Tam Neville N C, Gao Ying, Leung Yuet-Kin, Ho Shuk-Mei
Department of Surgery, Division of Urology, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA.
Am J Pathol. 2003 Dec;163(6):2513-22. doi: 10.1016/S0002-9440(10)63606-1.
Little is known about the roles of androgens in the regulation of redox state in the prostate, a cellular process believed to profoundly influence normal and aberrant prostate functions. We demonstrate that castration induced discrete oxidative stress (OS) in the acinar epithelium of rat ventral prostate (VP), as evident from marked increases in 8-hydroxy-2'-deoxy-guanosine and 4-hydroxynonenal protein adducts in the regressing epithelium. Testosterone replacement partially reduced OS in VP epithelia of castrates, but the level remained higher than in intact rats. Quantification of steady-state mRNA levels of 14 genes involved in the anabolism and catabolism of reactive oxygen species (ROS) showed that castration resulted in dramatic increases of three ROS-generating NAD(P)H oxidases (Noxs) including Nox1, gp91(phox), and Nox4, significant reductions of key ROS-detoxifying enzymes (superoxide dismutase 2, glutathione peroxidase 1, thioredoxin, and peroxiredoxin 5), and unchanged levels of catalase, glutathione reductase, gamma-glutamyl transpeptidase, and glutathione synthetase. Testosterone replacement in castrated rats partially reduced expression of Noxs but restored expression of superoxide dismutase 2, glutathione peroxidase 1, thioredoxin, and peroxiredoxin 5 to complete normalcy and induced a compensatory increase in expression of catalase, glutathione reductase, gamma-glutamyl transpeptidase, and glutathione synthetase in the regenerating VP. Expression of superoxide dismutase 1, glutathione S-transferase-pi, and glucose-6-phosphate dehydrogenase was unaffected by castration and testosterone replacement. These findings indicate androgen-deprivation induces OS in the rat VP through elevation of ROS anabolism and diminution of antioxidant detoxification. Androgen replacement partially reduces OS in rat VP to precastration levels. Expression of Noxs remained high amid a broad-based recovery of antioxidant defense mechanism(s). These data might have implications on the use of androgen blockade for prostate cancer prevention and androgen therapy for andropause treatment in elderly men.
雄激素在前列腺氧化还原状态调节中的作用鲜为人知,而这一细胞过程被认为对前列腺的正常和异常功能有深远影响。我们发现,去势诱导大鼠腹侧前列腺(VP)腺泡上皮出现离散性氧化应激(OS),这在退化上皮中8-羟基-2'-脱氧鸟苷和4-羟基壬烯醛蛋白加合物显著增加中得以体现。睾酮替代部分降低了去势大鼠VP上皮中的OS,但仍高于完整大鼠。对参与活性氧(ROS)合成代谢和分解代谢的14个基因的稳态mRNA水平进行定量分析表明,去势导致三种产生ROS的NAD(P)H氧化酶(Nox)显著增加,包括Nox1、gp91(phox)和Nox4,关键的ROS解毒酶(超氧化物歧化酶2、谷胱甘肽过氧化物酶1、硫氧还蛋白和过氧化物酶5)显著减少,而过氧化氢酶、谷胱甘肽还原酶、γ-谷氨酰转肽酶和谷胱甘肽合成酶水平不变。去势大鼠中的睾酮替代部分降低了Nox的表达,但将超氧化物歧化酶2、谷胱甘肽过氧化物酶1、硫氧还蛋白和过氧化物酶5的表达恢复至完全正常,并在再生的VP中诱导过氧化氢酶、谷胱甘肽还原酶、γ-谷氨酰转肽酶和谷胱甘肽合成酶表达的代偿性增加。超氧化物歧化酶1、谷胱甘肽S-转移酶-pi和葡萄糖-六磷酸脱氢酶的表达不受去势和睾酮替代的影响。这些发现表明雄激素剥夺通过提高ROS合成代谢和减少抗氧化解毒作用在大鼠VP中诱导OS。雄激素替代将大鼠VP中的OS部分降低至去势前水平。在抗氧化防御机制广泛恢复的情况下,Nox的表达仍然很高。这些数据可能对老年男性使用雄激素阻断预防前列腺癌和使用雄激素疗法治疗男性更年期有启示意义。