Abstract

The incidence of benign prostatic hyperplasia (BPH) is gradually on the increase. While conventional drugs such as the α1-adrenergic receptor antagonists and 5α-reductase inhibitors have been found to be useful in the treatment of BPH, the adverse side effects associated with their usage, have led to increased search for alternative means of managing this disease. Furthermore, although surgery has also been suggested to be a sure method, the cost and risks associated with it excludes it as a routine treatment. Dietary polyphenols have gained public interest in recent times due to their roles in the prevention of various diseases that implicate free radicals/reactive oxygen species. However, their roles in the management of BPH have not been explored. Hence, this review on their prospects in the management of BPH and their mechanisms of action. Literature search was carried out in several electronic data bases such as PubMed, Google Scholar, Medline, Agora, and Hinari from1970 to 2017 to identify the current status of knowledge on this concept. The findings from these data bases suggest that while dietary polyphenols may not replace the need for the existing therapies in the management of BPH, they hold promise in BPH management which could be explored by researchers working in this field.

Highlights

  • Benign prostatic hyperplasia (BPH) is the most common urological condition among elderly men, affecting approximately half of men over 80 years of age

  • There are indications that the apoptosis machinery could be a promising therapeutic target for benign prostatic hyperplasia (BPH). This is because cell growth arises from either increased cell proliferation or decreased cell death (Alberto et al, 2009) and BPH has been shown to result from smooth muscle and epithelial proliferation primarily within the prostatic transition zone that can produce lower urinary tract symptoms (LUTS) (Minutoli et al, 2014)

  • In a more recent study using animal models, we showed the beneficial role of kolaviron, a polyphenol and a biflavonoid complex from Garcinia kola in the management of BPH in BPH challenged rats (Kalu W. et al, 2016; Kalu W.O. et al, 2016)

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Summary

Polyphenols Be an Alternative to Existing Therapies?

The incidence of benign prostatic hyperplasia (BPH) is gradually on the increase. While conventional drugs such as the α1-adrenergic receptor antagonists and 5α-reductase inhibitors have been found to be useful in the treatment of BPH, the adverse side effects associated with their usage, have led to increased search for alternative means of managing this disease. Dietary polyphenols have gained public interest in recent times due to their roles in the prevention of various diseases that implicate free radicals/reactive oxygen species Their roles in the management of BPH have not been explored. Literature search was carried out in several electronic data bases such as PubMed, Google Scholar, Medline, Agora, and Hinari from1970 to 2017 to identify the current status of knowledge on this concept The findings from these data bases suggest that while dietary polyphenols may not replace the need for the existing therapies in the management of BPH, they hold promise in BPH management which could be explored by researchers working in this field

INTRODUCTION
Dietary Polyphenols and BPH
MATERIALS AND METHODS
Definition of Polyphenols
Classification of Polyphenols and Their Dietary Sources
ETIOLOGY OF BPH
Aging and BPH
Hormonal Alteration and BPH
BPH and Metabolic Syndrome
BPH and Oxidative Stress
BPH and Inflammation
BPH and Apoptosis
DIETARY POLYPHENOLS AND INFLAMMATION
DIETARY POLYPHENOLS AND OXIDATIVE STRESS
Mechanisms of action
Findings
CONCLUSION
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