Prokaryotic DNA sequences in patients with chronic idiopathic prostatitis
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| Published in | Journal of Clinical Microbiology Vol. 34; no. 12; pp. 3120 - 3128 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
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Washington, DC
American Society for Microbiology
01.12.1996
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| Online Access | Get full text |
| ISSN | 0095-1137 1098-660X |
| DOI | 10.1128/jcm.34.12.3120-3128.1996 |
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| AbstractList | Half of all men experience symptoms of prostatitis at some time in their lives, but the etiology is unknown for more than 90% of patients. Optimal clinical and culture methods were used to select 135 men with chronic prostatitis refractory to multiple previous courses of antimicrobial therapy. The subjects had no evidence of structural or functional lower genitourinary tract abnormalities of bacteriuria or bacterial prostatitis by traditional clinical tests, or of urethritis or urethral pathogens by culture. Specific PCR assays detected Mycoplasma genitalium, Chlamydia trachomatis, or Trichomonas vaginalis in 10 patients (8%). Broad-spectrum PCR tests detected tetracycline resistance-encoding genes, tetM-tetO-tetS, in 25% of patients and 16S rRNA in 77% of subjects. The tetM-tetO-tetS-positive cases constituted a subset of the 16S rRNA-positive cases. Patients with 16S rRNA were more likely to have > or = 1,000 leukocytes per mm3 in their expressed prostatic secretion than men whose prostate biopsy specimens were negative for 16S rRNA (P < 0.001). Based on direct sequencing and repetitive cloning, multiple sources of 16S rRNA were observed in individual patients. Sequences of 29 cloned PCR products revealed 16S rRNAs distinct from those of common skin and gut flora. These findings suggest that the prostate can harbor microorganisms that are not detectable by traditional approaches. These organisms may be associated with inflammation in the expressed prostatic secretions. Molecular methods hold great promise for identifying culture-resistant microorganisms in patients with chronic prostatitis. Half of all men experience symptoms of prostatitis at some time in their lives, but the etiology is unknown for more than 90% of patients. Optimal clinical and culture methods were used to select 135 men with chronic prostatitis refractory to multiple previous courses of antimicrobial therapy. The subjects had no evidence of structural or functional lower genitourinary tract abnormalities of bacteriuria or bacterial prostatitis by traditional clinical tests, or of urethritis or urethral pathogens by culture. Specific PCR assays detected Mycoplasma genitalium, Chlamydia trachomatis, or Trichomonas vaginalis in 10 patients (8%). Broad-spectrum PCR tests detected tetracycline resistance-encoding genes, tetM-tetO-tetS, in 25% of patients and 16S rRNA in 77% of subjects. The tetM-tetO-tetS-positive cases constituted a subset of the 16S rRNA-positive cases. Patients with 16S rRNA were more likely to have > or = 1,000 leukocytes per mm3 in their expressed prostatic secretion than men whose prostate biopsy specimens were negative for 16S rRNA (P < 0.001). Based on direct sequencing and repetitive cloning, multiple sources of 16S rRNA were observed in individual patients. Sequences of 29 cloned PCR products revealed 16S rRNAs distinct from those of common skin and gut flora. These findings suggest that the prostate can harbor microorganisms that are not detectable by traditional approaches. These organisms may be associated with inflammation in the expressed prostatic secretions. Molecular methods hold great promise for identifying culture-resistant microorganisms in patients with chronic prostatitis.Half of all men experience symptoms of prostatitis at some time in their lives, but the etiology is unknown for more than 