You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Basic Research & Pathophysiology II1 Apr 2016MP68-08 INHIBITION OF NEUROGENIC, CHOLINERGIC, AND ADRENERGIC CONTRACTION OF HUMAN BLADDER SMOOTH MUSCLE BY THE THROMBOXANE RECEPTOR ANTAGONIST, PICOTAMIDE Martin Hennenberg, Yiming Wang, Frank Strittmatter, Anna Ciotkowska, Beata Rutz, Christian Stief, and Christian Gratzke Martin HennenbergMartin Hennenberg More articles by this author , Yiming WangYiming Wang More articles by this author , Frank StrittmatterFrank Strittmatter More articles by this author , Anna CiotkowskaAnna Ciotkowska More articles by this author , Beata RutzBeata Rutz More articles by this author , Christian StiefChristian Stief More articles by this author , and Christian GratzkeChristian Gratzke More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1345AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Male lower urinary tract symptoms include storage symptoms, which are mostly caused by an overactive bladder (OAB) due to spontaneous detrusor contractions. Anticholinergic treatment represents the goldstandard of medical therapy, but discontinuation rates are high, due to disappointing efficacy and side effects. In addition to muscarinic receptors, detrusor contraction may be induced by thromboxane A2 (TXA2) and α1-adrenoceptors. Here, we studied effects of the TXA2 receptor (TXA2R) antagonist picotamide on detrusor contraction in the male human bladder. METHODS Tissues were obtained from trigones of male patients (n=55) undergoing radical cystectomy. Contractility was studied in an organ bath. Expression of the TXA2 system was examined by RT-PCR, Western blot, immunofluorescence staining, and enzyme immunoassay (EIA). RESULTS Carbachol, the α1-selective adrenoceptor agonist phenylephrine, and the TXA2 analogue U46619 induced concentration-dependent contractions of trigone tissues. Electric field stimulation (EFS) induced frequency-dependent contractions. Picotamide (300 µM) inhibited carbachol-, phenylephrine-, U46619-, and EFS-induced contractions. Inhibition was significant at 0.1-3 µM carbachol, 1-3 µM phenylephrine, 10-30 µM U46619, and at EFS with 32 Hz. TXA2R and TXA2 synthase (TXS) were detectable by RT-PCR and Western blot analysis. Immunoreactivity for TXA2R and TXS colocalized with calponin, indicating expression in smooth muscle. TXB2 was detectable by EIA in each sample, with most values ranging between 50-150 pg/mg trigone protein. CONCLUSIONS Picotamide inhibits different contractile systems in the human detrusor at once, including cholinergic, adrenergic, TXA2-induced, and neurogenic contractions. This distinguishes picotamide from available medications for OAB treatment. Because picotamide is well tolerated even under long-term administration, clinical studies and urodynamic effects appear possible. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e891-e892 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Martin Hennenberg More articles by this author Yiming Wang More articles by this author Frank Strittmatter More articles by this author Anna Ciotkowska More articles by this author Beata Rutz More articles by this author Christian Stief More articles by this author Christian Gratzke More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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