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Experimental in vivo model to evaluate the impact of Cernitin™ on pain response on induced chronic bladder inflammation

Augé, Céline ; Dizeyi, Nishtman ; Ramnemark, Lena ; Lluel, Philippe and Grabe, Magnus LU (2022) In Scandinavian Journal of Urology 56(4). p.320-328
Abstract

Objective: Inflammation of the urinary bladder may cause burdensome pain also called bladder pain syndrome (BPS). A limitation in understanding BPS pathophysiology is the lack of appropriate preclinical model. Previously published clinical and preclinical studies revealed positive impact of Cernitin™ on pain relief in chronic prostatitis. The objective of this study was to evaluate the effects of Cernitin™ on induced inflammation of the urinary bladder in rats. We also sought to identify biomarkers which might play a role in the management of BPS. Materials and methods: Cystitis was induced by injection of cyclophosphamide (CYP) in female rats. Thereafter, animals were randomly divided into four treatment groups and two control groups.... (More)

Objective: Inflammation of the urinary bladder may cause burdensome pain also called bladder pain syndrome (BPS). A limitation in understanding BPS pathophysiology is the lack of appropriate preclinical model. Previously published clinical and preclinical studies revealed positive impact of Cernitin™ on pain relief in chronic prostatitis. The objective of this study was to evaluate the effects of Cernitin™ on induced inflammation of the urinary bladder in rats. We also sought to identify biomarkers which might play a role in the management of BPS. Materials and methods: Cystitis was induced by injection of cyclophosphamide (CYP) in female rats. Thereafter, animals were randomly divided into four treatment groups and two control groups. Evaluation of pain scores was assessed by von Frey assay. Expression of pain- and pro-inflammatory biomarkers was determined by enzyme-linked immunosorbent assay (ELISA) and immunohistochemistry. Results: Treatments with Cernitin™ displayed significant anti-nociceptive effects on CYP-induced visceral pain (p <.01). In contrast, vehicle-treated animals showed high pain score even at the lowest force. Furthermore, results of ELISA showed that Cernitin™-treated animals had significantly reduced levels of COX-2 (T60, p <.01; GBX, p <.05) in bladder tissue homogenate. Immunohistochemical (IHC) staining of bladder tissues showed that Cernitin™-treated animals exhibited less CD45-positive cells, while massive CD45-positive cells infiltration was detected in vehicle-treated animals. IHC also revealed lower SP and PGD2 expression levels in Cernitin™-treated tissues. Conclusions: Cernitin™ components reduced pain score and inflammatory marker COX-2. Our findings suggest a potential therapeutic role for Cernitin™ in the management of BPS.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
BPS, COX-2, Cystitis, Pain assessment
in
Scandinavian Journal of Urology
volume
56
issue
4
pages
320 - 328
publisher
Taylor & Francis
external identifiers
  • scopus:85133164051
  • pmid:35766197
ISSN
2168-1805
DOI
10.1080/21681805.2022.2090602
language
English
LU publication?
yes
id
40ad9ec6-26ce-4af4-8ac5-332602534d29
date added to LUP
2022-09-13 15:09:56
date last changed
2024-05-30 18:29:47
@article{40ad9ec6-26ce-4af4-8ac5-332602534d29,
  abstract     = {{<p>Objective: Inflammation of the urinary bladder may cause burdensome pain also called bladder pain syndrome (BPS). A limitation in understanding BPS pathophysiology is the lack of appropriate preclinical model. Previously published clinical and preclinical studies revealed positive impact of Cernitin™ on pain relief in chronic prostatitis. The objective of this study was to evaluate the effects of Cernitin™ on induced inflammation of the urinary bladder in rats. We also sought to identify biomarkers which might play a role in the management of BPS. Materials and methods: Cystitis was induced by injection of cyclophosphamide (CYP) in female rats. Thereafter, animals were randomly divided into four treatment groups and two control groups. Evaluation of pain scores was assessed by von Frey assay. Expression of pain- and pro-inflammatory biomarkers was determined by enzyme-linked immunosorbent assay (ELISA) and immunohistochemistry. Results: Treatments with Cernitin™ displayed significant anti-nociceptive effects on CYP-induced visceral pain (p &lt;.01). In contrast, vehicle-treated animals showed high pain score even at the lowest force. Furthermore, results of ELISA showed that Cernitin™-treated animals had significantly reduced levels of COX-2 (T60, p &lt;.01; GBX, p &lt;.05) in bladder tissue homogenate. Immunohistochemical (IHC) staining of bladder tissues showed that Cernitin™-treated animals exhibited less CD45-positive cells, while massive CD45-positive cells infiltration was detected in vehicle-treated animals. IHC also revealed lower SP and PGD2 expression levels in Cernitin™-treated tissues. Conclusions: Cernitin™ components reduced pain score and inflammatory marker COX-2. Our findings suggest a potential therapeutic role for Cernitin™ in the management of BPS.</p>}},
  author       = {{Augé, Céline and Dizeyi, Nishtman and Ramnemark, Lena and Lluel, Philippe and Grabe, Magnus}},
  issn         = {{2168-1805}},
  keywords     = {{BPS; COX-2; Cystitis; Pain assessment}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{320--328}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Urology}},
  title        = {{Experimental in vivo model to evaluate the impact of Cernitin™ on pain response on induced chronic bladder inflammation}},
  url          = {{http://dx.doi.org/10.1080/21681805.2022.2090602}},
  doi          = {{10.1080/21681805.2022.2090602}},
  volume       = {{56}},
  year         = {{2022}},
}