Beijing Shijitan Hospital, Capital Medical University, 100038, Beijing, China.
Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, 100016, Beijing, China.
BMC Urol. 2022 Nov 7;22(1):172. doi: 10.1186/s12894-022-01121-5.
5-α reductase inhibitors (5-ARIs) are first-line drugs for managing benign prostatic hyperplasia (BPH). Unfortunately, some patients do not respond to 5-ARI therapy and may even show worsening symptoms. The decreased expression of steroid 5-α reductase type 2(SRD5A2) in BPH tissues may explain the failure of 5-ARI therapy, however, the mechanisms underlying SRD5A2 decreased remained unelucidated.
To investigate microRNA-mediated regulation of the expression of SRD5A2 resulting in 5-ARI therapy failure.
The expression of SRD5A2 and microRNAs in BPH tissues and prostate cells were detected by immunohistochemistry, western blotting, and quantitative real-time PCR. Dual-luciferase reporter assay was performed to confirm that microRNA directly combine to SRD5A2 mRNA. The apoptosis of prostatic cells was detected by flow cytometry.
SRD5A2 expression was variable; it was negative, weak, and strong in 13.6%, 28.8%, and 57.6% of BPH tissues respectively. The normal human prostatic epithelial cell line RWPE-1 strongly expressed SRD5A2, whereas the immortalized human prostatic epithelial cell line BPH-1 weakly expressed SRD5A2. miR-1199-5p expression was remarkably higher in BPH-1 than in RWPE-1 cells(P<0.001), and miR-1199-5p expression was significantly upregulated in BPH tissues with negative SRD5A2 expression than those with positive SRD5A2 expression. Transfection of miR-1199-5p mimics in RWPE-1 cells led to a marked decrease in SRD5A2 expression, whereas miR-1199-5p inhibitor increased SRD5A2 expression in BPH-1 cells. Dual-luciferase reporter assay showed that miR-1199-5p could bind the 3'untranslated region of SRD5A2 mRNA. miR-1199-5p also decreased the RWPE-1 sensibility to finasteride, an inhibitor of SRD5A2.
Our results show that SRD5A2 expression varies in BPH tissues and miR-1199-5p might be one of the several factors contributing to differential SRD5A2 expression in BPH patients.
5-α 还原酶抑制剂(5-ARIs)是治疗良性前列腺增生(BPH)的一线药物。不幸的是,一些患者对 5-ARI 治疗无反应,甚至症状恶化。BPH 组织中类固醇 5-α 还原酶 2(SRD5A2)的表达降低可能解释了 5-ARI 治疗的失败,但 SRD5A2 降低的机制仍不清楚。
研究 microRNA 介导的 SRD5A2 表达调控导致 5-ARI 治疗失败的机制。
通过免疫组织化学、Western blot 和实时定量 PCR 检测 BPH 组织和前列腺细胞中 SRD5A2 和 microRNA 的表达。双荧光素酶报告基因实验证实 microRNA 可直接与 SRD5A2 mRNA 结合。通过流式细胞术检测前列腺细胞的凋亡。
SRD5A2 的表达存在差异;在 13.6%、28.8%和 57.6%的 BPH 组织中,SRD5A2 的表达分别为阴性、弱阳性和强阳性。正常的人前列腺上皮细胞系 RWPE-1 强烈表达 SRD5A2,而永生化的人前列腺上皮细胞系 BPH-1 则弱表达 SRD5A2。miR-1199-5p 在 BPH-1 细胞中的表达明显高于 RWPE-1 细胞(P<0.001),且在 SRD5A2 表达阴性的 BPH 组织中 miR-1199-5p 的表达明显上调。在 RWPE-1 细胞中转染 miR-1199-5p 模拟物可导致 SRD5A2 表达显著降低,而 miR-1199-5p 抑制剂则可增加 BPH-1 细胞中 SRD5A2 的表达。双荧光素酶报告基因实验表明,miR-1199-5p 可与 SRD5A2 mRNA 的 3'UTR 结合。miR-1199-5p 还降低了抑制剂 finasteride 对 RWPE-1 细胞的敏感性,finasteride 是 SRD5A2 的抑制剂。
我们的结果表明,SRD5A2 的表达在 BPH 组织中存在差异,而 miR-1199-5p 可能是导致 BPH 患者 SRD5A2 表达差异的多种因素之一。