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三型酸敏感离子通道在大鼠OAB模型膀胱组织中表达的意义

Expression of Type 3 Acid Sensitive Ion Channels in Bladder of OAB Rat Model

  • 摘要: 目的 探讨大鼠膀胱组织中三型酸敏感离子通道(ASIC3)的表达与大鼠膀胱过度活动症(OAB)的关系。方法 成年雌性大鼠膀胱造瘘后,随机分为对照组(0.9%氯化钠盐水腹腔注射)、OAB组(环磷酰胺腹腔注射)、干预组(OAB组基础上加入ASIC3抑制剂阿米洛利),每组20只。24 h后对各组大鼠进行尿流动力学检测;取3组大鼠的膀胱组织,进行病理学检查;并通过免疫组织化学染色、RT-PCR和Western blot方法检测其ASIC3的表达。结果 尿流动力学检测结果显示:对照组大鼠储尿期及排尿期未见明显不稳定收缩;与对照组相比,OAB组及干预组在储尿期可见不稳定收缩,即排尿间隔缩短( P<0.01),排尿次数增加( P<0.01)。干预组与OAB组相比,排尿间隔延长( P<0.05),排尿次数减少( P<0.05)。病理学检测提示:OAB组、干预组中大鼠膀胱黏膜破坏;免疫组化染色提示:大鼠膀胱组织有ASIC3表达,主要分布于膀胱黏膜;RT-PCR及Western blot提示:OAB组中膀胱黏膜上 ASIC3基因及蛋白表达较对照组升高( P<0.01),加入ASIC3抑制剂后,干预组 ASIC3基因及蛋白表达低于OAB组( P<0.05),但仍高于正常组( P<0.01)。结论 大鼠膀胱组织有 ASIC3基因及蛋白表达, OAB大鼠膀胱组织 ASIC3基因及蛋白表达增高, ASIC抑制剂可抑制其表达,干预后,大鼠OAB症状减轻,说明膀胱组织ASIC3表达升高与膀胱逼尿肌反射亢进相关。

     

    Abstract: Objective To investigate the expression of type 3 acid-sensing ion channels (ASIC3) in bladder tissue of over active bladder (OAB) rat model. Methods Sixty adult female rats were randomly divided into control group (intraperitoneal injection of 0.9%sodium chloride), OAB group (intraperitoneal injection of cyclophosphamide) and the intervention group (OAB rats treated with ASIC3 inhibitor amiloride). The rats underwent urodynamic testing. The bladder tissues were collected for pathological examination, while the expressions of ASIC3 were measured by the methods of immunohistochemistry, RT-PCR and Western blot. Results Urodynamic study found that the rats in control group had no significant contraction instability in both storage and voiding stages. Compared with the control group, OAB group and intervention group showed instability of visible contraction in urine storage stage, with shorter micturition interval ( P<0.01) and increased frequency of urination ( P<0.01). Compared with the OAB group, the intervention group showed significantly prolonged micturition interval ( P<0.05) and reduced frequency of urination ( P<0.05). Pathologic examination showed rat bladder mucosal damage in both OAB group and intervention group. Immunohistochemistry found the expression of ASIC3 on bladder mucosa. RT-PCR and Western blot showed significantly higher expression of ASIC3 in OAB group ( P<0.01), but the expression of ASIC3 decreased in intervention group after adding ASIC3 inhibitor.Conclusion ASIC3 expresses mainly on bladder mucosa. The gene and protein expression of ASIC3 in rat bladder tissue of OAB rats is higher, which can be significantly decreased by ASIC inhibitor.The symptoms of OAB reduce after intervention, which demonstrates the increased expression of ASIC3 in bladder tissue is closely related to bladder detrusor.

     

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