90% of patients. Optimal clinical and culture methods were used to select 135 men with chronic prostatitis refractory to multiple previous courses of antimicrobial therapy. The subjects had no evidence of structural or functional lower genitourinary tract abnormalities of bacteriuria or bacterial prostatitis by traditional clinical tests, or of urethritis or urethral pathogens by culture. Specific PCR assays detected Mycoplasma genitalium, Chlamydia trachomatis, or Trichomonas vaginalis in 10 patients (8%). Broad-spectrum PCR tests detected tetracycline resistance-encoding genes, tetM-tetO-tetS, in 25% of patients and 16S rRNA in 77% of subjects. The tetM-tetO-tetS-positive cases constituted a subset of the 16S rRNA-positive cases. Patients with 16S rRNA were more likely to have > or = 1,000 leukocytes per mm3 in their expressed prostatic secretion than men whose prostate biopsy specimens were negative for 16S rRNA (P < 0.001). Based on direct sequencing and repetitive cloning, multiple sources of 16S rRNA were observed in individual patients. Sequences of 29 cloned PCR products revealed 16S rRNAs distinct from those of common skin and gut flora. These findings suggest that the prostate can harbor microorganisms that are not detectable by traditional approaches. These organisms may be associated with inflammation in the expressed prostatic secretions. Molecular methods hold great promise for identifying culture-resistant microorganisms in patients with chronic prostatitis. Article Usage Stats Services JCM Citing Articles Google Scholar PubMed Related Content Social Bookmarking CiteULike Delicious Digg Facebook Google+ Mendeley Reddit StumbleUpon Twitter current issue JCM About JCM Subscribers Authors Reviewers Advertisers Inquiries from the Press Permissions & Commercial Reprints ASM Journals Public Access Policy JCM RSS Feeds 1752 N Street N.W. • Washington DC 20036 202.737.3600 • 202.942.9355 fax • journals@asmusa.org Print ISSN: 0095-1137 Online ISSN: 1098-660X Copyright © 2014 by the American Society for Microbiology. For an alternate route to JCM .asm.org, visit: JCM Half of all men experience symptoms of prostatitis at some time in their lives, but the etiology is unknown for more than 90% of patients. Optimal clinical and culture methods were used to select 135 men with chronic prostatitis refractory to multiple previous courses of antimicrobial therapy. The subjects had no evidence of structural or functional lower genitourinary tract abnormalities of bacteriuria or bacterial prostatitis by traditional clinical tests, or of urethritis or urethral pathogens by culture. Specific PCR assays detected Mycoplasma genitalium, Chlamydia trachomatis, or Trichomonas vaginalis in 10 patients (8%). Broad-spectrum PCR tests detected tetracycline resistance-encoding genes, tetM-tetO-tetS, in 25% of patients and 16S rRNA in 77% of subjects. The tetM-tetO-tetS-positive cases constituted a subset of the 16S rRNA-positive cases. Patients with 16S rRNA were more likely to have greater than or equal to 1,000 leukocytes per mm super(3) in their expressed prostatic secretions than men whose prostate biopsy specimens were negative for 16S rRNA. Based on direct sequencing and repetitive cloning, multiple sources of 16S rRNA were observed in individual patients. Sequences of 29 cloned PCR products revealed 16S rRNAs distinct from those of common skin and gut flora. These findings suggest that the prostate can harbor microorganisms that are not detectable by traditional approaches. These organisms may be associated with inflammation in the expressed prostatic secretions. Molecular methods hold great promise for identifying culture-resistant microorganisms in patients with chronic prostatitis. |
| Author | D E Riley M C Roberts J N Krieger R E Berger |
| AuthorAffiliation | Department of Urology, School of Medicine, University of Washington, Seattle, USA |
