Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Institute of Urology, Anhui Medical University, Hefei, China.
J Cell Mol Med. 2024 May;28(10):e18445. doi: 10.1111/jcmm.18445.
Chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS), a prevalent urological ailment, exerts a profound influence upon the well-being of the males. Autoimmunity driven by Th17 cells has been postulated as a potential factor in CP/CPPS pathogenesis. Nonetheless, elucidating the precise mechanisms governing Th17 cell recruitment to the prostate, triggering inflammation, remained an urgent inquiry. This study illuminated that CCL20 played a pivotal role in attracting Th17 cells to the prostate, thereby contributing to prostatitis development. Furthermore, it identified prostate stromal cells and immune cells as likely sources of CCL20. Additionally, this research unveiled that IL-17A, released by Th17 cells, could stimulate macrophages to produce CCL20 through the NF-κB/MAPK/PI3K pathway. The interplay between IL-17A and CCL20 establishes a positive feedback loop, which might serve as a critical mechanism underpinning the development of chronic prostatitis, thus adding complexity to its treatment challenges.
慢性前列腺炎和慢性骨盆疼痛综合征(CP/CPPS)是一种常见的泌尿科疾病,对男性的健康有深远的影响。Th17 细胞驱动的自身免疫被认为是 CP/CPPS 发病机制中的一个潜在因素。然而,阐明调节 Th17 细胞向前列腺募集、引发炎症的确切机制仍然是一个紧迫的研究课题。本研究表明,CCL20 在吸引 Th17 细胞进入前列腺从而促进前列腺炎的发展中起着关键作用。此外,它还确定了前列腺基质细胞和免疫细胞可能是 CCL20 的来源。此外,这项研究揭示了 Th17 细胞释放的 IL-17A 通过 NF-κB/MAPK/PI3K 途径刺激巨噬细胞产生 CCL20。IL-17A 和 CCL20 之间的相互作用建立了一个正反馈环,这可能是慢性前列腺炎发展的关键机制,从而增加了其治疗的复杂性。
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