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Mini Review

Inflammatory response to Trichomonas vaginalis in the pathogenesis of prostatitis and benign prostatic hyperplasia
Ik-Hwan Han, Jung-Hyun Kim, Jae-Sook Ryu
Parasites Hosts Dis 2023;61(1):2-14.
Published online February 22, 2023
DOI: https://doi.org/10.3347/PHD.22160
Trichomonas vaginalis is a flagellated protozoan that causes trichomoniasis, a common nonviral sexually transmitted infection. T. vaginalis infection is asymptomatic in most infected men but can lead to chronic infection. The inflammatory response to chronic T. vaginalis infection may contribute to prostatic diseases, such as prostatitis and benign prostatic hyperplasia (BPH); however, studies on the relationship between T. vaginalis infection and prostate diseases are scarce. In this review, we discuss evidence from our studies on the involvement of T. vaginalis in the pathogenesis of prostate diseases, such as prostatitis and BPH. Studies of prostatitis have demonstrated that the attachment of T. vaginalis trophozoite to prostate epithelial cells (PECs) induces inflammatory cytokine production and inflammatory cell migration, leading to prostatitis. T. vaginalis also causes pathological changes, such as inflammatory cell infiltration, acinar changes, interstitial fibrosis, and mast cell infiltration, in prostate tissues of infected rats. Thus, T. vaginalis is considered an infectious agent that triggers prostatitis. Meanwhile, studies of prostatic hyperplasia revealed that mast cells activated by T. vaginalis-infected prostate cells secreted inflammatory mediators, such as β-hexosaminidase and tryptase, which promoted proliferation of prostate stromal cell (PSC). Moreover, interleukin-6 produced by proliferating PSCs induced the multiplication of BPH-1 epithelial cells as a result of stromal–epithelial interaction, suggesting that the proliferation of T. vaginalis-infected prostate cells can be induced through crosstalk with mast cells. These collective findings suggest that T. vaginalis contributes to the progression of prostatitis and prostatic hyperplasia by creating an inflammatory microenvironment involving PECs and PSCs.

Citations

Citations to this article as recorded by  Crossref logo
  • Immunomodulatory roles of autophagic flux and IFIT in human ectocervical cells upon Trichomonas vaginalis infection
    Ching-Chun Liu, Lichieh Julie Chu, Yuan-Ming Yeh, Hsin-Chung Lin, Lih-Chyang Chen, Ching-Yun Huang, Shu-Fang Chiu, Fang-Wen Cheng, Wei-Ning Lin, Kuo-Yang Huang
    International Immunopharmacology.2025; 155: 114643.     CrossRef
  • Detection of trichomonads in induced sputum from asthma patients in Korea
    Myung-hee Yi, Myungjun Kim, Jun Ho Choi, Yoon Hee Cho, Hyun Kyung Oh, Jung-Won Park, Ju Yeong Kim
    Parasites, Hosts and Diseases.2025; 63(3): 254.     CrossRef
  • Interplay of obesity and parasitic infection: current evidence of immunogenesis, tumorigenesis and leptin receptor involvement
    Enas El Saftawy, Mansour Alghamdi, Basma Emad Aboulhoda
    Nutrition & Metabolism.2025;[Epub]     CrossRef
  • The Past, Present, and Future in the Diagnosis of a Neglected Sexually Transmitted Infection: Trichomoniasis
    Alexandra Ibáñez-Escribano, Juan José Nogal-Ruiz
    Pathogens.2024; 13(2): 126.     CrossRef
  • Evaluation of the clinical application value of cytokine expression profiles in the differential diagnosis of prostate cancer
    Rongfa Chen, Linna Liu, Hui Chen, Chao Xing, Tingting Zhang, Yilin Pang, Xunjun Yang
    Cancer Immunology, Immunotherapy.2024;[Epub]     CrossRef
  • CysLT receptor-mediated NOX2 activation is required for IL-8 production in HMC-1 cells induced by Trichomonas vaginalis-derived secretory products
    Young Ah Lee, Myeong Heon Shin
    Parasites, Hosts and Diseases.2024; 62(3): 270.     CrossRef
  • Dynamin 2-mediated endocytosis of BLT1 is required for IL-8 production in HMC-1 cells induced by Trichomonas vaginalis-derived secretory products
    Young Ah Lee, Myeong Heon Shin
    Parasites, Hosts and Diseases.2024; 62(3): 281.     CrossRef
  • 8,325 View
  • 283 Download
  • 8 Web of Science
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Original Articles

