NTR in bladder function in control and CYP-treated rats was determined using conscious cystometry and immunoneutralization or PD90780, a compound known to specifically block NGF binding to p75NTR . An anti-p75 NTR monoclonal antibody or PD90780 was infused intravesically and cystometric parameters were evaluated. Both methods of p75 NTR blockade significantly (P Յ 0.05) decreased the intercontraction interval and void volume in control and CYP-treated rats. Intravesical infusion of PD90780 also significantly (P Յ 0.001) increased intravesical pressure and increased the number of nonvoiding contractions during the filling phase. Control intravesical infusions of isotype-matched IgG and vehicle were without effect. Intravesical instillation of PD90780 significantly (P Յ 0.01) reduced the volume threshold to elicit a micturition contraction in control rats (no inflammation) and CYP-treated in a closed urinary bladder system. These studies demonstrate 1) ubiquitous p75 NTR expression in urinary bladder and increased expression with CYP-induced cystitis and 2) p75 NTR blockade at the level of the urinary bladder produces bladder hyperreflexia in control and CYP-treated rats. The overall activity of the urinary bladder reflects the balance of NGF-p75 NTR and NGF-TrkA signaling. NTR belongs to the tumor necrosis factor-␣ family of receptors (1, 4, 8). p75 NTR binds all neurotrophins, including brain-derived neurotrophic factor (BDNF), neurotrophin-3 (NT-3), and NT-4/5. NGF-TrkA signaling is involved in some inflammatory effects of NGF (50), including sensitization of nociceptive afferents and the release of neuropeptides. TrkA expression is increased in bladder afferent cells in lumbosacral dorsal root ganglia (DRG) with acute and chronic cyclophosphamide (CYP)-induced bladder inflammation (51). In addition, p75 NTR expression is also significantly upregulated in bladder afferent cells (2.4-to 2.8-fold) in lumbosacral DRG after CYP-induced cystitis (39).The pan-neurotrophin receptor p75 NTR exhibits a ubiquitous distribution and has many functions and multiple binding partners and ligands (4,8). In the absence of Trk expression, p75NTR is suggested to be involved in apoptosis and regulation of neuronal growth (4, 27); however, in the presence of TrkA, p75 NTR is suggested to function by enhancing Trk binding to neurotrophins (3,4,70). p75 NTR expression has previously been identified in the urinary bladder (61,66,67) but few studies have examined the role of p75 NTR in bladder function or in the context of urinary bladder inflammation (66). Although we do know that p75NTR expression is present in micturition reflex pathways in control rats and is regulated with CYP-induced cystitis (39), the potential role(s) of p75 NTR in urinary bladder reflexes have not been explored. In this study, we determined 1) expression of p75 NTR in the urinary bladder with immunohistochemistry and Western blot and regulation of p75 NTR expression after CYP-induced cystitis, 2) the effect of immunoneutralization with an anti-p75 NTR monoc...