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Haller B, Takano EA, Brock J, Fox SB, Woodford N, Devereux L, O'Connell HE. Distribution of prostatic markers in glands of the female urethra and anterior vaginal wall-a rapid autopsy study. J Sex Med 2024:qdae055. [PMID: 38808370 DOI: 10.1093/jsxmed/qdae055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 04/17/2024] [Indexed: 05/30/2024]
Abstract
BACKGROUND There are varying reports of immunohistochemically detected prostatic marker protein distribution in glands associated with the female urethra that may be related to tissue integrity at the time of fixation. AIM In this study we used tissue derived from rapid autopsies of female patients to determine the distribution of glandular structures expressing prostate-specific antigen (PSA) and prostate-specific acid phosphatase (PSAP) along the female urethra and in surrounding tissues, including the anterior vaginal wall (AVW). METHODS Tissue blocks from 7 donors that contained the entire urethra and adjacent AVW were analyzed. These tissue samples were fixed within 4-12 hours of death and divided into 5-mm transverse slices that were paraffin embedded. Sections cut from each slice were immunolabeled for PSA or PSAP and a neighboring section was stained with hematoxylin and eosin. The sections were reviewed by light microscopy and analyzed using QuPath software. OBSERVATIONS In tissue from all donors, glandular structures expressing PSA and/or PSAP were located within the wall of the urethra and were present along its whole length. RESULTS In the proximal half of the urethra from all donors, small glands expressing PSAP, but not PSA, were observed adjacent to the and emptying into the lumen. In the distal half of the urethra from 5 of the 7 donors, tubuloacinar structures lined by a glandular epithelium expressed both PSA and PSAP. In addition, columnar cells at the surface of structures with a multilayered transitional epithelium in the distal half of the urethra from all donors expressed PSAP. No glands expressing PSA or PSAP were found in tissues surrounding the urethra, including the AVW. CLINICAL IMPLICATIONS Greater understanding of the distribution of urethral glands expressing prostatic proteins in female patients is important because these glands are reported to contribute to the female sexual response and to urethral pathology, including urethral cysts, diverticula, and adenocarcinoma. STRENGTHS AND LIMITATIONS Strengths of the present study include the use of rapid autopsy to minimize protein degradation and autolysis, and the preparation of large tissue sections to demonstrate precise anatomical relations within all the tissues surrounding the urethral lumen. Limitations include the sample size and that all donors had advanced malignancy and had undergone previous therapy which may have had unknown tissue effects. CONCLUSION Proximal and distal glands expressing prostate-specific proteins were observed in tissue from all donors, and these glands were located only within the wall of the urethra.
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Affiliation(s)
- Britt Haller
- Department of Surgery, University of Melbourne, Melbourne, 3052, Australia
| | - Elena A Takano
- Department of Pathology, Peter MacCallum Cancer Centre, Melbourne, 3052, Australia
| | - James Brock
- Department of Anatomy and Physiology, University of Melbourne, Melbourne, 3052, Australia
| | - Stephen B Fox
- Department of Pathology, Peter MacCallum Cancer Centre, Melbourne, 3052, Australia
| | - Noel Woodford
- Victorian Institute of Forensic Medicine, Southbank, Victoria, 3006, Australia
- Department of Forensic Medicine, Monash University, Victoria, 3006, Australia
| | - Lisa Devereux
- Cancer Genetics Laboratory, Peter MacCallum Cancer Centre, Melbourne, 3052, Australia
- Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, 3052, Australia
| | - Helen E O'Connell
- Department of Surgery, University of Melbourne, Melbourne, 3052, Australia
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Wei L, Jiang H, Jiang T. The relationship between clitourethrovaginal complex and female orgasm. Arch Gynecol Obstet 2023; 308:1697-1702. [PMID: 36854986 DOI: 10.1007/s00404-023-06977-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 02/11/2023] [Indexed: 03/02/2023]
Abstract
AIM Orgasm is the ultimate pleasurable sexual experience in sexual life, a phenomenon that is difficult to depict and uncertain. A satisfying sexual life plays a vital role in the physical and mental health of men and women, the relationship between husband and wife, and family harmony. In the past, it was thought that female orgasm was related to the G-spot in the vagina, but it has never been proven. In this review, we focus on the anatomy of the vaginal vestibule, vagina, Urethra, Skene gland, and clitoris to explore the origin of female orgasm. METHODS The published articles were reviewed, including original articles, reviews, letters to the editor, and case reports, regarding the female reproductive system. RESULTS The concept of the clitourethrovaginal complex (CUV) explains the mechanism of the female orgasm, which is not produced by a single organ acting alone, but by the synergistic action of multiple organs and tissues. CONCLUSION The concept of CUV complex not only reveals the principle of female orgasm but also provides new ideas for the diagnosis and treatment of female sexual medicine in the future.
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Affiliation(s)
- Letian Wei
- Department of Sexual Medicine, The Second Affiliated Hospital of Dalian Medical University, Dalian, China
| | - Hui Jiang
- Peking University First Hospital, Beijing, 100191, China.
| | - Tao Jiang
- Department of Sexual Medicine, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
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Unuma K, Sato H, Wen S, Makino Y, Hirakawa A, Uemura K. The proportion of false-positives in positive Seratec® prostate-specific antigen SemiQuant test results in postmortem screening for seminal fluid. Leg Med (Tokyo) 2023; 62:102243. [PMID: 36965350 DOI: 10.1016/j.legalmed.2023.102243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 03/10/2023] [Accepted: 03/15/2023] [Indexed: 03/27/2023]
Abstract
Prostate-specific antigen (PSA) tests are used in forensics to conduct rapid screening for semen in vaginal swab samples from alleged victims of sexual abuse. Although PSA membrane tests have been applied to autopsy specimens, no study has evaluated predictors of false-positive test results in relation to factors such as age, cause of death, postmortem interval, drugs, and alcohol. This study describes the results obtained with the Seratec® PSA SemiQuant Kit test in 283 deceased women, with or without a history of sexual assault. Overall, 18.4% (52/283) of the vaginal swab samples tested positive for PSA. However, 63.5% (33/52) of the PSA-positive vaginal swab samples had no sperm detected. The proportion of false-positives in positive PSA results was 94.4% in those aged over 60 years. Multivariate logistic regression for PSA-positive samples showed that the proportion of false-positives in positive PSA results increased with the age of the deceased. However, the cause of death, postmortem interval, and presence of drugs or alcohol in the blood or urine of the deceased did not affect the PSA determination. These results show that PSA membrane tests are relatively unreliable and can be misleading, especially when derived from vaginal swab samples of older women, obtained at autopsy. In forensic cases, positive PSA screening test results may have an impact on subsequent legal actions and criminal charges brought against the accused. These findings are important for both forensic pathologists and the police to ensure accurate screening of older women in cases of suspected sex crimes.
