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Capitanio JP, Del Rosso LA, Spinner A. Variation in infant rhesus monkeys' (Macaca mulatta) neutrophil-to-lymphocyte ratio is associated with environmental conditions, emotionality, and cortisol concentrations, and predicts disease-related outcomes. Brain Behav Immun 2023; 109:105-116. [PMID: 36681357 DOI: 10.1016/j.bbi.2023.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 01/12/2023] [Accepted: 01/16/2023] [Indexed: 01/20/2023] Open
Abstract
The neutrophil-to-lymphocyte ratio (NLR) is a predictor of morbidity for a variety of medical conditions, but little is known about how variation in NLR arises. We examined variation in this measure in a sample of 4577 infant rhesus monkeys (54.8 % female), who participated in the BioBehavioral Assessment program at the California National Primate Research Center at 3-4 months of age. Lower values for NLR were seen for animals reared indoors, for animals that were raised to be free of specific pathogens, and for males. In addition lower NLR was associated with higher stress values of cortisol and with greater emotionality in response to an acute stressor. Finally, lower NLR in infancy was associated with greater risk for developing airways hyperresponsiveness (a hallmark of asthma); with display of diarrhea up to 3.97 years later; and with greater viral load when infected with the simian immunodeficiency virus at a mean of 6.1 years of age. Infant NLR was a better predictor of viral load than was a contemporaneously obtained measure of NLR. Infant and adult values of NLR were only modestly correlated; one reason may be that the infant measure was obtained during stressful conditions and the adult measure was obtained under baseline conditions. We propose that NLR is an integrated outcome measure reflecting organization and interaction of stress-response and immune systems. As such, assessment of NLR under conditions of stress may be a particularly useful marker of individual differences in morbidity, especially for conditions in which stress plays an important role, as in asthma, diarrhea/colitis, and AIDS.
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Affiliation(s)
- John P Capitanio
- Department of Psychology, University of California, Davis, CA, USA; California National Primate Research Center, University of California, Davis, CA, USA.
| | - Laura A Del Rosso
- California National Primate Research Center, University of California, Davis, CA, USA
| | - Abigail Spinner
- California National Primate Research Center, University of California, Davis, CA, USA
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Capitanio JP, Sommet N, Del Rosso L. The relationship of maternal rank, 5-HTTLPR genotype, and MAOA-LPR genotype to temperament in infant rhesus monkeys (Macaca mulatta). Am J Primatol 2022; 84:e23374. [PMID: 35322905 PMCID: PMC10461592 DOI: 10.1002/ajp.23374] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 02/17/2022] [Accepted: 02/27/2022] [Indexed: 11/11/2022]
Abstract
Temperament is a construct whose manifestations are quantifiable from an early age, and whose origins have been proposed as "biological." Our goal was to determine whether maternal rank and infant genotype are associated with five measures of temperament in 3- to 4-month old rhesus monkeys (Macaca mulatta), all of whom were born and reared by their mothers in large, outdoor, half-acre cages. Maternal rank was defined as the proportion of animals outranked by each female, and the two genes of interest to us were monoamine oxidase and serotonin transporter, both of which are polymorphic in their promoter regions (MAOA-LPR and 5-HTTLPR, respectively), with one allele of each gene considered a "plasticity" allele, conferring increased sensitivity to environmental events. Our large sample size (n = 2014-3140) enabled us to examine the effects of individual genotypes rather than combining genotypes as is often done. Rank was positively associated with Confident temperament, but only for animals with the 5-repeat allele for MAOA-LPR. Rank had no other effect on temperament. In contrast, genotype had many different effects, with 5-HTTLPR associated with behavioral inhibition, and MAOA-LPR associated with ratings-based measures of temperament. We also examined the joint effect of the two genotypes and found some evidence for a dose-response: animals with the plasticity alleles for both genes were more likely to be behaviorally inhibited. Our results suggest phenotypic differences between animals possessing alleles for MAOA-LPR that show functional equivalence based on in vitro tests, and our data for 5-HTTLPR revealed differences between short/short homozygotes and long/short heterozygotes, strongly suggesting that combining genotypes for statistical analysis should be avoided if possible. Our analysis also provides evidence of sex differences in temperament, and, to our knowledge, the only evidence of differences in temperament based on specific pathogen-free status. We suggest several directions for future research.
