Skip to main content
Top
Published in: World Journal of Urology 9/2023

01-08-2023 | Original Article

The Rho-kinase inhibitor Y27632 promotes ureteral relaxation in an in vivo rat model for partial ureteral obstruction

Authors: Luca Villa, Philipp Weinhold, Emanuele Zaffuto, Fabio Castiglione, Edoardo Pozzi, Eugenio Ventimiglia, Roberta Buono, Alberto Briganti, Francesco Montorsi, Andrea Salonia, Petter Hedlund

Published in: World Journal of Urology | Issue 9/2023

Login to get access

Abstract

Purpose

Aim of this study was to evaluate the effect of intravenous Y27632 (a ROK inhibitor) on intra-ureteral pressures and on blood pressure in an in vivo rat model for unilateral partial ureteral obstruction (PUO).

Methods

15 Male Sprague Dawley rats were used. Under isofluran anesthesia, saline was continuously infused via polyethylene (PE)-10 catheters inserted in the ureters beneath the kidney pelvis. Left psoas muscle was sutured around the distal left ureter to create a partial obstruction. Carotid artery and femoral vein were cannulated with PE catheters for registration of mean arterial blood pressure (MAP) and for administration of drugs. Left and right ureter pressures and MAP were simultaneously recorded. Y27632 (0.03 and 0.1 mg/kg each n = 6–7) was given intravenously. T-test was used for comparisons.

Results

Spontaneous peristaltic pressure waves were recorded at baseline for both ureters. After the obstruction, Y27632 reduced maximum pressure (MaxP) by 10.5 ± 1.9% (0.03 mg/kg; p = 0.004) and 29.1 ± 4.8% (0.1 mg/kg; p < 0.001), minimum pressure (MinP) by 5.2 ± 2.3% (0.03 mg/kg; p = 0.02) and 12.2 ± 3.4% (0.1 mg/kg; p = 0.009), the area under the curve (AUC) by 7.8 ± 2.4% (0.03 mg/kg; p = 0.008) and 16.5 ± 3.7% (0.1 mg/kg;p = 0.007), the waves amplitude by 23.4 ± 11.3% (0.03 mg/kg; p = 0.098) and 38.7 ± 7.5% (0.1 mg/kg; p < 0.001), with no effect on contraction frequency. During simultaneous recordings from the normal ureter at the investigated doses, Y27632 reduced MaxP, MinP, AUC and waves amplitude by 1–7%. The MAP was reduced by 12.5 ± 5.3% (0.03 mg/kg; p = 0.07) and 15.8 ± 1.8% (0.1 mg/kg; p < 0.001).

