Evidence map›Paper›PMID 42080806›Full record

ArticleThe Prostate2026

Epigenetic Regulation of Immune Dysfunction in Chronic Prostatitis/Chronic Pelvic Pain Syndrome.

Praveen Thumbikat, Goutham Pattabiraman, Farzaneh Sharifzad, Yongyong Yang, Zhiqiang Liu, Catherine V Osborn, Stephen F Murphy, Qi Cao, Anthony J Schaeffer

Abstract read
In one paragraph

Article in The Prostate, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Praveen ThumbikatDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.ORCID 0000-0002-5454-4172
Goutham PattabiramanDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Farzaneh SharifzadDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Yongyong YangDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Zhiqiang LiuDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Catherine V OsbornDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Stephen F MurphyDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Qi CaoDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Anthony J SchaefferDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Funding

National Institute of Diabetes and Digestive and Kidney (NIDDK) R01DK108127National Institute of Diabetes and Digestive and Kidney (NIDDK) R01DK124460
6 · The paper itself

Abstract

backgroundChronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a prevalent and debilitating condition with unclear etiology. Increasing evidence implicates immune dysregulation, yet the molecular mechanisms underlying impaired immune regulation remain poorly defined. This study investigated the role of altered immune responses within PBMC populations and DNA methylation in CP/CPPS pathogenesis.

methodsPost-prostatic massage urine samples designated as Voided Bladder 3 (VB3) urine from CP/CPPS patients and healthy controls were analyzed for CD4

resultsVB3 samples from CP/CPPS patients demonstrated elevated CD4-associated transcripts and increased expression of immune-related transcription factors including RORγT. DNA methylation analysis identified differences in methylation across immune-regulatory loci including IL10, FOXP3, CD274, ITGAL, and TNF-α. PBMCs from patients exhibited diminished IL10 secretion in response to LPS, which was restored by AZA treatment. In the EAP model, recombinant IL10 administration failed to attenuate pelvic allodynia, whereas AZA significantly reduced pain sensitivity.

conclusionsCP/CPPS is associated with epigenetic alterations in immune regulatory genes that may influence inflammatory responses. Pharmacologic inhibition of DNA methylation enhanced IL10 responses in vitro and reduced pain behaviors in vivo, supporting demethylation therapy as a potential strategy for treating chronic prostatic inflammation and pelvic pain.

Indexed as

Epigenesis, GeneticPelvic PainProstatitisAdultAnimalsAzacitidineCD4-Positive T-LymphocytesChronic DiseaseChronic PainDNA MethylationHumansInterleukin-10Leukocytes, MononuclearMaleMiceMiddle AgedAzacitidineInterleukin-10chronic painDNA methylationepigeneticsFoxP3IL10immune dysregulationpelvic painUCPPS

Identifiers

PMID42080806
PMCPMC13270079

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.