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Chronic prostatic infection and inflammation by Propionibacterium acnes in a rat prostate infection model

Jan Olsson1, Johanna Bergh Drott, Lovisa Laurantzon

  • 1Department of Clinical Microbiology, Virology, Umeå University, Umeå, Sweden. jan.olsson@climi.umu.se

Plos One
|December 15, 2012
PubMed

Insights

Propionibacterium acnes can cause chronic prostate inflammation in rats. This study developed a rat model to investigate P. acnes

Area of Science:

  • Urology
  • Microbiology
  • Pathology

Background:

  • Chronic prostate inflammation is common, affecting half the male population and nearly all with benign prostate hyperplasia or cancer.
  • Propionibacterium acnes (P. acnes) is frequently found in prostate tissue of men with prostate disease and linked to inflammation.

Purpose of the Study:

  • To establish and utilize a rat model for evaluating the pathogenic potential of P. acnes in the prostate.
  • To assess the capacity of P. acnes to induce chronic infection and inflammation in healthy prostate tissue.

Main Methods:

  • Sprague Dawley rats (n=98) underwent abdominal surgery for direct injection of live P. acnes or saline into prostate lobes.
  • Prostate tissues were analyzed for bacterial presence and histological inflammation at multiple time points (5 days to 6 months).
  • Rat sera were tested for C-reactive protein (CRP) and anti-P. acnes IgG levels.

Main Results:

  • Live P. acnes was recoverable from dorsal-lateral prostate lobes for up to 3 months, while ventral lobes cleared earlier.
  • Significant focal inflammation was observed in dorsal-lateral lobes up to 3 months post-infection.
  • Elevated CRP and IgG levels persisted throughout the experiment, peaking at 3 weeks and 3 months, respectively.

Conclusions:

  • P. acnes demonstrates the potential to establish chronic infections within the prostate.
  • P. acnes infection can lead to sustained histological inflammation in prostate tissue.
  • The developed rat model supports P. acnes as a causative agent for chronic prostate inflammation.

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