Why the study?
The contractile actions of angiotensin II on the muscularis mucosae of the bladder compared with detrusor smooth muscle were not established.
Angiotensin II predominantly targets the muscularis mucosae rather than the detrusor smooth muscle to induce contractions in the pig urinary bladder.
Should not change bladder management; hypothesis-generating for ATII effects on MM.
To explore contractile actions of angiotensin II (ATII) on the muscularis mucosae (MM) of the bladder, ATII‐induced contractions were compared between MM and the detrusor smooth muscle (DSM) of the pig bladder by isometric tension recordings. Effects of ATII on spontaneous Ca 2+ transients in MM were visualized using Cal‐520 fluorescence. ATII receptor type 1 (ATR1) expression in MM and DSM was also examined by immunohistochemistry. ATII (1 nM–1 μM) caused phasic contractions of MM in a concentration‐dependent manner, while ATII (10 nM–10 μM) had no or marginal effects on DSM contractility. ATII (100 nM)‐induced MM contractions had an amplitude of approximately 70% of carbachol (1 μM)‐induced or 90% of U46619 (100 nM)‐induced contractions. Candesartan (10 nM), an ATR1 blocker, prevented the contractile effects of ATII (1 nM) in MM, while ATR1 immunofluorescence was greater in MM than DSM. ATII (10–100 pM) increased the frequency but not the amplitude of spontaneous Ca 2+ transients in MM. Both urothelium‐intact and ‐denuded MM strips developed comparable spontaneous phasic contractions, but ATII, carbachol and U46619‐induced contractions were significantly larger in urothelium‐denuded than urothelium‐intact MM strips. In conclusion, the MM appears to have a much greater sensitivity to ATII compared with DSM that could well sense circulating ATII, suggesting that MM may be the predominant target of contractile actions induced by ATII in the bladder while the urothelium appears to inhibit MM contractility.
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Lim et al. (2020) studied this question.
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