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Affiliation(s)
- Kana Unuma
- Department of Forensic Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
| | - Hiroyuki Sato
- Department of Clinical Biostatistics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Shuheng Wen
- Department of Forensic Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Yohsuke Makino
- Departmen of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Akihiro Hirakawa
- Department of Clinical Biostatistics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Koichi Uemura
- Department of Forensic Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
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Tomalty D, Giovannetti O, Gaudet D, Clohosey D, Harvey MA, Johnston S, Komisaruk B, Hannan J, Goldstein S, Goldstein I, Adams MA. The prostate in women: an updated histological and immunohistochemical profile of the female periurethral glands and their relationship to an implanted midurethral sling. J Sex Med 2023; 20:612-625. [PMID: 36763941 DOI: 10.1093/jsxmed/qdac046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 10/11/2022] [Accepted: 12/09/2022] [Indexed: 02/03/2023]
Abstract
BACKGROUND There is evidence of glandular tissue in the region of the anterior vaginal wall-female periurethral tissue (AVW-FPT) that has similar morphology and immunohistochemistry to the prostate in men. Surgical injury to this tissue has been suggested as a potential cause of sexual dysfunction following midurethral sling (MUS) procedures. However, the anatomy and embryology of these glands have not been fully resolved. This has led to difficulties in classifying this tissue as a prostate and defining its clinical significance related to MUS procedures. AIM To describe the histological and immunohistochemical characteristics of the female periurethral glands using markers of prostate tissue and innervation and to examine their anatomical relationships to an implanted MUS. METHODS Using gross and fine dissection, the AVW-FPT was dissected from 9 cadavers. Prior to dissection, 2 cadavers underwent simulation of the MUS procedure by a urogynecologist. Samples were paraffin embedded and serially sectioned. Immunohistochemistry was performed using markers of prostate tissue and innervation. OUTCOMES Redundant immunohistochemical localization of markers for prostatic tissue and innervation of the glandular tissue of the AVW-FPT, including the region of MUS implantation. RESULTS Female periurethral glands were immunoreactive for markers of male prostatic tissue, including prostate-specific antigen, androgen receptor, HOXB13, and NKX3.1. Markers of innervation (protein gene product 9.5, choline acetyl transferase, and vasoactive intestinal polypeptide) also localized to certain regions of the glandular tissue and associated blood supply. Surgical simulation of the MUS procedure demonstrated that some periurethral glands are located in close proximity to an implanted sling. CLINICAL TRANSLATION The AVW-FPT contains glandular tissue in the surgical field of MUS implantation. Iatrogenic damage to the female periurethral glands and the associated innervation during surgery could explain the negative impacts on sexual dysfunction reported following MUS procedures. STRENGTHS AND LIMITATIONS This is the first study to characterize the female periurethral glands using markers of prostatic tissue in concert with markers of general and autonomic innervation and characterize their anatomical relationships within the surgical field of MUS implantation. The small sample size is a limitation of this study. CONCLUSION We provide further evidence that the AVW-FPT contains innervated glands that are phenotypically similar to the male prostate and may share a common embryonic origin. The microscopic and immunohistochemical features of the periurethral glands may be indicative of their functional capacity in sexual responses. The location of these glands in the surgical field of MUS procedures underscores the clinical significance of this tissue.
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Affiliation(s)
- Diane Tomalty
- Department of Biomedical and Molecular Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada
| | - Olivia Giovannetti
- Department of Biomedical and Molecular Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada
| | - Dionne Gaudet
- Department of Biomedical and Molecular Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada
| | - Diandra Clohosey
- Department of Biomedical and Molecular Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada
| | - Marie-Andrée Harvey
- Obstetrics and Gynaecology, Kingston General Hospital, Kingston, ON, K7L 2V7, Canada
| | - Shawna Johnston
- Obstetrics and Gynaecology, Kingston General Hospital, Kingston, ON, K7L 2V7, Canada
| | - Barry Komisaruk
- Department of Psychology, Rutgers University, Newark, NJ 07102, United States
| | - Johanna Hannan
- Department of Physiology, East Carolina University, Greenville, NC 27834, United States
| | - Sue Goldstein
- San Diego Sexual Medicine, San Diego, CA 92120, United States
| | - Irwin Goldstein
- San Diego Sexual Medicine, San Diego, CA 92120, United States
| | - Michael A Adams
- Department of Biomedical and Molecular Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada
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Maldarine JS, Sanches BDA, Santos VA, Góes RM, Vilamaior PSL, Carvalho HF, Taboga SR. The complex role of telocytes in female prostate tumorigenesis in a rodent model. Cell Biol Int 2022; 46:1495-1509. [PMID: 35598087 DOI: 10.1002/cbin.11816] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 04/05/2022] [Accepted: 05/02/2022] [Indexed: 01/11/2023]
Abstract
The prostate is not an organ exclusive to the male. It is also found in females of several species, including humans, in which part of the Skene gland is homologous to the male prostate. Evidence is accumulating that changes in the stroma are central to tumorigenesis. Equally, telocytes, a recently discovered type of interstitial cell, are essential for the maintenance of stromal organization. However, it is still uncertain whether there are telocytes in the female prostate and if they play a role in tumorigenesis. The present study used ultrastructural and immunofluorescence techniques to investigate the presence of telocytes in the prostate of Mongolian gerbil females, a rodent model that often has a functional prostate in females, as well as to assess the impact of a combination of N-ethyl-N-nitrosourea, testosterone, and estradiol on telocytes. The results point to the presence of telocytes in the female prostate in the perialveolar and interalveolar regions, and reveal that these cells are absent in regions of benign and premalignant lesions in the gland, in which the perialveolar smooth muscle is altered. Additionally, telocytes are also closely associated with infiltrated immune cells in the stroma. Our data suggest that telocytes are important for both the maintenance of smooth muscle and prostatic epithelium integrity, which indicates a protective role against the advancement of tumorigenesis. But telocytes are also associated with immune cells and a proinflammatory/proangiogenic role for these cells cannot be ruled out, implying that telocytes have a complex role in prostatic tumorigenesis in females.
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Affiliation(s)
- Juliana S Maldarine
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), São Paulo, Brazil
| | - Bruno D A Sanches
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), São Paulo, Brazil
| | - Vitória A Santos
- Department of Biological Sciences, Laboratory of Microscopy and Microanalysis, Universidade Estadual Paulista-UNESP, São Paulo, Brazil
| | - Rejane M Góes
- Department of Biological Sciences, Laboratory of Microscopy and Microanalysis, Universidade Estadual Paulista-UNESP, São Paulo, Brazil
| | - Patricia S L Vilamaior
- Department of Biological Sciences, Laboratory of Microscopy and Microanalysis, Universidade Estadual Paulista-UNESP, São Paulo, Brazil
| | - Hernandes F Carvalho
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), São Paulo, Brazil
| | - Sebastião R Taboga
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), São Paulo, Brazil.,Department of Biological Sciences, Laboratory of Microscopy and Microanalysis, Universidade Estadual Paulista-UNESP, São Paulo, Brazil
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Pastor Z, Chmel R. Female Ejaculation and Squirting as Similar but Completely Different Phenomena: A Narrative Review of Current Research. Clin Anat 2022; 35:616-625. [PMID: 35388532 DOI: 10.1002/ca.23879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 04/03/2022] [Accepted: 04/04/2022] [Indexed: 11/08/2022]
Abstract
INTRODUCTION Women expel fluids of various quantities and compositions from the urethra during sexual arousal and orgasm. These are classified as either female ejaculation (FE) or squirting (SQ). The aim of our analysis was to present evidence that FE and SQ are similar but etiologically different phenomena. MATERIALS AND METHODS A review of studies was performed on fluids expelled from the urogenital tract during female sexual activities using the Web of Knowledge TM (Web of Science Core Collection) and MEDLINE (Ovid) databases from 1946 to 2021. RESULTS Until 2011, all female orgasmic expulsions of fluids were referred to as FE. The fluid was known to be either from the paraurethral glands or as a result of coital incontinence. At present, SQ is considered as a transurethral expulsion of approximately ten milliliters or more of transparent fluid, while FE is considered as a secretion of a few milliliters of thick fluid. The fluid in SQ is similar to urine and is expelled by the urinary bladder. The secretion in FE originates from the paraurethral glands and contains a high concentration of prostate-specific antigen. Both phenomena can occur simultaneously. CONCLUSIONS The mechanisms underlying SQ and FE are entirely different. SQ is a massive transurethral orgasmic expulsion from the urinary bladder, while FE is the secretion of a very small amount of fluid from the paraurethral glands.
