DOI QR코드

DOI QR Code

Corni Fructus attenuates testosterone-induced benign prostatic hyperplasia by suppressing 5α-reductase and androgen receptor expression in rats

  • Hwangbo, Hyun (Anti-Aging Research Center, Dongeui University) ;
  • Kwon, Da He (Anti-Aging Research Center, Dongeui University) ;
  • Choi, Eun Ok (Anti-Aging Research Center, Dongeui University) ;
  • Kim, Min Yeong (Anti-Aging Research Center, Dongeui University) ;
  • Ahn, Kyu Im (Anti-Aging Research Center, Dongeui University) ;
  • Ji, Seon Yeong (Anti-Aging Research Center, Dongeui University) ;
  • Kim, Jong Sik (Department of Anatomy, Kosin University College of Medicine) ;
  • Kim, Kyung-Il (Gurye Sansooyu Farming Association Corporation) ;
  • Park, No-Jin (Gurye-gun Agricultural Center) ;
  • Kim, Bum Hoi (Department of Anatomy, Dongeui University College of Korean Medicine) ;
  • Kim, Gi-Young (Laboratory of Immunobiology, Department of Marine Life Sciences, Jeju National University) ;
  • Hong, Su-Hyun (Anti-Aging Research Center, Dongeui University) ;
  • Park, Cheol (Department of Molecular Biology, College of Natural Sciences, Dongeui University) ;
  • Jeong, Ji-Suk (Gurye-gun Agricultural Center) ;
  • Choi, Yung Hyun (Anti-Aging Research Center, Dongeui University)
  • Received : 2018.02.05
  • Accepted : 2018.06.19
  • Published : 2018.10.01

Abstract

BACKGROUND/OBJECTIVES: Benign prostatic hypertrophy (BPH) is a major cause of abnormal overgrowth of the prostate mainly in the elderly. Corni Fructus has been reported to be effective in the prevention and treatment of various diseases because of its strong antioxidant effect, but its efficacy against BPH is not yet known. This study was designed to evaluate the therapeutic efficacy of Corni Fructus water extract (CF) in testosterone-induced BPH rats. MATERIALS/METHODS: To induce BPH, rats were intraperitoneal injected with testosterone propionate (TP). Rats in the treatment group were orally administered with CF with TP injection, and finasteride, which is a selective inhibitor of $5{\alpha}$-reductase type 2, was used as a positive control. RESULTS: Our results showed that the increased prostate weight and histopathological changes in BPH model rats were suppressed by CF treatment. CF, similar to the finasteride-treated group, decreased the levels of testosterone and dihydrotestosterone by TP treatment in the serum, and it also reduced $5{\alpha}$-reductase expression and concentration in prostate tissue and serum, respectively. In addition, CF significantly blocked the expression of the androgen receptor (AR), AR co-activators, and proliferating cell nuclear antigen in BPH rats, and this blocking was associated with a decrease in prostate-specific antigen levels in serum and prostate tissue. CONCLUSIONS: These results suggest that CF may weaken the BPH status through the inactivation of at least $5{\alpha}$-reductase and AR activity and may be useful for the clinical treatment of BPH.

