Hegstad-Davies Rebecca L, Torres Sheila M F, Sharkey Leslie C, Gresch Sarah C, Muñoz-Zanzi Claudia A, Davies Peter R
Departments of Veterinary Population Medicine (Hegstad-Davies, Gresch, Davies), College of Veterinary Medicine, University of Minnesota, St. Paul, MinnesotaClinical Sciences (Torres, Sharkey), College of Veterinary Medicine, University of Minnesota, St. Paul, MinnesotaDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN (Muñoz-Zanzi)
Departments of Veterinary Population Medicine (Hegstad-Davies, Gresch, Davies), College of Veterinary Medicine, University of Minnesota, St. Paul, MinnesotaClinical Sciences (Torres, Sharkey), College of Veterinary Medicine, University of Minnesota, St. Paul, MinnesotaDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN (Muñoz-Zanzi).
J Vet Diagn Invest. 2015 Nov;27(6):716-27. doi: 10.1177/1040638715606953. Epub 2015 Oct 15.
Thyroxine (T4), free T4 (FT4), and thyrotropin (TSH) concentrations were measured in serum from 693 healthy representatives from 7 dog breeds (Alaskan Malamute, Collie, English Setter, Golden Retriever, Keeshond, Samoyed, or Siberian Husky) to determine whether breed-specific reference intervals (RIs) are warranted. Veterinarians reviewed the health history, performed a physical examination, and approved laboratory data for the enrolled dogs. Many purebred dogs had T4 and FT4 concentrations that were at, or below, the lower limits previously determined for non-breed-specific RIs. Mean concentrations of T4, FT4, and TSH varied significantly among breeds. The range of mean concentration of T4 (19.7 nmol/L [1.53 µg/dL] in English Setters to 29.0 nmol/L [2.25 µg/dL] in Keeshonds) and FT4 (12.6 pmol/L [0.98 ng/dL] in English Setters to 20.2 pmol/L [1.57 ng/dL] in Samoyeds) was considerable. Median TSH values ranged from 6.10 mIU/L (0.07 ng/mL; Alaskan Malamute and Golden Retriever) to 17.6 mIU/L (0.26 ng/mL; Collie). Mean T4 and FT4 concentrations were higher in females. Increasing age was associated with decreasing T4 and FT4, and increasing TSH concentration. The substantial ranges across breeds of measures of central tendency (mean, median) for all hormones indicate that breed-specific RIs are warranted. RIs encompassing the central 95% of reference values for all breeds combined, and for individual breeds, were calculated using nonparametric (TSH) and robust (T4, FT4) methods. Use of breed-specific RIs in combination with careful attention to the potential for pre-analytical and analytical variability in test results will improve thyroid function assessment in these breeds.
对来自7个犬种(阿拉斯加雪橇犬、柯利犬、英国塞特犬、金毛寻回犬、荷兰毛狮犬、萨摩耶犬或西伯利亚哈士奇)的693只健康犬的血清进行甲状腺素(T4)、游离T4(FT4)和促甲状腺激素(TSH)浓度测定,以确定是否有必要制定特定品种的参考区间(RI)。兽医回顾了入选犬的健康史,进行了体格检查,并批准了实验室数据。许多纯种犬的T4和FT4浓度处于或低于先前确定的非特定品种RI的下限。T4、FT4和TSH的平均浓度在不同品种间差异显著。T4平均浓度范围(英国塞特犬为19.7 nmol/L [1.53 µg/dL]至荷兰毛狮犬为29.0 nmol/L [2.25 µg/dL])和FT4平均浓度范围(英国塞特犬为12.6 pmol/L [0.98 ng/dL]至萨摩耶犬为20.2 pmol/L [1.57 ng/dL])相当大。TSH中位数范围从6.10 mIU/L(0.07 ng/mL;阿拉斯加雪橇犬和金毛寻回犬)至17.6 mIU/L(0.26 ng/mL;柯利犬)。雌性犬的T4和FT4平均浓度较高。年龄增加与T4和FT4浓度降低以及TSH浓度升高相关。所有激素的集中趋势测量值(均值、中位数)在不同品种间的大幅范围表明有必要制定特定品种的RI。使用非参数方法(TSH)和稳健方法(T4、FT4)计算了所有品种综合以及各个品种涵盖参考值中心95%的RI。结合使用特定品种的RI并仔细关注检测结果中分析前和分析变异性的可能性,将改善这些品种的甲状腺功能评估。