Abstract
Patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) commonly experience learning and memory decline and the underlying pathogenesis remains unclear. Therefore, we aimed to study the effects of CP/CPPS on cognitive function by using a mouse model of experimental autoimmune prostatitis (EAP). Non-obese diabetic mice were immunized subcutaneously by prostate antigen and adjuvant twice and tested for cognitive performance by Morris water maze and novel object recognition test after the EAP induction. Then, dendritic complexity and spine densities were measured by using the Golgi-Cox procedure. Transmission electron microscopy was used to observe the synaptic morphology. In addition, activation of microglia and its association with synapses were also investigated by immunofluorescence staining. Our results showed that EAP induced a notable decrease in the learning and memory ability of mice, simultaneously causing a reduction in dendritic complexity detected by Sholl analysis. Likewise, the spine densities and synaptic proteins including synaptophysin and postsynaptic density protein 95 (PSD95) were significantly decreased in the EAP group. These observations were also accompanied by structural changes in synaptic plasticity. Additionally, EAP mice showed microglial activation in the hippocampus, and these activated microglia further increased contact with synaptic terminals. Taken together, our data are the first to indicate that EAP induces cognitive declines and structural neuroplastic changes in mice, accompanied by microglial activation and microglia-synapse contacts.
Similar content being viewed by others
References
Bartoletti R et al (2007) Prevalence, incidence estimation, risk factors and characterization of chronic prostatitis/chronic pelvic pain syndrome in urological hospital outpatients in Italy: results of a multicenter case-control observational study. J Urol 178:2411–2415. https://doi.org/10.1016/j.juro.2007.08.046
Breser ML, Motrich RD, Sanchez LR, Rivero VE (2017a) Chronic pelvic pain development and prostate inflammation in strains of mice with different susceptibility to experimental autoimmune prostatitis. Prostate 77:94–104. https://doi.org/10.1002/pros.23252
Breser ML, Salazar FC, Rivero VE, Motrich RD (2017b) Immunological mechanisms underlying chronic pelvic pain and prostate inflammation in chronic pelvic pain syndrome. Front Immunol 8:898. https://doi.org/10.3389/fimmu.2017.00898
Chen Z et al (2012) Lipopolysaccharide-induced microglial activation and neuroprotection against experimental brain injury is independent of hematogenous TLR4. J Neurosci 32:11706–11715. https://doi.org/10.1523/JNEUROSCI.0730-12.2012
Collo G, Cavalleri L, Spano P (2014) Structural plasticity in mesencephalic dopaminergic neurons produced by drugs of abuse: critical role of BDNF and dopamine. Front Pharmacol 5:259. https://doi.org/10.3389/fphar.2014.00259
Fauth M, Worgotter F, Tetzlaff C (2015) The formation of multi-synaptic connections by the interaction of synaptic and structural plasticity and their functional consequences. PLoS Comput Biol 11:e1004031. https://doi.org/10.1371/journal.pcbi.1004031
Gao FB (2007) Molecular and cellular mechanisms of dendritic morphogenesis. Curr Opin Neurobiol 17:525–532. https://doi.org/10.1016/j.conb.2007.08.004
Goldin M, Segal M (2003) Protein kinase C and ERK involvement in dendritic spine plasticity in cultured rodent hippocampal neurons. Eur J Neurosci 17:2529–2539. https://doi.org/10.1046/j.1460-9568.2003.02694.x
Guldner FH, Ingham CA (1980) Increase in postsynaptic density material in optic target neurons of the rat suprachiasmatic nucleus after bilateral enucleation. Neurosci Lett 17:27–31. https://doi.org/10.1016/0304-3940(80)90056-7
Hao S, Dey A, Yu X, Stranahan AM (2016) Dietary obesity reversibly induces synaptic stripping by microglia and impairs hippocampal plasticity. Brain Behav Immun 51:230–239. https://doi.org/10.1016/j.bbi.2015.08.023
Holtmaat A, Svoboda K (2009) Experience-dependent structural synaptic plasticity in the mammalian brain. Nat Rev Neurosci 10:647–658. https://doi.org/10.1038/nrn2699
Hu C et al (2016) The role of inflammatory cytokines and ERK1/2 signaling in chronic prostatitis/chronic pelvic pain syndrome with related mental health disorders. Sci Rep 6:28608. https://doi.org/10.1038/srep28608
Jones DG, Devon RM (1978) An ultrastructural study into the effects of pentobarbitone on synaptic organization. Brain Res 147:47–63. https://doi.org/10.1016/0006-8993(78)90771-0
Kim HJ, Cho MH, Shim WH, Kim JK, Jeon EY, Kim DH, Yoon SY (2017) Deficient autophagy in microglia impairs synaptic pruning and causes social behavioral defects. Mol Psychiatry 22:1576–1584. https://doi.org/10.1038/mp.2016.103
Kreutzberg GW (1996) Microglia: a sensor for pathological events in the CNS Trends in neurosciences. Trends Neurosci 19:312–318. https://doi.org/10.1016/0166-2236(96)10049-7
Kuner R, Flor H (2016) Structural plasticity and reorganisation in chronic pain. Nat Rev Neurosci 18:20–30. https://doi.org/10.1038/nrn.2016.162
