Poster, Podium & Video Sessions
Presentation Authors: Bum Soo Kim*, Jae Wook Chung, Phil Hyun Song, So Young Chun, Yeon Yong Kim, Hyo Jung Lee, Jun Nyung Lee, Yun-Sok Ha, Eun Sang Yoo, Tae Gyun Kwon, Seock Hwan Choi, Hyun Tae Kim, Tae-Hwan Kim, Sung Kwang Chung, Daegu, Korea, Republic of
Introduction: Interstitial cystitis (IC) is a chronic bladder disorder characterized by urinary frequency, urgency and pelvic pain in the absence of bacterial infection or identifiable pathology. To date, there is no reliably effective therapy for IC, and no generally accepted animal model to test novel therapies was established. We therefore analyzed and compared the characterization of five different promising rat models to establish the best interstitial cystitis animal model.
Methods: Five IC models were generated in 8-week-old female Sprague-Dawley rats via transurethral instillation of 0.1M HCl (HCl) or 3% acetic acid (AA), intraperitoneal injection of cyclophosphamide (CYP) or lipopolysaccharide (LPS), or subcutaneous injection of uroplakin II (UPK). Phosphate-buffered saline was transurethrally infused for the control group (PBS). After generating IC models, conscious cystometry was performed at day 3, 7, and 14. All rats were euthanized at day 14 and the bladders were removed for histological, immunohistochemical analysis and real-time quantitative polymerase chain reaction (PCR).
Results: In cystometric analysis, all experimental groups, including HCl, AA, CYP, LPS, and UPK, showed significantly decreased intercontraction intervals compared with control group at day 3, but only LPS and UPK group exhibited urinary frequency compared to control and other experimental groups at day 14. Histological analysis revealed that markedly increased infiltration of Toluidine blue-stained mast cells and significantly increased tissue fibrosis in LPS and UPK groups compared to the other groups. PCR analysis showed significantly elevated expression of interleukin-1b, -6, -17a, myeloperoxidase, monocyte chemotactic protein-1, toll-like receptors 2 and 4 in UPK group compared with the other groups.
Conclusions: Rat models generated by infusion of HCl, AA, CYP, LPS and UPK displayed urinary frequency up to 7 days and appropriate histologic changes similar to human interstitial cystitis. However, our study demonstrated that injection of UPK can be the best method to establish the interstitial cystitis rat model, considering longer continuation of bladder overactivity and higher expression of inflammatory factors.
Source Of Funding: This work was supported by Basic Research Program through the National Research Foundation (NRF) of Korea funded by the Ministry of Science, ICT & Future Planning under Grant (NRF-2015R1C1A1A01053509).
Kyungpook National University School of Medicine
Bum Soo Kim
Department of Urology, Kyungpook National University School of Medicine
License and Certification: Korean Medical Association, Korean Board of Urology
Korean Medical Association, member
Korean Urological Association, member
Korean Prostate Society, member
Korean Endourological Society, member
Urological Association of Asia, member
Korean Endourological Society, deputy general secretary
Korean Endourological Society, a chair of public relations committee
Korean Urological Association, secretary of special committee of policy
Saturday, May 13
9:30 AM – 11:30 AM