Abstract | AIMS: To confirm the role of alpha1-adrenoceptor (α(1)-AR) in the spinal cord, we investigated the effect of intrathecal application of terazosin, a non-selective α(1)-AR blocker, on the micturition reflex, as well as the change of α(1)-AR subtypes mRNA in the lumbosacral spinal cord using spinal cord injury (SCI) rats. MAIN METHODS: Adult female Sprague-Dawley rats were used 4 weeks after Th9-10 spinal cord transection. 1) Continuous cystometry was performed under an awake condition to examine the effect of intrathecal terazosin, a non-selective α(1)-AR blocker, at the level of L6-S1 spinal cord. 2) We also investigated the effect of intravenous phenylephrine, an α1-AR agonist, with or without intrathecal terazosin. 3) Quantification of α(1)-AR subtype mRNA in the L6-S1 lumbosacral spinal cord was performed in normal and SCI rats. KEY FINDINGS: 1) Terazosin (0.01-10 μg) inhibited the number of non-voiding bladder contractions, and increased bladder capacity by 73%. 2) Phenylephrine (0.1 mg/kg) reduced bladder capacity by 17%, and voiding efficiency by 20%. Intrathecal terazosin blocked the effect of intravenous phenylephrine. 3) α(1)-AR subtype mRNA levels was all increased after SCI. SIGNIFICANCE: These results suggest that α(1)-AR facilitates the micturition reflex in the spinal cord, and α(1)-AR blockers applied in the lumbosacral spinal inhibits this effect. Upregulation of α(1)-AR in the lumbosacral spinal cord could be involved in the genesis of detrusor overactivity after SCI. Therefore, if α(1)-AR blockers pass the blood-brain barrier, they could act in the spinal cord to improve storage function in patients with detrusor overactivity (DO).
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Authors | Minoru Miyazato, Takuma Oshiro, Michael B Chancellor, William C de Groat, Naoki Yoshimura, Seiichi Saito |
Journal | Life sciences
(Life Sci)
Vol. 92
Issue 2
Pg. 125-30
(Feb 07 2013)
ISSN: 1879-0631 [Electronic] Netherlands |
PMID | 23178151
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
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Copyright | Copyright © 2012 Elsevier Inc. All rights reserved. |
Chemical References |
- Adrenergic alpha-1 Receptor Antagonists
- Phenylephrine
- Terazosin
- Prazosin
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Topics |
- Adrenergic alpha-1 Receptor Antagonists
(therapeutic use)
- Animals
- Female
- Phenylephrine
(pharmacology)
- Prazosin
(analogs & derivatives, therapeutic use)
- Rats
- Rats, Sprague-Dawley
- Spinal Cord
(drug effects, physiopathology)
- Spinal Cord Injuries
(drug therapy, physiopathology)
- Urinary Bladder
(drug effects, physiopathology)
- Urination
(drug effects, physiology)
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