H2O2 enhances spontaneous contractions of human-bladder strips via
activation of TRPA1 channels on sensory nerves and release of substance
P and PGE2
Abstract
Abstract Background and purpose: Several studies have indicated that
reactive oxygen species (ROS) can lead to detrusor overactivity (DO),
but the underlying mechanisms are not known. Hydrogen dioxide (H2O2) is
used commonly to investigate the effects of ROS. In present study, we
aimed to investigate the effects of H2O2 on phasic spontaneous bladder
contractions (SBCs) of isolated human-bladder strips (iHBSs) and the
underlying mechanisms. Experimental approach: Samples of bladder tissue
were obtained from 26 patients undergoing cystectomy owing to bladder
cancer. SBCs of iHBSs were recorded in organ-bath experiments.
Immunofluorescence staining was conducted to confirm the TRPA1
expression on sensory nerves. Key results: H2O2 (1μM–10mM)
concentration-dependently increased the SBCs of iHBSs. These enhancing
effects could be mimicked by an agonist of transient receptor potential
(TRP)A1 channels (allyl isothiocyanate) and blocked with an antagonist
of TRPA1 channels (HC030031; 10μM). H2O2 induced enhancing effects also
could be attenuated by desensitizing sensory afferents with capsaicin
(10μM), blocking nerve firing with TTX (1μM), blocking neurokinin
effects with NK2 receptor antagonist (SR48968, 10μM), and blocking PGE2
synthesis with indomethacin (10μM), respectively. Conclusions and
implications: Our study: (i) suggests activation of TRPA1 channels on
bladder sensory afferents, and then release of substance P or PGE2 from
sensory nerve terminals, contribute to the H2O2-induced enhancing
effects on SCs of iHBSs; (ii) provides insights for the mechanisms
underlying ROS leading to DO; (iii) indicates that targeting TRPA1
channels might be the promising strategy against overactive bladder in
conditions associated with excessive production of ROS.