Abstract | OBJECTIVE: To investigate the expression of four subtypes of E-series prostaglandin (EP(1) -EP(4) ) receptors and the urodynamic effects of an EP(4) receptor antagonist ( AH23848) in cyclophosphamide (CYP)-induced overactive bladder (OAB) in rats, as intravesical prostaglandin E(2) ( PGE(2) ) induces OAB via activation of EP receptors and sensitization of afferent nerves. MATERIALS AND METHODS: Experimental and control rats were injected with CYP (200 mg/kg, intraperitoneally) or saline, respectively. Continuous cystometrograms (CMGs) were performed 48 h after CYP or saline injection under urethane anaesthesia. AH23848 was given intravenously at doses of 0.01 and 0.1 mg/kg. The bladder was then harvested for histology. Some bladders were harvested for analysis of EP receptors expression by Western blotting without a CMG study. CMG variables (baseline pressure; intercontraction interval [ICI], pressure threshold [PT], contraction amplitude) and histological changes were measured. RESULTS: CYP-induced up-regulation of EP(4) receptor (100% increase) accompanied by detrusor overactivity (ICI 70.5% decrease; PT, 67.7% increase). However, CYP down-regulated EP(1) receptor expression (51.9% decrease), but had no significant effects on the EP(2) and EP(3) receptors. AH23848 significantly extended the ICI in CYP-treated rats but it had no effects on other urodynamic variables or in control rats. CONCLUSIONS: Modulation of EP receptors plays a role in CYP-induced OAB. Antagonists to the EP(4) receptor may be a new target for treatment of patients with OAB.
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Authors | Yao-Chi Chuang, Naoki Yoshimura, Chao-Cheng Huang, Moya Wu, Pradeep Tyagi, Michael B Chancellor |
Journal | BJU international
(BJU Int)
Vol. 106
Issue 11
Pg. 1782-7
(Dec 2010)
ISSN: 1464-410X [Electronic] England |
PMID | 20346049
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2010 THE AUTHORS. JOURNAL COMPILATION © 2010 BJU INTERNATIONAL. |
Chemical References |
- Biphenyl Compounds
- Receptors, Prostaglandin E
- Receptors, Prostaglandin E, EP4 Subtype
- AH 23848
- Cyclophosphamide
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Topics |
- Animals
- Biphenyl Compounds
(pharmacology)
- Blotting, Western
- Cyclophosphamide
- Female
- Immunohistochemistry
- Photomicrography
- Rats
- Rats, Sprague-Dawley
- Receptors, Prostaglandin E
(antagonists & inhibitors, metabolism)
- Receptors, Prostaglandin E, EP4 Subtype
(antagonists & inhibitors)
- Up-Regulation
- Urinary Bladder, Overactive
(drug therapy, pathology)
- Urodynamics
(drug effects)
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