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Cholesterol-lowering drug shrinks enlarged prostates in hamster model
Children's Hospital Boston ^ | October 21, 2010 | Unknown

Posted on 10/21/2010 3:29:22 PM PDT by decimon

Boston, Mass. - A cholesterol-lowering drug reduced the enlarged prostates of hamsters to the same extent as a drug commonly used to treat benign prostatic hyperplasia (BPH), report researchers at Children's Hospital Boston and their colleagues in the October issue of the Journal of Urology. Together, the drugs worked even better.

"We don't know the mechanism, but the results suggest to us that lowering cholesterol has the potential to reduce BPH in men," says senior author Keith Solomon, PhD, a biochemist, and member of the departments of Orthopaedic Surgery and Urology at Children's. "This brings up the possibility that other cholesterol lowering therapies, including exercise and diet, may prevent BPH from developing."

For unknown reasons, about half of men older than 50 (and 80 percent of men aged 80) develop BPH, most often evident as enlargement of the prostate. BPH leads to difficult urination, urgency, pain, and other symptoms that can cause significant reduction in the quality of life. In advanced stages, BPH can lead to renal failure. Standard medical and surgical treatments typically target the prostate and usually result in a reduction of symptoms but not without significant side effects in some men, Solomon said.

The study implicates circulating cholesterol in the progression of the condition and suggests a potential new strategy for prevention and treatment. The latest findings emerge from experiments with a strain of Syrian hamsters that undergo prostate enlargement naturally.

Led by first author Kristine Pelton, the team tested ezetimibe, an FDA-approved hypercholesterolemic drug (Zetia; Merck) against finasteride (Proscar, Propecia; Merck), a standard therapy for the treatment of BPH. Ezetimibe reduced prostatic enlargement in aged hamsters as effectively as finasteride and combining the two drugs worked better than either one alone.

In an unexpected finding, pathologist and co-author Dolores Di Vizio, MD, PhD, observed that finasteride caused atrophy of the hamster prostate while ezetimibe did not. "These findings provide strong evidence that the cholesterol-lowering drug inhibits BPH by a novel mechanism," said co-author Michael R. Freeman, PhD, professor of Surgery and director of urologic research at Children's Hospital.

The potentially therapeutic effect of cholesterol-lowering on enlarged prostates was pioneered 40 years earlier by co-author Carl Schaffner, PhD, professor emeritus at Rutgers University, who reported similar results in pre-clinical models using a different cholesterol-lowering drug.

"There is a lot more we want to do in the lab, with regards to studying BPH and the use of cholesterol-based therapies to control disease progression," says Solomon.

For example, the researchers want to test lower doses of ezetimibe and finasteride to examine whether the condition can be reversed with fewer side effects. They also want to assess prophylactic cholesterol lowering to determine if the enlargement can be prevented, and whether genes and proteins mediating the effect of cholesterol on the prostate can be identified. "We really want to be in the position to help conduct a clinical trial to test whether this therapy might have efficacy in human patients," Solomon said.

The study also validated the hamster strain as a good preclinical model for testing novel BPH therapies. "The preclinical models for BPH are few, require substantial manipulation or have an unpredictable disease course," Solomon says. "The Syrian hamster model that we are now using seems particularly good for examining the role of cholesterol in prostate disease, and the testing of novel drug therapies to help alleviate symptoms. We should be able to make substantial progress in developing new treatments and in understanding the molecular mechanisms underpinning the disease using these hamsters."

###

The study was funded by the National Institutes of Health and a grant from the Hyde and Watson Foundation.

