The effect of bladder outlet obstruction on alpha1- and beta-adrenoceptor expression and function

Neurourol Urodyn. 2009;28(4):349-55. doi: 10.1002/nau.20642.

Abstract

Aims: To explore possible changes in expression and/or function of alpha(1)- and beta-adrenoceptor subtypes as a cause for bladder dysfunction in a rat model of bladder outlet obstruction (BOO).

Methods: BOO was induced in rats by partial urethral ligature. Contraction and relaxation experiments were performed with isolated bladder strips from BOO, sham-operated and non-operated (control) rats 7 days after BOO induction. mRNA expression of alpha(1)- and beta-adrenoceptor subtypes was assessed by quantitative real-time PCR.

Results: Receptor-independent contraction or relaxation did not differ between BOO and sham rats. The alpha(1)-agonists methoxamine and A-61,603 caused only weak contraction without major differences between groups. Against KCl-induced tone, the beta-adrenoceptor agonists noradrenaline and isoprenaline caused similar relaxation in BOO and sham rats, whereas relaxation in response to the beta(3)-selective BRL 37,344 was attenuated. Against passive tension, noradrenaline induced relaxation in sham and control rats; in contrast, noradrenaline induced contraction at low concentrations and relaxation at high concentrations in BOO rats. The contraction component was abolished by the alpha(1)-antagonist prazosin. The mRNA expression of alpha(1D)-adrenoceptors was increased in BOO, whereas none of the other receptor mRNAs were up-regulated.

Conclusions: In a rat BOO model, weak contraction responses to alpha(1)-agonists and relaxation responses to beta-agonists are not altered to a major extent. Nevertheless, relaxation responses to the endogenous agonist noradrenaline are turned into alpha(1)-adrenoceptor-mediated contraction responses in BOO, possibly due to an up-regulation of alpha(1D)-adrenoceptors.

MeSH terms

  • Adrenergic alpha-Agonists / pharmacology
  • Animals
  • Ligation
  • Male
  • Molecular Sequence Data
  • Muscle Contraction / drug effects
  • Muscle Contraction / physiology
  • Muscle Relaxation / drug effects
  • Muscle Relaxation / physiology
  • Norepinephrine / pharmacology
  • Potassium Chloride / pharmacology
  • RNA, Messenger / biosynthesis
  • RNA, Messenger / genetics
  • Rats
  • Rats, Wistar
  • Receptors, Adrenergic, alpha-1 / biosynthesis*
  • Receptors, Adrenergic, alpha-1 / physiology*
  • Receptors, Adrenergic, beta / biosynthesis*
  • Receptors, Adrenergic, beta / physiology*
  • Regression Analysis
  • Reverse Transcriptase Polymerase Chain Reaction
  • Urinary Bladder Neck Obstruction / metabolism*

Substances

  • Adrenergic alpha-Agonists
  • RNA, Messenger
  • Receptors, Adrenergic, alpha-1
  • Receptors, Adrenergic, beta
  • Potassium Chloride
  • Norepinephrine