Effects of a new β3-adrenoceptor agonist, vibegron, on neurogenic bladder dysfunction and remodeling in mice with spinal cord injury

被引:13
作者
Gotoh, Daisuke [1 ,2 ]
Shimizu, Nobutaka [1 ,3 ]
Wada, Naoki [1 ]
Kadekawa, Katsumi [1 ]
Saito, Tetsuichi [1 ]
Mizoguchi, Shinsuke [1 ]
Morizawa, Yosuke [2 ]
Hori, Shunta [2 ]
Miyake, Makito [2 ]
Torimoto, Kazumasa [2 ]
de Groat, William C. [4 ]
Fujimoto, Kiyohide [2 ]
Yoshimura, Naoki [1 ,4 ]
机构
[1] Univ Pittsburgh, Dept Urol, Pittsburgh, PA 15213 USA
[2] Nara Med Univ, Dept Urol, Kashihara, Nara, Japan
[3] Kindai Univ, Fac Med, Dept Urol, Osaka, Japan
[4] Univ Pittsburgh, Dept Pharmacol & Chem Biol, Pittsburgh, PA 15213 USA
关键词
detrusor overactivity; mice; spinal cord injury; urodynamics; vibegron; URINARY-BLADDER; NEUROTROPHIC FACTOR; AFFERENT ACTIVITY; REFLEX PATHWAYS; MESSENGER-RNA; RATS; MIRABEGRON; INHIBITION; ANTAGONIST; EXPRESSION;
D O I
10.1002/nau.24486
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Aims To examine vibegron effects on lower urinary tract dysfunction (LUTD) in mice with spinal cord injury (SCI). Methods Female mice underwent Th8-9 spinal cord transection and were orally administered vehicle or vibegron after SCI. We evaluated urodynamic parameters at 4 weeks after SCI with or without vibegron. Fibrosis- and ischemia-related messenger RNA (mRNA) and protein levels of collagen and elastin were measured in bladders of vehicle- and vibegron-treated SCI mice, and spinal intact mice. Results Non-voiding contractions (NVCs) were significantly fewer (15.3 +/- 8.9 vs 29.7 +/- 11.4 contractions;P < .05) and the time to the first NVC was significantly longer (1488.0 +/- 409.5 vs 782.7 +/- 399.7 seconds;P < .01) in vibegron-treated SCI mice vs vehicle-treated SCI mice. mRNAs levels of collagen types 1 and 3, transforming growth factor-beta 1 (TGF-beta 1), and hypoxia-inducible factor-1 alpha (HIF-1 alpha) were significantly upregulated in vehicle-treated SCI mice compared with spinal intact and vibegron-treated SCI mice (Col 1: 3.5 vs 1.0 and 2.0-fold;P < .01 andP < .05, Col 3: 2.1 vs 1.0 and 1.2-fold;P < .01 andP < .05, TGF-beta 1: 1.2 vs 1.0 and 0.9-fold;P < .05 andP < .05, HIF-1 alpha: 1.4 vs 1.0 and 1.0-fold;P < .05 andP < .01). Total collagen and elastin protein levels in vehicle- and vibegron-treated SCI mice did not differ. Conclusions Vibegron reduced NVCs, delayed the first NVC, and improved collagen types 1 and 3, TGF-beta 1, and HIF-1 alpha mRNA expression in SCI mice. Vibegron might be effective for SCI-induced LUTD.
引用
收藏
页码:2120 / 2127
页数:8
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