Skip to main content

Advertisement

Log in

Changes of collagen type III and decorin in paraurethral connective tissue from women with stress urinary incontinence and prolapse

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Thirteen premenopausal women with stress urinary incontinence (SUI), 6 with SUI and prolapse, 9 with prolapse, and 19 without prolapse were enrolled to observe the content change of collagen type III and the expression of decorin mRNA in paraurethral connective tissues. Collagen type III from transvaginal biopsies was assayed by immunohistochemical staining and decorin mRNA was detected by real-time PCR. Premenopausal women with SUI had a significantly decreased level of collagen type III. Decorin mRNA expression was significantly increased in both premenopausal SUI+prolapse group and premenopausal prolapse group reflected by the decrease of ΔCt value compared to their corresponding controls. The results suggest that a high level of decorin mRNA might be associated with the reduced content of collagen type III, resulting in a less flexible form of extracellular matrix in the connective tissue in SUI and prolapse patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Petros PE, Ulmsten UI (1990) An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl 153:7–31

    PubMed  CAS  Google Scholar 

  2. Liu X, Zhao Y, Pawlyk B, Damaser M, Li T (2006) Failure of elastic fiber homeostasis leads to pelvic floor disorders. Am J Pathol 168:519–528

    Article  PubMed  CAS  Google Scholar 

  3. Abrams P, Blaivas JG, Stanton S, Andersen JT (1988) The standardisation of terminology of lower urinary tract function. Neurourol Urodyn 7:403–426

    Article  Google Scholar 

  4. Liapis A, Bakas P, Pafiti A, Frangos-Plemenos M, Arnoyannaki N, Creatsas G (2001) Changes of collagen type III in female patients with genuine stress incontinence and pelvic floor prolapse. Eur J Obstet Gynecol Reprod Biol 97:76–79

    Article  PubMed  CAS  Google Scholar 

  5. Hannestad YS, Rortveit G, Sandvik H, Hunskaar S (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord Trondelag. J Clin Epidemiol 53:1150–1157

    Article  PubMed  CAS  Google Scholar 

  6. Salter SA, Batra RS, Rohrer TE, Kohli N, Kimball AB (2006) Striae and pelvic relaxation: two disorders of connective tissue with a strong association. J Invest Dermatol 126(8):1745–1748

    Article  PubMed  CAS  Google Scholar 

  7. Rechberger T, Postawski K, Jakowicki JA, Gunja-Smith Z, Woessner JF Jr (1998) Role of fascial collagen in stress urinary incontinence. Am J Obstet Gynecol 179:1511–1514

    Article  PubMed  CAS  Google Scholar 

  8. Keane DP, Sims TJ, Abrams P, Bailey AJ (1997) Analysis of collagen status in premenopausal nulliparous women with genuine stress incontinence. Br J Obstet Gynaecol 104:994–998

    PubMed  CAS  Google Scholar 

  9. Bergman A, Elia G, Cheung D, Perelman N, Nimni ME (1994) Biochemical composition of collagen in continent and stress urinary incontinent women. Gynecol Obstet Invest 37:48–51

    Article  PubMed  CAS  Google Scholar 

  10. Nimni ME (1983) Collagen: structure, function, and metabolism in normal and fibrotic tissues. Semin Arthritis Rheum 13:1–86

    Article  PubMed  CAS  Google Scholar 

  11. Weber KT (1989) Cardiac interstitium in health and disease: the fibrillar collagen network. J Am Coll Cardiol 13:1637–1652

    Article  PubMed  CAS  Google Scholar 

  12. Vesentini S, Redaelli A, Montevecchi FM (2005) Estimation of the binding force of the collagen molecule-decorin core protein complex in collagen fibril. J Biomech 38:433–443

    Article  PubMed  Google Scholar 

  13. Danielson KG, Baribault H, Holmes DF, Graham H, Kadler KE, Iozzo RV (1997) Targeted disruption of decorin leads to abnormal collagen fibril morphology and skin fragility. J Cell Biol 136:729–743

    Article  PubMed  CAS  Google Scholar 

  14. Mietz H, Chevez-Barrios P, Lieberman MW, Wendt M, Gross R, Basinger SF (1997) Decorin and suramin inhibit ocular fibroblast collagen production. Graefes Arch Clin Exp Ophthalmol 235:399–403

    Article  PubMed  CAS  Google Scholar 

  15. Neame PJ, Kay CJ, McQuillan DJ, Beales MP, Hassell JR (2000) Independent modulation of collagen fibrillogenesis by decorin and lumican. Cell Mol Life Sci 57:859–863

    Article  PubMed  CAS  Google Scholar 

  16. Watanabe T, Hosaka Y, Yamamoto E, Ueda H, Sugawara K, Takahashi H, Takehana K (2005) Control of the collagen fibril diameter in the equine superficial digital flexor tendon in horses by decorin. J Vet Med Sci 67:855–860

    Article  PubMed  Google Scholar 

  17. Chen B, Wen Y, Zhang Z, Wang H, Warrington JA, Polan ML (2003) Menstrual phase-dependent gene expression differences in periurethral vaginal tissue from women with stress incontinence. Am J Obstet Gynecol 189:89–97

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors gratefully acknowledge Mr. Shuiliang Wang and Mrs. Liqing Yao for their technical support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yanfeng Song.

Additional information

This study was supported by a grant from the Fujian Science and Technology Bureau Foundation (grant no. 2000I1003).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Song, Y., Hong, X., Yu, Y. et al. Changes of collagen type III and decorin in paraurethral connective tissue from women with stress urinary incontinence and prolapse. Int Urogynecol J 18, 1459–1463 (2007). https://doi.org/10.1007/s00192-007-0356-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-007-0356-2

Keywords

Navigation