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Affiliation(s)
- John P. Capitanio
- Neuroscience and Behavior Unit, California National Primate Research CenterUniversity of CaliforniaDavisCaliforniaUSA
- Department of PsychologyUniversity of CaliforniaDavisCaliforniaUSA
| | - Nicolas Sommet
- LIVES Center, Faculty of Social and Political SciencesUniversity of LausanneLausanneSwitzerland
| | - Laura Del Rosso
- Neuroscience and Behavior Unit, California National Primate Research CenterUniversity of CaliforniaDavisCaliforniaUSA
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Capitanio JP, Del Rosso LA, Gee N, Lasley BL. Adverse biobehavioral effects in infants resulting from pregnant rhesus macaques' exposure to wildfire smoke. Nat Commun 2022; 13:1774. [PMID: 35365649 PMCID: PMC8975955 DOI: 10.1038/s41467-022-29436-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 03/16/2022] [Indexed: 12/20/2022] Open
Abstract
As wildfires across the world increase in number, size, and intensity, exposure to wildfire smoke (WFS) is a growing health problem. To date, however, little is known for any species on what might be the behavioral or physiological consequences of prenatal exposure to WFS. Here we show that infant rhesus monkeys exposed to WFS in the first third of gestation (n = 52) from the Camp Fire (California, November, 2018) show greater inflammation, blunted cortisol, more passive behavior, and memory impairment compared to animals conceived after smoke had dissipated (n = 37). Parallel analyses, performed on a historical control cohort (n = 2490), did not support the alternative hypothesis that conception timing alone could explain the results. We conclude that WFS may have a teratogenic effect on the developing fetus and speculate on mechanisms by which WFS might affect neural development. Little is known about the consequences of prenatal exposure to wildfire smoke on biobehavioural outcomes. Here, the authors show that infant rhesus monkeys exposed early in gestation to wildfire smoke from the 2018 Camp Fire in California show more inflammation, blunted cortisol and altered behaviour outcomes compared to non-exposed animals.
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Affiliation(s)
- John P Capitanio
- California National Primate Research Center, University of California, Davis, CA, USA. .,Department of Psychology, University of California, Davis, CA, USA.
| | - Laura A Del Rosso
- California National Primate Research Center, University of California, Davis, CA, USA
| | - Nancy Gee
- Center for Health and the Environment, University of California, Davis, CA, USA
| | - Bill L Lasley
- Center for Health and the Environment, University of California, Davis, CA, USA
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Crast J, Bloomsmith MA, Remillard CM, Meeker T. Contribution of adult sex ratio to trauma and reproductive output in large breeding groups of rhesus macaques (Macaca mulatta). Anim Welf 2021; 30:479-492. [DOI: 10.7120/09627286.30.4.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Maintaining stable breeding groups of rhesus macaques (Macaca mulatta) can be challenging due to the complex social dynamics and despotic nature of the species. Trauma from aggression is a common problem in rhesus colonies and can cause social disruption, strain veterinary and
animal management resources, and potentially affect reproduction. Previous research has shown that increasing the number of non-natal adult males in a breeding group can improve group stability, reduce trauma, and increase reproduction. Here, we used mixed-effects regression models to examine
the effects of sex ratio and other factors on trauma and reproduction at the Yerkes National Primate Research Center using a historical dataset made up of four large rhesus groups over an eleven-year period (2003–2013). As expected, sex ratio was a significant predictor for both trauma
and reproduction. However, group age since formation was a stronger predictor of trauma frequency and the amount of space available was a slightly better predictor of reproduction than sex ratio or trauma. These results indicate that improving sex ratios can be a viable management strategy
to reduce trauma and improve reproduction, particularly when it is difficult to manipulate the group compositions and/or their housing situations. Reducing trauma is a primary goal for rhesus breeding colonies, as it directly impacts the monkeys' health and psychological well-being. Such improvements
are necessary for the ethical treatment and care of the animals themselves, but also to reduce financial burdens and maintain a healthy colony for research purposes.
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Capitanio JP. Knowledge of Biobehavioral Organization Can Facilitate Better Science: A Review of the BioBehavioral Assessment Program at the California National Primate Research Center. Animals (Basel) 2021; 11:2445. [PMID: 34438902 PMCID: PMC8388628 DOI: 10.3390/ani11082445] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 08/11/2021] [Accepted: 08/18/2021] [Indexed: 11/17/2022] Open
Abstract
Animals vary on intrinsic characteristics such as temperament and stress responsiveness, and this information can be useful to experimentalists for identifying more homogeneous subsets of animals that show consistency in risk for a particular research outcome. Such information can also be useful for balancing experimental groups, ensuring animals within an experiment have similar characteristics. In this review, we describe the BioBehavioral Assessment Program at the California National Primate Research Center, which, since its inception in 2001, has been providing quantitative information on intrinsic characteristics to scientists for subject selection and balancing, and to colony management staff for management purposes. We describe the program and review studies relating to asthma, autism, behavioral inhibition, etc., where the BBA Program was used to select animals. We also review our work, showing that factors such as rearing, ketamine exposure, and prenatal experience can affect biobehavioral organization in ways that some investigators might want to control for in their studies. Attention to intrinsic characteristics of subject populations is consistent with the growing interest in precision medicine and can lead to a reduction in animal numbers, savings in time and money for investigators, and reduced distress for the animals.
