Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 1.736
5-Year Impact Factor – 2.135
Index Copernicus  – 168.52
MEiN – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
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Advances in Clinical and Experimental Medicine

2014, vol. 23, nr 4, July-August, p. 627–632

Publication type: review article

Language: English

Nature of Interstitial Cells of Cajal of the Upper Urinary Tract

Piotr Kolęda1,A,B,C,D,E,F, Witold Pilecki1,E,F

1 Department of Pathophysiology, Wroclaw Medical University, Poland

Abstract

Interstitial cells of Cajal (ICCs) were discovered in the gastrointestinal tract over 100 years ago and since then numerous digestive tract pathologies involving ICCs have been described. Many researchers explored ICCs presence and function in the upper urinary tract. Currently, we know that ICCs have potential plasticity, their own spontaneous activity and that they are responsible for Ca2+ waves generation and neuromuscular transmission. ICCs are also involved in the conjugation, propagation and modulation of peristaltic waves in the upper urinary tract. Despite everything we know about ICCs, their role in the pathogenesis of the upper urinary tract abnormalities remains still unclear and results of published studies are confusing. The authors’ intention was to review the scientific literature regarding ICCs and to summarise the current knowledge about their nature in the upper urinary tract.

Key words

interstitial cells of Cajal, ICCs, upper urinary tract.

References (53)