Proliferation of Mouse Prostate Cancer Cells Inflamed by Trichomonas vaginalis
Sang-Su Kim, Kyu-Shik Kim, Ik-Hwan Han, Yeseul Kim, Seong Sik Bang, Jung-Hyun Kim, Yong-Suk Kim, Soo-Yeon Choi, Jae-Sook Ryu
Korean J Parasitol 2021;59(6):547-556.
Published online December 22, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.6.547
Our
objective
was to investigate whether inflammatory microenvironment induced by Trichomonas vaginalis infection can stimulate proliferation of prostate cancer (PCa) cells in vitro and in vivo mouse experiments. The production of CXCL1 and CCL2 increased when cells of the mouse PCa cells (TRAMP-C2 cell line) were infected with live T. vaginalis. T. vaginalis-conditioned medium (TCM) prepared from co-culture of PCa cells and T. vaginalis increased PCa cells migration, proliferation and invasion. The cytokine receptors (CXCR2, CCR2, gp130) were expressed higher on the PCa cells treated with TCM. Pretreatment of PCa cells with antibodies to these cytokine receptors significantly reduced the proliferation, mobility and invasiveness of PCa cells, indicating that TCM has its effect through cytokine-cytokine receptor signaling. In C57BL/6 mice, the prostates injected with T. vaginalis mixed PCa cells were larger than those injected with PCa cells alone after 4 weeks. Expression of epithelial-mesenchymal transition markers and cyclin D1 in the prostate tissue injected with T. vaginalis mixed PCa cells increased than those of PCa cells alone. Collectively, it was suggested that inflammatory reactions by T. vaginalis-stimulated PCa cells increase the proliferation and invasion of PCa cells through cytokine-cytokine receptor signaling pathways.

Citations

Citations to this article as recorded by  Crossref logo
  • The role of proinflammatory cytokines and CXC chemokines (CXCL1–CXCL16) in the progression of prostate cancer: insights on their therapeutic management
    Amin Ullah, Wang Jiao, Bairong Shen
    Cellular & Molecular Biology Letters.2024;[Epub]     CrossRef
  • Trichomonas vaginalis excretory secretory proteins reduce semen quality and male fertility
    Zhenchao Zhang, Fakun Li, Yangyang Deng, Yuhua Li, Wanxin Sheng, Xiaowei Tian, Zhenke Yang, Shuai Wang, Lihua Guo, Lixia Hao, Xuefang Mei
    Acta Tropica.2023; 238: 106794.     CrossRef
  • Point-of-Care Diagnostic for Trichomonas vaginalis, the Most Prevalent, Non-Viral Sexually Transmitted Infection
    John F. Alderete, Hermes Chan
    Pathogens.2023; 12(1): 77.     CrossRef
  • Involvement of Macrophages in Proliferation of Prostate Cancer Cells Infected with Trichomonas vaginalis
    Kyu-Shik Kim, Hong-Sang Moon, Sang-Su Kim, Jae-Sook Ryu
    The Korean Journal of Parasitology.2021; 59(6): 557.     CrossRef
  • 5,116 View
  • 143 Download
  • 6 Web of Science
  • Crossref
Signaling Role of Adipocyte Leptin in Prostate Cell Proliferation Induced by Trichomonas vaginalis
Jung-Hyun Kim, Ik-Hwan Han, Su-Jin Shin, Sung-Yul Park, Hyo-Yeoung Chung, Jae-Sook Ryu
Korean J Parasitol 2021;59(3):235-249.
Published online June 21, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.3.235
Leptin is a type of adipokine mainly produced by adipocytes and reported to be overproduced in prostate cancer. However, it is not known whether it stimulates the proliferation of prostate cells. In this study, we investigated whether benign prostatic hyperplasia epithelial cells (BPH-1 cells) infected with Trichomonas vaginalis induced the proliferation of prostate cells via a leptin signaling pathway. To investigate the effect of crosstalk between adipocyte leptin and inflamed epithelial cell in proliferation of prostate cells, adipocytes 3T3-L1 cells were incubated in conditioned medium of BPH-1 cells infected with T. vaginalis (T. vaginalis-conditioned medium, TCM), and then the adipocyte-conditioned medium (ATCM) was identified to cause proliferation of prostate cells. BPH-1 cells incubated with live T. vaginalis released pro-inflammatory cytokines, and conditioned medium of these cells caused migration of adipocytes. When prostate stromal cells and BPH-1 cells were incubated with adipocyte conditioned medium containing leptin, their growth rates increased as did expression of the leptin receptor (known as OBR) and signaling molecules such as JAK2/STAT3, Notch and survivin. Moreover, blocking the OBR reduced this proliferation and the expression of leptin signaling molecules in response to ATCM. In conclusion, our findings show that inflamed BPH-1 cells infected with T. vaginalis induce the proliferation of prostate cells through leptin-OBR signaling. Therefore, it is likely that T. vaginalis contributes to prostate enlargement in BPH via adipocyte leptin released as a result of inflammation of the prostate.

