[HTML][HTML] Th1-Th17 Cells Contribute to the Development of Uropathogenic Escherichia coli-Induced Chronic Pelvic Pain

ML Quick, L Wong, S Mukherjee, JD Done… - PloS one, 2013 - journals.plos.org
ML Quick, L Wong, S Mukherjee, JD Done, AJ Schaeffer, P Thumbikat
PloS one, 2013journals.plos.org
The etiology of chronic prostatitis/chronic pelvic pain syndrome in men is unknown but may
involve microbes and autoimmune mechanisms. We developed an infection model of
chronic pelvic pain in NOD/ShiLtJ (NOD) mice with a clinical Escherichia coli isolate (CP-1)
from a patient with chronic pelvic pain. We investigated pain mechanisms in NOD mice and
compared it to C57BL/6 (B6) mice, a strain resistant to CP-1-induced pain. Adoptive transfer
of CD4+ T cells, but not serum, from CP-1-infected NOD mice was sufficient to induce …
The etiology of chronic prostatitis/chronic pelvic pain syndrome in men is unknown but may involve microbes and autoimmune mechanisms. We developed an infection model of chronic pelvic pain in NOD/ShiLtJ (NOD) mice with a clinical Escherichia coli isolate (CP-1) from a patient with chronic pelvic pain. We investigated pain mechanisms in NOD mice and compared it to C57BL/6 (B6) mice, a strain resistant to CP-1-induced pain. Adoptive transfer of CD4+ T cells, but not serum, from CP-1-infected NOD mice was sufficient to induce chronic pelvic pain. CD4+ T cells in CP-1-infected NOD mice expressed IFN-γ and IL-17A but not IL-4, consistent with a Th1/Th17 immune signature. Adoptive transfer of ex-vivo expanded IFN-γ or IL-17A-expressing cells was sufficient to induce pelvic pain in naïve NOD recipients. Pelvic pain was not abolished in NOD-IFN-γ-KO mice but was associated with an enhanced IL-17A immune response to CP1 infection. These findings demonstrate a novel role for Th1 and Th17-mediated adaptive immune mechanisms in chronic pelvic pain.
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