Abstract
Numerous neuropeptide/receptor systems including vasoactive intestinal polypeptide, pituitary adenylate cyclase-activating polypeptide, calcitonin gene-related peptide, substance P, neurokinin A, bradykinin, and endothelin-1 are expressed in the lower urinary tract (LUT) in both neural and nonneural (e.g., urothelium) components. LUT neuropeptide immunoreactivity is present in afferent and autonomic efferent neurons innervating the bladder and urethra and in the urothelium of the urinary bladder. Neuropeptides have tissue-specific distributions and functions in the LUT and exhibit neuroplastic changes in expression and function with LUT dysfunction following neural injury, inflammation, and disease. LUT dysfunction with abnormal voiding, including urinary urgency, increased voiding frequency, nocturia, urinary incontinence, and pain, may reflect a change in the balance of neuropeptides in bladder reflex pathways. LUT neuropeptide/receptor systems may represent potential targets for therapeutic intervention.
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Abbreviations
- AA:
-
Acetic acid
- ATP:
-
Adenosine triphosphate
- BOO:
-
Bladder outlet obstruction
- CGRP:
-
Calcitonin gene-related peptide
- CYP:
-
Cyclophosphamide
- DRG:
-
Dorsal root ganglia
- DSD:
-
Detrusor sphincter dyssynergia
- EFS:
-
Electric field stimulation
- IC:
-
Interstitial cystitis
- ICI:
-
Intercontraction interval
- IL:
-
Interleukin
- IR:
-
Immunoreactivity
- LUT:
-
Lower urinary tract
- NGF:
-
Nerve growth factor
- NK:
-
Neurokinin
- NVCs:
-
Nonvoiding contractions
- OAB:
-
Overactive bladder
- PACAP:
-
Pituitary adenylate cyclase activating polypeptide
- BPS:
-
Bladder pain syndrome
- SCI:
-
Spinal cord injury
- SP:
-
Substance P
- VIP:
-
Vasoactive intestinal polypeptide
- VV:
-
Void volume
- WT:
-
Wildtype
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Acknowledgments
The authors’ research described within was funded by NIH grants DK051369, DK060481, and DK065989. NIH Grant Number P20 RR16435 from the COBRE Program of the National Center also supported the project for research resources. The authors thank current and former members of the Vizzard laboratory who have contributed to the studies described within including: Beatrice Girard, Mary Beth Klinger, Susan Malley, Abbey Peterson, Kimberly Corrow, Katarina Zvarova, Peter Zvara, Li-ya Qiao, and Bopaiah P. Cheppudira. Gratitude is expressed to Emily McLaughlin for assistance with artwork production.
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© 2011 Springer-Verlag Berlin Heidelberg
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Arms, L., Vizzard, M.A. (2011). Neuropeptides in Lower Urinary Tract Function. In: Andersson, KE., Michel, M. (eds) Urinary Tract. Handbook of Experimental Pharmacology, vol 2011. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16499-6_19
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DOI: https://doi.org/10.1007/978-3-642-16499-6_19
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