You have accessJournal of UrologyBladder and Urethra: Anatomy, Physiology and Pharmacology (II)1 Apr 2013541 SONIC HEDGEHOG SIGNALING IN NORMAL HUMAN BLADDER DEVELOPMENT Guodong Zhu, Haiyen E. Zhau, Dapeng Wu, Linlin Zhang, Lei Li, Dalin He, and Leland W.K. Chung Guodong ZhuGuodong Zhu Xi'an, China, People's Republic of More articles by this author , Haiyen E. ZhauHaiyen E. Zhau Los Angeles, CA More articles by this author , Dapeng WuDapeng Wu Xi'an, China, People's Republic of More articles by this author , Linlin ZhangLinlin Zhang Xi'an, China, People's Republic of More articles by this author , Lei LiLei Li Xi'an, China, People's Republic of More articles by this author , Dalin HeDalin He Xi'an, China, People's Republic of More articles by this author , and Leland W.K. ChungLeland W.K. Chung Los Angeles, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1936AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Sonic hedgehog (SHH) signaling is important in bladder development. Mice with defective hedgehog signaling develop bladder anomalies. Clinically, urinary tract malformations are reported in human fetuses and infants with mutations of SHH and related signaling pathway genes. Information on the expression of SHH and associated signaling genes in normal human bladder development is fragmentary. This study determined the temporal and spatial expression patterns of SHH signaling pathway components in human fetal bladders by immunohistochemistry (IHC). METHODS Twenty-two archival bladder specimens from 16 male and 6 female human fetuses aged 12- to 36-week (wk) were obtained from the First Affiliated Hospital of Medical College of Xi'an Jiaotong University with the approval of Institutional Review Board. All specimens were processed for IHC staining with SHH, Patched1 (PTC1), Patched2 (PTC2), Smoothened (SMO), GLI1 and proliferating cell nuclear antigen (PCNA) protein expression, and analyzed by semi-quantitative H-Score methodology (Zhu G, et al., Prostate, 2007). IHC H-Score in tissues was standardized by quantitative real-time polymerase chain reaction and western blot analyses using cell lines and human fetal prostate tissues. RESULTS High intensity of SHH and SMO expression was detected in developing bladder urothelial cells, with no staining in lamina propria (LP), but with minimal expression of SMO in differentiating smooth muscle (SM) layers. The spatial distribution pattern of PTC1 and GLI1 was more complex with minimal expression in the LP layer, moderate expression in the SM layer, and high expression in the urothelium. PTC2 expression was mainly localized in the urothelium and LP, but no expression in the SM layer. All SHH signaling components were detected in fetal bladder tissues throughout the development, with expression peaks at 12- and 23-wk, coinciding with high cell proliferation as indicated by PCNA staining in the cell nuclei of urothelium and SM. CONCLUSIONS Autocrine SHH signaling in urothelium, and paracrine SHH signaling in SM, mediated by SMO, PTC1 and GLI1, were shown during human bladder development. Expression of SHH signaling components peaked, at 12-and 23-wk. The first expression peak at 12-wk may relate to urothelium growth, SM induction, and dilation of the bladder cavity. The second expression peaked at 23-wk may relate to urothelium and SM layer differentiation. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e222 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Guodong Zhu Xi'an, China, People's Republic of More articles by this author Haiyen E. Zhau Los Angeles, CA More articles by this author Dapeng Wu Xi'an, China, People's Republic of More articles by this author Linlin Zhang Xi'an, China, People's Republic of More articles by this author Lei Li Xi'an, China, People's Republic of More articles by this author Dalin He Xi'an, China, People's Republic of More articles by this author Leland W.K. Chung Los Angeles, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...