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Drug delivery model to inform investigations into bladder pathophysiology: potential role for suburothelial pericyte cells

de Sousa Loreto Aresta Branco, Mafalda (2020) Drug delivery model to inform investigations into bladder pathophysiology: potential role for suburothelial pericyte cells. Doctor of Philosophy (PhD) thesis, University of Kent,. (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:80942)

Language: English

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Pathologies affecting the bladder, such as overactive bladder, interstitial cystitis/bladder pain syndrome and ketamine-induced cystitis have a dramatic effect on quality of life. Unfortunately, the pathological mechanisms are poorly understood and therefore treatment is mostly empirical, often ineffective or with intolerable side effects.

In a subsequent study, the aim was to estimate the concentrations of ketamine accumulated in the urine following recreational use and investigate if urinary ketamine penetrates the bladder wall to achieve harmful concentrations, which ultimately lead to the development of ketamine-induced cystitis. Higher concentration and longer exposure to ketamine were associated with urothelial damage, supporting the hypothesis that urinary ketamine has a direct toxic effect. It has also been proposed that the pathophysiological mechanism involves microvascular changes induced by ketamine. To investigate this further, a viable murine bladder tissue model was developed to study microvascular blood flow regulation, with a particular focus on the role of pericyte cells. Using this model, it was observed that ketamine evoked pericyte-mediated constriction of the suburothelial capillaries of the bladder, which may translate in vivo into reduction of blood flow to the tissue and eventually lead to bladder dysfunction.

Overall, this thesis highlights that changes to the barrier function and microvascular blood flow can have an important role in bladder pathophysiology.

Item Type: Thesis (Doctor of Philosophy (PhD))
Thesis advisor: P. Wildman, Scott
Uncontrolled keywords: bladder intravesical drug delivery lidocaine ketamine pericyte microvasculature ketamine-induced cystitis overactive bladder interstitial cystitis/bladder pain syndrome
SWORD Depositor: System Moodle
Depositing User: System Moodle
Date Deposited: 21 Apr 2020 12:10 UTC
Last Modified: 20 May 2021 13:23 UTC
Resource URI: (The current URI for this page, for reference purposes)
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