Furuta Akira, Suzuki Yasuyuki, Naruoka Takehito, Asano Kouji, Egawa Shin, Yoshimura Naoki
Department of Urology, Jikei University School of Medicine, Tokyo, Japan,
Int Urogynecol J. 2014 Nov;25(11):1575-81. doi: 10.1007/s00192-014-2405-y. Epub 2014 May 15.
The aim of this study was to analyze the mechanism underlying cross-sensitization between the colon and the bladder via activation of transient receptor potential A1 (TRPA1) channels.
Using female Sprague-Dawley rats, polyethylene catheters were inserted into the colon between two ligations at the levels of 40 and 60 mm rostral to the anus and into the bladder. (1) We examined changes in colon and bladder activity after the application of allyl isothiocyanate (AI, 50 mM, 300 μl), a TRPA1 activator, into the colon or the bladder in an awake condition. Inhibitory effects of the pretreatment with HC-030031 (HC, 3 mg/kg), a TRPA1 inhibitor, on colon-to-bladder cross-sensitization induced by AI instilled in the colon were also investigated. (2) We examined Evans blue (EB) dye extravasation after TRPA1 stimulation in the colon or the bladder to evaluate vascular permeability due to tissue inflammation.
(1) Intercontraction intervals during continuous saline infusion into the bladder (0.04 ml/min) were significantly decreased after the intracolonic AI application, which significantly increased mean intracolonic pressure, indicative of colon-to-bladder cross-sensitization. The AI-induced colon-to-bladder cross-sensitization was completely prevented by the pretreatment with intravenous application of HC. On the other hand, mean intracolonic pressure was significantly decreased after the intravesical AI application, which significantly increased mean intravesical pressure. (2) EB dye extravasation was significantly increased in the AI-treated inflamed organs and also in the bladder following intracolonic AI treatment.
Colon-to-bladder cross-sensitization is mediated via TRPA1 stimulation in the colon, although TRPA1 expressed in the bladder does not seem to participate in bladder-to-colon cross-sensitization.
本研究旨在分析通过激活瞬时受体电位A1(TRPA1)通道,结肠与膀胱之间交叉致敏的潜在机制。
使用雌性Sprague-Dawley大鼠,将聚乙烯导管插入肛门前方40和60毫米处两个结扎点之间的结肠以及膀胱中。(1)在清醒状态下,向结肠或膀胱内注入TRPA1激活剂异硫氰酸烯丙酯(AI,50 mM,300 μl)后,我们检查了结肠和膀胱活动的变化。还研究了用TRPA1抑制剂HC-030031(HC,3 mg/kg)预处理对结肠内注入AI诱导的结肠到膀胱交叉致敏的抑制作用。(2)我们检查了结肠或膀胱中TRPA1刺激后伊文思蓝(EB)染料外渗情况,以评估由于组织炎症导致的血管通透性。
(1)向结肠内注入AI后,以0.04 ml/min的速度持续向膀胱内注入生理盐水时的收缩间期显著缩短,这显著增加了结肠平均压力,表明存在结肠到膀胱的交叉致敏。静脉注射HC预处理可完全防止AI诱导的结肠到膀胱交叉致敏。另一方面,向膀胱内注入AI后,结肠平均压力显著降低,而膀胱平均压力显著升高。(2)在AI处理的炎症器官以及结肠内注入AI处理后的膀胱中,EB染料外渗显著增加。
结肠到膀胱的交叉致敏是通过结肠中TRPA1的刺激介导的,尽管膀胱中表达的TRPA1似乎不参与膀胱到结肠的交叉致敏。