An innovative electrical neurostimulation approach to mimic reflexive urination control in spinal cord injury models.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
25 Oct 2024
Historique:
received: 04 07 2024
accepted: 14 10 2024
medline: 26 10 2024
pubmed: 26 10 2024
entrez: 25 10 2024
Statut: epublish

Résumé

Neurogenic lower urinary tract dysfunction (NLUTD) is a frequent consequence of spinal cord injury (SCI), leading to symptoms that significantly impact quality of life. Although many life-saving techniques are available, current treatment strategies for managing NLUTD still exhibit limitations and drawbacks. Here, we introduce a new electrical neuromodulation strategy involving electrical stimulation of the major pelvic ganglion (MPG) to initiate bladder contraction, in conjunction with innovative programmable (IPG) electrical stimulation on the pudendal nerve (PN) to induce external urethral sphincter (EUS) relaxation in freely moving or anesthetized SCI mice. Furthermore, we conducted the void spot assay, and cystometry coupled with EUS electromyography (EMG) recordings to evaluate voiding function, and monitor bladder pressure and EUS activity. Our findings demonstrate that our novel electrical neuromodulation approach effectively triggers coordinated bladder muscle contraction and EUS relaxation, effectively counteracting SCI-induced NLUTD. Additionally, this electrical neuromodulation method enhances voiding efficiency, closely resembling natural reflexive urination in SCI mice. Thus, our study offers a promising electrical neurostimulation approach aimed at restoring physiological coordination and potentially offering personalized treatment for improving voiding efficiency in individuals with SCI-associated NLUTD.

Identifiants

pubmed: 39455718
doi: 10.1038/s41598-024-76499-3
pii: 10.1038/s41598-024-76499-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

25305

Subventions

Organisme : National Natural Science Foundation of China
ID : 31970946
Organisme : Talent Project of chongqing
ID : 4246ZP1252
Organisme : China Postdoctoral Science Foundation
ID : 2021M70602

Informations de copyright

© 2024. The Author(s).

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Auteurs

Jun Li (J)

School of Physical Science and Technology, Guangxi University, Nanning, 530004, China.

Guoxian Deng (G)

Department of Urology, PLA Naval Medical Center, Naval Medical University, Shanghai, 200052, China.

Xianping Li (X)

Department of Urology, PLA Naval Medical Center, Naval Medical University, Shanghai, 200052, China.

Lingxuan Yin (L)

Guangxi Key Laboratory of Special Biomedicine, School of Medicine, Guangxi University, Nanning, 530004, China.

Chunhui Yuan (C)

Department of Urology, PLA Naval Medical Center, Naval Medical University, Shanghai, 200052, China.

Wei Shao (W)

Guangxi Key Laboratory of Special Biomedicine, School of Medicine, Guangxi University, Nanning, 530004, China.

Yuangui Chen (Y)

Department of Urology, PLA Naval Medical Center, Naval Medical University, Shanghai, 200052, China. orthodoctchen@163.com.

Jiwei Yao (J)

Department of Urology, PLA Naval Medical Center, Naval Medical University, Shanghai, 200052, China. moerfusi@126.com.
Center for Neurointelligence, School of Medicine, Chongqing University, Chongqing, 400030, China. moerfusi@126.com.

Junan Yan (J)

School of Physical Science and Technology, Guangxi University, Nanning, 530004, China. junan_yan@aliyun.com.
Department of Urology, PLA Naval Medical Center, Naval Medical University, Shanghai, 200052, China. junan_yan@aliyun.com.
Department of Urology, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China. junan_yan@aliyun.com.

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