Downregulation of tight junction protein zonula occludens-2 and urothelium damage in a cyclophosphamide-induced mouse model of cystitis

Taiwan J Obstet Gynecol. 2018 Jun;57(3):399-406. doi: 10.1016/j.tjog.2018.04.013.

Abstract

Objectives: The cyclophosphamide (CYP)-induced model of cystitis in mice closely fits the symptoms of chronic bladder inflammation. Cystitis was recently found to be due to an altered gap junction protein in a rat model. Thus, this study was conducted to evaluate changes in protein expression and composition in the bladder of CYP-treated mice.

Materials and methods: Administration of CYP induced cystitis-related symptoms in mice. Cystometry was assessed and cell junction-associated protein zonula occludens-2 (ZO-2) expression was measured. Voiding interval values (time between voids) were assessed in mice under anesthesia. The bladders were removed for proteomic analysis using label-free quantitative proteomics and liquid chromatography-mass spectrometry. Additionally, immunochemistry (IHC) and Western blot were used to confirm the location and level, respectively, of ZO-2 expression.

Results: Compared to the control group, the voiding interval values and urothelial thickness in the bladder in the CYP-treated group were significantly decreased. Additionally, we identified 105 differentially expressed proteins in the bladder of CYP-treated mice with proteomic analysis. These proteins were involved in cell-cell tight junctions, exocytosis, muscle development, contraction, and regulation, immune responses, proteolysis, and cell adhesion. IHC and Western blot confirmed the downregulation of the tight junction protein ZO-2 in the urothelium of bladder.

Conclusions: Our results suggest that downregulation in tight junction protein ZO-2 and urothelium damage may have a role in cystitis-related OAB. These changes could be related to the molecular mechanism of cystitis-related OAB.

Keywords: Cyclophosphamide; Cystitis; Proteomics; Tight junction; Urothelium.

MeSH terms

  • Animals
  • Blotting, Western
  • Cyclophosphamide / administration & dosage
  • Cystitis / chemically induced
  • Cystitis / metabolism*
  • Cystitis / physiopathology
  • Disease Models, Animal
  • Down-Regulation
  • Female
  • Humans
  • Mice
  • Mice, Inbred C57BL
  • Tight Junctions / metabolism*
  • Urinary Bladder / metabolism*
  • Urinary Bladder / pathology
  • Urination*
  • Urothelium / metabolism*
  • Urothelium / pathology
  • Zonula Occludens-2 Protein / metabolism*

Substances

  • Zonula Occludens-2 Protein
  • Cyclophosphamide