Ershov AV, Saverskaya EN. The effect of sex on the normal functioning of the prostate gland: A review. Consilium Medicum. 2023;25(1):63–68. DOI: 10.26442/20751753.2023.1.202181
Влияние секса на нормальное функционирование предстательной железы
Ершов А.В., Саверская Е.Н. Влияние секса на нормальное функционирование предстательной железы. Consilium Medicum. 2023;25(1):63–68. DOI: 10.26442/20751753.2023.1.202181
Ershov AV, Saverskaya EN. The effect of sex on the normal functioning of the prostate gland: A review. Consilium Medicum. 2023;25(1):63–68. DOI: 10.26442/20751753.2023.1.202181
В обзорной статье анализировалась взаимосвязь сексуальной активности и структурно-функционального состояния предстательной железы (ПЖ). Оценен биомеханизм гормонального воздействия сексуальной активности на ПЖ. Проведен анализ влияния гормонов на функционирование ПЖ. По данным многочисленных исследований установлено, что постоянная сексуальная активность в умеренном количестве снижает риск развития заболеваний ПЖ и является важным методом профилактики органоспецифической патологии. Для коррекции нарушений копулятивной функции при заболеваниях ПЖ целесообразно применение простатических пептидов, обладающих органотропным действием.
This article analyzed the relationship between sexual activity and the structural and functional state of the prostate gland. The biomechanism of hormonal effects during sexual activity was evaluated. The influence of hormones on the functioning of the prostate gland was analyzed. It has been established that constant sexual activity in moderate amounts reduces the risk of developing prostate diseases and is an important method of prevention. To correct copulative function disorders in diseases of the prostate gland, it is advisable to use prostatic peptides that have an organotropic effect.
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2. Rider JR, Wilson KM, Sinnott JA, et al. Ejaculation Frequency and Risk of Prostate Cancer: Updated Results with an Additional Decade of Follow-up. Eur Urol. 2016;70(6):974-82. DOI:10.1016/j.eururo.2016.03.027
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5. Nankin HR, Calkins JH. Pituitary-gonadal function during sleep in healthy aging men. Clin Endocr Metab. 1986;63:14.
6. Skakkebaek NE, Bancroft J, Davidson DW, Warner P. Androgen replacement with oral testosterone undecanoate in hypogonadal men: a double blind controlled study. Clin Endocr. 1981;4:49-61. DOI:10.1111/j.1365-2265.1981.tb00364.x
7. Udry JR, Billy JO, Morris NM, et al. Serum androgenic hormones motivate sexual behavior in adolescent boys. Fertil Steril. 1985;43(1):90-4.
8. Cunningham GR, Hirshkowitz M, Korenman SG, Karacan I. Testosterone replacement therapy and sleep-related erections in hypogonadal men. J Clin Endocrinol Metab. 1990;70(3):792-7. DOI:10.1210/jcem-70-3-792
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10. Csikós E, Horváth A, Ács K, et al. Treatment of Benign Prostatic Hyperplasia by Natural Drugs. Molecules. 2021;26(23):7141. DOI:10.3390/molecules26237141
11. Oelke M, Bachmann A, Descazeaud A. Guideline on the Management of Male Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obsruction (BPO). 2012;74.
12. El-Alfy M, Luu-The V, Huang XF, et al. Localization of type 5 17beta-hydroxysteroid dehydrogenase, 3beta-hydroxysteroid dehydrogenase, and androgen receptor in the human prostate by in situ hybridization and immunocytochemistry. Endocrinology. 1999;140(3):1481-91. DOI:10.1210/endo.140.3.6585
13. Medina JJ, Parra RO, Moore RG. Benign prostatic hyperplasia (the aging prostate). Med Clin North Am. 1999;83(5):1213-29. DOI:10.1016/s0025-7125(05)70159-0
14. Park II, Zhang Q, Liu V, et al. 17Beta-estradiol at low concentrations acts through distinct pathways in normal versus benign prostatic hyperplasia-derived prostate stromal cells. Endocrinology. 2009;150(10):4594-605. DOI:10.1210/en.2008-1591
15. Kester RR, Mooppan UM, Gousse AE, et al. Pharmacological characterization of isolated human prostate [published correction appears in J Urol. 2003 Dec;170(6 Pt 1):2394]. J Urol. 2003;170(3):1032-8. DOI:10.1097/01.ju.0000080440.74266.b1
16. Li MK, Garcia LA, Rosen R. Lower urinary tract symptoms and male sexual dysfunction in Asia: a survey of ageing men from five Asian countries. BJU Int. 2005;96(9):1339-54. DOI:10.1111/j.1464-410X.2005.05831.x
17. Del Bello F, Bonifazi A, Giorgioni G, et al. Chemical manipulations on the 1,4-dioxane ring of 5-HT1A receptor agonists lead to antagonists endowed with antitumor activity in prostate cancer cells. Eur J Med Chem. 2019;168:461-73. DOI:10.1016/j.ejmech.2019.02.056
18. Franklin RB, Juang HH, Zou J, Costello LC. Regulation of citrate metabolism by androgen in human prostate carcinoma cells. Endocrine. 1995;3(8)603-7.