  1. Yang X, Zhang Y, Hu J: The expression of Cajal cells at the obstruction site of congenital pelviureteric junction obstruction and quantitative image analysis. J Pediatr Surg 2009, 44, 2339–2342.
  2. Solari V, Piaseczna-Piotrowska A, Puri P: Altered expression of interstitial cells of Cajal in congenital ureteropelvic junction obstruction. J Urol 2003, 170, 2420–2422.
  3. Di Benedetto A, Arena S, Nicotina PA: Pacemakers in the upper urinary tract. Neurourol Urodyn 2013, 32, 349–353.
  4. Ward SM, Morris G, Reese L: Interstitial cells of Cajal mediate enteric inhibitory neurotransmission in the lower esophageal and pyloric sphincters. Gastroenterology 1998, 115, 314–329.
  5. Khelif K, De Laet MH, Chaouachi B: Achalasia of the cardia in Allgrove’s (triple A) syndrome: histopathologic study of 10 cases. Am J Surg Pathol 2003, 27, 667–672.
  6. Burns AJ, Lomax AEJ, Torihashi S: Interstitial cells of Cajal mediate inhibitory neurotransmission in the stomach. Proc Nat Acad Sci USA 1996, 93, 12008–12013.
  7. Oue T, Puri P: Smooth muscle cell hypertrophy versus hyperplasia in infantile hypertrophic pyloric stenosis. Pediatr Res 1999, 45, 853–857.
  8. Vanderwinden JM, Liu H, De Laet MH: Study of the interstitial cells of Cajal in infantile hypertrophic pyloric stenosis. Gastroenterology 1996, 111, 279–288.
  9. Feldstein AE, Miller SM, El-Youssef M: Chronic intestinal pseudoobstruction associated with altered interstitial cells of Cajal networks. J Pediatr Gastroenterol Nutr 2003, 36, 492–497.
  10. Hagger R, Finlayson C, Kahn F: A deficiency of interstitial cells of Cajal (ICC) in chagasic megacolon. Gastroenterology 1998, 114, 758.
  11. He CL, Burgart L, Wang L: Decreased interstitial cell of Cajal volume in patients with slow-transit constipation. Gastroenterology 2000, 118, 14–21.
  12. Kenny SE, Connell MG, Rintala RJ: Abnormal colonic interstitial cells of Cajal in children with anorectal malformations. J Pediatr Surg 1998, 33, 130–132.
  13. Lyford GL, He CL, Soff er E: Pan-colonic decrease in interstitial cells of Cajal in patients with slow transit constipation. Gut 2002, 51, 496–501.
  14. Robertson K, Mason I, Hall S: Hirschsprung’s disease: genetic mutations in mice and men. Gut 1997, 41, 436–441.
  15. Rolle U, Piotrowska AP, Nemeth L: Altered distribution of interstitial cells of Cajal in Hirschsprung disease. Arch Pathol Lab Med 2002, 126, 928–933.
  16. Rumessen JJ: Ultrastructure of interstitial cells of Cajal at the colonic submuscular border in patients with ulcerative colitis. Gastroenterology 1996, 111, 1447–1455.
  17. Vanderwinden JM, Rumessen JJ, Liu H: Interstitial cells of Cajal in human colon and in Hirschsprung’s disease. Gastroenterology 1996, 111, 901–910.
  18. Sanders KM, Ordog T, Koh SD: Development and plasticity of interstitial cells of Cajal. Neurogastroenterol Motil 1999, 11, 311–338.
  19. Ulman I, Jayanthi VR, Koff SA: The longterm follow-up of newborns with severe unilateral hydronephrosis initially treated nonoperatively. J Urol 2000, 164, 1101–1105.
  20. Ward SM, Burns AJ, Torihashi S, Sanders KM: Mutation of the proto-oncogene c-kit blocks development of interstitial cells and electrical rhythmicity in murine intestine. J Physiol 1994, 480, 91–97.
  21. Thomsen L, Robinson TL, Lee JCF: Interstitial cells of Cajal generate a rhythmic pacemaker current. Nat Med 1998, 4, 848–851.
  22. Gattuso JM, Smith VV, Kamm MA: Altered contractile proteins and neural innervation in idiopathic megarectum and megacolon. Histopathology 1998, 33, 34–38.
  23. Koh SD, Sanders KM, Ward SM: Spontaneous electrical rhythmicity in cultured interstitial cells of Cajal from the murine small intestine. J Physiol 1998, 513, 203–213.
  24. Maeda H, Yamagata A, Nishikawa S: Requirement of c-kit for development of intestinal pacemaker system. Development 1992, 116, 369–375.
  25. Ordog T, Takayama I, Cheung WK: Remodeling of networks of interstitial cells of Cajal in a murine model of diabetic gastroparesis. Diabetes 2000, 49, 1731–1739.
  26. Torihashi S, Nishi K, Tokutomi Y: Blockade of kit signaling induces transdifferentiation of interstitial cells of Cajal to a smooth muscle phenotype. Gastroenterology 1999, 117, 140–148.
  27. Wang XY, Sanders KM, Ward SM: Intimate relationship between interstitial cells of Cajal and enteric nerves in the guinea-pig small intestine. Cell Tissue Res 1999, 295, 247–256.
