Effect of Chronic Prostatitis on Angiogenic Activity and Serum Prostate Specific Antigen Level in Benign Prostatic Hyperplasia

The aim of this study was to evaluate the effect of chronic inflammatory pathology on the angiogenic activity in benign prostatic hyperplasia (BPH). Besides the presence of a relationship between serum prostate specific antigen (PSA) values and microvessel density (mvd), the intensity and extent (wi...

Full description

Bibliographic Details
Main Authors: Resit Dogan Koseoglu, Fikret Erdemir, Bekir Suha Parlaktas, Nurper Onuk Filiz, Nihat Uluocak, Ilker Etikan
Format: Article
Language:English
Published: Wiley 2007-08-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0257565507700020
_version_ 1818229957446336512
author Resit Dogan Koseoglu
Fikret Erdemir
Bekir Suha Parlaktas
Nurper Onuk Filiz
Nihat Uluocak
Ilker Etikan
author_facet Resit Dogan Koseoglu
Fikret Erdemir
Bekir Suha Parlaktas
Nurper Onuk Filiz
Nihat Uluocak
Ilker Etikan
author_sort Resit Dogan Koseoglu
collection DOAJ
description The aim of this study was to evaluate the effect of chronic inflammatory pathology on the angiogenic activity in benign prostatic hyperplasia (BPH). Besides the presence of a relationship between serum prostate specific antigen (PSA) values and microvessel density (mvd), the intensity and extent (widespread or focal) of tissue PSAexpression was also examined. The distribution of 30 cases according to the diagnosis groups was as follows: group 1, nine cases with prostatic adenocarcinoma; group 2, 10 cases with BPH and chronic prostatitis; group 3, 11 cases with BPH. The biopsy materials obtained by tru-cut biopsy (five cases) and transurethral resection (25 cases) were evaluated retrospectively. The evaluation of angiogenesis was made by CD34 immune marker, while the analysis of immunohistochemical tissue PSA expression was verified by PSA immune marker. Serum PSA levels and other clinical parameters were obtained from the clinical files of the patients. The mean age of the patients was 68 ± 3 years (range, 48–83 years). The difference between the mean mvd values of the groups was statistically significant (χ2 = 10.492, p = 0.005). Group 1 showed higher mean mvd value than the other two groups. Although group 2 showed higher mean mvd value than group 3, the difference was not statistically significant (p = 0.863). There was no correlation between the mean mvd and serum PSA levels in any group. The intensity of PSA expression in prostate specimens was different in all groups. Maximum cases in group 3 showed high tissue PSA expression (χ2 = 12.442, p = 0.014). In group 1, there was a significant relationship between the intensity of PSA expression and the mean mvd (U = 1, p = 0.032). In group 2, a statistically significant correlation was noted between the mean serum PSA levels and the widespread occurrence of PSA expression (U = 0, p = 0.017). In the present study, we determined that chronic prostatitis had no effect on mvd in BPH cases. The correlation between tissue PSA expression and mvd was contradictory to the reports in the literature. Analyses in larger series are needed to prove the presence of a probable effect of chronic prostatitis on angiogenesis.
first_indexed 2024-12-12T10:26:51Z
format Article
id doaj.art-7387b17f4833431b8176c04f93e5edc9
institution Directory Open Access Journal
issn 1607-551X
language English
last_indexed 2024-12-12T10:26:51Z
publishDate 2007-08-01
publisher Wiley
record_format Article
series Kaohsiung Journal of Medical Sciences
spelling doaj.art-7387b17f4833431b8176c04f93e5edc92022-12-22T00:27:27ZengWileyKaohsiung Journal of Medical Sciences1607-551X2007-08-0123838739410.1016/S0257-5655(07)70002-0Effect of Chronic Prostatitis on Angiogenic Activity and Serum Prostate Specific Antigen Level in Benign Prostatic HyperplasiaResit Dogan Koseoglu0Fikret Erdemir1Bekir Suha Parlaktas2Nurper Onuk Filiz3Nihat Uluocak4Ilker Etikan5Department of Pathology, Gaziosmanpasa University School of Medicine, Tokat, TurkeyDepartment of Urology, Gaziosmanpasa University School of Medicine, Tokat, TurkeyDepartment of Urology, Gaziosmanpasa University School of Medicine, Tokat, TurkeyDepartment of Pathology, Gaziosmanpasa University School of Medicine, Tokat, TurkeyDepartment of Urology, Gaziosmanpasa University School of Medicine, Tokat, TurkeyDepartment of Biostatistics, Gaziosmanpasa University School of Medicine, Tokat, TurkeyThe aim of this study was to evaluate the effect of chronic