Department of Urology, Faculty of Medical Science, University of Fukui, Fukui, Japan.
Sci Rep. 2019 Jul 8;9(1):9828. doi: 10.1038/s41598-019-46267-9.
Stress-related peptide corticotropin-releasing factor (CRF) and CRF-related peptides are distributed in the peripheral viscera such as the bladder. We investigated the contribution of psychological stress (PS) and CRF on bladder function. Male rats received sham stress (SS) or PS using a communication box method for 120 min every day for 7 days. One group of rats received the intraperitoneal CRF-R1 antagonist antalarmin for 7 days during stress exposure. Mean voided volume per micturition was significantly lower in PS rats compared to SS rats, which was antagonized by antalarmin treatment. Increases in plasma and bladder CRF, and mRNA expressions of bladder CRF, CRF-R1, and M2/3 muscarinic receptors, were found in PS rats. CRF did not influence bladder contraction in itself; however, stress increased the response of muscarinic contraction of bladder strips. These changes were antagonized by antalarmin treatment. In conclusion, PS reinforces M3 receptor-mediated contractions via CRF-R1, resulting in bladder storage dysfunction.
应激相关肽促肾上腺皮质释放因子(CRF)及其相关肽分布于外周内脏器官,如膀胱。我们研究了心理应激(PS)和 CRF 对膀胱功能的影响。雄性大鼠采用交流盒法每天接受 SS 或 PS 处理 120 分钟,共 7 天。一组大鼠在应激暴露期间连续 7 天接受腹腔内 CRF-R1 拮抗剂 antalarmin 处理。与 SS 大鼠相比,PS 大鼠的每次排尿量明显减少,而 antalarmin 处理可拮抗这种作用。PS 大鼠的血浆和膀胱 CRF 增加,膀胱 CRF、CRF-R1 和 M2/3 毒蕈碱受体的 mRNA 表达也增加。CRF 本身并不影响膀胱收缩,但应激增加了膀胱条的毒蕈碱收缩反应。antalarmin 处理可拮抗这些变化。综上所述,PS 通过 CRF-R1 增强 M3 受体介导的收缩,导致膀胱储存功能障碍。