An aberrant prostate antigen-specific immune response causes prostatitis in mice and is associated with chronic

Yafei Hou1, Jason DeVoss, Vinh Dao

  • 1Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, California 94143, USA.

Insights

Chronic prostatitis may be an autoimmune disease. Researchers found that immune responses to prostate autoantigen SVS2 can cause prostatitis, with relevance in human patients lacking autoimmune regulator (Aire) gene function.

Area of Science:

  • Immunology
  • Urology
  • Autoimmunity

Background:

  • Chronic prostatitis is a prevalent condition with unknown causes and limited treatment options.
  • Mice lacking the autoimmune regulator (Aire) gene exhibit defective central tolerance and develop spontaneous prostatitis.
  • The autoimmune regulator (Aire) is crucial for maintaining self-tolerance by controlling the expression of self-antigens in the thymus.

Purpose of the Study:

  • To investigate the role of autoimmune regulator (Aire) gene deficiency in the development of chronic prostatitis.
  • To identify specific prostate autoantigens involved in Aire-dependent prostatitis.
  • To explore the clinical relevance of identified autoantigens in human chronic prostatitis patients.

Main Methods:

  • Utilized Aire-deficient mice to study spontaneous prostatitis development.
  • Assessed B and T cell immune responses to seminal vesicle secretory protein 2 (SVS2) in Aire-deficient mice.
  • Induced prostatitis in wild-type (WT) mice by immunizing with SVS2.
  • Analyzed autoantibodies against human semenogelin in patients with chronic prostatitis.

Main Results:

  • Aire-deficient mice developed spontaneous immune responses against SVS2, a novel prostate autoantigen.
  • Thymic expression of SVS2 was dependent on the autoimmune regulator (Aire) gene.
  • Immunization with SVS2 successfully induced prostatitis in WT mice.
  • Patients with chronic prostatitis showed specific autoantibodies to semenogelin, a human homolog of SVS2.

Conclusions:

  • Spontaneous chronic prostatitis is an autoimmune disease regulated by central and peripheral tolerance mechanisms.
  • The autoimmune regulator (Aire) plays a critical role in preventing autoimmune responses to prostate autoantigens.
  • SVS2 and semenogelin are identified as relevant autoantigens in murine and human prostatitis, respectively.

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