Benign prostatic hyperplasia (BPH) is characterized by epithelial and stromal hyperplasia accompanied by chronic inflammation, in which the IL-6/STAT3 signaling axis plays a central pathogenic role. Natural products with anti-inflammatory potential, s...
Benign prostatic hyperplasia (BPH) is characterized by epithelial and stromal hyperplasia accompanied by chronic inflammation, in which the IL-6/STAT3 signaling axis plays a central pathogenic role. Natural products with anti-inflammatory potential, such as Berberis aristata extract (BAE), have been suggested as alternative therapeutic candidates; however, their molecular mechanisms in BPH remain unclear. In this study, we aimed to investigate the molecular mechanisms underlying the anti-inflammatory effects of BAE observed in previous in vitro studies.
To elucidate the anti-inflammatory mechanism of BAE, both in vivo testosterone propionate (TP)–induced BPH rat models and in vitro BPH models were employed. STAT3 protein expression in prostate tissues was examined by immunohistochemistry. In vitro, an inflammatory microenvironment in BPH was established by treating normal prostate epithelial (RWPE-1) and stromal cells (WPMY-1) with LPS-stimulated THP-1–derived conditioned medium (CM-LPS). A time-course analysis of IL-6, STAT3, and SOCS3 expression was performed to determine the CM treatment time for subsequent experiments. Based on these findings, co-treatment and pre-treatment experiments were conducted to evaluate the preventive and therapeutic effects of BAE.
In vivo, TP-induced BPH prostates showed strong STAT3 activation and epithelial hyperplasia, whereas BAE reduced STAT3 expression in a dose-dependent manner. Notably, BAE at 200 mg/kg markedly suppressed STAT3 expression and improved tissue architecture, demonstrating efficacy comparable to berberine (BBR) and finasteride (PC). While BBR reduced STAT3 protein, it did not significantly suppress STAT3 mRNA, suggesting a distinct mechanism from BAE.
In vitro, CM-LPS induced a typical IL-6/STAT3 activation pattern, with IL-6 upregulated at 2–4 h and STAT3/SOCS3 elevated at 24 h. BAE modulated this signaling axis in a cell-type- and time-dependent manner. In WPMY-1 cells, BAE prominently suppressed IL-6 expression and downstream STAT3 activation, whereas in RWPE-1 cells, BAE primarily enhanced SOCS3-mediated negative feedback rather than directly reducing IL-6. Under early inflammatory conditions (2 h CM-LPS), BAE significantly reduced IL-6 and increased SOCS3 in both cell types. Pre-treatment experiments confirmed that BAE effectively prevented IL-6/STAT3 activation, particularly in stromal cells.
This study demonstrates that BAE attenuates benign prostatic hyperplasia by modulating the IL-6/STAT3/SOCS3 signaling axis at multiple regulatory levels in both prostatic epithelial and stromal cells. The consistency between in vitro mechanistic findings and in vivo outcomes suggests that BAE may serve as a promising natural agent for mitigating chronic inflammation–driven prostatic hyperplasia.