Lj. O'Connor et al., Effect of partial outflow obstruction on the distribution of free fatty acids and phospholipids in the rabbit bladder, WORLD J URO, 17(5), 1999, pp. 261-265
The urinary bladder is separated into two distinct components, the mucosal
epithelium (urothelium) and the underlying detrusor smooth muscle. Specific
bladder dysfunctions such as partial outlet obstruction may contribute to
the breakdown and damage of cell membranes. The major component of cell mem
branes is phospholipids, and the release of free fatty acids (FFA) from mem
brane phospholipids is suggestive of degradative lipase activity. The curre
nt investigation is concerned with the effect of partial outlet obstruction
on the subcellular distribution of free fatty acids and phospholipids (PL)
in rabbit bladder muscle and mucosa. Partial outlet obstructions were surg
ically created in mature male New Zealand White rabbits by standard methodo
logy. At 2 weeks following surgery, rabbits were euthanized and the bladder
s, removed and separated into smooth muscle and mucosa. Muscle and mucosa w
ere homogenized and separated by differential centrifugation to obtain sepa
rate subcellular fractions including plasma membranes, mitochondria, micros
omes, and cytosol. The homogenate and supernatant fraction, free of membran
es, were also saved. The free-fatty-acid (FFA) and choline-containing phosp
holipid (PL) content and the rate of generation of FFA were quantitated usi
ng in vitro enzymatic colorimetric methods. Relative to controls there was
a significant increase in the FFA content of the obstructed smooth muscle a
nd an increase in the PL content of the obstructed mucosa. There was an inc
rease in FFA content in the mitochondrial fraction and a decrease in the su
pernatant of the obstructed smooth muscle. The PL content was reduced in th
e obstructed smooth muscle microsomal and supernatant fi-actions and was in
creased in the supernatant fraction of the mucosa. Endogenous lipase activi
ty among control bladders was more than 10-fold greater in mucosa than in m
uscle. The FFA generation of the smooth muscle was significantly reduced by
partial outlet obstruction. In conclusion, partial outlet obstruction caus
es bladder dysfunction due to activation of enzymes that hydrolyze cellular
and subcellular membranes. The increase in endogenous lipase activity and
generation of FFA among obstructed bladders indicates that the pathological
state affects the membrane structure needed for normal bladder function.