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Urinary levels of glycosaminoglycans in patients with idiopathic detrusor overactivity

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Abstract

Introduction and hypothesis

We assessed whether urinary excretion of glycosaminoglycans (GAGs) may be affected by a condition of detrusor overactivity (DO).

Materials and methods

We evaluated 24-h urinary excretion of GAGs in 25 patients (mean age 63.81 years) with DO and in 14 healthy controls (mean age 65.75 years). No patients or controls had urinary tract infection. The excretion of GAGs was measured on the basis of total urine volume and normalized to creatinine concentration. Student’s test was employed to check between the urinary excretion of GAGs in the two groups.

Results

The urinary content of GAGs discovered in control group was significantly higher than that in pathological group for the ratio GAGs/creatinine concentration.

Conclusions

The low content of GAGs might be due to relative ischemia of the bladder wall epithelial layer following a chronically increased contractile activity of the detrusor even if further studies are needed to confirm this finding.

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References

  1. Hurst RE, Roy JB, Min KW, Veltri RW, Marley G, Patton et al (1996) A deficit of chondroitin sulfate proteoglycans on the bladder uroepithelium in interstitial cystitis. Urology 48:817–821

    Article  CAS  PubMed  Google Scholar 

  2. Parsons CL, Stauffer C, Schmidt JD (1980) Bladder-surface glycosaminoglycans: an efficient mechanism of environmental adaptation. Science 208:605–607

    Article  CAS  PubMed  Google Scholar 

  3. Bodenstab W, Kaufman J, Parsons CL (1983) Inactivation of antiadherence effect of bladder surface glycosaminoglycan by a complete urinary carcinogen (N-methyl-N-nitrosourea). J Urol 129:200–201

    CAS  PubMed  Google Scholar 

  4. Hook M, Kjellen L, Johansson S (1984) Cell-surface glycosaminoglycans. Annu Rev Biochem 53:847–869

    Article  CAS  PubMed  Google Scholar 

  5. Hurst RE, Rhodes SW, Adamson PB, Parsons CL, Roy JB (1987) Functional and structural characteristics of the glycosaminoglycans of the bladder luminal surface. J Urol 138:433–437

    CAS  PubMed  Google Scholar 

  6. Lokeshwar VB, Selzer MG, Unwala DJ, Estrella V, Gomez MF, Golshani R et al (2006) Uronate peaks and urinary hyaluronic acid levels correlate with interstitial cystitis severity. J Urol 176:1001–1007

    Article  CAS  PubMed  Google Scholar 

  7. Hurst RE, Parsons CL, Roy JB, Young JL (1993) Urinary glycosaminoglycan excretion as a laboratory marker in the diagnosis of interstitial cystitis. J Urol 9:31–35

    Google Scholar 

  8. Ferrara P, Marrone G, Mastrangelo A, Nicoletti A, Emmanuele V, Fasano A (2007) Increased excretion of glycosaminoglycans in children with urinary incontinence compared to those with monosymptomatic nocturnal enuresis. Scand J Urol Nephrol 41:218–222

    Article  CAS  PubMed  Google Scholar 

  9. Haylen BT, Ashby D, Sutherst JR, Frazer MI, West CR (1989) Maximum and average urine flow rates in normal male and female populations the Liverpool nomograms. Br J Urol 64:30–38

    Article  CAS  PubMed  Google Scholar 

  10. Abrams P, Cardozo L, Fall M, Griffiths D, Ulmsten R et al (2002) The standardisation of terminology of lower urinary tract function : report from the standardisation sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178

    Article  PubMed  Google Scholar 

  11. Hesse A, Wuzel H, Vahlensieck W (1986) The excretion of glycosaminoglycans in the urine of calcium-oxalate-stone patients and healthy persons. Urol Int 41:81–87

