PMID- 17957780 OWN - NLM STAT- MEDLINE DCOM- 20080919 LR - 20080616 IS - 0733-2467 (Print) IS - 0733-2467 (Linking) VI - 27 IP - 5 DP - 2008 TI - Estrogen-sensitive projections from the medial preoptic area to the dorsal pontine tegmentum, including Barrington's nucleus, in the rat. PG - 440-5 AB - AIM: Urinary incontinence affects a significant number of post-menopausal women. There is conflicting evidence whether voiding symptoms in these women are related to hypoestrogenism or aging itself. This neuroanatomical study was designed to determine whether a specific central nervous system (CNS) pathway that projects to the pontine micturition center (PMC, also known as "Barrington's nucleus") is estrogen sensitive in a rat model. METHODS: A fluorescent retrograde tracer was injected into the dorsal pontine tegmentum of adult female Sprague-Dawley rats to identify neurons in the medial preoptic area (MPA) that project to the PMC. Immunohistochemistry was performed using antibodies directed against estrogen receptor-alpha (ERalpha) and estrogen receptor-beta (ERbeta) to identify estrogen-sensitive neurons. The brain sections were examined using fluorescence microscopy to identify cells that project to the PMC (contain fluorescent tracer) and also express ER (are immunoreactive for ER). RESULTS: There are neurons in the MPA that are double labeled (contain fluorescent tracer and express ERalpha, but not ERbeta), showing that a subset of neurons projecting from the MPA to the PMC is estrogen sensitive. CONCLUSIONS: A subset of estrogen-sensitive neurons projects from the MPA to the PMC in rats, raising the possibility that indirect estrogenic regulation of forebrain neuronal function may modulate the micturition reflex. Future development of drugs that alter the function of this estrogen-sensitive CNS pathway may provide therapeutic strategies to treat post-menopausal incontinence. FAU - Rickey, Leslie Minor AU - Rickey LM AD - Division of Urology, University of Maryland Medical Center, Baltimore, Maryland 21201, USA. lrickey@smail.umaryland.edu FAU - Sarkey, Sara AU - Sarkey S FAU - DonCarlos, Lydia L AU - DonCarlos LL LA - eng PT - Journal Article PL - United States TA - Neurourol Urodyn JT - Neurourology and urodynamics JID - 8303326 RN - 0 (2-hydroxy-4,4'-diamidinostilbene, methanesulfonate salt) RN - 0 (Estrogen Receptor alpha) RN - 0 (Estrogen Receptor beta) RN - 0 (Estrogens) RN - 0 (Fluorescent Dyes) RN - 0 (Stilbamidines) SB - IM MH - Animals MH - Data Interpretation, Statistical MH - Estrogen Receptor alpha/drug effects/metabolism MH - Estrogen Receptor beta/drug effects/metabolism MH - Estrogens/*physiology MH - Female MH - Fluorescent Dyes MH - Locus Coeruleus/*physiology MH - Microscopy, Fluorescence MH - Neural Pathways/*physiology MH - Neurons/metabolism MH - Ovariectomy MH - Pons/*physiology MH - Preoptic Area/*physiology MH - Rats MH - Rats, Sprague-Dawley MH - Stilbamidines EDAT- 2007/10/25 09:00 MHDA- 2008/09/20 09:00 CRDT- 2007/10/25 09:00 PHST- 2007/10/25 09:00 [pubmed] PHST- 2008/09/20 09:00 [medline] PHST- 2007/10/25 09:00 [entrez] AID - 10.1002/nau.20522 [doi] PST - ppublish SO - Neurourol Urodyn. 2008;27(5):440-5. doi: 10.1002/nau.20522.