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This version published online on May 14, 2009
Endocrinology, doi:10.1210/en.2008-1782
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Submitted on December 23, 2008
Accepted on May 4, 2009

A Signaling Network in Phenylephrine-induced Benign Prostatic Hyperplasia

Jayoung Kim, Yutaka Yanagihara, Tadahiko Kikugawa, Mihee Ji, Nozomu Tanji, Yokoyama Masayoshi, and Michael R. Freeman*

The Urological Diseases Research Center, Children's Hospital Boston, Boston, MA 02115, USA; Departments of Surgery and Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115, USA; Department of Urology, Ehime University School of Medicine, Ehime, Japan

* To whom correspondence should be addressed. E-mail: michael.freeman{at}childrens.harvard.edu.

Benign prostatic hyperplasia (BPH) is an age-related disease of unknown etiology characterized by prostatic enlargement and coinciding with distinctive alterations in tissue histomorphology. To identify the molecular mechanisms underlying the development of BPH, we conducted a DNA microarray study using a previously described animal model in which chronic {alpha}(1)-adrenergic stimulation by repeated administration of phenylephrine evokes histomorphologic changes in the rat prostate that resemble human BPH. Bioinformatic tools were applied to microarray data obtained from prostate tissue to construct a network model of potentially relevant signal transduction pathways. Significant involvement of inflammatory pathways was demonstrable, including evidence for activation of a TGF-{beta} signaling cascade. The heterodimeric protein clusterin (apolipoprotein J) was also identified as a prominent node in the network. Responsiveness of TGF-{beta} signaling and clusterin gene and protein expression were confirmed independently of the microarray data, verifying some components of the model. This is the first attempt to develop a comprehensive molecular network for histologic BPH induced by adrenergic activation. The study also implicated clusterin as a novel biochemical target for therapy.


Key words: benign prostatic hyperplasia • inflammation • clusterin • TGF-{beta} • p-smad2







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