Tugay Melih, Tugay Sevinç, Etuş Volkan, Yazir Yusufhan, Utkan Tijen
Department of Pediatric Surgery, Medical Faculty of Kocaeli University, Kocaeli 41380, Turkey.
J Pediatr Surg. 2008 Apr;43(4):713-7. doi: 10.1016/j.jpedsurg.2007.12.064.
It is now well established that hydrocephalus is associated with impaired bladder function. The aim of this study was to determine the effects of hydrocephalus on bladder smooth muscle (BSM) reactivity in the rat model.
Hydrocephalus was induced in 7-day-old rats by injection of kaolin into the cisterna magna (AH group). Control group rats underwent a sham operation. After 10 days, rats were decapitated. Each bladder was excised and BSM strips placed in an organ bath where contractile and relaxant responses were studied.
Contractile response of BSM to KCl decreased in the AH group. Increased response to muscarinic agonist carbachol was observed in the AH group. The relaxant response to adrenergic agonist isoprenaline was significantly decreased in the AH group, whereas non-receptor-dependent agonist papaverine was unchanged in 2 groups.
Bladder smooth muscle reactivity is affected by the formation of hydrocephalus essentially by both receptor-dependent and non-receptor-dependent mechanisms. This pathway may be a novel target for the pharmacologic treatment of bladder dysfunction secondary to hydrocephalus.
脑积水与膀胱功能受损之间的关联现已得到充分证实。本研究的目的是确定在大鼠模型中脑积水对膀胱平滑肌(BSM)反应性的影响。
通过向7日龄大鼠的小脑延髓池注射高岭土诱导脑积水(AH组)。对照组大鼠接受假手术。10天后,将大鼠断头。切除每个膀胱,并将BSM条带置于器官浴槽中,研究其收缩和舒张反应。
AH组中BSM对氯化钾的收缩反应降低。在AH组中观察到对毒蕈碱激动剂卡巴胆碱的反应增加。AH组中对肾上腺素能激动剂异丙肾上腺素的舒张反应显著降低,而两组中对非受体依赖性激动剂罂粟碱的反应无变化。
脑积水的形成主要通过受体依赖性和非受体依赖性机制影响膀胱平滑肌反应性。该途径可能是药物治疗脑积水继发膀胱功能障碍的新靶点。