19. Costello LC, Liu Y, Zou J, Franklin RB. Mitochondrial aconitase gene expression is regulated by testosterone and prolactin in prostate epithelial cells. Prostate. 2000;42(3):196-202. DOI:10.1002/(sici)1097-0045(20000215)42:3<196::aid-pros5>3.0.co;2-8
20. Zhang J, Zhang M, Tang J, et al. Animal models of benign prostatic hyperplasia. Prostate Cancer Prostatic Dis. 2021;24(1):49-57. DOI:10.1038/s41391-020-00277-1
21. Silva RS, Lombardi APG, de Souza DS, et al. Activation of estrogen receptor beta (ERβ) regulates the expression of N-cadherin, E-cadherin and β-catenin in androgen-independent prostate cancer cells. Int J Biochem Cell Biol. 2018;96:40-50. DOI:10.1016/j.biocel.2018.01.008
22. Prins GS, Huang L, Birch L, Pu Y. The role of estrogens in normal and abnormal development of the prostate gland. Ann N Y Acad Sci. 2006;1089:1-13. DOI:10.1196/annals.1386.009
23. Corona G, Monami M, Rastrelli G, et al. Testosterone and metabolic syndrome: a meta-analysis study. J Sex Med. 2011;8(1):272-83. DOI:10.1111/j.1743-6109.2010.01991.x
24. Gorbachinsky I, Akpinar H, Assimos DG. Metabolic syndrome and urologic diseases. Rev Urol. 2010;12(4):157-80.
25. Lee SN, Kraska J, Papargiris M, et al. Oxytocin receptor antagonists as a novel pharmacological agent for reducing smooth muscle tone in the human prostate. Sci Rep. 2021;11(1):6352. DOI:10.1038/s41598-021-85439-4
26. Corona G, Jannini EA, Mannucci E, et al. Different testosterone levels are associated with ejaculatory dysfunction. J Sex Med. 2008;5(8):1991-8.
DOI:10.1111/j.1743-6109.2008.00803.x
27. Godoy A, Montecinos VP, Gray DR, et al. Androgen deprivation induces rapid involution and recovery of human prostate vasculature. Am J Physiol Endocrinol Metab. 2011;300(2):E263-75. DOI:10.1152/ajpendo.00210.2010
28. Kozlowski R, Kershen RT, Siroky MB, et al. Chronic ischemia alters prostate structure and reactivity in rabbits. J Urol. 2001;165(3):1019-26.
29. Uckert S, Kuczyk MA. Cyclic nucleotide metabolism including nitric oxide and phosphodiesterase-related targets in the lower urinary tract. Handb Exp Pharmacol. 2011;202:527-42. DOI:10.1007/978-3-642-16499-6_23
30. Comar VA, Petersen CG, Mauri AL, et al. Influence of the abstinence period on human sperm quality: analysis of 2,458 semen samples. JBRA Assist Reprod. 2017;21(4):306-12. DOI:10.5935/1518-0557.20170052
31. Apostolopoulos V, Bojarska J, Chai TT, et al. A Global Review on Short Peptides: Frontiers and Perspectives. Molecules. 2021;26(2):430. DOI:10.3390/molecules26020430
32. Akbarian M, Khani A, Eghbalpour S, Uversky VN. Bioactive Peptides: Synthesis, Sources, Applications, and Proposed Mechanisms of Action. Int J Mol Sci. 2022;23(3):1445. DOI:10.3390/ijms23031445
33. Fosgerau K, Hoffmann T. Peptide therapeutics: current status and future directions. Drug Discovery Today. 2015;20(1):122-8. DOI:10.1016/j.drudis.2014.10.003
34. Lau JL, Dunn MK. Therapeutic peptides: Historical perspectives, current development trends, and future directions. Bioorg Med Chem. 2018;26:2700-7. DOI:10.1016/j.bmc.2017.06.052
35. Сельков С.А., Петленко С.В., Селькова М.С. Применение препарата простатилен в комплексной терапии хронического простатита, ассоциированного с половыми и репродуктивными нарушениями. Андрология и генитальная хирургия. 2012;3:97-100 [Selkov SA, Petlenko SV, Selkova MS. Use of prostatilene in the combination therapy of chronic prostatitis associated with sexual and reproductive disorders. Andrology and Genital Surgery. 2012;3:97-100 (in Russian)].
