Elsevier

European Urology

Volume 53, Issue 2, February 2008, Pages 391-400
European Urology

Neuro-urology
Distribution and Function of the Hydrogen Sulfide–Sensitive TRPA1 Ion Channel in Rat Urinary Bladder

https://doi.org/10.1016/j.eururo.2007.10.024Get rights and content

Abstract

Objectives

To investigate the distribution of the transient receptor potential (TRP) A1 ion channel in the rat urinary bladder, and to study the effects of hydrogen sulfide (H2S) and known TRPA1 activators on micturition in conscious rats and on heterologously expressed ion channels.

Methods

The expression of TRPA1 in urinary bladder was studied with fluorescence immunohistochemistry and real-time PCR in female Sprague-Dawley rats. Cystometric investigations were performed in conscious animals subjected to intravesical administration of sodium hydrogen sulfide (NaHS, donor of H2S), allyl isothiocyanate (AI), and cinnamaldehyde (CA). Fluorometric calcium imaging was used to study the effect of NaHS on human and mouse TRPA1 expressed in CHO cells.

Results

TRPA1 immunoreactivity was found on unmyelinated nerve fibres within the urothelium, suburothelial space, and muscle layer as well as around blood vessels throughout the bladder. All TRPA1 immunoreactive nerves fibres also expressed TRPV1 immunoreactivity and vice versa. TRPA1 was also detected in urothelial cells at both transcriptional and protein levels. AI increased micturition frequency and reduced voiding volume. CA and NaHS produced similar changes in urodynamic parameters after disruption of the urothelial barrier with protamine sulfate. NaHS also induced calcium responses in TRPA1-expressing CHO cells, but not in untransfected cells.

Conclusions

The expression of TRPA1 on C-fibre bladder afferents and urothelial cells together with the finding that intravesical TRPA1 activators initiate detrusor overactivity indicate that TRPA1 may have a role in sensory transduction in this organ. The study also highlights H2S as a TRPA1 activator potentially involved in inflammatory bladder disease.

Introduction

The mammalian transient receptor potential (TRP) superfamily consists of 28 different proteins that may be subdivided into six main subfamilies: TRPC (canonical), TRPV (vanilloid), TRPM (melastatin), TRPP (polycystin), TRPML (mucolipin), and TRPA (ankyrin) [1]. Most members of this protein superfamily are nonselective cation channels, several of which are present on primary sensory neurons and involved in somatosensory processes, including the transduction of chemical, thermal, and mechanical stimuli [1]. TRPA1 is present on capsaicin-sensitive primary sensory neurons [2], [3], [4], which upon activation elicit pain, protective reflexes, and local release of neurotransmitters in the periphery [5]. TRPA1 was initially characterised as a noxious cold receptor [2], but this role has been challenged by others [3], [4], [6], [7], [8]. Furthermore, several recent studies have suggested a role for TRPA1 and its invertebrate homologues in mechanosensation [9], [10], [11].

TRPA1 is activated by a variety of plant-derived and environmental irritants, such as allyl isothiocyanate (AI), cinnamaldehyde (CA), allicin, and acrolein [3], [4], [8], [12], all of which interact with cysteine residues in the ion channel protein [13], [14]. Interestingly, acrolein and similar aldehydes are formed endogenously during inflammation [15]. Hydrogen sulfide (H2S) is another endogenous compound and potential inflammatory mediator that may activate TRP ion channels in the bladder [16], [17]. This gaseous molecule is also an industrial pollutant and a product of L-cysteine metabolism in bacteria [18].

As shown by immunohistochemistry and in situ hybridisation, TRPA1 is present in a subset of sensory neurons in rodent dorsal root and trigeminal ganglia, where it is coexpressed with TRPV1 and calcitonin gene–related peptide (CGRP) [2], [4]. There is also a possibility that TRPA1 is expressed in a small population of capsaicin-insensitive sensory neurons [19]. TRPA1 is also found on nerve fibres in target organs [4], [7], but the distribution of TRPA1 and the type of nerves expressing this ion channel in the urinary bladder have not been determined. The TRPA1 activators AI and CA contract rat urinary bladder in vitro through stimulation of capsaicin-sensitive nerves, providing indirect evidence that TRPA1 and TRPV1 are coexpressed in bladder afferents [20], [21]. It is well established that activation of TRPV1 in the bladder wall produces detrusor overactivity [22], but whether activation of TRPA1 has the same effect has not been investigated.

