Cellular Stress and Molecular Responses in Bladder Ischemia
The concept of bladder ischemia as a contributing factor to detrusor overactivity and lower urinary tract symptoms (LUTS) is evolving. Bladder ischemia as a consequence of pelvic arterial atherosclerosis was first documented in experimental models and later in elderly patients with LUTS. It was show...
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2021
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oai:doaj.org-article:2772dd8bb8104cf186e2eb5ea59987622021-11-11T17:17:11ZCellular Stress and Molecular Responses in Bladder Ischemia10.3390/ijms2221118621422-00671661-6596https://doaj.org/article/2772dd8bb8104cf186e2eb5ea59987622021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/21/11862https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067The concept of bladder ischemia as a contributing factor to detrusor overactivity and lower urinary tract symptoms (LUTS) is evolving. Bladder ischemia as a consequence of pelvic arterial atherosclerosis was first documented in experimental models and later in elderly patients with LUTS. It was shown that early-stage moderate ischemia produces detrusor overactivity, while prolonged severe ischemia provokes changes consistent with detrusor underactivity. Recent studies imply a central role of cellular energy sensors, cellular stress sensors, and stress response molecules in bladder responses to ischemia. The cellular energy sensor adenosine monophosphate-activated protein kinase was shown to play a role in detrusor overactivity and neurodegeneration in bladder ischemia. The cellular stress sensors apoptosis signal-regulating kinase 1 and caspase-3 along with heat shock proteins were characterized as important contributing factors to smooth muscle structural modifications and apoptotic responses in bladder ischemia. Downstream pathways seem to involve hypoxia-inducible factor, transforming growth factor beta, vascular endothelial growth factor, and nerve growth factor. Molecular responses to bladder ischemia were associated with differential protein expression, the accumulation of non-coded amino acids, and post-translational modifications of contractile proteins and stress response molecules. Further insight into cellular stress responses in bladder ischemia may provide novel diagnostic and therapeutic targets against LUTS.Jing-Hua YangHan-Pil ChoiWanting NiuKazem M. AzadzoiMDPI AGarticlebladder ischemiacellular stresspost-translational modificationsnon-coded amino acidsBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 11862, p 11862 (2021) |
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bladder ischemia cellular stress post-translational modifications non-coded amino acids Biology (General) QH301-705.5 Chemistry QD1-999 |
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bladder ischemia cellular stress post-translational modifications non-coded amino acids Biology (General) QH301-705.5 Chemistry QD1-999 Jing-Hua Yang Han-Pil Choi Wanting Niu Kazem M. Azadzoi Cellular Stress and Molecular Responses in Bladder Ischemia |
description |
The concept of bladder ischemia as a contributing factor to detrusor overactivity and lower urinary tract symptoms (LUTS) is evolving. Bladder ischemia as a consequence of pelvic arterial atherosclerosis was first documented in experimental models and later in elderly patients with LUTS. It was shown that early-stage moderate ischemia produces detrusor overactivity, while prolonged severe ischemia provokes changes consistent with detrusor underactivity. Recent studies imply a central role of cellular energy sensors, cellular stress sensors, and stress response molecules in bladder responses to ischemia. The cellular energy sensor adenosine monophosphate-activated protein kinase was shown to play a role in detrusor overactivity and neurodegeneration in bladder ischemia. The cellular stress sensors apoptosis signal-regulating kinase 1 and caspase-3 along with heat shock proteins were characterized as important contributing factors to smooth muscle structural modifications and apoptotic responses in bladder ischemia. Downstream pathways seem to involve hypoxia-inducible factor, transforming growth factor beta, vascular endothelial growth factor, and nerve growth factor. Molecular responses to bladder ischemia were associated with differential protein expression, the accumulation of non-coded amino acids, and post-translational modifications of contractile proteins and stress response molecules. Further insight into cellular stress responses in bladder ischemia may provide novel diagnostic and therapeutic targets against LUTS. |
format |
article |
author |
Jing-Hua Yang Han-Pil Choi Wanting Niu Kazem M. Azadzoi |
author_facet |
Jing-Hua Yang Han-Pil Choi Wanting Niu Kazem M. Azadzoi |
author_sort |
Jing-Hua Yang |
title |
Cellular Stress and Molecular Responses in Bladder Ischemia |
title_short |
Cellular Stress and Molecular Responses in Bladder Ischemia |
title_full |
Cellular Stress and Molecular Responses in Bladder Ischemia |
title_fullStr |
Cellular Stress and Molecular Responses in Bladder Ischemia |
title_full_unstemmed |
Cellular Stress and Molecular Responses in Bladder Ischemia |
title_sort |
cellular stress and molecular responses in bladder ischemia |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/2772dd8bb8104cf186e2eb5ea5998762 |
work_keys_str_mv |
AT jinghuayang cellularstressandmolecularresponsesinbladderischemia AT hanpilchoi cellularstressandmolecularresponsesinbladderischemia AT wantingniu cellularstressandmolecularresponsesinbladderischemia AT kazemmazadzoi cellularstressandmolecularresponsesinbladderischemia |
_version_ |
1718432106549346304 |