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Am J Physiol Regul Integr Comp Physiol (January 9, 2008). doi:10.1152/ajpregu.00467.2007
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Submitted on June 29, 2007
Accepted on January 2, 2008

ESTRADIOL INCREASES URETHRAL TONE THROUGH THE LOCAL INHIBITION OF NEURONAL NITRIC OXIDE SYNTHASE EXPRESSION

Xavier GAME1*, Julien Allard2, Ghislaine Escourrou3, Pierre Gourdy, Ivan Tack2, Pascal Rischmann1, Jean-Francois Arnal4, and Bernard Malavaud5

1 of Urology, CHU Rangueil, toulouse, France
2 Laboratoire de Physiologie, UFR Medecine Rangueil, toulouse, France
3 Laboratoire D'Anatomie Pathologique, CHU Rangueil, toulouse, France
4 INSERM U589 et Laboratoire de Physiologie, CHU Rangueil, toulouse, France
5 of Urology, CHU Rangueil, toulouse, France; toulouse, France

* To whom correspondence should be addressed. E-mail: xaviergame{at}hotmail.com.

Objectives: Estrogens are known to modulate lower urinary tract (LUT) trophicity as well as neuronal NO synthase (nNOS) expression in several organs. The aim of this study was to explore the impact of endogenous and of supraestrus levels of estradiol (E2) on LUT and urethral nNOS expression and function. Material and methods: 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). Results: The micturition pattern was profoundly altered by long-term supraestrus levels of E2 with decreased frequency paralleled by increased residual volumes higher as compared to ovariectomized mice. Urethral resistance was increased two-fold 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. Conclusion: Long-term supraestrus levels of E2 increased urethral tone through inhibition of nNOS expression whereas physiological levels of E2 had no effect.







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