You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Interstitial Cystitis1 Apr 2014PD9-02 TRANSGENIC MICE THAT SECRETE MCP-1 BY THE UROTHELIUM DEMONSTRATE BLADDER HYPERSENSITIVITY, PELVIC PAIN AND URINARY SYMPTOMS Yi Luo, Liwei Liu, Xu Wang, Michael O'Donnell, and Karl Kreder Yi LuoYi Luo More articles by this author , Liwei LiuLiwei Liu More articles by this author , Xu WangXu Wang More articles by this author , Michael O'DonnellMichael O'Donnell More articles by this author , and Karl KrederKarl Kreder More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.784AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Excessive production of monocyte chemotactic protein-1 (MCP-1) has been observed in various inflammatory, chronic pain, and bladder overactive conditions. We have observed that over half of patients with interstitial cystitis/bladder pain syndrome (IC/BPS) express elevated MCP-1 in the urine. This study was to develop a mouse model that secretes MCP-1 by the urothelium to facilitate the study of IC/BPS in humans. METHODS A 4.9 Kb transgene consisting of the uroplakin II gene promoter and mouse MCP-1 coding sequence with a secretory element was constructed and microinjected for developing a MCP-1 secreting transgenic mouse line (URO-MCP-1). Mice were screened by tail genotyping and backcrossed onto the C57BL/6 genetic background. RT-PCR was used to assess MCP-1 mRNAs in the bladder and ELISA used to assess MCP-1 protein in the urine. To induce bladder inflammation, lipopolysaccharide (LPS) was administered intravesically. Bladder inflammation was analyzed by histological hematoxylin and eosin (H&E). Von Frey filament stimulation was used to assess pelvic pain and micturition cages used to assess voiding dysfunction. Cadi-05, a novel Toll-like receptor modulator, was intradermally administered once daily for total three doses starting one day before cystitis induction up to day 1. The bladders were analyzed by histological H&E staining at day 2. RESULTS URO-MCP-1 mice express MCP-1 mRNA in the bladder but not in other organs. Urine contains ∼1,500 pg/ml of MCP-1. While the bladders of URO-MCP-1 mice were normal in the unmanipulated state, they exhibited a much lower threshold trigger for producing exaggerated responses to otherwise sub-noxious inflammatory stimuli such as LPS. Compared to control C57BL/6 mice, URO-MCP-1 mice exhibited clear histological bladder inflammation with intensive edema and cellular infiltration 24 hours after intravesical instillation of even a single low does of LPS (1 μg in 100 μl). The bladder inflammation peaks at days 1-3 and lasts 5-7 days. URO-MCP-1 mice exhibited pelvic pain and increased urinary frequency and decreased urine output per void after cystitis induction (p<0.05). Intradermal Cadi-05 treatment significantly reduced bladder histopathology (p<0.01). CONCLUSIONS The URO-MCP-1 model exhibits key symptomatology of IC/BPS and is responsive to intradermal Cadi-05 therapy. This model offers a unique translational opportunity for investigation of the pathological mechanisms and therapeutic development for the human disease. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e212 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Yi Luo More articles by this author Liwei Liu More articles by this author Xu Wang More articles by this author Michael O'Donnell More articles by this author Karl Kreder More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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