Liu X, Fan S, Zheng M, Chen J, Zhang J, Li H (2017a) The mediation of interleukin-17 and chemokine ligand 2 in pelvic pain of experimental autoimmune prostatitis. Exp Ther Med 14:51–58. https://doi.org/10.3892/etm.2017.4448
Liu Y et al (2017b) TNF-alpha differentially regulates synaptic plasticity in the hippocampus and spinal cord by microglia-dependent mechanisms after peripheral nerve injury. J Neurosci 37:871–881. https://doi.org/10.1523/JNEUROSCI.2235-16.2016
Madinier A, Bertrand N, Mossiat C, Prigent-Tessier A, Beley A, Marie C, Garnier P (2009) Microglial involvement in neuroplastic changes following focal brain ischemia in rats. PLoS ONE 4:e8101. https://doi.org/10.1371/journal.pone.0008101
McLaughlin KJ, Gomez JL, Baran SE, Conrad CD (2007) The effects of chronic stress on hippocampal morphology and function: an evaluation of chronic restraint paradigms. Brain Res 1161:56–64. https://doi.org/10.1016/j.brainres.2007.05.042
Naliboff BD et al (2015) Widespread psychosocial difficulties in men and women with urologic chronic pelvic pain syndromes: case-control findings from the multidisciplinary approach to the study of chronic pelvic pain research network. Urology 85:1319–1327. https://doi.org/10.1016/j.urology.2015.02.047
Nickel JC et al (2008) Psychosocial variables affect the quality of life of men diagnosed with chronic prostatitis/chronic pelvic pain syndrome. BJU Int 101:59–64. https://doi.org/10.1111/j.1464-410X.2007.07196.x
Nimmerjahn A, Kirchhoff F, Helmchen F (2005) Resting microglial cells are highly dynamic surveillants of brain parenchyma in vivo. Science 308:1314–1318. https://doi.org/10.1126/science.1110647
Paolicelli RC et al (2011) Synaptic pruning by microglia is necessary for normal brain development. Science 333:1456–1458. https://doi.org/10.1126/science.1202529
Rees J, Abrahams M, Doble A, Cooper A (2015) Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline. BJU Int 116:509–525. https://doi.org/10.1111/bju.13101
Riegel B, Bruenahl CA, Ahyai S, Bingel U, Fisch M, Lowe B (2014) Assessing psychological factors, social aspects and psychiatric co-morbidity associated with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) in men—a systematic review. J Psychosom Res 77:333–350. https://doi.org/10.1016/j.jpsychores.2014.09.012
Rivero VE, Cailleau C, Depiante-Depaoli M, Riera CM, Carnaud C (1998) Non-obese diabetic (NOD) mice are genetically susceptible to experimental autoimmune prostatitis (EAP). J Autoimmun 11:603–610. https://doi.org/10.1006/jaut.1998.0248
Sellgren CM et al (2019) Increased synapse elimination by microglia in schizophrenia patient-derived models of synaptic pruning. Nat Neurosci 22:374–385. https://doi.org/10.1038/s41593-018-0334-7
Shrivastava P, Cabrera MA, Chastain LG, Boyadjieva NI, Jabbar S, Franklin T, Sarkar DK (2017) Mu-opioid receptor and delta-opioid receptor differentially regulate microglial inflammatory response to control proopiomelanocortin neuronal apoptosis in the hypothalamus: effects of neonatal alcohol. J Neuroinflamm 14:83. https://doi.org/10.1186/s12974-017-0844-3
Stence N, Waite M, Dailey ME (2001) Dynamics of microglial activation: a confocal time-lapse analysis in hippocampal slices. Glia 33:256–266. https://doi.org/10.1002/1098-1136(200103)33:3%3c256:aid-glia1024%3e3.0.co;2-j
Wong L, Done JD, Schaeffer AJ, Thumbikat P (2015) Experimental autoimmune prostatitis induces microglial activation in the spinal cord. Prostate 75:50–59. https://doi.org/10.1002/pros.22891
Wu GY, Deisseroth K, Tsien RW (2001) Spaced stimuli stabilize MAPK pathway activation and its effects on dendritic morphology. Nat Neurosci 4:151–158. https://doi.org/10.1038/83976
Xiao Y et al (2014) Role of synaptic structural plasticity in impairments of spatial learning and memory induced by developmental lead exposure in Wistar rats. PLoS ONE 9:e115556. https://doi.org/10.1371/journal.pone.0115556
Acknowledgements
This work was supported by the Key Project of National Natural Science Foundation of China (Grant No. 81630019) and the National Natural Science Fund of China (Grant Nos. 81870519, 81470986). The authors thank the Center for Scientific Research of Anhui Medical University for valuable help in our experiment.
Author information
Authors and Affiliations
Contributions
All authors mentioned in the paper have significantly contributed to the research. CL, XC, and HD conceived and designed the experiments. HD, YL, CZ, JC, HW, and ZY performed the experiment. HD, XC, and LZ wrote and refined the article. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no potential conflicts of interest.
Ethical Approval
All applicable international, national, and/or institutional guidelines for the care and use of animals were followed.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Du, H., Chen, X., Zhang, L. et al. Experimental Autoimmune Prostatitis Induces Learning-Memory Impairment and Structural Neuroplastic Changes in Mice. Cell Mol Neurobiol 40, 99–111 (2020). https://doi.org/10.1007/s10571-019-00723-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10571-019-00723-2