Skip to main content
Log in

Die Bedeutung der chronischen Prostatitis für die Pathogenese des Prostatakarzinoms

The significance of chronic prostatitis for the etiopathology of prostate cancer

  • Übersichten
  • Published:
Der Urologe Aims and scope Submit manuscript

Zusammenfassung

Obwohl dem Prostatakarzinom als Krankheitsbild des Mannes eine große epidemiologische Bedeutung zukommt, sind noch zahlreiche Zusammenhänge insbesondere zu seiner Pathogenese weitgehend unbekannt. Einen neuen und derzeit intensiv untersuchten Ansatz bietet ein bereits in verschiedenen anderen Organen untersuchtes Phänomen – die Kanzerogenese im Rahmen chronischer Entzündungsprozesse. Die vorliegende Übersichtsarbeit stellt den aktuellen Forschungsstand der Zusammenhänge zwischen chronischer Prostatitis und dem Prostatakarzinom vor und diskutiert hierbei neben den histologischen und biochemischen Kriterien außerdem jüngste Entdeckungen, welche die Pathogenese des Prostatakarzinoms, ähnlich dem HPV-assoziierten Zervixkarzinom, in Zusammenhang mit einer Infektion durch das neuartige Gammaretrovirus XMRV bringen.

Abstract

Although prostate cancer is of crucial impact as a common disease of men, numerous relationships remain unknown, particularly concerning its pathogenesis. A novel approach regarding the origin and development of prostate cancer is a phenomenon that has already been investigated in other human cancers: cancerogenesis due to chronic inflammation. Hence, the present review introduces the current state of research concerning the relationship between chronic prostatitis and prostate cancer. In addition to histological and biochemical features, the latest discoveries are discussed, including the relationship between the pathogenesis of prostate cancer and infection by the novel gammaretrovirus XMRV, similar to cervical cancer associated with HPV.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1

Literatur

  1. Robert-Koch-Institut Berlin (2009) Krebsinzidenzschätzungen für Deutschland, Prostatakrebs (ICD 185). RKI, Berlin. Datenbankabfrage vom 12.01.2010, http://www.rki.de

  2. Ames BN, Gold LS, Willett WC (1995) The causes and prevention of cancer. Proc Natl Acad Sci USA 92:5258–5265

    Article  CAS  PubMed  Google Scholar 

  3. MacLennan GT, Eisenberg R, Fleshman RL et al (2006) The influence of chronic inflammation in prostatic carcinogenesis: a 5-year followup study. J Urol 176:1012–1016

    Article  PubMed  Google Scholar 

  4. Maitland NJ, Collins AT (2008) Inflammation as the primary aetiological agent of human prostate cancer: a stem cell connection? J Cell Biochem 105:931–939

    Article  CAS  PubMed  Google Scholar 

  5. Vasto S, Carruba G, Candore G et al (2008) Inflammation and prostate cancer. Future Oncol 5:637–645

    Article  Google Scholar 

  6. Klein EA, Silverman R (2008) Inflammation, infection, and prostate cancer. Curr Opin Urol 18:315–319

    Article  PubMed  Google Scholar 

  7. Haverkamp J, Charbonneau B, Ratliff TL (2008) Prostate inflammation and its potential impact on prostate cancer: a current review. J Cell Biochem 103:1344–1353

    Article  CAS  PubMed  Google Scholar 

  8. Voronov E, Shouval DS, Krelin Y et al (2003) IL-1 is required for tumorinvasiveness and angiogenesis. Proc Natl Acad Sci USA 100:2645–2650

    Article  CAS  PubMed  Google Scholar 

  9. Sun J, Turner A, Xu J et al (2007) Genetic variability in inflammation pathways and prostate cancer risk. Urol Oncol 25:250–259

    CAS  PubMed  Google Scholar 

  10. Karan D, Holzbeierlein J, Thrasher JB (2009) Macrophage inhibitory cytokine-1: possible bridge molecule of inflammation and prostate cancer. Cancer Res 69:2–5

    Article  CAS  PubMed  Google Scholar 

  11. Cheung PK, Woolcock B, Adomat H et al (2004) Protein profiling of microdissected prostate tissue links growth differentiation factor 15 to prostate carcinogenesis. Cancer Res 64:5929–5933

    Article  CAS  PubMed  Google Scholar 

  12. Zimmers TA, Jin X, Hsiao EC et al (2005) Growth differentiation factor-15/macrophage inhibitory cytokine-1 induction after kidney and lung injury. Shock 23:543–548

    CAS  PubMed  Google Scholar 

  13. Silverman RH (2003) Implications for RNase L in prostate cancer biology. Biochemistry 42:1805–1812

    Article  CAS  PubMed  Google Scholar 

  14. Schlaberg R, Choe DJ, Brown KR et al (2009) XMRV is present in malignant prostatic epithelium and is associated with prostate cancer, especially high-grade tumors. Proc Natl Acad Sci USA 106: 16351–16356

    Article  CAS  PubMed  Google Scholar 

  15. Xu J, Zheng SL, Komiya A et al (2002) Germline mutations and sequence variants of the macrophage scavenger receptor 1 gene are associated with prostate cancer risk. Nat Genet 32:321–325

    Article  CAS  PubMed  Google Scholar 

  16. Dobs AS, Morgentaler (2008) Does testosterone therapy increase the risk of prostate cancer? Endocr Pract 14:904–911

    PubMed  Google Scholar 

  17. Singh A, Purohit A, Ghilchik MW et al (1999) The regulation of aromatase activity in breast fibroblasts: the role of interleukin-6 and prostaglandin E2. Endocr Relat Cancer 6:139–147

    Article  CAS  PubMed  Google Scholar 

  18. Harris MT, Feldberg RS, Lau KM et al (2000) Expression of proinflammatory genes during estrogen-induced inflammation of the rat prostate. Prostate 44:19–25

    Article  CAS  PubMed  Google Scholar 

  19. Klein EA, Platz EA, Thompson IM (2006) Epidemiology, etiology, and prevention of prostate cancer. In: Wein AJ, Kavoussi LR, Novick AC et al (eds) Campbell-Walsh urology, 9th edn. Saunders, Philadelphia

  20. Sutcliffe S, Giovannucci E, De Marzo AM et al (2006) Gonorrhea, syphilis, clinical prostatitis, and the risk of prostate cancer. Cancer Epidemiol Biomarkers Prev 15:2160–2166

    Article  PubMed  Google Scholar 

  21. Urisman A, Molinaro RJ, Fischer N et al (2006) Identification of a novel gammaretrovirus in prostate tumors of patients homozygous for R462Q RNASEL variant. PLoS Pathog 2:211–225

    Article  CAS  Google Scholar 

  22. Fischer N, Hellwinkel O, Schulz C et al (2008) Prevalence of human gammaretrovirus XMRV in sporadic prostate cancer. J Clin Virol 43: 277–283

    Article  CAS  PubMed  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. Wittschieber.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wittschieber, D., Schenkenberg, S., Dietel, M. et al. Die Bedeutung der chronischen Prostatitis für die Pathogenese des Prostatakarzinoms. Urologe 49, 947–951 (2010). https://doi.org/10.1007/s00120-010-2284-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00120-010-2284-x

Schlüsselwörter

Keywords

Navigation