McCafferty Gerald P, Misajet Blake A, Laping Nicholas J, Edwards Richard M, Thorneloe Kevin S
Urogenital Biology, Cardiovascular and Urogenital Center for Excellence in Drug Discovery, GlaxoSmithKline Pharmaceuticals, King of Prussia, Pennsylvania, USA.
Am J Physiol Renal Physiol. 2008 Aug;295(2):F507-14. doi: 10.1152/ajprenal.00054.2008. Epub 2008 May 28.
Nonsteroidal anti-inflammatory cyclooxygenase inhibitors that function to reduce prostaglandin E2 (PGE2) production have been widely reported as effective agents in models of urinary bladder overactivity. We therefore investigated a potential role for the PGE2 receptor, EP3, in urinary bladder function by performing conscious, freely moving cystometry on EP3 receptor knockout (KO) mice. EP3 KO mice demonstrated an enhanced bladder capacity compared with wild-type (WT) mice ( approximately 185% of WT) under control conditions, based on larger voided and infused bladder volumes. Infusion of the EP3 receptor agonist GR63799X into the bladder of WT mice reduced the bladder capacity. This was ineffective in EP3 KO mice that demonstrated a time-dependent increase in bladder capacity with GR63799X, an effect similar to that observed with vehicle in both genotypes. In addition, infusion of PGE2 into WT mice induced bladder overactivity, an effect that was significantly blunted in the EP3 KO mice. The data reported here provide the first evidence supporting a functional role for EP3 receptors in normal urinary bladder function and implicate EP3 as a contributor to bladder overactivity during pathological conditions of enhanced PGE2 production, as reported previously in overactive bladder patients.
在膀胱过度活动症模型中,作为减少前列腺素E2(PGE2)生成的非甾体抗炎环氧化酶抑制剂已被广泛报道为有效药物。因此,我们通过对EP3受体基因敲除(KO)小鼠进行清醒、自由活动状态下的膀胱内压测量,研究了PGE2受体EP3在膀胱功能中的潜在作用。基于排尿和灌注后膀胱容量更大,在对照条件下,与野生型(WT)小鼠相比,EP3基因敲除小鼠表现出膀胱容量增加(约为野生型的185%)。向野生型小鼠膀胱内灌注EP3受体激动剂GR63799X可降低膀胱容量。这在EP3基因敲除小鼠中无效,该小鼠表现出随着GR63799X的作用膀胱容量呈时间依赖性增加,这一效应与两种基因型小鼠中注射赋形剂时观察到的效应相似。此外,向野生型小鼠膀胱内灌注PGE2可诱发膀胱过度活动,而在EP3基因敲除小鼠中这种效应明显减弱。本文报道的数据首次证明了EP3受体在正常膀胱功能中的功能作用,并表明如先前在膀胱过度活动症患者中所报道的那样,在PGE2生成增加的病理状态下,EP3是膀胱过度活动的一个促成因素。