inflammatory pathology on the angiogenic activity in benign prostatic hyperplasia (BPH). Besides the presence of a relationship between serum prostate specific antigen (PSA) values and microvessel density (mvd), the intensity and extent (widespread or focal) of tissue PSAexpression was also examined. The distribution of 30 cases according to the diagnosis groups was as follows: group 1, nine cases with prostatic adenocarcinoma; group 2, 10 cases with BPH and chronic prostatitis; group 3, 11 cases with BPH. The biopsy materials obtained by tru-cut biopsy (five cases) and transurethral resection (25 cases) were evaluated retrospectively. The evaluation of angiogenesis was made by CD34 immune marker, while the analysis of immunohistochemical tissue PSA expression was verified by PSA immune marker. Serum PSA levels and other clinical parameters were obtained from the clinical files of the patients. The mean age of the patients was 68 ± 3 years (range, 48–83 years). The difference between the mean mvd values of the groups was statistically significant (χ2 = 10.492, p = 0.005). Group 1 showed higher mean mvd value than the other two groups. Although group 2 showed higher mean mvd value than group 3, the difference was not statistically significant (p = 0.863). There was no correlation between the mean mvd and serum PSA levels in any group. The intensity of PSA expression in prostate specimens was different in all groups. Maximum cases in group 3 showed high tissue PSA expression (χ2 = 12.442, p = 0.014). In group 1, there was a significant relationship between the intensity of PSA expression and the mean mvd (U = 1, p = 0.032). In group 2, a statistically significant correlation was noted between the mean serum PSA levels and the widespread occurrence of PSA expression (U = 0, p = 0.017). In the present study, we determined that chronic prostatitis had no effect on mvd in BPH cases. The correlation between tissue PSA expression and mvd was contradictory to the reports in the literature. Analyses in larger series are needed to prove the presence of a probable effect of chronic prostatitis on angiogenesis.http://www.sciencedirect.com/science/article/pii/S0257565507700020angiogenesisbenign prostatic hyperplasiachronic prostatitismicrovessel densityprostate specific antigen
spellingShingle Resit Dogan Koseoglu
Fikret Erdemir
Bekir Suha Parlaktas
Nurper Onuk Filiz
Nihat Uluocak
Ilker Etikan
Effect of Chronic Prostatitis on Angiogenic Activity and Serum Prostate Specific Antigen Level in Benign Prostatic Hyperplasia
Kaohsiung Journal of Medical Sciences
angiogenesis
benign prostatic hyperplasia
chronic prostatitis
microvessel density
prostate specific antigen
title Effect of Chronic Prostatitis on Angiogenic Activity and Serum Prostate Specific Antigen Level in Benign Prostatic Hyperplasia
title_full Effect of Chronic Prostatitis on Angiogenic Activity and Serum Prostate Specific Antigen Level in Benign Prostatic Hyperplasia
title_fullStr Effect of Chronic Prostatitis on Angiogenic Activity and Serum Prostate Specific Antigen Level in Benign Prostatic Hyperplasia
title_full_unstemmed Effect of Chronic Prostatitis on Angiogenic Activity and Serum Prostate Specific Antigen Level in Benign Prostatic Hyperplasia
title_short Effect of Chronic Prostatitis on Angiogenic Activity and Serum Prostate Specific Antigen Level in Benign Prostatic Hyperplasia
title_sort effect of chronic prostatitis on angiogenic activity and serum prostate specific antigen level in benign prostatic hyperplasia
topic angiogenesis
benign prostatic hyperplasia
chronic prostatitis
microvessel density
prostate specific antigen
url http://www.sciencedirect.com/science/article/pii/S0257565507700020
work_keys_str_mv AT resitdogankoseoglu effectofchronicprostatitisonangiogenicactivityandserumprostatespecificantigenlevelinbenignprostatichyperplasia
AT fikreterdemir effectofchronicprostatitisonangiogenicactivityandserumprostatespecificantigenlevelinbenignprostatichyperplasia
AT bekirsuhaparlaktas effectofchronicprostatitisonangiogenicactivityandserumprostatespecificantigenlevelinbenignprostatichyperplasia
AT nurperonukfiliz effectofchronicprostatitisonangiogenicactivityandserumprostatespecificantigenlevelinbenignprostatichyperplasia
AT nihatuluocak effectofchronicprostatitisonangiogenicactivityandserumprostatespecificantigenlevelinbenignprostatichyperplasia
AT ilkeretikan effectofchronicprostatitisonangiogenicactivityandserumprostatespecificantigenlevelinbenignprostatichyperplasia