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Expression of parathyroid hormone-related protein in the partially obstructed and reversed rabbit bladder

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Abstract

Objectives

Parathyroid hormone-related protein (PTHrP), the main factor responsible for malignant hypercalcemia, is produced by a wide range of normal and malignant tissues. Prior studies in the rabbit model demonstrated that partial bladder outlet obstruction results in calcium-dysregulation characterized by a marked increase in free calcium within the smooth muscle compartment and the stimulation of calcium-activated enzymes, such as calpain and phospholipase A2.

Methods

Twenty-four male New Zealand white rabbits were divided into four groups of six each. Following 4 weeks of obstruction, one group of animals was killed, while outlet obstruction was reversed in two additional groups of animals, which were killed 4 and 8 weeks after relieving the obstruction. A group with six sham-operated rabbits served as controls. The expression and localization of PTHrP were detected in muscle and mucosa by immunohistochemistry, using a PTHrP-specific antibody.

Results

In the sham-operated group, rabbit bladders showed a low expression of PTHrP in both the mucosa and muscle layers. PTHrP in the 4-week obstructed bladder group, in muscle and mucosa, were 266% and 134% higher than the sham group, respectively. Strong PTHrP immunostaining persisted in the 4-week reversal groups, but it returned to the sham level after 8 weeks of reversal in the muscle layer. As mentioned about the mucosa layer, the PTHrP level returned to control levels more rapidly after 4 weeks of reversal and continued after 8 weeks of reversal.

Conclusion

This study showed that PTHrP is increased after partial bladder outlet obstruction and decreased after relieving the obstruction.

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References

  1. Bauer SB (2000) The effects and challenges of bladder outlet obstruction. J Urol 163:3. doi:10.1016/S0022-5347(05)67959-1

    Article  PubMed  CAS  Google Scholar 

  2. Levin RM, Haugaard N, O’Connor L et al (2000) Obstructive response of human bladder to BPH vs rabbit bladder response to partial outlet obstruction: a direct comparison. Neurourol Urodyn 19:609–629. doi:10.1002/1520-6777(2000)19:5<609::AID-NAU7>3.0.CO;2-H

    Article  PubMed  CAS  Google Scholar 

  3. Levin RM, Saito M, Wein AJ et al (1993) Effect of partial outlet obstruction on choline acetyltransferase activity in the rat and rabbit. Neurourol Urodyn 12:255–261. doi:10.1002/nau.1930120308

    Article  PubMed  CAS  Google Scholar 

  4. Levin RM, Whitbeck C, Sourial MW et al (2006) Effects of dextromethorphan on in vitro contractile responses of mouse and rat urinary bladders. Neurourol Urodyn 25:802–807. doi:10.1002/nau.20306

    Article  PubMed  CAS  Google Scholar 

  5. Buttyan R, Chen MW, Levin RM (1997) Animal models of bladder outlet obstruction and molecular insights into the basis for the development of bladder dysfunction. Eur Urol 32:32–39

    PubMed  CAS  Google Scholar 

  6. Shabsigh A, Hayek OR, Weiner D et al (2000) Acute increase in blood flow to the rat bladder subsequent to partial bladder outlet obstruction. Neurourol Urodyn 19:195–206. doi:10.1002/(SICI)1520-6777(2000)19:2<195::AID-NAU10>3.0.CO;2-L

    Article  PubMed  CAS  Google Scholar 

  7. Chen Y, Bornfeldt KE, Arner A et al (1994) Increase in insulin-like growth factor I in hypertrophying smooth muscle. Am J Physiol 266:E224–E229

    PubMed  CAS  Google Scholar 

  8. Abdel-Gawad M, Elhilali MM, Huynh H (1999) Alteration of the insulin-like growth factor system of mitogens in hyperplastic bladders of paraplegic rats. J Urol 161:699–705. doi:10.1016/S0022-5347(01)61998-0

    Article  PubMed  CAS  Google Scholar 

  9. Bassuk JA, Grady R, Mitchell M (2000) Review article: the molecular era of bladder research. Transgenic mice as experimental tools in the study of outlet obstruction. J Urol 164:170–179. doi:10.1016/S0022-5347(05)67490-3

    Article  PubMed  CAS  Google Scholar 

  10. Martin TJ, Moseley JM, Gillespie MT (1991) Parathyroid hormone-related protein: biochemistry and molecular biology. Crit Rev Biochem Mol Biol 26:377–395. doi:10.3109/10409239109114073

