Abstract

In humans, the storage and voiding functions of the urinary bladder have a characteristic diurnal variation, with increased voiding during the day and urine storage during the night. However, in animal models, the daily functional differences in urodynamics have not been well-studied. The goal of this study was to identify key urodynamic parameters that vary between day and night. Rats were chronically instrumented with an intravesical catheter, and bladder pressure, voided volumes, and micturition frequency were measured by continuous filling cystometry during the light (inactive) or dark (active) phases of the circadian cycle. Cage activity was recorded by video during the experiment. We hypothesized that nocturnal rats entrained to a standard 12:12 light:dark cycle would show greater ambulatory activity and more frequent, smaller volume micturitions in the dark compared to the light. Rats studied during the light phase had a bladder capacity of 1.44±0.21 mL and voided every 8.2±1.2 min. Ambulatory activity was lower in the light phase, and rats slept during the recording period, awakening only to urinate. In contrast, rats studied during the dark were more active, had a lower bladder capacities (0.65±0.18 mL), and urinated more often (every 3.7±0.9 min). Average bladder pressures were not significantly different between the light and dark (13.40±2.49 and 12.19±2.85 mmHg, respectively). These results identify a day-night difference in bladder capacity and micturition frequency in chronically-instrumented nocturnal rodents that is phase-locked to the normal circadian locomotor activity rhythm of the animal. Furthermore, since it has generally been assumed that the daily hormonal regulation of renal function is a major driver of the circadian rhythm in urination, and few studies have addressed the involvement of the lower urinary tract, these results establish the bladder itself as a target for circadian regulation.

Highlights

  • Daily/circadian (,24 hr) rhythms are essential for survival and fitness in virtually all organisms

  • The goal of this study was to perform in vivo assessments of bladder function in conscious, freely moving animals at opposite times of day, to test the hypothesis that urodynamics differ with circadian phase

  • The present study shows that the normal circadian behaviors of the rat can be preserved in an experimental set-up, facilitating the usage of chronically-catheterized animals for behaviorally-integrated studies of bladder-based disorders

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Summary

Introduction

Daily/circadian (,24 hr) rhythms are essential for survival and fitness in virtually all organisms. A clear circadian rhythm in urinary function and behavior is present [3]. Storage of urine in the bladder is predominant at night, due to increased bladder capacity, and voiding predominates during the day [4,5,6,7]. Urinary frequency is higher during the day and is associated with a significantly higher glomerular filtration rate (GFR) in the kidney [8,9,10,11,12,13]. The functional aspects of bladder that influence daily urination behavior have not been well-studied

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