Citations

Citations to this article as recorded by  Crossref logo
  • Interplay of obesity and parasitic infection: current evidence of immunogenesis, tumorigenesis and leptin receptor involvement
    Enas El Saftawy, Mansour Alghamdi, Basma Emad Aboulhoda
    Nutrition & Metabolism.2025;[Epub]     CrossRef
  • Intrinsic and extrinsic factors causing hyperplasia of the prostate
    Yuki Kyoda, Kosuke Shibamori, Tetsuya Shindo, Takeshi Maehana, Kohei Hashimoto, Ko Kobayashi, Toshiaki Tanaka, Fumimasa Fukuta, Naoya Masumori
    International Journal of Urology.2024; 31(7): 705.     CrossRef
  • Association between metabolic syndrome and benign prostatic hyperplasia: The underlying molecular connection
    Xun Fu, Yutao Wang, Yi Lu, Jiang Liu, Hongjun Li
    Life Sciences.2024; 358: 123192.     CrossRef
  • Point-of-Care Diagnostic for Trichomonas vaginalis, the Most Prevalent, Non-Viral Sexually Transmitted Infection
    John F. Alderete, Hermes Chan
    Pathogens.2023; 12(1): 77.     CrossRef
  • Trichomonas vaginalis excretory secretory proteins reduce semen quality and male fertility
    Zhenchao Zhang, Fakun Li, Yangyang Deng, Yuhua Li, Wanxin Sheng, Xiaowei Tian, Zhenke Yang, Shuai Wang, Lihua Guo, Lixia Hao, Xuefang Mei
    Acta Tropica.2023; 238: 106794.     CrossRef
  • The correlation between Trichomonas vaginalis infection and reproductive system cancer: a systematic review and meta-analysis
    Zhenchao Zhang, Dongxian Li, Yuhua Li, Rui Zhang, Xianghuan Xie, Yi Yao, Linfei Zhao, Xiaowei Tian, Zhenke Yang, Shuai Wang, Xuejing Yue, Xuefang Mei
    Infectious Agents and Cancer.2023;[Epub]     CrossRef
  • Inflammatory response to Trichomonas vaginalis in the pathogenesis of prostatitis and benign prostatic hyperplasia
    Ik-Hwan Han, Jung-Hyun Kim, Jae-Sook Ryu
    Parasites, Hosts and Diseases.2023; 61(1): 2.     CrossRef
  • Proliferation of Mouse Prostate Cancer Cells Inflamed by Trichomonas vaginalis
    Sang-Su Kim, Kyu-Shik Kim, Ik-Hwan Han, Yeseul Kim, Seong Sik Bang, Jung-Hyun Kim, Yong-Suk Kim, Soo-Yeon Choi, Jae-Sook Ryu
    The Korean Journal of Parasitology.2021; 59(6): 547.     CrossRef
  • Involvement of Macrophages in Proliferation of Prostate Cancer Cells Infected with Trichomonas vaginalis
    Kyu-Shik Kim, Hong-Sang Moon, Sang-Su Kim, Jae-Sook Ryu
    The Korean Journal of Parasitology.2021; 59(6): 557.     CrossRef
  • 5,862 View
  • 93 Download
  • 9 Web of Science
  • Crossref
Polarization of M2 Macrophages by Interaction between Prostate Cancer Cells Treated with Trichomonas vaginalis and Adipocytes
Hyo-Yeoung Chung, Jung-Hyun Kim, Ik-Hwan Han, Jae-Sook Ryu
Korean J Parasitol 2020;58(3):217-227.
Published online June 26, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.3.217
Trichomonas vaginalis causes inflammation of the prostate and has been detected in tissues of prostate cancers (PCa), prostatitis and benign prostatic hyperplasia. Obesity is a risk factor for PCa and causes a chronic subclinical inflammation. This chronic inflammation further exacerbates adipose tissue inflammation as results of migration and activation of macrophages. Macrophages are the most abundant immune cells in the PCa microenvironment. M2 macrophages, known as Tumor-Associated Macrophages, are involved in increasing cancer malignancy. In this study, conditioned medium (TCM) of PCa cells infected with live trichomonads contained chemokines that stimulated migration of the mouse preadipocytes (3T3-L1 cells). Conditioned medium of adipocytes incubated with TCM (ATCM) contained Th2 cytokines (IL-4, IL-13). Macrophage migration was stimulated by ATCM. In macrophages treated with ATCM, expression of M2 markers increased, while M1 markers decreased. Therefore, it is suggested that ATCM induces polarization of M0 to M2 macrophages. In addition, conditioned medium from the macrophages incubated with ATCM stimulates the proliferation and invasiveness of PCa. Our findings suggest that interaction between inflamed PCa treated with T. vaginalis and adipocytes causes M2 macrophage polarization, so contributing to the progression of PCa.

