Recent studies indicate that the mucosa of the urinary bladder plays a
major role in the maintenance of normal bladder function. Previous st
udies have demonstrated that rabbit bladder mucosa has higher rates of
basal glycolysis and oxidative phosphorylation than that of bladder s
mooth muscle. The current study compares the response of rabbit bladde
r mucosa and smooth muscle compartments to anoxia. The results demonst
rate that the rate of high energy phosphate degradation of the mucosa
is significantly greater than the rate of high energy phosphate degrad
ation of the smooth muscle. The implication is that the mucosa would b
e significantly more sensitive to ischemia than the smooth muscle of t
he bladder. This hypothesis may be extremely relevant to conditions su
ch as interstitial cystitis and recurrent urinary bladder infections,
in which ischemia has been implicated in their etiology. (C) 1996 Wile
y-Liss, Inc.