    Article  PubMed  CAS  Google Scholar 

  11. Philbrick WM, Wysolmerski JJ, Galbraith S et al (1996) Defining the roles of parathyroid hormone-related protein in normal physiology. Physiol Rev 76:127–173

    PubMed  CAS  Google Scholar 

  12. Caverzasio J, Bonjour JP (1996) Characteristics and regulation of Pi transport in osteogenic cells for bone metabolism. Kidney Int 49:975–980. doi:10.1038/ki.1996.138

    Article  PubMed  CAS  Google Scholar 

  13. Vortkamp A, Lee K, Lanske B et al (1996) Regulation of rate of cartilage differentiation by Indian hedgehog and PTH-related protein. Science 273:613–622. doi:10.1126/science.273.5275.613

    Article  PubMed  CAS  Google Scholar 

  14. Curtis NE, King RG, Moseley JM et al (2000) Preterm fetal growth restriction is associated with increased parathyroid hormone-related protein expression in the fetal membranes. Am J Obstet Gynecol 183:700–705. doi:10.1067/mob.2000.106593

    Article  PubMed  CAS  Google Scholar 

  15. Ueno M, Ban S, Ohigashi T et al (2000) Simultaneous production of granulocyte colony-stimulating factor and parathyroid hormone-related protein in bladder cancer. Int J Urol 7:72–75. doi:10.1046/j.1442-2042.2000.00141.x

    Article  PubMed  CAS  Google Scholar 

  16. Hirasawa K, Kitamura T, Oka T et al (2002) Bladder tumor producing granulocyte colony-stimulating factor and parathyroid hormone related protein. J Urol 167:2130. doi:10.1016/S0022-5347(05)65104-X

    Article  PubMed  Google Scholar 

  17. Vaidyanathan S, Mansour P, Ueno M et al (2002) Problems in early diagnosis of bladder cancer in a spinal cord injury patient: report of a case of simultaneous production of granulocyte colony stimulating factor and parathyroid hormone-related protein by squamous cell carcinoma of urinary bladder. BMC Urol 2:8. doi:10.1186/1471-2490-2-8

    Article  PubMed  Google Scholar 

  18. Vaidyanathan S, McCreavy DT, McDicken IW et al (1999) Immunohistochemical study of parathyroid hormone-related protein in vesical transitional epithelium of patients with spinal cord injury. Spinal Cord 37:760–764. doi:10.1038/sj.sc.3100921

    Article  PubMed  CAS  Google Scholar 

  19. Vaidyanathan S, McDicken IW, Mansour P et al (2000) Parathyroid hormone-related protein (1–34) and urothelial redifferentiation in the neuropathic urinary bladder. Spinal Cord 38:546–551. doi:10.1038/sj.sc.3101044

    Article  PubMed  CAS  Google Scholar 

  20. Strewler GJ (2000) The physiology of parathyroid hormone-related protein. N Engl J Med 342:177–185. doi:10.1056/NEJM200001203420306

    Article  PubMed  CAS  Google Scholar 

  21. Gujral A, Burton DW, Terkeltaub R et al (2001) Parathyroid hormone-related protein induces interleukin 8 production by prostate cancer cells via a novel intracrine mechanism not mediated by its classical nuclear localization sequence. Cancer Res 61:2282–2288

    PubMed  CAS  Google Scholar 

  22. Perez-Martinez FC, Alonso V, Sarasa JL et al (2007) Immunohistochemical analysis of low-grade and high-grade prostate carcinoma: relative changes of parathyroid hormone-related protein and its parathyroid hormone 1 receptor, osteoprotegerin and receptor activator of nuclear factor-kB ligand. J Clin Pathol 60:290–294. doi:10.1136/jcp.2006.037853

    Article  PubMed  CAS  Google Scholar 

  23. Funk JL, Migliati E, Chen G et al (2003) Parathyroid hormone-related protein induction in focal stroke: a neuroprotective vascular peptide. Am J Physiol Regul Integr Comp Physiol 284:R1021–R1030

    PubMed  CAS  Google Scholar 

  24. Ramila D, Ardura JA, Esteban V et al (2008) Parathyroid hormone-related protein promotes inflammation in the mouse obstructed kidney. Kidney Int (in press)

