Abstract
Previous studies demonstrated that the bladder exhibited severe tissue remodeling following spinal cord injury. In such pathological bladders, uninhibited non-voiding contractions subject bladder cells to cyclic oscillations of intravesical pressure. We hypothesize that cyclic pressure is a potential trigger for tissue remodeling in overactive bladder. Using a custom-made setup, rat bladder smooth muscle cells (SMC) in vitro were exposed to cyclic hydrostatic pressure (40 cm H2O) at either 0.1 Hz or 0.02 Hz frequency for up to 24 h. When compared to static control and cells exposed to 0.02-Hz cyclic pressure, SMC exposed to 0.1-Hz cyclic pressure contained significantly (p < 0.05) higher amounts of DNA. We confirmed that the increase in DNA was due to increased cell proliferation, indicated by increased BrdU incorporation, but not due to decreased apoptosis rates in response to cyclic pressure. In addition, significant (p < 0.05) elevation of Akt phosphorylation in SMC following exposure to cyclic pressure and lack of pressure-induced SMC hyperplasia in the presence of PI3K inhibitors, wortmannin and LY294002, indicated the involvement of the PI3K/Akt pathway in the proliferative response of SMC to cyclic pressure. We concluded that chronic exposure to intravesical pressure oscillation may be a potential trigger for bladder tissue remodeling.
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References
Abdel-Karim A. M., Abdel-Gawad M., Huynh H., Elhilali M. M. 2002 Modulation of insulin-like growth factor-I system of the bladder using a somatostatin analogue in chronic spinalized rats. J. Urol. 168(3):1253–1258
Adam R. M., Roth J. A., Cheng H. L., Rice D. C., Khoury J., Bauer S. B., Peters C. A., Freeman M. R. 2003 Signaling through PI3K/Akt mediates stretch and PDGF-BB-dependent DNA synthesis in bladder smooth muscle cells. J. Urol. 169(6):2388–2393
Backhaus B. O., Kaefer M., Haberstroh K. M., Hile K., Nagatomi J., Rink R. C., Cain M. P., Casale A., Bizios R. 2002 Alterations in the molecular determinants of bladder compliance at hydrostatic pressures less than 40 cm. H2O. J. Urol. 168(6):2600–2604
Biering-Sorensen F., Bagi P., Hoiby N. 2001 Urinary tract infections in patients with spinal cord lesions: treatment and prevention. Drugs 61(9):1275–1287
Bommakanti R. K., Vinayak S., Simonds W. F. 2000 Dual regulation of Akt/protein kinase B by heterotrimeric G protein subunits. J. Biol. Chem. 275(49):38870–38876
Brazil D. P., Hemmings B. A. 2001 Ten years of protein kinase B signalling: a hard Akt to follow. Trends Biochem. Sci. 26(11):657–664
Chan T. O., Rittenhouse S. E., Tsichlis P. N. 1999 AKT/PKB and other D3 phosphoinositide-regulated kinases: kinase activation by phosphoinositide-dependent phosphorylation. Annu. Rev. Biochem. 68:965–1014
Chaqour B., Han J. S., Tamura I., Macarak E. 2002 Mechanical regulation of IGF-I and IGF-binding protein gene transcription in bladder smooth muscle cells. J. Cell Biochem. 84(2):264–277
Chen A. H., Gortler D. S., Kilaru S., Araim O., Frangos S. G., Sumpio B. E. 2001 Cyclic strain activates the pro-survival Akt protein kinase in bovine aortic smooth muscle cells. Surgery. 130(2):378–381
Cook S. A., Matsui T., Li L., Rosenzweig A. 2002 Transcriptional effects of chronic Akt activation in the heart. J. Biol. Chem. 277(25):22528–22533
Cross M. J., Stewart A., Hodgkin M. N., Kerr D. J., Wakelam M. J. 1995 Wortmannin and its structural analogue demethoxyviridin inhibit stimulated phospholipase A2 activity in Swiss 3T3 cells. Wortmannin is not a specific inhibitor of phosphatidylinositol 3-kinase. J. Biol. Chem. 270(43):25352–25355
Danciu T. E., Adam R. M., Naruse K., Freeman M. R., Hauschka P. V. 2003 Calcium regulates the PI3K-Akt pathway in stretched osteoblasts. FEBS Lett. 536(1–3):193–197
de Groat W. C. 1995 Mechanisms underlying the recovery of lower urinary tract function following spinal cord injury. Paraplegia 33(9):493–505
de Groat W. C., Kruse M. N., Vizzard M. A., Cheng C. L., Araki I., Yoshimura N. 1997 Modification of urinary bladder function after spinal cord injury. Adv. Neurol. 72:347–364
