Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Institute of Urology, Anhui Medical University, Hefei, China.
Andrologia. 2022 Sep;54(8):e14455. doi: 10.1111/and.14455. Epub 2022 May 12.
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a poorly understood disease. Accumulating evidence suggests that autoimmune dysfunction is involved in the development of CP/CPPS. Interleukin-17 (IL-17) is associated with the occurrence and development of several chronic autoimmune inflammatory diseases. However, the molecular mechanisms underlying the role of IL-17 in CP/CPPS are not clear. We confirmed that IL-17 was increased in the prostate tissues of experimental autoimmune prostatitis (EAP) mice. Corresponding to the increase of IL-17, neutrophil infiltration and the levels of CXCL1 and CXCL2 (CXC chemokine ligands 1 and 2) were also increased in the prostate of EAP. Treatment of EAP mice with an IL-17-neutralizing monoclonal antibody (mAb) decreased the number of infiltrated neutrophils and CXCL1 and CXCL2 levels. Depletion of neutrophils using anti-Ly6G antibodies ameliorated the inflammatory changes and hyperalgesia caused by EAP. Fucoidan, a could potent inhibitor of neutrophil migration, also ameliorate the manifestations of EAP. Our findings suggested that IL-17 promoted the production of CXCL1 and CXCL2, which triggered neutrophil chemotaxis to prostate tissues. Fucoidan might be a potential drug for the treatment of EAP via the effective inhibition of neutrophil infiltration.
慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)是一种发病机制尚不完全清楚的疾病。越来越多的证据表明,自身免疫功能障碍与 CP/CPPS 的发生发展有关。白细胞介素-17(IL-17)与几种慢性自身免疫性炎症性疾病的发生和发展有关。然而,IL-17 在 CP/CPPS 中作用的分子机制尚不清楚。我们证实,实验性自身免疫性前列腺炎(EAP)小鼠的前列腺组织中 IL-17 增加。与 IL-17 的增加相对应,EAP 小鼠前列腺中中性粒细胞浸润和 CXCL1 和 CXCL2(CXC 趋化因子配体 1 和 2)的水平也增加。用 IL-17 中和单克隆抗体(mAb)治疗 EAP 小鼠可减少浸润的中性粒细胞和 CXCL1 和 CXCL2 水平。用抗 Ly6G 抗体耗尽中性粒细胞可改善 EAP 引起的炎症变化和痛觉过敏。岩藻聚糖,一种能够有效抑制中性粒细胞迁移的物质,也可改善 EAP 的表现。我们的研究结果表明,IL-17 促进了 CXCL1 和 CXCL2 的产生,从而引发中性粒细胞向前列腺组织的趋化。岩藻聚糖可能是通过有效抑制中性粒细胞浸润来治疗 EAP 的潜在药物。