Evidence map›Paper›PMID 41629891›Full record

SynthesisBMC urology2026

The gut-prostate axis in benign prostatic hyperplasia: systematic review of microbial dysbiosis and pathogenic mechanisms.

Yuanzhao Xu, Lingyue An, Jiling Xie, Chenggong Luo, Xiaoxue Huang, Guangheng Luo

Abstract readSystematic Review
In one paragraph

Synthesis in BMC urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Fucoidan fromResearch and reports in urology · 2026
    Trial
  2. Article
  3. Review
  4. Review
  5. Nutraceutical Effects ofNutrients · 2026
    Article
  6. Review
  7. Review
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

6 authors.

Yuanzhao Xu *Graduate School of Medicine, Zunyi Medical University, Zunyi, Guizhou, 563006, China.
Lingyue An *Department of Urology, Guizhou Provincial People's Hospital, Guiyang, Guizhou, 550002, China.
Jiling Xie *The Clinical Medical College, Guizhou Medical University, Guiyang, Guizhou, 550004, China.
Chenggong LuoDepartment of Urology, Guizhou Provincial People's Hospital, Guiyang, Guizhou, 550002, China.
Xiaoxue HuangGuiZhou University Medical College, Guiyang, Guizhou, 550025, China.
Guangheng LuoGraduate School of Medicine, Zunyi Medical University, Zunyi, Guizhou, 563006, China. luoguangheng1975@126.com.

Funding

National Natural Science Foundation of China 82260157The Talent Fund of Guizhou Provincial People's Hospital Hospital Talent Project [2022] - 17)
6 · The paper itself

Abstract

backgroundNew evidence shows that gut microbiota dysbiosis may play a crucial role in the development process of benign prostatic hyperplasia (BPH). However, at present, the specific characteristics of the gut microbiota in patients with BPH have not been fully clarified.

methodsThe PubMed, MEDLINE and Web of Science databases were systematically searched to find the clinical and preclinical studies related to the relationship between BPH and gut microbiota from the establishment of the databases to October 7, 2025. And the studies reporting on gut microbiota and BPH were analyzed.

resultsA total of 10 preclinical studies and 6 clinical studies were included. These studies covered 413 patients with BPH, 338 controls, and 5 different types of BPH mouse models in total. Compared with the control group, there were significant differences in β-diversity in the BPH group. A significant increase in the Firmicutes/Bacteroidetes (F/B) ratio was regarded as a marker of the pathological condition. Specifically, changes in the abundances of Prevotella, Ruminococcus, and Lactobacillus may play a key role in the pathogenesis of the occurrence and development of BPH. The imbalance of interleukin-6 (IL-6) and interleukin-18 (IL-18), as well as changes in the levels of intestinal tight junction protein-1 and claudin-1, may also be related to the pathogenesis of BPH.

conclusionsChanges in the abundances of specific gut microbiota and their metabolites, such as an increased F/B ratio and a decreased abundance of Lactobacillus, as well as the levels of inflammatory indicators and markers of intestinal barrier dysfunction, may play a crucial role in the pathogenesis of BPH. These factors may become effective diagnostic means and potential therapeutic targets for BPH.

Indexed as

DysbiosisGastrointestinal MicrobiomeProstateProstatic HyperplasiaAnimalsHumansMaleBenign prostatic hyperplasiaGut microbiotaSystematic review

Identifiers

PMID41629891
PMCPMC12866195

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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.