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  4. Serotonin (5-HT)2A/2C receptor agonist 2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride improves detrusor sphincter dyssynergia by inhibiting L-type voltage-gated calcium channels in spinal cord injured rats

Serotonin (5-HT)2A/2C receptor agonist 2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride improves detrusor sphincter dyssynergia by inhibiting L-type voltage-gated calcium channels in spinal cord injured rats

CNS Neurosci Ther, 2024 · DOI: 10.1111/cns.14890 · Published: July 17, 2024

UrologyPharmacologyNeurology

Simple Explanation

This study investigates how a specific drug, 2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride, affects bladder control in rats with spinal cord injuries. It focuses on a condition called detrusor sphincter dyssynergia (DSD), where the bladder and the muscle controlling urine flow don't coordinate properly. The researchers found that the drug improves DSD by influencing calcium channels, specifically L-type voltage-gated calcium channels, in the spinal cord. These channels play a role in muscle control and nerve signaling. By blocking these calcium channels, the drug helps to restore the coordinated relaxation of the muscle controlling urine flow, which is impaired in rats with spinal cord injuries.

Study Duration
4 to 8 weeks
Participants
30 female Sprague–Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    Intrathecal administration of 2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride or nifedipine increased voiding volume and enhanced voiding efficiency in rats with SCI.
  • 2
    2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride and nifedipine increased the number of high-frequency oscillations (HFOs) in SCI rats, suggesting that they enhance urethral function.
  • 3
    The effect of 2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride in improving SCI-induced DSD was eliminated with the combined administration of L-type VGCC agonist, (±)-Bay K 8644.

Research Summary

The study aimed to examine the involvement of L- and T-type VGCCs in the improvement of DSD following administration of 2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride in SCI rats. Intrathecal administration of 2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride primarily improves DSD through the enhancement of EUS bursting activity. 5-HT2A/2C agonist 2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride may improve SCI-induced DSD by inhibiting the L-type voltage-gated calcium channel in lumbosacral cord motoneurons.

Practical Implications

Therapeutic Target

L-type voltage-gated calcium channels in lumbosacral cord motoneurons are a potential therapeutic target for SCI-induced DSD.

Pharmacological Effects

Clarifies the pharmacological effects of 2,5-dimethoxy-4-iodophenyl-2-aminopropane hydrochloride in SCI-induced DSD.

Clinical Practices

The findings reveal a new potential therapeutic target for SCI-induced DSD in clinical practices.

Study Limitations

  • 1
    Functional experiments under anesthesia may not fully reflect the physiological state in the awake state.
  • 2
    Lack of electrophysiology experiments to confirm findings.
  • 3
    Further studies are needed to include awake experiments and electrophysiological studies.

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