The Swedish Exhibition & Congress Centre, Goteborg, Sweden, 8th to 10th September
2016
ORAL RESEARCH COMMUNICATIONS.
ISCAID – International Society for Companion Animal Infectious Diseases.
Thursday 8 September
11.20–11.35
ISCAID‐O‐1
Selder
Sensitivity and specificity of a rapid polymerase chain reaction for the diagnosis
of canine leishmaniasis
11.35–11.50
ISCAID‐O‐2
Spencer
Prevalence and risk factors for Felis catus gammaherpesvirus 1 infection among pet
cats in the United Kingdom
11.50–12.05
ISCAID‐O‐3
Hiebl
Detection rate of viral and bacterial pathogens as well as helminths associated with
respiratory tract disease in Austrian dogs
12.05–12.20
ISCAID‐O‐4
Delaude
The role of the dog in the epidemiology of leptospirosis in Switzerland – seroprevalence
and urinary shedding of pathogenic leptospires
12.20–12.35
ISCAID‐O‐5
Glaus
Characterisation of Angiostrongylus (A.) vasorum infected dogs with excessive bleeding
as primary clinical complaint
12.35–12.50
ISCAID‐O‐6
Leutenegger
C. perfringens type A netE and netF toxins are associated with bloody diarrhea in
dogs
14.25–14.40
ISCAID‐O‐7
Hapke
Determination of Leptospira antibody titers by microscopic agglutination test (MAT)
in dogs after vaccination with a tetravalent leptospirosis vaccine
14.40–14.55
ISCAID‐O‐8
Bouzouraa
Implication, clinical and biological impact of Vector‐Borne Pathogens in anemic dogs:
A prospective study of 134 cases
14.55–15.10
ISCAID‐O‐9
Proksch
The role of canine circovirus in acute haemorrhagic diarrhoea syndrome and its impact
on canine parvovirus infection
15.10–15.25
ISCAID‐O‐10
Fontaine
Leucofeligen® FeLV/RCP vaccine prevents persistent viremia in cats exposed to a pathogenic
FeLV strain three years after the last annual vaccine injection
15.25–15.40
ISCAID‐O‐11
Pineda
Marbofloxacin treatment in dogs with leishmaniasis and chronic kidney disease
15.40–15.55
ISCAID‐O‐12
Fontaine
Canigen® DHPPi/L vaccine protects puppies against parvovirosis even in the presence
of maternally derived antibodies
15.55–16.10
ISCAID‐O‐13
Lo Piccolo
Multidrug‐resistant Extended‐Spectrum‐ß‐Lactamase and Plasmid‐Mediated AmpC ß‐Lactamase‐Producing
Enterobacteriaceae isolated from diseased cats in Southern Italy
16.10–16.25
ISCAID‐O‐14
Segarra
A randomized, allopurinol‐controlled trial evaluating the use of dietary nucleotides
and AHCC in dogs with clinical leishmaniosis
SCH – Society of Comparative Hepatology.
Thursday 8 September
14.25–14.40
SCH‐O‐1
Dirksen
Low sensitivity and specificity of alanine aminotransferase and alkaline phosphatase
for detection of hepatocellular injury in 198 Labrador retrievers without clinical
signs of liver disease
14.40–14.55
SCH‐O‐2
Twedt
Relationship of Hepatic Copper Concentrations to Histopathological Changes in the
Dog
14.55–15.10
SCH‐O‐3
Dirksen
A panel of serum microRNAs differentiates between various types of canine hepatobiliairy
diseases
15.10–15.25
SCH‐O‐4
van den Bossche
Lipid accumulation in canine portosystemic shunts
15.25–15.40
SCH‐O‐5
Kruitwagen
Long‐term adult feline liver organoid cultures for disease modelling of hepatic lipidosis
15.40–15.55
SCH‐O‐6
Kuzi
Prognostic markers for mortality in feline hepatic lipidosis: a retrospective study
of 71 cats
ESVC – European Society of Veterinary Cardiology.
Thursday 8 September
15.55–16.10
ESVC‐O‐1
Crosara
Aorto‐septal angle and systolic murmur in apparently healthy cats. A pilot study.
16.10–16.25
ESVC‐O‐2
Payne
Inter‐observer variability for cardiac ultrasound measurements in cats between 12
and 24 months of age
16.25–16.40
ESVC‐O‐3
Sebastian
Anomalies and anatomical variations of the thoracic great vessels in dogs
Friday 9 September
09.00–09.15
ESVC‐O‐4
Johard
Effects of sedation with dexmedetomidine and buprenorphine on echocardiographic variables,
blood pressure and heart rate in healthy cats
09.15–09.30
ESVC‐O‐5
Saponaro
Cardiovascular effects of medetomidine alone or in combination with propofol in stage
B2 mixomatous mitral valve disease
09.30–09.45
ESVC‐O‐6
Darnis
Inter‐observer agreement when measuring ultrasonographic inferior vena cava diameter
and basic echocardiographic parameters by non cardiologist veterinarians following
a 6‐hour training course
09.45–10.00
ESVC‐O‐7
Hezzell
Focused cardiac ultrasound in the emergency room improves the differentiation of respiratory
and cardiac causes of dyspnea in dogs
10.00–10.15
ESVC‐O‐8
Bartoszuk
Holter evaluation in cats with symptomatic heart disease and with thoracic trauma
10.15–10.30
ESVC‐O‐9
Blake
Poincaré plots as a measure of heart rate variability in normal dogs
11.20–11.35
ESVC‐O‐10
Kieler
Feline hypertrophic cardiomyopathy does not alter serum levels of symmetric dimethylarginine
11.35–11.50
ESVC‐O‐11
Spalla
Mitral annular plane systolic excursion (mapse) and tricuspid annular plane systolic
excursion (tapse) in cats with hypertrophic cardiomyopathy
11.50–12.05
ESVC‐O‐12
Hoglund
Inter‐breed variation in circulating concentrations of serotonin (5HT) in healthy
dogs
12.05–12.20
ESVC‐O‐13
Porteiro Vázquez
Analysis of precordial lead system in dogs with different thoracic conformations
12.20–12.35
ESVC‐O‐14
Hannabuss
T wave inversion in precordial ECG leads as a marker of arrhythmogenic right ventricular
cardiomyopathy in Boxer dogs
12.35–12.50
ESVC‐O‐15
Hezzell
A pilot study of bridging integrator‐1 in boxer dogs with arrhythmogenic right ventricular
cardiomyopathy
14.25–14.40
ESVC‐O‐16
Novo Matos
Transient myocardial thickening in cats associated with heart failure
14.40–14.55
ESVC‐O‐17
Dickson
History and clinical findings in 87 cats presenting with dyspnoea in general practice:
a prospective investigation
14.55–15.10
ESVC‐O‐18
Wilkie
Cluster analysis of pathological features to reclassify feline cardiomyopathies
15.10–15.25
ESVC‐O‐19
Rishniw
“Soft”, “not soft” or “palpable”: more detailed murmur classification of pulmonic
and subaortic stenosis provides no additional useful information
15.25–15.40
ESVC‐O‐20
Szatmári
Can NT‐proBNP plasma levels and phonocardiography facilitate differentiation of innocent
cardiac murmurs from congenital cardiac anomalies in asymptomatic puppies?
15.40–15.55
ESVC‐O‐21
Falk
Value of standard echocardiographic variables in predicting pulmonary transit time
and myocardial perfusion in dogs with or without myxomatous mitral valve disease
16.30–16.45
ESVC‐O‐22
Tidholm
Comparison of real‐time 3‐dimensional and 2D‐biplanar echocardiographic assessment
of left atrial volumes in dogs with myxomatous mitral valve disease using the same
acquisition
16.45–17.00
ESVC‐O‐23
Menciotti
Three‐dimensional echocardiographic comparison of mitral valve morphology in Cavalier
King Charles spaniels to mitral valve morphology in dogs of other breeds
17.00–17.15
ESVC‐O‐24
Olsen
Mitral Regurgitation Severity and Left Ventricular Systolic Dimension Predict Survival
in Young Cavalier King Charles Spaniels
17.15–17.30
ESVC‐O‐25
Christiansen
Evaluating urinary 5‐hydroxyindoleacetic acid (5‐HIAA) as a biomarker of myxomatous
mitral valve disease in Cavalier King Charles Spaniels
17.30–17.45
ESVC‐O‐26
Roels
Diagnostic value of pulmonary vein to pulmonary artery ratio in dogs with pulmonary
hypertension of pre‐capillary origin
17.45–18.00
ESVC‐O‐27
Vezzosi
Echocardiographic evaluation of the right atrial area index in dogs with pulmonary
hypertension
Saturday 10 September
11.50–12.05
ESVC‐O‐28
Basili
Taurine deficiency in English Cocker Spaniels diagnosed with Dilated Cardiomyopathy
12.05–12.20
ESVC‐O‐29
Harris
Heart Rate Deceleration Capacity obtained from 24‐hour ambulatory ECG in healthy Doberman
pinschers and those with dilated cardiomyopathy
12.20–12.35
ESVC‐O‐30
Perego
Comparison of echocardiographic parameters in dogs with arrhythmia‐induced cardiomyopathy
and familiar dilated cardiomyopathy
12.35–12.50
ESVC‐O‐31
Brungs
Echocardiographic Indices of Age and Gender‐Dependent Cardiac Remodeling over the
Adult Lifespan in Irish Wolfhounds
ESVNU – European Society of Veterinary Nephrology and Urology.
Friday 9 September
09.00–09.15
ESVNU‐O‐1
Conroy
Chronic Kidney Disease in cats presenting to primary‐care practice in the UK
09.15–09.30
ESVNU‐O‐2
Lawson
Investigation of a cell culture model for the study of fibrosis in the feline kidney
09.30–09.45
ESVNU‐O‐3
Sanchez‐Lara
Transglutaminase 2 following renal warm ischaemia in the rat: implication for feline
chronic kidney disease
09.45–10.00
ESVNU‐O‐4
van den Broek
Fibroblast growth factor 23 and hypertension in feline chronic kidney disease
10.00–10.15
ESVNU‐O‐5
McCallum
Detection of morbillivirus and other paramyxoviruses in urine samples from geriatric
cats with and without evidence of azotaemic chronic kidney disease (CKD) in the United
Kingdom (UK)
10.15–10.30
ESVNU‐O‐6
Soerensen
Diagnostic work‐up does not affect appropriate antibiotic prescription in dogs with
suspected urinary tract infection – An observational study in Danish small animal
practices
11.20–11.35
ESVNU‐O‐7
Jessen
Bacterial culture does not improve antibiotic choice in dogs with suspected urinary
tract infection – An observational study in Danish small animal practices
11.35–11.50
ESVNU‐O‐8
Nivy
The diagnostic utility of urinary alkaline phosphatase and ?‐glutamyl transpeptidase
in early recognition of acute kidney injury in dogs
11.50–12.05
ESVNU‐O‐9
Giger
Molecular Heterogeneity of Feline Cystinuria Caused by Different Mutations in the
SLC3A1 and SLC7A9 Gene
12.05–12.20
ESVNU‐O‐10
Teh
Urinalysis results as a predictor of subclinical bacteriuria in dogs
12.20–12.35
ESVNU‐O‐11
Maurey Guenec
Pyelonephritis in cats with ureteral obstruction: a retrospective study of 45 cases
12.35–12.50
ESVNU‐O‐12
Oliveira Leal
The medical perspective about the use of Subcutaneous Ureteral Bypass versus ureteral
stent in feline ureterolithiasis management: a retrospective comparative study
ESVE – European Society of Veterinary Endocrinology.
Friday 9 September
14.25–14.40
ESVE‐O‐1
Zini
Glucose concentrations following insulin‐induced hypoglycemia in healthy cats and
in cats with diabetes mellitus
14.40–14.55
ESVE‐O‐2
Fracassi
Comparison of lente insulin and nph insulin therapy for the treatment of newly diagnosed
diabetic dogs
14.55–15.10
ESVE‐O‐3
Kieler
Healthy overweight and diabetic cats have increased levels of feline pancreatic lipase
immunoreactivity
15.10–15.25
ESVE‐O‐4
Scudder
Molecular analyses of pituitary somatostatin and dopamine receptors in feline hypersomatotropism
15.25–15.40
ESVE‐O‐5
Arenas
Markers of pancreatic inflammation and lipid profile in dogs with diabetes mellitus
15.40–15.55
ESVE‐O‐6
Peterson
Thyroid cysts in cats: a retrospective study of 37 cases
16.30–16.45
ESVE‐O‐7
Williams
Does hypercalcitoninism contribute to hypocalcaemia in hyperthyroid cats?
16.45–17.00
ESVE‐O‐8
Peterson
Hyperthyroid cats develop transient or persistent subclinical hypothyroidism after
successful radioiodine treatment
17.00–17.15
ESVE‐O‐9
Ramsey
The repeatability of various cortisol measurements in clinically stable dogs with
hyperadrenocorticism being treated with trilostane
17.15–17.30
ESVE‐O‐10
Sanders
Steroidogenic factor‐1 inverse agonists as a treatment modality of canine hypercortisolism:
in vitro investigation
17.30–17.45
ESVE‐O‐11
Vicente Montaña
Long term follow up of dogs diagnosed with pitutary dependent hyperadrenocorticism
treated by Gamma Knife radiosurgery
17.45–18.00
ESVE‐O‐12
Mason
Evaluation of the efficacy and safety of a new formulation of desoxycortone pivalate
(DOCP) for treating primary hypoadrenocorticism (PH) in dogs either newly diagnosed
with PH, or previously treated with fludrocortisone
ESCG – European Society of Comparative Gastroenterology.
Friday 9 September
14.25–14.40
ESCG‐O‐1
Toresson
Methylmalonic acid concentrations in dogs with hypocobalaminemia treated with oral
versus parenteral cobalamin supplementation
14.40–14.55
ESCG‐O‐2
Unterer
Long‐term implications of canine parvovirus infection
14.55–15.10
ESCG‐O‐3
Suchodolski
Validation of a dysbiosis index to assess microbiota changes in fecal samples of dogs
15.10–15.25
ESCG‐O‐4
Williams
Microbiomic and metabolomic associations with increased serum pancreatic lipase (fPL)
and trypsin‐like immunoreactivity (fTLI) in geriatric cats with idiopathic chronic
enteropathy (ICE)
Saturday 10 September
14.25–14.40
ESCG‐O‐5
Busch
Impact of different commercially available complete diets on the detectability of
occult blood in faeces of cats
14.40–14.55
ESCG‐O‐6
Florey
Evaluation of Coeliac Disease Antibodies in Dogs with Chronic Enteropathies
14.55–15.10
ESCG‐O‐7
Castro‐López
Expression of P‐glycoprotein in the intestinal epithelium and lamina propria of cats
with inflammatory bowel disease and alimentary lymphoma
15.10–15.25
ESCG‐O‐13
Freiche
Presumed acquired pyloric stenosis in cats: epidemiologic, clinical, histopathological
and endoscopic data. A retrospective study of 34 cases
15.25–15.40
ESCG‐O‐9
Lamoureux
Endoscopic measurement of pyloric diameter in healthy cats A prospective study of
20 cases
15.40–15.55
ESCG‐O‐10
Kalenyak
Comparison of the microbiota of dogs suffering from inflammatory bowel diseases and
food‐responsive diarrhea
16.30–16.45
ESCG‐O‐11
Manz
Upregulation of signal transducer and activation of transcription (STAT)3 in dogs
with inflammatory bowel disease (IBD)
16.45–17.00
ESCG‐O‐12
Luckschander
Clonality testing as an ajunct tool in canine chronic enteropathy patients
17.00–17.15
ESCG‐O‐8
Fabres
Identification of factors associated with short‐term mortality in canine acute pancreatitis
17.15–17.30
ESCG‐O‐14
Allenspach
No linear correlation between Histopathological and Clinical Severity Grading in Canine
Inflammatory Bowel Disease (IBD): 102 cases
17.30–17.45
ESCG‐O‐15
Herstad
How does inclusion of red meat in the canine diet affect the fecal microbiota? Results
from high‐throughput sequencing of the bacterial 16S rRNA gene
17.45–18.00
ESCG‐O‐16
Vessieres
Virulence Markers in Mucosa‐Associated Escherichia coli from Dogs with Inflammatory
Bowel Disease (IBD)
ESVIM – European Society of Veterinary Internal Medicine.
Saturday 10 September
09.00–09.15
ESVIM‐O‐1
Swann
Evaluation of prognostic factors for mortality in dogs with non‐regenerative forms
of immune‐mediated haemolytic anaemia
09.15–09.30
ESVIM‐O‐2
Zoia
Short‐term response to human intravenous immunoglobulin (hIVIG) in the management
of immune‐mediated thrombocytopenia (IMT): a prospective cohort study in 27 dogs
09.30–09.45
ESVIM‐O‐3
Rehbein
Romiplostim treatment in 7 dogs with immune‐mediated thrombocytopenia
09.45–10.00
ESVIM‐O‐4
Tress
Bacterial microbiome in the nose of healthy dogs and in dogs with nasal disease
10.00–10.15
ESVIM‐O‐5
Roels
Comparative analysis of the respiratory microbiota of healthy dogs and dogs with canine
idiopathic pulmonary fibrosis
10.15–10.30
ESVIM‐O‐6
Viitanen
The Utility of Acute Phase Proteins in the Assessment of Treatment Response in Dogs
with Bacterial Pneumonia
11.20–11.35
ESVIM‐O‐7
Vangrinsven
Investigation of laryngeal function and effect of surgery on laryngeal collapse in
dogs with brachycephalic syndrome.
11.35–11.50
ESVIM‐O‐8
Lilja‐Maula
Comparison of submaximal exercise test results and level of brachycephalic obstructive
airway syndrome in the English Bulldog
11.50–12.05
ESVIM‐O‐9
Leshinsky
Pharmacokinetics of caspofungin in healthy cats
12.05–12.20
ESVIM‐O‐10
Canonne‐Guibert
Detection of Aspergillus fumigatus by quantitative polymerase chain reaction assays
in the bronchoalveolar lavage fluid of dogs with eosinophilic bronchopneumopathy
12.20–12.35
ESVIM‐O‐11
Spencer
Pyrexia in cats: a retrospective analysis of demographic characteristics, diagnostic
investigations, diagnosis and influence of prior treatment in 106 cases
12.35–12.50
ESVIM‐O‐12
Swann
Evaluation of free magnesium concentration as a prognostic factor for mortality in
dogs presented to a veterinary emergency service
ESVONC – European Society of Veterinary Oncology.
Saturday 10 September
11.20–11.35
ESVONC‐O‐1
Mason
Big data: Presentation and treatment of companion animal neoplasia in UK first opinion
practice
11.35–11.50
ESVONC‐O‐2
Fournier
Impact of pre‐chemotherapy neutrophil count on chemotherapy administration and toxicity
11.50–12.05
ESVONC‐O‐3
Kreilmeier
Alternative lengthening of telomeres is used as telomere maintenance mechanism in
various canine sarcomas
12.05–12.20
ESVONC‐O‐4
Boye
Dose escalation study to evaluate safety, tolerability and efficacy of intravenous
etoposide phosphate administration (ETOPOPHOS®) in 27 dogs with multicentric lymphoma
12.20–12.35
ESVONC‐O‐5
Chamel
Case‐control study of chemotherapy for the treatment of canine mesotheliomas : 16
cases
12.35–12.50
ESVONC‐O‐6
Mutsaers
Combination targeting of PI3 kinase and mTOR for treatment of canine melanoma
ESVCN – European Society of Veterinary Clinical Nutrition.
Saturday 10 September
14.25–14.40
ESVCN‐O‐1
Scarpa
How does the nutritional assessment of dogs vary in a veterinary staff?
14.40–14.55
ESVCN‐O‐2
Paetau‐Robinson
The body fat index chart is equivalent to DEXA for determination of percent body fat
during weight loss and weight maintenance in dogs
14.55–15.10
ESVCN‐O‐3
Gómez Fernández‐Blanco
Biochemical parameters related to the metabolic syndrome in healthy dogs and their
relationships with body condition score
15.10–15.25
ESVCN‐O‐4
German
Clinicopathological findings in obese dogs before and after weight loss: a cohort
study
15.25–15.40
ESVCN‐O‐5
Christmann
Effectiveness of a new dietetic food to achieve weight loss and to improve mobility
in client‐owned obese dogs with osteoarthritis
15.40–15.55
ESVCN‐O‐6
Aste
Early oral voluntary nutrition in anorexic critical ill dogs: a retrospective study
in 137 dogs
POSTER RESEARCH COMMUNICATIONS.
ISCAID–International Society for Companion Animal Infectious Diseases.
ISCAID‐P‐1
Turan
Frequency and clinical, hematological and biochemical findings of feline immunodeficiency
virus (fiv) and feline leukemia virus (felv) in cats, in Turkey
ISCAID‐P‐2
Greci
Lungworm occurrence in dogs and cats in Rome: a retrospective study (July 2010‐ March
2016)
ISCAID‐P‐3
Ali
The constituent profile of trans‐tracheal wash fluid in complicated and non‐complicated
respiratory form of canine distemper infected dogs
ISCAID‐P‐5
Solano‐Gallego
A descriptive study of clinical canine leishmaniosis in dogs vaccinated with CaniLeish
ISCAID‐P‐6
Leutenegger
Typing of Feline Coronavirus Biotypes in Cats with Fever of Unknown Origin
ISCAID‐P‐7
Breu
Seroprevalence of antibodies to Tick‐borne encephalitis virus in 433 dogs with neurological
signs
ISCAID‐P‐8
Yilmaz
Prevalence and Phylogenetic Analysis of Feline Morbillivirus in Cats in Istanbul,
Turkey
ISCAID‐P‐9
Dorn
Bacterial microbiome in the nose of healthy cats and in cats with nasal disease
ISCAID‐P‐11
Dorn
Natural infection with Angiostrongylus vasorum in 23 dogs in Berlin/Brandenburg –
a retrospective case series (2013‐2016)
ISCAID‐P‐12
Crisi
Single and mixed feline lungworm infections: clinical, radiographic and therapeutic
features of twenty‐six cases (2013‐2015)
ISCAID‐P‐13
Hapke
Evaluation of a Point of Care Rapid IgM Detection Test (WITNESS® Lepto) for Diagnosis
of Canine Leptospirosis
ISCAID‐P‐14
Pomba
Nosocomial faecal colonization by extended‐spectrum ß‐lactamase producer Gram‐negative
bacteria in healthy dogs
SCH – Society of Comparative Hepatology.
SCH‐P‐1
Grobelna
Real‐time assessment of canine liver function: Variation of transcutaneously determined
indocyanine green plasma disappearance rate (ICG‐PDR) in healthy dogs
SCH‐P‐2
Nakata
Hybrid coil embolization technique for portosystemic shunt occlusion in five animals
ESVC – European Society of Veterinary Cardiology.
ESVC‐P‐1
Pariaut
Rapid right ventricular pacing for interventional procedures in dogs: safety and rate
titration
ESVC‐P‐2
Peyrou
Effect of benazepril and pimobendan on serum angiotensin‐converting enzyme activity
in dogs
ESVC‐P‐4
Rishniw
TAPSE‐to‐aortic ratio provides a bodyweight‐independent assessment of right ventricular
systolic function
ESVC‐P‐5
Noszczyk‐Nowak
Analysis of hematlogical and biochemical blood parameters in dogs after electrical
cardioversion of atrial fibrillation in dogs
ESVC‐P‐6
Noszczyk‐Nowak
Short‐term heart rate variability (HRV) in dogs with sick sinus syndrome compare with
healthy dogs
ESVC‐P‐7
Kocaturk
Serum choline concentration: a potential biomarker for myocardial ischemia in dogs
and cats
ESVC‐P‐8
Caivano
Right ventricular outflow tract fractional shortening: a new echocardiographic index
of the right ventricular systolic function
ESVC‐P‐9
Marchesotti
Comparison of M‐mode and two‐dimensional echocardiography in evaluating the left atrium
to aorta ratio in cats
ESVC‐P‐10
Locatelli
Survival and prognostic factors in cats with restrictive cardiomyopathy: a review
of 103 cases
ESVC‐P‐11
Domanjko Petric
Plasma coenzyme Q10 concentration does not predict survival in canine cardiovascular
patients
ESVC‐P‐12
Domanjko Petric
Inflammatory markers (TNF‐alpha, IL‐6, CRP) in dogs in congestive heart failure
ESVC‐P‐13
Fox
Characterization of atrial and ventricular pathology in feline hypertrophic and dilated
cardiomyopathy
ESVC‐P‐14
van Meeuwen
Echocardiographic findings in 87 apparently healthy adult Bull Terriers
ESVC‐P‐15
Vollmar
Findings from Electrocardiography in Irish Wolfhounds with and without Cardiomyopathy
ESVC‐P‐17
Birettoni
Pulmonary vein‐to‐pulmonary artery ratio helps identify dogs with congestive heart
failure secondary to mitral valve disease
ESVC‐P‐18
Thorn
Pilot study of the feasibility, safety, and tolerance of subcutaneous synthetic canine
B‐type natriuretic peptide in healthy dogs and dogs with stage B1 myxomatous mitral
valve disease
ESVC‐P‐19
McDonald
Use of Torasemide in Cats for Congestive Heart Failure
ESVC‐P‐20
Savarese
Iron status in dogs with mitral valve disease
ESVC‐P‐21
Roels
Relationship between One‐dimensional Left Atrial phasic function and post‐capillary
pulmonary hypertension in dogs with Degenerative mitral valve disease
ESVC‐P‐22
Sebastian
Prevalence and Association of Mineralisation of the Heart and Great Vessels in Dogs
on Computed Tomographic Imaging
ESVC‐P‐23
Saftencu
Heart rate variability in dogs with chronic kidney failure
ESVC‐P‐24
Szatmári
A new standardized method for semi‐quantitative assessment of left atrial size on
canine thoracic radiographs
ESVC‐P‐25
Turgut
Quantification of mitral regurgitation in Anatolian shepherd dogs with asymptomatic
degenerative mitral valve disease
ESVNU – European Society of Veterinary Nephrology and Urology.
ESVNU‐P‐1
Bruni
Effectiveness of a feed supplement to control hyperphosphatemia and metabolic acidosis
in advanced stages of feline Chronic Kidney Disease (CKD)
ESVNU‐P‐2
Bouzouraa
Relationship and clinical relevance of urine osmolality and specific gravity in healthy
cats receiving various intravenous solutes
ESVNU‐P‐3
Bouzouraa
Formula for estimation of urine osmolality in healthy cats
ESVNU‐P‐4
Yerramilli
Symmetric Dimethylarginine (SDMA) As Kidney Biomarker In Canine And Feline Cancer
ESVNU‐P‐5
Serres
Acute renal failure secondary to leptospirosis in 29 dogs: impact of intermittent
hemodialysis and other pronostic factors on survival
ESVNU‐P‐6
Oscarson
Comparison of bacterial cultures from three urine collection methods and ejaculates
in healthy dogs
ESVNU‐P‐7
Cross
Performance evaluation of two commercially available symmetric dimethyl arginine (SDMA)
assays
ESVNU‐P‐8
Dokuzeylül
The evaluation of enzymuria and microalbuminuria in dogs with lower urinary tract
disorders
ESVNU‐P‐9
Dahlem
Plasma symmetric dimethylarginine (SDMA) concentration in dogs with acute kidney injury
(AKI) and chronic kidney disease (CKD)
ESVNU‐P‐10
Manczur
Microalbuminuria in healthy dogs
ESVNU‐P‐11
Cocci
Transurethral ultrasound guided biopsy of urinary bladder lesions in male dogs: six
cases
ESVNU‐P‐12
Pérez‐Accino Salgado
Evaluation of a urine dipstick test and urine specific gravity together for confirmation
or exclusion of proteinuria in cats
ESVNU‐P‐13
Lavoué
Presence of active urine sediment in dogs is not associated with significant changes
of urine protein‐to‐creatinine ratio
ESVE – European Society of Veterinary Endocrinology.
ESVE‐P‐1
Peterson
Validation of an in‐clinic point‐of‐care immunoassay for measurement of total thyroxine
(TT4) concentration in serum from euthyroid and hyperthyroid cats
ESVE‐P‐2
Nivy
The contribution of baseline cortisol measurement in the interpretation of the ACTH
stimulation test in the diagnosis of canine spontaneous hyperadrenocorticism: a retrospective
study of 73 cases
ESVE‐P‐3
Mclean
Prevalence of and risk factors for feline hyperthyroidism in South Africa
ESVE‐P‐4
Rochel
Clinical and biological evaluation of 66 hyperthyroid cats treated with iodine‐deficient
diet
ESVE‐P‐5
Clares Moral
Urinary tract infecctions in dogs with diabetes mellitus and/or hyperadrenocorticism:
frequency, treatment and follow up
ESVE‐P‐6
Garcia
Use of simvastatin in dogs with hyperlipidemia
ESVE‐P‐7
Wolff
A side‐by‐side comparison of two assays for measuring canine and feline total thyroxine
(TT4)
ESVE‐P‐8
García San José
Prevalence of hypertension in dogs with hyperadrenocorticism at diagnosis
ESVE‐P‐9
Mason
Evaluation of the efficacy and safety of a new formulation of desoxycortone pivalate
(DOCP) for treating primary hypoadrenocorticism (PH) in client‐owned dogs
ESVE‐P‐10
Hugonnard
First‐line therapeutic choice and one‐year follow up of 74 French newly diagnosed
hyperthyroid cats in private practice: a prospective study
ESVE‐P‐11
Fracassi
Cushing's syndrome – An epidemiological study based on an Italian canine population
of 21,281 dogs
ESVE‐P‐12
Öhlund
Elucidating Risk Factors for Feline Diabetes Mellitus
ESVE‐P‐13
Pérez Alenza
Evolution of systolic blood pressure in dogs with hyperadrenocorticism during the
first six months of treatment with trilostane
ESVE‐P‐14
Selgas
Use of hydrocortisone in a cohort of dogs in the management of Addisonian crisis
ESCG – European Society of Comparative Gastroenterology.
ESCG‐P‐1
McLean
Primary gastro‐intestinal disease in cats and dogs with gastro‐intestinal foreign
bodies: 28 cases
ESCG‐P‐2
Cerquetella
Fecal microbiome and predicted gene function in Czechoslovakian Wolfdogs fed with
either a bone and raw food diet or a commercial diet
ESCG‐P‐3
Oliveira Leal
Granulomatous colitis: more than a canine disease?
ESCG‐P‐4
Candido
Breed association of endoscopically diagnosed gastric neoplasia and metaplasia in
purebred dogs – a retrospective study
ESCG‐P‐5
Freiche
Is f‐PL value associated with mortality in feline chronic pancreatitis? A retrospective
cohort of 19 cases
ESCG‐P‐6
Hugonnard
Agreement of feline and canine pancreas‐specific lipase with pancreatic ultrasonographic
findings in 62 cats and 54 dogs with suspicion of pancreatitis: a retrospective study
(2007‐2013)
ESCG‐P‐7
Pietra
Inflammatory bowel disease in dogs: Prognostic factors for therapeutic response
ESCG‐P‐8
Castro‐López
Expression of cyclooxigenase 2 in the small intestinal epithelium of cats with inflammatory
bowel disease and low grade alimentary lymphoma
ESCG‐P‐9
Konstantinidis
Expression of selected cytokines and CCL28 in colonic mucosa and mucus and correlation
with clinical and endoscopic activity in canine lymphocytic‐ plasmacytic colitis
ESCG‐P‐10
Heilmann
Effect of antacid therapy and biological variation of serum gastrin concentrations
in dogs with chronic enteropathy
ESVIM – European Society of Veterinary Internal Medicine.
ESVIM‐P‐1
Bremer
C‐reactive protein concentrations in Nova Scotia Duck Tolling Retrievers with an SLE‐related
disease
ESVIM‐P‐2
Miglio
Canine stored whole blood units: which is the real extent of bacterial contamination
risk?
ESVIM‐P‐3
Lin
Quantificational assessment of ventilatory function in cats with respiratory distress
ESVIM‐P‐4
Vessieres
Pleural effusion in cats: 465 cases (2009‐2014)
ESVIM‐P‐5
Slovak
Clinical Evaluation and Pharmacodynamics of Healthy Cats after Multi‐Day Intravenous
Dosing of Mycophenolate mofetil
ESVIM‐P‐6
Lubas
Primary immune‐mediated hemolytic anemia: a retrospective study of 52 dogs from two
veterinary teaching hospitals
ESVIM‐P‐7
Perego
Clinical efficacy of autologous platelet‐rich plasma (prp) in canine perianal fistulas
and aural hematomas
ESVIM‐P‐8
Hansson‐Hamlin
Immunoglobulin A in Nova Scotia duck tolling retrievers with immune mediated disorders
ESVIM‐P‐9
Roels
Investigation of the coagulation system in canine idiopathic pulmonary fibrosis
ESVIM‐P‐10
Ruggerone
References intervals in Shetland Sheepdogs: is primary hyperlipidemia a real feature
in this breed?
ESVIM‐P‐11
Timpano
A novel endoscopic laryngeal finding related to bronchial foreign bodies‐ retrospective
study on 227 dogs
ESVONC – European Society of Veterinary Oncology.
ESVONC‐P‐1
Calazans
Electrochemotherapy: efficacy of bleomycin plus doxorubicin protocol in dogs with
squamous cell carcinoma
ESVONC‐P‐2
Bayle
Cellular pathway analysis of a turmeric and rosemary extract combination treatment
on canine neoplastic cell lines
ESVONC‐P‐3
Arendt
Identification of germ‐line genetic risk factors for development of cancer in golden
retrievers
ESVONC‐P‐4
Pratscher
Phagocytic activity and metastatic potential of primary canine oral melanoma cell
lines
ESVONC‐P‐6
Campigli
Assessment of the coagulation profile in canine multiple myeloma: a cohort investigation
in 234 dogs
ESVCN – European Society of Veterinary Clinical Nutrition.
ESVCN‐P‐1
Koizumi
A survey on the body condition score model for dog to clinical veterinarians and dog
owners
ESVCN‐P‐2
Paetau‐Robinson
The new body fat index chart as an alternative, non‐invasive method to estimate percent
body fat compared to DEXA during weight loss and weight maintenance in obese cats
VBPS – Veterinary Blood Pressure Society.
VBPS‐P‐1
Martinelli
Comparison of high‐definition oscillometric and wrist blood pressure monitor for arterial
blood pressure measurements in dogs
ISCAID‐International Society for Companion Animal Infectious Diseases
ISCAID‐O‐1
Sensitivity and Specificity of A Rapid Polymerase Chain Reaction For the Diagnosis
of Canine Leishmaniasis
R. Selder , K. Weber, M. Bergmann, K. Geisweid, K. Hartmann
Clinic of Small Animal Medicine, Munich, München, Germany
Canine leishmaniasis is an important infectious disease worldwide. Although commonly
used, antibody tests are often falsely negative, and direct detection of the pathogen,
such as polymerase chain reaction (PCR) is necessary. However, PCR is only performed
in specialized laboratories and not available in less developed countries. The aim
of this study was to evaluate sensitivity and specificity of a rapid in‐house PCR
for the diagnosis of canine Leishmania infantum infection.
Prospectively, 515 samples of 251 dogs (201 EDTA blood samples, 244 conjunctival swabs,
19 lymph node aspirates, 51 bone marrow aspirates) were analysed for the presence
of Leishmania DNA using the PCRun System (Biogal, Galed Labs. Acs Ltd., Kibbutz Galed,
Israel). The results were compared to those of a real time PCR (gold standard) for
the identification of Leishmania kinetoplast DNA minicircle. DNA extraction was conducted
using DNeasy Blood & Tissue kit (Qiagen GmbH). Sensitivity and specificity with 95%
confidence range (CI 95%) were determined.
Specificity was 100% for all samples examined. Overall sensitivity of the PCRun was
36.5% (CI 95% 28.4–44.6). It was 57.1% (CI 95% 35.9–78.2) in bone marrow aspirates,
58.8% (CI 95% 35.4–82.2) in lymph node aspirates, 46.9% (CI 95% 32.9–60.9) in conjunctival
swabs, and 10.0% (CI 95% 1.7–18.3) in blood. The test was easy to perform and provided
unambiguous results. In conclusion, the test is recommended for use in practice, and
a positive result is proving an infection. A negative result, however, does not exclude
infection and therefore requires further diagnostics.
Disclosures
The study was financed by Biogal (Galed Labs. Acs Ltd., Kibbutz Galed, Israel).
ISCAID‐O‐2
Prevalence and Risk Factors for Felis Catus Gammaherpesvirus 1 Infection Among Pet
Cats In The United Kingdom
A. Mcluckiea1, S. Spencer
2, S. Tasker2, N. Dhand1, S. Spencer2, J.A. Beatty1.
1Faculty of Veterinary Science and Marie Bashir Institute for Infectious Diseases,
Sydney, Australia, 2University of Bristol, Bristol, UK
Felis catus gammaherpesvirus 1 (FcaGHV1) is the first gammaherpesvirus (GHV) to be
identified in domestic cats. Prevalence studies have identified this virus in domestic
cats in the USA, Australia, Singapore and, most recently, Central Europe, but no data
are available for UK cats. The consequences of FcaGHV1 for feline health are yet to
be elucidated but in other species, GHV infections are typically clinically silent
unless there is immune dysfunction in the natural host, in which case they can cause
a range of lymphoproliferative and neoplastic diseases. The aim of this study was
to determine the prevalence and risk factors for FcaGHV1 infection in pet cats in
the UK.
Residual DNA from whole blood submitted to the Molecular Diagnostic Unit, Langford
Veterinary Services, University of Bristol, for quantitative polymerase chain reaction
(qPCR) testing for haemoplasmas was available for study. DNA from 90 samples testing
positive for at least one haemoplasma species and 109 haemoplasma negative samples
was shipped to Australia where a qPCR targeting the glycoprotein B gene of FcaGHV1
was performed. The operator (AM) was blinded to sample data (age, sex, neuter status,
breed, haemoplasma PCR result). Univariable and multivariable logistic regression
analyses were conducted to investigate the association of variables with FcaGHV1 detection.
A P‐value <0.05 was considered to be significant.
FcaGHV1 infection was detected in 23 (11.56%; 95% confidence interval [CI]: 7.47–16.84)
of the 199 blood samples from UK cats. Entire male cats were more likely to be FcaGHV1
positive than neutered male cats (odds ratio 3.60, 95% CI: 1.22–10.46). Twenty‐one
of the 23 (91%) FcaGHV1 positive cats were coinfected with at least one haemoplasma
species while only 69 of the 176 (39%) FcaGHV1 negative cats harboured haemoplasma
DNA. Samples positive for DNA from any of three haemoplasma species had 19 times greater
odds to test positive for FcaGHV1 than haemoplasma negative cats in multivariable
analyses after adjusting for age, sex and neuter status of cats.
This study demonstrates that domestic cats in the UK can be infected with FcaGHV1,
confirming that this virus is globally endemic. The identification of neuter status
as a risk factor for FcaGHV1 detection provides novel evidence to support transmission
of this virus during territorial encounters.
Disclosures
Disclosures to report.
Statement of Disclosure for ST: In the past ST has received financial support for
haemoplasma research from Zoetis Animal Health and for vector‐borne disease research
from Bayer Animal Health.
ST receives financial support for current infectious disease research from BSAVA Petsavers,
Langford Trust, Petplan Charitable Trust, Morris Animal Foundation, Dogs Trust, South
West Biosciences DTP and Langford Veterinary Services Clinical Research Fund.
ST has also received financial support for infectious disease research in the past
from the Elizabeth Blackwell Institute of the University of Bristol, ECVIM Clinical
Studies Fund, the University of Bristol Campaigns and Alumni Fund, the RCVS Trust
Fund Blue Skies and The Wellcome Trust.
ST is a member of the World Forum for Companion Animal Vector Borne Diseases, supported
by Bayer Animal Health.
ST is a member of the European Advisory Board on Cat Diseases, which is supported
by Merial.
ST works for the Molecular Diagnostic Unit, Langford Veterinary Services, University
of Bristol, which carried out the haemoplasma PCRs described in the study.
ST has been paid for providing continuing professional development for not‐for‐profit
organisations, and occasionally for commercial companies, around the world.
Statement of Disclosure for Australian collaborators: JB received financial support
from the Dugdale Guy Peele bequest to the Faculty of Veterinary Science, University
of Sydney for this study.
JB and AM receive financial support from the Australian Companion Animal Health Foundation
and Feline Health Research Foundation for research related to gammaherpesvirus pathogenesis.
AM is supported by an Australian Postgraduate Award from the Australian Government
Department of Education and Training.
JB receives financial support from the Morris Animal Foundation for oncogenic virus
discovery.
JB's research is supported by speaker honoraria for continuing education provided
to the Australian Veterinary Association, Australian Small Animal Veterinary Association
and WSAVA.
ND provides consultancy services to Boehringer Ingelheim and Merial.
SS has no disclosures to report.
ISCAID‐O‐3
Detection Rate of Viral and Bacterial Pathogens as Well as Helminths Associated With
Respiratory Tract Disease in Austrian Dogs
A. Hiebl, M. Stejskal, A. Iglseder, I. Loncaric, J. Spergser, T. Rümenapf, A. Joachim,
A. Bilek, R. Hirt, F. Künzel.
University of Veterinary Medicine Vienna, Vienna, Austria
Multiple pathogens have been reported as potential causative agents of canine infectious
respiratory disease complex (CIRDC) in dogs. The purpose of this study was to survey
the occurrence of well‐known and newly emerging pathogens in dogs with respiratory
disease in and around Vienna, Austria.
Included in this study were 214 dogs (privately‐owned or kennel‐kept) that presented
with acute or chronic signs of respiratory disease. Swabs of the nasal mucosa and
tonsils from all animals as well as bronchoalveolar lavage fluid (BALF) from 31 dogs
were evaluated via bacterial culture and PCR for viral agents [Canine parainfluenza
virus (CPiV), Canine respiratory coronavirus (CRCoV), Canine adenovirus type 2 (CAV‐2),
Canine distemper virus (CDV), Canine influenza virus (CIV)]. In addition, paired serum
samples were obtained from 30 acutely diseased dogs for serological testing for CRCoV
antibodies via immunoflourescence antibody test (IFAT). Fecal samples from 133 dogs
were examined for Crenosoma vulpis and Angiostrongylus vasorum by Baermann technique.
Swabs and fecal samples from 50 clinically healthy dogs serving as a control group
were obtained and evaluated as described above.
In 15.9% (n = 34) of the dogs, pathogens could be isolated from nasal and/or tonsillar
swabs. 2.3% (n = 5) showed mixed infections. CRCoV was detected in 7.5% (n = 16),
CPiV in 6.5% (n = 14) and CAV‐2 in 0.5% (n = 1) of the dogs. In BALF, one dog tested
positive for CDV. No evidence of CIV strains was found in any of the obtained samples.
In 3.3% (n = 7) of the dogs, Bordetella bronchiseptica was detected, in three of these
in nasal, tonsillar and BALF samples concurrently. Five bacterial isolates showed
particular resistance to antibiotics. Mycoplasma cynos was recovered from BALF of
9.7% (n = 3) and swabs of 0.5% (n = 1) of the dogs respectively. A significant CRCoV
antibody titer increase was detected in 56.7% (n = 17) of the paired serum samples
collected (n = 30). Concurrently, eight of these dogs revealed CRCoV specific nucleic
acid in obtained swabs. Fecal examination detected C. vulpis infection in 2.3% (n = 3)
of the samples.
CRCoV seems to be an emerging respiratory pathogen in Austrian dogs with CIRDC. In
contrast to other studies, the incidence of B. bronchiseptica infection in this study
was low. Though M. cynos is considered as a co‐factor in respiratory diseases in dogs,
its occurrence was rare in this study.
Disclosures
No disclosures to report.
ISCAID‐O‐4
The Role of The Dog in the Epidemiology of Leptospirosis in Switzerland–Seroprevalence
and Urinary Shedding of Pathogenic Leptospires
A. Delaude
1, S. Rodriguez Campos2, A. Dreyfus3, T. Francey4, A. Schweighauser4, S. Schuller4.
1Vetsuisse Faculty University Bern, Bern, Switzerland, 2Institute for Veterinary Bacteriology,
Vetsuisse Faculty University Bern, Bern, Switzerland, 3Section of Epidemiology, Vetsuisse
Faculty University Zürich, Zürich, Switzerland, 4Department Clinical Veterinary Medicine,
Vetsuisse Faculty University Bern, Bern, Switzerland
Leptospirosis is an important worldwide zoonosis. While human leptospirosis remains
rare in Switzerland, the incidence of canine leptospirosis is unusually high compared
to other European countries and severe forms associated with pulmonary haemorrhage
are common. The aims of this prospective study were to determine the exposure of apparently
healthy dogs to pathogenic Leptospira spp in Switzerland and to examine whether dogs
contribute to the spread of pathogenic Leptospira spp via urinary shedding.
Ethical approval was obtained for the study protocol. Sampling was stratified to cover
the whole of Switzerland (n = 458). Samples were collected between April and December
2015. Inclusion criteria were: no clinical signs of leptospirosis, no anti‐leptospiral
vaccination within the last 16 weeks and no antibiotic treatment within the last month.
Sera were tested by the microscopic agglutination test (MAT) for antibodies against
serovars Grippotyphosa, Australis, Pomona, Tarassovi, Canicola, Icterohaemorrhagiae,
Hardjo, Bratislava, Autumnalis, Altodouro, Copenhageni, Pyrogenes and Ballum. Urine
was tested for pathogenic Leptospira spp using a LipL32 real time PCR (PCR).
Of 377 sera, 55.7% (CI 0.51–0.61) showed a reciprocal MAT titre of 1:40 and 24.9%
(CI 0.21–0.3) of ≥1:100 to at least one serovar. Seropositivity (MAT ≥1:100) was most
common to serovar Australis (14.9%; CI 0.06–0.12), Bratislava (8.8%; CI 0.11–0.19),
Copenhageni (6.5%; CI 0.04–0.1), Canicola (5.7%; CI 0.03–0.09), Grippotyphosa (4.5%;
CI 0.03–0.07)), Pomona (4%; CI 0.02–0.06), Autumnalis (2.7%; CI 0.01.0.05) and Icterohaemorrhagiae
(1.6%; CI 0.01–0.05). Seropositivity was inversely correlated with the time since
last anti‐leptospiral vaccination (P < 0.001). In unvaccinated dogs (n = 87) the overall
prevalence of a MAT titre ≥100 was 17.2% (CI 0.01–0.27), The serovars which sera reacted
with were Australis (9%; CI 0.04–0.17), Bratislava (8.0%; CI 0.03–0.16), Copenhageni
(3.8%; CI 0.01–0.11), Grippotyphosa (3.4%; CI 0.01–0.1), Canicola (3.0%; CI 0.01–0.12),
Pomona (2.3%; CI 0–0.08) and Autumnalis (2.3%; CI 0–0.06). Urine PCR was performed
in 408 dogs, only one of which had a positive PCR result (0.25%; CI 0–0.01).
These results suggest that anti‐leptospiral vaccination leads to MAT seropositivity
beyond 16 weeks post vaccination. Results from unvaccinated dogs show that dogs in
Switzerland are commonly exposed to pathogenic Leptospira spp. without developing
signs of disease. However, based on our findings urinary shedding of pathogenic leptospires
by healthy dogs appears to be uncommon.
Disclosures
No disclosures to report.
ISCAID‐O‐5
Characterisation of Angiostrongylus (A.) Vasorum Infected Dogs With Excessive Bleeding
as Primary Clinical Complaint
A. Glaus
1, M. Wenger2, N. Sigrist1, K. Beckmann1, C. Kuemmerle1, N. Hofer‐Inteeworn1, C. Mueller1,
J. Novo Matos1.
1University of Zurich, Zurich, Switzerland, 2Tierärztliches Überweisungszentrum, Tenniken,
Switzerland
The clinical presentation of A. vasorum infected dogs is most variable. Unexplained,
excessive bleeding was the primary complaint in 15 infected dogs and observed in the
mouth (n = 4), as external bleeding (n = 4), as large subcutaneous hematoma (n = 4),
as hemoptysis (n = 4), as brain hemorrhage (n = 3), as hemoabdomen post ovariectomy
(n = 2), and as epistaxis, around the eye and on the tracheal tube in 1 each. In 8
dogs the cause of bleeding initially was suspected to be minor trauma or surgical
mistake and various surgical approaches were undertaken for problem solving. Four
dogs had received NSAIDs before bleeding prompted referral.
Thrombocytopenia, lowest 33,000 /ul, was found in 7 of 14 dogs. Coagulation times
were obtained in 14; PT was prolonged in 8 of 10, PTT in 6 of 11, ACT in 3 of 3, TT
in 2 of 5, fibrinogen (Claus method) was below detection limit in 4 of 8, and buccal
mucosal bleeding time was normal in 3 of 3. With one exception, at least one test
was abnormal, but only mildly prolonged.
The median time elapsed between the first recognized clinical signs attributed to
A. vasorum until diagnosis was 2 weeks (range1 day to 4 months); in only 2 dogs A.
vasorum was the prime suspect at presentation. Respiratory signs occurred 10 days,
2 and 3 months after first bleeding in 3, occurred concurrently with bleeding in 1
(hemoptysis) and were absent in 8 dogs. In only 3 dogs cough was present before bleeding
prompted referral, for 1 and 3 months in 2 with hemoptysis and for 3 months in 1 with
bleeding from the lip. Most non‐coughing dogs had only mild non‐specific radiographic
abnormalities.
Eleven dogs recovered quickly and uneventfully after initiation of appropriate therapy.
Four dogs died, 3 on the day of admission and 1 dog 4 days after; causes of death
were respiratory failure and cerebral hemorrhage (in 2 dogs each). Of 4 dogs pretreated
with NSAIDs 2 presented with severe hemoptysis (1 died), 1 with brain hemorrhage (died),
and 1 with peritarsal hematoma and marked anemia.
Bleeding may be the only recognized abnormality in A. vasorum infection. The cause
of bleeding likely varies in individual dogs, and may be a combination of thrombocytopenia,
(iatrogenic) abnormal platelet function, utilization of coagulation factors and hyperfibrinolysis.
Without a high index of suspicion, the diagnosis may be delayed to the point of fatal
outcome.
Disclosures
Disclosures to report.
Only first author has disclosures to report: participates in studies sponsored by
Boehringer Ingelheim, but never on the topic of this abstract.
ISCAID‐O‐6
C. perfringens type A netE and netF Toxins are Associated with Bloody Diarrhea in
Dogs
C. Leutenegger
1, M. Estrada1, M. Seguin1, J. Prescott2.
1IDEXX Laboratories, Inc., West Sacramento, USA, 2Department of Pathobiology, University
of Guelph, Guelph, Canada
NetE and netF toxins of type A Clostridium perfringens have recently been described
in acute hemorrhagic and necrotizing gastroenteritis in dogs.
Here we present a clinical validation of these toxins in 901 dogs including 200 healthy,
618 with non‐bloody diarrhea and 83 with bloody diarrhea. A comprehensive canine diarrhea
panel was used to analyze 9 well known infectious agents involved in causing or contributing
to canine diarrhea, seven C. perfringens toxins (alpha, beta, beta‐2, enterotoxin,
netE, netF, and netG) and two C. difficile toxins (A&B).
Significant associations to bloody diarrhea were found with canine parvovirus 2 and
C. perfringens toxins netE and netF. NetE was found in 16.9% of blood diarrhea compared
to 6.6% in non‐bloody diarrhea (P = 0.0017) and in 2.5% of healthy dogs (P = 0.0001).
NetF was found in 15.7% of bloody diarrhea (P = 0.0004), 5.0% of non‐bloody diarrhea
(P = 0.0002), and 2.% of healthy dogs. NetF results were highly similar to netE.
An interesting association was also found when toxin genes were analyzed quantitatively
between groups: netE was found at the lowest level in healthy dogs (avg Ct value 36.47)
but at significantly elevated levels in non‐bloody diarrhea dogs (avg 28.16, P = 0.0128)
and bloody diarrhea dogs (avg 24.52, P = 0.0036). A similar quantitative disease association
was found with the C. perfringens alpha toxin, which is thought to be ubiquitously
present in type A strains.
Quantitative assessment of toxin genes in C. perfringens therefore allows to establish
disease association and should be included into the results of diagnostic panels.
Disclosures
Disclosures to report.
CML, MME and MAS are employees of Idexx Laboratories, Inc.
ISCAID‐O‐7
Determination of Leptospira Antibody Titers by Microscopic Agglutination Test (MAT)
in Dogs after Vaccination With A Tetravalent Leptospirosis Vaccine
H. Hapke
1, A. Mayer‐Scholl2, M.G. Doherr3, H.L. Klaasen4, E. Luge2, D. Sutton5, K. Nöckler2,
B. Kohn1.
1Small Animal Clinic, Faculty Veterinary Medicine, Freie Universität of Berlin, Berlin,
Germany, 2Federal Institute for Risk Assessment, Berlin, Germany, 3Institute for Veterinary
Epidemiology und Biometry, Freie Universität of Berlin, Berlin, Germany, 4Global Companion
Animals Research and Development, MSD Animal Health, Boxmeer, The the Netherlands,
5Global Marketing Department, MSD Animal Health, Milton Keynes, UK
Nowadays, leptospirosis in dogs is often caused by infection with serovars of the
serogroups Australis (Aus), Grippotyphosa (Gri) and Pomona (Pom) in addition to serovars
of serogroups Icterohaemorrhagiae (Ict) and Canicola (Can). Therefore, bivalent vaccines
containing only serovars of the serogroups Can and Ict no longer provide adequate
protection.
Aim of the study was to determine the development of antibody titers against vaccine
and non‐vaccine serovars in healthy dogs after vaccination with a tetravalent leptospirosis
vaccine (Nobivac® L4) for one year.
80 healthy dogs were included into this prospective, monocentric cross‐sectional study.
Inclusion criteria was an initial MAT titer <1:100 for 17 Leptospira serovars. Dogs
were vaccinated twice, at week 0 (w‐0), and week 4 (w‐4) with Nobivac® L4. In total,
5 serum samples per dog were taken over a year at w‐0, w‐4, w‐12, w‐26 & w‐52 and
MAT was performed.
Out of 80 dogs tested, 48 were initially MAT negative, 22 had titers >0 < 1:100 and
10 ≥ 1:100. The most common serovars were Can, Copenhageni (Cop) and Ict. Analysis
of complete MAT courses was possible for 59 dogs. The titers in w‐4 for the serovars
Cop, Bratislava (Bra) and Gri were 0–1:800, median 1:100, lower titers were detected
for serovars Can (0–1:400, median 1:50), Aus (0–1:200, median 1:25) and Ict (0–1:800,
median 1:25). A significant decrease in titer for all tested serovars was observed
in w‐12. In w‐26, 70% had titers <1:100; one year after initial vaccination 90% had
no MAT titers ≥1:100.
The highest MAT titers were found 4 weeks after initial vaccination for the serovars
Cop, Bra, Gri and Ict (1:800). Potentially higher antibody titers between the second
vaccination in w‐4 and the next blood draw in w‐12 are likely to have occurred. One
year after the first vaccination, 10% were still MAT positive (≥1:100) for at least
one serovar. However, antibody titers induced by leptospiral vaccines, their height
and persistence do not allow conclusions on immunity.
Disclosures
The study was sponsered by MSD. MSD is the producer of the vaccine Nobivac L4. The
co‐authors D. Sutton and HL. Klaasen are employees of MSD.
ISCAID‐O‐8
Implication, Clinical and Biological Impact of Vector‐Borne Pathogens in Anemic Dogs:
A Prospective Study of 134 Cases
T. Bouzouraa, J.L. Cadoré, J. Chêne, I. Goy‐Thollot, M. Hugonnard, F. Ponce, K. Chalvet‐Monfray,
L. Chabanne.
VetAgro Sup Lyon, Marcy l’étoile, France
Anemia is frequent in dogs and results from many clinical conditions that must be
determined to allow for appropriate treatment and improve prognosis. Among reported
causes, Vector‐Borne Pathogens (VBPs) are emerging in Europe. Only 2 retrospective
studies described the frequency of infectious anemia with 35/456 (7.68%) and 287/2037
(14.1%) cases, respectively. As screening for VBPs was not systematic, their occurrence
might have been underestimated. There are, no published prospective studies using
comprehensive PCR assessment to evaluate the implication of VBPs in anemic dogs.
We prospectively assessed the occurrence, clinical and biological impact of VBPs in
anemic dogs, over 1 year, in a French Veterinary Teaching Hospital. The causes of
anemia were also reported.
Anemic client‐owned dogs were included when Hematocrit (Ht) ≤ 37% and Hemoglobin (Hb)
≤ 12 g/dL and excluded if given doxycycline or imidocarb propionate within one month
before appointment. We performed PCRs (Ehrlichia canis, Anaplasma platys/phagocytophilum,
Babesia/Theileria spp, Hepatozoon sp., Mycoplasma haemocanis (MH)/Candidatus M.haematoparvum,
Leishmania spp) and serological tests (SNAP®4Dx, SNAP®Leish). Signalment, history,
treatments, clinical, laboratory and diagnostic‐imaging findings were recorded. Three
board‐certified specialists determined the etiology of anemia (clinical pathologist,
oncologist and internist). VBP‐associated anemia (VBPAA) cases were those with positive
PCR results.
Over 1 year, 155/7038 dogs were anemic (2.20%, CI, 1.87–2.57), 21 were excluded because
of previous doxycycline or imidocarb proprionate administration. Bernese Mountain
dogs were overrepresented as compared with the canine hospital population for the
period (P = .01). VBPAA represented 26/134 cases (19.4%, CI, 13.1–27.1) whereas 10
(7.46%, CI, 3.63–13.3) and 1 (0.75%, CI, 0.02–4.09) dogs had positive SNAP®4Dx and
SNAP®Leish, respectively. VBPAA cases included 11 dogs with positive PCR for MH (42.3%),
9 babesiosis (34.6%), 2 babesiosis positive for MH, 2 thrombocytic anaplasmosis (7.69%),
1 monocytic ehrlichiosis and 1 leishmaniasis (3.85%). VBPAA represented the first
cause of hemolysis (14/44, 31.8%). In the mutivariable regression model, clinical
findings didn't differ between VBPAA and non‐VBPAA cases. VBPAA cases showed less
severe and more regenerative anemia and more important leucocyte count, than non‐VBPAA
cases (P < .005).
The frequency of VBPAA (19.4%) appears higher than those previously reported and VBPAA
cases appear less severe than non‐VBPAA cases. MH is the most frequent VBP encountered,
especially in oncologic cases (10/13), but its frequency is similar to that reported
in healthy French dogs (15.4%). Although the findings are limited by geographic location
and activity of the hospital (referral), this study suggests considering VBPs while
facing anemic dogs.
Disclosures
No disclosures to report.
ISCAID‐O‐9
The Role of Canine Circovirus in Acute Haemorrhagic Diarrhoea Syndrome and Its Impact
on Canine Parvovirus Infection
A.L. Proksch
1, A. Anderson1, K. Hartmann1, C.M. Leutenegger2, R.S. Mueller1, S. Unterer1.
1Clinic of Small Animal Medicine, Munich, Germany, 2IDEXX laboratories, Inc., West
Sacramento, California, USA
Acute haemorrhagic diarrhoea syndrome (AHDS) is a well‐known disease, but its exact
pathogenesis is still unclear. Recently, a canine circovirus (DogCV) was detected,
which might potentially play a primary role or represent a co‐factor in the development
of AHDS. Thus, the aims of this study were (1) to determine the prevalence of DogCV
in healthy dogs, dogs with AHDS, and dogs with canine parvovirus (CPV) infection and
(2) to evaluate the pathogenic role of DogCV in these patient groups.
A total of 175 dogs (55 dogs with AHDS, 66 healthy dogs, 54 CPV‐positive dogs) were
included. Faecal samples were tested by two real‐time TaqMan PCR assays targeting
DogCV replicase and capsid genes. For comparison between DogCV‐positive and DogCV‐negative
dogs, a standardized evaluation of clinical parameters and faecal consistency was
performed daily during hospitalization.
There was no significant difference between the three groups in the prevalence of
DogCV (healthy dogs: 3/66 (4.6%); dogs with AHDS: 2/55 (3.6%), dogs with CPV‐infection:
7/54 (12.3%)). However, within the CPV‐infected group, DogCV‐positive dogs had a significantly
higher mortality rate compared to DogCV‐negative dogs, while time to recovery was
not significantly affected.
In conclusion, DogCV can be detected in the faeces of healthy dogs and does not seem
to be a primary cause for AHDS. However, presence of DogCV might influence severity
and mortality rate in dogs with severe intestinal barrier destruction, which occurs
in CPV infection.
Disclosures
No disclosures to report.
ISCAID‐O‐10
Leucofeligen® FeLV/RCP Vaccine Prevents Persistent Viremia in Cats Exposed to a Pathogenic
FeLV Strain Three Years After the Last Annual Vaccine Injection
C. Fontaine, S. Arcidiaco, C. Lesbros, V. Martin, S. Gueguen.
VIRBAC, Carros, France
Feline Leukaemia Virus (FeLV) is ubiquitous. The prognosis for cats persistently infected
with FeLV is poor, most of them developing immunosuppression, anaemia and lymphoma.
Due to the development of a natural resistance to FeLV infection with age, current
recommendations are to vaccinate cats with a sustained risk of exposure every 2–3 years.
Few vaccine efficacy data are available to support this practice. The study objective
was to demonstrate the efficacy of Leucofeligen® FeLV/RCP (Virbac, Carros, France)
three years after the first annual vaccine booster.
Twenty‐eight specific pathogen free cats of 9–10 weeks of age (14 females, 14 males)
participated in the study. 17/28 cats were vaccinated with Leucofeligen® FeLV/RCP
(≥ 102 μg purified p45 FeLV‐envelope antigen, adjuvanted), with 2 subcutaneous injections
3 weeks apart for primary vaccination and a booster injection one year later. The
other 11/28 cats did not receive any vaccine containing a FeLV valence and served
as control group. Three years after the first annual booster of the vaccinated group,
25 cats were inoculated with a pathogenic FeLV strain at the dose of 5.105 PFU/cat
by intraperitoneal route. Cats were regularly observed for appearance of any general
health alteration, with body temperature and body weight follow‐ups. Blood samples
were taken before inoculation and each week from 3 weeks after inoculation for p45
antibody and/or p27 antigen detection by ELISA. P45 antibodies titre > 1/450 at the
time of inoculation demonstrated a prolonged humoral immune response to the FeLV valence
of Leucofeligen® FeLV/RCP. The presence of p27 antigen was an indicator of FeLV infection.
A persistent infection was defined as the detection of p27 antigen on three consecutive
occasions or on five non‐consecutive occasions between week 3 and week 15 after inoculation.
13/16 cats vaccinated with Leucofeligen® FeLV/RCP and 0/9 cat of the control group
presented antibodies against p45 protein at 3 years after the first annual booster.
25/25 cats were negative for p27 antigen before the experimental FeLV infection. After
challenge, persistent infection was observed in 1/16 (6%) of the Leucofeligen® FeLV/RCP
vaccinated cats and in 4/9 (44%) of the cats in the control group. Leucofeligen® FeLV/RCP
prevented the development of a persistent infection in 86% of the vaccinated cats
three years after the last vaccine injection. The risk of developing a persistent
infection was seven times higher in the control group.
Leucofeligen® FeLV/RCP protects cats against FeLV persistent infection for three years.
Disclosures
All authors are employees of Virbac.
ISCAID‐O‐11
Marbofloxacin Treatment in Dogs with Leishmaniasis and Chronic Kidney Disease
C. Pineda
1, M.C. Morales1, P. Garcia1, S. Belinchon‐Lorenzo2, L.C. Gomez‐Nieto2, E. Aguilera‐Tejero1,
I. Lopez1.
1Department of Medicina y Cirugia Animal, University of Cordoba, Cordoba, Spain, 2LeishmanCeres
Laboratory,. University of Extremadura, Caceres, Spain
Canine leishmaniasis is a major global parasitic and zoonotic disease caused by the
protozoa Leishmania spp. and is potentially fatal to dogs. Clinical presentation is
highly variable with a broad spectrum of signs and degrees of severity and its treatment
usually represents a challenge. Due to the elevated prevalence of kidney disease in
the canine population with leishmaniasis, it is important to consider an effective
treatment drug with few renal side effects. Recent data have shown that marbofloxacin
has leishmanicidal effects without causing changes in renal parameters of non‐azotemic
affected dogs. The purpose of this study was to evaluate the efficacy and the effect
on renal function of marbofloxacin in dogs with leishmaniasis and concurrent chronic
renal disease (CKD). Twenty eight dogs with leishmaniasis and CKD (11 animals in stage
1 and 17 in stage >1; based on IRIS recommendations) and no other coexisting diseases
were enrolled in the study. Dogs were treated with oral marbofloxacin at a dose of
2 mg/kg/day for 28 days. Physical exam, blood pressure, CBC, serum chemistry profile,
and urinalysis (including urine creatine:protein ratio and urinary cystatin C) were
recorded at baseline (day 0) and after treatment with marbofloxacin (day 28) to determine
the drug effect on renal function. Lymph node aspirations were also taken at days
0 and 28 to quantify the parasitic load by real‐time PCR. Values are expressed as
mean±SE. P < 0.05 was considered significant. In the dogs under study the treatment
with marbofloxacin was well tolerated with no obvious side effects and the clinical
signs related to the disease notably improved. These dogs with impaired renal function
evidenced an improvement in some of the CKD biomarkers: a significant decrease in
the urinary protein loss (from 3.8 ± 0.5 to 2.9 ± 0.4; P < 0.05) and a significant
decrease in systolic blood pressure (from 180.0 ± 6.9 to 170.0 ± 7.3 mmHg; P < 0.05).
Moreover, 72% of the dogs showed a significant reduction in parasitic load while in
28% the parasitic load remained stable. In relation to the aforementioned findings,
dogs showed a significant increase in plasma albumin concentration (from 15.0 ± 1.0
to 16.6 ± 0.7 g/L; P < 0.05) and a significant decrease in globulin concentration
(from 59.0 ± 3.4 to 54.1 ± 3.4 g/L; P < 0.05). No significant changes were found in
the other parameters under study. In conclusion and based on these results, marbofloxacin
can be chosen as an effective and safe alternative for treatment of dogs with leishmania
and concurrent CKD.
Disclosures
Disclosures to report.
The study described in the abstract has received financial support as a grant for
research from the company Vetoquinol, S.A.
ISCAID‐O‐12
Canigen® DHPPi/L Vaccine Protects Puppies Against Parvovirosis Even in the Presence
of Maternally Derived Antibodies
C. Fontaine, F. Senseby, T. Butaud, V. Martin, S. Gueguen.
VIRBAC, Carros, France
In puppies, there is a critical period during which the quantity of maternally derived
antibodies (MDA) is not sufficient to ensure a passive protection against infectious
diseases but could interfere with the development of an active immunisation with vaccines.
The study aim was to evaluate the impact of the presence of MDA on the development
of an active protection against parvovirosis with Canigen® DHPPi/L vaccine (Virbac,
France).
Sixty conventional Beagle puppies of 8–9 weeks of age on Day 0, 32 males and 28 females,
participated in the study. Based on MDA titres and body weight, puppies were allocated
to either a vaccinated group (Group 1 = two vaccine injections on Day 0 and Day 21;
Group 2 = three vaccine injections to finish the primary vaccination course on Day
49) or the unvaccinated group (Group 3). Puppies of Group 1 and Group 2 received Canigen®
DHPPi/L vaccine formulated at minimum titre for the Canine Parvovirus type 2 (CPV‐2)
strain. Blood samples were taken on several occasions for serological follow‐up up
to Day 77. CPV‐2 and Canine Parvovirus type 2c (CPV‐2c) antibody titres were measured
by seroneutralisation tests (SN). SN antibody titre > 101.05 after vaccination is
considered as positive and is correlated with clinical protection.
At 8 weeks of age, 32/60 puppies (53%) and 28/60 puppies (47%) had MDA against respectively
CPV‐2 and CPV‐2c, with titres ranging from 101.2 to 102.3. After the first vaccine
injection, seroconversion against respectively CPV‐2 and CPV‐2c was observed in 17/19
(89%) and in 20/24 (83%) of puppies without MDA at D0. In contrast, the seroconversion
rates against respectively CPV‐2 and CPV‐2c in puppies with MDA at Day 0 were 52%
(11/21) and 44% (7/16). Independently of the presence of MDA at D0, all vaccinated
puppies (40/40) developed antibodies against both CPV variants on Day 35, after the
second injection of primary vaccination. Therefore, no additional benefit on SN antibody
titres was observed with the third injection of primary vaccination.
In these field conditions, a second injection of primary vaccination with Canigen®
DHPPi/L, performed at 11–12 weeks of age, protects puppies against parvovirosis due
to CPV‐2 and CPV‐2c variants. A third injection of primary vaccination against CPV‐2
at 16 weeks of age may remain needed, especially in breeds with poor genetic response
to CPV vaccination and in cases where puppies have high levels of MDA titres persisting
beyond 12 weeks of age.
Disclosures
All authors are employees of Virbac.
ISCAID‐O‐13
Multidrug‐Resistant Extended‐Spectrum‐β‐Lactamase and Plasmid‐Mediated AmpC β‐Lactamase‐Producing
Enterobacteriaceae Isolated From Diseased Cats in Southern Italy
F. Lo Piccolo
1, A. Belas2, M. Foti1, V. Fisichella1, C. Marques2, C. Pomba2.
1Department of Veterinary Sciences – University of Messina, Messina, Italy, 2Laboratory
of Antimicrobial and Biocide Resistance – FMV – University of Lisbon, Lisbon, Portugal
The spread of multidrug‐resistant (MDR) Enterobacteriaceae is a major global threat.
MDR bacteria are being increasingly reported in companion animals, thus raising great
concerns for animal and public health. This study aimed to evaluate the occurrence
of MDR Enterobacteriaceae and to characterize the beta‐lactam resistance mechanisms
among isolates from cats showing clinical signs of various diseases in Southern Italy.
A total of 101 cats affected by several clinical conditions (58.4% diarrhoea, 30.7%
upper respiratory tract disease, 3.9% otitis, 2.9% conjunctivitis, 1% abscess, 2%
stomatitis, 1% cystitis) were included. Data concerning living conditions and antimicrobial
treatment were collected. Bacterial susceptibility testing to n = 8 antimicrobial
classes and interpretation were performed according to EUCAST clinical breakpoints.
Combination disc test was used for phenotypic identification of ESBLs producers. ESBL
and pAmpC genes were identified by PCR and DNA sequencing. Phylogenetic groups of
MDR Escherichia coli were determined according to Doumith et al. (2012). Among 125
Enterobacteriaceae, E. coli (52%) was the most frequently isolated, followed by Enterobacter
spp. (16%), Proteus spp. (10.4%) and Citrobacter spp. (9.6%). The higher resistance
frequencies were found against amoxicillin‐clavulanic acid (64.8%) and third‐generation
cephalosporines (38.4%‐40.8%). Although lower, resistance to aztreonam (32%), ciprofloxacin
(23.2%), amikacin (31.2%), chloramphenicol (24%) and sulphamethoxazole‐thrimetoprim
(36.6%) were also significant. All isolates were susceptible to meropenem. Fifty percent
of isolates were multidrug‐resistant. Twenty‐one MDR isolates were confirmed as ESBL‐producers,
namely: blaCTX‐M‐group1 (n = 11), ‐group2 (n = 1) and ‐group9 (n = 1); blaSHV (n = 1)
and blaTEM (n = 7). Eight isolates were pAmpC blaCMY‐producers, with five isolates
also harbouring blaTEM and blaCTX‐M. ESBLs and pAmpC‐producing isolates were recovered
from n = 19 cats, affected by diarrhoea, upper respiratory tract disease, abscess,
otitis, stomatitis and cystitis. Of these, 58% were shelter cats, 42% were household;
most (n = 15) were not receiving an antimicrobial treatment at the time of sample
collection. ESBL/pAMPC‐producing E. coli (n = 11), belonged to phylogenetic groups
B2 and D, and were collected from n = 5 diarrheic cats (n = 3 living in shelter, n = 2
household), n = 1 shelter cat with upper respiratory tract disease, n = 1 household
cat with cystitis and n = 1 shelter cat with cystitis. This study shows the dissemination
of MDR Enterobacteriaceae in a variety of common defined clinical conditions among
a feline population from Southern Italy. The emergence of ESBL/pAmpC‐producing multidrug‐resistant
Enterobacteriaceae poses major limitations in companion animals’ therapeutic options.
Furthermore, it raises great concerns regarding the bi‐directional transmission of
MDR bacteria between pets and humans.
Disclosures
This work was co‐funded by FEDER funds through the Programa Operacional Factores de
Competitividade‐COMPETE and by National funds through FCT‐Fundacão para a Ciência
e a Tecnologia, Project PEst‐OE/AGR/UI0276/2011, and PhD grant SFRH/BD/77886/2011
to M.C. and SFRH/BD/113142/2015 to B. A.
ISCAID‐O‐14
A Randomized, Allopurinol‐Controlled Trial Evaluating The Use of Dietary Nucleotides
and AHCC in Dogs with Clinical Leishmaniosis
S. Segarra
1, G. Miró2, A. Montoya2, L. Pardo3, L. Ferrer4, J. Cerón3.
1Bioiberica SA, Barcelona, Spain, 2Departamento de Sanidad Animal, Universidad Complutense
de Madrid, Madrid, Spain, 3Department of Animal Medicine and Surgery, University of
Murcia, Murcia, Spain, 4Department of Clinical Sciences, Tufts Cummings School of
Veterinary Medicine, North grafton, MA, USA, 5Interlab‐UMU. Campus de Excelencia „Mare
Nostrum„, University of Murcia, Murcia, Spain
The type of immune response against Leishmania infantum infection plays a key role
in the disease progression and prognosis. Canine leishmaniosis (CanL) patients could
therefore benefit from therapies aimed at modulating the immune system, such as dietary
nucleotides and active hexose correlated compound (AHCC).
Although a combination of N‐methylglucamine antimoniate (MGA) with allopurinol is
the first‐line therapy recommended for CanL, long‐term allopurinol administration
may increase urinary xanthine concentrations leading to urolithiasis. Hyperxanthinuria
also stimulates Leishmania promastigotes growth in vitro. Moreover, allopurinol resistance
has recently been described in L. infantum and associated with clinical relapses.
The aim of this study was to evaluate the efficacy and safety of a treatment consisting
of MGA and a combination of dietary nucleotides and AHCC in dogs with clinical leishmaniosis.
Sixty‐nine dogs with naturally occurring clinical CanL were included in this multicentre,
open‐label, positively‐controlled clinical trial and randomized into two groups: allopurinol
(control) group (10 mg/kg allopurinol PO BID for six months) or supplement group (17 mg/kg
AHCC and 32 mg/kg dietary nucleotides (Impromune®, Bioiberica SA, Barcelona, Spain)
PO SID for six months). All dogs received 50 mg/kg MGA (Glucantime®, Merial Laboratorios
SA, Barcelona, Spain) SC every 12 hours during the first 28 days. At 0, 30 and 180 days
of treatment, dogs were clinically evaluated, and a variety of analytes were measured
from blood, urine and bone marrow samples.
Initially, there were no significant differences between groups for any of the studied
parameters. Final data analyses (allopurinol: n = 29; supplement: n = 24) revealed
a significantly lower clinical scoring with the supplement at the end of the study
(P = 0.005). A total of 12 patients (41%) from the allopurinol group developed xanthinuria
while none did with the supplement (0%) (P = 0.000). No significant differences were
found between groups in the distribution of study patients according to their IRIS
staging of chronic kidney disease. Both treatments resulted in a significantly reduced
parasite load measured by Real‐time quantitative PCR (RT‐QPCR), increased CD4/CD8
ratio, and a tendency to a normalization of the protein electrophoretic pattern and
acute phase response.
In conclusion, in this pilot study the combination of MGA with a supplement containing
dietary nucleotides and AHCC for six months in dogs with clinical leishmaniosis, compared
to the standard CanL treatment with MGA plus allopurinol, resulted in a better clinical
efficacy, decreased xanthinuria, and a general improvement in clinicopathological
disorders after treatment.
Disclosures
Disclosures to report.
Sergi Segarra is employed by Bioiberica SA, Barcelona, Spain.
Bioiberica SA provided the compounds used in the study and funding for this clinical
trial.
Lluis Ferrer and José Cerón do scientific consultancy for Bioiberica SA.
