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George O'Brien Urology Training Center Program

Urology Research Program at Penn

Outlet Obstruction / Detrusor Remodeling

Diabetes

Incontinence

Erectile Dysfunction

Urological Cancer

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George O'Brien Urology Research Center Program

The George M. O'Brien Urology Research Center at the University of Pennsylvania is an inter-institutional, multidisciplinary program, supported by the NIDDK, that focuses its research on the molecular mechanisms underlying smooth muscle dysfunction in partial urinary bladder outlet obstruction (PBOO).

Funding Opportunities for 2005-06 available. Click here for details.

The Center has three key elements:

1) the laboratories of five principal investigators and Co-PIs who bring expertise in molecular biology, cellular biology, biochemistry, physiology, pharmacology, and pathology;

2) an administrative core (Core A) to provide administrative oversight, quality control of projects, coordination of the research and interactions in the Urology Center; and

3) a bladder tissue core (Core B) to serve as a resource for smooth muscle tissue from animal models (rabbits and mice) for PBOO as well as human bladder tissue from surgical specimens.

Projects

1: Extracellular Matrix Changes in Response to Obstruction (Macarak)

2: Effect of Extracellular Matrix and Stretch on the Expression of Smooth Muscle Phenotype during Detrusor Smooth Muscle Remodeling (DiSanto)

3: Cellular and Molecular Basis of Detrusor Contractility and Bladder Dysfunction in Obstruction-Induced Detrusor Remodeling (Chacko)

These projects relate to one another as

Cores and P&F Studies

Core A: Administrative Core (Chacko & Wein)

Core B: Bladder Tissue Core (Zderic)

Pilot & Feasibility 1) Glenn Radice, Ph.D. : N-cadherin-Mediated Adhesion during Bladder Outlet Obstruction

Pilot & Feasibility 2) Rita Valentino, Ph.D.: Interrelationships between Urodynamics and Arousal

The new proposal will determine which signal transduction pathways lead to Ca2+-sensitization, actin-myosin interaction, crossbridge cycling, and how they are altered in the remodeling detrusors. Furthermore, it will help to establish which changes are reversible upon removal of the obstruction, and which molecular events are not reversible in the bladders that continue to be dysfunctional even after reversal of the obstruction. Data from these studies would help elucidate the cellular/molecular basis for the alteration of detrusor contractility following PBOO, to identify molecular markers that can be used to determine which obstructed bladder is remodeled beyond a point that contractile dysfunction is irreversible, and to target molecular steps for developing therapy.

 

 

Other Affiliated Projects

Mechanism for the Regulation of Cross-Bridge Cycling and Force Generation and Maintenance in Bladder Remodeling following Outlet Obstruction (Moreland and Barsotti)

 

 

 

 

 

Research Personnel

Director
Samuel K. Chacko, DVM, Ph.D.
Research Investigators
  Shaohua Chang, Ph.D.
Edward Labelle, Ph.D.
Erzsebet Polyak, Ph.D.
Postdoctoral Fellows
  Andy Chang, M.D.
  Maureen Basha, Ph.D.
  Maoxian Deng, Ph.D.
Michael Nguyen, M.D.
  Gina Northington, M.D., Ph.D.
  James Marx, Ph.D.
  Sunish Mohanan, D.V.M., M.S.
Research Specialists
  Joseph A. Hypolite, B.S.
  Yongmu Zheng, M.D.

Clinical Personnel

Chairman
Alan J. Wein, M.D., Ph.D. (HON)
Professors
  Philip Hanno, M.D.
S. Bruce Malkowicz, M.D.
George Drach, M.D.
  Keith Van Arsdalen, M.D.
Associate Professors
  Stephen Zderic, M.D.
Assistant Professors
  Andrew Axilrod, M.D.
M. Louis Moy, M.D.
Diane Newman, RN, MSN

Affiliated Faculty

  Robert Barsotti, Ph.D.
Edward Labelle, Ph.D.
Edward Macarak, Ph.D.
  Robert Moreland, Ph.D.
Michael DiSanto, Ph.D.

George O'Brien Urology Training Center Program

Funding Opportunities through the O'Brien Center
Projects
Extracellular Matrix Changes in Response to Obstruction
Effect of Extracellular Matrix and Stretch on the Expression of Smooth Muscle Phenotype during Detrusor Smooth Muscle Remodeling
Cellular and Molecular Basis of Detrusor Contractility and Bladder Dysfunction in Obstruction-Induced Detrusor Remodeling
Cores and Pilot and Feasibility Projects
  Core A: Administrative Core
Core B: Bladder Tissue Core
  N-cadherin-Mediated Adhesion during Bladder Outlet Obstruction
  Interrelationships between Urodynamics and Arousal
Other Affiliated Projects
Mechanism for the Regulation of Cross-Bridge Cycling and Force Generation and Maintenance in Bladder Remodeling following Outlet Obstruction

Outlet Obstruction / Detrusor Remodeling

Remodeling of Urinary Bladder Smooth Muscle in Outlet Obstruction
Transfection with Smooth Muscle Specific Caldesmon (h-CaD) & Exposure to Intermittent Agonist-Induced Contraction Alters Phenotype, Cellular Proliferation and Morphology in Bladder Myocytes
Alteration in the Expression of Myosin Isoforms in Detrusor Smooth Muscle Following Bladder Outlet Obstruction

Smooth Muscle Hypertrophy Following Partial Bladder Outlet Obstruction is Associated with Overexpression of Non-Muscle Caldesmon

A Male Murine Model of Partial Bladder Outlet Obstruction Reveals Changes in Detrusor Morphology, Contractility, and Myosin Isoform Expression
  Regional Alterations in the Expression of Smooth Muscle Myosin Isoforms in Response to Partial Bladder Outlet Obstruction
Obstruction-Induced Changes in Urinary Bladder Smooth Muscle Contractility: A Role for Rho-Kinase
  Overexpression of Smooth Muscle Thin Filament-Associated Proteins in the Urinary Bladder Wall in Diabetes
  Increased basal phosphorylation of detrusor smooth muscle myosin in Alloxan-induced diabetic rabbit is mediated by up-regulation of Rho-kinase {beta} and CPI-17.

Urologic Complications of Diabetes

Downregulation of cGMP-Dependent Protein kinase-1 activity in Corpus Cavernosum Smooth Muscle of Diabetic Rabbits
Alteration of Contractile and Regulatory Proteins following Partial Bladder Outlet Obstruction
Diabetes-Induced Decrease in Detrusor Smooth Muscle Force is Associated with Oxidative Stress and Overactivity of Aldose Reductase

Incontinence

  Mechanisms for Urinary Continence and Incontinence
Outlet Obstruction is Associated with a Decrease in the Force Generating Capacity of Longtitudinal Smooth Muscle Strips from the Proximal Urethra
Increased Micturition Frequency is Associated with Urethral Smooth Muscle Hypertrophy and Decreased Force

Erectile Dysfunction

Molecular Mechanisms for Erectile Function and Dysfunction in Men
Enhanced Force Generation by Corpus Cavernosum Smooth Muscle in Rabbits with Partial Bladder Outlet Obstruction
Increased Contractility of Diabetic Rabbit Corpora Smooth Muscle in Response to Endothelin is Mediated by Rho-Kinase Beta

Urological Cancer

  Invasive and Metastatic Properties of Transitional Cell Carcinoma and Prostate Cancer
   

Training Programs

Basic Science-Oriented Training for Ph.Ds
Basic Science-Oriented Training for Urologists
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