Nature Medicine
3, 571 - 574 (1997)
doi:10.1038/nm0597-571
Urinary bladder-urethral sphincter dysfunction in mice with targeted disruption of neuronal nitric oxide synthase models idiopathic voiding disorders in humansArthur L. Burnett1, David C. Calvin1, Shelly L. Chamness1, Jian-Xiang Liu1, Randy J. Nelson7, Sabra L. Klein7, Valina L. Dawson2, 3, 6, Ted M. Dawson2, 3
& Solomon H. Snyder3, 4, 5, 8
1Department of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
2Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
3Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
4Department of Pharmacology and Molecular Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
5Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
6Department of Physiology, and Psychology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
7Department of College of Arts and Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA
8Correspondence should be addressed to S.H.S. Idiopathic voiding disorders affect up to 10−15% of men and women. We describe bladder abnormalities in mice with targeted deletion of the gene for neuronal nitric oxide synthase which model the clinical disorders. The mice possess hypertrophic dilated bladders and dysfunctional urinary outlets which do not relax in response to electrical field stimulation or L-arginine. The mice also display increased urinary frequency. REFERENCES
- Burnett, A.L., Lowenstein, C.J., Bredt, D.S., Chang, T.S.K. & Snyder, S.H. Nitric oxide: A physiologic mediator of penile erection. Science 257, 401−403 (1992). | PubMed | ISI | ChemPort |
- Burnett, A.L. et al. Immunohistochemical localization of nitric oxide synthase in the autonomic innervation of the human penis. J. Urol. 150, 73−76 (1993). | PubMed | ISI | ChemPort |
- Bredt, D.S., Hwang, P.M. & Snyder, S.H. Localization of nitric oxide synthase indicating a neural role for nitric oxide. Nature 347, 768−770 (1990). | Article | PubMed | ISI | ChemPort |
- Alm, P., Larsson, B., Ekblad, E., Sundler, F. & Andersson, K.E. Immunohistochemical localization of peripheral nitric oxide synthase-containing nerves using antibodies raised against synthesized C-and N-terminal fragments of a cloned enzyme from rat brain. Acta Physiol. Scand. 148, 421−429 (1993). | PubMed | ISI | ChemPort |
- Vizzard, M.A., Erdman, S.L., Forstermann, U. & DeGroat, W.C. Differential distribution of nitric oxide synthase in neural pathways to the urogenital organs (urethra, penis, urinary bladder) of the rat. Brain Res. 646, 279−291 (1994). | Article | PubMed | ISI | ChemPort |
- Huang, P.L., Dawson, T.M., Bredt, D.S., Snyder, S.H. & Fishman, M.C. Targeted disruption of the neuronal nitric oxide synthase gene. Cell 75, 1273−1286 (1993). | Article | PubMed | ISI | ChemPort |
- Turner-Warwick, R.Observations on the function and dysfunction of the sphincter and detrusor mechanism. in Urologic Clinics of North America: Clinical Urodynamics (Turner-Warwick, R., Whiteside, C.G., eds.) 13−30 (Saunders, Philadelphia, 1979).
- Gulbenkian, S., Wharton, J. & Polak, J.M. The visualization of cardiovascular innervation in the guinea pig using an antiserum to protein gene product 9.5 (PGP 9.5). J. Auton. Nerv. Sys. 18, 235−247 (1987). | Article | ISI | ChemPort |
- Koutts, J., Howard, M.A. & Firkin, B.G. Factor 8 physiology and pathology in man. Semin. Hematol. 11, 115−145 (1974).
- Schmidt, H.H.H.W.et al. Mapping of neural nitric oxide synthase in the rat suggests frequent co-localization with NADPH diaphorase but not with soluble guanylyl cyclase, and novel paraneural functions for nitrinergic signal transduction. J. Histochem. Cytochem. 40, 1439−1456 (1992). | PubMed | ISI | ChemPort |
- Burnett, A.L. et al. Localization of nitric oxide synthase in the reproductive organs of the male rat. Biol. Reprod. 52, 1−7 (1995). | PubMed | ISI | ChemPort |
- Burnett, A.L. et al. Characterization and localization of nitric oxide synthase in the human prostate. Urology 45, 435−439 (1995). | Article | PubMed | ISI | ChemPort |
- Persson, K., Alm, P., Johansson, K., Larsson, B. & Andersson, K.E. Nitric oxide synthase in pig lower urinary tract: Immunohistochemistry, NADPH diaphorase histochemistry and functional effects. Br. J. Pharmacol. 110, 521−530 (1993). | PubMed | ISI | ChemPort |
- Bennett, B.C. et al. Neural control of urethral outlet activity in vivo: Role of nitric oxide. J. Urol. 153, 2004−2009 (1995). | Article | PubMed | ISI | ChemPort |
- Burnett, A.L. et al. Nitric oxide dependent penile erection in mice lacking neuronal nitric oxide synthase. Mol. Med. 15, 288−296 (1996).
- Couillard, D.R. & Webster, G.D. Detrusor instability. in Urologic Clinics of North America. Evaluation and Treatment of the Incontinent Female Patient, 22nd edn. (Kiutke, C.G. & Raz, S., eds.) 593−612 (Saunders, Philadelphia, 1995). | ChemPort |
- Kaplan, S.A. & Te, A.E. Uroflowmetry and urodynamics. in Urologic Clinics of North America: Advances in Benign Prostatic Hyperplasia, 22nd edn. (Lepor H, ed.) 309−320 (Saunders, Philadelphia, 1995). | ChemPort |
- Dinerman, J.L., Dawson, T.M., Schell, M.J., Snowman, A. & Snyder, S.H. Endothelial nitric oxide synthase localized to hippocampal pyramidal cells: Implications for synaptic plasticity. Proc. Natl. Acad. Sci. USA 91, 4214−4218 (1994). | PubMed | ChemPort |
- Lowenstein, C.J., Hill, S.A., Allen, G., Rose, N.R. & Herskowitz, A.H. The role of nitric oxide in viral myocarditis. J. Clin. Invest. 97, 1837−1843 (1996). | PubMed | ISI | ChemPort |
|