SCH – Society of Comparative Hepatology
SCH‐O‐1
Low Sensitivity and Specificity of Alanine Aminotransferase and Alkaline Phosphatase
for Detection of Hepatocellular Injury in 198 Labrador Retrievers Without Clinical
Signs of Liver Disease
K. Dirksen
1, I.A. Burgener1, L.C. Penning1, T.S.G.A.M van den Ingh2, J. Rothuizen1, B. Spee1,
H. Fieten1.
1Utrecht University, Faculty of Veterinary Medicine, Utrecht, the Netherlands, 2TCCI
Consultancy BV, Utrecht, the Netherlands
Biochemical parameters including alanine aminotransferase (ALT) and alkaline phosphatase
(AP) are often used to make a presumptive diagnosis of liver disease in the dog. Especially
in idiopathic and copper‐associated forms or chronic hepatitis, there is a long subclinical
phase in which dogs do not show clinical signs of liver disease. However, this would
be the phase in which therapeutic intervention may be most effective. In dog breeds
with a hereditary predisposition for the development of hepatitis, biochemical screening
of subclinical dogs may be a valuable tool to identify affected dogs in an early stage.
Therefore, the aim of the study was to determine the sensitivity and specificity of
ALT and AP for detecting hepatocellular injury in clinically healthy Labrador retrievers.
Hereto, patient files of 198 client‐owned clinically healthy Labrador retrievers were
reviewed. Labradors underwent a liver biopsy for screening for copper toxicosis as
part of the research program into copper associated hepatitis of the Faculty of Veterinary
Medicine, Utrecht University. Age, sex, liver histopathology results, ALT and AP were
recorded. To determine sensitivity and specificity in these dogs, ROC analyses were
used. In total, 69 dogs did not show histological abnormalities (controls) and 129
dogs showed hepatocellular injury (including 39 cases with primary hepatitis and 90
cases with reactive hepatopathy). In all 198 dogs, median ALT was 37 U/L (range 5–733)
and median AP was 26 U/L (range 8–3360). Using thresholds of 70 U/L (ALT) and 89 U/L
(AP) which are upper reference values in our laboratory, the sensitivity for detecting
hepatocellular injury in clinically healthy dogs was 22% for ALT and 10% for AP. Specificity
was 93% and 98% for ALT and AP respectively. New thresholds for ALT and AP were determined
using the point closest to the top‐left part of the plot with perfect sensitivity
or specificity. New thresholds were 35 U/L for ALT and 26 U/L for AP. When using these
values sensitivity increased to 68% (ALT) and 59% (AP) and specificity decreased to
62% (ALT) and 60% (AP). Overall, both ALT and AP have a very low sensitivity for detection
of hepatocellular injury in Labradors with subclinical liver disease. Decreasing the
threshold cut‐off to improve the sensitivity results in a substantial decrease in
specificity. Therefore, new biomarkers are needed for early detection of subclinically
affected dogs, in order to avoid the progression to late stage hepatitis and liver
cirrhosis.
Disclosures
No disclosures to report.
SCH‐O‐2
Relationship of Hepatic Copper Concentrations to Histopathological Changes in the
Dog
D.C. Twedt, D. Moezzi, B.E. Powers.
Colorado State University, Fort collins, CO, USA
Liver disease associated with abnormal hepatocyte copper (Cu) concentrations is thought
to be common in dogs. Excessive hepatic Cu results in hepatocyte damage from oxidative
stress, resulting in cell death and subsequent necroinflammatory changes. The accumulation
of abnormal hepatic Cu and inflammatory liver disease in the dog has been linked to
genetic metabolic derangements in copper metabolism, environmental factors such as
excessive dietary copper intake and/or the result of cholestatic disorders. Chelation
therapy and low Cu diets are often successful in management of cases having abnormal
hepatic Cu.
The goal of this study was to determine the incidence of abnormal hepatic Cu in liver
biopsies submitted to our diagnostic laboratory and to then correlate the hepatic
Cu concentrations with the histolopathological diagnosis. We hypothesize that hepatic
Cu would be higher in dogs with necroinflammatory liver changes compared to those
with non‐inflammatory changes. A second aim was to determine if the concentration
of hepatic Cu was related to the extent of hepatic inflammation.
We examined the records of cases having liver histopathology and hepatic Cu quantitation
during the years 2010–2015. Fresh liver tissue was analyzed for Cu via flame atomic
absorption spectroscopy and expressed as μg/g dry weight liver ([dwl], normal 120–400).
In a subset of samples (those received in the year 2015) the Cu concentration was
correlated with the histopathology. Samples were grouped as inflammatory when predominately
characterized as lymphoplasmacytic or suppurative and then further classified as mild,
moderate or severe inflammatory changes. Non‐inflammatory samples were characterized
as hepatocellular swelling, hyperplasia or lipidosis. A third “other”group was characterized
either as nonspecific reactive hepatopathies, fibrosis or hepatic neoplasia. Statistical
analysis included a two‐sample t‐test and one‐way ANOVA with significance set at P < 0.05.
2149 samples had both Cu quantitation and histopathology. 1085 cases had hepatic Cu
>400 μg/g dwl (50.5%) with a mean Cu concentration of 1233 with a range 401–12,400 μg/g
dwl. Inflammatory liver disease was associated with significantly higher mean Cu (853)
than non‐inflammatory (355) disease (P < 0.001). The mean Cu in the inflammatory groups
classified as mild (553), moderate (1013) or severe (1143) was significantly higher
compared to the non‐inflammatory (353) or ‘other’ group (471) (P < 0.001).
Our findings indicate the highest hepatic Cu concentrations are associated with inflammatory
liver changes and that the severity of inflammatory changes tends to reflect increasing
hepatic Cu. Because Cu associated liver disease is common, histopathology demonstrating
necroinflammatory changes should have hepatic Cu quantitation.
Disclosures
Disclosures to report.
David Twedt received funding support for other work from:
Zoetis Animal Health.
Morris Animal Foundation.
Micky Liver Disease Foundation (CSU).
SCH‐O‐3
A Panel of Serum microRNAs Differentiates between Various Types of Canine Hepatobiliairy
Diseases
K. Dirksen
1, T. Verzijl1, G.C.M. Grinwis1, R.P. Favier1, L.C. Penning1, I.A. Burgener1, L.J.W.
van der Laan2, H. Fieten1, B. Spee1.
1Utrecht University, Faculty of Veterinary Medicine, Utrecht, the Netherlands, 2Erasmus
MC‐University Medical Center, Rotterdam, the Netherlands
Hepatobiliary diseases are commonly encountered in dogs and can be divided into four
main categories: parenchymal, biliary, vascular, or neoplastic disorders. In many
cases clinical signs of hepatobiliary diseases are non‐specific. Current biochemical
indicators can establish the presence of hepatobiliary disease, but cannot specify
underlying disease and a thorough and extensive diagnostic workup is needed. Recently,
microRNAs (miRs) have been identified as promising new serum biomarkers for hepatobiliary
disease in humans and dogs. The aim of the present study was to investigate whether
serum levels of an established group of microRNAs can be used to differentiate between
various hepatobiliary diseases in dogs. Real‐time polymerase chain reaction was used
for quantification of 6 microRNAs (miR‐21, miR‐122, miR‐126, miR‐148a, miR‐200c, and
miR‐222) in serum of 46 dogs with an established diagnosis of hepatobiliary disease
compared to 11 healthy dogs. Hepatobiliary diseases included parenchymal (acute/chronic
hepatitis), biliary (mucoceles/cholangitis and extra hepatic bile duct obstruction),
vascular (congenital portosystemic shunts), and neoplastic (adenomas/carcinomas/malignant
lymphomas) subgroups. Linear regression was used to investigate the effect of diagnostic
subgroup on the serum levels of the natural logarithm of the different microRNAs,
with healthy dogs as reference category. P‐values were adjusted for multiple comparisons
using the Benjamin‐Hochberg correction. With a microRNA panel consisting of miR‐21,
miR‐122, miR‐126, miR‐200c, and miR‐222 it was possible to distinguish between parenchymal,
biliary, and neoplastic hepatobiliary diseases. Within these groups, a differentiation
between all above mentioned subgroups could be made. No differential microRNA expression
was found in the adenoma and congenital portosystemic shunt groups. All other subgroups
had increased levels of one or more microRNAs. MicroRNA‐122 and miR‐21 were both associated
with hepatobiliary disease in general, while miR‐126 and miR‐200c were uniquely upregulated
in chronic hepatitis and hepatocellular carcinomas, respectively. This study shows
that serum microRNA profiling is a promising new tool that can be valuable in diagnosing
and differentiating several common hepatobiliary diseases in dogs.
Disclosures
Disclosures to report.
This study was financially supported by the ECVIM clinical studies fund.
The authors declare no further conflict of interest.
SCH‐O‐4
Lipid Accumulation in Canine Portosystemic Shunts
L. van den Bossche, G.C.M. Grinwis, I.A. Burgener, B.J. Helms, J.F.H.M. Brouwers,
M.E. van Wolferen, V.A.C. Schoonenberg, B. Spee, F.G. van Steenbeek.
Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
Hepatic lipidosis is a common feature in canine congenital portosystemic shunts (CPSS).
However, the origin and significance of lipidosis is not fully understood. While the
genetic basis of both intrahepatic portosystemic shunt (IHPSS) and extrahepatic portosystemic
shunt (EHPSS) is different, the phenotype, resulting from the portal blood circumventing
the liver, is identical. The aim of this study was to confirm hepatic lipidosis in
both IHPSS and EHPSS and gain insight into the pathogenesis behind hepatic lipid accumulation
in CPSS.
To study lipid accumulation in CPSS, Oil Red O stainings were performed on hepatic
tissue of dogs with a shunt (EHPSS (n = 7) and IHPSS (n = 5) and compared to control
tissue (n = 4). Lipid intensity was quantified using ImageJ. Microarray analysis was
performed on liver tissue from dogs with IHPSS (n = 15) and EHPSS (n = 32) and compared
to controls (n = 2). mRNA expression differences of the most affected genes were confirmed
using real‐time PCR (IHPSS n = 28, EHPSS n = 35 and control n = 17). Statistical differences
were calculated with a Mann‐Whitney U test.
In both groups, a 12‐fold increase of lipid content was detected compared to the controls
(EHPSS P < 0.01; IHPSS P = 0.042) using Oil Red O stainings. Remarkably gene‐expression
profiling indicated that in both shunt types numerous genes involved in lipid metabolism
appear in the list of most up and down regulated genes compared to healthy tissue.
Eleven genes of interest were selected for qPCR based on lipid‐related function. Significant
differences (P < 0.01) in mRNA expression were confirmed for seven genes. Upregulated
genes in IHPSS and EHPSS were CRP, FABP1, IGFBP1, ITIH4, SAA1, and PLIN, whereas a
downregulated gene was HSD3B.
Overall, an increased lipid concentration was confirmed for both IHPSS as well as
EHPSS using Oil Red O. In addition, lipid related genes were found to be aberrantly
expressed in IHPSS and EHPSS dogs. This indicates that hepatic lipidosis in CPSS could
be a secondary effect of the portosystemic shunting. This study is providing the basis
for future investigations into the pathogenesis behind the lipid accumulation.
Disclosures
No disclosures to report.
No disclosures have to be reported.
SCH‐O‐5
Long‐term Adult Feline Liver Organoid Cultures for Disease Modelling of Hepatic Lipidosis
H.S. Kruitwagen
1, L.A. Oosterhoff2, G.W.H. Vernooij2, I.M. Schrall2, M.E. van Wolferen2, F. Bannink2,
C. Roesch2, L. van Uden2, C. Valtolina2, M.R. Molenaar3, M.W. Haaker3, J.B. Helms3,
G.C.M. Grinwis4, L.J. van der Laan5, M. Huch6, N. Geijsen7, R.G. Vries7, H. Clevers7,
J. Rothuizen2, B.A. Schotanus2, L.C. Penning2, B. Spee2.
1Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands, 2Department
of Clinical Sciences of Companion Animals, Fac. of Veterinary Medine, Utrecht, Utrecht,
the Netherlands, 3Department of Biochemistry and Cell Biology, Faculty of Veterinary
Medicine, Utrecht, the Netherlands, 4Department of Pathobiology, Faculty of Veterinary
Medicine, Utrecht University, Utrecht, the Netherlands, 5Department of Surgery, Erasmus
MC‐University Medical Center, Rotterdam, the the Netherlands, 6Wellcome Trust/MRC
Stem Cell Institute, University of Cambridge, Cambridge, UK, 7Hubrecht Institute,
University Medical Centre, Utrecht University, Utrecht, the Netherlands
Liver diseases in cats are poorly understood. Research into etiology, pathogenesis
and possible therapies is hampered due to the lack of a suitable in vitro cell culture
model for the cat. Adult stem cell cultures also known as organoids are ideally suited
for disease modelling purposes. Recently, liver progenitor cells from mouse, rat,
dog and human livers have been successfully cultured in vitro. The method permits
three‐dimensional, stable, and long‐term expansion of adult liver stem cells. This
study aimed to develop a robust culture system of genetically stable feline liver
organoids that mimic in vivo liver progenitor cells which can be differentiated towards
functional hepatocytes.
To establish feline organoid cultures, biliary duct fragments were isolated from five
adult normal livers (fresh liver, frozen liver, and fine needle aspirate) and maintained
in 3D culture by suspension in Matrigel droplets and R‐spondin‐1‐based culture medium.
Characterization of organoid cultures consisted of gene expression profiling with
quantitative reverse transcriptase PCR, immunocytochemistry, and a proliferation assay
(EdU incorporation). For induction of hepatocyte maturation, Wnt agonists were withdrawn
and Notch signaling was inhibited. For disease modeling of hepatic lipidosis, liver
organoids from cats, mice, dogs, and humans were incubated with either vehicle or
free fatty acids (FFA) and stained with lipophilic dye LD540. Fluorescence was quantified
using flow cytometry. For feline organoids the β oxidation of excess FFA was studied
using a carnitine palmitoyltransferase‐1 inhibitor (etomoxir) and supplementation
of L‐carnitine.
Organoids could be cultured successfully from all feline liver samples. Feline liver
organoids grew as spherical structures that were highly proliferative and were cultured
up to six months (passage 32). Organoids expressed adult stem cell marker LGR5, hepatic
progenitor/biliary markers (K7, K19, and HNF1β), early hepatocyte markers (HNF4α,
TBX3, ALB), and had low expression of mature hepatocyte markers (TTR, FAH, CYP3A132).
Mature markers increased when organoids were cultured without Wnt agonists in combination
with Notch inhibitors, indicating their potential to differentiate towards a hepatocyte‐like
phenotype. Feline liver organoids showed lipid accumulation when exposed to excess
FFA and accumulated more lipids than human liver organoids. Lipid accumulation was
enhanced when β oxidation was blocked with etomoxir and was attenuated when medium
was supplemented with L‐carnitine.
In conclusion, feline liver organoids can be cultured long‐term from liver samples
and can be differentiated to a hepatocyte‐like phenotype. They present the first primary
liver cell culture system for cats and offer great potential for disease modeling
of feline hepatic lipidosis.
Disclosures
This study was generously supported by the Winn Feline Foundation (grant number W15‐037).
Hedwig Kruitwagen is appointed on a Dutch Research Counsel NWO ZON/MW (grant number
116004121).
There is no conflict of interest with any financial organization regarding to the
material discussed in the abstract.
SCH‐O‐6
Prognostic Markers for Mortality in Feline Hepatic Lipidosis: A Retrospective Study
of 71 Cats
S. Kuzi, S. Kedar, G. Segev, I. Aroch, E. Yas.
Hebrew University Veterinary Teaching Hospital, Rehovot, Israel
Feline hepatic lipidosis (HL) is a common, potentially life‐threatening disease, resulting
from prolonged anorexia and increased catabolism. The aim of this retrospective study
was to identify clinical and laboratory parameters associated with mortality. Data
were collected from the medical records of cats diagnosed with HL based on liver cytology
or histopathology at the Hebrew University Veterinary Teaching Hospital (years 2004
to 2015).
The study included 71 cats (47 females and 24 males). Most cats (56; 79%) lived indoor
and were fed dry commercial diets (44 cats, 62%). Most (90%) were mixed‐breed cats.
The median age was 7.5 years (range 1.5–16). The common presumptive primary conditions
included gastro‐intestinal diseases, pancreatitis and cholangiohepatitis (31 cats,
44%) and stressful events (14, 20%). HL was idiopathic in 20 cats (28%). The following
were significantly (P ≤ 0.033) associated with mortality: older age, dullness, weakness
and hyper salivation, hypoproteinemia, hypoalbuminemia, increased serum creatine kinase
activity, hypocholesterolemia and hepatic failure (based on presence of ≥3 abnormal
liver function analytes at presentation). The primary condition was unassociated with
mortality. Occurrence of hypoalbuminemia, hyperammonemia, hyperbilirubinemia, electrolyte
disorders, effusions or hypotension during hospitalization was significantly (P ≤ 0.045)
associated with mortality. A decrease in serum β‐hydroxybutyric acid during hospitalization
was significantly (P = 0.01) associated with survival. This is the largest study on
feline HL performed in the past 20 years. Several identified prognostic markers may
be therapeutic targets, including hypoalbuminemia, possibly predisposing to effusion
and hypotension, and hyperammonemia. Improvement of serum β‐hydroxybutyric acid concentration
is a marker of correction of the catabolic state.
Disclosures
No disclosures to report.
ESVC – European Society of Veterinary Cardiology
ESVC‐O‐1
Aorto‐Septal Angle and Systolic Murmur in Apparently Healthy Cats. A Pilot Study
S. Crosara
1, G. Allodi1, M. Fabbi1, A. Corsini1, S. Guazzetti2, C. Quintavalla1.
1Department of Veterinary Science, University of Parma, Parma, Italy, 2Local Health
Unit, Reggio Emilia, Italy
The presence of a systolic murmur in apparently halthy cats has been previously described.
The aim of this retrospectvive study was to determine whether the aorto‐septal angle
(AoSA), assessed by echocardiography, is correlated with the presence of a systolic
murmur in cardiologically normal cats. The medical records between January 2014 and
March 2016 have been reviewed. Inclusion criteria included a normal echocardiographic
exam, regardless the presence of a cardiac murmur. Cats had also to be normotensive
(systolic blood pressure < 160 mmHg) and euthyroid. Cats with echocardiographic evidence
of dynamic right ventricular outflow obstruction were not included. Cats with normal
diastolic thickness of the left ventricle but mild hypertrophy of the sub‐aortic portion
of the interventricular septum were also included. The AoSA was measured from the
right parasternal five chambers view as previously described. For each echocardiographic
parameter, the mean of three consecutive measures was used for statistics. Forty‐one
cats of different breed were included; 21 females and 20 males, aging 6.4 ± 5.5 (mean
± SD); 22 with a cardiac murmur, 19 without a cardiac murmur. The AoSA in cats with
a cardiac murmur (131.1°± 8.6°) was significantly narrower (P = 0.048) than AoSA in
cats without a cardiac murmur (136.3°± 7.2°). The presence of septal hypertrophy was
not associated with the presence of a systolic murmur (P = 0.41). Cats with septal
hypertrophy were older (P = 0.0037), however there was not correlation between AoSA
and age (P > 0.05). In conclusion, a narrow AoSA is associated with the presence of
a systolic murmur in cats and might be considered as potential cause of ejection murmur
in apparently healthy cats. A longitudinal study is needed to assess if a narrow AoSA
might play a role in the remodeling of the interventricular septum at the level of
the left outflow tract.
Disclosures
No disclosures to report.
ESVC‐O‐2
Inter‐Observer Variability For Cardiac Ultrasound Measurements in Cats between 12
and 24 Months of Age
D.J. Connolly1, J.R. Payne
1, A. Feugier2, I.M.J. van Hoek2.
1Royal Veterinary College, Hertfordshire, UK, 2Royal Canin, Aimargues, France
A high degree of accuracy is required when using echocardiography to diagnose hypertrophic
cardiomyopathy (HCM) in cats, as variation in measurements of 0.5 mm may affect classification
of individuals as ‘normal’ or ‘abnormal’. This study in adult cats analysed inter‐observer
variability between two echocardiographers with specialist veterinary cardiology training.
Twenty‐four female European shorthair cats, colony‐housed compliant with EU regulations,
were examined at 12, 18 and 24 months of age by observer 1 (Obs‐1). Cardiac ultrasound
images (2D) were taken in conscious cats to measure: aortic diameter (Ao), left atrial
diameter (LA), diastolic interventricular septum (IVSd), diastolic interventricular
septum outflow (IVSd‐LVOT), diastolic and systolic left ventricular internal dimension
(LVIDd/s), diastolic left ventricular free wall (LVPWd) and left ventricular free
wall outflow (LVPWd‐LVOT). Cardiac ultrasound measurements were repeated by observer
2 (Obs‐2) on stored images. Measurements were analysed for effect of age, observer
(mean value for the 3 time points) and age‐observer interaction. Additionally, based
on IVSd and LVPW thickness, cats were categorized as ‘normal’ (≤ 6 mm or ≤ 5 mm in
cats <6 kg BW) or ‘abnormal’ (Gundler et al. 2008). Linear mixed models (generalised
when appropriate) were performed using SAS v9.3. Cat was defined as a random term.
Normality of residual distribution of each model involving a quantitative output was
checked. Level of significance was 5%. Post‐hoc analyses were adjusted for a‐risk
inflation.
There was a significant effect of age on Ao (P < 0.001), IVSd (P < 0.001), IVSd‐LVOT
(P < 0.001), LIVDd (P < 0.001) and LVIDs (P < 0.001). No significant age‐observer
interaction was found for any parameter. A significant difference between observers
was found for IVSd (P < 0.001), IVSd‐LVOT (P = 0.0083), LVIDd (<0.0001), LVIDs (P = 0.0388),
LVPW‐LVOT (P < 0.0001) and LVPW (P = 0.011). Measurements were higher by Obs‐1 for
IVSd and IVSd‐LVOT, and higher by Obs‐2 for other measurements. Differences between
estimated means (% of value Obs‐1) ranged from 3.3% (LVPW) to 9.2% (IVSd). Differences
between mean values were <0.5 mm for all parameters except for LVIDd (0.9 mm). All
cats weighed <6 kg BW, and classification of cats as ‘abnormal’ (>5 mm) was significantly
different between observers for IVSd (14/72 Obs‐1, 3/72 Obs‐2; P = 0.009) but not
LVPW (0/72 Obs‐1, 1/72 Obs‐2).
Inter‐observer variability was significant for most parameters, although independent
of cats’ age, and inter‐observer difference only exceeded 0.5 mm for LVIDd. Caution
is warranted when determining a finding of left ventricular hypertrophy based on IVSd
thickness, due to significant inter‐observer differences in this measurement.
Disclosures
Disclosures to report.
A. Feugier and I. van Hoek are employees of Royal Canin SAS, Aimargues, France.
ESVC‐O‐3
Anomalies and Anatomical Variations of the Thoracic Great Vessels in Dogs
P. Sebastian
1, C. Warren‐Smith1, S. Fonfara2, K. Borgeat3, D. Casamian1.
1Langford Veterinary Services, School of Veterinary Science,University of Bristol,
Bristol, UK, 2Ontario Veterinary College, University og Guelph, Guelph, Canada, 3Highcroft
Veterinary Referrals, Bristol, UK
Well‐known congenital thoracic cardiovascular anomalies in the dog are patent ductus
arteriosus and persistent right aortic arch. These cardiovascular anomalies are clinically
significant and their prevalence has been reported in veterinary medicine. Contrary
to these, developmental anomalies of thoracic vessels that may not cause clinical
signs are usually not detected or are identified as incidental findings, and their
prevalence is unknown. However, these might be of importance as interference with
thoracic surgery, interventional procedures, or interpretation of thoracic imaging
is possible.
The aim of the study was therefore to determine the prevalence of anatomical variations
of the great thoracic vessels.
The CT thoracic studies of 878 dogs carried out between 2011 to 2014 at Langford Veterinary
Services (University of Bristol) were reviewed. Poor quality CTs or those of young
dogs with clinical evidence of congenital cardiac disease or regurgitation were excluded.
A total of 802 studies met the inclusion criteria. A panel of three boarded cardiologists
and one boarded diagnostic imager reviewed the abnormalities.
Overall 8 dogs (1%) showed an anatomic anomaly. The most common anomaly was an aberrant
retroesophageal right subclavian artery (n = 7, 0.8%). One dog showed a dilated azygos
vein associated with coarctation of the caudal vena cava. None of the dogs had a persistent
left cranial vena cava.
Anatomical variations observed included three types of branching of the common carotid
arteries: both arteries arising at the same point (type I present in 68.5% of dogs,
n = 506/739), the arteries arising separated (type II, identified in 28.7% of dogs,
n = 212/739) or from a common trunk (“Bicarotid Trunk”, type III, in 2.8% of dogs,
n = 21/739). In 92.1% of cases (n = 739) the azygos vein drained into the cranial
vena cava, in 1.9% (n = 15) into the right atrium and in 6% (n = 48) the drainage
site was equivocal.
Incidental anatomical anomalies of the thoracic great vessels appear to be rare in
dogs. Only 1% (n = 8) of dogs undergoing thoracic CTs showed an anomaly. Of these,
an aberrant retroesophageal right subclavian artery was the most common abnormality.
A persistent left cranial vena cava appears to be very uncommon, as it was not detected
in any of the 802 dogs of the present population. Three different branching patterns
of the common carotid artery were identified and type I (both carotids arising from
the same point of the brachyocephalic trunk) was the most frequent.
Disclosures
No disclosures to report.
The authors have no conflict of interest or disclosures to declare with regard to
this study.
ESVC‐O‐4
Effects of Sedation With Dexmedetomidine and Buprenorphine on Echocardiographic Variables,
Blood Pressure and Heart Rate in Healthy Cats
E. Johard
1, A. Tidholm1, I. Ljungvall2, J. Häggström2, K. Höglund3.
1Anicura Albano Animal Hospital, Enebyberg, Sweden, 2Department of Clinical Sciences,
Faculty of Veterinary Medicine, SLU, Uppsala, Sweden, 3Department of Anatomy, Physiology
and Biochemistry, Faculity of Veterinary Medicine, SLU, Uppsala, Sweden
Different sedative agents are commonly used in veterinary medicine. Due to their hemodynamic
effects, they may alter echocardiographic measurements in cats when screening for
heart disease, such as hypertrophic cardiomyopathy (HCM). The objective of this study
was to evaluate effects of the sedation combination dexmedetomidine and buprenorphine
on echocardiographic variables, blood pressure and heart rate (HR) in healthy cats.
50 healthy client‐owned cats were prospectively included in the study. Cats were sedated
with dexmedetomidine and buprenorphine. Doses were adjusted to body weight. Standard
echocardiographic and Doppler examinations, blood pressure and HR measurements were
performed prior to sedation and repeated ten minutes after sedation. Results were
compared using non‐parametric methods.
Left ventricular internal diameter in end‐diastole (LVIDd) and systole (LVIDs), right
ventricular internal diameter in end‐diastole (RVIDd), left atrium (LA), pulmonic
deceleration time, systolic (SBP), diastolic (DBP) and mean arterial (MAP) blood pressure
increased after sedation (P ≤ 0.022). Aortic (Vmax Ao) and pulmonic artery (Vmax A
pulm) maximum velocity, fractional shortening (FS), acceleration/deceleration time
(AT/DT) and HR decreased after sedation (P < 0.0001). Interventricular septum in end‐diastole
(IVSd) and systole (IVSs), left ventricular posterior wall in end‐diastole (LVPWd)
and systole (LVPWs), aortic diameter (Ao), left atrial/aortic diameter (La/Ao) and
pulmonic acceleration time did not differ pre‐ and post‐sedation. Sedative dosage
had no significant effect on echocardiographic variables, blood pressure or HR.
In conclusion blood pressure increased and HR decreased after sedation. The echocardiographic
variables most important in HCM‐screening, i.e. wall thickness and LA/Ao, were not
affected by the combination of dexmedetomidine and buprenorphine.
Disclosures
No disclosures to report.
ESVC‐O‐5
Cardiovascular Effects of Medetomidine Alone or in Combination With Propofol in Stage
B2 Mixomatous Mitral Valve Disease
V.M. Saponaro
1, A. Ave2, J.L. Wargny1.
1Clinique Vétérinaire de la Gare, Taverny, France, 2UNIVET, Cannes, France
Medetomidine is expected to depress cardiac performance in dogs by increasing vagal
tone via baroreceptor stimulation with consequent bradycardia and drop in cardiac
output and inotropy. In asymptomatic dogs suffering from mixomatous mitral valve disease
(MMVD) a previous study showed a reduction of mitral regurgitation appearance on color‐flow
Doppler echocardiography, but the counterpart was a possible loss in contractility.
The hypothesis of the present study was that by combining propofol (useful when endotracheal
intubation is warranted), which provides vasodilation and inhibits baroreflex, vagal‐related
undesired events would be prevented or reduced.
Dogs weighing less than 15 kg, needing sedation and endotracheal intubation for short
non‐invasive procedures and showing a systolic apical heart murmur, were recruited
if MMVD was confirmed and LA/Ao was 1.4 < 1.6. The sedative protocol consisted in
an IV injection of 30 μg/kg medetomidine (for M group), followed by a single IV bolus
of 1 mg/kg propofol (for MP group). Sedation was then reversed by IM injection of
atipamezole. Of 24 dogs screened, 16 were enrolled and randomly assigned equally to
M or MP group. Clinical parameters, echocardiographic variables, thoracic radiographs
and oscillometric blood pressure measurements were collected in blinded fashion at
baseline (T0), 30 minutes after medetomidine administration (T1) and three hours after
atipamezole injection (T2).
At T1 regurgitant jet area (ARJ/LAA) significantly decreased in both groups while
shortening fraction and body weight‐indexed LVIDs decreased and increased respectively
only in M group (P < 0.05). Systolic blood pressure showed values at the upper physiologic
limit at T0 in both groups and a significative decrease at T1 only in MP group. No
significant change was recorded for LA/Ao at any time point in both groups, the value
remaining < 1.6, nor for body weight‐indexed LVIDd. The other echocardiographic variables
did not show a particular trend. Thoracic radiographs were evocative of heart enlargement
without pulmonary venous congestion or pulmonary oedema both at T0 and T2. Respiratory
rate did not change between T0 and T2. Heart rate showed a similar significative decrease
at T1 in both groups. The degree of sedation was optimal during the clinical procedure
in all cases.
Sedation with 30 μg/kg medetomidine combined with propofol at the dose of 1 mg/kg,
useful for endotracheal intubation, is safe in dogs suffering from MMVD in stage B2
(LA/Ao = 1.4 < 1.6) and affects inotropy less than medetomidine used alone.
Disclosures
No disclosures to report.
ESVC‐O‐6
Inter‐Observer Agreement When Measuring Ultrasonographic Inferior Vena Cava Diameter
and Basic Echocardiographic Parameters by Non Cardiologist Veterinarians Following
a 6‐hour Training Course
E. Darnis
1, A.C. Merveille1, L. Desquilbet2, S. Boysen3, K. Gommeren1.
1Liège University, Liège stilman, Belgium, 2ENVA, Maisons‐alfort, France, 3University
Calgary, Calgary, Canada
Clinical parameters, including blood pressure, do not reliably predict intravascular
volume status. In human medicine, assessment of the inferior vena cava diameter (IVCD)
and focused echocardiographic parameters (La/Ao, LA minor, LVIDd, LVIDs, FS) have
been used to rapidly evaluate volume status and systolic function in critically ill
patients. Recently, focused training courses in echocardiography for human criticallists
and internists have been described.
This prospective, observational study aimed to quantify inter‐observer (IEO agreements
between a cardiologist and 2 non‐cardiologists who underwent a training course in
echocardiography for the ultrasonographic IVCD and focused echocardiographic parameters
in healthy beagle dogs.
Two veterinary internists (one resident and one specialist), novice in echocardiography,
underwent a 6‐hour echocardiography training course. One month later, 15 healthy beagle
dogs were examined 3 times by the two internists and one cardiologist. IVCD was assessed
via a subxiphoid window (IVC‐SX) and a dorsolateral window (IVC‐DL), caudal only to
the last rib.
Bland‐Altman analysis was used to assess IEO agreement between two series of clinical
measurements; coefficients of variation (CV) were calculated to quantify IEO variability.
The widest 95% limits of agreement (LOA) for LA minor, LVIDd, LVIDs, LA/Ao, and FS
were ±5 mm, ±9 mm, ±5 mm, ±0.68, and ±19%, and CV were 6%, 13%, 12%, 8%, and 17%,
respectively. For IVCD‐SX, the 95% LOA for IVCDmin and IVCDmax were ± 0.75 cm and
± 0.62 cm with CV of 37% and 21%, respectively. For IVCD‐LD, the 95% LOA were ± 0.37 cm
with a CV of 11%.
Based on inter‐observer reproducibility, minimal training in EC seems sufficient for
measurement of standard cardiac parameters. Evaluation of IVC‐LD was considered good,
based on narrow 95% IOA. However, IVCD‐SX was considered unacceptable. This may be
due to variation in measurements of the IVCD at the IVC‐SX, and the effect of the
respiratory cycle on the minimal and maximal measurements. Standardization of the
IVC‐SX technique and investigation of the impact of the respiratory phase on IVCD
in dogs are needed.
A 6‐hour training course in echocardiography seems sufficient to train non cardiologist
veterinarians to measure IVCD‐LD and basic echocardiographic parameters in healthy
beagle dogs. Further studies are needed to determine whether IEO is acceptable with
other breeds of different body conformation. Values of these measurements to estimate
the volume status in clinical setting remain to be determined. IVCD‐SX measurements
require further standardization to allow for quantitative analysis.
Disclosures
No disclosures to report.
ESVC‐O‐7
Focused Cardiac Ultrasound in the Emergency Room Improves the Differentiation of Respiratory
and Cardiac Causes of Dyspnea in Dogs
M.J. Hezzell, C. Ostroski, M.A. Oyama, B. Harries, K. Drobatz, E.L. Reineke.
University of Pennsylvania, PA, USA
Dyspnea caused by primary respiratory disease or congestive heart failure is a common
emergency in dogs. Early, accurate diagnosis is essential for optimal therapy. However,
physical examination (PE) alone may be insufficient to differentiate causes of dyspnea
and patient instability frequently necessitates delay of radiography and echocardiography.
In human patients, emergency clinician‐performed focused cardiac ultrasound (FCU)
helps differentiate causes of dyspnea quickly and safely. We hypothesized that FCU
performed by emergency and critical care (ECC) clinicians would improve diagnostic
accuracy in dyspneic dogs compared to medical history and PE alone.
ECC faculty and residents underwent a 3‐hour structured FCU training program. Goals
included recognizing basic cardiac structure and function and quantitatively measuring
left atrial and aortic root diameter (LA/Ao) from right parasternal views. Dogs presenting
with dyspnea to the University of Pennsylvania Veterinary Hospital were prospectively
recruited. Exclusion criteria included intravenous fluid therapy within 72 hours of
presentation, known trauma, and severe systemic disease precluding participation.
Medical history, PE, and FCU were obtained at presentation. The ECC clinician, blinded
to any radiographic or echocardiographic data, recorded a diagnosis of respiratory
(R) or cardiac (C) before and after FCU. Thoracic radiography was performed within
3 hours and echocardiography was performed by a cardiologist or cardiology resident
within 24 hours.
ECC clinician diagnostic accuracy was calculated against a gold‐standard diagnosis
(agreement of a board‐certified cardiologist and criticalist with access to all diagnostic
test results). Comparisons between groups were made using Mann‐Whitney tests. Agreement
between LA/Ao on FCU and echocardiography was investigated using univariate linear
regression. Significance was set at P < 0.05.
Thirty‐eight dogs were recruited. In 3 dogs, gold‐standard diagnosis could not be
determined. The remaining 35 dogs were used for analysis: 13 in group R, 22 in group
C. LA/Ao on echocardiography (P < 0.0001) and FCU (P = 0.0004), and vertebral heart
size (P < 0.0001) were significantly higher in group C vs. group R. LA/Ao on FCU and
echocardiography were significantly associated (B = 0.75, P = 0.0002, R2=0.354). Prior
to FCU, 27/35 dogs (77.1%, 95% CI: 60%, 90%) were correctly diagnosed by the ECC clinician.
Two cardiac and 6 respiratory cases were mis‐assigned. Following FCU examination,
30/35 dogs (85.7%, 95% CI:70%, 95%) were correctly diagnosed. One cardiac and 4 respiratory
cases were mis‐assigned. No dogs with a correct diagnosis were reassigned incorrectly
following FCU.
In conclusion, performance of FCU by ECC clinicians following training improved diagnostic
accuracy compared with medical history and PE alone in dyspneic dogs.
Disclosures
No disclosures to report.
ESVC‐O‐8
Holter Evaluation in Cats With Symptomatic Heart Disease and With Thoracic Trauma
U. Bartoszuk, M. Baron Toaldo, N. Pereira, N. Summerfield, J. Novo Matos, T. Glaus.
University of Zurich, Switzerland, Zurich, Switzerland
Multiple studies have shown the importance of arrhythmias secondary to cardiac as
well as extracardiac diseases, such as splenic masses and trauma in dogs. Arrhythmias
are commonly implicated as plausible cause of sudden death. Although sudden death
is commonly recognized in cats, little is known about the importance of arrhythmias
associated with primary and secondary myocardial injury. Therefore the aim of this
study was to determine frequency and complexity of arrhythmias in cats with symptomatic
hypertrophic, dilated or restrictive cardiomyopathy, with transient congestive heart
failure referred to as myocarditis and after thoracic trauma.
Holter examinations were analyzed for number of ventricular (VPCs) and supraventricular
premature beats (APCs), arrhythmia complexity (ventricular tachycardia (VTach), R‐on‐T,
supraventricular tachycardia (SVT)) and additional arrhythmias.
Nine cats with thoracic trauma, 15 cats with hypertrophic cardiomyopathy (HCM), 5
with myocarditis, 4 with restrictive cardiomyopathy (RCM) and 2 with dilated cardiomyopathy
(DCM) were enrolled. Median heart rate was higher in cats with HCM. Median numbers
of VPCs and APCs after thoracic trauma were 24 [range 0–117] and 0, in HCM 6363 [1–35160]
and 2933 [0–28568], in myocarditis 69 [1–154] and 1 [0–6], in RCM 33639 [0–134036]
and 0, in DCM 3 and 1132 VPCs and 0 and 2575 APCs. VTach was found in 4 HCM (longest
74 beats), 2 myocarditis (longest 7 beats), 2 RCM (longest 22 beats) and 1 DCM (longest
8 beats) cats. Intermittent complete AV‐blocks were found in 1 RCM cat. Atrial fibrillation
(AFib) was found in 2 HCM (1 intermittent and 1 sustained) and 1 RCM (intermittent)
cats. SVT was found in 2 HCM (longest 1409 beats), 1 myocarditis (longest 10 beats),
and 1 DCM (longest 180 beats).
The frequency of arrhythmias was significantly higher in cats with cardiomyopathies
compared to cats with myocarditis and thoracic trauma. Serum Troponin I concentration
was higher in cats with myocarditis.
The quantity and complexity of arrhythmias were markedly higher in this study than
in similar previous studies. Interestingly, chronic myocardial remodeling with less
measurable myocardial cell death is more arrhythmogenic than acute myocardial damage.
As compared to dogs trauma, even to the chest, and (suspected) myocarditis do not
appear to cause clinically important arrhythmias. In contrast, arrhythmias may be
quite severe in cats with primary heart disease which conceivably may cause sudden
death in some.
Disclosures
No disclosures to report.
ESVC‐O‐9
Poincaré Plots As A Measure of Heart Rate Variability in Normal Dogs
R. Blake, G. Culshaw, D. Shaw, Y. Martinez‐Pereira.
University of Edinburgh, Roslin, UK
Poincaré scatterplots are created by plotting each R‐R interval against the subsequent
R‐R interval. It remains a largely unexploited means of heart rate variability (HRV)
analysis in dogs.
The primary aims of this study were to describe Poincaré plot patterns in normal dogs,
to establish reference ranges for its quantitative descriptors, SD1 (represents short‐term
HRV), SD2 (represents long‐term HRV) and SD1/SD2 (represents sympathovagal balance)
and to compare these descriptors with more conventional measures of HRV. A secondary
aim was to explore the effect of activity levels on the Poincaré plots.
Twenty‐four hour ambulatory ECG recordings were obtained from 25 healthy dogs and
analysed using Novacor HolterSoft Ultima Version 2.5.5. Time and frequency‐domain
measurements of HRV, Poincaré plots and their descriptors were generated. Reference
ranges were calculated using Reference Value Advisor. Additional Poincaré plots were
developed from 6 hours of night‐time data (sleeping) and 6 hours of day‐time data
(activity).
The 24 hour Poincaré plots demonstrated a ‘Y’ pattern, which differs from the comet
shape described in normal humans. Reference ranges were 614.113–2567.501 ms for SD1,
1968.839–3253.123 ms for SD2 and 0.109–0.844 for SD1/SD2.
SD1, SD2 and SD1/SD2 showed statistically significant correlations with mean heart
rate, SDNN, SDNNIDX and RMSSD. Positive correlations were also found for SD1 and SD2
with SDANN; SD1 and SD1/SD2 with HF msec2 and PNN50%, and SD2 with LF msec2 (P < 0.05,
r > 0.39).
Comparison between Poincaré plots derived from day and night‐time data confirmed that
the arms of the ‘Y’ shape are derived mostly from periods of rest and that periods
of activity populate the stalk of the ‘Y’ shape. Values derived from day‐time data
(mean SD1 1227.95 ms, SD2 1975.0 ms, SD1/SD2 0.61) were significantly lower than values
derived from night‐time data (mean SD1 1971.1 ms, SD2 2457.2 ms, SD1/SD2 0.80), indicating
an overall reduction in HRV during the day. This was supported by statistically significant
decreases in SDNN (mean night 458.2 ms, day 343.5 ms), PNN50% (mean night 78.57, day
60.56), SDNNIDX (mean night 413.88 ms, day 271.92 ms) and RMSSD (mean night 548 ms,
day 351.3 ms).
In conclusion, 24 hour Poincaré plots show a distinct ‘Y’ pattern in healthy dogs.
While standard descriptors SD1, SD2 and SD1/SD2 correlate with more conventional measures
of HRV, their clinical usefulness is limited by the wide reference ranges. The amount
of activity/rest within the recording has a marked effect on the Poincaré plot pattern
and its associated quantitative descriptors.
Disclosures
No disclosures to report.
ESVC‐O‐10
Feline Hypertrophic Cardiomyopathy Does Not Alter Serum Levels of Symmetric Dimethylarginine
I.N. Kieler, L.R. Jessen, R. Langhorn, J. Koch, L.B. Christiansen.
University of Copenhagen, Frederiksberg, Denmark
Symmetric dimethylarginine (SDMA) is a promising new marker of feline renal function
with the potential to detect kidney disease at an early stage. Dimethylarginines interfere
with nitric oxide formation by inhibiting nitric oxide synthase, which leads to increased
levels of SDMA in some human cardiovascular diseases including hypertrophic cardiomyopathy
(HCM).The aim of this study was to assess serum SDMA in cats with HCM compared to
healthy cats and cats with kidney disease.
Serum SDMA concentration was measured in 83 feline serum samples (IDEXX SDMA[TRADEMARK])
stored from previous research. Cats above one year of age were classified as having
HCM with no signs of azotemic kidney disease (49), having kidney disease with no signs
of cardiac disease (10) or as being clinically healthy (24) based on the following
parameters: physical examination, echocardiography, ECG, blood pressure measurements,
hematology, biochemistry, thyroxin (cats > 4 years of age) and (for healthy cats and
cats with kidney disease) urinanalysis.
Two‐way ANOVA with age and disease group as factors and Tukey‐HSD post hoc analysis
were performed on the log‐transformed SDMA, presented as (median [range]).
Cats with HCM (9.00 [3.00–24.00] μg/dl) and healthy cats (10.50 [5.00–15.00] μg/dl)
had significantly lower SDMA concentrations (P < 0.0001) compared to cats with kidney
disease (18.00 [14.00–64.00] μg/dl). There was no significant difference between cats
with HCM and healthy cats (P = 0.91). Our results indicate that HCM does not cause
increased concentrations of SDMA in cats and SDMA may therefore be a valid marker
of GFR in these patients.
Disclosures
Idexx laboratories have provided financial support for the serum SDMA analysis described
in the submitted abstract.
ESVC‐O‐11
Mitral Annular Plane Systolic Excursion (MAPSE) and Tricuspid Annular Plane Systolic
Excursion (TAPSE) in Cats with Hypertrophic Cardiomyopathy
I. Spalla, K. Borgeat, A. Pope, V. Luis Fuentes, D.J. Connolly.
Royal Veterinary College, Brookmans park, UK
Hypertrophic cardiomyopathy (HCM) is common in cats and has a variable prognosis ranging
from no clinical signs to cardiac death. Congestive heart failure (CHF) may be manifested
as pleural effusion (PlEff) and/or pulmonary edema (PEd). Reduced left ventricular
(LV) systolic function is associated with increased risk of CHF in cats with HCM.
In humans, M‐mode derived measures of longitudinal displacement of the mitral and
tricuspid annular planes (MAPSE and TAPSE respectively) are considered important determinants
of systolic function, and are reduced in human patients with HCM.
Aims of the study were to evaluate MAPSE and TAPSE in healthy (control) cats and cats
with HCM. We hypothesized that 1) Cats with HCM have lower MAPSE and TAPSE values
than controls; 2) Cats with PlEff ± PEd have lower MAPSE and TAPSE values than cats
with PEd alone, and 3) Lower MAPSE and TAPSE values are associated with reduced survival.
Electronic patient records of a veterinary teaching hospital were retrospectively
reviewed for cats evaluated by echocardiography. Cats with inadequate echocardiographic
images or those with other diseases resulting in LVH were excluded. Cats were included
in the HCM group if LV wall thickness was ≥6 mm. Healthy cats undergoing echocardiography
with LV wall thickness ≤5.5 mm were included as controls. Anatomic M‐mode from the
left apical four‐chamber view was used to record MAPSE from the free wall (MAPSE‐FW)
and septum (MAPSE‐IVS) and TAPSE.
The study included 64 cats with HCM (45 asymptomatic and 21 CHF) and 27 control cats.
Compared to controls, HCM cats had lower MAPSE‐IVS (4.2 mm, IQR:2.9–5.0 vs. 5.15 mm,
IQR:4.55–5.63, P < 0.001), MAPSE‐FW (4.38 mm, IQR: 2.99–4.91 vs. 5.8 mm, IQR:5.34–6.17,
P < 0.001) and TAPSE (6.5 mm, IQR 4.7–7.6 vs. 8.6 mm, IQR:7.4–10.15, P < 0.001). Within
the HCM group, cats with CHF had lower MAPSE‐IVS (2.6 mm, IQR:2.48–3.2 vs. 4.65 mm,
IQR:4.08–5.2, P < 0.001), MAPSE‐FW (2.8 mm, IQR:2.37–3.23 vs. 4.68 mm, IQR:4.14–5.10,
P < 0.001) and TAPSE (4.6 mm, IQR:4.1–5.4 vs. 7.2 mm, IQR:6.3–8.15, P < 0.001) compared
to asymptomatic cats. MAPSE‐FW was lower in cats with PlEff ± PEd (2.56 mm, IQR:2.31–2.85)
than PEd alone (3.15 mm, IQR:3.05–3.68, P = 0.008). Logrank analysis showed shorter
survival in cats with lower MAPSE‐IVS (P = 0.014), MAPSE‐FW (P = 0.005) and TAPSE
(P = 0.01). In conclusion, longitudinal LV systolic function as assessed by MAPSE
and TAPSE was lower in cats with HCM and was lowest in patients with overt CHF. Lower
MAPSE and TAPSE were also associated with shorter survival time. This suggests that
systolic longitudinal dysfunction is present in cats with HCM and has prognostic significance.
Disclosures
No disclosures to report.
ESVC‐O‐12
Inter‐Breed Variation in Circulating Concentrations of Serotonin (5HT) in Healthy
Dogs
K. Hoglund
1, J. Häggström1, S. Hanås2, A.C. Merveille3, V. Gouni4, M. Wiberg5, J. Lundgren Willesen6,
K. Mc Entee3, L. Mejer Sorensen6, L. Tiret4, E.H. Seppälä5, H. Lohi5, V. Chetboul4,
M. Fredholm6, A.S. Lequarré3, I. Ljungvall1.
1Swedish University of Agricultural Sciences, Uppsala, Sweden, 2Evidensia Animal Clinic
Västerås, Västerås, Sweden, 3University of Liège, Liège, Belgium, 4Ecole nationale
vétérinaire d'Alfort, Maisons‐alfort, France, 5University of Helsinki, Helsinki, Finland,
6University of Copenhagen, Copenhagen, Denmark
In different species, increased circulating serotonin (5HT) concentrations have been
linked to development of valvular lesions, similar to those seen in myxomatous mitral
valve disease (MMVD). Canine reference values for circulating 5HT are lacking, but
previous studies have suggested breed differences in healthy dogs, with higher concentrations
in Cavalier King Charles spaniels (CKCS), a breed highly affected by MMVD. The study
aim was to investigate inter‐breed variation in serum 5HT in healthy dogs.
483 healthy, privately‐owned dogs, aged 1–7 years, of 9 breeds were examined at 5
European centers. Absence of cardiovascular or other clinically relevant organ‐related
or systemic disease was ensured by thorough clinical investigations including echocardiography.
Serum was frozen, stored at −20°C and later analyzed in batches by a validated 5HT
ELISA.
Median 5HT concentration was 252.5 (interquartile range 145.5–390.6) ng/mL. Overall
differences were found between breeds as well as centers of examination, and female
dogs had higher 5HT concentrations (all P < 0.0001). Age was not associated with 5HT
concentration. Bonferroni‐corrected pair‐wise comparisons between all breeds were
significant in 42% of comparisons. Within centers, overall breed differences were
found at 3/5 centers (P ≤ 0.028) and pair‐wise Bonferroni‐corrected analysis within
those centers showed breed differences in 42% of comparisons. Including center, breed
and sex in multilinear regression analysis, the final model had an adjusted R2 of
0.26 with breed and center remaining significant (both P < 0.0001). Newfoundlands,
Belgian shepherds and CKCS had highest concentrations, with values approximately 2.5
times higher than Dachshunds, Finnish Lapphunds and German shepherds, which had the
lowest concentrations.
In conclusion, inter‐breed variation in serum 5HT concentration was found in healthy
dogs between 1 and 7 years of age. These differences are likely influenced by genetic
factors and should be taken into account when designing clinical trials.
Disclosures
No disclosures to report.
ESVC‐O‐13
Analysis of Precordial Lead System in Dogs With Different Thoracic Conformations
D.M. Porteiro Vázquez, M. Perego, S.F. Lombardo, R.A. Santilli.
Clinica Veterinaria Malpensa, Samarate, Italy
Precordial lead system consists in a group of unipolar leads placed on the thoracic
surface, which record the electrical activity of the heart on the horizontal plane.
In human medicine, the sequence of ventricular depolarization results in a characteristic
QRS complex pattern in each precordial lead: rS with a R:S ratio < 1 in the right
precordial lead (V1) and qR in the left precordial leads (V5‐V6). The purpose of this
prospective study was to evaluate the QRS complex morphology in precordial leads using
a previously described precordial lead system in dogs with different morphotypes.
Sixty healthy dogs were enrolled and underwent physical examination, thoracic radiographs,
12‐lead electrocardiogram using a system previously described and standard echocardiography.
The dogs were allocated in three groups according the thoracic index (dorso‐ventral
thorax diameter x 100/latero‐lateral thorax diameter): 90–100 brachycephalic, 50–60
dolicocephalic and 60–90 mesocephalic. The Shapiro‐Wilcoxon W‐test was used to test
normality. Mean value ± standard deviation as well median and range was calculated.
Non‐parametric analysis of variance was performed on data to evaluate difference on
QRS complex appearance among three thorax shape, by Kruskas Wallis test. To evaluate
repeatability between three measurements the intraclass correlation coefficient was
executed. All data analysis was performed by commercial available statistical software
(SAS v9.2). Q wave was absent in V1, V2, V3 and V4 in all groups, present in V5 in
dolicocephalic group and in V6 in all the groups. R wave amplitude in all precordial
leads was statistically different between the three groups (P = 0.0000). Brachycephalic
group showed lowest R wave amplitude, while the dolicocephalic group presented the
highest R wave amplitude. S wave in V3 (P = 0.041) and V6 (P = 0.046) was statistically
different between the three groups, showing the highest amplitude in the dolicocephalic
group, and the lowest amplitude in mesocephalic group. R:S ratio in all precordial
leads except V6 was statistically different between the three groups. In lead V1,
brachycephalic dogs presented a ratio R:S < 1 while dolicocephalic and mesocephalic
dog R:S > 1 (P = 0.0005). Based on this data, the previously proposed precordial lead
system provides a correct evaluation of the ventricular depolarization of the right
ventricle in lead V1 just in brachiocephalic dogs due to the different orientation
of the cardiac dipole in the thorax. Further studies are needed to evaluate an alternative
positioning of lead V1 in the latter two groups of dogs.
Disclosures
No disclosures to report.
ESVC‐O‐14
T wave Inversion in Precordial ECG Leads As A Marker of Arrhythmogenic Right Ventricular
Cardiomyopathy in Boxer Dogs
K. Borgeat1, A.S. Vischer2, J. Hannabuss
3, D. Casamian‐Sorrosal4, P. Oliveira5, J. Lopez‐Alvarez5, J. Kavanah5, J. Wray6,
V. Luis Fuentes3, D.J. Connolly3.
1Highcroft Veterinary Referrals, Bristol, UK, 2Department of Cardiology, University
Hospital Basel, Basel, Switzerland, 3Royal Veterinary College, London, UK, 4University
of Bristol, Bristol, UK, 5Davies Veterinary Specialists, Hertfordshire, UK, 6Dick
White Referrals, Cambridgeshire, UK
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a primary myocardial disease
of the Boxer dog, diagnosed by most cardiologists on the basis of a 24‐hour Holter
ECG. Identifying ARVC in general practice can be challenging, because of limited access
to Holter ECG. In humans, early identification of the same disease is possible through
the detection or repolarisation abnormalities on precordial chest leads: particularly
T‐wave inversion and possibly J‐point abnormalities. We hypothesized that these same
ECG abnormalities would be able to identify ARVC in a population of Boxer dogs.
12‐lead ECGs were prospectively recorded from adult Boxer dogs presenting to the Cardiology
services of five veterinary referral centres and one general practice in the UK. Dogs
with aortic stenosis were excluded. ARVC (n = 21) was diagnosed based upon the presence
of >50 VPCs/24 h on Holter. Control dogs (n = 34) had no evidence of ventricular arrhythmia,
no significant heart murmur, and no clinical signs or history of cardiovascular disease.
T waves were classified as positive or negative in each pre‐cordial chest lead (V1‐V6),
and J waves were recorded as present or absent, with identification of J‐point slurring
or notching as described for humans. There was no significant difference in age, weight
or sex between groups.
J‐point abnormalities were identified in up to 48% of dogs (greatest in lead V4, but
variable between different precordial leads). There was no significant difference
in the frequency with which J‐point abnormalities were identified in dogs with ARVC
vs. controls (P > 0.272). The frequency of T‐wave inversion varied according to chest
lead: in lead V1 it was rare (ARVC 0%, controls 3%) but in lead V6 it was common (ARVC
81%, controls 68%). ARVC dogs had a significantly greater prevalence of T‐wave inversion
in lead V4 (29%, vs. controls 6%, P = 0.046) and lead V5 (52%, vs. controls 15%, P = 0.005).
ROC analysis was performed. T‐wave inversion in lead V5 had a sensitivity of 52.4%
and a specificity of 85.3% for the detection of ARVC (AUC 0.688, P = 0.02). In this
population of dogs where the prevalence of ARVC was 38%, the positive predictive value
was 69%, with a negative predictive value of 74%.
In conclusion, T‐wave inversion in leads V4 and V5 was more prevalent in Boxer dogs
with ARVC than control dogs in this pilot study.
Disclosures
No disclosures to report.
ESVC‐O‐15
A Pilot Study of Bridging Integrator‐1 in Boxer Dogs with Arrhythmogenic Right Ventricular
Cardiomyopathy
M.J. Hezzell
1, R. Shaw2, K. Meurs3, M.A. Oyama1.
1University of Pennsylvania, Philadelphia, USA, 2Cedars‐Sinai Medical Center, Los
angeles, USA, 3North Carolina State University, Raleigh, USA
Bridging integrator‐1 (BIN1) is a membrane anchoring protein that organizes the cardiac
dyad, facilitating calcium‐induced calcium release from the sarcoplasmic reticulum
and excitation‐contraction coupling. In human patients, plasma concentrations of BIN‐1
are reduced in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC)
and are negatively correlated with severity of ventricular tachycardia. Boxer dogs
are predisposed to ARVC and we hypothesized that plasma BIN1 would be lower in affected
dogs and negatively correlated with ventricular arrhythmias.
Boxer dogs over 5 years of age with and without ARVC (groups ARVC and boxer control
[BC], respectively), dogs with stage B2 (preclinical) myxomatous mitral valve disease
(MMVD) and healthy control dogs (HC) were recruited. All dogs underwent physical examination,
echocardiography and blood sampling for measurement of plasma BIN1. Groups ARVC, BC
and MMVD underwent measurement of plasma N‐terminal pro‐B‐type natriuretic peptide
(NT‐proBNP) and cardiac troponin I (cTnI). Boxers underwent 24 hour ECG monitoring
and genotyping for the striatin mutation. Comparisons between groups were made using
Kruskal‐Wallis or Mann‐Whitney tests. Univariate regression models were constructed
to investigate relationships between plasma BIN1 concentrations and clinical variables.
Binary logistic regression models were constructed to investigate clinical predictors
of ARVC positive status. Significance was set at P < 0.05.
Twenty‐three dogs without evidence of congestive heart failure were recruited (5 BC,
8 ARVC, 4 MMVD and 6 HC). Plasma BIN1 concentrations were not significantly different
between BC (median=1.01 ng/mL; range: 0.39, 3.03), ARVC (1.02 ng/mL; 0.69, 1.22),
MMVD (2.23 ng/mL; 0.70, 3.50) and HC (0.62 ng/mL; 0.49, 1.86) groups (P = 0.598).
NT‐proBNP (P = 0.22) and cTnI (0.94) concentrations were not significantly different
between groups. ARVC dogs had significantly greater number of ventricular premature
complexes per hour (VPCs/hr) (P = 0.028) than BC, however, there was no correlation
between BIN1 and VPCs/hr (B = ‐0.003; P = 0.59), longest run of ventricular tachycardia
(P = 0.76), maximum rate of ventricular tachycardia (P = 0.85), striatin mutation
(P = 1.0), left ventricular end‐diastolic dimension (P = 0.26) or fractional shortening
(P = 0.33). Binary logistic regression analysis detected no significant clinical predictors
of ARVC vs. BC status. In conclusion, plasma BIN1 concentration is not decreased in
canine ARVC patients who do not have concurrent heart failure. Larger cohorts, and
longitudinal studies may determine if BIN1 can mark the transition from functioning
heart to failing heart.
Disclosures
No disclosures to report.
ESVC‐O‐16
Transient Myocardial Thickening in Cats Associated With Heart Failure
J. Novo Matos
1, N. Pereira2, T. Glaus2, L. Wilkie1, K. Borgeat3, J. Loureiro4, J. Silva4, V. Law1,
D.J. Connolly1, A. Kranjc2, V. Luis Fuentes1.
1Royal Veterinary College, Hatfield hertfordshire, UK, 2Vetsuisse Faculty, University
of Zurich, Zurich, Switzerland, 3Highcroft Veterinary Referrals, Bristol, UK, 4North
Downs Specialist Referrals, Surrey, UK
Cats with hypertrophic cardiomyopathy (HCM) and heart failure (CHF) are reported to
have a poor prognosis. Nevertheless there are anecdotal observations of cats with
left ventricular hypertrophy (LVH) and CHF that show normalization of left ventricular
wall thickness (LVWT) and left atrial size on echocardiography within weeks to months.
Transient increase in LVWT mimicking HCM has been described in acute myocarditis in
humans.
We aimed to identify and describe clinical characteristics in cats with transient
myocardial thickening and CHF (TMT+CHF). We hypothesized that TMT+CHF occurs mainly
in young cats with a history of an antecedent event (e.g. neutering).
Clinical records at a single center were searched for TMT+CHF cases and a control
group of cats matched for clinical signs with persistent LVH and CHF (HCM+CHF); and
also at multiple centers for TMT+CHF cases. TMT+CHF was defined as initial LVWT ≥6 mm
accompanied by signs of CHF with subsequent decrease in wall thickness to <5.5 mm.
Data are reported as median [range] or mean (95%CI).
Case‐control study: 6 TMT+CHF and 6 HCM+CHF cats were identified. TMT+CHF were younger
(1.7 [0.4–4.0] years) than HCM+CHF cats (10.2 [8.2–12.6] years, P = 0.004). At presentation
LVWT was similar in TMT+CHF (6.7 [6.1–8.2] mm) and HCM+CHF groups (7.7 [6.0–9.8] mm,
P = 0.297), but TMT+CHF cats had thinner LVWT at final echo (5.0 mm [3.7–5.3] vs 7.2 mm
[5.5–8.3], P = 0.004). Left atrium/aorta (LA/Ao) was larger in the HCM+CHF group at
presentation (LA/Ao 2.9 [1.98–3.23] vs 2 [1.52–2.3], P = 0.024) and increased in size
over time, (to 3.1 [2.37–3.83] vs a decrease to 1.4 [1.26–1.56] in TMT+CHF cats, P = 0.006).
83.3% of TMT+CHF cats had antecedent events vs 50% in the HCM+CHF group (P = 0.545).
CHF relapsed in all HCM+CHF cats but in no TMT+CHF cats.
Multicenter study: 17 TMT+CHF cases were enrolled. 70.6% had antecedent events. LVWT
decreased over 3.4 (95%CI 1.9–7.4) months from 6.7 mm [6.0–9.7] to 4.8 mm [2.8–5.3],
(P < 0.0001) and LA/Ao also decreased (from 1.8 [1.52–2.30] to 1.4 [1.3–1.7], P = 0.001).
cTnI was elevated at presentation and normalised once myocardial thickening resolved
(cTnI 4 ng/ml [0.43–63.8] vs 0.01 ng/ml [0.0–0.34]; P = 0.018). Therapy was discontinued
in 15/17 TMT+CHF cats at 4.7 (CI 1.9–7.4) months after presentation and all cats remained
asymptomatic.
TMT+CHF affects younger cats and antecedent events are common, however no clinical
or echocardiographic characteristics at presentation differentiated the two groups.
TMT is a cause of CHF in cats but has a better prognosis than HCM+CHF.
Disclosures
Disclosures to report.
Speaking/consultancies: Boehringer Ingelheim, Vetoquinol, Mars Petcare, BCF Technology,
eKuore
Gifts, hospitality, travel support: Boehringer Ingelheim, CEVA
Grants/research: Boehringer Inhelheim (PhD funding), Petplan, ECVIM clinical grant,
Aratana, Elanco (Educational funding)
ESVC‐O‐17
History and Clinical Findings in 87 Cats Presenting with Dyspnoea in General Practice:
A Prospective Investigation
D. Dickson
1, C. Little2, J. Harris1, M. Rishniw3.
1HeartVets, Bridgend, UK, 2Barton Vets, Canterbury, UK, 3VIN, Ithaca, USA
Studies of feline dyspnoea from referral populations suggest that select historical
and clinical examination findings can discriminate between aetiologies. Whether similar
findings help discriminate cases of feline dyspnea in general practice is unknown.
We prospectively enrolled first‐time dyspnoeic cats presenting to first‐opinion practice
between 1/6/2011 and 16/03/2016. We collected signalment, historical and clinical
data at presentation using standardized forms.
First‐opinion clinicians investigated each case; supervising clinicians (DD, CL, JH)
reviewed the final diagnosis and categorised cases as cardiac, respiratory, neoplastic,
traumatic or miscellaneous, based upon objective and accepted clinical, radiographic,
echocardiographic or post‐mortem criteria. Records lacking critical data were excluded.
Relationships between historical/clinical variables and dyspnoea aetiology were examined.
Receiver operating characteristic (ROC) and standard diagnostic test performance analyses
were used to find optimal cut‐offs for select historical/clinical variables that could
differentiate cardiac and non‐cardiac dyspnoea.
A total of 102 cats were enrolled and a definitive diagnosis was reached in 87 cases.
Fifty‐eight were cardiac (66.7%); 13 respiratory (14.9%); 10 neoplasia (11.5%) and
6 traumatic (6.9%). Fifteen (25.9%) of cats with cardiac dyspnoea had a recent history
of cough. Fifteen cats had heart murmurs, 13 of these were in the cardiac group and
two had neoplasia. Thirteen cats had gallop sounds and all were in the cardiac group.
Eleven had arrhythmias; 10 were cardiac and one traumatic.
Individual variables that helped identify congestive heart failure (CHF) as the aetiology
of dyspnea included presence of a gallop sound, rectal temperature <37.5°C, heart
rate of ≥190 bpm, and respiratory rate ≥72. These findings had low sensitivities but
high specificities, with predicted post‐test probabilities >85%. History of a cough
failed to exclude CHF as an aetiology.
Our findings provide first‐opinion clinicians with simple means of stratifying dyspnoeic
feline patients. Dyspnoeic cats with hypothermia, tachycardia, gallop sounds or profound
tachypnea are likely to have CHF underlying their dyspnea. Additional diagnostics
are required for cats without these findings to help differentiate aetiologies. Cats
with a history of coughing cannot be automatically assumed to be “non‐cardiac”.
Disclosures
Disclosures to report.
One author's salary is paid by VIN.
All authors have recieved speaker honoraria from pharmaceutical companies for delivering
lectures to general practitioners. None of these were related to this research.
No direct or indirect financial support was provided for this research.
ESVC‐O‐18
Cluster Analysis of Pathological Features to Reclassify Feline Cardiomyopathies
L.J. Wilkie, K.C. Smith, V. Luis Fuentes.
Royal Veterinary College, Hertfordshire, UK
Feline cardiomyopathies are currently classified according to the human system, despite
poor characterization of feline phenotypes (including the effect of age), difficulties
ascribing a category in many cats, unknown etiology in most cases, and a lack of diagnostic
consensus.
We aimed to apply cluster analysis techniques to determine whether gross and histopathological
findings in cats with and without myocardial disease could be used to construct an
alternative cardiomyopathy classification.
Hearts from cats submitted for necropsy from March 2013 to December 2015 were examined
prospectively by a single, trained observer using a standardized set of criteria for
macroscopic and microscopic evaluation and assigned a diagnosis based on conventional
classification. Cluster analysis was performed using a two‐step cluster method.
Hearts were analysed from 179 sequential feline necropsies, with cluster analysis
carried out in a subset of 107 cats with complete data. Cats had a median age of 6.0
[0.1–18.9] years, 64.8% were male and 35.8% were pedigree; 43% were believed to have
died as a result of heart disease. Cluster analysis resulted in two clusters. Cats
in cluster 1 had more extensive replacement (P < 0.001), interstitial (P < 0.001),
perivascular (P = 0.003) and subendocardial fibrosis (P < 0.001) and were more likely
to have intramural arteriosclerosis (P < 0.001), left atrial enlargement (P < 0.001)
and inflammatory cell infiltration (P < 0.001) than cats in cluster 2. Additionally,
cats in cluster 1 had a greater score for myofiber disarray (P < 0.001), greater myocyte
hypertrophy (P < 0.001) and thicker right ventricular walls (P = 0.004). Heart weight
was significantly greater for cats in cluster 1 (P < 0.001), and cats in cluster 1
were more likely to die of their cardiac disease (P < 0.001). Classifications based
on conventional pathology for cats in cluster 1 were: hypertrophic cardiomyopathy
(HCM; n = 28, 73.7%), end‐stage HCM (n = 6, 8.8%), endomyocardial form of restrictive
cardiomyopathy (eRCM; n = 1, 2.6%) and unclassified cardiomyopathy (UCM; n = 6, 8.8%).
Cats in cluster 2 were classified as: normal (n = 25, 36.2%), HCM (n = 28, 40.6%),
eRCM (n = 2, 2.9%), dilated cardiomyopathy (n = 1, 1.5%), arrhythmogenic right ventricular
cardiomyopathy (n = 1, 1.5%), inflammatory (epicarditis/myocarditis/endocarditis;
n = 5, 7.3%) and UCM (n = 2, 2.9%).
Cluster analysis failed to identify distinct phenotypes that would correspond with
the currently described forms of feline cardiomyopathy. Instead, clusters appeared
to reflect disease severity. This suggests either the currently described feline cardiomyopathies
are a spectrum of a single disease or that gross pathology, combined with semi‐quantitative
histopathology using light microscopy, is insufficient to allow discrimination.
Disclosures
Disclosures to report.
Boehringer Ingelheim (PhD support funding).
CEVA (Speaker fees).
Aratana (Grant funding).
ESVC‐O‐19
‘Soft’, ‘Not Soft’ or ‘Palpable’: More Detailed Murmur Classification of Pulmonic
and Subaortic Stenosis Provides No Additional Useful Information
M. Rishniw
1, D. Dickson2, D. Caivano3.
1Veterinary Information Network, Davis, USA, 2HeartVets Veterinary Cardiology Service,
Porthcawl, UK, 3University of Perugia, Perugia, Italy
Most cardiologists grade murmur intensity on an ordinal 6‐level scale, modified from
a system proposed by Levine in 1933. A previous study of small‐breed dogs with mitral
valve disease demonstrated that clinically useful information is obtained when classifying
murmurs on a 2‐level scale, with a 4‐level scale providing additional probabilistic
information (probability of congestive heart failure or pulmonary hypertension). Whether
classifying murmurs in dogs with pulmonic stenosis (PS) or subaortic stenosis (SAS)
on a 6‐level scale provides useful clinical information, or if a more simple classification
scheme suffices, is unknown. Therefore, we examined the ability of murmur intensity
to predict the severity of PS or SAS in dogs.
155 dogs with PS and 132 dogs with SAS were identified from medical records. Dogs
≤8 years old were included. Dogs with SAS that were <1 year old were excluded. Dogs
with complex cardiac defects, those having undergone an interventional procedure,
or receiving cardiac medications were excluded. Murmur grade (6‐level scale) noted
by the attending cardiologist, and the Doppler‐derived pressure gradients (PG) across
the stenotic valve were recorded. Murmurs were re‐classified using a descriptive 4‐level
scale (“soft”, “moderate”, “loud”, “palpable”).
No dogs with soft murmurs (grade I or II) had PG >50 mmHg, regardless of disease.
Only 2/59 dogs with moderate (grade III) murmurs had pressure gradients >100 mmHg;
only 6/59 had PG >79 mmHg. However, 52/73 dogs with loud murmurs, and 85/98 dogs with
palpable murmurs had pressure gradients >80 mmHg. Severity of stenosis increased with
increasing murmur intensity, however, murmurs rated “not soft”(>grade II) were not
informative on a case‐by‐case basis. “Soft”murmurs were 100% specific, but only 60%
sensitive for identifying PG <50 mmHg.
Dogs with PS and SAS that have “soft”(grade II) murmurs have mild disease. Dogs with
palpable murmurs mostly have severe disease, but require additional diagnostics. Therefore,
a simple 3‐level scale of “soft”, “not soft”, and “palpable”suffices for physical
evaluation of dogs with PS and SAS as no additional information is obtained from more
complex classification.
Disclosures
No disclosures to report.
ESVC‐O‐20
Can NT‐proBNP Plasma Levels and Phonocardiography Facilitate Differentiation of Innocent
Cardiac Murmurs From Congenital Cardiac Anomalies in Asymptomatic Puppies?
V. Szatmári, S. Marinus, V. Szatmári.
Utrecht University, Faculty of Veterinary Medicine, Utrecht, the Netherlands
Differentiating innocent cardiac murmurs from pathological ones can be challenging
in first opinion veterinary practices. The aim of this study was to investigate whether
phonocardiograms and plasma NT‐proBNP levels can help in this differentiation.
We hypothesized that plasma NT‐proBNP levels of puppies with innocent cardiac murmurs
are not different from those without a murmur, whereas NT‐proBNP levels of puppies
with a severe congenital cardiac anomaly are increased. Also, phonocardiographic characteristics
of innocent cardiac murmurs were expected to be different from those of pathologic
murmurs.
Between September 2014 and September 2015, 133 asymptomatic cairn terrier puppies
were auscultated. Their breeders participated in a voluntary screening program for
congenital portosystemic shunt. Blood was collected for individual measurement of
blood ammonia levels. From the surplus plasma samples NT‐proBNP was measured. The
median age of these puppies was 52 (range 45–124) days. Of the 133 puppies 41 had
an innocent murmur (31%). In the same period 30 asymptomatic young dogs were referred
to the cardiology service for evaluating a murmur (median age 164 days, range 29–396 days).
All dogs with a murmur underwent an echocardiogram on the same day performed by the
same cardiologist who auscultated the dogs. In the referred dogs a wide range of congenital
anomalies was found. Besides, a phonocardiogram was recorded with an electronic stethoscope
at the point of maximal intensity of the murmur. The phonocardiograms were viewed
and analyzed on a computer screen. For quantitative description of the phonocardiograms,
murmur–to‐systole duration ratios were calculated.
The median NT‐proBNP level of puppies without a murmur did not differ from that of
the puppies with an innocent murmur: 300 (range 102–1224) versus 326 (range 102–1340)
pmol/L, (P = 0.405). The median NT–proBNP concentration of the group with congenital
cardiac anomaly was 1097 (range 102–8970) pmol/L. Anomalies causing left‐sided overload
resulted in higher levels than right‐sided stenotic disorders. Dogs with more severe
cardiac disorders had higher NT‐proBNP levels.
Innocent cardiac murmurs had a median murmur‐to‐systole ratio of 65% (range 38–81%),
which was significantly shorter than the median murmur‐to‐systole ratio of the congenital
cardiac anomalies: 95% (range 66–100%) (P = 0.000).
Because dogs with severe congenital cardiac anomalies (especially pulmonic stenosis)
may have low NT‐proBNP values, NT‐proBNP measurement is not suitable as a routine
screening test for detecting congenital cardiac anomalies. However, NT‐proBNP levels
exceeding 850 pmol/L and murmurs longer than 80% of the systole on a phonocardiogram
are most likely caused by a congenital cardiac anomaly.
Disclosures
No disclosures to report.
ESVC‐O‐21
Value of Standard Echocardiographic Variables in Predicting Pulmonary Transit Time
and Myocardial Perfusion in Dogs With or Without Myxomatous Mitral Valve Disease
T. Falk.
tf veterinär AB, Helsingborg, Sweden
Myocardial perfusion and pulmonary transit time can be assessed using contrast echocardiography.
The study aim was to investigate if standard echocardiographic variables can predict
contrast echocardiographically derived pulmonary transit time (PTT) and myocardial
perfusion (MP) in dogs with or without myxomatous mitral valve disease (MMVD).
28 dogs of different breeds were included, 18 with mild‐moderate MMVD and 10 with
no or minimal MMVD. Dogs underwent clinical examination, standard echocardiographic
examination and contrast echocardiography utilizing a second‐generation contrast medium
to assess MP and PTT. Each clinical and echocardiographic variable was regressed against
MP and PTT evaluating both linear and quadratic fits. Variables showing P < 0.02 were
entered in a multiple linear regression model, performed in a stepwise backward manner
using P < 0.05 as threshold.
For PTT, out of 10 variables entered in the multiple regression model, increased Fractional
shortening (FS) (P < 0.001), Ejection fraction (EF) (P = 0.009), BW normalized left
ventricular (LV) volume in systole (LVVSn) (P = 0.017) and LV diameter in diastole
(LVIDDn) (P = 0.024) were associated with increased PTT, while increased BW normalized
LV free wall in systole (LVFWn) was associated with decreased PTT (P = 0.028), with
an adjusted R2 of 0.69. For MP, out of 10 variables entered in the multiple regression
model, increased FS (P < 0.001), LVVSn (P = 0.012) and E‐wave deceleration‐time (P = 0.020),
were associated with longer MP‐time.
In conclusion, increased LV systolic function and volume corresponds to a more advanced
stage of MMVD, which to some extent, may predict an increase in PTT and a decrease
in MP.
Disclosures
Study funded by Ceva Animal Health Libourne France.
Main author self employed.
Other authors employed by respective Univeristy.
