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    Prevalence and antibiotic susceptibility patterns of uropathogens in men with prostate cancer and benign prostate hyperplasia from Southwestern Nigeria
    (BMC Microbiology, 2024) Akinpelu, Sharon O.; Olasehinde, Grace I.; kuerowo, Stephen O.; Akinnola, Olayemi O.
    Background Epidemiological investigations have revealed an important association between infection, inflammation and prostate cancer. Certain bacterial species, such as Klebsiella spp, Escherichia coli, Pseudomonas spp, Proteus mirabilis, Chlamydia trachomatis have been linked to prostate cancer. This study aimed to examine the microbiota; specifically bacterial species that have been linked to prostate infections in the urine of individuals diagnosed with prostate cancer. Results Sixty-six prostate cancer patients and forty controls provided midstream urine samples. The urine samples were grown on suitable medium, and bacterial isolates were detected by standard microbiological methods. Additionally, the antibiotic sensitivity pattern of the bacterial isolates was analysed. A total of number of 72 bacterial isolates were obtained from the urine of study participants. The results showed the presence of Escherichia coli (50.0%), Pseudomonas aeruginosa (18.1%), Klebsiella spp (15.3%), Staphylococcus aureus (8.3%), Enterobacter spp (4.2%), and Proteus mirabilis (2.8%) in the urine. The most common bacterial species isolated from prostate cancer patients was Escherichia coli, which was susceptible to levofloxacin (100%), tobramycin (91.7%), and amikacin (62.5%). Conclusions This study’s findings established the presence of bacteria previously linked to prostatitis. This report indicates a high prevalence of pro-inflammatory bacteria and uropathogens in the urinary tract of men diagnosed with prostate cancer
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    A possible role of urinary genotoxic Escherichia coli in prostate cancer in Nigerian patients
    (BMC Research Notes, 2025) Akinpelu, Sharon O.; Olasehinde, Grace I.; Akinnola, Olayemi O.
    Objective Infection and inflammation are potential initiating factors for the development and progression of prostate cancer. This study investigated the presence of bacterial genotoxins; colibactin (clb) and cytolethal distending toxin (cdt) in Escherichia coli isolated from urine samples of individuals diagnosed with prostate cancer as well as those with benign prostatic hyperplasia. E. coli was isolated from urine samples from prostate cancer patients (cases, n = 30) and men with benign prostate hyperplasia (controls, n = 40). The presence of colibactin (clb) and cytolethal distending toxin (cdt) genes was evaluated in E. coli isolates using polymerase chain reaction. Results The frequency of E. coli was 36.0% of prostate cancer patients and 30.0% of controls, respectively (p = 0.557). Furthermore, there was a higher occurrence of the clb gene in cases compared to controls (36.4% vs. 8.3%). Cytolethal distending toxin (cdt) gene was absent in all isolates examined. The analysis revealed no significant relationship between the selected genotoxins and prostate cancer (p = 0.104). The Gleason grade of the cancer was not a major determinant in the occurrence of clb within the cancer cases. The present study is the first report investigating bacterial genotoxins in urine samples of Nigerian prostate cancer patients. Our findings showed no association between bacterial genotoxins and prostate cancer. Additional investigations are warranted to further investigate the role of bacterial genotoxins in prostate cancer development.