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Am J Physiol Renal Physiol (July 3, 2007). doi:10.1152/ajprenal.00006.2007
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Submitted on January 3, 2007
Accepted on June 21, 2007

Compensatory Paracrine Mechanisms that Define the Urothelial Response to Injury in Partial Bladder Outlet Obstruction

Thomas S Lendvay1, Robert Sweet2, Chang-Hee Han1, Tarkan Soygur1, Jan-Fang Cheng3, J. Chadwick Plaire1, Jay S Charleston4, Lynne B. Charleston4, Shelly Bagai1, Kimberly Cochrane1, Eric Rubio1, and James A Bassuk5*

1 Program in Human Urothelial Biology, Seattle Children's Hospital Research Institute, Seattle, Washington, United States
2 Urology, University of Washington, Seattle, Washington, United States
3 Genome Sciences, Ernst Orlando Lawrence Berkeley Laboratory, Berkeley, California, United States
4 Sterotome Northwest, Issaquah, Washington, United States
5 Program in Human Urothelial Biology, Seattle Children's Hospital Research Institute, Seattle, Washington, United States; Urology, University of Washington, Seattle, Washington, United States

* To whom correspondence should be addressed. E-mail: james.bassuk{at}seattlechildrens.org.

Diseases and conditions affecting the lower urinary tract are a leading cause of dysfunctional sexual health, incontinence, infection and kidney failure. The growth, differentiation, and repair of the bladder’s epithelial lining is regulated, in part, by fibroblast growth factor (FGF)-7 and -10 via a paracrine cascade originating in the mesenchyme (lamina propria) and targeting the receptor for FGF-7 and -10 within the transitional epithelium (urothelium). The FGF-7 gene is located at the 15q15-q21.1 locus on chromosome 15 and four exons generate a 3.852 kb mRNA. Five duplicated FGF-7 gene sequences that localized to chromosome 9 were predicted not to generate functional protein products, thus validating the use of FGF7-null mice as an experimental model. Recombinant FGF- 7 and -10 induce proliferation of human urothelial cells in vitro and transitional epithelium of wild-type and FGF7-null mice in vivo. To determine the extent that induction of urothelial cell proliferation during the bladder response to injury is dependent on FGF-7, an animal model of partial bladder outlet obstruction was developed. Unbiased stereology was used to measure the percentage of proliferating urothelial cells between obstructed groups of wild-type and FGF7-null mice. The stereological analysis indicated that a statistical significant difference did not exist between the two groups, suggesting that FGF-7 is not essential for urothelial cell proliferation in response to partial outlet obstruction. In contrast, a significant increase in FGF-10 expression was observed in the obstructed FGF-7 null group, indicating that the compensatory pathway that functions in this model results in urothelial repair.







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