Deveaud C. M., Macarak E. J., Kucich U., Ewalt D. H., Abrams W. R., Howard P. S. 1998 Molecular analysis of collagens in bladder fibrosis. J. Urol. 160(4):1518–1527
Djavan B., Lin V., Kaplan E. P., Richier J. C., Shariat S., Marberger M., McConnell J. D. 1998 Decreased elastin gene expression in noncompliant human bladder tissue: a competitive reverse transcriptase-polymerase chain reaction analysis. J. Urol. 160(5):1658–1662
Duan C., Bauchat J. R., Hsieh T. 2000 Phosphatidylinositol 3-kinase is required for insulin-like growth factor-I-induced vascular smooth muscle cell proliferation and migration. Circ. Res. 86(1):15–23
Ewalt D. H., Howard P. S., Blyth B., Snyder H. M., Duckett J. W., Levin R. M., Macarak E. J. 1992 Is lamina propria matrix responsible for normal bladder compliance? J. Urol. 148(2 Pt 2):544–549
Farrugia G., Holm A. N., Rich A., Sarr M. G., Szurszewski J. H., Rae J. L. 1999 A mechanosensitive calcium channel in human intestinal smooth muscle cells. Gastroenterology 117(4):900–905
Galvin D. J., Watson R. W., Gillespie J. I., Brady H., Fitzpatrick J. M. 2002 Mechanical stretch regulates cell survival in human bladder smooth muscle cells in vitro. Am. J. Physiol. Renal Physiol. 283(6):F1192–F1199
Gilpin S. A., Gosling J. A., Barnard R. J. 1985 Morphological and morphometric studies of the human obstructed, trabeculated urinary bladder. Br. J. Urol. 57(5):525–529
Haberstroh K. M., Kaefer M., Bizios R. 2000 Inhibition of pressure induced bladder smooth muscle cell hyperplasia using CRM197. J. Urol. 164(4):1329–1333
Haberstroh K. M., Kaefer M., Retik A. B., Freeman M. R., Bizios R. 1999 The effects of sustained hydrostatic pressure on select bladder smooth muscle cell functions. J. Urol. 162(6):2114–2118
Hosokawa H., Aiuchi S., Kambe T., Hagiwara Y., Kubo T. 2002 Mechanical stretch-induced mitogen-activated protein kinase activation is mediated via angiotensin and endothelin systems in vascular smooth muscle cells. Biol. Pharm. Bull. 25(12):1588–1592
Karim O. M., Cendron M., Mostwin J. L., Gearhart J. P. 1993 Developmental alterations in the fetal lamb bladder subjected to partial urethral obstruction in utero. J. Urol. 150(3):1060–1063
Kim S., Jin J., Kunapuli S. P. 2004 Akt activation in platelets depends on Gi signaling pathways. J. Biol. Chem. 279(6): 4186–4195
Kropp B. P., Zhang Y., Tomasek J. J., Cowan R., Furness P. D. 3rd, Vaughan M. B., Parizi M., Cheng E. Y. 1999 Characterization of cultured bladder smooth muscle cells: assessment of in vitro contractility. J. Urol. 162(5):1779–1784
Kuwahara H., Nakamura N., Kanazawa H. 2006 Nuclear localization of the serine/threonine kinase DRAK2 is involved in UV-induced apoptosis. Biol. Pharm. Bull. 29(2):225–233
Landau E. H., Jayanthi V. R., Churchill B. M., Shapiro E., Gilmour R. F., Khoury A. E., Macarak E. J., McLorie G. A., Steckler R. E., Kogan B. A. 1994 Loss of elasticity in dysfunctional bladders: urodynamic and histochemical correlation. J. Urol. 152(2 Pt 2):702–705
Matsui T., Li L., Wu J. C., Cook S. A., Nagoshi T., Picard M. H., Liao R., Rosenzweig A. 2002 Phenotypic spectrum caused by transgenic overexpression of activated Akt in the heart. J. Biol. Chem. 277(25):22896–22901
Maul T. M., Hamilton D. W., Nieponice A., Soletti L., Vorp D. A. 2007 A new experimental system for the extended application of cyclic hydrostatic pressure to cell culture. J. Biomech. Eng. 129(1):110–116
McGuire E. J., Woodside J. R., Borden T. A., Weiss R. M. 1981 Prognostic value of urodynamic testing in myelodysplastic patients. J. Urol. 126(2):205–209
Naga Prasad S. V., Esposito G., Mao L., Koch W. J., Rockman H. A. 2000 Gbetagamma-dependent phosphoinositide 3-kinase activation in hearts with in vivo pressure overload hypertrophy. J. Biol. Chem. 275(7): 4693–4698
Nagatomi J., Arulanandam B. P., Metzger D. W., Meunier A., Bizios R. 2001 Frequency- and duration-dependent effects of cyclic pressure on select bone cell functions. Tissue Eng. 7(6):717–728
Nguyen H. T., Adam R. M., Bride S. H., Park J. M., Peters C. A., Freeman M. R. 2000 Cyclic stretch activates p38 SAPK2-, ErbB2-, and AT1-dependent signaling in bladder smooth muscle cells. Am. J. Physiol. Cell Physiol. 279(4):C1155–C1167
