You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Kidney & Bladder1 Apr 20111371 NF-κ/INOS/CAMP SIGNALING CASCADE MEDIATES INFLAMMATORY CYTOKINES-INDUCED UPREGULATION OF CONNEXIN43 EXPRESSION AND FUNCTION IN URINARY TRACT INFECTION Kai Li, Jian Yao, Norifumi Sawada, Hiroshi Nakagomi, Tatsuya Miyamoto, Satoru Kira, Hideki Kobayashi, Takayuki Tsuchida, Masanori Kitamura, and Masayuki Takeda Kai LiKai Li Chuo City, Japan More articles by this author , Jian YaoJian Yao Chuo City, Japan More articles by this author , Norifumi SawadaNorifumi Sawada Chuo City, Japan More articles by this author , Hiroshi NakagomiHiroshi Nakagomi Chuo City, Japan More articles by this author , Tatsuya MiyamotoTatsuya Miyamoto Chuo City, Japan More articles by this author , Satoru KiraSatoru Kira Chuo City, Japan More articles by this author , Hideki KobayashiHideki Kobayashi Chuo City, Japan More articles by this author , Takayuki TsuchidaTakayuki Tsuchida Chuo City, Japan More articles by this author , Masanori KitamuraMasanori Kitamura Chuo City, Japan More articles by this author , and Masayuki TakedaMasayuki Takeda Chuo City, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1195AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urinary tract infection (UTI) is one of the most common infectious diseases in the clinic, which can produce symptoms similar to those experienced with overactive bladder. At present little information is available regarding the mechanisms involved in the urinary inflammation-related symptoms and pathogenesis. Given that intercellular communication via gap junctions (GJ) plays an important role in inflammatory responses and that the enhanced GJ protein connexin43 (Cx43) contributes to myogenic bladder overactivity, we asked whether and how gap junctions in bladder are influenced by inflammatory cytokines. METHODS Bladder smooth muscle cells (BSMCs) isolated from Sprague-Dawley rats were analyzed for Cx43 expression and function after stimulation with inflammatory cytokines, interleukin 1 beta (IL-1β) and tumor necrosis factor alpha (TNFα), by Western blot, immunofluorescent staining and scrape-loading dye-transfer assay. The implicated signal mechanisms were identified by using various kinase inhibitors and specific siRNA. In vivo mouse inflammatory model was induced by intraperitoneal injection of LPS. The expressions of Cx43 in bladder were examined by histocytochemical and western blot analysis. RESULTS (1) Incubation of BSMCs with IL-1β and TNFα resulted in a time-dependent elevation in Cx43 protein levels. This was associated with obviously increased membrane localization of Cx43 protein and GJ function. (2) Increment of Cx43 by the inflammatory cytokines was preceded by an activation of PKA, as revealed by VASP phosphorylation. Blockade of PKA signaling pathway with PKA inhibitor H89, cAMP inhibitor Rp-cAMP or CREB siRNA could largely abolish the effects. (3) The Cx43-elevating effects could also be abolished by NFκb inhibitor SC514 and by iNOS inhibitor L-NAME. Further studies revealed that SC514 abrogated iNOS expression, and exogenous NO donor SNAP, also induced an elevation in Cx43. (4) Intraperitoneal injection of LPS into mouse resulted in an elevated Cx43 expression and membrane localization in bladder. CONCLUSIONS In conclusion, we demonstrated, for the first time, that inflammatory cytokines induced Cx43 expression and function in BSMCs through mechanisms involving NFκB/iNOS/ cAMP signaling cascade. Our finding may open a new window towards our understanding of the molecular mechanisms implicated in inflammatory urinary disorders and provide a possible explanation for urge symptoms seen in bladder infection. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e547 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kai Li Chuo City, Japan More articles by this author Jian Yao Chuo City, Japan More articles by this author Norifumi Sawada Chuo City, Japan More articles by this author Hiroshi Nakagomi Chuo City, Japan More articles by this author Tatsuya Miyamoto Chuo City, Japan More articles by this author Satoru Kira Chuo City, Japan More articles by this author Hideki Kobayashi Chuo City, Japan More articles by this author Takayuki Tsuchida Chuo City, Japan More articles by this author Masanori Kitamura Chuo City, Japan More articles by this author Masayuki Takeda Chuo City, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...