Platelet-Rich Plasma Ameliorates Cyclophosphamide-Induced Acute Interstitial Cystitis/Painful Bladder Syndrome in a Rat Model

Yung-Hsiang Chen; Kee-Ming Man; Wen-Chi Chen; Po-Len Liu; Kao-Sung Tsai; Ming-Yen Tsai; Yu-Tzu Wu; Huey-Yi Chen

doi:10.3390/diagnostics10060381

Platelet-Rich Plasma Ameliorates Cyclophosphamide-Induced Acute Interstitial Cystitis/Painful Bladder Syndrome in a Rat Model

Diagnostics (Basel). 2020 Jun 8;10(6):381. doi: 10.3390/diagnostics10060381.

Authors

Yung-Hsiang Chen^{1

2

3}, Kee-Ming Man^{4

5

6}, Wen-Chi Chen^{1

2}, Po-Len Liu⁷, Kao-Sung Tsai⁸, Ming-Yen Tsai⁹, Yu-Tzu Wu¹⁰, Huey-Yi Chen^{1

2}

Affiliations

¹ Graduate Institute of Integrated Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan.
² Departments of Medical Research, Urology, and Obstetrics and Gynecology, China Medical University Hospital, Taichung 40447, Taiwan.
³ Department of Psychology, College of Medical and Health Science, Asia University, Taichung 41354, Taiwan.
⁴ Department of Life Sciences, National Chung Hsing University, Taichung 40227, Taiwan.
⁵ Department of Anesthesiology, China Medical University Hsinchu Hospital, Hsinchu 30272, Taiwan.
⁶ Department of Medicinal Botanicals and Health Applications, Da Yeh University, Changhua 51591, Taiwan.
⁷ Department of Respiratory Therapy, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
⁸ Department of Applied Cosmetology, Hungkuang University, Taichung 43302, Taiwan.
⁹ Department of Chinese Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, Taiwan.
¹⁰ Department of Neurology, Kuang Tien General Hospital, Taichung 43303, Taiwan.

Abstract

Background: Interstitial cystitis/painful bladder syndrome (IC/PBS) could be treated to ameliorate urothelial injury. Here, we investigated the efficacy of intravesical instillation with platelet-rich plasma (PRP) and hyaluronic acid for acute IC/PBS.

Methods: The effects of PRP and hyaluronic acid on the proliferation of normal human fibroblast cells (HFCs) were assessed. Additionally, thirty virgin female rats were randomized into five groups: group 1, saline-injected control; group 2, cyclophosphamide (CYP) plus intravesical instillation with normal saline; group 3, CYP plus intravesical instillation with hyaluronic acid (1 mg/mL); group 4, CYP plus intravesical instillation with PRP; and group 5, CYP plus intravesical instillation with PRP plus hyaluronic acid. A cystometry and histological assessments were performed. The expression of cell junction-associated protein zonula occludens-2 (ZO-2) and inflammatory cytokine interleukin 6 (IL-6) was also measured.

Results: Low dose PRP increased proliferation in HFCs. The acute IC/PBS rats showed significantly lower voiding interval values. Voiding interval values were significantly higher in the CYP plus intravesical instillation with PRP group than in the CYP-induced acute IC/PBS group. Additionally, the expression of ZO-2 was increased and IL-6 was decreased in the CYP plus intravesical instillation with PRP group compared with the CYP-induced acute IC/PBS group.

Conclusion: These findings suggest that PRP modulate urothelial repair, which ameliorate the increase in urination frequency in rats treated with CYP. Overall, PRP may confer potential benefits by acting as urothelial repair modulators.

Keywords: cyclophosphamide; interstitial cystitis; painful bladder syndrome; platelet-rich plasma.

Abstract

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