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- W2021104522 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 May 2000BLADDER STRETCH ALTERS URINARY HEPARIN-BINDING EPIDERMAL GROWTH FACTOR AND ANTIPROLIFERATIVE FACTOR IN PATIENTS WITH INTERSTITIAL CYSTITIS TOBY C. CHAI, CHEN-OU ZHANG, JOANNA L. SHOENFELT, HARRY W. JOHNSON, JOHN W. WARREN, and SUSAN KEAY TOBY C. CHAITOBY C. CHAI More articles by this author , CHEN-OU ZHANGCHEN-OU ZHANG More articles by this author , JOANNA L. SHOENFELTJOANNA L. SHOENFELT More articles by this author , HARRY W. JOHNSONHARRY W. JOHNSON More articles by this author , JOHN W. WARRENJOHN W. WARREN More articles by this author , and SUSAN KEAYSUSAN KEAY More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67638-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The etiology of interstitial cystitis is unknown. Urine from patients with interstitial cystitis has been shown to inhibit urothelial proliferation through a putative antiproliferative factor and to contain decreased levels of heparin-binding epidermal growth factor-like growth factor (HB-EGF) compared to controls. Stretch of detrusor smooth muscle cells is known to stimulate HB-EGF production. Because bladder hydrodistention sometimes alleviates the symptoms of interstitial cystitis, we determined whether the stretch stimulus of hydrodistention alters antiproliferative factor activity and/or HB-EGF in interstitial cystitis urine specimens. Materials and Methods: Urine was collected immediately before, and 2 to 4 hours and 2 weeks after hydrodistention from 15 patients with symptoms and cystoscopic findings compatible with interstitial cystitis and 13 controls. Hydrodistention was performed with the subject under general or regional anesthesia and bladders were distended to 80 cm. water 3 times. Urinary HB-EGF was measured by enzyme-linked immunosorbent assay and urinary antiproliferative factor activity was determined by measuring 3H-thymidine uptake by normal human bladder urothelial cells. Results: Hydrodistention significantly increased urinary HB-EGF in patients with interstitial cystitis toward normal control values (before distention p = 0.003, 2 weeks after distention p = 0.67). Urine antiproliferative factor activity decreased significantly after hydrodistention in patients with interstitial cystitis. However, antiproliferative factor activity in interstitial cystitis and control specimens was still statistically different 2 weeks after distention (before distention p = 0.0000004, 2 weeks after distention p = 0.04). Conclusions: Bladder stretch increased HB-EGF and conversely reduced antiproliferative factor activity in urine from patients with interstitial cystitis but not controls up to 2 weeks after distention. These results provide additional evidence for the possible role of antiproliferative factor and decreased HB-EGF in the pathophysiology of interstitial cystitis. To our knowledge this is also the first human study to show that in vivo bladder stretch can alter urinary factors that regulate cell growth. References 1 : Interstitial cystitis: a critique of current concepts with a new proposal for pathologic diagnosis and pathogenesis. Urology1997; 49: 14. Google Scholar 2 : Decreased 3H-thymidine incorporation by human bladder epithelial cells following exposure to urine from interstitial cystitis patients. J Urol1996; 156: 2073. Link, Google Scholar 3 : A diagnostic in vitro urine assay for interstitial cystitis. Urology1998; 52: 974. Google Scholar 4 : Concentrations of specific epithelial growth factors in the urine of interstitial cystitis patients and controls. J Urol1997; 158: 1983. Link, Google Scholar 5 : Interstitial cystitis: its treatment by overdistention of the bladder. 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Google Scholar From the Division of Urology, Department of Surgery, Division of Infectious Diseases, Department of Internal Medicine, and Department of Obstetrics and Gynecology, University of Maryland School of Medicine and Veterans Administration Maryland Health Care System, Baltimore, Maryland© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byZabihi N, Allee T, Maher M, Mourtzinos A, Raz S, Payne C and Rodríguez L (2018) Bladder Necrosis Following Hydrodistention in Patients With Interstitial CystitisJournal of Urology, VOL. 177, NO. 1, (149-152), Online publication date: 1-Jan-2007.Erickson D, Kunselman A, Bentley C, Peters K, Rovner E, Demers L, Wheeler M and Keay S (2018) Changes in Urine Markers and Symptoms After Bladder Distention for Interstitial CystitisJournal of Urology, VOL. 177, NO. 2, (556-560), Online publication date: 1-Feb-2007.Kanai A, de Groat W, Birder L, Chai T, Hultgren S, Fowler C and Fry C (2018) Symposium Report on Urothelial Dysfunction: Pathophysiology and Novel TherapiesJournal of Urology, VOL. 175, NO. 5, (1624-1629), Online publication date: 1-May-2006.TAMAKI M, SAITO R, OGAWA O, YOSHIMURA N and UEDA T (2018) POSSIBLE MECHANISMS INDUCING GLOMERULATIONS IN INTERSTITIAL CYSTITIS: RELATIONSHIP BETWEEN ENDOSCOPIC FINDINGS AND EXPRESSION OF ANGIOGENIC GROWTH FACTORSJournal of Urology, VOL. 172, NO. 3, (945-948), Online publication date: 1-Sep-2004.SUN Y, KEAY S, De DEYNE P and CHAI T (2018) AUGMENTED STRETCH ACTIVATED ADENOSINE TRIPHOSPHATE RELEASE FROM BLADDER UROEPITHELIAL CELLS IN PATIENTS WITH INTERSTITIAL CYSTITISJournal of Urology, VOL. 166, NO. 5, (1951-1956), Online publication date: 1-Nov-2001. Volume 163Issue 5May 2000Page: 1440-1444 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordscystitis, interstitialheparingrowth substancesbladderepidermal growth factorMetricsAuthor Information TOBY C. CHAI More articles by this author CHEN-OU ZHANG More articles by this author JOANNA L. SHOENFELT More articles by this author HARRY W. JOHNSON More articles by this author JOHN W. WARREN More articles by this author SUSAN KEAY More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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