Keetch D W, Humphrey P, Ratliff T L
Division of Urologic Surgery, Washington University School of Medicine, St. Louis, Missouri 63141.
J Urol. 1994 Jul;152(1):247-50. doi: 10.1016/s0022-5347(17)32871-9.
Nonbacterial prostatitis is a common clinical entity which is often difficult to diagnose and treat. Little is known with regard to the etiology and pathogenesis of this disease process. To develop an animal model and characterize the immune parameters of nonbacterial prostatitis, we harvested the prostates from SJL, AJ, Balb/c, C57bl/6 and C57bl/6 lpr mice. These prostates were homogenized and injected into syngeneic mice. Controls were injected with Freund's complete adjuvant only. Mice from each group were sacrificed 30 days after injection, and the prostates were harvested. Prostatic tissue was examined histologically for degree of inflammation. None of the Balb/c mice exhibited prostatic inflammation. The SJL and AJ mice exhibited varying degrees of prostatic inflammation. All of the C57bl/6 mice were found to have lymphocytic infiltration of the stroma and periglandular region. The C57bl/6 lpr mice did not appear to be more susceptible than the parental strain. Adoptive transfer studies demonstrated the prostatic inflammation to be at least in part immune mediated. We conclude that injection of syngenic prostate antigen induces prostatic inflammation similar to clinical nonbacterial prostatitis. Nonbacterial prostatitis may be an autoimmune process.
非细菌性前列腺炎是一种常见的临床病症,常常难以诊断和治疗。关于这一疾病过程的病因和发病机制,人们了解甚少。为了建立一种动物模型并确定非细菌性前列腺炎的免疫参数,我们从SJL、AJ、Balb/c、C57bl/6和C57bl/6 lpr小鼠身上采集前列腺。将这些前列腺匀浆后注射到同基因小鼠体内。对照组仅注射弗氏完全佐剂。注射后30天处死每组小鼠,并采集前列腺。对前列腺组织进行组织学检查以确定炎症程度。Balb/c小鼠均未出现前列腺炎症。SJL和AJ小鼠出现了不同程度的前列腺炎症。所有C57bl/6小鼠的基质和腺周区域均有淋巴细胞浸润。C57bl/6 lpr小鼠似乎并不比亲代品系更易患病。过继转移研究表明,前列腺炎症至少部分是由免疫介导的。我们得出结论,注射同基因前列腺抗原可诱发与临床非细菌性前列腺炎相似的前列腺炎症。非细菌性前列腺炎可能是一个自身免疫过程。