Prostatic fluid exosome-mediated microRNA-155 promotes the pathogenesis of type IIIA chronic prostatitis

Baixiong Zhao1, Jun Zheng1, Yang Qiao1

  • 1Department of Urology, Southwest Hospital, The First Affiliated Hospital of Third Military Medical University (Army Medical University), Chongqing, China.

Abstract

Insights

Prostatic fluid exosomes, enriched with microRNA-155, are implicated in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS-A). These exosomes activate inflammatory pathways and induce prostatitis in animal models, suggesting a novel pathogenic role.

Area of Science:

  • Cell biology
  • Immunology
  • Urology

Background:

  • Exosomes mediate cell-to-cell communication and are linked to chronic inflammatory diseases.
  • The role of exosomes in aseptic inflammation, specifically in chronic prostatitis/chronic pelvic pain syndrome type IIIA (CP/CPPS-A), remains unclear.

Purpose of the Study:

  • To investigate the involvement of prostatic fluid exosomes in the pathogenesis of CP/CPPS-A.
  • To identify potential new mechanisms underlying CP/CPPS-A.

Main Methods:

  • Prostatic fluid samples were collected from CP/CPPS-A patients and healthy men.
  • Exosomes were analyzed using electron microscopy, qPCR, Western Blot, and nanoparticle tracking analysis.
  • In vitro and in vivo experiments, including cell culture and rat models, assessed exosome function and inflammatory markers.

Main Results:

  • Prostatic fluid from CP/CPPS-A patients showed abundant exosomes selectively enriched with microRNA-155.
  • These exosomes were internalized by prostatic stromal cells, activating interleukin-8 (IL-8) and tumor necrosis factor-alpha (TNF-α) expression.
  • In vivo studies demonstrated that prostatic fluid exosomes induced prostatitis in rats, with elevated IL-8, TNF-α, and inducible nitric oxide synthase (iNOS).

Conclusions:

  • Exosomes present in prostatic fluid, particularly those containing microRNA-155, are likely involved in the pathogenesis of CP/CPPS-A.
  • This study highlights a novel role for exosomes in the development of chronic prostatitis.