Comparative Neuroimmunology and Neuro-oncology Laboratory, North Carolina State University, Raleigh, North Carolina, USA.
Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA.
J Vet Intern Med. 2021 Jul;35(4):1873-1883. doi: 10.1111/jvim.16181. Epub 2021 Jun 9.
Vascular endothelial growth factor (VEGF) is a key molecular driver of angiogenesis and vascular permeability and is expressed by a wide variety of neoplasms. Although blood VEGF concentrations have been quantified in intracranial tumors of dogs, cerebrospinal fluid (CSF) VEGF concentration might be a more sensitive biomarker of disease.
Concentrations of VEGF in CSF are higher in dogs with central nervous system (CNS) neoplasia compared to those with meningoencephalomyelitis and other neurologic disorders.
One hundred and twenty-six client-owned dogs presented to a veterinary teaching hospital.
Case-control study. Cerebrospinal fluid was archived from dogs diagnosed with CNS neoplasia and meningoencephalomyelitis. Control dogs had other neurological disorders or diseases outside of the CNS. A commercially available kit was used to determine VEGF concentrations.
Detectable CSF VEGF concentrations were present in 49/63 (77.8%) neoplastic samples, 22/24 (91.7%) inflammatory samples, and 8/39 (20.5%) control samples. The VEGF concentrations were significantly different between groups (P < .0001), and multiple comparison testing showed that both neoplastic and inflammatory groups had significantly higher concentrations than did controls (P < .05), but did not differ from each other. Gliomas and choroid plexus tumors had significantly higher VEGF concentrations than did the control group (P < .05).
Cerebrospinal fluid VEGF concentrations may serve as a marker of neoplastic and inflammatory CNS disorders relative to other conditions.
血管内皮生长因子(VEGF)是血管生成和血管通透性的关键分子驱动因素,广泛表达于各种肿瘤中。虽然已经在犬颅内肿瘤中定量了血液 VEGF 浓度,但脑脊液(CSF)VEGF 浓度可能是疾病更敏感的生物标志物。
与脑膜脑炎和其他神经疾病相比,中枢神经系统(CNS)肿瘤犬的 CSF 中 VEGF 浓度更高。
126 只就诊于兽医教学医院的患犬。
病例对照研究。从诊断为 CNS 肿瘤和脑膜脑炎的犬中采集 CSF 存档。对照组犬患有其他 CNS 以外的神经疾病或疾病。使用市售试剂盒测定 VEGF 浓度。
在 49/63(77.8%)肿瘤样本、22/24(91.7%)炎症样本和 8/39(20.5%)对照组样本中均检测到可检测到的 CSF VEGF 浓度。各组间 VEGF 浓度差异有统计学意义(P < .0001),多重比较检验显示肿瘤组和炎症组的浓度均显著高于对照组(P < .05),但两组之间无差异。胶质瘤和脉络丛肿瘤的 VEGF 浓度显著高于对照组(P < .05)。
CSF VEGF 浓度可作为相对于其他疾病的 CNS 肿瘤和炎症性疾病的标志物。