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短期口服泼尼松对健康犬临床病理和血流动力学变量剂量反应效应的评估。

Evaluation of dose-response effects of short-term oral prednisone administration on clinicopathologic and hemodynamic variables in healthy dogs.

作者信息

Tinklenberg Rebecca L, Murphy Shane D, Mochel Jonathan P, Seo Yeon-Jung, Mahaffey Alyssa L, Yan Yuqi, Ward Jessica L

出版信息

Am J Vet Res. 2020 Apr;81(4):317-325. doi: 10.2460/ajvr.81.4.317.

DOI:10.2460/ajvr.81.4.317
PMID:32228253
Abstract

OBJECTIVE

To determine whether a dose-response relationship exists between short-term oral prednisone administration and common clinicopathologic variables, cardiovascular biomarkers, and systolic arterial blood pressure (SAP) in healthy dogs.

ANIMALS

8 healthy Beagles.

PROCEDURES

Dogs underwent five 5-day experiments (no prednisone treatment [control condition] and prednisone administration at 0.5, 1, 2, and 4 mg/kg, PO, q 24 h), with a 9-day washout period between protocols. Analyses performed before and after treatments included a CBC, serum biochemical analysis, and determination of SAP, fractional excretion of electrolytes, urine protein-to-creatinine ratio, glomerular filtration rate (GFR), serum N-terminal pro B-type natriuretic peptide (NT-proBNP) and plasma cortisol concentrations, and plasma renin activity. Linear mixed-effects modeling was used to compare changes in variables from baseline (day 1 for the same experiment) among treatment conditions.

RESULTS

Changes in serum glucose concentration and GFR were significantly greater after administration of prednisone at 4 mg/kg than for the control condition. Fractional excretion of sodium was decreased from baseline when dogs received 0.5, 1, or 4 mg of prednisone/kg, compared with results for the control condition. Several expected changes in clinicopathologic values were observed after prednisone administration at any dose. Changes in serum NT-proBNP concentration, plasma renin activity, and SAP did not differ from changes for the control condition at any prednisone dose.

CONCLUSIONS AND CLINICAL RELEVANCE

Oral prednisone administration did not affect SAP, NT-proBNP concentration, or measures of renin-angiotensin-aldosterone system activation in healthy laboratory-housed dogs but was associated with relative increases in GFR and serum glucose concentration.

摘要

目的

确定健康犬短期口服泼尼松给药与常见临床病理变量、心血管生物标志物及收缩期动脉血压(SAP)之间是否存在剂量反应关系。

动物

8只健康比格犬。

方法

犬只接受了5次为期5天的实验(无泼尼松治疗[对照条件]以及分别按0.5、1、2和4mg/kg口服泼尼松,每24小时一次),各实验方案之间有9天的洗脱期。治疗前后进行的分析包括全血细胞计数、血清生化分析以及SAP测定、电解质排泄分数、尿蛋白与肌酐比值、肾小球滤过率(GFR)、血清N末端B型脑钠肽前体(NT-proBNP)和血浆皮质醇浓度以及血浆肾素活性测定。采用线性混合效应模型比较各治疗条件下变量相对于基线(同一实验的第1天)的变化。

结果

给予4mg/kg泼尼松后,血清葡萄糖浓度和GFR的变化显著大于对照条件。与对照条件相比,犬只接受0.5、1或4mg/kg泼尼松时,钠排泄分数较基线降低。给予任何剂量泼尼松后,观察到临床病理值有一些预期变化。在任何泼尼松剂量下,血清NT-proBNP浓度、血浆肾素活性和SAP的变化与对照条件的变化无差异。

结论及临床意义

口服泼尼松对健康实验犬的SAP、NT-proBNP浓度或肾素-血管紧张素-醛固酮系统激活指标无影响,但与GFR和血清葡萄糖浓度相对升高有关。

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