Abstract

BackgroundThere is mounting evidence to support the role of inflammation in benign prostate hyperplasia (BPH), and a recent study reported expression of inflammasome derived cytokine IL-18 in prostate biopsy of BPH patients. Here we examined the expression of inflammasome-derived cytokines and activation of nucleotide-binding oligomerization domain-like receptor with pyrin domain protein 1 (NLRP) 1 inflammasome in a rat model of prostatic inflammation relevant to BPH.MethodsProstatic inflammation was experimentally induced in three-month-old male Sprague–Dawley rats by intraprostatic injection (50 μL) of either 5 % formalin or saline (sham) into the ventral lobes of prostate. 7 days later, prostate and bladder tissue was harvested for analysis of inflammasome by Western blot, immunohistochemistry and downstream cytokine production by Milliplex.ResultsExpression of interleukins, CXC and CC chemokines were elevated 2-15 fold in formalin injected prostate relative to sham. Significant expression of NLRP1 inflammasome components and caspase-1 in prostate were associated with significant elevation of pro and cleaved forms of IL-1β (25.50 ± 1.16 vs 3.05 ± 0.65 pg/mg of protein) and IL-18 (1646.15 ± 182.61 vs 304.67 ± 103.95 pg/mg of protein). Relative to prostate tissue, the cytokine expression in bladder tissue was much lower and did not involve inflammasome activation.ConclusionsSignificant upregulation of NLRP1, caspase-1 and downstream cytokines (IL-18 and IL-1β) suggests that a NLRP1 inflammasome is assembled and activated in prostate tissue of this rat model. Recapitulation of findings from human BPH specimens suggests that the inflammasome may perpetuate the inflammatory state associated with BPH. Further clarification of these pathways may offer innovative therapeutic targets for BPH-related inflammation.

Highlights

  • The prevalence of benign prostatic hyperplasia (BPH)/ lower urinary tract symptoms (LUTS) in US population is expected to increase with an ageing population and an increased prevalence of metabolic diseases [1]

  • The expression of Brain derived neurotrophic factor (BDNF), interferon-γ (IFNγ), Granulocyte stimulating factor (G-CSF), IL-2, IL-4, IL-10, IL-12p70, IL-13, TNFα remained unchanged between the sham and formalin injected groups, whereas the expression of eotaxin was undetectable in prostate and bladder tissue of both groups

  • We observed that intraprostatic formalin injection leads to the assembly and activation of NLRP1 inflammasomes in prostate and production of pro-inflammatory cytokines, IL-1β and IL-18 following the auto-proteolytic maturation of cysteine protease, caspase-1

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Summary

Introduction

The prevalence of benign prostatic hyperplasia (BPH)/ lower urinary tract symptoms (LUTS) in US population is expected to increase with an ageing population and an increased prevalence of metabolic diseases [1]. Generally thought to be due to prostatic enlargement, BPH/LUTS is known to be associated with intraprostatic infiltration of inflammatory cells in majority of patients [2]. The presence of inflammatory infiltrates in the prostate biopsy predicted unfavorable outcomes in placebo-treated BPH patients in Medical Therapy Of Prostatic Symptoms MTOPS study [2]. There is mounting evidence to support the role of inflammation in benign prostate hyperplasia (BPH), and a recent study reported expression of inflammasome derived cytokine IL-18 in prostate biopsy of BPH patients. We examined the expression of inflammasome-derived cytokines and activation of nucleotide-binding oligomerization domain-like receptor with pyrin domain protein 1 (NLRP) 1 inflammasome in a rat model of prostatic inflammation relevant to BPH

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