PMID- 36699677 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230202 IS - 1664-042X (Print) IS - 1664-042X (Electronic) IS - 1664-042X (Linking) VI - 13 DP - 2022 TI - Effects of electroacupuncture on bladder dysfunction and the expression of PACAP38 in a diabetic rat model. PG - 1008269 LID - 10.3389/fphys.2022.1008269 [doi] LID - 1008269 AB - Objective: To explore the effects and the possible mechanism of electroacupuncture (EA) on diabetic bladder dysfunction (DBD) in streptozotocin-high fat diet (STZ-HFD) induced type 2 diabetes mellitus (T2DM) rats. Methods: The experiment was divided into Control, diabetic bladder dysfunction, electroacupuncture, and Sham electroacupuncture group. After 8 weeks of electroacupuncture intervention, the body mass, 24 h urine volume, intraperitoneal glucose tolerance test (IPGTT), and urodynamics were detected. After the wet weight of the bladder was detected, the hematoxylin-eosin (HE), Masson's trichrome, and TUNEL were used to analyze histological changes. The PACAP38 expressions in the bladder were detected by Real-time PCR and Western blot. Results: Compared to the Control group, the bladder wet weight, 24 h urine volume, blood glucose, maximum bladder capacity, bladder compliance, bladder wall thickness, the smooth muscle/collagen ratio, and apoptosis rate of the diabetic bladder dysfunction group were significantly increased. Moreover, the body mass and leak point pressure were significantly reduced. Compared with the Sham electroacupuncture group, the bladder wet weight, maximum bladder capacity, bladder compliance, bladder wall thickness, and apoptosis rate of the electroacupuncture group were significantly reduced. In contrast, the leak point pressure was increased. The PACAP38 mRNA and PACAP38 protein expression of the diabetic bladder dysfunction group were significantly lower than the Control group, while electroacupuncture treatment could upregulate PACAP38 mRNA levels and PACAP38 protein expression of diabetic bladder dysfunction model rats. Conclusion: electroacupuncture could ameliorate bladder dysfunction in the diabetic bladder dysfunction model rats by reversing bladder remodeling, which might be mainly mediated by regulating the PACAP38 level. CI - Copyright (c) 2023 Han, Chen, Ha, Yang, Wang, Chen, Zhou, Long, Qiu and Chen. FAU - Han, Xuke AU - Han X AD - College of Acupuncture and Massage, Shaanxi University of Chinese Medicine, Xianyang, China. AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Chen, Yiding AU - Chen Y AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Ha, Lue AU - Ha L AD - College of Acupuncture and Massage, Shaanxi University of Chinese Medicine, Xianyang, China. FAU - Yang, Jiao AU - Yang J AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Wang, Fangzhou AU - Wang F AD - College of Acupuncture and Massage, Shaanxi University of Chinese Medicine, Xianyang, China. FAU - Chen, Huizhen AU - Chen H AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Zhou, Qian AU - Zhou Q AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Long, Cong AU - Long C AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Qiu, Xianliang AU - Qiu X AD - West China Second Hospital, Sichuan University, Chengdu, China. FAU - Chen, Qiu AU - Chen Q AD - Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. LA - eng PT - Journal Article DEP - 20230109 PL - Switzerland TA - Front Physiol JT - Frontiers in physiology JID - 101549006 PMC - PMC9868671 OTO - NOTNLM OT - cystometry OT - diabetic bladder dysfunction OT - electroacupuncture OT - pituitary adenylate cyclase activating polypeptide OT - type 2 diabetes mellitus rats COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/01/27 06:00 MHDA- 2023/01/27 06:01 PMCR- 2023/01/09 CRDT- 2023/01/26 02:48 PHST- 2022/08/02 00:00 [received] PHST- 2022/12/21 00:00 [accepted] PHST- 2023/01/26 02:48 [entrez] PHST- 2023/01/27 06:00 [pubmed] PHST- 2023/01/27 06:01 [medline] PHST- 2023/01/09 00:00 [pmc-release] AID - 1008269 [pii] AID - 10.3389/fphys.2022.1008269 [doi] PST - epublish SO - Front Physiol. 2023 Jan 9;13:1008269. doi: 10.3389/fphys.2022.1008269. eCollection 2022.