Spinal CRH facilitates the micturition reflex via the CRH2 receptor in rats with normal bladder and bladder outlet obstruction

Abstract Lower urinary tract symptoms (LUTS) significantly affect patient quality of life. Treatment options for bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH) (a common cause of LUTS) are insufficient to relieve discomfort. As the incidence of BPH is increasing, new phar...

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Main Authors: Risa Shinoki, Ryosuke Jikuya, Takuma Nirei, Takeshi Fukazawa, Hiroki Takizawa, Mari Hioki, Sachi Kawaura, Tomoyuki Tatenuma, Go Noguchi, Daiki Ueno, Yusuke Ito, Mitsuru Komeya, Kentaro Muraoka, Hisashi Hasumi, Kazuki Kobayashi, Masahito Takiguchi, Kengo Funakoshi, Kazuhide Makiyama, Naoki Aizawa, Hiroki Ito
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-87990-w
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author Risa Shinoki
Ryosuke Jikuya
Takuma Nirei
Takeshi Fukazawa
Hiroki Takizawa
Mari Hioki
Sachi Kawaura
Tomoyuki Tatenuma
Go Noguchi
Daiki Ueno
Yusuke Ito
Mitsuru Komeya
Kentaro Muraoka
Hisashi Hasumi
Kazuki Kobayashi
Masahito Takiguchi
Kengo Funakoshi
Kazuhide Makiyama
Naoki Aizawa
Hiroki Ito
author_facet Risa Shinoki
Ryosuke Jikuya
Takuma Nirei
Takeshi Fukazawa
Hiroki Takizawa
Mari Hioki
Sachi Kawaura
Tomoyuki Tatenuma
Go Noguchi
Daiki Ueno
Yusuke Ito
Mitsuru Komeya
Kentaro Muraoka
Hisashi Hasumi
Kazuki Kobayashi
Masahito Takiguchi
Kengo Funakoshi
Kazuhide Makiyama
Naoki Aizawa
Hiroki Ito
author_sort Risa Shinoki
collection DOAJ
description Abstract Lower urinary tract symptoms (LUTS) significantly affect patient quality of life. Treatment options for bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH) (a common cause of LUTS) are insufficient to relieve discomfort. As the incidence of BPH is increasing, new pharmacological targets for LUTS treatment are required. Corticotropin-releasing hormone (CRH) is a neuropeptide that controls normal micturition in rodents. Herein, we investigated the role of spinal CRH in regulating micturition in sham and BOO rats, and evaluated CRH as a therapeutic target for bladder dysfunction in BOO model Sprague–Dawley rats. Histological analysis, cystometry with intrathecal administration of CRH agonists/antagonists, western blotting, and real-time PCR assessed the role of CRH and its receptors (CRHR1 and CRHR2) in micturition in sham and BOO rats. CRH administration shortened the voiding interval, while pretreatment with antagonists against CRHR2 (but not CRHR1) suppressed CRH-induced frequent voiding. Western blotting confirmed CRHR1 expression in the dorsal root ganglia (DRG) and bladder, but not the spinal cord, of rats. Real-time PCR showed higher CRHR2 mRNA expression in the spinal cord and DRG than in the bladder in both groups. Overall, spinal CRH facilitates the micturition reflex via CRHR2, and is a promising therapeutic target for LUTS.
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spelling doaj-art-bc0b14bfb7ad432bb0cdd697520f880b2025-02-02T12:23:55ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-025-87990-wSpinal CRH facilitates the micturition reflex via the CRH2 receptor in rats with normal bladder and bladder outlet obstructionRisa Shinoki0Ryosuke Jikuya1Takuma Nirei2Takeshi Fukazawa3Hiroki Takizawa4Mari Hioki5Sachi Kawaura6Tomoyuki Tatenuma7Go Noguchi8Daiki Ueno9Yusuke Ito10Mitsuru Komeya11Kentaro Muraoka12Hisashi Hasumi13Kazuki Kobayashi14Masahito Takiguchi15Kengo Funakoshi16Kazuhide Makiyama17Naoki Aizawa18Hiroki Ito19Department of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokosuka Kyosai HospitalDepartment of Neuroanatomy, Yokohama City University Graduate School of MedicineDepartment of Neuroanatomy, Yokohama City University Graduate School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineDepartment of Pharmacology and Toxicology, Dokkyo Medical University School of MedicineDepartment of Urology, Yokohama City University Graduate School of MedicineAbstract Lower urinary tract symptoms (LUTS) significantly affect patient quality of life. Treatment options for bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH) (a common cause of LUTS) are insufficient to relieve discomfort. As the incidence of BPH is increasing, new pharmacological targets for LUTS treatment are required. Corticotropin-releasing hormone (CRH) is a neuropeptide that controls normal micturition in rodents. Herein, we investigated the role of spinal CRH in regulating micturition in sham and BOO rats, and evaluated CRH as a therapeutic target for bladder dysfunction in BOO model Sprague–Dawley rats. Histological analysis, cystometry with intrathecal administration of CRH agonists/antagonists, western blotting, and real-time PCR assessed the role of CRH and its receptors (CRHR1 and CRHR2) in micturition in sham and BOO rats. CRH administration shortened the voiding interval, while pretreatment with antagonists against CRHR2 (but not CRHR1) suppressed CRH-induced frequent voiding. Western blotting confirmed CRHR1 expression in the dorsal root ganglia (DRG) and bladder, but not the spinal cord, of rats. Real-time PCR showed higher CRHR2 mRNA expression in the spinal cord and DRG than in the bladder in both groups. Overall, spinal CRH facilitates the micturition reflex via CRHR2, and is a promising therapeutic target for LUTS.https://doi.org/10.1038/s41598-025-87990-wBladder outlet obstructionCorticotropin-releasing hormoneLower urinary tract symptomsBenign prostatic hyperplasia
spellingShingle Risa Shinoki
Ryosuke Jikuya
Takuma Nirei
Takeshi Fukazawa
Hiroki Takizawa
Mari Hioki
Sachi Kawaura
Tomoyuki Tatenuma
Go Noguchi
Daiki Ueno
Yusuke Ito
Mitsuru Komeya
Kentaro Muraoka
Hisashi Hasumi
Kazuki Kobayashi
Masahito Takiguchi
Kengo Funakoshi
Kazuhide Makiyama
Naoki Aizawa
Hiroki Ito
Spinal CRH facilitates the micturition reflex via the CRH2 receptor in rats with normal bladder and bladder outlet obstruction
Scientific Reports
Bladder outlet obstruction
Corticotropin-releasing hormone
Lower urinary tract symptoms
Benign prostatic hyperplasia
title Spinal CRH facilitates the micturition reflex via the CRH2 receptor in rats with normal bladder and bladder outlet obstruction
title_full Spinal CRH facilitates the micturition reflex via the CRH2 receptor in rats with normal bladder and bladder outlet obstruction
title_fullStr Spinal CRH facilitates the micturition reflex via the CRH2 receptor in rats with normal bladder and bladder outlet obstruction
title_full_unstemmed Spinal CRH facilitates the micturition reflex via the CRH2 receptor in rats with normal bladder and bladder outlet obstruction
title_short Spinal CRH facilitates the micturition reflex via the CRH2 receptor in rats with normal bladder and bladder outlet obstruction
title_sort spinal crh facilitates the micturition reflex via the crh2 receptor in rats with normal bladder and bladder outlet obstruction
topic Bladder outlet obstruction
Corticotropin-releasing hormone
Lower urinary tract symptoms
Benign prostatic hyperplasia
url https://doi.org/10.1038/s41598-025-87990-w
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