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Interaction between Trichomonas vaginalis and the Prostate Epithelium
Jung-Hyun Kim1,2, Ik-Hwan Han1,2, Sang-Su Kim1,2
1Department of Environmental Biology and Medical Parasitology, Graduate School of Biomedical Science and Engineering, Hanyang University College of Medicine, Seoul 04763, Korea.
Abstract:
Most men infected with Trichomonas vaginalis are asymptomatic and can remain undiagnosed and untreated. This has been hypothesized to result in chronic persistent prostatic infection. Adhesion of the protozoan organisms to mucosal cells is considered a first and prerequisite step for T. vaginalis infection. Adhesion of T. vaginalis to prostate epithelial cells has not yet been observed; however, there are several reports about inflammation of prostate epithelial cells induced by T. vaginalis. The aim of this study was to investigate whether adhesion and cytotoxicity of T. vaginalis are involved in inflammation of prostate epithelial cells. When RWPE-1 cells were infected with T. vaginalis (1:0.4 or 1:4), adhesion of T. vaginalis continuously increased for 24 hr or 3 hr, respectively. The cytotoxicity of prostate epithelial cells infected with T. vaginalis (RWPE-1: T. vaginalis=1:0.4) increased at 9 hr; at an infection ratio of 1:4, cytotoxicity increased after 3 hr. When the RWPE-1 to T. vaginalis ratio was 1:0.4 or 1:4, production of IL-1β, IL-6, CCL2, and CXCL8 also increased. Epithelial-mesenchymal transition (EMT) was verified by measuring decreased E-cadherin and increased vimentin expression at 24 hr and 48 hr. Taken together, the results indicate that T. vaginalis adhered to prostate epithelial cells, causing cytotoxicity, pro-inflammatory cytokine production, and EMT. Our findings suggest for the first time that T. vaginalis may induce inflammation via adhesion to normal prostate epithelial cells.
Insights
Trichomonas vaginalis can infect the prostate, causing inflammation. This study shows the parasite adheres to prostate cells, leading to damage, inflammatory responses, and cellular changes, suggesting a mechanism for chronic infection.
Area of Science:
- Urology
- Infectious Diseases
- Cell Biology
Background:
- Most men infected with Trichomonas vaginalis are asymptomatic, potentially leading to chronic prostate infections.
- Adhesion to host cells is crucial for T. vaginalis infection, but its interaction with prostate cells is not well understood.
- Previous studies suggest T. vaginalis can induce prostate epithelial cell inflammation.
Purpose of the Study:
- To investigate the adhesion and cytotoxicity of T. vaginalis to prostate epithelial cells.
- To determine if T. vaginalis infection triggers inflammatory responses and cellular changes in prostate cells.
- To explore the role of T. vaginalis adhesion in initiating prostate inflammation.
Main Methods:
- Infection of RWPE-1 prostate epithelial cells with T. vaginalis at different ratios (1:0.4 and 1:4).
- Measurement of T. vaginalis adhesion and prostate cell cytotoxicity over time.
- Quantification of pro-inflammatory cytokines (IL-1β, IL-6, CCL2, CXCL8) and assessment of epithelial-mesenchymal transition (EMT) markers (E-cadherin, vimentin).
Main Results:
- T. vaginalis adhesion to RWPE-1 cells increased over time.
- Cytotoxicity of prostate cells increased following T. vaginalis infection, with faster increases at higher infection ratios.
- Pro-inflammatory cytokine production (IL-1β, IL-6, CCL2, CXCL8) and EMT markers were elevated post-infection.
Conclusions:
- T. vaginalis adheres to prostate epithelial cells, inducing cytotoxicity, inflammation, and EMT.
- These findings provide the first evidence that T. vaginalis adhesion to normal prostate cells may initiate inflammation.
- The study suggests a mechanism for how asymptomatic T. vaginalis infections can lead to chronic prostatic issues.
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