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Low Intensity Pulsed Ultrasound Influences the Myogenic Differentiation of Muscle Satellite Cells in a Stress Urinary Incontinence Rat Model

  • Bicheng Yang
    Affiliations
    Molecular Biology Laboratory of Andrology Center, Peking University First Hospital, Peking University, Beijing, China
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  • Meng Li
    Affiliations
    Molecular Biology Laboratory of Andrology Center, Peking University First Hospital, Peking University, Beijing, China
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  • Hongen Lei
    Affiliations
    Molecular Biology Laboratory of Andrology Center, Peking University First Hospital, Peking University, Beijing, China
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  • Yongde Xu
    Affiliations
    Department of Urology, First Hospital Affiliated to Chinese PLA General Hospital, Beijing, China
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  • Huixi Li
    Affiliations
    Molecular Biology Laboratory of Andrology Center, Peking University First Hospital, Peking University, Beijing, China
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  • Zhezhu Gao
    Affiliations
    Molecular Biology Laboratory of Andrology Center, Peking University First Hospital, Peking University, Beijing, China
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  • Ruili Guan
    Correspondence
    Address correspondence to: Zhongcheng Xin, MD and Ruili Guan, MD, Molecular Biology Laboratory of Andrology Center, Peking University First Hospital, Peking University, 100034 Beijing, China.
    Affiliations
    Molecular Biology Laboratory of Andrology Center, Peking University First Hospital, Peking University, Beijing, China
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  • Zhongcheng Xin
    Correspondence
    Address correspondence to: Zhongcheng Xin, MD and Ruili Guan, MD, Molecular Biology Laboratory of Andrology Center, Peking University First Hospital, Peking University, 100034 Beijing, China.
    Affiliations
    Molecular Biology Laboratory of Andrology Center, Peking University First Hospital, Peking University, Beijing, China
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Published:September 28, 2018DOI:https://doi.org/10.1016/j.urology.2018.09.020

      Abstract

      Objective

      To investigate the therapeutic effect of low intensity pulsed ultrasound (LIPUS) in a stress urinary incontinence (SUI) rat model and its influence on myogenic satellite cells.

      Methods

      Fifty Sprague-Dawley rats underwent vaginal distension and bilateral ovariectomy mimicking partum injury and menopause to construct SUI models, which were further randomized into 100 mW/cm2 LIPUS, 200 mW/cm2 LIPUS, 300 mW/cm2 LIPUS, and none-treatment control subgroups with 10 rats per subgroup. Ten rats served as mock operation control. Leak point pressure and bladder capacity were recorded 1 week after LIPUS treatment. Immunofluorescence staining and Western blot were performed to examine histological changes, myodifferentiation, and signaling pathway.

      Results

      Here,we found the leak point pressure and bladder capacity were restored in 200 mW/cm2 LIPUS and 300 mW/cm2 LIPUS groups, but not in 100 mW/cm2 LIPUS group. More robust striated muscle regeneration was observed in 200 mW/cm2 LIPUS group comparing with the SUI none-treatment group. Moreover, we found LIPUS activated the myodifferentiation of muscle satellite cells, which is correlated to p38 phosphorylation level.

      Conclusion

      LIPUS restored the leak point pressure and bladder capacity, and activated satellite cell myodifferentiation in SUI rat model.
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