Barry-Heffernan Caitlin, Ekena Joanne, Dowling Sarah, Pinkerton Marie E, Viviano Katrina
BluePearl Veterinary Partners, Southfield, Michigan.
Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin.
J Vet Intern Med. 2019 Mar;33(2):611-617. doi: 10.1111/jvim.15443. Epub 2019 Feb 13.
Oxidative stress is associated with a diverse group of liver disorders across species.
Determine whether glutathione (GSH) concentration in plasma and red blood cells correlates with liver GSH concentration in dogs and evaluate whether other markers of systemic oxidative stress, plasma vitamin E and urine 8-isoprostanes/creatinine (F -IsoPs/Cr) concentrations, correlate with liver GSH.
Thirty-four client-owned dogs undergoing clinically indicated liver biopsy and 15 healthy control dogs.
Prospective, observational cross-sectional study. Urine and blood were collected before liver biopsy. Plasma, erythrocyte, and liver GSH were measured using high performance liquid chromatography (HPLC); vitamin E was measured by HPLC, and F -IsoPs/Cr was measured by gas chromatography/mass spectrometry.
All dogs were treated at the discretion of the attending clinician (24/34 received antioxidants; 4/34 fed therapeutic liver diet), which included dogs with primary or secondary liver disease (inflammatory (n = 21), metabolic (n = 9), vascular (n = 2), and neoplastic (n = 2)). Median GSH concentrations in plasma, erythrocyte, and liver were 0.18 mg/dL (range 0.14 to 0.56 mg/dL), 56.7 mg/dL (18.3 to 79.2 mg/dL), and 181 mg/dL (39.9 to 527 mg/dL), respectively. No significant correlations were found between liver GSH and erythrocyte GSH, plasma GSH, vitamin E, or F -IsoPs/Cr. Dogs undergoing clinically indicated liver biopsy had significantly higher urine F -IsoPs/Cr than did healthy controls (5.89 vs 2.98 ng/mg; P < .0001).
Erythrocyte and plasma GSH are not indicative of liver GSH concentration in dogs. In addition, dogs undergoing clinically indicated liver biopsy have evidence of increased systemic oxidative stress compared to healthy controls.
氧化应激与跨物种的多种肝脏疾病相关。
确定犬血浆和红细胞中的谷胱甘肽(GSH)浓度是否与肝脏GSH浓度相关,并评估全身氧化应激的其他标志物,血浆维生素E和尿8-异前列腺素/肌酐(F -IsoPs/Cr)浓度是否与肝脏GSH相关。
34只接受临床指示肝脏活检的客户拥有的犬和15只健康对照犬。
前瞻性观察性横断面研究。在肝脏活检前收集尿液和血液。使用高效液相色谱法(HPLC)测量血浆、红细胞和肝脏中的GSH;通过HPLC测量维生素E,并通过气相色谱/质谱法测量F -IsoPs/Cr。
所有犬均由主治临床医生酌情治疗(34只中有24只接受抗氧化剂治疗;34只中有4只喂食治疗性肝脏饮食),其中包括患有原发性或继发性肝脏疾病的犬(炎症性(n = 21)、代谢性(n = 9)、血管性(n = 2)和肿瘤性(n = 2))。血浆、红细胞和肝脏中GSH的中位数浓度分别为0.18mg/dL(范围0.14至0.56mg/dL)、56.7mg/dL(18.3至79.2mg/dL)和181mg/dL(39.9至527mg/dL)。未发现肝脏GSH与红细胞GSH、血浆GSH、维生素E或F -IsoPs/Cr之间存在显著相关性。接受临床指示肝脏活检的犬的尿F -IsoPs/Cr显著高于健康对照犬(5.89对2.98ng/mg;P <.0001)。
红细胞和血浆GSH不能指示犬肝脏GSH浓度。此外,与健康对照相比,接受临床指示肝脏活检的犬有全身氧化应激增加的证据。