Pharmaceutical Research Laboratories, Toray Industries, Inc., Kamakura, Japan.
Urology. 2013 Oct;82(4):975.e7-975.e12. doi: 10.1016/j.urology.2013.07.016.
To investigate the effects of TRK-380, a selective β3-adrenoceptor (β3-AR) agonist, on voiding behavior in rats with pollakiuria and on carbachol (CCh)-induced bladder contraction in dogs.
The voiding behavior of female Sprague Dawley rats was recorded continuously with a balance. Rats were intravesically pretreated with 2.5% formalin under isoflurane anesthesia. The next day, the effect of TRK-380 (7.5-30 mg/kg, orally) or tolterodine, an antimuscarinic drug (3.75-15 mg/kg, orally), on the voiding frequency was evaluated. In another experiment, male beagle dogs were anesthetized with pentobarbital, CCh (3 μg/kg, intravenously) was administered to them, and the effect of TRK-380 (0.1 or 0.3 μg/kg/minute, intravenously infusion) on CCh-induced bladder contraction was evaluated.
Rats treated with formalin showed a significant increase in the voiding frequency compared with the sham group, and the increase in it was significantly and dose-dependently suppressed by TRK-380 at doses of ≥15 mg/kg. In contrast, tolterodine did not lead to a significant change in the voiding frequency even at the highest dose. In dogs, CCh-induced bladder contraction was dose-dependently suppressed by TRK-380; the plasma concentration required for 30% suppression of the CCh-induced bladder contraction (30% relaxation) was 4.90 ng/mL.
This study indicated that TRK-380 ameliorated pollakiuria, which was resistant to an antimuscarinic drug, and that it also suppressed the bladder contraction induced by cholinergic stimulation in dogs, whose bladder relaxation is known to be predominantly mediated by β3-ARs, as in humans. These data strengthen the therapeutic potential of β3-AR for the treatment of overactive bladder.
研究选择性β3-肾上腺素能受体(β3-AR)激动剂 TRK-380 对多尿症大鼠排尿行为的影响,以及对狗的 carbachol(CCh)诱导的膀胱收缩的影响。
使用天平连续记录雌性 Sprague Dawley 大鼠的排尿行为。在异氟烷麻醉下,大鼠膀胱内预先用 2.5%甲醛处理。第二天,评估 TRK-380(7.5-30mg/kg,口服)或抗毒蕈碱药物托特罗定(3.75-15mg/kg,口服)对排尿频率的影响。在另一个实验中,雄性比格犬用戊巴比妥麻醉,静脉给予 CCh(3μg/kg),评估 TRK-380(0.1 或 0.3μg/kg/min 静脉输注)对 CCh 诱导的膀胱收缩的影响。
与假手术组相比,甲醛处理的大鼠排尿频率明显增加,TRK-380 以剂量依赖性方式显著抑制其增加,剂量≥15mg/kg 时抑制作用显著。相比之下,即使在最高剂量下,托特罗定也不会导致排尿频率发生显著变化。在狗中,CCh 诱导的膀胱收缩被 TRK-380 剂量依赖性抑制;抑制 30% CCh 诱导的膀胱收缩(30%松弛)所需的血浆浓度为 4.90ng/mL。
本研究表明,TRK-380 改善了对抗毒蕈碱药物耐药的多尿症,并且还抑制了狗的膀胱收缩,已知狗的膀胱松弛主要由β3-AR 介导,与人类相似。这些数据增强了β3-AR 治疗膀胱过度活动症的治疗潜力。