Department of Urology, University Hospital, LMU Munich, Munich, Germany.
Neurourol Urodyn. 2023 Sep;42(7):1522-1531. doi: 10.1002/nau.25242. Epub 2023 Jul 9.
Phospholipases A (PLA ) may be involved in α -adrenergic contraction by formation of thromboxane A in different smooth muscle types. However, whether this mechanism occurs with α -adrenergic contractions of the prostate, is still unknown. While α -adrenoceptor antagonists are the first line option for medical treatment of voiding symptoms in benign prostatic hyperplasia (BPH), improvements are limited, probably by nonadrenergic contractions including thromboxane A . Here, we examined effects of PLA inhibitors on contractions of human prostate tissues.
Prostate tissues were obtained from radical prostatectomy. Contractions were induced by electric field stimulation (EFS) and by α -adrenergic agonists in an organ bath, after application of the cytosolic PLA inhibitors ASB14780 and AACOCF3, the secretory PLA inhibitor YM26734, the leukotriene receptor antagonist montelukast, or of solvent to controls.
Frequency-dependent contractions of human prostate tissues induced by EFS were inhibited by 25% at 8 Hz, 38% at 16 Hz and 37% at 32 Hz by ASB14780 (1 µM), and by 32% at 16 Hz and 22% at 32 Hz by AACOCF3 (10 µM). None of both inhibitors affected contractions induced by noradrenaline, phenylephrine or methoxamine. YM26734 (3 µM) and montelukast (0.3 and 1 µM) neither affected EFS-induced contractions, nor contractions by α -adrenergic agonists, while all contractions were substantially inhibited by silodosin (100 nM).
Our findings suggest presynaptic PLA functions in prostate smooth muscle contraction, while contractions induced by α -adrenergic agonists occur PLA -independent. Lacking sensitivity to montelukast excludes an involvement of PLA -derived leukotrienes in promotion of contractile neurotransmission.
磷酸脂酶 A(PLA)可能通过在不同的平滑肌类型中形成血栓素 A 而参与α-肾上腺素能收缩。然而,这种机制是否发生在前列腺的α-肾上腺素能收缩中,仍然未知。虽然α-肾上腺素受体拮抗剂是治疗良性前列腺增生(BPH)排尿症状的首选药物,但改善效果有限,可能是由于非肾上腺素能收缩包括血栓素 A。在这里,我们检查了 PLA 抑制剂对人前列腺组织收缩的影响。
前列腺组织取自根治性前列腺切除术。在器官浴中,通过电场刺激(EFS)和α-肾上腺素能激动剂诱导收缩,然后应用细胞质 PLA 抑制剂 ASB14780 和 AACOCF3、分泌型 PLA 抑制剂 YM26734、白三烯受体拮抗剂孟鲁司特或溶剂作为对照。
EFS 诱导的人前列腺组织的频率依赖性收缩被 ASB14780(1μM)抑制 25%在 8 Hz,38%在 16 Hz 和 37%在 32 Hz,AACOCF3(10μM)抑制 32%在 16 Hz 和 22%在 32 Hz。两种抑制剂均不影响去甲肾上腺素、苯肾上腺素或甲氧胺诱导的收缩。YM26734(3μM)和孟鲁司特(0.3 和 1μM)均不影响 EFS 诱导的收缩,也不影响α-肾上腺素能激动剂诱导的收缩,而所有收缩均被西洛多辛(100nM)显著抑制。
我们的发现表明前列腺平滑肌收缩中存在突触前 PLA 功能,而α-肾上腺素能激动剂诱导的收缩则与 PLA 无关。对孟鲁司特缺乏敏感性排除了 PLA 衍生的白三烯参与促进收缩性神经传递。