A uro-protective agent with restorative actions on urethral and striated muscle morphology

Springer Science and Business Media LLC - Tập 39 - Trang 2685-2690 - 2020
Lori A. Birder1,2, Amanda Wolf-Johnston1, Alan J. Wein3, Mara Grove-Sullivan4, Donna Stoltz4, Simon Watkins4, Diane Newman3, Roger R. Dmochowski5, Edwin K. Jackson2
1Renal-Electrolyte Division, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA
2Department of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, USA
3Division of Urology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA
4Department of Cell Biology, University of Pittsburgh School of Medicine, Pittsburgh, USA
5Department of Urology, Vanderbilt Medical Center, Nashville, USA

Tóm tắt

Aging increases oxidative stress, which can have delirious effects on smooth and striated muscle resulting in bladder dysfunction. Consequently, in women aged over 60 years, urinary incontinence (UI) is a prevalent health problem. Despite the prevalence and consequences, UI continues to be undertreated simply because there are few therapeutic options. Here we investigated whether 8-aminoguanine (8-AG), a purine nucleoside phosphorylase (PNPase inhibitor), would restore urethra and external sphincter (EUS) muscle morphology in the aged rat. Aged (> 25 months) female Fischer 344 rats were randomized to oral treatment with 8-AG (6 weeks) or placebo, and the urethra and EUS were evaluated by electron microscopy and protein expression (western immunoblotting). Aging was associated with mitochondrial degeneration in smooth and striated muscle cells as compared to young rats. We also observed a significant increase in biomarkers such as PARP, a downstream activator of oxidative/nitrosative stress. Treatment of aged rats with 8-AG normalized all abnormalities to that of a younger state. 8-AG, a potent inhibitor of PNPase, reverses age-related lower urinary tract morphological and biochemical changes. Our observations support the concept that 8-AG will reverse age-induced lower urinary tract disorders such as UI. These initial findings could have therapeutic implications for the prevention and treatment of age-related UI.

Tài liệu tham khảo

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