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P2X7R Modulates NEK7-NLRP3 Interaction to Exacerbate Experimental Autoimmune Prostatitis via GSDMD-mediated Prostate
Lei Chen1,2,3, Yi Liu1,2,3, Shaoyu Yue1,2,3
1Department of Urology, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Abstract:
Chronic prostatitis is one of the most common urologic diseases that troubles young men, with unclear etiology and ineffective treatment approach. Pyroptosis is a novel model of cell death, and its roles in chronic prostatitis are unknown. In this study, P2X7R, NEK7, and GSDMD-NT expression levels were detected in prostate tissues from benign prostate hyperplasia (BPH) patients and experiment autoimmune prostatitis (EAP) mice. P2X7R agonist, antagonist, NLRP3 inhibitor, and disulfiram were used to explore the roles of the P2X7R-NEK7-NLRP3 axis in prostate epithelial cell pyroptosis and chronic prostatitis development. We found that P2X7R, NEK7, and GSDMD-NT were highly expressed in the prostate epithelial cells of BPH patients with prostatic inflammation and EAP mice. Activation of P2X7R exacerbated prostatic inflammation and increased NLRP3 inflammasome component expressions and T helper 17 (Th17) cell proportion. Moreover, P2X7R-mediated potassium efflux promoted NEK7-NLRP3 interaction, and NLRP3 assembly and activation, which caused GSDMD-NT-mediated prostate epithelial cell pyroptosis to exacerbate EAP development. Disulfiram could effectively improve EAP by inhibiting GSDMD-NT-mediated prostate epithelial cell pyroptosis. In conclusion, the P2X7R-NEK7-NLRP3 axis could promote GSDMD-NT-mediated prostate epithelial cell pyroptosis and chronic prostatitis development, and disulfiram may be an effective drug to treat chronic prostatitis.
Insights
Chronic prostatitis involves pyroptosis, a cell death process. The P2X7R-NEK7-NLRP3 pathway drives this in prostate inflammation, suggesting disulfiram as a potential treatment.
Area of Science:
- Urology
- Immunology
- Cell Biology
Background:
- Chronic prostatitis is a common urologic condition with unknown causes and limited treatments.
- Pyroptosis, a novel cell death pathway, has an undefined role in chronic prostatitis.
Purpose of the Study:
- To investigate the role of the P2X7R-NEK7-NLRP3 axis in pyroptosis and chronic prostatitis.
- To explore disulfiram as a potential therapeutic agent for chronic prostatitis.
Main Methods:
- Detected P2X7R, NEK7, and GSDMD-NT expression in human prostate tissues and EAP mice.
- Utilized P2X7R agonists/antagonists, NLRP3 inhibitors, and disulfiram to study pyroptosis.
- Assessed inflammatory markers and T helper 17 cell proportions.
Main Results:
- P2X7R, NEK7, and GSDMD-NT were upregulated in inflamed prostate tissues and EAP models.
- P2X7R activation worsened inflammation, increased NLRP3 components, and elevated Th17 cells.
- Disulfiram treatment ameliorated EAP by inhibiting pyroptosis.
Conclusions:
- The P2X7R-NEK7-NLRP3 axis promotes pyroptosis and chronic prostatitis development.
- Disulfiram shows promise as an effective treatment for chronic prostatitis by targeting pyroptosis.
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