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衰老和X射线辐射对小鼠膀胱容量昼夜节律的影响。

Effects of ageing and X-irradiation on the diurnal rhythm of mouse urinary bladder capacity.

作者信息

Dörr W, Kraft M

机构信息

Klinik und Poliklinik für Strahlentherapie, Universitätsklinikum Carl-Gustav-Carus, Dresden, Deutschland.

出版信息

Urol Int. 1997;58(3):153-9. doi: 10.1159/000282973.

DOI:10.1159/000282973
PMID:9188136
Abstract

The effect of single-dose irradiation (19 Gy) or sham treatment on circadian variations in urinary bladder storage capacity was assessed during a 250-day period following treatment using transurethral cystometry under anesthesia. Changes in bladder function were quantified as the deviation from individual pretreatment values of bladder volume at defined intravesical pressures. A marked diurnal rhythm with a peak at 19.00 h and an extended nadir between 1.00 h and 12.00 h was found in 11- to 12-week-old untreated mice. No systematic changes in bladder function with age could be observed in repeated cystometries after sham treatment. X-Irradiation resulted in a triphasic response. After an early reversible decrease in bladder capacity (acute phase) complete recovery was observed within 30 days after irradiation. Following a symptom-free latent period of about 15 weeks, chronic progressive impairment of bladder storage function developed (chronic phase). During the acute and latent period, no changes in the diurnal pattern were observed. In the late phase, not only a decrease in the absolute capacity values but also in the amplitude of diurnal fluctuations was seen. The daily minimum values, however, were still found between 1.00 and 12.00 h. The data indicate that cystometry values obtained between 8.00 and 12.00 h provide suitable parameters for the quantification of radiation effects in the urinary bladder in longitudinal studies.

摘要

在麻醉下采用经尿道膀胱测压法,评估单剂量照射(19 Gy)或假处理对膀胱储存容量昼夜变化的影响,观察期为处理后的250天。膀胱功能变化通过膀胱内压达到特定值时膀胱容量相对于个体预处理值的偏差来量化。在11至12周龄未处理的小鼠中发现了明显的昼夜节律,峰值出现在19:00,最低点出现在1:00至12:00之间。假处理后的重复膀胱测压未观察到膀胱功能随年龄的系统性变化。X射线照射导致了三相反应。照射后早期膀胱容量出现可逆性下降(急性期),照射后30天内观察到完全恢复。在约15周的无症状潜伏期后,膀胱储存功能出现慢性进行性损害(慢性期)。在急性期和潜伏期,昼夜模式未发生变化。在后期,不仅绝对容量值下降,昼夜波动幅度也下降。然而,每日最小值仍出现在1:00至12:00之间。数据表明,在纵向研究中,8:00至12:00之间获得的膀胱测压值为量化膀胱辐射效应提供了合适的参数。

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