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Affiliation(s)
- John P Capitanio
- California National Primate Research Center, University of California, Davis, CA 95616, USA
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Ceniceros LC, Capitanio JP, Kinnally EL. Prenatal Relocation Stress Enhances Resilience Under Challenge in Infant Rhesus Macaques. Front Behav Neurosci 2021; 15:641795. [PMID: 33854420 PMCID: PMC8039121 DOI: 10.3389/fnbeh.2021.641795] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 03/04/2021] [Indexed: 11/13/2022] Open
Abstract
The prenatal period is a developmental stage of peak sensitivity, during which environmental exposures can program post-natal developmental outcomes. Prenatal stress, in particular, has often been associated with detrimental neurobehavioral outcomes like mood and anxiety disorders. In the present study, we examined the effects of a stressful prenatal maternal experience (maternal relocation during pregnancy) on the post-partum development of offspring in rhesus macaques. To help isolate the effects of prenatal stress from genetic predispositions and post-natal experience, we compared biologically reared infants (infants raised with their biological mothers) with cross-fostered infants (those raised by non-related females in new social groups). We examined the effects of prenatal relocation stress on measures collected at 3-4 months of age during a standardized biobehavioral assessment. Unexpectedly, we found that prenatal stress resulted in a behavioral pattern consistent with resilience rather than anxiety: prenatal stress was linked with greater activity, lower anxiety, and more interaction with novel objects, as well as higher ratings of temperamental confidence during assessment. These effects were observed in infants reared by biological mothers as well as cross-fostered infants, suggesting that the effects of prenatal stress were not attributable to maternal genetics or post-natal factors. Our surprising results suggest that prenatal relocation stress may confer resilience in infant rhesus monkeys.
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Affiliation(s)
- Lesly C Ceniceros
- California National Primate Research Center, University of California, Davis, Davis, CA, United States
| | - John P Capitanio
- California National Primate Research Center, University of California, Davis, Davis, CA, United States.,Department of Psychology, University of California, Davis, Davis, CA, United States
| | - Erin L Kinnally
- California National Primate Research Center, University of California, Davis, Davis, CA, United States.,Department of Psychology, University of California, Davis, Davis, CA, United States
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Schillaci MA, Lintlop J, Sumra M, Pizarro M, Jones-Engel L. Hair cortisol and stable carbon and nitrogen isotope ratios in barbary macaques (Macaca sylvanus) from Gibraltar. RAPID COMMUNICATIONS IN MASS SPECTROMETRY : RCM 2019; 33:831-838. [PMID: 30741464 PMCID: PMC8055468 DOI: 10.1002/rcm.8413] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Revised: 01/31/2019] [Accepted: 02/04/2019] [Indexed: 06/09/2023]
Abstract
RATIONALE Prolonged exposure to the stress hormone cortisol can precipitate a catabolic state in animals resulting in a negative nitrogen balance and increased excreted nitrogen, possibly affecting stable nitrogen and carbon isotope ratios in animal tissues. Here we test the hypothesis that stress, as measured by hair cortisol, is a significant contributor to variation in δ15 N and δ13 C values in hair. The results of the present study have important implications for the use of stable carbon and nitrogen isotope ratios measured in animal and human tissues to make inferences regarding feeding ecology and diet. METHODS Samples containing roughly 10-20 hairs (approx. 4-6 cm long) were collected from 49 free ranging macaque monkeys (Macaca sylvanus) in Gibraltar. Hair samples were analyzed for stable carbon and nitrogen isotopes by continuous-flow isotope-ratio mass spectrometry. Cortisol extracted from matched hair samples was measured using gas chromatography/mass spectrometry. Cortisol and stable isotope ratios were compared statistically using nonparametric Kruskal-Wallis and Mann-Whitney U tests, as well as Spearman correlation. RESULTS Correlation analysis revealed that although hair δ15 N and δ13 C values were significantly correlated with each other, neither was correlated with cortisol concentrations. Cortisol concentrations were not correlated with age-adjusted body mass index. Age category was correlated with δ13 C values but not with δ15 N values. CONCLUSIONS The results of our study suggest that the cumulative stress experienced by these macaques under typical social and environmental conditions is not a significant contributor to variation in δ15 N and δ13 C values, nor does it have a significant effect on relative body mass.
