Skip to main content
Erschienen in: International Urogynecology Journal 11/2016

18.04.2016 | Original Article

Comparative histology of mouse, rat, and human pelvic ligaments

verfasst von: Ritsuko Iwanaga, David J. Orlicky, Jameson Arnett, Marsha K. Guess, K. Joseph Hurt, Kathleen A. Connell

Erschienen in: International Urogynecology Journal | Ausgabe 11/2016

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

The uterosacral (USL) and cardinal ligaments (CL) provide support to the uterus and pelvic organs, and the round ligaments (RL) maintain their position in the pelvis. In women with pelvic organ prolapse (POP), the connective tissue, smooth muscle, vasculature, and innervation of the pelvic support structures are altered. Rodents are commonly used animal models for POP research. However, the pelvic ligaments have not been defined in these animals. In this study, we hypothesized that the gross anatomy and histological composition of pelvic ligaments in rodents and humans are similar.

Methods

We performed an extensive literature search for anatomical and histological descriptions of the pelvic support ligaments in rodents. We also performed anatomical dissections of the pelvis to define anatomical landmarks in relation to the ligaments. In addition, we identified the histological components of the pelvic ligaments and performed quantitative analysis of the smooth muscle bundles and connective tissue of the USL and RL.

Results

The anatomy of the USL, CL, and RL and their anatomical landmarks are similar in mice, rats, and humans. All species contain the same cellular components and have similar histological architecture. However, the cervical portion of the mouse USL and RL contain more smooth muscle and less connective tissue compared with rat and human ligaments.