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Affiliation(s)
- Zlatko Pastor
- Obstetrics and Gynecology Department, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic
| | - Roman Chmel
- Obstetrics and Gynecology Department, University Hospital Motol and 2nd Medical Faculty of Charles University, Prague, Czech Republic
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Tomalty D, Giovannetti O, Hannan J, Komisaruk B, Goldstein S, Goldstein I, Adams M. Should We Call It a Prostate? A Review of the Female Periurethral Glandular Tissue Morphology, Histochemistry, Nomenclature, and Role in Iatrogenic Sexual Dysfunction. Sex Med Rev 2022; 10:183-194. [PMID: 35074318 DOI: 10.1016/j.sxmr.2021.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 12/13/2021] [Accepted: 12/15/2021] [Indexed: 10/19/2022]
Abstract
INTRODUCTION There is evidence of glandular tissue within the region of the anterior vaginal wall-female periurethral tissue (AVW-FPT) having similar morphology and immunohistochemistry to the prostate in men and having physiological roles in the female sexual response (FSR). Whether this tissue should be called a prostate in women has been debated. Iatrogenic injury to structures of the AVW-FPT, including these glands and the associated neurovasculature, could be a cause of female sexual dysfunction (FSD). OBJECTIVES To consolidate the current knowledge concerning the glandular tissue surrounding the urethra in women, evidence was reviewed to address whether: (i) these glands comprise the prostate in women, (ii) they have specific functions in the FSR, and (iii) injury to the AVW-FPT and prostate has sexual dysfunction as a likely outcome. METHODS A literature review was conducted using keywords including female prostate, Skene's/paraurethral glands, periurethral tissue, Gräfenberg (G)-spot, female ejaculation, mid-urethral sling (MUS), and sexual dysfunction. RESULTS Histological and immunohistochemical studies of the glandular tissue surrounding the urethra support the existence of prostate in women. Evidence suggests this tissue may have physiologically and clinically relevant autonomic and sensory innervation, and during sexual arousal may contribute to secretions involved in ejaculation and orgasm. Gaps in knowledge relating to the functional anatomy, physiological roles, and embryological origins of this tissue have impeded the acceptance of a prostate in women. Injury to the innervation, vasculature, and/or glandular tissue within the surgical field of MUS implantation suggests iatrogenic sexual dysfunction is plausible. CONCLUSIONS Continuing to advance our understanding of the morphology, histochemistry, and physiologic capacity of this glandular tissue will clarify the characterization of this tissue as the "prostate" involved in the FSR, and its role in FSD following surgical injury. Tomalty D, Giovannetti O, Hannan J, et al. Should We Call It a Prostate? A Review of the Female Periurethral Glandular Tissue Morphology, Histochemistry, Nomenclature, and Role in Iatrogenic Sexual Dysfunction. Sex Med Rev 2021;XX:XXX-XXX.
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Affiliation(s)
- Diane Tomalty
- Department of Biomedical and Molecular Sciences, Queen's University, Kingston, Ontario, Canada.
| | - Olivia Giovannetti
- Department of Biomedical and Molecular Sciences, Queen's University, Kingston, Ontario, Canada
| | - Johanna Hannan
- Department of Physiology, East Carolina University, Greenville, NC, USA
| | - Barry Komisaruk
- Department of Psychology, Rutgers University, Newark, NJ, USA
| | | | - Irwin Goldstein
- San Diego Sexual Medicine, San Diego, CA, USA; Alvarado Hospital, San Diego, CA, USA
| | - Michael Adams
- Department of Biomedical and Molecular Sciences, Queen's University, Kingston, Ontario, Canada
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Giovannetti O, Tomalty D, Gaudet D, Clohosey D, Forster A, Monaghan M, Harvey MA, Johnston S, Komisaruk B, Goldstein S, Hannan J, Goldstein I, Adams MA. Immunohistochemical Investigation of Autonomic and Sensory Innervation of Anterior Vaginal Wall Female Periurethral Tissue: A Study of the Surgical Field of Mid-Urethral Sling Surgery Using Cadaveric Simulation. J Sex Med 2021; 18:1167-1180. [PMID: 37057425 DOI: 10.1016/j.jsxm.2021.05.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Revised: 04/26/2021] [Accepted: 05/03/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Female sexual dysfunction, including female orgasm disorder, has been reported following mid-urethral sling (MUS) surgery to treat bothersome stress urinary incontinence. Anterior vaginal wall-female periurethral tissue (AVW-FPT) likely contains autonomic and sensory innervation involved in the female sexual response, and injury to these nerves may result from MUS implantation. AIM To characterize, using fresh cadaveric tissue, autonomic and sensory nerves in AVW- FPT using immunohistochemistry (IHC), and to assess their proximity to an implanted MUS. METHODS AVW-FPT was excised following careful dissection from four fresh cadavers. Prior to dissection, one cadaver underwent simulation of the MUS procedure by a urogynegologist, using a fascial sling. All samples were paraffin embedded, sectioned, and stained with hematoxylin. Serial sectioning and IHC were performed to identify nerves. IHC markers were used to characterize the sensory and autonomic innervation. OUTCOMES IHC localization of autonomic and sensory nerve markers consistent with neural tissue within the region of MUS implantation. RESULTS IHC of AVW-FPT using protein gene product 9.5 (PGP9.5), a general nerve stain, revealed innervation throughout the region targeted by the MUS implantation. More specifically, immunoreactivity for both autonomic (tyrosine hydroxylase, TH) and sensory (Nav1.8 and S100ß) nerves were found in close proximity (<1 mm) to the implanted MUS. In addition, a subset of S100ß positive nerves also showed immunoreactivity for calcitonin gene-related peptide (CGRP). Combining the IHC findings with the surgical simulation of the MUS implantation revealed the potential for damage to both autonomic and sensory nerves as a direct result of the MUS procedure. CLINICAL TRANSLATION The identified autonomic and sensory nerves of the AVW-FPT may contribute to the female sexual response, and yet are potentially negatively impacted by MUS procedures. Given that surgeries performed on male genital tissue, including the prostate, may cause sexual dysfunction secondary to nerve damage, and that urologists routinely provide informed consent regarding this possibility, urogynaecologists are encouraged to obtain appropriate informed consent from prospective patients undergoing the MUS procedure. STRENGTHS & LIMITATIONS This is the first study to characterize the sensory and autonomic innervation within the surgical field of MUS implantation and demonstrate its relationship to an implanted MUS. The small sample size is a limitation of this study. CONCLUSION The present study provides evidence of potential injury to autonomic and sensory innervation of AVW-FPT as a consequence of MUS implantation, which may help explain the underlying mechanisms involved in the reported post-operative female sexual dysfunction in some women. Giovannetti O, Tomalty D, Gaudet D, et al. Immunohistochemical Investigation of Autonomic and Sensory Innervation of Anterior Vaginal Wall Female Periurethral Tissue: A Study of the Surgical Field of Mid-Urethral Sling Surgery Using Cadaveric Simulation. J Sex Med 2021;18:1168-1180.
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Maldarine JS, Sanches BDA, Cabral ÁS, Lima MLD, Guerra LHA, Baraldi CMB, Calmon MF, Rahal P, Góes RM, Vilamaior PSL, Taboga SR. Prenatal exposure to finasteride promotes sex-specific changes in gerbil prostate development. Reprod Fertil Dev 2020; 31:1719-1729. [PMID: 31248476 DOI: 10.1071/rd19106] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Accepted: 06/05/2019] [Indexed: 11/23/2022] Open
Abstract
Finasteride is a drug that is widely used in the treatment of benign prostatic hyperplasia, hair loss and even as a chemotherapeutic agent in the treatment of prostatic adenocarcinoma. However, its use is known to cause several side effects in adults and it can also cause changes in the embryonic development of the male prostate, which is a cause for concern given the possibility of the accumulation of finasteride in the environment. Nevertheless, no studies have investigated the effects of finasteride on the development of the prostate in females, which occurs in several species of mammals. To evaluate the effects of intrauterine exposure to finasteride (500μgkg-1 day-1) on postnatal prostate development in the Mongolian gerbil in the present study, we used immunohistochemistry, immunofluorescence, serological analysis and three-dimensional reconstruction techniques. Differences were observed in the effects of finasteride on periductal smooth muscle and cell proliferation between the sexes, as well as intersex differences in the presence of the androgen receptor, which was elevated in males, and the oestrogen receptor ERα, which was increased in females. Together, the data indicate that the female prostate has its own hormone dynamics and that there are sex-specific differences in the way in which the female prostate reacts to prenatal exposure to finasteride.