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| Keywords | Human Urinary system disease Prostate disease Secretion Urogenital system diseases Inflammation Infection Chronic Ribosomal RNA Etiology 16S-RNA Prostatitis Detection Male genital diseases Urogenital system Prostate |
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| References | 7522060 - Clin Infect Dis. 1994 Jun;18(6):958-62 2413450 - Proc Natl Acad Sci U S A. 1985 Oct;82(20):6955-9 1285351 - Infect Agents Dis. 1992 Oct;1(5):245-53 2643724 - J Urol. 1989 Feb;141(2):332-3 1732601 - J Urol. 1992 Feb;147(2):398-400; discussion 400-1 2467288 - Mod Pathol. 1988 Sep;1(5):348-51 7452788 - J Urol. 1980 Nov;124(5):622-5 1377787 - N Engl J Med. 1992 Jul 30;327(5):293-301 8480958 - Ann Intern Med. 1993 Jun 1;118(11):844-9 6842018 - J Infect Dis. 1983 May;147(5):807-13 2677408 - J Urol. 1989 Oct;142(4):1006-7 2023615 - N Engl J Med. 1991 May 23;324(21):1514 7830100 - J Chemother. 1994 Aug;6(4):238-42 1757544 - J Clin Microbiol. 1991 Dec;29(12):2746-51 1993766 - J Clin Microbiol. 1991 Jan;29(1):46-50 1653479 - Urology. 1991 Sep;38(3):247-8 4032572 - J Urol. 1985 Oct;134(4):691-3 1500517 - J Clin Microbiol. 1992 Aug;30(8):2097-103 6969451 - Sex Transm Dis. 1980 Jul-Sep;7(3):135-6 6980958 - J Infect Dis. 1982 Sep;146(3):341-5 7299924 - J Urol. 1981 Nov;126(5):625-9 2704628 - Nucleic Acids Res. 1989 Mar 25;17(6):2361 8264673 - Mol Cell Probes. 1993 Oct;7(5):387-93 2172392 - J Infect Dis. 1990 Nov;162(5):1031-5 4870505 - Invest Urol. 1968 Mar;5(5):492-518 1279213 - J Urol. 1992 Nov;148(5):1461-6 3911275 - Prog Nucleic Acid Res Mol Biol. 1985;32:155-216 2913355 - J Urol. 1989 Feb;141(2):328-31 2191184 - Mol Microbiol. 1990 Apr;4(4):669-76 2117459 - FEMS Microbiol Rev. 1990 Jun;6(2-3):105-15 8470312 - Urology. 1993 Apr;41(4):301-7 3051621 - Urol Int. 1988;43(3):167-73 1323895 - Urology. 1992 Aug;40(2):165-7 7869536 - J Urol. 1995 Apr;153(4):1321-6 2131697 - Wiad Parazytol. 1990;36(5-6):229-36 54972 - Urology. 1976 Feb;7(2):169-77 2848897 - J Infect Dis. 1988 Dec;158(6):1177-84 3883615 - Urol Int. 1985;40(1):5-9 2421689 - Arch Pathol Lab Med. 1986 May;110(5):430-2 7354506 - J Urol. 1980 Feb;123(2):141-7 813297 - Scand J Urol Nephrol. 1975;9(3):198-204 1866851 - Urology. 1991 Jul;38(1):11-9 8294306 - J Appl Bacteriol. 1993 Dec;75(6):574-82 2199495 - J Clin Microbiol. 1990 Jun;28(6):1254-60 1709451 - Nature. 1991 May 9;351(6322):161-4 1985076 - Hum Pathol. 1991 Jan;22(1):41-4 2584375 - J Clin Microbiol. 1989 Oct;27(10):2240-4 |
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Mendeley... Half of all men experience symptoms of prostatitis at some time in their lives, but the etiology is unknown for more than 90% of patients. Optimal clinical and... |
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| StartPage | 3120 |
| SubjectTerms | Adult Animals Bacterial diseases Bacterial diseases of the urinary system Base Sequence Biological and medical sciences Chlamydia trachomatis Chlamydia trachomatis - genetics Chlamydia trachomatis - isolation & purification Chlamydia trachomatis - pathogenicity Chronic Disease DNA Primers - genetics DNA, Bacterial - genetics DNA, Bacterial - isolation & purification DNA, Protozoan - genetics DNA, Protozoan - isolation & purification Genes, Bacterial Human bacterial diseases Humans Infectious diseases Male Medical sciences Middle Aged Molecular Sequence Data Mycoplasma - genetics Mycoplasma - isolation & purification Mycoplasma - pathogenicity Mycoplasma genitalium Polymerase Chain Reaction - methods Prostatitis - etiology Prostatitis - microbiology RNA, Ribosomal, 16S - genetics RNA, Ribosomal, 16S - isolation & purification Sequence Homology, Nucleic Acid Tetracycline Resistance - genetics Trichomonas vaginalis Trichomonas vaginalis - genetics Trichomonas vaginalis - isolation & purification Trichomonas vaginalis - pathogenicity |
| Title | Prokaryotic DNA sequences in patients with chronic idiopathic prostatitis |
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