Conclusion

The pelvic support structures of rats and mice are anatomically and histologically similar to those of humans. We propose that both mice and rats are appropriate, cost-effective models for directed studies in POP research.
Literatur
3.
Zurück zum Zitat Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89(4):501–506, doi: 10.1016/S0029-7844(97)00058-6 Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89(4):501–506, doi: 10.​1016/​S0029-7844(97)00058-6
4.
Zurück zum Zitat DeLancey JO (1992) Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol 166(6 Pt 1):1717–1724, discussion 1724–1718CrossRefPubMed DeLancey JO (1992) Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol 166(6 Pt 1):1717–1724, discussion 1724–1718CrossRefPubMed
5.
Zurück zum Zitat Campbell RM (1950) The anatomy and histology of the sacrouterine ligaments. Am J Obstet Gynecol 59(1):1–12CrossRefPubMed Campbell RM (1950) The anatomy and histology of the sacrouterine ligaments. Am J Obstet Gynecol 59(1):1–12CrossRefPubMed
7.
Zurück zum Zitat Butler-Manuel SA, Buttery LD, Polak JM, A'Hern R, Barton DP (2008) Autonomic nerve trauma at radical hysterectomy: the nerve content and subtypes within the superficial and deep uterosacral ligaments. Reprod Sci 15(1):91–96. doi:10.1177/1933719107309648 CrossRefPubMed Butler-Manuel SA, Buttery LD, Polak JM, A'Hern R, Barton DP (2008) Autonomic nerve trauma at radical hysterectomy: the nerve content and subtypes within the superficial and deep uterosacral ligaments. Reprod Sci 15(1):91–96. doi:10.​1177/​1933719107309648​ CrossRefPubMed
8.
Zurück zum Zitat Martins P, Silva-Filho AL, Fonseca AM, Santos A, Santos L, Mascarenhas T, Jorge RM, Ferreira AM (2013) Strength of round and uterosacral ligaments: a biomechanical study. Arch Gynecol Obstet 287(2):313–318. doi:10.1007/s00404-012-2564-3 CrossRefPubMed Martins P, Silva-Filho AL, Fonseca AM, Santos A, Santos L, Mascarenhas T, Jorge RM, Ferreira AM (2013) Strength of round and uterosacral ligaments: a biomechanical study. Arch Gynecol Obstet 287(2):313–318. doi:10.​1007/​s00404-012-2564-3 CrossRefPubMed
9.
Zurück zum Zitat Acien P, Sanchez del Campo F, Mayol MJ, Acien M (2011) The female gubernaculum: role in the embryology and development of the genital tract and in the possible genesis of malformations. Eur J Obstet Gynecol Reprod Biol 159(2):426–432. doi:10.1016/j.ejogrb.2011.07.040 CrossRefPubMed Acien P, Sanchez del Campo F, Mayol MJ, Acien M (2011) The female gubernaculum: role in the embryology and development of the genital tract and in the possible genesis of malformations. Eur J Obstet Gynecol Reprod Biol 159(2):426–432. doi:10.​1016/​j.​ejogrb.​2011.​07.​040 CrossRefPubMed
12.
Zurück zum Zitat Range RL, Woodburne RT (1964) The gross and microscopic anatomy of the transverse cervical ligament. Am J Obstet Gynecol 90:460–467CrossRefPubMed Range RL, Woodburne RT (1964) The gross and microscopic anatomy of the transverse cervical ligament. Am J Obstet Gynecol 90:460–467CrossRefPubMed
13.
Zurück zum Zitat Gabriel B, Denschlag D, Gobel H, Fittkow C, Werner M, Gitsch G, Watermann D (2005) Uterosacral ligament in postmenopausal women with or without pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 16(6):475–479. doi:10.1007/s00192-005-1294-5 CrossRefPubMed Gabriel B, Denschlag D, Gobel H, Fittkow C, Werner M, Gitsch G, Watermann D (2005) Uterosacral ligament in postmenopausal women with or without pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 16(6):475–479. doi:10.​1007/​s00192-005-1294-5 CrossRefPubMed
14.
Zurück zum Zitat Ma Y, Guess M, Datar A, Hennessey A, Cardenas I, Johnson J, Connell KA (2012) Knockdown of Hoxa11 in vivo in the uterosacral ligament and uterus of mice results in altered collagen and matrix metalloproteinase activity. Biol Reprod 86(4):100, doi: 10.1095/biolreprod.111.093245 Ma Y, Guess M, Datar A, Hennessey A, Cardenas I, Johnson J, Connell KA (2012) Knockdown of Hoxa11 in vivo in the uterosacral ligament and uterus of mice results in altered collagen and matrix metalloproteinase activity. Biol Reprod 86(4):100, doi: 10.​1095/​biolreprod.​111.​093245
15.
Zurück zum Zitat Connell KA, Guess MK, Chen H, Andikyan V, Bercik R, Taylor HS (2008) HOXA11 is critical for development and maintenance of uterosacral ligaments and deficient in pelvic prolapse. J Clin Invest 118(3):1050–1055. doi:10.1172/JCI34193 PubMedPubMedCentral Connell KA, Guess MK, Chen H, Andikyan V, Bercik R, Taylor HS (2008) HOXA11 is critical for development and maintenance of uterosacral ligaments and deficient in pelvic prolapse. J Clin Invest 118(3):1050–1055. doi:10.​1172/​JCI34193 PubMedPubMedCentral
16.
Zurück zum Zitat Abramowitch SD, Feola A, Jallah Z, Moalli PA (2009) Tissue mechanics, animal models, and pelvic organ prolapse: a review. Eur J Obstet Gynecol Reprod Biol 144(Suppl 1):S146–S158, doi: 10.1016/j.ejogrb.2009.02.022 Abramowitch SD, Feola A, Jallah Z, Moalli PA (2009) Tissue mechanics, animal models, and pelvic organ prolapse: a review. Eur J Obstet Gynecol Reprod Biol 144(Suppl 1):S146–S158, doi: 10.​1016/​j.​ejogrb.​2009.​02.​022
17.
Zurück zum Zitat Kaufman M, Nikitin AY, Sundberg JP (2009) Histologic basis of mouse endocrine system development: a comparative analysis. CRC Press, New YorkCrossRef Kaufman M, Nikitin AY, Sundberg JP (2009) Histologic basis of mouse endocrine system development: a comparative analysis. CRC Press, New YorkCrossRef
18.
Zurück zum Zitat Schatten H, Constantinescu GM (2007) Comparative reproductive biology. Blackwell, Ames, IOCrossRef Schatten H, Constantinescu GM (2007) Comparative reproductive biology. Blackwell, Ames, IOCrossRef
19.
Zurück zum Zitat Walker WF, Homberger DG (1997) Anatomy and dissection of the rat. Freeman & Company, New York Walker WF, Homberger DG (1997) Anatomy and dissection of the rat. Freeman & Company, New York
20.
Zurück zum Zitat McNanley AR, Johnson AM, Flynn MK, Wood RW, Kennedy SD, Reeder JE (2009) Inherited pelvic organ prolapse in the mouse: preliminary evaluation of a new murine model. Int Urogynecol J Pelvic Floor Dysfunct 20(1):19–25. doi:10.1007/s00192-008-0723-7 CrossRefPubMed McNanley AR, Johnson AM, Flynn MK, Wood RW, Kennedy SD, Reeder JE (2009) Inherited pelvic organ prolapse in the mouse: preliminary evaluation of a new murine model. Int Urogynecol J Pelvic Floor Dysfunct 20(1):19–25. doi:10.​1007/​s00192-008-0723-7 CrossRefPubMed
23.
Zurück zum Zitat Lee UJ, Gustilo-Ashby AM, Daneshgari F, Kuang M, Vurbic D, Lin DL, Flask CA, Li T, Damaser MS (2008) Lower urogenital tract anatomical and functional phenotype in lysyl oxidase like-1 knockout mice resembles female pelvic floor dysfunction in humans. Am J Physiol Renal Physiol 295(2):F545–F555. doi:10.1152/ajprenal.00063.2008 CrossRefPubMed Lee UJ, Gustilo-Ashby AM, Daneshgari F, Kuang M, Vurbic D, Lin DL, Flask CA, Li T, Damaser MS (2008) Lower urogenital tract anatomical and functional phenotype in lysyl oxidase like-1 knockout mice resembles female pelvic floor dysfunction in humans. Am J Physiol Renal Physiol 295(2):F545–F555. doi:10.​1152/​ajprenal.​00063.​2008 CrossRefPubMed
24.
Zurück zum Zitat Taylor HS, Vanden Heuvel GB, Igarashi P (1997) A conserved Hox axis in the mouse and human female reproductive system: late establishment and persistent adult expression of the Hoxa cluster genes. Biol Reprod 57(6):1338–1345CrossRefPubMed Taylor HS, Vanden Heuvel GB, Igarashi P (1997) A conserved Hox axis in the mouse and human female reproductive system: late establishment and persistent adult expression of the Hoxa cluster genes. Biol Reprod 57(6):1338–1345CrossRefPubMed
26.
Zurück zum Zitat Liu SH, Yang RS, Al-Shaikh R, Lane JM (1995) Collagen in tendon, ligament, and bone healing. A current review. Clin Orthop Relat Res 318:265–278PubMed Liu SH, Yang RS, Al-Shaikh R, Lane JM (1995) Collagen in tendon, ligament, and bone healing. A current review. Clin Orthop Relat Res 318:265–278PubMed
Metadaten
Titel
Comparative histology of mouse, rat, and human pelvic ligaments
verfasst von
Ritsuko Iwanaga
David J. Orlicky
Jameson Arnett
Marsha K. Guess
K. Joseph Hurt
Kathleen A. Connell
Publikationsdatum
18.04.2016
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 11/2016
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-3008-6

Weitere Artikel der Ausgabe 11/2016

International Urogynecology Journal 11/2016 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.