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37. Давидов М.И. Сексуальная дисфункция у больных хроническим простатитом и ее коррекция. Урология. 2020;1:51-8 [Davidov MI. Sexual dysfunction in patients with chronic prostatitis and its correction. Urology. 2020;1:51-8 (in Russian)]. DOI:10.18565/urology.2020.1.51-58
________________________________________________
1. Somov AN, Suslin SA. Prostate cancer. Epidemiology, risk factors and early detection. Profilakticheskaya meditsina. 2020;23(3):149-55 (in Russian). DOI:10.17116/profmed202023031149
2. Rider JR, Wilson KM, Sinnott JA, et al. Ejaculation Frequency and Risk of Prostate Cancer: Updated Results with an Additional Decade of Follow-up. Eur Urol. 2016;70(6):974-82. DOI:10.1016/j.eururo.2016.03.027
3. Imshinetskaia LP. Seksologiia i andrologiia. Kiev, 1997 (in Russian).
4. Tyuzikov IA. Clinical and experimental parallels in the pathogenesis of prostate diseases. Modern Problems of Science and Education. 2012;1:114. Available at: www. science-education.ru/101-5476. Accessed: 01.03.2023 (in Russian).
5. Nankin HR, Calkins JH. Pituitary-gonadal function during sleep in healthy aging men. Clin Endocr Metab. 1986;63:14.
6. Skakkebaek NE, Bancroft J, Davidson DW, Warner P. Androgen replacement with oral testosterone undecanoate in hypogonadal men: a double blind controlled study. Clin Endocr. 1981;4:49-61. DOI:10.1111/j.1365-2265.1981.tb00364.x
7. Udry JR, Billy JO, Morris NM, et al. Serum androgenic hormones motivate sexual behavior in adolescent boys. Fertil Steril. 1985;43(1):90-4.
8. Cunningham GR, Hirshkowitz M, Korenman SG, Karacan I. Testosterone replacement therapy and sleep-related erections in hypogonadal men. J Clin Endocrinol Metab. 1990;70(3):792-7. DOI:10.1210/jcem-70-3-792
9. Tyuzikov IA. Clinical and experimental parallels in the pathogenesis of prostate diseases. Modern Problems of Science and Education. 2012;3:39-46 (in Russian).
10. Csikós E, Horváth A, Ács K, et al. Treatment of Benign Prostatic Hyperplasia by Natural Drugs. Molecules. 2021;26(23):7141. DOI:10.3390/molecules26237141
11. Oelke M, Bachmann A, Descazeaud A. Guideline on the Management of Male Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obsruction (BPO). 2012;74.
12. El-Alfy M, Luu-The V, Huang XF, et al. Localization of type 5 17beta-hydroxysteroid dehydrogenase, 3beta-hydroxysteroid dehydrogenase, and androgen receptor in the human prostate by in situ hybridization and immunocytochemistry. Endocrinology. 1999;140(3):1481-91. DOI:10.1210/endo.140.3.6585
13. Medina JJ, Parra RO, Moore RG. Benign prostatic hyperplasia (the aging prostate). Med Clin North Am. 1999;83(5):1213-29. DOI:10.1016/s0025-7125(05)70159-0
14. Park II, Zhang Q, Liu V, et al. 17Beta-estradiol at low concentrations acts through distinct pathways in normal versus benign prostatic hyperplasia-derived prostate stromal cells. Endocrinology. 2009;150(10):4594-605. DOI:10.1210/en.2008-1591
15. Kester RR, Mooppan UM, Gousse AE, et al. Pharmacological characterization of isolated human prostate [published correction appears in J Urol. 2003 Dec;170(6 Pt 1):2394]. J Urol. 2003;170(3):1032-8. DOI:10.1097/01.ju.0000080440.74266.b1
16. Li MK, Garcia LA, Rosen R. Lower urinary tract symptoms and male sexual dysfunction in Asia: a survey of ageing men from five Asian countries. BJU Int. 2005;96(9):1339-54. DOI:10.1111/j.1464-410X.2005.05831.x
17. Del Bello F, Bonifazi A, Giorgioni G, et al. Chemical manipulations on the 1,4-dioxane ring of 5-HT1A receptor agonists lead to antagonists endowed with antitumor activity in prostate cancer cells. Eur J Med Chem. 2019;168:461-73. DOI:10.1016/j.ejmech.2019.02.056
18. Franklin RB, Juang HH, Zou J, Costello LC. Regulation of citrate metabolism by androgen in human prostate carcinoma cells. Endocrine. 1995;3(8)603-7.
