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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Physiol+Regul+Integr+Comp+Physiol
2014 ; 306
(12
): R869-78
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Bladder sensory physiology: neuroactive compounds and receptors, sensory
transducers, and target-derived growth factors as targets to improve function
#MMPMID24760999
Gonzalez EJ
; Merrill L
; Vizzard MA
Am J Physiol Regul Integr Comp Physiol
2014[Jun]; 306
(12
): R869-78
PMID24760999
show ga
Urinary bladder dysfunction presents a major problem in the clinical management
of patients suffering from pathological conditions and neurological injuries or
disorders. Currently, the etiology underlying altered visceral sensations from
the urinary bladder that accompany the chronic pain syndrome, bladder pain
syndrome (BPS)/interstitial cystitis (IC), is not known. Bladder irritation and
inflammation are histopathological features that may underlie BPS/IC that can
change the properties of lower urinary tract sensory pathways (e.g., peripheral
and central sensitization, neurochemical plasticity) and contribute to
exaggerated responses of peripheral bladder sensory pathways. Among the potential
mediators of peripheral nociceptor sensitization and urinary bladder dysfunction
are neuroactive compounds (e.g., purinergic and neuropeptide and receptor
pathways), sensory transducers (e.g., transient receptor potential channels) and
target-derived growth factors (e.g., nerve growth factor). We review studies
related to the organization of the afferent limb of the micturition reflex and
discuss neuroplasticity in an animal model of urinary bladder inflammation to
increase the understanding of functional bladder disorders and to identify
potential novel targets for development of therapeutic interventions. Given the
heterogeneity of BPS/IC and the lack of consistent treatment benefits, it is
unlikely that a single treatment directed at a single target in micturition
reflex pathways will have a mass benefit. Thus, the identification of multiple
targets is a prudent approach, and use of cocktail treatments directed at
multiple targets should be considered.