Source:http://linkedlifedata.com/resource/pubmed/id/17047168
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2007-2-6
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pubmed:abstractText |
To clarify the role of noradrenergic pathways in preventing stress urinary incontinence (SUI) during sneezing, we investigated the effect of the norepinephrine reuptake inhibitor nisoxetine and alpha-adrenoceptor antagonists phentolamine (nonspecific blocker) and prazosin (alpha(1)-receptor-selective blocker) on the neurally evoked urethral continence reflex induced by sneezing in rats. The amplitude of urethral pressure responses during sneezing (A-URS), urethral baseline pressure (UBP) at the midurethra, and sneeze-induced leak point pressure (S-LPP) were measured in normal female adult rats and rats with SUI induced by vaginal distention (VD). In normal rats, intrathecal (it) phentolamine (0.02 nmol) and prazosin (0.02 nmol) decreased A-URS by 11.9 and 15.7%, respectively, without affecting UBP. In both normal and VD rats, intravenous (iv) application of nisoxetine (1 mg/kg) increased A-URS by 17.2 and 18.3% and UBP by 23.7 and 32.7%, respectively. Phentolamine or prazosin (both it) eliminated nisoxetine-induced increases in A-URS, but not the increases in UBP, which were, however, suppressed by iv phentolamine (5 mg/kg) or prazosin (1 mg/kg). Sneezing induced fluid leakage from the urethral orifice in VD rats, but not in normal rats. In VD rats, S-LPP was increased by 30.2% by iv nisoxetine. Application of phentolamine and prazosin (both it) decreased S-LPP by 15.7 and 20.6%, respectively, and nisoxetine induced increases in S-LPP to 13.2 and 12.3%, respectively. These results indicate that activation of the noradrenergic system by a norepinephrine reuptake inhibitor can prevent SUI via alpha(1-)adrenoceptors by enhancing the sneeze-induced active urethral closure mechanism at the spinal level and augmenting UBP at the periphery.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic Uptake Inhibitors,
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic alpha-Antagonists,
http://linkedlifedata.com/resource/pubmed/chemical/Fluoxetine,
http://linkedlifedata.com/resource/pubmed/chemical/Norepinephrine,
http://linkedlifedata.com/resource/pubmed/chemical/Phentolamine,
http://linkedlifedata.com/resource/pubmed/chemical/Prazosin,
http://linkedlifedata.com/resource/pubmed/chemical/nisoxetine
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
1931-857X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
292
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
F639-46
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pubmed:dateRevised |
2011-4-28
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pubmed:meshHeading |
pubmed-meshheading:17047168-Adrenergic Uptake Inhibitors,
pubmed-meshheading:17047168-Adrenergic alpha-Antagonists,
pubmed-meshheading:17047168-Animals,
pubmed-meshheading:17047168-Female,
pubmed-meshheading:17047168-Fluoxetine,
pubmed-meshheading:17047168-Norepinephrine,
pubmed-meshheading:17047168-Phentolamine,
pubmed-meshheading:17047168-Prazosin,
pubmed-meshheading:17047168-Pressure,
pubmed-meshheading:17047168-Rats,
pubmed-meshheading:17047168-Rats, Sprague-Dawley,
pubmed-meshheading:17047168-Sneezing,
pubmed-meshheading:17047168-Urethra,
pubmed-meshheading:17047168-Urinary Incontinence, Stress,
pubmed-meshheading:17047168-Vagina
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pubmed:year |
2007
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pubmed:articleTitle |
Role of noradrenergic pathways in sneeze-induced urethral continence reflex in rats.
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pubmed:affiliation |
Dept. of Urology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
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pubmed:publicationType |
Journal Article,
Research Support, N.I.H., Extramural
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