2013
DOI: 10.1097/mou.0b013e32835abd18
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Hormonal manipulation of benign prostatic hyperplasia

Abstract: New 5-ARIs seem to be the promising agents that need further study. Preclinical studies revealed that GHRH and LHRH antagonists both can cause a reduction in prostate volume. Recent data indicate that prostate shrinkage is induced by the direct inhibitory action of GHRH and of LHRH antagonists exerted through prostatic receptors. The adverse effects of 5ARIs encourage alternative therapy.

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Cited by 19 publications
(14 citation statements)
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“…A great advantage of GRP antagonist is the lack of known adverse effects, contrary to finasteride. Because our GRP antagonist seems to have similar effects on the prostate as finasteride (prostate shrinkage through reduction in the epithelial compartment, increase in apoptosis), a combination of GRP antagonist with α-adrenoreceptor blockers (ABs) such as doxasosin would be a good choice based on information emerging from clinical trials on combinations of an 5-ARI and an AB (MTOPS, CombAT) (23).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…A great advantage of GRP antagonist is the lack of known adverse effects, contrary to finasteride. Because our GRP antagonist seems to have similar effects on the prostate as finasteride (prostate shrinkage through reduction in the epithelial compartment, increase in apoptosis), a combination of GRP antagonist with α-adrenoreceptor blockers (ABs) such as doxasosin would be a good choice based on information emerging from clinical trials on combinations of an 5-ARI and an AB (MTOPS, CombAT) (23).…”
Section: Discussionmentioning
confidence: 99%
“…Despite the vast burden on public health, the pathogenesis of BPH remains undetermined. A variety of growth factors and inflammatory processes are inculpated in its pathogenesis (23).…”
mentioning
confidence: 99%
“…In the periphery, the LHRH system regulates gonadal functions and appears to serve as a growth factor of benign conditions [14-17] and various cancers including breast, lung, ovary, endometrial, kidney, bladder, colon, pancreas and prostate [18-25]. A specific, medium to high-affinity binding site for an LHRH agonist was found in 86% of prostate cancers [23].…”
Section: Introductionmentioning
confidence: 99%
“…Hypothalamic neurohormone GHRH and GHRH-R are not confined to the hypothalamic-pituitary axis, however, but are also produced by various extrahypothalamic sites. GHRH/GHRH-R modulates cell proliferation and apoptosis in many tissues, including prostate (8)(9)(10)(11)(12).…”
mentioning
confidence: 99%