In the present study, we examined the distribution of TRPA1 and its coexpression with markers of different subsets of sensory neurons, using immunohistochemistry and real-time polymerase chain reaction (PCR). To elucidate the functional role of TRPA1, we studied the urodynamic effects of different TRPA1 activators given intravesically to conscious rats undergoing continuous cystometry. In addition, we examined the possibility that H2S causes activation of TRPA1.

Section snippets

Animals

Female Sprague-Dawley rats (Scanbur BK AB, Sweden), weighing 200–250 g, were used. The experimental protocols were approved by the local animal ethics committee. The rats were maintained under standard laboratory conditions at 12:12 light/dark cycle with free access to food pellets and tap water.

Immunohistochemistry

Rat urinary bladders were fixed with 4% formaldehyde for 1 h and cryoprotected in 15% sucrose for 2 d [4]. The fixation was prolonged to 3 h when substance P immunoreactivity was studied. Tissues were

Immunohistochemistry and messenger RNA detection

TRPA1-immunoreactive (IR) nerve fibres were found in the muscular layer throughout the bladder with the largest density of nerve fibres in the outflow region (Fig. 1). The suburothelial region contained TRPA1-IR nerve fibres, of which some extended into the urothelium (Fig. 2). TRPA1-IR nerve fibres were also seen around blood vessels in the suburothelial region and muscular layer of the bladder (not shown). A similar pattern of distribution was observed for TRPV1-IR nerve fibres. Confocal

Discussion

The current study shows that, in the rat bladder, TRPA1 is present on unmyelinated sensory nerve fibres that express TRPV1, and the sensory neuropeptides CGRP and substance P. Previous investigations have found that TRPA1 is present on a subpopulation of TRPV1-expressing neuronal cell bodies in rodent dorsal root and trigeminal ganglia [2], [3], [4]. The current study shows a complete colocalisation of TRPA1 and TRPV1 in rat bladder afferents. Interestingly, TRPA1 is also present in the

Conclusion

The current study showed that TRPA1 ion channels were present on capsaicin-sensitive afferents and urothelial cells, and that stimulation of such ion channels induced detrusor overactivity. The coexistence of TRPA1 and TRPV1 on C-fibre bladder afferents and the expression of TRPA1 on urothelial cells may indicate a role of TRPA1 in bladder chemosensation and mechanotransduction. Finally, the potential inflammatory mediator and bacterial metabolite H2S can activate TRPA1, implying a

Conflicts of interest

The authors declare no conflict of interest.

Acknowledgements

This work was supported by the Swedish Medical Research Foundation (grants no: 6837 and 4838), the Medical Faculty of Lund (ALF), the School of Pharmaceutical Sciences (FLÄK), Gester's Foundation, Holger K Christiansen Foundation, and the UK Medical Research Council.

References (36)

  • P.J. Cox

    Cyclophosphamide cystitis—identification of acrolein as the causative agent

    Biochem Pharmacol

    (1979)
  • S.B. McMahon et al.

    A model for the study of visceral pain states: chronic inflammation of the chronic decerebrate rat urinary bladder by irritant chemicals

    Pain

    (1987)
  • M. Koltzenburg et al.

    Dynamic and static components of mechanical hyperalgesia in human hairy skin

    Pain

    (1992)
  • A. Apostolidis et al.

    Proposed mechanism for the efficacy of injected botulinum toxin in the treatment of human detrusor overactivity

    Eur Urol

    (2006)
  • A. Apostolidis et al.

    Capsaicin receptor TRPV1 in urothelium of neurogenic human bladders and effect of intravesical resiniferatoxin

    Urology

    (2005)
  • B. Nilius et al.

    Transient receptor potential cation channels in disease

    Physiol Rev

    (2007)
  • S.E. Jordt et al.

    Mustard oils and cannabinoids excite sensory nerve fibres through the TRP channel ANKTM1

    Nature

    (2004)
  • D.M. Bautista et al.

    Pungent products from garlic activate the sensory ion channel TRPA1

    Proc Natl Acad Sci U S A

    (2005)
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