You have accessJournal of UrologyBladder and Urethra: Anatomy, Physiology and Pharmacology (I)1 Apr 2013276 MECHANOSENSITIVITY OF THE HUMAN DETRUSOR IN RESPONSE TO STRETCH IS REGULATED BY STRETCH-ACTIVATED TWO-PORE DOMAIN POTASSIUM CHANNELS Qi Lei, Xiao-Qing Pan, Stanley Malkowicz, Thomas Guzzo, and Anna Malykhina Qi LeiQi Lei Glenolden, PA More articles by this author , Xiao-Qing PanXiao-Qing Pan Glenolden, PA More articles by this author , Stanley MalkowiczStanley Malkowicz Philadelphia, PA More articles by this author , Thomas GuzzoThomas Guzzo Philadelphia, PA More articles by this author , and Anna MalykhinaAnna Malykhina Glenolden, PA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1660AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Mechanosensitivity of the detrusor is defined as the ability of smooth muscle cells to generate mechanical activity independent of external stimuli. The mechanisms of bladder mechanosensitivity due to detrusor wall stretch are poorly understood. Animal data suggest that stretch-activated two-pore domain (K2P) K+ channels play a critical role in bladder response to filling. The objective of this study was to characterize the function of stretch-activated K+ channels in the human bladder and determine their physiological role in bladder mechanosensitivity. METHODS Full thickness bladder specimens were obtained from patients without symptoms of detrusor overactivity who underwent cystectomy for early stages of bladder cancer (T1-T2,N0-N1). Expression of mechanosensitive K2P channels was determined by immunohistochemistry (IHC) and Western blotting. Functional characterization and biophysical properties of the predominantly expressed member of K2P family, TREK-1 channel, were performed using path-clamp technique. RESULTS Western blot analysis evaluated protein expression of mechanosensitive channels TREK-1, TREK-2, and TRAAK in the human bladder, and established that TREK-1 is the predominantly expressed member of K2P family. IHC staining of the full thickness bladder wall identified TREK-1 expression in the urothelium, on single cells located in the lamina propria, and on bladder smooth muscle cells. Electrophysiological recordings from single smooth muscle cells established that TREK-1 channels are directly activated by mechanical stretch of the cell membrane. We next tested the effects of TREK-1 channel opener arachidonic acid (10 μM) in a whole cell patch clamp mode. Arachidonic acid caused a 5-fold increase in the current amplitude. Additionally, we performed IHC staining of cultured bladder smooth muscle cells with TREK-1 antibodies before and after treatment with Lantrunculin A, an agent which disrupts actin polymerization. Treatment with Lantrunculin A caused an increase in TREK-1 staining in bladder smooth muscle cells suggesting that these channels are linked to the cell cytoskeleton. CONCLUSIONS The results of our study provide direct evidence that the response of the human detrusor to mechanical stretch during bladder filling is regulated by TREK-1 channels. Impaired mechanosensation and mechanotransduction associated with changes in stretch-activated K2P channels may underlie overactive bladder disorders in humans. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e112-e113 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Qi Lei Glenolden, PA More articles by this author Xiao-Qing Pan Glenolden, PA More articles by this author Stanley Malkowicz Philadelphia, PA More articles by this author Thomas Guzzo Philadelphia, PA More articles by this author Anna Malykhina Glenolden, PA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...