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NKA 通过尿路上皮和逼尿肌的激活增强膀胱传入机械敏感性。

NKA enhances bladder-afferent mechanosensitivity via urothelial and detrusor activation.

机构信息

Centre for Urology Research, Faculty of Health Sciences and Medicine, Bond University , Gold Coast, Queensland , Australia.

Visceral Pain Research Group, Human Physiology, Centre for Neuroscience, College of Medicine and Public Health, Flinders University , Bedford Park, South Australia , Australia.

出版信息

Am J Physiol Renal Physiol. 2018 Oct 1;315(4):F1174-F1185. doi: 10.1152/ajprenal.00106.2018. Epub 2018 Jun 13.

Abstract

Tachykinins are expressed within bladder-innervating sensory afferents and have been shown to generate detrusor contraction and trigger micturition. The release of tachykinins from these sensory afferents may also activate tachykinin receptors on the urothelium or sensory afferents directly. Here, we investigated the direct and indirect influence of tachykinins on mechanosensation by recording sensory signaling from the bladder during distension, urothelial transmitter release ex vivo, and direct responses to neurokinin A (NKA) on isolated mouse urothelial cells and bladder-innervating DRG neurons. Bath application of NKA induced concentration-dependent increases in bladder-afferent firing and intravesical pressure that were attenuated by nifedipine and by the NK2 receptor antagonist GR159897 (100 nM). Intravesical NKA significantly decreased bladder compliance but had no direct effect on mechanosensitivity to bladder distension (30 µl/min). GR159897 alone enhanced bladder compliance but had no effect on mechanosensation. Intravesical NKA enhanced both the amplitude and frequency of bladder micromotions during distension, which induced significant transient increases in afferent firing, and were abolished by GR159897. NKA increased intracellular calcium levels in primary urothelial cells but not bladder-innervating DRG neurons. Urothelial ATP release during bladder distention was unchanged in the presence of NKA, whereas acetylcholine levels were reduced. NKA-mediated activation of urothelial cells and enhancement of bladder micromotions are novel mechanisms for NK2 receptor-mediated modulation of bladder mechanosensation. These results suggest that NKA influences bladder afferent activity indirectly via changes in detrusor contraction and urothelial mediator release. Direct actions on sensory nerves are unlikely to contribute to the effects of NKA.

摘要

速激肽存在于支配膀胱的感觉传入纤维中,已被证明可引起逼尿肌收缩并触发排尿。这些感觉传入纤维中速激肽的释放也可能直接激活尿路上皮或感觉传入纤维上的速激肽受体。在这里,我们通过记录膀胱扩张过程中的感觉信号、离体尿路上皮递质释放以及对分离的小鼠尿路上皮细胞和支配膀胱的 DRG 神经元的直接神经激肽 A(NKA)反应,研究了速激肽对机械感觉的直接和间接影响。NKA 的浴液应用引起膀胱传入放电和膀胱内压的浓度依赖性增加,这些增加被硝苯地平和 NK2 受体拮抗剂 GR159897(100 nM)减弱。膀胱内 NKA 显著降低膀胱顺应性,但对膀胱扩张的机械敏感性没有直接影响(30 µl/min)。GR159897 单独增强膀胱顺应性,但对机械感觉没有影响。膀胱内 NKA 增强了膀胱扩张过程中膀胱微运动的幅度和频率,这导致传入放电的显著瞬态增加,并被 GR159897 消除。NKA 增加了原代尿路上皮细胞中的细胞内钙水平,但不增加支配膀胱的 DRG 神经元中的钙水平。在存在 NKA 的情况下,膀胱扩张期间尿路上皮释放的 ATP 没有变化,而乙酰胆碱水平降低。NKA 介导的尿路上皮细胞激活和膀胱微运动增强是 NK2 受体介导的膀胱机械感觉调制的新机制。这些结果表明,NKA 通过改变逼尿肌收缩和尿路上皮介质释放间接影响膀胱传入活动。对感觉神经的直接作用不太可能导致 NKA 的影响。

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