Study links:

Ezetimibe reduces enlarged prostate in an animal model of benign prostatic hyperplasia, Journal of Urology, October 2010

Children's Hospital Boston is home to the world's largest research enterprise based at a pediatric medical center, where its discoveries have benefited both children and adults since 1869. More than 1,100 scientists, including nine members of the National Academy of Sciences, 12 members of the Institute of Medicine and 13 members of the Howard Hughes Medical Institute comprise Children's research community. Founded as a 20-bed hospital for children, Children's Hospital Boston today is a 392-bed comprehensive center for pediatric and adolescent health care grounded in the values of excellence in patient care and sensitivity to the complex needs and diversity of children and families. Children's also is the primary pediatric teaching affiliate of Harvard Medical School. For more information about the hospital and its research visit: www.childrenshospital.org/newsroom.


TOPICS: Health/Medicine
KEYWORDS: hamster; prostate

1 posted on 10/21/2010 3:29:26 PM PDT by decimon
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To: neverdem; DvdMom; grey_whiskers; Ladysmith

Spunky hamster ping.


2 posted on 10/21/2010 3:30:21 PM PDT by decimon
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To: decimon

Hamsters have prostates?


3 posted on 10/21/2010 3:30:59 PM PDT by MIchaelTArchangel (Obama makes me miss Jimmah Cahtah!)
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To: decimon

Thank God for this.

You don’t know how long I’ve worried about the inability of hamsters to take a decent pee.


4 posted on 10/21/2010 3:31:42 PM PDT by Responsibility2nd (Yes, as a matter of fact, what you do in your bedroom IS my business.)
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To: decimon


Oh Goody, we can go to McDonald's, and get some fries...
5 posted on 10/21/2010 3:31:58 PM PDT by BigEdLB (Now there ARE 1,000,000 regrets - but it may be too late.)
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To: MIchaelTArchangel
Hamsters have prostates?

Given the reproduction rate of small rodents, I'd imagine they do.

6 posted on 10/21/2010 3:34:10 PM PDT by decimon
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mark


7 posted on 10/21/2010 3:34:19 PM PDT by mad_as_he$$ (Playing by the rules only works if both sides do it!)
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To: decimon

I know a couple of men with BPH who are otherwise in excellent health and excercise every day. And they are in their 60’s and 70’s.


8 posted on 10/21/2010 3:35:08 PM PDT by DallasDeb (USAFA '06 Mom)
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To: BigEdLB

I LOVE that commercial!


9 posted on 10/21/2010 3:35:36 PM PDT by DallasDeb (USAFA '06 Mom)
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To: decimon; MIchaelTArchangel

When my offspring had hamsters the male had nuts bigger than the cat that was five times it’s size. No, I never did a prostrate check on him.


10 posted on 10/21/2010 3:35:59 PM PDT by mad_as_he$$ (Playing by the rules only works if both sides do it!)
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To: decimon

http://www.flickr.com/photos/27534222@N08/page4/ (warning: huge hamster gonads on some of these pics)


11 posted on 10/21/2010 3:44:05 PM PDT by rfp1234
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To: decimon

Great news for hamsters.


12 posted on 10/21/2010 3:45:56 PM PDT by dfwgator (Rangers leading the ALCS 3 games to 2)
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To: decimon

Hamster says, “This sucks. I gotta get up to strain to pee every two or three hours”........”Oh, wait, I don’t care about getting ‘up’...I can just whiz right where I’m at...”


13 posted on 10/21/2010 3:59:13 PM PDT by Gaffer ("Profiling: The only profile I need is a chalk outline around their dead ass!")
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Comment #14 Removed by Moderator

To: MIchaelTArchangel
Hamsters have prostates?

Jennifer Flowers stated in her book that Bill Clinton was hung like a hampster.

15 posted on 10/21/2010 4:17:23 PM PDT by umgud (Wear your Border Patrol hat to the polls)
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To: decimon

For decades now, the statin industry has spent unimaginable amounts of money on “studies” to prove that statins help cure practically every imaginable disease.

Statins are the drugs that power big pharma, and as they go off patent, big pharma is desperate to re-patent these drugs with slightly different formulations or for new uses. It sure beats the heck out of trying to find new drugs that actually work!


16 posted on 10/21/2010 4:30:32 PM PDT by catnipman
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