PMID- 36549668 OWN - NLM STAT- MEDLINE DCOM- 20230505 LR - 20230505 IS - 1476-5381 (Electronic) IS - 0007-1188 (Linking) VI - 180 IP - 11 DP - 2023 Jun TI - TRPV1 and TRPM8 antagonists reduce cystitis-induced bladder hypersensitivity via inhibition of different sensitised classes of bladder afferents in guinea pigs. PG - 1482-1499 LID - 10.1111/bph.16017 [doi] AB - BACKGROUND AND PURPOSE: Interstitial cystitis (=painful bladder syndrome) is a chronic bladder syndrome characterised by pelvic and bladder pain, urinary frequency and urgency, and nocturia. Transient receptor potential (TRP) channels are an attractive target in reducing the pain associated with interstitial cystitis. The current study aims to determine the efficacy of combination of TRP vanilloid 1 (TRPV1) and TRP melastatin 8 (TRPM8) channel inhibition in reducing the pain associated with experimental cystitis in guinea pigs. EXPERIMENTAL APPROACH: A novel animal model of non-ulcerative interstitial cystitis has been developed using protamine sulfate/zymosan in female guinea pigs. Continuous voiding cystometry was performed in conscious guinea pigs. Ex vivo "close-to-target" single unit extracellular recordings were made from fine branches of pelvic nerves entering the guinea pig bladder. Visceromotor responses in vivo were used to determine the effects of TRP channel antagonists on cystitis-induced bladder hypersensitivity. KEY RESULTS: Protamine sulfate/zymosan treatment evoked mild inflammation in the bladder and increased micturition frequency in conscious animals. In cystitis, high threshold muscular afferents were sensitised via up-regulation of TRPV1 channels, high threshold muscular-mucosal afferents were sensitised via TRPM8 channels, and mucosal afferents by both. Visceromotor responses evoked by noxious bladder distension were significantly enhanced in cystitis and were returned to control levels upon administration of combination of low doses of TRPV1 and TRPM8 antagonists. CONCLUSIONS AND IMPLICATIONS: The data demonstrate the therapeutic promises of combination of TRPV1 and TRPM8 antagonists for the treatment of bladder hypersensitivity in cystitis. CI - (c) 2022 British Pharmacological Society. FAU - Ramsay, Stewart AU - Ramsay S AUID- ORCID: 0000-0003-2068-3868 AD - Discipline of Human Physiology, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia. FAU - Keightley, Lauren AU - Keightley L AD - Discipline of Human Physiology, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia. FAU - Brookes, Simon AU - Brookes S AD - Discipline of Human Physiology, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia. FAU - Zagorodnyuk, Vladimir AU - Zagorodnyuk V AUID- ORCID: 0000-0001-6418-7482 AD - Discipline of Human Physiology, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230113 PL - England TA - Br J Pharmacol JT - British journal of pharmacology JID - 7502536 RN - 0 (Transient Receptor Potential Channels) RN - 0 (TRPV Cation Channels) RN - 9010-72-4 (Zymosan) RN - 0 (TRPM Cation Channels) SB - IM MH - Animals MH - Female MH - Guinea Pigs MH - *Cystitis/drug therapy MH - *Cystitis, Interstitial MH - *Hypersensitivity MH - Pain MH - *Transient Receptor Potential Channels MH - TRPV Cation Channels MH - Urinary Bladder MH - Zymosan/pharmacology MH - TRPM Cation Channels/antagonists & inhibitors OTO - NOTNLM OT - TRPM8 channels OT - TRPV1 channels OT - bladder afferents OT - bladder hypersensitivity OT - cystitis OT - visceromotor responses EDAT- 2022/12/23 06:00 MHDA- 2023/05/03 06:42 CRDT- 2022/12/22 19:42 PHST- 2022/11/25 00:00 [revised] PHST- 2022/06/13 00:00 [received] PHST- 2022/12/19 00:00 [accepted] PHST- 2023/05/03 06:42 [medline] PHST- 2022/12/23 06:00 [pubmed] PHST- 2022/12/22 19:42 [entrez] AID - 10.1111/bph.16017 [doi] PST - ppublish SO - Br J Pharmacol. 2023 Jun;180(11):1482-1499. doi: 10.1111/bph.16017. Epub 2023 Jan 13.