ESVC‐O‐22
Comparison of Real‐Time 3‐Dimensional and 2D‐Biplanar Echocardiographic Assessment
of Left Atrial Volumes in Dogs With Myxomatous Mitral Valve Disease Using the Same
Acquisition
A Tidholm
1, A Höglund1, J. Häggström2, I. Ljungvall2.
1Albano Animal Hospital, Danderyd, Sweden, 2Dept of Clinical Sciences, Faculty of
Veterinary Medicine, Uppsala, Sweden
Left atrial (LA) size is important in decision‐making and prognostication in dogs
with myxomatous mitral valve disease (MMVD). Previously, our group has shown that
allometric scaling of 2‐dimensional (2D)‐based single dimension echocardiographic
measurements of LA showed good correlation with real‐time 3‐dimensional (RT3D) echocardiographic
measurements of LA volume, whereas indexed 2D‐based methods did not. However, biplane
methods might more accurately reflect LA volume especially in enlarged hearts. The
aim of the study was to compare LA volumes obtained by RT3D echocardiography with
those obtained by Simpson's modified method of discs (SMOD) and the area‐length method
using the same RT3D acquisition.
Ninety‐six privately owned dogs of 33 breeds diagnosed with MMVD were examined using
2D and RT3D echocardiography. According to the ACVIM classification, 22 dogs were
classified with congestive heart failure (CHF) (2 in class C1 and 20 in class C2)
and 74 dogs without CHF (64 dogs in class B1 and 10 dogs in class B2). Age ranged
from 4 to 14 years (median 10 years), and body weight ranged from 2 to 37 kg (median
9 kg). Fifty‐eight (60%) males and 38 (40%) females were included, and heart rate
ranged from 80 to 222 beats/min (median 135 b/min).
The RTD3D LA volumes were obtained by off‐line analysis where 5 reference points were
manually placed, and the endocardial border was then traced using an automated detection
process to create a cast of the LA cavity. In the same acquisition, with exact same
timing, the LA volumes were calculated using SMOD and the area‐length method in 2
orthogonal views. Bland‐Altman plots were used to compare measured LA volumes with
calculated LA volumes obtained from the two different biplanar methods. Both measured
and calculated volumes were corrected for body weight.
None of the calculated LA volumes based on either of the two biplane methods showed
good agreement with the RTD3D LA volumes obtained in the same acquistion. In comparison
to RTD3D LA volumes, SMOD underestimated LA volumes and the difference between methods
increased with increasing LA volume. The area‐length method overestimated LA volumes
and the difference between methods increased with increasing LA volume.
In conclusion, in comparison to RTD3D, SMOD might underestimate and the area‐length
method might overestimate LA volumes in dogs with MMVD.
Disclosures
No disclosures to report.
ESVC‐O‐23
Three‐Dimensional Echocardiographic Comparison of Mitral Valve Morphology in Cavalier
King Charles Spaniels to Mitral Valve Morphology in Dogs of Other Breeds
G. Menciotti
1, J. Häggström2, I. Ljungvall2, M. Aherne1, S. Wesselowski1, J. Abbott1, M. Borgarelli1.
1Virginia‐Maryland College of Veterinary Medicine, Blacksburg, USA, 2Swedish University
of Agricultural Science, Uppsala, Sweden
Cavalier King Charles Spaniels (CKCS) have a high prevalence of myxomatous mitral
valve disease (MMVD) and early onset of the disease. Mitral valve (MV) morphology
is a key factor in distributing forces over the MV apparatus, and abnormal loads could
have a role in the pathogenesis of MMVD. We therefore sought to evaluate the morphology
of the MV of healthy CKCS and compare it to the MV morphology of other canine breeds
using real‐time three‐dimensional echocardiography (3DE). We hypothesized that, compared
to other breeds, the MV of healthy CKCS was morphologically different. To be enrolled,
dogs had to be healthy based on physical and echocardiographic examinations. A total
of 63 dogs were enrolled in the study: 22 CKCS and 41 dogs from 18 other breeds. The
median (IQR) body weight (BW) was 14 kg (8.8–20 kg). Three‐dimensional echocardiographic
datasets were analyzed off‐line with a dedicated software package and 16 morphologic
variables were measured. Variables with a known association to body size were indexed
using previously reported scaling factors. Differences between CKCS and all the other
breeds were analyzed using unpaired Student's T‐test or Mann‐Whitney U‐test as appropriate
for data distribution. Compared to healthy dogs, CKCS had significantly smaller BW
(P < 0.0001), normalized anterolateral‐posteromedial annulus diameter (P = 0.0320),
annulus height (P = 0.0255), tenting height (P < 0.0001), tenting area (P < 0.0001),
normalized tenting volume (P = 0.0001), posterior leaflet length (P = 0.0012), normalized
posterior leaflet area (P = 0.0258), and greater annulus sphericity index (P = 0.0417).
In conclusion, the MV of healthy CKCS was more circular and had less tenting, compared
to other breeds.
Disclosures
Disclosures to report.
Dr. J. Häggström received financial support from Boehringer Ingelheim, Oasmia pharmaceuticals,
and CEVA Sante Animale not related to this study.
Dr. M. Borgarelli received financial support from CEVA not related to this study.
ESVC‐O‐24
Mitral Regurgitation Severity and Left Ventricular Systolic Dimension Predict Survival
in Young Cavalier King Charles Spaniels
M.J. Reimann1, J.E. Møller2, J. Häggström3, T. Martinussen4, S.S.C. Zatrazemi1, L.
Svanholm1, L.B.M. Nielsen1, H.D. Pedersen5, L.H. Olsen
1.
1Department of Veterinary Disease Biology, University of Copenhagen, Frederiksberg,
Denmark., 2Department of Cardiology, Odense University Hospital, Odense, Denmark.,
3Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala,
Sweden., 4Department of Public Health, University of Copenhagen, København K, Denmark.,
5BioAdvice A/S, Ølstykke, Denmark.
Development and progression of myxomatous mitral valve disease (MMVD) in dogs are
difficult to predict. Identification at a young age of dogs at high risk of developing
congestive heart failure in the future is desirable.
The aim of the study was to investigate the predictive value of selected clinical
and echocardiographic characteristics associated with MMVD obtained at a young age
for prediction of long‐term cardiac and all‐cause mortality in Cavalier King Charles
Spaniels (CKCS).
The study included 1125 privately‐owned CKCS examined at the age of 1‐3 years between
January 1996 and June 2012. Long‐term outcome was assessed by telephone interview
with owners. The value of variables for predicting mortality (cardiac and all‐cause)
was investigated by Cox Proportional Hazard and Kaplan‐Meier analyses.
Presence of mild to severe mitral regurgitation (MR) (hazard ratio (HR)=3.03, 95%
confidence interval (95%CI)=1.48–6.23, P = 0.003) or intermittent MR (HR=2.23, 95%CI=1.48–6.23,
P = 0.04) on echocardiography was significantly associated with increased hazard of
cardiac death. An interaction between MR and sex was significant for all–cause mortality
(P = 0.04) showing that males with mild to severe MR had a higher all–cause mortality
compared to males with no MR (HR=2.38, 95%CI=1.27–4.49, P = 0.007), whereas no difference
was found between female MR groups. The risk of cardiac (HR=1.37, 95%CI=1.14–1.63,
P = 0.0008) and all–cause (HR=1.13, 95%CI=1.02–1.24, P = 0.02) mortality increased
with increasing left ventricular end‐systolic internal dimension normalized for body
weight (LVIDSN).
In conclusion, mild to severe MR, intermittent MR and decreased LVIDSN in dogs<3 years
of age were associated with cardiac death later in life in CKCS.
Disclosures
No disclosures to report.
ESVC‐O‐25
Evaluating Urinary 5‐Hydroxyindoleacetic Acid (5‐HIAA) As A Biomarker of Myxomatous
Mitral Valve Disease in Cavalier King Charles Spaniels
L.B. Christiansen
1, S.E. Cremer1, A. Helander2, T. Madsen1, M.J. Reimann1, J.E. Møller3, K. Höglund4,
I. Ljungvall4, J. Häggström4, L.H. Olsen1.
1University of Copenhagen, Frederiksberg c, Denmark, 2Karolinska Institutet, Stockholm,
Sweden, 3Odense University Hospital, Odense, Denmark, 4Swedish University of Agricultural
Sciences, Uppsala, Sweden
Myxomatous mitral valve disease (MMVD) is the most common heart disease in dogs with
a high prevalence among Cavalier King Charles Spaniels (CKCS). Valvular changes may
cause mitral regurgitation (MR) and over time, some dogs can progress into congestive
heart failure. Increased circulating concentrations of serotonin are suggested to
be involved in the pathogenesis of MMVD in CKCS.
5‐Hydroxyindoleacetic acid (5‐HIAA) is a serotonin metabolite excreted in urine. Urine
5‐HIAA is commonly used in human medicine as a biomarker of serotonin‐secreting tumors.
The aim of the present study was to investigate if urinary 5‐HIAA is associated with
MMVD severity in CKCS. We hypothesized that the urine 5‐HIAA concentration was increased
in CKCS with MMVD and that urine 5‐HIAA concentration would correlate with the serotonin
concentration in serum or plasma.
Serum, plasma and urine samples were collected from 80 dogs above 4 years of age divided
into four groups: control dogs (Beagles) with no evidence of heart disease (CON, n = 17),
CKCS with no or minimal MR due to MMVD (nMR, n = 18), CKCS with mild MR due to MMVD
(mMR, n = 22) and CKCS with moderate to severe MR due to MMVD (sMR, n = 23). Urinary
5‐HIAA was analyzed by high‐performance liquid chromatography (HPLC) and creatinine
(to correct for variations in urine dilution) by the Jaffe method. Serotonin concentrations
in serum and platelet poor plasma were determined by a validated enzyme‐linked immunosorbent
assay.
The results from preliminary analyses in a subset of dogs from three of the four groups
(CON, nMR and sMR) with a mean age of 8.5 years (range: 4.1–13.3) are presented as
the median (25–75% interquartile range). Analyses of the remaining samples are ongoing.
No significant difference in urinary 5‐HIAA to creatinine ratio (5‐HIAA/CREA, μmol/mmol)
was found between the CON dogs (n = 6; 2.37(1.52‐2.58)), nMR dogs (n = 6; 2.77 (2.23–3.20))
and sMR dogs (n = 6; 2.94 (1.65–3.32)) (overall P = 0.48). Female dogs (n = 11) showed
significantly higher 5‐HIAA/CREA than male dogs (n = 7; 3.05 (2.47–3.32) versus 1.65
(1.50–2.49), P = 0.011).
The preliminary data did not reveal any association of 5‐HIAA/CREA with age (P = 0.844;
R2=0.003), serum serotonin concentration (P = 0.396; R2=0.045) or plasma serotonin
concentration (P = 0.3801; R2=0.048).
In conclusion, the preliminary data indicate that urinary 5‐HIAA concentrations are
dependent on the sex, but not the age of the dog. Further analyses are necessary to
draw final conclusions regarding the possible associations between urinary 5‐HIAA
concentrations and MMVD severity in dogs.
Disclosures
No disclosures to report.
No disclosures regarding this study.
ESVC‐O‐26
Diagnostic Value of Pulmonary Vein to Pulmonary Artery Ratio in Dogs With Pulmonary
Hypertension of Pre‐Capillary Origin
E. Roels, A.C. Merveille, P.L. Malaize, C. Clercx, K. Mc Entee.
University of Liège, Liège, Belgium
The pulmonary vein‐to‐pulmonary artery ratio (PV/PA) has been shown to be decreased
in West Highland white terriers affected with pulmonary fibrosis in comparison with
age‐ and breed‐matched controls, suggesting its potential use in the non‐invasive
diagnosis of pulmonary hypertension (PH). The aim of the present work was to determine
the value of PV/PA for the prediction of tricuspid regurgitation pressure gradient
(TRPG) compared with other echocardiographic indices in dogs with pre‐capillary PH
of different origins. Echocardiographic images obtained from dogs with a tricuspid
regurgitant jet were retrospectively reviewed. PV/PA, acceleration time to ejection
time ratio of the pulmonary flow (AT:ET), main pulmonary artery to aorta ratio (MPA/Ao)
and right pulmonary artery distensibility index (RPADi) were evaluated. Dogs were
grouped into control (Group1, n = 19, TRPG<30 mmHg), and mildly (Group2, n = 10, TRPG
30‐50 mmHg), moderately (Group3, n = 4, TRPG 50‐75 mmHg), and severely (Group4, n = 11,
TRPG>75 mmHg) affected with PH. Ten dogs were clinically heathy, and the remaining
34 dogs were suffering from angiostrongylosis (n = 13), brachycephalic syndrome (n = 6),
bronchomalacia (n = 6), heart‐worm disease (n = 2), chronic pulmonary thromboembolism
(n = 2), PH of unknown origin (n = 2), eosinophilic bronnchopneumopathy (n = 1), pulmonary
fibrosis (n = 1), and diffuse pulmonary carcinoma (n = 1). PV/PA (median, [IQ range])
in both two‐dimensional (2D) and M‐modes (MM) were significantly reduced in Group3
(PV/PA_MM = 0.590 [0.532–0.658]; PV/PA_2D = 0.543 [0.471–0.718]) and Group4 (PV/PA_MM
= 0.341 [0.245–0.477]; PV/PA_2D = 0.324 [0.215–0.485]) in comparison with Group1 (PV/PA_MM
= 0.974 [0.937–1.083]; PV/PA_2D = 0.958 [0.926–1.002]; P ≤ 0.007), and in Group4 in
comparison with Group2 (PV/PA_MM = 0.835 [0.701–0.957]; PV/PA_2D = 0.831 [0.798–0.983];
P ≤ 0.005). Results of the Spearman correlation analyses revealed the strongest correlation
for PV/PA_2D (r = –0.767, P < 0.0001) to TRPG followed by PV/PA_MM (r = –0.766, P < 0.0001),
MPA/Ao (r = 0.720, P < 0.0001), RPADi (r = –0.567, P = 0.001) and AT:ET (r = –0.537,
P = 0.003). PV/PA_2D possessed the most accurate cut–off (0.776, AUC 0.974, Se 100%,
Sp 88%) to predict a TRPG ≥ 50 mmHg followed by PV/PA_MM (0.756, AUC 0.963, Se 100%,
Sp 88%), RPADi (24%, AUC 0.953, Se 91%, Sp 91%), AT:ET (0.390, AUC 0.902, Se 85%,
Sp 86%), and MPA/Ao (0.926, AUC 0.865, Se 69%, Sp 92%). In conclusion, PV/PA measured
in 2D or MM is an accurate predictor of TRPG and may be particularly useful if TR
is absent or difficult to measure in dogs affected with pre‐capillary PH.
Disclosures
No disclosures to report.
ESVC‐O‐27
Echocardiographic Evaluation Of The Right Atrial Area Index in Dogs With Pulmonary
Hypertension
T. Vezzosi1, M. Iacona1, F. Marchesotti2, R. Tognetti1, L. Venco3, O. Domenech2.
1University of Pisa, San piero a grado (pi), Italy, 2Istituto Veterinario di Novara,
Granozzo con monticello (no), Italy, 3Veterinary Hospital Città di Pavia, Pavia, Italy
Pulmonary hypertension (PH) can lead to right ventricular remodeling and failure.
Right ventricular dysfunction and tricuspid regurgitation can lead to right atrial
enlargement. In dogs, echocardiographic evaluation of right atrial enlargement is
thus far only based on subjective assessment. The aim was to evaluate reliability
of the right atrial area index (RAAI) to characterize right atrial size and PH severity
in dogs.
The study was prospective, multicenter and observational. We included 103 client owned
dogs: 45 dogs with PH and 58 healthy dogs as control group. PH was classified according
to tricuspid regurgitation pressure gradient (TRPG) in mild (TRPG: 36‐50 mmHg; n = 15
dogs), moderate (TRPG: 51‐75 mmHg; n = 9 dogs) and severe (TRPG >75 mmHg; n = 21 dogs).
Nine dogs with PH had right‐sided congestive heart failure (CHF). Echocardiographic
view of the right atrium was obtained from the left apical 4‐chamber view optimized
for the right heart and the right atrial area was measured by planimetry at the end
of ventricular systole. RAAI was calculated as right atrial area divided by body surface
area.
Right atrial area showed a strong positive linear correlation with body surface area
in healthy dogs (r = 0.89; P < 0.0001). RAAI was significantly higher (P < 0.05) in
dogs with moderate PH (11.9 ± 7.3 cm2/m2) and severe PH (12.0 ± 4.5 cm2/m2) than in
those with mild PH (6.9 ± 1.5 cm2/m2) or control group (7.1 ± 1.6 cm2/m2). No difference
in RAAI was found between dogs of the two latter groups, or between dogs with moderate
and severe PH. A weak positive correlation was found between RAAI and TRPG (r = 0.37;
P < 0.05) and the TRPG was not different between dogs with right‐sided CHF (81 ± 29 mmHg)
or without right‐sided CHF (76 ± 31 mmHg). Conversely, RAAI was significantly higher
(P < 0.0001) in dogs with right‐sided CHF (17.0 ± 4.5 cm2/m2) in comparison to those
without right‐sided CHF (8.6 ± 3.6 cm2/m2). The most accurate cut‐off value in the
prediction of right‐sided CHF was >12.3 cm2/m2 (sensitivity: 89%; specificity: 89%).
Intra‐ and inter‐observer measurement variability was clinically acceptable (average
coefficient of variation <10%).
The study showed that RAAI increases in dogs with moderate‐to‐severe PH and is particularly
high in dogs with right‐sided CHF. RAAI is expected to provide beneficial information
during the assessment of PH severity in dogs and, possibly, when PH leads to remarkable
hemodynamic consequences but the tricuspid regurgitation is absent or difficult to
measure. Studies are needed to verify if RAAI is a prognostic factor in dogs with
PH.
Disclosures
No disclosures to report.
ESVC‐O‐28
Taurine Deficiency in English Cocker Spaniels Diagnosed With Dilated Cardiomyopathy
M. Basili, B. Pedro, H. Hodgkiss‐Geere, X. Navarro‐Cubas, N. Graef, J. Dukes‐Mcewan.
Small Animal Teaching Hospital, University of Liverpool, Leahurst, Neston, UK
Dilated cardiomyopathy (DCM) is an acquired disease with high prevalence in large
breed dogs but also in Cocker Spaniels. It has been reported that American Cocker
Spaniels have taurine deficiency and this is associated with reduced systolic function
and dilated cardiomyopathy phenotype. Supplementation with taurine is known to improve
echocardiographicparameters and clinical signs in the affected dogs. Cocker Spaniels
affected by DCM appear to have a better outcome than other large breed dogs with DCM.
No studies have been performed investigating taurine deficiency in English Cocker
Spaniels (ECS). In addition, the natural progression of the disease in ECS affected
by DCM has not been fully assessed. Our database was retrospectively searched for
ECS diagnosed with dilated cardiomyopathy. Between 2003 and 2016, fifty‐nine ECS were
assessed by the cardiology department of the Small Animal Teaching Hospital of the
University of Liverpool. Eighteen of these dogs were diagnosed with DCM: 3 pre‐clinical
and 15 clinical DCM. Seven were females and 11 were males. Their age at the time of
initial admission was 7.2 years (range 1.5‐11) and their weight was 15.1 kg (9.5‐20.8).
Heparinised plasma Taurine levels were measured in 16/18 dogs and were low in 13/16
(mean 16.07 μmol/L, range 1‐39; normal reference 50‐180). When low, taurine supplementation
was started, in addition to conventional cardiac medications. Of these 18 dogs, 3
were lost to follow‐up. Of the 15 remaining dogs, 7 were still alive at the time of
this study and 8 were dead. Of the 3 dogs with preclinical DCM, one was still alive,
the other two were dead but remained preclinical at the time of death. The mean survival
time (MST) for the overall populations of dogs with clinical DCM was 1237.5 days (95%
CI 510.8‐1694.2). The MST for the subgroup of ECS with low taurine levels started
on taurine supplementation was 1644.9 days (740.4‐2549.4) while the MST for the three
dogs with normal taurine levels was 381.7 days (3.8‐759.5) (P = 0.010).
Like American Cocker Spaniels, also ECS diagnosed with DCM phenotype are commonly
affected by taurine deficiency. Considering their MST, the prognosis for ECS with
DCM may be better than other breeds affected by DCM. In addition, the MST of taurine
deficiency ECS may be better than ECS with normal taurine levels. Larger samples and
prospective studies are needed.
Disclosures
No disclosures to report.
ESVC‐O‐29
Heart Rate Deceleration Capacity Obtained From 24‐hour Ambulatory ECG in Healthy Doberman
Pinschers and Those With Dilated Cardiomyopathy
J.D. Harris
1, C.J.L. Little2, J. Dennis3, M.W. Patteson1.
1HeartVets, Dursley, UK, 2Barton Veterinary Hospital and Surgery, Canterbury, UK,
3University of Exeter Medical School, Exeter, UK
There is an established link between autonomic nervous system (ANS) dysfunction and
human cardiovascular disease. Altered heart rate variability (HRV) is associated with
human disease severity and outcome, however canine HRV studies have largely failed
to show a similar relationship. Electronic measurement of cardiac vagal tone (cardiac
index of parasympathetic activity, CIPA) has prognostic value in dogs, however measurement
is impractical in a clinical setting. Deceleration capacity (DC), a a novel measure
of vagal tone, quantifies deceleration‐related heart rate modulation from 24‐hour
ECG recordings and is a powerful predictor of human cardiac mortality. The prognostic
value of DC measurement in canine heart disease is unknown. We sought to assess DC
in a population of normal Doberman pinschers and those affected with dilated cardiomyopathy
(DCM).
Clinical records and Holter data were collected retrospectively from 64 client‐owned
Doberman pinschers, comprising 20 healthy animals (NORMAL), 30 with preclinical DCM
(DCM) and 14 with DCM and congestive heart failure (DCM‐CHF). Accepted echocardiographic
measurement criteria were used for the diagnosis of DCM. The NORMAL group were healthy
dogs presented for DCM screening. The DCM group included dogs identified previously
for a large, multicentre, prospective clinical trial (PROTECT trial) as well as clinical
cases presented for screening, with the same inclusion criteria. Quantitative Holter
analysis was performed and data exported for measurement of DC.
We compared log‐transformed DC by clinical group using age‐adjusted linear regression.
Differences in log‐DC for DCM and DCM‐CHF groups are presented as average marginal
effects, relative to the NORMAL group whose values were standardised to zero. We examined
association of reduced DC with primary endpoint (PEndP) of CHF or sudden cardiac death,
in the DCM group only. Two subgroups were defined by </>=median. Log‐DC and time to
PEndP was compared using the Kaplan‐Meier method and age adjusted Cox proportional
hazard models. Compared to the NORMAL group, log‐DC was reduced in the DCM‐CHF group
(P = 0.001) with the same direction of effect observed in the DCM group (P = 0.13).
Within the DCM group, median time to PEndP was shorter for dogs with log‐DC =median
(623 days), relative risk 3.21 (95%CI 1.28‐8.08).
DC can be measured from canine 24‐hour ECGs and supports a gradual reduction in vagal
tone from early in the course of DCM. Wider prospective studies to evaluate this technique
may lead to additional prognostic information for individual dogs.
Disclosures
Disclosures to report.
Two authors (JH, MP) offer commercial veterinary Holter monitor rental and analysis
as part of their existing cardiology referral service.
A proportion of the preclinical DCM cases were previously recruited for a wide‐scale
prospective study funded by Boehringer Ingelheim. Permission was granted for the data
to be included in the present study but no further funding was provided.
3 authors (JH, CL, MP) have received hororaria from pharmaceutical companies to provide
CPD to veterinarians but no funding was directly given for this study.
Support for the study (use of Pathfinder Digital software) was provided by Spacelabs,
UK but there was no funding provision.
ESVC‐O‐30
Comparison of Echocardiographic Parameters in Dogs with Arrhythmia‐Induced Cardiomyopathy
and Familiar Dilated Cardiomyopathy
M. Perego, S. Battaia, R.A. Santilli.
Clinica Veterinaria Malpensa, Samarate, Italy
Arrhythmia‐induced cardiomyopathy (AICM) is defined as systolic and/or diastolic ventricular
dysfunction resulting from a prolonged elevated heart rhythm, which is reversible
upon control of the heart rate. Familiar dilated cardiomyopathy (DCM) is a primary
cardiac disease with genetic predisposition causing mainly left ventricular systolic
failure. To the best to the authors knowledge there are no data regarding echocardiographic
difference between these two disorders in the dog. The aim of this study was, therefore,
to retrospectively evaluate echocardiographic parameters in dogs with AICM secondary
to sustained accessory pathways‐mediated tachycardia (APMT) and in dogs with familiar
DCM. According to the breed and the presence of APMT two groups of dogs were made,
and for each group reported mono‐dimensional and B‐dimensional echocardiographic measurements
indexed to body surface area were taken by one author (MP). Group A included 21 dogs
of different breeds with a mean age (± SD) of 2.8 ± 2.1 years, a mean body weight
of 28.0 ± 6.7 kg, and M:F 2.5:1 with AICM induced by APMT diagnosed with endocardial
mapping prior to the ablation of the accessory pathway, group B, 12 Doberman Pinschers
with mean age of 7.3 ± 2.3 years, a mean body weight of 34.8 ± 7.0 kg, a M:F 1.4:1
with familiar DCM. In group A echocardiographic parameters obtained during sinus rhythm
and during APMT were compared to assess the effects of acute changes in heart rate.
Echocardiographic measurements obtained in both groups during sinus rhythm were then
compared to determine possible screening factors to differentiate these two entities.
Normal distribution of values was assessed by the Shapiro‐Wilk W‐test. Normally distributed
data were tested using Student's t‐test and non‐normally distributed data using Wilcoxon's
sum rank test. In group A, shortening fraction (FS) and 2‐D ejection fraction (EF)
were significantly higher during sinus rhythm than during tachycardia (P respectively
0.001 and 0.004). Shortening fraction and 2D EF were significantly higher in group
A than in group B (P respectively 0.002 and 0.007) while end‐diastolic volume index,
end‐systolic volume index and E‐point‐septal separation were significantly lower than
in group B (P respectively 0.03, 0.001, 0.01). The echocardiographic difference between
AICM dogs and DCM dogs found may reflect different pathophysiologic mechanisms or
different rate of evolution of these myocardial diseases. Further studies are needed
to determine cut‐off values allowing the differentiation between AICM and familiar
DCM.
Disclosures
No disclosures to report.
ESVC‐O‐31
Echocardiographic Indices of Age and Gender‐Dependent Cardiac Remodeling over the
Adult Lifespan in Irish Wolfhounds
A.Y. Brungs
1, C. Poulsen Nautrup2, A.C. Vollmar1.
1Tierärztliche Praxis für Kleintiere Dr. Vollmar, Bonn, Germany, 2Ludwig Maximilian
University/ Department of Veterinary Anatomy, Munich, Germany
The heart undergoes a continuous life‐long remodeling process. In humans cardiac remodeling
over the adult life course from <19 to 60‐80 years of age has been characterized echocardiographically
by a distinct pattern of decreasing LV end‐diastolic and end‐systolic dimensions/volumes
while LV systolic function increased with advancing age (Gebhard C, et al, Echocardiography
2013). These alterations were more pronounced in women than in men. Longitudinal data
characterizing cardiac remodeling in dogs are limited.
The objective of this study was to characterize echocardiographically indices of cardiac
remodeling over the adult life course in Irish wolfhounds (IW).
Between 5/1990‐3/2016, 1588 IW (732 m; 856f) were examined by physical examination,
echocardiography and electrocardiography (AV). Inclusion criteria for this study were
dogs with no indication of cardiac disease until old age or death, which had 4 examinations
performed between 1‐2.5 yrs, 3‐4 yrs, 4.5‐6 yrs and 7‐10.5 years of age. 56 males
(BW 53.2‐87 kg), 90 females (BW 45‐72 kg) were eligible. As first comparison of mean
values between age groups Student′s t‐test was used. A P‐value <0.05 was considered
statistically significant.
Over the adult life course males had statistical significant increases in LVIDs, LVIDd,
right atrial and left atrial dimensions and statistical significant decreases of FS%.
From youngest to oldest age of examination means±SD were: LVIDs, 32.7 ± 3.0 vs 36.5 ± 2.9 mm;
LVIDd, 49.6 ± 4.7 vs 53.4 ± 3.8 mm; RA 36.8 ± 3.4 vs 42.6 ± 3.4 mm; LA 49.1 ± 3.5
vs 55.0 ± 3.8 mm, and FS% (34.5 ± 3.7 to 30.9 ± 3.09) with P‐ values <0.001 for all
comparisons. In females, from youngest to oldest age of examination, increases of
mean LVIDs (32.9 ± 3.0 to 34.2 ± 3.2 mm; P = 0.001); LVIDd (49.6 ± 3.5 to 50.4 ± 3.4,
P = 0.041); RA (38.1 ± 3.7 mm to 40.0 ± 5.2 mm, P = 0.004); LA (48.8 ± 3.6 to 52.4 ± 4.3 mm,
P < 0.001) were attenuated, as were decreases of FS% (33.4 ± 3.7 to 31.5 ± 4.4, P = 0.02).
In conclusion, in IW, echocardiographic indices of cardiac remodeling over the adult
life course demonstrated that LV dimensions increased, while fractional shortening
(FS) decreased with advancing age. Female gender attenuated this remodeling process.
Disclosures
No disclosures to report.
ESVNU – European Society of Veterinary Nephrology and Urology
ESVNU‐O‐1
Chronic Kidney Disease in Cats Presenting to Primary‐Care Practice in The UK
M. Conroy, D.C. Brodbelt, Y. Chang, D.G. O'Neill, J. Elliott.
Royal Veterinary College, Hatfield, UK
Chronic kidney disease (CKD) is commonly diagnosed in cats in the UK. Previous studies
have estimated a prevalence of 1.7–3.6% in the cat population in the UK. Little is
known about how CKD is diagnosed and treated in the primary‐care setting in the UK.
The aims of the present study were to estimate the prevalence and incidence of CKD
in the UK and to describe diagnostic procedures and treatments employed.
Cats that presented to 90 veterinary clinics between January 2012 and December 2013
were included in the study. Using the VetCompass database, potential cases were identified
by searching the electronic patient record for key terms associated with CKD diagnosis.
A random sample of 20% of the potential cases were reviewed in detail to identify
cats diagnosed with CKD. Data were extracted from the database for demographics, diagnosis,
treatment and comorbidities. Prevalence and incidence were estimated adjusting for
the sampling approach.
Of 104977 cats presented, 6691 potential cases were identified. From the potential
cases reviewed in detail, 345 new and 199 pre‐existing cases were confirmed. Estimated
prevalence was 2.6% (95% CI 2.4–2.8%) and estimated incidence of new cases was 1.6%
(95% CI 1.5–1.8%) over the study period. Median age at diagnosis was 15 years(IQR
12.5–16.9 yr). Most cats (61.1%) were presented because of owner reported clinical
signs. The majority of cats (51%) had 2 or more signs at diagnosis with weight loss
(44.1%) and polydipsia (32.5%) most commonly reported. Combined biochemistry and urinalysis
was the most common method of diagnosis (61.9%). One fifth (20.9%) of cats had a UPC
performed. Just under one third (30.4%) of vets recorded IRIS staging with just over
half (50.2%) of the staged cats having IRIS CKD stage 2 at diagnosis. One third (33.6%)
of cats had at least one blood pressure measurement, with 47.4% of these cats being
diagnosed with hypertension. A commercial ‘renal diet’ (65.8%) and Benazepril (32.8%)
were the most common treatments prescribed.
One in 40 cats presenting to primary‐care practices in the UK were diagnosed with
CKD. UPC and blood pressure are performed in a minority of cats, despite the recognised
importance of proteinuria and hypertension influencing prognosis and treatment of
cats diagnosed with CKD. Improved knowledge of how veterinarians are diagnosing CKD
in primary‐care practice will allow targeted continuing education of practitioners.
This study also highlights the need for better owner education regarding CKD.
Disclosures
Disclosures to report: This study was funded by Ceva Animal Health.
Jonathan Elliott has the following declarations of interest:
Consultancies:
Elanco Ltd.
CEVA Animal Health Ltd
Boehringer Ingelheim Ltd
Bayer Animal Health
Orion Incorp
Idexx Ltd
Nextvet Ltd
Waltham Centre for Pet Nutrition
Grant funding:
Elanco Ltd
Waltham Centre for Pet Nutrition
Royal Canin Ltd.
Zoetis Ltd.
CEVA Animal Health
Member of the International Renal Interest Society which receives a grant from Elanco
Ltd.
ESVNU‐O‐2
Investigation of A Cell Culture Model For The Study of Fibrosis in The Feline Kidney
J.S. Lawson, H.M. Syme, C.P. Wheeler‐Jones, J. Elliott.
Royal Veterinary College, London, UK
Chronic kidney disease (CKD) is common in ageing cats, and is histologically characterised
by chronic tubulointerstitial inflammation and fibrosis. The cytokine transforming
growth factor beta 1 (TGF‐β1) has been associated with severity of renal fibrosis
in cats but the cellular mechanisms underlying the fibrotic process remain incompletely
understood. The aims of this study were to characterise the Crandell‐Rees Feline Kidney
(CRFK) cell line for use as an in vitro model of TGF‐β1‐sensitive feline kidney cells.
The morphology of CRFK was characterised by light microscopy. Expression of the intermediate
filament proteins cytokeratin, vimentin and desmin was assessed by immunofluorescence
in CRFK cells and compared with the immunohistochemical distribution in formalin fixed
feline kidney tissue, which was obtained at post‐mortem with owner informed consent.
Confluent monolayers of CRFK were exposed to either 0, 0.1, 0.2, 0.5, 1 or 10 ng/ml
recombinant TGF‐β1 for 24 hrs, then lysed and the expression of collagen type 1α1
(col1α1), connective tissue growth factor (CTGF) and TGF‐β1 mRNA quantified by RT‐qPCR.
Experiments were carried out in triplicate. Gene expression data were normalised to
the housekeeping gene RPS7, analysed by ANOVA with post‐hoc Dunnett's test and expressed
as mean fold change in comparison to control.
CRFK formed monolayers of spindle‐shaped cells which strongly expressed vimentin but
not cytokeratin or desmin. Vimentin expression in fixed feline kidney tissue was localised
to the glomerulus and scattered cells within the interstitium, whereas cytokeratin
was confined to the tubular epithelium. No desmin expression was detected. Treatment
of CRFK cells with TGF‐β1 induced morphological changes, the cells becoming elongated
and irregular at the highest concentrations. Exposure to 1 ng/ml TGF‐β1 increased
col1α1 expression 5.9 fold (P = 0.0004) and CTGF 3.5 fold (P = 0.0198) in comparison
to control. Exposure to 10 ng/ml of TGF‐β1, increased expression of col1α1 8.9‐fold
(P < 0.0001), CTGF 7.9‐fold (P < 0.0001) and TGF‐β1 3‐fold (P < 0.0001) in comparison
to control.
The results of this study demonstrate that CRFK resemble cells of renal interstitial
or glomerular origin, with cell morphology suggestive of a fibroblastic phenotype.
Further characterisation is warranted. We also demonstrate that TGF‐β1 upregulates
gene expression of collagen I and CTGF, as well as auto‐inducing further TGF‐β1 expression
in CRFK cells, supporting a role for this cytokine in feline renal fibrosis. The TGF‐β1
signalling pathway may therefore represent a target for treatments aimed at preventing
the progression of renal disease in cats.
Disclosures
Disclosures to report.
The first author of the abstract is currently undertaking a PhD funded by Elanco animal
health.
ESVNU‐O‐3
Transglutaminase 2 Following Renal Warm Ischaemia in The Rat: Implication For Feline
Chronic Kidney Disease
A.C. Sanchez‐Lara, J. Haylor.
The university of sheffield, Sheffield, UK
Feline chronic kidney disease (CKD) is associated with activation of the renal transglutaminase
2 (TG2) pathway (Sanchez‐Lara et al 2015). To establish whether TG2 and the development
of CKD maybe causally linked, an interventional approach was employed in a rat model
of renal warm ischaemia (RWI) to examine the effect of TG inhibition (TGI) on renal
fibrosis. Hypoxia has been suggested as an important trigger and perpetuating factor
for the development of CKD in the cat where, as in the rat following RWI, tubulointerstitial
fibrosis develops in the absence of significant glomerular involvement.
Male Sprague Dawley rats (250‐300 g) were subjected to renal‐hilar‐clamping for 60 minutes
followed by right nephrectomy with/without intrarenal TGI for 28 days (RWI, n = 5/RWI+TGI,
n = 6). Sham‐operated rats were subjected to right nephrectomy alone (NX, n = 5).
Subcutaneous minipumps were loaded with either NaCl 0.9% or 50 mmol/L TGI (DOO3, Zedira,
Germany) to deliver 10 μg/kg/h intrarenally. Extracellular matrix protein, in the
tubulointerstitium and intraglomerular mesangial area (IGMA) was determined by Masson's
trichrome staining (MTS) and collagens (I/III/IV) by immunofluorescence, and quantified
by multiphase image analysis. Extracellular TG enzyme activity (eTGact), extracellular
TG2 protein (eTG2) and total kidney transglutaminase 2 (tTG2) were determined in situ.
The presence of TG2 protein was confirmed by western blotting. Results were compared
using one‐way‐ANOVA followed by Bonferonni's multiple comparisons test.
By day 28, the RWI group showed a significant increase in serum creatinine (2.7 fold),
MTS (20‐fold), collagens I (1.8‐fold), III (4.3‐fold), IV (5.5‐fold), eTGact (2‐fold)
and eTG2 (1.9 fold) compared to the NX group. Following RWI, TGI significantly reduced
the increase in serum creatinine (by 70%) MTS (by 80%), collagens I (by 100%), III
(by 57%), IV (by 90%), eTGact (by 89%) and eTG2 (by 91%). Significant linear correlations
were obtained between eTG2 and tubulointerstitial fibrosis, MTS and collagens I/III/IV.
However, following RWI, no increase in glomerular collagens, eTGact or eTG2 was observed.
RWI in the rat mimics the major histopathologic and functional features of feline
CKD. TGI reduced the development of tubulointerstitial fibrosis following RWI and
improved the decrease in renal function, providing evidence for a causal link between
the two. However, neither the TG pathway nor collagen deposition were activated in
glomeruli, allowing a protective glomerular mechanism toward RWI to be postulated.
Sanchez‐Lara A, Elliott J, Syme H, Brown C, Haylor J (2015). Feline chronic kidney
disease is associated with upregulation of transglutaminase 2; a collagen cross‐linking
enzyme. Veterinary Pathology, 52:513‐523.
Disclosures
No disclosures to report.
ESVNU‐O‐4
Fibroblast Growth Factor 23 and Hypertension In Feline Chronic Kidney Disease
D.H.N. van den Broek, R.E. Jepson, Y.M. Chang, J. Elliott.
Royal Veterinary College, London, UK
Cats with chronic kidney disease (CKD) are at increased risk of developing systemic
hypertension. Fibroblast growth factor 23 (FGF‐23) is frequently elevated in feline
CKD, and recent studies suggest that FGF‐23 is involved in volume regulation and vascular
calcification. This retrospective observational cohort study examined the association
between plasma FGF‐23 concentration and hypertension in cats with CKD.
Clinicopathologic information from cats at diagnosis of azotaemic CKD was sourced
from the records of two first opinion practices. Clinical data are presented as median
[25th, 75th percentile]. Comparisons were made between hypertensive (HT) and normotensive
(NT) cats at diagnosis of CKD using independent samples t‐tests or Mann‐Whitney U
tests. Cats treated with medications known to influence systolic blood pressure (SBP)
were excluded. The normotensive group was subsequently used to identify predictors
of incident hypertension using Cox regression analysis (hazard ratio (HR) and 95%
confidence intervals (CI) reported). Cats with follow‐up of <90 days after diagnosis
of CKD, or that developed hypertension within that period were excluded from this
analysis. SBP and packed cell volume (PCV), were considered as continuous variables,
whilst FGF‐23 (terciles) and body weight (median) were entered as categorical variables.
This study included 134 cats with CKD (IRIS stage 2 n = 95, IRIS stage 3 n = 39) of
which 18 were HT and 116 NT at baseline. HT cats had significantly higher FGF‐23 concentrations
(HT:1906 [537, 5605]pg/mL; NT:633 [344, 1507]pg/mL, P = 0.016), and significantly
lower chloride concentrations (HT:116.2 [114.2, 117.5]mmol/L; NT:118.2 [116.7, 120.1]mmol/L,
P = 0.011). Creatinine (P = 0.925) and phosphate (P = 0.608) concentrations did not
differ between groups. Ninety NT cats were available for Cox regression analysis,
of which 22 developed hypertension. In the final multivariable model (n = 88), increasing
SBP (P < 0.001), and decreasing PCV (P = 0.009) and body weight (<4.0 kg, P = 0.018)
were significant risk factors for hypertension in feline CKD. In addition, FGF‐23
(P = 0.018) was a significant independent risk factor for development of hypertension
in the multivariable model (<400 pg/mL, HR:0.41, CI:0.15‐1.17, P = 0.096; and 400‐1200 pg/mL,
HR:0.14, CI:0.04‐0.57, P = 0.006, compared with >1200 pg/mL).
In conclusion, CKD cats with hypertension had higher FGF‐23 concentrations than their
normotensive counterparts. Moreover, in azotaemic cats that were normotensive, FGF‐23
concentration appeared associated with the risk of incident hypertension in a model
adjusted for baseline systolic blood pressure, PCV and body weight. The mechanism
by which FGF‐23 influences blood pressure in cats remains to be elucidated.
Disclosures
Work presented is part of a PhD studentship supported by a grant of Royal Canin Ltd.
Henk van den Broek (first/presenting author) is PhD student of the project at the
Royal Veterinary College.
Disclosures Prof J. Elliott:
Consultancies:
Elanco Ltd.
CEVA Animal Health Ltd
Boehringer Ingelheim Ltd
Bayer Animal Health
Orion Incorp
Idexx Ltd
Nextvet Ltd
Waltham Centre for Pet Nutrition
Grant funding:
Elanco Ltd
Waltham Centre for Pet Nutrition
Royal Canin Ltd.
Zoetis Ltd.
CEVA Animal Health
Member of the International Renal Interest Society which receives a grant from Elanco
Ltd.
Disclosures Dr RE Jepson:
Grant funding
PetPlan
Feline foundation for renal research
RVC Internal Grant
PetSavers
Speaking honoraria from Boehringher Ingleheim and Hills Pet Nutrition.
Disclosures YM Chang:
Staff member RVC, no disclosures
ESVNU‐O‐5
Detection of Morbillivirus and Other Paramyxoviruses in Urine Samples From Geriatric
Cats With and Without Evidence of Azotaemic Chronic Kidney Disease (CKD) in the United
Kingdom (UK)
K.E. McCallum, S. Stubbs, L.S. Tiley, T.L. Williams.
University of Cambridge, Cambridge, UK
Feline morbillivirus (FmoPV) was originally discovered in Hong Kong in 2012 and suggested
to be associated with tubulo‐interstitial nephritis. It has since been detected in
the urine of cats in Japan, USA and Germany. The aim of this study was to identify
paramyxoviruses (including morbillivirus) in urine samples of geriatric cats with
and without azotaemic CKD, to establish if a relationship between FmoPV and azotaemic
CKD exists. In addition, urinary markers of tubular damage and dysfunction were evaluated
in non‐azotaemic cats with and without FmoPV or other paramyxoviruses.
Blood and urine samples were obtained from cats at three UK first opinion practices
as part of a geriatric screening programme. Cats were assigned to either the azotaemic
CKD group (defined as a serum creatinine concentration >153 μmol/L and concurrent
urine specific gravity <1.035) or the non‐azotaemic group. Viral RNA was extracted
from urine and RT‐PCR performed on these samples with pan‐Paramyxoviridae primers.
DNA was extracted from positive samples for genome sequencing and virus identification.
Urine protein:creatinine ratio (UPC), urine albumin:creatinine ratio (UAC) and urine
cystatin C:creatinine (UCC) ratio were calculated using previously validated immunoturbidimetric
assays. Comparisons between groups were made using Fisher's exact test or Mann Whitney
U test, and statistical significance was defined as P < 0.05.
Three paramyxoviruses were identified which were most closely related to feline paramyxovirus
MSi‐2014 (accession number KP159805) with 92–99% homology. Five distinct morbilliviruses
were identified which were most closely related to other FmoPV (accession numbers
KR014147, JQ411014 and JQ411015 with 96‐97%, 96‐99% and 96‐99% homology respectively).
FmoPV detection was not significantly different between azotaemic CKD and non‐azotaemic
groups (1/16 vs 4/24 respectively; P = 0.63). Other paramyxovirus detection was not
significantly different between azotaemic CKD and non‐azotaemic groups (0/16 vs 3/24
respectively; P = 0.26). In non‐azotaemic cats, there was no significant association
between detection of paramyxovirus and UPC (P = 0.4), UCC (P = 0.87) or UAC (P = 0.68).
Similarly, detection of FmoPV was not associated with UPC (P = 0.12), UCC (P = 0.74)
or UAC (P = 0.35).
FmoPV and other paramyxoviruses can be detected in the urine of geriatric cats in
the UK with and without azotaemic CKD, however the incidence of virus detection was
not significantly different between azotaemic and non‐azotaemic cats. No association
between detection of these viruses and increased excretion of urinary markers of tubular
damage or dysfunction was identified. Further studies to evaluate if paramyxovirus
infection is associated with the subsequent development of azotaemic CKD or other
morbidities is nevertheless warranted.
Disclosures
No disclosures to report.
ESVNU‐O‐6
Diagnostic Work‐up Does Not Affect Appropriate Antibiotic Prescription in Dogs With
Suspected Urinary Tract Infection ‐ An Observational Study in Danish Small Animal
Practices
T.M. Soerensen
1, C.R. Bjornvad1, K.M. Hoelmkjaer1, L. Guardabassi2, L. Bjerrum1, L.R. Jessen1.
1University of Copenhagen, Frederiksberg, Denmark, 2Ross University School of Veterinary
Medicine, St. Kitts and Nevis
Urinary tract infection (UTI) is a common cause of antibiotic prescription in dogs.
Clinical signs are unspecific for infection, and appropriate diagnostic work‐up is
a prerequisite for a correct diagnosis.
The aim of the study was to assess the impact of diagnostic work‐up on decision to
treat (DTT) with antibiotics in dogs with suspected UTI in small animal practice.
The study was designed as a prospective cohort study of small animal practices in
Denmark. Dogs with clinical signs of UTI were enrolled and the diagnostic work‐up,
the diagnosis and prescribed treatment were registered. A urine sample was submitted
to a reference laboratory for gold standard bacterial culture (BC). Antibiotic prescription
was only considered correct DTT in case of significant bacteriuria on reference BC.
Fifty‐six clinics enrolled 154 dogs. Diagnostic pathways were A) Dipstick+Microscopy+BC
(n = 66); B) Dipstick+BC (n = 13); C) Dipstick+Microscopy (n = 62) and D) Dipstick
(n = 13). Overall, 88% were diagnosed with UTI by the veterinarian, though only 48%
had significant bacteriuria on reference BC. Correct DTT was made in 56% in total
with over‐prescription in 41% and under‐prescription in 3% of the dogs. Diagnostic
pathways led to correct DTT in 65%(A), 31%(B), 55%(C) and 46%(D) of cases. Pathways
with and without BC led to a correct DTT in 59% and 53%, respectively. No significant
difference in correct DTT could be found between the diagnostic pathways.
The results reveal a high proportion of antibiotic over‐prescription in dogs with
suspected UTI, regardless of the diagnostic pathways pursued.
Disclosures
Disclosures to report.
The study was supported by the UC‐CARE research centre (www.uc-care.ku.dk), ‘Vetfond’
and ‘Fondet for sygdomsbekaempelse hos vore familiedyr’.
ESVNU‐O‐7
Bacterial Culture Does Not Improve Antibiotic Choice in Dogs With Suspected Urinary
Tract Infection ‐ An Observational Study in Danish Small Animal Practices
T.M. Soerensen1, C.R. Bjornvad1, K.M. Hoelmkjaer1, L. Guardabassi2, L. Bjerrum1, L.R.
Jessen
1.
1University of Copenhagen, Frederiksberg, Denmark, 2Ross University School of Veterinary
Medicine, St. Kitts and Nevis
Rational use of antibiotics is important to decrease development of resistant microorganisms.
Urinary tract infection (UTI) is a common cause of antibiotic prescription in dogs
and treatment is often empirical and not based on bacterial culture.
The aim of the study was to investigate the impact of diagnostic work‐up on appropriate
choice of treatment (COT) and assess whether bacterial culture (BC) improved COT for
canine UTI in small animal (SA) practice.
The study was designed as a prospective cohort study of small animal (SA) practices
in Denmark. Dogs with clinical signs of UTI were enrolled. The diagnostic work‐up,
the diagnosis and prescribed treatment were registered, and a urine sample was submitted
to a reference laboratory for gold standard BC. Appropriate COT was defined as prescribing
antibiotics with in‐vitro susceptibility in combination with choosing first‐line agents
over second‐line agents.
Fifty‐six clinics enrolled 154 dogs. Based on reference BC, 74 dogs had UTI and appropriate
COT was instituted in 38% of these cases. Inappropriate second‐line agents were prescribed
in 54%, and first‐line agents with in‐vitro resistance were prescribed in 8%. Diagnostic
work‐up included BC in 50% of cases. Appropriate COT was instituted in 38% of cases
regardless if BC where included in the diagnostic work‐up or not. No significant difference
could be demonstrated between the groups.
In conclusion, there was a high proportion of over‐prescription of second‐line agents
and performance of BC did not significantly improve antibiotic choice in dogs with
UTI. BC response time may be a limiting factor in a practice setting.
Disclosures
Disclosures to report.
The study was supported by the UC‐CARE research centre (www.uc-care.ku.dk), ‘Vetfond’
and ‘Fondet for sygdomsbekaempelse hos vore familiedyr’.
ESVNU‐O‐8
The Diagnostic Utility of Urinary Alkaline Phosphatase and γ‐glutamyl Transpeptidase
in Early Recognition of Acute Kidney Injury in Dogs
R. Nivy, Y. Avital, I. Aroch, G. Segev.
1Koret School of Veterinary Medicine, Hebrew University of Jerusalem, Israel, Rehovot,
Israel
Measurement of urinary alkaline phosphatase (uALP) and urinary γ‐glutamyl transpeptidase
(uGGT) activities is readily available and inexpensive. Most studies of uGGT and uALP
are limited to small number of dogs with AKI of a single etiology or to experimentally‐induced
AKI. We aimed to investigate their clinical utility for diagnosing naturally occurring
AKI in a large, heterogeneous group of dogs. The study included client‐owned dogs
with AKI (34 dogs), chronic kidney disease (CKD, 13), urinary tract infection (UTI,
15) and healthy controls (51). uALP and uGGT activities were normalized to urinary
creatinine concentration (uALP/uCrea and uGGT/uCrea, respectively). uALP/uCrea and
uGGT/uCrea significantly correlated (r = 0.67, P < 0.001). Both differed significantly
(P < 0.001) among study groups, and between the AKI group and either the UTI or CKD
groups (P < 0.05), but not the control group. Areas under the receiver operator characteristics
curves for uALP/uCrea and uGGT/uCrea as predictors of AKI were 0.68 and 0.61, respectively.
Optimal cut‐off points for uALP/uCrea and uGGT/uCrea showed poor sensitivity/specificity
(58%/70% and 58%/68%, respectively). Higher cut‐off points with 90% specificity were
associated with decreased sensitivity (38%, 41%, respectively).In conclusion, uGGT/uCrea
and uALP/uCrea demonstrated poor discriminatory power for diagnosing AKI in dogs,
contrary to previous reports of naturally‐occurring and experimentally‐induced AKI,
and therefore cannot be recommended as screening tests for AKI. uALP/uCrea is a superior
marker of AKI to uGGT/uCrea. Since both measures are readily available and inexpensive,
they may serve as ancillary biomarkers for early detection of AKI, if appropriate
cut‐off points, with high specificities, are used.
Disclosures
No disclosures to report.
ESVNU‐O‐9
Molecular Heterogeneity of Feline Cystinuria Caused by Different Mutations in the
SLC3A1 and SLC7A9 Gene
U. Giger
1, K. Mizukami1, R. Karthik1, C. Osborne2.
1University of Pennsylvania, Philadelphia, USA, 2University of Minnesota, St. Paul,
USA
Cystinuria is a classical inborn error of metabolism characterized by a selective
proximal renal tubular defect affecting cystine, ornithine, lysine, and arginine (COLA)
reabsorption, leading to cystine crystals and urolithiasis. Cystinuria is caused by
defects in one of two genes, SLC3A1 and SLC7A9, which encode the rBAT and bo,+AT subunits
of the bo,+ basic amino acid transporter system. We document here the first SLC3A1
and SLC7A9 mutations causing cystinuria in cats.
Crystallograpic and amino acid tests were used to assess cystinuria. Exons and flanking
regions of the SLC3A1 and SLC7A9 genes were sequenced from genomic DNA. Compared to
the Felis catus‐6.2 reference genome sequence, DNA sequences from these affected cats
revealed 4 unique homozygous missense mutations: one in exon 8 (p.Arg448Trp) in SLC3A1
from a non‐purpose‐bred short‐haired cat, and the others in the SLC7A9 gene: one in
exon 5 (p.Asp236Asn) from a non‐purpose‐bred medium‐haired cat, one in exon 7 (p.Val294Glu)
in 2 Maine Coon and Sphinx cats, and one in exon 10 (p.Thr392Met) from a non‐purpose‐bred
long‐haired cat. Genotyping assays identified another cystinuric domestic medium‐haired
cat that was homozygous for the mutation originally identified in the purebred cats.
These missense mutations result in deleterious amino acid substitutions of highly
conserved residues in the bo,+AT protein. The remaining 2 sequenced domestic short‐haired
cats had a heterozygous single nucleotide polymorphism (SNP) at a splice donor site
and a homozygous SNP at a branchpoint of SLC7A9, respectively.
This study identifies the first SLC3A1 and SLC7A9 mutations causing feline cystinuria
and reveals that, as in humans and dogs, this disease is genetically heterogeneous
in cats.
Disclosures
Authors at University of Pennsylvania are members of the PennGen laboratory which
offers urinary metabolic and DNA tests for cystinuria. CO is a member of the Minnesota
Urolith Center, St. Paul, MN.
ESVNU‐O‐10
Urinalysis Results As a Predictor of Subclinical Bacteriuria in Dogs
H. Teh, T. Johnstone.
The University of Melbourne, Melboune, Australia
Subclinical bacteriuria (SBU) is the presence of bacteria in the urinary tract of
dogs that do not show signs of urinary tract infection. It is a common finding in
dogs with predisposing conditions. The pathogenic potential of associated bacteria
is not clearly understood, suggesting that these dogs require at least monitoring.
This retrospective case‐crossover study sought to describe SBU in dogs that were followed
longitudinally. Dogs that had cultures and concurrent urinalysis of cystocentesis‐derived
urine performed on more than one occasion were identified from the records of U‐Vet
Animal Hospital Werribee. Urine samples of dogs that were treated with antibiotics
were excluded. Based on urine culture results and recorded clinical signs, dogs were
classified as having clinical urinary tract infection, SBU or no growth of bacteria.
Age, breed, sex, neuter status, concurrent conditions, microorganism cultured and
urinalysis parameters were recorded. In each dog, urinalysis of SBU episodes and no‐growth
episodes were compared using conditional logistic regression with the aim to assess
the value of individual urinalysis parameters in predicting SBU in each dog. A total
of 44 dogs were included with a total of 151 paired urinalysis and culture results.
A median of 3 paired results (range 2–13) were reviewed in each dog. Many dogs had
predisposing conditions; most common were changes in urine composition caused by endocrine
disease or drugs (n = 18; 41%) or renal disease (n = 9; 20%). In 9 dogs (20%), no
underlying condition was recorded. Dogs were of various breeds, predominantly female
spayed (n = 29; 65%) and senior (median age 9 years, range 0.3–17). The most commonly
cultured organisms in SBU were Escherichia coli (n = 22; 52%) and Enterococcus spp
(n = 6; 14%). Five dogs had SBU with multi‐drug resistant bacteria. Whilst urinalysis
parameters were often abnormal in the individual dogs, only pyuria (identified by
microscopic sediment examination) was reliable in differentiating SBU from no‐growth
episodes (OR 34; 95% CI 4.5–266). This suggests that urinalysis parameters other than
pyuria commonly reflect a concurrent disease process rather than SBU. Furthermore,
it confirms that urine sediment analysis is crucial in monitoring dogs affected by
conditions that predispose to SBU or UTI, particularly if urine culture is not planned.
Disclosures
No disclosures to report.
ESVNU‐O‐11
Pyelonephritis in Cats With Ureteral Obstruction: A Retrospective Study of 45 Cases
C. Maurey Guenec, D. Dullin, A. Decambron, G. Benchekroun, M. Campos, M. Manassero.
ENVA, Maisons alfort, France
In cats, ureterolithiasis is an emergent medical condition and could predispose to
upper urinary tract infection. Although culture of urine sampled directly from the
renal pelvis is the gold standard to confirm pyelonephritis, culture of urine obtained
by cystocentesis is most commonly performed. But in case of ureteral obstruction culture
of urine collected by cystocentesis could be negative because of interruption of urine
flow in the affected ureter. The objectives of this study were to determine the incidence
of pyelonephritis in feline ureteral obstruction, to investigate if clinical signs
and laboratory findings could help diagnose pyelonephritis and to compare results
of urine culture obtained by pyelocentesis and cystocentesis in the same individuals.
Cats in which pyelocentesis was performed during surgical management of ureteral obstruction
were retrospectively included. Pyelonephritis was diagnosed if a positive urine culture
was obtained in the sample collected by pyelocentesis. Signalment, clinicopathologic
data and abdominal ultrasonography findings were compared between cats with pyelonephritis
(group P+) and cats with negative urine culture obtained by pyelocentesis (group P‐).
Forty‐five cats were included. Culture of urine collected by pyelocentesis was positive
in 8 of 45 (18%) cats. The isolates were E. coli (n = 3), Raoultella Terrigina (n = 3),
Enterobacter cloacae (n = 1) and Enterococcus faecalis (n = 1). The cats in the P+
group were significantly older than in the P‐group. The average monocyte count was
significantly higher in the P+ group. No significant differences were observed concerning
clinical data, other laboratory findings or results of abdominal ultrasonography between
the two groups. Three of 8 cats of the P+ group and 9 of 37 cats of the P‐ group had
received antibiotic therapy prior to the urine culture. In thirty‐three cats (7 from
P+ group, 26 from P‐ group) urinary culture was also performed in samples collected
by cystocentesis. In 4 of 7 (57%) cases from the P+ group, the urine obtained by cystocentesis
was sterile and in 3 of 7 (43%) cases culture results were similar between the samples
collected by pyelocentesis and cystocentesis. Two of 26 (8%) cats from the P‐group
had a positive urine culture obtained by cystocentesis. In this study, the incidence
of pyelonephritis in cats with ureteral obstruction was 18%. Common clinical and laboratory
indicators of renal infection were absent in cases of confirmed pyelonephritis. The
discrepancy between results of urine cultures obtained by cystocentesis or pyelocentesis
emphasizes the difficulty of diagnosing pyelonephritis in the context of ureteral
obstruction.
Disclosures
No disclosures to report.
ESVNU‐O‐12
The Medical Perspective About the Use of Subcutaneous Ureteral Bypass Versus Ureteral
Stent in Feline Ureterolithiasis Management: A Retrospective Comparative Study
C. Deroy, R. Oliveira Leal, D. Rossetti, G. Ragetly, C. Bismuth, R. Vallefuoco, J.
Hernandez, C. Poncet.
Centre Hospitalier Vétérinaire Fregis, Arcueil, France
Feline ureterolithiasis is one of the most common causes of acute azotaemia in cats.
The placement of ureteral stents or Subcutaneous Ureteral Bypass (SUB) devices has
been recently developed in order to overcome the limitations of traditional medical
and surgical therapies.
The objective of this study was to compare clinical outcome and complication rates
of cats with ureteral calculi managed with ureteral stents or SUBs.
A retrospective comparative study was performed. Medical records of cats diagnosed
with feline ureteral obstruction undergoing placement of stents or SUB devices between
2011 and 2015 were reviewed. Information about signalement, clinical signs, biochemical
data, surgical procedure, length of hospitalization, complications and a minimal 6‐month
follow‐up was obtained.
A total of 50 cats diagnosed with ureterolithiasis were enrolled. A stent was placed
in twenty‐seven cats (stent group) and 23 cats received a SUB device (SUB group).
Regarding pre‐operative azotemia, no difference was observed between groups. There
was no significant difference on perioperative mortality rate between groups (18%
for ureteral stent versus 13% for SUB, P = 0.71). A significant decrease of serum
creatinine and urea concentrations was observed in both groups in the first 48 h after
surgical intervention (P < 0.0001).
Considering immediate post‐operative complications, the number of additional surgical
procedures was significantly higher in stent group (P = 0.012) including: stent occlusion
(7/27), uroabdomen (3/27) and refractory signs of cystitis (2/27). In SUB group, device
occlusion (1/23) and lower urinary tract obstruction (1/23) justified additional surgical
procedures in two cats.
Stent placement was associated with increased lower urinary tract signs including
hematuria (45% for stent group versus 15% for SUB group, P = 0.047) and pollakiuria/stranguria
(54% for stent group versus 20% for SUB group, P = 0.029). Comparing to SUB group
(in which most cats were alive at the end of the study, impairing survival time assessment),
stent group had a shorter median survival time (14 months) (P = 0.043).
In spite of the fact that stent placement led to a rapid improvement of azotaemia,
this procedure was associated with higher mortality, post‐operative complications
and recurrent lower urinary signs. A possible explanation for these findings relies
on the physical irritation induced by the distal stent curl in the urinary bladder.
SUB placement induced a rapid decrease on azotaemia with fewer complications, a shorter
operating time, and less recurrent lower urinary tract signs.
SUB devices are a safe alternative to stent placement for resolution of feline ureterolithiasis,
improving outcome and reducing lower urinary tract signs.
Disclosures
No disclosures to report.
Part of this work was accepted for presentation at the ECVS congress 2016 (surgical
public).
ESVE – European Society of Veterinary Endocrinology
ESVE‐O‐1
Glucose Concentrations Following Insulin‐Induced Hypoglycemia in Healthy Cats and
in Cats With Diabetes Mellitus
E. Zini, E. Salesov, P. Dupont, T. Lutz, C. Reusch.
University of Zuric, Zurich, Switzerland
Rebound hyperglycemia has been defined as fasting hyperglycemia attributable to counter‐regulatory
hormone response to nocturnal hypoglycemia (Somogyi effect). Recent studies in humans
raised doubts on the existence of this phenomenon or postulated that it is extremely
rare. In veterinary medicine, rebound hyperglycemia is often defined independent of
its time of occurrence. Data in cats are scarce and its clinical significance is largely
unknown.
Aims were to evaluate if glucose concentrations increase above normal due to counter‐regulation
in healthy cats with insulin‐induced hypoglycemia, to define frequency of rebound
hyperglycemia in diabetic cats and to investigate differences between cats with and
without rebound hyperglycemia.
Six healthy cats were treated with insulin (PZI and degludec; 0.1–0.3 IU/kg). Glucose
concentrations were measured twice before injections and every 2 hours for 24 hours.
The percentage of cats with post‐hypoglycemic glucose concentrations above baseline,
based on calculation of 90% range of differences (Marshall et al., 2008), was computed.
Medical records of diabetic cats under insulin therapy with >1 blood glucose curve
were evaluated; cats revealing biochemical hypoglycemia were included. Data of cats
with and without rebound hyperglycemia were compared at the time when hypoglycemia
was detected. Hypoglycemia and rebound hyperglycemia were defined as glucose <4 mmol/l
followed by an increase >15 mmol/l within 12 hours.
In healthy cats, both insulin preparations and all doses led to hypoglycemia but did
not induce rebound hyperglycemia. However, in 4 of 29 curves (13.8%) post‐hypoglycemia
glucose concentrations exceeded baseline (PZI=3, degludec=1); the highest glucose
concentrations were 5.7 and 5.8 mmol/l, both with PZI. Among 133 diabetic cats with
hypoglycemia, 33 (25%) had rebound hyperglycemia (group 1); 100 (75%) had no rebound
hyperglycemia (group 2); groups did not differ for age, body weight and sex. In group
1, the daily insulin dose was higher [median: 1.00 IU/kg (range: 0.21–2.14) vs. 0.48 IU/kg
(0.07–2.91); P < 0.0001]; good metabolic control was less frequent (6.7% vs. 69.1%;
P < 0.0001); and serum fructosamine concentration was higher [535 μmol/l (347–726)
vs. 409 μmol/l (262–747); P < 0.0001]. Glucose nadir, time‐to‐nadir and insulin type
(glargine, porcine zinc) were not different.
In conclusion, in healthy cats insulin‐induced hypoglycemia does not cause rebound
hyperglycemia although post‐hypoglycemia glucose exceeds baseline in some cats. In
diabetic cats rebound hyperglycemia occurs in 25% of cases with hypoglycemia, is associated
with higher insulin doses, worse metabolic control and higher fructosamine. The reason
why rebound hyperglycemia is only seen in certain cats is currently unclear.
Disclosures
Yes disclosures to report.
Claudia Reusch is consultant for Boehringer Ingelheim, and has been a consultant for
Novartis Animal Health in the past. She has received financial support for her endocrine
research from various companies such as Nestle Purina, Hills, Provet, Antlia SA, Glycemicon
and from the clinical studies fund of the ECVIM‐CA and from the Society of Comparative
Endocrinology.
ESVE‐O‐2
Comparison of Lente Insulin and NPH Insulin Therapy for the Treatment of Newly Diagnosed
Diabetic Dogs
F.F. Fracassi
1, G. Linari1, F. del Baldo1, A. di Cunzolo2, N. Leoni3, P. Palagiano4, G. Giordano5,
S. Corradini1.
1Department of Veterinary Medical Sciences, Ozzano dell'Emilia, Italy, 2Clinica Veterinaria
Vetlan, Battipaglia, Italy, 3Clinica Veterinaria San Siro, Milano, Italy, 4Clinica
Veterinaria Meda, Meda, Italy, 5Laboratorio La Vallonea, Lecce, Italy
Treatment of canine diabetes mellitus (DM) always requires exogenous insulin therapy.
Two types of commonly used insulin are lente insulin and Neutral Protamin Hegerdon
(NPH) insulin. The aim of this prospective, randomized clinical trial was to compare
the effects of lente and NPH insulin in dogs with DM. Client‐owned dogs with newly
diagnosed DM were enrolled. Dogs with relevant concurrent diseases and with prior
administration of diabetogenic drugs were excluded. Dogs were randomized into two
groups such as lente insulin (Caninsulin®) and NPH insulin (Humulin I®). In each group
dogs were treated with insulin SC, BID and fed BID with the same commercial diet low
in simple carbohydrates and high in fiber. Follow‐up evaluations were done at 1, 2,
4, 6, 8, 12 weeks. At each re‐evaluation a physical exam, blood glucose curve (BGC)
and serum fructosamine concentrations were performed. The glycemic control was classified
as good on the basis of absence of PU/PD, body weight stability, normal attitude/activity
and >50% of the values in the BGC within 90 and 270 mg/dL. Eight dogs were treated
with lente and 12 with NPH insulin. At the time of diagnosis (T0) both groups were
homogenous considering age, body weight, gender, serum glucose concentrations and
serum fructosamine concentrations. At the last re‐evaluation (T12) mean(±SD) glucose
concentrations of BGCs and median(range) serum fructosamine concentrations evaluated
in the lente group were 279 mg/dL (±53), 474 μg/dL (336–749) and in the NPH group
were 219 mg/dL (±114), 419 μg/dL (292–597), respectively; such differences were not
significant between groups. Median(range) lente insulin dose per injection at T0 [0.35
U/kg (0.3–0.6)] was significantly lower (P = 0.007) compared with T12 (0.6 U/kg;0.4–0.9);
median dose of NPH was not significantly different between T0 (0.3 U/kg; 0.1–0.4)
and T12 (0.5 U/kg;0.2–0.7). Median fructosamine concentrations at T12 were significantly
lower (P = 0.01) compared to T0 in the NPH group but not in the lente group (P = 0.4).
At T12 good glycemic control was found in 25% (2/8) and in 75% (9/12) of dogs treated
with lente and NPH insulin, respectively; however the difference was not significant
(P = 0.06). Hypoglycemic events (nadir <90 mg/dL) were identified in 4 patients (4%
of the BGCs in the lente group and 7% in the NPH group) and such difference was not
significant. According to our preliminary results the use of both insulin preparates
is effective in the treatment of dogs with DM, however the success rate with NPH insulin
seems to be greater than that with lente insulin.
Disclosures
In the past FF has received financial support for continuing education courses organized
by MSD which produces Caninsulin. The diet for the study was provided for free by
Royal Canin. GG is the owner of the laboratory (Laboratorio la Vallonea) that performed
all the laboratory analysis without costs for the owners.
ESVE‐O‐3
Healthy Overweight and Diabetic Cats Have Increased Levels of Feline Pancreatic Lipase
Immunoreactivity
I.N. Kieler, B.J. Krabbe, C.R. Bjornvad.
University of Copenhagen, Frederiksberg, Denmark
Obesity is a risk factor of canine and human pancreatitis. Obese older cats have an
increased risk of developing diabetes, and pancreatitis is a common comorbidity of
diabetic cats. Obesity in cats has however not previously been associated with pancreatitis.
The aim of this study was to investigate if there is a difference in the serum levels
of pancreatic lipase immunoreactivity (fPLI), trypsin‐like immunoreactivity (fTLI)
and cobalamin between clinically healthy lean and overweight compared to diabetic
cats >6 years of age.
Diabetic cats were recruited from the patient population of the University Hospital
for Companion Animals, while the clinically healthy cats were primarily recruited
through advertisements. Fifty‐two indoor‐confined cats were included (12 diabetic,
22 overweight and 18 lean) underwent a physical examination, and hemogram, biochemistry,
quantitative fPLI, fTLI and cobalamin measurements were performed. ANOVA was used
to analyze if diabetes, body condition or age was associated with the log‐transformed
levels of fPLI, fTLI and cobalamin. Pearson's Chi2 test was used to compare the proportions
of diabetic, overweight and lean cats with fPLI and fTLI indicative of pancreatitis
(fPLI >5.4 μg/L and fTLI >400 ng/mL). Results are given as median [range].
Compared to clinically healthy lean cats, diabetic cats had higher levels of fPLI
(1.45 [0.8–4.75] versus 4.75 [0.8‐ 26.6] μg/L, P < 0.01) and the proportion of diabetic
cats with a level of fPLI and fTLI indicative of pancreatitis was also larger (P ≤ 0.01).
Compared to lean cats, overweight cats had lower cobalamin (P = 0.02) and tended to
have higher levels of fPLI ((1.45 [0.8–4.75] versus 2.10 [0.7‐ 13.2] μg/L, P = 0.05).
A larger proportion of obese cats had fPLI indicating pancreatitis (P = 0.03). No
difference was found when comparing fPLI levels of diabetic and obese cats (P = 0.18).
Compared to cats 6–10 years of age, clinically healthy cats >10 years of age had higher
levels of fPLI (P = 0.04), lower cobalamin (P = 0.002) and a larger proportion of
cats (P = 0.03) had fTLI>400 ng/mL, indicating pancreatitis.
Diabetic and overweight cats have higher levels of fPLI compared with lean cats. Whether
this correlates with increased prevalence of subclinical pancreatitis remains to be
determined. Cats more than 10 years of age have increased levels of fPLI and lower
cobalamin and this association may exist for fTLI, as well.
Disclosures
No disclosures to report.
ESVE‐O‐4
Molecular Analyses of Pituitary Somatostatin and Dopamine Receptors in Feline Hypersomatotropism
C.J. Scudder
1, S. Mirzcuk1, K.M. Richardson1, R. Gostelow1, Y. Forcada1, I. Mcgonnell1, D.C. Church1,
P. Kenny1, M. Korbonits2, R.C. Fowkes1, S.J. Niessen1.
1Royal Veterinary College, North Mymms, UK, 2Barts and the London School of Medicine,
London, UK
Feline hypersomatotropism (HS) (which results in acromegaly) is typically caused by
a growth‐hormone (GH) secreting pituitary adenoma and is thought to be a common cause
of feline diabetes mellitus. Medical pituitary inhibition has been challenging in
some humans and cats with this condition. This could be related to variable expression
of somatostatin (SSTR) and dopamine (DR) receptor expression. There are five different
SSTR subtypes (SSTR1‐5) and five different subtypes of DRs, with D2R being the predominant
DR subtype in the human pituitary. Pasireotide, a somatostatin analogue with high
binding affinity to SSTR1, SSTR2 and SSTR5, is effective at controlling GH secretion
in feline acromegalics but somatostatin analogues with high binding affinity to SSTR2
(octreotide and lanreotide) are not. The aim of this study was to document the receptor
expression in feline somatotrophinomas and to compare this to the healthy feline pituitary.
We utilised a novel customised multiplex RT‐qPCR assay to investigate the expression
profile of the somatostatin and dopamine receptors in GH‐secreting pituitary adenomas.
Pituitary adenoma RNA was extracted from 20 GH‐secreting adenomas and eight control
cats followed by multiplex RT‐qPCR analyses for multiple genes, including somatostatin
receptors (SSTR1‐5), dopamine receptor (D2R), growth hormone receptor, growth hormone
secretagogue receptor and the housekeeper RPL18.
The normalised gene expression of SSTR1‐5 in acromegalic cats was SSTR1 = SSTR5 >
SSTR2 vs SSTR5 = SSTR1 = SSTR2 in control cats. SSTR3 and SSTR4 were undetectable.
Expression of SSTR1, 2 and 5 were upregulated in acromegalics vs controls (SSTR1:
P = 0.006, SSTR2: P = 0.005, SSTR5: P < 0.001) and the magnitude of upregulation varied
between the somatostatin receptors (SSTR1 increased x9 [95% CI 4–12], SSTR2 increased
x6.5 [95% CI 2.5–8.5] and SSTR5 increased x4 [95% CI 2–4]. D2R gene expression was
not significantly different between tumorous or normal pituitary tissue; within the
hypersomatotropism group D2R exhibited a moderate negative correlation with pituitary
volume (r = ‐0.62, P < 0.01, Rsquare 0.39).
Feline GH‐secreting adenomas expressed SSTRs are similar to human GH‐secreting adenomas,
having higher SSTR1, 2 and 5 expression than SSTR3 and 4. However, the higher expression
of SSTR1 and SSTR5 vs SSTR2 than in most humans may explain the greater biochemical
response to pasireotide than octreotide. Decreased D2R expression in larger tumours
may be a mechanism allowing unchecked adenoma growth. The receptor expression profiles
of feline GH‐secreting adenomas will help the search for improved medical management
options of feline hypersomatotropism.
Disclosures
This data was presented as a poster abstract at ENDO2016, Boston, USA.
ESVE‐O‐5
Markers of Pancreatic Inflammation and Lipid Profile in Dogs With Diabetes Mellitus
C. Arenas, M. Herrtage, T. Williams, L. Davison.
University of Cambridge, Cambridge, UK
The relationship between canine diabetes mellitus (DM), hyperlipidaemia and pancreatitis
has long been recognised; however the question of cause or consequence in this relationship
remains unclear. This study aimed to identify correlations between serum lipid concentrations
and biomarkers for pancreatitis (1,2‐o‐dilauryl‐rac‐glycero glutaric acid‐(6′‐methylresorufin)
ester [DGGR] lipase) and for inflammation (C‐reactive protein [CRP]) in diabetic dogs,
which could support a causal relationship between hyperlipidaemia and pancreatitis
in DM.
Twenty four diabetic dogs (DM) and 28 control dogs (CON) were included in this retrospective
study. Control dogs had no evidence of inflammatory or pancreatic disease. Seven dogs
with histologically confirmed chronic pancreatitis (CP) without DM were also included.
Due to change in the reference interval (RI) during the study, lipase measurements
are represented as a proportion of the upper limit of the RI. In the DM, CON and CP
groups, median [range] lipase was 0.98 [0.16–38.86], 0.47 [0.15–1.59] and 0.32 [0.22–2.27]
respectively. Median [range] CRP (RI <2.2–8.2 mg/L) was <2.2 [<2.2–55.60], <2.2 [<2.2–13.20]
and 10.65 [2.40–24.20] respectively. The differences between DM and CON group were
statistically significant (p£0.017) for lipase and CRP, but no significant differences
were identified between the DM and CP groups. Between the CP and CON groups, only
CRP was significantly different (P < 0.001).