Orsola A., Adam R. M., Peters C. A., Freeman M. R. 2002 The decision to undergo DNA or protein synthesis is determined by the degree of mechanical deformation in human bladder muscle cells. Urology 59(5): 779–783
Park J. M., Adam R. M., Peters C. A., Guthrie P. D., Sun Z., Klagsbrun M., Freeman M. R. 1999 AP-1 mediates stretch-induced expression of HB-EGF in bladder smooth muscle cells. Am. J. Physiol. 277(2 Pt 1):C294–C301
Park J. M., Borer J. G., Freeman M. R., Peters C. A. 1998 Stretch activates heparin-binding EGF-like growth factor expression in bladder smooth muscle cells. Am. J. Physiol. 275(5 Pt 1):C1247–C1254
Park J. M., Yang T., Arend L. J., Schnermann J. B., Peters C. A., Freeman M. R., Briggs J. P. 1999 Obstruction stimulates COX-2 expression in bladder smooth muscle cells via increased mechanical stretch. Am. J. Physiol. 276(1 Pt 2):F129–F136
Parker S. H., Parker T. A., George K. S., Wu S. 2006 The roles of translation initiation regulation in ultraviolet light-induced apoptosis. Mol. Cell Biochem. 293(1–2):173–181
Peters C. A., Vasavada S., Dator D., Carr M., Shapiro E., Lepor H., McConnell J., Retik A. B., Mandell J. 1992 The effect of obstruction on the developing bladder. J. Urol. 148(2 Pt 2):491–496
Reynolds C. M., Eguchi S., Frank G. D., Motley E. D. 2002 Signaling mechanisms of heparin-binding epidermal growth factor-like growth factor in vascular smooth muscle cells. Hypertension 39(2 Pt 2):525–529
Seki S., Sasaki K., Fraser M. O., Igawa Y., Nishizawa O., Chancellor M. B., de Groat W. C., Yoshimura N. 2002 Immunoneutralization of nerve growth factor in lumbosacral spinal cord reduces bladder hyperreflexia in spinal cord injured rats. J. Urol. 168(5):2269–2274
Stabile E., Zhou Y. F., Saji M., Castagna M., Shou M., Kinnaird T. D., Baffour R., Ringel M. D., Epstein S. E., Fuchs S. 2003 Akt controls vascular smooth muscle cell proliferation in vitro and in vivo by delaying G1/S exit. Circ. Res. 93(11):1059–1065
Stoyanov B., Volinia S., Hanck T., Rubio I., Loubtchenkov M., Malek D., Stoyanova S., Vanhaesebroeck B., Dhand R., Nurnberg B., et al. 1995 Cloning and characterization of a G protein-activated human phosphoinositide-3 kinase. Science 269(5224):690–693
Vadiakas G. P., Banes A. J. 1992 Verapamil decreases cyclic load-induced calcium incorporation in ROS 17/2.8 osteosarcoma cell cultures. Matrix 12(6):439–447
Watanabe T., Rivas D. A., Chancellor M. B. 1996 Urodynamics of spinal cord injury. Urol. Clin. North Am. 23(3):459–473
Watase M., Awolesi M. A., Ricotta J., Sumpio B. E. 1997 Effect of pressure on cultured smooth muscle cells. Life Sci. 61(10):987–996
Xing Y., Warnock J. N., He Z., Hilbert S. L., Yoganathan A. P. 2004 Cyclic pressure affects the biological properties of porcine aortic valve leaflets in a magnitude and frequency dependent manner. Ann. Biomed. Eng. 32(11):1461–1470
Yalla S. V., Rossier A. B., Fam B. 1976 Dyssynergic vesicourethral responses during bladder rehabilitation in spinal cord injury patients: effects of suprapubic percussion, crede method and bethanechol chloride. J. Urol. 115(5):575–579
Yano S., Tokumitsu H., Soderling T. R. 1998 Calcium promotes cell survival through CaM-K kinase activation of the protein-kinase-B pathway. Nature 396(6711):584–587
Acknowledgments
The authors wish to thank Ms. Margaret Gray for assistance with characterization of SMCs and Ms. Cassie Gregory for assistance with cell culture. The authors also wish to thank Dr. Bruce Gao and his laboratory for providing the rats used as source of bladder cells in the present study. The funding for this research was provided by Paralyzed Veterans of America (2289-02) and Clemson University.
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Stover, J., Nagatomi, J. Cyclic Pressure Stimulates DNA Synthesis through the PI3K/Akt Signaling Pathway in Rat Bladder Smooth Muscle Cells. Ann Biomed Eng 35, 1585–1594 (2007). https://doi.org/10.1007/s10439-007-9331-9
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DOI: https://doi.org/10.1007/s10439-007-9331-9