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  4. Novel phenotype characterization utilizing electrical impedance myography signatures in murine spinal cord injury neurogenic bladder models

Novel phenotype characterization utilizing electrical impedance myography signatures in murine spinal cord injury neurogenic bladder models

Scientific Reports, 2023 · DOI: 10.1038/s41598-023-46740-6 · Published: November 4, 2023

UrologyNeurologyBiomedical

Simple Explanation

Neurogenic bladder (NB) affects people of all ages. Electric impedance myography (EIM) assesses localized muscle abnormalities. Here, we sought to investigate whether unique detrusor EIM signatures are present in NB due to spinal cord injury (SCI). Electric impedance myography (EIM), essentially a form of localized bioimpedance measurement, is a technique that has been developed for the evaluation of neuromuscular disorders. In this study, we sought to investigate the feasibility of using EIM to detect distinct changes in the detrusor muscle in a murine SCI model.

Study Duration
6 Weeks
Participants
28 C57BL/6J female mice
Evidence Level
Not specified

Key Findings

  • 1
    SCI mice had greater bladder-to-body weight ratio (p < 0.0001), greater collagen deposition (p = 0.009), and greater smooth-muscle-myosin-heavy-chain isoform A/B ratio (p < 0.0001).
  • 2
    Compared with the control group, the SCI group was associated with lower phase, reactance, and resistance values (p < 0.01).
  • 3
    Our study demonstrated distinct EIM alterations in the detrusor muscle of mice with NB due to SCI.

Research Summary

Our SCI animal model resulted in NB phenotypes in the SCI group with evidence of an increased ratio of bladder to whole body weight and constant dribbling voiding pattern in voiding spot assays. Multi-frequency EIM can provide insights into both extracellular (observed at lower frequency) and intracellular (observed at higher frequency) changes in the tissue of interest. This study shows the feasibility and promise of the application of EIM to NB bladder assessment. EIM has major potential in the future phenotyping and treatment response monitoring NB patients given its real-time nature.

Practical Implications

Diagnostic Tool

EIM may offer a potential point-of-care tool for the assessment of NB.

Biomarker

EIM can serve as a biomarker in SCI and NB research.

Treatment Monitoring

EIM has major potential in the future phenotyping and treatment response monitoring NB patients.

Study Limitations

  • 1
    Small cohort and sample size
  • 2
    Using only female animals
  • 3
    SCI model represents only a small subset of NB cases

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