The role of TSG-6 and uroplakin III in bladder pain syndrome/ interstitial cystitis in rats and humans.

Yi-Song Lv, Rui Gao, Qing-Ming Lin, Tao Jiang, Qin Chen, Song-Xi Tang, Hou-Ping Mao, Hui-Liang Zhou, Lin-Sheng Cao
Author Information
  1. Yi-Song Lv: Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
  2. Rui Gao: Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
  3. Qing-Ming Lin: Department of Emergency Medicine, Fujian Provincial Hospital, Fuzhou 350005, China.
  4. Tao Jiang: Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
  5. Qin Chen: Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
  6. Song-Xi Tang: Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
  7. Hou-Ping Mao: Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
  8. Hui-Liang Zhou: Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
  9. Lin-Sheng Cao: Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.

Abstract

OBJECTIVES: We investigated the relationship between the expression of tumor necrosis factor-inducible gene 6 (TSG-6) with inflammation and integrity of the bladder epithelium in the bladder tissues of patients with bladder pain syndrome/interstitial cystitis (BPS/IC) and the mechanism of action using a rat model of BPS/IC.
MATERIALS AND METHODS: Expression of TSG-6 and uroplakin III was determined by immuno- histochemistry of bladder biopsy samples from control human subjects and patients with verified BPS/IC. Our rat model of BPS/IC was employed to measure the perfusion of bladders with hyaluronidase, and assessment of the effect of TSG-6 administration on disease progression. Treatment effects were assessed by measurement of metabolic characteristics, RT-PCR of TGR-6 and interleukin-6, bladder histomorphology, and immunohistochemistry of TGR-6 and uroplakin III.
RESULTS: The bladders of patients with BPS/IC had lower expression of uroplakin III and higher expression of TSG-6 than controls. Rats treated with hyaluronidase for 1 week developed the typical signs and symptoms of BPS/IC, and rats treated with hyaluronidase for 4 weeks had more serious disease. Administration of TSG-6 reversed the effects of hyaluronidase and protected against disease progression.
CONCLUSION: Our results indicate that TSG-6 plays an important role in maintaining the integrity of the bladder epithelial barrier.

Keywords

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Word Cloud

Created with Highcharts 10.0.0TSG-6bladderBPS/ICIIIuroplakinhyaluronidaseexpressionpatientspaincystitisdiseaseintegrityratmodelbladdersprogressioneffectsTGR-6treatedratsroleOBJECTIVES:investigatedrelationshiptumornecrosisfactor-induciblegene6inflammationepitheliumtissuessyndrome/interstitialmechanismactionusingMATERIALSANDMETHODS:Expressiondeterminedimmuno-histochemistrybiopsysamplescontrolhumansubjectsverifiedemployedmeasureperfusionassessmenteffectadministrationTreatmentassessedmeasurementmetaboliccharacteristicsRT-PCRinterleukin-6histomorphologyimmunohistochemistryRESULTS:lowerhighercontrolsRats1weekdevelopedtypicalsignssymptoms4weeksseriousAdministrationreversedprotectedCONCLUSION:resultsindicateplaysimportantmaintainingepithelialbarriersyndrome/interstitialhumansBladdersyndrome/-interstitialImmunofluorescencestainingInterleukin-6Uroplakin

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