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Affiliation(s)
- Michael A Schillaci
- Department of Anthropology, University of Toronto Scarborough, 1265 Military Trail, Toronto, Ontario, M1C 1A4, Canada
| | - Jessica Lintlop
- Department of Anthropology, University of Toronto Scarborough, 1265 Military Trail, Toronto, Ontario, M1C 1A4, Canada
| | - Monika Sumra
- Department of Anthropology, University of Toronto Scarborough, 1265 Military Trail, Toronto, Ontario, M1C 1A4, Canada
| | - Mark Pizarro
- Gibraltar Veterinary Clinic, Rosio Bay, Gibraltar, GX11 1|AA, Gibraltar
| | - Lisa Jones-Engel
- Department of Anthropology, University of Washington, Box 353100, Seattle, WA, 98105, USA
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Vandeleest J, Capitanio J, Hamel A, Meyer J, Novak M, Mendoza S, McCowan B. Social stability influences the association between adrenal responsiveness and hair cortisol concentrations in rhesus macaques. Psychoneuroendocrinology 2019; 100:164-171. [PMID: 30342315 PMCID: PMC6333515 DOI: 10.1016/j.psyneuen.2018.10.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Revised: 08/27/2018] [Accepted: 10/11/2018] [Indexed: 12/14/2022]
Abstract
Hair cortisol concentrations are increasingly being used in both humans and nonhuman animals as a biomarker of chronic stress. However, many details regarding how hair cortisol concentrations relate to the dynamic activity and regulation of the HPA axis are still unknown. The current study explores 1) how the regulation of the HPA axis in infancy relates to hair cortisol concentrations (HCC) in infancy 2) whether this relationship persists into adulthood under conditions of social stability, and 3) how social instability impacts these relationships. All subjects were rhesus monkeys housed in large social groups at the California National Primate Research Center, and all had participated in a 25-hr. long BioBehavioral Assessment (BBA) at 3-4 months of age when four plasma samples were taken to assess HPA regulation, in particular cortisol responses to 1) 2-hour social separation and relocation, 2) sustained challenge, 3) dexamethasone and 4) ACTH administration. In Study 1, hair samples were collected at the end of the BBA testing from 25 infant rhesus monkeys from 2 different stable social groups. In Study 2, hair samples were obtained at three timepoints from 108 adults from 3 different stable social groups (1 in the Spring/Summer and 2 in the Fall/Winter) to examine the temporal stability of the relationship between HCC and HPA axis regulation. In Study 3, subjects included 31 infants and 33 adults from a single social group experiencing social instability following the same procedures as in Studies 1 and 2. Generalized linear models were used to determine if infants' HPA axis activity and regulation predicted HCC in infancy (Study 1), in adulthood with animals living in stable social conditions (Study 2) or in animals living in an unstable social group (Study 3). Results indicated that for both infants and adults living in stable social groups, HCC are associated with the adrenal response to ACTH in infancy. Samples collected in the winter also had higher HCC than those collected in summer. In the unstable social group, adult hair cortisol levels were higher than in the stable social groups. Additionally, there were no consistent relationships between HCC and infant HPA axis regulation among adults or infants living in a group experiencing social instability. These results suggest that the aspects of the HPA axis that drive HCC may differ depending on context. Under stable, non-stressed conditions there seems to be a trait-like association between adrenal responsivity and HCC in infancy and adulthood. However, this association may be reduced or eliminated under conditions of social stress.
