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Am J Physiol Regul Integr Comp Physiol 294: R851-R857, 2008. First published January 9, 2008; doi:10.1152/ajpregu.00467.2007
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RENAL HEMODYNAMICS AND CARDIORENAL INTEGRATION

Estradiol increases urethral tone through the local inhibition of neuronal nitric oxide synthase expression

Xavier Gamé,1 Julien Allard,2 Ghislaine Escourrou,3 Pierre Gourdy,2 Ivan Tack,2 Pascal Rischmann,1 Jean-François Arnal,2 and Bernard Malavaud1

1Service d'Urologie, Transplantation Rénale et Andrologie, 2Institut National de la Santé et de la Recherche Médicale U858 et Laboratoire de Physiologie, and 3Laboratoire D'Anatomie Pathologique, Centre Hospitalier Universitaire Rangueil, Toulouse, France

Submitted 29 June 2007 ; accepted in final form 2 January 2008

Estrogens are known to modulate lower urinary tract (LUT) trophicity and neuronal nitric oxide synthase (nNOS) expression in several organs. The aim of this study was to explore the effects of endogenous and supraestrus levels of 17β-estradiol (E2) on LUT and urethral nNOS expression and function. LUT function and histology and urethral nNOS expression were studied in adult female mice subjected either to sham surgery, surgical castration, or castration plus chronic E2 supplementation (80 µg·kg–1·day–1, i.e., pregnancy level). The micturition pattern was profoundly altered by long-term supraestrus levels of E2 with decreased frequency paralleled by increased residual volumes higher than those of ovariectomized mice. Urethral resistance was increased twofold in E2-treated mice, with no structural changes in urethra, supporting a pure tonic mechanism. Acute nNOS inhibition by 7-nitroindazole decreased frequency and increased residual volumes in ovariectomized mice but had no additive effect on the micturition pattern of long-term supraestrus mice, showing that long-term supraestrus E2 levels and acute inhibition of nNOS activity had similar functional effects. Finally, E2 decreased urethral nNOS expression in ovariectomized mice. Long-term supraestrus levels of E2 increased urethral tone through inhibition of nNOS expression, whereas physiological levels of E2 had no effect.

estrogen; neurourology; urethra



Address for reprint requests and other correspondence: X. Gamé, Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, TSA 50032, 31059 Toulouse, France (e-mail: xaviergame{at}hotmail.com)







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