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[Bacterial 16S rRNA genes and expression of IL-1β, TNF-α and IgA in prostate tissues]
Hui Xie1, Hong-de Chen, Hui-cong Huang
1Department of Urology, First Affiliated Hospital, Wenzhou Medical College, Wenzhou 325000, China. xiehuiwenzhou@yahoo.com.cn
Objective:
To investigate the role of bacteria in the etiology of chronic prostatitis.
Methods:
Complete prostate specimens were obtained at autopsy from 192 organ donors (aged 20 - 38 years old) during 2002 to 2008 who died of non-prostatic diseases. One tissue taken from the peripheral prostatic zone according to McNeal was divided into two pieces. One piece of tissue was taken for routine pathological examinations and immunohistochemical studies of interleukin (IL)-1β, tumor necrosis factor-α (TNF-α) and IgA. Another one was taken for PCR assay to detect the bacterial 16S rRNA genes (16S rDNA).
Results:
Of 192 prostate specimens, 64 (33.3%) had pathological changes of chronic prostatitis and 38 (19.8%) specimens was positive for bacterial 16S rDNA. Positive rates of 16S rDNA in chronic prostatitis and non-prostatitis specimens were 50.0% (32/64) and 4.6% (6/128) respectively (χ(2) = 55.185, P < 0.001). Expressions of IL-1β, TNF-α and IgA in specimens of chronic prostatitis were significantly higher than those in non-prostatitis specimens (P < 0.001). A positive correlation could be found among three immunohistochemical indicators (P < 0.01). In 64 specimens with chronic prostatitis, a significant expression of IL-1β, TNF-α and IgA was more often demonstrated in 16S rDNA positive group than in 16S rDNA negative group (P < 0.001).
Conclusions:
The up-regulations of bacterial 16S rDNA, cytokines and immunoglobulin A are involved in inflammatory response of chronic prostatitis. Bacterial infection may be an important cause of chronic prostatitis.
Insights
Bacterial infection is a significant factor in chronic prostatitis. This study found bacterial DNA and inflammatory markers in a majority of chronic prostatitis cases, suggesting a causal link.
Area of Science:
- Urology and Microbiology
- Inflammatory Disease Research
Context:
- Chronic prostatitis affects a significant portion of the male population, with its etiology often remaining unclear.
- Understanding the role of bacterial infection is crucial for developing effective treatment strategies.
Purpose:
- To investigate the presence of bacterial DNA and associated inflammatory markers in prostate tissues of individuals with chronic prostatitis.
- To determine if bacterial infection is a contributing factor to the development of chronic prostatitis.
Summary:
- Autopsy prostate specimens from 192 organ donors were analyzed for bacterial 16S ribosomal DNA (16S rDNA) using PCR and for inflammatory markers (interleukin-1β, tumor necrosis factor-α, IgA) via immunohistochemistry.
- Bacterial 16S rDNA was detected in 50% of chronic prostatitis specimens compared to 4.6% of non-prostatitis specimens (P < 0.001).
- Elevated levels of inflammatory markers were observed in chronic prostatitis cases, particularly in those with detectable bacterial DNA, indicating a strong association between bacterial presence and inflammation.
Impact:
- This research provides strong evidence supporting bacterial infection as a key etiological factor in chronic prostatitis.
- Findings may guide future diagnostic approaches and therapeutic interventions targeting bacterial causes of chronic prostatitis.
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