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Locational and Directional Dependencies of Smooth Muscle Properties in Pig Urinary Bladder

机译:猪膀胱内平滑肌特性的位置和方向依赖性

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The urinary bladder is a distensible hollow muscular organ, which allows huge changes in size during absorption, storage and micturition. Pathological alterations of biomechanical properties can lead to bladder dysfunction and loss in quality of life. To understand and treat bladder diseases, the mechanisms of the healthy urinary bladder need to be determined. Thus, a series of studies focused on the detrusor muscle, a layer of urinary bladder made of smooth muscle fibers arranged in longitudinal and circumferential orientation. However, little is known about whether its active muscle properties differ depending on location and direction. This study aimed to investigate the porcine bladder for heterogeneous (six different locations) and anisotropic (longitudinal vs. circumferential) contractile properties including the force-length-(FLR) and force-velocity-relationship (FVR). Therefore, smooth muscle tissue strips with longitudinal and circumferential direction have been prepared from different bladder locations (apex dorsal, apex ventral, body dorsal, body ventral, trigone dorsal, trigone ventral). FLR and FVR have been determined by a series of isometric and isotonic contractions. Additionally, histological analyses were conducted to determine smooth muscle content and fiber orientation. Mechanical and histological examinations were carried out on 94 and 36 samples, respectively. The results showed that maximum active stress ( p _(act) ) of the bladder strips was higher in the longitudinal compared to the circumferential direction. This is in line with our histological investigation showing a higher smooth muscle content in the bladder strips in the longitudinal direction. However, normalization of maximum strip force by the cross-sectional area (CSA) of smooth muscle fibers yielded similar smooth muscle maximum stresses (165.4 ± 29.6 kPa), independent of strip direction. Active muscle properties (FLR, FVR) showed no locational differences. The trigone exhibited higher passive stress ( p _(pass) ) than the body. Moreover, the bladder exhibited greater p _(pass) in the longitudinal than circumferential direction which might be attributed to its microstructure (more longitudinal arrangement of muscle fibers). This study provides a valuable dataset for the development of constitutive computational models of the healthy urinary bladder. These models are relevant from a medical standpoint, as they contribute to the basic understanding of the function of the bladder in health and disease.
机译:膀胱是可扩张的中空肌肉器官,其在吸收,储存和排尿期间允许尺寸发生巨大变化。生物力学性质的病理改变可导致膀胱功能障碍和生活质量下降。为了理解和治疗膀胱疾病,需要确定健康膀胱的机制。因此,一系列研究集中在逼尿肌上,逼尿肌是由沿纵向和圆周方向排列的平滑肌纤维制成的膀胱层。然而,关于其活跃的肌肉特性是否根据位置和方向而变化的知之甚少。这项研究旨在调查猪膀胱的异质性(六个不同位置)和各向异性(纵向与圆周)收缩特性,包括力长(FLR)和力速关系(FVR)。因此,已经从不同的膀胱位置(背顶,腹顶,体背,体腹,三角骨背,三角骨腹侧)制备了具有纵向和周向方向的平滑肌组织带。 FLR和FVR已通过一系列等距和等张收缩确定。另外,进行组织学分析以确定平滑肌含量和纤维取向。分别对94和36个样品进行了机械和组织学检查。结果表明,与周向相比,囊条的最大活动应力(p _(act))在纵向上更高。这与我们的组织学调查结果一致,该研究表明,在膀胱条的纵向上有较高的平滑肌含量。但是,通过平滑肌纤维的横截面积(CSA)对最大剥离力进行归一化,会产生相似的平滑肌最大应力(165.4±29.6 kPa),与剥离方向无关。活跃的肌肉特性(FLR,FVR)没有位置差异。三角骨表现出比身体更高的被动应力(p _(pass))。而且,膀胱在纵向上比周向显示出更大的p_(通过),这可能归因于其微观结构(肌纤维的更多纵向排列)。这项研究为开发健康的膀胱本构计算模型提供了有价值的数据集。从医学的角度来看,这些模型是相关的,因为它们有助于基本了解膀胱在健康和疾病中的功能。

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