Citations

Citations to this article as recorded by  Crossref logo
  • Interplay of obesity and parasitic infection: current evidence of immunogenesis, tumorigenesis and leptin receptor involvement
    Enas El Saftawy, Mansour Alghamdi, Basma Emad Aboulhoda
    Nutrition & Metabolism.2025;[Epub]     CrossRef
  • Adipocyte–Tumor Interactions in the Bone Marrow Niche: Implications for Metastasis and Therapy
    Alhomam Dabaliz, Mohammad Nawar Al Hakawati, Najmuddeen Alrashdan, Sarah Alrashdan, Mohamad Bakir, Khalid S. Mohammad
    International Journal of Molecular Sciences.2025; 26(19): 9781.     CrossRef
  • Extracellular Vesicles Derived from Three-Dimensional-Cultured Human Umbilical Cord Blood Mesenchymal Stem Cells Prevent Inflammation and Dedifferentiation in Pancreatic Islets
    Eunwon Lee, Seungyeon Ha, Gyuri Kim, Jae Hyeon Kim, Sang-Man Jin, Patricia Murray
    Stem Cells International.2023; 2023: 1.     CrossRef
  • The correlation between Trichomonas vaginalis infection and reproductive system cancer: a systematic review and meta-analysis
    Zhenchao Zhang, Dongxian Li, Yuhua Li, Rui Zhang, Xianghuan Xie, Yi Yao, Linfei Zhao, Xiaowei Tian, Zhenke Yang, Shuai Wang, Xuejing Yue, Xuefang Mei
    Infectious Agents and Cancer.2023;[Epub]     CrossRef
  • The Roles of Tumor-Associated Macrophages in Prostate Cancer
    Chenglin Han, Yuxuan Deng, Wenchao Xu, Zhuo Liu, Tao Wang, Shaogang Wang, Jihong Liu, Xiaming Liu, Eshan Khan
    Journal of Oncology.2022; 2022: 1.     CrossRef
  • Sevoflurane activates the IL-6/HO-1 pathway to promote macrophage M2 polarization and prostate cancer lung metastasis
    Fang Yu, Tao Bai
    International Immunopharmacology.2022; 113: 109380.     CrossRef
  • Signaling Role of Adipocyte Leptin in Prostate Cell Proliferation Induced by Trichomonas vaginalis
    Jung-Hyun Kim, Ik-Hwan Han, Su-Jin Shin, Sung-Yul Park, Hyo-Yeoung Chung, Jae-Sook Ryu
    The Korean Journal of Parasitology.2021; 59(3): 235.     CrossRef
  • Proliferation of Mouse Prostate Cancer Cells Inflamed by Trichomonas vaginalis
    Sang-Su Kim, Kyu-Shik Kim, Ik-Hwan Han, Yeseul Kim, Seong Sik Bang, Jung-Hyun Kim, Yong-Suk Kim, Soo-Yeon Choi, Jae-Sook Ryu
    The Korean Journal of Parasitology.2021; 59(6): 547.     CrossRef
  • Involvement of Macrophages in Proliferation of Prostate Cancer Cells Infected with Trichomonas vaginalis
    Kyu-Shik Kim, Hong-Sang Moon, Sang-Su Kim, Jae-Sook Ryu
    The Korean Journal of Parasitology.2021; 59(6): 557.     CrossRef
  • Is Trichomonas vaginalis a Risk Factor for Prostate Cancer? A Systematic Review and Meta-analysis
    Gianpaolo Perletti, Vittorio Magri, Louise Beckers-Perletti, Alberto Trinchieri, Konstantinos Stamatiou
    Hellenic Urology.2021; 33(1): 12.     CrossRef
  • 8,861 View
  • 192 Download
  • 10 Web of Science
  • Crossref

