Abstract
Highly concentrated urine may induce a harmful effect on the urinary bladder. Therefore, we considered osmolarity of the urine as a basic pathomechanism of mucosal damage. The influence of both cyclophosphamide (CYP) and hyperosmolar stimuli (HS) on the urothelium are not well described. The purpose was to evaluate the effect of CYP and HS on rat urothelial cultured cells (RUCC). 15 Wistar rats were used for RUCC preparation. RUCC were exposed to HS (2080 and 3222 mOsm/l NaCl) for 15 min and CYP (1 mg/ml) for 4 hrs. APC-labelled annexin V was used to quantitatively determine the percentage of apoptotic cells and propidium iodide (PI) as a standard flow cytometric viability probe to distinguish necrotic cells from viable ones. Annexin V-APC (+), annexin V-APC and PI (+), and PI (+) cells were analysed as apoptotic, dead, and necrotic cells, respectively. The results were presented in percentage values. The flow cytometric analysis was done on a FACSCalibur Flow Cytometer using Cell-Quest software. Treatment with 2080 and 3222 mOsm/l HS resulted in 23.7 ± 3.9% and 26.0 ± 1.5% apoptotic cells, respectively, 14.3 ± 1.4% and 19.4 ± 2.7% necrotic cells, respectively and 60.5 ± 1.4% and 48.6 ± 5.3% dead cells, respectively. The effect of CYP on RUCC was similar to the effect of HS. After CYP the apoptotic and necrotic cells were 23.1 ± 0.3% and 17.9 ± 7.4%, respectively. The percentage of dead cells was 57.7 ± 10.8%. CYP and HS induced apoptosis and necrosis in RUCC. 3222 mOsm/l HS had the most harmful effect based on the percentage of necrotic and apoptotic cells.
Key words: Urothelial cell, Culture, Cyclophosphamide, Hyperosmolarity, Bladder, Rat, Apoptosis, Necrosis, Overactive bladder
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Abbreviations used
- CYP
cyclophosphamide
- CGRP
calcitonin gene-related peptide
- DO
detrusor overactivity
- FBS
fetal bovine serum
- GAG
glycosaminoglycans
- HEPES
4-(2-hydroxyethyl)piperazine-1-ethanesulfonic acid
- HS
hyperosmolar stimuli
- LUTS
lower urinary tract symptoms
- MEM
minimal essential medium
- RUCC
rat urothelial cultured cells
- TRPV1
transient receptor potential vanilloid subtype 1
- TRPV4
transient receptor potential vanilloid subtype 4
- TRPM8
transient receptor potential vanilloid subfamily M member 8
- TRPA1
transient receptor potential ankyrin subtype 4
- SP
substance P
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