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感染各种媒介传播病原体的犬以及患有免疫介导性溶血性贫血的犬体内的核周抗中性粒细胞胞浆自身抗体

Perinuclear antineutrophil cytoplasmic autoantibodies in dogs infected with various vector-borne pathogens and in dogs with immune-mediated hemolytic anemia.

作者信息

Karagianni Anna E, Solano-Gallego Laia, Breitschwerdt Edward B, Gaschen Frédéric P, Day Michael J, Trotta Michele, Wieland Barbara, Allenspach Karin

机构信息

Department of Veterinary Clinical Sciences, Royal Veterinary College, University of London, Hatfield, Hertfordshire, AL9 7TA, England.

出版信息

Am J Vet Res. 2012 Sep;73(9):1403-9. doi: 10.2460/ajvr.73.9.1403.

DOI:10.2460/ajvr.73.9.1403
PMID:22924722
Abstract

OBJECTIVE

To determine the prevalence of perinuclear antineutrophil cytoplasmic autoantibodies (pANCA) in dogs with confirmed or suspected immune-mediated hemolytic anemia (IMHA) or dogs infected with various vector-borne pathogens, including Rickettsia rickettsii, Bartonella henselae, Bartonella vinsonii subsp berkhoffii, Ehrlichia canis, Borrelia burgdorferi, and Leishmania infantum.

ANIMALS

55 dogs with confirmed or suspected IMHA, 140 dogs seroreactive for vector-borne pathogens, and 62 healthy dogs and dogs seronegative for vector-borne pathogens.

PROCEDURES

Samples were allocated to subgroups on the basis of the health status of the dogs and the degree of seroreactivity against various vector-borne pathogens. Serum samples were tested retrospectively via indirect immunofluorescence assay to determine pANCA status.

RESULTS

26 of 55 (47%) dogs with confirmed or suspected IMHA and 67 of 140 (48%) dogs seroreactive for vector-borne pathogens had positive results when tested for pANCA. Serum samples with the highest antibody concentrations against L infantum antigen had the highest proportion (28/43 [65%]) that were positive for pANCA. One of 20 (5%) dogs seronegative for tick-borne pathogens and 8 of 22 (36%) dogs seronegative for L infantum had positive results for pANCA. One of 20 (5%) healthy dogs had serum antibodies against pANCA.

CONCLUSIONS AND CLINICAL RELEVANCE

pANCA were detected in a high percentage of dogs with IMHA and vector-borne infectious diseases. Therefore, pANCA may be a relatively nonspecific marker for dogs with inflammatory bowel disease, although they could represent a biomarker for immune-mediated diseases and infections.

摘要

目的

确定确诊或疑似免疫介导性溶血性贫血(IMHA)的犬,或感染各种媒介传播病原体(包括立氏立克次体、汉氏巴尔通体、文森巴尔通体伯克霍夫亚种、犬埃立克体、伯氏疏螺旋体和婴儿利什曼原虫)的犬中核周抗中性粒细胞胞浆自身抗体(pANCA)的患病率。

动物

55只确诊或疑似IMHA的犬、140只对媒介传播病原体血清反应阳性的犬,以及62只健康犬和对媒介传播病原体血清反应阴性的犬。

方法

根据犬的健康状况和对各种媒介传播病原体的血清反应程度将样本分配到亚组。通过间接免疫荧光法对血清样本进行回顾性检测以确定pANCA状态。

结果

55只确诊或疑似IMHA的犬中有26只(47%),140只对媒介传播病原体血清反应阳性的犬中有67只(48%)在检测pANCA时结果为阳性。针对婴儿利什曼原虫抗原抗体浓度最高的血清样本中pANCA阳性比例最高(28/43 [65%])。20只对蜱传播病原体血清反应阴性的犬中有1只(5%),22只对婴儿利什曼原虫血清反应阴性的犬中有8只(36%)pANCA检测结果为阳性。20只健康犬中有1只(5%)有抗pANCA血清抗体。

结论及临床意义

在高比例的IMHA犬和媒介传播传染病犬中检测到pANCA。因此,pANCA可能是炎性肠病犬相对非特异性的标志物,尽管它们可能代表免疫介导性疾病和感染的生物标志物。

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