Evidence map›Paper›PMID 22549838›Full record

ArticleNature communications2012

Involvement of urinary bladder Connexin43 and the circadian clock in coordination of diurnal micturition rhythm.

Hiromitsu Negoro, Akihiro Kanematsu, Masao Doi, Sylvia O Suadicani, Masahiro Matsuo, Masaaki Imamura, Takeshi Okinami, Nobuyuki Nishikawa, Tomonori Oura, Shigeyuki Matsui and 8 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Nature communications, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02600676 (Randomized, Double Blind, Placebo Controlled Trial of Sacral Transcutaneous Electric Nerve Stimulation), which is not on this map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02600676 nacompletednot on this mapstarted 2015, after this paper: background citation

Randomized, Double Blind, Placebo Controlled Trial of Sacral Transcutaneous Electric Nerve Stimulation (TENS) in Children With Enuresis

TypeinterventionalSponsorUniversity of AarhusRan2015 to 2016Enrolled52ConditionsEnuresis, Nocturnal Enuresis, Urinary IncontinenceArmsTranscutaneous Electric Nerve Stimulation (TENS) - active, Transcutaneous Electric Nerve Stimulation (TENS) - placebo
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 143 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Diurnal regulation of urinary behavior and gene expression in aged mice.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  5. Impact of surgical bladder catheter implantation on voiding function in mice.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Real-Time Void Spot Assay.Journal of visualized experiments : JoVE · 2023
    Article
  18. Article
  19. Article
  20. Circadian rhythms in colonic function.Frontiers in physiology · 2023
    Review

12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Hiromitsu NegoroDepartment of Urology, Graduate School of Medicine, Kyoto University, Sakyo, Kyoto 606-8507, Japan.
Akihiro Kanematsu
Masao Doi
Sylvia O Suadicani
Masahiro Matsuo
Masaaki Imamura
Takeshi Okinami
Nobuyuki Nishikawa
Tomonori Oura
Shigeyuki Matsui
Kazuyuki Seo
Motomi Tainaka
Shoichi Urabe
Emi Kiyokage
Takeshi Todo
Hitoshi Okamura
Yasuhiko Tabata
Osamu Ogawa
Kyoto University · JPAlbert Einstein College of Medicine · USHyogo Medical University · JPKawasaki Medical School · JPOsaka University · JPThe Institute of Statistical Mathematics · JP

Funding

Urothelial ATP Signaling and Diabetic Bladder DysfunctionR01DK081435 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SUADICANI, SYLVIA OTTILIE · 2009 to 2013
$1.7M
NIDDK NIH HHS DK 081435NIDDK NIH HHS R01 DK081435
6 · The paper itself

Abstract

Nocturnal enuresis in children and nocturia in the elderly are two highly prevalent clinical conditions characterized by a mismatch between urine production rate in the kidneys and storage in the urinary bladder during the sleep phase. Here we demonstrate, using a novel method for automated recording of mouse micturition, that connexin43, a bladder gap junction protein, is a negative regulator of functional bladder capacity. Bladder connexin43 levels and functional capacity show circadian oscillations in wild-type mice, but such rhythms are completely lost in Cry-null mice having a dysfunctional biological clock. Bladder muscle cells have an internal clock, and show oscillations of connexin43 and gap junction function. A clock regulator, Rev-erbα, upregulates connexin43 transcription as a cofactor of Sp1, using Sp1 cis-elements of the promoter. Therefore, circadian oscillation of connexin43 is associated with the biological clock and contributes to diurnal changes in bladder capacity, which avoids disturbance of sleep by micturition.

Indexed as

Circadian ClocksCircadian RhythmUrinationAnimalsCells, CulturedConnexin 43FemaleHumansMiceMice, Inbred C57BLMice, KnockoutMuscle CellsNocturiaNocturnal EnuresisRatsRats, Sprague-DawleyConnexin 43Sp1 Transcription Factor

Identifiers

PMID22549838
PMCPMC3541943
OpenAlexW2114339186

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.