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Affiliation(s)
- J.J. Vandeleest
- California National Primate Research Center, University of California-Davis, One Shields Avenue, Davis, CA, 95616, USA,Corresponding author: California National Primate Research Center, University of California-Davis, One Shields Avenue, Davis, CA 956167, USA, Phone: 1-530-752-1506, Fax: 1-530-752-2880,
| | - J.P. Capitanio
- California National Primate Research Center, University of California-Davis, One Shields Avenue, Davis, CA, 95616, USA
| | - A. Hamel
- Department of Psychology and Brain Sciences, 441 Tobin Hall, University of Massachusetts, Amherst, MA, 01003 USA
| | - J. Meyer
- Department of Psychology and Brain Sciences, 441 Tobin Hall, University of Massachusetts, Amherst, MA, 01003 USA
| | - M. Novak
- Department of Psychology and Brain Sciences, 441 Tobin Hall, University of Massachusetts, Amherst, MA, 01003 USA
| | - S.P. Mendoza
- California National Primate Research Center, University of California-Davis, One Shields Avenue, Davis, CA, 95616, USA
| | - B McCowan
- California National Primate Research Center, University of California-Davis, One Shields Avenue, Davis, CA, 95616, USA,Department of Population Health & Reproduction, School of Veterinary Medicine, University of California-Davis, One Shields Avenue, Davis, CA, 95616, USA
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Coleman K, Novak MA. Environmental Enrichment in the 21st Century. ILAR J 2017; 58:295-307. [PMID: 28444189 PMCID: PMC6279160 DOI: 10.1093/ilar/ilx008] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Revised: 02/08/2017] [Accepted: 02/23/2017] [Indexed: 01/13/2023] Open
Abstract
More than a quarter of a century has elapsed since the Animal Welfare Act mandated that research facilities develop and follow a plan to promote the psychological well-being of captive primates. Since passage of this law, considerable effort and resources have been directed to designing environmental enrichment strategies in an effort to improve animal welfare. These plans typically consist of environmental enrichment and socialization efforts. While environmental enhancement has undergone a great deal of improvement in the past 25 years, it should be viewed as a continual work in progress, which takes advantage of emergent and future technologies. In this review, we discuss the objectives of the environmental enhancement plan along with relevant outcome measures, as well as ongoing challenges, costs, and benefits. We then review various enrichment strategies and assess their efficacy in meeting goals and objectives. Finally, we look forward to consider what the future might hold for environmental enrichment of nonhuman primates used in research.
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Affiliation(s)
- Kristine Coleman
- Kristine Coleman, PhD, is a staff scientist and Head of the Behavioral Services Unit at the Oregon National Primate Research Center, Beaverton, Oregon. Melinda A. Novak, PhD, is a Professor in the Department of Psychological and Brain Sciences, University of Massachusetts, Amherst.
| | - Melinda A Novak
- Kristine Coleman, PhD, is a staff scientist and Head of the Behavioral Services Unit at the Oregon National Primate Research Center, Beaverton, Oregon. Melinda A. Novak, PhD, is a Professor in the Department of Psychological and Brain Sciences, University of Massachusetts, Amherst.
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Wooddell LJ, Kaburu SS, Suomi SJ, Dettmer AM. Elo-rating for Tracking Rank Fluctuations after Demographic Changes Involving Semi-free-ranging Rhesus Macaques ( Macaca mulatta). JOURNAL OF THE AMERICAN ASSOCIATION FOR LABORATORY ANIMAL SCIENCE : JAALAS 2017; 56:260-268. [PMID: 28535861 PMCID: PMC5438919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Revised: 10/31/2016] [Accepted: 12/12/2016] [Indexed: 06/07/2023]
Abstract
Rhesus macaques (Macaca mulatta) are gregarious primates that form despotic societies characterized by frequent and intense aggression. Within long-term social groups, demographic changes may influence hierarchical stability, potentially resulting in conflict and violently abrupt hierarchical changes. This conflict can result in serious implications for animal welfare, and thus, predictive tools would be invaluable to captive managers in determining social instabilities. Using the method Elo-rating to track rank changes and dominance stability, we predicted that demographic changes to a population of semi-free ranging rhesus macaques would result in changes in hierarchical stability. Over a 3 y period, dominance data were recorded on all troop members to track the hierarchy. Throughout the 3 y, significant changes occurred to the population (mainly due to health and colony management reasons; no changes specifically occurred for this study) including permanent removal of a large group of natal males, temporary and permanent removal of top-ranking females, and depositions of top-ranking families. Our retrospective study suggests that removing natal males was beneficial in promoting overall troop stability (that is, stability of dominance relationships), although remaining males opportunistically attempted to increase in rank, perhaps due to limited competition. Our results also suggest that removing top-ranking females, even temporarily, destabilized dominance relationships; consequently adjacently ranked females opportunistically increased in Elo-rating, both before and after the depositions of the α families. Thus, these challenges to the established hierarchy can be predicted by increases in Elo-rating within the β families after demographic changes to the α families. Our results suggest that the presence of natal males and the removal of top-ranking females should be minimized to maintain stable dominance relationships. In addition, longitudinal data reflecting dominance ranks, collected by using Elo-rating, may help managers of captive colonies in predicting dominance instabilities before they occur.
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Affiliation(s)
- Lauren J Wooddell
- Eunice Kennedy Shriver National Institute for Child Health and Human Development, NIH, Poolesville, Maryland;,
| | - Stefano Sk Kaburu
- Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, California
| | - Stephen J Suomi
- Eunice Kennedy Shriver National Institute for Child Health and Human Development, NIH, Poolesville, Maryland
| | - Amanda M Dettmer
- Eunice Kennedy Shriver National Institute for Child Health and Human Development, NIH, Poolesville, Maryland
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