Kadekawa Katsumi, Yoshimura Naoki, Majima Tsuyoshi, Wada Naoki, Shimizu Takahiro, Birder Lori A, Kanai Anthony J, de Groat William C, Sugaya Kimio, Yoshiyama Mitsuharu
Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Southern Knights' Laboratory, Okinawa, Japan; Okinawa Kyodo Hospital, Okinawa, Japan; and.
Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Pharmacology and Cell Biology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;
Am J Physiol Regul Integr Comp Physiol. 2016 Apr 15;310(8):R752-8. doi: 10.1152/ajpregu.00450.2015. Epub 2016 Jan 27.
To clarify the lower urinary tract function in mice, we compared bladder and urethral activity between rats and mice with or without spinal cord injury (SCI). Female Sprague-Dawley rats and C57BL/6N mice were divided into five groups:1) spinal intact (SI) rats,2) SI mice,3) pudendal nerve transection (PNT) SI mice,4) spinal cord injury (SCI) rats, and 5) SCI mice. Continuous cystometry (CMG) and external urethral sphincter (EUS)-electromyogram (EMG) analyses were conducted under an awake, restrained condition. During voiding bladder contractions, SI animals exhibited EUS bursting with alternating active and silent periods, which, in rats but not mice, coincided with small-amplitude intravesical pressure oscillations in CMG recordings. In SI mice with bursting-like EUS activity, the duration of active periods was significantly shorter by 46% (32 ± 5 ms) compared with SI rats (59 ± 9 ms). In PNT-SI mice, there were no significant differences in any of cystometric parameters compared with SI mice. In SCI rats, fluid elimination from the urethra and the EUS bursting occurred during small-amplitude intravesical pressure oscillations. However, SCI mice did not exhibit clear EUS bursting activity or intravesical pressure oscillations but rather exhibited intermittent voiding with slow large-amplitude reductions in intravesical pressure, which occurred during periods of reduced EUS activity. These results indicate that EUS pumping activity is essential for generating efficient voiding in rats with or without spinal cord injury. However, EUS bursting activity is not required for efficient voiding in SI mice and does not reemerge in SCI mice in which inefficient voiding occurs during periods of reduced tonic EUS activity.
为阐明小鼠下尿路功能,我们比较了脊髓损伤(SCI)和未损伤的大鼠与小鼠的膀胱及尿道活动。将雌性斯普拉格-道利大鼠和C57BL/6N小鼠分为五组:1)脊髓完整(SI)大鼠,2)SI小鼠,3)阴部神经横断(PNT)的SI小鼠,4)脊髓损伤(SCI)大鼠,5)SCI小鼠。在清醒、约束状态下进行连续膀胱测压(CMG)和尿道外括约肌(EUS)肌电图(EMG)分析。排尿时膀胱收缩期间,SI动物的EUS出现爆发性活动,伴有活跃期和静止期交替,在大鼠而非小鼠中,这与CMG记录中的小幅度膀胱内压振荡同时出现。在具有爆发样EUS活动的SI小鼠中,与SI大鼠(59±9毫秒)相比,活跃期持续时间显著缩短46%(32±5毫秒)。在PNT-SI小鼠中,与SI小鼠相比,任何膀胱测压参数均无显著差异。在SCI大鼠中,尿道排液和EUS爆发在小幅度膀胱内压振荡期间发生。然而,SCI小鼠未表现出明显的EUS爆发活动或膀胱内压振荡,而是表现出间歇性排尿,膀胱内压缓慢大幅下降,这发生在EUS活动减弱期间。这些结果表明,EUS泵活动对于脊髓损伤或未损伤的大鼠有效排尿至关重要。然而,EUS爆发活动对于SI小鼠有效排尿并非必需,且在SCI小鼠中也不会重新出现,SCI小鼠在紧张性EUS活动减弱期间会出现无效排尿。