You have accessJournal of UrologyBladder and Urethra: Anatomy, Physiology and Pharmacology (II)1 Apr 2013535 ESTROGEN CONTROLS BLADDER CONTRACTILE POWER THROUGH MYOSIN HEAVY CHAIN ISOFORMS Ken Aikawa, Kei Ishibashi, Masanori Nomiya, Nobuhiro Kushida, Nobuhiro Haga, Norio Takahashi, Soichiro Ogawa, Yohei Kawashima, Yoshiyuki Kojima, and Osamu Yamaguchi Ken AikawaKen Aikawa Fukushima, Japan More articles by this author , Kei IshibashiKei Ishibashi Fukushima, Japan More articles by this author , Masanori NomiyaMasanori Nomiya Fukushima, Japan More articles by this author , Nobuhiro KushidaNobuhiro Kushida Fukushima, Japan More articles by this author , Nobuhiro HagaNobuhiro Haga Fukushima, Japan More articles by this author , Norio TakahashiNorio Takahashi Fukushima, Japan More articles by this author , Soichiro OgawaSoichiro Ogawa Fukushima, Japan More articles by this author , Yohei KawashimaYohei Kawashima Fukushima, Japan More articles by this author , Yoshiyuki KojimaYoshiyuki Kojima Fukushima, Japan More articles by this author , and Osamu YamaguchiOsamu Yamaguchi Koriyama, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1930AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urodynamic studies have shown that detrusor underactivity (DU) in women increases with age. One cause of this impaired bladder function that has recently attracted attention is estrogen deficiency. However, mechanisms underlying the association between estrogen deficiency and DU are still not understood. On the other hand, it is known that estrogen modulates the expression of myosin heavy chain (MHC) isoforms in smooth muscle. Thus, using a rat animal model, we investigated the effect of estrogen withdrawal and replacement on the expression of MHC isoforms and contractile power in bladder. METHODS Thirty female SD rats were divided into sham (Sham), bilateral ovariectomy (OVX), and OVX plus estrogen replacement (OVX+E) groups. The OVX+E group was given estradiol subcutaneously at 5 μg/kg/day for 4 weeks. At 4 weeks after surgery, each bladder was used for analysis of histology, MHC isoform (SM1, SM2) mRNA expression, and contractile power. Using bladder strips, the shortening responses to electrical field stimulation under various loads (4.9 mN to 19.6 mN) were recorded. The applied load was regarded as force generated (F), and velocity of shortening (V) was calculated from the shortening curve. Contractile power was defined as the total mechanical power (P), which is given by the following Hill equation: P = FV + aV + bF, where a and b are constants of each bladder strip. RESULTS Bladder weight and histological findings were not different between groups. The force/velocity plots obtained from the isotonic contraction study were well fitted to the Hill equation. Thus, contractile power for each strip could be determined. The contractile power significantly decreased in OVX, and estrogen replacement suppressed this decrease (Fig. 1a). The SM2/SM1 ratio significantly increased in OVX, and estrogen replacement suppressed this increase (Fig. 1b). CONCLUSIONS Our results suggest that estrogen maintains bladder contractile power via modulation of the expression of MHC isoforms. Clinical application of estrogen replacement may be beneficial for treating postmenopausal DU. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e220 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ken Aikawa Fukushima, Japan More articles by this author Kei Ishibashi Fukushima, Japan More articles by this author Masanori Nomiya Fukushima, Japan More articles by this author Nobuhiro Kushida Fukushima, Japan More articles by this author Nobuhiro Haga Fukushima, Japan More articles by this author Norio Takahashi Fukushima, Japan More articles by this author Soichiro Ogawa Fukushima, Japan More articles by this author Yohei Kawashima Fukushima, Japan More articles by this author Yoshiyuki Kojima Fukushima, Japan More articles by this author Osamu Yamaguchi Koriyama, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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