New insights into the pathogenesis of Peyronie’s disease: A narrative review

Peyronie’s disease (PD) is a benign, progressive fibrotic disorder characterized by scar or plaques within the tunica albuginea (TA) of the penis. This study provides new insights into the pathogenesis of PD based on data from different studies regarding the roles of cytokines, cell signaling pathwa...

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Autores principales: Denis V. Krakhotkin, Volodymyr A. Chernylovskyi, Alexandre Mottrie, Francesco Greco, Ruslan A. Bugaev
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2020
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Acceso en línea:https://doaj.org/article/63027c0011324ed591921f849ee98e1d
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spelling oai:doaj.org-article:63027c0011324ed591921f849ee98e1d2021-12-02T13:36:57ZNew insights into the pathogenesis of Peyronie’s disease: A narrative review2095-882X10.1016/j.cdtm.2020.06.001https://doaj.org/article/63027c0011324ed591921f849ee98e1d2020-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X20300608https://doaj.org/toc/2095-882XPeyronie’s disease (PD) is a benign, progressive fibrotic disorder characterized by scar or plaques within the tunica albuginea (TA) of the penis. This study provides new insights into the pathogenesis of PD based on data from different studies regarding the roles of cytokines, cell signaling pathways, biochemical mechanisms, genetic factors responsible for fibrogenesis. A growing body of literature has shown that PD is a chronically impaired, localized, wound healing process within the TA and the Smith space. It is caused by the influence of different pathological stimuli, most often the effects of mechanical stress during sexual intercourse in genetically sensitive individuals with unusual anatomical TA features, imbalanced matrix metalloproteinase/tissue inhibitor of metalloproteinase (MMP/TIMP), and suppressed antioxidant systems during chronic inflammation. Other intracellular signal cascades are activated during fibrosis along with low expression levels of their negative regulators and transforming growth factor-β1 signaling. The development of multikinase agents with minimal side effects that can block several signal cell pathways would significantly improve fibrosis in PD tissues by acting on common downstream mediators.Denis V. KrakhotkinVolodymyr A. ChernylovskyiAlexandre MottrieFrancesco GrecoRuslan A. BugaevKeAi Communications Co., Ltd.articlePeyronie’s diseaseCell signal pathwayPenile curvatureMyofibroblastExtracellular matrixMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 6, Iss 3, Pp 165-181 (2020)
institution DOAJ
collection DOAJ
language EN
topic Peyronie’s disease
Cell signal pathway
Penile curvature
Myofibroblast
Extracellular matrix
Medicine (General)
R5-920
spellingShingle Peyronie’s disease
Cell signal pathway
Penile curvature
Myofibroblast
Extracellular matrix
Medicine (General)
R5-920
Denis V. Krakhotkin
Volodymyr A. Chernylovskyi
Alexandre Mottrie
Francesco Greco
Ruslan A. Bugaev
New insights into the pathogenesis of Peyronie’s disease: A narrative review
description Peyronie’s disease (PD) is a benign, progressive fibrotic disorder characterized by scar or plaques within the tunica albuginea (TA) of the penis. This study provides new insights into the pathogenesis of PD based on data from different studies regarding the roles of cytokines, cell signaling pathways, biochemical mechanisms, genetic factors responsible for fibrogenesis. A growing body of literature has shown that PD is a chronically impaired, localized, wound healing process within the TA and the Smith space. It is caused by the influence of different pathological stimuli, most often the effects of mechanical stress during sexual intercourse in genetically sensitive individuals with unusual anatomical TA features, imbalanced matrix metalloproteinase/tissue inhibitor of metalloproteinase (MMP/TIMP), and suppressed antioxidant systems during chronic inflammation. Other intracellular signal cascades are activated during fibrosis along with low expression levels of their negative regulators and transforming growth factor-β1 signaling. The development of multikinase agents with minimal side effects that can block several signal cell pathways would significantly improve fibrosis in PD tissues by acting on common downstream mediators.
format article
author Denis V. Krakhotkin
Volodymyr A. Chernylovskyi
Alexandre Mottrie
Francesco Greco
Ruslan A. Bugaev
author_facet Denis V. Krakhotkin
Volodymyr A. Chernylovskyi
Alexandre Mottrie
Francesco Greco
Ruslan A. Bugaev
author_sort Denis V. Krakhotkin
title New insights into the pathogenesis of Peyronie’s disease: A narrative review
title_short New insights into the pathogenesis of Peyronie’s disease: A narrative review
title_full New insights into the pathogenesis of Peyronie’s disease: A narrative review
title_fullStr New insights into the pathogenesis of Peyronie’s disease: A narrative review
title_full_unstemmed New insights into the pathogenesis of Peyronie’s disease: A narrative review
title_sort new insights into the pathogenesis of peyronie’s disease: a narrative review
publisher KeAi Communications Co., Ltd.
publishDate 2020
url https://doaj.org/article/63027c0011324ed591921f849ee98e1d
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AT volodymyrachernylovskyi newinsightsintothepathogenesisofpeyroniesdiseaseanarrativereview
AT alexandremottrie newinsightsintothepathogenesisofpeyroniesdiseaseanarrativereview
AT francescogreco newinsightsintothepathogenesisofpeyroniesdiseaseanarrativereview
AT ruslanabugaev newinsightsintothepathogenesisofpeyroniesdiseaseanarrativereview
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