Huang H F, Li M T, Linsenmeyer T A, Ottenweller J E, Pogach L M, Irwin R J
Department of Surgery, UMD-New Jersey Medical School, Newark 07103-2714, USA.
J Androl. 1997 May-Jun;18(3):250-6.
The prostate is one of the male accessory sex glands that produce fluid components of the seminal plasma. In addition to androgen, a normal innervation of the prostate is believed to be important for maintaining normal function of the prostate. Previously we noted that, in the rat, the weight of the prostate decreased following surgically induced spinal cord injury (SCI). This observation suggests that growth, and possibly function, of the prostate may be compromised after SCI. To explore this possibility, we examined the effects of SCI on the androgen-related biochemical properties and morphology of the prostate in the rat at various times after surgically induced SCI. SCI resulted in an acute decrease in prostate weight and an increase in steady state level of mRNA for testosterone-repressed prostate message 2 (TRPM 2) during the first 2 weeks postinjury. These changes perhaps relate to an increase in cell death or a decrease in secretory activity due to an acute suppression of serum testosterone after the injury. Concomitantly, there was a transient, but significant, decrease in the steady state level of androgen receptor (AR) mRNA in the prostate during the first 2 weeks after SCI, an indication of an altered autoregulation of AR by its own ligand. Despite the fact that growth of the prostate, as indicated by weight increase, in SCI rats resumed 2 weeks postinjury, prostate weights were persistently lower in SCI rats than sham-operated controls for at least 3 months. Furthermore, prostate TRPM 2 mRNA levels remained elevated throughout the recovery period even after a normal prostate weight had been restored. In addition, a decrease in the height of ventral prostate epithelial cells was noted in SCI rats 28 and 90 days postinjury. These results demonstrate a prolonged effect of SCI on prostate function. These findings and our unreported observation of persistently smaller seminal vesicles in the same groups of SCI rats suggest that functions of male accessory sex glands may also be compromised after SCI. These changes may affect biochemical properties of the secretory products of these glands and may provide some explanation for the reported changes in the composition of the seminal plasma and abnormal sperm motility seen in the semen of SCI men.
前列腺是产生精液浆液体成分的男性附属性腺之一。除雄激素外,前列腺的正常神经支配被认为对维持前列腺的正常功能很重要。此前我们注意到,在大鼠中,手术诱导脊髓损伤(SCI)后前列腺重量会下降。这一观察结果表明,SCI后前列腺的生长以及可能的功能可能会受到损害。为了探究这种可能性,我们在手术诱导SCI后的不同时间,研究了SCI对大鼠前列腺雄激素相关生化特性和形态的影响。SCI导致损伤后前2周前列腺重量急性下降,睾酮抑制的前列腺信息2(TRPM 2)的mRNA稳态水平升高。这些变化可能与损伤后血清睾酮急性抑制导致的细胞死亡增加或分泌活性降低有关。同时,SCI后前2周前列腺中雄激素受体(AR)mRNA的稳态水平出现短暂但显著的下降,这表明AR自身配体对其自身的自动调节发生了改变。尽管SCI大鼠中前列腺重量增加所表明的前列腺生长在损伤后2周恢复,但SCI大鼠的前列腺重量在至少3个月内一直低于假手术对照组。此外,即使在前列腺重量恢复正常后,整个恢复期前列腺TRPM 2 mRNA水平仍保持升高。另外,在损伤后28天和90天的SCI大鼠中,观察到腹侧前列腺上皮细胞高度降低。这些结果表明SCI对前列腺功能有长期影响。这些发现以及我们在同一组SCI大鼠中未报告的精囊持续较小的观察结果表明,SCI后男性附属性腺的功能也可能受到损害。这些变化可能会影响这些腺体分泌产物的生化特性,并可能为SCI男性精液中报道的精浆成分变化和异常精子活力提供一些解释。