Clinical relevance of growth factor antagonists in the treatment of benign prostatic hyperplasia

F Desgrandchamps1

  • 1Department of Urology, Hôpital Saint-Louis, Paris, France.

European Urology
|January 1, 1997
PubMed

Insights

Benign prostatic hyperplasia (BPH) treatments are advancing. Tadenan, a growth factor antagonist, effectively improved urinary symptoms and flow rate in men with BPH, showing promise for enhanced quality of life.

Area of Science:

  • Urology
  • Pharmacology
  • Cell Biology

Background:

  • Increasing prevalence of benign prostatic hyperplasia (BPH) due to changing demographics and quality of life expectations.
  • Growth factors play a significant role in the pathogenesis of BPH.
  • Growth factor antagonists present a promising therapeutic avenue for BPH management.

Purpose of the Study:

  • To evaluate the efficacy and safety of Tadenan, a growth factor antagonist, in treating benign prostatic hyperplasia (BPH).
  • To explore potential strategies for enhancing therapeutic outcomes in BPH treatment.

Main Methods:

  • Double-blind, randomized trials were conducted to assess Tadenan's effects.
  • Evaluated outcomes included urinary symptoms, maximum flow rate, and residual urine volume.
  • Assessed for serious side-effects associated with Tadenan treatment.

Main Results:

  • Tadenan demonstrated significant improvement in urinary symptoms.
  • Maximum flow rate and residual urine volume showed significant positive changes with Tadenan treatment.
  • No serious side-effects were reported during the trials.

Conclusions:

  • Tadenan is an effective and safe therapeutic option for managing benign prostatic hyperplasia (BPH).
  • Personalized treatment matching patients to specific growth factor antagonists based on cell type overgrowth could further enhance outcomes.
  • Development of less invasive diagnostic methods is needed to fully realize personalized BPH treatment strategies.

Related Concept Videos

Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
Adrenergic Antagonists: Pharmacological Actions of ɑ-Receptor Blockers01:22

Adrenergic Antagonists: Pharmacological Actions of ɑ-Receptor Blockers

α-Adrenergic antagonists, known as α-blockers, exert their effects by inhibiting α-adrenoceptors, leading to specific physiological actions. α1-blockers and α2-blockers have distinct pharmacological actions and therapeutic applications.
α1-blockers: These drugs inhibit α1-adrenoceptors on smooth muscle cells, resulting in vasodilation. This vasodilation lowers blood pressure, making α1-blockers valuable in treating hypertension. Additionally, α1-blockers effectively address urinary obstruction...
Adrenergic Antagonists: Pharmacological Actions of β-Receptor Blockers01:27

Adrenergic Antagonists: Pharmacological Actions of β-Receptor Blockers

β-receptor blockers significantly impact the cardiovascular system by counteracting catecholamine-induced sympathetic responses. These medications decrease heart rate, contractility, and cardiac output, potentially leading to cardiac depression, life-threatening bradycardia, and death. Therapeutically, β-blockers function as mild antihypertensives and are utilized in treating angina pectoris and cardiac arrhythmias. However, nonselective β-blockers inhibit β2-receptors in bronchial smooth...
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists01:18

Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists

Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme (ECE). Of...
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists01:23

Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists

Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers01:26

Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers

Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...