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While UI in dementia has traditionally been attributed to functional impairment, emerging clinical and urodynamic data suggest that neurologic mechanisms may contribute to lower urinary tract dysfunction in this population. Here, we investigated urinary function and neuropathological changes in aged APP\/PS1 mice (AD mice), a widely used model of amyloid pathology. Using functional voiding assays, we identified a pattern of urinary dysfunction characterized by increased urinary frequency, small-volume voiding, shortened void duration, and reduced bladder compliance in the absence of bladder outlet obstruction or gross changes in bladder or prostate morphology. These findings are most consistent with a storage-phase abnormality accompanied by impaired voiding coordination rather than classic detrusor overactivity or underactivity. We examined spinal cord and peripheral components involved in bladder innervation and identified amyloid-beta deposition throughout the thoracolumbar and lumbosacral spinal cord, dorsal root ganglia, ventral roots, cauda equina, and associated meningeal structures in AD mice. Importantly, amyloid deposition was accompanied by reduced expression of vesicular acetylcholine transporter and decreased neuronal activation in bladder-innervating pathways, without evidence of increased apoptosis. Taken together, these data demonstrate that AD mice develop a mixed lower urinary tract dysfunction phenotype associated with amyloid-beta deposition and altered neuronal signaling within the spinal cord and peripheral micturition pathways. These findings support a neurogenic contribution to urinary dysfunction in AD and highlight the spinal cord as a novel site of pathology that may influence urinary symptoms in Alzheimer\u2019s dementia.<\/jats:p>","DOI":"10.64898\/2026.07.09.737006","type":"posted-content","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T20:45:28Z","timestamp":1783975528000},"source":"Crossref","is-referenced-by-count":0,"title":["Amyloid-beta is present in the spinal cord of APP\/PS1 mice and may contribute to neuropathology manifesting as lower urinary tract dysfunction"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1679-8240","authenticated-orcid":false,"given":"Sophia M.","family":"Vrba","sequence":"first","affiliation":[{"name":"Medical Scientist Training Program, University of Wisconsin-Madison, Madison, WI, 53705"},{"name":"Cellular and Molecular Pathology Training Program, University of Wisconsin-Madison, Madison, WI, 53705"},{"name":"Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, 53705"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3775-838X","authenticated-orcid":false,"given":"Ajinkya R.","family":"Limkar","sequence":"additional","affiliation":[{"name":"Medical Scientist Training Program, University of Wisconsin-Madison, Madison, WI, 53705"},{"name":"Cellular and Molecular Pharmacology Training Program, University of Wisconsin-Madison, Madison, WI, 53705"},{"name":"Department of Urology, University of Wisconsin-Madison, Madison, WI, 53705"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7006-9420","authenticated-orcid":false,"given":"Kimberly","family":"Keil-Steitz","sequence":"additional","affiliation":[{"name":"Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, WI, 53705"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6857-341X","authenticated-orcid":false,"given":"Jeffrey J.","family":"Nirschl","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, 53705"},{"name":"Wisconsin Alzheimer\u2019s Disease Research Center, University of Wisconsin-Madison, Madison, WI, 53705"},{"name":"Geriatric Research Education Clinical Center, William S. Middleton Memorial Veterans Hospital, Madison WI, 53705"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8532-9427","authenticated-orcid":false,"given":"Collin J.","family":"Laaker","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, 53705"},{"name":"Neuroscience Training Program, University of Wisconsin-Madison, Madison, WI, 53705"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhruv","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, 53705"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6497-9014","authenticated-orcid":false,"given":"Simon Federico Woen","family":"Ordonez","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, 53705"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin G.","family":"Brooks","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, 53705"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5250-6500","authenticated-orcid":false,"given":"Jeffrey","family":"Helgager","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, 53705"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1231-4563","authenticated-orcid":false,"given":"Mariana","family":"Pehar","sequence":"additional","affiliation":[{"name":"Geriatric Research Education Clinical Center, William S. 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