Brief Communications

Production of Inflammatory Cytokines and Nitric Oxide by Human Mast Cells Incubated with Toxoplasma gondii Lysate
Eun-Ah Park, Ik-Hwan Han, Jung-Hyun Kim, Soon-Jung Park, Jae-Sook Ryu, Myoung-Hee Ahn
Korean J Parasitol 2019;57(2):201-206.
Published online April 30, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.2.201
The roles of mast cells in allergic diseases and helminth infections are well known. However, the roles of mast cells in T. gondii infection is poorly understood. This study was focused on the production of pro-inflammatory cytokines (TNF-α, IL-4), chemokines (CXCL8, MCP-1) and nitric oxide (NO) by mast cells in response to soluble lysate of T. gondii tachyzoites. Production of CXCL8 (IL-8), MCP-1, TNF-α and IL-4 were measured by RT-PCR and ELISA. Western blot were used for detection of CXCR-1 and CXCR2. Our results showed that T. gondii lysates triggered mast cells to release CXCL8, MCP-1, TNF-α, IL-4 and to produce NO. This suggests that mast cells play an important role in inflammatory responses to T. gondii.

Citations

Citations to this article as recorded by  Crossref logo
  • Pregnant Women Chronically Infected by Toxoplasma gondii with Depressive Disorder: Differential Modulation of Pro-Inflammatory and Anti-Inflammatory Cytokines
    Carolina Salomão Lopes, Ricardo José Victal Carvalho, Tamires Lopes da Silva, Heber Leão Silva Barros, Lucas Vasconcelos Soares Costa, Danielly Christine Adriani Maia Mota, Bellisa Freitas Barbosa, Luan Souza Vieira, Talyene Marques de Araújo, Alírio Rese
    Pathogens.2025; 14(4): 330.     CrossRef
  • Special Issue: Association between type-2 diabetes and Toxoplasma gondii seropositivity: a systematic review and meta-analysis
    Ashley Catchpole, Brinley N. Zabriskie, Bradley Embley, Hannah Kharazi, Rachelle Clarke, Grace Templeton, Christopher Hunt, Shawn D. Gale, Dawson W. Hedges
    Folia Parasitologica.2025;[Epub]     CrossRef
  • Whole-transcriptome analysis reveals virulence-specific pathogen−host interactions at the placenta in bovine neosporosis
    Pilar Horcajo, Montserrat Coronado, Iván Pastor-Fernández, Esther Collantes-Fernández, Laura Rico-San Román, Armando Reyes-Palomares, Luis-Miguel Ortega-Mora
    Frontiers in Immunology.2023;[Epub]     CrossRef
  • Rosuvastatin enhances alterations caused by Toxoplasma gondii in the duodenum of mice
    Nelson Raimundo de Miranda Júnior, Amanda Gubert Alves dos Santos, Andréia Vieira Pereira, Isabela Alessandra Mariano, Ana Lucia Falavigna Guilherme, Priscilla de Laet Santana, Lucimara de Fátima Beletini, Fernanda Ferreira Evangelista, Gessilda de Alcant