Median [range] triglycerides (RI 0.4–1.3 mmol/L) were 2.6 [0.50–33.80], 0.7 [0.20–9.10]
and 0.9 [0.58–5] in the DM, CON and CP groups respectively. Median [range] cholesterol
(RI 3.3–6.5 mmol/L) was 10.47 in the DM group [5.32–21.13] and 6.36 [3.33–13.40] in
the CON group. Cholesterol concentrations were not available for all CP dogs. Triglycerides
and cholesterol were significantly higher in dogs with DM (P < 0.001) compared to
CON dogs. There was a weak positive correlation between lipase and CRP (rs=0.443;
P = 0.021) in the DM group, not found in the CP group or the CON group. However neither
CRP nor lipase showed a significant correlation with cholesterol or triglycerides
in the DM group. In the CON group there was a weak positive correlation between lipase
and TG (rs=0.435; P = 0.021).
The results of this study add to the evidence that DM is an inflammatory disease,
commonly associated with acute pancreatic inflammation. This study also illustrates
the poor sensitivity of DGGR lipase, but potential clinical utility of CRP, for recognition
of CP. In this study, although the lipid profile of dogs with DM was abnormal, lipid
concentrations were not correlated with inflammatory or pancreatic biomarkers in these
patients.
Disclosures
Disclosures to report.
Employee/salary: Carolina Arenas's residency is sponsored by Royal Canin.
Grants/research: part of this study was funded by Royal Canin.
Travel support: Travel to the congress for Carolina Arenas is sponsored by Royal Canin.
ESVE‐O‐6
Thyroid Cysts in Cats: A Retrospective Study of 37 Cases
M.L. Miller1, M.E. Peterson
2, J.F. Randolph1, M.R. Broome3, G.D. Norsworthy4, M. Rishniw1.
1Cornell University College of Veterinary Medicine, Ithaca, NY, USA, 2Animal Endocrine
Clinic, New york, NY, USA, 3Advanced Veterinary Medical Imaging, Tustin, CA, USA,
4Alamo Feline Health Center, San antonio, TX, USA
Thyroid cysts are uncommonly observed in hyperthyroid cats. Although treatment of
feline hyperthyroidism is well characterized, the long‐term prognosis and ideal therapy
for cats with thyroid cysts is unclear. Therefore, we examined clinical findings and
treatment responses of a series of cats with thyroid cysts.
Medical records of cats confirmed to have thyroid cysts by technetium scan, ultrasound,
or necropsy from 2005–2016 were reviewed. Signalment, clinical features, imaging procedures,
diagnostic tests, treatment protocols, and outcomes were recorded.
Thirty‐seven cats were identified; 35/37 cats were hyperthyroid. Median time from
initial diagnosis of hyperthyroidism to cyst diagnosis was 18 (1–96) months. Clinical
signs included palpable neck mass (24/37), weight loss (14/37), dysphagia (7/37),
poor appetite (5/37), and dyspnea (4/37). Median aspirated cyst fluid volume in 19/37
cats was 23 (1–300) mL. Advanced imaging in 36/37 cats and necropsy in 1 cat confirmed
small (<2 cm3), medium‐large (2–8 cm3), and huge (>8 cm3) thyroid cysts in 9/37 (24%),
7/37 (19%), and 21/37 (57%) cats, respectively. Cats with huge thyroid cysts were
more likely to display dysphagia or dyspnea.
Prior methimazole and radioiodine (131I) treatment was recorded in 27/35 and 1/35
hyperthyroid cats, respectively; 26/35 hyperthyroid cats with cysts underwent subsequent
131I treatment (13 receiving ≤400 mBq and 13 receiving >600 mBq). Hyperthyroidism
resolved in 21/23 cats with follow‐up data; thyroid cyst resolved in 3/8 cats receiving
≤400 mBq and 8/10 cats receiving >600 mBq 131I. Three cats underwent post‐131I thyroid
cystectomy for removal of residual thyroid cysts without complication. Four cats underwent
initial thyroid cystectomy without 131I therapy; of these, 3 were euthanized postoperatively
for refractory hypocalcemia. Histopathologic findings on the 7 cats undergoing thyroidectomy
revealed thyroid carcinoma (3) and adenomatous hyperplasia (4).
Thyroid cysts may be encountered in hyperthyroid, and rarely euthyroid, cats. Clinical
signs related to the compressive effect of the cyst include dysphagia and dyspnea.
Advanced imaging helps characterize the cyst. Small cysts might not require specific
intervention but huge cysts can be difficult to cure. High ablative doses of 131I
appear to resolve the cyst more effectively than smaller doses. Thyroid cystectomy
as primary treatment appears contraindicated (due to high risk of hypoparathyroidism),
but use of surgical thyroid cystectomy following 131I therapy can be considered in
cats warranting further intervention when hyperthyroidism resolves but large cysts
persist.
Disclosures
No disclosures to report.
ESVE‐O‐7
Does Hypercalcitoninism Contribute to Hypocalcaemia in Hyperthyroid Cats?
T.L. Williams
1, D.H.N. van den Broek2, J. Elliott2, H.M. Syme2.
1University of Cambridge, Cambridge, UK, 2Royal Veterinary College, London, UK
Hyperthyroid cats have lower blood ionised calcium concentrations (iCa), and greater
plasma parathyroid hormone (PTH) and calcitriol concentrations when compared to healthy
older cats. The increased PTH (and calcitriol) concentrations are appropriate compensatory
responses to hypocalcaemia, which could contribute to renal injury in hyperthyroidism.
Calcitonin inhibits osteoclastic bone resorption, decreases renal calcium reabsorption
and decreases intestinal calcium absorption, therefore elevated plasma calcitonin
concentrations could explain the observed relative hypocalcaemia in hyperthyroid cats.
Previous studies have suggested that serum calcitonin concentrations are often undetectable
in healthy adult and hypercalcaemic cats, whereas serum calcitonin concentrations
are elevated in human Graves’ disease patients. This study aimed to evaluate plasma
calcitonin concentrations in hyperthyroid cats and identify if an association with
iCa exists.
Newly diagnosed hyperthyroid cats from two London‐based first opinion practices were
recruited into the study. iCa (measured by iSTAT) and plasma calcitonin concentrations
(measured by previously validated immunoradiometric assay) were measured at the time
of diagnosis and at the time of establishment of euthyroidism. The limit of blank
(LOB) of the assay was 1.2 pg/mL. The Mann‐Whitney U test was used to compare plasma
calcitonin concentrations between hypocalcaemic (iCa <1.18 mmol/L) and normocalcaemic
hyperthyroid cats, and the Wilcoxon signed rank test was used to evaluate the change
in plasma calcitonin concentrations following treatment. Spearman's rank correlation
was used to evaluate the correlation between baseline plasma calcitonin concentrations
and iCa and plasma total thyroxine concentration (TT4). Statistical significance was
defined as P < 0.05.
Thirty seven hyperthyroid cats were recruited into the study. Five cats were classified
as hypocalcaemic and thirty two cats were classified as normocalcaemic. Baseline plasma
calcitonin concentrations were detectable in four cats; one hypocalcaemic cat (1.4 pg/mL)
and three normocalcaemic cats (1.3, 1.5, 2.4 pg/mL) and below the LOB in the remaining
cats. Plasma calcitonin concentrations were not significantly different between hypocalcaemic
and normocalcaemic cats (P = 0.510). Following treatment, plasma calcitonin concentrations
did not change significantly and remained below the LOB in 9/14 cats (n = 14; P = 0.116).
There was no correlation between baseline plasma calcitonin concentration and iCa
(rs= ‐0.01; P = 0.954) or TT4 (rs= 0.114; P = 0.5).
Plasma calcitonin concentrations were undetectable in most hyperthyroid cats and were
not associated with iCa, which suggests that hypercalcitoninism is not a mechanism
for the development of hypocalcaemia in these patients. The cause of hypocalcaemia
in hyperthyroid cats remains enigmatic.
Disclosures
No disclosures to report.
ESVE‐O‐8
Hyperthyroid Cats Develop Transient or Persistent Subclinical Hypothyroidism After
Successful Radioiodine Treatment
M.E. Peterson
1, M. Rishniw2.
1Animal Endocrine Clinic, New york, NY, USA, 2Cornell University, Ithaca, NY, USA
After radioiodine (131I) treatment, hyperthyroid human patients often exhibit overt
or subclinical hypothyroidism, defined biochemically as high serum TSH with low or
normal thyroid hormone concentrations, respectively (Endocr Pract 2012;18:988; Thyroid
2012;22:1200). This can be transient, with recovery of thyroid function after a few
months, or, most commonly, permanent. Onset of permanent hypothyroidism can be delayed
for many months or even years after 131I treatment.
Whether cats develop similar patterns of 131I‐induced hypothyroidism is unknown, but
hypothyroidism has generally been considered uncommon, transient, or clinically irrelevant.
Therefore, we investigated the prevalence of 131I‐induced hypothyroidism in cats to
determine its onset, duration (transient or persistent), and clinical relevance.
569 hyperthyroid cats, successfully treated with low‐dose 131I (median dose, 78 mBq),
underwent assessments of serum T4 and TSH concentrations at 1, 3, 6, 12, and ≥18 months
post‐treatment. Cats that developed high TSH concentrations were classified as having
either overt or subclinical hypothyroidism (based on finding of low or normal T4 value,
respectively).
At 1 month, 15% of cats were hypothyroid; of these, 27% were overtly hypothyroid.
Subsequently, 11%, 9%, 5%, and 9% of remaining cats became hypothyroid at 3, 6, 12,
and ≥18 months (resulting in a total of 23% of all cats); 95% of these had subclinical
hypothyroidism. Very few cats manifested obvious clinical signs associated with hypothyroidism;
however, the prevalence of new or worsening azotemia was significantly higher in hypothyroid
cats than in euthyroid cats. Levothyroxine supplementation (30 cats) significantly
decreased both serum TSH and creatinine concentrations.
Of cats with untreated hypothyroidism, 30% subsequently normalized their high TSH
(and low T4) concentrations within 3–21 months (median, 6 months); 25% of these cats
with transient hypothyroidism took ≥12 months to normalize. High TSH concentrations
persisted in the remaining 70% of cats for periods of 6–33 months (median, 9 months).
Our results show that about 25% of 131I‐treated cats develop subclinical hypothyroidism,
even after low 131I doses; however, only a small proportion develop overt hypothyroidism.
Cats can develop hypothyroidism at any time, even ≥18 months post‐treatment. Approximately
30% will recover normal thyroid function within a few months, but hypothyroidism persists
for months in most cats. New or progressive azotemia appears to be the most important
clinical feature associated with feline hypothyroidism. Whether hypothyroid cats (especially
subclinical) without azotemia should be treated with L‐T4 is unclear, especially when
serum T4 concentrations remain well within the reference interval.
Disclosures
No disclosures to report.
ESVE‐O‐9
The Repeatability of Various Cortisol Measurements in Clinically Stable Dogs With
Hyperadrenocorticism Being Treated With Trilostane
I.K. Ramsey
1, F. Fracassi2, S. Galac3, L. Macfarlane1, C.E. Reusch4.
1University of Glasgow, Glasgow, UK, 2University of Bologna, Bologna, Italy, 3Utrecht
University, Utrecht, the Netherlands, 4University of Zurich, Zurich, Switzerland
Monitoring cortisol concentrations is an established method of assessing trilostane
treatment. However the repeatability of these measurements has never been examined.
Dogs with hyperadrenocorticism that were receiving trilostane were recruited to a
multi‐centre open label prospective study. Cortisol concentrations were measured at
3 different times: pre‐trilostane, 3 hours post‐trilostane and 1 hour post‐ACTH stimulation.
These measurements were repeated at intervals of 4 to 8 weeks for up to 4 repeats.
The dose of trilostane was adjusted at the discretion of the attending veterinarian.
When dogs had received the same dose of trilostane for a minimum of 3 weeks before,
and between, 2 consecutive tests then co‐efficients of variation (CV%) were calculated
from the results.
Mann‐Whitney U tests were used to examine for significant differences between the
individual groups of cortisol values and between groups of CV%. Univariate and multiple
step‐wise linear regression analyses were used to assess any association between a
range of factors and the cortisol and CV% results. The 4 centres used the same chemiluminescent
assay and had a median CV% of 7.8% (range 4.6 to 14.7%) in their cortisol measurements
submitted to the ESVE‐EQA scheme.
A total of 35 dogs were recruited and 123 monitoring tests performed. From this population
there were 21 dogs that had 45 pairs of results with the same total daily dose of
trilostane however 11 pairs from one centre did not have post‐ACTH cortisol. There
was no significant difference between the absolute cortisol concentrations measured
pre‐trilostane (median = 114.0 nmol/l) or post‐ACTH stimulation (median = 110.0 nmol/l),
however the post‐trilostane cortisol (median = 53.5 nmol/l) was significantly lower
than both. There were significant associations between pre‐trilostane cortisol and
one centre, pre‐trilostane cortisol and female entire dogs, and also post‐ACTH cortisol
and the number of revisits.
There was no significant difference between the CV% of the post‐trilostane (median
= 28.3%) and post‐ACTH stimulation cortisol (median = 33.8%), however the CV% of pre‐trilostane
cortisol (median = 12.0%) was significantly lower than both. There were significant
associations between post‐ACTH cortisol CV% and dose, post‐ACTH cortisol CV% and HAC
type, and also post‐trilostane cortisol CV% and centre.
It was concluded that pre‐trilostane cortisol is significantly more repeatable than
either post‐trilostane or post‐ACTH stimulation cortisol in dogs that are kept on
the same dose for 4 to 8 weeks. Further studies are underway to assess the reliability
of this measure as a predictor of clinical response.
Disclosures
Disclosures to report.
This study was sponsored by Dechra Products Ltd. Many of the patients in this study
received free medication or reduced laboratory fees. The authors have all received
financial support for endocrine research from Dechra in the past. In addition authors
have received financial support for endocrine and other clinical research projects
from the AniPOC Ltd, Nestle Purina, Hills, Provet, Antlia SA, Glycemicon and from
the clinical studies fund of the ECVIM‐CA, BSAVA Petsavers, University of Glasgow
Veterinary Fund and from the Society of Comparative Endocrinology. All of the authors
have been paid for providing continuing professional development for a wide range
of commercial companies and not‐for‐profit organisations around the world. One author
is currently a consultant for Boehringer Ingelheim and has been a consultant for Novartis
Animal Health in the past.
ESVE‐O‐10
Steroidogenic Factor‐1 Inverse Agonists As a Treatment Modality of Canine Hypercortisolism:
In Vitro Investigation
K. Sanders, J.A. Mol, A. Slob, H.S. Kooistra, S. Galac.
Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
Canine hypercortisolism is usually treated medically with either mitotane or trilostane.
They are both effective in suppressing cortisol secretion and a good treatment option
in case of pituitary‐dependent hypercortisolism, but in case of a cortisol‐secreting
adrenocortical tumor (AT), a suppressive effect on the AT growth is desirable as well.
This can be achieved with high dosages of mitotane, however this approach is associated
with side effects and there is a concern about mitotane toxicity in households with
pregnant women and/or children. Steroidogenic factor‐1 (SF‐1), an orphan nuclear hormone
receptor, is a key regulator of both adrenal steroidogenesis and proliferation. Modulation
of SF‐1 activity could possibly be an interesting therapeutic target in canine hypercortisolism.
The aim of this study was to investigate the effects of SF‐1 inverse agonists on steroidogenesis
and proliferation in canine primary adrenocortical cell suspensions. Three types of
SF‐1 inverse agonists were tested: IsoQ A (SID7969543 (#IsoqA)), #compound 31 (F1808‐0154,
(#31)) and #compound 32 (F1808‐0165, (#32)). Eight adrenocortical cell suspensions
from healthy dogs and three from patients with an AT were incubated with four concentrations
per compound (10‐8, 10‐7, 10‐6 and 10‐5 M). In normal adrenocortical cell suspensions,
synthetic ACTH was added to mimic hypercortisolism. Effects of SF‐1 inverse agonists
were determined by cortisol measurements in the culture media, and mRNA relative expression
of steroidogenic enzymes, SF‐1 and melanocortin type 2 receptor (MC2R), with RT‐qPCR
analysis. Proliferative effect was assessed by EdU assay.
In ACTH‐stimulated and non‐stimulated normal adrenocortical cells, the highest concentration
of #31 significantly (P < 0.0001 and P = 0.01, respectively) inhibited cortisol concentrations
to 39% and 46% of DMSO vehicle control, respectively. Compound #32 and IsoqA had no
significant effect on cortisol production. In non‐stimulated adrenocortical suspensions,
#31 significantly reduced mRNA expression of CYP17 (P = 0.007) and CYP11B (P = 0.006),
the most important enzymes in cortisol synthesis. In the three AT suspensions, #31
was the most effective in reducing cortisol production. Mean cortisol concentrations
for the highest concentration of #31 ranged from 20–40% compared to the DMSO vehicle
control. The EdU assay demonstrated no clear effect of SF‐1 inverse agonists in adrenocortical
cell suspensions of healthy dogs and a minimal effect in AT cell suspensions.
In conclusion, in vitro studies demonstrate that SF‐1 inverse agonist #31 is an effective
inhibitor of cortisol production. Its effect on proliferative capacity of AT cells
warrants further evaluation in future studies about this new medical treatment option
for hypercortisolism.
Disclosures
Disclosures to report.
S. Galac received funding for adrenocortical tumor research from Morris Animal Foundation
(D15CA‐052) and the AKC Canine Health Foundation (Grant 02011).
ESVE‐O‐11
Long Term Follow up of Dogs Diagnosed With Pitutary Dependent Hyperadrenocorticism
Treated by Gamma Knife Radiosurgery
A. Vicente Montaña
1, R. Martínez2, N.E. Martínez2, G. Rey2, J. Escribano Vera2, D. Pérez Alenza1.
1Complutense University, Madrid, Spain, 2Hospital Ruber Internacional, Madrid, Spain
Dogs with pituitary hyperadrenocorticism (HAC) are usually treated with trilostane
to reduce hypercortisolism. However, surgical removal or radiotherapy of the pituitary
tumor might be useful, especially in animals with large tumors. Radiosurgery performed
in a Gamma knife equipment designed to apply a single dose distributed from 192 converging
beams, in stereotaxic conditions, has been proposed as a definitive treatment in dogs
with pituitary HAC.
This study, approved by the Ethics Committee of Animal Experimentation of the University
Complutense Madrid, included 12 dogs diagnosed with HAC. Dogs were of different breeds,
7 females and 5 males, with an age ranged from 8 to 12 years (mean ± SD 10.38 ± 1.39 years).
Under stereotaxic conditions and anesthetized, animals were studied in a high magnetic
field (3T) MRI, and underwent to radiosurgery at the Ruber International Hospital
(Madrid). Dogs were followed‐up after radiosurgery and clinical, laboratorial and
control of HAC was evaluated in every visit. Time and cause of death were registered.
Results of MRI showed the presence of pituitary microadenoma in 7 dogs and masses
greater than 10 mm (diagnosed as macroadenomas) in 5 animals. Treatment (mean ± SD)
doses administered was 30.0 ± 3.2 Gy; with a range of 25.0 to 35.0 Gy.
Good control of HAC was achieved in dogs with microadenoma between 3 to 6 months after
treatment without trilostane (n = 6). In dogs with macroadenoma, a reduction in neurological
signs was observed within the first week after treatment, but trilostane was required
to control HAC, with lower dosages than before radiosurgery.
Short time and midterm secondary effects were not observed. One dog developed hypothyroidism
2 years after radiotherapy. One dog diagnosed with macroadenoma died due to diencephalic
radionecrosis at 348 days. A tumor recurrence was observed at 515 days (n = 1).
Mean survival time in dogs diagnosed with microadenoma was 1123 ± 873.14 days, with
a range of 40 to 2798 days. Mean survival time in dogs diagnosed with macroadenoma
was 375 ± 232.14 days, (ranging from 181 to 751 days). Survival times in dogs with
microadenomas are longer than the observed in other studies in dogs with HAC using
mitotane (mean 985 ± 57 days) or trilostane (mean 1051 ± 78 days). In dogs with macroadenoma,
survival times are similar to reported with fractionated radiotherapy.
Gamma Knife radiosurgery is a noninvasive and effective procedure to treat dogs with
pituitary HAC, and is especially useful in dogs with macroadenoma.
Disclosures
No disclosures to report.
ESVE‐O‐12
Evaluation of The Efficacy and Safety of A New Formulation of Desoxycortone Pivalate
(DOCP) For Treating Primary Hypoadrenocorticism (PH) in Dogs Either Newly Diagnosed
with PH, or Previously Treated with Fludrocortisone
B. Mason, H. Farr, S. Longhofer.
Dechra Ltd, Overland Park, USA
Fludrocortisone and DOCP are both mineralocorticoid replacement therapies for dogs
with PH. A change from fludrocortisone to DOCP is often prompted by adverse events
or inadequate control of PH.
A comparison of clinical signs and Na+, K+ concentrations or the Na+/K+ ratio was
made between Zycortal‐treated dogs previously treated with fludrocortisone, versus
new cases not treated with fludrocortisone, from a multi‐centre randomised clinical
trial investigating the efficacy and safety of a new prolonged‐release suspension
of DOCP (Zycortal, Dechra Ltd) in the treatment of PH.
Cases (n = 107) were retrospectively grouped based on pre‐study treatment history:
cases treated long‐term with fludrocortisone (≥ 30 days): (LT; n = 12); cases treated
short‐term with fludrocortisone (≤ 7 days) (ST; n = 19); newly diagnosed cases never
treated with fludrocortisone (NF; n = 76). Dogs were administered Zycortal at an initial
dose of 2.2 mg/kg subcutaneously, with subsequent doses administered approximately
every 30 days for up to 5 months. Treatment success on Days 90 and 180 occurred when
the veterinarian assessed the case as improved, or unchanged (if not new cases of
PH) compared to baseline (veterinarian‐assessed improvement), and Na+ and K+ concentrations
or the Na+/K+ ratio were within the reference range. Dogs were concurrently treated
with prednisolone or prednisone.
The majority of dogs were purebred, young to middle aged (mean 4.7 years), with males
and females equally represented. Treatment success was similar (P = 0.8023) at Day
90 with 81.8, 82.4 and 87.3% for the LT, ST and NF Groups, respectively and at Day
180 with 100, 91.7 and 84.2% (P = 0.8301) for these respective Groups. Veterinarian‐assessed
improvement was > 99% for all groups on Days 90 and 180. The LT dogs had normal Na+
(73%) and K+ (55%) concentrations on Day 0; by Days 90 and 180, 91 and 100% of LT
dogs had normal concentrations of both Na+ and K+. On Day 0, < 20% of ST and NF dogs
had normal Na+ and K+ concentrations; however, by Days 90 and 180, > 87% of these
dogs had normal Na+ and K+ concentrations.
Adverse events reported most frequently in all groups were polyuria/polydipsia and
vomiting.
Zycortal was equally effective in managing clinical signs and electrolyte concentrations
in newly diagnosed cases of PH compared to cases previously treated with fludrocortisone,
showing beneficial effects on electrolyte normalisation. Dogs previously receiving
fludrocortisone were successfully transitioned to Zycortal.
Disclosures
All authors are employees of Dechra Ltd, the manufacturer of Zycortal. The study was
funded by Dechra.
ESCG – European Society of Comparative Gastroenterology
ESCG‐O‐1
Methylmalonic Acid Concentrations in Dogs with Hypocobalaminemia Treated With Oral
Versus Parenteral Cobalamin Supplementation
L. Toresson
1,2, J.M. Steiner3, J. Suchodolski3, T. Spillmann1.
1Helsinki University, Helsinki, Finland, 2Evidensia Specialist Animal Hospital, Helsingborg,
Sweden, 3Texas A&M University, College station, USA
Cobalamin (cbl) deficiency is a prevalent sequel to chronic enteropathies (CE) in
dogs and the current supplementation protocols call for repeated parenteral injections.
This group has recently published a retrospective study in dogs with CE and hypocobalaminemia,
in which oral cbl supplementation appeared effective. However, intracellular markers
of cbl status, such as methylmalonic acid (MMA) concentrations, were not evaluated.
The purpose of this study was to compare MMA concentrations after oral (PO) versus
parenteral (PE) cbl supplementation in dogs with signs of CE and hypocobalaminemia.
Dogs with signs of CE and serum cbl below 210 pmol/l (reference interval: 180–708
pmol/l) were included. Supplementation was prescribed using a block‐randomized pre‐designed
schedule as either daily oral cbl tablets, using the treatment protocol from the retrospective
study (http://onlinelibrary.wiley.com/doi/10.1111/jvim.13797/full), or parenteral
cbl according to a current protocol (http://vetmed.tamu.edu/gilab/research/cobalamin-information#-dosing).
The study was approved by the local ethichs committee and started in March 2014. Serum
MMA concentrations were analyzed using a stable isotope dilution GC‐MS method (reference
interval 415–1193 mmol/l).
36 dogs aged 1.8–12 years (median 6) of 21 different breeds were included; 19 in the
PO group and 17 in the PE. As previously reported, serum cbl concentrations improved
significantly in all dogs. Comparisons between the groups were performed using Mann
Whitney test and comparisons within the groups using Wilcoxon matched‐pairs signed
rank test. At inclusion, there was no statistical difference in MMA concentrations
between the groups (P = 0.944). The initial median (range) MMA concentration was 923 mmol/l
(566–2468) in the PO group and 934 mmol/l (508–1900) in the PE group. After 4 weeks
of supplementation, median MMA concentrations had decreased significantly to 672 mmol/l
(386–1465) in the PO group and 724 mmol/l (377–932) in the PE group (P < 0.0001 in
both groups). There was no statistical difference between the PO and PE group after
4 weeks (P = 0.99). Furthermore, there was no statistical difference between MMA concentrations
after 4 and 12 weeks of treatment, either in the PO group (n = 16; P = 0.71) or in
the PE group (n = 13; P = 0.89). After 12 weeks of treatment, median MMA serum concentration
in the PO group was 735 mmol/l (450–1221) and 671 mmol/l (349–1145) in the PE group,
with no statistical difference between the groups (P = 0.77).
Our results suggest that oral cbl supplementation appears as effective as parenteral
in improving the cellular cobalamin status.
Disclosures
No disclosures to report.
ESCG‐O‐2
Long‐Term Implications of Canine Parvovirus Infection
S. Unterer, E. Kilian, R.S. Mueller, G. Wess, K. Hartmann.
Clinic of Small Animal Medicine, Munich, Germany
Canine parvovirus (CPV) is the most important viral cause of canine enteritis leading
to severe damage of the intestinal barrier. No studies regarding long‐term implications
of CPV infection have been published to date. The aim of this study was to evaluate
whether dogs that have survived from CPV infection will have an increased risk for
developing chronic gastroenteritis, atopic dermatitis, or cardiac disease later in
their lifes.
Dogs that had been treated at the Clinic of Small Animal Medicine, Ludwig‐Maximilians‐Universitaet
Munich, for CPV infection for which a follow‐up of at least 12 months was available,
were included in the study. Their owners had to complete a questionnaire on the presence
of chronic gastrointestinal and cutaneous signs, cardiac disease, and other potential
disorders. An identical questionnaire was sent out to owners of a breed‐ and age‐matched
control group during the same time period. Fisher's exact test was used for statistical
analysis.
Seventy‐one questionnaires of dogs with CPV infection and 67 of control dogs were
analyzed. Significantly more CPV‐infected dogs (30/71) compared to control dogs (8/67)
had developed chronic gastrointestinal signs later in their lifes (P < 0.001). No
significant differences could be observed regarding dermatologic and cardiac disorders.
The results of this study suggest that dogs that survive CPV infection have a significantly
higher risk for developing chronic gastrointestinal disease. Further prospective studies
to assess the risk assessment and prevent these long term effects are needed.
Disclosures
No disclosures to report.
ESCG‐O‐3
Validation of A Dysbiosis Index to Assess Microbiota Changes in Fecal Samples of Dogs
J. Suchodolski
1, M.K. Alshawaqfeh2, I. Mcneely1, J.A. Lidbury1, J.M. Steiner1, E. Serpedin2.
1GI Lab, Texas A&M University, College station, USA, 2Department of Electrical and
Computer Engineering, Texas A&M University, College station, USA
Recent 16S rRNA gene sequencing studies have described alterations in the gut microbiota
of dogs with CE compared to healthy dogs. Disadvantages of using a sequencing based
approach are the relatively high cost, as well the turnaround time to receive sequencing
results. Recently we developed a PCR panel that targets specific bacterial groups
that have been found to be consistently altered in dogs with CE. The results of the
PCR panel are expressed using a mathematical algorithm that reports microbiota changes
as a single numerical value (dysbiosis index). A negative DI indicates normobiosis,
whereas a DI > 2 indicates dysbiosis. A DI between 0 and 2 is in the questionable
range. The aim of this study was to analytically validate the DI index and also to
assess the influence of storage temperatures.
Fecal samples were obtained from healthy dogs and dogs with chronic diarrhea. To test
inter‐assay variability, feces from 3 dogs each were divided into 10 aliquots and
analyzed separately. To assess day‐to‐day variability, three consecutive samples were
tested from 2 healthy and 3 diseased dogs. Fecal samples were also exposed to different
storage temperatures and also underwent 5 consecutive repeated freeze‐thaw cycles.
Fecal DNA was extracted from each sample and analyzed for 7 bacterial groups using
quantitative PCR (qPCR) assays, and results of bacterial groups expressed as an index.
Inter‐assay variability for 3 samples run 10 consecutive times each in the positive
and negative DI range revealed a classification error of 10%. Classification error
rate for day‐to‐day variation was 8.25% for the 5 samples tested. The DI was stable
at 4C and ‐20C for up to 3 weeks (classification error 0% for 5 samples). Up to three
freeze‐thaw cycles did not alter the interpretation of the dysbiosis index.
In conclusion, a qPCR based dysbiosis index was analytically validated and showed
satisfactory performance and stability data for analysis of clinical samples.
Disclosures
Disclosures to report.
Drs. Suchodolski, Steiner, and Lidbury are employees of the Gastrointestinal Laboratory
at Texas A&M University that offers the Dysbiosis Index on fee‐for‐service basis.
ESCG‐O‐4
Microbiomic and Metabolomic Associations With Increased Serum Pancreatic Lipase (fPL)
and Trypsin‐Like Immunoreactivity (fTLI) in Geriatric Cats with Idiopathic Chronic
Enteropathy (ICE).
D.A. Williams
1, M. Manuzon2, Z. Ramadan2, G. Czarnecki‐Maulden2.
1University of Illinois, Urbana, USA, 2Nestle Purina PetCare, St. louis, MO, USA
Weight loss is common in old cats with ICE and is associated with malabsorption of
fat, protein, cobalamin, and tocopherol, and enteric protein loss, and the variable
serum cobalamin concentrations in affected cats are strongly associated with differences
in the intestinal microbiome (Patil AP and Cupp CJ. Proc. Nestle‐Purina Compan Anim
Nutr Summit, 55–61, 2010, Williams DA et al. J Vet Int Med 30:359, 2016). Many affected
cats (13 of 15 in a recent study) also have increased serum concentrations of fPL
and/or fTLI, although neither anorexia nor vomiting were notable clinical features
in any of these 15 cats. The etiology of this pancreatic pathophysiology is unknown.
The objectives of this study were to determine if serum fPL and fTLI concentrations
in cats with ICE were associated with changes in the fecal microbiome or serum metabolome.
The study evaluated 46 cats older than 10 years of age that were being fed nutritionally
complete and balanced diets. Thirty‐one of these cats had ICE demonstrated by increased
fecal fat (>20%), subnormal fat digestibility (<90%), subnormal serum cobalamin or
increased serum methylmalonic acid, but without exocrine pancreatic insufficiency
as assessed by assay of serum fTLI. Both fTLI and fPL were assayed at the GI Lab,
Texas A&M University, USA. The fecal microbiome was evaluated by Roche 454 sequencing
and analysis by QIIME (Quantitative Insights into Microbial Ecology), while serum
metabolomics analysis was done using LC/GC/MS by Metabolon, Durham, NC, USA. Relationships
with serum fPL and fTLI were evaluated using OPLS‐DA as described (Ramadan Z. et al.
J Vet Int Med 28:59–65, 2014) with values for Q2 >0.3 being considered significant,
and those >0.5 strongly so.
In the 46 cats neither fPL nor fTLI was significantly associated with the fecal microbiome
(Q2 <0.23). However there were significant associations between the serum metabolome
and both fTLI (Q2 = 0.353) and fPL (Q2 =0.729). For each enzyme there were several
metabolites either positively or negatively correlated with serum concentration (r = 0.3
to 0.85 and r = ‐0.3 to ‐0.41). There was little overlap between correlating metabolites
for each of the 2 pancreatic marker enzymes.
It is concluded that there is little direct association between the fecal microflora
and serum pancreatic enzymes, but that numerous individual metabolites are associated
with both fPL and fTLI. The relationships are different for each of these enzymes
and any causal relationships remain to be determined.
Disclosures
No disclosures to report
I am a consultant with the GI Lab but their services were provided on a the regular
fee per sample basis.
I receive no remuneration from Nestle‐Purina for my collaboration with them.
ESCG‐O‐5
Impact of Different Commercially Available Complete Diets on the Detectability of
Occult Blood in Faeces of Cats
K. Busch
1, S.B. Schubert1, N. Köber2, B. Dobenecker2, K. Hartmann1, R. Dorsch1, S. Unterer1.
1Clinic of Small Animal Medicine, Munich, Germany, 2Chair of Animal Nutrition and
Dietetics, Munich, Germany
In cats with chronic kidney disease, it is important to distinguish between anemia
due to lack of erythropoetin and anemia due to gastrointestinal bleeding because of
uremic gastroenteritis. Human screening tests for occult faecal blood have not been
validated in cats so far. The aim of this study was to determine the impact of different
renal diets on the results of two haemoccult tests in healthy cats. In addition, sensitivity
of those two tests to detect occult blood was evaluated.
Three different commercially available renal diets (D1: Vetconcept ‐ Low Protein®;
D2: Hills ‐ K/D®; D3: Royal Canin ‐ Renal®) were fed to nine healthy cats for seven
days. As comparison, cats were fed raw meat or diet D2 to which hemoglobin (Hb) (in
form of feline blood) was added at different concentrations. Starting at day 4, faecal
samples were analyzed daily until day 7 with Haemoccult® and Haemoccult Sensa® (Beckmann‐Coulter,
Krefeld, Germany).
All cats fed with raw meat tested positive for occult blood with both tests. With
Haemoccult® 3/24, 0/27, and 13/31 cats fed with D1, D2, and D3, respectively, were
tested positive. With 5 mg Hb per kg bodyweight per day added to diet D2, faecal samples
were tested positive in 0/10 cats with Haemoccult® and 6/10 with Haemoccult Sensa®.
Only diet D2 is a suitable diet to diagnose gastrointestinal bleeding in cats with
chronic kidney disease. To reliably detect minimal amounts of blood, the Haemoccult
Sensa® should be used.
Disclosures
No disclosures to report.
ESCG‐O‐6
Evaluation of Coeliac Disease Antibodies in Dogs with Chronic Enteropathies
J. Florey
1, J. Kirk1, A. Riddle1, L. Perazzotti2, K. Allenspach1.
1Royal Veterinary College, Hatfield, UK, 2Euroimmun Ltd, Wimbledon, UK
Canine idiopathic chronic enteropathies can be challenging to diagnose and manage.
No current laboratory or histopathological tests allow differentiation between Food
Responsive Diarrhoea (FRD), and Steroid Responsive Diarrhoea (SRD). FRD shares many
similarities to Coeliac Disease (CD) in humans, such as complete response to strict
elimination diet, and typical histological findings such as shortening of the small
intestinal villi. Autoantibodies used to test for CD in humans include anti‐reticulin,
anti‐endomysium (anti‐EMA) and anti‐de‐amidated gliadin peptide antibodies. The aim
of this study was to test the hypothesis that anti‐reticulin, anti‐EMA and de‐amidated
gliadin antibodies can be useful for the diagnosis of FRD in dogs. We hypothesized
that anti‐EMA antibodies would be detected more frequently in dogs with FRD compared
to healthy dogs and dogs with SRD. Antibodies were detected using a human indirect
immunofluorescence assay that was adapted for use in canine patients. Tissues on the
BIOCHIP™ (Euroimmun Ltd, GE) for this assay included primate intestine, primate oesophagus,
primate liver and GAF‐3X (synthetic de‐amidated gliadin antigen). Use of these BIOCHIPs™
yields a characteristic fluorescence pattern if samples are considered to be positive.
Serum was evaluated from 20 healthy control dogs, 17 dogs with FRD, and 28 dogs with
SRD. All dogs underwent rigorous diagnostic investigations including clinical staging
using the severity scoring (CCECAI), comprehensive laboratory evaluation, ultrasonographic
examination of the abdomen and endoscopy with intestinal biopsies. Healthy control
dogs and SRD dogs tested negative for any autoantibodies. All dogs with FRD tested
negative for antibodies directed against endomysium and de‐amidated gliadin peptides,
however, five out of 17 dogs with FRD tested positive for anti‐reticulin antibodies.
There was a significant association between the presence of food‐responsive disease
and a positive immunofluorescence response for anti‐reticulin antibodies when compared
to the healthy control (P = 0.014) and SRD groups (P = 0.009). Although the immunofluorescence
pattern visualized was not typical for anti‐reticulin patterns usually seen with CD,
this finding may indicate the presence of autoantibodies against EMA in dogs with
FRD and may warrant further study in larger cohorts.
Disclosures
Disclosures to report.
Grant provided for this research from the Comparative Gastroenterology Society.
ESCG‐O‐7
Expression of P‐glycoprotein in The Intestinal Epithelium and Lamina Propria of Cats
with Inflammatory Bowel Disease and Alimentary Lymphoma
J. Castro‐López
1, A. Ramis2, M. Planellas1, J. Pastor1.
1Hospital Clínic Veterinari ‐ Universitat Autònoma de Barcelona, Barcelona, Spain,
2Facultat de Veterinària, Universidad Autònoma de Barcelona, Barcelona, Spain
Multidrug resistance‐1 gene polymorphism has been associated with the development
of Inflammatory Bowel Disease (IBD) in humans. Furthermore, it has been proposed that
P‐gp expression generates resistance to the treatment in canine and human beings.
The aims of this study are to investigate the epithelial and lamina propria (LP) expression
of P‐gp in cats with IBD and alimentary lymphoma (AL), and to correlate this expression
with clinical signs and histopathological scoring.
Cats diagnosed with IBD (n = 14) and AL (n = 16) between 2007 and 2013 were included.
The feline chronic enteropathy activity index (FCEAI) was calculated for all cases.
Control group was composed by 3 healthy indoor female cats and 5 sick cats died or
euthanized (non‐gastrointestinal illness). Diagnosis and classification of IBD and
AL was established according to WSAVA gastrointestinal standardization group template
and the National Cancer Institute formulation, respectively. Furthermore, a modified
WSAVA template (villous stunting, epithelial injury, crypt distension and lacteal
dilation) was applied for low grade AL (LGAL, n = 12) evaluation.
Immunolabeling for P‐gp (C494 antibody) was performed. Epithelial P‐gp immunoexpression
was calculated according the apical membrane continuity and intensity labeling, LP
P‐gp immunoexpresssion was scored according the percentage of stained cells and intensity.
The most representative segment scored of each patient by WSAVA and modified WSAVA
were used for statistical analysis, non‐parametric tests where used.
Epithelial P‐gp expression was showed in all intestinal segments of the control group
but not at the LP. Epithelial discontinuous immunoreactivity was observed in the 44%
of lymphoplasmacytic enteritis (LPE), 33% of eosinophilic enteritis (EE) and 75% of
LGAL cases, but not in the intermediate or high GAL (I/HGAL, n = 4) cases. Expression
in the LP was showed by 67% of LPE, 100% of EE, 67% of LGAL and 75% of I/HGAL cases.
No correlation was found between FCEAI values and epithelial or LP P‐gp expression.
FCEAI score was significantly different between IBD and AL group but difference was
not observed regarding P‐gp immunolabeling. Total and modified WSAVA scoring showed
a significant correlation with epithelial and LP P‐gp expression. However, no statistically
significant differences were found for epithelial and LP P‐gp expression neither between
control and IBD groups, nor between IBD and AL groups. Nevertheless, AL group had
statistically significant increased LP expression in compare to control group, but
not regarding epithelial immunolabeling. In conclusion, P‐gp immunoexpression at the
LP of AL may affect the response to treatment and survival in compare to IBD.
Disclosures
No disclosures to report.
ESCG‐O‐8
Identification of Factors Associated With Short‐Term Mortality in Canine Acute Pancreatitis
V. Fabres, C. Reif, V. Freiche, C. Maurey, M. Campos, L. Desquilbet, G. Benchekroun.
National Veterinary School of Alfort, Maisons alfort, France
Acute pancreatitis (AP) is the most common disease of the exocrine pancreas in dogs.
In AP, inflammatory cytokines are released into circulation leading to potentially
severe systemic complications and significant morbidity and mortality.
The goal of this study was to investigate risk factors associated with short‐term
mortality in dogs diagnosed with AP.
Medical records of all dogs evaluated between 2008 and 2015 were reviewed and dogs
diagnosed with AP were included. Diagnosis of AP was based on the association of at
least two clinical signs consistent with AP (vomiting, abdominal pain, anorexia, lethargy,
diarrhoea) present for less than 7 days and serum cPL concentration > 400 μg/L or
at least two clinical signs consistent with AP present for less than 7 days, serum
cPL concentration between 200 and 400 μg/L and ultrasonographic findings consistent
with AP (thickened hypoechoic pancreas with blurred margins and surrounded by hyperechoic
adipose tissue).
Clinical signs at admission, laboratory data, serum cPL concentration and date of
death within 30 days from diagnosis were recorded. Survival analysis using the Cox
proportional hazards model was performed to investigate variables associated with
short‐term (30 days) mortality. Dogs still alive 30 days after diagnosis were censored.
One hundred and thirty‐eight dogs were included. Forty‐six dogs (33%) died within
30 days of diagnosis. Multivariate analysis identified that presence of IRIS grade
4 or 5 (versus 1, 2, or 3) of acute kidney injury (adjusted hazard ratio [aHR], 8.6;
95% confidence interval [CI], 1.0–71.2; P = 0.05), serum bilirubin concentration ≥
18.7 mg/L (aHR, 6.5; 95%CI, 1.3–32; P = 0.02], hypercreatininemia (aHR, 3.4; 95%CI,
1.7–6.8; P < 0.01), hypocalcaemia (aHR, 2.9; 95%CI, 1.5–5.9; P < 0.01), metabolic
acidosis (aHR, 2.4; 95%CI, 1.2–5.1; P = 0.02) and serum cPL concentration ≥ 1000 μg/L
(aHR, 1.8; 95%CI, 1.0–3.3; P = 0.04) were significantly associated with short‐term
mortality.
This study suggests that presence of serum bilirubin concentration ≥ 18.7 mg/L, hypercreatininemia,
hypocalcaemia, metabolic acidosis, and IRIS grade 4 and 5 of acute kidney injury increase
short‐term mortality in dogs diagnosed with AP. The results of this study add relevant
information to the current literature, allowing clinicians to recognize severe cases.
Development of acute kidney injury in cases of AP needs to be further investigated.
Disclosures
Disclosures to report.
The residency program of Dr V. Fabres is partly financed by Royal Canin. Unrelated
to the subject matter of the abstract.
ESCG‐O‐9
Endoscopic Measurement of Pyloric Diameter in Healthy Cats. A Prospective Study of
20 Cases
A. Lamoureux, G. Benchekroun, V. Freiche.
Université Paris Est, Ecole nationale vétérinaire d'Alfort, Maisons‐alfort, France
To the authors’ knowledge, the diameter value of the pylorus sphincter in cats has
never been established. As pyloric stenosis is poorly documented in cats, the diagnosis
is currently based on clinical signs of pyloric outflow obstruction and abnormal pyloric
conformation detected by ultrasonography. The aims of this study were to describe
an endoscopic technique allowing the assessment of the pyloric diameter and to report
this measure in 20 healthy cats.
Adult healthy cats (1 to 8 years old), weighting between 2.5 and 5.5 kg, were prospectively
recruited if they met the following criteria: no vomiting episode during the last
4 weeks, no history of chronic vomiting, no treatment given during the last 3 months,
no abnormalities on blood biochemistry. Cats were excluded if gastric inflammation
was determined to be superior to 1/3, according to the WSAVA criteria, during the
endoscopic procedure. The pyloric diameter was measured with specially‐designed interchangeable
biocompatible olives (ranging from 3 to 12 mm), inserted in decreased order and screwed
on a biopsy forceps passed through the working channel. The diameter of the first
olive able to pass through the pylorus was considered to be equivalent to the pyloric
diameter. The duration of the endoscopic procedure was recorded. The influence of
age, sex, weight or breed was statistically assessed. Values are expressed as mean
(+/‐ SD).
Twenty‐two cats met the inclusion criteria and two cats were excluded because of marked
gastric inflammation. The mean age of the remaining 20 cats was 38 (+/‐ 26 months;
range 11–97 months) and the mean weight was 3.8 (+/‐ 0.8 kg; range 2.5–5.4 kg), with
10 entire males, 9 entire females and 1 spayed female. There were 12 domestic shorthair
and 8 Siamese‐related cats. The mean pyloric diameter in our population was 9.35 mm
(+/‐ 0.75; range 8–11 mm) with no influence of age, sex, weight or breed. The mean
duration of the endoscopic procedure was 4.4 (+/‐ 2.24 minutes; range 1.5–10 minutes).
This study is, to the authors’ knowledge, the first one to describe a method assessing
the pyloric diameter in cats. This endoscopic technique was safe and of short duration.
In this study, based on 20 healthy cats, the mean diameter of the pylorus was estimated
at 9.35 mm. Determination of a reference interval is now warranted in order to help
in the diagnosis of pyloric stenosis in cats.
Disclosures
No disclosures to report.
ESCG‐O‐10
Comparison of the Microbiota of Dogs Suffering From Inflammatory Bowel Diseases and
Food‐Responsive Diarrhea
K. Kalenyak
1, J. Suchodolski2, I.A. Burgener3.
1University of Leipzig, Leipzig, Germany, 2Gastrointestinal Laboratory, Texas A&M
University, College Station, USA, 3Department of Clinical Sciences of Companion Animals,
University of Utrecht, Utrecht, the Netherlands
Canine chronic enteropathies are characterized by persistent or recurrent clinical
signs of gastrointestinal diseases. Among their most important causes are food‐responsive
diarrhea (FRD), antibiotic‐responsive diarrhea (ARD), and inflammatory bowel diseases
(IBD). The combination of an underlying host genetic susceptibility, an intestinal
dysbiosis, and dietary/environmental factors are suspected as main contributing factors
in the pathogenesis of canine IBD. However, actual mechanisms of the host‐microbe
interactions remain elusive. Furthermore, little information is available on differences
of the microbiota of dogs suffering from IBD or FRD. Therefore, the aim of this study
was to define the differences between the microbiota of dogs with IBD and FRD in duodenum
and colon.
Extracted DNA from duodenal and colonic biopsies from 15 dogs with FRD and 9 dogs
with IBD was used for Illumina sequencing of the bacterial 16S rRNA gene and analyzed
using Quantitative Insights Into Microbial Ecology (QIIME) pipeline. The analysis
of similarities (ANOSIM) function in the statistical software package PRIMER 6 (PRIMER‐E
Ltd., Luton, UK) was used on the weighted and unweighted UniFrac distance matrix to
determine if any groups of samples contained significantly different bacterial communities.
Linear discriminant analysis (LDA) effect size (LEfSe) was performed to identify bacterial
groups that were significantly associated with disease and duration.
In the colon, there were no significant differences in microbiota structure (ANOSIM;
P = 0.96) or species richness between FRD and IBD. In the duodenum, also no significant
differences were found in microbiota structure or species richness (P = 0.251). LEfSe
identified several bacterial groups that were differentially altered between groups.
Enterococcus, Neisseriaceae, and Gemella were significantly higher in the IBD group
(LDA > 3), whereas Lactobacillus and Cryocola were significantly higher in the FRD
group.
In conclusion, this study revealed some differences in individual bacterial groups
in the duodenum of dogs with IBD and FRD. Additional studies are needed to validate
these findings and also to explore the significance these bacterial groups play in
the pathophysiology of IBD and FRD.
Disclosures
No disclosures to report.
ESCG‐O‐11
Upregulation of Signal Transducer and Activation of Transcription (STAT)3 in Dogs
With Inflammatory Bowel Disease (IBD)
A. Manz
1, K. Allenspach2, B. Richter1, I. Walter3, S. Kummer1, A. Tichy1, N. Luckschander1.
1University Vienna, Vienna, Austria, 2Royal Veterinary College, Hattfield Herts, UK,
3I. Institute of Anatomy, Histology and Embryology, University of Vienna, Vienna,
Austria
In human IBD patients the signal transducer and activator of transcription (STAT)3
is activated in epithelial cells and correlates with clinical activity. Although canine
IBD seems to involve similar pathogenetic mechanisms, little information about STAT3
exists in dogs.
The aim of this study was to investigate 1) the expression of STAT3 in intestinal
biopsies of dogs with IBD 2) STAT3 expression in different subtypes of IBD‐patients
3) correlation of clinical or histopathology activity with STAT3 expression.
According to clinical signs and response to therapy, 28 IBD‐dogs were grouped as food
responsive dogs (FRD) (N = 9), steroid responsive enteropathy (SRE) (N = 10) and protein‐losing
enteropathy (PLE) (N = 9). Ten healthy Beagles served as controls (CO). All dogs were
clinically assessed using the Canine Chronic Enteropathy Activity Index (CCECAI) scoring
system. Duodenal mucosal biopsy samples were endoscopically retrieved for histopathological
examination using the World Small Animal Veterinary Association (WSAVA) grading. Immunohistochemistry
for detection of STAT3 was performed.
In all 4 groups there was a significant difference of the histological and clinical
scoring. Compared to CO, a significantly higher STAT3 expression of SRE‐ and PLE‐dogs
was detected in the villus epithelium, and in the crypt epithelium (CE) of all 3 patient
groups. A significant correlation of WSAVA and STAT3 expression in IBD dogs in the
CE could be detected.
Similarly to human IBD‐patients, this study shows a significant STAT3‐upregulation
of different subtypes of IBD‐patients compared to CO. Further studies are required
to investigate the role of STAT3 as a potential marker for IBD‐patients.
Disclosures
No disclosures to report.
ESCG‐O‐12
Clonality Testing as An Ajunct tool in Canine Chronic Enteropathy Patients
N. Luckschander
1, B.C. Ruetgen1, J.G. Thalhammer1, S.E. Hammer1, I.A. Burgener2.
1University Vienna, Vienna, Austria, 2University of Utrecht, Utrecht, the Netherlands
Canine chronic enteropathy (CCE) summarizes disease entities characterized by persistent
gastrointestinal symptoms and inflammatory infiltrates. Lymphoplasmacellular enteritis
(LPE) is the most common form. Based on the response to treatment, food responsive
diarrhoea (FRD), inflammatory bowel disease (IBD, steroid‐responsive diarrhea) and
protein loosing enteropathy (PLE) are differentiated. Differentiation between LPE
and intestinal lymphoma is a diagnostic challenge as histopathology might fail to
yield unequivocal results. Inflammatory lymphocytic infiltrates, polyclonal in their
origin, often cannot be reliably differentiated from clonally proliferating lymphomas
by histopathology alone. Clonality testing for detection of antigen receptor gene
rearrangement by polymerase chain reaction might offer a useful solution for this
dilemma.
In a retrospective study, clonality testing of histopathology samples in 32 CCE patients
with LPE was performed and eventual differences of clonality patterns between IBD,
FRD, PLE and intestinal lymphocytic infiltrates of six healthy Beagle dogs were investigated.
The canine IBD activity index (CIBDAI) was used and endoscopic duodenal and colonic
biopsies were evaluated by histopathology and clonality testing. Based on clinical
data and response to therapy CCE dogs were allocated to 3 groups: FRD (N = 13), IBD
(N = 9), IBD with secondary PLE (N = 9). One dog in the FRD group was also diagnosed
with histiocytic ulcerative colitis (HUC).
Clonality testing was performed by using primers targeting the complete immunoglobulin
heavy chain variable region (IGHV) and T‐cell‐receptor gamma (TCRG) gene‐rearrangements.
Size separation was performed by high‐resolution capillary electrophoresis.
CIBDAI was significantly different between groups and improved significantly after
4 weeks of appropriate therapy (P < 0.05).
All Beagles showed polyclonal electrophoretic patterns for B‐ and T‐cell primers.
All samples from CCE patients showed polyclonal patterns for the B‐cell primers. Targeting
TCRG, 3 patients showed an oligoclonal pattern of lymphocytic infiltrates in the duodenum.
Two of these dogs belonged to the FRD group, one to the PLE group. The FRD‐HUC patient
showed oligoclonality in the colon. No differences of clonal expression between all
groups could be detected. Despite of clinical improvement in all groups, an oligoclonal
lymphoid population was detected in four dogs.
In conclusion, clonality testing might be useful as a complementary tool to investigate
the nature of a lymphocytic intestinal infiltrate. Results of clonality must be interpreted
in context with clinical signs, other diagnostic findings, and response to therapy.
More data ‐ that is long term follow up ‐ is needed to decide, if this new tool might
help to detect early lymphoma in patients with CCE.
Disclosures
No disclosures to report.
ESCG‐O‐13
Presumed Acquired Pyloric Stenosis In Cats: Epidemiologic, Clinical, Histopathological
and Endoscopic Data. A Retrospective Study of 34 Cases
V. Freiche
1, F. da Riz1, M. Faucher2, A. Lamoureux1, G. Benchekroun1, A.J. German3.
1Université Paris‐Est, Ecole Nationale Vétérinaire d'Alfort, Maisons‐alfort, France,
2Clinique vétérinaire Alliance, Bordeaux, France, 3University of Liverpool, Institute
of Ageing and Chronic Disease, Liverpool, UK
Acquired pyloric stenosis (APS) is poorly reported in cats and is a diagnostic challenge.
This is partly because the dimensions of the healthy feline pylorus have not been
defined. However, since the pylorus is usually passable with an 8.8 mm diameter endoscope,
inability to intubate the pylorus despite several attempts could be a useful diagnostic
indicator of pyloric stenosis (PS). The aim of this retrospective study was to compare
the clinical characteristics of 34 cats with possible APS (based on the presence of
gastrointestinal signs and an inability to pass an endoscope; group A), with a control
group of cats with gastrointestinal signs but where the pylorus was passable (group
B).
This study was conducted in two referral centres (2006–2014). All cats had signs of
gastrointestinal disease and underwent an upper gastro‐intestinal endoscopy as part
of their diagnostic investigations, all of which were performed by the same clinician
(VF). Group A comprised 34 adult cats with a presumptive diagnosis of APS and Group
B included 37 cats. Signalment and all clinical parameters were statistically compared
between groups (Chi squared test, Fisher's exact test, Student's t‐test).
There were significantly more Siamese and Siamese‐related cats in group A (7/34) than
in group B (1/37 P = 0.045). However, neither age nor weight were significantly different
between the groups. Chronic vomiting was the main presenting complaint (31/33 [94%]
in group A, 28/36 [74%] in group B), with significantly more cats vomiting food in
group A (29/31), than in group B (18/32 [43%], P = 0.0019). The predominant endoscopic
findings were compatible with gastritis in both group A (31/34 [91%]) and group B
(27/37 [73%]). Using the open tips of biopsy forceps as a guide, the pyloric sphincter
seemed to be abnormally small on direct examination in all cats from group A but not
group B. Histopathological findings revealed inflammatory lesions and/or fibrosis
in 28/34 cats [82%] in group A and 28/37 cats [76%] in group B. However, gastric neoplasia
was more common in group B (6/36 [16%]) than in group A (0/34, P = 0.04).
This study describes clinical and endoscopic findings in 34 cats presumed to have
APS. Compared with the control group, Siamese cats and related breeds are over‐represented,
and associated histopathological changes are usually inflammatory in nature. Further
studies are warranted to define this clinical condition better, and develop reliable
methods of diagnosis.
Disclosures
No disclosures to report.
ESCG‐O‐14
No Linear Correlation Between Histopathological and Clinical Severity Grading in Canine
Inflammatory Bowel Disease (IBD): 102 cases
L. Heasman, J. Williams, S.L. Priestnall, K. Allenspach.
Royal Veterinary College, North mymms, UK
Defining the presence, distribution, and severity of GI disease in endoscopic biopsy
specimens from dogs with inflammatory bowel disease (IBD) is difficult. Prior studies
have failed to detect a convincing association between mucosal histopathology and
clinical signs, or response to therapy and outcome in dogs with IBD. For this reason,
a standardized grading scheme for the interpretation of GI histopathologic findings
was introduced (WSAVA grading scheme). However, no larger scale studies so far have
evaluated whether clinical scoring systems linearly correlate with the WSAVA histopathological
grading scheme. Such information would be useful for the clinician as WSAVA grading
could be used to monitor treatment response and may give prognostic information. The
aim of this study was to evaluate whether dogs that were diagnosed with IBD and had
clinical scoring performed using the Canine Chronic Enteropathy Clinical Activity
Index (CCECAI) and histopathology scoring using the WSAVA scoring scheme are linearly
correlated to one another. Electronic data of WSAVA graded endoscopically retrieved
biopsy scores assigned by a veterinary pathologist at one single centre were collected.
A maximum of five sites were evaluated per animal: stomach; pylorus (n = 87) and fundus
(n = 46), duodenum (n = 96), ileum (n = 37) and colon (n = 61). One hundred and two
dogs diagnosed with IBD were included in this study. WSAVA scores were compared to
the CCECAI scores assigned to the animals at the time of diagnosis. Linear correlation
was assessed using Spearman Rank's test. Linear correlation of scores was very weak,
with r2 ranging from 0.009 to 0.249 (gastric fundus; r2= 0.05, gastric pylorus; r2
= 0.028, duodenum; r2 = 0.249, ileum; r2 = 0.009 and colon; r2 = 0.095). The only
site where linear correlation was significant was the duodenum (r2 = 0 .249, P = 0.014).
This study indicates that linear correlation of the two grading systems is weak and
that clinicians should not rely on one system to predict scores of the other. Studies
correlating scores before and after treatment in large numbers of dogs are indicated
to further evaluate predictive ability of the WSAVA score.
Disclosures
No disclosures to report.
ESCG‐O‐15
How Does Inclusion of Red Meat in the Canine Diet Affect the Fecal Microbiota? Results
from High‐Throughput Sequencing of the Bacterial 16S rRNA Gene
K.M.V. Herstad
1, K. Gajardo1, A.M. Bakke1, J. Ludvigsen1, K. Rudi1, M. Sekelja2, I. Rud3, L. Moe1,
E. Skancke1.
1Norwegian University of LIfe Sciences, Oslo, Norway, 2University of Oslo, Oslo, Norway,
3Nofima, Ås, Norway
The microbial community composition in the gut is largely influenced by diet and may
affect health. In humans, a diet dominated by red meat has been associated with colonic
diseases such as IBD and colorectal cancer, and gut bacteria may play a role in the
etiology. Whether this also applies to dogs is not well documented.
The aim of this study was to evaluate the change in fecal bacterial composition in
healthy, client‐owned dogs with increasing inclusion of minced beef (MB) in the diet.
Eleven dogs were included in the seven‐week study, in which eight dogs participated
in all dietary periods. For the first two weeks (CD1), all dogs were acclimated to
the same commercial dry food (CD). Over the following three weeks, incremental increases
in each dog's total energy requirement was supplied as MB, at the expense of the CD,
with MB providing 25 (low; LMB), 50 (medium; MMB) and 75 (high; HMB) percent of energy.
This resulted in concomitant increases in protein and fat, and decreases in starch
and fiber. For the final two weeks, the dogs were again fed the CD (CD2).
Bacterial populations expressed as operational taxonomic units (OTUs) were characterized
in fecal samples from each dietary period using Illumina Miseq based on the V3‐V4
region of the 16S rRNA gene. The HMB diet induced lower species richness and evenness
(ANOVA P‐value 0.04). Differences in the microbial populations at genus level were
observed between the HMB and CD diet groups (Permutation testing; P < 0.05). The relative
abundance of OTUs classified as Clostridia hiranonis increased, whereas the OTUs classified
as saccharolytic bacteria Ruminococcaceae spp. and Faecalibacterium prausnitzii decreased
in samples of dogs fed the HMB diet, which was reversed during CD2 (P < 0.05; LDA
score >3). Fecal pH as well as butyrate and isovalerate levels were also affected
by diet.
In conclusion, the MB content in the diet of dogs influenced the composition and diversity
of fecal bacterial populations. Further studies are needed to assess the impact on
the gut health of dogs, especially concerning the role of 1) Clostridia hiranonis
in light of its role in biotransformation of primary bile acids to the potentially
harmful secondary bile acids; and 2) reduced relative abundance of butyrate‐producing
saccharolytic bacteria when consuming a diet with lower carbohydrate content.
Disclosures
This study was sponsored by Labb, Felleskjopet.
ESCG‐O‐16
Virulence Markers in Mucosa‐Associated Escherichia coli from Dogs with Inflammatory
Bowel Disease (IBD)
F. Vessieres
1, F. Procoli1, A. Kehl2, E. Müller2, K.W. Simpson3, M. Bushnell4, A. Rycroft4, K.
Allenspach4.
1Anderson Moores Veterinary Specialists, Hursley, UK, 2Laboklin AG, Bad kissingen,
Germany, 3Cornell University, Ithaca, USA, 4Royal Veterinary College, London, UK
Escherichia coli (E. coli) is a member of the resident intestinal microflora. However,
E. coli is a diverse species and some strains harbour virulence determinants that
may cause intestinal disease in favourable circumstances. In people with Crohn's disease
and in Boxers with granulomatous colitis, there is evidence that E. coli strains that
lack virulence determinants typically associated with diarrheagenic strains are involved
in the pathogenesis of chronic intestinal inflammation. Furthermore, German Shepherd
Dogs (GSDs) with lymphoplasmacytic IBD (LP‐IBD) frequently respond to antibiotic treatment,
however, the basis of this clinical response is unknown.
The aim of the present study was to prospectively investigate the presence of virulence
genes associated with diarheagenic E.coli in the intestinal mucosa of dogs with LP‐IBD.
Twelve GSDs and twenty non‐GSDs evaluated between March and October 2013 at the Royal
Veterinary College (London, UK) were included in the study. The diagnosis of LP‐IBD
was based on clinical signs, intestinal histopathology, and exclusion of other known
causes of gastro‐intestinal signs. E. coli was cultured from endoscopically collected
mucosal biopsy material on Sheep Blood agar and MacConkey. Colonies showing characteristics
consistent with E. coli were identified using API20E (bioMérieux). DNA was extracted
from the strains using the MagNA Pure 96® System (Roche), followed by loop‐mediated
isothermal PCR amplification (LAMP) to detect the presence of shigatoxin (stx1 und
stx2), heat‐stable enterotoxin (sta), and attaching and effacing (intimin) gene (eae).
A total number of 47 mucosa‐associated E.coli strains were isolated from 26/32 dogs.
There was a higher frequency of E.coli strains being isolated in GSDs (12/12, with
1–6 positive cultures per dog) vs. dogs of other breeds (14/20, with 0–2 positive
cultures per dog)( P = 0.035). None of the E.coli strains were positive for stx1,
stx2 or sta. The eae gene was found in 4 strains and eae‐positive E. coli were more
frequently isolated from GSD (4/12; 33%) than other breeds with LP‐IBD (0/20; 0%)
(P = 0.006). These results suggest that E.coli carrying the eae gene and possibly
other, yet to be investigated virulence factors could be involved in the pathogenesis
of LP‐IBD in GSDs.
Disclosures
Yes disclosures to report.
Laboklin AG, Bad Kissingen Germany has partially sponsored this project.
ESVIM – European Society of Veterinary Internal Medicine
ESVIM‐O‐1
Evaluation of Prognostic Factors for Mortality in Dogs with Non‐Regenerative Forms
of Immune‐Mediated Haemolytic Anaemia
J.W. Swann, A.S.K. Chan, B. Szladovits, B. Glanemann.
Royal Veterinary College, Hatfield, UK
Whereas the majority of dogs with immune‐mediated haemolytic anaemia (IMHA) have regenerative
anaemia, many have persistent non‐regenerative anaemia, possibly indicating that the
autoimmune response is directed against precursor cells in the bone marrow. Prognostic
factors, including the canine haemolytic anaemia objective score (CHAOS) have been
identified for dogs with IMHA but it is not clear whether these factors remain valid
in dogs presented with non‐regenerative IMHA (nrIMHA).
The aim of this study was to evaluate the association between clinicopathological
variables and survival in dogs with nrIMHA, and to compare this to the association
with the composite CHAOS.
The electronic records of a tertiary referral institution were searched to identify
dogs that were anaemic (with packed cell volume less than 35%) and had at least one
of the following features: spontaneous agglutination of red blood cells after dilution
in saline, spherocytosis without other evidence of shear damage on evaluation of a
fresh blood smear, titre of at least 1:16 in direct antiglobulin test, or detection
of erythrophagocytosis by myeloid cells in the bone marrow. Dogs were considered to
have nrIMHA if the absolute reticulocyte concentration (ARC) did not increase above
60x109/l within five days of presentation. Underlying causes of immune‐mediated disease
were excluded by diagnostic imaging, serum biochemistry, testing for vector‐borne
diseases, and urinalysis. The CHAOS score was calculated for each dog: this score
incorporates age, rectal temperature, serum albumin and total bilirubin concentrations
and the platelet concentration. Associations between clinicopathological variables
and survival were evaluated by Cox proportional hazards analysis, with initial univariable
analysis followed by construction of a multivariable model. A separate analysis was
conducted with CHAOS as the sole explanatory variable.
Fifty dogs with nrIMHA were included in the study, with mean age 7.3 years (SE: 0.46).
The median packed cell volume at presentation was 11% (inter‐quartile range [IQR]:
7–14), and the median ARC 5.3x109/l (IQR: 0–16.7). Bone marrow samples were obtained
in 37 dogs, revealing erythroid hyperplasia in 19, hypoplasia in 15 and PRCA in 3.
Three factors, serum creatinine, albumin and total bilirubin concentrations, were
significantly associated with survival in the final multivariable model. In a separate
model, CHAOS was also significantly associated with survival.
This study indicates that prognostic factors identified in mixed populations of dogs
with IMHA, including serum total bilirubin and creatinine concentrations, also appear
to be important in dogs with nrIMHA.
Disclosures
No disclosures to report.
ESVIM‐O‐2
Short‐term Response to Human Intravenous Immunoglobulin (hIVIG) in the Management
of Immune‐Mediated thrombOcytopenia (IMT): A Prospective Cohort Study in 27 Dogs
A. Zoia
1, M. Drigo2.
1San Marco Veterinary Clinic, Padova, Italy, 2Department of Animal Medicine, Production
and Health, Padua University, Padova, Italy
Platelet count can increase within 1–3.5 days in dogs with IMT treated with prednisolone
and hIVIG, but treatment failure and death may still occur. Aims of this study were
to investigate short‐term response to hIVIG in the management of IMT.
Twenty‐seven dogs with IMT/Evans‐Syndrome (ES) that received hIVIG were included.
Dogs with concurrent diseases or receiving medication/vaccination within 30 days of
IMT/ES diagnosis were classified with secondary IMT (sIMT), the remaining with primary
IMT (pIMT). Based on platelet count at 60 ± 12 hr (T60) post‐hIVIG infusion dogs were
divided in responders (n = 19) or non‐responders (n = 8). A positive response was
defined as an increase in platelet count≥40,000/μL compared to the value before hIVIG
infusion (T0).
At T0 there were no differences between non‐responders and responders in: sex, presence
of any type of bleeding, type of disease (i.e., pIMT vs. sIMT or presence of concurrent
ES), days of prednisolone treatment and days of hospitalization before hIVIG infusion,
platelet count (T0PLT), HCT, serum IgG (T0IgG), total protein [TP], albumin, and C‐reactive
protein concentrations, plasma D‐dimer concentration, and hIVIG administered doses.
Non‐responders had more signs of mucosal bleeding (i.e., melena/epistaxis/haematuria)
compared to responders (75% vs 31.6%, P = 0.049) and were older (median=125 months,
range=77–163 vs median=98 months, range=11–179 months, P = 0.0357). Twenty‐four±12 hr
(T24) post‐hIVIG infusion, non‐responders compared to responders had lower serum albumin
(T24Alb) (median=2.0 g/dL, range=1.5–2.5 vs median=2.5 g/dL, range=1.6–3.3; P = 0.0063),
serum globulin (T24Glo) (median=2.9 g/dL, range=2.0–3.8 vs median=4.1 g/dL, range=3.3–5.5;
P = 0.0008), serum IgG (T24IgG) (median=666.5 mg/dL, range=299–990 vs median=1374 mg/dL,
range=723–1978; P = 0.0003), delta IgG (i.e. T24IgG‐T0IgG; T24ΔIgG) (median=424 mg/dL,
range=28–710 vs median=987 mg/dL, range=380–1652; P = 0.0006), and serum TP (T24TP)
(median=4.7 g/dL, range=3.6–6.3 vs median=6.5 g/dL, range=5.1–8.4; P = 0.0011). As
expected, non‐responders compared to responders had lower T60 platelet count (T60PLT)
(median=14,500/μL, range=8,000–35,000 vs median=136,000/μL, range=47,000–1,094,000;
P < 0.0001) and delta platelet count (i.e., T60PLT‐T0PLT; T60ΔPLT) (median= ‐ 4500/μL,
range= ‐ 69,000‐+23,000 vs median=118,000/μL, range=43,000–1,090,000; P < 0.0001).
Fourteen‐days post‐hIVIG infusion, mortality was higher in non‐responders compared
to responders (75% vs 0%; P = 0.001). ROC curve analysis showed that a T24ΔIgG≥576 mg/dL
had PPV=89.5%, NPV=75% in predict a positive response (AUC=0.928, 95%CI=0.759–0.991,
P < 0.0001). Finally, there was a weak correlation between T24ΔIgG and hIVIG administered
doses, Rho=0.418, P = 0.03.
Short‐term response to hIVIG infusion in dogs with IMT may occur regardless the dogs
have pIMT, sIMT or ES. Older age, mucosal bleeding at admission or ongoing bleeding
(decreased T24TP/T24Glo/T24Alb) are poor prognostic indicators for response. Non‐responders
have increase short‐term mortality. T24ΔIgG≥576 mg/dL can predict response to treatment,
but only a weak positive correlation between T24ΔIgG and hIVIG received dose is present.
Disclosures
No disclosures to report.
ESVIM‐O‐3
Romiplostim Treatment in 7 Dogs with Immune‐Mediated Thrombocytopenia
S. Rehbein
1, G. Bal2, A. Chirek1, A. Salama2, B. Kohn1.
1Freie Universität Berlin, Faculty of Veterinary Medicine, Small Animal Clinic, Berlin,
Germany, 2University Medicine Berlin, Institute of Transfusion Medicine, Charité,
Berlin, Germany
Pathophysiological mechanisms of immune‐mediated thrombocytopenia (ITP) in humans
and dogs are similar. Romiplostim has thrombopoietic effects due to the agonism at
the thrombopoietin receptor (TPO‐R). Romiplostim is utilized in humans for treatment
of refractory ITP, however it has not been used in dogs thus far. Because of the similarity
of ITP in humans and dogs it should be evaluated whether romiplostim can be used as
a new therapeutic option in dogs with ITP that cannot be controlled by standard therapy.
From 10/2014 until 12/2015 7 dogs with refractory or recurring ITP were treated with
romiplostim. Inclusion criteria were a diagnosis of primary or secondary ITP based
on complete medical records, platelet counts < 150,000/μl and a positive platelet‐bound
antibody test. Primary ITP was only diagnosed, if there was no evidence of any cause,
which might have triggered platelets’ destruction. Discrimination of primary and secondary
forms of ITP was based on a complete diagnostic work‐up (complete blood count, blood
smear evaluation, testing for erythrocyte agglutination, clinical chemistry, coagulation
panel, diagnostic imaging, tests for infectious diseases, and immunological testing).
Primary and secondary ITP was diagnosed in 5 (2 of them Evans’ syndrome) and 2 dogs
(with Ehrlicha canis infection), respectively. All dogs were pretreated with prednisolone,
mycophenolate mofetil, cyclosporine, and dexamethasone alone or in combination. Due
to inadequate response or relapses, romiplostim was administered in addition (3–5 μg/kg,
median (m) 4.7 μg/kg) subcutaneously. In 5 of 7 dogs, an increase in platelet counts
was noted 3–6 days after the first romiplostim injection. One dog with primary ITP
had an increase after 10 days and the second administration (10 μg/kg). Another dog
with secondary ITP did not respond to 5 but to 13 μg/kg. This dog was lost to follow‐up.
One dog with a platelet count in the reference range was euthanized due to immune‐mediated
hemolytic anemia after 2.5 months. During the observation period (3–53 weeks, median
10.7) in 6 of 7 dogs the initially given dose could be reduced. None of the treated
dogs developed any side effects. Concomitant therapy with other drugs was gradually
reduced and halted in 4 of the dogs when the platelet count was stable. Interestingly,
none of the 6 dogs relapsed during the observation period.
The results of this pilot study suggest that the human drug romiplostim may represent
a novel therapeutic option in dogs with refractory ITP.
Disclosures
No disclosures to report.
ESVIM‐O‐4
Bacterial Microbiome in The Nose of Healthy Dogs and in Dogs with Nasal Disease
B. Tress
1, E. Dorn1, K. Weber1, K. Hartmann1, J. Suchodolski2, B. Schulz1.
1Clinic of Small Animal Medicine, LMU Munich, Munich, Germany, 2Gastrointestinal Laboratory,
Texas A&M University, College Station, Texas, USA
The role of bacterial communities in canine nasal disease has not been studied so
far using next generation pyrosequencing methods. Aim of the study was to characterize
the nasal microbiome of healthy dogs and compare it to that of dogs with nasal disease.
Nasal swabs were collected from healthy dogs (n = 23), dogs with malignant nasal neoplasia
(n = 16), and dogs with chronic rhinitis (n = 8). Bacterial DNA was extracted and
sequencing of the bacterial 16S rRNA gene was performed. Data were analyzed using
Quantitative Insights Into Microbial Ecology (QIIME).
A total of 375 bacterial species out of 26 phyla were detected. In healthy dogs, Moraxella
spp. were the most common species, followed by Phyllobacterium spp., Cardiobacteriaceae,
and Staphylococcus spp. While Moraxella spp. were significantly decreased in diseased
compared to healthy dogs (P = 0.0045), Pasteurellaceae were significantly increased
(P = 0.0012). Shannon diversity index and analysis of similarities used on the unweighted
UniFrac distance metric were significantly different when nasal microbial communities
of healthy dogs were compared to those of dogs with nasal disease (P = 0.027).
The study shows that the canine nasal cavity is inhabitated by a highly species‐rich
bacterial community, and suggests differences between the nasal microbiome of healthy
dogs and dogs with nasal disease.
Disclosures
No disclosures to report.
