There is increasing evidence indicating that oxidative stress is associated with various urinary bladder disorders. Oxygen and nitrogen reactive species formed during oxidative stress can produce oxidative cellular damage which can lead to urinary bladder dysfunction. To cope with reactive species, biological systems possess a range of defence mechanisms, the first line of which are antioxidants. Under physiological conditions, antioxidants are kept in balance with the production of reactive species to prevent cell damage. However, when production of reactive species is increased or the levels of antioxidants are diminished, the antioxidant defence is exceeded and oxidative damage of cellular macromolecules occurs.Oxidative stress of the urinary bladder, as a consequence of increased production of reactive species, is mostly studied in relation to nitric oxide. Increased production of nitric oxide or expression of nitric oxide synthase has been demonstrated in bladder tumour cells, partial bladder obstruction, urinary tract infection, cystitis and ischemia/reperfusion. [1][2][3][4][5][6][7][8][9] On the other hand, decreased antioxidant enzymes levels, as well of low molecular weight antioxidants, have also been reported in urinary bladder cancer, urolithiasis, and sepsis. [10][11][12][13] The inevitable consequence of such conditions is oxidative damage. The latter was studied in bladder cancer, sepsis, ischemia/reperfusion, partial outlet bladder obstruction, aging, and low doses of ionizing radiation. Increases in malondialdehyde, 11,[13][14][15][16] 3-nitrotyrosine 17) and 8-hydroxy-2Ј-deoxyguanosine 18) concentrations-biomarkers of lipid, protein, and DNA oxidation, respectively-have been found.Since oxidative stress is present in both physiological and pathological conditions, organisms have had to adapt to it. Despite all the evidence confirming the important role of oxidative stress in the urinary bladder, no detailed research on the bladder antioxidants and their distribution within the bladder wall has been performed. The aim of the present study was to determine the urinary bladder distribution of antioxidant enzymes superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), and glutathione reductase (GR), as well as of major water soluble low molecular weight antioxidants, i.e. ascorbic acid (AA) and glutathione (GSH). Their concentrations were determined in urinary bladder wall layers and urothelium derived from various bladder regions. By mapping the urinary bladder we aimed to identify regions with the lowest antioxidant levels, and consequently highest sensitivity to oxidative damage and bladder disease. Such information may be crucial for understanding the initiation of pathological processes in urinary bladder.
MATERIALS AND METHODSBladder Tissue Porcine urinary bladders were obtained from the local slaughterhouse, where pigs (7 month-old male pigs, weighing 90-110 kg) were bled to death after narcotization by electric shock, according to European Community regulations. After ope...