Chen Haicheng, Xie Yun, Deng Cuncan, Zhang Chi, Lv Linyan, Yao Jiahui, Sun Xiangzhou, Deng Chunhua, Liu Guihua
Department of Andrology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Reproductive Medicine Center, The Sixth Affiliate Hospital of Sun Yat-sen University, Guangzhou, China.
Evid Based Complement Alternat Med. 2020 May 28;2020:5847806. doi: 10.1155/2020/5847806. eCollection 2020.
Ningmitai (NMT) capsule has been widely prescribed for the treatment of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), but the mechanism remains unclear. This study aims to evaluate the therapeutic effects of the NMT capsule in the experimental autoimmune prostatitis (EAP) rat models and explore its possible mechanisms.
A total of fifty male Sprague Dawley rats were used in this study. Prostate extract was obtained for the induction of EAP rat models. The EAP rats were randomly divided into the model group, NMT low-dose group (0.45 g/kg/d), NMT medium-dose group (0.90 g/kg/d), and NMT high-dose group (1.80 g/kg/d), with six rats per group. Three NMT treatment groups were administered with the NMT capsule by gavage for 30 days. HE staining was used for histopathological analyses of prostate tissues. Western blotting was used to measure the expression of proinflammatory factors IL-1 and TNF-. The MDA level was detected to reflect the level of oxidative stress. The bilateral dorsal root ganglia of T3/L1 to S4 were dissected to measure the substance expression.
EAP rat models were successfully constructed, in which extensive infiltration of inflammatory cells was found. Treatment of NMT capsule for 30 days and the infiltration of inflammatory cells were significantly mitigated ( < 0.05), especially in the NMT medium-dose group and NMT high-dose group. Moreover, the expression of IL-1 and the level of MDA were significantly decreased ( < 0.05). In addition, NMT treatment could significantly alleviate substance expression in dorsal root ganglia.
Our findings demonstrate that the NMT capsule can alleviate inflammatory response and oxidative stress and reduce the production of substance in EAP rats. This provides a theoretical basis for the clinical application of NMT capsule for CP/CPPS treatment.
宁泌泰(NMT)胶囊已被广泛用于治疗慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS),但其作用机制尚不清楚。本研究旨在评估NMT胶囊对实验性自身免疫性前列腺炎(EAP)大鼠模型的治疗效果,并探讨其可能的作用机制。
本研究共使用50只雄性Sprague Dawley大鼠。获取前列腺提取物以诱导EAP大鼠模型。将EAP大鼠随机分为模型组、NMT低剂量组(0.45 g/kg/d)、NMT中剂量组(0.90 g/kg/d)和NMT高剂量组(1.80 g/kg/d),每组6只大鼠。三个NMT治疗组通过灌胃给予NMT胶囊30天。采用苏木精-伊红(HE)染色对前列腺组织进行组织病理学分析。采用蛋白质免疫印迹法检测促炎因子白细胞介素-1(IL-1)和肿瘤坏死因子-α(TNF-α)的表达。检测丙二醛(MDA)水平以反映氧化应激水平。解剖T3/L1至S4的双侧背根神经节以检测P物质的表达。
成功构建了EAP大鼠模型,模型中发现有广泛的炎性细胞浸润。NMT胶囊治疗30天后,炎性细胞浸润明显减轻(P<0.05),尤其是在NMT中剂量组和NMT高剂量组。此外,IL-1的表达和MDA水平显著降低(P<0.05)。另外,NMT治疗可显著减轻背根神经节中P物质的表达。
我们的研究结果表明,NMT胶囊可减轻EAP大鼠的炎症反应和氧化应激,并减少P物质的产生。这为NMT胶囊在CP/CPPS治疗中的临床应用提供了理论依据。