ESVIM‐O‐5
Comparative Analysis of the Respiratory Microbiota of Healthy Dogs and Dogs with Canine
Idiopathic Pulmonary Fibrosis
E. Roels, B. Taminiau, E. Darnis, F. Neveu, G. Daube, C. Clercx.
University of Liège, Liège, Belgium
Canine idiopathic pulmonary fibrosis (CIPF) is a progressive parenchymal lung disease
of unknown origin affecting mainly old West Highland white terriers (WHWTs). CIPF
shares several clinical and pathologic features with human IPF. The use of next generation
sequencing technologies recently allowed to identify differences in the composition
and diversity of the respiratory microbiota in human IPF. Increased bacterial burden
in bronchoalveolar lavage fluid (BALF) of IPF patients was proved to predict decline
in lung function and mortality, with Heamophilus, Streptococcus, Neisseria, and Veillonella
spp. being more abundant in IPF cases. The objectives of the present work were to
identify and characterize the microbiota present in the lower respiratory tract of
healthy beagle dogs and healthy WHWTs compared with the microbiota of WHWTs affected
with CIPF. For this purpose, BALF samples were obtained from 4 groups of dogs: young
healthy research beagles (n = 6, median age 7.6 months), adult healthy research beagles
(n = 6, 8.8 years), healthy client‐owned old WHWTs (n = 5, 11.2 years) and client‐owned
WHWTs affected with CIPF (n = 7, 11.6 years). Metagenetic analysis were performed
on V1‐V3 hypervariable region of 16S rDNA after total bacterial DNA extraction from
BAL specimens and sequencing on a MiSeq Illumina sequencer. Taxonomical assignation
and microbiota community analysis were done with MOTHUR V1.35 with an OTU clustering
distance of 0.03. Data analyses demonstrated that the same phyla predominated in all
groups of dogs with Proteobacteria, Firmicutes, Actinobacteria, and Bacteroidetes
being the most abundant in a descending order. Bacterial species richness was significantly
higher and evenness significantly lower in WHWTs, either healthy or affected with
CIPF, in comparison with beagles, while there was no difference between groups for
bacterial diversity. Beyond the effect of the breed, impact of the living environment
(house‐holding vs. experimental kennel) might serve as an explanation for those differences
observed between beagles and WHWTs. When comparing specifically CIPF WHWTs with healthy
WHWTs, Pasteurella, Conchiformibius and Bergeyella spp. were found more abundant in
CIPF dogs. Whether those alterations in the respiratory microbiota of CIPF dogs are
a cause of a consequence of the disease remain to be elucidated. In conclusion, results
of the present study demonstrate the existence of a core airways microbiota in dogs
that might be influenced by the breed, the environment or the disease status. Further
studies are needed to better understand whether alteration in the microbiota may take
part in the pathogenesis or in the predisposition for CIPF.
Disclosures
No disclosures to report.
ESVIM‐O‐6
The Utility of Acute Phase Proteins in the Assessment of Treatment Response in Dogs
with Bacterial Pneumonia
S.J. Viitanen
1, A.K. Lappalainen1, M.B. Christensen2, S. Sankari1, M.M. Rajamäki1.
1University of Helsinki, University of Helsinki, Finland, 2University of Copenhagen,
Copenhagen, Denmark
Acute phase proteins (APPs) are sensitive markers of inflammation and serum C‐reactive
protein (CRP) has been shown to be a useful diagnostic biomarker in dogs with bacterial
pneumonia (BP). In humans with pneumonia APPs have also great utility as follow‐up
biomarkers. In order to investigate the applicability of APPs as biomarkers of treatment
response in dogs with BP, serum C‐reactive protein (CRP), serum amyloid A (SAA) and
haptoglobin (Hp) were followed simultaneously along with hematology, serum biochemistry,
arterial blood gas analysis and thoracic radiographs during a natural course of BP
(n = 19). 64 healthy dogs were included as controls. All measured APPs were initially
significantly elevated in dogs with BP compared to healthy controls, but the magnitude
of elevation was not connected to disease severity. CRP and SAA reflected well the
recovery process and declined rapidly after initiation of therapy. Normalization of
serum CRP was applied to guide the length of antibiotic therapy (therapy was stopped
5–7 days after CRP normalization) in 9/17 dogs surviving to discharge (median treatment
length 21 days, IQR 19–29 days), whereas 8/17 dogs were treated according to conventional
recommendations (median 35, IQR 29–48 respectively). When CRP was applied to guide
antibiotic therapy, treatment length was significantly (P = 0.015) reduced without
increasing the number of relapses. According to this study serum CRP and SAA may be
used as biomarkers of treatment response and the normalization of serum CRP may be
applied to guide the length of antibiotic therapy in dogs with BP.
Disclosures
S.J. Viitanen has received research grants from the Finnish Foundation of Veterinary
Research and the Finnish Veterinary Foundation. These funding sources did not have
any influence on the study design, sample collection, interpretation of the results.
ESVIM‐O‐7
Investigation of Laryngeal Function and Effect of Surgery on Laryngeal Collapse in
Dogs With Brachycephalic Syndrome
E. Vangrinsven, O. Broux, S. Claeys, C. Clercx, F. Billen.
Faculty of Veterinary Medicine, University of Liège, Sart Tilman, Liège, Belgium
Laryngeal collapse is commonly associated with brachycephalic syndrome (BS) and is
suspected to be secondary to chronic upper airway obstruction. Although laryngeal
collapse is suspected to be a consequence of the lack of rigidity of laryngeal cartilages
(chondromalacia), the impact of possible laryngeal dysfunction (laryngeal paresis)
has not yet been evaluated. Corrective surgical treatments mainly aim to improve airflow
through the rima glottidis. However, the impact of laryngeal collapse on postoperative
prognosis is still controversial.
The objectives of the present study were to investigate laryngeal function in anaesthetized
dogs with BS using pharmacological stimulation doxapram hydrochloride (Dxp) during
laryngoscopy and to investigate whether surgery can worsen laryngeal collapse.
Twenty‐six dogs presented with BS were included. At diagnosis, respiratory clinical
signs were assessed as well as the degree of laryngeal collapse before and after Dxp
injection (1.1 mg/kg intravenously). One month after corrective surgery of the BS,
respiratory clinical signs, and the degree of laryngeal collapse were re‐evaluated.
Respiratory clinical signs were scored (0 to 4) based on the frequency of snoring,
inspiratory effort, exercise intolerance and syncope. Degree of laryngeal collapse
(from 0 to 3) was assessed according to the classification described by Leonard (1960).
Wilcoxon signed rank test with continuity correction, and Fisher's exact test were
used for statistical analysis.
Pugs were significantly more frequently presented with grade 2 or 3 laryngeal collapse
(P < 0.001) compared to French bulldogs. While the larynx initially appeared paretic
in all dogs, significant abduction of laryngeal cartilages could be observed in all
dogs after Dxp injection. Moreover, there was a significant difference of the mean
degree of laryngeal collapse before (1.64 [0–3]) and after (1.07 [0–3]) Dxp injection
(P < 0.001) confirmed this observation.
While a significant clinical improvement was observed after surgery in the vast majority
of dogs (mean respiratory clinical score (3.15 [1–4] before and 1.5 [0–4] after surgery),
there was no significant difference of the mean degree of laryngeal collapse before
(1.4 [0–3]) compared with after surgery (1.5 [0–3]). Laryngeal collapse improved,
remained stable and worsened in 20% (n = 4), 60% (n = 12) and 20% (n = 4) of dogs
respectively after surgery.
As a conclusion, 1) laryngeal collapse in brachycephalic dogs is not associated with
absence of laryngeal abduction and 2) preoperative degree of laryngeal collapse should
not be used as a criterion to discourage surgery for BS, because of the overall clinical
improvement, even if laryngeal collapse may worsen in few dogs after surgery.
Disclosures
No disclosures to report.
ESVIM‐O‐8
Comparison of Submaximal Exercise Test Results and Level of Brachycephalic Obstructive
Airway Syndrome in the English Bulldog
L.I.O. Lilja‐Maula
1, A.K. Lappalainen1, H.K. Hyytiäinen1, E. Kuusela1, M. Kaimio1, K. Schildt1, S. Mölsä1,
M. Morelius1, M.M. Rajamäki2.
1University of Helsinki, Helsinki, Finland
Brachycephalic obstructive airway syndrome (BOAS) is related to congenitally flattened
facial and skull anatomy. BOAS causes respiratory distress, heat and exercise intolerance,
and gastrointestinal signs. The English Bulldog (EB) is one of the brachycephalic
breeds with a high prevalence of BOAS. Currently, the severity of BOAS signs is subjectively
assessed. To improve the welfare of brachycephalic breeds, an objective and easy‐to‐use
tool is needed to help breeders to select healthier animals. Exercise tests, such
as the 6‐min walk test (distance walked measured) or the 1000‐m walk test (time to
complete measured), could be used to assess the level of BOAS, as exercise intolerance
and impaired recovery are key features of BOAS.
This study evaluated the severity of signs and anatomic components of BOAS in a group
of prospectively recruited young adult EBs (n = 28) and investigated how well the
results of the 6‐min walk test and the 1000‐m walk test correlate with severity of
BOAS. EBs with more severe BOAS walked a shorter distance, longer time and their recovery
from exercise took longer than those with only mild signs of BOAS. Control dogs of
different breeds (n = 10) performed the exercise tests significantly better than EBs.
Body temperature rise during exercise was significantly higher in EBs than in controls.
The results of this study support the use of exercise tests for objective evaluation
of the level of BOAS.
Disclosures
No disclosures to report.
ESVIM‐O‐9
Pharmacokinetics of Caspofungin in Healthy Cats
J. Leshinsky
1, R. Norris2, A.J. Mclachlan3, V.R. Barrs1.
1Faculty of Veterinary Science, School of Life and Environmental Sciences, Sydney,
Australia, 2SydPath, St Vincent's Hospital, Darlinghurst, Australia, 3Faculty of Pharmacy
and Centre for Education and Research on Ageing, University of sydney, Australia
Sino‐orbital aspergillosis (SOA) is an invasive feline fungal infection with high
mortality. Caspofungin, an echinocandin has been used to successfuly treat several
cases. The study aim was to investigate caspofungin pharmacokinetics in healthy adult
cats after a) single and b) multiple intravenous (IV) infusions.
In study a) caspofungin (1 mg/kg IV) was administed to 8 healthy cats over 1 h (Day
1). In study b) 6 cats received 1 m/kg caspofungin IV daily for an additional 6 days
(Day 2–7). Blood was collected at 0, 0.5 h, 0.75 h, 1 h, 1.25 h, 1.5 h, 2 h, 3 h,
6 h, 9 h, 12 h and 24 h after drug administration (Day 1), before the next dose (Days
2–7), and 24 h after final dosing (Day 8). Plasma caspofungin levels were determined
at each time point using a liquid chromatography ‐ mass spectrometry assay validated
in accordance with U.S. FDA Guidelines for industry, bioanalytical methods validation.
After a single IV dose mean maximum caspofungin concentration (Cmax) was 13.65 ± 2.86 mg/ml,
reached at 1.7 ± 1.8 h. Terminal elimination of half‐life (t1/2), caspofungin clearance
(CL) and volume of distribution (V) were 15.8 ± 2.4 h, 4.1 ± 0.6 mL/h/kg, 0.90 ± 0.02 L/kg,
respectively. After achieving steady‐state, mean maximum concentration (Cssmax) was
1.74 ± 0.27 mg/ml, reached after 3 days of dosing. The t1/2 estimated after multiple
dosing, clearance (CLss) and volume of distribution (Vss) were 14.5 ± 3.2 h, 3.16 ± 1.06 mL/h/kg,
0.06 ± 0.01 L/kg, respectively. The accumulation ratio was 1.39.
Mean plasma caspofungin concentrations were >1.0 mg/mL for the duration of the 24 h
sampling period, which exceeds the minimum inhibitory concentration effective against
most Aspergillus species. Caspofungin given at 1 mg/kg IV q 24 h is safe and likely
to be effective for treating Aspergillus infections in cats.
Disclosures
No disclosures to report.
ESVIM‐O‐10
Detection of Aspergillus Fumigatus by Quantitative Polymerase Chain Reaction Assays
in the Bronchoalveolar Lavage Fluid of Dogs with Eosinophilic Bronchopneumopathy.
M. Canonne‐Guibert
1, E. Roels1, F. Billen1, I. Peters2, C. Clercx1.
1Faculty of Veterinary Medicine, University of Liegeacultu, Liège, Belgium, 2TDDS
Ltd., The Innovation Centre, University of Exeter, Exeter, UK
Eosinophilic bronchopneumopathy (EBP) is a canine respiratory disease characterized
by eosinophilic infiltration of the lung and bronchial mucosa. Hypersensitivity reaction
to aerosolized antigens is suspected to act in the pathogenesis of the disease, while
the exact inciting antigens remain presently unidentified. In humans, Aspergillus
spp. has been proposed as potential trigger for inflammatory/allergic bronchial disease.
In dogs, the association between Aspergillus and canine inflammatory bronchopneumopathy
has not yet been explored. The aim of the present study was to investigate by quantitative
polymerase chain reaction (qPCR) the presence of Aspergillus spp. in bronchoalveolar
lavage fluid (BALF) samples obtained from dogs affected with EBP, compared with healthy
dogs and dogs with chronic bronchitis (CB). For this purpose, BALF samples collected
from 23 dogs with EBP (mean age = 4.5 years), 14 healthy dogs (6.3 years), and 21
dogs with CB (7.2 years) were retrospectively included and two qPCR assays were used:
Aspergillus spp. and Aspergillus fumigatus. qPCR results were expressed as Ct values;
Ct value above 32.1 corresponding to very low DNA copy numbers. Aspergillus spp. qPCR
yielded positive results in two EBP dogs (Ct = 34 and 33), 1 CB dog (Ct = 36) and
one healthy dog (Ct = 33), while Aspergillus fumigatus qPCR was only positive in the
same 2 EBP dogs (Ct = 32), but not in healthy and CB dogs. Results of the present
study suggest that an association between Aspergillus and canine EBP is unlikely.
However, absence of Aspergillus genetic material in BALF samples cannot definitively
rule out the implication of this pathogen in the disease. Future studies should include
investigation of serum Aspergillus‐specific antibodies in order to definitively elucidate
the role of Aspergillus fumigatus in canine EBP.
Disclosures
No disclosures to report.
ESVIM‐O‐11
Pyrexia in Cats: A Retrospective Analysis of Demographic Characteristics, Diagnostic
Investigations, Diagnosis and Influence of Prior Treatment in 106 Cases
S. Spencer
1, I. Ramsey2, S. Tasker1.
1University of Bristol, Bristol, UK, 2Small Animal Hospital, University of Glasgow,
Glasgow, UK
There are no published studies identifying the causes of pyrexia in cats. The primary
aim of this study was to describe the features and diagnoses of a population of cats
referred with pyrexia. A secondary objective was to describe, and evaluate the utility
of, diagnostic investigations performed. Finally, treatments before referral and their
possible effect on reaching a diagnosis were assessed.
Clinical records of cats with pyrexia (>39.2°.C) documented at least twice (at the
referring and/or referral practices) were retrospectively reviewed. Cases were assigned
into the following disease categories based on diagnosis: infectious, inflammatory,
immune‐mediated, neoplastic, miscellaneous and no diagnosis (pyrexia of unknown origin,
PUO). When more than one diagnosis was made in a case, the diagnosis deemed most likely
to be the cause of the pyrexia was used for categorisation, or if unclear was attributed
to ‘miscellaneous’. Differences in signalment, peak temperature before referral, temperature
at presentation, presence/severity of common haematological and serum biochemical
abnormalities, and outcome were all evaluated between disease categories. Diagnostic
investigations were classified as ‘enabling’, ‘assisting’ or ‘not helpful’ in achieving
a diagnosis. Effect of treatment before referral was assessed for any association
with temperature at presentation and ability to reach a diagnosis. Chi‐squared tests
were used for categorical data and Kruskall‐Wallis testing for continuous data.
Infectious disease was most common category (41/106, 38.7%), with 22 cats having feline
infectious peritonitis. Inflammatory conditions were found in 19/106 (17.9%), neoplasia
in 13/106 (12.3%; including 6 cats with lymphoma), miscellaneous causes in 11/106
(10.4%) and immune‐mediated disease in 6/106 cats (5.7%). Despite often extensive
diagnostic investigations, 16/106 (15.0%) had PUO. Pedigree versus non‐pedigree status
(P = 0.019) and age (P = 0.003) differed significantly between disease categories,
as did outcome (P = 0.019), but PUO was not associated with a worse outcome than other
categories (P = 0.46). Cytology (including fluid analysis) and histopathology most
often ‘enabled’ or ‘assisted’ in reaching a diagnosis. Most cats (91/106, 85.8%) received
treatment before referral; antimicrobials were administered in 82.1% of cases. Non‐steroidal
anti‐inflammatory administration was significantly associated with a lower temperature
at presentation (P = 0.010). Ability to reach a diagnosis was not associated with
treatment before referral (P = 0.99).
This is the first study of the causes of pyrexia in cats and shows that, in contrast
to dogs, infectious diseases are most common and immune‐mediated disease is comparatively
rare. PUO was not associated with a worse outcome, in agreement with human reports.
Disclosures
Disclosures to report
Statement of Disclosure for IR:
IR has received financial support for hyper‐ and hypo‐adrenocorticism research from
Dechra Veterinary Products Ltd and BSAVA Petsavers. In the past IR has also received
financial support for endocrine and other clinical research projects from the University
of Glasgow Veterinary Fund. BSAVA Petsavers and AniPOC Ltd. IR has been paid for providing
continuing professional development for a wide range of commercial companies and not‐for‐profit
organisations around the world.
Statement of Disclosure for ST:
In the past ST has received financial support for haemoplasma research from Zoetis
Animal Health and for vector‐borne disease research from Bayer Animal Health.
ST receives financial support for current infectious disease research from BSAVA Petsavers,
Langford Trust, Petplan Charitable Trust, Morris Animal Foundation, Dogs Trust, South
West Biosciences DTP and Langford Veterinary Services Clinical Research Fund.
ST has also received financial support for infectious disease research in the past
from the Elizabeth Blackwell Institute of the University of Bristol, ECVIM Clinical
Studies Fund, the University of Bristol Campaigns and Alumni Fund, the RCVS Trust
Fund Blue Skies and The Wellcome Trust.
ST is a member of the World Forum for Companion Animal Vector Borne Diseases, supported
by Bayer Animal Health.
ST is a member of the European Advisory Board on Cat Diseases, which is supported
by Merial.
ST works for the Molecular Diagnostic Unit, Langford Veterinary Services, University
of Bristol, which carried out the haemoplasma PCRs described in the study.
ST has been paid for providing continuing professional development for not‐for‐profit
organisations, and occasionally for commercial companies, around the world.
No statement of disclosure for SS.
ESVIM‐O‐12
Evaluation of Free Magnesium Concentration As A Prognostic Factor for Mortality in
Dogs Presented to a Veterinary Emergency Service
J.W. Swann, H. Mchale‐Owen, B. Glanemann.
Royal Veterinary College, Hatfield, UK
Serum magnesium exists in free, protein‐bound and complexed fractions; the sum per
unit volume is described by the total magnesium concentration (t[Mg++]), but its relationship
with free magnesium concentration (f[Mg++]) has not been described in dogs. Abnormalities
in t[Mg++] have been associated with prolonged hospitalisation and decreased survival
in dogs, but it remains unclear whether magnesium measurements offer prognostic value
beyond that of validated tools, such as the acute patient physiologic and laboratory
evaluation (APPLE) score.
The aims of this study were to determine the relationship between f[Mg++] and t[Mg++]
in dogs presented to a veterinary emergency centre, and to explore any association
between f[Mg++] and survival.
Dogs were included in the study if blood was obtained at initial presentation for
immediate measurement of plasma f[Mg++], using an ion‐selective electrode. In a subset
of dogs, serum samples were obtained contemporaneously for measurement of t[Mg++]:
these were separated from the cell pellet within two hours, frozen at ‐20°C and analysed
as a single batch with an ILab 600 analyser, using an enzymatic reaction method. The
primary outcome was survival to discharge, and the APPLE‐fast score (incorporating
glucose, albumin and lactate concentrations, mentation and platelet count) was calculated
for each dog at initial presentation. Correlation between plasma f[Mg++] and serum
t[Mg++] was assessed with Spearman's rho coefficient. Association between f[Mg++]
and survival was evaluated by logistic regression, with survival to discharge as the
dependent variable and APPLE‐fast score as a fixed factor. Classification, Hosmer‐Lemeshow
goodness of fit (H‐M) and area under receiver operator characteristic curve (AUROC)
were calculated with and without inclusion of f[Mg++] in the final model. The study
received approval from an ethical review committee.
Plasma f[Mg++] was measured in 152 dogs, with serum t[Mg++] measured in 33. There
was significant correlation between f[Mg++] and t[Mg++] (Spearman's rho 0.491, P < 0.001).
The APPLE‐fast score was significantly associated with survival to discharge (odds
ratio 1.101, 95% confidence interval 1.030–1.178, P = 0.005), but f[Mg++] was not
associated with survival when entered into this model (P = 0.440). Inclusion of f[Mg++]
resulted in similar model parameters (classification 68.4%, H‐M 0.195, AUROC 0.705),
compared to the model containing only the APPLE‐fast score (classification 70.4%,
H‐M 0.103, AUROC 0.693).
Plasma f[Mg++] was easily measured in dogs and correlated well with serum t[Mg++].
Measurement of f[Mg++] did not improve the ability to predict outcome in dogs in an
emergency setting when considered alongside the APPLE‐fast score.
Disclosures
This study was funded by an internal grant from the Royal Veterinary College.
ESVONC – European Society of Veterinary Oncology
ESVONC‐O‐1
Big data: Presentation and Treatment of Companion Animal Neoplasia in UK first Opinion
Practice
S.L. Mason
1, P.J. Noble2, B. Heayns3, A.D. Radford3, F. Sánchez‐Vizcaíno3.
1University of Cambridge, Department of Veterinary Medicine, Cambridge, UK, 2University
of Liverpool, School of Veterinary Science, Neston, UK, 3University of Liverpool,
Institute of Infection and Global Health, Neston, UK
Neoplasia is a common cause for presentation of companion animals to veterinary surgeons
in the UK. However, there are few national statistics characterizing either the presentation,
or the management of neoplasia in companion animal general practice. We used electronic
health records (EHR) gathered from UK small animal practices through the Small Animal
Veterinary Surveillance Network (SAVSNET). These were used to characterize the frequency
of presentation for neoplasia, common tumour locations and treatments pursued in cats
and dogs.
EHR collected between November 2013 and October 2015 included animal signalment and
results from a short questionnaire presented to veterinary surgeons after ˜20% of
consultations where neoplasia had been identified as the main reason for presentation.
Proportions and confidence intervals (95%) were calculated using robust standard errors
to allow for clustering within the veterinary practice.
EHRs were obtained from 381,876 unique animals (245,696 dogs and 115,079 cats) from
159 veterinary practices (366 sites). The proportion of dogs that attended veterinary
practices for at least one neoplasia‐related consultation (mean: 4.3%, 95% CI: 4.2%‐4.4%)
was h/def/mybox{/vrule depth ‐0.5mm height 4mm width 8mm}igher than the proportion
of cats (2.4%, 95% CI: 2.3%‐2.5%). For both dogs and cats neutered animals were more
frequently presented for neoplasia than entire animals.
In total, 3,694 neoplasia questionnaires (2,733 dogs, 730 cats) were collected. In
dogs, skin and subcutaneous tissues were the most commonly presented tumour locations
(49.0 and 24.0% respectively), whilst in cats it was skin (33.0%) followed by intraabdominal
(21.4%). The most common time to present an animal for neoplasia was within one month
in 52.6% of dogs and 39.3% of cats, however, 8.3% of dogs and 8.8% of cats were presented
having had the tumour for greater than one year. Treatment was planned in 53.4% of
dogs and 48.5% of cats that presented for a neoplastic condition, although in ˜26.0%
of dogs and cats the decision to treat was not determined at the time of consultation.
The most common treatment planned was surgery in dogs (57.8%) and analgesia / anti‐inflammatory
in cats (39.8%); mainly performed in general practice. Only 2.2% of canine patients
and 1.1% of feline patients were referred for treatment of neoplasia.
These results demonstrate that SAVSNET is a powerful tool for collection of epidemiological
data regarding neoplasia in small animals attending UK veterinary practices. Big data
sets will help in establishing outcomes of patients treated in general practice and
provide information to accelerate and revolutionize our understanding of companion
animal neoplasia.
Disclosures
No disclosures to report.
ESVONC‐O‐2
Impact of Pre‐chemotherapy Neutrophil Count on Chemotherapy Administration and Toxicity
Q. Fournier, J. Lawrence, I. Handel, J.C. Serra.
University of Edinburgh, Roslin, UK
Complete blood counts (CBCs) are routinely assessed prior to administration of chemotherapy
in dogs in an effort to minimize clinical illness. Neutrophil criteria (“cutoffs”)
that suggest it is safe to administer chemotherapy are arbitrary and vary across clinicians.
Chemotherapy dose intensity is theoretically important for maximal tumour response,
suggesting determination of an optimal neutrophil “cutoff”is also important. Similarly,
arbitrary guidelines are utilized for the administration of prophylactic antibiotics
for neutropenic dogs. The primary objective of this study was to evaluate the impact
of various pre‐treatment absolute neutrophil count (ANC) “cutoffs”on chemotherapy
administration and to determine if there was an association between pre‐treatment
ANC and incidence and severity of toxicity. The secondary objective was to evaluate
a currently utilized neutrophil criteria algorithm used to guide the prescription
of prophylactic antibiotics in afebrile, clinically well, neutropenic dogs.
Six hundred‐fifteen CBCs from 64 dogs that presented for standardized multidrug chemotherapy
following a diagnosis of high‐grade lymphoma were evaluated and stratified according
to their ANC. ANC classes included <1.5 x 109/L, 1.5–2.0 x 109/L, 2.0–2.5 x 109/L,
and 2.5–3.0 x 109/L. The number of events in which chemotherapy would not have been
administered due to an ANC value below each “cutoff”was determined. Chemotherapy‐related
toxicities were graded per standardized criteria and Mann‐Whitney tests were performed
to determine the presence of an association between pre‐treatment ANC class and toxicity.
To address the secondary objective, afebrile, clinically well, neutropenic dogs with
ANC <1.5 x 109/L but above the clinic's criteria for prophylactic antibiotics were
evaluated.
Of the 615 CBCs evaluated, chemotherapy would not have been administered in 6.0% (N = 38),
8.6% (N = 54), and 13.6% (N = 85) of visits with an ANC “cutoff”of 1.5 x 109/L, 2.0
x 109/L, and 2.5 x 109/L, respectively. There was no association between pre‐treatment
ANC class and grade or likelihood of toxicity. When dogs with ANCs <1.5 x 109/L in
which prophylactic antibiotics were not dispensed were considered separately, all
dogs with ANC 0.75–1.0 x 109/L (N = 6) and with ANC 1.0–1.5 x 109/L (N = 22) recovered
spontaneously without medical intervention.
As expected, a pre‐treatment ANC “cutoff”of 1.5 x 109/L was associated with a lower
number of dogs requiring dose delays and importantly, pre‐treatment ANC was not associated
with an increased likelihood of toxicity. Preliminary evaluation suggests that establishing
an ANC “cutoff”near 0.75 x 109/L in which to prescribe prophylactic antibiotics may
be clinically rational.
Disclosures
No disclosures to report.
ESVONC‐O‐3
Alternative Lengthening of Telomeres is Used As Telomere Maintenance Mechanism in
Various Canine Sarcomas
T. Kreilmeier
1, S. Sampl2, M. Hauck3, I. Walter4, M. Reifinger5, K. Holzmann2, M. Kleiter6.
1University of Veterinary Medicine Vienna, Vienna, Austria, 2Division of Cancer Research,
Department of Medicine I, Comprehensive Cancer Center, Vienna, Austria, 3Department
of Clinical Sciences, North Carolina State University, Raleigh, USA, 4Vet Core Facility,
University of Veterinary Medicine Vienna, Vienna, Austria, 5Department of Pathobiology,
University of Veterinary Medicine Vienna, Vienna, Austria, 6Department for Companion
Animals and Horses, University of Veterinary Medicine, Vienna, Austria
Besides activation of telomerase tumor cells use alternative lengthening of telomeres
(ALT) as telomere maintenance mechanism (TMM) to become immortal. ALT is found more
often in human mesenchymal than epithelial tumors. Canine tumors are not characterized
for ALT yet and the aim of this study was to evaluate this TMM in various canine sarcoma
subtypes.
Sixty‐four canine sarcoma samples (20 snap‐frozen, 44 FFPE) and six canine sarcoma
cell lines were screened for ALT by C‐circle assay. Telomere length was assessed via
qPCR and telomere restriction‐fragments including pulsed‐field electrophoresis. ALT‐associated
mutations were evaluated by immunohistochemistry. Telomerase activity (TA) and gene
expression were analyzed by TRAP and qPCR. Eight human sarcoma cell lines and DNA
from 20 human neuroblastomas were used as comparative controls.
ALT was found in 9.4% (6/64) of canine sarcomas including aggressive subtypes as hemangiosarcoma,
osteosarcoma and histiocytic sarcoma. In selected samples further characteristics
of ALT such as long heterogeneous telomeres, loss of ATRX, elevated p53 expression
and a high level of colocalization of DAXX with telomeres were demonstrated. TA was
detected in 93% (14/15) snap‐frozen samples. Both TMMs coexisted in one histiocytic
sarcoma, but both were absent in one hemangiosarcoma. All sarcoma cell lines were
TA‐positive and ALT‐negative.
Canine sarcomas seem to share many similarities with their human counterparts and
appear attractive for comparative telomere research. As in humans, ALT might have
a higher prevalence in aggressive canine sarcoma subtypes. Overall, besides TA also
ALT has to be considered as a potential target for therapeutic approaches.
Disclosures
No disclosures to report.
ESVONC‐O‐4
Dose escalation Study to Evaluate Safety, Tolerability and Efficacy of Intravenous
Etoposide Phosphate Administration (ETOPOPHOSⓇ) in 27 Dogs With Multicentric Lymphoma
P. Boye
1, F. Serres1, B. Gomes2, Z. Segaoula3, L. Marescaux1, J. Hordeaux3, E. Bouchaert3,
D. Tierny3.
1ONCOVET, Villeneuve d'Ascq, France, 2Institut de Recherche Pierre Fabre, Toulouse,
France, 3OCR, SIRIC ONCOLille, Parc Eurasanté, Loos, France
Etoposide (VP‐16), a semisynthetic derivative of podophyllotoxine, is a cytotoxic
chemotherapy drug mediated by inhibition of topoisomerase II. Etoposide is widely
used in various humans’ solid and hematopoietic cancers but little data is available
concerning its potential antitumor efficacy in dogs. Previous studies on canine lymphoma
treated with intravenous administration of etoposide showed a minimal therapeutic
effect associated with hematologic toxicity and severe acute hypersensitivity reactions
probably associated with the vehicle (polysorbate‐80) used for the parenteral formulation.
The objectives of this dose‐escalation clinical trial are to assess the safety, the
tolerability and the efficacy of intravenous etoposide phosphate (ETOPOPHOS®) in dogs
with multicentric lymphoma. ETOPOPHOS® is an etoposide preparation which does not
contain polysorbate‐80. This IV formulation is expected to be more likely tolerate
in dogs.
Twenty‐seven owned‐dogs with stage III‐V multicentric lymphomas were enrolled. Signalments,
clinical findings, histology, complete staging results and responses to treatment
were recorded. Seven dose levels were evaluated to determine the recommended dose:
35 mg/m2 (n = 3), 42 mg/m2 (n = 5), 50 mg/m2 (n = 4), 60 mg/m2 (n = 3), 75 mg/m2 (n = 4),
100 mg/m2 (n = 6) and 120 mg/m2 (n = 2). The protocol consisted of three cycles of
etoposide phosphate (ETOPOPHOS®) IV injections every 2 weeks, with a 3‐hour injection
once daily on 3 consecutive days. Adverse effects were graded according to the Veterinary
Cooperative Oncology Group criteria. A complete end‐staging was realized 60 days after
inclusion (D60).
At dose levels 35, 42, 50, 60, and 75 mg/m2 a minimal therapeutic effect was observed
(n = 19, 6PR at D60). In 6 dogs treated with dose level 100 mg/m2, 4 dogs achieved
a PR and 1 dog a CR at D60 (ORR = 83%). In dogs treated with dose levels under 120 mg/m2,
the main adverse event observed in 8 dogs was a reversible gastrointestinal toxicity
(grade 1 to 3), and myelotoxicity was rare (grade 1 to 3 in 4 dogs). A grade 4 neutropenia
was reported in only one dog at dose level 42 mg/m2. In 2 dogs treated at dose level
120 mg/m2, severe gastrointestinal toxicities (grade 4) and severe myelotoxicities
(grade 4 neutropenia) were reported. No dogs had acute hypersensitivity reactions
during the study.
The recommended dose of etoposide phosphate (ETOPOPHOS®) in dogs is 100 mg/m2 with
an ORR of 83% (5/6). Only a moderate reversible gastrointestinal toxicity, no severe
myelotoxicity and no hypersensitivity reaction was reported at this dose level.
Disclosures
This study was conducted by Oncovet Clinical Research (OCR) as part of a collaborative
research project between OCR and Pierre Fabre Medicament.
ESVONC‐O‐5
Case‐control Study of Chemotherapy For The Treatment of Canine Mesotheliomas: 16 Cases
G.M.M. Chamel
1, D. Sayag1, F. Floch2, I. Bublot1, I. Goy‐Thollot1, C. Fournel‐Fleury1, F. Ponce1.
1VetAgro Sup, Marcy l’étoile, France, 2Oncovet, Villeneuve‐d'ascq, France
Mesotheliomas are rare tumors in dogs known to induce effusions in cœlomic cavities.
Neoplastic tissue biopsy is often difficult to obtain and, even if cytological diagnosis
can be straightforward in some cases, it can be challenging in others. Therefore,
diagnosis of mesothelioma is complicated. Only a few cases are described in the literature
and no study assesses in a case‐control manner the efficiency of surgery, radiation
therapy or chemotherapy.
The aim of this retrospective case‐control study was to evaluate the efficiency of
chemotherapy.
Dogs with a cytological and/or histological diagnosis of mesothelioma were collected
in the medical database. Dogs that were treated with intravenous (IV) and/or intracavitary
(IC) chemotherapy were included in Group 1 and dogs that did not received cytotoxic
treatment in Group 2. Signalment, type and duration of clinical signs, anatomic location
of the mesothelioma, results of staging procedures, cytological and/or histological
examinations and type of treatment (surgery, chemotherapy) were collected for all
dogs. Follow‐up data were obtained from the medical records or from telephone interview
of the owners or referring veterinarians. Progression‐free survival (PFS) defined
as time between diagnosis and evidence of disease progression or death was calculated
for all dogs. PFS functions were estimated using the Kaplan Meier method and were
compared between groups using the log rank test.
Sixteen dogs were included in the study between March 2004 and December 2014. There
was 8 pleural, 5 pericardial, 2 peritoneal and 1 concomitant pleural and pericardial
mesotheliomas. There was no significant difference of age, weight and sex ratio between
the two groups. Ten dogs were treated with various chemotherapy protocols, 9 of which
received both IV (carboplatin (7), doxorubicin (7) mitoxantrone (1) and mitomycin
C (1)) and IC chemotherapy (carboplatin (5), cisplatin (4)). Chemotherapy administration
was associated with a significantly higher PFS (Median PFS 353 (range 100–656) vs
48 days (range 0–151); P = 0.001). Six dogs also underwent a pericardiectomy.
This study is showing for the first time that dogs with mesothelioma could benefit
from cytotoxic chemotherapy. However a larger prospective study using a standardized
chemotherapy protocol, applied to specific anatomic forms of the disease is warranted
to confirm this finding.
Disclosures
No disclosures to report.
ESVONC‐O‐6
Combination Targeting of PI3 Kinase and mTOR for Treatment of Canine Melanoma
J. Smich, J. Morrison, A.J. Mutsaers.
Ontario Veterinary College, University of Guelph, Guelph, Canada
Canine malignant melanoma is an aggressive neoplasm that is highly metastatic and
resistant to conventional chemotherapy treatment. Previous work has demonstrated that
canine melanoma cell lines may contain activated AKT and mTOR pathways, as well as
sensitivity to mTOR inhibitors, such as rapamycin. The aim of this study was to assess
combination treatment using dual inhibition of PI3k and mTOR and compare results to
that achieved with inhibition of each pathway individually. Five established primary
canine melanoma cell lines were grown in monolayer culture in vitro under standard
conditions. Cell lines were derived from a canine primary oral melanoma, primary cutaneous
melanoma, metastatic lymph node, or subcutaneous metastasis. Cells were treated with
PI3k inhibitor LY294002, mTOR inhibitor rapamycin, or dual inhibitor GSK2126458 for
24 ‐72 hours. Cell viability was assessed using resazurin dye, with absorbance read
on a spectrophotometer. Western blot was used to evaluate drug treatment impact on
pathway components, including phosphorylated and total AKT, mTOR, and p70S6K. A dose‐dependent
decrease in cell viability was observed in all cell lines. Dual inhibition of PI3k
and mTOR with GSK2126458 was more potent in pathway target inhibition and resulted
in lower cell viability IC50 values than either of the other drugs tested. Dual inhibition
of PI3k and mTOR may be more efficacious than single pathway targeting in canine melanoma
cells. Future studies will assess the potential for this targeted strategy to sensitize
the chemotherapy response in this notoriously treatment resistant tumour type.
Disclosures
No disclosures to report.
ESVCN – European Society of Veterinary Clinical Nutrition
ESVCN‐O‐1
How Does the Nutritional Assessment of Dogs Vary In A Veterinary Staff?
P. Scarpa, C. Palestrini, S.P. Marelli, M. Giraldi, M. Ghiringhelli, M. Raja, E. Fusi.
The nutritional status of the patient is usually evaluated recording the body weight
(BW) and assessing body condition score (BCS) and muscle condition score (MCS). Because
differences in scoring could exist among trained and untrained veterinary personnel,
the aim of the study was to assess the reproducibility of these scoring techniques
between different operators in dogs.
Seventy‐five adult dogs (30 Boxers; 16 English Cocker Spaniel; 22 Golden Retriever;
7 Labrador Retriever) were weighted and blinded assessed for BCS and MCS by five different
evaluators (i.e. internist, nutritionist, behaviorist, vet student and dog show judge),
according to the official nutritional guidelines. In particular, BCS scoring was evaluated
using a 9‐points scale, while the MCS scoring considered the visual examination and
the palpation of the muscle over the temporal bones, scapulae, ribs, lumbar vertebrae
and pelvic bones. Chi‐square test was performed and statistical significance of the
analysis was set at P <0.05. The agreement between the different operators scoring
was evaluated by Cohen's kappa.
Chi‐square test performed between the five evaluators’ assessments was significant
(P <0.001). The Cohen's kappa obtained estimating the BCS scoring showed a fair to
moderate agreement between the evaluators (kappa = 0.2–0.48). In particular, the higher
concordance was detected between the student and the internist (kappa = 0.45) compared
with the others. Considering MCS, the kappa agreement of the evaluations was in the
range of 0.19–0.55. The best agreement was between the nutritionist and the judge.
English cocker spaniel was the most difficult breed to be evaluated, showing the worst
level of concordance between the evaluators.
These data confirm the difficulties in obtaining a unique nutritional evaluation.
This lack in concordance could be due to the different practice area in which the
evaluators were mainly involved. So caution should be taken into consideration of
BCS and MCS scoring, when more practitioners are involved in the clinical management
of the dogs. In order to reduce this limit, an adequate training could be performed
involving all the staff.
Disclosures
No disclosures to report.
ESVCN‐O‐2
The Body Fat Index Chart Is Equivalent to DEXA for Determination of Percent Body Fat
During Weight Loss and Weight Maintenance in Dogs
I. Paetau‐Robinson, C.A. Stiers, B.A. Stone.
Hill's Pet Nutrition, Inc., Topeka, USA
More than 53% of dogs in the United States are considered overweight or obese. Many
pet owners are unsuccessful in reducing their pet's body weight. A critical component
of a successful weight loss regimen is a good estimate of body composition as the
starting point to calculate an appropriate food amount for weight loss. The newly
developed method called the Body Fat Index (BFI) differentiates between levels of
obesity and establishes a link between the BFI and an ideal body weight. Dual‐Energy
X‐ray Absorptiometry (DEXA) provides the most accurate way of measuring percent body
fat; however, it is not readily available to the general practitioner. The current
study compares percent body fat determined from the BFI chart and DEXA scan for a
group of obese dogs during weight loss and weight maintenance fed a food formulated
for helping dogs achieve a healthy weight containing 8.2 g protein, 3.4 g fat, 5.7 g
insoluble fiber, 0.9 g soluble fiber, and 11 mg L‐carnitine per 100 kilocalories.
The protocol and procedures were approved by the institutional animal care and use
committee.
Thirteen obese dogs were fed for weight loss until they achieved their ideal body
weight (IBW), followed by a 6‐month weight maintenance phase. All dogs were group
housed to allow for socialization and had access to outdoor runs. Three animal care
technicians independently determined the BFI for each dog once per month; an average
BFI was calculated. The BFI Chart included images and descriptors that were used to
determine the dog's percent body fat. The dogs underwent a monthly DEXA scan during
the weight loss phase and every two months during the weight maintenance phase.
Including the entire study population, the values for percent body fat determined
by BFI and DEXA were strongly correlated (r = 0.81). For dogs between ages 1 and 5,
the correlation was stronger (r = 0.94) than for dogs ≥6y of age (r = 0.76). The BFI
slightly underestimated the percent body fat in older dogs. Older dogs have a higher
percent body fat at their IBW compared to younger dogs at their IBW.
The purpose of this study was to evaluate the usefulness of the new BFI Risk Chart to
repeatedly estimate percent body fat in overweight dogs during weight loss and during
a period of stable, normal body weight. The results show that the new method is an
excellent tool for the determination of body fat and practical to use in the veterinary
clinic.
Disclosures
Disclosures to report.
Presenter and co‐authors are employees of Hill's Pet Nutrition, Inc. The body fat
index chart used in this study was developed by Hill's Pet Nutrition.
ESVCN‐O‐3
Biochemical Parameters Related to the Metabolic Syndrome in Healthy Dogs and Their
Relationships With Body Condition Score
C. Gómez Fernández‐Blanco
1, F. Farnir1, K. Höglund2, V. Gouni3, M. Wilberg4, J. Lundgren Willesen5, S. Hanås6,
K. Mc Entee1, L. Mejer Sørensen5, L. Tiret3, J. Häggström2, H. Lohi4, V. Chetboul3,
M. Fredholm5, A.S. Lequarré1, A.J. German7, D. Peeters1, A.C. Merveille1.
1University of Liège, Liege, Belgium, 2Swedish University of Agricultural Sciences,
Uppsala, Sweden, 3Ecole nationale vétérinaire d'Alfort, Maisons‐alfort, France, 4University
of Helsinki, Helsinki, Finland, 5University of Copenhagen, Copenhagen, Denmark, 6Evidensia
Animal Clinic Västerås, Västerås, Sweden, 7Institute of Ageing and Chronic Disease,
University of Liverpool, Liverpool, UK
The concept of « metabolic syndrome » (MS) gathers all pathophysiological changes
that derive from excess body fat in humans. Obese dogs share some components of the
MS, such as hypercholesterolemia, hypertriglyceridemia and insulin resistance. However,
unlike people, dogs seem to be resistant to obesity‐related diseases like atherosclerosis
or type‐II diabetes mellitus. Elucidating the effects of body composition on lipid
metabolism and glucose homeostasis in dogs may allow better understanding of the MS.
The aim of this study was to investigate, in healthy dogs, potential associations
between body conditions score (BCS) and biochemical parameters involved in the MS.
Data from 534 dogs were retrieved as part of the European LUPA project, and included
419 males (15 Boxer, 125 Belgian Shepherd dog, 35 Cavalier King Charles Spaniel, 40
Dachshund, 39 Doberman, 45 Finnish Lapphund, 66 German Shepherd dog, and 52 Labrador
retriever) and 115 females (73 Labrador retriever and 44 Newfoundland). Ages ranged
from 2 to 6 years old. Dogs were weighed, a BCS was assigned (using a 1‐to‐9 scale),
and those over 7 or under 2 were excluded. Dogs were considered as healthy based on
history, physical examination, CBC, biochemistry, and complete cardiovascular work‐up.
Circulating concentrations of cholesterol, free fatty acids (FFA), triglycerides,
C‐reactive protein (CRP), insulin, glucose, fructosamine, cortisol and aldosterone
were measured. Spearman's correlations with a Bonferroni‐corrected P‐value (0.0007)
were computed between all variables, both in the overall group and within breeds.
A Mann‐Whitney test was used to compare dogs categorised into “lean” (BCS<or=5) and
“overweight” (BCS>5), and ANCOVA was used to test the effect of breed along with the
BCS.
Taking all dogs into account, BCS was positively correlated with cholesterol, triglycerides
and fructosamine, cholesterol with triglycerides and fructosamine, FFA with triglycerides,
insulin with CRP and glucose, and fructosamine with cortisol and glucose. Aldosterone
was correlated negatively with age and positively with triglycerides and cortisol.
Some of these correlations were also observed when testing within breeds. The “overweight”
group had significantly higher cholesterol, FFA, triglycerides, fructosamine and aldosterone,
and were significantly older than the “lean” group. An effect of BCS persisted on
cholesterol, insulin and age despite correction for the different breeds.
Metabolic changes occur in association with overweight body condition in otherwise
healthy dogs, although breed effects also contribute. Further characterisation of
the interactions between body fat deposition and glucose and lipid metabolism may
provide insights into canine obesity‐related metabolic disturbances.
Disclosures
No disclosures to report.
ESVCN‐O‐4
Clinicopathological Findings in Obese Dogs Before and After Weight Loss: A Cohort
Study
A.J. German
1, H.E.C. Bamford1, S.L. Holden1, V. Biourge2.
1university of Liverpool, Neston, UK, 2royal Canin Research Center, Aimargues, France
Obesity is a common medical disorder in dogs, and can predispose to a number of other
diseases. However, information is limited as to the clinicopathological changes that
can be seen as a result of obesity and subsequent weight loss, as well as whether
such changes could predict outcomes of a weight management regime.
100 client‐owned dogs were included in this observational cohort study. Dogs underwent
a controlled weight loss programme using a purpose‐formulated diet. Routine haematology,
serum biochemistry and urinalysis were performed before and after weight loss. Associations
between clinicopathological findings and various outcomes were assessed.
69 of the dogs successfully reached their target weight (based on post‐weight loss
assessment by dual‐energy X‐ray absorptiometry), and 31 dogs stopped the programme
prematurely, 8 of which were euthanased for an unrelated disease. In the dogs reaching
target weight, leucocytes (P < 0.001), lymphocytes (P = 0.007), monocytes (P < 0.001),
albumin (P < 0.001), ALP (P < 0.001), calcium (P < 0.001), creatinine (P = 0.039),
cholesterol (P < 0.001), and total protein (P < 0.001) all decreased during the weight
loss regime, whereas urea concentration increased (P = 0.039). Further, the magnitude
of changes in cholesterol (Kendall's tau ‐0.23, P = 0.009), and albumin (Kendall's
tau ‐0.31, P < 0.001) were negatively associated with percentage of weight lost (i.e.
the more weight lost the greater the decrease). Finally, pre‐weight‐loss glucose concentration
was greater (P < 0.001) whilst sodium (P = 0.039) and creatinine (P = 0.027) concentrations
were less in dogs failing to reach their target weight than in dogs that were subsequently
successful in their weight loss.
Whilst many clinicopathological parameters change as a result of controlled weight
loss in obese dogs, the clinical significance of this is unknown. Further work is
required to determine whether pre‐weight‐loss glucose concentration could be used
to predict the outcome of a weight programme.
Disclosures
Disclosures to report.
The diets used in this study were manufactured by Royal Canin. AJG's Readership is
funded by Royal Canin. AJG has also received financial remuneration and gifts for
providing educational material, speaking at conferences, and consultancy work. SLH's
post at the University of Liverpool was also funded by Royal Canin, and she is now
employed by this company. VB is employed by Royal Canin.
ESVCN‐O‐5
Effectiveness of a New Dietetic Food to Achieve Weight Loss and to Improve Mobility
in Client‐owned Obese Dogs With Osteoarthritis
U. Christmann
1, I. Becvárová2, S. Werre3, H. Meyer2.
1Lincoln Memorial University, Ewing, Virginia, USA, 2Hill's Pet Nutrition ‐ Europe,
a division of Colgate Palmolive Europe Sarl, Therwil, Switzerland, 3Virginia‐Maryland
College of Veterinary Medicine, Blacksburg, virginia, USA
Excessive body weight contributes to the severity of clinical signs in dogs with osteoarthritis.
The purpose of this study was to determine the effectiveness of a new dietetic food
(NDF)* to achieve weight loss and to improve mobility in obese/overweight client‐owned
dogs with osteoarthritis. The objectives were 1) to evaluate weight loss parameters
and 2) to assess clinical signs related to osteoarthritis in dogs fed the NDF. Thirty‐eight
dogs were enrolled in the study. Initial and follow‐up evaluations (monthly for 6 months)
included determination of body weight, body condition score (BCS), body fat index
(BFI), and evaluation of osteoarthritis‐related parameters as assessed by the veterinarian
(lameness, weight bearing, pain on joint palpation) and the owner (difficulty rising,
aggression, reluctance to walk and to play, inactivity). Begging behaviour, faecal
score and acceptance of food were also evaluated. Initial veterinary consultation
consisted of physical examination, nutritional assessment, determination of ideal
body weight (IBW), development of weight‐loss feeding guidelines (DER = 70 x IBWkg0.75),
and explanation of the assessments performed. Statistical analysis comprised scatterplots,
regression analysis, summary statistics, Friedman's chi‐square test, and a mixed model
ANOVA to assess changes over time (statistical significance P < 0.05). Eighty nine
percent of the dogs lost weight (n = 34) with an average weight loss of 12.6% (SEM,
1.3%) over 6 months and an average weekly weight‐loss rate of 0.5% (SEM, 0.04%) of
starting body weight. The mean duration of weight loss was 174 days (SD, 36 days)
with an average of 33 days (SD, 13 days) between rechecks. BCS and BFI in the dogs
that lost weight were significantly lower compared with baseline in months 2–6 of
the study. Difficulty rising and reluctance to play improved significantly compared
with baseline starting at month 2 of the study whereas reluctance to walk and inactivity
improved significantly compared with baseline starting at month 3 of the study. Similarly,
lameness, weight bearing, and pain on palpation improved significantly compared with
baseline starting in month 3 of the study. Faecal scores were unaffected and begging
was significantly lower in months 3 and 4 compared with baseline. In conclusion, this
clinical study confirmed the effectiveness of the NDF* in achieving weight loss and
improvement of clinical signs related to osteoarthritis in overweight/obese client‐owned
dogs. Owners and veterinarians reported significant improvements in dog's weight and
mobility without negative side effects.
* Hill's[TRADEMARK] Prescription Diet[TRADEMARK] Metabolic + Mobility Canine, dry
(caloric distribution: protein=27%, fat=37%, carbohydrate=36%)
Disclosures
Disclosures to report.
This study was sponsored by Hill's Pet Nutrition Europe. I. Becvarova and H. Meyer
are employees of Hill's Pet Nutrition. U. Christmann and S. Werre received financial
compensation as consultants on behalf of Hill's Pet Nutrition for their involvement
in this study.
ESVCN‐O‐6
Early oral Voluntary Nutrition in Anorexic Critical ill Dogs: A Retrospective Study
in 137 Dogs
G. Aste
1, V. Greci2, S. Lugetti1, M. di Saverio1, P. Crisi1, D. di Francesco1, E. Febo1,
A. Luciani1, P. Rocchi2.
1University of Teramo, Teramo, Italy, 2Ospedale Veterinario Gregorio VII, Rome, Italy
Critically ill dogs are characterized by marked variations in energy requirement.
The aim of this study was to evaluate retrospectively the effect of early oral voluntary
nutrition on mortality and length of hospitalization in anorexic dogs with SIRS.
Medical records of anorexic dogs admitted with criteria of SIRS (Hauptman, 1997) at
Ospedale Veterinario Gregorio VII and OVUD of University of Teramo, between January
2012 and August 2014 were reviewed. The severity of anorexia was defined by the time
of on‐set and duration of anorexia prior to presentation (mild < 24 hour, moderate
24–72 hours, severe anorexia > 72 hours).
Medical treatment for SIRS was instituted depending on the underlying disease and
mainly consisted of fluid‐therapy support, analgesia, antibiotics; anti‐thrombotic
therapy and blood or plasma transfusion when required. Antiemetic therapy (maropitant,
1 mg/Kg q 24 h SC and metoclopramide 1.1 ‐2.2 mg/Kg q 24 h CRI) was given to each
anorexic dog independently by the concurrent presence of vomiting. Nutritional requirement
was calculated by Basal Metabolic Rate (BMR ‐ 97 x BWkg0.655‐); recovery diet (Royal
Canine) or a/d (Hill's) was given via oral voluntary or friendly eating. The partial
parenteral nutrition (0.70 x BMR) was given in each dog with severe anorexia. Chi
squared test was utilized for statistical analysis of categorical data, and Mann Whitney
test for independent non parametric data (MedCal).
One‐hundred‐thirty‐seven dogs were included, fourteen (10%) were mildly anorexic,
34 (25%) moderately anorexic and 89 (65%) severely anorexic. Fifty‐six dogs (41%)
were diagnosed with acute gastroenteritis, 11 (8%), with septic peritonitis, 10 (7%)
with pyometra, and 7 (5%) with acute pancreatitis. Forty‐six dogs (34%) started eating
voluntarily within 72 hours from admission, 30 dogs (40%) 72 hours after admission,
and 61 dogs (44%) never ate food voluntarily. Fifty‐nine dogs (43%) died: 57 dogs
(42%) never resumed eating, and two dogs (1%) started eating after 72 hours from admission.
Significant difference in mortality rate was found between severe anorexic group and
moderate anorexic group (P = 0.0095). No significant differences were found in mortality
rate and in length of hospitalization among different disease processes. Statistically
significant difference was observed in length of hospitalization between dogs that
gained voluntary eating within 72 hours (5 ± 2 days) and after 72 hours (8 ± 3 days)
after admission (P = 0.001).
In conclusion, early oral voluntary nutrition in anorexic dogs with SIRS is associated
with a lower mortality rate and shorter length of hospitalization.
Disclosures
No disclosures to report.
ISCAID‐P‐1
Frequency and Clinical, Hematological and Biochemical Findings of Feline Immunodeficiency
Virus (FIV) and Feline Leukemia Virus (FELV) in Cats, in Turkey
B.K. Tekelioglu1, N. Turan
2, H. Yilmaz3, U.Y. Cizmecigil2, O. Aydin2, H. Yilmaz2.
1Department of Virology, Veterinary Faculty, University of Cukurova, Ceyhan, Adana,
Turkey, 2Department of Virology, Veterinary Faculty, University of Istanbul, Avcilar,
Istanbul, Turkey, 3Cevre Analysis Laboratories, Tatli Pinar sokak, Mart Plaza, Kat‐2,
Kagithane, Istanbul, Turkey
The aim of this study was to investigate the frequency of Feline Immunodefiency Virus
(FIV) and Feline Leukemia Virus (FeLV) in cats in Istanbul, Turkey and to evaluate
the relationship between clinical and laboratory findings. For this, 169 cats submitted
to veterinary clinics in Istanbul were analysed by ELISA. Antibodies to FIV were detected
in 19 cats (%11) and FeLV antigen in 2 cats (%1). Blood samples of 169 cats were also
analysed for hematology and biochemistry. FIV and FeLV were detected mostly in male
cats and were between 2–7 years old. In addition, WBC count, BUN and Urea were high
in both FIV positive cats while lymphocyte count, hemoglobin and hematocrit value
were found to be low. In conclusion, FIV infection is still affecting cats health
in Turkey. it would be good to analyse the FIV and FeLV positive cats for hematology
and biochemistry to understand the status and prognosis of the diseases.
Disclosures
No disclosures to report.
ISCAID‐P‐2
Lungworm Occurrence in Dogs and Cats in Rome: A Retrospective Study (July 2010–March
2016)
V. Greci.
Ospedale Veterinario Gregorio VII, Roma, Italy
Lungworm infection is a potentially life‐threatening parasitic infections in dogs
and cats and might represent an underestimated disease in urban and suburban areas.
The aim of this study was to report the occurrence of lungworm infection in dogs and
cats belonging to urban and suburban areas of Rome presented to Ospedale Veterinario
Gregorio VII between July 2010 and March 2016.
Twenty cats, nineteen DSH cat and one Siamese cat, with a mean age of 2.8 months (1.5–8 months)
were included; twelve cats were male. All cats were stray cats. Main clinical signs
were coughing (9) and dyspnea (7); three cast were asymptomatic. Fourteen cats had
radiological examination characterized by mild (5), moderate (2) or severe (7). a
mixed broncho‐alveolar‐interstitial pattern. All cats but three had positive Baermann
result with identification of Aelurostrongylus abstrusus. All cats received fenbendazole
50 mg/kg for 3 weeks and fully recovered.
Twenty‐one dogs with a mean age of 45.5 months (2–156 months) were included; thirteen
dogs were intact male. Three dogs were mixed‐breed dog the others belonged to different
breeds. Only 6 dogs had a history of risk exposure. Main duration of clinical signs
was 10.6 days (1–30 days) with coughing (12 dogs) and dyspnea (7) the main symptoms.
Three dogs had only neurological signs. Eight dogs had a mean hematocrit of 22.6%
(15.3–30.1%) and concurrent disseminated intravascular coagulation. All dogs but one
had thoracic radiographs characterized by a diffuse moderate (2) or severe (18) mixed
alveolar‐bronchial‐interstitial pattern. Thirteen dogs had positive Baermann result,
two of them tested positive for Angiostrongylus vasorum (IDEXX Angio‐detect‐test)
and one negative; overall, nine dogs were tested for Angiostrongylus v. and eight
tested positive; two dogs with negative fecal result were diagnosed post mortem with
lung mixed infection and disseminated Aelurostrongylus a. infection respectively.
One dog was diagnosed on BAL and one on lung cytology. Five dogs died; the others
recovered. Therapy, other than fenbendazole 50 mg/kg for 3 weeks, depended on the
clinical status.
Lungworm infection might be an underestimated disease in urban and suburban areas
and should be considered in the differential diagnosis of dogs and cats presenting
with respiratory disease. Limitation of this study was is retrospective view and that
not all dogs with positive Baermann had lungworm infection typing; the small number
of dogs tested for Angiostrongylus v. was due to the late introduction of the in‐clinic
test. Cats of uncertain provenance should be routinely screened.
Disclosures
No disclosures to report.
ISCAID‐P‐3
The Constituent Profile of Trans‐tracheal Wash Fluid in Complicated and Non‐complicated
Respiratory Form of Canine Distemper Infected Dogs
M.E. Ali, A.A. Kubesy, S. Salem, M.R. Khattab.
Faculty of Veterinary Medicine, Cairo University, Giza, Egypt
Canine distemper (CD) is a highly contagious in young non‐vaccinated dogs. The symptoms
vary among respiratory, gastrointestinal, dermatologic, ophthalmic or neurological
signs and these symptoms are often exaggerated by secondary infections. This study
was designed to analyze the various components of trans‐tracheal wash (TTW) of CD
infected dogs For this purpose 25 dogs: 12 apparently healthy dogs and 13 CD infected
dogs diagnosed by immune‐chromatographic assay on ocular and nasal discharges (The
Canine Distemper Ag Test Kit). All dogs were submitted to cytological, biochemical
and microbiological examinations of TTW as well as hematological examination. CD infected
dogs were sub‐grouped into complicated and non‐complicated groups. Hematological findings
of non‐complicated group revealed insignificant lymphopenia with significant monocytosis.
Regarding complicated group, the hematological constituent showed regenerative anemia,
leukocytosis, neutrophilia and monocytosis. Microscopical examination of blood smear
in both groups showed canine distemper inclusion bodies inside neutrophils and red
blood corpuscles which is characteristic for canine distemper. Concerning the cytological
findings of TTW of complicated and non‐complicated dogs, the results revealed significant
decrease of alveolar macrophages, lymphocyte and epithelial cells with significant
increase in reactive macrophages and degenerated neutrophils. Total nucleated cell
count showed significant increase only in complicated CD infected dogs. Intra‐cellular
bacteria, Pnuemocystis carinii and Toxoplasma gondii were noticed microscopically
in stained cytological preparation of complicated CD group. Biochemically, complicated
CD group showed significant increase of corrected alkaline phosphatase (ALP) and phosphorous
with significant increase of matrix metallo‐proteinase‐2 (MMP2) and total gelatinases
while MMP9 showed significant decrease. Non‐complicated CD group showed significant
increase of corrected ALP only with significant increase MMP2, complex‐form gelatinases
and total gelatinases while MMP9 showed significant decrease.Bacterial isolates from
complicated CD group were Pseudomonas aeruginosa, Citrobacter spp., Escherichia coli
and Beta‐hemolytic streptococcus spp.
Keywords.
TTW, MMP, cytological analysis, canine distemper.
Disclosures
No disclosures to report.
ISCAID‐P‐5
A Descriptive Study of Clinical Canine Leishmaniosis in Dogs Vaccinated with CaniLeish
L. Solano‐Gallego
1, M.D. Tabar2, F. Horno1, L. Ordeix1.
1Universitat Autonoma de Barcelona, Bellaterra Cerdanyola del Valles, Spain, 2Hospital
Veterinario San Vicente, Alicante, Spain
A vaccine against canine leishmaniosis was launched in some European Countries in
2011. Since then, veterinarians practicing in Spain, an endemic focus of canine leishmaniosis,
have sporadically diagnosed clinical leishmaniosis in dogs previously vaccinated.
The aim of this descriptive retrospective study was to define and evaluate clinicopathological
findings in dogs with canine leishmaniosis previously vaccinated with CaniLeish. An
active search for clinical cases from several veterinary hospitals in Spain was carried
out. Sixteen sick dogs with clinical signs and/or clinicopathological abnormalities
compatible with leishmaniosis and diagnosed based on visualization of Leishmania amastigotes
by cytological evaluation, histopathological evaluation ± immunohistochemistry or
molecular techniques were included. Clinical records as well as laboratory or imaging
reports were thoroughly evaluated and information was gathered. The clinical presentation
of all the dogs diagnosed with clinical leishmaniosis occurred between September 2012
and February 2016. Age ranged from one to 9 years with a median of 3.5 years. The
majority of dogs (n = 13, 81%) were pure bred with 85% (n = 11) belonging to large
breeds such as the Boxer or Labrador and only 15% (n = 2) to small breeds (Yorkshire
Terrier and French Bull dog). Three large mixed‐breed dogs (19%) were also diagnosed.
Interestingly, males (n = 11, 69%) were more frequently diagnosed than females (n = 5,
31%). The most common clinicopathological findings were ulcerative or nodular cutaneous
lesions, lymphadenomegaly, lameness, mild to moderate non‐regenerative anemia, hypergammaglobulinemia,
proteinuria and renal azotemia. Serology based on immunofluorescence or quantitative
ELISA at the time of diagnosis was positive in all dogs with the exception of one
dog, which was negative. Most dogs received a full vaccination protocol, although
in some cases, vaccine was not administered in the same veterinary center where clinical
leishmaniosis was diagnosed. Dogs were apparently healthy at the time of vaccination
and most of them were considered seronegative based on a rapid serological test. Interestingly,
the majority of dogs were diagnosed with clinical leishmaniosis prior to the first
annual revaccination. The mean ± standard deviation of time between vaccination and
appearance of clinical illness was 7 ± 3 months with a range of 2 and 12 months. In
conclusion, this study describes, for the first time, clinicopathological data in
dogs with leishmaniosis after vaccination. Moreover, the majority of dogs were diagnosed
few months after vaccination highlighting the importance of the use of accurate screening
diagnostic tests prior to vaccination in dogs living in endemic areas.
Disclosures
No disclosures to report.
ISCAID‐P‐6
Typing of Feline Coronavirus Biotypes in Cats with Fever of Unknown Origin
C. Leutenegger, M. Estrada, N. Sanders, M. Seguin.
IDEXX Laboratories, Inc., West Sacramento, USA
Fever of unknown origin (FUO) is an early non‐specific sign of different etiologies
including infectious disease. The list of differential diagnoses for FUO is extensive.
To rule infectious causes in or out, broad panels of blood‐borne agents including
feline coronavirus (FCoV) are a useful tools and have gained attraction in recent
years.
Conversion from the benign biotype (FECV) to the virulent biotype (FIPV) of FCoV is
believed to occur through spike gene fusion peptide mutations. These changes in the
viral genome perturb cell tropism provoking systemic spread and ultimately leading
to the clinical manifestation of fatal FIP.
A study aimed to determine the frequency of 15 infectious agents found 39 (8.6%) FCoV
in the whole blood of 454 cats with FUO using real‐time PCR. Despite low viral load,
spike gene fusion peptide based genotyping was achieved in 12 isolates (30.8%). The
FIPV associated fusion peptide mutation L1058M was found in 9 isolates whereas 3 cases
were determined as wildtype FECV.
Clinical follow‐up of the 12 genotyped cases was successful in 10 (8 FIPV and 2 FECV
cases). The 8 FIPV case reviews showed quick clinical detoriation despite empirial
therapy attempts and euthanasia of all cases within an average of 9.6 days (2 to 27 days).
Two of the 3 FECV cases could be followed up; one case was euthanized within 6 days
with high clinical suspision of FIP, the second case euthanized after 2 months and
5 days with respiratory distress and polylymphadenopathy.
This study suggests to consider systemically circulating FCoV detectable in whole
blood of FUO cats to be an early indicator of progression to FIP.
Disclosures
Disclosures to report: The authors are employees of IDEXX Laboratories.
ISCAID‐P‐7
Seroprevalence of Antibodies to Tick‐borne Encephalitis Virus in 433 Dogs with Neurological
Signs
D. Breu, J. Guthardt, E. Mueller.
Laboklin, Bad kissingen, Germany
Tick‐borne encephalitis is a zoonotic disease transmitted by ticks. The causative
agent is tick‐borne encephalitis virus (TBEV), a member of the genus Flavivirus. Since
no anti‐TBEV canine vaccine is available, seropositivity of dogs indicates natural
exposures to Flavivirus. Dogs have served as sentinels in identifying the risk areas
for humans of the natural Flavivirus foci and the seroprevalences in healthy dogs
were shown to fluctuate from 0–30% depending on areas. Dogs may be resistant to developing
clinical signs but clinical cases are often fatal. Our study had two aims: (i) assess
the TBEV‐seroprevalence in dogs showing neurological signs and its relationship with
regard to gender, age and breed, (ii) evaluate the possible concordance of TBEV‐seroprevalence
and the specific areas suspected of Flavivirus foci in accordance with the RKI (Robert‐Koch
Institute, Berlin, Germany) classification of ‘risk counties’. Between 2013 and 2015,
we analysed 433 blood samples obtained from dogs with various unspecified neurological
signs suspected of TBEV‐infection. The majority of the samples came from Germany (299),
Austria (54), Czech Republic (33), Sweden (15), Switzerland (12), and Norway (10).
IgG‐antibodies to TBEV were assayed using a commercially available ELISA. Based on
the Antibody‐titre results, dogs could be classified as follows: Ab‐positive (>126 U/ml):
48/433 (11.1%), ‘borderline range’ (≥63 ≤ 126 U/ml): 20/433 (4.6%), and Ab‐negative
(<63 U/ml): 365/433 (84.3%). By breed with ≥10 dogs, Ab‐positive dogs were in the
following decreasing order: Golden Retrievers, Labrador Retrievers, Yorkshire Terriers,
Mongrels, and Bernese Mountain Dogs. No gender‐dependency could be detected. The median
age of the Ab‐positive dogs was 6.5 (1–13) years. 28/299 (9.4%) dogs from Germany
were Ab‐positive and 27/28 (96.4%) came from risk areas (Bavaria, Baden‐Wuerttemberg,
Hesse, Thuringia, and Saarland). Dogs from other countries presented the following
Ab‐positivity; Austria: 14/54 (26%), Czech Republic: 4/33 (12.1%), Norway: 1/10 (10%)
and Switzerland: 0/12 (0%). Our present study showed that (i) Retrievers were the
predominant breeds with respect to TBEV‐seropositivity and (ii) a high concordance
was confirmed between seropositive dogs with neurological signs and the TBEV‐risk
areas in Germany as defined by the classification of the RKI. Our data also suggested
that, although seroprevalence could be low, TBE should be considered a potentially
useful differential diagnosis in dogs with neurological signs when the dog has a history
of travelling or living in risk areas and, in that case, the serological diagnosis
should be confirmed by a paired sample, taken two weeks apart.
Disclosures
Disclosures to report: The authors Breu D and Guthardt J are employed at Laboklin
GmbH & Co KG, Germany. Mueller, is owner/manager of the Laboklin GmbH & Co KG, Germany.
ISCAID‐P‐8
Prevalence and Phylogenetic Analysis of Feline Morbillivirus in Cats in Istanbul,
Turkey
H. Yilmaz
1, B.K. Tekelioglu2, A. Gurel1, E. Altan Tarakci1, U. Cizmecigil1, O. Erdogan Bamac1,
G. Yuzbasioglu Ozturk1, O. Aydin1, C. Helps3, J. Richt4, N. Turan1.
1University of Istanbul, Veterinary Faculty, Istanbul, Turkey, 2University of Cukurova,
Veterinary Faculty, Dept of Virology, Adana, Turkey, 3University of Bristol, School
of Veterinary Science, Bristol, UK, 4Kansas State University, College of Veterinary
Medicine, Kansas, USA
Feline morbillivirus (FmoPV) recently gained importance since it is considered to
be associated with tubule‐interstitial nephritis and chronic kidney disease in cats.
This study was performed to investigate the frequency, histo‐pathology and phylogeny
of feline morbillivirus (FmoPV) in cats in Istanbul, Turkey. Cats were clinically
examined, the presence of FmoPV‐RNA was determined (n = 95 unhealthy and n = 15 dead),
histopathology performed and FmoPV phylogenetic analysis were undertaken. FmoPV RNA
was detected by RT‐PCR in six cats (5.4%), three were unhealthy and three had died.
The tissues of the three dead cats were also positive by immuno‐histochemistry for
the antibody to N protein of FmoPV. Phylogenetic analysis of the 6 FmoPV positive
cats showed that the strains were grouped into Cluster D and had high similarity (98.5–100%)
with FmoPV strains from Japan (AB924120; AB910309) and Germany (KR269601, KR269600).
In the three FmoPV‐RNA positive cats, signs of the respiratory, urinary and digestive
system were observed as well as weight loss, fever and depression in some cats. In
FmoPV‐RNA positive unhealthy 3 cats, proteinuria, bilirubinuria, nitrituria, glucosuria
in one cat, bacteriauria and residue in the urine of all cats were found. On histopathology
of FmoPV‐RNA positive dead cats, tubulo‐interstitial nephritis that was characterised
by severe granular and vacuolar degeneration in the epithelial cells of the cortical
and medullary tubules as well as mononuclear cell infiltrates. Widespread lymphoid
cell infiltrates were observed both in the renal cortex and medullary regions of the
kidneys. Cellular infiltration, cholangio‐hepatitis and focal necrosis in the liver
were also found.
In conclusion, this is the first study which shows the presence of feline morbillivirus
infection in cats in Turkey. Sick cats particularly the ones with kidney disease should
be tested for this virus. The genotypes found in this study was similar to previously
reported strains indicating that circulating morbilliviruses in Turkey are conserved.
Disclosures
No disclosures to report.
ISCAID‐P‐9
Bacterial Microbiome in the Nose of Healthy Cats and in Cats with Nasal Disease
E.S. Dorn
1, B. Tress1, J. Suchodolski2, K. Weber1, K. Hartmann1, B. Schulz1.
1LMU University of Munich, Munich, Germany, 2College of Veterinary Medicine and Biomedical
Sciences, Texas A&M University, College Station, USA
Microbial populations in the feline nose have not been assessed using sequencing of
bacterial 16S rRNA genes so far. Aim of the study was to describe the nasal microbiome
of healthy cats and cats with nasal disease. Furthermore, the influence of signalement
and environment were investigated.
Bacterial DNA was extracted from nasal swabs of healthy cats (n = 28), cats with nasal
neoplasia (n = 16), and cats with feline upper respiratory tract disease (FURTD) (n = 18)
and used for pyrosequencing of the 16S rRNA gene. Data analysis was performed using
Quantitative Insights Into Microbial Ecology (QIIME). A total of 375 bacterial species
out of 24 phyla were identified. In all groups, Moraxella spp. was the most common
species, followed by Pasteurella spp. in cats with FURTD.
Shannon diversity index and analysis of similarities used on the unweighted UniFrac
distance matrix were significantly different when nasal microbial communities of healthy
cats were compared for age (P = 0.002) and indoor/outdoor status (P = 0.001).
The study demonstrates that the feline nose is inhabited by variable and diverse microbial
communities, and suggests differences between the nasal microbiome of healthy cats
depending on age and indoor/outdoor status.
Disclosures
No disclosures to report.
ISCAID‐P‐11
Natural Infection with Angiostrongylus Vasorum in 23 Dogs in Berlin/Brandenburg –
A Retrospective Case Series (2013–2016)
D.J. Dorn
1, E. Huisinga2, B. Kohn1.
1Freie Universität Berlin, Berlin, Germany, 2IDEXX Laboratories, Ludwigsburg, Germany
Angiostrongylus (A.) vasorum is a mainly gastropode (slugs, snails) borne disease
with a nematode classified in the superfamily Metastrongyloidae being the causative
agent. The life cycle of this emerging parasite accounts for various clinical signs.
In Germany A. vasorum infections have mainly been reported in the southern and western
parts of Germany. However A. vasorum infection was detected in 11 out of 122 red foxes
from Brandenburg. They are the suggested reservoir hosts in this area.
The aim of this study was to provide further insights on this parasite and its occurrence
in the Berlin/Brandenburg area: clinical signs, laboratory and radiographical changes,
as well as treatment and outcome.
Medical records of dogs diagnosed with A. vasorum were evaluated retrospectively.
The inclusion criterion was a diagnosis of A. vasorum infection based on detection
of larvae in fecal samples (8), in tracheal wash fluid (6) and/or via antigen testing
(IDEXX, Angio Detect™) in serum (15).
In 23 dogs consisting of 19 different breeds and 3 crossbreed dogs angiostrongylosis
was diagnosed. The median age was 4 years (range 0.5 to 11), 15 dogs were male and
8 female. Twenty of 23 dogs came from Berlin. Eight of 14 dogs with a known travel
history had never left Germany. The most common signs on admission were cough (48%),
tachypnea/dyspnea (30%), vomitus (17%) and neurological signs (17%). Hematological
changes included leukocytosis (70%), eosinophilia (78%), neutrophilia (65%), monocytosis
(65%), thrombocytopenia (30%) and anemia (26%). Biochemistry abnormalities were hyperproteinemia
(50%), hypoalbuminemia (57%), azotemia (20%), and hypercalcemia (14%). Four of 8 dogs
had a prolonged activated partial thromboplastin time. Thoracic radiographic abnormalities
were detected in 15 dogs (65%).
Twenty‐two dogs were treated with moxidectin, 1 dog received fenbendazol in addition.
One dog was treated with fenbendazol only. Additional medication included prednisolone
(6), theophylline (8) and antimicrobial therapy (8). Eight dogs needed hospitalization.
Two dogs died after admission (during anesthesia; due to progressing neurological
signs and bleeding diathesis). Nineteen dogs recovered, 2 were lost to follow‐up.
Median time of anthelmintic treatment was 4 weeks (range 3 to 16).
A. vasorum infection is an emerging disease and should be considered as important
differential diagnosis for various clinical signs in the Berlin/Brandenburg area.
Disclosures
The study was partially sponsored by IDEXX Laboraties Ludwigsburg. IDEXX Laboratories
is the Producer of Angio Detect TM. The co‐author E. Huisinga is employee of IDEXX
Laboratories.
ISCAID‐P‐12
Single and Mixed Feline Lungworm Infections: Clinical, Radiographic and Therapeutic
Features of Twenty‐Six Cases (2013–2015)
P.E. Crisi, G. Aste, D. Traversa, A. di Cesare, E. Febo, M. Vignoli, D. Santori, A.
Luciani, A. Boari.
University of Teramo, Teramo, Italy
The aim of study was to describe retrospectively clinical, radiographic and therapeutic
features in cats from Italy diagnosed with lungworm infections.
In 2013–2015, twenty‐six cats infected by lungworms at the Veterinary Teaching Hospital
of the University of Teramo underwent to physical examination, laboratory analysis,
thoracic radiography and fecal examination. Parasites elements were identified by
floatation and Baermann‐Wetzel methods and all results were confirmed by PCR. All
animals were treated with different anthelmintics and followed‐up every 2 weeks until
recovery. All cats (13 males, 13 females), with median age of 24.9 months (2–132),
lived or were allowed to roam outdoor. Infections by Aelurostrongylus abstrusus (n = 15),
Troglostrongylus brevior (n = 3) and Capillaria aerophila (n = 1) and co‐infections
by T. brevior/A. abstrusus (n = 6) and T. brevior/C. aerophila (n = 1) were diagnosed.