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Affiliation(s)
- Juliana S Maldarine
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), Bertrand Russel Avenue, 13083-862, Campinas, São Paulo, Brazil
| | - Bruno D A Sanches
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), Bertrand Russel Avenue, 13083-862, Campinas, São Paulo, Brazil
| | - Ágata S Cabral
- Department of Biology, São Paulo State University (UNESP), Laboratory of Genome Studies, Cristóvão Colombo Street, 2265, 15054-000, São José do Rio Preto, São Paulo, Brazil
| | - Maria L D Lima
- Department of Biology, São Paulo State University (UNESP), Laboratory of Genome Studies, Cristóvão Colombo Street, 2265, 15054-000, São José do Rio Preto, São Paulo, Brazil
| | - Luiz H A Guerra
- Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, Cristóvão Colombo Street, 2265, 15054-000, São José do Rio Preto, São Paulo, Brazil
| | - Carolina M B Baraldi
- Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, Cristóvão Colombo Street, 2265, 15054-000, São José do Rio Preto, São Paulo, Brazil
| | - Marília F Calmon
- Department of Biology, São Paulo State University (UNESP), Laboratory of Genome Studies, Cristóvão Colombo Street, 2265, 15054-000, São José do Rio Preto, São Paulo, Brazil
| | - Paula Rahal
- Department of Biology, São Paulo State University (UNESP), Laboratory of Genome Studies, Cristóvão Colombo Street, 2265, 15054-000, São José do Rio Preto, São Paulo, Brazil
| | - Rejane M Góes
- Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, Cristóvão Colombo Street, 2265, 15054-000, São José do Rio Preto, São Paulo, Brazil
| | - Patricia S L Vilamaior
- Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, Cristóvão Colombo Street, 2265, 15054-000, São José do Rio Preto, São Paulo, Brazil
| | - Sebastião R Taboga
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), Bertrand Russel Avenue, 13083-862, Campinas, São Paulo, Brazil; and Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, Cristóvão Colombo Street, 2265, 15054-000, São José do Rio Preto, São Paulo, Brazil; and Corresponding author.
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10
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Maldarine JS, Sanches BDA, Santos VA, Cabral ÁS, Lima MLD, Bedolo CM, Calmon MF, Rahal P, Góes RM, Vilamaior PSL, Taboga SR. Postnatal exposure to finasteride causes different effects on the prostate of male and female gerbils. Cell Biol Int 2020; 44:1341-1352. [PMID: 32100915 DOI: 10.1002/cbin.11328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Accepted: 02/24/2020] [Indexed: 11/10/2022]
Abstract
The development and maintenance of prostate function depend on a fine balance between oestrogen and androgen levels. Finasteride inhibits 5α-reductase, which is responsible for the conversion of testosterone into its most active form, dihydrotestosterone. Enzymes that metabolize these hormones have a highly relevant role in both the normal prostate metabolism and in the occurrence of pathological conditions. There are few studies on the impact of finasteride on male prostate development and fewer studies on the female prostate and possible intersexual differences. Therefore, we treated male and female gerbils from 7 to 14 days in postnatal life with a high dose of finasteride (500 μg/kg/day); the prostate complexes were then removed and submitted to immunohistochemistry, immunofluorescence and three-dimensional reconstruction. In addition, hormonal serum dosages were administered. Treatment with finasteride resulted in an increased thickness of the periductal smooth musculature in the prostate of both male and female gerbils, such as well as a reduction in the thickness of developing prostate alveoli in both sexes. In addition, intersexual differences were observed as increased epithelial proliferation and decreases in the number of developing alveoli in females. Together, the data indicate that postnatal exposure to finasteride causes greater changes in the female gerbil prostate than in the male.
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Affiliation(s)
- Juliana S Maldarine
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), Bertrand RusseLl Av., Campinas, São Paulo, Brazil
| | - Bruno D A Sanches
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), Bertrand RusseLl Av., Campinas, São Paulo, Brazil
| | - Vitória A Santos
- Laboratory of Microscopy and Microanalysis, Department of Biology, São Paulo State University (UNESP), Cristóvão Colombo, São José do Rio Preto, São Paulo, 2265, Brazil
| | - Ágata S Cabral
- Laboratory of Genome Studies, Department of Biology, São Paulo State University (UNESP), Cristóvão Colombo, São José do Rio Preto, São Paulo, 2265, Brazil
| | - Maria L D Lima
- Laboratory of Genome Studies, Department of Biology, São Paulo State University (UNESP), Cristóvão Colombo, São José do Rio Preto, São Paulo, 2265, Brazil
| | - Carolina M Bedolo
- Laboratory of Microscopy and Microanalysis, Department of Biology, São Paulo State University (UNESP), Cristóvão Colombo, São José do Rio Preto, São Paulo, 2265, Brazil
| | - Marília F Calmon
- Laboratory of Genome Studies, Department of Biology, São Paulo State University (UNESP), Cristóvão Colombo, São José do Rio Preto, São Paulo, 2265, Brazil
| | - Paula Rahal
- Laboratory of Genome Studies, Department of Biology, São Paulo State University (UNESP), Cristóvão Colombo, São José do Rio Preto, São Paulo, 2265, Brazil
| | - Rejane M Góes
- Laboratory of Microscopy and Microanalysis, Department of Biology, São Paulo State University (UNESP), Cristóvão Colombo, São José do Rio Preto, São Paulo, 2265, Brazil
| | - Patricia S L Vilamaior
- Laboratory of Microscopy and Microanalysis, Department of Biology, São Paulo State University (UNESP), Cristóvão Colombo, São José do Rio Preto, São Paulo, 2265, Brazil
| | - Sebastião R Taboga
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), Bertrand RusseLl Av., Campinas, São Paulo, Brazil.,Laboratory of Microscopy and Microanalysis, Department of Biology, São Paulo State University (UNESP), Cristóvão Colombo, São José do Rio Preto, São Paulo, 2265, Brazil
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11
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Maldarine JS, Sanches BDA, Santos VA, Amaro GM, Calmon MF, Rahal P, Góes RM, Vilamaior PSL, Taboga SR. Low-dose in utero exposure to finasteride promotes developmental changes in both male and female gerbil prostates. ENVIRONMENTAL TOXICOLOGY 2020; 35:15-26. [PMID: 31454150 DOI: 10.1002/tox.22838] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 08/07/2019] [Accepted: 08/09/2019] [Indexed: 06/10/2023]
Abstract
The prostate is an accessory reproductive gland that is sensitive to the action of exogenous compounds known as endocrine disrupters that alter normal hormonal function. Finasteride is a widely used chemical that acts to inhibit the conversion of testosterone in its most active form, dihydrotestosterone. It is known that intrauterine exposure to finasteride causes changes in the male prostate even at low dosages; however, it is not known whether these dosages are capable of causing changes in the female prostate, which is present in a large number of mammalian species, including humans. In the present study, histochemistry, immunohistochemistry, immunofluorescence, serological dosages, and three-dimensional reconstruction techniques were employed to evaluate the effects of intrauterine exposure to a low dose of finasteride (100 μg.BW/d) on postnatal prostate development in male and female Mongolian gerbils. The results indicate that the gerbil female prostate also undergoes alterations following intrauterine exposure to finasteride, exhibiting a thickening of periductal smooth muscle and increased stromal proliferation. There are also intersex differences in the impact of exposure on the expression of the androgen receptor, which was increased in males, and of the estrogen-α receptor, which was decreased in the male prostate but unchanged in females. Altogether, this study indicates there are sex differences in the effects of finasteride exposure even at low dosages.
