“…By RNA-seq, 833 signi cantly differentially expressed genes were identi ed between the two groups. In the results of GO enrichment analysis, we found that up-regulated DEGs were signi cantly enriched in redox, which was consistent with previous studies that the redox system was associated with the development of BPH 43 , and that GO terms enriched in down-regulated DEGs were associated with ion transport 44 , whereas up down-regulated DEGs were enriched in hormonal regulation, and previous studies had demonstrated the involvement of both androgens and estrogens in the progression of BPH 45,46 . In addition, the results of KEGG analysis suggested that the most signi cant pathway was small molecules, which had been shown in previous studies to in uence cell cycle, apoptosis, proliferation, and proliferation [47][48][49] , whereas the up-regulated DEGs were most signi cantly enriched in pathways associated with IGFs and IGFBPs, which have been previously shown to be associated with BPH 50,51 , and inhibition of IGF-1 secretion inhibited the proliferation of prostate epithelial cells 52 , and up-and down-regulated DEGs were also predominantly co-enriched in small molecule compound-related pathways, suggesting that this pathway might play an important role in steroid hormones-induced BPH.…”