    Tissue and Cell.2023; 84: 102194.     CrossRef
  • TNF-α Triggers RIP1/FADD/Caspase-8-Mediated Apoptosis of Astrocytes and RIP3/MLKL-Mediated Necroptosis of Neurons Induced by Angiostrongylus cantonensis Infection
    Hongli Zhou, Minyu Zhou, Yue Hu, Yanin Limpanon, Yubin Ma, Ping Huang, Paron Dekumyoy, Wanchai Maleewong, Zhiyue Lv
    Cellular and Molecular Neurobiology.2022; 42(6): 1841.     CrossRef
  • Exhaled Nitric Oxide Level in Pharynx Angioedema
    Łukasz Moos, Magdalena Zajac, Zenon Brzoza
    Journal of Clinical Medicine.2022; 11(3): 637.     CrossRef
  • Nitric oxide in parasitic infections: a friend or foe?
    Marwa Omar, Heba O. Abdelal
    Journal of Parasitic Diseases.2022; 46(4): 1147.     CrossRef
  • 7,237 View
  • 146 Download
  • 7 Web of Science
  • Crossref
Interaction between Trichomonas vaginalis and the Prostate Epithelium
Jung-Hyun Kim, Ik-Hwan Han, Sang-Su Kim, Soon-Jung Park, Duk-Young Min, Myoung-Hee Ahn, Jae-Sook Ryu
Korean J Parasitol 2017;55(2):213-218.
Published online April 30, 2017
DOI: https://doi.org/10.3347/kjp.2017.55.2.213
Most men infected with Trichomonas vaginalis are asymptomatic and can remain undiagnosed and untreated. This has been hypothesized to result in chronic persistent prostatic infection. Adhesion of the protozoan organisms to mucosal cells is considered a first and prerequisite step for T. vaginalis infection. Adhesion of T. vaginalis to prostate epithelial cells has not yet been observed; however, there are several reports about inflammation of prostate epithelial cells induced by T. vaginalis. The aim of this study was to investigate whether adhesion and cytotoxicity of T. vaginalis are involved in inflammation of prostate epithelial cells. When RWPE-1 cells were infected with T. vaginalis (1:0.4 or 1:4), adhesion of T. vaginalis continuously increased for 24 hr or 3 hr, respectively. The cytotoxicity of prostate epithelial cells infected with T. vaginalis (RWPE-1: T. vaginalis=1:0.4) increased at 9 hr; at an infection ratio of 1:4, cytotoxicity increased after 3 hr. When the RWPE-1 to T. vaginalis ratio was 1:0.4 or 1:4, production of IL-1β, IL-6, CCL2, and CXCL8 also increased. Epithelial-mesenchymal transition (EMT) was verified by measuring decreased E-cadherin and increased vimentin expression at 24 hr and 48 hr. Taken together, the results indicate that T. vaginalis adhered to prostate epithelial cells, causing cytotoxicity, pro-inflammatory cytokine production, and EMT. Our findings suggest for the first time that T. vaginalis may induce inflammation via adhesion to normal prostate epithelial cells.

