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Up‐regulation of endothelin‐B (ET B ) receptors and ET B receptor‐mediated rabbit detrusor contraction in partial bladder outlet obstruction
Author(s) -
M. R. Khan,
Dashwood,
Wesley K. Thompson,
Faiz Mumtaz,
Mikhailidis,
Hiram Morgan
Publication year - 1999
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.1999.00248.x
Subject(s) - contraction (grammar) , receptor , endothelin receptor , bladder outlet obstruction , chemistry , rabbit (cipher) , endocrinology , medicine , urology , mathematics , prostate , cancer , statistics
Objective  To investigate, in a rabbit model of bladder outlet obstruction (BOO), whether ET B receptors initiate any contractile activity, and to assess the density of these receptors. Materials and methods Partial BOO was produced in male New Zealand White rabbits, with age‐matched sham‐operated rabbits acting as controls. One and 3 weeks later, the detrusor and bladder neck strips were incubated in organ baths with either BQ788 (an ET B antagonist), BQ123 (an ET A antagonist) or vehicle. Concentration‐response curves were constructed using IRL‐1620 (a selective ET B agonist). Low‐resolution autoradiography was performed on serial detrusor and bladder neck sections from control and partial BOO (3‐week) rabbits using radioligands for ET A and ET B.Results In strips from controls and after 1 week of partial BOO, IRL‐1620 induced no contractions, but after 3 weeks of BOO, IRL‐1620 induced significant concentration‐dependent detrusor contractions (producing 12%, 25% and 70% of the KCl response at 10 −8  , 10 −7 and 10 −6 mol/L, respectively). The ET A antagonist had no effect on IRL‐1620‐mediated contractions. In contrast, the ET B antagonist completely abolished these contractions. Autoradiography showed the presence of ET A and ET B receptors in the detrusor and bladder neck of normal and obstructed animals, and a significant up‐regulation of ET A and ET B receptors only in the obstructed detrusor smooth muscle. Conclusions In BOO, ET B receptors initiate detrusor contractile activity. This is a time‐dependent process that may depend on the up‐regulation of ET B receptors in the detrusor. Therefore, ET B receptors may play a role in the pathophysiology of partial BOO.

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