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Affiliation(s)
- Juliana S Maldarine
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), São Paulo, Brazil
| | - Bruno D A Sanches
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), São Paulo, Brazil
| | - Vitória A Santos
- Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, São Paulo, Brazil
| | - Gustavo M Amaro
- Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, São Paulo, Brazil
| | - Marília F Calmon
- Department of Biology, São Paulo State University (UNESP), Laboratory of Genome Studies, São Paulo, Brazil
| | - Paula Rahal
- Department of Biology, São Paulo State University (UNESP), Laboratory of Genome Studies, São Paulo, Brazil
| | - Rejane M Góes
- Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, São Paulo, Brazil
| | - Patricia S L Vilamaior
- Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, São Paulo, Brazil
| | - Sebastião R Taboga
- Department of Structural and Functional Biology, Institute of Biology, State University of Campinas (UNICAMP), São Paulo, Brazil
- Department of Biology, São Paulo State University (UNESP), Laboratory of Microscopy and Microanalysis, São Paulo, Brazil
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12
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Sanches BDA, Carvalho HF, Maldarine JS, Biancardi MF, Santos FCA, Vilamaior PSL, Taboga SR. Differences between male and female prostates in terms of physiology, sensitivity to chemicals and pathogenesis-A review in a rodent model. Cell Biol Int 2020; 44:27-35. [PMID: 31393043 DOI: 10.1002/cbin.11214] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 08/04/2019] [Indexed: 01/24/2023]
Abstract
The prostate is a gland that is not exclusively present in males, being also found in females of several mammalian species, including humans. There is evidence that the prostate in both sexes is affected by the same pathologies such as prostatitis, benign alterations and even cancer. In view of the difficulties of manipulating the prostate gland, the Mongolian gerbil (Meriones unguiculatus), a rodent species with high incidence of functional prostates in females, is widely used in studies of the female prostate. However, despite knowing much about the similarities between the female and male prostate, little emphasis has been placed on the differences between them. This review investigates the intersex differences in prostate development, physiology and pathogenesis. The female prostate develops earlier than in males and studies indicate that it is more sensitive to oestrogens than the male prostate, as well as being more sensitive to exposure to xenoestrogens, such as Bisphenol A and methylparaben, with a higher susceptibility to benign lesions in the adult and senile prostate than in males. In addition, the female prostate is impacted by pregnancy and the oestrous cycle, and is also dependent on progesterone. The peculiarities of the female prostate raise concerns about the risk of it undergoing neglected changes as a result of environmental chemicals, since safe dosages are established exclusively for the male prostate.
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Affiliation(s)
- Bruno D A Sanches
- Department of Structural and Functional Biology, State University of Campinas-UNICAMP, Bertrand Russel Av., Campinas, São Paulo, Brazil.,Laboratory of Microscopy and Microanalysis, Department of Biology, Universidade Estadual Paulista-UNESP, Cristóvão Colombo St., 2265, São José do Rio Preto, São Paulo, Brazil
| | - Hernandes F Carvalho
- Department of Structural and Functional Biology, State University of Campinas-UNICAMP, Bertrand Russel Av., Campinas, São Paulo, Brazil.,Laboratory of Microscopy and Microanalysis, Department of Biology, Universidade Estadual Paulista-UNESP, Cristóvão Colombo St., 2265, São José do Rio Preto, São Paulo, Brazil
| | - Juliana S Maldarine
- Department of Structural and Functional Biology, State University of Campinas-UNICAMP, Bertrand Russel Av., Campinas, São Paulo, Brazil.,Laboratory of Microscopy and Microanalysis, Department of Biology, Universidade Estadual Paulista-UNESP, Cristóvão Colombo St., 2265, São José do Rio Preto, São Paulo, Brazil
| | - Manoel F Biancardi
- Laboratory of Microscopy and Microanalysis, Department of Biology, Universidade Estadual Paulista-UNESP, Cristóvão Colombo St., 2265, São José do Rio Preto, São Paulo, Brazil.,Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Samambaia II, Goiânia, Goiás, 74001970, Brazil
| | - Fernanda C A Santos
- Laboratory of Microscopy and Microanalysis, Department of Biology, Universidade Estadual Paulista-UNESP, Cristóvão Colombo St., 2265, São José do Rio Preto, São Paulo, Brazil.,Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Samambaia II, Goiânia, Goiás, 74001970, Brazil
| | - Patricia S L Vilamaior
- Department of Structural and Functional Biology, State University of Campinas-UNICAMP, Bertrand Russel Av., Campinas, São Paulo, Brazil.,Laboratory of Microscopy and Microanalysis, Department of Biology, Universidade Estadual Paulista-UNESP, Cristóvão Colombo St., 2265, São José do Rio Preto, São Paulo, Brazil
| | - Sebastião R Taboga
- Department of Structural and Functional Biology, State University of Campinas-UNICAMP, Bertrand Russel Av., Campinas, São Paulo, Brazil.,Laboratory of Microscopy and Microanalysis, Department of Biology, Universidade Estadual Paulista-UNESP, Cristóvão Colombo St., 2265, São José do Rio Preto, São Paulo, Brazil
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13
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The role of androgens in the treatment of genitourinary syndrome of menopause (GSM): International Society for the Study of Women's Sexual Health (ISSWSH) expert consensus panel review. Menopause 2019; 25:837-847. [PMID: 29870471 DOI: 10.1097/gme.0000000000001138] [Citation(s) in RCA: 71] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
OBJECTIVE The objective of this consensus document is to broaden the perspective on clinical management of genitourinary syndrome of menopause to include androgens. METHODS A modified Delphi method was used to reach consensus among the 14 international panelists representing multiple disciplines and societies. RESULTS Menopause-related genitourinary symptoms affect over 50% of midlife and older women. These symptoms have a marked impact on sexual functioning, daily activities, emotional well-being, body image, and interpersonal relations. Tissues in the genitourinary system are both androgen and estrogen-dependent. The clitoris, vestibule, including minor and major vestibular glands, urethra, anterior vaginal wall, periurethral tissue, and pelvic floor are androgen-responsive. Historically, treatment of postmenopausal genitourinary symptoms involved both androgens and estrogens. This subsequently gave rise to predominantly estrogen-based therapies. More recently, double-blind, placebo-controlled clinical trials have demonstrated that local vaginal dehydroepiandrosterone improves symptoms in postmenopausal women, including moderate to severe dyspareunia. Limited data suggest that systemic testosterone treatment may improve vaginal epithelial health and blood flow. Open-label studies that have used high doses of intravaginal testosterone in the presence of aromatase inhibitor therapy for breast cancer have resulted in supraphysiological serum testosterone levels, and have been reported to lower vaginal pH, improve the vaginal maturation index, and reduce dyspareunia. CONCLUSIONS Vaginal dehydroepiandrosterone, hypothesized to enhance local production of both androgen and estrogen, is effective for the management of dyspareunia in menopause. Vaginal testosterone offers potential as a treatment for genitourinary syndrome of menopause, but more studies are needed.
