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Interstitial cells in the urinary bladder--localization and function
1School of Medicine, Dentistry and Biomedical Sciences, Medical Biology Centre, Belfast, Northern Ireland, UK. k.mccloskey@qub.ac.uk
Insights
Interstitial cells of Cajal (ICC) are found in the urinary bladder wall, playing a key role in bladder activity modulation. Their presence and function are increasingly recognized in bladder physiology and pathophysiology.
Area of Science:
- Urology
- Cell Biology
- Gastroenterology
Background:
- Interstitial cells of Cajal (ICC) are a novel cell group within the urinary bladder.
- Their localization and functions are not fully understood.
Purpose of the Study:
- To review the literature on the localization and proposed functions of bladder interstitial cells.
- To consolidate current knowledge on interstitial cells of Cajal (ICC) in the urinary bladder.
Main Methods:
- Literature search of PubMed using keywords: bladder, c-Kit, ICC, interstitial cell, myofibroblast.
- Review of studies identifying and characterizing bladder ICC populations.
Main Results:
- Multiple ICC subpopulations exist in the mammalian urinary bladder wall (lamina propria and detrusor).
- Bladder ICC are identified via electron microscopy or c-Kit immunohistochemistry.
- ICC exhibit spontaneous electrical activity, Ca2+-signaling, and neurotransmitter responses, associating with nerves and smooth muscle.
Conclusions:
- Specialized ICC are confirmed in the urinary bladder.
- Bladder ICC are integral to bladder wall function and modulate bladder activity.
- ICC expression may be upregulated in conditions like overactive bladder.
Aims:
This review summarizes the currently available literature on the localization and proposed functions of a novel group of cells in the urinary bladder known as interstitial cells or interstitial cells of Cajal (ICC).
Methods:
On-line searches of "Pubmed" for bladder, c-Kit, ICC, interstitial cell and myofibroblast were performed to identify relevant studies for the review.
Results:
The literature contains substantial data that several sub-populations of ICC are present in the wall of the mammalian urinary bladder. These are located in the lamina propria and within the detrusor with distinctive cell shapes and morphological arrangements. Bladder ICC are identified with transmission electron microscopy or by immunohistochemical labeling using antibodies to the Kit receptor which is an established ICC marker. Lamina propria-ICC form a loose network connected via Cx43 gap junctions and are associated with mucosal nerves. Detrusor ICC track the smooth muscle bundles and make frequent contacts with intramural nerves. Both groups of ICC exhibit spontaneous electrical and Ca2+-signalling and also respond to application of neurotransmitter substances including ATP and carbachol. There is emerging evidence that the expression of ICC is upregulated in pathophysiological conditions including the overactive bladder.
Conclusions:
There is now a convincing body of evidence that specialized ICC are present in the urinary bladder making important associations with other cells that make up the bladder wall and possessing physiological properties consistent with a role of bladder activity modulation.
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