Discriminators of mouse bladder response to intravesical Bacillus Calmette-Guerin (BCG)

<p>Abstract</p> <p>Background</p> <p>Intravesical Bacillus Calmette-Guerin (BCG) is an effective treatment for bladder superficial carcinoma and it is being tested in interstitial cystitis patients, but its precise mechanism of action remains poorly understood. It is no...

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Main Authors: Centola Michael, Frank Mark, Knowlton Nicholas, Wallis Gemma, Davis Carole, Simpson Cindy, Saban Marcia R, Gallucci Randle M, Saban Ricardo
Format: Article
Language:English
Published: BMC 2007-05-01
Series:BMC Immunology
Online Access:http://www.biomedcentral.com/1471-2172/8/6
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author Centola Michael
Frank Mark
Knowlton Nicholas
Wallis Gemma
Davis Carole
Simpson Cindy
Saban Marcia R
Gallucci Randle M
Saban Ricardo
author_facet Centola Michael
Frank Mark
Knowlton Nicholas
Wallis Gemma
Davis Carole
Simpson Cindy
Saban Marcia R
Gallucci Randle M
Saban Ricardo
author_sort Centola Michael
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Intravesical Bacillus Calmette-Guerin (BCG) is an effective treatment for bladder superficial carcinoma and it is being tested in interstitial cystitis patients, but its precise mechanism of action remains poorly understood. It is not clear whether BCG induces the release of a unique set of cytokines apart from its pro-inflammatory effects. Therefore, we quantified bladder inflammatory responses and alterations in urinary cytokine protein induced by intravesical BCG and compared the results to non-specific pro-inflammatory stimuli (LPS and TNF-α). We went further to determine whether BCG treatment alters cytokine gene expression in the urinary bladder.</p> <p>Methods</p> <p>C57BL/6 female mice received four weekly instillations of BCG, LPS, or TNF-α. Morphometric analyses were conducted in bladders isolated from all groups and urine was collected for multiplex analysis of 18 cytokines. In addition, chromatin immune precipitation combined with real-time polymerase chain reaction assay (CHIP/Q-PCR) was used to test whether intravesical BCG would alter bladder cytokine gene expression.</p> <p>Results</p> <p>Acute BCG instillation induced edema which was progressively replaced by an inflammatory infiltrate, composed primarily of neutrophils, in response to weekly administrations. Our morphological analysis suggests that these polymorphonuclear neutrophils are of prime importance for the bladder responses to BCG. Overall, the inflammation induced by BCG was higher than LPS or TNF-α treatment but the major difference observed was the unique granuloma formation in response to BCG. Among the cytokines measured, this study highlighted the importance of IL-1β, IL-2, IL-3, IL-4, IL-6, IL-10, IL-17, GM-CSF, KC, and Rantes as discriminators between generalized inflammation and BCG-specific inflammatory responses. CHIP/Q-PCR indicates that acute BCG instillation induced an up-regulation of IL-17A, IL-17B, and IL-17RA, whereas chronic BCG induced IL-17B, IL-17RA, and IL-17RB.</p> <p>Conclusion</p> <p>To the best of our knowledge, the present work is the first to report that BCG induces an increase in the IL-17 family genes. In addition, BCG induces a unique type of persisting bladder inflammation different from TNF-α, LPS, and, most likely, other classical pro-inflammatory <it>stimuli</it>.</p>
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spelling doaj.art-3722e1cdf3334014bedd48acfe477e432022-12-22T01:01:27ZengBMCBMC Immunology1471-21722007-05-0181610.1186/1471-2172-8-6Discriminators of mouse bladder response to intravesical Bacillus Calmette-Guerin (BCG)Centola MichaelFrank MarkKnowlton NicholasWallis GemmaDavis CaroleSimpson CindySaban Marcia RGallucci Randle MSaban Ricardo<p>Abstract</p> <p>Background</p> <p>Intravesical Bacillus Calmette-Guerin (BCG) is an effective treatment for bladder superficial carcinoma and it is being tested in interstitial cystitis patients, but its precise mechanism of action remains poorly understood. It is not clear whether BCG induces the release of a unique set of cytokines apart from its pro-inflammatory effects. Therefore, we quantified bladder inflammatory responses and alterations in urinary cytokine protein induced by intravesical BCG and compared the results to non-specific pro-inflammatory stimuli (LPS and TNF-α). We went further to determine whether BCG treatment alters cytokine gene expression in the urinary bladder.</p> <p>Methods</p> <p>C57BL/6 female mice received four weekly instillations of BCG, LPS, or TNF-α. Morphometric analyses were conducted in bladders isolated from all groups and urine was collected for multiplex analysis of 18 cytokines. In addition, chromatin immune precipitation combined with real-time polymerase chain reaction assay (CHIP/Q-PCR) was used to test whether intravesical BCG would alter bladder cytokine gene expression.</p> <p>Results</p> <p>Acute BCG instillation induced edema which was progressively replaced by an inflammatory infiltrate, composed primarily of neutrophils, in response to weekly administrations. Our morphological analysis suggests that these polymorphonuclear neutrophils are of prime importance for the bladder responses to BCG. Overall, the inflammation induced by BCG was higher than LPS or TNF-α treatment but the major difference observed was the unique granuloma formation in response to BCG. Among the cytokines measured, this study highlighted the importance of IL-1β, IL-2, IL-3, IL-4, IL-6, IL-10, IL-17, GM-CSF, KC, and Rantes as discriminators between generalized inflammation and BCG-specific inflammatory responses. CHIP/Q-PCR indicates that acute BCG instillation induced an up-regulation of IL-17A, IL-17B, and IL-17RA, whereas chronic BCG induced IL-17B, IL-17RA, and IL-17RB.</p> <p>Conclusion</p> <p>To the best of our knowledge, the present work is the first to report that BCG induces an increase in the IL-17 family genes. In addition, BCG induces a unique type of persisting bladder inflammation different from TNF-α, LPS, and, most likely, other classical pro-inflammatory <it>stimuli</it>.</p>http://www.biomedcentral.com/1471-2172/8/6
spellingShingle Centola Michael
Frank Mark
Knowlton Nicholas
Wallis Gemma
Davis Carole
Simpson Cindy
Saban Marcia R
Gallucci Randle M
Saban Ricardo
Discriminators of mouse bladder response to intravesical Bacillus Calmette-Guerin (BCG)
BMC Immunology
title Discriminators of mouse bladder response to intravesical Bacillus Calmette-Guerin (BCG)
title_full Discriminators of mouse bladder response to intravesical Bacillus Calmette-Guerin (BCG)
title_fullStr Discriminators of mouse bladder response to intravesical Bacillus Calmette-Guerin (BCG)
title_full_unstemmed Discriminators of mouse bladder response to intravesical Bacillus Calmette-Guerin (BCG)
title_short Discriminators of mouse bladder response to intravesical Bacillus Calmette-Guerin (BCG)
title_sort discriminators of mouse bladder response to intravesical bacillus calmette guerin bcg
url http://www.biomedcentral.com/1471-2172/8/6
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