2018
DOI: 10.1038/s41585-018-0087-9
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Mesenchymal stem cells and the embryonic reawakening theory of BPH

Abstract: The prostate is the only organ in a man that continues to grow with age. John McNeal proposed, 40 years ago, that this BPH is characterized by an age-related reinitiation of benign neoplastic growth selectively in developmentally abortive distal ducts within the prostate transition-periurethral zone (TPZ), owing to a reawakening of inductive stroma selectively within these zones. An innovative variant of this hypothesis is that, owing to its location, the TPZ is continuously exposed to urinary components and/o… Show more

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Cited by 35 publications
(36 citation statements)
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“…Prostate embryonic development, subsequent pubertal and adult growth, homeostatic maintenance, and regenerative capability require androgen-mediated paracrine interactions between stromal and epithelial cell compartments [1,2] [6]. The expression of AR occurs in urogenital mesenchyme before and during prostate morphogenesis, and then extends to urogenital epithelia after prostatic budding and the beginning of branching morphogenesis [24,25].…”
Section: Discussionmentioning
confidence: 99%
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“…Prostate embryonic development, subsequent pubertal and adult growth, homeostatic maintenance, and regenerative capability require androgen-mediated paracrine interactions between stromal and epithelial cell compartments [1,2] [6]. The expression of AR occurs in urogenital mesenchyme before and during prostate morphogenesis, and then extends to urogenital epithelia after prostatic budding and the beginning of branching morphogenesis [24,25].…”
Section: Discussionmentioning
confidence: 99%
“…In this study, we also observed aberrant alterations of other signaling pathways related to prostate development, stem cells, and organ morphogenesis in AR deficient Gli1-expressing cells. It has been shown that a variety of andromedins are produced in mesenchymal AR expressing cells and play significant and different roles in inducing both epithelial and stromal early development and morphogenesis [6,29]. Therefore, further in-depth mechanistic analyses using the current mouse models are extremely important for determining the signaling pathways and master regulators in facilitating the biological roles of AR in stromal Gli1-expressing cells in prostate development, morphogenesis, and regeneration.…”
Section: Discussionmentioning
confidence: 99%
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“…According to these observations, it was recently proposed a hypothesis to explain the development of BPH in ageing men in which various episodic occurrences of prostatic inflammation trigger the recruitment of mesenchymal stem cells to the transition periurethral zone under the effect of chemokines exerting an attractive effect on the migration of these cells from the bone marrow [513]. Recruited MSCs in the prostate tissue displace the periurethral smooth muscle sphincter and stimulate the benign prostatic neoplastic expansion of epithelial stem cells, allowing the formation of BPH nodules [513]. This hypothesis is supported by observations made at the level of BPH tissues.…”
Section: Stem Cells In Benign Prostatic Hyperplasia (Bph)mentioning
confidence: 99%
“…In this process, adhesion between epithelial cells and basement membrane gradually disappears; instead, changes in the cytoskeleton and shape are observed. In addition, an increase in podoplanin and motor abilities, and enhanced migratory and invasive abilities have been identified (14,15). In the process of embryonic development and the formation of organs, cells may diffuse from the primary tissue through EMT, and migrate to secondary tissue sites to continue to grow and differentiate (16,17).…”
Section: Introductionmentioning
confidence: 99%