Citations

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  • The Role of Colposcopy in Women with Normal Cytology and High-risk Human Papilloma Virus Positivity, Except for Types 16 and 18
    Necim Yalçın, Aysun Alcı, Mustafa Gökkaya, Mehmet Göksu, Tayfun Toptaş, Işın Üreyen
    Bagcilar Medical Bulletin.2025;[Epub]     CrossRef
  • Point-of-Care Diagnostic for Trichomonas vaginalis, the Most Prevalent, Non-Viral Sexually Transmitted Infection
    John F. Alderete, Hermes Chan
    Pathogens.2023; 12(1): 77.     CrossRef
  • Inflammatory response to Trichomonas vaginalis in the pathogenesis of prostatitis and benign prostatic hyperplasia
    Ik-Hwan Han, Jung-Hyun Kim, Jae-Sook Ryu
    Parasites, Hosts and Diseases.2023; 61(1): 2.     CrossRef
  • Inflammatory responses during trichomoniasis: The role of Toll‐like receptors and inflammasomes
    Abdollah Jafarzadeh, Maryam Nemati, Ehsan Salarkia, Sonal Yadav, Najmeh Aminizadeh, Sara Jafarzadeh, Manisha Yadav
    Parasite Immunology.2023;[Epub]     CrossRef
  • Epidemiology, Natural History, Diagnosis, and Treatment of Trichomonas vaginalis in Men
    Olivia T Van Gerwen, Andres F Camino, Jyoti Sharma, Patricia J Kissinger, Christina A Muzny
    Clinical Infectious Diseases.2021; 73(6): 1119.     CrossRef
  • Extracorporeal Shockwave Therapy (ESWT) Alleviates Pain, Enhances Erectile Function and Improves Quality of Life in Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome
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    PLOS ONE.2020; 15(6): e0234704.     CrossRef
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    Björn L.D.M. Brücher, Ijaz S. Jamall, Obul R. Bandapalli
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  • Proliferation of prostate epithelia induced by IL‐6 from stroma reacted with Trichomonas vaginalis
    J.‐H. Kim, I.‐H. Han, Y.‐S. Kim, C.‐S. Noh, J.‐S. Ryu
    Parasite Immunology.2018;[Epub]     CrossRef
  • 12,885 View
  • 222 Download
  • 13 Web of Science
  • Crossref
Original Articles
Inflammatory Responses in a Benign Prostatic Hyperplasia Epithelial Cell Line (BPH-1) Infected with Trichomonas vaginalis
Sang-Su Kim, Jung-Hyun Kim, Ik-Hwan Han, Myoung-Hee Ahn, Jae-Sook Ryu
Korean J Parasitol 2016;54(2):123-132.
Published online April 30, 2016
DOI: https://doi.org/10.3347/kjp.2016.54.2.123
Trichomonas vaginalis causes the most prevalent sexually transmitted infection worldwide. Trichomonads have been detected in prostatic tissues from prostatitis, benign prostatic hyperplasia (BPH), and prostate cancer. Chronic prostatic inflammation is known as a risk factor for prostate enlargement, benign prostatic hyperplasia symptoms, and acute urinary retention. Our aim was to investigate whether T. vaginalis could induce inflammatory responses in cells of a benign prostatic hyperplasia epithelial cell line (BPH-1). When BPH-1 cells were infected with T. vaginalis, the protein and mRNA of inflammatory cytokines, such as CXCL8, CCL2, IL-1β, and IL-6, were increased. The activities of TLR4, ROS, MAPK, JAK2/STAT3, and NF-κB were also increased, whereas inhibitors of ROS, MAPK, PI3K, NF-κB, and anti-TLR4 antibody decreased the production of the 4 cytokines although the extent of inhibition differed. However, a JAK2 inhibitor inhibited only IL-6 production. Culture supernatants of the BPH-1 cells that had been incubated with live T. vaginalis (trichomonad-conditioned medium, TCM) contained the 4 cytokines and induced the migration of human monocytes (THP-1 cells) and mast cells (HMC-1 cells). TCM conditioned by BPH-1 cells pretreated with NF-κB inhibitor showed decreased levels of cytokines and induced less migration. Therefore, it is suggested that these cytokines are involved in migration of inflammatory cells. These results suggest that T. vaginalis infection of BPH patients may cause inflammation, which may induce lower urinary tract symptoms (LUTS).

