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篇名
間質性膀胱炎標準化小鼠模型建立:比較脂多醣、醋酸與環磷酰胺暴露之差異
並列篇名
Establishing standardized murine models of intestial cystitis: comparative insights from lipopoly saccaride, acetic acid, and cyclophosphamide exposure
作者 張肇元許雯純Chellappan Praveen Rajneesh (Chellappan Praveen Rajneesh)黃敬詠吳宜娜馬鴻均
中文摘要

背景:間質性膀胱炎(IC)是一種慢性膀胱疾病,其特徵為骨盆疼痛、頻尿及尿急,但無明確感染因素。化學誘導的動物模型對於探討IC之病理機制至關重要,然而,針對不同誘導劑的標準化比較性研究仍然稀少。方法:本研究比較三種常用之化學誘導IC模型,包括脂多醣體(LPS)、醋酸(AA)及環磷醯胺(CYP),使用雌性C57BL/6小鼠(n = 32,8隻/組)。評估膀胱動力學參數包括基底壓力、閾值壓力、最大排尿壓力、膀胱收縮間期(ICI)及非排尿性收縮(NVCs)。膀胱組織經蘇木精-伊紅(H&E)染色進行組織學分析,並透過蛋白質免疫轉漬法(Western blot)測定caspase-9、NF-κB及細胞角蛋白20(CK20)之表現量。結果:AA組小鼠顯示最嚴重之尿路上皮破壞,其caspase-9(3.1倍)及NF-κB(2.8倍)表現顯著升高,CK20表現則顯著降低(p < 0.05)。功能上,AA組之ICI顯著縮短(82.4 ± 10.1秒),且NVCs增加。LPS組則顯示ICI延長(161.3 ± 8.9秒)並伴隨中度發炎反應;CYP組則觀察到基底壓力上升(14.7 ± 1.6 cmH₂O)及NVCs增加,反映膀胱逼尿肌過度活躍現象。結論:在所有測試模型中,AA誘導之IC模型呈現最一致且明顯之發炎、組織學及功能性病變,適合用於探討上皮損傷與急性膀胱發炎相關之研究。此研究建立一套標準化比較框架,有助於未來進行IC轉譯性研究之模型選擇。

英文摘要

Background: Interstitial cystitis (IC) is a chronic bladder disorder character-ized by pelvic pain, urinary urgency, and frequent occurrence without infection. Animal models using chemical inducers are essential for studying IC pathophysiol-ogy; however, standardized comparative evaluations are scarce. Methods: This study compared three chemical-induced IC models: lipopolysaccharide (LPS), acetic acid (AA), and cyclophosphamide (CYP), in female C57BL/6 mice (n = 32, 8/group). Cystometric parameters including basal pressure, threshold pressure, peak pressure, intercontraction interval (ICI), and non-voiding contractions (NVCs) were measured. Bladder histology was assessed using hematoxylin and eosin staining. The expres-sion of caspase-9, NF-κB, and cytokeratin-20 (CK20) was analyzed using western blotting. Results: AA-treated mice exhibited the most severe urothelial disruption, with significantly elevated caspase-9 (3.1-fold) and NF-κB (2.8-fold) expression as well as reduced CK20 levels (p < 0.05). Functionally, the AA group showed a short-ened ICI (82.4 ± 10.1 s) and increased NVCs. LPS induced prolonged ICI (161.3 ± 8.9 s) with moderate inflammation, while CYP increased basal pressure (14.7 ± 1.6 cmH₂O) and NVCs, indicating detrusor overactivity. Conclusion: Among the tested models, acetic acid induction yielded the most consistent inflammatory, histological, and functional IC phenotypes, making it a robust model to study epithelial injury and acute bladder inflammation. These findings provide a standardized framework for selecting appropriate IC models for translational research.

起訖頁 001-015
關鍵詞 間質性膀胱炎小鼠模型膀胱動力學發炎醋酸NF-κBinterstitial cystitismouse modelcystometryinflammationacetic acidNF-κB
刊名 輔仁醫學期刊  
期數 202512 (23:4期)
出版單位 輔仁大學醫學院
該期刊-下一篇 運用Andersen健康服務行為模式探討大腸直腸癌病患長期照護需求
 

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