You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Prostate & Genitalia1 Apr 20121088 ESCHERICHIA COLI STRAINS FROM CHRONIC PROSTATITIS PATIENTS INVADE PROSTATE EPITHELIAL CELLS AND INDUCE SECRETION OF INFLAMMATORY MEDIATORS Li-Lin Cheng, Laura E. Goeser, Alexandra E. Burleigh, Justin J. Lemke, Rodney A. Welch, and Walter J. Hopkins Li-Lin ChengLi-Lin Cheng Madison, WI More articles by this author , Laura E. GoeserLaura E. Goeser Madison, WI More articles by this author , Alexandra E. BurleighAlexandra E. Burleigh Madison, WI More articles by this author , Justin J. LemkeJustin J. Lemke Madison, WI More articles by this author , Rodney A. WelchRodney A. Welch Madison, WI More articles by this author , and Walter J. HopkinsWalter J. Hopkins Madison, WI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1195AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Category IIIA chronic prostatitis is characterized by the presence of leukocytes in prostatic secretions without culturable bacteria. One possible explanation is that infecting bacteria are harbored within prostate epithelial cells and their intracellular presence induces local secretion of inflammatory mediators. We examined the ability of uropathogenic E. coli to invade mouse prostate epithelial cells in vitro and to induce production of cytokines and chemokines by these cells. METHODS Twenty-four E. coli isolates from chronic prostatitis patients were genotyped for urovirulence factor genes associated with adherence, toxin production, iron acquisition, secretion, and outer membrane proteins. Motility was measured by a swimming assay. Isolates were tested for their invasion of primary epithelial cells derived from the dorsal and lateral prostate lobes of C3H/HeOuJ mice using a gentamicin protection assay. A multiplex assay was used to quantify cytokines/chemokines secreted by cells exposed to E. coli for two hours before addition of gentamicin. RESULTS Among the 24 strains, 10 were intermediate to highly invasive and 14 were low to non-invasive. There was no significant link between any individual gene and invasion intensity; however, a significant positive correlation between motility and epithelial cell invasion was noted. An initial study with eight isolates showed strong responses of IL-6, monocyte chemotactic protein (MCP-1) and granulocyte-macrophage colony stimulating factor (GM-CSF) at 24 hours post exposure, while IL-1β and TNF-α were undetectable. The mediators were induced by seven invasive strains but not by a non-invasive isolate. In addition, strains with cnf-1, cdt, and hlyA toxin genes appeared to induce the least amounts of mediators in prostate epithelial cells. CONCLUSIONS E. coli isolates from chronic prostatitis patients are able to invade prostate epithelial cells with a wide range of intensities. Inflammatory mediators are produced by prostate epithelial cells when exposed to invasive, chronic prostatitis E. coli strains. The secretion of MCP-1, GM-CSF, and IL-6 is associated with recruitment and production of mononuclear inflammatory cells, implying their roles in promoting chronic inflammation. These results thus support a model of chronic prostatic inflammation in the absence of extracellular bacteria, which is the primary characteristic of Category IIIA prostatitis. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e441 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Li-Lin Cheng Madison, WI More articles by this author Laura E. Goeser Madison, WI More articles by this author Alexandra E. Burleigh Madison, WI More articles by this author Justin J. Lemke Madison, WI More articles by this author Rodney A. Welch Madison, WI More articles by this author Walter J. Hopkins Madison, WI More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...