Wang Lixin, Cao Ying, Tian Ye, Luo Guangheng, Yang Xiushu, Sun Zhaolin
Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
Guizhou Medical University, Guiyang, China.
Int Urol Nephrol. 2019 Jan;51(1):9-15. doi: 10.1007/s11255-018-2019-2. Epub 2018 Nov 7.
The present study aimed to investigate the influence of urine on re-epithelialization in canine prostatic urethra after prostatectomy and explore possible causes.
We established two groups of prostatic canine models. The first group contained urine that canines underwent the surgery by two-micron laser resection of the prostate-tangerine technique (TmLRP-TT), and no transurethral catheter was required. The second group was without urine that canines accepted the surgery by TmLRP-TT add ureter skin ostomy urine bypass. Histopathology of re-epithelialization of repair in trauma in canine prostatic urethra was observed by hematoxylin and eosin (HE) staining, and immunochemistry was used to determine the expression of transforming growth factor-β (TGF-β). Human prostate epithelial line (BPH-1) cells were cultured with or without urine and the abilities of proliferation and migration were tested by CCK-8 and transwell assays, respectively.
The histology displayed that there was distinct proliferation of prostatic cell under the wound after 3 days, re-epithelialization began after 9 days, and finished after 28 days at urine group. The TGF-β1 like-IR in prostatic epithelium cells and fibroblast cells under the wound at urine group were strikingly increased as compared with the cells at no urine group after 3, 9, and 11 days, respectively (p < 0.05). In CCK-8 and Transwell assays, an increase of cells' proliferation and migration was detected in urine culture group compared with no urine culture group (p < 0.05).
Urine may speed up the re-epithelialization process for prostatic urethra wounds by promoting proliferation and migration of prostate epithelial cells.
本研究旨在探讨尿液对前列腺切除术后犬前列腺尿道再上皮化的影响,并探究其可能原因。
我们建立了两组犬前列腺模型。第一组为有尿液组,犬通过两微米激光前列腺剜除术(TmLRP-TT)进行手术,无需经尿道置管。第二组为无尿液组,犬接受TmLRP-TT加输尿管皮肤造口尿液转流手术。通过苏木精-伊红(HE)染色观察犬前列腺尿道创伤修复再上皮化的组织病理学变化,并用免疫化学方法检测转化生长因子-β(TGF-β)的表达。将人前列腺上皮细胞系(BPH-1)细胞分别在有或无尿液的条件下培养,分别通过CCK-8和Transwell实验检测细胞的增殖和迁移能力。
组织学显示,有尿液组术后3天伤口下前列腺细胞明显增殖,9天开始再上皮化,28天完成。有尿液组术后3天、9天和11天伤口下前列腺上皮细胞和成纤维细胞中的TGF-β1免疫反应性与无尿液组相比均显著增加(p<0.05)。在CCK-8和Transwell实验中,与无尿液培养组相比,尿液培养组细胞的增殖和迁移增加(p<0.05)。
尿液可能通过促进前列腺上皮细胞的增殖和迁移来加速前列腺尿道伤口的再上皮化过程。