  25. Massfelder T, Dann P, Wu TL et al (1997) Opposing mitogenic and anti-mitogenic actions of parathyroid hormone-related protein in vascular smooth muscle cells: a critical role for nuclear targeting. Proc Natl Acad Sci USA 94:13630–13635. doi:10.1073/pnas.94.25.13630

    Article  PubMed  CAS  Google Scholar 

  26. Fiaschi-Taesch N, Endlich N, Massfelder T et al (1998) Renovascular parathyroid hormone-related protein in spontaneously hypertensive rats: dilator or trophic factor? Kidney Int 67:S207–S210. doi:10.1046/j.1523-1755.1998.06749.x

    Article  CAS  Google Scholar 

  27. Yamamoto M, Harm SC, Grasser WA et al (1992) Parathyroid hormone-related protein in the rat urinary bladder: a smooth muscle relaxant produced locally in response to mechanical stretch. Proc Natl Acad Sci USA 89:5326–5330. doi:10.1073/pnas.89.12.5326

    Article  PubMed  CAS  Google Scholar 

  28. Lin AD, Mannikarottu A, Chaudhry A et al (2005) Protective effects of grape suspension on in vivo ischaemia/reperfusion of the rabbit bladder. BJU Int 96:1397–1402. doi:10.1111/j.1464-410X.2005.05832.x

    Article  PubMed  Google Scholar 

  29. Thiede MA, Daifotis AG, Weir EC et al (1990) Intrauterine occupancy controls expression of the parathyroid hormone-related peptide gene in preterm rat myometrium. Proc Natl Acad Sci USA 87:6969–6973. doi:10.1073/pnas.87.18.6969

    Article  PubMed  CAS  Google Scholar 

  30. Macica CM, Broadus AE (2003) PTHrP regulates cerebral blood flow and is neuroprotective. Am J Physiol Regul Integr Comp Physiol 284:R1019–R1020

    PubMed  CAS  Google Scholar 

  31. Ortega A, Rámila D, Ardura JA et al (2006) Role of parathyroid hormone-related protein in tubulointerstitial apoptosis and fibrosis after folic acid-induced nephrotoxicity. J Am Soc Nephrol 17:1594–1603. doi:10.1681/ASN.2005070690

    Article  PubMed  CAS  Google Scholar 

  32. Li H, Seitz PK, Thomas ML et al (1995) Widespread expression of the parathyroid hormone-related peptide and PTH/PTHrP receptor genes in intestinal epithelial cells. Lab Invest 73:864–870

    PubMed  CAS  Google Scholar 

  33. Goomer RS, Johnson KA, Burton DW et al (2000) The tetrabasic KKKK(147–150) motif determines intracrine regulatory effects of PTHrP 1–173 on chondrocyte PPi metabolism and matrix synthesis. Endocrinology 141:4613–4622. doi:10.1210/en.141.12.4613

    Article  PubMed  CAS  Google Scholar 

  34. Clemens TL, Cormier S, Eichinger A et al (2001) Parathyroid hormone-related protein and its receptors: nuclear functions and roles in the renal and cardiovascular systems, the placental trophoblasts and the pancreatic islets. Br J Pharmacol 134:1113–1136. doi:10.1038/sj.bjp.0704378

    Article  PubMed  CAS  Google Scholar 

  35. Molkentin JD, Lu JR, Antos CL et al (1998) A calcineurin-dependent transcriptional pathway for cardiac hypertrophy. Cell 93:215–228. doi:10.1016/S0092-8674(00)81573-1

    Article  PubMed  CAS  Google Scholar 

  36. Stein R, Hutcheson JC, Krasnopolsky L et al (2001) The decompensated detrusor V: molecular correlates of bladder function after reversal of experimental outlet obstruction. J Urol 166:651–657. doi:10.1016/S0022-5347(05)66037-5

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

This material is based upon work supported in part by the Office of Research and Development Medical Research Service, Department of Veteran’s Affairs; in part by NIH grant RO-1-DK 067114; and in part by Fundacion Conchita Rabago. We wish to thank Pedro Esbrit for critical review of the manuscript.

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Correspondence to Francisco C. Perez-Martinez.

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Perez-Martinez, F.C., Juan, YS., Lin, WY. et al. Expression of parathyroid hormone-related protein in the partially obstructed and reversed rabbit bladder. Int Urol Nephrol 41, 505–511 (2009). https://doi.org/10.1007/s11255-008-9485-x

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  • DOI: https://doi.org/10.1007/s11255-008-9485-x

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