Conclusions

Y27632 decreased intra-ureteral pressures of a partially obstructed ureter with limited effect on blood pressure in an animal model of unilateral PUO.
Literature
3.
go back to reference Miller OF, Kane CJ (1999) Time to stone passage for observed ureteral calculi: a guide for patient education. J Urol 162:688–690CrossRefPubMed Miller OF, Kane CJ (1999) Time to stone passage for observed ureteral calculi: a guide for patient education. J Urol 162:688–690CrossRefPubMed
5.
go back to reference Assimos D, Krambeck A, Miller NL et al (2016) Surgical management of stones: American Urological Association/Endourological Society Guideline, part II. J Urol 196:1161CrossRefPubMed Assimos D, Krambeck A, Miller NL et al (2016) Surgical management of stones: American Urological Association/Endourological Society Guideline, part II. J Urol 196:1161CrossRefPubMed
7.
go back to reference Ye Z, Zeng G, Yang H et al (2018) Efficacy and safety of tamsulosin in medical expulsive therapy for distal ureteral stones with renal colic: a multicenter, randomized, double-blind, placebo-controlled. Trial Eur Urol 73:385–391CrossRefPubMed Ye Z, Zeng G, Yang H et al (2018) Efficacy and safety of tamsulosin in medical expulsive therapy for distal ureteral stones with renal colic: a multicenter, randomized, double-blind, placebo-controlled. Trial Eur Urol 73:385–391CrossRefPubMed
8.
go back to reference Lee CX, Cheah JH, Soule CK et al (2020) Identification and local delivery of vasodilators for the reduction of ureteral contractions. Nat Biomed Eng 4:28–39CrossRefPubMed Lee CX, Cheah JH, Soule CK et al (2020) Identification and local delivery of vasodilators for the reduction of ureteral contractions. Nat Biomed Eng 4:28–39CrossRefPubMed
9.
go back to reference Zhang X, DiSanto ME (2011) Rho-kinase, a common final path of various contractile bladder and ureter stimuli. Handb Exp Pharmacol 202:543–568CrossRef Zhang X, DiSanto ME (2011) Rho-kinase, a common final path of various contractile bladder and ureter stimuli. Handb Exp Pharmacol 202:543–568CrossRef
10.
go back to reference Turna B, Cinar MG, Canda AE et al (2007) Role of Rho-kinase in contractions of ureters from rabbits with unilateral ureteric obstruction. BJU Int 100:1166–1171PubMed Turna B, Cinar MG, Canda AE et al (2007) Role of Rho-kinase in contractions of ureters from rabbits with unilateral ureteric obstruction. BJU Int 100:1166–1171PubMed
11.
go back to reference Lim I, Chess-Williams R, Sellers D (2018) Altered ureteral contractility with ageing: Role of the Rho-kinase pathway. Mech Ageing Dev 171:31–36CrossRefPubMed Lim I, Chess-Williams R, Sellers D (2018) Altered ureteral contractility with ageing: Role of the Rho-kinase pathway. Mech Ageing Dev 171:31–36CrossRefPubMed
13.
go back to reference Villa L, Buono R, Fossati N et al (2013) Effects by silodosin on the partially obstructed rat ureter in vivo and on human and rat isolated ureters. Br J Pharmacol 169:230–238CrossRefPubMedPubMedCentral Villa L, Buono R, Fossati N et al (2013) Effects by silodosin on the partially obstructed rat ureter in vivo and on human and rat isolated ureters. Br J Pharmacol 169:230–238CrossRefPubMedPubMedCentral
14.
go back to reference Hou W, Wen J, Ji Z, Chen J, Li H (2014) Reflex anuria: an old concept with new evidence. Int Urol Nephrol 46:323–328CrossRefPubMed Hou W, Wen J, Ji Z, Chen J, Li H (2014) Reflex anuria: an old concept with new evidence. Int Urol Nephrol 46:323–328CrossRefPubMed
15.
go back to reference Panda S, Bajpai M, Sinha A, Mallick S, Sharma MC (2013) Effect of ipsilateral ureteric obstruction on contralateral kidney and role of renin angiotensin system blockade on renal recovery in experimentally induced unilateral ureteric obstruction. J Indian Assoc Pediatr Surg 18:58–61CrossRefPubMedPubMedCentral Panda S, Bajpai M, Sinha A, Mallick S, Sharma MC (2013) Effect of ipsilateral ureteric obstruction on contralateral kidney and role of renin angiotensin system blockade on renal recovery in experimentally induced unilateral ureteric obstruction. J Indian Assoc Pediatr Surg 18:58–61CrossRefPubMedPubMedCentral
16.
go back to reference Uehata M, Ishizaki T, Satoh H et al (1997) Calcium sensitization of smooth muscle mediated by a Rho-associated protein kinase in hypertension. Nature 389:990–994CrossRefPubMed Uehata M, Ishizaki T, Satoh H et al (1997) Calcium sensitization of smooth muscle mediated by a Rho-associated protein kinase in hypertension. Nature 389:990–994CrossRefPubMed
17.
go back to reference Shimokawa H, Hiramori K, Iinuma H et al (2002) Anti-anginal effect of fasudil, a Rho-kinase inhibitor, in patients with stable effort angina: a multicenter study. J Cardiovasc Pharmacol 40:751–761CrossRefPubMed Shimokawa H, Hiramori K, Iinuma H et al (2002) Anti-anginal effect of fasudil, a Rho-kinase inhibitor, in patients with stable effort angina: a multicenter study. J Cardiovasc Pharmacol 40:751–761CrossRefPubMed
18.
