You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Neurogenic Voiding Dysfunction1 Apr 20121645 DIFFERENTIAL EFFECTS OF BOTULINUM NEUROTOXIN-A (BONT/A) ON BLADDER CONTRACTILE RESPONSES TO ACTIVATION OF EFFERENT NERVES, SMOOTH MUSCLES AND AFFERENT NERVES IN RATS Ryosuke Takahashi, Takakazu Yunoki, Seiji Naito, and Naoki Yoshimura Ryosuke TakahashiRyosuke Takahashi Pittsburgh, PA More articles by this author , Takakazu YunokiTakakazu Yunoki Fukuoka, Japan More articles by this author , Seiji NaitoSeiji Naito Fukuoka, Japan More articles by this author , and Naoki YoshimuraNaoki Yoshimura Pittsburgh, PA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1477AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES BoNT/A, an effective therapeutic agent for overactive bladder, reportedly has inhibitory effects not only on acetylcholine exocytosis from efferent nerve terminals, but also on transmitter release from afferent nerve terminals. We also showed that BoNT/A inhibits voltage-gated Ca2+ channels (VGCC) in rat and human detrusor smooth muscles using patch-clamp techniques (AUA 2009). We therefore compared the effects of BoNT/A on rat bladder smooth muscle contractions induced by activation of efferent nerves, afferent nerves and VGCC on smooth muscle to examine the relative importance of these three inhibitory mechanisms. METHODS Bladder strips without urothelium were obtained from female SD rats. These strips were incubated for 3 h at 37°C in Krebs solution with different concentrations of BoNT/A (0.3-100 nM) and tension development was measured in an organ bath. To examine the effect of BoNT/A on neurotransmitter release from efferent nerve terminals and afferent nerve terminals and on VGCC of smooth muscle, changes in electrical field stimulation (EFS: 20V; 0.5-64 Hz), 1 μM capsaicin and 70 mM KCl-induced contractions were evaluated, respectively. In addition, the contractile response to carbachol (CCh) was also examined. RESULTS The significant inhibitory effect of BoNT/A on KCl-induced contractions was observed at a concentration of 3nM or higher, and the maximal inhibition at 100 nM was 30% compared to control strips. EFS-induced contractions were significantly inhibited by the incubation with BoNT/A of 10 nM or higher, and the maximal inhibition at 100 nM was 70% compared to control strips. The pretreatment of 1μM atropine plus 10μM αβMet-ATP inhibited EFS-induced contractions to the same level as in BoNT/A treatment. Capsaicin-induced contractions were inhibited by 30% with overnight incubation of 100 nM BoTN/A, but not with 3 h incubation. The contractile responses to CCh were not altered by the incubation with BoNT/A. CONCLUSIONS The order of inhibitory potency of BoNT/A is efferent nerve terminals > L-type VGCC on smooth muscles > afferent nerve terminals. In addition, BoNT/A can inhibit both acetylcholine and ATP release from efferent nerve terminals. Thus, BoNT/A has multiple inhibitory mechanisms affecting bladder function, which would enhance the efficacy of BoNT/A treatment for overactive bladder. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e665 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ryosuke Takahashi Pittsburgh, PA More articles by this author Takakazu Yunoki Fukuoka, Japan More articles by this author Seiji Naito Fukuoka, Japan More articles by this author Naoki Yoshimura Pittsburgh, PA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...