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Treatment with low-energy shock wave alleviates pain in an animal model of uroplakin 3A-induced autoimmune interstitial cystitis/painful bladder syndrome

Investigative and Clinical Urology 2019년 60권 5호 p.359 ~ 366
 ( Li Huixi ) - Peking University First Hospital Department of Urology

 ( Zhang Zhichao ) - Peking University First Hospital Department of Urology
 ( Peng Jing ) - Peking University First Hospital Department of Urology
 ( Xin Zhongcheng ) - Peking University First Hospital Department of Urology
 ( Li Meng ) - Peking University First Hospital Department of Urology
 ( Yang Bicheng ) - Peking University First Hospital Department of Urology
 ( Fang Dong ) - Peking University First Hospital Department of Urology
 ( Tang Yuan ) - Peking University First Hospital Department of Urology
 ( Guo Yinglu ) - Peking University First Hospital Department of Urology

Abstract


Purpose: To investigate whether treatment with low-energy shock wave (LESW) alleviates pain and bladder dysfunction in a mouse model of uroplakin 3A (UPK3A)-induced interstitial cystitis/painful bladder syndrome (IC/PBS).

Materials and Methods: Forty female BALB/c mice were divided into four groups (n=10/group): Sham, Sham+LESW, UPK3A, and UPK3A+LESW. At 6 weeks of age, mice were injected with an emulsion containing water and complete Freund's adjuvant with (UPK3A and UPK3A+LESW groups) or without (Sham and Sham+LESW groups) 200 μg of UPK3A. At 10 weeks, mice received a second dose of Freund's adjuvant to booster immunization. At 12 weeks, mice underwent pain assessment and a frequency volume chart (FVC) test as the pretreatment assessment. LESW treatment and pain assessment were conducted from 13 to 15 weeks. One week after the final treatment, pain assessment and the FVC were conducted again as the post-treatment assessment. Mice were euthanized and sacrificed at 17 weeks.

Results: The presence of tactile allodynia and bladder dysfunction was significant in the UPK3A-injected mice. LESW raised the pain threshold and improved bladder function with decreased urinary frequency and increased mean urine output. Expression and secretion of local and systemic inflammatory markers, including tumor necrosis factor-α (TNF-α) and nerve growth factor (NGF), increased after UPK3A immunization. These markers were significantly decreased after LESW treatment (p<0.05).

Conclusions: LESW treatment attenuated pain and bladder dysfunction in a UPK3A-induced model of IC/PBS. Local and systemic inflammation was partially controlled, with a reduced number of infiltrated inflammatory cells and reduced levels of TNF-α and NGF.

키워드

Cystitis, interstitial; Inflammation; Pain; Shockwave, ultrasonic
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