Abstract
Interstitial cystitis (IC) is a chronic inflammatory disease of the bladder wall. The etiology is obscure.18,19,35,44,47,56 Several theories for the etiology of IC have been proposed over the years, including infection,6,56 immunological etiology,1 leaky urothelium resulting from a deficiency of its surface coat of glycosaminoglycans,41,42 activated mast cells,6,49 and neurogenic etiology.6,17 However, none of these theories have been proven beyond doubt.6 The rapid onset of IC, its appearance in mid-life, and the absence of strong family association have suggested to us8–11 and many others6 that IC could be an acquired disease, possibly caused by injury. Recurrent exposure to bacterial infection, which is common in the bladder, has been proposed as a putative mechanism of injury.47,56 Earlier studies were based on the assumption that the sole avenue for the interaction of noxious agents with the bladder is exposure of terminally differentiated “umbrella” cells to agents in the lumen. However, mere exposure of the superficial layer to injury, such as bacterial infection, may not result in chronic changes in the urothelium. These terminally differentiated cells are often shed in response to infectious agents,2,38 and unexposed progenitors of urothelial cells located in the basal layer (stem cells) divide and re-epithelize the injured area.
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References
Anderson JB, Parivar F, Lee G, Wallington TB, Maclver AG, Bradbrook RA, et al: The enigma of IC-an autoimmune disease? Br J Urol, 63:58, 1989.
Aronson M, Medalia O, Amichay D, Nativ O: Endotoxin-induced shedding of viable uroepithelial cells is an antimicrobial defense mechanism. Infect Immun, 56:1615, 1988.
Bonkhoff H, Remberger K. Differentiation pathways and histogenetic aspects of normal and abnormal prostatic growth: A stem cell model. Prostate, 28:98, 1996.
Brown LF, Berse B, Van de Water L, Papadopoulos-Sergiou A, Peruzzi CA, Manseau EJ, et al: Expression and distribution of osteopontin in human tissues. Mol Biol Cell, 3:1169, 1992.
Carter WG, Wayner EA, Bouchard TS, Kaur P: The role of integrin α2β1 in cell-cell and cell-substrate adhesion of human epidermal cells. J Cell Biol, 110:1387, 1990.
Elbadawi A: Interstitial cystitis: A critique of current concepts with a new proposal for pathologic diagnosis and pathogenesis. Urology, 49(Suppl 5A):14, 1997.
Elgavish A, Pattanaik A, Lloyd K, Reed R: Integrin-mediated adhesive properties of uroepithelial cells are inhibited by treatment with bacterial toxins. Am J Physiol, 266:C1552, 1994.
Elgavish A, Lloyd K, Reed R: I. A subpopulation of human urothelial cells is stimulated to proliferate by treatment in vitro with lipoteichoic acid, a cell wall component of Streptococcus faecalis. J Cell Physiol, 169:42, 1996.
Elgavish A, Pattanaik A, Couchman J, Woods A, Lloyd K, Lindsey JR, et al: II. Long-term treatment with lipoteichoic acid from Streptococcus faecalis affects differentiation and expression and cellular distribution of □1 integrins in human urothelial cells. J Cell Physiol, 169:52, 1996.
Elgavish A, Robert B, Lloyd K, Reed R: III. Nitric oxide mediates the action of lipoteichoic acid on the function of human urothelial cells. J Cell Physiol, 169:66, 1996.
Elgavish A, Pattanaik A, Lloyd K, Reed R: Evidence for altered proliferative ability of progenitors of urothelial cells in interstitial cystitis. J Urol, 158:248, 1997.
Elgavish A, Prince C, Chang P-L, Lloyd K, Lindsey R, Reed R: Osteopontin stimulates a subpopulation of quiescent human prostate epithelial cells with high proliferative potential to divide in vitro. Prostate, 35:83, 1998.
Fleiss JL: Statistical methods for rates and proportions. 2nd edition, New York: John Wiley and Sons, 1981.