  28. Wang XY, Sanders KM, Ward SM: Relationship between interstitial cells of Cajal and enteric motor neurons in the murine proximal colon. Cell Tissue Res2000, 302, 331–342.
  29. Der-Silaphet T, Malysz J, Arsenault AL: Interstitial cells of Cajal direct normal propulsive contractile activity in the mouse small intestine. Gastroenterology 1998, 114, 724–736.
  30. Isozaki K, Hirota S, Miyagawa J: Deficiency of c-kit cells in patients with a myopathic form of chronic idiopathic intestinal pseudoobstruction. Am J Gastroenterol 1997, 92, 332–334.
  31. Malysz J, Thuneberg L, Mikkelsen HB, Huizinga JD: Action potential generation in the small intestine of W mutant mice that lack interstitial cells of Cajal. Am J Physiol 1996, 271, 387–399.
  32. Metzger R, Schuster T, Till H: Cajal-like cells in the human upper urinary tract. J Urol 2004, 172, 769–772.
  33. Metzger R, Schuster T, Till H: Cajal-like cells in the upper urinary tract: comparative study in various species. Pediatr Surg Int 2005, 21, 169–174.
  34. McCloskey KD: Interstitial Cells in the Urinary Bladder—Localization and Function. Neurourol Urodyn 2010, 29, 82–87.
  35. Piaseczna-Piotrowska A, Dzieniecka M, Samolewicz E: Distribution of interstitial cells of Cajal in the neurogenic urinary bladder of children with myelomeningocele. Advances in Medical Sciences 2013, DOI: 10.2478/ams-2013- 0002.
  36. Lang RJ, Tonta MA, Zoltkowski BZ: Pyeloureteric peristalsis: role of atypical smooth muscle cells and interstitial cells of Cajal-like cells as pacemakers. J Physiol 2006, 576, 695–705.
  37. van der AA F, Roskams T, Blyweert W: Identification of kit positive cells in the human urinary tract. J Urol 2004, 171, 2492–2496.
  38. Lang RJ, Klemm MF: Interstitial cell of Cajal-like cells in the upper urinary tract. J Cell Mol Med 2005, 9, 543–556.
  39. Kuzgunbay B, Doran F, Bayazit Y: The effects of ureteral obstruction on Cajal-like cells in rats. J Pediatr Urol 2009, 5, 269–273.
  40. Exintaris B, Klemm MF and Lang RJ: Spontaneous slow wave and contractile activity of the guinea pig prostate. J Urol 2002, 168, 315.
  41. Huizinga JD, Thuneberg L, Kluppel M: The W/kit gene required for interstitial cells of Cajal and for intestinal pacemaker activity. Nature 1995, 373, 347–349.
  42. McCloskey KD and Gurney AM: Kit positive cells in the guinea pig bladder. J Urol 2002, 168, 832.
  43. Chang I-Y, Glasgow NJ, Takayama I: Loss of interstitial cells of Cajal and development of electrical dysfunction i murine small bowel obstruction. J Physiol 2001, 536.2, 555–568.
  44. Kolęda P, Apoznański W, Woźniak Z: Changes in interstitial cell of Cajal-like cells density in congenital ureteropelvic junction obstruction. Int Urol Nephrol 2012, 44, 7–12.
  45. Apoznański W, Kolęda P, Woźniak Z: The distribution of interstitial cells of Cajal in congenital ureteropelvic junction obstruction. Int Urol Nephrol 2013, DOI: 10.1007/s11255-013-0454-7
  46. Starr NT, Maizels M, Chou P: Microanatomy and morphometry of the hydronephrotic „obstructed” renal pelvis in asymptomatic infants. J Urol 1992, 148, 519–524.
  47. Seremetis GM, Maizels M: TGF-beta mRNA expression in the renal pelvis after experimental and clinical ureteropelvic junction obstruction. J Urol 1996, 156, 261–266.
  48. Carr MC, El-Ghoneimi A: Anomalies and Surgery of the Ureteropelvic Junction. In: Campbell-Walsh Urology, Section XVII: Pediatric Urology 2007, 9th Edition, Saunders Elsevier, 3359–3382.
  49. Wang Y, Puri P, Hassan J: Abnormal innervations and altered nerve growth factor messenger ribonucleic acid expression in ureteropelvic junction obstruction. J Urol 1995, 154, 679–683.
  50. Ekinci S, Ertunc M, Ciftci AO: Evaluation of Pelvic contractility in ureteropelvic junction obstruction: an experimental study. Eur J Pediatr Surg 2004, 14, 93–99.
  51. Der-Silaphet T, Berezin I, Collins SM: Trichinella spiralis affects the morphology of interstitial cells of Cajal, abolishes slow wave activity and disrupts transit in the proximal small intestine. Dig Dis Sci 1996, 41, 1897.
  52. Der T, Bercik P, Donnelly G: Interstitial cells of Cajal and inflammation-induced motor dysfunction in the mouse small intestine. Gastroenterology 2000, 119, 1590–1599.
  53. Ekblad E, Sjuve R, Arner A, Sundler F: Enteric neuronal plasticity and a reduced number of interstitial cells of Cajal in hypertrophic rat ileum. Gut 1998, 42, 836–844.