Department of Urology, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Int J Impot Res. 2011 Nov-Dec;23(6):235-41. doi: 10.1038/ijir.2011.36. Epub 2011 Jul 21.
While the exact mechanism of Peyronie's disease (PD) remains an enigma, the pathophysiology of PD is considered to be multifactorial, with interactions of genetic predisposition, trauma, tissue inflammation and aberrant wound healing. A non-systematic review of the existing English language literature pertaining to the use of rodent models in the evaluation of PD was performed using the Medline database. Multiple free-text searches were performed on key words: animal models of PD, transforming growth factor β1 (TGF β1), tunical and/or corporal fibrosis, subtunical injection and penile myofibroblasts. The most frequently reported models of PD can be classified as TGF β1, fibrin and surgical trauma-induced models. In vitro studies using Peyronie's fibroblast culture media have also provided further insights into cellular mechanism of PD. At the present time, the research in PD is hampered by the lack of universally accepted animal model and this is likely attributed to the limited insight into PD mechanisms and the difficulties faced by current animal models to truly represent the complexity and complete spectrum of human disease.
虽然佩罗尼氏病(PD)的确切机制仍然是个谜,但 PD 的病理生理学被认为是多因素的,涉及遗传易感性、创伤、组织炎症和异常的伤口愈合的相互作用。使用 Medline 数据库对现有的关于在 PD 评估中使用啮齿动物模型的英文文献进行了非系统性综述。针对关键词进行了多次自由文本搜索:PD 的动物模型、转化生长因子β1(TGFβ1)、白膜和/或 corporal 纤维化、白膜下注射和阴茎肌成纤维细胞。报道最多的 PD 模型可分为 TGFβ1、纤维蛋白和手术创伤诱导模型。使用佩罗尼氏成纤维细胞培养基的体外研究也为 PD 的细胞机制提供了进一步的见解。目前,PD 的研究受到缺乏普遍接受的动物模型的阻碍,这可能归因于对 PD 机制的有限了解以及当前动物模型在真正代表人类疾病的复杂性和完整谱方面所面临的困难。