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连续十四天给予皮质酮可能会诱发逼尿肌过度活动症状。

Fourteen-day administration of corticosterone may induce detrusor overactivity symptoms.

作者信息

Wróbel Andrzej, Serefko Anna, Poleszak Ewa, Rechberger Tomasz

机构信息

Second Department of Gynecology, Medical University of Lublin, Jaczewskiego 8, 20-090, Lublin, Poland.

Chair and Department of Applied Pharmacy, Medical University of Lublin, Chodźki 1, 20-093, Lublin, Poland.

出版信息

Int Urogynecol J. 2016 Nov;27(11):1713-1721. doi: 10.1007/s00192-016-3027-3. Epub 2016 May 3.

Abstract

INTRODUCTION AND HYPOTHESIS

Epidemiological studies demonstrated that patients suffering from overactive bladder often present with different mental problems, amongst which depression is the most frequently observed. The main goal of our study was to check if the repeated administration of corticosterone (CORT) is able to evoke the depressive-like behaviour and detrusor overactivity (DO) symptoms in rats. Moreover, we investigated whether the acute administration of common antidepressants (imipramine, 30 mg/kg, and fluoxetine, 15 mg/kg), antimuscarinic (oxybutynin chloride, 0.5 mg/kg) or CRF (SN 003, 1 mg/kg) antagonists has an impact on the cystometric parameters, behaviour in the Porsolt test, and overall locomotor activity of animals exposed to CORT.

METHODS

The experiments were carried out on female Wistar rats. All applied surgical and histopathology procedures, cystometric investigations, locomotor activity and forced swim measurements have been fully described in the published literature.

RESULTS

Fourteen-day administration of CORT may induce both depressive and DO symptoms in rats, which are reversed by the inhibition of CRF receptors.

CONCLUSIONS

It seems that the CRF receptor could be an interesting target for overactive bladder pharmacotherapy, particularly in patients with co-existing depression.

摘要

引言与假设

流行病学研究表明,膀胱过度活动症患者常伴有不同的精神问题,其中抑郁症最为常见。我们研究的主要目的是检验重复给予皮质酮(CORT)是否能够诱发大鼠的抑郁样行为和逼尿肌过度活动(DO)症状。此外,我们还研究了急性给予常见抗抑郁药(丙咪嗪,30 mg/kg,氟西汀,15 mg/kg)、抗毒蕈碱药(氯化奥昔布宁,0.5 mg/kg)或促肾上腺皮质激素释放因子(CRF)拮抗剂(SN 003,1 mg/kg)对接受CORT处理的动物的膀胱测压参数、波索尔特测试中的行为以及整体运动活动是否有影响。

方法

实验在雌性Wistar大鼠身上进行。所有应用的外科手术和组织病理学程序、膀胱测压研究、运动活动和强迫游泳测量在已发表的文献中均有完整描述。

结果

连续14天给予CORT可能会诱发大鼠的抑郁和DO症状,而抑制CRF受体会使其症状逆转。

结论

CRF受体似乎可能是膀胱过度活动症药物治疗的一个有趣靶点,特别是对于同时患有抑郁症的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f35/5065892/f5b7fa81a854/192_2016_3027_Fig1_HTML.jpg

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