    Article  CAS  PubMed  Google Scholar 

  12. Bitter T, Muir HM (1962) A modified uronic acid carbazole reaction. Anal Biochem 4:330–334

    Article  CAS  PubMed  Google Scholar 

  13. Sprent P, Smeeton NC (2001) Applied nonparametric statistical methods, 3rd edn. Chapman & Hall, London IX + 459 p

    Google Scholar 

  14. Hauser PJ, Dozmorov MG, Bane BL, Slobodov G, Culkin DJ, Hurst RE (2008) Abnormal expression of differentiation related proteins and proteoglycan core proteins in the urothelium of patients with interstitial cystitis. J Urol 179:764–769

    Article  CAS  PubMed  Google Scholar 

  15. Hennessey PT, Hurst RE, Hemstreet GP 3rd, Cutter G (1981) Urinary glycosaminoglycan excretion as a biochemical marker in patients with bladder carcinoma. Cancer Res 41:3868–3873

    CAS  PubMed  Google Scholar 

  16. Salvaggio E, Antuzzi D, Ferrara P, Scanu M, Pulitanò S, Venuti L et al (2001) Glycosaminoglycans: urinary excretion in children with myelomeningocele. Urol Int 66:156–159

    Article  CAS  PubMed  Google Scholar 

  17. Erickson DR, Xie SX, Bhavanandan VP, Wheeler MA, Hurst RE, Demers LM et al (2002) A comparison of multiple urine markers for interstitial cystitis. J Urol 167:2461

    Article  CAS  PubMed  Google Scholar 

  18. Soler R, Bruschini H, Martins JR, Dreyfuss JL, Camara NO, Alves MT et al (2008) Urinary glycosaminoglycans as biomarker for urothelial injury: is it possible to discriminate damage from recovery? Urology 72:937–942

    Article  PubMed  Google Scholar 

  19. Parsons CL (1996) Potassium sensitività test. Tech Urol 2:171–173

    CAS  PubMed  Google Scholar 

  20. Daha LK, Riedl CR, Hohlbrugger G, Knoll M, Engelhardt PF, Pfluger H (2003) Comparative assessment of maximal bladder capacity, 0.9% NaCl versus 0.2 M KCl, for the diagnosis of interstitial cystitis: a prospective controlled study. J Urol 170:807–809

    Article  PubMed  Google Scholar 

  21. Brading AF (1997) A myogenic basis for the overactive bladder. Urology 50:57–67

    Article  CAS  PubMed  Google Scholar 

  22. Levin RM, Brendler K, Van Arsdalen KN, Wein AJ (1983) Functional response of the rabbit urinary bladder to anoxia and ischaemia. Neurouroll Urodyn 2:233–243

    Article  CAS  Google Scholar 

  23. Zhao Y, Wein AJ, Bilgen A, Levin RM (1991) Effect of anoxia on in vitro bladder function. Pharmacology 43:337–344

    Article  CAS  PubMed  Google Scholar 

  24. Pessina F, McMurray G, Wiggin A, Brading AF (1997) The effect of anoxia and glucose-free solutions on the contractile response of guinea-pig detrusor strips to intrinsic nerve stimulation and the application of excitatory agonists. J Urol 157:2375–2380

    Article  CAS  PubMed  Google Scholar 

  25. Hedbom E, Hauselmann HJ (2002) Molecular aspects of pathogenesis in osteoarthritis: the role of inflammation. Cell Mol Life Sci 59:45–53

    Article  CAS  PubMed  Google Scholar 

  26. Lotz M (2001) Cytokines in cartilage injury and repair. Clin Orthop 391:S108–S115

    Article  PubMed  Google Scholar 

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Correspondence to Salvatore Siracusano.

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Siracusano, S., Cucchi, A., Ciciliato, S. et al. Urinary levels of glycosaminoglycans in patients with idiopathic detrusor overactivity. Int Urogynecol J 20, 1477–1480 (2009). https://doi.org/10.1007/s00192-009-0973-z

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  • DOI: https://doi.org/10.1007/s00192-009-0973-z

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