack of correlation with the Gleason score suggests that this enzyme is not correlated with tumor aggressiveness; however, a role of PDE5 in the minimal residual disease of PCa cannot be excluded.

Sections du résumé

BACKGROUND
Type 5 phosphodiesterase (PDE5) expression in the normal and pathological prostate is controversial.
OBJECTIVES
This study aimed at identifying the cell type/s, if any, expressing PDE5 in human healthy or pathological prostate sections in order to further validate the rationale of PDE5 inhibitor (PDE5i) treatment of benign prostatic hyperplasia (BPH) and their safety in the treatment of erectile dysfunction following prostate cancer (PCa) surgery.
MATERIALS AND METHODS
By immunohistochemical analysis, we studied PDE5 expression in tissue microarrays containing sections obtained from healthy, BPH, and PCa samples.
RESULTS
Our results showed that PDE5 is barely expressed in the epithelial or stromal compartment of normal human prostates, but it is highly expressed in the stromal compartment of BPH sections. We also found that a low but significant number of PCa samples (22%) expressed PDE5 in the epithelial cancer cells but not in stromal cells and that such expression was not correlated with the tumor aggressiveness, according to their Gleason score.
DISCUSSION AND CONCLUSION
PDE5 overexpression in the stromal compartment of BPH samples supports the rationale of PDE5 as a target in lower urinary tract symptoms of BPH. PDE5 expression in a significant percentage of PCa samples but the lack of correlation with the Gleason score suggests that this enzyme is not correlated with tumor aggressiveness; however, a role of PDE5 in the minimal residual disease of PCa cannot be excluded.

Identifiants

pubmed: 31433119
doi: 10.1111/andr.12695
doi:

Substances chimiques

Cyclic Nucleotide Phosphodiesterases, Type 5 EC 3.1.4.35

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

427-433

Subventions

Organisme : Ministero dell'Istruzione, dell'Università e della Ricerca
ID : 215XCR88M
Pays : International
Organisme : University of Rome Torvergata 'Consolidate the Foundation'
Pays : International

Informations de copyright

© 2019 American Society of Andrology and European Academy of Andrology.

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Auteurs

C Bisegna (C)

Section of Anatomy, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

G L Gravina (GL)

Division of Radiotherapy and Radiobiology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.

F Pierconti (F)

Institute of Pathological Anatomy, Catholic University of Rome, Rome, Italy.

M Martini (M)

Institute of Pathological Anatomy, Catholic University of Rome, Rome, Italy.

L Larocca (L)

Institute of Pathological Anatomy, Catholic University of Rome, Rome, Italy.

P Rossi (P)

Section of Anatomy, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

P Grimaldi (P)

Section of Anatomy, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

S Dolci (S)

Section of Anatomy, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

S Di Stasi (S)

Section of Urology, Department of Surgery Sciences, University of Rome Tor Vergata, Rome, Italy.

E A Jannini (EA)

Chair of Endocrinology and Medical Sexology (ENDOSEX), Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.

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