The multidrug resistance protein inhibitor, MK571 inhibits the hypercontractility state in prostate from obese mice

Gabriela Reolon Passos1, Natalícia de Jesus Antunes2, Mariana G de Oliveira1

  • 1Department of Pharmacology, Faculty of Medical Sciences, University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.

World Journal of Urology
|September 9, 2025
PubMed
Abstract

Insights

Inhibiting multidrug resistance-associated protein (MRP) with MK571 reversed prostate hypercontractility in obese mice by increasing cyclic guanosine monophosphate (cGMP) and cyclic adenosine monophosphate (cAMP) levels.

Area of Science:

  • Urology
  • Pharmacology
  • Obesity Research

Background:

  • Diet-induced obesity is linked to prostate hypercontractility.
  • Multidrug resistance-associated proteins (MRPs) are implicated in smooth muscle function.
  • Intracellular cyclic nucleotide signaling pathways (cAMP and cGMP) regulate smooth muscle tone.

Purpose of the Study:

  • To investigate the effect of MRP inhibition using MK571 on prostate hypercontractility in diet-induced obesity.
  • To determine if MK571 enhances intracellular cAMP and cGMP signaling in the prostate.
  • To explore the therapeutic potential of MRP inhibition for obesity-related prostate dysfunction.

Main Methods:

  • Adult C57BL/6 mice were grouped into lean, obese, and obese+MK571 treatments.
  • Prostate tissues were analyzed using immunohistochemistry, biochemistry, and functional assays.
  • In vitro and in vivo studies involved electrical field stimulation (EFS), receptor agonist/antagonist treatments, and cyclic nucleotide measurements.

Main Results:

  • Obese mice exhibited significantly higher prostate contractions compared to lean mice.
  • MK571 treatment significantly reduced prostate contractions and improved relaxation in obese mice, restoring levels similar to lean mice.
  • MK571 treatment increased both cAMP and cGMP levels in obese mice, with cGMP restoration being particularly notable.

Conclusions:

  • MRP inhibition, specifically with MK571, effectively reverses prostate hypercontractility in diet-induced obesity.
  • The mechanism involves promoting the accumulation of cGMP, leading to enhanced smooth muscle relaxation.
  • Targeting MRPs represents a potential therapeutic strategy for managing prostate dysfunction associated with obesity.