Compensatory regrowth of the mouse bladder after partial cystectomy

Autor: Diana K. Bowen, Paula R. Firmiss, Natalie Kukulka, Jessica Wetterlin, Robert W. Dettman, Megan Y. Devine, Grace Delos Santos, Edward M. Gong
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
Detrusor muscle
Physiology
medicine.medical_treatment
030232 urology & nephrology
lcsh:Medicine
urologic and male genital diseases
Biochemistry
Mice
0302 clinical medicine
Fibrosis
Immune Physiology
Medicine and Health Sciences
Morphogenesis
lcsh:Science
Musculoskeletal System
Staining
Innate Immune System
Smooth Muscles
Multidisciplinary
Urinary bladder
medicine.diagnostic_test
Muscles
Cystometry
Specimen preparation and treatment
female genital diseases and pregnancy complications
medicine.anatomical_structure
Cytokines
Female
Collagen
Anatomy
Muscle Regeneration
Research Article
medicine.medical_specialty
Stromal cell
Bladder
Immunology
Urinary Bladder
Urology
Surgical and Invasive Medical Procedures
Cystectomy
Urinary System Procedures
03 medical and health sciences
Cicatrix
medicine
Regeneration
Animals
Surgical Excision
business.industry
Regeneration (biology)
Mesenchymal stem cell
lcsh:R
DAPI staining
Biology and Life Sciences
Proteins
Renal System
Recovery of Function
Molecular Development
medicine.disease
Research and analysis methods
030104 developmental biology
Gene Expression Regulation
Immune System
Nuclear staining
lcsh:Q
business
Collagens
Organism Development
Developmental Biology
Zdroj: PLoS ONE
PLoS ONE, Vol 13, Iss 11, p e0206436 (2018)
ISSN: 1932-6203
Popis: Cystectomy is the removal of all or part of the urinary bladder. It has been observed that there is significant regrowth of the bladder after partial cystectomy and this has been proposed to be through regeneration of the organ. Regrowth of tissue in mammals has been proposed to involve compensatory mechanisms that share many characteristics of true regeneration, like the growth of specialized structures such as blood vessels or nerves. However, the overall structure of the normal organ is not achieved. Here we tested if bladder growth after subtotal cystectomy (STC, removal of 50% of the bladder) was compensatory or regenerative. To do this we subjected adult female mouse bladders to STC and assessed regrowth using several established cellular parameters including histological, gene expression, cytokine accumulation and cell proliferation studies. Bladder function was analyzed using cystometry and the voiding stain on paper (VSOP) technique. We found that STC bladders were able to increase their ability to hold urine with the majority of volume restoration occurring within the first two weeks. Regenerating bladders had thinner walls with less mean muscle thickness, and they showed increased collagen deposition at the incision as well as throughout the bladder wall suggesting that fibrosis was occurring. Cell populations differed in their response to injury with urothelial regeneration complete by day 7, but stromal and detrusor muscle still incomplete after 8wks. Cells incorporated EdU when administered at the time of surgery and tracing of EdU positive cells over time indicated that many newborn cells originate at the incision and move mediolaterally. Basal urothelial cells and bladder mesenchymal stem cells but not smooth muscle cells significantly incorporated EdU after STC. Since anti-inflammatory cytokines play a role in regeneration, we analyzed expressed cytokines and found that no anti-inflammatory cytokines were present in the bladder 1wk after STC. Our findings suggest that bladder regrowth after cystectomy is compensatory and functions to increase the volume that the bladder can hold. This finding sets the stage for understanding how the bladder responds to cystectomy and how this can be improved in patients after suffering bladder injury.
Databáze: OpenAIRE
Nepřihlášeným uživatelům se plný text nezobrazuje