Objectives: There is increasing evidence that intravenously injected neural progenitor cells promote recovery of bladder function in rodents, following contusive spinal cord injury through migrating into the injured spinal cord tissue and differentiating into central nervous system cells. The present study was aimed to clarify whether intravenously transplanted bone marrow stromal cells (BMSCs) could improve lower urinary tract (LUT) function in rats with spinal cord transection (SCT). Methods: A total of 22 rats underwent experimentation in three groups, including group 1-sham operation, group 2 (BMSC)-SCT plus BrdU (5-bromo-2¢-deoxyuridine) labeled BMSCs transplantation at day 9 after SCT, group 3-SCT control. All rats were investigated urodynamically on day 28 after transplantation. Results: BMSCs identified by BrdU immunohistochemistry survived in the injured spinal cord and lumbar level 3-4 (L 3À4 ). Voiding pressure, episodes of non-voiding contractions and residual urine volumes were significantly decreased in BMSC rats, compared with the controls. Bladder capacity was similar in both groups. In four out of eight BMSC rats and one out of seven controls, the tonic and bursting external urethral sphincter electromyographic activity were detected during cystometry. Silent periods during bursting were shorter and activity periods were longer in BMSC rats compared with sham rats.
INTRODUCTIONThe main functions of the lower urinary tract (LUT) to store and periodically release urine are dependent upon neural circuits located in the brain, spinal cord and peripheral ganglia. 1,2 Spinal cord injury (SCI) above the lumbosacral level interrupts this coordination between the bladder and the striated sphincter, leading to non-voiding contractions (NVCs) and detrusor-sphincter dyssynergia, which impedes voiding and leads to large residual urine volume (RUV). 3 In the rats, micturition-associated bursting external urethral sphincter (EUS) activity, characterized by alternating bursts of EUS activity and relaxation (silent periods (SP)), is lost after SCI and has been reported to be replaced by tonic, dyssynergic activity. 4 As the mature central nervous system cannot generate new neurons and glial cells, bladder functional recovery is limited following SCI. However, recent studies suggest that transplanted neural progenitor cells promote recovery of the bladder function through regeneration of the injury site. [5][6][7][8] In most of these studies, stem cells have been injected into the lesion directly with a needle, 5,7,8 carrying the risk of further injury to the spinal cord. Otherwise, these studies did not examine the changes of EUS activity in the spinal injured rats after cells transplantation.