Albany College of Pharmacy and Health Sciences, Albany, New York 12208, USA.
Int J Urol. 2013 Jan;20(1):107-14. doi: 10.1111/j.1442-2042.2012.03184.x. Epub 2012 Oct 10.
Oxidative stress is a major etiology of obstructed bladder dysfunction. The major goal of the current study was to correlate the level of oxidative stress with both the severity and duration of obstruction.
A total of 32 New Zealand White rabbits were divided into four equal groups. Groups 1-3 received partial bladder outlet obstructions by standard methods and survived for 4, 8 or 12 weeks. Group 4 received sham surgery at the end of each time period, isolated strips were taken for contractility studies and the balance of the bladder was frozen as muscle and mucosa for quantification of nitrotyrosine and carbonyl-oxidized proteins derivatized into dinitrophenyl. For each duration, the eight rabbits were divided into three severity groups: mild, intermediate or severe decompensation.
Contractile responses decreased in proportion to both severity and duration. The level of both oxidative products correlated to a much higher degree with the level of severity than the duration. There were significant decreases in the contractile responses in the mild decompensation group, whereas the level of derivatized into dinitrophenyl and nitrotyrosine of the muscle remained at control levels. This was not the case for the 4 weeks obstructed group.
These findings suggest that the etiology for the mechanism of contractile dysfunction is not an oxidative stress.
氧化应激是膀胱功能障碍的主要病因。本研究的主要目的是将氧化应激水平与梗阻的严重程度和持续时间相关联。
将 32 只新西兰白兔随机分为四组,每组 8 只。第 1-3 组采用标准方法进行部分膀胱出口梗阻,分别存活 4、8 或 12 周。第 4 组在每个时间段结束时进行假手术,分离的肌条用于收缩性研究,将膀胱的其余部分冷冻成肌肉和黏膜,用于硝基酪氨酸和羰基氧化蛋白的定量,衍生为二硝基苯。对于每个持续时间,8 只兔子分为三组:轻度、中度或重度失代偿。
收缩反应与严重程度和持续时间成比例下降。两种氧化产物的水平与严重程度的相关性远高于与持续时间的相关性。在轻度失代偿组中,收缩反应明显下降,而肌肉中的二硝基苯和硝基酪氨酸水平仍保持在对照水平。这在 4 周梗阻组中并非如此。
这些发现表明,收缩功能障碍机制的病因不是氧化应激。