All cats harboring T. brevior (n = 10) had less than four months. Respiratory signs
recorded were coughing (n = 12), increased vesicular sounds (n = 10), dyspnoea (n = 9),
tachypnoea (n = 6), abdominal breathing (n = 5), oculo‐nasal discharge (n = 5), sneezing
(n = 4), wheezing (n = 2) and crackles (n = 1). One cat was asymptomatic. Haematobiochemical
abnormalities were anemia (n = 7), neutrophilia (n = 7), eosinopenia (n = 2), eosinophilia
(n = 1) and monocytosis (n = 1). Radiographic features were interstitial (n = 24),
bronchial (n = 21), alveolar (n = 10) and vascular (n = 2) patterns. Twenty‐five cats
showed a complete recovery within 2–6 weeks, while one kitten died few days after
the diagnosis. Cats infected by A. abstrusus, after a 3‐day course of oral fenbendazole
(n = 3) or one (n = 4), two (n = 7) or three (n = 1) topical moxidectin two weeks
apart, recovered within 14–42 days. Animals with troglostrongylosis recovered in 14–42 days
after a single administration of moxidectin (n = 2) or emodepside (n = 1). Cats with
co‐infection by T. brevior/A. abstrusus received single topical emodepside (n = 1),
single oral milbemycin oxime (n = 2), or two (n = 2), three (n = 1) administrations
of moxidectin. Five cats were healthy in 14–42 days, while one, treated with milbemycin
oxime, died after an acute onset of dyspnoea. Two cats infected by C. aerophila and
T.brevior/C. aerophila received a single administration of eprinomectin and emodepside,
respectively, and they were healthy after two weeks.
Lungworms should always be included in the differential diagnoses in cats living in
endemic areas and presenting respiratory and radiographic signs and copromicroscopic
examinations should be considered as first step. As radiographic changes may be evident
before the onset of clinical signs, radiographic examinations are mandatory if lungworms
are suspected. In fact, in most cases, a timely therapy guarantees the recovery, being
various compounds effective against felid lungworms.
Disclosures
No disclosures to report.
ISCAID‐P‐13
Evaluation of a Point of Care Rapid IgM Detection Test (WITNESSⓇ Lepto) for Diagnosis
of Canine Leptospirosis
H. Hapke
1, J. Lizer2, M. Grahlmann1, B. Kohn1.
1Small Animal Clinic, Faculty Veterinary Medicine, Freie Universität of Berlin, Berlin,
Germany, 2Zoetis Veterinary Medicine Research and Development, Kalamazoo, USA
The purpose of this investigation was to evaluate the diagnostic sensitivity and specificity
of a point of care lateral flow test (WITNESS® Lepto, Zoetis) that detects IgM to
Leptospira, using well‐characterized canine sera archived at the Freie Universität
Berlin. The test requires 5 µL of serum, plasma, or whole blood, and a result is obtained
in 10 minutes.
A total of 187 samples collected from 122 dogs in four different groups were tested:
(i) 37 dogs with acute clinical leptospirosis confirmed by one or more of the following:
acute MAT serology (titer of ≥1:800 for non‐vaccine serovars), convalescent MAT serology,
blood PCR, urine PCR. Convalescent sera from nine of these dogs, collected approximately
two weeks after the acute sample, were also tested; (ii) 15 dogs with clinical signs
compatible with leptospirosis but a different final diagnosis; (iii) 45 healthy dogs,
and (iv) 25 recently vaccinated dogs sampled 0, 4, and 12 weeks post‐vaccination (wpv),
with six animals also tested at 26 wpv.
The WITNESS test detected 28 of 37 infected animals (Group 1; 75.7%) while only 9/37
(24.3%) had high diagnostic titers on acute MAT. Of the 9 false negative samples on
the WITNESS test, only 1 had a high diagnostic acute MAT titer. Seroconversion in
the Group 1 convalescent samples was evident as all nine were WITNESS‐positive, compared
5 of the 9 that were WITNESS‐positive with the acute sample. All Group 2 and 44/45
(97.8%) Group 3 dogs were negative on WITNESS. In this population of dogs, the WITNESS
diagnostic sensitivity and specificity were therefore 75.7% (95% CI 60.3–87.2%) and
98.3% (92.5–99.8%), respectively. The WITNESS test did also detect vaccine‐generated
IgM for up to 12 wpv. After an initial rapid increase in positive tests −16/25 (64%)
by 4 wpv‐only 6/25 (24%) remained positive 12 wpv and these dogs returned to negative
WITNESS status by 26 wpv.
In conclusion, WITNESS® Lepto is a reliable test for the diagnosis of acute leptospirosis
and is capable of detecting IgM ealier than MAT. A negative result should be interpreted
as leptospirosis‐negative, however if suspicion remains, confirmatory testing is necessary.
A positive test is indicative of leptospirosis but must be considered within the context
of clinical presentation and the timing of the most recent Leptospira vaccination.
Disclosures
Disclosures to report: Zoetis partially sponsored the study. Joshua Lizer is an employee
of Zoetis. Zoetis produces the Witness Lepto Test.
ISCAID‐P‐14
Nosocomial Faecal Colonization by Extended‐Spectrum β‐lactamase Producer Gram‐Negative
Bacteria in Healthy Dogs
A. Belas, J. Correia, C. Marques, A. Reisinho, N. Couto, R. Bessa, L. Telo Da Gama,
C. Pomba.
Faculty of Veterinary Medicine – CIISA, Lisboa, Portugal
The aim of this study were to detect and quantify the presence of β‐lactamase producing
Gram‐negative bacteria resistant to third generation cephalosporins (3CG) in the intestinal
tract of dogs treated surgically and to identify the possible risks factors responsible
for the colonization and for the increased bacterial quantification.
Fecal samples were collected at the Veterinary Teaching Hospital (VTH) from the Faculty
of Veterinary Medicine – University of Lisbon between January and July 2014. Two groups
of dogs were enrolled: 1. dogs submitted to surgical procedures (surgery group); 2.
dogs living in close contact with the hospital/hospital staff (environmental control
group). 3CG‐resistant bacteria were isolated and quantified from MacConkey plates
containing 2 µg/µl of cefotaxime. Susceptibility testing was performed by disk diffusion
method according to CLSI guidelines. ESBL/pAmpC genes were detected by PCR. Potential
risk factors for ESBL/pAmpC‐producing bacteria faecal carriage were obtained through
a questionnaire to the owner regarding age, gender, cohabitation with other animals,
antimicrobial treatment within the last year, hospitalisation, resident (dogs from
hospital staff, veterinary medicine students and kennel). For the environmental control
group it was also considered: contact time (years) and frequency of contact with the
hospital. Data were analysed by logistic regression models from SAS software. The
results were considered statistically significant P ≥ 0.05.
Fecal samples were collected from 43 dogs belonging to the environmental control group
(C1ca) and 25 dogs from the surgery group: on admission to the hospital before surgery
(C1cx, n = 25) and after surgery (C2cx, n = 22). The number of dogs colonized with
3CG‐resistant isolates was significantly higher in C2cx (73%, n = 16/22) comparing
to C1cx (P = 0.007) and C1ca (P = 0.017). The bacteria number were significantly higher
in C2cx then in C1cx (P = 0.004) and C1ca group (P < 0.0001), and in C1ca group when
compared to C1cx (P = 0.0006). The resident risk factor was the only one significant
(P = 0.030) for the increased number of colonized animals in C2cx, and the contact
time with VTH was a significant (P = 0.001) risk factor for the increased bacterial
quantification. In both groups, Escherichia coli was the most prevalent 3CG‐resistant
bacteria and blaCTX‐M was the most frequent β‐lactamase identified (C1ca group n = 3,
C1cx n = 1 and C2cx n = 6). The pAmpC genes were only detected in C1ca group where
two blaCMY‐producing E.coli were isolated.
This study enhances the importance of nosocomial colonization, infection control systems
and judicious antimicrobial therapy in order to improve animal health and safeguard
Public Health.
Disclosures
This work was funded by FEDER funds through the Programa Operacional Factores de Competitividade
– COMPETE and by National funds through the FCT – Fundação para a Ciência e a Tecnologia,
Project PEst‐OE/AGR/UI0276/2011 and PhD grant SFRH/BD/113142/2015 to Adriana Belas
and SFRH/BD/77886/2011 to Cátia Marques by the same institution.
SCH – Society of Comparative Hepatology
SCH‐P‐1
Real‐Time Assessment of Canine Liver Function: Variation of Transcutaneously Determined
Indocyanine Green Plasma Disappearance Rate (ICG‐PDR) in Healthy Dogs
A.P. Grobelna
1, F. Restitutti1, I. Kallio‐Kujala1, J. Honkavaara1, S.G. Sakka2, T. Spillmann1.
1University of Helsinki, Helsinki, Finland, 2University of Witten/Herdecke, Cologne‐Merheim
Medical Center (CMMC), Witten, Germany
Indocyanine green (ICG) is a fluorescent dye exclusively eliminated by the liver into
the bile. ICG clearance determination has been used successfully to evaluate hepatic
function in laboratory dogs. However, it has rarely been used in clinical setting
as the analysis of the serum ICG concentration requires an advanced laboratory technique
(high performance liquid chromatography). Our recent study in healthy Beagle dogs
revealed a good correlation (r² = 0.81) between ICG clearance and a transcutaneous
method determining the ICG plasma disappearance rate (ICG‐PDR in %/min) with a near
infrared spectroscopy probe placed on the tail (http://www.sciencedirect.com/science/article/pii/S1090023315004645).
In human medicine, the main indication for measuring ICG‐PDR has been the prognostic
assessment of liver failure and liver transplantation. The present study evaluated
the day‐to‐day variation of ICG‐PDR in healthy Beagle dogs to assess the repeatability
of the test.
We studied six healthy laboratory Beagle dogs undergoing ICG‐PDR testing on three
consecutive days, in standardized conditions. ICG was given intravenously (0.5 mg/kg)
and ICG‐PDR was determined by using the PulsioFlex monitoring platform with the LiMon
module probe (Pulsion, Munich, Germany). Daily ICG‐PDR values from all dogs were compared
and the coefficient of intrasubject variation (%CV) was calculated. Mean ICG‐PDR was
7.8 ± 3.4%/min on day one, 8.8 ± 3.7%/min on day two, and 7.9 ± 2.6%/min on day three.
There was no significant difference between the days and the mean ICG‐PDR was similar
to previously reported data (7.79 ± 3.3%/min). However, the mean %CV of ICG‐PDR was
very high (35.9 ± 16.8%) with the ighest individual %CV being 52.5%. In this limited
number of animals, repeatability of transcutaneous ICG‐PDR in its current form was
rather poor. It seems unlikely that the test method will be useful for the repeated
assessment of mild to moderate changes in canine liver function. However, future studies
are warranted to assess the prognostic value of ICG‐PDR for canine patients with severe
acute or chronic end stage liver failure comparable to its current indication in human
medicine.
Disclosures
Employee/Salary – Agnieszka Grobelna is an employee of the University of Helsinki
from January 2016 until December 2016. Ira Kallio‐Kujala is working at a private veterinary
clicic at Evidensia Finland. Flavia Restitutti was an employee of the University of
Helsinki from May 2009 until May 2011. During the years of 2013 and 2014 she worked
as sole trader. Since April 2016 she is an ECVAA resident at the Veterinärmedizinische
Universität Wien. Thomas Spillmann was Hill's professor of small animal clinical nutrition
at the Veterinary University, Hannover, Germany from 2004–2005. Since 2005 he has
been employed as professor of small animal internal medicine at the Veterinary Faculty,
University of Helsinki, Finland. Samir Sakka is a professor for Anesthesiology and
Intensive Care Medicine of the University of Witten/Herdecke at the Medical Centre
Cologne‐Merheim. He is Head of the Interdisciplinary operative Intensive Care Unit.
Juhana Honkavaara is presently employed as a hospital veterinarian at the Veterinary
Faculty, University of Helsinki, Finland. Grants/Research – Agnieszka Grobelna has
received grants from the Finnish Veterinary Foundation, Finnish Foundation of Veterinary
Research, ANIWEL and Doctoral Programme in Clinical Veterinary Medicine. Flavia Restitutti
has received grants from the Finnish Veterinary Foundation and Finnish Foundation
of Veterinary Research. Thomas Spillmann has received research grants from the German
Research Society, the Finnish Foundation of Veterinary Research, and the Finnish Veterinary
Foundation. His PhD students received grants from the Doctoral Program – Clinical
Veterinary Sciences, University of Helsinki, Finland; the Center of International
Mobility (CIMO)/Finland; the Finnish Foundation of Veterinary Research; the Finnish
Veterinary Foundation; the Finnish Culture Foundation; the Emil Aaltonen Foundation/Finland;
the Alfred Kordelin Foundation/Finland; Agria/Sweden; the Swedish Kennel Club Research
Foundation; the Ulla Yard Foundation/Sweden; Ciencia Sem Fronteiras/Brazil; and the
Archimedes Foundation/Estonia. Samir Sakka has received research grants from the German
Research Society and the German Ministry for Education and Research (Bundesministerium
für Bildung und Forschung, BMBF). Juhana Honkavaara has received research grants from
the Finnish Foundation of Veterinary Research, the Finnish Veterinary Foundation,
Winn Feline Foundation and the Morris Animal Fund.
Speaking & consultancies: Thomas Spillmann has been a consultant for IPSAT, Finland.
He has given lectures on behalf of Royal Canin, Hill's, Iams, Purina, Triolab/Finland,
zoetis/Finland, the Finnish Association of Veterinary Practitioners, the German Small
Animal Veterinary Association, the British Small Animal Veterinary Association, the
Estonian Small Animal Veterinary Association, the World Small Animal Veterinary Association,
the Federation of European Companion Animal Veterinary Associations, and the European
College of Small Animal Internal Medicine – Companion Animals. Samir Sakka is a consultant
and member of the Medical Advisory Board of Pulsion Medical Systems SE, Feldkirch,
Germany. He has received honoraria for attending from Basilea, Astra Zeneca and MSD
for giving lectures. Juhana Honkavaara is a scientific advisor for Vetcare Ltd, Finland.
He has given lectures on behalf of Vetcare, Zoetis, Orion Pharma, the Finnish Association
of Veterinary Practitioners, the Finnish Veterinary Association and the Finnish Veterinary
Technicians’ Association. He is also a consultant for the Veterinary Information Network
(VIN).
Investments/commercial interests: None to declare.
Gifts, hospitality, travel support: Agnieszka Grobelna has had travel support for
attending congresses, symposia, and for research visits from ANIWEL, Doctoral Programme
of Clinical Veterinary Medicine, and Royal Canin.
Thomas Spillmann has had travel support for attending congresses and for research
and teaching visits at other universities by Iams, Royal Canin, Hill's, the Finnish
Veterinary Foundation, and the European Erasmus program. Equipment and material donations
for clinical research have been received from the Endoscopy Unit of the Hospital District
of Helsinki and Uusimaa/Finland; Olympus/Finland; Pulsion, Munich/Germany; and Biophysics
Assay Lab (biopal), Worcester MA/USA.
Samir Sakka has had financial travel support for attending congresses and for research
and teaching visits from the German Research Foundation (Deutsche Forschungsgemeinschaft,
DFG).
Juhana Honkavaara has had travel support for attending congresses and for research
and teaching visits at other universities by Vetcare Ltd, the Finnish Veterinary Foundation,
University of California (Davis), Colorado State University and Cornell University.
Other, including indirect benefits: Thomas Spillmann – Resident salary for Residency
Program ECVIM‐CA by Royal Canin 2013–2018.
SCH‐P‐2
Hybrid Coil Embolization Technique for Portosystemic Shunt Occlusion in Five Animals
T.M. Nakata, A. Uemura, S. Goya, K. Shimada, R. Fukushima, R. Tanaka, P. Chantawong,
T. Kawaguchi.
Tokyo University of Agriculture and Technology, Fuchu, Japan
Congenital portosystemic shunts (PSS) are rare vascular anomalies and the primary
treatment is the surgical attenuation of shunting flow. In this study, a hybrid technique
was used to permit coil embolization using larger catheters in smaller animals or
to enable the approach of difficult access shunting vessels (SV). We reviewed clinico‐surgical
features, laboratory data, abdominal imaging results (contrasted‐computed tomography
[CT] and portography), and outcomes in two male dogs (Yorkshire terrier [YT] and Akita
[AK]), and three male cats (Exotic Short Hair [EH], American Short Hair [AH] Russian
Blue [RB]) with PSS. Intrahepatic (IH) PSS between the portal vein (PV) and the caudal
vena cava were diagnosed in four animals [YT, AK, EH, RB] and an extrahepatic shunt
in the cat [AH]. Diagnoses and accurate SV anatomy were obtained from perioperative
CT and intraoperative portography images associate with hyperammonemia. Left‐sided
IHPSS were visualized in four animals. Two cats presented seizure episodes previous
to the surgery. Two dogs and a cat had previously undergone partial shunt ligation
with posterior recurrent hyperammonemia. Mean age at the time of diagnosis was nine
months (range five to twelve months). French multipurpose catheters (3–5Fr) were inserted
in the mesenteric vein or PV and advanced to the shunt site through a guidewire after
transperitoneal approaches. Coil anchors were inserted in the SV of a dog [AK] and
a cat [RB] previous to coil embolization procedure. PSS attenuation required deployment
of additional coils due to persistent shunting flow in the dogs. The pushable coils
were used to occlude PSS in the dogs because of low probability of coil migration,
and the detachable microcoils were used to occlude the PSS in the cats due to the
adaptability to irregular SVs and possibility of retrieve the device in case of instable
coil deployment. PV pressures were measured to determine pre‐ and post‐occlusion plausible
changes. Preoperative serum ammonia ranged from 95 to 254 μmol/L and from 15 to 130 μmol/L
in postoperative period. Serum liver enzymes remained elevated in the follow‐up period
in all patients. However, neurological and gastrointestinal abnormalities gradually
improved in the short‐term post‐operative period. The residual PSS flow is expected
to gradually cease due to blood clotting around the coils. Nevertheless, a long‐term
follow‐up is recommended after PSS attenuation because of the risks involving coil
dislocation and shunt recanalization. Follow‐up signs of liver dysfunction were managed
using low protein diet and hepatoprotectives drugs.
Disclosures
No disclosures to report.
ESVC – European Society of Veterinary Cardiology
ESVC‐P‐1
Rapid Right Ventricular Pacing for Interventional Procedures in Dogs: Safety and Rate
Titration
R. Pariaut
1, J. Vila2, T. Ribas2, A. Shelby2, A. Dacunha2.
1Cornell University, Ithaca, NY, USA, 2Louisiana State University, Baton Rouge, LA,
USA
Balloon valvuloplasty is the treatment of choice to treat stenotic cardiac valves
in dogs. Pulsatile blood flow can cause movement of the catheter during balloon inflation
leading to suboptimal results. Extreme tachycardia via rapid ventricular pacing causes
an abrupt reduction in cardiac output, and is used in people to improve balloon stability
during interventional procedures. The purpose of this study was to determine the safety
of rapid pacing in dogs, and the optimal pacing rate required for the procedure. We
hypothesize that rapid right ventricular pacing does not result in ventricular arrhythmias
and that pacing rates above 240 beats/min are necessary to decrease systolic blood
pressure by 50%.
Percutaneous access of the jugular vein was obtained in 4 adult research dogs. A 4‐Fr
temporary pacing lead was positioned in the right ventricle under fluoroscopic guidance.
Pacing protocol was initiated for 10 seconds at a rate of 180 beats/min. The pacing
rate was increased by increments of 20 beats until a 50% drop in systolic blood pressure
was recorded. Dogs were allowed to recover for 3 minutes between each pacing protocol.
A 50% decrease in systolic blood pressure was achieved at heart rates of 240–260 beats/min
in all dogs. No arrhythmias or complications from rapid pacing were noted. This technique
was subsequently applied successfully during valvuloplasty procedures in one dog with
severe subaortic stenosis and one dog with severe pulmonic stenosis.
Rapid ventricular pacing successfully reduces blood pressure and systolic blood flow,
which can be used to increase balloon stability during valve dilatation. It does not
appear to induce ventricular arrhythmias. Additional studies are needed to evaluate
if rapid ventricular pacing can improve success of balloon valvuloplasty in dogs.
Disclosures
No disclosures to report.
ESVC‐P‐2
Effect of Benazepril and Pimobendan on Serum Angiotensin‐Converting Enzyme Activity
in Dogs
J.N. King, J. Hornfeld, C. Christinaz, G. Strehlau, M. Peyrou.
Elanco Animal Health, Basel, Switzerland
The effect of benazepril on serum angiotensin‐converting enzyme (ACE) activity was
evaluated in healthy beagle dogs. The aim of the study was to compare the effect of
twice a day versus once a day administration of benazepril, and to evaluate the effect
of pimobendan on ACE inhibition by benazepril. A total of 48 dogs were randomised
into four groups (n = 6 female and males per group) in a prospective, parallel‐group
design study. The four groups were: A control (placebo twice daily); B (0.5 mg/kg
benazepril once daily in the morning); C (0.25 mg/kg benazepril twice daily); D (0.25 mg/kg
benazepril and 0.125 mg/kg pimobendan, both twice daily). The test items were administered
orally for 15 days. Serum ACE activity was measured using a commercial radio‐enzymatic
assay from blood samples taken at baseline and at 12 times post‐dosing on day 1 and
again at day 15 (steady state).
Groups B, C and D were associated with significant reductions in serum ACE activity
compared to baseline on both days 1 and 15. For the test of overall treatment effect
post‐dosing, groups B, C and D were associated with significantly lower ACE activity
compared to the control group (all P < 0.0001), with no differences between groups
B, C and D. Non‐inferiority was shown for group C versus B, D versus B, and D versus
C.
In conclusion, 0.25 mg/kg benazepril twice daily produced equivalent inhibition of
serum ACE activity compared to 0.5 mg/kg benazepril once daily. Furthermore, addition
of 0.125 mg/kg pimobendan twice daily had no significant effect on the inhibition
of serum ACE activity produced by 0.25 mg/kg benazepril twice daily.
The results support the use of benazepril either once or twice daily in dogs, and
the combination of benazepril with pimobendan.
Disclosures
Disclosures to report: The study was sponsored by, and at the time of the study all
authors were employed by, Elanco Animal Health which markets benazepril and a benazepril/pimobendan
combination.
ESVC‐P‐4
TAPSE‐to‐Aortic Ratio Provides a Bodyweight‐Independent Assessment of Right Ventricular
Systolic Function
M. Rishniw
1, D. Caivano2, D. Dickson3, R. Pariaut4.
1Veterinary Information Network, Davis, USA, 2University of Perugia, Perugia, Italy,
3HeartVets Veterinary Cardiology Service, Porthcawl, UK, 4Cornell University College
of Veterinary Medicine, Ithaca, USA
Tricuspid annular systolic plane excursion (TAPSE) has been proposed as a measure
of right ventricular (RV) systolic function. It is decreased below reference intervals
in dogs with severe pulmonary hypertension. However, TAPSE, a linear measurement of
tricuspid annular movement, scales non‐linearly with bodyweight in dogs. We examined
whether TAPSE could be normalized to linear aortic measurements to create a bodyweight‐independent
measure of RV systolic function. Echocardiographic evaluations were performed on 127
healthy dogs (50 dogs had been included in a previous study of TAPSE), 55 dogs with
heart disease but no pulmonary hypertension (tricuspid regurgitant velocity <3 m/s)
and 39 dogs with pulmonary hypertension of various etiologies and severities (tricuspid
regurgitant velocity >2.9 m/s). TAPSE:Ao was regressed against bodyweight and, in
dogs with pulmonary hypertension, against tricuspid velocity. TAPSE scaled non‐linearly
against bodyweight (as previously reported), but TAPSE:Ao largely removed the effect
of bodyweight, with a non‐parametrically determined lower reference limit of 0.67.
Only 3/127 healthy dogs had TAPSE:Ao <0.7. Dogs with heart disease but no pulmonary
hypertension showed a slight negative association of TAPSE:Ao with bodyweight with
4/55 dogs having TAPSE:Ao <0.7. In dogs with pulmonary hypertension TAPSE:Ao had a
negative association with tricuspid velocity. However, only 5/39 dogs had TAPSE:Ao
<0.7; all these dogs had TR velocities >4.4 m/s. TAPSE:Ao <0.7 was 97% specific, but
only 38% sensitive in identifying dogs with severe pulmonary hypertension. TAPSE:Ao
is a bodyweight independent measure of RV systolic function in dogs. Normal dogs have
TAPSE:Ao >0.67. However, it does not appear to be a sensitive indicator of pulmonary
hypertension.
Disclosures
No disclosures to report.
ESVC‐P‐5
Analysis of Hematlogical and Biochemical Blood Parameters in Dogs After Electrical
Cardioversion of Atrial Fibrillation in Dogs
A. Noszczyk‐Nowak, A. Janiszewski, A. Cepiel, U. Paslawska.
University of Environmental and Life Science, Wroclaw, Poland, Wroclaw, Poland
Electrical cardioversion is a therapeutic procedure used to convert various types
of arrhythmia back to sinus rhythm. It is used to restore the sinus rhythm in dogs
with atrial fibrillation. The effect of the electrical energy used during cardioversion
on red blood cells is not fully understood. Studies on humans reported lysis of red
blood cells following electrical cardioversion. Similar studies have not been carried
out in dogs.
The aim of the study was to assess the effect of electrical cardioversion on chosen
red blood cell parameters.
The study was carried out on 14 large and giant breed dogs weighing from 30 to 84 kg
with lone atrial fibrillation (lone AF). Electrical cardioversion was carried out
under general anaesthesia with an infusion of propofol and fentanyl after premedication
using medetomidine and midazolam. The cardioversion was carried out with biphasic
70–360 J cardioversion (using the Lifepak 12 Medtronic defibrillator). Blood was collected
at:
•T0: during the atrial fibrillation, prior to cardioversion.
•T1: 30 min. after electrical cardioversion.
The number of red blood cells (RBCx1012/l) and the red blood cell indices (Hb, Ht,
MCV [fL], MCH [pg], MCHC [mmol/l], RDW) were recorded. The levels of total (BIL‐T
[mg/dl] and direct bilirubin (BIL‐D [mg/dl] were evaluated two hours after blood collection.
In all cases, electrical cardioversion was effective. A maximum output of 360 J was
used. No significant changes in the number of red blood cells and the red blood cell
indices were noted after electrical cardioversion: RBC T0: 6.42 ± 0.74 versus T1:
6.26 ± 0.82, MCV T0: 72.48 ± 4.28 versus T1: 72.62 ± 4.19, MCH T0: 24.5 ± 1.77 versus
T1: 24.27 ± 1.87, MCHC T0: 24.9 ± 7.3 versus T1: 25.07 ± 6.53, RDW T0: 14.99 ± 1.13
versus T1: 15.02 ± 1.05. Similarly, there were no statistically significant differences
in the levels of total (T0: 3.3 ± 0.76 versus T1: 3.2 ± 0.77) and direct bilirubin
(T0: 2.5 ± 1.07 versus T1: 2.47 ± 1.11)
We found that electrical cardioversion in dogs did not lead to statistically significant
or clinical red blood cell lysis.
There are no conflicts of interest for any of the authors listed.
The project was co‐financed by the 2014–2018 National Scientific Leadership Centre
for the Wroclaw Biotechnology Centre.
Disclosures
No disclosures to report.
ESVC‐P‐6
Short‐Term Heart Rate Variability (HRV) in Dogs with Sick Sinus Syndrome Compare with
Healthy Dogs
A. Noszczyk‐Nowak, S. Bogucki.
University of Environmental and Life Science, Wroclaw, Poland, Wroclaw, Poland
Heart rate variability (HRV) is a known risk factor for mortality in healthy and dogs
with heart failure. In healthy human reference of normal values for short‐term measures
of HRV (ST‐HRV) were published as an appendix to the paper “Heart rate variability:
Standards of measurement, physiological interpretation and clinical use’ (Circulation,
1996; 93, 1043–1065). In healthy dogs reference values of ST‐HRV were publish (Pol
J Vet Sci. 2015, 18, 307–312). The aim of the study was to compare normal value of
short‐term HRV in healthy dogs (H) (n = 50) and dogs with sick sinus syndrome (SSS)
(n = 10). The ECG was recorded continuously for at least 180 min in dark and clam
room. All QRS complexes from ECG were first edited automatically and then manually
by careful inspection of the RR intervals. The data had no atrial or ventricular premature
complexes. Signals were transformed into a spectrum by Fast Fourier Transformation.
Heart rate variability parameters were measured at fixed time at the number of sample
60 min. Separate frequency (Hz) components of the HRV were obtained including very
low frequency (VLF), low frequency (LF), high frequency (HF), total power (TP) and
LF/HF ratio. The time domain parameters (ms) were analyzed as follows: mean NN, SDNN,
SDANN, SDNN index and pNN50 (mean ± SD). A computerized software package Statistica
version 10.0, StatSoft, Poland was used to statistically analyse the data. Data were
compared by t‐test. All data are displayed as the mean ± standard deviation and statistical
significance was set at 5%. Results of ST‐HRV parameters (mean ± SD) healthy dogs
versus dogs with SSS: VLF (ms2) 984.9* ± 327.7 versus 1678.5* ± 482.78, LF (ms2) 1501.2* ± 761.4
versus 2769.83* ± 924.36, HF (ms2) 5845.4* ± 2914.2 versus 11106.16* ± 2528.95, TP
(ms2) 11065.3* ± 3866.8 versus 19072.33* ± 2577.33, LF/HF 0.28 ± 0.11 versus 0.25 ± 0.11,
NN 677.68* ± 126.89 versus 1004.2* ± 64.95, SDNN (ms) 208.86* ± 77.1 versus 378.16* ±
40.43, SDANN (ms) 70.75* ± 30.9 versus 125.5* ± 58.69, SDNNI (ms) 190.75* ± 76.12
versus 341.4* ± 56.69, pNN50 (%) 71.84* ± 13.96 versus 85.68* ± 8.12.
*Statistical significant.
ST‐V HR may be useful for the identification of dogs with SSS.
There are no conflicts of interest for any of the authors listed.
Disclosures
No disclosures to report.
ESVC‐P‐7
Serum Choline Concentration: A Potential Biomarker for Myocardial Ischemia in Dogs
and Cats
M. Kocaturk, Z. Yilmaz, M. Cansev, P. Levent, M. Turkyilmaz.
Uludag University, Faculty of Veterinary Medicine, Bursa, Turkey
Research of new biomarkers to detect myocardial injury is crucial in medicine. Although
whole blood and serum choline are suggested as emerging biomarkers in patients with
myocardial ischemia, there is no available data on its usefulness for predicting cardiac
events in dogs and cats. Thus, this study was aimed to evaluate the use of serum choline
concentration as a potential biomarker for myocardial ischemia, and determine whether
there was a correlation between cardiac troponin (cTnI) and serum choline in dogs
and cats with heart diseases.
Dogs with congestive heart failure (n = 10) and cats with either hypertrophic cardiomyopathy
(n = 9) or dilated cardiomyopathy (n = 5) were used as cardiac group. Heart disease
was diagnosed based on the clinical, radiologic, electrocardiographic (ECG) and echocardiographic
findings. Myocardial injury was determined by elevation of serum cTnI level; dogs
>0.07 ng/mL and cats >0.16 ng/mL. Healthy age‐ and breed‐matched dogs (n = 10) and
cats (n = 10) were used as controls. All dogs and cats selected for this study were
sero‐negative for common vector‐borne pathogens and feline infectious diseases, respectively.
Serum free‐choline concentration of each sample was analyzed by high performance liquid
chromatography in triplicate and results were expressed as micromolar (μM).
ECG revealed the strain patterns of left ventricular (LV) hypertrophy or dilation.
Statistically significant differences were found between echocardiographic measurements
of LV size (eg. LVDd and LVDs) and function (EF% and FS%) of controls and affected
dogs and cats. Serum cTnI concentrations in dogs and cats were (median [range]) 0.03
[0.01–0.06] ng/mL and 0.06 [0.05–0.07] ng/mL) for the control groups, 0.25 [0.13–3.1]
ng/mL and 1.0 [0.8–2.4] ng/mL for the cardiac groups, with significantly differences
(P < 0.05) between groups, respectively. Serum choline concentrations in dogs were
14.8 [6.5–19.2] μM for control group, and 27.1 [15.8–52.3] μM for cardiac group. Serum
choline concentrations in cats were 8.3 [5.8–8.7] μM for control group, and 11.9 [11.3–12.1]
μM for cardiac group. Serum choline concentrations in the cardiac groups were higher
(P < 0.001) than those of healthy controls. There was a positive correlation between
serum levels of choline and cTnI. Serum choline level did not correlate significantly
with geometric and functional parameters of LV and serum markers of hepato‐renal disease
(ALT, BUN and Cr).
These data suggest that serum choline concentration might be used as a biomarker for
the diagnosis of myocardial ischemia in dogs and cats with various heart diseases,
and thereby may contribute to differentiate between ischemic and non‐ischemic etiologies
of cTnI elevations.
Disclosures
No disclosures to report.
ESVC‐P‐8
Right Ventricular Outflow Tract Fractional Shortening: A New Echocardiographic Index
of the Right Ventricular Systolic Function
D. Caivano
1, F. Birettoni1, M. Rishniw2, V. Patata1, M.E. Giorgi1, F. Porciello1.
1University of Perugia, Perugia, Italy, 2Veterinary Information Network, Davis, USA
Assessing right ventricular (RV) systolic function remains a challenge because of
its complex morphology. Tricuspid annular plane excursion, fractional area change,
tissue Doppler imaging and speckle‐tracking echocardiography have been used to assess
RV systolic function in healthy dogs and dogs with pulmonary artery hypertension (PAH).
We hypothesized that RV outflow tract (RVOT) function might provide a simple, useful
estimate of RV function and PAH. Specifically, we measured RVOT fractional shortening
(RVOT‐FS) to determine if this index helps identify RV dysfunction in dogs with PAH
(tricuspid regurgitation velocity‐TRV >3 m/sec).
One hundred fifteen dogs [42 healthy dogs, 40 dogs with mitral valve disease (MVD)
without PAH and 33 dogs with PAH] underwent complete echocardiographic evaluation.
We acquired 2D guided M‐mode recordings of the RV outflow tract from the parasternal
short axis view at the level of the aortic root. We placed the M‐mode line perpendicular
to RVOT and parallel to the commissure of the aortic valve between the non‐coronary
and left‐coronary cups. RVOT‐FS was calculated as: RVOT dimensions (end‐diastole –
end‐systole)/end‐diastole *100. A mean of 3 measurements from each dog was used for
the statistical analysis.
Healthy dogs and MVD dogs without PAH had higher RVOT‐FS than dogs with PAH (P < 0.000001).
No dogs with RVOT‐FS >51% had PAH. All dogs with TRV >4 m/sec had RVOT‐FS <44%. A
cut‐off of 44% had 100% specificity and 60% sensitivity for identifying PAH. No relationship
of body weight, left‐atrial‐to‐aortic ratio or heart rate and RVOT‐FS could be identified
(P > 0.1).
Our data suggest that RVOT‐FS might help identify a subset of dogs with PAH. RVOT‐FS
was significantly modified in dogs with severe and moderate PAH, suggesting a RV systolic
dysfunction only in these classes of PAH.
Disclosures
No disclosures to report.
ESVC‐P‐9
Comparison of M‐mode and Two‐Dimensional Echocardiography in Evaluating the Left Atrium
to Aorta Ratio in Cats
F. Marchesotti
1, T. Vezzosi2, E. Zini1, O. Domenech1.
1Istituto Veterinario di Novara, Granozzo Con Monticello (NO), Italy, 2Department
of Veterinary Sciences, University of Pisa, San Piero a Grado (PI), Italy
Assessment of the left atrial (LA) size is crucial in cats with cardiomyopathies because
LA dilation, which results from an increased diastolic filling pressure, predisposes
towards the development of congestive heart failure and arterial thromboembolism.
In addition, LA dilation has been shown to be a negative prognostic factor in cats
affected by hypertrophic cardiomyopathy. The aim of this study was to evaluate the
agreement between M‐mode and two‐dimensional (2D) echocardiography in the assessment
of LA size in cats.
The study was retrospective and observational. Cats with and without heart diseases
were included. The LA and aorta (AO) were measured in M‐mode and 2D using a standard
right parasternal short axis view at the aortic valve level. A left atrium to aorta
ratio (LA/AO) >1.5 was considered indicative of LA enlargement. Cohen's kappa agreement
was calculated and Bland‐Altman plots were obtained.
A total of 188 client‐owned cats were included: 104 with heart disease and 84 without
heart disease. LA and AO dimensions in M‐mode were 13.9 ± 3.7 mm and 8.7 ± 1.5 mm,
respectively, and in 2D were 14.1 ± 3.5 mm and 8.8 ± 1.4 mm, respectively. Bland‐Altman
plots showed that the mean difference for the evaluation of AO dimensions between
2D and M‐mode was 0.1 ± 1.0 mm and that of LA was 0.1 ± 1.4 mm. LA/AO measured in
2D and M‐mode was 1.6 ± 0.5 and 1.6 ± 0.5, respectively, with a median difference
between the two methods of 0.0 ± 0.2. Cohen's kappa yielded a good agreement between
the two methods in the interpretation of LA/AO ratio (kappa = 0.760; 95% CI: 0.54–0.99),
with 184 agreements out of 188 (97.6%).
In conclusion, 2D echocardiography resulted in a slightly higher estimation of the
LA and AO diameters in comparison to M‐mode, but not for the LA/AO. Because a good
agreement was documented between M‐mode and 2D evaluation of the LA/AO, the two methods
can be used interchangeably to measure this echocardiographic index in cats.
Disclosures
No disclosures to report.
ESVC‐P‐10
Survival and Prognostic Factors in Cats with Restrictive Cardiomyopathy: A Review
of 103 Cases
C. Locatelli
1, D. Pradelli2, G. Campo3, I. Spalla4, P.G. Brambilla3, A. Savarese1, C. Bussadori2.
1Univerisity of Milan, Milan, Italy, 2Clinica Veterinaria Gran Sasso, Milano, Italy,
3University of Milan, Milano, Italy, 4Royal Veterinary College, Brookmans Park, UK
Restrictive cardiomyopathy (RCM), which approximately accounts for 20% of referred
feline (CMs), is a primary myocardial disorder characterized by diastolic dysfunction
and a poor prognosis. Large studies focusing on RCM in the cat are scant. The aims
of this retrospective study were to describe epidemiological characteristics and to
analyze prognostic factors affecting survival in cats with RCM.
The clinical archives of the Clinica Veterinaria Gran Sasso (Italy) and of the cardiology
unit of DIMEVET (University of Milan, Italy) from 1997 to 2015 were reviewed for all
cats diagnosed with RCM based on an echocardiographic exam. The diagnosis was based
on distinctive echocardiographic phenotype of left atrial/biatrial enlargement, normal
left ventricular (LV) wall thickness, and restrictive LV filling pattern with pulsed
Doppler echocardiography. Inclusion criteria were any patient with a complete case
record and an echocardiographic diagnosis of RCM. Cats diagnosed with another form
of cardiomyopathies CMs, with congenital heart disease, with hypertension or hyperthyroidism
or those with incomplete case records were excluded. Follow‐up status and cause of
death were determined by reviewing the medical records or by phone interviews with
the owners.
One hundred three cats (61 male and 42 female) were included in the study with a mean
age of 10 years (SD 4.45) and a median weight of 3.8 kg (IQR 3.2–5 kg); most of the
cats were domestic shorthair (67%) or Persians (18%). Almost all cats were showing
clinical signs (96%). Dyspnea was the most common clinical sign, being evident in
82.5% of the cats. Dyspnea was attributable to pleural effusion (PE) in 50 cats, pulmonary
edema in 22 cats and both in 13 cats. Hind limb paresis or paralysis due to aortic
thromboembolism was evident in 14 cats. Follow‐up information was available for 67
cats. Median survival time (MST) in cats with RCM was 133 days. A statistically significant
different (P = 0.004) MST was identified in cats with dyspnea (68 days) and in cats
without dyspnea (731 days). Likewise a statistically significant (P = 0.004) different
MST was identified in cats with PE (68 days) and in cats without PE (186 days).
MST of cats with dyspnea/PE is in this study significantly shorter than MST in cats
without dyspnea/PE. The present results confirmed that cats with RCM had short survival
time (MST 133 days), but worse prognosis should be prospected to the owner in cats
with dyspnea or PE. Better prognosis may be prospected only in cats without dyspnea.
Disclosures
No disclosures to report.
ESVC‐P‐11
Plasma Coenzyme Q10 Concentration Does Not Predict Survival in Canine Cardiovascular
Patients
A. Domanjko Petric
1, B. Verk1, P. Jazbec Križman2, A. Nemec Svete1.
1Veterinary Faculty, Ljubljana, Slovenia, 2Institute of Chemistry, Ljubljana, Slovenia
A decreased level of coenzyme Q10 (CoQ10) in plasma and myocardium has been found
in cardiovascular diseases in human patients. Moreover, low levels of CoQ10 have been
found to be an independent predictor of mortality in chronic heart failure in human
patients. The aim of our study was to investigate the survival of referred population
of canine cardiovascular patients; with regard to the therapy (Yes/No) and plasma
CoQ10 concentration at the first visit.
Seventy‐two client‐owned dogs were included in the present study, 29 of them were
healthy controls. The other 43 dogs were referred cardiovascular patients with various
diseases that were classified into ISACHC classes (International Small Animal Cardiac
Health Council; ISACHC). Cardiovascular disease was confirmed on the basis of history,
clinical examination, thoracic radiographs, electrocardiogram and echocardiography.
The effect of therapy on survival was studied in advanced stages (class II and III).
Plasma CoQ10 was determined using HPLC‐atmospheric pressure chemical ionization‐tandem
mass spectrometry method. Cardiac biomarker NT‐proBNP (ELISA test) was analysed to
screen the disease severity. A Kaplan‐Meier analysis was used to estimate survival,
but since the group that received cardiac therapy had significantly higher CoQ10 concentrations
than the patients without therapy, this variable was taken into account by using the
Cox proportional hazards regression model. Results of the Kaplan‐Meier analysis showed
significantly longer survival in the group that already received therapy (P = 0.036).
When analysing with Cox model, the hazard ratio of patients with therapy was 0.40
(95% CI 0.17–0.96; P = 0.039), indicating also a better survival as compared with
group without therapy. In the model CoQ10 had no significant effect (P = 0.836).
In conclusion it is important to start cardiac therapy as soon as possible as early
therapy has significant effect on survival. Results of CoQ10 warrant further studies
to conclude its effect on survival in canine cardiovascular patients.
Disclosures
No disclosures to report.
ESVC‐P‐12
Inflammatory Markers (TNF‐Alpha, IL‐6, CRP) in Dogs in Congestive Heart Failure
A. Domanjko Petric, B. Verk, N. Cebulj‐Kadunc, A. Nemec Svete.
Veterinary Faculty, Ljubljana, Slovenia
It has been reported that cytokines contribute to the pathogenesis of congestive heart
failure (CHF) in human and canine cardiovascular patients. Human studies revealed
increased circulating levels of interleukin‐6 (IL‐6) and tumour necrosis factor‐alpha
(TNF‐alpha) in heart failure patients. Additionally, increased C‐reactive protein
(CRP) concentration has been found in humans and dogs in congestive heart failure.
The aim of the study was to investigate whether the levels of circulating cytokines
(TNF‐alpha, IL‐6 and CRP) are elevated in dogs with various heart diseases and heart
failure. Additionally, the effect of therapy on measured parameters was evaluated
in advanced stages of the disease (International Small Animal Cardiac Health Council
(ISACHC) II and III). Cardiac biomarker NT‐proBNP was analysed to screen the disease
severity. Fifty‐eight client‐owned dogs were enrolled in this study: 48 dogs with
confirmed cardiovascular disease and 10 healthy dogs. Cardiovascular patients were
classified into ISACHC classes. Cardiovascular disease was confirmed on the basis
of history, clinical examination, thoracic radiographs, electrocardiogram and echocardiography.
Patients with other diseases were excluded from the study. Serum concentrations of
inflammatory markers were determined with ELISA kits. Plasma NT‐proBNP (second‐generation
Cardiopet® proBNP) levels were analysed by IDEXX Laboratory. Kruskal‐Wallis analysis
followed by the Mann‐Whitney U test with Bonferroni adjustment (P < 0.008) was used
for comparison of measured parameters among groups of patients and healthy dogs. The
effect of therapy was tested with Mann‐Whitney U test. Interleukin‐6 and TNF‐alpha
concentrations did not differ significantly among ISACHC groups and between control
group and ISACHC groups. The highest TNF‐alpha concentration was found in ISACHC III
(median 7.956 pg/mL versus 3.900 pg/mL in ISACHC II and I). CRP concentration was
significantly higher in ISACHC III (3.53 mg/L) and ISACHC II (4.401 mg/L) than in
control group (0.900 mg/L); however no significant differences in CRP concentrations
were found among ISACHC groups. The results showed no significant differences in any
of measured parameters between patients with and withouth therapy. A positive significant
correlation was found between NT‐proBNP and IL‐6 in ISACHC II; correlations with TNF‐alpha
and CRP were not significant in neither group of patients. Increased CRP concentrations
in advanced stages of heart failure and significant positive correlation between IL‐6
and NT‐proBNP indicate systemic inflammation in dogs with CHF. Therapy had no effect
on measured inflammatory markers. Futher studies in larger groups of canine cardiovascular
patients might confirm that cytokines are responsible for the progression of heart
failure.
Disclosures
No disclosures to report.
ESVC‐P‐13
Characterization of Atrial and Ventricular Pathology in Feline Hypertrophic and Dilated
Cardiomyopathy
P. Fox, E. Herrold, L. Wiley.
Animal Medical Center, New York, USA
Few contemporary data detail cardiac chamber pathology in feline cardiomyopathy. We
aimed to characterize, measure, and contrast gross morphology involving all atrial
and ventricular chambers in feline HCM and DCM.
Fifty‐two feline hearts (28‐HCM, 24‐DCM) were sectioned in right‐parasternal‐long‐axis
echocardiographic planes (LV inflow‐outflow [IFOF], n = 36, four‐chamber [4C], n = 16).
Using stereomicroscopy, hearts were examined for chamber morphology and infarctions,
photographed, and digitally measured at multiple levels (LA, RA, LV, RV walls).
Age and body weight [mean, range]: (HCM: 13 yrs, 2–18 yrs versus DCM: 11 yrs, 5–17 yrs],
[HCM: 4.9 kg, 3.2–7.9 kg versus DCM: 4.8 kg, 3.3–6.1 kg] were NS (P = 0.09, 0.77 respectively).
LV short‐axis internal dimensions were: HCM: 7.9 ± 3.0 mm (IFOF), 5.7 ± 2.3 mm (4C);
DCM: 16.3 ± 3.3 mm (IFOF), 11.8 ± 3.1 mm (4C). IVS thickness comparing chordal‐vs‐papillary‐vs‐annular
level: HCM‐IFOF, chordal (9.2 ± 1.4 mm) and papillary (8.8 ± 1.6 mm) >annular (7.1 ± 1.2 mm)
(P < 0.05); the same relationship held in 4C view. IVS DCM‐IFOF, thickness was greater
at papillary (median: 4.1 mm) versus annular (median: 2.7 mm) (P < 0.05); same relationship
in 4C. LVW at chordal level: HCM: 8.9 ± 1.8 mm (IFOF) versus 9.1 ± 2.0 mm (4C); DCM:
5.0 ± 0.8 mm (IFOF) versus 5.3 ± 2.4 mm (4C). RV wall‐4C: HCM‐base (1.6 ± 0.7 mm)
versus mid‐RV wall (1.5 ± 0.7 mm) (P > 0.05), but both >RV‐apex (1.1 mm ± 0.4 mm)
(P < 0.05); DCM‐ at base (median: 1.2 mm) versus mid‐RV (median: 1.1 mm) versus RV‐apex
(median: 1.1 mm), (P > 0.05). Wall thicknesses (range) for LA (0.2–2.1 mm) and RA
(0.1–1 mm) were NS per respective, measured location (P > 0.05). Transmural LV myocardial
infarctions occurred in 7/28–18% HCM (apical‐LV n = 2; mid‐LVW n = 5) and 5/24–21%
DCM (apical‐LV n = 4, mid‐LVW n = 1), and were 4.6–10.6 mm long.
These data provide context for echocardiographic examination and should assist pathologic
assessments at necropsyassessments at necropsy.
Disclosures
Disclosures to report: Philip Fox, Consultant, Merck; Grants, Morris Animal Foundation,
WINN Feline Foundation.
ESVC‐P‐14
Echocardiographic Findings in 87 Apparently Healthy Adult Bull Terriers
H.E. van Meeuwen
1, M.J.M. Dirven2.
1Kliniek voor Gezelschapsdieren Eersel, Eersel, The Netherlands, 2Utrecht University,
Utrecht, The Netherlands
English Bull Terriers (EBT) may well have a high prevalence of murmurs and are presumed
to be predisposed for mitral valve dysplasia, mitral valve stenosis and left ventricular
outflow tract obstruction (LVOTO). These cardiac disorders could lead to congestive
heart failure, syncope and sudden death. Aforementioned disorders are congenital and
might be hereditary. The relative prevalence of heart disease in the Dutch and Belgian
EBT breeding population has not been reported. Many EBT are presented to the “Kliniek
voor Gezelschapsdieren Eersel”(KVGD) for echocardiography prior to breeding. The aim
of this study was to report on echocardiographic findings in the Dutch and Belgian
breeding population of EBT.
Case records of all EBT that underwent an echocardiographic screening prior to breeding
in the KVGD between January 1st 2010 until April 1st 2016 were reviewed retrospectively
(n = 87). All EBT underwent a routine physical examination. Subsequently, 2D, M‐mode
and Doppler transthoracic echocardiography with continuous ECG monitoring was performed
in all animals.
All 87 dogs were considered to be asymptomatic by their owners. Of the 87 dogs, 37
were entire males and 50 were entire females. Age varied from 8 to 70 months (average
26 months). Weight ranged from 21 to 38 kg (average of 29.1 kg). A murmur was detected
in 22/87 animals (25%) with a maximum intensity of 3/6. The average left ventricular
diameter in diastole and systole were 4.16 cm and 2.85 cm respectively. Compared to
published breed specific reference ranges as well as reference ranges for the general
dog population indexed to body weight, these measurements were within limits. The
average aortic diameter measured was 2.13 cm. Compared to dogs from other breeds with
the same weight, this value is in the lower normal reference range. The maximal aortic
velocity (VmaxAo) measured in all dogs was 1.6–4.5 m/s (subcostal measurement), with
an average of 2.25 m/s. Only 15 dogs had a VmaxAo below 2.0 m/s (17%).
In this population of apparently healthy EBT increased VmaxAo and smaller aortic diameters
were found. A physiological mitral regurgitation jet was quite common (25%), but no
mitral valve dysplasia or mitral valve stenosis was seen. Further prospective observational
studies are needed to determine specific EBT reference ranges, true prevalence, natural
history and heredity of heart disease in the EBT breed.
Disclosures
No disclosures to report.
ESVC‐P‐15
Findings from Electrocardiography in Irish Wolfhounds with and Without Cardiomyopathy
C. Vollmar
1, A.C. Vollmar2.
1Freie Universität Berlin, Berlin, Germany, 2Tierärztliche Praxis für Kleintiere Dr.
Vollmar, Bonn, Germany
Sudden death (SD) commonly occurs in dog breeds with a high predisposition to VPDs,
like Doberman pinschers or boxers. Irish wolfhounds (IW) have a high prevalence of
dilated cardiomyopathy (DCM) and atrial fibrillation (AF). A recently performed longitudinal
study of 134 IW with DCM, and 47 IW with initial lone AF revealed that SD occurred
in 21 to 25% of these dogs.
The objective of this study was to compare ECG findings of IW with cardiomyopathy
(CM) to those without.
Between 5/1990‐3/2016 IW (n = 1588; 732 m; 856 f) were examined by physical examination,
echocardiography and electrocardiography (AV). Dogs were longitudinally followed,
and owners instructed to report date and circumstances of death. DCM was diagnosed
in 411 dogs (248 m, 163 f), of these associated with sinus rhythm in 29 m and 39 f,
and with AF in 219 m and 124 f. AF was the only abnormality of 19 m and 24 f, and
additionally was diagnosed in 4 dogs with valvular disease.
VPDs at one or more occasions were recorded in 9.7% of IW with DCM and 3.4% of normal
dogs. Doubles, triplets, bigeminus , or runs were found in few normal IW and few with
DCM, while multifocal VPDs were only seen in 5 dogs with DCM.
SVPDs as singles were detected in 3 dogs with DCM and 13 normal IW; SV tachycardia
was present in 14 IW without and 14 dogs with DCM, of these, 11 developed AF later.
RBBB was diagnosed in 3 IW with and 10 without DCM, while 3 IW with and one without
DCM had LBBB. LAFB were more common in IW without DCM (10 versus 1 with DCM). Other
abnormalities of QRS complexes like notched and splintered forms were common in both
groups (8.5% of dogs with DCM and 9.5% of normal IW).
In this study, SD occurred in 27 female IW with DCM or AF, only one of these had shown
VPDs (4/min) earlier. But, in 9 of 59 male IW that died from SD, VPDs had been recorded
(multifocal VPDs in 1, runs in 1, singles in 7).
In conclusion, AF is the most common ECG abnormality in IW. SD occurs in a significant
proportion of dogs with DCM or AF. In 15% of male IW VPDs had been recorded before
SD occurred.
Disclosures
No disclosures to report.
ESVC‐P‐17
Pulmonary Vein‐to‐Pulmonary Artery Ratio Helps Identify Dogs with Congestive Heart
Failure Secondary to Mitral Valve Disease
F. Birettoni
1, V. Patata1, M. Rishniw2, D. Caivano1, M.E. Giorgi1, F. Porciello1.
1University of Perugia, Perugia, Italy, 2Veterinary Information Network, Davis, USA
Pulmonary‐vein‐to‐pulmonary‐artery ratio (PV:PA) has been proposed as a method of
identifying various stages of cardiovascular disease, including congestive heart failure
(CHF) and pulmonary hypertension (PH). However, few studies exist that have examined
the diagnostic utility of PV:PA, or other PV or PA measurements in the diagnosis of
CHF or PH.
M‐mode echocardiographic evaluations were performed on 93 dogs with mitral valve disease
(MMVD) +/‐PH (tricuspid regurgitant velocity <3 m/s). The right ostium of the PV and
PA were measured at the maximal and minimal diameters (mechanically timed), and at
the peak of the QRS and end of the T‐waves (ECG timed). Left atrium and aorta were
measured at the onset of diastole. Dogs were classified as being subclinical (B1,
B2) or having CHF (C). Various indices of PV and PA were calculated. These indices
were examined in a subset of dogs with similar LA:Ao but different clinical classifications
(B2[n = 24] versus C [n = 12]) to determine the clinical utility of PV:PA in identifying
CHF. PV and PA indices were also examined in dogs with (n = 35) and without (n = 26)
PH to determine the clinical utility of identifying PH.
Only the ECG‐timed PV:PA obtained at the peak of the QRS was different between subclinical
and CHF dogs with similar LA:Ao. PV:PA‐QRS at the optimal cut‐off of 1.6 was 75% sensitive
and 69% specific for detecting CHF. PA:Ao (measured at the smallest diameter or QRS)
>0.45 was approximately 55% sensitive and 90% specific for identifying moderate PH
(TR velocity >3.5 m/s). PA distensibility index did not perform better to identify
moderate PH.
PV and PA echocardiographic indices might be useful in discriminating subclinical
and CHF dogs with similar degrees of cardiac enlargement, and identifying dogs with
moderate‐severe PH.
Disclosures
No disclosures to report.
ESVC‐P‐18
Pilot Study of the Feasibility, Safety, and Tolerance of Subcutaneous Synthetic Canine
B‐Type Natriuretic Peptide in Healthy Dogs and Dogs with Stage B1 Myxomatous Mitral
Valve Disease
M.A. Oyama1, P.F. Solter2, C.L. Thorn
1.
1University of Pennsylvania, Philadelphia, USA, 2University of Illinois, Urbana, USA
B‐type natriuretic peptide (BNP) is an endogenous “cardioprotective”natriuretic, vasodilatory,
and diuretic peptide that mediates its actions through cyclic GMP (cGMP). BNP is produced
by myocardiocytes in response to stress but is overwhelmed by other neurohormonal
systems during heart failure. In humans with acute congestive heart failure, exogenous
intravenous BNP helps alleviate signs of dyspnea. In addition, BNP has longer‐term
anti‐remodeling properties, and developing methods to chronically administer BNP to
humans and dogs with heart disease is a subject of interest. Administration of exogenous
BNP has not been previously reported in privately‐owned dogs. We sought to determine
the feasibility, safety, and tolerance of subcutaneous synthetic canine B‐type natriuretic
peptide (syncBNP) (Phoenix Pharmaceuticals, Burlingame, CA) by performing a modified
3 × 3 phase‐1 intra‐patient dose escalation study in 6 dogs, including 2 healthy dogs
and 4 dogs with stage B1 myxomatous mitral valve disease (MMVD). Stage 1 involved
administering a “subtherapeutic”dose of 2.5 mcg/kg syncBNP to 3 dogs followed by a
second “therapeutic”dose of 5.0 mcg/kg 4 hours later. Stage 2 administered a baseline
dose of 5.0 mcg/kg followed by a “maximum”dose of 10.0 mcg/kg 4 hours later in an
additional 3 dogs. syncBNP injections were well‐tolerated in all dogs at all concentrations
with no statistically significant differences in blood pressure, heart rate and rhythm,
or serum creatnine and BUN before and after syncBNP administration. Median plasma
cGMP concentration was significantly higher at 45 and 120 minutes after the 5.0 mcg/kg
dose as compared to baseline (baseline, 131.5 pmol/mL [IQR = 117.5–144.8]; 45 min,
154.6 [145.6–205.7]; 120 min, 192.7–153.1–239.6]; P = 0.042). There were no significant
differences in serum aldosterone, plasma renin activity, urine specific gravity, urinary
fractional excretion of sodium, or urinary cGMP concentration. A single subcutaneous
injection of syncBNP at 5.0 mcg/kg did not cause any adverse reactions and was associated
with an increase in the BNP secondary messenger, cGMP. Further studies investigating
the clinical utility of acute and chronic syncBNP in dogs with naturally‐occurring
heart disease are warranted.
Disclosures
No disclosures to report.
ESVC‐P‐19
Use of Torasemide in Cats for Congestive Heart Failure
R. Mcdonald.
University of Glasgow, Glasgow, UK
Torasemide is a loop diuretic which is more potent and of greater persistency than
furosemide. Torasemide is a potentially useful treatment for dogs and cats in congestive
heart failure (CHF) but is only licensed for use in dogs in the UK. The aim of this
study was to describe the use of oral torasemide in cats with naturally occurring
CHF and to report tolerability and adverse effects.
Two hospital databases were searched for cats with cardiac disease receiving torasemide
from March 2014‐March 2016; 11 client‐owned cats with suitable records were subsequently
retrospectively evaluated.
Collected data included signalment, presenting signs, diagnosis, concurrent medications,
maximum dose of furosemide before transition to torasemide, starting torasemide dose,
maximum torasemide dose reached during CHF therapy, survival time after commencing
torasemide and comparison of renal parameters and electrolytes prior‐to and after
commencing torasemide. Adverse reactions were recorded. A board‐certified cardiologist
retrospectively reviewed the cases. All owners signed consent forms to permit the
use of off‐licensed drugs.
Cats included all had CHF and had acquired cardiomyopathy or congenital cardiac disease
confirmed on echocardiography. All were initially treated with furosemide; 55% were
on oral therapy, 45% on intravenous therapy.
Various concurrent therapies included ACE inhibitors, spironolactone, antithrombotics,
pimobendan, diltiazem, atenolol, carbimazole, famotidine, mirtazapine. At initiation
of torasemide, cats were either poorly responsive to oral furosemide (n = 9) or management
was deemed more appropriate with torasemide (n = 2).
The median dose of furosemide was 6 mg/kg/24 hrs (range 1–10 mg/kg/24 hrs) prior to
commencing torasemide. The median initial dose of torasemide was 0.5 mg/kg/24 hr (0.1–0.75 mg/kg/24 hrs)
administered once or divided into twice daily dosing.
At the first recheck there was a trend towards an increase in creatinine and urea
and a decrease in potassium. Azotaemia was observed to be more marked in patients
receiving a higher dose of torasemide. During chronic therapy, torasemide was reduced
in 3 cats due to increasing azotaemia.
At the time of writing, 5 cats were still alive. Mortality was due to euthanasia for
refractory CHF (n = 4), progressive azotemia after starting torasemide (n = 1) and
1 cat was lost to follow up. Median survival time was 48 d (7–177 d) with a median
final torasemide dose of 0.36 mg/kg/24 hrs (0.21–0.75 mg/kg/24 hrs).
Oral torasemide was tolerated by this population of cats with CHF. The main adverse
clinical effect was worsening azotaemia. Prospective studies are needed to further
evaluate the use of torasemide in cats.
Disclosures
No disclosures to report.
ESVC‐P‐20
Iron Status in Dogs with Mitral Valve Disease
A. Savarese, M. Probo, C. Locatelli, G. Traini, P.G. Brambilla, S. Paltrinieri.
University of Milan, Milano, Italy
In people, anemia and serum iron (SI) deficiency (SID) are frequent co‐morbidities
in chronic heart failure (CHF). Recent studies showed that SID alone reduces quality
of life and survival.
Mitral valve disease (MVD) is the most common acquired heart disease in dogs, which
can lead to CHF.
To the best of our knowledge, no studies have examined iron status in MVD dogs.
The aims were to determine prevalence and characteristics of SID (SI < 90 µg/dL) in
dogs with MVD, to analyze differences in SI among ACVIM classes, symptomatic and asymptomatic
patients, and to study the association between SID and survival.
Fifty privately owned MVD dogs admitted to the Cardiology Service of DIMEVET (January
2015–April 2016) with complete physical evaluation, chest x‐ray, echocardiographic
examination and serum biochemical panel were included. Patients with other heart or
systemic diseases were excluded.
Blood samples were collected during routine clinical evaluation; complete CBC and
routine biochemistry were performed using an automated laser hematology analyzer and
automated spectrophotometer, while excess serum was frozen until analysis. Iron status
was evaluated measuring SI and total iron‐binding capacity (TIBC); percentage transferrin
saturation (% SAT) was calculated.
The median age of dogs was 11 years (IQR 10–14) and median body weight 11 kg (IQR
6–22). Most were intact males (42%). The most represented breed was mongrel (46%).
Twenty dogs were ACVIM class B1 (40%), 12 B2 (24%), 15 C (30%) and 3 D (6%). Non‐symptomatic
and symptomatic dogs were respectively 64% (n = 32) and 36% (n = 18).
The prevalence of SID in MVD dogs was 16% (8/50: 6 symptomatic and 2 non‐symptomatic).
Only 3 patients (6%) presented anemia (Hct ≤ 37%). TIBC was within or above the reference
range (NV: 270–496 μg/dL) in all dogs with SID, except one (reduced TIBC), while %
SAT was below the minimum level (NV: >23%) in 5/8 dogs (62%).
No differences in SI were found between ACVIM classes and symptomatic/non‐symptomatic
patients.
Log‐rank analysis showed shorter survival in MVD dogs with SID (P value: 0.020), nevertheless
multivariate Cox analysis showed that only symptoms presence affect survival.
Our results show that SID, although does not appear to influence survival, is more
common in symptomatic dogs and can be occasionally present without anemia in dogs
with MVD; TIBC and % SAT values suggest that SID is most frequently true (primary
SID) than functional (secondary to inflammatory conditions).
Disclosures
No disclosures to report.
ESVC‐P‐21
Relationship Between One‐Dimensional Left Atrial Phasic Function and Post‐Capillary
Pulmonary Hypertension in Dogs with Degenerative Mitral Valve Disease
A.C. Merveille, E. Roels, A. Gautier, C. Clercx, K. Mc Entee.
Faculty of Veterinary Medicine, University of Liège, Liège, Belgium
Post‐capillary pulmonary hypertension is common in dogs with degenerative mitral valve
disease (DMVD). Its prevalence increases with severity of DMVD and its presence is
a predictor of worse outcome. Left atrial (LA) function and size are prognostic indicators
in DMVD. In dogs, LA contractile function has been shown to decrease with severity
of DMVD. In human with chronic mitral regurgitation, LA function is an important correlate
of right ventricular systolic pressure. The aim of this study was to assess if LA
dysfunction was associated with PH in dogs with DMVD. Dogs with DMVD and a measurable
tricuspid regurgitation (TR) were retrospectively recruited. Maximal LA diameter,
LA diameter at the onset of the P wave and minimal LA diameter were measured on anatomic
M‐mode from 2D cineloops on aortic short axis view. Left atrial reservoir (LA expansion
index; Total LA shortening fraction), conduit (Passive LA shortening fraction) and
contractile function (Active LA shortening fraction) indices were derived from above
measures. Ninety three dogs including ACVIM stage B1 (22), B2 (28), C (39) and D (4),
were included. Dogs were assigned to pulmonary hypertensive group (PH) (TR pressure
gradient >40 mmHg) (n = 29, median: 51 mmHg; range: 40–114) or pulmonary normotensive
group (PN) (n = 64, 29 mmHg; 5–40). LA reservoir and contractile function indices
were reduced in ACVIM stage C and D compared to asymptomatic stages (P < 0.001) and
TR pressure gradient was higher in symptomatic dogs (P < 0.05) compared to asymptomatic
dogs. TR gradient was positively correlated with LA size measured at different time
intervals (P < 0.001) and negatively correlated with LA reservoir (P = 0.02) and contractile
(P = 0.009) variables LA reservoir variables (P = 0.008), and active LA shortening
fraction (P = 0.006) were lower in PH group compared to PN ANCOVA was used to test
the categorical effect of ACVIM stages along with the effects of LA function indices
on TR pressure gradient. ACVIM stage had a strong effect on TR gradient (P < 0.001)
but LA function parameters did not persist after correction for ACVIM stages. This
study confirmed that, in dogs with DMVD, PH is strongly associated with the stage
of heart failure but failed to show an independent relationship between LA dysfunction
and development of PH. The reason may be a lack of accuracy of one dimensional variables
to assess LA phasic function or the absence of causal link between LA dysfunction
and development of pulmonary hypertension in DMVD dogs.
Disclosures
No disclosures to report.
ESVC‐P‐22
Prevalence and Association of Mineralisation of the Heart and Great Vessels in Dogs
on Computed Tomographic Imaging
P. Sebastian
1, C. Warren‐Smith1, S. Fonfara2, K. Borgeat3, D. Casamian‐Sorrosal1.
1Langford Veterinary Services, School of Veterinary Science, University of Bristol,
Bristol, UK, 2Ontario Veterinary College, University og Guelph, Guelph, Canada, 3Highcroft
Veterinary Referrals, Bristol, UK
Mineralisation of the heart and great vessels has been reported as an incidental radiographic
finding in dogs. The prevalence has been reported at 0.61% on thoracic radiography.
Thoracic computed tomography (CT) imaging is being used more frequently in dogs in
recent years, but the CT prevalence of mineralisation is unreported. It may be higher
because of the increased sensitivity of CT compared with radiography. The aim of the
study was therefore to describe the prevalence and location of cardiac and great vessel
mineralisation in dogs and to evaluate its association with age, sex and concurrent
disease.
Thoracic CT studies of 878 dogs carried out between 2011–2014 at a veterinary teaching
hospital were reviewed. Poor quality CTs were excluded, resulting in 802 dogs available
for inclusion. A single, trained operator systematically reviewed all CT studies and
a panel of three Board‐certified Cardiologists and one Board‐certified Diagnostic
Imager reviewed all abnormalities. The cases were grouped by: sex (male/female); age
(1–5 years, ≥5 to 10 years, and >10 years), and concurrent disease process: neoplasia,
cardio‐respiratory, neurological, internal medicine, surgical (soft tissue and orthopaedics),
and miscellaneous.
Mineralisation of the heart and/or great vessels was documented in 97/802 (12%) dogs.
The most frequent localisation was the aortic bulb, which was seen in 67 (8.4%) dogs,
followed by localised areas of the ascending aorta in 16 (2%) dogs. Mineralisation
of the cranial vena cava and intracardiac mineralisations were present in 7 (0.9%)
dogs each.
Dogs younger than 5 years had less mineralisation than older dogs (P = 0.018), but
no statistical difference was observed between dogs 5 ≤ 10 years and dogs >10 years
old. No association of mineralisation with sex or concurrent disease type was detected.
In conclusion, mineralisation of the heart and/or great vessels is present in 12%
of dogs on thoracic CT. The aortic bulb is the most frequent site observed, accounting
for >75% of mineralisation. Dogs >5 years old were more likely to demonstrate mineralisation
than younger dogs. No association with disease state suggests that this is an incidental
finding, despite the remarkably higher prevalence detected on CT than plain radiography.
Disclosures
No disclosures to report. The authors have no conflict of interest or disclosures
to declare with regard to this study.
ESVC‐P‐23
Heart Rate Variability in Dogs with Chronic Kidney Failure
P.M. Saftencu, D. Mocanu, A. Baisan, G. Solcan, M. Musteata.
University of Agricultural Sciences and Veterinary Medicine „Ion Ioescu de la, Iasi,
Romania
Cardiorenal syndrome is a new entity in veterinary medicine that has drawn attention
to the importance of the constant interplay of these two systems in both kidney and
heart failure, in which two main mechanisms are present: activation of the rennin‐angiotensin‐aldosteron
axis and an increase in sympathetic tone. Sympathetic overdrive is hard to asses in
clinical conditions, but cardiac autonomic modulation of both parasympathetic and
sympathetic components can be easily evaluated in real time, using the heart rate
variability technique (HVR). From our knowledge there is no research made regarding
the evaluation of HRV in dogs with chronic kidney disease (CKD).
The purpose of our study was to asses the sympathetic activity in dogs with chronic
kidney disease, using the heart rate variability analysis (HRV) on short time ECG
monitoring (5 minutes). We included 10 dogs (various age and breeds) with chronic
kidney disease (CKD group), diagnosed according to IRIS classifications. We evaluate
time domain and frequency domain parameters to estimate overall HRV (SDNN), vagal
tone activity (pNN50 and HF) and sympathetic tone (LF and LF/HF), using Kubios HRV
software. To compare the results we included HRV data from 10 healthy dogs (no heart
or kidney disease present) with matched age, weight and gender.
Our results showed a significant decrease in overall HRV (SDNN) (P < 0.01) in the
CKD group associated with a significant decreased vagal tone (pNN50 and HF) (P < 0.001
and P < 0.001). Moreover the sympathetic tone was increased (P < 0.001 and P < 0.05)
in the CKD group compared with the healthy group.
Our study showed that dogs with CKD have an increased sympathetic tone associated
with low vagal activity. This autonomic imbalance is known to predict a bad outcome
in dogs with heart disease. In humans, HRV analysis is used as a marker of the evolution
and treatment outcome in patients with kidney failure. Further studies are needed
to include autonomic imbalance as a tool in monitoring the clinical evolution of dogs
with CKD.
Disclosures
No disclosures to report.
ESVC‐P‐24
A New Standardized Method for Semi‐Quantitative Assessment of Left Atrial Size on
Canine Thoracic Radiographs
V. Szatmári, N.J. van Bijsterveldt, F. Vilaplana Grosso, E. Teske, V. Szatmári.
Utrecht University, Faculty of Veterinary Medicine, Utrecht, The Netherlands
Left atrial size is a clinically important parameter, that reflects the severity of
chronic cardiac disorders; such as myxomatous valve degeneration, which is the most
common cardiac disease in dogs. First opinion veterinary practices lack an easy and
standardized method to assess left atrial size reliably. Though two‐dimensional echocardiography
would be an excellent modality for this purpose, performing cardiac ultrasonography
requires advanced training and quite some experience. Furthermore, ultrasonography
is less widely available than radiography. Though vertebral heart scale (VHS) is a
simple quantitative method to assess the cardiac size on thoracic radiographs, VHS
says nothing specific about the size of the left atrium.
We describe a new standardized method for estimating left atrial size on lateral thoracic
radiographs in dogs. The principle of this method is to draw a straight line between
the dorsal border of the tracheal bifurcation and the point where the ventral border
of the caudal vena cava crosses the cranial crus of the diaphragm. These anatomic
landmarks are easy to recognize and are similar to those used for determining the
VHS. We hypothesized that if the cardiac silhouette exceeds this line dorsally, the
left atrium is enlarged, if not then it is normal.
Ten veterinary students applied this line‐method to 100 radiographs, which were selected
from the clinic's archive in a period of 5 years. Inclusion criterion was that an
echocardiogram was performed by a cardiologist on the same day when the radiographs
were made, to serve as a golden standard. The students used a 5‐point ordinal scale
to score the left atrial size.
The receiver operating characteristic curve showed a discriminative ability of 0.74,
which means a moderate accuracy. When the test was marked positive only when the students
were absolutely sure about the left atrial enlargement, the line‐method's sensitivity
was 0.45 and its specificity was 0.91. The correlation between the line‐method and
the echocardiographic left atrial to aortic ratio was 0.56, which means a moderate
positive correlation. A multiple logistic regression analysis showed that our new
line‐method is a valuable test when radiologists are unavailable.
We expect that this simple, standardized method would help practicing veterinarians
to decide whether the left atrium on a radiograph is enlarged or normal. As a result,
in the absence of a radiologist's opinion, using the line‐method could facilitate
the rapid differentiation between cardiogenic pulmonary edema and primary respiratory
disorders in dogs with tachypnea or dyspnea.
Disclosures
No disclosures to report.
ESVC‐P‐25
Quantification of Mitral Regurgitation in Anatolian Shepherd Dogs with Asymptomatic
Degenerative Mitral Valve Disease
K. Kursad, H. Guzelbektes, I. Sen, Y. Koc, A. Naseri, M. Ince.
Selcuk University, Faculty of Veterinary Medicine, Konya, Turkey
Mitral regurgitation (MR) in dogs is mostly caused by chronic degenerative mitral
valvular disease (DMVD). The severity of regurgitation may be quantified by various
means. The maximal ratio of the regurgitant jet area signal by Color Doppler to left
atrium area (ARJ/LAA) is a semiquantitative method. The other method to determine
regurgitant volume (RegV) quantitively is the subtraction method, where the regurgitant
volume (RegV) is determined by subtracting the effective systemic stroke volume from
the total, left ventricular stroke volume. There is a debate about the value of each
of these quantification methods and only a few studies have reported the comparative
value. The goal of this study was to compare these methods to quantify RegV and regurgitant
fraction (RF) in asymptomatic Anatolian Shepherd Dogs (ASH) with DMVD.
The severity of heart disease was classified using the CHIEF system based on radiographic
heart and echocardiographic left atrium (LA) size. The control group consisted of
35 healthy ASH. In 38 ASH with DMVD (20 B1 and 18 B2), the severity of MR was assessed
by ARJ/LAA and subtraction method.
The severity of mitral regurgitation determined by ARJ/LAA was significantly (P < 0.05)
higher in B2 group than B1 group. The RegV in B1 dogs (20.9 ± 3.3 ml) was statistically
(P < 0.05) different from B2 dogs (65.9 ± 6.2 ml). The RF in B1 dogs (24 ± 3%) was
statistically (P < 0.05) different from B2 dogs (41 ± 3%). ARJ/LAA was positively
correlated to left atrial to aortic root ratio (LA/Ao), N‐terminal pro‐BNP (NT‐proBNP),
RegV and RF. RegV was positively correlated to LA/Ao, NT‐proBNP and RF. RF was positively
correlated to LA/Ao, NT‐proBNP and RegV. Observed agreement between the assays was
81% for ARJ/LAA versus RegV and was 73% for ARJ/LAA versus RF, and kappa statistic
values for ARJ/LAA versus RegV and for ARJ/LAA versus RF were 0.63 (substantial agreement)
and 0.50 (moderate agreement) respectively. In our hands, ARJ/LAA was easy to obtain
as opposed to subtraction method.
Our results indicate that each quantification method was valuable to assess the severity
of disease in ASH with MR and all were in good accordance with echocardiographic heart
size and NT‐proBNP levels. Therefore, each of these non‐invasive methods may be useful
to serially assess the severity of MR in DMVD in order to monitor the progression
of disease. Future studies have to evaluate, if these will be useful to predict the
risk or time of decompensation in asymptomatic dogs.
Disclosures
No disclosures to report.
