Evidence map›Paper›PMID 40889018›Full record

ReviewJournal of muscle research and cell motility2025

Smooth muscle of the lower urinary tract: BK-RyR coupling in physiology and pathophysiology.

Monica Ridlon, Julia Tlapa, Kimberly Keil Stietz

Abstract readReview
In one paragraph

Review in Journal of muscle research and cell motility, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Monica RidlonDepartment of Comparative Biosciences, University of Wisconsin-Madison, 2015 Linden Dr, Madison, WI, 53706, USA.
Julia TlapaDepartment of Comparative Biosciences, University of Wisconsin-Madison, 2015 Linden Dr, Madison, WI, 53706, USA.
Kimberly Keil StietzDepartment of Comparative Biosciences, University of Wisconsin-Madison, 2015 Linden Dr, Madison, WI, 53706, USA. kkeil@wisc.edu.

Funding

Urology Centers Program Interactions Core (U24)U24DK127726 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI Kristina L Penniston · 2020 to 2026
$6.3M
Impact of developmental polychlorinated biphenyls on bladder contractilityR01ES035020 · NIEHS · UNIVERSITY OF WISCONSIN-MADISON · PI Kimberly Preston Keil Stietz · 2024 to 2026
$1.1M
Role of estrogen receptor beta in polychlorinated biphenyls impacts on bladder functionF31ES036876 · NIEHS · UNIVERSITY OF WISCONSIN-MADISON · PI Monica Ridlon · 2025 to 2026
$43k
NIDDK NIH HHS DK127726NIDDK NIH HHS U24 DK127726NIEHS NIH HHS ES035020NIEHS NIH HHS ES036876NIEHS NIH HHS F31 ES036876NIEHS NIH HHS R01 ES035020
6 · The paper itself

Abstract

In the lower urinary tract, coordinated function between the bladder and urethra is essential for normal micturition, requiring smooth muscle contraction and relaxation in a tightly regulated cycle. During the bladder filling phase, the bladder remains relaxed while the urethra stays contracted to prevent leakage. During voiding, this coordination reverses, and the bladder contracts to expel urine while the relaxed urethra allows urine flow. These functions are essential for proper micturition and two key molecular regulators of this process are the large-conductance calcium activated potassium (BK) channels and ryanodine receptors (RyRs), both of which modulate smooth muscle excitability and calcium dynamics. This review provides an overview of the roles of BK channels and RyR mediated signaling in regulating smooth muscle activity in the bladder and urethra, with a focus on their contributions to lower urinary tract physiology and pathophysiology. BK channels act as negative feedback modulators, dampening myogenic and nerve-evoked contractions of the detrusor and urethra. RyRs play a role in regulating intracellular calcium signaling that supports both muscle relaxation and contraction. This review highlights alterations in the function of these channels in lower urinary tract dysfunction, and as potential targets for other factors such as environmental exposures to disrupt voiding function. BK channels and RyRs are plausible targets for therapeutic strategies aimed at improving bladder and urethra function in certain patients, particularly those with lower urinary tract symptoms caused by factors such as aging and environmental chemical exposure.

Indexed as

Large-Conductance Calcium-Activated Potassium ChannelsMuscle, SmoothRyanodine Receptor Calcium Release ChannelUrethraUrinary BladderAnimalsCalcium SignalingHumansMuscle ContractionLarge-Conductance Calcium-Activated Potassium ChannelsRyanodine Receptor Calcium Release ChannelLower urinary tract symptomsSmooth muscle contraction

Identifiers

PMID40889018
PMCPMC12717227

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.