Ozawa Sarah M, Pierce Kursten V, Thomson Andrea, Moiseiwitsch Nina A, Stephens Jazz, LeGrand Jessie, Brown Ashley C, Mochizuki Hiroyuki
1Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina.
2Comparative Medicine Institute, North Carolina State University, Raleigh, North Carolina.
J Am Assoc Lab Anim Sci. 2024 Nov 1;63(6):669-674. doi: 10.30802/AALAS-JAALAS-24-041.
Cardiac troponin I (cTnI) is a cardiac-specific biomarker, used for the detection of myocardial injury. While rabbits develop naturally occurring cardiovascular disease, they are also an animal model for human disease; thus, rapid detection of cTnI has implications for both veterinary and human medicine. The objective of this study was to validate and establish a reference interval for a point-of-care (POC) cTnI assay in New Zealand White rabbits. In the first portion of the study, rabbit cardiac and skeletal muscle tissues were used to create homogenates, serially diluted with saline or rabbit whole blood, and run by repeated analysis on the POC assay. In the second portion of the study, a reference interval of peripheral whole blood cTnI was determined by robust methods from 49 New Zealand White rabbits. The least diluted cardiac muscle homogenates produced detectable cTnI (mean 23.12 ± 3.557 ng/mL), while skeletal muscle homogenates produced low to undetectable cTnI. The CV ranged from 0.00% to 32.51% for cTnI of diluted cardiac muscle homogenates. Rabbit cardiac homogenate diluted in blood had a linear relationship to cTnI concentration (Y = 0.2254 × X + 0.5396, R2 = 0.975). The reference interval for cTnI in this population was less than 0.04 ng/mL. This POC assay may be useful when rapid detection of cTnI is needed and differentiation between normal and elevated values is required. Given the high CV, this assay may not be appropriate for cases that require high sensitivity or detection of low concentrations of cTnI.
心肌肌钙蛋白I(cTnI)是一种心脏特异性生物标志物,用于检测心肌损伤。虽然兔子会自然发生心血管疾病,但它们也是人类疾病的动物模型;因此,快速检测cTnI对兽医和人类医学都有重要意义。本研究的目的是验证并建立新西兰白兔即时检验(POC)cTnI检测的参考区间。在研究的第一部分,使用兔心脏和骨骼肌组织制备匀浆,用生理盐水或兔全血进行系列稀释,并通过POC检测进行重复分析。在研究的第二部分,采用稳健方法从49只新西兰白兔中确定外周全血cTnI的参考区间。稀释度最低的心肌匀浆可检测到cTnI(平均值为23.12±3.557 ng/mL),而骨骼肌匀浆产生的cTnI含量低至无法检测。稀释心肌匀浆中cTnI的变异系数(CV)范围为0.00%至32.51%。血液中稀释的兔心脏匀浆与cTnI浓度呈线性关系(Y = 0.2254×X + 0.5396,R2 = 0.975)。该群体中cTnI的参考区间小于0.04 ng/mL。当需要快速检测cTnI并区分正常和升高值时,这种POC检测可能有用。鉴于CV较高,该检测可能不适用于需要高灵敏度或检测低浓度cTnI的情况。