Experimental autoimmune prostatitis induces microglial activation in the spinal cord

Larry Wong1, Joseph D Done, Anthony J Schaeffer

  • 1Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

The Prostate
|September 30, 2014
PubMed
Abstract

Insights

Neuroinflammation and microglia activation in the spinal cord contribute to chronic pelvic pain in prostatitis. Inhibiting microglia reduced pain and associated molecular markers, suggesting a therapeutic target.

Area of Science:

  • Neuroscience
  • Immunology
  • Pain Research

Background:

  • The exact causes of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) remain unclear.
  • Previous research implicated immune responses and the nervous system in CP/CPPS development.
  • Mast cells and chemokines (CCL2, CCL3) are known contributors to prostatitis.

Purpose of the Study:

  • To investigate the role of neuroinflammation and microglia in the central nervous system (CNS).
  • To understand their contribution to the development of chronic pelvic pain associated with prostatitis.

Main Methods:

  • Experimental autoimmune prostatitis (EAP) was induced in rats.
  • Sacral spinal cord tissue was analyzed using immunofluorescence and QRT-PCR.
  • Tactile allodynia was measured to assess pelvic pain.
  • Minocycline was used to inhibit microglia and evaluate its effect on pain.

Main Results:

  • Prostatitis led to microglia expansion, activation, and spinal cord inflammation (increased CCL3, IL-1β, Iba1, ERK1/2 phosphorylation).
  • Microglial activation elevated P2X4R and BDNF, markers linked to chronic pain.
  • Minocycline treatment reduced pain and decreased IL-1β, P2X4R, and BDNF expression.

Conclusions:

  • Prostatitis induces spinal cord inflammation and microglia activation.
  • These neuroinflammatory mechanisms may drive the development and persistence of chronic pelvic pain.
  • Targeting microglia may offer a therapeutic strategy for chronic pelvic pain.

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