Evidence map›Paper›PMID 28940538›Full record

ArticleThe Journal of pathology2017

Androgenic to oestrogenic switch in the human adult prostate gland is regulated by epigenetic silencing of steroid 5α-reductase 2.

Zongwei Wang, Libing Hu, Keyan Salari, Seth K Bechis, Rongbin Ge, Shulin Wu, Cyrus Rassoulian, Jonathan Pham, Chin-Lee Wu, Shahin Tabatabaei and 2 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of pathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
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  8. Ectonucleotidases and purinergic receptors in mouse prostate gland.American journal of clinical and experimental urology · 2025
    Article
  9. Zhuangyao Jianshen pill ameliorates testosterone-induced benign postatic hyperplasia in rats.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2024
    Article
  10. Enhanced prostatic Esr1The Journal of pathology · 2024
    Article
  11. Intrinsic and extrinsic factors causing hyperplasia of the prostate.International journal of urology : official journal of the Japanese Urological Association · 2024
    Review
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Zongwei WangDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-1215-2912
Libing HuDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Keyan SalariDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Seth K BechisDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Rongbin GeDepartment of Pathology, University of Massachusetts Medical Center, Worcester, MA, USA.
Shulin WuDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Cyrus RassoulianDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jonathan PhamDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Chin-Lee WuDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Shahin TabatabaeiDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Douglas W StrandDepartment of Urology, UT Southwestern Medical Center, Dallas, TX, USA.
Aria F OlumiDepartment of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Harvard University · USSouthwestern Medical Center · USUniversity of Massachusetts Chan Medical School · US

Funding

Reduced Levels of 5-alpha Reductase 2 in Adult Prostate Tissue: Implications forR01DK091353 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI OLUMI, ARIA F · 2011 to 2015
$1.9M
Mechanisms of Fatty Acid Metabolism in Prostate Differentiation and DiseaseK01DK098277 · NIDDK · VANDERBILT UNIVERSITY · PI STRAND, DOUGLAS WILLIAM · 2013 to 2017
$640k
Interplay Between Stem Cells and Inflammation in Benign Prostatic HyperplasiaR03DK110497 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI STRAND, DOUGLAS WILLIAM · 2016 to 2017
$162k
NIDDK NIH HHS K01 DK098277NIDDK NIH HHS R01 DK091353NIDDK NIH HHS R03 DK110497
6 · The paper itself

Abstract

Benign prostatic hyperplasia is the most common proliferative abnormality of the prostate. All men experience some prostatic growth as they age, but the rate of growth varies among individuals. Steroid 5α-reductase 2 (SRD5A2) is a critical enzyme for prostatic development and growth. Previous work indicates that one-third of adult prostatic samples do not express SRD5A2, secondary to epigenetic modifications. Here we show that the level of oestradiol is dramatically elevated, concomitant with significant upregulation of oestrogen response genes, in prostatic samples with methylation at the SRD5A2 promoter. The phosphorylation of oestrogen receptor-α in prostatic stroma is upregulated when SRD5A2 expression is absent. We show that tumour necrosis factor (TNF)-α suppresses SRD5A2 mRNA and protein expression, and simultaneously promotes expression of aromatase, the enzyme responsible for conversion of testosterone to oestradiol. Concomitant suppression of SRD5A2 and treatment with TNF-α synergistically upregulate the aromatase levels. The data suggest that, in the absence of prostatic SRD5A2, there is an androgenic to oestrogenic switch. These findings have broad implications for choosing appropriate classes of medications for the management of benign and malignant prostatic diseases. Copyright © 2017 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.

Indexed as

DNA MethylationEpigenesis, Genetic3-Oxo-5-alpha-Steroid 4-DehydrogenaseAromataseBostonCells, CulturedDihydrotestosteroneEstradiolEstrogen Receptor alphaGene Expression Regulation, EnzymologicHumansMaleMembrane ProteinsPhosphorylationPromoter Regions, GeneticProstate3-Oxo-5-alpha-Steroid 4-DehydrogenaseAromataseCYP19A1 protein, humanDihydrotestosteroneESR1 protein, humanEstradiolEstrogen Receptor alphaMembrane ProteinsSRD5A2 protein, humanTestosteroneTumor Necrosis Factor-alphaandrogenic to oestrogenic switchepigenetic silencingmethylationprostatesteroid 5α-reductase 2

Identifiers

PMID28940538
PMCPMC6212292
OpenAlexW2755984405

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.