ESVNU – European Society of Veterinary Nephrology and Urology
ESVNU‐P‐1
Effectiveness of a Feed Supplement to Control Hyperphosphatemia and Metabolic Acidosis
in Advanced Stages of Feline Chronic Kidney Disease (CKD)
N. Bruni
1, E. Biesibetti2, R. Rizzi3, M. Bigliati4, T. Cocca5.
1Candioli farma, Beinasco, Italy, 2Dep. of Veterinary Science, University of Turin,
Grugliasco, Italy, 3Dep. of Veterinary Science and Public Health, University of Milan,
Milano, Italy, 4Istituto Profilattico e Farmaceutico Candioli & C. S.p.A, Beinasco,
Italy, 5Clinica Veterinaria Napolivet, Napoli, Italy
When diet alone is not sufficient it is necessary to supplement the diet of CKD cats
with specific substances1. These are phosphate binders and alkalinizing agents. The
aim of this retrospective study was to evaluate the effectiveness of a feed supplement
containing a mix of substances to bind the phosphate and correct the metabolic acidosis
in cats with CKD (IRIS, International Renal Interest Society, stage 3 and 4). 10 cats
(median BW 4 (3;6) Kg, BCS 3/5 (2;4), 11 (9;12) years) fed with a balanced renal diet
were involved in the retrospective analysis. Treatment consisted in oral administration
of the product (Renal, Candioli Pharma) containing calcium carbonate, calcium lactate
gluconate, sodium bicarbonate and chitosan given for 60 days. The animals were evaluated
at the beginning of the study and at 15, 30, 60 days (T0, T15, T30, T60) for: BW,
BCS, food intake, blood pressure and for routinely hematochemical, biochemical and
urinary parameters. All statistical analyses were performed using SAS software. After
checking normality data were analyzed using Kruskal‐Wallis and Wilcoxon tests. Results
are expressed as median (interquartile range). Letters show differences among rows
(P < 0.05).
Statistically significant reduction of serum phosphorus concentration was obtained
through the study (reduction of 59% at T60 versus T0). Also a statistically significant
increase of bicarbonate was seen (7% from T0 to T60). At T60 was also recorded an
increase of ionized calcium level, which however was in normal range. It was also
detected a statistically significant difference for the albumin/globulin ratio between
day 15 and day 60.
Even if many studies on phosphate binders are conducted on healthy animals it is important
to evaluate their efficacy also in cats with CKD. In fact the addition of a phosphorus
binder may reduce food intake in azotemic cats3 but that effect was not seen in the
present study. The feed supplement was effective to reduce blood phosphate levels
and to increase blood bicarbonate levels, thus improving cats’ clinical conditions
for the duration of the study.
Disclosures
Candioli Farmaceutici is the funding sponsor in writing the manuscript and the feed
producer (Candioli Renal).
ESVNU‐P‐2
Relationship and Clinical Relevance of Urine Osmolality and Specific Gravity in Healthy
Cats Receiving Various Intravenous Solutes
T. Bouzouraa, J.M. Bonnet‐Garin, M. Hugonnard, B. Rannou, L. Chabanne, J.L. Cadoré.
VetAgro Sup Lyon, Marcy l’étoile, France
In humans, urine osmolality (UOsm) is better than specific gravity (USG) in assessing
renal function. USG and UOsm correlate well in concentrated urine of non‐perfused
healthy cats. In cats suspected of early chronic kidney disease (CKD) receiving intravenous
(IV) infusion, decreased USG is difficult to inteprete. It reflects either tubular
injury or urine dilution following infusion‐induced diuresis. To date, the consequence
of IV infusion on USG, UOsm and their relationship remains unknown.
We evaluated individual variation and relationship of USG and UOsm in healthy cats
receiving IV infusion over 24 hours.
Non‐fasted healthy cats under 5 years, belonging to students of our Veterinary Teaching
Hospital received IV infusion (4 ml/kg/h) of Lactated Ringer (RL) or NaCl, and were
sampled by cystocentesis at baseline (T0) and T2, T6, T12, T24. Target number of samples
was 60. Baseline urine dipstick and sediment were normal. Three students, blinded
to the measurements of the others, evaluated USG (3 measurements) and corresponding
UOsm (2 measurements) in random order. Inter‐ and intra‐observer variability were
assessed (Pearson coefficient; PC). The relationship was studied and variations of
median UOsm and USG were compared with baseline (Wilcoxon‐Mann‐Whitney test). The
effect of the solute infused was assessed. Our institutional ethical committee approved
the protocol.
Sixteen cats were included, among them 6 females and 10 males (median age: 24 months,
median weight: 4.1 kg). Half received RL and the remainders, NaCl. In all, 67 samples
were treated. No complication occurred.
Minor variations in USG measurements supported excellent analytic precision of optic
refractometry. Median USG and UOsm correlated well for all samples (PC > 0.981). Median
USG significantly decreased from baseline at T12 and T24 (but not at T2 and T6) whereas
median UOsm significantly decreased from baseline at T6, T12 and T24 (but not at T2,
P < 0.01). The 2 parameters varied similarly regardless of the solute infused.
USG and UOsm correlated strongly regardless either of urine dilution or the type of
infused solute (probably because we used 2 isotonic solutes of close osmolality).
Clinicians can keep using USG as a reliable surrogate for renal function. UOsm and
USG significantly decreased after 6 and 12 hours of IV infusion, respectively. It
remains unknown whether these observations in healthy cats are relevant in practice
to cats suspected of early CKD. If so, clinicians would have 12 hours after beginning
IV infusion to sample urine and evaluate USG reliably.
Disclosures
No disclosures to report.
ESVNU‐P‐3
Formula for Estimation of Urine Osmolality in Healthy Cats
T. Bouzouraa, J.M. Bonnet‐Garin, M. Hugonnard, B. Rannou, L. Chabanne, J.L. Cadoré.
VetAgro Sup Lyon, Marcy l’étoile, France
In humans, urine osmolality (UOsm) is better than urine specific gravity (USG) in
assessing hydration status and renal function. In veterinary medicine, UOsm cannot
be used routinely as few clinics are equipped with osmometers. Some studies provided
formulas for the estimation of serum osmolality in cats using concentrations of major
cations (sodium, chloride) and unchanged molecules (urea, glucose) but there is, for
now, no publications that propose an estimate of UOsm.
We aimed at deriving formulas to estimate urinary osmolality in healthy cats receiving
intravenous (IV) infusion for a 24‐hour period.
Non‐fasted healthy cats under 5 years, belonging to students of our Veterinary Teaching
Hospital and with normal clinical findings were sampled by cystocentesis at baseline
(T0) and T2, T6, T12, T24 after the beginning of IV infusion (4 ml/kg/h) of isotonic
solute. Baseline urine dipstick and sediment analysis were normal and chronic kidney
disease was excluded according to IRIS guidelines (2013). Three students, blinded
to the measurement of others, evaluated UOsm in random order, on 2 separate occasions,
using a freezing point depression osmometer (Roeblingosmometer®, Giessen, Germany).
Urine samples were further submitted for measurements of urea, creatinine, sodium,
chloride, potassium and glucose concentrations using an automated analyzer (Konelab
30i®, Thermo Scientific, Cergy Pontoise, France). After visual inspection of quantile‐quantile
plots to confirm normal distribution, relationships between urinary metabolites and
effective UOsm were studied through linear regression with subsequent evaluation of
the Pearson's correlation coefficient (PC). Our institutional ethical committee approved
the protocol.
Five cats (4 females, 1 male, median age: 21 months, median weight: 3.9 kg) were sampled
five times over 24 hours. In all, 23 samples were treated. No complication occurred.
Median (Minimum‐Maximum) UOsm was 1935 (420–2878) mosm/kg. The statistical analyses
used only the more reliable parameters including median urea (1130.1 mmol/l; 71.9–1735.9),
sodium (153.5 mmol/l; 87–202), potassium (11.2 mmol/l; 11.1–11.4) and glucose (4.45 mmol/l;
1.4–9.7). It resulted in the following formula (PC = .959):
UOsm
=
1
.
2
∗
urea
+
2
∗
potassium
+
2
∗
sodium
+
35
∗
glucose
In this population of healthy cats, UOsm is best estimated using the formula described.
As UOsm is more accurate than USG, this formula can be used in clinical practice to
help the veterinarian. Indeed, the practitioner doesn't need sophisticated osmometer
but only standard biochemistry analyzers with adequate handling and dilution of urine
to evaluate UOsm. The derived formula needs to be validated in future research.
Disclosures
No disclosures to report.
ESVNU‐P‐4
Symmetric Dimethylarginine (SDMA) as Kidney Biomarker in Canine and Feline Cancer
M. Yerramilli
1, M. Yerramilli1, G. Farace1, J. Robertson1, R. Relford2, D. Jewell2, J. Hall3.
1IDEXX Laboratories, Westbrook, USA, 2Hill's Pet Nutrition Inc, Topeka, USA, 3Oregan
State University veterinary School, Corvallis, USA
The risk of functional impairment of the kidney, CKD and AKI, is a common problem
in cancer due to infiltration or nephrotoxic chemotherapeutics. While about 40% of
human lymphoma patients are known to have compromised kidney function, only 20% of
the affected patients are diagnosed by creatinine while the remaining 80% require
biopsies for diagnostic accuracy. A study of 5000 human patients with a variety of
solid tumors demonstrated that the prevalence of reduced GFR was about 52% and 12%
had advanced CKD (stages 3–5). Given the increased incidence of cancer; new therapies
are being developed at a frenetic pace leading to an increased need to identify kidney
disease early and highlighting the demand for more effective and sensitive biomarkers.
At this time such detailed information is nonexistent for veterinary patients, however
there is no reason to think that it is any different.
Methylation of arginine is a signaling process with asymmetric methylation activating
transcription and expression while symmetric methylation is a repressive signal. It's
important to understand if increased protein turnover in malignancies will lead to
increased production of dimethylarginines. In a human study that included different
types of cancer, ADMA but not SDMA, was shown to have significantly increased in the
cancer cohort compared to controls. The observed increase in SDMA is likely due to
impaired kidneys and not cancer related increased production of SDMA; while the increase
in ADMA is likely due to increased protein turnover as a result of transcriptional
activation.
To look at the causes behind increased SDMA in veterinary patients with cancer, we
have investigated SDMA in canine and feline patients using banked samples and correlated
to histopathology. The study looked at a total of 19 patients (10 dogs and 9 cats)
with a variety of malignancies including lymphoma, hemangiosarcoma, osteosarcoma,
lymphosarcoma, pancreatic carcinoma, prostatic TCC, mammary tumors, colonic adenocarcinoma
and hepatocellular carcinoma. SDMA concentrations ranged from 8–26 ug/dL with 7 patients
having above reference limit (15–26 ug/dL). Necropsies were performed on all patients
along with histopathology. The seven patients with increased SDMA had histopathology
findings indicating kidney disease or neoplastic infiltration. No renal findings were
reported for patients with normal SDMA. In a retrospective evaluation of 50 cats and
dogs with neoplasia ˜15% had increased SDMA while only 2% had elevated creatinine.
To conclude in patients with neoplasia, the increase in SDMA correlated with histopathologic
findings that supported compromised kidneys.
Disclosures
Disclosures to report: Murthy Yerramilli, Mahalakshmi Yerramilli, Giosi Farace, Jane
Robertson and Roberta Relford are all employees of IDEXX Laboratories Inc. Dennis
Jewell is an employee of Hill's Pet Nutrition Inc.
ESVNU‐P‐5
Acute Renal Failure Secondary to Leptospirosis in 29 Dogs: Impact of Intermittent
Hemodialysis and Other Pronostic Factors on Survival
F. Serres.
ONCOVET, Villeneuve d'ascq, France
Despite progress in early diagnosis and recognition, acute renal failure attributable
to leptospirosis remain a challenging condition. Intensive care and costly procedures,
including renal replacement therapy are frequently recquirred.
A retrospective study focusing on dogs presenting for intermittent haemodialysis treatment,
in which a diagnosis of acute renal failure secondary to confirmed leptospirosis was
conducted.
Epidemiological, clinical and paraclinical datas a diagnosis were recorded. Survival
at discharge and long term outcome was recorded.
A total of 29 dogs were included in this study over a 4 years period (mean weight
24 kg), with 22 differents breeds.
Dyspnoea was present at diagnosis in 28% of cases, whereas 2 dogs presented with neurological
signs (seizure and coma). Mean sérum urea and creatinine value were markedly elevalted
at diagnosis (4.8 g/L and 102 mg/L respectively), 25% of dogs were initially oliguric
to anuric.
Diagnosis of leptospirosis rely on MAT for 23/29 dogs and identify a prédominant reaction
to the Australis serogroup in 16/23 dogs. In 6 dogs diagnosis of leptosirosis infection
rely on PCR examination of blood and urine.
Five dogs died or were euthanazied during or shortly after the first dialysis treatment.
Four dogs presented acute hemoptysis and one dog present persistent anuria with hyperkaliemia.
Twenty of the 24 remaining dogs survived at discharge. However, three dogs presented
chronic renal failure following initial acute crisis.
Polypnea at diagnosis, anuria and neurologic signs had a negative impact on survival,
whereas urea and creatinine value did not.
Disclosures
No disclosures to report.
ESVNU‐P‐6
Comparison of Bacterial Cultures from Three Urine Collection Methods and Ejaculates
in Healthy Dogs
M. Oscarson, H.S. Lund, N. Ottesen, H. Sørum, A.V. Eggertsdóttir.
Norwegian University of Life Sciences, Oslo, Norway
The aim of this prospective study was to compare three methods of urine sampling and
ejaculates with regard to bacterial growth. The study was performed at the Norwegian
University of Life Sciences between November 2012 and March 2013. Twenty healthy intact
dogs aged 1–6 years (10 females, 10 males) were included in the study.
Three urine samples were collected within 48 hours and in the same order for each
dog: (i) voided, (ii) voided after cleaning the external genitals (clean voided),
(iii) cystocentesis. Each urine sample was analysed by urine dipstick, microscopy
of sediment, and bacterial culture. After cleaning the prepuce, an ejaculate was also
collected from each of the male dogs and cultured.
Nine of the dogs did not have bacterial growth from any of their samples (seven females,
two males). Bacterial growth was found in 7/20 voided samples (three females, four
males), and in 4/20 clean voided ones (one female, three males). No bacteria were
cultured from any of the cystocentesis samples, but 7/10 ejaculates had bacterial
growth.
Three females had bacterial growth from their voided urine, but only one of these
remained positive after cleaning.
Of the four males with bacteria in the voided samples, one did not have any growth
from the clean voided sample but growth from the ejaculate. Two of the dogs had a
positive culture from both the clean voided sample and the ejaculate, while the fourth
dog had no bacteria grown from either clean voided urine or the ejaculate.
Three male dogs had negative cultures from all three urine samples, but grew bacteria
from the ejaculates. Further, one dog had a negative bacterial culture from the voided
urine, but positive cultures from both the clean voided urine and the ejaculate. Two
male dogs had negative cultures from all samples.
The bacteria grown from the different samples were: Mycoplasma canis, Pasteurella
spp., Pasteurella multocida, Enterococcus faecium, and mixed floras.
This study shows a large proportion of negative cultures from voided urine samples.
This is of clinical relevance since a negative culture is useful regardless of sampling
method. There was no consistent pattern in the relationship between the culture results
from the different sampling methods and ejaculates. Unexpectedly, the ejaculates showed
a large proportion of positive cultures. These results could suggest a prostatic origin
of some of the bacteria causing bacteriuria in voided samples from healthy intact
dogs.
Disclosures
No disclosures to report.
ESVNU‐P‐7
Performance Evaluation of Two Commercially Available Symmetric Dimethyl Arginine (SDMA)
Assays
P.A. Prusevich, J. Li, M. Yerramilli, J.A. Cross.
IDEXX, Westbrook, USA
Chronic kidney disease is a condition characterized by a gradual loss of kidney function
over time. SDMA has been demonstrated as a renal biomarker important for early diagnosis
and accurate staging of CKD. The gold‐standard methodology for SDMA quantitation is
Liquid Chromatography‐Mass Spectrometry (LC‐MS).
Canine and feline serum samples were used to evaluate accuracy and precision of two
commercially available SDMA assays, the IDEXX SDMA™ Test, which is veterinary validated
against CLSI guidelines, and a non‐veterinary validated, research use only, human
SDMA‐ELISA test.
All testing was conducted per manufacturer's standard procedures.
Samples were sourced from feline and canine serum submitted to IDEXX Reference Laboratories
for general chemistry testing.
Accuracy was assessed by assaying thirty‐seven feline and twenty‐nine canine serum
samples in duplicate for both SDMA assays and comparing mean results against the gold
standard LC‐MS SDMA result. Nineteen canine and twenty feline samples tested within
the LC‐MS reference range. All 19 canine and 18 of the 20 feline samples also tested
normal on the IDEXX SDMA™ Test. The two feline discrepant samples were cut‐off samples
averaging 2.2 ug/dL higher than the LC‐MS SDMA value. Twelve of those same 19 normal
canine and all 20 of the feline normal samples returned elevated results on the SDMA‐ELISA.
The canine discrepant samples were an average of 7.3 ug/dL higher than the LC‐MS value
(range 1.9 to 12.9 ug/dL). The feline discrepant samples were an average of 10.4 ug/dL
higher than the LC‐MS value (range 4.0–18.2 ug/dL).
Precision was determined by assaying 40 replicates of both feline and canine normal
serum pools using each SDMA assay. For the IDEXX SDMA™ Test, the canine and feline
pool SDs were both 0.7, while the SDMA‐ELISA SDs were 1.9 and 2.3, respectively.
The IDEXX SDMA™ Test shows superior accuracy and precision over the human SDMA‐ELISA.
The positive bias and poor precision of the SDMA‐ELISA test severely limits its clinical
utility for diagnosing and staging of CKD in dogs and cats.
Disclosures
Disclosures to report: There is a potential indirect disclosure to report. The authors
all work for IDEXX, which runs a laboratory service that performs an assay that is
discussed in the abstract.
ESVNU‐P‐8
The Evaluation of Enzymuria and Microalbuminuria in Dogs with Lower Urinary Tract
Disorders
B. Dokuzeylül
1, F.A. Akdogan Kaymaz2.
1Faculty of Veterinary Medicine, Istanbul University, Istanbul, Turkey, 2Department
of Internal Medicine, Faculty of Internal MedicineIstanbul University, Istanbul, Turkey
Upper and lower urinary tract disorders of small animals are commonly seen in our
country. When 2/3 of the kidneys become dysfunctional, clinical signs are apparently
present in the patient. In this study, enzymuria and microalbuminuria were evaluated
in eighty dogs with the lower urinary tract symptoms (pollakiuria, dysuria‐stranguria,
hematuria, urinary incontinence, polyuria, polydipsia, excessive licking of the urogenital
area) that were referred to Istanbul University, Veterinary Teaching and Research
Hospital, Internal Medicine Clinics. Blood and urine samples were collected aseptically
from each dog. The specific parameters that were detected in the study were; urine
microalbumin concentration (Heska® E.R.D.‐HealthScreen Canine Urine Test), urine protein
creatinine ratio (UPC), urine culture and enzymes (urine N‐acetyl‐beta‐D‐glucosaminidase
(NAG), Alkaline phosphatese (ALP), Gamma Glutamyl Transferase (GGT), Lactate Dehydrogenase
(LDH), Alanin Aminopeptidase (AAP) ). The blood pressure was measured with high definition
oscillometric device (Memodiagnostic®). Statistical analysis “General Linear Model”was
based on gender, age, nutrition, microalbuminuria and urinary tract disorders of the
dogs. With the comparison of urine dipstick, urine protein‐creatinine ratio and microalbuminuria
test results, it was agreed that microalbuminuria test was the most trustable and
the practical method in small animal practice. It was also determined that microalbuminuria
levels could be affected from the many factors like age and nutrition. Except microalbuminuria,
the enzymes especially NAG and AAP were markedly elevated in dogs with lower urinary
tract disorders. Thus, it was approved that parameters that were controlled in this
study, can be easily used in routine veterinary practice. Thereby, with the early
detection of proteinuria, it was aimed to notice fractional variations in the kidneys
and increase the duration of life span and the life quality of dogs. The present work
was supported by the Research Fund of Istanbul University Project No: T‐55/15122006
Disclosures
This study was my doctorate thesis. It was funded by the Research Fund of Istanbul
Universty, Project No: T‐55/15122006
ESVNU‐P‐9
Plasma Symmetric Dimethylarginine (SDMA) Concentration in Dogs with Acute Kidney Injury
(AKI) and Chronic Kidney Disease (CKD)
D. Dahlem
1, R. Neiger1, A. Schweighauser2, T. Francey2, M. Yerramilli3, E. Obare3, S. Steinbach4.
1Small Animal Clinic, Justus‐Liebig‐University, Giessen, Giessen, Germany, 2Small
Animal Internal Medicine, Vetsuisse Faculty University of Bern, Bern, Switzerland,
3R&D, IDEXX Laboratories Inc., Westbrook, ME, USA, 4Purdue University, College of
Veterinary Medicine, West Lafayette, IN, USA
SDMA is a biomarker for AKI in human medicine. The aim of this study was to investigate
SDMA in dogs with AKI and to assess if SDMA discriminates AKI from CKD. Blood samples
stored for a previous study to investigate renal biomarkers in dogs with AKI or CKD
were analyzed for SDMA. Over a period of 1 year SDMA was measured in all dogs with
renal azotemia (48 AKI, 29 CKD) and 18 healthy control dogs and SDMA/creatinine ratio
was calculated.
Median (range) plasma creatinine concentration in healthy dogs, dogs with AKI, and
dogs with CKD were 0.9 mg/dL (0.6–1.2 mg/dL), 7.3 mg/dL (2.3–23.0 mg/dL), and 3.6 mg/dL
(1.0–13.2 mg/dL), respectively. Median plasma SDMA concentration were 8.5 µg/dL (6–12 µg/dL),
39.5 µg/dL (8 to >100 µg/dL), and 35 µg/dL (12 to >100 µg/dL), respectively. Median
SDMA/creatinine ratio in dogs with AKI and CKD were 6.5 (1.7–20.9) and 10 (2.4–33.9),
respectively. Plasma SDMA concentration was significantly higher in dogs with AKI
(P < 0.0001) and CKD (P < 0.0001) in comparison to healthy dogs. SDMA concentration
in dogs with AKI and CKD were similar (P > 0.9999). Although there was considerable
overlap of the SDMA/creatinine ratio in dogs with AKI and CKD, it was significantly
higher in dogs with CKD compared to dogs with AKI (P = 0.0004). SDMA is suitable for
identifying dogs affected by AKI or CKD. Further research is necessary to investigate
the usefulness of SDMA/creatinine ratio in AKI.
Disclosures
M. Yerramilli and E. Obare are employees of IDEXX Laboratories. Measurement of SDMA
concentration was performed by IDEXX Laboratories free of charge.
ESVNU‐P‐10
Microalbuminuria in Healthy Dogs
F. Manczur, F.A. Falus, Z. Vizi.
University of Veterinary Science, Budapest, Hungary
Microalbuminuria is a term used to describe urine albumin levels not detected by a
dipstick test, i.e. lower than 30 mg/L. Similarly to urinary protein measurement,
spot urine albumin concentration is usually normalized to the urinary creatinine values.
The upper normal value of spot urinary albumin concentration has not been determined
in dogs, thus laboratories often use the human reference value: 0.03 (mg urinary albumin/mg
urinary creatinine). Some authors also quote the human reference value of 10 mg/l
urinary albumin concentration as the upper normal level of albuminuria for healthy
dogs. Whether this value is obtained with or without normalizing the urine concentration
to 1010 specific gravity is not always clear from the description of the methods.
Sighthounds are claimed to have higher arterial blood pressure and higher urinary
albumin concentrations than other dog breeds.
The aim of the study was to determine urinary albumin concentration and albumin/creatinine
ratio from spot urine samples of healthy dogs including sighthounds.
Client owned, non‐lactating, non‐pregnant dogs underwent complete physical exam, abdominal
ultrasound, blood work and urinalysis (including sediment analysis, total protein,
determination). Urine was obtained by cystocentesis and microalbumin was measured
with commercial human immunoturbidimetric methods that had been formerly validated
to be used in this species. The blood pressures of the greyhounds were measured on
the tail with high definition oscillometric method. Exclusion criteria was history
of current disease, hypertension, proteinuria (≥0.5 urinary prot/crea ratio), elevated
creatinine level, abnormal findings during physical or ultrasound exams, elevated
WBC, TP or CRP levels suggestive of inflammatory disease.
Originally sixty five dogs were recruited, but after laboratory data become available
4 dogs were excluded because of proteinuria. Thus the study eventually included 61
dogs (27 sight hounds and 34 non‐sighthounds). There were no statistical differences
between the age, bodyweight, degree of proteinuria or microalbuminuria between the
two groups. Median microabuminuria was 5 mg/l (range 0–108 mg/l) and median urinary
albumin/creatinine ratio was 0.002 (0–0.048).
Urine albumin concentration itself (without being normalized to specific gravity or
creatinine level) is not suitable to identify dogs with albuminuria. The human reference
value of urinary albumin/creatinine ratio (0.03) seems also appropriate to be used
in dogs as there were only one clinically healthy dog above this value in this study.
Disclosures
No disclosures to report.
ESVNU‐P‐11
Transurethral Ultrasound Guided Biopsy of Urinary Bladder Lesions in Male Dogs: Six
Cases
A. Cocci
1, A. Baio Dvm2, P. Knafelz2, V. Greci2.
1Clinica Veterinaria Cà Bianca, Milano, Italy, 2Ospedale Veterinario Gregorio VII,
Piazza di Villa Carpegna 52, Roma, Italy
Urinary lesions of the urinary bladder are represented by tumours, polyps, eosinophilic
cystitis and chronic urinary bladder inflammation which can resemble urinary bladder
growth.
For definite diagnosis cytological and histopathological examination is required.
Fine needle aspiration has been associated with metastatic tract along the needle
path; brushing and traumatic catheterism have been used with variable results.
Cystoscopy and surgery are the most effective techniques for collecting samples of
urinary bladder lesions. Both procedures can be expensive and cystoscopy is size limited
in male dogs when compared to female dogs.
The aim of this work is to evaluate the effectiveness of transurethral ultrasound
guided biopsy of urinary bladder lesions in male dogs. The authors hypothesized that
the passage of an atraumatic flexible endoscopic biopsy forceps (1.6 mm diameter)
through the urethra in male dogs would allow to collect suitable sized samples for
cytological and histopathological diagnosis.
Six male dogs of different size diagnosed with a urinary bladder lesion were enrolled
in the study.
One dog was a 33 kg Labrador retriever, one dog a 10 kg Welsh Terrier and the other
four dogs were cross breed dogs weighing 9 kg, 17 kg, 30 kg and 50 kg respectively.
Mean age was 9.2 years (7–12 years).
Five dogs exhibited recurrent haematuria of a mean duration of 4 weeks and one dog
had a history of urinary incontinence of 12 weeks duration.
All dogs underwent general anaesthesia and local urethra anaesthesia; the endoscopic
biopsy forceps was passed through the urethra and biopsies performed under ultrasound
guidance. A minimum number of six biopsies was taken. Samples were submitted for both
cytological and histopathological evaluation.
In five dogs there was full agreement between cytology and histopathology evaluation
and diagnosis was transitional cell carcinoma (TCC); in one dog the procedure was
repeated because of discordance between cytological and histopathological diagnosis
on first sampling, being cytology consistent with a TCC and histopathology with an
eosinophilic cystitis. On second sampling, histopathology was consistent with TCC.
Two dogs were followed for a 6 months period and extension of the TCC along the urethra
was not detected on subsequent controls.
Transurethral ultrasound guided biopsy of urinary bladder lesions in male dogs can
represent an effective, minimal invasive and non‐expensive procedure for the diagnosis
of urinary bladder lesions in male dogs and allows to avoid the size limit. Further
evaluation of a larger number of cases is recommended.
Disclosures
No disclosures to report.
ESVNU‐P‐12
Evaluation of a Urine Dipstick Test and Urine Specific Gravity Together for Confirmation
or Exclusion of Proteinuria in Cats
J. Pérez‐Accino Salgado
1, E. García Manzanilla2, J. Puig1.
1Hospital Ars Veterinaria, Barcelona, Spain, 2TEAGASC, The Irish Food and Agriculture
Authority, Cork, Ireland
Proteinuria in cats has been associated with the diagnosis, prognosis and monitoring
of several conditions, including chronic kidney disease. The urine dipstick test (UDT)
is the most common method used to assess proteinuria in practice, and the urine protein‐to‐creatinine
ratio (UPCR) helps to confirm and quantify it. The purpose of this study was to assess
a UDT together with the urine specific gravity (USG) as a possible predictor of the
UPCR in cats. In the authors’ knowledge this has been previously described for dogs,
but it has not been studied in cats.
Records between January 2011 and March 2016 from a mixed first opinion and referral
hospital were retrospectively reviewed. Sixty‐eight normal colored urine samples obtained
by cystocentesis were included. All had undergone a complete urinalysis including
UDT; resulting in inactive sediment and a pH≤7.5. All statistical analyses were performed
using a statistical package (SAS 9.2). A UPCR <0.2 was used to indicate the absence
of proteinuria according to the IRIS classification scheme. Samples were grouped by
USG (≤1.012 or >1.012; ≤1.035 or >1.035) and were analyzed comparing 0 + versus 0 +
and traces+ as a negative result.
Agreement of the two methods measured as Cohen κ was not good. Only when 0 + and
traces+ were considered dipstick‐negative in samples with USG > 1.012 κ coefficient
was 0.3 (0.05–0.54, P = 0.02). When data was analyzed considering 0 + as dipstick‐negative
regardless of the USG, the sensitivity was 81.8% (67.3–91.8%, P < 0.001) and the specificity
was 25% (9.8–46.7, P = 0.02). A sensitivity of 91.4% (76.9–98.2, P < 0.001) was obtained
considering 0 + as a negative result in samples with USG > 1.012. The specificity
in this group was 25% (9.8–46.7, P = 0.02).
This study showed a poor correlation between the two assessed diagnostic methods.
The results matched with the previously described high sensitivity and poor specificity
for the diagnosis of proteinuria with UDT in cats. The higher sensitivity (91.4%)
was achieved when considering only 0 + as a dipstick‐negative result in samples with
USG > 1.012, although a greater population would be needed to perform a more representative
assessment.
The results showed a very poor agreement between these two tests in cats compared
to a previous study performed in dogs. Despite this, it can be concluded that in cats,
a 0 + result in the UDT in samples with USG > 1.012 has a high sensitivity to rule
out proteinuria, classified as UPCR < 0.2.
Disclosures
No disclosures to report.
ESVNU‐P‐13
Presence of Active Urine Sediment in Dogs is Not Associated with Significant Changes
of Urine Protein‐to‐Creatinine Ratio
R. Huvé, L. Plante, M. Diemer, F. Palanché, A. Geffré, C. Trumel, R. Lavoué.
National veterinary school of Toulouse, Toulouse, France
Repeated urinalysis and quantification of proteinuria is of central importance for
management of canine kidney disease. Although natural voiding doesn't affect urine
protein‐to‐creatinine ratio (UPC) when sediment is inactive, cystocentesis is recommended
to decrease contamination by genitourinary tract and reliably interpret UPC. This
prospective study aimed to investigate influence of different collection techniques
on the presence of inflammatory sediment and on UPC.
Dogs that were presented at the National Veterinary School of Toulouse and that needed
urinalysis were included. Urine was collected from each dog within 3 hours, by free‐catch
(FC), free‐catch after perineal cleaning (FCC) and cystocentesis (CYS), in that order.
Urine sediment was examined within 1 hour of collection. UPC was determined within
72 hr on −80°C stored supernatants. Effect of collection technique on presence of
inflammatory sediment (>5 , and/or >5 WBCs, and/or >5 epithelial cells/hpf) and on
UPC was assessed by binary logistic regression and ANOVA, respectively. A P‐value
<0.05 was considered significant.
Twenty‐seven dogs were included. Median delay between FC and CYS was 30 minutes. Inflammatory
sediment was found in 15, 4 and 9 samples collected by FC, FCC and CYS, respectively.
Presence of an active sediment was significantly associated with method of collection
(P = 0.01). When urine was collected by FC rather than CYS, it increased the probability
of observing inflammatory sediment by an odds‐ratio of 18. UPC was not affected by
method of collection (P = 1).
FC might be useful and reliable for the follow‐up of proteinuria in dog, regardless
of the presence of inflammation.
Disclosures
No disclosures to report.
ESVE – European Society of Veterinary Endocrinology
ESVE‐P‐1
Validation of an In‐Clinic Point‐of‐Care Immunoassay for Measurement of Total Thyroxine
(TT4) Concentration in Serum from Euthyroid and Hyperthyroid Cats
M.E. Peterson
1, M. Rishniw2, G.E. Bilbrough3.
1Animal Endocrine Clinic, New york, NY, USA, 2Cornell University, Ithaca, NY, USA,
3IDEXX Laboratories, Westbrook, ME, USA
In veterinary practice, in‐clinic measurement of total thyroxine (TT4) is commonly
done for both diagnosis and monitoring, although the accuracy of some analyzers for
TT4 quantification has been questioned. Recently, IDEXX Laboratories introduced a
novel immunoassay method to measure TT4 on the Catalyst One Chemistry Analyzer (C1),
a point‐of‐care instrument previously validated for chemistry testing.
The purpose of this study was to validate the C1 method for TT4 measurement by sampling
cats with a wide range of values and comparing results obtained with this in‐clinic
method to those obtained by a veterinary reference laboratory (VRL; IDEXX). The VRL
used an automated enzyme immunoassay method for TT4 (DRI T4, Microgenics Corporation),
previously validated for use in cats.
A blood sample for TT4 determination was obtained from 157 cats examined at the Animal
Endocrine Clinic (AEC). Of these, 127 cats were hyperthyroid (high TT4) and 30 were
evaluated after 131I treatment (normal or low TT4). Each serum sample was first analyzed
in‐house using the Catalyst TT4 slide on a C1 analyzer. An aliquot of each sample
was submitted to the VRL on the same day; the lab was blinded to the C1 results.
The median serum TT4 concentration reported by the VRL was 103 nmol/L (interquartile
range [IQR], 63–136), with a total range of 8–290 nmol/L. For the C1, the median TT4
was 106 nmol/L (IQR, 64–147), with a range of 10–238 nmol/L. No statistical difference
existed between TT4 values obtained by the 2 methods (P = 0.68; Mann‐Whitney U test).
The Catalyst Total T4 assay also showed an excellent correlation to the reference
method (r = 0.969; P < 0.0001). The mean difference (Bland‐Altman plot) was 2.5 nmol/L.
Limits‐of‐agreement (LOA) plot showed no fixed or proportional bias, but increased
variation at the higher end of the dynamic range, above the region for clinical decision;
a LOA plot of normalized differences showed that the 95% LOA were approximately ± 30%.
For both TT4 methods, each cat's serum TT4 concentration was also classified as low
(<13 nmol/L), high (>50 nmol/L), or within‐reference‐interval (13–50 nmol/L; established
at AEC using 56 clinically‐normal cats >7 years). There was strong agreement (150
samples, 95.5%) based on the classification of results into these 3 groups.
In conclusion, our results show that the Catalyst TT4 assay provides accurate and
reliable serum TT4 concentrations over a wide, clinically useful range in cats, providing
in‐clinic results equivalent to those obtained by a veterinary reference laboratory.
Disclosures
Disclosures to report: The primary and second author have nothing to disclose. No
form of direct financial support was given to the first author or his clinic for the
work done on this research study. The only support for this study was that the reagents
for the in‐clinic TT4 test were supplied at no charge by Idexx laboratories, the manufacture
of the testing kit. The third author is an employee of Idexx Laboratories, Inc, the
company that makes the in‐clinic test TT4 test evaluated in this study. None of the
data analysis were performed by this individual, however, and the results were not
modified in any way for the company's benefit (this arrangement was made prior to
initiation of the study).
ESVE‐P‐2
The Contribution of Baseline Cortisol Measurement in the Interpretation of the ACTH
Stimulation Test in the Diagnosis of Canine Spontaneous Hyperadrenocorticism: A Retrospective
Study of 73 Cases
R. Nivy
1, K. Refsal2, M. Mazaki‐Tovi1.
1Koret School of Veterinary Medicine, Hebrew University of Jerusalem, Israel, Rehovot, Israel,
2Diagnostic Center for Population and Animal Health, College of Veterinary Medic, Michigan, USA
The ACTH stimulation test (ACTHST) is commonly used to screen dogs for spontaneous
hyperadrenocorticism (HAC). This study aimed to evaluate the contribution of baseline
cortisol in the interpretation of ACTHST. The study included samples from 73 dogs,
submitted to a referral laboratory for evaluation of HAC by ACTHST, and completed
questionnaires about the referring veterinarians’ (rDVMs) interpretation of the results.
rDVMs reported whether the test results were considered confirmatory for HAC, how
baseline and post‐stimulation cortisol were interpreted, and their final decision
whether the dog had HAC. Most rDVMs (77%) considered both baseline (B) and post‐stimulation
(P) cortisol in their interpretation, either their difference (P‐B) or their ratio
(P/B). Receiver operator characteristics (ROC) analyses were used to assess the predictive
accuracy of baseline cortisol alone, post‐stimulation cortisol alone, P‐B and P/B.
The areas under the ROC curve (AUC) for baseline cortisol, P/B, P‐B, and post‐stimulation
cortisol were 0.61, 0.62, 0.84 and 0.89, respectively, when the outcome was a confirmatory
result, and 0.63, 0.58, 0.77 and 0.85, respectively, when the outcome was a final
diagnosis of HAC. Post‐stimulation cortisol AUCs were significantly higher than all
other AUCs, excluding P‐B AUC, for predicting a confirmatory result of HAC. In conclusion,
post‐stimulation cortisol demonstrated good discriminatory ability for the interpretation
of the ACTHST, and for the final diagnosis made by rDVMs. It was either superior or
comparable to P‐B while baseline cortisol and P/B were ineffective. Baseline cortisol
has no additive value in interpreting ACTHST results and diagnosing HAC by rDVMs.
Disclosures
No disclosures to report.
ESVE‐P‐3
Prevalence of and Risk Factors for Feline Hyperthyroidism in South Africa
J.L. Mclean
1, R.G. Lobetti1, P.N. Thompson2, J.P. Schoeman2.
1Bryanston Veterinary Hospital, Johanessburg, South Africa, 2Faculty of Veterinary
Science, University of Pretoria, Pretoria, South Africa
Feline hyperthyroidism is an emerging metabolic disease of middle‐aged to older cats
that seems to have shown a marked increase in its world‐wide incidence within the
last three decades as well as a marked geographic variation in prevalence. The exact
pathogenesis of the disease still remains obscure and despite a plethora of epidemiological
studies, clear risk factors have not been identified.
The purpose of this study was to determine the prevalence of feline hyperthyroidism
in South Africa and to identify potential risk factors associated with the disease
in this geographic location.
Serum total thyroxine (tT4), cTSH and free thyroxine (fT4) were measured in 302 cats
aged 9 years and older that were presented at various veterinary clinics in South
Africa. At the time of blood sampling a questionnaire was completed regarding vaccination
history, internal and external parasite control, diet and environment.
Univariable associations of potential risk factors were assessed using a two‐tailed
Fisher's exact test and a multiple logistic regression model was then used to estimate
their effect on the risk of hyperthyroidism. Associations between presenting clinical
signs and hyperthyroidism were assessed on a univariable level using a two‐tailed
Fisher's exact test.
The prevalence of hyperthyroidism (tT4 > 50 nmol/L or tT4 between 30–50 nmol/L with
TSH < 0.03 ng/ml and fT4 > 50 pmol/L) within this population was 7.0% [95% CI: 4.4,
10] with no significant difference in prevalence between healthy (5.1% [1.9, 11])
and sick (8.2% [4.6, 13]) cats. Cats ≥ 12 years of age (OR = 4.3 [95% CI: 1.2, 15],
P = 0.02) and cats with canned food in their diet (OR = 2.1 [95% CI: 0.8, 5.4], P = 0.1)
were more likely to be diagnosed with hyperthyroidism. . No statistically significant
relationship between vaccinations, parasite control or indoor environment and hyperthyroidism
was observed. Hyperthyroid cats were more likely to present with weight loss (OR = 3.2
[95% CI: 1.2, 8.9], P = 0.01) and with a heart rate ≥ 200 bpm (OR = 5 [95% CI: 1.7,
16.1], P = 0.01) than cats without the disease.
The prevalence of feline hyperthyroidism in South Africa appears to be similar to
that previously documented in cats in Japan and Portugal but less than that documented
in cats in the United Kindgdom and Germany. Risk factors for hyperthyroidism, previously
found in other epidemiological studies, specifically older age and the presence of
canned food in the diet also appear to be present in this study population.
Disclosures
No disclosures to report.
ESVE‐P‐4
Clinical and Biological Evaluation of 66 Hyperthyroid Cats Treated with Iodine‐Deficient
Diet
D. Rochel, C. Amato, A. Pavageau, P. Nguyen, L. Jaillardon.
Oniris, Nantes Atlantic College of Veterinary Medicine, Food Science and Engine, Nantes,
France
Feline hyperthyroidism is currently treated with anti‐thyroid drugs, surgery and/or
radiotherapy. Recently, an iodine‐deficient diet (Hill's® Prescription diet® y/d®:
“y/d”) emerged as an alternative treatment, but limited data are available on therapeutic
effects on a large cohort. Sixty‐six cats were retrospectively included, based on
a diagnosis of hyperthyroidism (clinical signs and free thyroxinemia “fT4” >40 pmol/L).
All received the iodine‐deficient diet as a first‐line treatment and as exclusive
food. We aimed to assess the clinical and biological efficiencies of this diet.
Forty‐seven females (41 spayed) and 19 males (16 neutered), mainly Domestic Short
Hair (88%) and ranged from 8 to 20 years (median 13.6 years), were retrospectively
included in the study. The main clinical signs at diagnosis were weight loss (94%),
polyuropolydipsia (74%), polyphagia (67%), tachycardia (56%), digestive signs (54%)
and palpable thyroid nodule (31%). The main biological signs were high fT4 (median:
68 pmol/L, range [40;100]), uremia >3.6 mmol/L for 46% of the cats, creatininemia
>159 μmol/L for 11% and ALT >80 U/L for 62%.
54.3% of the cats received dry y/d, 5.7% the canned form and 40.0% both. The majority
of the cats (90%) accepted to eat y/d but only 1/3 accepted it spontaneously in a
first place. At the first control (median time = 64 days), the clinical efficiency
was considered by the practioners as satisfactory for 40% of the cats, partial for
40%, and poor for 20%. Body weight was not significantly changed after y/d (3.6 kg
[1.8–5.8] versus 3.3 kg [2.0–5.9]; P = 0.82). fT4 significantly decreased (68 pmol/L
before y/d and 39 pmol/L after y/d, P < 0.001) with 47.8% of the cats having a fT4 < 35
pmol/L after treatment. No significant change was observed concerning uremia (6.6 mmol/L
[1.2–10.8] before y/d and 3.0 mmol/L [1.2–6.5] after y/d; P = 0.20), creatininemia
(81.4 μmol/L [23.0–212.4] before y/d and 77.9 μmol/L [20.4–179.7]after y/d; P = 0.17)
and ALT activity (107 U/L [18–758] before y/d and 90 U/L [10–800] after y/d; P = 0.90)
after treatment.
The iodine‐deficient diet Hill's® y/d® was associated with a satisfactory clinical
improvement in 40% of the cats and a significant decrease in fT4 two months after
the beginning of the treatment. A long‐term follow‐up study is currently conduced
to assess y/d palatability, clinical and biological changes (particularly creatininemia
and ALT activity) and survival on this cohort.
Disclosures
No disclosures to report.
ESVE‐P‐5
Urinary Tract Infecctions in Dogs with Diabetes Mellitus and/or Hyperadrenocorticism:
Frequency, Treatment and Follow Up
I. Clares Moral
1, P. García San José1, C. Arenas Bermejo2, S. García Diez‐Ropero1, M.D. Pérez Alenza1.
1Veterinary Teaching Hospital Complutense Madrid, Madrid, Spain, 2Queen's Veterinary
School Hospital, Cambridge, UK
Urinary tract infection (UTI) is commonly associated with Diabetes mellitus (DM) or
hyperadrenocorticism (HAC), with a frequency of 20–37% (DM), 46% (HAC) and 50% (both
diseases). Aims of this study were to identify the frequency of bacterial UTI in dogs
with DM or/and HAC, characterize the causative microorganisms and their antimicrobial
susceptibility and its relationship with the control of the endocrine disorder.
Medical records of all dogs presented to the Internal Medicine Service of the Veterinary
Teaching Hospital Complutense Madrid between January 2013 and December 2015 diagnosed
with DM, HAC or both were reviewed. Only cases in which a urine culture was performed
were included (n = 60). Dogs were classified considering the type and the control
of the endocrine disease. Dogs with UTI were treated with appropriated antibiotics
based on culture sensitivity. Animals were followed up and response to treatment was
evaluated with urine culture.
Dogs were classified as follows, Group1: 22 dogs diagnosed with DM (37%); Group2:
27 dogs with HAC (45%) and Group3: 11 dogs with both diseases (18%). UTI was observed
in 13/60 dogs (22%). In Group1, UTI was presented in 4 (18%) dogs. In Group2, 6 dogs
(22%) had UTI and in Group3, 3 dogs (27%) had UTI. There was no significant relationship
between UTI and control of the endocrine diseases. Escherichia coli was the most common
organism isolated (6/13).
Considering the antimicrobial agents (AA) tested in 60% of the urinary cultures, marbofloxacin
and ciprofloxacin were the AA with the highest in vitro susceptibility (89%, 88% respectively),
followed by trimethoprime‐sulfamethoxazole (64%) and nitrofurantoin (55%). Amoxicillin‐clavulanic
acid and enrofloxacin were effective antimicrobials, but presented elevated percentages
of bacterial resistance (46%, 38%) The AA with highest percentages of resistance were
nalidixic acid (75%) and first‐generation cephalosporins (50%).
Follow up was possible in 8/13 dogs. Three of them had a persistent UTI. All bacteria
isolated in this second urine culture were resistant to the AA previously used. After
appropriate treatment of the persistant UTI, new cultures were performed, which didn't
grow any microorganisms.
Frequency of UTI in dogs with DM and/or HAC is lower than expected; however bacteria
isolated tend to be resistant to the AA most commonly used. Fluoroquinolones are the
most susceptible antibiotics, however enrofloxacin, commonly prescribed, has a higher
percentage of resistance. This suggests that UTI in dogs with endocrine disorders
are difficult to eliminate with traditional antimicrobial treatment, and fluoroquinolones
might be useful in this cases.
Disclosures
No disclosures to report.
ESVE‐P‐6
Use of Simvastatin in Dogs with Hyperlipidemia
S. Garcia, P. Garcia Sanjose, I. Clares Moral, A. Vicente Montaña, M.D. Perez Alenza.
UCM, Segovia, Spain
The most commonly used drugs to reduce cholesterolemia in humans are statins, which
reduce cholesterol biosynthesis, modify lipid metabolism and have antiatherosclerotic
effects. Treatment of hyperlipidemia in dogs is based on the control of the underlying
disease and dietary management. The effect of statins on reducing cholesterolemia
in dogs has not been reported. Aims of this study were to know the efficacy of simvastatin
in dogs with hypercholesterolemia that not respond to dietary management, to evaluate
toxicity and the effects on quality of life considering underlying disorders (diabetes
mellitus, hyperadrenocorticism and hypothyroidism).
Ten dogs with hyperlipidemia were prospectively included in the study with the owner's
consent. Dogs with kidney disease IRIS III, IV and/or cardiac disease C, D and/or
severe hepatic or pancreatic diseases were excluded. After management for one month
with a low fat diet and treatment of underlying disorder (diabetes mellitus, hyperadrenocorticism,
hypothyroidism or combination), treatment with simvastatin was started at 1 mg/kg/day
SID VO in dogs with cholesterol >300 mg/dl. Follow‐up was performed at one, three
and six months after simvastatin administration.
Age of dogs ranged from 7 to 15 years old and were of different breeds. Before treatment
(n = 10), plasma cholesterol levels ranged from 300–725 mg/dl (mean ± SD: 405.4 ± 199.6).
At one month of simvastatin treatment (n = 10), plasma cholesterol levels ranged from
185–462 mg/dl (268.6 ± 115.3) (P < 0.05). At three months (n = 5), plasma cholesterol
levels ranged from 181–399 (298 ± 109.9). At this moment, only three dogs have been
re‐evaluated six months after treatment.
Mild and transitory adverse effects were observed in three dogs and were solved with
gastric acid inhibitors. Adverse effects were vomiting (n = 1), soft feces (n = 1),
reduced appetite (n = 2) and transitory increase in liver enzymes (n = 1). One additional
dog with kidney disease IRIS II (15 years of age) died at two month of treatment due
to acute kidney failure, but any other adverse effect was observed previously.
Statins have been used in experimental studies in dogs to evaluate toxicity at higher
dosages. However, to achieve a lipid‐lowering effect, statins might be used at lower
dosages, similar to described in humans. In this preliminary study, the use of simvastatin
might be useful to reduce cholesterol levels in dogs with hypercholesterolemia. Even
though its use is safe in dogs, it should not be used in dogs with severe kidney disease.
Further studies with a larger number of dogs are needed.
Disclosures
No disclosures to report.
ESVE‐P‐7
A Side‐by‐Side Comparison of Two Assays for Measuring Canine and Feline Total Thyroxine
(TT4)
E. Wolff
1, G. Bilbrough2, G. Moore1, L. Lynn1, R. Murphy2, C. Scott‐Moncrieff1.
1Purdue University, West lafayette, Iindiana, USA, 2IDEXX Laboratories Inc., Westbrook,
ME, USA
Numerous assays are available for measurement of TT4 in dogs and cats but there is
no accepted ‘gold standard’. The aim of this study was to compare results of a new
total thyroxine assay with the Microgenics DRI® assay. We hypothesized that a new
TT4 assay (IDEXX Catalyst® Total T4) would have acceptable correlation with the Microgenics
DRI® TT4 assay with minimal bias.
Canine and feline serum samples were selected from samples sent to a reference laboratory
for testing. TT4 concentration was measured using the Microgenics DRI® TT4 assay and
the samples thereby assigned to four concentration ranges for each species to ensure
a dynamic spread across the range. The samples were then stored at −80°C until assay.
TT4 of each sample was then measured using both assay methods by technicians that
were blinded to the group assignment. Pairwise Pearson correlation, linear regression
and Bland‐Altman method for agreement were performed on Stata™.
There were 181 canine and 332 feline samples. For canine samples (range 5.79–159.58 nmol/L),
the r‐value was 0.96, r2 = 0.93, proportional bias range 7.6%–13.7% at 95% CI, mean
difference and standard deviation of Bland‐Altman difference = −4.37 nmol/L and 0.70
respectively. For feline samples (range 6.82–257.40 nmol/L), the r‐value was 0.97,
r2 = 0.94, proportional bias = range 5.8%–9.5% at 95% CI, mean difference and SD of
Bland‐Altman difference = 0.49 nmol/L and 1.22 respectively.
There was strong correlation between assays with a bias for both canine and feline
samples. The significance of this bias is unknown in the absence of a gold standard.
Disclosures
IDEXX Laboratories Inc. financed the costs of this study. No salary, royalties, consulting
fees, speaker honoraria, ownership interests (e.g. stock or stock options), or other
benefit has been provided to EW, GM, LG, or CSM by IDEXX Laboratories Inc. GB and
RM are employees of IDEXX Laboratories Inc.
ESVE‐P‐8
Prevalence of Hypertension in Dogs with Hyperadrenocorticism at Diagnosis
P. García San José
1, C. Arenas Bermejo2, I. Clares Moral1, S. García Díaz‐Ropero1, M.D. Pérez Alenza1.
1Complutense University of Madrid, Madrid, Spain, 2Queen's Veterinary School Hospital,
University of Cambridge, Cambridge, UK
Systemic hypertension is common in dogs with hyperadrenocorticism (HAC), however its
prevalence and factors associated have not been frequently reported. The aims of this
study were to determine prevalence and severity of hypertension in dogs with HAC at
the time of diagnosis and the potential relation between systolic blood pressure (SBP)
and different parameters (age, sex, reproductive status, duration of clinical signs
before diagnosis, body condition score, concurrent diseases, type of HAC and ACTH
stimulation test results).
Forty‐three dogs with newly diagnosed HAC at the Veterinary Teaching Hospital Complutense
Madrid between January 2013 and December 2015 were evaluated. Blood pressure was measured
using Doppler ultrasonography. The SBP was calculated as the average of 5 consecutive
readings. Hypertension was defined as a SBP >150 mm Hg and sub‐classified according
to the risk of target organ damage (RTOD) (ACVIM guidelines). Dogs with concurrent
diseases knowing to affect SBP (chronic kidney disease IRIS 3/4, or cardiac disease
stage C/D) at diagnosis were excluded. Significant values were considered for P < 0.1.
Forty dogs with HAC were included, 35 with pituitary HAC and 5 with adrenal HAC. Age
ranged from 6 to 15 years, 15 dogs were intact and 25 dogs were neutered. Twenty eight
dogs (70%) were hypertensive and 18/40 (45%) at severe RTOD (>180 mmHg). Higher prevalence
of hypertension and higher mean values of SBP were observed in intact dogs (87%; 183.3 ± 30.2 mm
Hg) than in neutered (60%; 165.3 ± 35.7 mm Hg) (P = 0.074; P = 0.078). Higher prevalence
of severe RTOD was also observed in intact dogs (67% versus 32%) (P = 0.033). Positive
correlation between SBP and duration of clinical signs before diagnosis was observed
(P = 0.063). Dogs at severe RTOD had clinical signs for a longer period of time before
diagnosis (10.5 ± 5.6 months) than animals with moderate/mild RTOD or normotensive
(7.68 ± 5.6 months) (P = 0.084). No significant correlation was observed between SBP
and the rest of the variables listed above.
Prevalence of hypertension among untreated dogs with HAC is high, similar than previously
reported (59 to 86%). Prevalence of severe RTOD was similar to previously reported
(42%), but different to observed by others (11% and 70%) probably reflecting differences
in the population studied. Therefore blood pressure measurement should be performed
as part of the initial investigations in dogs with suspected HAC.
The Relationship between reproductive status and SBP has been previously reported
in experimental studies with rats showing higher blood pressures in intact rats than
neutered.
Disclosures
No disclosures to report.
ESVE‐P‐9
Evaluation of the Efficacy and Safety of a New Formulation of Desoxycortone Pivalate
(DOCP) for Treating Primary Hypoadrenocorticism (PH) in Client‐Owned Dogs
B. Mason, H. Farr, S. Longhofer.
Dechra Ltd, Overland Park, USA
DOCP is replacement therapy for mineralocorticoid deficiency in dogs in hypoadrenocortical
crisis and as chronic mineralocorticoid replacement.
This multi‐centre randomised clinical trial compared the safety and efficacy of a
new prolonged‐release suspension of DOCP (Zycortal, Dechra Ltd) to a US‐approved control
product (Percorten‐V, Elanco Animal Health) for the treatment of PH in dogs.
PH was diagnosed by the presence of clinical signs consistent with PH, Na+/K+ ratio
≤ 27, and basal and post ACTH‐stimulation test cortisol concentrations ≤ 55.2 nmol/L.
Client‐owned dogs (n = 152) with PH were randomised in a 3:1 ratio, and treated at
an initial dose of 2.2 mg/kg body weight with either Zycortal (subcutaneously) or
Percorten‐V (intramuscularly). Subsequent doses were administered approximately monthly
for up to 5 months; adjustments to dose and dosage regimen were permitted.
Dogs were evaluated monthly with a physical examination, clinical assessment and evaluation
of serum Na+ and K+ concentrations and Na+/K+ ratio. Haematology and chemistry were
evaluated on Days 25, 90 and 180. At the primary endpoint on Day 90, treatment success
occurred when the veterinarian assessed the case as improved or unchanged (if not
new cases of PH) compared to baseline (Day 0) (veterinarian‐assessed improvement),
and Na+, K+ or the Na+/K+ ratio were within the reference range. Non‐inferiority of
treatment success of Zycortal compared to Percorten‐V was calculated using a two‐sided
95% confidence interval using GLIMMIX procedure in SAS (SAS Institute). Field safety
was assessed by review of abnormal clinical signs.
At Day 90, both groups had veterinarian‐assessed improvement in >99% dogs; Na+/K+
ratio was between 27–32 in <21% of dogs but the Na+ and K+ concentrations were within
reference range for >89 and 94% dogs in the Zycortal and Percorten‐V groups, respectively.
Zycortal and Percorten‐V treatment success was 86.24 and 85.13% respectively. Zycortal
was non‐inferior to Percorten‐V.
The abnormal clinical signs reported most frequently in both groups were polydipsia,
polyuria, vomiting, polyphagia and diarrhoea; the majority of signs were mild and
transient.
The new formulation of DOCP, Zycortal, is well tolerated and effective for use as
replacement therapy for mineralocorticoid deficiency in dogs with PH when compared
to the control product, Percorten‐V.
Disclosures
All authors are employees of Dechra Ltd, the manufacturer of Zycortal. The study was
funded by Dechra.
ESVE‐P‐10
First‐Line Therapeutic Choice and One‐Year Follow Up of 74 French Newly Diagnosed
Hyperthyroid Cats in Private Practice: A Prospective Study
B.E. Rannou, B.E. Mingotaud, M. Hugonnard.
VetaAgro Sup, Campus Vétérinaire de Lyon, Marcy l’étoile, France
Therapeutic options for feline hyperthyroidism are antithyroid drugs, thyroidectomy,
radio‐iodine therapy and an iodine‐restricted diet. A prospective study was conducted
in France to analyse first‐line therapeutic choice in private practice for feline
hyperthyroidism. Biological and clinical efficacy, safety and owner compliance were
followed for one year after treatment setting.
Between September 2013 and June 2014, 74 cats from private practice with a clinical
suspicion of hyperthyroidism and a total thyroxine (TT4) concentration superior to
55 nmol/L measured in the same veterinary laboratory were recruited. For each patient,
the practitioner received a survey with closed questions about therapeutic options
discussed with the owner, final therapeutic choice and reasons for this choice. Repeated
TT4 monitoring was freely proposed on a voluntary basis at 3, 6, 9 and 12 weeks after
treatment setting and then every 3 months until one year. One year after treatment
setting, a satisfaction survey was sent to owners regarding clinical efficacy of treatment.
The 74 cats (36% males, 74% females) were 13 ± 2.5 years old. TT4 concentration at
the time of diagnosis varied between 57 and 193 nmol/L (140 nmol/L ± 49). At inclusion,
the veterinarian survey was fulfilled for 34 (46%) cats. For 12/34 (35%), a sole therapeutic
option (antithyroid drug in 94% of cases) was proposed. For 15/34 (44%) cats, two
therapeutic options were proposed. In this case, antithyroid drug and an iodine‐restricted
diet were proposed in 100% and 87% of cases, respectively. In total, an iodine‐restricted
diet was proposed for 21/34 (62%) cats and finally chosen for 4 (19%) cats. Prescribing
habits and medication convenience were the reasons most commonly cited. A partial
or complete TT4 follow‐up for one year was available for 50 (67%) cats, 42/50 receiving
antithyroid drugs and 8/50 eating an iodine‐restricted diet. Euthyroidism appeared
more rapidly achieved (4 versus 9 weeks) but less stable in cats receiving antithyroid
drugs compared to cats eating a specialized diet, even for outdoor cats. Side effects
were uncommon (16% and 0% with medicinal and dietetic treatment, respectively). After
one year, 37 (50%) owner surveys were available. Most owners (35/37) were satisfied
or very satisfied with the treatment issue.
In this study, reversible treatment options for feline hyperthyroidism were largely
preferred but irreversible options were rarely proposed. Efficacy, safety and owner
compliance were high for dietetic and medicinal options. Iodine‐restricted diet, although
less popular than antithyroid drug, provided promising comparative results.
Disclosures
No disclosures to report.
ESVE‐P‐11
Cushing's Syndrome – An Epidemiological Study Based on an Italian Canine Population
of 21,281 Dogs
E. Malerba1, G. Carotenuto1, C. Dolfini1, F. Brugnoli
2, P. Giannuzzi3, G. Semprini4, P. Tosolini5, F. Fracassi1.
1University of Bologna, Ozzano dell'emilia, Bologna, Italy, 2Ospedale Veterinario
I Portoni Rossi, Bologna, Italy, 3Ospedale Veterinario Pingry, Bari, Italy, 4Centro
Veterinario Bolognese, Bologna, Italy, 5Ambulatorio Veterinario Schiavi, Udine, Italy
Cushing's syndrome (CS) is one of the most commonly recognized endocrine disorders
in dogs. To our knowledge, there is only one epidemiological study published in 1982
that evaluated the incidence of the disease. In studies on canine CS it is frequently
reported an apparent predisposition for the female gender, but none of such studies
can prove it because of the lack of a control population.
The aim of this multicenter retrospective study was to investigate the epidemiological
characteristics of CS in an Italian canine population.
Data were derived from 21,281 client‐owned dogs selected from electronic databases
of 5 veterinary clinics, scattered throughout the Italian territory and evaluated
between September 2012 and September 2014.
For the calculation of the prevalence, the dog population of one center (university
reference center for CS) was evaluated separately from the population of the four
clinics that were not reference centers for CS.
In total 104 dogs were identified with CS on the basis of history, clinical and laboratory
findings and positivity to LDDS test and/or ACTH stimulation test. The prevalence
in the 4 clinics was 0.20% (95%CI, 0.13–0.27) and was significantly different compared
to the reference center (1.46%; 95%CI , 1.12–1.80).
Mean (SD) age for dogs with CS was 9.8 ( ± 2.5) years, and only 5/104 dogs (5.5%)
were ≤ 5 years. Of 104 dogs with CS, 19.2% (95%CI, 11.6–26.8) were intact females,
43.3% (95%CI, 33.8–52.8) were neutered females, 29.8% (95%CI, 21.01–38.60) were intact
males and 7.7% (95%CI, 2.58–12.82) were neutered males. Females had higher risk of
CS compared to males (O.R. 1.84; 95%CI, 1.46–2.03); neutered dogs had higher risk
then uncastrated dogs (O.R.2.54; 95%CI, 2.32–2.76) and neutered females had higher
risk compared to intact females (O.R.2.61; 95%CI, 2.28–2.94).
Using the mixed breed dogs as a control population (OR: 1) the risk of developing
CS was significantly higher in the standard Schnauzer (OR: 58.1; P < 0.0001), Fox
Terrier (OR: 20.33; P < 0.0001), Cavalier King Charles Spaniel (OR: 8.02; P < 0.0001),
Boxer (OR: 7.67; P < 0.0001), Shih‐tzu (OR: 6.56; P = 0.0033), Bolognese (OR: 6.30;
P < 0.0001), Pit bull (OR: 5.98; P = 0.0009), Jack Russel Terrier (OR: 5.65; P = 0.0081),
Maltese (OR: 4.89; P = 0.001), miniature Dachshund (OR: 3.51; P = 0.0027), miniature
Poodle (OR: 3.44; P = 0.0033) and Yorkshire Terrier (OR: 3.42; P = 0.0018).
The results of this study have identify a prevalence of 0.2% of CS in an Italian canine
population. The data support the existence of sex predisposition in developing CS
with the highest risk for neutered females. As observed in other studies, some breeds
are more predisposed to develop CS.
Disclosures
No disclosures to report.
ESVE‐P‐12
Elucidating Risk Factors for Feline Diabetes Mellitus
T. Öhlund
1, A. Egenvall1, T. Fall2, H. Hamlin1, H. Röcklinsberg1, B. Ström Holst1.
1Swedish University of Agricultural Sciences, Uppsala, Sweden, 2Uppsala University,
Uppsala, Sweden
Diabetes is a common endocrinopathy in cats and resembles type 2 diabetes in humans.
The etiology and pathogenesis of feline diabetes is not fully understood, but a combination
of genetic and environmental factors is believed to contribute. Obesity is reported
as an important risk factor for diabetes in both cats and humans.
The aim of the study was to assess the associations of environmental risk factors
with feline diabetes through a web‐based questionnaire in a large case‐control study.
A letter of invitation to participate in the web survey was sent out by mail to 6822
owners to cats with a previous or ongoing insurance in Agria Animal Insurance. The
study population included cats with a diagnosis of diabetes during the years 2009–2013
(n = 1369) and a control group of cats (n = 5363) without the diagnosis, matched on
birth year with the diabetic cats. The web survey contained questions on e.g. the
signalment of the cat, environment, activity level, access to the outdoors, feeding
regime, type of diet, eating habits, body condition, health, medications, vaccination
status, other animals in the household, or if other changes had occurred in the cat's
life before the diagnosis of diabetes.
A total of 2171 complete replies were acquired, of which 481 from diabetic cats and
1690 control cats (answering frequency 35% and 32%, respectively). Results from a
multivariable logistic regression showed significant associations between a diagnosis
of diabetes and several of the responses in the questionnaire. Burmese breed, being
male, being an indoor cat, having a greedy eating habit, and being overweight were
all independently associated with increased odds of diabetes.
Our results, from the so far largest case‐control study of diabetic cats, verify previous
reports on being overweight and living indoors as important risk factors for diabetes
in cats. Being a greedy eater is a new potential risk factor for diabetes in cats.
Disclosures
No disclosures to report.
ESVE‐P‐13
Evolution of Systolic Blood Pressure in Dogs with Hyperadrenocorticism During the
First Six Months of Treatment with Trilostane
P. García San José1, C. Arenas Bermejo2, S. García Díaz‐Ropero1, I. Clares Moral1,
M.D. Pérez Alenza
1.
1Complutense University of Madrid, Madrid, Spain, 2Queen's Veterinary School Hospital,
University of Cambridge, Cambridge, UK
Hypertension is frequent in dogs with hyperadrenocorticism (HAC) even when adequate
control of HAC is achieved. The aim of this study was to evaluate systolic blood pressure
(SBP) before and during the first 6 months of trilostane treatment in dogs with newly
diagnosed HAC and to determine whether there is association with the control of the
disease.
Forty‐three client‐owned dogs were diagnosed with HAC at the Veterinary Teaching Hospital
Complutense Madrid between January 2013 and December 2015 following the ACVIM consensus
guidelines. Trilostane treatment was initiated at a starting dose of 0.5–1.5 mg/kg
BID. Dogs were evaluated at one (n = 26), three (n = 19) and six (n = 15) months after
treatment (MAT). History, physical exam, hematology, biochemistry, ACTH stimulation
and blood pressure using Doppler ultrasonography were assessed in every visit. Dogs
with chronic kidney or cardiac diseases (stages C/D) or receiving antihypertensive
medication at diagnosis were excluded. Hypertension was defined as a SBP ≥150 mm Hg.
Following the ACVIM guidelines, hypertensive animals were sub‐classified according
to the risk of target organ damage (RTOD) and antihypertensive treatment (benazepril
and/or amlodipine) was administered if deemed appropriate.
Twenty‐six dogs were included, 15 females and 9 males. Ages ranged from 7 to 15 years.
Twenty dogs (77%) were hypertensive at diagnosis and 15/26 (58%) were at severe RTOD.
Prevalence of hypertension was similar throughout the study (73% 1‐MAT, 84% 3‐MAT,
80% 6‐MAT) whilst the percentage of hypertensive animals at severe RTOD decreased
(75% before treatment; 63% 1‐MAT, 31% 3‐MAT and 42% 6‐MAT; but not significantly).
Of the normotensive dogs at diagnosis, 2/5 (40%) remained normotensive 6‐MAT and 3/5
(60%) became hypertensive at mild RTOD (150–159 mm Hg). Of the hypertensive dogs at
diagnosis, 9/10 (90%) remained hypertensive 6‐MAT being 5/10 (50%) at severe RTOD
(≥180 mmHg).
There was no significant correlation between good control of HAC and good control
of SBP (SBP≤150 mmHg or decreasing in the RTOD classification; from severe to moderate/moderate
to mild) at 1, 3 and 6‐MAT.
Prevalence of hypertension in dogs with HAC did not decrease during the first 6 months
of treatment with trilostane, which has also been reported in people. A slight increase
in SBP is observed in normotensive patients once treatment is started. Control of
HAC with trilostane is not correlated with control of blood pressure and hypertensive
dogs should be monitored closely. Hyperadrenocorticism is a progressive disease and
treatment may not completely normalize the deleterious effects of hypercortisolism.
Disclosures
No disclosures to report.
ESVE‐P‐14
Use of Hydrocortisone in a Cohort of Dogs in the Management of Addisonian Crisis
A. Leobon, M. Seth.
Animal Health Trust, Newmarket, UK
Canine Addisonian crisis occurs due to a deficiency in cortisol, typically associated
with a concurrent deficiency in aldosterone. The glucocorticoid dexamethasone is most
commonly used for emergency parenteral treatment in a crisis but this drug has negligible
mineralocorticoid activity. The use of hydrocortisone sodium succinate (HSS) is described
in human medicine. Besides its glucocorticoid activity, it has potent mineralocorticoid
activity potentially making it superior to dexamethasone for treatment of Addisonian
crisis.
Our aims were to describe treatment of Addisonian crisis using HSS in a cohort of
dogs. Furthermore, we compared this therapy to dogs treated with dexamethasone over
the same period. Records from a single referral hospital were searched between 2007
and 2015, identifying 15 dogs diagnosed with an Addisonian crisis (serum cortisol
concentration <55 nmol/L after administration of tetracosactrin, requiring hospitalization
for emergency stabilisation). Dogs were excluded if they had already received any
glucocorticoid and/or mineralocorticoid therapy prior to admission, or had incomplete
data concerning treatment, laboratory tests or outcomes. Seven dogs were treated with
HSS continuous rate infusions ranging from 0.3 to 0.625 mg/kg/h (Group A). Eight dogs
were treated with intravenous dexamethasone doses ranging from 0.05 to 0.3 mg/kg (group
B). None of the dogs in group A required treatment with dexamethasone and none of
the dogs in group B received HSS at any stage during treatment. Both HSS and dexamethasone
were associated with adequate management of the acute adrenocortical insufficiency
in every case with all patients surviving to discharge.
No significant differences were found between the two groups regarding age, weight,
gender, admission Na+ and K+ concentrations, length and median cost of hospitalisation,
median time for K+ concentration to normalise, time to spontaneously eat or amount
of crystalloid and colloid fluids used. The median time for Na+ concentration to normalise
was significantly shorter in group A compared to group B (P = 0.0424). One dog in
group B was treated with a vasopressor (dopamine) whereas none of the dogs in group
A were treated with vasopressors. These results suggest that HSS is effective in managing
canine Addisonian crisis. Prospective studies on a larger cohort of dogs are warranted
to further assess the potential benefits of HSS compared to dexamethasone.
Disclosures
No disclosures to report.
ESCG – European Society of Comparative Gastroenterology
ESCG‐P‐1
Primary Gastro‐Intestinal Disease in Cats and Dogs with Gastro‐Intestinal Foreign
Bodies: 28 Cases
R. Lobetti1, E. Lindquist2, J. Frank2, J. Mclean
1.
1Bryanston Veterinary Hospital, Bryanston, South Africa, 2SonoPath, New jersey, USA
Gastro‐intestinal (GI) foreign bodies are not unusual in either cats or dogs of all
ages. The diagnosis is often suspected on history, physical examination findings,
radiographs, and ultrasonography; with the diagnosis being confirmed on laparotomy.
A recent study showed that a gastric foreign body was a significant risk factor for
the development of gastric dilatation and volvulus in dogs.
The purpose of this study was to correlate if cats or dogs with a GI foreign body
had underlying GI disease. The hypothesis was that cats or dogs with a GI foreign
body have primary underlying gastro‐intestinal disease resulting in pica and the subsequent
ingestion of a foreign body.
The records of 28 privately owned cats or dogs that had been diagnosed with a gastro‐intestinal
foreign body and had histopathology done of the gastro‐intestinal tract were retrospectively
evaluated. Inclusion criteria were a diagnosis of a GI foreign body together with
histopathology of the GI tract from biopsies taken at the time of surgical removal
of the foreign body.
Of the 28 cases, there were 11 cats and 17 dogs. The mean age of the cats was 9.2 years
(range 4–15) and that of the dogs 9.1 years (range 2–14). All cats were classified
as DSH and the dog breeds were varied. There were 5 males and 6 females within the
cat group and 8 males and 9 females within the dog group. Histopathology diagnosis
in the cats was lymphoplasmacytic enteritis (4), lymphoma (5), and carcinoma (2);
whereas in dogs the histopathology diagnosis was lymphoplasmacytic enteritis (7),
lymphoma (3), necrotic enteritis (3), carcinoma (2), and eosinophilic enteritis (2).
These findings indicate that cats or dogs with a GI foreign body can have underlying
primary GI disease and that the presence of a foreign body may thus be an indicator
of more serious GI disease. Therefore, in cats or dogs with a GI foreign body, biopsies
of the gastro‐intestinal should be done at the time of surgery to ensure that underlying
disease is identified and correctly managed.
Disclosures
No disclosures to report.
ESCG‐P‐2
Fecal Microbiome and Predicted Gene Function in Czechoslovakian Wolfdogs Fed with
Either a Bone and Raw Food Diet or a Commercial Diet
M. Cerquetella
1, S. Silvi1, M.C. Verdenelli2, M.M. Coman2, A. Spaterna1, J.M. Steiner3, G. Rossi,
J. Suchodolski3.
1University of Camerino, Matelica, Italy, 2Synbiotec S.r.l., Spin‐off of University
of Camerino, Camerino, Italy, 3College of Veterinary Medicine and Biomedical Sciences,
Texas A&M University, College station, USA
The mammalian intestine is inhabited by a set of microorganisms (i.e., bacteria, viruses,
fungi, archaea), named microbiota. Various different conditions can influence the
microbiota with one of those being diet. The present study investigated the effect
of a BARF diet on the fecal microbiome and on fecal functional gene content predictions
comparing two groups of four Czechoslovakian Wolfdogs each, fed with either a BARF
or a commercial diet.
BARF diet dogs were fed with kibble from about 6 months, and the group was composed
of 4 dogs, 2 males (A2, A4) and 2 females (A1, A3); the commercial diet group was
composed of 4 dogs, 1 male (B1) and 3 females (B2, B3, B4). A1, A2, and A4 were all
puppies from the same litter, A3 was the mother of those puppies; within the BARF
group, B1 and B4 were the parents of B3; and B1 was also the father of B2. Living
environments were different between and within groups. DNA was extracted using a commercial
kit and analyzed by next generation sequencing of 16S rRNA genes. The data was analyzed
using the freeware QIIME. PICRUSt was used to predict the functional gene content.
Linear discriminant analysis (LDA) effect size (LEfSe) was used to identify significantly
altered bacterial taxa.
LefSe analysis showed that being fed the BARF diet was associated with higher proportions
of Fusobacteria, Epsilon‐Proteobacteria, Carnobacterium, and genera within Clostridiaceae,
while being fed the commercial diet was associated with increased proportions of various
bacterial groups, including Bifidobacterium, Lactobacillales, and Turicibacter. Lactobacillus
was more prevalent in dogs of the commercial diet group (P = 0.03, adjusted q‐value
not significant), while Fusobacterium had a significantly higher abundance in the
BARF group (P = 0.03, adjusted q‐value not significant). Rarefaction analysis indicated
that the BARF group had a significant lower microbial diversity than the other group
(Chao1 P < 0.05). LEfSe analysis of the functional gene content prediction revealed
a total of 6 differentially enriched bacterial functions between the two groups.
Our results suggest that a bone and raw food diet could influence the canine fecal
microbiome, similarly to other factors, such as age, genetic relatedness, and could
also result in a different abundance of functional genes. Further studies in a larger
group of unrelated dogs are needed to better characterize these influences.
Disclosures
No disclosures to report.
ESCG‐P‐3
Granulomatous Colitis: More Than a Canine Disease?
R.O. Oliveira Leal
1, K. Simpson2, J. Hernandez1.
1Centre Hospitalier Vétérinaire Fregis, Arcueil, France, 2College of Veterinary Medicine
– Cornell University, Ithaca, USA
Granulomatous Colitis (GC) is a rare form of inflammatory bowel disease (IBD) predominantly
diagnosed in young Boxers and French Bulldogs. It is usually associated with mucosally
invasive E.coli that are able to persist in macrophages. Eradication of invasive E.coli
correlates with remission of clinical signs and histopathological abnormalities. Genetic
analysis of affected dogs has implicated a region on chromosome 38 that is involved
sensing and killing of E.coli in other species. Thus it is emerging that E.coli associated
GC in Boxers and French bulldogs is likely a heritable genetic defect sensing or killing
of intracellular E.coli. E.coli associated Granulomatous colitis has not been documented
in cats.
