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患有与慢性肾病相关合并症的犬类的蛋白尿和电泳图谱

Proteinuria and Electrophoretic Pattern in Dogs with Comorbidities Associated with Chronic Kidney Disease.

作者信息

Pérez-Sánchez Alicia Pamela, Perini-Perera Sofía, Del-Angel-Caraza Javier, Quijano-Hernández Israel Alejandro, Recillas-Morales Sergio

机构信息

Hospital Veterinario para Pequeñas Especies de la Facultad de Medicina Veterinaria y Zootecnia-Universidad Autonoma del Estado de México, Toluca 50130, Mexico.

Hospital Veterinario de Pequeños Animales, Facultad de Veterinaria, Universidad de la República, Montevideo 13000, Uruguay.

出版信息

Animals (Basel). 2023 Apr 19;13(8):1399. doi: 10.3390/ani13081399.

Abstract

In animals with chronic pathologies, the detection of proteinuria via the proteinuria: creatininuria ratio (UPC) and urinary protein electrophoresis allows for the early diagnosis of chronic kidney disease (CKD). The objective of this work was to identify and determine the magnitude of proteinuria and its electrophoretic pattern characterization in dogs with chronic diseases pathophysiologically related to proteinuria. With the studied patients, five groups were formed. The control group (CG) contained non-proteinuric cases. The cases with proteinuria were classified into four groups according to the concurrent disease: chronic inflammatory diseases (IG), neoplasms (NG), heart diseases (HG), and endocrine diseases (EG). For the statistical analysis, descriptive statistics and non-parametric tests were used. Data from 264 dogs were obtained; in the disease groups, proteinuria was observed in more than 30% as the only finding of kidney disease, evidencing a greater risk factor for proteinuria in the HG group (OR 4.047, CI 1.894-8.644, < 0.0001). In the HG, NG, and EG groups, a higher frequency of glomerular pattern (GEP) related to glomerular hypertension was observed; in the IG, a higher frequency of mixed pattern (MEP) was observed. These findings are secondary to the hyperfiltration process that affects the glomerulus and the renal tubule.

摘要

在患有慢性疾病的动物中,通过蛋白尿与肌酐尿比值(UPC)和尿蛋白电泳检测蛋白尿,有助于早期诊断慢性肾脏病(CKD)。本研究的目的是确定与蛋白尿病理生理相关的慢性疾病犬的蛋白尿程度及其电泳图谱特征。根据研究对象,分为五组。对照组(CG)为无蛋白尿病例。蛋白尿病例根据并发疾病分为四组:慢性炎症性疾病组(IG)、肿瘤组(NG)、心脏病组(HG)和内分泌疾病组(EG)。统计分析采用描述性统计和非参数检验。共获得264只犬的数据;在疾病组中,超过30%的犬出现蛋白尿,这是肾病的唯一表现,表明HG组蛋白尿的危险因素更大(OR 4.047,CI 1.894 - 8.644,< 0.0001)。在HG、NG和EG组中,观察到与肾小球高血压相关的肾小球型(GEP)频率较高;在IG组中,观察到混合型(MEP)频率较高。这些发现是由影响肾小球和肾小管的超滤过程所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc0/10135081/a59709b646c1/animals-13-01399-g001.jpg

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