Grisham JW, Coleman WB: Neoformation of liver epithelial cells: progenitor cells, stem cells, and phenotypic transitions. Gastroenterology, 110:1311, 1996.
Gumbiner BM:Cell adhesion: The molecular basis of tissue architecture and morphogenesis. Cell, 84:345, 1996.
Hall PA, Watt FM: Stem cells: the generation and maintenance of cellular diversity. Development, 106:619, 1989.
Hand JR: Interstitial cystitis report of 223 cases (204 women, 19 men) J Urol, 61:291, 1949.
Hanno PM: Diagnosis of interstitial cystitis. Urol Clin North Amer, 21:63, 1994.
Hanno PM, Landis JR, Matthews-Cook Y, Kusek J, Nyberg L, and the Interstitial Cystitis Database Study Group: The diagnosis of interstitial cystitis revisited: Lessons learned from the NIH Interstitial Cystitis Database Study. J Urol, 161:553, 1999.
Hay ED: Cell biology of extracellular matrix. New York: Plenum Press, 1991.
Hodivala KJ, Watt FM: Evidence that Cadherins play a role in the downregulation of integrin expression that occurs during keratinocyte terminal differentiation. J Cell Biol, 124:589, 1994.
Jones CA, Nyberg L: Epidemiology of interstitial cystitis. Urology, 49:2, 1997.
Jones PH, Watt FM: Separation of human epidermal stem cells from transit amplifying cells on the basis of differences in integrin fonction and expression. Cell, 73:713, 1993.
Jones PH, Harper S, Watt FM: Stem cell patterning and fate in human epidermis. Cell, 80:83, 1995.
Keay S, Zhang C-O, Hise MK, Hebel JR, Jacobs SC, Gordon D, et al: A diagnostic in vitro urine assay for interstitial cystitis. Urology, 52:974, 1998.
Keay, S, Zhang C-O, Baldwin BR, Alexander B, Warren JW: Polymerase chain reaction amplification of bacterial 16S rRNA genes from cold-cup biopsy forceps. J Urol, 160:2229, 1998.
Keay S, Warren JW: A hypothesis for the etiology of interstitial cystitis based upon inhibition of bladder epithelial repair. Med Hypotheses, 51:79, 1998.
Kinbara H, Cunha GR, Boutin E, Hayashi N, Kawamura J: Evidence of stem cells in the adult prostatic epithelium. Prostate, 29:107, 1996.
Knowles MA, Summerhayes IC, Hicks RM: Carcinogenesis studies using cultured rat and mouse bladder epithelium. In: Webber MM, Sekely LI, editors. In vitro models for cancer research, Vol. IV. Boca Raton: CRC Press; p. 127–167, 1986.
Lajtha LG: Stem cell concepts. Differentiation, 14:23, 1979.
Larjava H, Peltonen J, Akiyama SK, Yamada SS, Gralnick HR, Uitto J, et al: Novel function of β1 integrins in keratinocyte cell-cell interactions. J Cell Biol, 110:803, 1990.
Lavker RM, Miller S, Wilson C, Cotsarelis G, Wei Z-G, Yang J-S, et al: Hair follicle stem cells: their location, role in hair cycle, and involvement in skin tumor formation. J Invest Dermatol 101(Suppl):16S, 1993.
Liu AY, True LD, LaTray L, Nelson PS, Ellis WJ, Vessella RL, et al: Cell-cell interaction in prostate gene regulation and cytodifferentiation. Proc Natl Acad Sci, 94:10705, 1997.
Mackay CR, Terpe HJ, Stauder R, Marston W, Stark H, Gunthert U: Expression and modulation of CD44 variant isoforms in humans. J Cell Biol, 124:71, 1994.
Messing EM: Interstitial cystitis and related syndromes. In: Campbell MF, Harrison JH, editors. Campbell’s Urology. Philadelphia: W. B. Saunders & Company; p. 1070, 1986.
Moll R, Achtstatter T, Becht E, Balcarova-Stander J, Ittensohn M, Franke WW: Cytokeratins in normal and malignant transitional epithelium. Am J Pathol, 132:123, 1988.
