A novel murine model of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) induced by immunization with a spermine binding protein (p25) peptide

Am J Physiol Regul Integr Comp Physiol. 2013 Mar 15;304(6):R415-22. doi: 10.1152/ajpregu.00147.2012. Epub 2013 Jan 23.

Abstract

The pathophysiology of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is poorly understood. Inflammatory and autoimmune mechanisms may play a role. We developed a murine model of experimental autoimmune prostatitis (EAP) that mimics the human phenotype of CP/CPPS. Eight-week-old mice were immunized subcutaneously with prostate-specific peptides in an emulsion of complete Freund's adjuvant. Mice were euthanized 10 days after immunization, and lymph node cells were isolated and assessed for recall proliferation to each peptide. P25 99-118 was the most immunogenic peptide. T-cell and B-cell immunity and serum levels of C-reactive protein and nitrate/nitrite levels were evaluated over a 9-wk period. Morphometric studies of prostate, 24-h micturition frequencies, and urine volume per void were evaluated. Tactile referred hyperalgesia was measured using von Frey filaments to the pelvic region. The unpaired Student's t-test was used to analyze differences between EAP and control groups. Prostates from p25 99-118-immunized mice demonstrated elevated gene expression levels of TNF-α, IL-17A, IFN-γ, and IL-1β, not observed in control mice. Compared with controls, p25 99-118-immunized mice had significantly higher micturition frequency and decreased urine output per void, and they demonstrated elevated pelvic pain response. p25 99-118 immunization of male SWXJ mice induced prostate-specific autoimmunity characterized by prostate-confined inflammation, increased micturition frequency, and pelvic pain. This autoimmune prostatitis model provides a useful tool for exploring the pathophysiology and new treatments.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Autoimmune Diseases / immunology
  • Carrier Proteins / immunology*
  • Chronic Disease
  • Chronic Pain / immunology*
  • Chronic Pain / pathology
  • Disease Models, Animal*
  • Immunization / methods
  • Interleukin-17 / metabolism
  • Male
  • Mice
  • Pelvic Pain / immunology*
  • Pelvic Pain / pathology
  • Peptide Fragments / immunology
  • Prostate / immunology
  • Prostatitis / immunology*
  • Prostatitis / pathology
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Carrier Proteins
  • Interleukin-17
  • Peptide Fragments
  • Tumor Necrosis Factor-alpha
  • spectrin-binding proteins