Keywords

References

  1. Cornu JN, Ahyai S, Bachmann A, de la Rosette J, Gilling P, Gratzke C, McVary K, Novara G, Woo H, Madersbacher S. A systematic review and meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic obstruction: an update. Eur Urol 2015;67:1066-96. https://doi.org/10.1016/j.eururo.2014.06.017
  2. Pyo JS, Cho WJ. Systematic review and meta-analysis of prostatic artery embolisation for lower urinary tract symptoms related to benign prostatic hyperplasia. Clin Radiol 2017;72:16-22. https://doi.org/10.1016/j.crad.2016.10.009
  3. Aaron L, Franco OE, Hayward SW. Review of prostate anatomy and embryology and the etiology of benign prostatic hyperplasia. Urol Clin North Am 2016;43:279-88. https://doi.org/10.1016/j.ucl.2016.04.012
  4. Strand DW, Costa DN, Francis F, Ricke WA, Roehrborn CG. Targeting phenotypic heterogeneity in benign prostatic hyperplasia. Differentiation 2017;96:49-61. https://doi.org/10.1016/j.diff.2017.07.005
  5. Vignozzi L, Rastrelli G, Corona G, Gacci M, Forti G, Maggi M. Benign prostatic hyperplasia: a new metabolic disease? J Endocrinol Invest 2014;37:313-22. https://doi.org/10.1007/s40618-014-0051-3
  6. Steers WD. 5alpha-reductase activity in the prostate. Urology 2001;58:17-24. https://doi.org/10.1016/S0090-4295(01)01299-7
  7. Nicholson TM, Ricke WA. Androgens and estrogens in benign prostatic hyperplasia: past, present and future. Differentiation 2011; 82:184-99. https://doi.org/10.1016/j.diff.2011.04.006
  8. Andriole G, Bruchovsky N, Chung LW, Matsumoto AM, Rittmaster R, Roehrborn C, Russell D, Tindall D. Dihydrotestosterone and the prostate: the scientific rationale for 5alpha-reductase inhibitors in the treatment of benign prostatic hyperplasia. J Urol 2004;172:1399-403. https://doi.org/10.1097/01.ju.0000139539.94828.29
  9. Azzouni F, Mohler J. Role of $5{\alpha}$-reductase inhibitors in benign prostatic diseases. Prostate Cancer Prostatic Dis 2012;15:222-30. https://doi.org/10.1038/pcan.2012.1
  10. Gharaee-Kermani M, Macoska JA. Promising molecular targets and biomarkers for male BPH and LUTS. Curr Urol Rep 2013;14:628-37. https://doi.org/10.1007/s11934-013-0368-z
  11. Ho CK, Habib FK. Estrogen and androgen signaling in the pathogenesis of BPH. Nat Rev Urol 2011;8:29-41. https://doi.org/10.1038/nrurol.2010.207
  12. Thorner DA, Weiss JP. Benign prostatic hyperplasia: symptoms, symptom scores, and outcome measures. Urol Clin North Am 2009;36:417-29. https://doi.org/10.1016/j.ucl.2009.07.001
  13. Smith RD, Patel A. Transurethral resection of the prostate revisited and updated. Curr Opin Urol 2011;21:36-41. https://doi.org/10.1097/MOU.0b013e3283411455
  14. Traish AM, Melcangi RC, Bortolato M, Garcia-Segura LM, Zitzmann M. Adverse effects of $5{\alpha}$-reductase inhibitors: what do we know, don't know, and need to know? Rev Endocr Metab Disord 2015;16:177-98. https://doi.org/10.1007/s11154-015-9319-y
  15. Lepor H. Alpha-blockers for the treatment of benign prostatic hyperplasia. Urol Clin North Am 2016;43:311-23. https://doi.org/10.1016/j.ucl.2016.04.009
  16. Chang JS, Chiang LC, Hsu FF, Lin CC. Chemoprevention against hepatocellular carcinoma of Cornus officinalis in vitro. Am J Chin Med 2004;32:717-25. https://doi.org/10.1142/S0192415X04002296
  17. Kang DG, Moon MK, Lee AS, Kwon TO, Kim JS, Lee HS. Cornuside suppresses cytokine-induced proinflammatory and adhesion molecules in the human umbilical vein endothelial cells. Biol Pharm Bull 2007;30:1796-9. https://doi.org/10.1248/bpb.30.1796
  18. Jiang WL, Chen XG, Zhu HB, Hou J, Tian JW. Cornuside attenuates apoptosis and ameliorates mitochondrial energy metabolism in rat cortical neurons. Pharmacology 2009;84:162-70. https://doi.org/10.1159/000235621
  19. Jeong EJ, Kim TB, Yang H, Kang SY, Kim SY, Sung SH, Kim YC. Neuroprotective iridoid glycosides from Cornus officinalis fruits against glutamate-induced toxicity in HT22 hippocampal cells. Phytomedicine 2012;19:317-21. https://doi.org/10.1016/j.phymed.2011.08.068
  20. Telang NT, Li G, Sepkovic DW, Bradlow HL, Wong GY. Anti- proliferative effects of Chinese herb Cornus officinalis in a cell culture model for estrogen receptor-positive clinical breast cancer. Mol Med Rep 2012;5:22-8.
  21. Zhang QC, Zhao Y, Bian HM. Antiplatelet activity of a novel formula composed of malic acid, succinic acid and citric acid from Cornus officinalis fruit. Phytother Res 2013;27:1894-6. https://doi.org/10.1002/ptr.4934
