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非甲状腺疾病犬中抗甲状腺球蛋白自身抗体的患病率。

Prevalence of autoantibodies to thyroglobulin in dogs with nonthyroidal illness.

作者信息

Nachreiner R F, Refsal K R, Graham P A, Hauptman J, Watson G L

机构信息

Animal Health Diagnostic Laboratory, College of Veterinary Medicine, Michigan State University, East Lansing 48824, USA.

出版信息

Am J Vet Res. 1998 Aug;59(8):951-5.

PMID:9706197
Abstract

OBJECTIVE

To evaluate a thyroglobulin autoantibody (TgAA) assay and determine a diagnostic threshold.

SAMPLE POPULATION

Serum samples from dogs with various endocrine abnormalities and from 30 obese adult female Beagles.

PROCEDURE

TgAA were determined by use of the ELISA. Six experiments were done: 1, definition of positive results for TgAA using samples from normal and T3 autoantibody (T3AA) positive dogs; 2, establishment of prevalence of positive results in 91 clinically normal dogs; 3, evaluation of positive results for sera from dogs with nonthyroidal illnesses; 4, testing of samples from dogs with primary hypothyroidism but absence of T4AA or T3AA, or both; 5, determination of prevalence of false-negative results in dogs that are T4AA and/or T3AA positive, which were (18 dogs) or were not (22 dogs) receiving L-thyroxine replacement therapy; and 6, examination of thyroid biopsy specimens from 18 dogs (8 TgAA positive and 10 TgAA negative).

RESULTS

Positive results were defined as at least twice (200%) the optical density of the negative-control sample. False-positive results were obtained for only 3.4% of 146 dogs with nonthyroidal illness. Thirty-seven percent of dogs with primary hypothyroidism, but no evidence of T4AA or T3AA, or both, were TgAA positive. False-negative results were found in 1 of 22 and 2 of 18 T3AA-positive dogs with and without thyroid replacement therapy, respectively. Thyroid biopsy specimens from 8 TgAA-positive dogs had evidence of lymphocytic thyroiditis, whereas those from 10 TgAA-negative dogs did not.

CONCLUSION AND CLINICAL RELEVANCE

The assay is sensitive and specific for identification of lymphocytic autoimmune thyroiditis in dogs, and has potential for aiding early diagnosis of thyroiditis in dogs and identifying dogs likely to perpetuate hypothyroidism in breeding programs.

摘要

目的

评估一种甲状腺球蛋白自身抗体(TgAA)检测方法并确定诊断阈值。

样本群体

来自患有各种内分泌异常的犬以及30只肥胖成年雌性比格犬的血清样本。

方法

采用酶联免疫吸附测定法(ELISA)测定TgAA。进行了六项实验:1. 使用来自正常犬和T3自身抗体(T3AA)阳性犬的样本确定TgAA阳性结果的定义;2. 确定91只临床正常犬中阳性结果的患病率;3. 评估患有非甲状腺疾病犬血清的阳性结果;4. 检测原发性甲状腺功能减退但无T4AA或T3AA或两者均无的犬的样本;5. 确定接受L-甲状腺素替代治疗的(18只犬)和未接受治疗的(22只犬)T4AA和/或T3AA阳性犬中假阴性结果的患病率;6. 检查18只犬(8只TgAA阳性和10只TgAA阴性)的甲状腺活检标本。

结果

阳性结果定义为至少是阴性对照样本光密度的两倍(200%)。146只患有非甲状腺疾病的犬中只有3.4%出现假阳性结果。37%原发性甲状腺功能减退但无T4AA或T3AA或两者均无的犬为TgAA阳性。在接受和未接受甲状腺替代治疗的T3AA阳性犬中,分别有1/22和2/18出现假阴性结果。8只TgAA阳性犬的甲状腺活检标本有淋巴细胞性甲状腺炎的证据,而10只TgAA阴性犬的标本则没有。

结论及临床意义

该检测方法对于识别犬淋巴细胞性自身免疫性甲状腺炎敏感且特异,具有辅助犬甲状腺炎早期诊断以及识别繁殖计划中可能导致甲状腺功能减退持续存在的犬的潜力。

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