19. Costello LC, Liu Y, Zou J, Franklin RB. Mitochondrial aconitase gene expression is regulated by testosterone and prolactin in prostate epithelial cells. Prostate. 2000;42(3):196-202. DOI:10.1002/(sici)1097-0045(20000215)42:3<196::aid-pros5>3.0.co;2-8
20. Zhang J, Zhang M, Tang J, et al. Animal models of benign prostatic hyperplasia. Prostate Cancer Prostatic Dis. 2021;24(1):49-57. DOI:10.1038/s41391-020-00277-1
21. Silva RS, Lombardi APG, de Souza DS, et al. Activation of estrogen receptor beta (ERβ) regulates the expression of N-cadherin, E-cadherin and β-catenin in androgen-independent prostate cancer cells. Int J Biochem Cell Biol. 2018;96:40-50. DOI:10.1016/j.biocel.2018.01.008
22. Prins GS, Huang L, Birch L, Pu Y. The role of estrogens in normal and abnormal development of the prostate gland. Ann N Y Acad Sci. 2006;1089:1-13. DOI:10.1196/annals.1386.009
23. Corona G, Monami M, Rastrelli G, et al. Testosterone and metabolic syndrome: a meta-analysis study. J Sex Med. 2011;8(1):272-83. DOI:10.1111/j.1743-6109.2010.01991.x
24. Gorbachinsky I, Akpinar H, Assimos DG. Metabolic syndrome and urologic diseases. Rev Urol. 2010;12(4):157-80.
25. Lee SN, Kraska J, Papargiris M, et al. Oxytocin receptor antagonists as a novel pharmacological agent for reducing smooth muscle tone in the human prostate. Sci Rep. 2021;11(1):6352. DOI:10.1038/s41598-021-85439-4
26. Corona G, Jannini EA, Mannucci E, et al. Different testosterone levels are associated with ejaculatory dysfunction. J Sex Med. 2008;5(8):1991-8.
DOI:10.1111/j.1743-6109.2008.00803.x
27. Godoy A, Montecinos VP, Gray DR, et al. Androgen deprivation induces rapid involution and recovery of human prostate vasculature. Am J Physiol Endocrinol Metab. 2011;300(2):E263-75. DOI:10.1152/ajpendo.00210.2010
28. Kozlowski R, Kershen RT, Siroky MB, et al. Chronic ischemia alters prostate structure and reactivity in rabbits. J Urol. 2001;165(3):1019-26.
29. Uckert S, Kuczyk MA. Cyclic nucleotide metabolism including nitric oxide and phosphodiesterase-related targets in the lower urinary tract. Handb Exp Pharmacol. 2011;202:527-42. DOI:10.1007/978-3-642-16499-6_23
30. Comar VA, Petersen CG, Mauri AL, et al. Influence of the abstinence period on human sperm quality: analysis of 2,458 semen samples. JBRA Assist Reprod. 2017;21(4):306-12. DOI:10.5935/1518-0557.20170052
31. Apostolopoulos V, Bojarska J, Chai TT, et al. A Global Review on Short Peptides: Frontiers and Perspectives. Molecules. 2021;26(2):430. DOI:10.3390/molecules26020430
32. Akbarian M, Khani A, Eghbalpour S, Uversky VN. Bioactive Peptides: Synthesis, Sources, Applications, and Proposed Mechanisms of Action. Int J Mol Sci. 2022;23(3):1445. DOI:10.3390/ijms23031445
33. Fosgerau K, Hoffmann T. Peptide therapeutics: current status and future directions. Drug Discovery Today. 2015;20(1):122-8. DOI:10.1016/j.drudis.2014.10.003
34. Lau JL, Dunn MK. Therapeutic peptides: Historical perspectives, current development trends, and future directions. Bioorg Med Chem. 2018;26:2700-7. DOI:10.1016/j.bmc.2017.06.052
35. Selkov SA, Petlenko SV, Selkova MS. Use of prostatilene in the combination therapy of chronic prostatitis associated with sexual and reproductive disorders. Andrology and Genital Surgery. 2012;3:97-100 (in Russian).
36. Tkachuk VN, Al-Shukri A, Lotstan-Medvedev AK. Оur experiences with application of vitaprost in chronic prostatitis patients. Nephrology (Saint-Petersburg). 2005;9(4):84-8 (in Russian). DOI:10.24884/1561-6274-2005-9-4-84-88
37. Davidov MI. Sexual dysfunction in patients with chronic prostatitis and its correction. Urology. 2020;1:51-8 (in Russian). DOI:10.18565/urology.2020.1.51-58
Авторы
А.В. Ершов*1,2, Е.Н. Саверская3
1 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия;
2 ФГБНУ «Федеральный научно-клинический центр реаниматологии и реабилитологии», Москва, Россия;
3 ФГБОУ ВО «Российский биотехнологический университет (РОСБИОТЕХ)», Москва, Россия
*salavatprof@mail.ru
________________________________________________
Anton V. Ershov*1,2, Elena N. Saverskaya3
1 Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia;
2 Federal Scientific and Clinical Center for Resuscitation and Rehabilitology, Moscow, Russia;
3 Russian Biotechnological University (ROSBIOTECH), Moscow, Russia
*salavatprof@mail.ru