go back to reference Bao W, Hu E, Tao L et al (2004) Inhibition of Rho-kinase protects the heart against ischemia/reperfusion injury. Cardiovasc Res 61:548–558CrossRefPubMed Bao W, Hu E, Tao L et al (2004) Inhibition of Rho-kinase protects the heart against ischemia/reperfusion injury. Cardiovasc Res 61:548–558CrossRefPubMed
19.
go back to reference Ikeda F, Terajima H, Shimahara Y et al (2003) Reduction of hepatic ischemia/reperfusion-induced injury by a specific ROCK/Rho kinase inhibitor Y-27632. J Surg Res 109:155–160CrossRefPubMed Ikeda F, Terajima H, Shimahara Y et al (2003) Reduction of hepatic ischemia/reperfusion-induced injury by a specific ROCK/Rho kinase inhibitor Y-27632. J Surg Res 109:155–160CrossRefPubMed
20.
go back to reference Teraishi K, Kurata H, Nakajima A, Takaoka M, Matsumura Y (2004) Preventive effect of Y-27632, a selective Rho-kinase inhibitor, on ischemia/reperfusion-induced acute renal failure in rats. Eur J Pharmacol 505:205–211CrossRefPubMed Teraishi K, Kurata H, Nakajima A, Takaoka M, Matsumura Y (2004) Preventive effect of Y-27632, a selective Rho-kinase inhibitor, on ischemia/reperfusion-induced acute renal failure in rats. Eur J Pharmacol 505:205–211CrossRefPubMed
21.
go back to reference Hong SK, Kwak C, Jeong BC, Kim BS, Kim HH (2005) Involvement of Rho-kinase in the contractile mechanism of human ureteral smooth muscle. Neurourol Urodyn 24:136–141CrossRefPubMed Hong SK, Kwak C, Jeong BC, Kim BS, Kim HH (2005) Involvement of Rho-kinase in the contractile mechanism of human ureteral smooth muscle. Neurourol Urodyn 24:136–141CrossRefPubMed
22.
go back to reference Shabir S, Borisova L, Wray S, Burdyga T (2004) Rho-kinase inhibition and electromechanical coupling in rat and guinea-pig ureter smooth muscle: Ca2+-dependent and -independent mechanisms. J Physiol 560:839–855CrossRefPubMedPubMedCentral Shabir S, Borisova L, Wray S, Burdyga T (2004) Rho-kinase inhibition and electromechanical coupling in rat and guinea-pig ureter smooth muscle: Ca2+-dependent and -independent mechanisms. J Physiol 560:839–855CrossRefPubMedPubMedCentral
23.
go back to reference Borysova L, Shabir S, Walsh MP, Burdyga T (2011) The importance of Rho-associated kinase-induced Ca2+ sensitization as a component of electromechanical and pharmacomechanical coupling in rat ureteric smooth muscle. Cell Calcium 50:393–405CrossRefPubMedPubMedCentral Borysova L, Shabir S, Walsh MP, Burdyga T (2011) The importance of Rho-associated kinase-induced Ca2+ sensitization as a component of electromechanical and pharmacomechanical coupling in rat ureteric smooth muscle. Cell Calcium 50:393–405CrossRefPubMedPubMedCentral
24.
go back to reference Büyükafşar K, Yalçin I, Kurt AH, Tiftik RN, Sahan-Firat S, Aksu F (2006) Rho-kinase inhibitor, Y-27632, has an antinociceptive effect in mice. Eur J Pharmacol 541:49–52CrossRefPubMed Büyükafşar K, Yalçin I, Kurt AH, Tiftik RN, Sahan-Firat S, Aksu F (2006) Rho-kinase inhibitor, Y-27632, has an antinociceptive effect in mice. Eur J Pharmacol 541:49–52CrossRefPubMed
25.
go back to reference Nagatoya K, Moriyama T, Kawada N et al (2002) Y-27632 prevents tubulointerstitial fibrosis in mouse kidneys with unilateral ureteral obstruction. Kidney Int 61:1684–1695CrossRefPubMed Nagatoya K, Moriyama T, Kawada N et al (2002) Y-27632 prevents tubulointerstitial fibrosis in mouse kidneys with unilateral ureteral obstruction. Kidney Int 61:1684–1695CrossRefPubMed
26.
go back to reference Bourdoumis A, Tanabalan C, Goyal A, Kachrilas S, Buchholz N, Masood J (2014) The difficult ureter: stent and come back or balloon dilate and proceed with ureteroscopy? What does the evidence say? Urology 83:1–3CrossRefPubMed Bourdoumis A, Tanabalan C, Goyal A, Kachrilas S, Buchholz N, Masood J (2014) The difficult ureter: stent and come back or balloon dilate and proceed with ureteroscopy? What does the evidence say? Urology 83:1–3CrossRefPubMed
27.
go back to reference Jung H, Norby B, Frimodt-Moller PC, Osther PJ (2008) Endoluminal isoproterenol irrigation decreases renal pelvic pressure during flexible ureterorenoscopy: a clinical randomized, controlled study. Eur Urol 54:1404–1413CrossRefPubMed Jung H, Norby B, Frimodt-Moller PC, Osther PJ (2008) Endoluminal isoproterenol irrigation decreases renal pelvic pressure during flexible ureterorenoscopy: a clinical randomized, controlled study. Eur Urol 54:1404–1413CrossRefPubMed
Metadata
Title
The Rho-kinase inhibitor Y27632 promotes ureteral relaxation in an in vivo rat model for partial ureteral obstruction
Authors
Luca Villa
Philipp Weinhold
Emanuele Zaffuto
Fabio Castiglione
Edoardo Pozzi
Eugenio Ventimiglia
Roberta Buono
Alberto Briganti
Francesco Montorsi
Andrea Salonia
Petter Hedlund
Publication date
01-08-2023
Publisher
Springer Berlin Heidelberg
Published in
World Journal of Urology / Issue 9/2023
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-023-04528-3

Other articles of this Issue 9/2023

World Journal of Urology 9/2023 Go to the issue