You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Basic Research1 Apr 2011796 EFFECTS OF HERPES SIMPLEX VIRUS VECTOR-MEDIATED INTERLEUKIN-4 GENE THERAPY ON BLADDER PAIN AND OVERACTIVITY Tomohiko Oguchi, Hitoshi Yokoyama, Osamu Nishizawa, William F. Goins, James R. Goss, Joseph C. Glorioso, and Naoki Yoshimura Tomohiko OguchiTomohiko Oguchi Pittsburgh, PA More articles by this author , Hitoshi YokoyamaHitoshi Yokoyama Pittsburgh, PA More articles by this author , Osamu NishizawaOsamu Nishizawa Matsumoto, Japan More articles by this author , William F. GoinsWilliam F. Goins Pittsburgh, PA More articles by this author , James R. GossJames R. Goss Pittsburgh, PA More articles by this author , Joseph C. GloriosoJoseph C. Glorioso Pittsburgh, PA More articles by this author , and Naoki YoshimuraNaoki Yoshimura Pittsburgh, PA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.614AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Bladder inflammation associated with production of inflammatory cytokines has been proposed as a potential pathophysiology of bladder pain syndrome/interstitial cystitis (BPS/IC). On the other hands, interleukin-4 (IL-4) is a prototypical anti-inflammatory cytokine, which can inhibit secretion of inflammatory cytokines such as IL-1β. We examined effects of gene therapy using replication-deficient herpes simplex virus (HSV) vectors expressing IL-4 (S4IL4) on bladder overactivity and pain behavior induced by intravesical application of resiniferatoxin (RTx) in rats. METHODS The vector expressing LacZ, but not IL-4, was used as a control (SHZ). One or 2 weeks prior to study, 20 μl of viral suspension (3.9×109 pfu/ml S4IL4 or 5×108 pfu/ml SHZ) were injected to the bladder wall of the female SD rat. (1) Virus infection was examined by immunohistochemistry. (2) Murine IL-4 in S4IL4 injected rats was quantified by ELISA. (3) Cystometry was performed under urethane anesthesia. After 2 hours saline infusion, 10nM RTx was administered into the bladder to induce bladder overactivity (n=9 each). (4) In a conscious condition, 3μM RTx (0.3 ml, 1 min) was injected to the bladder through a urethral catheter to evaluate nociceptive behaviors such as licking (lower abdominal licking) and freezing (motionless head-turning) were counted and recorded every 5 sec for 15 min (n=7–8). (5) HSV vector-treated rats were sacrificed 6 hours after 3μM RTx application (0.3ml, 1min) to quantify IL-1β in the bladder by ELISA (n=4 each). RESULTS (1) Lac Z-positive staining was identified in the bladder and L6 dorsal root ganglion (DRG) cells of SHZ rats. (2) Murine IL4 was detected in the bladder (5.6 ± 1.6 pg/mg total protein [TP]) and L6 DRG (13.3 ± 3.8 pg/mgTP) in S4IL4 rats. (3) There were no significant difference in intercontraction interval (ICI) between two groups during saline infusion (p=0.15). After RTx administration, SHZ rats showed a significant reduction in ICI (p<0.05) while ICI did not change significantly (p=0.47) in S4IL4 rats. (4) RTx-induced freezing behavior was significantly less in S4IL4 rats by 47% than SHZ rats (30 ± 5 vs. 57 ± 6 times, p<0.05). (5) Bladder IL-1β was significantly reduced in S4IL4 rats compared to SHZ rats (42.1 ± 8.0 vs. 84.4 ± 9.6 pg/mgTP, p<0.05). CONCLUSIONS These results indicate that HSV vector-mediated IL-4 gene therapy reduces bladder overactivity and pain behavior after RTx administration partly due to cytokine inhibition in rats. IL-4 gene therapy could be a new strategy for treating bladder pain and/or urinary frequency in patients with BPS/IC. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e320 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tomohiko Oguchi Pittsburgh, PA More articles by this author Hitoshi Yokoyama Pittsburgh, PA More articles by this author Osamu Nishizawa Matsumoto, Japan More articles by this author William F. Goins Pittsburgh, PA More articles by this author James R. Goss Pittsburgh, PA More articles by this author Joseph C. Glorioso Pittsburgh, PA More articles by this author Naoki Yoshimura Pittsburgh, PA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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