You have accessJournal of UrologyStem Cell Research1 Apr 2011178 MUSCLE PRECURSOR CELLS (MPCS) AND ADIPOSE-DERIVED STEM CELLS (ADSCS) FOR THE TREATMENT OF Mathias Tremp, Souzan Salemi, Tamer Aboushwareb, Tullio Sulser, and Eberli Daniel Mathias TrempMathias Tremp Zürich, Switzerland More articles by this author , Souzan SalemiSouzan Salemi Zürich, Switzerland More articles by this author , Tamer AboushwarebTamer Aboushwareb Winston Salem, NC More articles by this author , Tullio SulserTullio Sulser Zürich, Switzerland More articles by this author , and Eberli DanielEberli Daniel Zürich, Switzerland More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.247AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Bladder voiding dysfunction (BVD) in the elderly is commonly due to bladder outflow obstruction (benign prostatic hyperplasia, BPH) with 30% of men at the age of 65 affected. Currently there is no treatment modality that reverses the underlying cause, the decreased bladder contractility. Muscle Precursor Cells (MPCs) and adipose-derived stem cells (ADSCs) are envisioned as promising cell sources with the capability to regenerate muscle fibers. The goal of this research was to evaluate the use of adult stem cells for the treatment of bladder voiding dysfunction due to decrease muscle contractility. METHODS Infravesical obstruction was performed in 66 male Lewis rat (6–8 weeks old); six weeks later, eight rats were evaluated as a positive control by cystometry and later by organ bath analysis. In addition, morphological (histomorphometry, Western-Blotting, RT-PCR) bladder tissue changes were analysed. MPCs from the soleus muscle and ADSC from the inguinal region of adult male Lewis rats were expanded in culture and characterized. In sixteen rats, stem cell injection with an insulin syringe (1.5 x 106 cells) into the bladder wall and deligation was performed six weeks after the obstruction. Target cells were labelled with PKH-67. 4 and 8 weeks after stem cell injection, morphological and functional changes were assessed. Healthy, age matched rats served as a control. RESULTS MPCs and ADSCs used were positively characterised by FACS. Obstructed rats had a greater bladder weight, lower threshold pressure, maximum bladder pressure and lower contractility on Electrical Field Stimulation (EFS) at 80V and 32Hz than age matched rats (1.09g±0.273g vs. 11.269g±2.9g, p=0.001). Histomorphometric analysis showed a higher connective tissue-to-smooth muscle ratio between the animals with obstruction and controls. After stem cell injection, we were able to track the cells by PKH67. Functional analysis 4 and 8 weeks after stem cell injection showed a significantly improved bladder contraction (3.37g±0.52g for ADSC, p=0.01; 4.26g±0.97g for MPC, p<0.001) and higher intermicturition pressure. The same trend was seen by RT-PCR and Western-Blotting where gene expression and protein translation of smoothelin and caldesmon after stem cell therapy was closer to normal. CONCLUSIONS In our study, we were able to establish a model of hypocontractile bladder in a small animal and demonstrated that MPCs and ADSCs can support the restoration of bladder voiding dysfunction. Our results show improved contractility, voiding pressures and molecular expression after cell therapy. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e74 Peer Review Report Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mathias Tremp Zürich, Switzerland More articles by this author Souzan Salemi Zürich, Switzerland More articles by this author Tamer Aboushwareb Winston Salem, NC More articles by this author Tullio Sulser Zürich, Switzerland More articles by this author Eberli Daniel Zürich, Switzerland More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...