Detrusor underactivity is associated with metabolic syndrome in aged primates.

Lower urinary tract (LUT) dysfunction is prevalent in the elderly population, and clinical manifestations include urinary retention, incontinence, and recurrent urinary tract infections. Age-associated LUT dysfunction is responsible for significant morbidity, compromised quality of life, and rising healthcare costs in older adults, but its pathophysiology is not well understood. We aimed to investigate the effects of aging on LUT function by urodynamic studies and metabolic markers in non-human primates. Adult (n = 27) and aged (n = 20) female rhesus macaques were evaluated by urodynamic and metabolic studies. Cystometry showed detrusor underactivity (DU) with increased bladder capacity and compliance in aged subjects. Metabolic syndrome indicators were present in the aged subjects, including increased weight, triglycerides, lactate dehydrogenase (LDH), alanine aminotransferase (ALT), and high sensitivity C-reactive protein (hsCRP), whereas aspartate aminotransferase (AST) was unaffected and the AST/ALT ratio reduced. Principal component analysis and paired correlations showed a strong association between DU and metabolic syndrome markers in aged primates with DU but not in aged primates without DU. The findings were unaffected by prior pregnancies, parity, and menopause. Our findings provide insights into possible mechanisms for age-associated DU and may guide new strategies to prevent and treat LUT dysfunction in older adults.

Sexual dimorphism of detrusor function demonstrated by urodynamic studies in rhesus macaques.

The lower urinary tract (LUT) and micturition reflexes are sexually dimorphic across mammals. Sex as a biological variable is also of critical importance for the development and translation of new medical treatments and therapeutics interventions affecting pelvic organs, including the LUT. However, studies of LUT function with comparisons between the sexes have remained sparse, especially for larger mammals. Detrusor function was investigated by filling cystometry and pressure flow studies in 16 male and 22 female rhesus macaques. By filling cystometry, male subjects exhibited a significantly larger bladder capacity and compliance compared to females. Pressure flow studies showed a significantly higher bladder pressure at voiding onset, peak pressure, and elevation in detrusor-activated bladder pressure from the end of bladder filling to peak pressure in the male subjects. The activation of reflex micturition, with associated detrusor contractions, resulted in voiding in a significantly larger proportion of female compared to male subjects. A higher urethral outlet resistance is suggested in the male subjects. We conclude that sexual dimorphism of detrusor function is prominent in rhesus macaques, shares many features with the human, and merits consideration in translational and pre-clinical research studies of micturition and LUT function in non-human primates.

Targeted Complement Inhibition at Synapses Prevents Microglial Synaptic Engulfment and Synapse Loss in Demyelinating Disease.

Multiple sclerosis (MS) is a demyelinating, autoimmune disease of the central nervous system. While work has focused on myelin and axon loss in MS, less is known about mechanisms underlying synaptic changes. Using postmortem human MS tissue, a preclinical nonhuman primate model of MS, and two rodent models of demyelinating disease, we investigated synapse changes in the visual system. Similar to other neurodegenerative diseases, microglial synaptic engulfment and profound synapse loss were observed. In mice, synapse loss occurred independently of local demyelination and neuronal degeneration but coincided with gliosis and increased complement component C3, but not C1q, at synapses. Viral overexpression of the complement inhibitor Crry at C3-bound synapses decreased microglial engulfment of synapses and protected visual function. These results indicate that microglia eliminate synapses through the alternative complement cascade in demyelinating disease and identify a strategy to prevent synapse loss that may be broadly applicable to other neurodegenerative diseases. VIDEO ABSTRACT.

Serological investigation and PCR in detection of pathogenic leptospires in snakes / Investigação sorológica e PCR na detecção de leptospiras patogênicas em serpentes

Detection of Leptospira by PCR had not yet been described in snakes. This study investigated, by microscopic agglutination test (MAT) and PCR, the presence of antibodies to Leptospira spp. and Leptospira spp., respectively, in venomous and non-venomous wildlife and captivity snakes. All snakes were divided into three groups to be compared: Group 1 (wildlife snakes - WS); Group 2 (snakes in intensive captivity - IC), and Group 3 (collective semi-extensive captivity -CC). Of the 147 snakes studied, 52 (35.4 percent) were positive for leptospirosis by MAT, 8 (15.4 percent) belonging to Group 1 (WS), 34 (65.4 percent) to Group 2 (IC) and 10 (19.2 percent) to Group 3 (CC). Jararaca (Bothrops jararaca) presented the highest average titer (66.7 percent, N=22/33) among the three group studied, and Hardjo prajtino was the most prevalent serovar (88.5 percent, N=46/52), with titers varying from 100 to 3200. Leptospira interrogans was revealed by PCR in kidney and liver of caiçaca (Bothrops moojeni) and jararaca-pintada (Bothrops pauloensis), showing 100 percent and 93 percent identity respectively. Future studies should be carried out for better understanding of the role of snakes as a reservoir of Leptospira in nature.

A detecção de Leptospira pela técnica de PCR não havia sido descrita em serpentes. Este estudo investigou pelo teste de aglutinação microscópica (MAT) e PCR, a presença de anticorpos anti-Leptospira spp. e Leptospira spp., respectivamente, em serpentes peçonhentas e não peçonhentas de vida livre e de cativeiro. As serpentes foram divididas em três grupos para comparação: Grupo 1 (serpentes recém-chegadas da natureza - WS); Grupo 2 (serpentes em regime de cativeiro intensivo -IC) e Grupo 3 (serpentes em regime de cativeiro coletivo semi-extensivo - CC). Do total de 147 serpentes estudadas, 52 (35,4 por cento) foram positivas para leptospirose pelo MAT, as quais 8 (15,4 por cento) pertenciam ao Grupo 1 (WS), 34 (65,4 por cento) ao Grupo 2 (IC) e 10 (19,2 por cento) ao Grupo 3 (CC). Das espécies estudadas, a jararaca (Bothrops jararaca) apresentou maior soropositividade (66,7 por cento, N=22/33). O sorovar mais prevalente foi o Hardjo prajtino (88,5 por cento, N=46/52) e os títulos variaram de 100 a 3200. Leptospira interrogans foi revelada por PCR nos rins e no fígado de caiçaca (Bothrops moojeni) e de jararaca-pintada (Bothrops pauloensis), mostrando 100 por cento e 93 por cento de identidade, respectivamente. Futuros estudos devem ser realizados para melhor compreensão do papel das serpentes como reservatório de leptospiras na natureza.