A light- and electron-microscope investigation was performed to examine the normal structure of the porcine urinary bladder. Tissue biopsies were studied obtained from 10 healthy female pigs (four weanling pigs, six sows). The bladder wall showed a typical stratification consisting of a tunica (t.) mucosae, t. submucosae, t. muscularis and t. serosa. The mucosa consisted of an epithelium transitionale, a lamina propria, and a lamina muscularis mucosae. The urothelium was composed of a basal layer, one or more intermediate layer(s), and a superficial layer. The urothelial cells of all layers were connected by desmosomes, while tight junctions linked adjacent superficial cells. Surface cells were lined by a layer of mucus, which is believed to provide an important barrier against bacterial infection. The surface of the superficial cells was also characterized by numerous irregularly arranged microplicae. By contrast, intermediate cells, which are assumed to be immature cell forms, showed microvilli-like structures. When desquamation of superficial cells takes place, differentiation of underlying intermediate cells is accompanied by merging of microvilli to form microplicae. The morphology of the bladder surface structures may play an important role in the ability of bacteria to adhere to the urothelium.
The clinical findings, and urinary and morphological changes in the urinary bladder were investigated in 25 sows with a urinary tract infection. Eubacterium suis was isolated from 12 of the sows but not from the other 13. The clinical signs did not always correlate with the morphological changes. The only clinical sign indicating the beginning of cystitis appeared to be a significant bacteriuria. Other urinary changes occurred later when the inflammatory processes were more severe. In contrast with cystitis due to other bacteria, infection with E suis frequently resulted in a macrohaematuria and urinary pH values above 8.0. However, the light and electron microscopical findings in the bladder mucosa were similar in the sows with and without cystitis due to E suis. The transformation of goblet cells and the development of mucin cysts were probably due to the local bladder defence mechanisms. More severe lesions were observed with E suis infections, which resulted in changes in the ureterovesical junctions and in ascending renal infection and uraemia.
Study of Eubacterium-suis Infection in the Bladder of Sow using ElectronmicroscopyScanning electron microscopy was performed on bladder biopsies from 20 sows with cystitis. Results were compared with those of healthy control animals. Biopsy specimens were taken from nine sows infected only with commensal bacteria (E. coli, streptococci, staphylococci) and from 11 sows, where Eubacterium suis (E. su25) was involved in urinary tract infection and had caused a haemorrhagic cystitis. Increased losses of normal superficial cells covered with microplicae could be seen depending on the degree of cystitis. Desquamation of the surface layer exposed smaller cells patterned with short microvilli. These cells were presumed to be immature intermediate cells and goblet cells. Goblet cells were found only in infected organs. The varying surface structure of epithelial cells in relation to receptor quality is important for the bacterial adherence to bladder mucosa.All examined bladders infected with E. suis showed a total loss of superficial cells. Luminal cells covered with multiple short microvilli were accompanied by cells with long pleomorphic processes. Accumulating cell necrosis was indicated by a smooth surface structure. Funnelshaped orifices between the epithelial cells were identified as excretory ducts of mucus-filled cysts, which are formed by the confluence of degenerating goblet cells.E. suis infection of the porcine bladder causes more severe alterations than infections due to other bacteria. However, debilitation of the urothelium due to previous infection is necessary to support infection of the bladder with E. suis.
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