Febuxostat attenuates testosterone-induced benign prostatic hyperplasia in rats via inhibiting JAK/STAT axis

Amira M Abo-Youssef1, Hassan Afify2, Amany A Azouz1

  • 1Department of Pharmacology and Toxicology, Faculty of Pharmacy, Beni-Suef University, Beni-Suef, Egypt.

Life Sciences
|September 14, 2020
PubMed
Abstract

Insights

Febuxostat treatment reduced prostate size and improved tissue structure in rats with benign prostatic hyperplasia (BPH). It works by inhibiting the xanthine oxidase (XO)/Janus Kinases (JAK)/signal transducer and activator of transcription (STAT) pathway.

Area of Science:

  • Pharmacology
  • Urology
  • Biochemistry

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition in aging men.
  • Testosterone administration in rats is a model for inducing BPH.
  • The xanthine oxidase (XO)/Janus Kinases (JAK)/signal transducer and activation of transcription (STAT) axis is implicated in BPH pathogenesis.

Purpose of the Study:

  • To investigate the modulatory effect of febuxostat on testosterone-induced BPH in rats.
  • To assess the role of the XO/JAK/STAT axis in febuxostat's effect on BPH.

Main Methods:

  • Male Wistar rats were treated with testosterone with or without febuxostat.
  • Histopathology, prostate weight/index, cyclin D1 expression, and Bax/Bcl-2 ratio were assessed.
  • XO activity, uric acid, oxidative stress markers (MDA, SOD, GSH), inflammatory markers (IL-6, IL-1β, TNF-α, NF-κB), JAK-1, and STAT-3 phosphorylation were evaluated.

Main Results:

  • Febuxostat reduced prostate weight, index, and ameliorated histopathological changes in BPH rats.
  • Febuxostat decreased cyclin D1 expression, enhanced Bax/Bcl-2 ratio, and suppressed XO activity and uric acid levels.
  • Febuxostat regulated oxidative stress and inflammatory markers and inhibited JAK-1 and STAT-3 phosphorylation.

Conclusions:

  • Febuxostat ameliorates testosterone-induced BPH in rats by suppressing the XO/JAK/STAT axis.
  • These findings suggest a potential repurposing of XO inhibitors for BPH treatment.