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支原体是否会促成前列腺癌的形成?

Can mycoplasma contribute to formation of prostate cancer?

机构信息

Department of Urology, School of Medicine, University of Gaziantep, 27310 Gaziantep, Turkey.

出版信息

Int Urol Nephrol. 2013 Feb;45(1):33-8. doi: 10.1007/s11255-012-0299-5. Epub 2012 Sep 23.

Abstract

PURPOSE

To reveal the possible role of mycoplasmas in the etiopathogenesis of prostate cancer.

METHODS

In the study, prostate biopsy was performed on 62 patients with an abnormal digital rectal examination and/or elevated PSA. The patients' age was between 62 and 77 (mean 65.4 years) years. Thirty-one patients had adenocarcinoma of the prostate histopathologically (group 1). From these patients, the specimens were divided into two subgroups as specimens with malignant findings (group 1A) and specimens with benign findings (group 1B). The control group consisted of 31 patients with benign prostatic hyperplasia (group 2). In the specimens, the presence of mycoplasma DNA was investigated by the polymerase chain reaction method.

RESULTS

The mycoplasma DNA was found to be positive in 11 (35.4 %) patients in group 1A and in 4 (12.9 %) patients in group 1B. There was no mycoplasma DNA in the patients in group 2. The differences between group 1A and group 1B, and between group 1A and group 2 were statistically significant (p values, respectively, 0.006 and 0.0001).

CONCLUSIONS

Our data supported the thesis that mycoplasma infections play a role in the etiopathogenesis of the prostate cancer.

摘要

目的

揭示支原体在前列腺癌病因发病机制中的可能作用。

方法

本研究对 62 例直肠指检异常和/或 PSA 升高的患者进行了前列腺活检。患者年龄 62-77 岁,平均 65.4 岁。31 例患者组织病理学检查为前列腺腺癌(1 组)。从这些患者中,标本分为两组,一组为有恶性发现的标本(1A 组),另一组为有良性发现的标本(1B 组)。对照组为 31 例良性前列腺增生患者(2 组)。采用聚合酶链反应方法检测标本中支原体 DNA 的存在。

结果

1A 组 11 例(35.4%)和 1B 组 4 例(12.9%)患者的支原体 DNA 呈阳性。2 组患者中均未检测到支原体 DNA。1A 组与 1B 组、1A 组与 2 组之间的差异均有统计学意义(p 值分别为 0.006 和 0.0001)。

结论

我们的数据支持支原体感染在前列腺癌病因发病机制中起作用的假说。

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