Protective effects of estrogen on ischemia/reperfusion-induced bladder dysfunction in female rabbits

Shu Mien Chuang, Cheng Yu Long, Rong Jyh Lin, Keh Min Liu, Robert M. Levin, Chao Yuan Chang, Ya Wen Ho, Wen Jeng Wu, Wei Chiao Chang, Yung Shun Juan

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Objective: The present study investigated the effects of ovarian hormone depletion and estrogen administration on ischemia/reperfusion (I/R)-induced bladder damage in female rabbits. Methods: Female New Zealand white rabbits were divided into five groups. A sham surgical procedure was performed on rabbits in group 1. In group 2, both vesical arteries were clamped for 2 hours and then released (I/R surgical procedure). In group 3, 17β-estradiol (100 μg/kg/d) was injected intramuscularly before I/R surgical procedure. In group 4, ovariectomies were performed before I/R surgical procedure. Group 5 had ovariectomy, recovered for 2 weeks, and then received 17β-estradiol for 2 weeks. I/R surgical procedure was performed thereafter. Rabbits were killed 7 days after I/R surgical procedure. Masson's trichrome stain was used, and immunohistochemical experiments were performed to evaluate interstitial fibrosis and intramural nerve changes. Western immunoblots were examined to determine the expressions of markers for inflammation, fibrosis, and oxidative stress. Results: I/R surgical procedure decreased bladder contractile responses by 30% to 50%. Ovarian hormone depletion further reduced bladder contractile function by 45% to 55% compared with the I/R group members that retained their ovaries. Moreover, I/R surgical procedure significantly decreased intramural neurofilament staining by two thirds compared with the control group. Estrogen replacement after ovariectomy significantly increased the density of nerve terminals. In addition, the expression of transforming growth factor-β and fibronectin increased twofold and fivefold after I/R, respectively. Ovarian hormone depletion further increased the expression of these inflammatory and fibrosis markers. Ovariectomy significantly exacerbated oxidative damage, whereas estrogen replacement diminished oxidative stress to a level approaching that of the control group. Conclusions: I/R surgical procedure increases oxidative damage, enhances interstitial fibrosis, and results in bladder denervation. Ovarian hormone deficiency exacerbates this I/R-induced bladder damage, whereas estrogen therapy after ovariectomy attenuates this injury. These results reveal estrogen's protective effects on bladders subjected to I/R injury and the potential benefits of estrogen therapy on I/R-induced bladder damage.

Original languageEnglish
Pages (from-to)209-217
Number of pages9
Issue number2
Publication statusPublished - Feb 2013


  • Bladder
  • Estrogen
  • Ischemia/reperfusion
  • Ovariectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


Dive into the research topics of 'Protective effects of estrogen on ischemia/reperfusion-induced bladder dysfunction in female rabbits'. Together they form a unique fingerprint.

Cite this