Compensatory paracrine mechanisms that define the urothelial response to injury in partial bladder outlet obstruction.
Compensatory paracrine mechanisms that define the urothelial response to injury in partial bladder outlet obstruction.
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DOI:
10.1152/ajprenal.00006.2007
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发表时间:
2007-10
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通讯作者:
T. Lendvay;Robert Sweet;C. Han;T. Soygur;Jang-Fang Cheng;J. C. Plaire;J. Charleston;L. B. Charleston;Shelly Bagai;K. Cochrane;E. Rubio;J. Bassuk
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文献类型:
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作者:
T. Lendvay;Robert Sweet;C. Han;T. Soygur;Jang-Fang Cheng;J. C. Plaire;J. Charleston;L. B. Charleston;Shelly Bagai;K. Cochrane;E. Rubio;J. Bassuk
Diseases and conditions affecting the lower urinary tract are a leading cause of dysfunctional sexual health, incontinence, infection, and kidney failure. The growth, differentiation, and repair of the bladder's epithelial lining are regulated, in part, by fibroblast growth factor (FGF)-7 and -10 via a paracrine cascade originating in the mesenchyme (lamina propria) and targeting the receptor for FGF-7 and -10 within the transitional epithelium (urothelium). The FGF-7 gene is located at the 15q15-q21.1 locus on chromosome 15 and four exons generate a 3.852-kb mRNA. Five duplicated FGF-7 gene sequences that localized to chromosome 9 were predicted not to generate functional protein products, thus validating the use of FGF-7-null mice as an experimental model. Recombinant FGF-7 and -10 induced proliferation of human urothelial cells in vitro and transitional epithelium of wild-type and FGF-7-null mice in vivo. To determine the extent that induction of urothelial cell proliferation during the bladder response to injury is dependent on FGF-7, an animal model of partial bladder outlet obstruction was developed. Unbiased stereology was used to measure the percentage of proliferating urothelial cells between obstructed groups of wild-type and FGF-7-null mice. The stereological analysis indicated that a statistical significant difference did not exist between the two groups, suggesting that FGF-7 is not essential for urothelial cell proliferation in response to partial outlet obstruction. In contrast, a significant increase in FGF-10 expression was observed in the obstructed FGF-7-null group, indicating that the compensatory pathway that functions in this model results in urothelial repair.