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Metallothionein overexpression of bladder biopsies associated with tissue hypoxia in patients with interstitial cystitis/painful bladder syndrome.

AbstractOBJECTIVE:
To study the relationship between hypoxia and metallothionein expression in bladder biopsies of interstitial cystitis/painful bladder syndrome patients.
METHODS:
The study group consisted of 41 patients with interstitial cystitis/painful bladder syndrome, and the control group consisted of 12 volunteers without any interstitial cystitis/painful bladder syndrome symptoms. All biopsy specimens were analyzed for both proteins of hypoxia-inducible factor-1α and metallothionein expression by immunoblotting, immunostaining and confocal laser scanning microscopy. Data were analyzed using the Mann-Whitney U-test.
RESULTS:
An increased expression of hypoxia-inducible factor-1α and metallothionein was noted in the study group compared with the control group (P < 0.05). Both proteins of hypoxia-inducible factor-1α and metallothionein mainly distributed over bladder urothelium by immunohistochemical staining, and showed co-localization under confocal microscopy.
CONCLUSIONS:
High expression and co-localization of metallothionein and hypoxia-inducible factor-1 alpha in the bladder mucosa of patients with interstitial cystitis suggest that overexpression of metallothionein is associated with the bladder hypoxia related to this disease.
AuthorsJane-Dar Lee, Ming-Huei Lee
JournalInternational journal of urology : official journal of the Japanese Urological Association (Int J Urol) Vol. 21 Issue 7 Pg. 719-23 (Jul 2014) ISSN: 1442-2042 [Electronic] Australia
PMID24698414 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2014 The Japanese Urological Association.
Chemical References
  • HIF1A protein, human
  • Hypoxia-Inducible Factor 1, alpha Subunit
  • Metallothionein
Topics
  • Adult
  • Biopsy
  • Cystitis, Interstitial (metabolism, pathology)
  • Female
  • Humans
  • Hypoxia (metabolism, pathology)
  • Hypoxia-Inducible Factor 1, alpha Subunit (metabolism)
  • Male
  • Metallothionein (metabolism)
  • Middle Aged
  • Urinary Bladder (metabolism, pathology)
  • Urothelium (metabolism, pathology)

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