Schneider Tim, Hein Peter, Bai Jie, Michel Martin C
Department of Urology and Medicine, University of Essen, Essen, Germany.
J Urol. 2005 Jun;173(6):2178-81. doi: 10.1097/01.ju.0000158138.07187.f5.
Essential arterial hypertension is a frequent condition. Spontaneously hypertensive rats (SHRs) show bladder dysfunction similar to that seen in patients with overactive bladder. Since muscarinic receptors and rho-kinase have a key role in the regulation of bladder contractility, we determined whether alterations of either one might contribute to hypertension associated bladder dysfunction.
The bladders of SHRs and normotensive Wistar Kyoto rats (WKYs) were compared in in vitro radioligand binding and contractility studies.
The mean total number of muscarinic receptors +/- SEM (181 +/- 14 vs 191 +/- 22 fmol/mg protein) and the relative roles of their subtypes were similar in SHRs and WKYs. Contractile responses to the muscarinic agonist carbachol (maximum effect 2.04 +/- 0.24 vs 2.05 +/- 0.14 mN/mm strip length and -log EC50 5.61 +/- 0.07 vs 5.64 +/- 0.04) and to KCl in a receptor independent manner were similar in the 2 strains. The M3 selective antagonist darifenacin inhibited carbachol responses much more potently than the M2 selective antagonist methoctramine but the potency of the 2 drugs was similar in each strain. The rho-kinase inhibitor Y27,632 attenuated carbachol induced contraction in a quantitatively similar manner in SHRs and WKYs.
An altered function of muscarinic receptor subtypes or rho-kinase does not appear to contribute to bladder dysfunction in SHRs.
原发性动脉高血压是一种常见病症。自发性高血压大鼠(SHR)表现出与膀胱过度活动症患者相似的膀胱功能障碍。由于毒蕈碱受体和Rho激酶在膀胱收缩调节中起关键作用,我们确定这两者中任一种的改变是否可能导致与高血压相关的膀胱功能障碍。
在体外放射性配体结合和收缩性研究中比较了SHR和正常血压的Wistar Kyoto大鼠(WKY)的膀胱。
SHR和WKY中毒蕈碱受体的平均总数±标准误(181±14对191±22 fmol/mg蛋白)及其亚型的相对作用相似。两品系对毒蕈碱激动剂卡巴胆碱的收缩反应(最大效应2.04±0.24对2.05±0.14 mN/mm条带长度,-log EC50 5.61±0.07对5.64±0.04)以及以受体非依赖性方式对氯化钾的收缩反应相似。M3选择性拮抗剂达非那新比M2选择性拮抗剂美索曲明更有效地抑制卡巴胆碱反应,但两种药物在各品系中的效力相似。Rho激酶抑制剂Y27,632以定量相似的方式减弱了SHR和WKY中卡巴胆碱诱导的收缩。
毒蕈碱受体亚型或Rho激酶功能改变似乎不会导致SHR的膀胱功能障碍。