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How does the urothelium affect bladder function in health and disease?: ICI‐RS 2011

Identifieur interne : 008169 ( Main/Merge ); précédent : 008168; suivant : 008170

How does the urothelium affect bladder function in health and disease?: ICI‐RS 2011

Auteurs : La. Birder [États-Unis] ; M. Ruggieri [États-Unis] ; M. Takeda [Japon] ; G. Van Koeveringe [Pays-Bas] ; S. Veltkamp [Pays-Bas] ; C. Korstanje [Pays-Bas] ; B. Parsons [Royaume-Uni] ; Ch. Fry [Royaume-Uni]

Source :

RBID : ISTEX:D95825FFD07465ABEA911FC4A0D7D2DC626A85E0

English descriptors

Abstract

The urothelium is a multifunctional tissue that not only acts as a barrier between the vesical contents of the lower urinary tract and the underlying tissues but also acts as a sensory organ by transducing physical and chemical stresses to the attendant afferent nervous system and underlying smooth muscle. This review will consider the nature of the stresses that the urothelium can transduce; the transmitters that mediate the transduction process; and how lower urinary pathologies, including overactive bladder syndrome, painful bladder syndrome and bacterial infections, are associated with alterations to this sensory system. In particular, the role of muscarinic receptors and the TRPV channels system will be discussed in this context. The urothelium also influences the contractile state of detrusor smooth muscle, both through modifying its contractility and the extent of spontaneous activity; potential pathways are discussed. The potential role that the urothelium may play in bladder underactivity is introduced, as well as potential biomarkers for the condition that may cross the urothelium to the urine. Finally, consideration is given to vesical administration of therapeutic agents that influence urinary tract function and how the properties of the urothelium may determine the effectiveness of this mode of delivery. Neurourol. Urodynam. 31:293–299, 2012. © 2012 Wiley Periodicals, Inc.

Url:
DOI: 10.1002/nau.22195

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ISTEX:D95825FFD07465ABEA911FC4A0D7D2DC626A85E0

