Department of Urology, University of Pittsburgh, Pittsburgh, PA 15213, USA.
J Physiol. 2011 Dec 1;589(Pt 23):5833-43. doi: 10.1113/jphysiol.2011.215657. Epub 2011 Oct 17.
This study used MTEP, a metabotropic glutamate receptor 5 (mGluR5) antagonist, to examine the role of mGluR5 in the neural control of the urinary bladder and in the inhibition of the micturition reflex by pudendal nerve stimulation (PNS). Experiments were conducted in 11 female cats under α-chloralose anaesthesia when the bladder was infused with either saline or 0.25% acetic acid (AA). AA irritated the bladder, induced bladder overactivity and significantly (P < 0.001) reduced bladder capacity to 14.9 ± 10.3% of the saline control capacity. MTEP (0.1-50 mg kg(-1), i.v.) significantly (P < 0.05) increased bladder capacity during saline distension but not during AA irritation. However, MTEP induced a transient inhibition of isovolumetric bladder contractions under both conditions. PNS (5 Hz), which was tested at the threshold (T) intensity for inducing a complete inhibition of isovolumetric bladder contractions and at an intensity of 3-4T, suppressed AA-induced bladder overactivity and significantly increased bladder capacity to 68.0 ± 31.3% at 1T (P < 0.05) and 98.5 ± 55.3% at 3-4T (P < 0.01) of the saline control capacity. MTEP dose dependently (0.1-50 mg kg(-1), i.v.) suppressed PNS inhibition of bladder overactivity at low intensity (1T) but not at high intensity (3-4T). During saline infusion PNS significantly (P < 0.05) increased bladder capacity to 167.7 ± 27.1% at 1T and 196.0 ± 37.4% at 3-4T. These inhibitory effects were not observed after MTEP (0.1-50 mg kg(-1), i.v.) which also increased bladder capacity. These results indicate that glutamic acid has a transmitter function in bladder and somato-bladder reflex mechanisms and raise the possibility that mGluR5 may be a target for pharmacological treatment of lower urinary tract disorders.
本研究使用代谢型谷氨酸受体 5(mGluR5)拮抗剂 MTEP,以研究 mGluR5 在膀胱的神经控制以及阴部神经刺激(PNS)抑制排尿反射中的作用。在氯醛糖麻醉下进行的 11 只雌性猫的实验中,膀胱分别输注生理盐水或 0.25%乙酸(AA)。AA 刺激膀胱,引起膀胱过度活动,并显著(P < 0.001)降低膀胱容量至生理盐水对照容量的 14.9 ± 10.3%。MTEP(0.1-50 mg kg-1,iv)在生理盐水扩张期间显著(P < 0.05)增加膀胱容量,但在 AA 刺激期间则不增加。然而,MTEP 在两种情况下均引起等容膀胱收缩的短暂抑制。PNS(5 Hz)在诱导等容膀胱收缩完全抑制的阈值(T)强度和 3-4T 强度下进行测试,抑制 AA 诱导的膀胱过度活动,并显著增加膀胱容量至 1T 时的 68.0 ± 31.3%(P < 0.05)和 3-4T 时的 98.5 ± 55.3%(P < 0.01)生理盐水对照容量。MTEP 剂量依赖性(0.1-50 mg kg-1,iv)抑制低强度(1T)但不抑制高强度(3-4T)PNS 抑制膀胱过度活动。在生理盐水输注期间,PNS 显著(P < 0.05)增加膀胱容量至 1T 时的 167.7 ± 27.1%和 3-4T 时的 196.0 ± 37.4%。这些抑制作用在 MTEP(0.1-50 mg kg-1,iv)后观察不到,MTEP 还增加了膀胱容量。这些结果表明,谷氨酸在膀胱和躯体-膀胱反射机制中具有递质功能,并提示 mGluR5 可能成为治疗下尿路疾病的药理学靶点。