Honda Masashi, Hikita Katsuya, Kawamoto Bunya, Muraoka Kuniyasu, Shimizu Shogo, Saito Motoaki, Sejima Takehiro, Chancellor Michael B, Yoshimura Naoki, Takenaka Atsushi
Department of Urology, Tottori University Faculty of Medicine, 36-1 Nishi, Yonago, 683-8504, Japan.
Department of Urology, University of Pittsburgh School of Medicine, Suite 700 Kaufmann Medical Building, 3471 Fifth Avenue, Pittsburgh, PA, 15213, USA.
Int Urol Nephrol. 2016 Mar;48(3):349-54. doi: 10.1007/s11255-015-1148-0. Epub 2016 Feb 3.
Glycine is an inhibitory neurotransmitter in the central nervous system. So far, two types of glycine transporters (GlyTs), GlyT-1 and GlyT-2, have been cloned. The aim of this study is to investigate the effects of a selective GlyT-1 inhibitor that can increase endogenous glycine concentration on the micturition reflex in urethane-anesthetized rats.
Continuous cystometrograms (0.04 ml/min) were performed in female Sprague-Dawley rats (232-265 g) under urethane anesthesia. After stable micturition cycles were established, ALX5407, a selective GlyT-1 inhibitor, was administered intrathecally or intracerebroventricularly to evaluate changes in bladder activity. Cystometric parameters were recorded and compared before and after drug administration.
Intrathecal administration of ALX5407 (1, 3, 10 and 30 μg) increased intercontraction intervals at doses of 3 μg or higher in a dose-dependent fashion. Intrathecal administration of ALX5407 (1, 3, 10 and 30 μg) also increased pressure threshold at doses of 3 μg or higher in a dose-dependent fashion. However, when ALX5407 (1, 3, 10 and 30 μg) was administered intracerebroventricularly, there were no significant changes in intercontraction intervals, pressure threshold, maximum voiding pressure or baseline pressure or post-void residual urine volume at any doses tested.
The results of our study indicate that GlyT-1 plays an important role in the modulation of micturition. Furthermore, these findings indicate that in urethane-anesthetized rats suppression of GlyT-1 can inhibit the micturition reflex at the spinal cord level. Thus, GlyT-1 could be a potential target for the treatment of bladder dysfunction such as overactive bladder.
甘氨酸是中枢神经系统中的一种抑制性神经递质。迄今为止,已克隆出两种类型的甘氨酸转运体(GlyTs),即GlyT-1和GlyT-2。本研究的目的是探讨一种能够增加内源性甘氨酸浓度的选择性GlyT-1抑制剂对氨基甲酸乙酯麻醉大鼠排尿反射的影响。
在氨基甲酸乙酯麻醉下,对雌性Sprague-Dawley大鼠(232 - 265 g)进行连续膀胱测压(0.04 ml/分钟)。在建立稳定的排尿周期后,鞘内或脑室内给予选择性GlyT-1抑制剂ALX5407,以评估膀胱活动的变化。记录给药前后的膀胱测压参数并进行比较。
鞘内给予ALX5407(1、3、10和30 μg),在3 μg或更高剂量时,以剂量依赖的方式增加收缩间期。鞘内给予ALX5407(1、3、10和30 μg),在3 μg或更高剂量时,也以剂量依赖的方式增加压力阈值。然而,当脑室内给予ALX5407(1、3、10和30 μg)时,在任何测试剂量下,收缩间期、压力阈值、最大排尿压力或基线压力以及排尿后残余尿量均无显著变化。
我们的研究结果表明,GlyT-1在排尿调节中起重要作用。此外,这些发现表明,在氨基甲酸乙酯麻醉的大鼠中,抑制GlyT-1可在脊髓水平抑制排尿反射。因此,GlyT-1可能是治疗膀胱功能障碍如膀胱过度活动症的潜在靶点。