Citations

Citations to this article as recorded by  Crossref logo
  • Immunomodulatory roles of autophagic flux and IFIT in human ectocervical cells upon Trichomonas vaginalis infection
    Ching-Chun Liu, Lichieh Julie Chu, Yuan-Ming Yeh, Hsin-Chung Lin, Lih-Chyang Chen, Ching-Yun Huang, Shu-Fang Chiu, Fang-Wen Cheng, Wei-Ning Lin, Kuo-Yang Huang
    International Immunopharmacology.2025; 155: 114643.     CrossRef
  • Intrinsic and extrinsic factors causing hyperplasia of the prostate
    Yuki Kyoda, Kosuke Shibamori, Tetsuya Shindo, Takeshi Maehana, Kohei Hashimoto, Ko Kobayashi, Toshiaki Tanaka, Fumimasa Fukuta, Naoya Masumori
    International Journal of Urology.2024; 31(7): 705.     CrossRef
  • P. gingivalis in oral-prostate axis exacerbates benign prostatic hyperplasia via IL-6/IL-6R pathway
    Shuang-Ying Wang, Yi Cai, Xiao Hu, Fei Li, Xin-Hang Qian, Ling-Yun Xia, Bo Gao, Lan Wu, Wen-Zhong Xie, Jia-Min Gu, Tong Deng, Cong Zhu, Hai-Chang Jia, Wan-Qi Peng, Jiao Huang, Cheng Fang, Xian-Tao Zeng
    Military Medical Research.2024;[Epub]     CrossRef
  • The correlation between Trichomonas vaginalis infection and reproductive system cancer: a systematic review and meta-analysis
    Zhenchao Zhang, Dongxian Li, Yuhua Li, Rui Zhang, Xianghuan Xie, Yi Yao, Linfei Zhao, Xiaowei Tian, Zhenke Yang, Shuai Wang, Xuejing Yue, Xuefang Mei
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Proinflammatory Cytokine and Nitric Oxide Production by Human Macrophages Stimulated with Trichomonas vaginalis
Ik-Hwan Han, Sung Young Goo, Soon-Jung Park, Se-Jin Hwang, Yong-Seok Kim, Michael Sungwoo Yang, Myoung-Hee Ahn, Jae-Sook Ryu
Korean J Parasitol 2009;47(3):205-212.
Published online August 28, 2009
DOI: https://doi.org/10.3347/kjp.2009.47.3.205

Trichomonas vaginalis commonly causes vaginitis and perhaps cervicitis in women and urethritis in men and women. Macrophages are important immune cells in response to T. vaginalis infection. In this study, we investigated whether human macrophages could be involved in inflammation induced by T. vaginalis. Human monocyte-derived macrophages (HMDM) were co-cultured with T. vaginalis. Live, opsonized-live trichomonads, and T. vaginalis lysates increased proinflammatory cytokines, such as TNF-α, IL-1β, and IL-6 by HMDM. The involvement of nuclear factor (NF)-κB signaling pathway in cytokine production induced by T. vaginalis was confirmed by phosphorylation and nuclear translocation of p65 NF-κB. In addition, stimulation with live T. vaginalis induced marked augmentation of nitric oxide (NO) production and expression of inducible NO synthase (iNOS) levels in HMDM. However, trichomonad-induced NF-κB activation and TNF-α production in macrophages were significantly inhibited by inhibition of iNOS levels with L-NMMA (NO synthase inhibitor). Moreover, pretreatment with NF-κB inhibitors (PDTC or Bay11-7082) caused human macrophages to produce less TNF-α. These results suggest that T. vaginalis stimulates human macrophages to produce proinflammatory cytokines, such as IL-1, IL-6, and TNF-α, and NO. In particular, we showed that T. vaginalis induced TNF-α production in macrophages through NO-dependent activation of NF-κB, which might be closely involved in inflammation caused by T. vaginalis.

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