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14
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The Vulvar Vestibule, a Small Tissue with a Central Position: Anatomy, Embryology, Pain Mechanisms, and Hormonal Associations. CURRENT SEXUAL HEALTH REPORTS 2019. [DOI: 10.1007/s11930-019-00193-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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15
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Goldstein SW, Winter AG, Goldstein I. Improvements to the Vulva, Vestibule, Urethral Meatus, and Vagina in Women Treated With Ospemifene for Moderate to Severe Dyspareunia: A Prospective Vulvoscopic Pilot Study. Sex Med 2018; 6:154-161. [PMID: 29678557 PMCID: PMC5960031 DOI: 10.1016/j.esxm.2018.03.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2018] [Revised: 03/27/2018] [Accepted: 03/30/2018] [Indexed: 12/03/2022] Open
Abstract
Introduction Ospemifene, an oral selective estrogen receptor modulator approved for the treatment of mild to moderate dyspareunia from menopause, has been shown to moderate sexual pain and vaginal epithelial cell characteristics. However, no prospective vulvoscopic studies have been performed. Aim To examine, in menopausal women taking ospemifene 60 mg daily, changes to the vulva, vestibule, urethral meatus, and vaginal region over 20 weeks using vulvoscopy in a prospective open-label pilot study. Methods Vulvoscopic photographs taken at screening and the end of therapy assessed for changes in the appearance of the vulva, vestibule, urethral meatus, and vagina rated by a single reviewer using a 10-parameter Likert rating scale, the Vulvoscopic Genital Tissue Appearance Scale (VGTA). In addition, the cotton-tipped swab test and subject diary scores were assessed over the 20-week treatment period and compared before and after the intervention using Wilcoxon signed-rank test. Main Outcome Measure Changes in VGTA score from baseline to end of study. Results 8 subjects (age = 59 ± 4.7 years) completed all visits and were included in the analysis of vulvoscopic photographs (n = 258). There were significant changes during the study period for urethral meatal prominence, introital stenosis, vestibular pallor, vestibular erythema, mucosal moisture, vaginal rugation, and anterior wall prominence (P < .05). Total pain score during cotton-tipped swab testing decreased from 11 (interquartile range = 10–16) before the intervention to 1 (interquartile range = 0–3) at the end of the study. Quantitative diary analysis indicated an increase in the number of sexual events, decrease in rates of pain during foreplay and intercourse, and decrease in use of lubricant at study completion (P < .05). Conclusions Ospemifene 60 mg daily for 20 weeks showed improvement in physical examination findings in this prospective study of menopausal women with dyspareunia, as documented on vulvoscopic photography. These changes were consistent with improvements in subject-reported pain and sexual function. Goldstein SW, Winter AG, Goldstein I. Improvements to the Vulva, Vestibule, Urethral Meatus, and Vagina in Women Treated With Ospemifene for Moderate to Severe Dyspareunia: A Prospective Vulvoscopic Pilot Study. Sex Med 2018;6:154–161.
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16
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Differential diagnostics of female "sexual" fluids: a narrative review. Int Urogynecol J 2017; 29:621-629. [PMID: 29285596 DOI: 10.1007/s00192-017-3527-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Accepted: 11/24/2017] [Indexed: 01/08/2023]
Abstract
INTRODUCTION AND HYPOTHESIS Women expel various kinds of fluids during sexual activities. These are manifestations of sexual arousal and orgasm or coital incontinence. This study is aimed at suggesting a diagnostic scheme to differentiate among these phenomena. METHODS Web of Science and Ovid (MEDLINE) databases were systematically searched from 1950 to 2017 for articles on various fluid expulsion phenomena in women during sexual activities, which contain relevant information on sources and composition of the expelled fluids. RESULTS An ultra-filtrate of blood plasma of variable quantity, which is composed of transvaginal transudate at sexual stimulation, enables vaginal lubrication. Female ejaculation (FE) is the secretion of a few milliliters of thick, milky fluid by the female prostate (Skene's glands) during orgasm, which contains prostate-specific antigen. Squirting (SQ) is defined as the orgasmic transurethral expulsion of tenths of milliliters of a form of urine containing various concentrations of urea, creatinine, and uric acid. FE and SQ are two phenomena with different mechanisms. Coital incontinence (CI) could be classified into penetration and orgasm forms, which could be associated with stress urinary incontinence or detrusor hyperactivity. CONCLUSION Squirting, FE, and CI are different phenomena with various mechanisms and could be differentiated according to source, quantity, expulsion mechanism, and subjective feelings during sexual activities.
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17
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Intrauterine exposure to 17β-oestradiol (E2) impairs postnatal development in both female and male prostate in gerbil. Reprod Toxicol 2017; 73:30-40. [DOI: 10.1016/j.reprotox.2017.07.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Revised: 07/19/2017] [Accepted: 07/20/2017] [Indexed: 12/20/2022]
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18
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Wang L, Li J. Structure–activity relationship analysis of carbobicyclo and oxabicyclo succinimide analogs as potential androgen receptor antagonists. J Biomol Struct Dyn 2017; 36:2876-2892. [DOI: 10.1080/07391102.2017.1371643] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Lingyan Wang
- School of Pharmacy, Lanzhou University, Lanzhou, China
| | - Jiazhong Li
- School of Pharmacy, Lanzhou University, Lanzhou, China
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19
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Toivanen R, Shen MM. Prostate organogenesis: tissue induction, hormonal regulation and cell type specification. Development 2017; 144:1382-1398. [PMID: 28400434 DOI: 10.1242/dev.148270] [Citation(s) in RCA: 98] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Prostate organogenesis is a complex process that is primarily mediated by the presence of androgens and subsequent mesenchyme-epithelial interactions. The investigation of prostate development is partly driven by its potential relevance to prostate cancer, in particular the apparent re-awakening of key developmental programs that occur during tumorigenesis. However, our current knowledge of the mechanisms that drive prostate organogenesis is far from complete. Here, we provide a comprehensive overview of prostate development, focusing on recent findings regarding sexual dimorphism, bud induction, branching morphogenesis and cellular differentiation.
