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海洋脂质提取物EAB - 277补充治疗免疫介导性溶血性贫血犬的治疗效果及泼尼松龙减量的初步研究

Preliminary Study on Treatment Outcomes and Prednisolone Tapering after Marine Lipid Extract EAB-277 Supplementation in Dogs with Immune-Mediated Hemolytic Anemia.

作者信息

Mektrirat Raktham, Chongrattanameteekul Peerawit, Pureeroj Nattanon, Duangboon Metina, Loythong Jarunee, Wiset Natakorn, Chantarachart Sineenart, Lumsangkul Chompunut, Pongkan Wanpitak

机构信息

Department of Veterinary Biosciences and Veterinary Public Health, Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai 50100, Thailand.

Research Center for Veterinary Biosciences and Veterinary Public Health, Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai 50100, Thailand.

出版信息

Vet Sci. 2023 Jun 30;10(7):425. doi: 10.3390/vetsci10070425.

Abstract

Immune-mediated hemolytic anemia (IMHA) is a common autoimmune disorder in dogs with a high fatality rate and it remains a therapeutic challenge. The marine lipid extract, EAB-277, is a natural anti-inflammatory nutraceutical product. However, the effects of EAB-277 in IMHA dogs has rarely been investigated. The objective of this study is to assess the clinical effects of EAB-277 and prednisolone dose-tapering for supplemental therapy in IMHA dogs. Prednisolone was given to 18 anemic IMHA dogs according to a standard regimen. Six dogs were supplementally treated with EAB-277 for 28 days and the remaining twelve dogs were a control group of untreated supplementations. The results demonstrate that the supplement group showed slightly better survival rates (66.7 ± 19.2%) than the control group (16.7 ± 0.7%), but the difference was not statistically significant ( = 0.408). When compared to pre-therapy, the supplement group's blood profiles improved ( < 0.05). The EAB-277 treated group showed a moderate decrease in the incidence rate (4.20 times) of prednisolone tapering compared to the control group. The dosage reduction of prednisolone in supplement group was more than that in the control group ( < 0.0001). Our results suggest that EAB-277 supplementation may enhance clinical outcomes and lessen prednisolone dose-tapering in canine IMHA therapy.

摘要

免疫介导性溶血性贫血(IMHA)是犬类常见的自身免疫性疾病,死亡率高,仍是治疗上的一大挑战。海洋脂质提取物EAB - 277是一种天然的抗炎营养保健品。然而,EAB - 277对患有IMHA的犬类的影响鲜有研究。本研究的目的是评估EAB - 277和逐渐减量泼尼松龙对IMHA犬进行辅助治疗的临床效果。按照标准方案给18只贫血的IMHA犬服用泼尼松龙。6只犬用EAB - 277辅助治疗28天,其余12只犬作为未接受辅助治疗的对照组。结果表明,补充组的存活率(66.7±19.2%)略高于对照组(16.7±0.7%),但差异无统计学意义(P = 0.408)。与治疗前相比,补充组的血液指标有所改善(P<0.05)。与对照组相比,EAB - 277治疗组泼尼松龙逐渐减量的发生率有中度降低(4.20倍)。补充组泼尼松龙的减量幅度大于对照组(P<0.0001)。我们的结果表明,在犬类IMHA治疗中,补充EAB - 277可能会改善临床疗效并减少泼尼松龙的逐渐减量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd4/10386409/0ffae4b2da35/vetsci-10-00425-g001.jpg

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