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TRPV4 阳离子通道激活对大鼠初级膀胱传入活动的影响。

Effects of TRPV4 cation channel activation on the primary bladder afferent activities of the rat.

机构信息

Department of Continence Medicine, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.

出版信息

Neurourol Urodyn. 2012 Jan;31(1):148-55. doi: 10.1002/nau.21212. Epub 2011 Oct 28.

Abstract

AIMS

Transient receptor potential vanilloid 4 (TRPV4) may affect afferent pathways innervating the bladder. We investigated the effects of GSK1016790A (GSK) and RN1734, a TRPV4 agonist and antagonist, respectively, and P2X-purinoceptor antagonists (TNP-ATP and PPADS) on cystometry (CMG), and the effect of GSK on single afferent fiber activities (SAAs) of the rat bladder and its relationship with capsaicin (Cap)-sensitivity.

METHODS

Conscious female Sprague-Dawley rats were used for CMG measurements. In SAA measurements, under urethane anesthesia, SAA was identified by electrical stimulation of the pelvic nerve and by bladder distention. Cystometric parameters were measured before and after intravesical drug instillation. In SAA measurements, response with saline instillation served as baseline. Then, GSK was instilled three times, and finally Cap was instilled to investigate the relationship with Cap-sensitivity.

RESULTS

Intravesical GSK-instillation transiently decreased bladder capacity and voided volume, which were counteracted by RN1734, TNP-ATP, and PPADS. In SAA measurements, Aδ-fibers (n = 7) were not affected by either GSK or Cap. Based on the Cap-sensitivity, C-fibers could be divided into two subtypes: Cap-insensitive (n = 14) and Cap-sensitive (n = 8). In the Cap-insensitive C-fibers, GSK significantly increased the SAAs during the first instillation, but the increase attenuated with time, whereas GSK did not significantly affect the Cap-sensitive C-fibers.

CONCLUSIONS

The present results suggest that activation of TRPV4 in the bladder, probably urothelium, facilitates the micturition reflex by activation of the mechanosensitive, Cap-insensitive C-fibers of the primary bladder afferents in rats.

摘要

目的

瞬时受体电位香草酸亚型 4(TRPV4)可能影响支配膀胱的传入神经通路。我们研究了 GSK1016790A(GSK)和 RN1734(TRPV4 的激动剂和拮抗剂)以及 P2X 嘌呤能受体拮抗剂(TNP-ATP 和 PPADS)对膀胱测压(CMG)的影响,以及 GSK 对大鼠膀胱单一传入纤维活动(SAAs)的影响及其与辣椒素(Cap)敏感性的关系。

方法

使用雌性 Sprague-Dawley 大鼠进行 CMG 测量。在 SAAs 测量中,在 urethane 麻醉下,通过电刺激盆神经和膀胱扩张来识别 SAAs。在膀胱内药物灌注前后测量膀胱测压参数。在 SAAs 测量中,用盐水灌注作为基线。然后,三次灌注 GSK,最后灌注 Cap,以研究与 Cap 敏感性的关系。

结果

膀胱内 GSK 灌注可短暂降低膀胱容量和排空量,此作用可被 RN1734、TNP-ATP 和 PPADS 拮抗。在 SAAs 测量中,Aδ 纤维(n = 7)不受 GSK 或 Cap 的影响。根据 Cap 敏感性,C 纤维可分为两种亚型:Cap 不敏感型(n = 14)和 Cap 敏感型(n = 8)。在 Cap 不敏感型 C 纤维中,GSK 在前一次灌注时显著增加了 SAAs,但随着时间的推移,增加作用减弱,而 GSK 对 Cap 敏感型 C 纤维没有显著影响。

结论

本研究结果表明,膀胱内 TRPV4 的激活可能通过激活大鼠初级膀胱传入神经的机械敏感、Cap 不敏感 C 纤维,促进排尿反射。

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