Blebbistain, a myosin II inhibitor, as a novel strategy to regulate detrusor contractility in a rat model of partial bladder outlet obstruction.

Blebbistain, a myosin II inhibitor, as a novel strategy to regulate detrusor contractility in a rat model of partial bladder outlet obstruction.
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DOI:
10.1371/journal.pone.0025958
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发表时间:
2011
期刊:
影响因子:
3.7
通讯作者:
DiSanto ME
DiSanto ME
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Zhang X;Seftel A;DiSanto ME

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部分膀胱出口梗阻(PBOO)是一种常见的泌尿系统病理学,主要由良性前列腺增生引起,可共存于40-45%的膀胱过度活动症(OAB)患者中,并与逼尿肌过度活动症(DO)相关。诱导DO的PBOO导致膀胱肌球蛋白II型和亚型组成的改变。Blebbistatin(BLEB)是一种肌球蛋白II抑制剂,我们最近证明了有效松弛正常逼尿肌平滑肌(SM),报告表明不同SM肌球蛋白(SMM)亚型和/或SMM与非肌肌球蛋白(NMM)的BLEB疗效不同。我们假设BLEB抑制肌球蛋白II作为一种新的收缩蛋白靶向策略,以调节DO。采用腹腔注射诱导的雄性大鼠PBOO模型,进行器官浴收缩、竞争性和Real-Time-RT-PCR。结果表明,梗阻膀胱重量增加2.74倍,逼尿肌对各种刺激的收缩力降低约50%沿着。梗阻也改变了逼尿肌的自发活动,振幅显著增加,但频率降低。PBOO将膀胱从相位型切换为更具张力型SM。5'肌球蛋白重链(MHC)可变剪接亚型SM-A(与张力型SM相关)的表达增加了3倍,而3' MHC SM 1和必需轻链亚型MLC 17 b的相对表达也增加了。总SMMHC表达降低了25%,而NMM IIB(SMemb)的表达大大增加了4.5倍。BLEB被发现完全放松逼尿肌条从假手术和PBOO大鼠预收缩与氯化钾,卡巴胆碱或电场刺激,虽然敏感性略有下降(20%),仅在较低剂量的PBOO。因此,我们提供了第一个彻底的表征大鼠膀胱肌球蛋白对PBOO的反应,并证明完全BLEB诱导的PBOO膀胱SM松弛。此外,本研究提供了有价值的证据表明,BLEB可能是一种新型的潜在的治疗药物,用于调节OAB的肌源性和神经诱发的DO。
Partial bladder outlet obstruction (PBOO), a common urologic pathology mostly caused by benign prostatic hyperplasia, can coexist in 40–45% of patients with overactive bladder (OAB) and is associated with detrusor overactivity (DO). PBOO that induces DO results in alteration in bladder myosin II type and isoform composition. Blebbistatin (BLEB) is a myosin II inhibitor we recently demonstrated potently relaxed normal detrusor smooth muscle (SM) and reports suggest varied BLEB efficacy for different SM myosin (SMM) isoforms and/or SMM vs nonmuscle myosin (NMM). We hypothesize BLEB inhibition of myosin II as a novel contraction protein targeted strategy to regulate DO. Using a surgically-induced male rat PBOO model, organ bath contractility, competitive and Real-Time-RT-PCR were performed. It was found that obstructed-bladder weight significantly increased 2.74-fold while in vitro contractility of detrusor to various stimuli was impaired ∼50% along with decreased shortening velocity. Obstruction also altered detrusor spontaneous activities with significantly increased amplitude but depressed frequency. PBOO switched bladder from a phasic-type to a more tonic-type SM. Expression of 5’ myosin heavy chain (MHC) alternatively spliced isoform SM-A (associated with tonic-type SM) increased 3-fold while 3’ MHC SM1 and essential light chain isoform MLC17b also exhibited increased relative expression. Total SMMHC expression was decreased by 25% while the expression of NMM IIB (SMemb) was greatly increased by 4.5-fold. BLEB was found to completely relax detrusor strips from both sham-operated and PBOO rats pre-contracted with KCl, carbachol or electrical field stimulation although sensitivity was slightly decreased (20%) only at lower doses for PBOO. Thus we provide the first thorough characterization of the response of rat bladder myosin to PBOO and demonstrate complete BLEB-induced PBOO bladder SM relaxation. Furthermore, the present study provides valuable evidence that BLEB may be a novel type of potential therapeutic agent for regulation of myogenic and nerve-evoked DO in OAB.
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发表时间: 2006-01-01
影响因子: 2
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发表时间: 2003-12-01
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