Lin Dongxu, Luo Changcheng, Wei Pengyu, Zhang An, Zhang Mengyang, Wu Xiaoliang, Deng Bolang, Li Zhipeng, Cui Kai, Chen Zhong
Department and Institute of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Department of Geriatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Adv Sci (Weinh). 2024 Feb;11(5):e2304274. doi: 10.1002/advs.202304274. Epub 2023 Dec 4.
Chronic prostatic inflammation promotes cell survival and fibrosis, leading to benign prostatic hyperplasia (BPH) with aggravated urinary symptoms. It is investigated whether yes-associated protein 1 (YAP1), an organ size controller and mechanical transductor, is implicated in inflammation-induced BPH. The correlation between YAP1 expression and fibrosis in human and rat BPH specimens is analyzed. Furthermore, the effects of YAP1 activation on prostatic cell survival and fibrosis, as well as the underlying mechanism, are also studied. As a result, total and nuclear YAP1 expression, along with downstream genes are significantly upregulated in inflammation-associated human and rat specimens. There is a significant positive correlation between YAP1 expression and the severity of fibrosis or clinical performance. YAP1 silencing suppresses cell survival by decreasing cell proliferation and increasing apoptosis, and alleviates fibrosis by reversing epithelial-mesenchymal transition (EMT) and extracellular matrix (ECM) deposition in prostatic BPH-1 and WPMY-1 cells. Mechanistically, inflammatory stimulus and rigid matrix stiffness synergistically activate the RhoA/ROCK1 pathway to provoke cytoskeleton remodeling, thereby promoting YAP1 activation to exacerbate BPH development. Overall, inflammation-triggered mechanical stiffness reinforcement activates the RhoA/ROCK1/F-actin/YAP1 axis, thereby promoting prostatic cell survival and fibrosis to accelerate BPH progression.
慢性前列腺炎促进细胞存活和纤维化,导致良性前列腺增生(BPH)并加重尿路症状。本研究旨在探讨作为器官大小调控因子和机械转导因子的Yes相关蛋白1(YAP1)是否与炎症诱导的BPH有关。分析了YAP1在人和大鼠BPH标本中的表达与纤维化之间的相关性。此外,还研究了YAP1激活对前列腺细胞存活和纤维化的影响及其潜在机制。结果显示,在炎症相关的人和大鼠标本中,YAP1的总表达和核表达以及下游基因均显著上调。YAP1表达与纤维化严重程度或临床表现之间存在显著正相关。YAP1沉默通过降低细胞增殖和增加凋亡来抑制细胞存活,并通过逆转前列腺BPH-1和WPMY-1细胞中的上皮-间质转化(EMT)和细胞外基质(ECM)沉积来减轻纤维化。机制上,炎症刺激和刚性基质硬度协同激活RhoA/ROCK1途径以引发细胞骨架重塑,从而促进YAP1激活以加剧BPH发展。总体而言,炎症触发的机械硬度增强激活了RhoA/ROCK1/F-肌动蛋白/YAP1轴,从而促进前列腺细胞存活和纤维化,加速BPH进展。