Uroplakin peptide-specific autoimmunity initiates interstitial cystitis/painful bladder syndrome in mice

PLoS One. 2013 Aug 16;8(8):e72067. doi: 10.1371/journal.pone.0072067. eCollection 2013.

Abstract

The pathophysiology of interstitial cystitis/painful bladder syndrome (IC/PBS) is enigmatic. Autoimmunity and impaired urothelium might lead the underlying pathology. A major shortcoming in IC/PBS research has been the lack of an appropriate animal model. In this study, we show that the bladder specific uroplakin 3A-derived immunogenic peptide UPK3A 65-84, which contains the binding motif for IA(d) MHC class II molecules expressed in BALB/c mice, is capable of inducing experimental autoimmune cystitis in female mice of that strain. A highly antigen-specific recall proliferative response of lymph node cells to UPK3A 65-84 was observed, characterized by selectively activated CD4+ T cells with a proinflammatory Th1-like phenotype, including enhanced production of interferon γ and interleukin-2. T cell infiltration of the bladder and bladder-specific increased gene expression of inflammatory cytokines were observed. Either active immunization with UPK3A 65-84 or adoptive transfer of peptide-activated CD4+ T cells induced all of the predominant IC/PBS phenotypic characteristics, including increased micturition frequency, decreased urine output per micturition, and increased pelvic pain responses to stimulation with von Frey filaments. Our study demonstrates the creation of a more specific experimental autoimmune cystitis model that is the first inducible model for IC/PBS that manifests all of the major symptoms of this debilitating condition.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adoptive Transfer
  • Amino Acid Sequence
  • Animals
  • Autoimmunity*
  • Cells, Cultured
  • Cystitis
  • Cystitis, Interstitial / immunology*
  • Disease Models, Animal
  • Female
  • Hyperalgesia / immunology
  • Mice
  • Mice, Inbred BALB C
  • Peptide Fragments / chemistry
  • Peptide Fragments / immunology
  • Th1 Cells / immunology
  • Urinary Bladder / immunology
  • Urinary Bladder / physiopathology
  • Urination
  • Uroplakin III / chemistry
  • Uroplakin III / immunology*

Substances

  • Peptide Fragments
  • Upk3a protein, mouse
  • Uroplakin III