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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Autores principales: Jing-Hua Yang, Han-Pil Choi, Wanting Niu, Kazem M. Azadzoi
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Lenguaje:EN
Publicado: MDPI AG 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic bladder ischemia
cellular stress
post-translational modifications
non-coded amino acids
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle 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
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