Evidence map›Paper›PMID 28768666›Full record

ArticleAmerican journal of physiology. Renal physiology2017

OAB without an overactive bladder in the acute prostaglandin E2 rat model.

James A Hokanson, Christopher L Langdale, Arun Sridhar, Warren M Grill

Open access · bronzeAbstract read
In one paragraph

Article in American journal of physiology. Renal physiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Pathways and parameters of sacral neuromodulation in rats.American journal of physiology. Renal physiology · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Effects of intravesical prostaglandin EAmerican journal of physiology. Renal physiology · 2021
    Article
  9. Article
  10. Stimulation of the pelvic nerve increases bladder capacity in the PGEAmerican journal of physiology. Renal physiology · 2020
    Article
  11. Real-Time Bladder Pressure Estimation for Closed-Loop Control in a Detrusor Overactivity Model.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2019
    Article
  12. Detection of Bladder Contractions From the Activity of the External Urethral Sphincter in Rats Using Sparse Regression.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2018
    Article
  13. CaThe Journal of physiology · 2018
    Article
  14. Stimulation of the sensory pudendal nerve increases bladder capacity in the rat.American journal of physiology. Renal physiology · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

James A HokansonDepartment of Biomedical Engineering, Duke University, Durham, North Carolina.ORCID http://orcid.org/0000-0002-0560-4503
Christopher L LangdaleDepartment of Biomedical Engineering, Duke University, Durham, North Carolina.
Arun SridharBioelectronics R&D, GlaxoSmithKline, Stevenage, United Kingdom.
Warren M GrillDepartment of Biomedical Engineering, Duke University, Durham, North Carolina; warren.grill@duke.edu.
Duke University · USGlaxoSmithKline (United Kingdom) · GB

Funding

Duke KURe ProgramK12DK100024 · NIDDK · DUKE UNIVERSITY · PI Cindy Amundsen · 2013 to 2026
$8.4M
NIDDK NIH HHS K12 DK100024
6 · The paper itself

Abstract

Intravesical prostaglandin E2 (PGE2) was previously used to induce overactive bladder (OAB) symptoms, as it reduces bladder capacity in rats and causes a "strong urgency sensation" in healthy women. However, the mechanism by which this occurs is unclear. To clarify how PGE2 reduces bladder capacity, 100 µM PGE2 was administered intravesically during open, single-fill cystometry with simultaneous measurement of sphincter EMG in the urethane-anesthetized female Wistar rat. PGE2 was also applied to the urethra or bladder selectively by use of a ligature at the bladder neck before (urethra) or during (bladder) closed-outlet, single-fill cystometry. Additional tests of urethral perfusion with PGE2 were made. PGE2 decreased bladder capacity, increased voiding efficiency, and increased sphincter EMG during open cystometry compared with saline controls. The number of nonvoiding contractions did not change with PGE2; however, bladder compliance decreased. During closed-outlet cystometry, PGE2 applied only to the bladder or the urethra did not decrease bladder capacity. Urethral infusion of PGE2 decreased urethral perfusion pressure. Taken together, these results suggest that intravesical PGE2 may decrease bladder capacity by targeting afferents in the proximal urethra. This may occur through urethral relaxation and decreased bladder compliance, both of which may increase activation of proximal urethra afferents from distension of the proximal urethra. This hypothesis stands in contrast to many hypotheses of urgency that focus on bladder dysfunction as the primary cause of OAB symptoms. Targeting the urethra, particularly urethral smooth muscle, may be a promising avenue for the design of drugs and devices to treat OAB.

Indexed as

AnimalsDinoprostoneDisease Models, AnimalElectromyographyFemaleMuscle ContractionMuscle, SmoothRats, WistarUrethraUrinary BladderUrinary Bladder, OveractiveUrinationUrodynamicsDinoprostonebladderoveractive bladderprostaglandin E2urethraurinary urgency

Identifiers

PMID28768666
PMCPMC5792156
OpenAlexW2739805196

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.