Department of Veterinary Sciences, University of Pisa, Pisa, Italy.
J Vet Diagn Invest. 2022 Jul;34(4):738-741. doi: 10.1177/10406387221101547. Epub 2022 Jun 10.
Serum protein electrophoresis (SPE) shows the distribution of protein fractions, helping clinicians to characterize some pathologic processes. Information is lacking in the literature about SPE alterations in dogs with chronic hepatitis (CH). Our aim was to describe SPE alterations in canine CH, to compare SPE results to histologic scores, and to study SPE trends during follow-up. We reviewed retrospectively case data from dogs with a histologic diagnosis of CH. Only cases with SPE, CBC, and serum chemistry results available were included. Dogs were divided into subgroups based on histologic necroinflammatory activity (A) and fibrosis (F) scores (groups A0-1 and A>1; groups F<2 and F≥2). We included 26 dogs; 15 had follow-up SPE. The most common SPE alterations at admission were hypoalbuminemia ( = 16), increases in α1-globulins ( = 11), γ-globulins ( = 11), α2-globulins ( = 8), β2-globulins ( = 7), and β1-globulins ( = 6), and decreased albumin:globulin (A:G) ratios ( = 20). Four of 11 dogs had β-γ bridging. Groups with higher A and F scores had higher β2-globulins. Eleven of 15 dogs with a post-treatment SPE had a decrease in γ-globulins and increase in A:G ratio compared to their T0, although there was no statistically significant difference. Although further studies are warranted, SPE may be useful for monitoring canine CH.
血清蛋白电泳(SPE)显示蛋白馏分的分布,有助于临床医生描述某些病理过程。关于慢性肝炎(CH)犬的 SPE 改变,文献中信息较少。我们的目的是描述 CH 犬的 SPE 改变,将 SPE 结果与组织学评分进行比较,并研究随访期间 SPE 的趋势。我们回顾性地分析了具有组织学 CH 诊断的犬的病例数据。仅纳入具有 SPE、CBC 和血清化学结果的病例。根据组织学坏死性炎症(A)和纤维化(F)评分(A0-1 和 A>1 组;F<2 和 F≥2 组)将犬分为亚组。我们纳入了 26 只犬;15 只犬具有随访 SPE。入院时最常见的 SPE 改变为低白蛋白血症( = 16)、α1-球蛋白增加( = 11)、γ-球蛋白增加( = 11)、α2-球蛋白增加( = 8)、β2-球蛋白增加( = 7)和β1-球蛋白增加( = 6)以及白蛋白:球蛋白(A:G)比值降低( = 20)。11 只犬中有 4 只存在β-γ桥。A 和 F 评分较高的组β2-球蛋白较高。与 T0 相比,15 只接受治疗后 SPE 的犬中有 11 只的γ-球蛋白降低和 A:G 比值增加,尽管无统计学差异。尽管需要进一步研究,但 SPE 可能对监测犬 CH 有用。