Department of Anatomy and Cell Biology, School of Medicine, University of Kansas Medical Center, Kansas City, Kansas.
Neurourol Urodyn. 2018 Jun;37(5):1623-1632. doi: 10.1002/nau.23530. Epub 2018 Feb 21.
Patients with interstitial cystitis/painful bladder syndrome (IC/PBS) commonly suffer from widespread pain and mood disorder, which has been attributed to improper functioning of the hypothalamic-pituitary-adrenal (HPA) axis. Voluntary exercise has been shown to improve HPA axis function, therefore we are determining whether voluntary wheel running can attenuate urological pain and dysfunction following neonatal maternal separation (NMS) in female mice.
Mice underwent NMS for 3 h/day from postnatal Day 1-21, were caged with free access to running wheels at 4 weeks of age, and assessed 4 weeks later for bladder sensitivity, micturition, reward behavior, mast cell degranulation, and HPA axis-related in vitro analysis.
Increased bladder sensitivity, void frequency, and mast cell degranulation was observed in adult sedentary (-Sed) NMS mice, compared to naïve-Sed controls. Sucrose preference was increased in NMS-Sed mice and corticotropin-releasing factor receptor 1 (CRF ) and glucocorticoid receptor mRNA levels were significantly reduced in the hippocampus. Exercise normalized bladder sensitivity, micturition output, and increased brain-derived neurotrophic factor (BDNF) mRNA levels in the hippocampus of NMS mice. Mast cell degranulation was also normalized in NMS bladders following exercise.
Voluntary exercise normalized behavioral outcomes resulting from NMS in female mice, increased hippocampal BDNF mRNA levels, and decreased mast cell degranulation in the bladder. Together these results provide novel insight into the efficacy of voluntary exercise to attenuate comorbid outcomes resulting from exposure to early life stress.
间质性膀胱炎/膀胱疼痛综合征(IC/PBS)患者常伴有广泛疼痛和情绪障碍,这归因于下丘脑-垂体-肾上腺(HPA)轴功能失调。有研究表明,自愿运动可以改善 HPA 轴的功能,因此我们正在确定在雌性小鼠中,是否自愿轮式跑动可以减轻新生期母体分离(NMS)后泌尿系统疼痛和功能障碍。
小鼠在出生后第 1-21 天每天接受 3 小时的 NMS,4 周龄时可自由使用轮式跑步器,4 周后评估膀胱敏感性、排尿、奖励行为、肥大细胞脱颗粒以及 HPA 轴相关的体外分析。
与未接受 NMS 的对照相比,久坐不动的(-Sed)NMS 小鼠成年后膀胱敏感性、排尿频率和肥大细胞脱颗粒增加。NMS-Sed 小鼠的蔗糖偏好增加,而海马中的促肾上腺皮质释放因子受体 1(CRF)和糖皮质激素受体 mRNA 水平显著降低。运动使 NMS 小鼠的膀胱敏感性、排尿量正常化,并增加了海马中的脑源性神经营养因子(BDNF)mRNA 水平。运动后 NMS 小鼠的膀胱肥大细胞脱颗粒也恢复正常。
自愿运动使雌性小鼠 NMS 引起的行为结果正常化,增加了海马中的 BDNF mRNA 水平,并减少了膀胱中的肥大细胞脱颗粒。这些结果为自愿运动减轻早期生活应激暴露引起的共病结果的疗效提供了新的见解。