CXCR3 antagonist AMG487 ameliorates experimental autoimmune prostatitis by diminishing Th1 cell differentiation and

Xiaoliang Hua1,2,3, Jiong Zhang1,2,3, Shengdong Ge1,2,3

  • 1Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

The Prostate
|June 14, 2022
PubMed
Abstract

Insights

The CXCR3 antagonist AMG487 effectively reduced inflammation and pelvic pain in experimental autoimmune prostatitis (EAP) mice. This suggests AMG487 may be a promising treatment for chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS).

Area of Science:

  • Immunology
  • Urology
  • Pharmacology

Background:

  • Chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS) is an inflammatory condition causing pelvic pain.
  • Receptor CXCR3 plays a role in immune responses, but its role in CP/CPPS and the effect of its antagonist AMG487 are unknown.

Purpose of the Study:

  • To investigate the therapeutic potential of the CXCR3 antagonist AMG487 in a mouse model of autoimmune prostatitis (EAP).
  • To explore the underlying mechanisms of AMG487's action on immune cells involved in prostatitis.

Main Methods:

  • Experimental autoimmune prostatitis (EAP) was induced in mice using prostate antigens.
  • Mice were treated with AMG487 or vehicle, followed by behavioral tests for pain and histological analysis for inflammation.
  • Immunofluorescence, flow cytometry, and Western blot were used to analyze T helper 1 (Th1) cells and macrophages.

Main Results:

  • High CXCR3 expression was observed in inflamed prostate tissues, correlating with inflammation severity.
  • AMG487 treatment significantly reduced pelvic pain and inflammation in EAP mice.
  • AMG487 inhibited Th1 cell differentiation via the IL-12/STAT4 pathway and M1 macrophage activation via the LPS/NF-κB pathway, reducing inflammatory mediators.

Conclusions:

  • The CXCR3 antagonist AMG487 ameliorates inflammation and pelvic pain in EAP mice.
  • AMG487's therapeutic effect is mediated by suppressing Th1 cell differentiation and M1 macrophage activation.
  • AMG487 shows potential as an effective therapeutic agent for EAP and potentially CP/CPPS.

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