? The urinary bladder has two major functions; storage and voiding of urine. Contraction and relaxation of the urinary bladder smooth muscle (UBSM) is crucial to these tasks. Sympathetic nerves maintain relaxation of the bladder during filling via stimulation of (-adrenoceptors. However, the exact physiological mechanisms by which (-adrenergic stimulation relaxes UBSM is unknown. ? Urinary incontinence is a common urogenital disease that can lead to life-threatening kidney problems. The most widespread type of incontinence, urge incontinence, is a result of increased UBSM contractions. Evidence suggests that defects in UBSM receptors or ion channels, such as the large conductance Ca2+-activated K+ (BK) channel and the small conductance Ca2+-activated K+ (SK) channel may underlie certain forms of urinary bladder dysfunction, including urge incontinence. We recently demonstrated that BK channel can be activated upon (-adrenergic stimulation to promote UBSM relaxation via a Ca2+-dependent mechanism (Petkov & Nelson, 2005, American Journal of Physiology). ? This project will focus on elucidating the cellular and molecular mechanisms by which (-adrenergic stimulation promotes UBSM relaxation. The overall hypothesis is that P-adrenergic stimulation relaxes UBSM via mechanisms, involving BK and SK channels, sarcoplasmic reticulum (SR) Ca2+ and urothelium. ? Specific aim 1 will elucidate the mechanisms by which (-adrenergic stimulation activates BK channels; ? Specific aim 2 will elucidate the role of sarcoplasmic reticulum (SR) Ca2+ in (-adrenergic UBSM relaxation; ? Specific aim 3 will elucidate the roles of SK channels and the urothelium in (-adrenergic relaxation of UBSM. ? We will use an integrated approach, combining electrophysiological, Ca2+ imaging, molecular biology, as well as in vivo and in vitro functional studies on bladder contractility in normal and genetically engineered mice to address the fundamental issue of (-adrenergic regulation of UBSM function. ? Establishing the exact molecular mechanisms of UBSM (-adrenergic relaxation will provide new potential therapeutic targets for treating urinary incontinence ? ?

National Institute of Health (NIH)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Research Scientist Development Award - Research & Training (K01)
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Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
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Moen, Laura K
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University of South Carolina at Columbia
Schools of Pharmacy
United States
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Chen, Muyan; Kellett, Whitney F; Petkov, Georgi V (2010) Voltage-gated K(+) channels sensitive to stromatoxin-1 regulate myogenic and neurogenic contractions of rat urinary bladder smooth muscle. Am J Physiol Regul Integr Comp Physiol 299:R177-84
Chen, Muyan; Petkov, Georgi V (2009) Identification of large conductance calcium activated potassium channel accessory beta4 subunit in rat and mouse bladder smooth muscle. J Urol 182:374-81
Brown, Sean M; Bentcheva-Petkova, Lilia M; Liu, Lei et al. (2008) Beta-adrenergic relaxation of mouse urinary bladder smooth muscle in the absence of large-conductance Ca2+-activated K+ channel. Am J Physiol Renal Physiol 295:F1149-57
Hristov, Kiril L; Cui, Xiangli; Brown, Sean M et al. (2008) Stimulation of beta3-adrenoceptors relaxes rat urinary bladder smooth muscle via activation of the large-conductance Ca2+-activated K+ channels. Am J Physiol Cell Physiol 295:C1344-53