We aimed to evaluate the effects of a
soluble guanylate cyclase (sGC) activator,
BAY 60-2770, on neurogenic lower urinary tract dysfunction in mice with
spinal cord injury (SCI). Mice were divided into the following three groups: spinal cord intact (group A), SCI + vehicle (group B), and SCI +
BAY 60-2770 (group C). SCI mice underwent Th8-Th9
spinal cord transection and treatment with
BAY 60-2770 (10 mg/kg/day) once daily for 2-4 wk after SCI. We evaluated urodynamic parameters using awake cystometry and external urethral sphincter electromyograms (EMG);
mRNA levels of mechanosensory channels,
nitric oxide (NO)-,
ischemia-, and
inflammation-related markers in L6-S1 dorsal root ganglia, the urethra, and bladder tissues; and
protein levels of cGMP in the urethra at 4 wk after SCI. With awake cystometry, nonvoiding contractions, postvoid residual, and bladder capacity were significantly larger in group B than in group C. Voiding efficiency (VE) was significantly higher in group C than in group B. In external urethral sphincter EMGs, the duration of notch-like reductions in intravesical pressure and reduced EMG activity time were significantly longer in group C than in group B.
mRNA expression levels of transient receptor potential
ankyrin 1, transient receptor potential vanilloid 1,
acid-sensing ion channel (ASIC)1, ASIC2, ASIC3, and Piezo2 in the dorsal root ganglia, and
hypoxia-inducible factor-1α,
VEGF, and transforming growth factor-β1 in the bladder were significantly higher in group B than in groups A and C.
mRNA levels of neuronal
NO synthase, endothelial
NO synthase, and sGCα1 and
protein levels of cGMP in the urethra were significantly lower in group B than in groups A and C. sGC modulation might be useful for the treatment of SCI-related neurogenic lower urinary tract dysfunction.NEW & NOTEWORTHY This is the first report to evaluate the effects of a
soluble guanylate cyclase activator,
BAY 60-2770, on neurogenic lower urinary tract dysfunction in mice with
spinal cord injury.