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. 2017:2017:5796456.
doi: 10.1155/2017/5796456. Epub 2017 Oct 19.

Effect of a Carbohydrate-Rich Diet on Rat Detrusor Smooth Muscle Contractility: An Experimental Study

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Effect of a Carbohydrate-Rich Diet on Rat Detrusor Smooth Muscle Contractility: An Experimental Study

Mustafa Suat Bolat et al. Biomed Res Int. 2017.

Abstract

Objectives: We aimed to investigate the effect of a carbohydrate-rich diet on detrusor contractility in rats.

Materials and methods: Sprague-Dawley rats were randomized into two groups. The control group received regular food and water. The study group received carbohydrate-rich diet for six weeks. The rats' detrusor muscle was isolated for pharmacological and histopathological examinations.

Results: In the control and study groups, mean body weights were 431.5 ± 27.6 g and 528.0 ± 36.2 g, respectively (p < 0.001). Electrical stimulation of the detrusor strips of the control group resulted in gradual contraction. A decreased contractile response was shown in the study group. Acetylcholine in 10-7-10-3 molar concentration produced a decreased contractile response in the study group, compared to the control group (p < 0.01). The study group showed marked subepithelial and intermuscular fibrosis in the bladder.

Conclusion: Carbohydrate-rich diet causes marked subepithelial and extracellular fibrosis and changes in contractility in the detrusor within a six-week period. Changes have higher costs in therapeutic choices and correction of these changes remains difficult. Putting an end to carbohydrate-rich diet would seem to be more cost-effective than dealing with the effects of consuming it in high proportions which should be the national policy worldwide.

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Figures

Figure 1
Figure 1
Effects of a fructose-rich diet on electrical field stimulation-evoked contractions; p < 0.05 and ∗∗p < 0.01, compared to the corresponding frequency of control group.
Figure 2
Figure 2
Recordings of responses of electrical field stimulation evoked (100 V, 0.5 ms, 2–64 Hz) in control and study groups.
Figure 3
Figure 3
(a, c) Histopathological appearance of the urinary bladder of the groups (H&E stain, 100x). (b, d) Masson trichrome stain in both groups, respectively. L: lumen; SE: subepithelium; D: detrusor; S: serosa. Care must be taken with marked subepithelial and extracellular fibrosis (d) when compared to the control group (b).
Figure 4
Figure 4
(a, b) Recording of responses to increasing concentrations of acetylcholine (10-7-10-3 in control and study groups). (c) Effects of the fructose-rich diet on acetylcholine-evoked (10-7-10-3 M) contractions; ∗∗∗p < 0.001 compared to the control group.

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