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KMID : 0358320080490030227
Korean Journal of Urology
2008 Volume.49 No. 3 p.227 ~ p.236
Effect of a Prolyl 4-hydroxylase Inhibitor on Bladder Fibrosis in a Rat Model of Partial Bladder Outlet Obstruction
Chung Jae-Min

Shin Dong-Gil
Jung Min-Jung
Lee Sang-Don
Lee Jeong-Zoo
Abstract
Purpose: This study was performed to investigate prolyl 4-hydroxylase (P4H) expression changes and an inhibitor-mediated effect on bladder fibrosis in rats with partial bladder outlet obstruction(PBOO).

Materials and Methods: Twenty female Sprague-Dawley rats were divided into four groups. Group A(n=5) consisted of rats with PBOO treated with 2mg/kg P4H inhibitor, group B(n=5) consisted of rats with PBOO treated with 20mg/kg P4H inhibitor, group C(n=5) consisted of rats with PBOO treated with normal saline and group D(n=5) consisted of normal control animals. After PBOO for two weeks in the A, B, and C group rats, each amount of inhibitor was administered orally once a day for two weeks. After a total of four weeks, the bladders from all of the group rats were removed and evaluated.

Results: The muscle thickness calculated from Masson¡¯s trichrome staining was 0.85¡¾0.22mm, 1.06¡¾0.15mm, 1.19¡¾0.30 and 0.49¡¾0.10mm for group A, B, C, and D rats, respectively. The overall P4H expression was 65.7¡¾15.2%, 13.4¡¾8.4%, 73.8¡¾15.5% and 10.0¡¾10.0% for group A, B, C, and D rats, respectively. The overall collagen I protein expression was 16.9¡¾18.0%, 17.0¡¾24.1%, 30.5¡¾13.4% and 8.8¡¾8.7% for group A, B, C, and D rats, respectively. The overall collagen III protein expression was 9.6¡¾4.2%, 8.8¡¾2.9%, 12.5¡¾10.6% and 7.5¡¾3.5% for group A, B, C, and D rats, respectively. These results showed that PBOO led to increased muscle thickness and to an increased expression of P4H, collagen I and III protein, as compared with the group D control animals. Muscle thickness and expression of P4H, collagen I and III protein was decreased in rats treated with the P4H inhibitor-treated groups decreased as compared with rats in group C (saline-treated animals). The ratio of collagen I/III was 1.8, 1.9, 2.4 and 1.2 in group A, B, C, and D rats, respectively.

Conclusions: Our results suggest that the P4H inhibitor may be potentially utilized to reduce bladder fibrosis caused by PBOO. (Korean J Urol 2008;49:227-236)
KEYWORD
Bladder, Obstruction, Rats, Prolyl 4-hydroxylase inhibitor
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