Inhibition of HIF Reduces Bladder Hypertrophy and Improves Bladder Function in Murine Model of Partial Bladder Outlet
Nao Iguchi1, Anna P Malykhina1, Duncan T Wilcox2
1Division of Urology, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado.
Insights
Pharmacological inhibition of hypoxia-inducible factors (HIFs) with 17-DMAG reduced bladder damage from partial bladder outlet obstruction. This suggests HIF pathway inhibition as a potential therapy for related bladder pathologies.
Area of Science:
- Urology
- Molecular Biology
- Pharmacology
Background:
- Posterior urethral valves cause pediatric bladder outlet obstruction.
- Pathological bladder changes are linked to hypoxia and HIFs.
- Mechanisms of bladder pathology require further elucidation.
Purpose of the Study:
- Investigate the role of hypoxia-inducible factors (HIFs) in bladder pathology.
- Evaluate the efficacy of pharmacological HIF pathway inhibition using 17-DMAG.
- Assess the impact of 17-DMAG on pathophysiological changes in partial bladder outlet obstruction.
Main Methods:
- Surgically induced partial bladder outlet obstruction in mice.
- Daily oral administration of 17-DMAG or vehicle.
- Histological, biochemical, and functional analyses of bladder tissue and function.
Main Results:
- 17-DMAG treatment reduced bladder mass and collagen deposition.
- 17-DMAG attenuated HIFs and fibrosis-related gene expression.
- 17-DMAG improved bladder muscle contractility.
Conclusions:
- 17-DMAG effectively mitigated bladder damage in partial bladder outlet obstruction.
- HIF pathway inhibition shows promise for treating bladder pathologies.
- Pharmacological targeting of HIFs offers a potential therapeutic strategy.
Purpose:
Posterior urethral valves are the most common cause of partial bladder outlet obstruction in the pediatric population. However, to our knowledge the etiology and the detailed mechanisms underlying pathological changes in the bladder following partial bladder outlet obstruction remain to be elucidated. Recent findings suggest that hypoxia and associated up-regulation of HIFs (hypoxia-inducible factors) have a key role in partial bladder outlet obstruction induced pathology in the bladder. We examined the effects of pharmacological inhibition of HIF pathways by 17-DMAG (17-(dimethylaminoethylamino)-17-demethoxygeldanamycin) in pathophysiological phenotypes after partial bladder outlet obstruction.
Materials And Methods:
Partial bladder outlet obstruction was surgically created in male C57BL/6J mice. The animals received oral administration of 17-DMAG or vehicle daily starting from the initiation of obstruction up to 5 days. Sham operated mice served as controls. Bladders were harvested from each group 2, 4 and 7 days postoperatively, and analyzed for histological and biochemical changes. Bladder function was assessed by in vitro muscle contractility recordings.
Results:
Partial bladder outlet obstruction caused a significant increase in the bladder mass accompanying enhanced collagen deposition in the bladder wall while 17-DMAG treatment suppressed those increases. Treatment with 17-DMAG attenuated the degree of up-regulation of HIFs and their target genes involving the development of tissue fibrosis in obstructed bladders. Treatment with 17-DMAG improved the decreased responses of obstructed bladder strips to electrical field stimulation and KCl.
Conclusions:
In vivo 17-DMAG treatment decreased partial bladder outlet obstruction induced pathophysiological changes in the bladder. HIF pathway inhibition has a potential clinical implication for the development of novel pharmacological therapies to treat bladder pathology associated with partial bladder outlet obstruction.
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