The role of prostatic inflammation in the development and progression of benign and malignant diseases. Issue 2 (March 2017)

• Record Type: Journal Article
• Authors: Gandaglia, Giorgio; Zaffuto, Emanuele; Fossati, Nicola; Cucchiara, Vito; Mirone, Vincenzo; Montorsi, Francesco; Briganti, Alberto
• Is Part Of: Current opinion in urology. Volume 27:Issue 2(2017:Mar.)
• Page Start: 99
• Page End: 106
• Publication Date: 2017-03
• Subjects: benign prostatic hyperplasia -- lower urinary tract symptoms -- prostate cancer -- prostatic inflammation; Urology -- Periodicals; Review Literature -- Bibliography; Review Literature -- Periodicals; Male Urogenital Diseases -- Bibliography; Male Urogenital Diseases -- Periodicals; Female Urogenital Diseases -- Bibliography; Female Urogenital Diseases -- Periodicals; Urologic Diseases -- Bibliography; Urologic Diseases -- Periodicals; Periodicals; 616.6005
• DOI: 10.1097/MOU.0000000000000369
• Languages: English
• ISSNs: 1473-6586

Abstract

Abstract : Purpose of review: To evaluate the role of prostatic inflammation in the development and progression of benign and malignant prostatic diseases. Recent findings: Preclinical studies demonstrate that the activation of a chronic inflammatory prostatic response plays an important role in the pathogenesis and progression of benign prostatic hyperplasia (BPH) and prostate cancer (PCa). Approximately 40–70% of patients with BPH-related lower urinary tract symptoms harbour chronic inflammation at pathologic evaluation. These individuals should be considered at increased risk of symptom progression and acute urinary retention. Although currently available drugs approved for the treatment of BPH do not have an anti-inflammatory activity, the development of novel molecules that target the inflammatory pathway represents a promising area in the pharmacological treatment of BPH. Preclinical evidences support a potential role of chronic prostatic inflammation in the malignant transformation of prostatic cells. However, clinical investigations on the association between prostatic inflammation and the risk of PCa report conflicting results. Summary: Men with BPH-related lower urinary tract symptoms and chronic prostatic inflammation should be considered at increased risk of symptom progression and acute urinary retention during follow-up. Although preclinical studies provide a biological rationale for the relationship between inflammation and the risk of PCa, clinical investigations report conflicting results and the direct relationship between inflammation and malignant transformation in the human prostate is still debated.