Morrison SJ, Shah NM, Anderson DJ: Regulatory mechanisms in stem cell biology. Cell, 88:287, 1997.
Mulvey MA, Lopez-Boado YS, Wilson CL, Roth R, Parks WC, Heuser J, et al: Induction and evasion of host defenses by type 1-pilliated uropathogenic Escherichia coli. Science, 282:1494, 1998.
Nigro DA, Wein AJ, Foy M, Parsons L, Williams M, and the ICDB Group: Associations among cystoscopic and urodynamic findings for women enrolled in the Interstitial Cystitis Data Base (ICDB) Study. Urology, 49(Suppl 49):86, 1997.
Okragly AJ, Niles AL, Saban R, Schmidt D, Hoffman RL, Warner TF, et al: Elevated tryptase, nerve growth factor, neirotrophin-3, and glial cell line-derived neurotrophic factor levels in the urine of interstitial cystitis and bladder cancer patients. J Urol, 161:438, 1999.
Parsons CL: The therapeutic role of sulfated polysaccharides in the urinary bladder. Urol Clin North Am, 21:93, 1994.
Parsons CL: Epithelial coating techniques in the treatment of interstitial cystitis. Urology, 49(Suppl 5A):100, 1997.
Pauli BU, Weinstein S: Fanft rat bladder carcinomas. In: Weber MM, editor. In vitro models for cancer research. Boca Raton: CRC Press; p. 169–200, 1986.
Pontari MA, Hanno PM, Wein AJ: Logical and systematic approach to the evaluation and management of patients suspected of having interstitial cystitis. Urology, 49(Suppl 5A):114, 1997.
Potten CS, Loeffler M: Stem cells. Development, 110:1001, 1990.
Potten CS: Stem cells. London: Academic Press, 1997.
Ratliff TL, Klutke CG, McDougall M: The etiology of interstitial cystitis. Urol Clin North Am, 21:21, 1994.
Reznikoff CA, Swaminathan S, Verma AK: Cultured normal human epithelial cells. In: Webber MM, Sekely LI, editors. In vitro models for cancer research, Vol. IV. Boca Raton: CRC Press; p. 63–101, 1986.
Sant GR, Theoharides, TC: The role of the mast cell in interstitial cystitis. Urol Clin North Am, 21:41, 1994.
Shipley GD, Hamm RG: Improved medium and culture conditions for clonal growth with minimal serum protein and for enhanced serum-free survival of Swiss 3T3 cells. In Vitro, 17:656, 1981.
Simon LJ, Landis R, Erickson DR, Nyberg LM, and the ICDB Study Group: The Interstitial Cystitis Data Base Study: Concepts and baseline descriptive statistics. Urology, 49(Suppl 5A):64, 1997.
Southgate J, Trejdosiewicz LK, Smith B, Selby PJ: Patterns of splice variant CD44 expression by normal urothelium in situ and in vitro and by bladder carcinoma cell lines. Int J Cancer, 62:449, 1995.
Striker GE: KUH Notes. J Urol, 142:139, 1988.
Terpe HJ, Stark H, Prehm P, Gunthert U: CD44 variant isoforms are preferentially expressed in basal epithelia of non-malignant human fetal and adult tissue. Histochem, 101:79, 1994.
Tsao MC, Walthall BJ, Hamm RG: Clonal growth of normal human epidermal keratinocytes in a defined medium. J Cell Physiol, 110:219, 1982.
Warren JW: Interstitial cystitis as an infectious disease. Urol Clin North Am, 21:31, 1994.
Watt FM: Epidermal stem cells: markers, patterning and the control of stem cell fate. Philos Trans R Soc Lond B Biol Sci, 353:831, 1998.
Watt FM. Stem cell manifesto. Cell, 96:470, 1999.
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Elgavish, A. (2003). A Hypothesis for the Etiology of Interstitial Cystitis. In: Atala, A., Slade, D. (eds) Bladder Disease, Part A. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-8889-8_43
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DOI: https://doi.org/10.1007/978-1-4419-8889-8_43
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