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Impact of prostatic radiation therapy on bladder contractility and innervation

Aims To determine the effect of prostatic radiation therapy (RT) on bladder contractility and morphology, and axon, or neuron profiles within the detrusor and major pelvic ganglia (MPG) in male rats. Methods Male Sprague‐Dawley rats (8 weeks) received a single dose of prostatic RT (0 or 22 Gy). Blad...

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Published in:Neurourology and urodynamics 2021-08, Vol.40 (6), p.1470-1478
Main Authors: Turner, Alexander C., Powers, Shelby A., Odom, Michael R., Pak, Elena S., Ashcraft, Kathleen A., Koontz, Bridget F., Hannan, Johanna L.
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container_issue 6
container_start_page 1470
container_title Neurourology and urodynamics
container_volume 40
creator Turner, Alexander C.
Powers, Shelby A.
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Koontz, Bridget F.
Hannan, Johanna L.
description Aims To determine the effect of prostatic radiation therapy (RT) on bladder contractility and morphology, and axon, or neuron profiles within the detrusor and major pelvic ganglia (MPG) in male rats. Methods Male Sprague‐Dawley rats (8 weeks) received a single dose of prostatic RT (0 or 22 Gy). Bladders and MPG were collected 2‐ and 10‐weeks post‐RT. Detrusor contractile responses to carbachol and electrical field stimulation (EFS) were measured. Bladders were stained with Masson's trichrome, and antibodies for nonspecific neuronal marker, cholinergic nerve marker choline acetyltransferase (ChAT), and alpha‐smooth muscle actin. MPG gene expression was assessed by quantitative polymerase chain reaction for ubiquitin carboxy‐terminal hydrolase L1 (Uchl1) and Chat. Results At 2 weeks post‐RT, bladder smooth muscle, detrusor cholinergic axon profiles, and MPG Chat gene expression were increased (p 
doi_str_mv 10.1002/nau.24705
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Methods Male Sprague‐Dawley rats (8 weeks) received a single dose of prostatic RT (0 or 22 Gy). Bladders and MPG were collected 2‐ and 10‐weeks post‐RT. Detrusor contractile responses to carbachol and electrical field stimulation (EFS) were measured. Bladders were stained with Masson's trichrome, and antibodies for nonspecific neuronal marker, cholinergic nerve marker choline acetyltransferase (ChAT), and alpha‐smooth muscle actin. MPG gene expression was assessed by quantitative polymerase chain reaction for ubiquitin carboxy‐terminal hydrolase L1 (Uchl1) and Chat. Results At 2 weeks post‐RT, bladder smooth muscle, detrusor cholinergic axon profiles, and MPG Chat gene expression were increased (p &lt; .05), while carbachol and EFS‐mediated contractions were decreased (p &lt; .05). In contrast, at 10 weeks post‐RT, nerve‐mediated contractions were increased compared with control (p &lt; .05), while bladder smooth muscle, detrusor cholinergic axon profiles, MPG Chat expression, and carbachol contractions had normalized. At both 2‐ and 10‐weeks post‐RT, there was no change in detrusor nonspecific axon profiles and MPG Uchl1 expression. Conclusion In a rat model, RT of the prostate and MPG was associated with early changes in MPG Chat gene expression, and bladder cholinergic axon profiles and smooth muscle content which resolved over time. After RT recovery, bladder contractility decreased early and increased by 10 weeks. Long‐term changes to the MPG and increased bladder cholinergic axons may contribute to RT‐induced bladder dysfunction in prostate cancer survivors.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.24705</identifier><identifier>PMID: 34015163</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Acetyltransferase ; Actin ; Axons ; Bladder ; bladder dysfunction ; Carbachol ; Choline ; Choline O-acetyltransferase ; Cholinergic nerves ; Gene expression ; Hydrolase ; Innervation ; Muscle contraction ; Pelvic ganglia ; Polymerase chain reaction ; Prostate ; Prostate cancer ; prostatic radiation ; Radiation therapy ; Smooth muscle ; Ubiquitin</subject><ispartof>Neurourology and urodynamics, 2021-08, Vol.40 (6), p.1470-1478</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4435-3b34d5db79378c67f1face5e286c86f0075be27185520c3e524573465066a8d33</citedby><cites>FETCH-LOGICAL-c4435-3b34d5db79378c67f1face5e286c86f0075be27185520c3e524573465066a8d33</cites><orcidid>0000-0002-8469-8105 ; 0000-0002-5038-1097</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.24705$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.24705$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,315,786,790,891,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34015163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turner, Alexander C.