Cystitis Induces Altered CREB Expression Related with Micturition Reflex
1Department of Urology, School of Medicine, Kyung Hee University, Seoul 05278, Korea.
Medicina (Kaunas, Lithuania)
|September 23, 2022
Summary
Bacterial bladder infections, like E. coli cystitis, alter neurotrophin signaling. Chronic infections significantly increase phosphorylated-CREB (p-CREB) in rat dorsal root ganglia, indicating pathological changes.
Area of Science:
- Neuroscience
- Urology
- Molecular Biology
Background:
- Bladder stimulation influences neurotrophins crucial for the voiding reflex.
- Bacterial cystitis can activate this system, leading to pathological states.
- Phosphorylated-CREB (p-CREB) is a key transcription factor in neurotrophin signaling.
Purpose of the Study:
- To investigate changes in p-CREB expression within rat dorsal root ganglia (DRG) following uropathogenic Escherichia coli infection.
Main Methods:
- Adult female Sprague-Dawley rats were subjected to acute E. coli infection, chronic E. coli infection, or served as controls.
- p-CREB immunoreactivity (p-CREB-IR) was quantified in lumbosacral DRG (L1–L6, S1) sections.
- Cells with intense nuclear staining were identified as positive for p-CREB-IR.
Main Results:
- Chronic E. coli cystitis significantly elevated p-CREB-IR in L1–L6 and S1 DRG compared to controls (p < 0.05).
- Chronic cystitis showed significantly higher p-CREB-IR in L3–L6 and S1 DRG than acute cystitis (p < 0.05).
- p-CREB-IR was lower in L4–L5 DRG in control and acute cystitis groups compared to other DRG sections (p < 0.05).
Conclusions:
- Both acute and chronic E. coli cystitis alter p-CREB immunoreactivity in lumbosacral DRG cells.
- Chronic E. coli infection leads to p-CREB overexpression in specific DRG regions (L1–L6, S1).
- This overexpression suggests the development of subsequent pathological changes associated with chronic cystitis.
Related Concept Videos
The Micturition Reflex
943
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
943
Urinary Tract Infection II: Pathophysiology
33
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
33
Imaging Studies VI: Voiding Cystourethrography and Cystography
92
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
92
Cystic Fibrosis: Pathogenesis
344
Cystic fibrosis (CF), an autosomal recessive disorder, significantly affects the function of exocrine glands. This genetically inherited disease is characterized by the production of thick and sticky mucus, which can severely affect various organs and systems in the body.
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
344
Urinary Bladder
1.3K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
1.3K
Urinary Tract Infection I: Introduction
40
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
40


