Calcineurin mediates bladder smooth muscle hypertrophy after bladder outlet obstruction

Kunihiro Nozaki, Kazuhito Tomizawa, Teruhiko Yokoyama, Hiromi Kumon, Hideki Matsui

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


Purpose: Bladder outlet obstruction (BOO) leads to compensatory bladder hypertrophy. However, the hypertrophy mechanism remains elusive. We report that calcineurin (Cn) is involved in bladder hypertrophy. Materials and Methods: Partial BOO was surgically induced in 10-week-old female Wistar rats. The bladder was excised 2, 4 and 6 weeks following surgery in 9 rats each. Histological study was performed at each time point. Cn expression was examined by Western blot analysis. Myosin heavy chain expression was evaluated on gels stained with Coomassie blue. Primary cultured bladder smooth muscle cells were infected with recombinant adenoviruses encoding a constitutive active form of CnA (ΔCnA), CnB and lacZ, and cell size was measured. Results: In histological findings bladder smooth muscle hypertrophy was observed 2 and 4 weeks after surgery. However, the thickened muscles became thinner 6 weeks after BOO. CnA expression 2 weeks after BOO increased 3.2-fold compared with that of controls. Expression significantly decreased 4 and 6 weeks after surgery. In contrast, CnB expression was unchanged throughout hypertrophy development. Changes in myosin heavy chain expression correlated with changes in CnA. We observed significant hypertrophy in ΔCnA and CnB over expressing smooth muscle cells. Moreover, FK506, which is a potent inhibitor of Cn, blocked hypertrophy in ↓CnA and CnB over expressing smooth muscle cells Conclusions: These data suggest that Cn has an important role in the induction of bladder smooth muscle hypertrophy.

Original languageEnglish
Pages (from-to)2077-2081
Number of pages5
JournalJournal of Urology
Issue number5
Publication statusPublished - Nov 2003
Externally publishedYes


  • Bladder
  • Calcineurin
  • Muscle, smooth
  • Prostatic hyperplasia
  • Rats, Wistar

ASJC Scopus subject areas

  • Urology


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