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  1. 川崎医学会機関誌
  2. Kawasaki Medical Journal
  3. Vol.49(2023)

Pathological analysis of age-related bladder dysfunction

https://kwmed.repo.nii.ac.jp/records/2000069
https://kwmed.repo.nii.ac.jp/records/2000069
9dd85a69-f84c-4c0b-a5c5-e2f313d94024
名前 / ファイル ライセンス アクション
KMJ-E202349057.pdf PDF
Item type 学術雑誌論文 / Journal Article(1)
公開日 2024-06-26
タイトル
タイトル Pathological analysis of age-related bladder dysfunction
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 NAKATSUKA, Tota

× NAKATSUKA, Tota

en NAKATSUKA, Tota

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OHIRA, Shin

× OHIRA, Shin

en OHIRA, Shin

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KAKUMAE, Sho

× KAKUMAE, Sho

en KAKUMAE, Sho

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SHIMIZU, Shinjiro

× SHIMIZU, Shinjiro

en SHIMIZU, Shinjiro

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TONE, Shigenobu

× TONE, Shigenobu

en TONE, Shigenobu

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NAGAI, Atsushi

× NAGAI, Atsushi

en NAGAI, Atsushi

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UEHARA, Shinya

× UEHARA, Shinya

en UEHARA, Shinya

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著者所属(英)
言語 en
値 Department of Urology, Kawasaki Medical School
著者所属(英)
言語 en
値 Department of Urology, Kawasaki Medical School
著者所属(英)
言語 en
値 Department of Urology, Kawasaki Medical School
著者所属(英)
言語 en
値 Department of Urology, Kawasaki Medical School
著者所属(英)
言語 en
値 Faculty of Science and Engineering, Tokyo Denki University
著者所属(英)
言語 en
値 Director of Hospital, Kawasaki Medical School Hospital
著者所属(英)
言語 en
値 Department of Urology, Kawasaki Medical School
キーワード
言語 en
主題Scheme Other
主題 Age-related bladder dysfunction
キーワード
言語 en
主題Scheme Other
主題 Pathophysiological analysis
キーワード
言語 en
主題Scheme Other
主題 Anti-oxidative stress
キーワード
言語 en
主題Scheme Other
主題 Antioxidant capacity
キーワード
言語 en
主題Scheme Other
主題 Oxidative capacity
抄録(英)
言語 en
値 Introduction: Globally, over 50% of adults exhibit lower urinary tract symptoms. While aging is a known risk factor, the pathogenesis of age-related bladder dysfunction remains unclear. Recently, changes in oxidative stress were reported to be associated with the development of age-related bladder dysfunction; therefore, we examined the age-related changes in bladder function in an aging mouse model with a focus on oxidative stress.<br>Materials and Methods: Experimental animals included male C57BL/6J mice aged 20, 40, 60, and 80 weeks. Using 20-week-old mice as the control group, age-related changes in bladder function were verified. Functional changes in the bladder were investigated using a pressure flow study (PFS), and morphohistological changes were analyzed using upright light microscopy and transmission electron microscopy (TEM). Additionally, changes in oxidative stress in the serum and bladder were analyzed using diacron-reactive oxygen metabolite (d-ROM) and biological antioxidant potential (BAP) tests. The localization of oxidative stress in the bladder was analyzed using nitrotyrosine (NTY) and superoxide dismutase 2 (SOD2) immunofluorescence staining.<br>Results: The PFS demonstrated significantly decreased maximum cystometric capacity and maximum detrusor pressure, as well as increased overcontraction of the bladder sphincter muscle and inadequate reduction in detrusor pressure after voiding with age. Masson’s trichrome staining and TEM showed thinning of the transitional epithelium of the bladder, and fibrosis extending from the interstitium to the muscle layer with age. The pixel area ratio of the epithelial layer significantly decreased, while that of the interstitial and muscular layers significantly increased with age in all layers (from epithelial to muscular layers). Oxidative stress analysis revealed a decrease in antioxidant capacity in the serum and bladder, followed by an increase in oxidative capacity, resulting in the overproduction of oxidative stress. Immunofluorescence staining showed that a biphasic decrease in antioxidant capacity (SOD2) preceded an increase in oxidative capacity (NTY) with aging. Analysis of the localization of oxidative stress in the bladder using immunofluorescence staining confirmed highly biphasic staining in the epithelial layer and from the interstitial to the muscular layer, and a biphasic decrease in SOD2 preceded an increase in NTY with aging.<br>Conclusions: A biphasic state of oxidative stress in the bladder epithelial layer and from the interstitial to muscle layer, as well as bladder dysfunction causing a mixture of overactivity and underactivity of the detrusor muscle, were observed with aging. Oxidative stress is preceded by a decrease in antioxidant capacity, followed by an increase in oxidant capacity. These changes suggest that a decrease in antioxidant capacity may serve as a biomarker reflecting the pathology of early-stage age-related bladder dysfunction.
書誌情報 en : Kawasaki medical journal

巻 49, p. 57-67, 発行日 2023
出版者
出版者 Kawasaki Medical Society
言語 en
ISSN
収録物識別子タイプ EISSN
収録物識別子 24343404
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12029005
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.11482/KMJ-E202349057
記事種別(英)
内容記述 Regular Article
言語 en
関連サイト
識別子タイプ URI
関連識別子 https://igakkai.kms-igakkai.com/wp/wp-content/uploads/2023en/KMJ-E202349057.pdf
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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