</creatorcontrib><creatorcontrib>Powers, Shelby A.</creatorcontrib><creatorcontrib>Odom, Michael R.</creatorcontrib><creatorcontrib>Pak, Elena S.</creatorcontrib><creatorcontrib>Ashcraft, Kathleen A.</creatorcontrib><creatorcontrib>Koontz, Bridget F.</creatorcontrib><creatorcontrib>Hannan, Johanna L.</creatorcontrib><title>Impact of prostatic radiation therapy on bladder contractility and innervation</title><title>Neurourology and urodynamics</title><addtitle>Neurourol Urodyn</addtitle><description>Aims To determine the effect of prostatic radiation therapy (RT) on bladder contractility and morphology, and axon, or neuron profiles within the detrusor and major pelvic ganglia (MPG) in male rats. Methods Male Sprague‐Dawley rats (8 weeks) received a single dose of prostatic RT (0 or 22 Gy). Bladders and MPG were collected 2‐ and 10‐weeks post‐RT. Detrusor contractile responses to carbachol and electrical field stimulation (EFS) were measured. Bladders were stained with Masson's trichrome, and antibodies for nonspecific neuronal marker, cholinergic nerve marker choline acetyltransferase (ChAT), and alpha‐smooth muscle actin. MPG gene expression was assessed by quantitative polymerase chain reaction for ubiquitin carboxy‐terminal hydrolase L1 (Uchl1) and Chat. Results At 2 weeks post‐RT, bladder smooth muscle, detrusor cholinergic axon profiles, and MPG Chat gene expression were increased (p &lt; .05), while carbachol and EFS‐mediated contractions were decreased (p &lt; .05). In contrast, at 10 weeks post‐RT, nerve‐mediated contractions were increased compared with control (p &lt; .05), while bladder smooth muscle, detrusor cholinergic axon profiles, MPG Chat expression, and carbachol contractions had normalized. At both 2‐ and 10‐weeks post‐RT, there was no change in detrusor nonspecific axon profiles and MPG Uchl1 expression. Conclusion In a rat model, RT of the prostate and MPG was associated with early changes in MPG Chat gene expression, and bladder cholinergic axon profiles and smooth muscle content which resolved over time. After RT recovery, bladder contractility decreased early and increased by 10 weeks. Long‐term changes to the MPG and increased bladder cholinergic axons may contribute to RT‐induced bladder dysfunction in prostate cancer survivors.</description><subject>Acetyltransferase</subject><subject>Actin</subject><subject>Axons</subject><subject>Bladder</subject><subject>bladder dysfunction</subject><subject>Carbachol</subject><subject>Choline</subject><subject>Choline O-acetyltransferase</subject><subject>Cholinergic nerves</subject><subject>Gene expression</subject><subject>Hydrolase</subject><subject>Innervation</subject><subject>Muscle contraction</subject><subject>Pelvic ganglia</subject><subject>Polymerase chain reaction</subject><subject>Prostate</subject><subject>Prostate cancer</subject><subject>prostatic radiation</subject><subject>Radiation therapy</subject><subject>Smooth muscle</subject><subject>Ubiquitin</subject><issn>0733-2467</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kUtLxDAUhYMoOo4u_ANScKOLOnmn3QiD-AIZN846pGnqZOgkNW2V_nvjzCgqmE0u5LvnnpsDwAmClwhCPHGqv8RUQLYDRohhmHIhxC4YQUFIiikXB-CwbZcQwozQfB8cEAoRQ5yMwOxh1SjdJb5KmuDbTnVWJ0GVNhbeJd3CBNUMSSyLWpWlCYn2rguxxda2GxLlysQ6Z8LbuuEI7FWqbs3x9h6D-e3N8_V9-vh093A9fUw1pYSlpCC0ZGUhciIyzUWFKqUNMzjjOuMVhIIVBguUsbiNJoZhygShnEHOVVYSMgZXG92mL1am1ObTUy2bYFcqDNIrK3-_OLuQL_5NZjjP4pQocL4VCP61N20nV7bVpq6VM75vJWYE4XgEjOjZH3Tp--DiepFiJIc5RyhSFxtKx29sg6m-zSAoP1OSMSW5Timypz_df5NfsURgsgHebW2G_5XkbDrfSH4A7Iab9g</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Turner, Alexander C.</creator><creator>Powers, Shelby A.</creator><creator>Odom, Michael R.</creator><creator>Pak, Elena S.</creator><creator>Ashcraft, Kathleen A.</creator><creator>Koontz, Bridget F.</creator><creator>Hannan, Johanna L.</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8469-8105</orcidid><orcidid>https://orcid.org/0000-0002-5038-1097</orcidid></search><sort><creationdate>202108</creationdate><title>Impact of prostatic radiation therapy on bladder contractility and innervation</title><author>Turner, Alexander C. ; Powers, Shelby A. ; Odom, Michael R. ; Pak, Elena S. ; Ashcraft, Kathleen A. ; Koontz, Bridget F. ; Hannan, Johanna L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4435-3b34d5db79378c67f1face5e286c86f0075be27185520c3e524573465066a8d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acetyltransferase</topic><topic>Actin</topic><topic>Axons</topic><topic>Bladder</topic><topic>bladder dysfunction</topic><topic>Carbachol</topic><topic>Choline</topic><topic>Choline O-acetyltransferase</topic><topic>Cholinergic nerves</topic><topic>Gene expression</topic><topic>Hydrolase</topic><topic>Innervation</topic><topic>Muscle contraction</topic><topic>Pelvic ganglia</topic><topic>Polymerase chain reaction</topic><topic>Prostate</topic><topic>Prostate cancer</topic><topic>prostatic radiation</topic><topic>Radiation therapy</topic><topic>Smooth muscle</topic><topic>Ubiquitin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turner, Alexander C.