Journal
ASIAN JOURNAL OF ANDROLOGY
Volume 24, Issue 3, Pages 323-+Publisher
WOLTERS KLUWER MEDKNOW PUBLICATIONS
DOI: 10.4103/aja202157
Keywords
chronic pelvic pain syndrome; chronic prostatitis; superoxide; thermophilic bacterium
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Funding
- Medical Scientific Research Foundation of Zhejiang Province [2021RC129, 2019KY694]
- National Natural Science Foundation of China [82000230]
- Jiaxing Medical Key Subject Funding of Zhejiang Province [2019-zc-07]
- Jiaxing Key Laboratory of Precise Diagnosis and Treatment of Urological Tumor [2020-mnzdsys]
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The study showed that the superoxide dismutase (SOD) from thermophilic bacterium HB27 has potential therapeutic effects on chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), reducing inflammation and oxidative stress.
We investigated the therapeutic effects of superoxide dismutase (SOD) from thermophilic bacterium HB27 on chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and its underlying mechanisms. A Sprague-Dawley rat model of CP/CPPS was prepared and then administered saline or Thermus thermophilic (Tt)-SOD intragastrically for 4 weeks. Prostate inflammation and fibrosis were analyzed by hematoxylin and eosin staining, and Masson staining. Alanine transaminase (ALT), aspartate transaminase (AST), serum creatinine (CR), and blood urea nitrogen (BUN) levels were assayed for all animals. Enzyme-linked immunosorbent assays (ELISA) were performed to analyze serum cytokine concentrations and tissue levels of malondialdehyde, nitric oxide, SOD, catalase, and glutathione peroxidase. Reactive oxygen species levels were detected using dichlorofluorescein diacetate. The messenger ribonucleic acid (mRNA) expression of tissue cytokines was analyzed by reverse transcription polymerase chain reaction (RT-PCR), and infiltrating inflammatory cells were examined using immunohistochemistry. Nuclear factor-kappa B (NF-kappa B) P65, P38, and inhibitor of nuclear factor-kappa B alpha (I-kappa B alpha) protein levels were determined using western blot. Tt-SOD significantly improved histopathological changes in CP/CPPS, reduced inflammatory cell infiltration and fibrosis, increased pain threshold, and reduced the prostate index. Tt-SOD treatment showed no significant effect on ALT, AST, CR, or BUN levels. Furthermore, Tt-SOD reduced inflammatory cytokine expression in prostate tissue and increased antioxidant capacity. This anti-inflammatory activity correlated with decreases in the abundance of cluster of differentiation 3 (CD3), cluster of differentiation 45 (CD45), and macrophage inflammatory protein 1 alpha (MIP1 alpha) cells. Tt-SOD alleviated inflammation and oxidative stress by reducing NF-kappa B P65 and P38 protein levels and increasing I-kappa B alpha protein levels. These findings support Tt-SOD as a potential drug for CP/CPPS.
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