Effect of Estrogen on Urethral Function and Nerve Regeneration Following Pudendal Nerve Crush in the Female Rat
2006; Lippincott Williams & Wilkins; Volume: 175; Issue: 5 Linguagem: Inglês
10.1016/s0022-5347(05)00894-3
ISSN1527-3792
AutoresYasmin Ahmed, Dan Lin, Corri L. Ferguson, Nereida Esparza, Margot S. Damaser,
Tópico(s)Menopause: Health Impacts and Treatments
ResumoNo AccessJournal of UrologyInvestigative urology1 May 2006Effect of Estrogen on Urethral Function and Nerve Regeneration Following Pudendal Nerve Crush in the Female Rat Yasmin Ahmed, Dan Li Lin, Corri Ferguson, Nereida Esparza, and Margot S. Damaser Yasmin AhmedYasmin Ahmed , Dan Li LinDan Li Lin , Corri FergusonCorri Ferguson , Nereida EsparzaNereida Esparza , and Margot S. DamaserMargot S. Damaser View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)00894-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We tested the hypothesis that estrogen promotes improvement in urethral function and nerve regeneration following bilateral pudendal nerve crush in ovariectomized female rats. Materials and Methods: A total of 52 female rats underwent ovariectomy 6 days before bilateral pudendal nerve crush. Estrogen and sham capsules were subcutaneously implanted at the time of nerve crush in 16 and 14 of these rats, respectively, while 22 served as unoperated controls. Seven days following nerve crush urethral LPP testing was performed using urethane anesthesia. Spinal cord sections containing motoneurons of Onufrowicz’s nucleus were subjected to in situ hybridization to detect the expression of βII tubulin mRNA, a marker of the neuroregenerative response. Results: Mean LPP ± SEM was significantly decreased after pudendal nerve crush in sham treated animals compared to unoperated controls (32.1 ± 6.8 vs 54.4 ± 11.6 cm H2O). Rats with an estrogen implant had an LPP of 42.5 ± 16.8 cm H2O, which was significantly greater than rats given sham implants and significantly less than unoperated controls. Rats that received an estrogen implant had increased βII tubulin mRNA expression compared to those that received a sham implant. Conclusions: The results of this research suggest that estrogen given at the time of pudendal nerve crush promotes and facilitates the recovery of urethral function and an increase in the nerve regenerative response. Future studies will include the investigation of molecular pathways activated by estrogen in response to peripheral nerve injury. References 1 : Damage to the innervation of the voluntary anal and periurethral sphincter musculature in incontinence: an electrophysiological study. J Neurol Neurosurg Psychiatry1984; 47: 1269. Google Scholar 2 : Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol1990; 97: 770. Google Scholar 3 : Neuroprotective effects of gonadal steroids on regenerating peripheral motoneurons. Brain Res Brain Res Rev2001; 37: 372. Google Scholar 4 : Gonadal steroid regulation of hamster facial nerve regeneration: effects of dihydrotestosterone and estradiol. Exp Neurol1997; 146: 258. Google Scholar 5 : 17Beta-estradiol stimulates regeneration of sciatic nerve in female mice. Brain Res2002; 943: 283. Google Scholar 6 : Functional and neuroanatomical effects of vaginal distention and pudendal nerve crush in the female rat. J Urol2003; 170: 1027. Link, Google Scholar 7 : Neuroregeneration and voiding behavior patterns after pudendal nerve crush in female rats. Neurourol Urodyn2000; 19: 311. Google Scholar 8 : Early structural effects of oestrogen on pudendal nerve regeneration in the rat. BJU Int2004; 93: 870. Google Scholar 9 : Effects of pudendal nerve injury in the female rat. Neurourol Urodyn2000; 19: 53. Google Scholar 10 : Short-term functional and neuroregenerative response of the urethra to ovariectomy and vaginal distension in female rats. Int Urogynecol J Pelvic Floor Dysfunct2005; 16: 119. Google Scholar 11 : Motor pudendal nerve characterization in the female rat. Anat Rec2002; 266: 21. Google Scholar 12 : Effect of 17beta-estradiol on gene expression in lumbar spinal cord following sciatic nerve crush injury in ovariectomized mice. Brain Res2003; 966: 65. Google Scholar 13 : Methods of testing urethral resistance in female rats. In: Bladder Disease. Edited by . New York: Kluwer Academic/Plenum Publishers2003: 831. Google Scholar 14 : Effects of anesthesia on cystometry and leak point pressure of the female rat. Life Sci2001; 69: 1193. Google Scholar 15 : Treatment of chronically injured spinal cord with neurotrophic factors stimulates betaII-tubulin and GAP-43 expression in rubrospinal tract neurons. J Neurosci Res2003; 74: 502. Google Scholar 16 : Neurofilament and tubulin expression recapitulates the developmental program during axonal regeneration: induction of a specific beta-tubulin isotype. Proc Natl Acad Sci USA1988; 85:: 4530. Google Scholar 17 : Comparison of changes in beta-tubulin and NF gene expression in rat DRG neurons under regeneration-permissive and regeneration-prohibitive conditions. Brain Res1994; 637: 233. Google Scholar 18 : Expression of GAP-43, a rapidly transported growth- associated protein, and class II beta tubulin, a slowly transported cytoskeletal protein, are coordinated in regenerating neurons. J Neurosci1989; 9: 893. Google Scholar 19 : Innervation of the proximal urethra of ovariectomized and estrogen-treated female rats. Histol Histopathol2004; 19: 1109. Google Scholar 20 : Expression of estrogen receptors α and β by sympathetic ganglion neurons projecting to the proximal urethra of female rats. J Urol2003; 169:: 382. Link, Google Scholar Research Service, Edward Hines, Jr. Veterans Affairs Hospital, Hines and Department of Urology, Loyola University of Chicago Medical Center, Maywood, Illinois© 2006 by American Urological AssociationFiguresReferencesRelatedDetailsCited byHijaz A, Daneshgari F, Sievert K and Damaser M (2018) Animal Models of Female Stress Urinary IncontinenceJournal of Urology, VOL. 179, NO. 6, (2103-2110), Online publication date: 1-Jun-2008. Volume 175Issue 5May 2006Page: 1948-1952 Advertisement Copyright & Permissions© 2006 by American Urological AssociationKeywordsSprague-Dawleyestrogenurinary incontinenceurethranerve crushratsAcknowledgmentsDr. Monica Oblinger, North Chicago Finch School of Medicine, North Chicago, Illinois provided RBT-1 3′UTP. Dr. Kathryn J. Jones provided assistance. Study was performed at Hines Veterans Affairs Hospital and Loyola University School of Medicine.MetricsAuthor Information Yasmin Ahmed More articles by this author Dan Li Lin More articles by this author Corri Ferguson More articles by this author Nereida Esparza More articles by this author Margot S. Damaser Financial interest and/or other relationship with Pfizer. More articles by this author Expand All Advertisement PDF downloadLoading ...
Referência(s)