</creatorcontrib><creatorcontrib>Powers, Shelby A.</creatorcontrib><creatorcontrib>Odom, Michael R.</creatorcontrib><creatorcontrib>Pak, Elena S.</creatorcontrib><creatorcontrib>Ashcraft, Kathleen A.</creatorcontrib><creatorcontrib>Koontz, Bridget F.</creatorcontrib><creatorcontrib>Hannan, Johanna L.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turner, Alexander C.</au><au>Powers, Shelby A.</au><au>Odom, Michael R.</au><au>Pak, Elena S.</au><au>Ashcraft, Kathleen A.</au><au>Koontz, Bridget F.</au><au>Hannan, Johanna L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of prostatic radiation therapy on bladder contractility and innervation</atitle><jtitle>Neurourology and urodynamics</jtitle><addtitle>Neurourol Urodyn</addtitle><date>2021-08</date><risdate>2021</risdate><volume>40</volume><issue>6</issue><spage>1470</spage><epage>1478</epage><pages>1470-1478</pages><issn>0733-2467</issn><eissn>1520-6777</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes><![CDATA[Author Contributions (CRediT statement): ACT: Methodology, Validation, Formal analysis, Investigation, Writing- Original draft preparation/Review & Editing; SAP: Conceptualization, Methodology, Validation, Investigation, Writing- Review & Editing; MRO: Methodology, Investigation, Writing- Review & Editing; ESP: Methodology, Validation, Investigation, Supervision, Writing – Review & Editing; KAA: Methodology, Investigation, Writing – Review & Editing; BFK: Conceptualization, Methodology, Resources, Writing – Review & Editing; JLH: Conceptualization, Methodology, Resources, Writing – Review & Editing, Supervision, Product administration, Funding acquisition.]]></notes><abstract>Aims To determine the effect of prostatic radiation therapy (RT) on bladder contractility and morphology, and axon, or neuron profiles within the detrusor and major pelvic ganglia (MPG) in male rats. Methods Male Sprague‐Dawley rats (8 weeks) received a single dose of prostatic RT (0 or 22 Gy). Bladders and MPG were collected 2‐ and 10‐weeks post‐RT. Detrusor contractile responses to carbachol and electrical field stimulation (EFS) were measured. Bladders were stained with Masson's trichrome, and antibodies for nonspecific neuronal marker, cholinergic nerve marker choline acetyltransferase (ChAT), and alpha‐smooth muscle actin. MPG gene expression was assessed by quantitative polymerase chain reaction for ubiquitin carboxy‐terminal hydrolase L1 (Uchl1) and Chat. Results At 2 weeks post‐RT, bladder smooth muscle, detrusor cholinergic axon profiles, and MPG Chat gene expression were increased (p &lt; .05), while carbachol and EFS‐mediated contractions were decreased (p &lt; .05). In contrast, at 10 weeks post‐RT, nerve‐mediated contractions were increased compared with control (p &lt; .05), while bladder smooth muscle, detrusor cholinergic axon profiles, MPG Chat expression, and carbachol contractions had normalized. At both 2‐ and 10‐weeks post‐RT, there was no change in detrusor nonspecific axon profiles and MPG Uchl1 expression. Conclusion In a rat model, RT of the prostate and MPG was associated with early changes in MPG Chat gene expression, and bladder cholinergic axon profiles and smooth muscle content which resolved over time. After RT recovery, bladder contractility decreased early and increased by 10 weeks. Long‐term changes to the MPG and increased bladder cholinergic axons may contribute to RT‐induced bladder dysfunction in prostate cancer survivors.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34015163</pmid><doi>10.1002/nau.24705</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8469-8105</orcidid><orcidid>https://orcid.org/0000-0002-5038-1097</orcidid><oa>free_for_read</oa></addata></record>
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subjects Acetyltransferase
Actin
Axons
Bladder
bladder dysfunction
Carbachol
Choline
Choline O-acetyltransferase
Cholinergic nerves
Gene expression
Hydrolase
Innervation
Muscle contraction
Pelvic ganglia
Polymerase chain reaction
Prostate
Prostate cancer
prostatic radiation
Radiation therapy
Smooth muscle
Ubiquitin
title Impact of prostatic radiation therapy on bladder contractility and innervation
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