Wang Xiaohu, Cao Nailong, Ni Jianshu, Si Jiemin, Gu Baojun, Karl-Erik Andersson
Department of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China; Department of Urology, Taizhou Hospital of Zhejiang Province, Linhai, China.
Department of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Neurosci Lett. 2018 Nov 20;687:196-201. doi: 10.1016/j.neulet.2018.09.050. Epub 2018 Sep 29.
This study aimed to investigate the effects of ketanserin on micturition mediated via the 5-HT receptor in the motoneuron nucleus of the Lumbosacral cord, as reflected in high frequency oscillations (HFOs) of intravesical pressure and the external urethral sphincter electromyogram (EUS-EMG) in anesthetized male rats. METHODS:: Male Sprague-Dawley rats were used. Cystometry and EUS-EMG were performed in all rats under urethane anesthesia to examine the variations after successive intrathecal (i.t.) administration of various doses of ketanserin into the lumbosacral cord. Immunofluorescence staining and Western blotting were made to observe the distribution of 5-HT2 A and -2C receptors in the lumbosacral cord motor neurons.
Compared to the controls, ketanserin-treated rats showed a declined trend of dose-dependent manner in the HFOs, in accordance with the variation of EUS-EMG, while decreased micturition volume, voiding efficiency, and increased post-void residual volume was only observed at the dose of 0.1 mg/kg. The effects of ketanserin on the HFO and EUS-EMG activity were partially or completely reversed by the 5-HT receptor agonist, DOI. Meanwhile, immunofluorescence staining and Western blot analysis showed that immunoreactivity of 5-HT receptor was higher than that of 5-HT labeling in the lumbosacral cord motoneurons.
The intrathecally administrated 5-HT receptor antagonist ketanserin can weaken the EUS bursting activity, decrease HFOs, and reduce voiding efficiency as dose dependently. The effects of ketanserin on micturition may be mainly mediated via the 5-HT receptors in the motoneuron nucleus of the lumbosacral cord.
本研究旨在探讨酮色林对经腰骶髓运动神经元核中5-羟色胺(5-HT)受体介导的排尿的影响,这可通过麻醉雄性大鼠膀胱内压高频振荡(HFOs)及尿道外括约肌肌电图(EUS-EMG)反映出来。方法:采用雄性Sprague-Dawley大鼠。在所有大鼠经氨基甲酸乙酯麻醉后进行膀胱测压和EUS-EMG检查,以观察在腰骶髓连续鞘内(i.t.)注射不同剂量酮色林后的变化。进行免疫荧光染色和蛋白质免疫印迹法以观察5-HT2 A和-2C受体在腰骶髓运动神经元中的分布。
与对照组相比,酮色林处理的大鼠HFOs呈剂量依赖性下降趋势,与EUS-EMG变化一致,而仅在0.1 mg/kg剂量时观察到排尿量减少、排尿效率降低及残余尿量增加。5-HT受体激动剂DOI可部分或完全逆转酮色林对HFO和EUS-EMG活性的影响。同时,免疫荧光染色和蛋白质免疫印迹分析表明,腰骶髓运动神经元中5-HT受体的免疫反应性高于5-HT标记物。
鞘内注射5-HT受体拮抗剂酮色林可剂量依赖性地减弱EUS爆发活动、降低HFOs并降低排尿效率。酮色林对排尿的影响可能主要通过腰骶髓运动神经元核中的5-HT受体介导。