Jiang ZhiPeng, Luo Wen, Liu Lei, Long ZongMin
Third Affiliated Hospital of Zunyi Medical University, First People's Hospital of Zunyi, Zunyi, China.
Front Neurosci. 2024 Oct 31;18:1484980. doi: 10.3389/fnins.2024.1484980. eCollection 2024.
Chronic prostatitis/chronic pelvic pain syndrome is a prevalent condition affecting the male urinary system. The urinary dysfunction resulting from this disorder has a direct or indirect impact on the patient's quality of life. Recent studies have suggested that organ cross-sensitization between the prostate and bladder may elucidate this phenomenon; however, the specific molecular mechanisms remain unclear. In this study, we simulated the urinary symptoms of prostatitis patients using an animal model and examined the expression of relevant proteins within the prostate-bladder sensitized neural pathway. We found that transient receptor potential vanilloid 1 (TRPV1) protein is highly expressed in the dorsal root ganglia (DRG) that co-innervate both the prostate and bladder, potentially increasing the sensitivity of TRPV1 channels via the substance P-neurokinin 1 (SP-NK-1) pathway, which may exacerbate micturition symptoms. Furthermore, in the absence of bladder inflammation, elevated levels of neurogenic substances in bladder tissue were found to sensitize bladder sensory afferents. Collectively, these results underscore the significant role of TRPV1 in bladder sensitization associated with prostatitis, suggesting that the inhibition of TRPV1 along this sensitization pathway could be a promising approach to treating urinary dysfunction linked to prostatitis in the future.
慢性前列腺炎/慢性盆腔疼痛综合征是一种影响男性泌尿系统的常见病症。由该疾病导致的排尿功能障碍对患者的生活质量有直接或间接的影响。最近的研究表明,前列腺和膀胱之间的器官交叉致敏可能解释了这一现象;然而,具体的分子机制仍不清楚。在本研究中,我们使用动物模型模拟前列腺炎患者的排尿症状,并检测了前列腺 - 膀胱致敏神经通路中相关蛋白的表达。我们发现,瞬时受体电位香草酸受体1(TRPV1)蛋白在共同支配前列腺和膀胱的背根神经节(DRG)中高表达,可能通过P物质 - 神经激肽1(SP - NK - 1)途径增加TRPV1通道的敏感性,这可能会加重排尿症状。此外,在没有膀胱炎症的情况下,发现膀胱组织中神经源性物质水平升高会使膀胱感觉传入神经致敏。总的来说,这些结果强调了TRPV1在与前列腺炎相关的膀胱致敏中的重要作用,表明沿此致敏途径抑制TRPV1可能是未来治疗与前列腺炎相关的排尿功能障碍的一种有前景的方法。