You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Interstitial Cystitis1 Apr 2012828 URINE AND TISSUE GLYCOSAMINOGLYCANS AS BIOMARKERS FOR PAINFUL BLADDER SYNDROME/INTERSTITIAL CYSTITIS – INSIGHT ON PATHOPHYSIOLOGY? Marcos Lucon, Roberto Soler, Joao R.M. Martins, Elsa K. Yoko, Helena B. Nader, Miguel Srougi, and Bruschini Homero Marcos LuconMarcos Lucon Sao Paulo, Brazil More articles by this author , Roberto SolerRoberto Soler Sao Paulo, Brazil More articles by this author , Joao R.M. MartinsJoao R.M. Martins Sao Paulo, Brazil More articles by this author , Elsa K. YokoElsa K. Yoko Sao Paulo, Brazil More articles by this author , Helena B. NaderHelena B. Nader Sao Paulo, Brazil More articles by this author , Miguel SrougiMiguel Srougi Sao Paulo, Brazil More articles by this author , and Bruschini HomeroBruschini Homero Sao Paulo, Brazil More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.918AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urothelial glycosaminoglycan (GAG) layer may play a role in the etiology of painful bladder syndrome/interstitial cystitis (IC). GAG in urine and bladder tissue of those patients was investigated. METHODS Urine was collected from 11 female patients with a clinical diagnosis of IC by bladder diary and a self-reported validated questionnaire, and cold-cup bladder biopsies were obtained before hydrodistension. Urine and bladder biopsies were also obtained from 11 female patients with pure SUI, as controls. Sulfated GAG (S-GAG) and hyaluronic acid (HA) were measured in the urine and tissue samples were used for proteoglycans, HA and extra-cellular matrix proteins immunostainings; and analyses of S-GAG levels and gene expression of HA synthases and hyaluronidase. RESULTS Urine analysis of S-GAG in IC patients and controls exhibited a different pattern when compared to tissue evaluation. Urine S-GAG concentration was lower in IC patients (0.45±0.11 x 0.62±0.13 μg/mg creatinine, p=0.01); while a similar concentration was found in the bladder tissue: 3.3 (0.58-7.08) x 2.7 (0.15-5.3) μg/mg (p=0.62). Interestingly, their pattern of distribution remained the same, being chondroitin sulfate the predominant GAG. Decorin, a chondroitin and dermatan sulfate proteoglycan, was more intensely expressed in the urothelium of IC patients, while the expression of syndecan-4, a heparan sulfate proteoglycan, was scarcer in the urothelium of IC patients. Fibronectin was highly expressed in IC patients in the layers underneath the urothelium. These findings may represent local inflammation, superficial urothelial desquamation and extracellular matrix remodeling. Urine HA levels was similar between the groups (1.71±2.06 x 2.46±2.07 ng/mg creatinine; p=0.48). However, HA labeling in the urothelial and suburothelial layers was more intense without a corresponding increasing in the expression of its receptor CD 44. This may represent a shift in HA turnover with consequent deposition of HA in the interstitium, where interacting with other matrix components, it could participate in remodeling and recovery of the urothelium. HA synthases 1, 2 and 3 and hyaluronidase gene expression was consistently lower in PBS/IC patients, which may also suggest changes in HA turnover. CONCLUSIONS Analyses of GAG in patients with IC may be important in understanding the pathophysiology of the disease. Since changes in HA synthases and hyaluronidase gene expression were consistent among PBS/IC patients, they could possibly be a marker of the disease. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e338 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marcos Lucon Sao Paulo, Brazil More articles by this author Roberto Soler Sao Paulo, Brazil More articles by this author Joao R.M. Martins Sao Paulo, Brazil More articles by this author Elsa K. Yoko Sao Paulo, Brazil More articles by this author Helena B. Nader Sao Paulo, Brazil More articles by this author Miguel Srougi Sao Paulo, Brazil More articles by this author Bruschini Homero Sao Paulo, Brazil More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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