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Journal of neuroscience methods · 2025

Optogenetic control of peripheral nerves: A novel approach to modulation of detrusor contractility in vivo.

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Maeda Akihiro, Yoshida Fumiaki, Kawasaki Maki, Tobu Shohei, Kakinoki Hiroaki, Yasuda Hiroki, Noguchi Mitsuru

Аннотация

BACKGROUND: The increasing prevalence of lower urinary tract symptoms (LUTS), particularly voiding dysfunction, has become a significant concern in aging societies. Conventional treatments, including pharmacotherapy and sacral neuromodulation, offer limited efficacy or involve invasive procedures. There is a pressing need for novel, precise, and minimally invasive neuromodulation techniques to restore bladder contractility without compromising continence.

NEW METHOD: We developed an in vivo optogenetic approach to modulate bladder detrusor activity by delivering an adeno-associated virus (AAV9-hSyn-SOUL) encoding a light-sensitive ion channel directly into the bladder wall of Sprague-Dawley rats. Four weeks post-injection, cystometry was conducted to evaluate bladder responses to blue light (473 nm) stimulation. Histological analysis confirmed transgene expression in peripheral nerves.

RESULTS: Optical stimulation significantly increased intravesical pressure in all vector-injected rats, as confirmed by cystometric analysis. Urinary interval and voided volume showed no significant change following stimulation. Immunofluorescence staining revealed co-localization of SOUL expression with the peripheral nerve marker peripherin in the bladder wall.

COMPARISON WITH EXISTING METHODS: Compared to electrical stimulation and pharmacologic agents, this optogenetic approach provided targeted and reversible control of bladder contractions without requiring transgenic animal models or systemic exposure. It offers a less invasive alternative to sacral neuromodulation with improved specificity.

CONCLUSIONS: This study demonstrates that optogenetic stimulation of the peripheral bladder nerves using AAV-mediated SOUL expression effectively enhances detrusor contractility while preserving voiding function. These findings support the feasibility of a light-controlled, minimally invasive neuromodulation strategy for the treatment of voiding dysfunction.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты