2012
DOI: 10.1111/j.1582-4934.2011.01368.x
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Alterations in the contractile phenotype of the bladder: lessons for understanding physiological and pathological remodelling of smooth muscle

Abstract: The contractile properties of the urinary bladder are changed by the conditions of normal development and partial bladder outlet obstruction. This change in the contractile phenotype is accompanied by changes in the regulatory cascades and filaments that regulate contractility. This review focuses on such changes during the course of normal development and in response to obstruction. Our goal is to discuss the experimental evidence that has accumulated from work in animal models and correlate these findings wi… Show more

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Cited by 25 publications
(24 citation statements)
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References 86 publications
(158 reference statements)
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“…Alterations in bladder smooth muscle contractility underlie various conditions afflicting the lower urinary tract, including overactive bladder secondary to neurologic or inflammatory insults, diabetic cystopathy and lower urinary tract symptoms associated with obstruction [1]. Our findings demonstrating JunB as a major TGFβ1 effector, suggests that JunB-mediated alterations in contractility are likely to contribute to the pathologic bladder contractility that occurs following spinal cord injury, a condition in which TGFβ1 is known to be upregulated [8].…”
Section: Discussionmentioning
confidence: 59%
See 1 more Smart Citation
“…Alterations in bladder smooth muscle contractility underlie various conditions afflicting the lower urinary tract, including overactive bladder secondary to neurologic or inflammatory insults, diabetic cystopathy and lower urinary tract symptoms associated with obstruction [1]. Our findings demonstrating JunB as a major TGFβ1 effector, suggests that JunB-mediated alterations in contractility are likely to contribute to the pathologic bladder contractility that occurs following spinal cord injury, a condition in which TGFβ1 is known to be upregulated [8].…”
Section: Discussionmentioning
confidence: 59%
“…In response to pathologic stimuli, such as mechanical stress, or altered innervation, smooth muscle cells (SMC) undergo phenotypic changes that result in loss of differentiation markers, cellular hypertrophy, increased production of extracellular matrix proteins and eventual loss of contractile function [1]. Although the consequences of such tissue remodeling are evident by the prevalence of diseases associated with aberrant SM function, the molecular mechanisms that regulate SM phenotype in hollow organs other than the vasculature are still incompletely understood.…”
Section: Introductionmentioning
confidence: 99%
“…Partial urethral obstruction is relatively common in men with aging, as a result of benign prostate hypertrophy, carcinoma, or calculi, and results in increased back pressure during micturition. During early stages of urethral restriction, which can take years to develop, the bladder undergoes compensatory hypertrophy in order to produce the greater contractile force required to force urine passed the restriction and keep residual urine volumes low (100). These patients present with voiding symptoms, which include urgency, frequency, slowing of the urinary stream, straining to void and nocturia all of which affect quality of life.…”
Section: Urethral Contractile Physiologymentioning
confidence: 99%
“…An initial development of force enables bladder to implement quick contractile responses, but they also may maintain force for an extended period of time to empty the bladder [1]. Adequate bladder contraction ensures complete urine emptying, while abnormal contractile performance of bladder smooth muscle can contribute to various diseases, such as urinary incontinence, overactive bladder or retention of urine [2,3].…”
Section: Introductionmentioning
confidence: 99%