Cavalera Maria Alfonsa, Gernone Floriana, Uva Annamaria, Donghia Rossella, Carelli Grazia, Iatta Roberta, Zatelli Andrea
Department of Veterinary Medicine, University of Bari "Aldo Moro", Valenzano, Italy.
Unit of Research Methodology and Data Sciences for Population Health, "Salus in Apulia Study" National Institute of Gastroenterology "S. de Bellis" Research Hospital, Bari, Italy.
Front Vet Sci. 2022 Aug 1;9:949372. doi: 10.3389/fvets.2022.949372. eCollection 2022.
This study aims to evaluate the erythrocyte sedimentation rate (ESR) in -seropositive dogs compared with healthy dogs and to assess the existence of a correlation between ESR and clinical form of Canine leishmaniosis (CanL) as well as acute phase proteins (APPs). From October 2021 to January 2022, dogs were recruited in this study if -seropositive by enzyme-linked immunoassay and classified as exposed or affected by a CanL active form based on physical examination, clinical score, and laboratory results [i.e., complete blood count, biochemical panel such as C-reactive protein (CRP) and serum ferritin, serum protein electrophoresis, and fibrinogen concentration measurement]. To evaluate the ESR of the dogs, a point-of-care device was used with a reference interval of 0-10 mm/h. Moreover, the ESR evaluation has been also performed in clinically healthy dogs, as control group. Thirty-six -seropositive dogs [i.e., exposed ( = 10) and affected by CanL active form ( = 26)] were included in the study. Twenty-two healthy dogs were also enrolled. The mean value of ESR in dogs affected by a CanL active form was significantly higher than in exposed and healthy dogs ( < 0.0001). The ESR level was increased in 92% of dogs with CanL active form while positive APPs such as CRP, fibrinogen, and serum ferritin were increased only in 46, 48, and 58% of the animals, respectively. In exposed dogs, the ESR level was increased in 40% of cases. In dogs with active form, a significant positive correlation between ESR and total proteins, globulins, CRP, and fibrinogen, as well as a significant negative correlation between ESR and hematocrit, hemoglobin, and albumin/globulin ratio were detected. This study provides for the first-time data on ESR in -seropositive dogs demonstrating dogs affected by a CanL active form have the highest ESR level and the majority of these dogs presented an increased ESR compared with exposed and healthy dogs. The evaluation of ESR by a point-of-care device proved to be a simple, inexpensive, and ready-to-use benchtop tool and ESR can be considered a helpful and timely inflammatory biomarker for the diagnosis of a CanL active form.
本研究旨在评估血清学阳性犬与健康犬相比的红细胞沉降率(ESR),并评估ESR与犬利什曼病(CanL)临床形式以及急性期蛋白(APPs)之间是否存在相关性。2021年10月至2022年1月,通过酶联免疫吸附测定血清学呈阳性的犬被纳入本研究,并根据体格检查、临床评分和实验室检查结果(即全血细胞计数、包括C反应蛋白(CRP)和血清铁蛋白的生化指标、血清蛋白电泳以及纤维蛋白原浓度测定)分为暴露于CanL活动型或受其影响。为评估犬的ESR,使用了一种即时检测设备,其参考区间为0-10mm/h。此外,作为对照组,还对临床健康犬进行了ESR评估。本研究纳入了36只血清学阳性犬(即暴露组10只和受CanL活动型影响组26只)。还纳入了22只健康犬。受CanL活动型影响的犬的ESR平均值显著高于暴露组和健康犬(P<0.0001)。92%的CanL活动型犬的ESR水平升高,而CRP、纤维蛋白原和血清铁蛋白等阳性APPs分别仅在46%、48%和58%的动物中升高。在暴露犬中,40%的病例ESR水平升高。在活动型犬中,检测到ESR与总蛋白、球蛋白、CRP和纤维蛋白原之间存在显著正相关,以及ESR与血细胞比容、血红蛋白和白蛋白/球蛋白比值之间存在显著负相关。本研究首次提供了血清学阳性犬ESR的数据,表明受CanL活动型影响的犬ESR水平最高,与暴露犬和健康犬相比,这些犬中的大多数ESR升高。通过即时检测设备评估ESR被证明是一种简单、廉价且随时可用的台式工具,ESR可被视为诊断CanL活动型的一种有用且及时的炎症生物标志物。