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Affiliation(s)
- Roxanne Toivanen
- Departments of Medicine, Genetics and Development, Urology, and Systems Biology, Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA
| | - Michael M Shen
- Departments of Medicine, Genetics and Development, Urology, and Systems Biology, Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA
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Sanches BDA, Maldarine JS, Biancardi MF, Santos FCA, Pinto-Fochi ME, Antoniassi JQ, Góes RM, Vilamaior PSL, Taboga SR. Intrauterine exposure to oestradiol promotes sex-specific differential effects on the prostatic development of neonate gerbils. Cell Biol Int 2017; 41:1184-1193. [DOI: 10.1002/cbin.10829] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2017] [Accepted: 07/23/2017] [Indexed: 01/17/2023]
Affiliation(s)
- Bruno D. A. Sanches
- Department of Structural and Functional Biology; State University of Campinas; Av. Bertrand Russel s/n Campinas São Paulo Brazil
| | - Juliana S. Maldarine
- Department of Biology, Laboratory of Microscopy and Microanalysis; Univ. Estadual Paulista − UNESP; Rua Cristóvão Colombo São José do Rio Preto São Paulo Brazil
| | - Manoel F. Biancardi
- Department of Structural and Functional Biology; State University of Campinas; Av. Bertrand Russel s/n Campinas São Paulo Brazil
| | - Fernanda C. A. Santos
- Department of Histology, Embryology and Cell Biology; Federal University of Goiás; Samambaia II Goiânia Goiás 74001970 Brazil
| | - Maria E. Pinto-Fochi
- Department of Biology, Laboratory of Microscopy and Microanalysis; Univ. Estadual Paulista − UNESP; Rua Cristóvão Colombo São José do Rio Preto São Paulo Brazil
| | - Julia Q. Antoniassi
- Department of Structural and Functional Biology; State University of Campinas; Av. Bertrand Russel s/n Campinas São Paulo Brazil
| | - Rejane M. Góes
- Department of Biology, Laboratory of Microscopy and Microanalysis; Univ. Estadual Paulista − UNESP; Rua Cristóvão Colombo São José do Rio Preto São Paulo Brazil
| | - Patrícia S. L. Vilamaior
- Department of Biology, Laboratory of Microscopy and Microanalysis; Univ. Estadual Paulista − UNESP; Rua Cristóvão Colombo São José do Rio Preto São Paulo Brazil
| | - Sebastião R. Taboga
- Department of Biology, Laboratory of Microscopy and Microanalysis; Univ. Estadual Paulista − UNESP; Rua Cristóvão Colombo São José do Rio Preto São Paulo Brazil
- Department of Biology, Laboratory of Microscopy and Microanalysis; São Paulo State University; 2265, Cristóvão Colombo Street, Jardim Nazareth São José do Rio Preto São Paulo 15054-000 Brazil
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Biancardi MF, dos Santos FCA, de Carvalho HF, Sanches BDA, Taboga SR. Female prostate: historical, developmental, and morphological perspectives. Cell Biol Int 2017; 41:1174-1183. [DOI: 10.1002/cbin.10759] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2016] [Accepted: 02/27/2017] [Indexed: 01/22/2023]
Affiliation(s)
- Manoel F. Biancardi
- Department of Histology, Embryology, and Cell Biology, Federal University of Goiás, Av. Esperança; Campus Samambaia; Goiânia, Goiás 74690-900 Brazil
| | - Fernanda C. A. dos Santos
- Department of Histology, Embryology, and Cell Biology, Federal University of Goiás, Av. Esperança; Campus Samambaia; Goiânia, Goiás 74690-900 Brazil
| | - Hernandes F. de Carvalho
- Department of Structural and Functional Biology, State University of Campinas; Av. Bertrand Russel; Campinas São Paulo 13084864 Brazil
| | - Bruno D. A. Sanches
- Department of Structural and Functional Biology, State University of Campinas; Av. Bertrand Russel; Campinas São Paulo 13084864 Brazil
| | - Sebastião R. Taboga
- Department of Biology, State University of São Paulo; R. Cristóvão Colombo 2265; São José do Rio Preto São Paulo 15054000 Brazil
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Combined Ligand/Structure-Based Virtual Screening and Molecular Dynamics Simulations of Steroidal Androgen Receptor Antagonists. BIOMED RESEARCH INTERNATIONAL 2017; 2017:3572394. [PMID: 28293633 PMCID: PMC5331419 DOI: 10.1155/2017/3572394] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/24/2016] [Revised: 10/11/2016] [Accepted: 11/16/2016] [Indexed: 11/23/2022]
Abstract
The antiandrogens, such as bicalutamide, targeting the androgen receptor (AR), are the main endocrine therapies for prostate cancer (PCa). But as drug resistance to antiandrogens emerges in advanced PCa, there presents a high medical need for exploitation of novel AR antagonists. In this work, the relationships between the molecular structures and antiandrogenic activities of a series of 7α-substituted dihydrotestosterone derivatives were investigated. The proposed MLR model obtained high predictive ability. The thoroughly validated QSAR model was used to virtually screen new dihydrotestosterones derivatives taken from PubChem, resulting in the finding of novel compounds CID_70128824, CID_70127147, and CID_70126881, whose in silico bioactivities are much higher than the published best one, even higher than bicalutamide. In addition, molecular docking, molecular dynamics (MD) simulations, and MM/GBSA have been employed to analyze and compare the binding modes between the novel compounds and AR. Through the analysis of the binding free energy and residue energy decomposition, we concluded that the newly discovered chemicals can in silico bind to AR with similar position and mechanism to the reported active compound and the van der Waals interaction is the main driving force during the binding process.
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Rodríguez DAO, de Lima RF, Campos MS, Costa JR, Biancardi MF, Marques MR, Taboga SR, Santos FCA. Intrauterine exposure to bisphenol A promotes different effects in both neonatal and adult prostate of male and female gerbils (Meriones unguiculatus). ENVIRONMENTAL TOXICOLOGY 2016; 31:1740-1750. [PMID: 26443714 DOI: 10.1002/tox.22176] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2015] [Revised: 07/08/2015] [Accepted: 07/12/2015] [Indexed: 06/05/2023]
Abstract
Substances that mimic endogenous hormones may alter the cell signaling that govern prostate development and predispose it to developing lesions in adult and senile life. Bisphenol A is able to mimic estrogens, and studies have demonstrated that low levels of exposure to this compound have caused alterations during prostate development. The aim of this study was to describe the prostate development in both male and female neonatal gerbils in normal conditions and under exposure to BPA during intrauterine life, and also to analyze whether the effects of intrauterine exposure to BPA remain in adulthood. Morphological, stereological, three-dimensional reconstruction, and immunohistochemical methods were employed. The results demonstrated that in 1-day-old normal gerbils, the female paraurethral glands and the male ventral lobe are morphologically similar, although its tissue components-epithelial buds (EB), periurethral mesenchyme (PeM), paraurethral mesenchyme (PaM) or ventral mesenchymal pad (VMP), and smooth muscle (SM)-have presented different immunolabeling pattern for androgen receptor (AR), and for proliferating cell nuclear antigen (PCNA). Moreover, we observed a differential response of male and female prostate to intrauterine BPA exposure. In 1-day-old males, the intrauterine exposure to BPA caused a decrease of AR-positive cells in the PeM and SM, and a decrease of the proliferative status in the EB. In contrast, no morphological alterations were observed in ventral prostate of adult males. In 1-day-old females, BPA exposure promoted an increase of estrogen receptor alpha (ERα) positive cells in PeM and PaM, a decrease of AR-positive cells in EB and PeM, besides a reduction of cell proliferation in EB. Additionally, the adult female prostate of BPA-exposed animals presented an increase of AR- and PCNA-positive cells. These results suggest that the prostate of female gerbils were more susceptible to the intrauterine BPA effects, since they became more proliferative in adult life. © 2015 Wiley Periodicals, Inc. Environ Toxicol 31: 1740-1750, 2016.