Le document en format XML

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<keywords scheme="KwdEn" xml:lang="en">
<term>Afferent</term>
<term>Agonist</term>
<term>Biol chem</term>
<term>Birder</term>
<term>Bladder</term>
<term>Bladder contractility</term>
<term>Bladder dysfunction</term>
<term>Bladder epithelial cells</term>
<term>Bladder function</term>
<term>Bladder mucosa</term>
<term>Bladder outlet obstruction</term>
<term>Bladder urothelium</term>
<term>Bladder wall</term>
<term>Contractile</term>
<term>Contractile response</term>
<term>Contractility</term>
<term>Cystitis</term>
<term>Detrusor</term>
<term>Detrusor overactivity</term>
<term>Dysfunction</term>
<term>Epithelial</term>
<term>Epithelium</term>
<term>Human bladder</term>
<term>Human bladder urothelium</term>
<term>Inhibitory effect</term>
<term>Interstitial</term>
<term>Interstitial cells</term>
<term>Interstitial cystitis</term>
<term>Intravesical</term>
<term>Mechanosensitive channels</term>
<term>Mucosa</term>
<term>Mucosal</term>
<term>Muscarinic</term>
<term>Muscarinic receptors</term>
<term>Neurourol urodyn</term>
<term>Neurourology</term>
<term>Nitric oxide</term>
<term>Overactive</term>
<term>Overactive bladder</term>
<term>Overactive bladder syndrome</term>
<term>Overactivity</term>
<term>Oxidative stress</term>
<term>Painful bladder syndrome</term>
<term>Pathway</term>
<term>Pharmacol</term>
<term>Physiol</term>
<term>Purinergic</term>
<term>Purinergic receptor expression</term>
<term>Receptor</term>
<term>Smooth muscle</term>
<term>Spinal</term>
<term>Spinal cord injury</term>
<term>Spontaneous activity</term>
<term>Spontaneous contractile activity</term>
<term>Suburothelial</term>
<term>Suburothelium</term>
<term>Transient receptor</term>
<term>Trpv4</term>
<term>Urethral</term>
<term>Urethral pressure</term>
<term>Urinary</term>
<term>Urinary bladder</term>
<term>Urine</term>
<term>Urodynamics</term>
<term>Urol</term>
<term>Urology</term>
<term>Urothelial</term>
<term>Urothelial function</term>
<term>Urothelial layer</term>
<term>Urothelial structure</term>
<term>Urothelium</term>
<term>Voiding</term>
<term>Wave propagation</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Afferent</term>
<term>Agonist</term>
<term>Biol chem</term>
<term>Birder</term>
<term>Bladder</term>
<term>Bladder contractility</term>
<term>Bladder dysfunction</term>
<term>Bladder epithelial cells</term>
<term>Bladder function</term>
<term>Bladder mucosa</term>
<term>Bladder outlet obstruction</term>
<term>Bladder urothelium</term>
<term>Bladder wall</term>
<term>Contractile</term>
<term>Contractile response</term>
<term>Contractility</term>
<term>Cystitis</term>
<term>Detrusor</term>
<term>Detrusor overactivity</term>
<term>Dysfunction</term>
<term>Epithelial</term>
<term>Epithelium</term>
<term>Human bladder</term>
<term>Human bladder urothelium</term>
<term>Inhibitory effect</term>
<term>Interstitial</term>
<term>Interstitial cells</term>
<term>Interstitial cystitis</term>
<term>Intravesical</term>
<term>Mechanosensitive channels</term>
<term>Mucosa</term>
<term>Mucosal</term>
<term>Muscarinic</term>
<term>Muscarinic receptors</term>
<term>Neurourol urodyn</term>
<term>Neurourology</term>
<term>Nitric oxide</term>
<term>Overactive</term>
<term>Overactive bladder</term>
<term>Overactive bladder syndrome</term>
<term>Overactivity</term>
<term>Oxidative stress</term>
<term>Painful bladder syndrome</term>
<term>Pathway</term>
<term>Pharmacol</term>
<term>Physiol</term>
<term>Purinergic</term>
<term>Purinergic receptor expression</term>
<term>Receptor</term>
<term>Smooth muscle</term>
<term>Spinal</term>
<term>Spinal cord injury</term>
<term>Spontaneous activity</term>
<term>Spontaneous contractile activity</term>
<term>Suburothelial</term>
<term>Suburothelium</term>
<term>Transient receptor</term>
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<term>Urethral</term>
<term>Urethral pressure</term>
<term>Urinary</term>
<term>Urinary bladder</term>
<term>Urine</term>
<term>Urodynamics</term>
<term>Urol</term>
<term>Urology</term>
<term>Urothelial</term>
<term>Urothelial function</term>
<term>Urothelial layer</term>
<term>Urothelial structure</term>
<term>Urothelium</term>
<term>Voiding</term>
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<div type="abstract" xml:lang="en">The urothelium is a multifunctional tissue that not only acts as a barrier between the vesical contents of the lower urinary tract and the underlying tissues but also acts as a sensory organ by transducing physical and chemical stresses to the attendant afferent nervous system and underlying smooth muscle. This review will consider the nature of the stresses that the urothelium can transduce; the transmitters that mediate the transduction process; and how lower urinary pathologies, including overactive bladder syndrome, painful bladder syndrome and bacterial infections, are associated with alterations to this sensory system. In particular, the role of muscarinic receptors and the TRPV channels system will be discussed in this context. The urothelium also influences the contractile state of detrusor smooth muscle, both through modifying its contractility and the extent of spontaneous activity; potential pathways are discussed. The potential role that the urothelium may play in bladder underactivity is introduced, as well as potential biomarkers for the condition that may cross the urothelium to the urine. Finally, consideration is given to vesical administration of therapeutic agents that influence urinary tract function and how the properties of the urothelium may determine the effectiveness of this mode of delivery. Neurourol. Urodynam. 31:293–299, 2012. © 2012 Wiley Periodicals, Inc.</div>
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