Araki Isao, Du Shuqi, Kobayashi Hideki, Sawada Norifumi, Mochizuki Tsutomu, Zakoji Hidenori, Takeda Masayuki
Department of Urology, University of Yamanashi Interdisciplinary Graduate School of Medicine and Engineering, Chuo, Japan.
Int J Urol. 2008 Aug;15(8):681-7. doi: 10.1111/j.1442-2042.2008.02052.x. Epub 2008 May 2.
In the storage phase, mechanical stretch stimulates bladder afferents. These signals generate sensations and trigger voiding responses, however the precise mechanisms by which mechanical stimuli excite bladder afferents are yet to be explored. For mechanosensory transduction, the presence of mechanosensors is essential in the peripheral sensory systems including sensory nerve endings, urothelium and others. There is increasing evidence that mechanosensitive ion channels, such as degenerin/epithelial Na(+) channel (ENaC) and transient receptor potential (TRP) channel families, play key roles in the mechanosensory transduction of the urinary bladder. Pharmacological interventions targeting mechanosensitive ion channels may provide a new strategy for the treatment of bladder dysfunction.
在储存阶段,机械牵张刺激膀胱传入神经。这些信号产生感觉并触发排尿反应,然而机械刺激激发膀胱传入神经的确切机制尚待探索。对于机械感觉转导,机械传感器的存在在外周感觉系统中至关重要,包括感觉神经末梢、尿路上皮等。越来越多的证据表明,机械敏感离子通道,如退化蛋白/上皮钠通道(ENaC)和瞬时受体电位(TRP)通道家族,在膀胱的机械感觉转导中起关键作用。针对机械敏感离子通道的药物干预可能为膀胱功能障碍的治疗提供一种新策略。