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多种因素对患癌犬和健康犬循环中25(OH)维生素D浓度的影响。

Influence of Various Factors on Circulating 25(OH) Vitamin D Concentrations in Dogs with Cancer and Healthy Dogs.

作者信息

Weidner N, Woods J P, Conlon P, Meckling K A, Atkinson J L, Bayle J, Makowski A J, Horst R L, Verbrugghe A

机构信息

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

Department of Biomedical Sciences, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

出版信息

J Vet Intern Med. 2017 Nov;31(6):1796-1803. doi: 10.1111/jvim.14834. Epub 2017 Sep 23.

Abstract

BACKGROUND

Low blood 25-hydroxyvitamin D (25(OH)D) concentrations have been associated with cancer in dogs. Little research has examined what other factors may affect 25(OH)D concentrations.

OBJECTIVES

(1) To determine whether the presence of cancer (lymphoma, osteosarcoma, or mast cell tumor [MCT]) in dogs is associated with plasma 25(OH)D concentrations and (2) identify other factors related to plasma 25(OH)D concentrations in dogs.

ANIMALS

Dogs newly diagnosed with osteosarcoma (n = 21), lymphoma (n = 27), and MCT (n = 21) presented to a tertiary referral oncology center, and healthy, client-owned dogs (n = 23).

METHODS

An observational study design was used. Dietary vitamin D intake, sex, age, body condition score (BCS), muscle condition score (MCS), and plasma concentrations of 25(OH)D, 24,25-dihydroxyvitamin D (24,25(OH) D) (a marker of CYP24A1 activity), as well as ionized calcium (ICa), parathyroid hormone, and parathyroid hormone-related protein concentrations were measured. An analysis of covariance was used to model plasma 25(OH)D concentrations.

RESULTS

Cancer type (P = 0.004), plasma 24,25(OH) D concentrations (P < 0.001), and plasma ICa concentrations (P = 0.047) had significant effects on plasma 25(OH)D concentrations. Effects of age, sex, body weight, BCS, MCS, and plasma PTH concentrations were not identified. A significant interaction between ICa and cancer was found (P = 0.005). Plasma 25(OH)D concentrations increased as ICa concentrations increased in dogs with cancer, whereas plasma 25(OH)D concentrations decreased as ICa concentrations increased in healthy dogs.

CONCLUSIONS AND CLINICAL IMPORTANCE

Results support a relationship between cancer and altered vitamin D metabolism in dogs, mediated by plasma ICa concentrations. The CYP24A1 activity and plasma ICa should be measured in studies examining plasma 25(OH)D concentrations in dogs.

摘要

背景

犬类血液中低浓度的25-羟基维生素D(25(OH)D)与癌症有关。很少有研究探讨其他哪些因素可能影响25(OH)D浓度。

目的

(1)确定犬类是否患有癌症(淋巴瘤、骨肉瘤或肥大细胞瘤[MCT])与血浆25(OH)D浓度有关,以及(2)确定与犬类血浆25(OH)D浓度相关的其他因素。

动物

新诊断为骨肉瘤(n = 21)、淋巴瘤(n = 27)和MCT(n = 21)的犬类被送至一家三级转诊肿瘤中心,以及健康的、由客户拥有的犬类(n = 23)。

方法

采用观察性研究设计。测量饮食中维生素D摄入量、性别、年龄、身体状况评分(BCS)、肌肉状况评分(MCS)以及25(OH)D、24,25-二羟基维生素D(24,25(OH)D)(CYP24A1活性标志物)的血浆浓度,以及离子钙(ICa)、甲状旁腺激素和甲状旁腺激素相关蛋白浓度。采用协方差分析对血浆25(OH)D浓度进行建模。

结果

癌症类型(P = 0.004)、血浆24,25(OH)D浓度(P < 0.001)和血浆ICa浓度(P = 0.047)对血浆25(OH)D浓度有显著影响。未发现年龄、性别、体重、BCS、MCS和血浆甲状旁腺激素浓度的影响。发现ICa与癌症之间存在显著交互作用(P = 0.005)。患有癌症的犬类中,随着ICa浓度升高,血浆25(OH)D浓度升高;而在健康犬类中,随着ICa浓度升高,血浆25(OH)D浓度降低。

结论及临床意义

结果支持犬类癌症与维生素D代谢改变之间的关系,这种关系由血浆ICa浓度介导。在研究犬类血浆25(OH)D浓度时,应测量CYP24A1活性和血浆ICa。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f4c/5697176/21f51813872f/JVIM-31-1796-g001.jpg

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