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Updated: Feb 4, 2026

Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser
Published on: May 5, 2020
Over expression of PI3K-AkT reduces apoptosis and increases prostate size in benign prostatic hyperplasia
Karli Sreenivasulu1, Hanumanthappa Nandeesha1, Lalgudi Narayanan Dorairajan2
1Department of Biochemistry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Introduction:
Even though the role of the phosphatidylinositol 3-kinase (PI3K)/AKT pathways and apoptosis has been well established in prostate cancer, there are no studies regarding alteration in the gene expression of PI3K/AKT pathway and protein expression of apoptotic components and their association with prostate size in Benign prostatic hyperplasia (BPH). Hence the study was designed to analyze the expression pattern of PI3K/AKT and apoptotic components in patients with BPH.
Materials And Methods:
A total of 27 BPH patients aged between 55 and 75 years were recruited in the study and prostatic tissues were obtained after transurethral resection of the prostate. Gene expression levels of PI3K and AKT were assessed by q-PCR. Apoptotic components like BcL-2, caspase-3, caspase-9, BAD, and p-BAD were analyzed by western blotting and immunohistochemistry.
Results:
Gene expression of PI3K (p85-A) (p = .02), AKT1 (p < .01) and AKT2 (p < .01), and protein expression of BcL-2 (p < .01) and caspase-9 (p < .01) were significantly increased in BPH patients with larger prostate size compared to smaller prostate size.
Conclusions:
Overexpression of PI3K/AKT pathway and BcL-2 were associated with reduced apoptosis and increased prostate size in BPH.
Insights
Increased expression of phosphatidylinositol 3-kinase (PI3K)/AKT pathway and BcL-2 is linked to reduced apoptosis and larger prostate size in benign prostatic hyperplasia (BPH). This study investigated these molecular changes in BPH patients.
Area of Science:
- Urology
- Molecular Biology
- Oncology
Background:
- The phosphatidylinositol 3-kinase (PI3K)/AKT pathway and apoptosis are crucial in prostate cancer.
- Limited research exists on PI3K/AKT pathway gene expression and apoptotic protein levels in Benign Prostatic Hyperplasia (BPH) and their correlation with prostate size.
Purpose of the Study:
- To investigate the gene expression of PI3K/AKT pathway components.
- To analyze the protein expression of apoptotic factors.
- To determine the association between these molecular alterations and prostate size in BPH patients.
Main Methods:
- Gene expression of PI3K and AKT was quantified using quantitative PCR (q-PCR).
- Protein levels of apoptotic markers (BcL-2, caspase-3, caspase-9, BAD, p-BAD) were assessed via western blotting and immunohistochemistry.
- The study included 27 BPH patients aged 55-75 years.
Main Results:
- Significant upregulation of PI3K (p85-A), AKT1, and AKT2 gene expression was observed in BPH patients with larger prostates.
- Protein expression of BcL-2 and caspase-9 was also significantly elevated in larger prostates.
- These findings suggest a correlation between specific molecular pathways and prostate enlargement.
Conclusions:
- Overexpression of the PI3K/AKT pathway and BcL-2 is associated with reduced apoptosis.
- These molecular changes correlate with increased prostate size in Benign Prostatic Hyperplasia.
- The study highlights potential molecular targets for managing BPH progression.
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