Evidence map›Paper›PMID 34015163›Full record

ArticleNeurourology and urodynamics2021

Impact of prostatic radiation therapy on bladder contractility and innervation.

Alexander C Turner, Shelby A Powers, Michael R Odom, Elena S Pak, Kathleen A Ashcraft, Bridget F Koontz, Johanna L Hannan

Open access · greenAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 1 country.

Alexander C TurnerDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.ORCID 0000-0002-5038-1097
Shelby A PowersDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Michael R OdomDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Elena S PakDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Kathleen A AshcraftDepartment of Radiation Oncology, Duke University, Durham, North Carolina, USA.
Bridget F KoontzDepartment of Radiation Oncology, Duke University, Durham, North Carolina, USA.
Johanna L HannanDepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.ORCID 0000-0002-8469-8105
Duke University · USEast Carolina University · US

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

aimsTo determine the effect of prostatic radiation therapy (RT) on bladder contractility and morphology, and axon, or neuron profiles within the detrusor and major pelvic ganglia (MPG) in male rats.

methodsMale Sprague-Dawley rats (8 weeks) received a single dose of prostatic RT (0 or 22 Gy). Bladders and MPG were collected 2- and 10-weeks post-RT. Detrusor contractile responses to carbachol and electrical field stimulation (EFS) were measured. Bladders were stained with Masson's trichrome, and antibodies for nonspecific neuronal marker, cholinergic nerve marker choline acetyltransferase (ChAT), and alpha-smooth muscle actin. MPG gene expression was assessed by quantitative polymerase chain reaction for ubiquitin carboxy-terminal hydrolase L1 (Uchl1) and Chat.

resultsAt 2 weeks post-RT, bladder smooth muscle, detrusor cholinergic axon profiles, and MPG Chat gene expression were increased (p < .05), while carbachol and EFS-mediated contractions were decreased (p < .05). In contrast, at 10 weeks post-RT, nerve-mediated contractions were increased compared with control (p < .05), while bladder smooth muscle, detrusor cholinergic axon profiles, MPG Chat expression, and carbachol contractions had normalized. At both 2- and 10-weeks post-RT, there was no change in detrusor nonspecific axon profiles and MPG Uchl1 expression.

conclusionIn a rat model, RT of the prostate and MPG was associated with early changes in MPG Chat gene expression, and bladder cholinergic axon profiles and smooth muscle content which resolved over time. After RT recovery, bladder contractility decreased early and increased by 10 weeks. Long-term changes to the MPG and increased bladder cholinergic axons may contribute to RT-induced bladder dysfunction in prostate cancer survivors.

Indexed as

Muscle ContractionUrinary BladderAnimalsCarbacholMaleMuscle, SmoothRatsRats, Sprague-DawleyCarbacholbladder dysfunctionpelvic gangliaprostatic radiationsmooth muscle

Identifiers

PMID34015163
PMCPMC8298286
OpenAlexW3160511631

What OpenQuestion holds

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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.