Inhibition of LIM kinase reduces contraction and proliferation in bladder smooth muscle

Overactive bladder (OAB) is the most bothersome symptom in lower urinary tract symptoms (LUTS). Current pharmacologic treatment aims to inhibit detrusor contraction; however, shows unsatisfied efficacy and high discontinuation rate. LIM kinases (LIMKs) promote smooth muscle contraction in the prosta...

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Published inActa pharmaceutica Sinica. B Vol. 11; no. 7; pp. 1914 - 1930
Main Authors Yu, Qingfeng, Wu, Chengjie, Chen, Yeda, Li, Bingsheng, Wang, Ruixiao, Huang, Ru, Li, Xuechun, Gu, Di, Wang, Xiaolong, Duan, Xiaolu, Li, Shujue, Liu, Yang, Wu, Wenqi, Hennenberg, Martin, Zeng, Guohua
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.07.2021
Elsevier
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Summary:Overactive bladder (OAB) is the most bothersome symptom in lower urinary tract symptoms (LUTS). Current pharmacologic treatment aims to inhibit detrusor contraction; however, shows unsatisfied efficacy and high discontinuation rate. LIM kinases (LIMKs) promote smooth muscle contraction in the prostate; however, their function in the bladder smooth muscle remains unclear. Here, we studied effects of the LIMK inhibitors on bladder smooth muscle contraction and proliferation both in vitro and in vivo experiments. Bladder expressions of LIMKs are elevated in OAB rat detrusor tissues. Two LIMK inhibitors, SR7826 and LIMKi3, inhibit contraction of human detrusor strip, and cause actin filament breakdown, as well as cell proliferation reduction in cultured human bladder smooth muscle cells (HBSMCs), paralleled by reduced cofilin phosphorylation. Silencing of LIMK1 and LIMK2 in HBSMCs resulted in breakdown of actin filaments and decreased cell proliferation. Treatment with SR7826 or LIMKi3 decreased micturition frequency and bladder detrusor hypertrophy in rats with bladder outlet obstruction. Our study suggests that LIMKs may promote contraction and proliferation in the bladder smooth muscle, which could be inhibited by small molecule LIMK inhibitors. LIMK inhibitors could be a potential therapeutic strategy for OAB- related LUTS. LIM kinases (LIMKs) may promote contraction and proliferation in the bladder smooth muscle. LIMK inhibitors could be a potential therapeutic strategy for overactive bladder -related lower urinary tract symptoms. [Display omitted]
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These authors made equal contributions to this work.
ISSN:2211-3835
2211-3843
DOI:10.1016/j.apsb.2021.01.005