Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
Department of Surgery and Biomedical Sciences, Cooper Medical School of Rowan University, Camden, NJ 08103, USA.
Int J Mol Sci. 2023 Feb 2;24(3):2870. doi: 10.3390/ijms24032870.
Benign prostatic hyperplasia (BPH) is a common disease in elderly men. It is characterized by prostatic enlargement and urethral compression and often causes lower urinary tract symptoms (LUTs) such as urinary frequency, urgency, and nocturia. Existing studies have shown that the pathological process of prostate hyperplasia is mainly related to the imbalance of cell proliferation and apoptosis, inflammation, epithelial-mesenchymal transition (EMT), and growth factors. However, the exact molecular mechanisms remain incompletely elucidated. Cell adhesion molecules (CAMs) are a group of cell surface proteins that mediate cell-cell adhesion and cell migration. Modulating adhesion molecule expression can regulate cell proliferation, apoptosis, EMT, and fibrotic processes, engaged in the development of prostatic hyperplasia. In this review, we went over the important roles and molecular mechanisms of cell adhesion molecules (mainly integrins and cadherins) in both physiological and pathological processes. We also analyzed the mechanisms of CAMs in prostate hyperplasia and explored the potential value of targeting CAMs as a therapeutic strategy for BPH.
良性前列腺增生症(BPH)是老年男性的常见病。其特征为前列腺增大和尿道受压,常引起下尿路症状(LUTS),如尿频、尿急和夜尿。现有研究表明,前列腺增生的病理过程主要与细胞增殖和凋亡、炎症、上皮-间充质转化(EMT)和生长因子的失衡有关。然而,确切的分子机制仍不完全清楚。细胞黏附分子(CAMs)是一组细胞表面蛋白,介导细胞-细胞黏附和细胞迁移。调节黏附分子的表达可以调节细胞增殖、凋亡、EMT 和纤维化过程,参与前列腺增生的发生。在这篇综述中,我们回顾了细胞黏附分子(主要是整合素和钙黏蛋白)在生理和病理过程中的重要作用和分子机制。我们还分析了 CAMs 在前列腺增生中的作用机制,并探讨了以 CAMs 为靶点作为 BPH 治疗策略的潜在价值。