部分流出道梗阻对糖尿病和非糖尿病大鼠膀胱收缩特性的早期影响。

The early effects of partial outflow obstruction on contractile properties of diabetic and non-diabetic rat bladder.

作者信息

Oztürk Bülent, Cetinkaya Mesut, Gür Serap, Ugurlu Ozgür, Oztekin Volkan, Aki Fazil Tuncay

机构信息

Sehit Osman Temiz Mahallesi, Ilker 1. Cad. 43. sok 22/9, 06450 Dikmen, Ankara, Turkey,

出版信息

Urol Res. 2002 Jul;30(3):178-84. doi: 10.1007/s00240-002-0247-4. Epub 2002 May 15.

Abstract

The aim of this study is to determine the early effects of partial outflow obstruction (POO) on the detrusor contractility of diabetic (DM) and non-diabetic rats. A total of 67 adult female Wistar rats with average weight of 214+/-3.1 g were randomized into five groups as control ( n=6), sham operated ( n=6), obstructed ( n=18), DM ( n=19), and DM with obstruction ( n=18). Intraperitoneal injection of 60 mg/kg streptozotocin was performed to achieve DM. Partial bladder neck obstruction was created surgically by ligating the urethra around a 3F feeding tube. Bladder strips were obtained and inspected on days 3, 7, and 14 of both the diabetic period and POO. Mean detrusor weights were measured and the maximal contractile responses to carbachol (Car), adenosine 5'-triphosphate (ATP), substance P (SP) and electrical field stimulation (EFS) of detrusor strips in all groups were studied in vitro. After 14 days of obstruction, no remarkable difference was observed between the maximal contractile responses to Car and SP of strips from obstructed-only (POO) and diabetic-obstructed (DM-POO) rats compared to the control group. The responses to EFS and ATP in the POO rats were significantly lower than the controls ( P<0.01, P<0.01, respectively). In the DM-POO group however, the responses were significantly better than the POO group, reaching almost similar levels with the controls. The contractile responses of DM-POO rats were higher than the POO group but lower than the DM group. Better contractile responses of the rats with DM-POO than POO group can be explained by the early enhancing effects of DM on detrusor contractility. In early DM+POO period, the negative effects of POO on detrusor muscle contractility is masked by diabetes mellitus.

摘要

本研究的目的是确定部分流出道梗阻(POO)对糖尿病(DM)和非糖尿病大鼠逼尿肌收缩性的早期影响。将67只平均体重为214±3.1 g的成年雌性Wistar大鼠随机分为五组:对照组(n = 6)、假手术组(n = 6)、梗阻组(n = 18)、糖尿病组(n = 19)和糖尿病合并梗阻组(n = 18)。通过腹腔注射60 mg/kg链脲佐菌素诱导糖尿病。通过围绕3F饲管结扎尿道进行手术创建部分膀胱颈梗阻。在糖尿病期和POO的第3、7和14天获取膀胱条并进行检查。测量平均逼尿肌重量,并在体外研究所有组中膀胱条对卡巴胆碱(Car)、三磷酸腺苷(ATP)、P物质(SP)和电场刺激(EFS)的最大收缩反应。梗阻14天后,与对照组相比,单纯梗阻(POO)和糖尿病梗阻(DM-POO)大鼠膀胱条对Car和SP的最大收缩反应之间未观察到显著差异。POO大鼠对EFS和ATP的反应显著低于对照组(分别为P<0.01,P<0.01)。然而,在DM-POO组中,反应明显优于POO组,几乎达到与对照组相似的水平。DM-POO大鼠的收缩反应高于POO组,但低于DM组。DM-POO大鼠比POO组具有更好的收缩反应可以用糖尿病对逼尿肌收缩性的早期增强作用来解释。在早期DM+POO期,POO对逼尿肌收缩性的负面影响被糖尿病掩盖。

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