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J Neurophysiol 99: 49-59, 2008. First published October 24, 2007; doi:10.1152/jn.00211.2007
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Cyclophosphamide-Induced Bladder Inflammation Sensitizes and Enhances P2X Receptor Function in Rat Bladder Sensory Neurons

Khoa Dang1, Kenneth Lamb1, Michael Cohen2, Klaus Bielefeldt3 and G. F. Gebhart1

1Departments of Pharmacology, 2Pathology, and 3Internal Medicine, Carver College of Medicine, The University of Iowa, Iowa City, Iowa

Submitted 27 February 2007; accepted in final form 23 October 2007

We studied sensitization of retrogradely labeled bladder sensory neurons and plasticity of P2X receptor function in a model of cystitis using patch-clamp techniques. Saline (control) or cyclophosphamide (CYP) was given intraperitoneally to rats on days 0, 2, and 4. On day 5, lumbosacral (LS, L6–S2) or thoracolumbar (TL, T12–L2) dorsal root ganglia were removed and dissociated. Bladders from CYP-treated rats showed partial loss of the urothelium and greater myeloperoxidase activity compared with controls. Bladder neurons from CYP-treated rats were increased in size (based on whole cell capacitance) compared with controls and exhibited lower activation threshold, increased action potential width, and greater number of action potentials in response to current injection or application of purinergic agonists. Most control LS bladder neurons (>85%) responded to ATP or {alpha},β-metATP with a slowly desensitizing current; these agonists affected only half of TL neurons, producing predominantly fast/mixed desensitizing currents. CYP treatment increased the fraction of TL bladder neurons sensitive to purinergic agonists (>80%) and significantly increased current density in both LS and TL bladder neurons compared with control. Importantly, LS and TL neurons from CYP-treated rats showed a selective increase in the functional expression of heteromeric P2X2/3 and homomeric P2X3 receptors, respectively. Although desensitizing kinetics were slower in LS neurons from CYP-treated compared with control rats, recovery kinetics were similar. The present results demonstrate that bladder inflammation sensitizes and increases P2X receptor expression and/or function for both pelvic and lumbar splanchnic pathways, which contribute, in part, to the hypersensitivity associated with cystitis.


Address for reprint requests and other correspondence: G. F. Gebhart, Director, Center for Pain Research, University of Pittsburgh, W1444 BST, 200 Lothrop St., Pittsburgh, PA 15213 (E-mail: gebhartgf{at}upmc.edu)




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V. P. Zagorodnyuk, S. J. H. Brookes, N. J. Spencer, and S. Gregory
Mechanotransduction and chemosensitivity of two major classes of bladder afferents with endings in the vicinity to the urothelium
J. Physiol., July 15, 2009; 587(14): 3523 - 3538.
[Abstract] [Full Text] [PDF]




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