  22. Sun X, Kong L, Zhou L. Protective effect of Fructus corni polysaccharide on hippocampal tissues and its relevant mechanism in epileptic rats induced by lithium chloride-pilocarpine. Exp Ther Med 2018;16:445-51.
  23. Hwang KA, Hwang YJ, Song J. Antioxidant activities and oxidative stress inhibitory effects of ethanol extracts from Cornus officinalis on raw 264.7 cells. BMC Complement Altern Med 2016;16:196. https://doi.org/10.1186/s12906-016-1172-3
  24. Park JY, Han AR, Kil YS, Kang U, Kim SH, Nam SJ, Seo EK. A new secoiridoid glycoside from the fruits of Cornus officinalis (Cornaceae). Nat Prod Res 2016;30:1504-10. https://doi.org/10.1080/14786419.2015.1115996
  25. Yoon JH, Youn K, Ho CT, Karwe MV, Jeong WS, Jun M. p-Coumaric acid and ursolic acid from Corni fructus attenuated ${\beta}$-amyloid(25-35)-induced toxicity through regulation of the $NF-{\kappa}B$ signaling pathway in PC12 cells. J Agric Food Chem 2014;62:4911-6. https://doi.org/10.1021/jf501314g
  26. Ma W, Wang KJ, Cheng CS, Yan GQ, Lu WL, Ge JF, Cheng YX, Li N. Bioactive compounds from Cornus officinalis fruits and their effects on diabetic nephropathy. J Ethnopharmacol 2014;153:840-5. https://doi.org/10.1016/j.jep.2014.03.051
  27. Minciullo PL, Inferrera A, Navarra M, Calapai G, Magno C, Gangemi S. Oxidative stress in benign prostatic hyperplasia: a systematic review. Urol Int 2015;94:249-54. https://doi.org/10.1159/000366210
  28. Bostanci Y, Kazzazi A, Momtahen S, Laze J, Djavan B. Correlation between benign prostatic hyperplasia and inflammation. Curr Opin Urol 2013;23:5-10. https://doi.org/10.1097/MOU.0b013e32835abd4a
  29. Keam SJ, Scott LJ. Dutasteride: a review of its use in the management of prostate disorders. Drugs 2008;68:463-85. https://doi.org/10.2165/00003495-200868040-00008
  30. Traish AM. $5{\alpha}$-reductases in human physiology: an unfolding story. Endocr Pract 2012;18:965-75. https://doi.org/10.4158/EP12108.RA
  31. Pihlajamaa P, Sahu B, Jänne OA. Determinants of receptor- and tissue-specific actions in androgen signaling. Endocr Rev 2015;36: 357-84. https://doi.org/10.1210/er.2015-1034
  32. Robins DM. Androgen receptor and molecular mechanisms of male-specific gene expression. Novartis Found Symp 2005;268: 42-52.
  33. Prins GS. Molecular biology of the androgen receptor. Mayo Clin Proc 2000;75 Suppl:S32-5.
  34. Watanabe M, Yamada Y, Kato H, Imai H, Nakano H, Araki T, Shiraishi T. Malignant phyllodes tumor of the prostate: retrospective review of specimens obtained by sequential transurethral resection. Pathol Int 2002;52:777-83. https://doi.org/10.1046/j.1440-1827.2002.01417.x
  35. Cunha GR, Wang YZ, Hayward SW, Risbridger GP. Estrogenic effects on prostatic differentiation and carcinogenesis. Reprod Fertil Dev 2001;13:285-96. https://doi.org/10.1071/RD01010
  36. Huang J, Zhang Y, Dong L, Gao Q, Yin L, Quan H, Chen R, Fu X, Lin D. Ethnopharmacology, phytochemistry, and pharmacology of Cornus officinalis Sieb. et Zucc. J Ethnopharmacol 2018;213:280-301. https://doi.org/10.1016/j.jep.2017.11.010
  37. Park CH, Noh JS, Park JC, Yokozawa T. Beneficial effect of 7-O-galloyl-D-sedoheptulose, a polyphenol isolated from Corni fructus, against diabetes-induced alterations in kidney and adipose tissue of type 2 diabetic db/db mice. Evid Based Complement Alternat Med 2013;2013:736856.
  38. Vareed SK, Schutzki RE, Nair MG. Lipid peroxidation, cyclooxygenase enzyme and tumor cell proliferation inhibitory compounds in Cornus kousa fruits. Phytomedicine 2007;14:706-9. https://doi.org/10.1016/j.phymed.2006.09.006
  39. Wang W, Sun F, An Y, Ai H, Zhang L, Huang W, Li L. Morroniside protects human neuroblastoma SH-SY5Y cells against hydrogen peroxide-induced cytotoxicity. Eur J Pharmacol 2009;613:19-23. https://doi.org/10.1016/j.ejphar.2009.04.013
  40. Xu H, Shen J, Liu H, Shi Y, Li L, Wei M. Morroniside and loganin extracted from Cornus officinalis have protective effects on rat mesangial cell proliferation exposed to advanced glycation end products by preventing oxidative stress. Can J Physiol Pharmacol 2006;84:1267-73. https://doi.org/10.1139/y06-075
  41. Xu YD, Cui C, Sun MF, Zhu YL, Chu M, Shi YW, Lin SL, Yang XS, Shen YQ. Neuroprotective effects of loganin on MPTP-induced Parkinson's disease mice: neurochemistry, glial reaction and autophagy studies. J Cell Biochem 2017;118:3495-510. https://doi.org/10.1002/jcb.26010

