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Autonomic nervous control of the urinary bladder

Ochodnicky, P. ; Uvelius, Bengt LU ; Andersson, K. -E. and Michel, M. C. (2013) In Acta Physiologica 207(1). p.16-33
Abstract
The autonomic nervous system plays an important role in the regulation of the urinary bladder function. Under physiological circumstances, noradrenaline, acting mainly on beta 3-adrenoceptors in the detrusor and on a1A-adrenoceptors in the bladder outflow tract, promotes urine storage, whereas neuronally released acetylcholine acting mainly on M3 receptors promotes bladder emptying. Under pathophysiological conditions, however, this system may change in several ways. Firstly, there may be plasticity at the levels of innervation and receptor expression and function. Secondly, non-neuronal acetylcholine synthesis and release from the urothelium may occur during the storage phase, leading to a concomitant exposure of detrusor smooth muscle,... (More)
The autonomic nervous system plays an important role in the regulation of the urinary bladder function. Under physiological circumstances, noradrenaline, acting mainly on beta 3-adrenoceptors in the detrusor and on a1A-adrenoceptors in the bladder outflow tract, promotes urine storage, whereas neuronally released acetylcholine acting mainly on M3 receptors promotes bladder emptying. Under pathophysiological conditions, however, this system may change in several ways. Firstly, there may be plasticity at the levels of innervation and receptor expression and function. Secondly, non-neuronal acetylcholine synthesis and release from the urothelium may occur during the storage phase, leading to a concomitant exposure of detrusor smooth muscle, urothelium and afferent nerves to acetylcholine and noradrenaline. This can cause interactions between the adrenergic and cholinergic system, which have been studied mostly at the post-junctional smooth muscle level until now. The implications of such plasticity are being discussed. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
beta-adrenergic receptor, bladder, muscarinic receptor, neuronal, plasticity
in
Acta Physiologica
volume
207
issue
1
pages
16 - 33
publisher
Wiley-Blackwell
external identifiers
  • wos:000312340900004
  • scopus:84870816539
ISSN
1748-1716
DOI
10.1111/apha.12010
language
English
LU publication?
yes
id
79404a21-0521-4048-bbf9-579a7706819b (old id 3400820)
date added to LUP
2016-04-01 10:28:36
date last changed
2022-02-10 02:34:08
@article{79404a21-0521-4048-bbf9-579a7706819b,
  abstract     = {{The autonomic nervous system plays an important role in the regulation of the urinary bladder function. Under physiological circumstances, noradrenaline, acting mainly on beta 3-adrenoceptors in the detrusor and on a1A-adrenoceptors in the bladder outflow tract, promotes urine storage, whereas neuronally released acetylcholine acting mainly on M3 receptors promotes bladder emptying. Under pathophysiological conditions, however, this system may change in several ways. Firstly, there may be plasticity at the levels of innervation and receptor expression and function. Secondly, non-neuronal acetylcholine synthesis and release from the urothelium may occur during the storage phase, leading to a concomitant exposure of detrusor smooth muscle, urothelium and afferent nerves to acetylcholine and noradrenaline. This can cause interactions between the adrenergic and cholinergic system, which have been studied mostly at the post-junctional smooth muscle level until now. The implications of such plasticity are being discussed.}},
  author       = {{Ochodnicky, P. and Uvelius, Bengt and Andersson, K. -E. and Michel, M. C.}},
  issn         = {{1748-1716}},
  keywords     = {{beta-adrenergic receptor; bladder; muscarinic receptor; neuronal; plasticity}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{16--33}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Physiologica}},
  title        = {{Autonomic nervous control of the urinary bladder}},
  url          = {{http://dx.doi.org/10.1111/apha.12010}},
  doi          = {{10.1111/apha.12010}},
  volume       = {{207}},
  year         = {{2013}},
}