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Affiliation(s)
- Daniel A O Rodríguez
- Institute of Biological Sciences, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Campus II Samambaia, Goiânia, Goiás, 74001970, Brazil
| | - Rodrigo F de Lima
- Institute of Biological Sciences, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Campus II Samambaia, Goiânia, Goiás, 74001970, Brazil
| | - Mônica S Campos
- Department of Biology, Laboratory of Microscopy and Microanalysis, University Estadual Paulista - UNESP, Rua Cristóvão Colombo, 2265, São José Do Rio Preto, São Paulo, 15054000, Brazil
| | - Janaína R Costa
- Institute of Biological Sciences, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Campus II Samambaia, Goiânia, Goiás, 74001970, Brazil
| | - Manoel F Biancardi
- Institute of Biological Sciences, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Campus II Samambaia, Goiânia, Goiás, 74001970, Brazil
| | - Mara R Marques
- Institute of Biological Sciences, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Campus II Samambaia, Goiânia, Goiás, 74001970, Brazil
| | - Sebastião R Taboga
- Department of Biology, Laboratory of Microscopy and Microanalysis, University Estadual Paulista - UNESP, Rua Cristóvão Colombo, 2265, São José Do Rio Preto, São Paulo, 15054000, Brazil
| | - Fernanda C A Santos
- Institute of Biological Sciences, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Campus II Samambaia, Goiânia, Goiás, 74001970, Brazil
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Sanches BD, Maldarine JS, Zani BC, Biancardi MF, Santos FC, Góes RM, Vilamaior PS, Taboga SR. The Expression of the Androgen Receptor and Estrogen Receptor 1 is Related to Sex Dimorphism in the Gerbil Prostate Development. Anat Rec (Hoboken) 2016; 299:1130-9. [DOI: 10.1002/ar.23364] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Revised: 01/28/2016] [Accepted: 01/28/2016] [Indexed: 12/29/2022]
Affiliation(s)
- Bruno D.A. Sanches
- Department of Structural and Functional Biology; State University of Campinas; Av. Bertrand Russel S/N Campinas São Paulo Brazil
| | - Juliana S. Maldarine
- Department of Biology, Laboratory of Microscopy and Microanalysis, Rua Cristóvão Colombo; Universal Estadual Paulista, UNESP; São José Do Rio Preto São Paulo Brazil
| | - Bruno C. Zani
- Department of Biology, Laboratory of Microscopy and Microanalysis, Rua Cristóvão Colombo; Universal Estadual Paulista, UNESP; São José Do Rio Preto São Paulo Brazil
| | - Manoel F. Biancardi
- Department of Structural and Functional Biology; State University of Campinas; Av. Bertrand Russel S/N Campinas São Paulo Brazil
- Department of Biology, Laboratory of Microscopy and Microanalysis, Rua Cristóvão Colombo; Universal Estadual Paulista, UNESP; São José Do Rio Preto São Paulo Brazil
| | - Fernanda C.A. Santos
- Department of Morphology; Federal University of Goias, Samambaia II; Goiania Goias Brazil
| | - Rejane M. Góes
- Department of Structural and Functional Biology; State University of Campinas; Av. Bertrand Russel S/N Campinas São Paulo Brazil
- Department of Biology, Laboratory of Microscopy and Microanalysis, Rua Cristóvão Colombo; Universal Estadual Paulista, UNESP; São José Do Rio Preto São Paulo Brazil
| | - Patricia S.L. Vilamaior
- Department of Biology, Laboratory of Microscopy and Microanalysis, Rua Cristóvão Colombo; Universal Estadual Paulista, UNESP; São José Do Rio Preto São Paulo Brazil
| | - Sebastião R. Taboga
- Department of Structural and Functional Biology; State University of Campinas; Av. Bertrand Russel S/N Campinas São Paulo Brazil
- Department of Biology, Laboratory of Microscopy and Microanalysis, Rua Cristóvão Colombo; Universal Estadual Paulista, UNESP; São José Do Rio Preto São Paulo Brazil
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Sanches BDA, Zani BC, Maldarine JS, Biancardi MF, Santos FCA, Góes RM, Vilamaior PSL, Taboga SR. Postnatal development of Mongolian gerbil female prostate: An immunohistochemical and 3D modeling study. Microsc Res Tech 2016; 79:438-46. [PMID: 26971884 DOI: 10.1002/jemt.22649] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Accepted: 02/20/2016] [Indexed: 11/12/2022]
Abstract
The development of the prostate in male rodents, which involves complex epithelial-mesenchymal interactions between the urogenital sinus epithelium (UGE) and the urogenital sinus mesenchyme (UGM), has been deeply studied. In females, however, this process is not very clear. In this study, the postnatal development of the prostate in female Mongolian gerbils employing three-dimensional (3D) reconstructions, histochemical, and immunohistochemical techniques was characterized. It was observed that prostatic branching and differentiation in females was induced by a single mesenchyme localized at a ventrolateral position, which was named as ventrolateral mesenchyme (VLM); furthermore, the canalization of solid buds began on the third postnatal day (P3) and the branching morphogenesis on P5. We observed secretions in the acini at the end of the first month, and, on P45, the acini were completely differentiated. The strong cell proliferation phase in the first week coincided with the mesenchymal expression of estrogen receptor 1 (ESR1). The expression of androgen receptor (AR) paralleled cell differentiation, and, on P30, immunolabelling with p63 was restricted to basal cells. This study serves as a baseline parameter for future research on disruptions that could affect the development of the female prostate.
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Affiliation(s)
- Bruno D A Sanches
- Department of Structural and Functional Biology, State University of Campinas, Av. Bertrand Russel s/n, Campinas, São Paulo, Brazil
| | - Bruno C Zani
- Department of Biology, Laboratory of Microscopy and Microanalysis, University of Estadual Paulista - UNESP, Rua Cristovão Colombo, São Jose do Rio Preto, São Paulo, Brazil
| | - Juliana S Maldarine
- Department of Biology, Laboratory of Microscopy and Microanalysis, University of Estadual Paulista - UNESP, Rua Cristovão Colombo, São Jose do Rio Preto, São Paulo, Brazil
| | - Manoel F Biancardi
- Department of Morphology, Federal University of Goias, Samambaia II, Goiania, Goias, Brazil
| | - Fernanda C A Santos
- Department of Morphology, Federal University of Goias, Samambaia II, Goiania, Goias, Brazil
| | - Rejane M Góes
- Department of Biology, Laboratory of Microscopy and Microanalysis, University of Estadual Paulista - UNESP, Rua Cristovão Colombo, São Jose do Rio Preto, São Paulo, Brazil
| | - Patricia S L Vilamaior
- Department of Biology, Laboratory of Microscopy and Microanalysis, University of Estadual Paulista - UNESP, Rua Cristovão Colombo, São Jose do Rio Preto, São Paulo, Brazil
| | - Sebastião R Taboga
- Department of Biology, Laboratory of Microscopy and Microanalysis, University of Estadual Paulista - UNESP, Rua Cristovão Colombo, São Jose do Rio Preto, São Paulo, Brazil
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Novel immunohistochemical data indicate that the female foetal urethra is more than an epithelial tube. Ann Anat 2013; 195:586-95. [DOI: 10.1016/j.aanat.2013.09.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2013] [Revised: 09/05/2013] [Accepted: 09/09/2013] [Indexed: 11/21/2022]
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Abstract
INTRODUCTION Women may expel various kinds of fluids during sexual arousal and at orgasm. Their origins, quantity, compositions, and expulsion mechanisms depend on anatomical and pathophysiological dispositions and the degree of sexual arousal. These are natural sexual responses but may also represent symptoms of urinary incontinence. AIM The study aims to clarify the etiology of fluid leakage at orgasm, distinguish between associated physiological sexual responses, and differentiate these phenomena from symptoms of illness. METHODS A systematic literature review was performed. EMBASE (OvidSP) and Web of Science databases were searched for the articles on various phenomena of fluid expulsions in women during sexual arousal and at orgasm. MAIN OUTCOME MEASURES Articles included focused on female ejaculation and its variations, coital incontinence (CI), and vaginal lubrication. RESULTS Female ejaculation orgasm manifests as either a female ejaculation (FE) of a smaller quantity of whitish secretions from the female prostate or a squirting of a larger amount of diluted and changed urine. Both phenomena may occur simultaneously. The prevalence of FE is 10-54%. CI is divided into penetration and orgasmic forms. The prevalence of CI is 0.2-66%. Penetration incontinence occurs more frequently and is usually caused by stress urinary incontinence (SUI). Urodynamic diagnoses of detrusor overactivity (DOA) and SUI are observed in orgasmic incontinence. CONCLUSIONS Fluid expulsions are not typically a part of female orgasm. FE and squirting are two different physiological components of female sexuality. FE was objectively evidenced only in tens of cases but its reported high prevalence is based mostly on subjective questionnaire research. Pathophysiology of squirting is rarely documented. CI is a pathological sign caused by urethral disorder, DOA, or a combination of both, and requires treatment. An in-depth appreciation of these similar but pathophysiologically distinct phenomena is essential for distinguishing normal, physiological sexual responses from signs of illness.
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Affiliation(s)
- Zlatko Pastor
- Obstetrics and Gynaecology Department, 2nd Medical Faculty, Teaching Hospital Motol, Charles University, Prague, Czech Republic.
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Current world literature. Curr Opin Endocrinol Diabetes Obes 2012; 19:233-47. [PMID: 22531108 DOI: 10.1097/med.0b013e3283542fb3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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