Cited by

  1. 산수유, 보골지 복합추출물의 Sprague-Dawley rat를 이용한 단회경구투여 독성시험 vol.34, pp.3, 2018, https://doi.org/10.6116/kjh.2019.34.3.31
  2. 산수유(山茱萸) 메탄올 추출물이 편측 경동맥 폐색으로 유도된 생쥐의 허혈성 뇌손상에 미치는 영향 vol.35, pp.1, 2020, https://doi.org/10.6116/kjh.2020.35.1.1
  3. Oleanolic Acid Ameliorates Benign Prostatic Hyperplasia by Regulating PCNA-Dependent Cell Cycle Progression In Vivo and In Vitro vol.83, pp.4, 2018, https://doi.org/10.1021/acs.jnatprod.9b01210
  4. Protective effects of combination of Stauntonia hexaphylla and Cornus officinalis on testosterone-induced benign prostatic hyperplasia through inhibition of 5α- reductase type 2 and induced vol.15, pp.8, 2018, https://doi.org/10.1371/journal.pone.0236879
  5. Protective role of diosmin against testosterone propionate-induced prostatic hyperplasia in Wistar rats: Plausible role of oxidative stress and inflammation vol.39, pp.9, 2020, https://doi.org/10.1177/0960327119889655
  6. Simultaneous qualitative and quantitative analysis of morroniside and hederacoside D in extract mixture of Cornus officinalis and Stauntonia hexaphylla leaves to improve benign prostatic hyperplasia b vol.33, pp.5, 2018, https://doi.org/10.5806/ast.2020.33.5.224
  7. The Protective Effect of Oral Application of Corni Fructus on the Disorders of the Cornea, Conjunctiva, Lacrimal Gland and Retina by Topical Particulate Matter 2.5 vol.13, pp.9, 2018, https://doi.org/10.3390/nu13092986