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Original Studies |
Departments of Urology (A.K., A.P.K.), Medicine [Division of Endocrinology (D.R.L., S.Y., X.-H.L., A.C.L.)], and Pathology (P.U.), Mount Sinai School of Medicine, New York, New York 100029; Department of Urology, New York University School of Medicine (E.S.), New York, New York 10016; and Department of Pathology, Tufts University Schools of Medicine and Veterinary Medicine (I.L.), Boston, Massachusetts 02111
Address all correspondence and requests for reprints to: Alice C. Levine, M.D., Box 1055, Division of Endocrinology, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, New York 10029. E-mail: alice.levine{at}mssm.edu
The first rate-limiting step in the conversion of arachidonic acid to PGs is catalyzed by cyclooxygenase (Cox). Two isoforms of Cox have been identified, Cox-1 (constitutively expressed) and Cox-2 (inducible form), which are the products of two different genes. In this study we describe the immunohistochemical localization of Cox-1 and -2 in the human male fetal and adult reproductive tracts. There was no Cox-1 expression in fetal samples (prostate, seminal vesicles, or ejaculatory ducts), and only minimal expression in adult tissues. There was no expression of Cox-2 in the fetal prostate. In a prepubertal prostate there was some Cox-2 expression that localized exclusively to the smooth muscle cells of the transition zone. In adult hyperplastic prostates, Cox-2 was strongly expressed in smooth muscle cells, with no expression in the luminal epithelial cells. Cox-2 was strongly expressed in epithelial cells of both fetal and adult seminal vesicles and ejaculatory ducts. The Cox-2 staining intensity in the fetal ejaculatory ducts during various times of gestation correlated with previously reported testosterone production rates by the fetal testis. These data indicate that Cox-2 is the predominant isoform expressed in the fetal male reproductive tract, and its expression may be regulated by androgens. The distinct cell type-specific expression patterns of Cox-2 in the prostate (smooth muscle) vs. the seminal vesicles and ejaculatory ducts (epithelium) may reflect the different roles of PGs in these tissues.
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