Rationale for the Use of Prostaglandins and Phosphodiesterase Inhibitors in the Treatment of Functional Bladder Disorders

AuthorMohammad Sajjad Rahnama'ien
AuthorGommert A. Van Koeveringeen
AuthorPhilip E. Van Kerrebroecken
Issued Date2013-11-01en
AbstractIn this paper a general discussion of the available data on the role of prostaglandin (PG) and phosphodiesterase is discussed. Functional studies would be a next step to understand the functional meaning of the data described in this paper. The data presented are a basis for further research on selective modulation of the EP1 and EP2 receptor which could be a therapeutic target in functional bladder disorders such as OAB. PDE inhibitors are closer to clinical use, as these drugs have been studied and registered for other indications such as erectile dysfunction in men. Therefore, in vivo studies in human subjects can be conducted on short term. However, from a scientific point of view, it is very important to unravel the exact site of action and role of PDE inhibition with in vitro and in vivo studies as is the case with PG. In this way, a combination of drugs targeting different mechanisms involved in bladder physiology such as PG, cGMP, cAMP, and muscarinic receptors, could reduce side effects and improve efficacy.en
DOIhttps://doi.org/10.5812/numonthly.14088en
KeywordUrinary Bladderen
KeywordPhosphodiesterase Inhibitorsen
KeywordProstaglandinen
KeywordReceptorsen
KeywordProstaglandin Een
KeywordEP1 Subtypeen
KeywordEP2 Subtypeen
PublisherBrieflandsen
TitleRationale for the Use of Prostaglandins and Phosphodiesterase Inhibitors in the Treatment of Functional Bladder Disordersen
TypeReview Articleen

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