Prostate secretions from men with chronic pelvic pain syndrome inhibit proinflammatory mediators.

Prostate secretions from men with chronic pelvic pain syndrome inhibit proinflammatory mediators.
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DOI:
10.1016/j.juro.2010.05.086
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发表时间:
2010-10
期刊:
The Journal of urology
影响因子:
--
通讯作者:
Schaeffer AJ
Schaeffer AJ
中科院分区:
其他
文献类型:
--
作者:
Thumbikat P;Shahrara S;Sobkoviak R;Done J;Pope RM;Schaeffer AJ

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In the past, numerous chemokines have been shown to be present in the expressed prostatic secretions (EPS) of patients with CP/CPPS. This study examined the functional effects of chemokines in the EPS of patients with CPPS. The functional effects of EPS on human monocytes were studied by examining monocyte chemotaxis in response to MCP-1, a major chemoattractant previously identified in CP/CPPS. Effects on cellular signaling were determined by quantifying intracellular calcium elevation in monocytes and activation of NF-κB in benign prostate epithelial cells. Our results show that the MCP-1 present in EPS is non-functional, with an inability to mediate chemotaxis of human monocytes or mediate signaling in either monocytes or prostate epithelial cells. Moreover, this absence of functionality could be extended to other proinflammatory cytokines such as IL-1β and TNFα, when incubated with the EPS from CPPS patients. The mechanism underlying this apparent ability to modulate pro-inflammatory cytokines involves heat labile extracellular proteases that mediate inhibition of both immune and prostate epithelial cell function. These results may have implications for the design of specific diagnostics and therapeutics targeted at complete resolution of prostate inflammatory insults.
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