A 4 years old male neutered cat was referred for chronic intermittent hematochezia
and fecal incontinence of 7 months duration. No weight loss was reported and the cat
was keeping a good appetite. Symptomatic treatments (including deworming, metronidazole
and hypoallergenic diet) have been tried without clinical improvement. Physical examination,
Complete Blood Count and biochemistry panel (including folate and cobalamin) were
within normal limits. Fecal flotation, PCR for Tritrichomonas and Giardia was negative.
Abdominal sonography revealed a colonic wall thickness. Colonoscopy showed an irregular
and thickened colonic wall with multiple erosions, compatible with ulcerative colitis
or infiltrative neoplasia. Histopathologic analysis revealed a multi‐focal ulceration
of epithelium, with marked PAS positive cell and a moderate diffuse lympho‐plasmacytic
infiltration of the lamina propria. Toluidine‐blue and Fite‐Faraco stains did not
show mast cell infiltration or mycobacteria‐like bacteria, respectively. Rectal wall
culture was positive for E.Coli and negative for Salmonella, Yersinia and Campylobacter.
Antimicrobial susceptibility testing was broadly positive. Fluorescence In Situ Hibridization
of colonic biopsies revealed multifocal clusters of intracellular E.Coli. Treatment
with enrofloxacin (5 mg/kg SID for 6 weeks) led to the complete resolution of clinical
signs with remission sustained for 4 months to date.
Our findings reveal that E.coli associated GC can also affect cats and should be considered
on the differential diagnosis of chronic hematochezia. Further studies are needed
to assess molecular, genetic and immune pathways beneath intracellular invasion by
E.coli in cats with GC.
Disclosures
No disclosures to report.
ESCG‐P‐4
Breed Association of Endoscopically Diagnosed Gastric Neoplasia and Metaplasia in
Purebred Dogs – A Retrospective Study
M.V. Candido, S. Pernilla, S. Kilpinen, T. Spillmann.
University of Helsinki, Helsinki, Finland
Gastric cancer is a rare pathologic finding, corresponding to one percent of all neoplasias
identified in dogs. Previous studies have shown breed predisposition for Tervuren,
Bouvier des Flandres, Groenendael, Collie, Poodle and Norwegian Elkhound. This study
aimed at investigating which pure breeds are most commonly subject to gastroduodenoscopy
(GDS) in a referral hospital, and their probability to be diagnosed with gastric neoplasia
or metaplasia. For the retrospective analysis, a computerized database search was
performed for dogs meeting the following inclusion criteria: subject to GDS; belonging
to a pure breed with a minimum of five GDS patients in the records.
Between 2006 and 2015, 44915 canine patients were presented, of which 338 dogs underwent
GDS. The inclusion criteria were achieved in 19 pure breeds accounting for 150 dogs
(44% of all GDS). Six of these dogs (4%) had gastric carcinoma, including Tervuren
(3), Rough Collie, Labrador Retriever and Rottweiler. Gastric metaplasia was diagnosed
in six dogs of other breeds: Smooth Collie (2), Wire‐haired Dachshund, Shetland Sheepdog,
Hovawart, and Siberian Husky. Logistic regression analysis revealed significantly
higher odds ratio (OR) to undergo GDS for Wire‐haired Dachshund with 2.42 (95% confidence
interval: lower 1.14–higher 5.15), Smooth Collie with 2.36 (1.04–5.32), and Rough
Collie with 1.72 (1.05–2.81). The OR for gastric neoplasia was 70.98 (8.49–593.32)
for Tervuren. The ORs for metaplasia were non‐significant. When a log‐binomial model
was used, also the risk ratio for neoplasia was significantly higher in Tervuren (RR = 29;
7.68–109.54).
The low prevalence of cancer in this study is in accordance with previous studies
using cancer and pathology registers. Except for the Collies, breeds predisposed for
gastric cancer were not more often subject to GDS than others. Like in previous studies,
Tervuren undergoing GDS were found at much higher risk to have gastric carcinoma.
The high OR for Wire‐haired Dachshund and Collies to undergo GDS might indicate a
higher prevalence of gastrointestinal disorders beside neoplasia, warranting further
studies. Gastric metaplasia was as rare as gastric cancer and no breed predisposition
was found. Nonetheless, metaplasia can present as discrete, flat changes that are
easily overlooked and possibly underdiagnosed considering the limitations of current
white light endoscopy techniques and non‐directed sampling procedures. Future prospective
studies in predisposed breeds should aim at applying more advanced endoscopic approaches
to improve the knowledge about prevalence and breed predisposition of metaplasia and
its possible association to canine gastric cancer.
Disclosures
Marcus Vinicius Candido (first author).
Employee/salary: No conflict. Marcus Vinicius Candido has worked in zoos in southern
Brazil, having researched on various topics (2000–2010). He has been a teacher of
anatomy and exotic animal medicine in FURB, Brazil (2009–2012). He has worked as a
private practitioner with companion animal endoscopy in southern Brazil since 2012.
He is currently a PhD student funded by Brazilian program Ciencias sem Fronteiras/CNPq,
researching with endoscopy and also treating patients at the exotic animal clinic
at the Small Animal Hospital at University of Helsinki.
Grants/research: as a PhD student at University of Helsinki, Finland, Candido has
received research grants from the National Research Council/Ciencia Sem Fronteiras
(CNPq – Brazil, personal funding), from the Finnish Foundation of Veterinary Research
(research material grant), and from the Finnish Veterinary Foundation and the Doctoral
Program – Clinical Veterinary Sciences, University of Helsinki, Finland (travel grants).
Speaking & consultancies: None.
Investments/commercial interests: None.
Gifts, hospitality, travel support: Marcus Vinicius Candido has received material
from Megazoo/Vale Verde (bird nutrition products) during his Master studies in Brazil
(2006). He will be granted travel support from the Finnish Veterinary Foundation and
the Doctoral Program – Clinical Veterinary Sciences, University of Helsinki, Finland
in order to participate in 26th ECVIM.
Other, including indirect benefits: None.
Syrjä Pernilla (co‐author): Employee/salary: Syrjä is employed by University of Helsinki,
Faculty of Veterinary Medicine, Section of Veterinary Pathology, which is partially
funded through diagnostic income from client biopsies, among them biopsies related
to the submitted abstract.
Grants/research: Syrjä has received research grants, for topics not related to the
submitted abstract, from the Finnish Foundation of Veterinary Research, the Finnish
Veterinary Foundation and Svenska Kulturfonden.
Speaking & consultancies: None.
Investments/commercial interests: None.
Gifts, hospitality, travel support: None.
Other, including indirect benefits: None.
Susanne Kilpinen (co‐author): Employee/salary: None.
Grants/research: In the last five years, research funded by Vetcare Oy.
Speaking & consultancies: In the last five years Susanne Kilpinen has given talks
related to gastroenterology for Pfizer/Zoetis.
Investments/commercial interests: None.
Gifts, hospitality, travel support: Various gifts or hospitalities received from Royal
Canin, Pfizer/Zoetis, Hill's, Mendes S.A., Medans Oy. Travel and related support to
attend meetings from Vetcare Ltd, Royal canin, Mendes S.A.
Other, including indirect benefits: None.
Thomas Spillmann (supervising author): Employee/salary: Thomas Spillmann was Hill's
professor of small animal clinical nutrition at the Veterinary University, Hannover,
Germany from 2004–2005. Since 2005 he has been employed as professor of small animal
internal medicine at the Veterinary Faculty, University of Helsinki, Finland.
Grants/research: Thomas Spillmann has received research grants from the German Research
Society, the Finnish Foundation of Veterinary Research, and the Finnish Veterinary
Foundation. His PhD students received grants from the Doctoral Program – Clinical
Veterinary Sciences, University of Helsinki, Finland; the Center of International
Mobility (CIMO)/Finland; the Finnish Foundation of Veterinary Research; the Finnish
Veterinary Foundation; the Finnish Culture Foundation; the Emil Aaltonen Foundation/Finland;
the Alfred Kordelin Foundation/Finland; Agria/Sweden; the Swedish Kennel Club Research
Foundation; the Ulla Yard Foundation/Sweden; Ciencia Sem Fronteiras/Brazil; and the
Archimedes Foundation/Estonia.
Speaking & consultancies: Thomas Spillmann has been a consultant for IPSAT, Finland.
He has given lectures on behalf of Royal Canin, Hill's, Iams, Purina, Triolab/Finland,
zoetis/Finland, the Finnish Association of Veterinary Practitioners, the German Small
Animal Veterinary Association, the British Small Animal Veterinary Association, the
Estonian Small Animal Veterinary Association, the World Small Animal Veterinary Association,
the Federation of European Companion Animal Veterinary Associations, and the European
College of Small Animal Internal Medicine – Companion Animals.
Investments/commercial interests: None.
Gifts, hospitality, travel support: Thomas Spillmann has had travel support for attending
congresses and for research and teaching visits at other universities by Iams, Royal
Canin, Hill's, the Finnish Veterinary Foundation, and the European Erasmus program.
Equipment and material donations for clinical research have been received from the
Endoscopy Unit of the Hospital District of Helsinki and Uusimaa/Finland; Olympus/Finland;
Pulsion, Munich/Germany; and Biophysics Assay Lab (biopal), Worcester MA/USA.
Other, including indirect benefits: Resident salary for Residency Program ECVIM‐CA
by Royal Canin 2013–2018.
ESCG‐P‐5
Is f‐PL Value Associated with Mortality in Feline Chronic Pancreatitis? A Retrospective
Cohort of 19 Cases
J. Beguin1, O. Dossin2, P. Pey1, L. Desquilbet1, M. Baert1, G. Benchekroun1, G. Freiche
1.
1Université Paris Est, Ecole Nationale Vétérinaire d'Alfort, Maisons‐alfort, France,
2Ecole Nationale Vétérinaire de Toulouse, Toulouse, France
Diagnosis of feline chronic pancreatitis (CP) remains challenging because clinical
signs are non specific. Necropsic studies suggest a high prevalence of feline CP and
histological examination is the gold standard for diagnosis but focal inflammatory
lesions can be missed on biopsies. Measurement of specific feline pancreatic lipase
(f‐PL) and abdominal ultrasonography improved the diagnosis of moderate to severe
pancreatitis in cats. The aim of the study was to investigate the association between
f‐PL value and survival time (ST) in cats with CP.
During the study period (2014–2016), cats were included if they had at least two clinical
signs consistent with CP (weight loss, dysorexia, vomiting and diarrhea) for more
than 3 weeks and f‐PL value above 5.3 µg/L and consistent abdominal ultrasonographic
findings (hypoechoic pancreas, peripancreatic steatitis, left limb thickening, local
effusion) at initial presentation. Histopathology was performed when accepted by the
owner. Associated conditions at initial presentation were listed. Values are expressed
as medians [inter‐quartile range]. The associations between age, weight, and clinical
signs duration and survival were investigated by using Kaplan‐Meier survival curves.
Nineteen cats (13 males and 6 females) were included. Domestic shorthair was the most
commonly affected breed (13/19). The median age was 12 years [9;14] and the median
weight was 5.1 kg [3.5;5.9]. Median duration of clinical signs before inclusion was
61 days [30;365]. The median f‐PL value was 7.9 µg/L [7.2;23.0]. The overall median
ST was 634 days. Survival curves did not differ between cats with f‐PL values under
versus over 7.9 µg/l (p‐logrank = 0.76). The median ST in cats with f‐PL value >7.9 µg/L
was 579 days while it was not reached at the end of the study in cats with f‐PL value
<7.9 µg/L. Eleven out of 19 cases are still alive after initial presentation (range:
275–820 days). Presence of weight loss (n = 9), dysorexia (n = 9), vomiting (n = 10)
and diarrhea (n = 8) at presentation was not significantly associated with a shorter
ST. Concurrent cholangitis or chronic enteritis were often suggested by ultrasonographic
findings (14/19) and were histologically confirmed in 5 out of 14 cases. CP was confirmed
histologically in three cases.
In conclusion cats with CP may have a long survival time. A f‐PL value above 7.9 µg/L
at initial presentation was not associated with mortality and none of the clinical
signs present at the time of admission could predict mortality. These preliminary
findings should be confirmed by a prospective study.
Disclosures
No disclosures to report.
ESCG‐P‐6
Agreement of Feline and Canine Pancreas‐Specific Lipase with Pancreatic Ultrasonographic
Findings in 62 Cats and 54 Dogs with Suspicion of Pancreatitis: A Retrospective Study
(2007–2013)
E. Paran1, M. Hugonnard
2.
1Ecole Nationale Vétérinaire de Toulouse, Toulouse cedex 3, France, 2VetaAgro Sup,
Campus Vétérinaire de Lyon, Marcy l’étoile, France
The diagnosis of pancreatitis is based on history, physical exam, pancreas‐specific
lipase assay and ultrasonography. This retrospective study analyses the agreement
between feline and canine pancreas‐specific lipase with pancreatic ultrasonographic
findings in dogs and cats with a clinical suspicion of pancreatitis. It also assesses
the sensitivity (Se) and specificity (Sp) of ultrasonographic parameters useful for
the diagnosis of pancreatitis.
Between 2007 and 2013, 62 cats and 54 dogs with a clinical suspicion of pancreatitis
and who were presented at a veterinary teaching hospital underwent a quantitative
(Spec cPL® or Spec fPL® ; cut‐offs: 5.4 µg/l for cat, 400 µg/l for dog) or qualitative
(SNAP cPL®) assessment of pancreas‐specific lipase combined with an abdominal ultrasonography.
The Cohen's kappa was used to compare agreement between pancreatic lipase and ultrasonography.
The sensitivity and specificity of ultrasonographic parameters (size, echogenicity
and margins of the pancreas, peri‐pancreatic fluid, increased echogenicity around
pancreas) to diagnose pancreatitis were determined, using pancreas‐specific lipase
as the gold standard.
The 62 cats (63% males, 37% females) were 8.1 ± 4.5 years old. Among them, 19 (31%)
had a pancreatic lipase suggestive of pancreatitis and 46 (74%) had an ultrasonographic
diagnosis of pancreatitis. The 54 dogs (49% males, 51% females) were 8.6 ± 4.1 years
old. Among them, 22 (41%) had a pancreatic lipase suggestive of pancreatitis and 31
(57%) had an ultrasonographic diagnosis of pancreatitis. Agreement between pancreatic
lipase and ultrasonography was very low for cat (k = 0.11) and low for dog (k = 0.28).
Increased size of the pancreas was the most sensitive parameter for detecting pancreatitis
in cats and dogs (Se = 94% and 100%, respectively). Increased echogenicity around
the pancreas was the most specific parameter for detecting pancreatitis in cats and
dogs (Sp = 60% and 83%, respectively).
In case of clinical suspicion of pancreatitis, low agreement between pancreatic lipase
and ultrasonography of the pancreas observed in this study was in accordance with
conclusions of two recent studies using the same cut off values for lipase. This could
be due to false positive results on ultrasonography, related to anterior bouts of
pancreatitis, subclinical chronic pancreatitis and anatomical changes related to age
not associated with pancreatic enzymes release. Ultrasonographic data should therefore
be considered with caution in case of clinical suspicion of pancreatitis in dogs and
cats.
Disclosures
No disclosures to report.
ESCG‐P‐7
Inflammatory Bowel Disease in Dogs: Prognostic Factors for Therapeutic Response
F. Bresciani, S. Licarini, F. Ostanello, F. Fracassi, M. Pietra.
University of Bologna, Ozzano dell'Emilia (BO), Italy
In dogs with idiopathic inflammatory bowel disease (IBD) the response to treatment
influences the dog's quality of life, time of survival, economic impact on owners
and, sometimes, the decision for euthanasia. The aim of this retrospective single‐center
study was to evaluate prognostic factors able to influence the response to treatment
in dogs with IBD. Dogs with a diagnosis of idiopathic IBD, treated with immunosuppressive
drugs, were enrolled. History about drugs and diet previously employed, clinical signs,
laboratory findings, treatment, and follow‐up, were recorded. Data from September
2004 to December 2014 were reviewed. Group 1, were defined as dogs that had responded
to treatment, in which immunosuppressive drugs and antibiotic treatment was discontinued
without relapses. Group 2, were defined as dogs that responded to treatment with immunosuppressive
drugs but the disease relapsed after interruption of treatment. Group 3, were defined
as dogs that did not respond to diet, antibiotic and immunosuppressive drugs. Kaplan‐Meier
survival curves were obtained for groups 1, 2 and 3; the survival curves for these
groups were compared using the log‐rank test. A two stage‐analysis was also applied.
In the first univariate stage, the variables were screened using x2 test. In the second
stage, factors that screened through P < 0.15 were evaluated using multivariate logistic
regression, The odds ratio (OR) and 95% confidence intervals (95% CI) were calculated
from the final model. One hundred and four dogs met the inclusion criteria. Dogs of
group 1 and 2 had a median survival longer than dogs of group 3, 1250 days (range
210–4380) and 913 days (range 61–3100) versus 210 days (range 30–2005), respectively.
At univariate regression analysis, a statistical difference in dogs of group 3 with
respect to dogs of group 1 and 2 in following variables, were observed: previous treatment
with steroids; weight loss; prevalence of small bowel diarrhoea; decreased haematocrit,
serum albumin, total protein, creatinine, cholesterol; increased concentration of
aspartate amino transferase (AST) and alanine aminotransferase (ALT); and received
treatment with other immunosuppressive drugs than steroids at diagnosis. In multivariable
model analysis previous treatment with steroids (OR = 5.47; 95%CI 1.86–16.11; P = 0.001)
and decreased total proteins (OR = 12.5; 95%CI 3.62–41.75; P = 0.016) were independent
variables associated with belonging to group 3.
In conclusion response to treatment in dogs with IBD is correlated with time of survival;
and previous treatment with steroids along with decrease total proteins are negative
prognostic factors because are associated with a lack of response to treatment.
Disclosures
No disclosures to report.
ESCG‐P‐8
Expression of Cyclooxigenase 2 in the Small Intestinal Epithelium of Cats with Inflammatory
Bowel Disease and Low Grade Alimentary Lymphoma
J. Castro‐López
1, A. Ramis2, M. Planellas1, J. Pastor1.
1Hospital Clínic Veterinari – Universitat Autònoma de Barcelona, Barcelona, Spain,
2Facultat de Veterinària, Universidad Autònoma de Barcelona, Barcelona, Spain
Cyclooxigenase 2 (COX‐2) is an inducible isoform by cellular activation, proinflammatory
cytokines, growth factors, tumour promoters, and COX‐2 mediates prostaglandins generation
and resistance to apoptosis. Only one feline report showed not detection of COX‐2
immunoexpression in alimentary lymphoma (AL) but tumour grading was not specified.
.
The aims of the study were to evaluate the epithelial and lamina propria (LP) immunoexpression
of COX‐2 in feline inflammatory bowel disease (IBD) and low grade AL (LGAL), and to
correlate with clinical signs and histopathological scoring.
Cats diagnosed with IBD (n = 11) and LGAL (n = 9) between 2007 and 2013 were included.
The feline chronic enteropathy activity index (FCEAI) was calculated for all cases.
Control group was composed by 3 healthy indoor cats and 5 sick cats died or euthanized
(non‐gastrointestinal illness). Diagnosis and classification of IBD and LGAL was established
according to WSAVA gastrointestinal standardization group template and the National
Cancer Institute formulation, respectively. Furthermore, a modified WSAVA template
(villous stunting, epithelial injury, crypt distension and lacteal dilation) was applied
for LGAL evaluation.
Immunolabeling for COX‐2 (polyclonal rabbit anti‐murine COX‐2 antibody) was performed.
Epithelial and LP (inflammatory or neoplastic cells) COX‐2 immunolabelling was calculated
according to the grade [0 (negative), 1 (<10% of cells staining positive), 2 (10–30%),
3 (31–60%), 4 (>60%)] and intensity [0 (negative), 1 (weak staining), 2 (moderate),
3 (marked)]. Positive control was feline foetal macula densa. The most representative
segment scored of each patient by WSAVA and modified WSAVA were used for statistical
analysis, non‐parametric tests where used.
COX‐2 immunoreactivity about epithelial cells intensity showed significant difference
between control and IBD group as well as LGAL group, but not between IBD and LGAL
group. Most cats from all groups presented >60% of immunoreaction of epithelial cell
thereby no differences were found. No difference was found about COX‐2 immunoexpression
intensity and percentage of cells at the LP between groups. However, 3 cats from LGAL
group showed moderate and marked intensity with <10% of positive neoplastic cells
at the LP. There were not correlations between epithelial or LP COX‐2 expression and
FCEAI and histological alterations. In conclusion, increased COX‐2 intensity of the
epithelial cells founded in IBD and LGAL group might be likely for an inflammatory
response though a role in intestinal reparation might not be excluded. Conclusions
about COX‐2 expression at the LP of LGAL could not be obtained for the low number
of patients with positive expression.
Disclosures
No disclosures to report.
ESCG‐P‐9
Expression of Selected Cytokines and CCL28 in Colonic Mucosa and Mucus and Correlation
with Clinical and Endoscopic Activity in Canine Lymphocytic‐Plasmacytic Colitis
A.O. Konstantinidis, K.K. Adamama‐Moraitou, D. Pardali, G.D. Brellou, T. Papadopoulos,
C.I. Dovas, T.S. Rallis.
Aristotle University of Thessaloniki, Thessaloniki, Greece
IBD pathogenesis remains poorly defined, although it is hypothesized to be influenced
by immunological, environmental and genetic factors. In canine lymphocytic‐plasmacytic
colitis (cLPC) a form of IBD, mucosal cytokines seem to be involved in the disease's
pathogenesis, however sufficient data are lacking. The aim of the current study was
to evaluate the mRNA expression levels of proinflammatory cytokines interleukin (IL)‐1beta,
IL‐2, IL‐23, TNF‐alpha and mucosa associated epithelial chemokine (CCL28) in the colonic
mucosa and mucus from dogs with cLPC and their correlation with canine IBD activity
index (CIBDAI) and endoscopic activity score (quantitative and qualitative) for canine
IBD.
Colonic mucosa and mucus from 17 dogs with cLPC (histological diagnosis) and from
4 healthy dogs were obtained by endoscopic biopsy and cytology brush, respectively.
Total RNA was extracted from colonic mucosa and mucus and cDNA was synthesized. The
mRNA of IL‐1beta, IL‐2, IL‐23, TNF‐alpha and CCL28 were measured using real‐time quantitative
reverse transcriptase polymerase chain reaction (real‐time qRT‐PCR). Results were
normalized using GAPDH as a housekeeper gene.
The IL‐2, IL‐23, TNF‐alpha and CCL28 mRNA expression in the colonic mucosa from cLPC
didn't differ significally from the control dogs. The IL‐1beta mRNA expression was
statistically significantly increased in the colonic mucosa compared to the control
dogs. In the colonic mucus the mRNA expression of the above cytokines and CCL28 from
cLPC dogs didn't differ from control dogs. IL‐1beta, IL‐2, IL‐23, TNF‐alpha and CCL28
mRNA expression in the colonic mucosa didn't differ significally among the different
CIBDAI groups (normal, mild, moderate and severe). In contrast, the IL‐2 mRNA expression
levels in the colonic mucus differed statistically among the different CIBDAI groups.
The levels of IL‐1beta, IL‐2, IL‐23, TNF‐alpha and CCL28 mRNA expression didn't differ
significally among the different groups of endoscopic activity score (quantitative
and qualitative) both in the colonic mucosa and mucus.
This study indicates that cLPC dogs have significant increase in IL‐1beta mRNA expression
in the colonic mucosa. However, IL‐1beta expression levels are not correlated with
cLPC clinical and endoscopic severity. Larger number of dogs are required to further
clarify the role of IL‐1beta in cLPC dogs and investigate it's significance in the
cLPC pathogenesis and severity.
Disclosures
No disclosures to report.
ESCG‐P‐10
Effect of Antacid Therapy and Biological Variation of Serum Gastrin Concentrations
in Dogs with Chronic Enteropathy
R.M. Heilmann
1, N. Berghoff1, N. Grützner2, N.K. Parnell3, J. Suchodolski1, J.M. Steiner1.
1Texas A&M University, College station, USA, 2Farm Animal Clinic, Vetsuisse Faculty,
University of Bern, Bern, Switzerland, 3College of Veterinary Medicine, Purdue University,
Lafayette, USA
Gastrin is a peptide hormone, produced by gastric and duodenal G cells, which stimulates
gastric acid secretion and exerts trophic effects on the gastric mucosa. Hypergastrinemia
is suggested to be useful for diagnosing canine gastrinomas if increases are >10 ×
the upper reference limit (URL), but hypergastrinemia can also be caused by antacid
therapy or lymphoplasmacytic enteritis. The effect of antacid therapy on hypergastrinemia
in dogs with chronic enteropathy (CE) and the biological variation (BV) of serum gastrin
concentrations are unknown. Aims of the current study were to evaluate serum gastrin
concentrations in antacid‐treated or antacid‐naïve CE dogs, test for an association
between serum gastrin concentrations and microscopic findings in the stomach/duodenum,
and evaluate the BV of serum gastrin concentrations in CE dogs.
Serum samples were collected from 251 dogs undergoing routine diagnostic evaluation
of chronic gastrointestinal signs and being diagnosed with CE. Serum gastrin concentrations
were measured by a chemiluminescence (Immulite® 2000 Gastrin) assay, and the severity
of gastric/duodenal histologic lesions was assessed. BV of serum gastrin concentrations
was evaluated using serial samples from 45 CE dogs. Statistical analyses included
non‐parametric group comparisons, likelihood ratio and Spearman correlation tests,
and a nested ANOVA.
Serum gastrin concentrations were significantly higher in antacid‐treated than antacid‐naïve
CE dogs (P = 0.008), with significantly higher gastrin levels in proton pump inhibitor
(PPI)‐ compared to H2‐antihistamine‐treated dogs (P = 0.011). Antacid therapy was
associated with hypergastrinemia (P = 0.003) and the frequency of gastrin concentrations
>10 × the URL (P = 0.032), with more PPI‐ than H2‐antihistamine‐treated dogs having
gastrin concentrations above (P = 0.011), but not >10 × the URL. Serum gastrin concentrations
were numerically higher in dogs with moderate/severe gastric/duodenal lesions than
those with mild/no lesions, but the differences did not reach significance. Gastrin
concentrations correlated with the severity of gastric antral epithelial injury (P = 0.002)
and duodenal lesions (P = 0.036), but not with the presence/numbers of spiral bacteria
in gastric biopsies. Intra‐/inter‐individual BV for serum gastrin concentrations were
43.4/21.6% (antacid‐naïve) and 58.8/44.3% (antacid‐treated); with an individuality
index of 2.1 and 1.4, and a critical difference of 29.5 ng/L and 62.7 ng/L, respectively.
These results suggest an additive effect of antacid (particularly PPI) treatment on
the hypergastrinemia seen in CE dogs, especially dogs with more severe gastric/duodenal
lesions. Also, the hypergastrinemia associated with CE and antacid therapy is unlikely
to compromise a diagnosis of gastrinoma in dogs. Use of a population‐based URL for
serum gastrin and the currently used URL in dogs (≤27.8 ng/L) are appropriate.
Disclosures
No disclosures to report.
ESVIM – European Society of Veterinary Internal Medicine
ESVIM‐P‐1
C‐Reactive Protein Concentrations in Nova Scotia Duck Tolling Retrievers with an SLE‐Related
Disease
H.D. Bremer, A. Hillström, M. Kånåhols, R. Hagman, H.D. Hansson‐Hamlin.
Swedish University of Agricultural Sciences, Uppsala, Sweden
Nova Scotia Duck Tolling Retriever (NSDTR) dogs are predisposed to immune‐mediated
disorders and particularly to a disorder characterized by chronic stiffness and pain
from multiple joints, indicative of non‐erosive polyarthritis. Dogs affected by this
disorder, called immune‐mediated rheumatic disease (IMRD), commonly display antinuclear
antibodies (ANA) on indirect immunofluorescence (IIF). Non‐erosive polyarthritis and
ANA are commonly present in systemic lupus erythematosus (SLE) and in other systemic
rheumatic diseases, in humans as well as in dogs. IMRD may be described as an SLE‐related
disease. Diagnosis and monitoring of IMRD are primarily based on clinical signs and
presence of ANA, and an objective, quick and cost‐effective test would be highly valuable.
The acute phase protein C‐reactive protein (CRP) is used for diagnosing and monitoring
systemic inflammation in both humans and dogs. It is considered to be a quantitative
marker of inflammation in most diseases, but in human SLE, CRP concentrations are
mildly to moderately increased and not correlated to the degree of inflammation. The
aim of the study was to investigate CRP concentrations in NSDTRs with IMRD. The hypothesis
was that CRP concentrations would be mildly to moderately increased in IMRD compared
to healthy dogs, similar to what has been reported in humans with SLE. Serum CRP concentrations
were measured in 18 IMRD affected NSDTRs (9 IIF‐ANA positive and 9 IIF‐ANA negative)
and 19 healthy control NSDTRs using two canine‐specific immunoturbidimetric assays
(Gentian cCRP assay and high‐sensitivity CRP assay, Gentian AS, Moss, Norway). None
of the dogs were treated with anti‐inflammatory medication at the time of sampling.
Dogs with IMRD had higher CRP concentrations compared to control dogs (Welch two sample
t‐test with log‐transformation of data, P = 0.003) but no difference was observed
between the groups of IMRD dogs with and without positive IIF‐ANA, respectively (P = 0.6).
The median CRP concentration was 10.3 mg/L in the IMRD dogs and 2.1 mg/L in the control
dogs. The CRP concentration was low to moderately increased in a majority of IMRD
dogs, as is seen in humans with SLE. The CRP concentration was lower than observed
in, for example, studies of immune‐mediated polyarthritis in other dog breeds but
higher than in canine osteoarthritis, two disorders that can resemble IMRD. The potential
clinical value of CRP in dogs with IMRD warrants further investigations.
Disclosures
Disclosures to report: Anna Hillström PhD project at the Swedish University of Agricultural
Sciences (SLU) was partly financed by Gentian AS, the company manufacturing the CRP
assay used in this study.
ESVIM‐P‐2
Canine Stored Whole Blood Units: Which is the Real Extent of Bacterial Contamination
Risk?
A. Miglio, V. Stefanetti, M. Antognoni, K. Capelli, S. Capomaccio, F. Passamonti.
University of Perugia, Perugia, Italy
Actual reports of bacterial contamination of blood units has emerged as a cause of
morbidity and mortality in human transfusion medicine, but they are rare in veterinary
literature. An underestimation of the extent of the risk of the bacterial contamination
of blood units could be expected.
This study aims to detect and quantify bacterial microorganisms in 49 canine whole
blood (WB) units during their shelf‐life and to estimate the bacterial contamination
rate during collection, processing and storage of blood units.
Forty‐nine WB units were included in the study. The blood was collected from healthy
animals according to the guidelines and immediately refrigerated at 4 °C, where it
can be stored up to 35 days. Eight sterile samples from each units were tested for
bacterial culture on days 0 (T0), 1(T*), 7 (T1), 14 (T2), 21(T3), 28 (T4), 35 (T5),
42 (T6). Moreover, after DNA extraction, a real‐time qPCR assay was performed on T0,
T3, T5 according to Nakardini et al. procedure. Obtained sequences were submitted
to a BLAST analysis with the GenBank reference database to reveal the amplification
source genera.
On bacterial culture, 47/49 samples were negative for all the time points. One sample
was positive for Enterococcus spp at T0 and at T* and 1 for E.coli at T5. After the
PCR analysis, 26/49 samples were positive in at least one time point. Sequences were
assigned to Propionobacterium spp., Corynebacterium spp., Caulobacter spp., Hypomicorbium
spp., Pseudomonas spp., Enterococcus spp., Serratia spp. and Leucobacter spp.
The unique E.coli growth as a contaminant by laboratory techniques since the same
sample resulted negative to PCR assay.
In one case both blood culture and PCR assay identified Enterococcus spp. and the
species of bacteria was the same for both the assays.
The process of bacterial culture is slow, as there is need for the microorganism to
grow and reach an appreciable number of cells, and a low quantity of bacteria can
also not be detected with bacterial culture. That could explain the difference between
culture methods and molecular detection. Most of the organisms detected by qPCR assay
tend to be skin‐associated or widespread bacteria (soil and water) not usually implicated
in transfusion reactions.
With qPCR assay, bacterial load varied from 4 to 80 Equivalent Genome/mmc, and we
can state that bacterial contamination of blood units resulted very low. Moreover,
these results could include the detection of dead or degraded bacterial DNA.
Disclosures
No disclosures to report.
ESVIM‐P‐3
Quantificational Assessment of Ventilatory Function in Cats with Respiratory Distress
C.H. Lin
1, P.Y. Lo1, H.D. Wu2.
1National Taiwan University Veterinary Hospital, Taipei, Taiwan, 2National Taiwan
University Hospital, Taipei, Taiwan
Cats in severe respiratory distress may be too unstable to receive many clinical manipulations.
The aims of this study were to non‐invasively quantify tidal breathing status in cats
present with respiratory distress, and to compare the difference in ventilatory function
between cats with respiratory distress and healthy cats. We hypothesized that ventilatory
parameters such as respiratory rate and volumes will be elevated in cats experiencing
significant labored breathing because of respiratory diseases and increase in ventilatory
demand. Twelve cats present in NTUVH with persistently increased respiratory effort
due to various etiologies (lung parenchymal disease, pleural space disease, upper
airway obstruction, or lower airway disease) were enrolled in the study, and the informed
consents were obtained from the owners. The cat was placed in a transparent Plexiglas
chamber of the barometric whole body plethysmography (BWBP) system without restraint
for recording tidal breathing signals, and the breathing status of the cat could be
observed easily by the clinicians at the same time without causing disturbance or
stress to the cat. Compared with 14 cats without respiratory signs or historic respiratory
diseases, cats in respiratory distress had significantly higher minute volume/body
weight (MV/BW) (531.6 versus 234.5 mL/kg; P < 0.001), tidal volume/BW (TV/BW) (7.55
versus 5.46 mL/kg; P = 0.026), peak inspiratory flow/BW (PIF/BW) (29.2 versus 13.8 mL/s/kg;
P < 0.001), peak expiratory flow/BW (PEF/BW) (35.2 versus 12.9 mL/s/kg; P < 0.001),
enhanced pause (1.60 versus 1.00; P = 0.003), and significantly lower relaxation time
(0.17 versus 0.36 s; P = 0.010). Among cats with respiratory distress, 5 cats that
eventually died with respiratory failure had statistically higher MV/BW than 5 cats
that survived and became stable over at least 3 months (639.0 versus 390.1; mL/kg)
(P = 0.028). Interestingly, respiratory rate was neither significantly different between
cats in respiratory distress and control cats, nor between cats that died and cats
that survived. In conclusion, ventilatory function could be non‐invasively and non‐harmfully
assessed in cats with respiratory distress by BWBP method. Elevation of MV/BW under
natural breathing implies the increase in ventilatory demand and might be a poor prognostic
indicator or severity index in cats with labored breathing. Furthermore, respiratory
rate might not be reliable for identifying increased respiratory effort or disease
severity. Care should be taken when the assessment relies on respiratory rate alone.
Disclosures
No disclosures to report.
ESVIM‐P‐4
Pleural Effusion in Cats: 465 Cases (2009–2014)
M. Dominguez Ruiz, F. Vessières, G. Ragetly, J.L. Hernandez.
CHV Frégis, Arcueil, France
Many causes of pleural effusion (PE) are known in cats, but little is known about
their frequency and potential indicative factors at the time of diagnosis. This study
aimed to identify the aetiologies that lead to PE in cats, along with clinical signs,
treatments and outcomes associated with this condition. We hypothesized that the major
causes of PE in cats would be congestive heart failure (CHF) and neoplasia; and also
that cats suffering from CHF would have a lower rectal temperatures (RTs) than cats
with non‐cardiogenic PE.
The medical records of a total of 465 client‐owned cats with PE were reviewed. Cases
were selected based on their complete demographic data, a physical examination and
the presence of PE. Several procedures were performed to investigate the underlying
aetiology: infectious diseases screening, clinical pathology analysis, diagnostic
imaging examinations and surgical interventions.
CHF and neoplasia were the most common causes of PE in cats (36.7% and 35.8%, respectively).
Other causes included pyothorax (13.0%), idiopathic chylothorax (4.0%), trauma (3.8%),
feline infectious peritonitis (2.8%) and diaphragmatic hernia (1.9%). Cats with CHF
were younger (10 ± 4.7 years old) than those with neoplasia (11 ± 4.1 years old, P < 0.001).
Cats with lymphoma (8.8 ± 3.8 years old) were younger than those with carcinoma (12 ± 2.3 years
old, P < 0.001). Cats with CHF had significantly lower RTs at admission than those
with PE due to other causes (36.9 ± 1.1°C versus 38.0 ± 1.0°C, respectively, P < 0.001).
Male cats were significantly overrepresented in the CHF group (72.3%). A quarter of
the global population (117/465) died or was euthanized within 3 days following the
diagnosis.
In conclusion, CHF and neoplasia were the most prevalent causes of PE in cats. Younger
age, being a male cat, and low RT at admission were indicators of CHF. Cats with PEs
have a poor prognosis. Additional studies are necessary to determinate whether rectal
temperature at admission is correlated negatively with survival in cats with PEs associated
with CHF, as reported in humans with CHF and in cats with arterial thromboembolism.
Disclosures
No disclosures to report.
ESVIM‐P‐5
Clinical Evaluation and Pharmacodynamics of Healthy Cats After Multi‐Day Intravenous
Dosing of Mycophenolate Mofetil
J.E. Slovak, J. Hwang, S. Rivera, M.H. Court, N. Villarino.
Washington State University College of Veterinary Medicine, Pullman, USA
Cats suffer from multiple auto‐immune diseases. Some of these diseases are fatal in
cats when corticosteroids are not effective controlling immune responses, requiring
alternative immune‐suppressive therapies. Mycophenolate mofetil may be an alternate
immunosuppressant that should be considered for use in cats because of its documented
efficacy in controlling autoimmune diseases in humans and dogs.
Mycophenolate mofetil is the pro‐drug of the active compound mycophenolic acid (MPA).
It is a selective non‐competitive inhibitor of inosine‐5’‐monophosphate dehydrogenase,
which is expressed in many cells. MPA induces lymphocyte cytotoxicity, reduces monocyte
recruitment, and suppresses dendritic cell maturation, making it useful in treating
immune mediated and inflammatory diseases. Diarrhea is a side effect of MPA in humans
and dogs, and occurs in up to 20% of patients. This side effect has not been observed
in cats. We proposed that MPA could be used successfully in cats with minimal side
effects after multi‐day intravenous dosing.
Five clinically healthy adult cats were voluntarily enrolled. Baseline laboratory
testing was performed in all cats prior to the start of the study to rule out systemic
disease. All cats were administered 10 mg/kg of mycophenolate mofetil (CellCept®)
intravenously over 2 hours BID for 3 days. The cats’ body weights, appetite, attitude,
and stools were monitored pre (7 days), during (3 days) and post (7 days) infusions.
All participant cats maintained their body weights throughout the study. Attitudes
remained bright and alert and no cats showed any gastrointestinal side effects (normal
appetites, no vomiting, and formed stool). Total lymphocyte numbers were obtained
at pre‐dose, 24, 48, and 72 hours after infusion initiation. The numbers were reduced
in four cats by 25.9% ± 15.8 and 26.7% ± 19.3 at 24 and 48 hours after infusion. At
72 hours after infusion, the number was slightly reduced by 14.7% ± 8.4. Interestingly,
one of the cats showed 11 to 67% increases in the number of lymphocytes. A serum chemistry
and complete blood count were repeated in all cats 1 day after the final MPA administration
revealing no adverse effects.
Our preliminary results suggest that MPA can rapidly and reversibly reduce lymphocyte
numbers during medication administration and that there are minimal to no side effects
when giving a short course of intravenous MPA therapy to healthy cats. Future studies
will further evaluate the effects of MPA on feline lymphocytes after short term and
long term oral dosing and the effects of MPA on clinical cases.
Disclosures
No disclosures to report.
ESVIM‐P‐6
Primary Immune‐Mediated Hemolytic Anemia: A Retrospective Study of 52 Dogs from Two
Veterinary Teaching Hospitals
A. Gavazza1, S.M. Levi1, V. Marchetti1, A.A. Medina Valentin1, I. Aroch2, G. Lubas
1.
1University of Pisa, San Piero a Grado, Pisa, Italy, 2Hebrew Univ. VTH, Koret School
Vet. Med., Jerusalem, Israel
Primary immune‐mediated hemolytic anemia (pIMHA) is a type II hypersensitivity (antibody‐dependent
cytotoxicity), and is the most common immune‐hematologic disorder in dogs. It leads
mostly to moderate to severe anemia, with subsequent hypoxemia, hypercoagulability,
and often fatal outcomes.
This retrospective study (2009–2015) examined the clinical and laboratory findings
at the presentation visit in dogs with pIMHA, in two veterinary teaching hospitals
(Pisa, Italy; Koret, Israel).
The study included 52 dogs (Pisa n = 30; Koret n = 22) presented with hematocrit <30%,
combined with ≥1 of the following: spherocytosis, positive osmotic fragility test,
autoagglutination, positive Coombs’ test or positive flow cytometry for RBC‐bound
IgG and/or IgM. Cases were excluded if positive to tick‐borne disease or other infections,
based on serology or PCR assay, or if diagnosed with systemic neoplasia. Data retrieved
from medical records included the signalment, clinical and laboratory findings. Data
regarding gender and breed in the Pisa group was compared with a control population,
which included all dogs presented to the Pisa hospital during the study period (n = 19,647).
The findings in Pisa and Koret groups were compared.
Dogs with pIMHA were mainly middle‐aged to elderly dogs, presented with no seasonal
pattern. In the Pisa group, neutered females (P = 0.021), as well as Cocker‐Spaniel
and Maltese dogs (P = 0.025 and P = 0.012, respectively) were overrepresented compared
to the control population. The most frequent clinical signs included pale mucous membranes
and lethargy (88% each), anorexia (65%), tachycardia (42%), tachypnea (38%), and pigmenturia
(35%). The Koret dogs were significantly more icteric, tachycardic and tachypneic
compared to the Pisa dogs (P = 0.048, P = 0.017 and P = 0.001, respectively). Anemia
was classified as macrocytic‐hypochromic (43%), macrocytic‐normochromic (27%), macrocytic‐hyperchromic
(12%), normocytic‐normochromic (10%), normocytic hypochromic and normocytic‐hyperchromic
(4% each). The Koret group had significantly more dogs with anemia classified as hyperchromic
(P = 0.001), suggesting higher frequency of hemoglobinemia due to intravascular hemolysis.
The common morphological cellular blood anomalies included polychromasia (94%), anisocytosis
and metarubricytosis (82% each), spherocytosis and leukocytosis (80% each), neutrophilia
(69%), Howell‐Jolly bodies and left‐shift (49% each), macrothrombocythemia (45%),
thrombocytopenia (35%), monocytosis (31%), autoagglutination (27%), hypochromia (16%),
poikilocytosis (16%), and schistocytosis (14%).
This study confirms previous findings regarding the signalment, clinical and laboratory
characteristics of pIMHA in dogs. The microscopic evaluation of the blood smear is
a valuable tool in the diagnosis of pIMHA. The Koret group was characterized by a
more severe presentation of the disease, likely because this hospital admits more
emergency primary care cases.
Disclosures
No disclosures to report.
ESVIM‐P‐7
Clinical Efficacy of Autologous Platelet‐Rich Plasma (PRP) in Canine Perianal Fistulas
and Aural Hematomas
R. Perego, D. Proverbio, L. Baggiani, E. Moneta, E. Spada.
Università degli Studi di Milano, Milano, Italy
Platelet‐rich plasma (PRP) derived from whole blood, is characterized by platelet
concentrations above baseline in a small volume of plasma that leads to increased
concentration of platelet‐derived growth factors which can stimulate cell proliferation
and decrease the inflammatory reaction accelerating the healing process.
The aim of this study was to report the clinical efficacy of autologous PRP obtained
with a double centrifugation validated method [1] in the treatment of canine aural
hematoma and perianal fistula. Dog 1: German shepherd, 11 years old, female, with
multiple perianal fistulas, treated with systemic antibiotics and local disinfections
without improvement for two months. The dog had 5 perineal fistulas, three of which
confluent with each other, with erythema, serum/hematic exudate and dyschezia. Dog
2: Rhodesian ridgeback, 7 years old, female, with monolateral aural hematoma caused
by accidental trauma, appeared 21 days before, treated with centesis and corticosteroids
therapy, with initial improvement, but subsequent relapse. The dog had an unorganized
right aural hematoma, size 4.5 × 5 cm, 2 cm thickness. Dog 3: Maltese, 4 years old,
male, with monolateral aural hematoma, caused by intense head shaking for bilateral
bacterial otitis, appeared 10 days before, treated with centesis and compression bandage,
without any improvement. The dog had a partially organized right aural hematoma, size
6 × 5 cm, 3 cm thickness, with 2 areas of necrosis with purulent exudate on the edges
of ear pinna, erythema and pain.
Procedures and follow up: a medium volume of 0.5 ml of PRP was obtained from a blood
sample of 8 ml following a protocol previously described [1]. The autologous PRP was
injected 2 times directly into fistulas (0.1 ml for each fistula), while for the aural
hematomas it was injected only once after a complete centesis of liquid using the
same hole of the drainage inlet. The dogs were checked every 3 days for two week and
then two times a month for 2 months to evaluate the improvement with a clinical score
and photographic documentation. All dogs have a complete healing of the lesions after
one month of treatment with PRP, without using other drugs other then antibiotics.
No recurrences were observed in one month follow up.
Autologous PRP obtained with a in‐house double centrifugation method appears to be
an effective, minimally invasive therapy in the treatment of perianal fistulas and
aural hematoma in dogs.
Disclosures
No disclosures to report.
Reference.
1. Perego R., et al. EC Veterinary Science 2.3 (2015): 126–132.
ESVIM‐P‐8
Immunoglobulin A in Nova Scotia Duck Tolling Retrievers with Immune Mediated Disorders
H. Hansson‐Hamlin, H.D. Bremer.
Swedish University of Agricultural Sciences, Uppsala, Sweden
Dogs of the breed Nova Scotia duck tolling retriever (NSDTR) are affected by several
immune‐mediated diseases, in particular steroid‐responsive meningitis‐arteritis (SRMA)
and an immune‐mediated rheumatic disease (IMRD).
The typical, acute form of SRMA is often characterized by cervical rigidity, pain
and pyrexia.
IMRD is a systemic lupus erythematosus (SLE)‐related disease characterized by chronic
stiffness and pain in several joints. Initial signs of IMRD are usually shown between
2–6 years of age, while acute forms of SRMA often are seen between 6–18 months.
Several studies have shown that dogs with SRMA often display elevation of immunoglobulin
A (IgA) concentrations in both serum and cerebrospinal fluid. Another study identified
NSDTRs as a breed with generally low serum IgA levels. In dogs, IgA production has
been reported to be age‐dependent and has been assumed to be stabilized at around
one year of age.
The aim of this study was to investigate serum IgA levels in NSDTRs affected by SRMA,
IMRD and healthy controls.
Serum IgA was measured by ELISA (dog ELISA Set, Nordic BioSite, Sweden).
Dogs included in the study were 12 NSDTRs with acute SRMA (before treatment), 10 NSDTRs
with SRMA (after treatment, no clinical signs), 6 NSDTRs with IMRD, 10 healthy NSDTRs
and 10 healthy dogs (representing 10 other different breeds). There was a slight elevation
of the mean IgA in NSDTRs with acute SRMA (2.1 g/L with SD = 1.2) and IMRD (1.9 g/L
with SD = 1.4) as compared to NSDTRs after treatment (1.4 g/L with SD = 0.5) and healthy
NSDTRs (1.4 g/L with SD = 0.3). The mean IgA in healthy dogs from other breeds was
1.6 g/L (SD = 0.7).
The changes in NSDTRs with SRMA were minor as compared to studies of other breeds
with SRMA. Maybe SRMA in NSDTRs is influenced by other etiologic factors such as other
genetic background. We have earlier shown that there may be a genetic locus shared
between SRMA and IMRD in NSDTRs. Moreover, NSDTRs in the group with acute SRMA were
younger than the dogs in the other groups, with 67% being under one year. Thus, the
low age may in the present study have influenced the IgA values negatively.
In conclusion, this study did not show a clear elevation of serum IgA in NSDTRs with
SRMA as shown for other breeds with this disease. Healthy NSDTRs did not display lower
values of serum IgA as compared to healthy dogs of other breeds.
Disclosures
No disclosures to report.
ESVIM‐P‐9
Investigation of the Coagulation System in Canine Idiopathic Pulmonary Fibrosis
E. Roels
1, N. Bauer2, C. Lecut1, F. Billen1, C. Soete1, A. Moritz2, A. Gothot1, C. Clercx1.
1University of Liège, Liège, Belgium, 2Justus‐Liebig‐Universität, Giessen, Germany
Canine idiopathic pulmonary fibrosis (CIPF) is a progressive interstitial lung disease
mainly affecting old West Highland white terriers (WHWTs). CIPF shares several clinical
and pathological features with human IPF. An imbalance between thrombosis and fibrinolysis
has been demonstrated in human IPF patients favouring a local and systemic prothrombotic
state which correlates with disease severity and outcome. The aim of the present study
was to investigate the coagulation and fibrinolysis systems in CIPF. For this purpose,
coagulation profile and thromboelastography data were collected and compared between
WHWTs affected with CIPF and unaffected WHWTs (CTRL). Coagulation times (PT, aPTT),
plasmatic concentrations of fibrinogen, D dimers, antithrombin III, Protein S and
Protein C activities, anti‐factor Xa activity (FXa), and activated Protein C ratio
(APCR) were retrospectively measured using the STA Compact automated coagulation analyzer
from previously stored (−80°C) plasma samples obtained from 20 CTRL and 14 CIPF WHWTs.
Point‐of‐care rotational thromboelastometer (ROTEM) was employed to prospectively
measure clotting‐time, α‐angle, amplitude at 10/20/30 min, maximal clot firmness,
lysis after 30/60 min, and maximum lysis on whole‐citrated blood sampled from 15 CTRL
and 9 CIPF WHWTs. Satistical analyses were perfomed with a commercially available
software using Student‐t test or Mann‐Withney test for continuous variables, and Fisher's
exact test for categorical variables. Statistical significance was set at P ≤ 0.05.
Compared with CTRL, WHWTs affected with CIPF demonstrated a longer aPTT (mean ± SD)
(12.2 ± 0.9 sec versus 11.5 ± 0.7, P = 0.028), whereas results obtained in both groups
were all within reference ranges. A trend for an increased fibrinogen concentration
(4.1 ± 1.8 g/L versus 3.1 ± 1.1, P = 0.067) and for a decreased APCR (median, range)
(25.6, 21.9–27.7 versus 26.8, 23.8–64.4) in WHWTs affected with CIPF was observed,
while there was no siginificant difference between groups for the other factors assessed.
FXa was found above the upper limit of the reference range in 3 WHWTs affected with
CIPF, but in none of the controls (P = 0.075). ROTEM results demonstrated no significant
difference between groups for any of the parameters studied. Results of the present
study provide no clear evidence for a hypercoagulable state in WHWTs affected with
CIPF. High fibrinogen concentrations found in CIPF WHWTs tend to suggest a proinflammatory
state which may be a risk factor for thrombosis, but this finding should be confirmed
by further investigation in larger cohorts of dogs.
Disclosures
No disclosures to report.
ESVIM‐P‐10
References Intervals in Shetland Sheepdogs: Is Primary Hyperlipidemia a Real Feature
in this Breed?
B. Ruggerone, P. Scarpa, M. Giraldi, S. Paltrinieri.
Università degli Studi di Milano, Milano, Italy
Clinical decisions are often based on the comparison of patient's laboratory results
with reference intervals (RI). Several breeds have physiological peculiarities that
induce variations in RI compared to the general canine population. However, no information
is available about the need to establish breed‐specific RI for Shetland Sheepdogs,
a breed reported to be potentially affected by physiological hyperlipidemia.
The aim of this study is to determine whether RI referred to the general canine population
may be applied to Shetland Sheepdogs from Italy, and to determine breed‐specific RI,
when the general RI were not validated.
To this aim, 60 clinically healthy fasted Shetland Sheepdogs (24 males, 1 neutered
male, 31 females and 3 spayed females, age 1–8 years, Median 3.5), that represent
the 36% of the Italian population registered at the National Breed association, were
examined. Dogs with clinical signs of disease, receiving medications (except antiparasitic
treatments) and pregnant females were excluded.
Routine haematology was performed using a laser based cell counter (Sysmex XT‐2000iV;
Sysmex). An extended panel of biochemical analytes was determined on serum using an
automated spectrophotometer (Cobas Mira, Roche Diagnostics). The transference method
was used to compare the results of Shetland Sheepdogs with the RI of the general canine
population. If more than 25% of values were outside the claimed RI, new RI were calculated
according to the ASVCP guidelines, using an Excel spreadsheet with the Reference Value
Advisor (2.0) set of macroinstructions after removal of far outliers. Based on data
distribution, a non‐parametric method or the Robust method were used to define the
RI with 90% confidence interval.
Differences of all haematological and biochemical records in dogs of different sex,
age and aptitude (companion versus agility dogs) were investigated by linear regression
or U Mann Withney test.
The transference method validated 16 haematological and 14 biochemical reference intervals.
For 6 parameters, differences from our laboratory RI could be due to pre‐analytical
or analytical errors whereas for glucose and total cholesterol new RI are required,
even if all the dogs presented cholesterol levels <500 mg/dL, which is considered
as a clinically relevant value. Differences associated with aptitude or sex were consistent
with those of other breeds. A weak and probably not biologically significant correlation
was found between cholesterolemia and age (−0.026 – P = 0.045).
This study suggests that breed‐specific reference intervals may be used for glucose
and total cholesterol in Shetland Sheepdogs to reduce the misinterpretation of laboratory
results.
Disclosures
No disclosures to report.
ESVIM‐P‐11
A Novel Endoscopic Laryngeal Finding Related to Bronchial Foreign Bodies‐Retrospective
Study on 227 Dogs
C.C. Timpano, M.C. Marchesi, V.M. Rosoni, A. Catanzaro, S. Busechian, F. Rueca.
University of Perugia, Perugia, Italy
Bronchial vegetal foreign bodies are a common problem in dogs in Europe, especially
during the summer season. Foxtails are usually inhaled/aspirated during exercise and
then deepen their position into the bronchial tree. These torpedo shaped awns may
become irreversibly lodged into the bronchi or even migrate through the pulmonary
parenchyma to other regions (ex. paravertebral muscles, pleural space).
Bronchoscopy is the gold standard technique for localization and often removal of
airway foreign bodies (AFB). An early diagnosis and treatment is important to avoid
respiratory and sometimes neurological complications due to foreign body migration
and local infection.
The aim of this study is to describe and evaluate the correlation between laryngeal
lesions and the presence of foreign bodies inside the bronchial tree. This laryngeal
findings may be helpful to facilitate an early diagnosis, since their presence could
be related to that one of AFB.
We reviewed bronchoscopic exams of 227 dogs referred to Perugia Veterinary Teaching
Hospital for respiratory symptoms during the last 5 years. Then, we defined as “puddle”
the presence of purulent exudate into the ventral part of larynx, both vocal cords
and/or first tracheal tract. Among these 227 dogs 136 were hunting dogs and 91 non‐hunting
dogs, based on FCI breed classification. Of all our cases, 88 dogs were positive for
AFB. Whenever a foreign body was not found, a BAL with bacteriological exam was performed
(139 total of BAL).
Results about higher frequency of AFB in hunting dogs (78%) and Right Lung localization
(72%) were in agreement with previous studies.
Among the dogs presenting with an AFB, 83% of them were positive for the “puddle”
sign. Moreover, in the BAL positive group, 80% of dogs did not present the “puddle”sign.
These last results suggest that the laryngeal sign we are evaluating is specifically
related to the presence of AFB and not to all kinds of bacterial lower respiratory
tract infections. Grass awns carry many bacterial agents that perpetuate a continuos
and highly suppurative bronchial infection. Then the strong expulsive effort of cough,
tends to remove this purulent exudate that remains trapped into the ventral part of
the larynx, probably due to the conformation of the canine upper respiratory tract.
Therefore, the “puddle”sign could be helpful in directing an early diagnosis and treatment
of AFB.
Disclosures
No disclosures to report.
ESVONC – European Society of Veterinary Oncology
ESVONC‐P‐1
Electrochemotherapy: Efficacy of Bleomycin Plus Doxorubicin Protocol in Dogs with
Squamous Cell Carcinoma
S.G. Calazans
1, M.L. Costa1, D.S. Anjos1, C.R. Paula1, C.M. Bueno2, L.F. Magalhães1, C.H.M. Brunner3,
G. Magalhães1.
1Universidade de Franca, Franca, Brazil, 2Universidade Estadual Paulista, Jaboticabal,
Brazil, 3Universidade Paulista, São Paulo, Brazil
Based on the current knowledge, electrochemotherapy (ECT) is used in dogs with squamous
cell carcinomas (SCC) promoting substantial tumor remissions. The aim of this study
was to evaluate the effect of ECT on tumor volume, mitotic index and microscopic necrosis
in canine cutaneous squamous cell carcinomas (SCC). This study included nine dogs
referred to a veterinary hospital. Five patients had one lesion, three had two lesions,
and one had four lesions. All the fifteen lesions were assessed. Tumor samples were
taken before ECT (D0) and 21 days later (D21). ECT was accomplished by using the electroporator
LC® BK‐100 model in association with intravenous bleomycin (15 UI/m²) plus doxorubicin
(30 mg/m²) protocol. Tumor volume was calculated according to formula: length (cm) × width
(cm) × height (cm) × 3.14/6. The mitotic index was determined by the number of mitotic
figures in ten selected 40 × high‐power fields. Microscopic necrosis was classified
as “absent”, grade I (less than 50%) or grade II (over 50%), as previously described.
After testing for normality, the paired t‐test or the Mann‐Whitney test was applied
to make the comparisons. The most common site of tumors was the abdomen (n = 10) and
thorax (n = 3). One tumor occurred on the prepuce, and one was located on pelvic limb.
After treatment, thirteen tumors presented clinical remission. One tumor progressed,
and one remained stable in size. The mean of tumor volume in D0 (26.66 ± 36.98) was
higher than in D21 (18.07 ± 33.06) (P = 0.0134). The mitotic index decreased in twelve
lesions and increased in other three lesions. The mean of mitotic index in D0 (9 ± 6.8)
did not significantly differ from D21 (7.42 ± 5.23) (P > 0.05). Before treatment,
necrosis was classified as grade I in ten lesions and as grade II in four lesions.
Necrosis was absent in one tumor. After ECT, the grade of necrosis did not change
in most tumors (n = 12). One lesion decreased necrosis grade from II to I while other
lesion decreased from I to “absent”. One tumor that presented absence of necrosis
in D0 was classified as grade I in D21. There was no significant difference between
D0 and D21 for necrosis (P > 0.05). Although substantial tumor remissions, ECT does
not significantly decreases mitotic index in SCC in dogs. Moreover, ECT does not influence
the intensity of microscopic necrosis after 21 days from this procedure.
Acknowledge to Fundação de Amparo a Pesquisa do Estado de São Paulo (FAPESP) for the
financial support.
Disclosures
No disclosures to report.
ESVONC‐P‐2
Cellular Pathway Analysis of a Turmeric and Rosemary Extract Combination Treatment
on Canine Neoplastic Cell Lines
C.B. Levine1, J. Bayle
2, V. Biourge2, J. Wakshlag1.
1Cornell University College of Veterinary Medicine, Ithaca, USA, 2Royal Canin Research
Center, Airmargues, France
Adjunctive use of nutraceuticals to treat human cancers has shown promise, but little
work has been done in canine neoplasia. Specifically, the multi‐modal effects of polyphenols
and carotenoids have been established in human cell lines and rodent models, with
limited work in canine cells. We have previously identified two natural ingredients,
turmeric extract (TE) and rosemary extract (RE), which worked synergistically to reduce
neoplastic cell growth, and had no cytotoxic effect on normal dermal fibroblasts.
This combination had an additive or synergistic effect when used with the chemotherapeutic
agents toceranib or doxorubicin hydrochloride. The purpose of this in‐vitro study
was to examine mechanisms of action of this cocktail. Three canine neoplastic cell
lines representing a variety of tumors were used: C2 (mastocytoma), CMT‐12 (mammary
gland carcinoma), and D17 (osteosarcoma). Apoptosis was determined using Annexin V
staining and by a commercially available caspase‐3/7 cleavage assay. Cell cycle changes
using propidium iodide staining, generation of reactive oxygen species using Dihydrorhodamine123,
modulation of cellular efflux pumps, and cellular accumulation of curcumin were analyzed
by flow cytometry. Perturbation of various cell signaling pathways was assessed after
12 and 24 hours of incubation by western blotting. Cells were treated with 6.3 µg/mL
of extract individually, a combination (3.1 µg/mL of each extract), or vehicle control.
Comparisions between these four treatment groups were analyzed using a one‐way ANOVA
followed by Tukey's post‐hoc analyses. The combination treatment induced apoptosis
in all cell lines, beyond the effects of TE alone, after 36 hours of incubation. Both
extracts had a significant antioxidant effect (P < 0.05). CMT‐12 cells were the most
susceptible to treatment (40% Annexin V positive; 5‐fold increase in caspase cleavage).
The presence of RE significantly increased the cellular accumulation of TE as indicated
by an increase in fluorescence, with the CMT‐12 cell line showing the greatest accumulation.
Western blotting showed an increase in the amount of activated c‐jun N‐terminal kinase
(JNK), although the differences varied across cell lines. TE and RE interact synergistically
to induce apoptosis in‐vitro; mechanisms may include RE increasing cellular accumulation
of TE and activation of JNK. Considering the doses used in‐vitro may be physiologically
achievable, in‐vivo studies are warranted to determine the pharmacokinetics and efficacy
of this dual treatment.
Disclosures
The research leading to these results was supported by Royal Canin SAS. Royal Canin
participated in writing the protocol, analyzing the data, contributing compounds,
revising the manuscript for publication, and giving their final approval of the version
to be published and agreed to be accountable for all aspects of the work. JB and VB
are employed by Royal Canin. JW receives honoraria from and is on the advisory council
for Nestle Purina and Mars Inc.
ESVONC‐P‐3
Identification of Germ‐Line Genetic Risk Factors for Development of Mast Cell Tumors
in Golden Retrievers
M.L. Arendt
1, M. Starkey2, K. Lindblad‐Toh1.
1Uppsala University, Uppsala, Sweden, 2Animal Health Trust, Newmarket, UK
The golden retriever is a dog breed with a relatively high risk of developing cancer
compared to other breeds. This suggests that germ‐line genetic risk factors contribute
to disease development in this breed.
Genome wide association studies have proven to be an effective method for identifying
genetic risk factors even in complex disease. By taking advantage of the historical
genetic bottlenecks within dog breeds these studies can be done with smaller numbers
of cases and controls compared to human studies.
We conducted a genome wide association study to investigate germ‐line risk factors
implicated in the development of mast cell tumours in golden retrievers. We collected
DNA from healthy geriatric golden retrievers and golden retrievers affected by mast
cell tumours in both Europe and the United States. All individuals were genotyped
using the Illumina 170 k genotyping array.
We found an association to two different loci in the American and European populations.
Each of these loci contained three of the six hyaluronidase genes suggesting that
hyaluronan turnover could play a role in the development of mast cell tumours. Targeted
sequencing and subsequent fine mapping identified a mutation in the GNAI2 gene introducing
an alternative splice form present in mainly European golden retrievers. We are conducting
further work to characterize the role of the hyaluronidase genes and GNAI2 in disease
development.
We hope that our findings will shed light not only on the development of cancer in
golden retrievers but also have a comparative value to help understanding human cancer.
Disclosures
A patent application has been filed related to this work patent application number
B1195.70019US00.
ESVONC‐P‐4
Phagocytic Activity and Metastatic Potential of Primary Canine Oral Melanoma Cell
Lines
F. Schmid1, D. Brodesser1, M. Kleiter2, S. Brandt1, B. Pratscher
1.
1Research Group Oncology, Vienna, Austria, 2Radiooncology and Nuclear Medicine Platform,
Vienna, Austria
Malignant melanoma is the most common oral tumour type in dogs and has high metastatic
potential. The latter is thought to be associated with active phagocytosis. In this
study we aimed at analysing the phagocytic behaviour of explanted canine oral melanoma
cell lines.
To address this issue, we established cell lines from primary and metastatic canine
oral melanomas and screened them for cellular melanoma markers. Whilst lesions tested
Melan A‐positive by immunohistochemistry, flow cytometric analysis scored negative
for this marker, although cells clearly expressed Vimentin and S100. The phagocytic
activity of melanoma cell lines was addressed by flow cytometric staining for macrophage‐specific
surface antigens CD68 and CD163, and the melanoma‐associated antigen CD146, as well
as for incorporation of fluorochrome‐labelled latex beads. All established melanoma
cell lines clearly showed phagocytic activity (30 and 60% of cells) in correlation
with strong co‐expression of CD146, but not with expression of macrophage markers
CD68 and CD163, although the latter are thought to be involved in recognition and
phagocytosis of apoptotic cells in other tumour types.
CD146 was initially identified as a progression marker for melanoma. More recently,
it has been recognized as a marker for epithelial‐to‐mesenchymal transition and transendothelial
migration. In addition, phagocytic‐like activity of tumour cells has been reported
to be associated with invasiveness. Therefore, expression of CD146 and phagocytic
activity of canine melanoma cells may represent a valuable indicator for malignity
of canine oral melanoma and on‐going metastatic processes.
Disclosures
No disclosures to report.
ESVONC‐P‐6
Assessment of the Coagulation Profile in Canine Multiple Myeloma: A Cohort Investigation
in 234 Dogs
M. Caldin1, M. Campigli
1, A. Zoia1, G. Lubas2, A. Zanella1, G. Bertolini1, T. Furlanello3.
1San Marco Veterinary Clinic, Padova, Italy, 2Dipartimento Scienze Veterinarie, San
Piero a Grado, Pisa, Italy, 3Laboratorio d'Analisi Veterinarie San Marco, Padova,
Italy
Hypercoagulability in canine multiple myeloma (MM) as described in humans has not
been reported and prognostic factors related to hemostasis have not been investigated.
Aims of this study were: to describe the haemostatic profile in dogs with MM, to detect
a possible hypercoagulable state, and to assess whether coagulation parameters have
prognostic value. Haemostatic alteration at the initial visit of dogs affected by
MM (Group 1, n = 78) were retrieved from the electronic data‐base (P.O.A. System‐Plus
9.0®) of the San Marco Veterinary Clinic, between 2002–2015. Dogs with MM met the
following criteria: bone marrow plasma cells ≥15%, osteolytic lesions, serum mono‐biclonal
gammopathy and extensive coagulation profile including platelet count, aPTT, PT, fibrinogen,
thrombin time (TT), FPDs, D‐Dimer and antithrombin (AT). Two groups of dogs individually
matched for age, breed, and sex were used as controls: healthy dogs (Group 2, n = 78)
and sick dogs without MM (Group 3, n = 78). In addition, the hemostatic profile between
clinical bleeding (B‐MM, n = 45) (e.g., gum bleedind, epistaxis) and no‐clinical bleeding
(NB‐MM, n = 33) dogs with MM was evaluated.
Kruskal‐Wallis and Wilcoxon‐Mann‐Whitney tests were used to compare groups. Risk to
death at 90 days after diagnosis within B‐MM and NB‐MM dogs was evaluated by Pearson's
X2 test. ROC curves were used to identify the best analyte to predict death.
Prothrombin time and aPTT were increased (P = 0.001) in Group 1 versus groups 2 and
3, TT was increased (P = 0.001) in Group 1 versus 3. The platelet count and AT concentration
were decreased in Group 1 versus groups 2 and 3 (P = 0.001). Fibrinogen concentration
was decreased in Group 1 versus 3 (P = 0.01). No differences between Groups 1 versus
groups 2 and 3 for FDPs and D‐dimer were observed. Platelet count and AT concentrations
were decreased in B‐MM versus NB‐MM (P = 0.04; P = 0.026); PT and aPTT and were increased
in B‐MM versus NB‐MM (P = 0.026; P = 0.03). No differences between B‐MM and NB‐MM
were observed for TT, FDPs, D‐Dimer. B‐MM dogs showed lower mortality rate in respect
to NB‐MM patient (P < 0.028). The TT resulted the best haemostatic analyte in predicting
death in dogs affected with MM (P < 0.04; AUC 64%; 95% CI = 0.48–0.82).
Primary and secondary haemostasis are compromised in dogs with MM while tertiary haemostasis
appears unaffected. The hypercoagulable state, opposite to humans, is unlikely in
dogs with MM. Surprisingly, dogs with MM and clinical bleeding apparently have protective
effect against death. The prediction of mortality in canine MM was related to TT.
Disclosures
No disclosures to report.
ESVCN – European Society of Veterinary Clinical Nutrition
ESVCN‐P‐1
A Survey on the Body Condition Score Model for Dog to Clinical Veterinarians and Dog
Owners
A. Koizumi
1, K. Aoyama2, Y. Sugiyama1, Y. Ota1, K. Otsuji1.
1Teikyo University of Science, Tokyo, Japan, 2Royal Canine Japon, Tokyo, Japan
Body condition score (BCS) is a method that is commonly used in the diagnosis of nutritional
status in small animals. However, clinical veterinarians recognize that BCS assessment
has an error to some extent. This is because that BCS is an assessment of the subjective
method based on ocular inspection and the palpation. Therefore we built a BCS model
for the BCS assessment in dogs and examined its accuracy. We reported that variability
of BCS value was less when the BCS model was used in nutritional assessment of the
dog [1]. In this study, a survey was conducted to make clear usefulness of the BCS
model in clinical veterinarians and dog owners.
The BCS model was developed with resin molded artificial ribs. Polychloroprene sponge
sheet and natural rubber sheet were laminated to fit the palpation feeling of each
BCS. A survey was carried out for both clinical veterinarians (n = 23) and dog owners
(n = 46). The main questions were as follows: actual use of BCS in clinic, perception
of using the BCS model and application of the BCS model in the clinic for clinical
veterinarians, and awareness of the BCS and BCS assessment of own dog for dog owners.
Most of the clinical veterinarians used BCS for the nutritional assessment in dog.
Many clinical veterinarians answered as follows: (i) palpation sensation between actual
dog and the BCS model were consistent. (ii) description of nutritional status in dog
to dog owner has become easier. On the other hand, most of the dog owners did not
know the BCS. Many dog owners answered that the nutrition status of own dog could
grasp using the BCS model.
The results suggest that the recognition of nutritional status for dog between veterinarian
and dog owner matches by using the BCS model, as the result, this BCS model is a useful
device to introduce weight loss program for obese dogs.
Disclosures
No disclosures to report.
Reference.
1. Otsuji K, Koizumi A, Mitsuhashi S, Kaneko T, Kobayashi N, Kobayashi T. Efficacy
of the body condition score model in the nutritional diagnosis in dogs. ECVIM‐ca Congress
Lisboan Portugal Proceeding, p. 167, 2015
ESVCN‐P‐2
The New Body Fat Index Chart as an Alternative, Non‐Invasive Method to Estimate Percent
Body Fat Compared to DEXA During Weight Loss and Weight Maintenance in Obese Cats
I. Paetau‐Robinson, C.A. Stiers, P.A. Burris.
Hill's Pet Nutrition, Inc., Topeka, USA
Approximately 58% of cats in the United States are considered overweight or obese.
Many pet owners struggle with reducing their cat's body weight. A critical component
of a successful weight loss regimen is a good estimate of body composition as the
starting point to calculate an appropriate food amount for weight loss. The newly
developed method called the Body Fat Index (BFI) differentiates between levels of
obesity and establishes a link between the BFI and an ideal body weight. Dual‐Energy
X‐ray Absorptiometry (DEXA) provides the most accurate way of measuring percent body
fat; however, it is not readily available to the general practitioner. The current
study compares percent body fat determined from the BFI chart and DEXA scan for a
group of obese cats during weight loss and weight maintenance fed a food specifically
formulated for helping cats achieve a healthy weight containing 11 g protein, 3.5 g
fat, 3.6 g insoluble fiber, 0.6 g soluble fiber, and 14.9 mg L‐carnitine per 100 kilocalories.
The protocol and procedures were approved by the institutional animal care and use
committee.
Twelve obese cats were fed for weight loss until they achieved their ideal body weight
(IBW), followed by a 6‐month weight maintenance phase. All cats were group housed
in rooms with natural light and access to sunrooms. Three animal care technicians
independently determined the BFI for each cat once per month; an average BFI was calculated.
The BFI Chart included images and descriptors that were used to determine the cat's
percent body fat. The cats underwent a monthly DEXA scan during the weight loss phase
and every two months during the weight maintenance phase.
The values for percent body fat determined by BFI and DEXA showed good correlation
(r = 0.70) across a range of body weights and body fat of cats undergoing weight loss.
The BFI slightly underestimated the percent body fat during the initial phase of the
study but showed excellent agreement with DEXA results during the weight maintenance
phase.
The purpose of this study was to evaluate the usefulness of the new BFI Risk Chart to
repeatedly estimate percent body fat in overweight cats during weight loss and during
a period of stable, normal body weight. The results show that the new method is an
excellent tool for the determination of body fat when a DEXA instrument is not available
and would be practical to use in the veterinary clinic.
Disclosures
Disclosures to report: The presenter and co‐authors are employees of Hill's Pet Nutrition.
The body fat index chart used in this study was developed by Hill's Pet Nutrition.
VBPS – Veterinary Blood Pressure Society
VBPS‐P‐1
Comparison of High‐Definition Oscillometric and Wrist Blood Pressure Monitors for
Arterial Blood Pressure Measurements in Dogs
E. Martinelli
1, A.M. Zanaboni2, R. Toschi Corneliani1, R. Ferriani1, C. Locatelli3.
1San Francesco Veterinary Hospital, Milan, Italy, 2Computer Science Department, University
of Milan, Milan, Italy, 3Department of Veterinary Medicine, University of Milan, Milan,
Italy
Home blood pressure (BP) monitoring has a great potential to improve hypertension
control in both human and dogs. The aim of this prospective study was to assess the
level of agreement between the high‐definition oscillometric method (vet HDO Monitor,
S&B medVet GmbH) and a wrist blood pressure measuring device (WBP‐DigiColor – Microlife
Corporationn) monitor in dogs.
This study was carried out between January 2016 and March 2016. Hospitalized dogs
weighing more than 10 kg and aged over 7 months were recruited. All BP measurements
were obtained according to the ACVIM (American College of Veterinary Internal Medicine)
consensus statement. Measurements were taken on the nondependent front leg with the
dog placed in lateral recumbency. Cuffs of both oscillometric devices were placed
on the proximal pelvic limb, just above the hock. Limb circumference was measured.
The HDO's cuff provided by the manufacturer was selected according to the animal's
limb circumference and to the manufacturer's instructions. Systolic and diastolic
pressures were recorded for each device.
Statistical analysis was performed using IBM SPSS Statistics 20 (P value significant
if <0.05). Data was examined using the Shapiro‐wilk test of normality and the Bland‐Altman
method.
Good agreement was defined as a bias and limits of agreement (LOA) within 15 mmHg.
Twenty‐three dogs (13 female and 10 male) were included among the eligible population
(age 69.4 ± 57.1 months, weight 26.8 ± 9.0 kg, 15.6 ± 2.3 cm of limb circumference).
Reasons for hospitalization included: ovariohysterectomy, neoplasia, gastroenteritis,
spinal pathologies, hemolytic anemia and orthopedic surgery. Systolic pressure with
HDO and WBP method was 150.0 ± 15.3 and 125.3 ± 11.4 mmHg respectively; diastolic
pressure was 90.0 ± 16.4 and 79.7 ± 13.2 mmHg respectively. WBP monitor failed to
measure BP in 4/23 dogs probably due to a non‐appropriate limb's morphology. Correlation
between HDO and WBP methods in dogs was moderate (systolic pressure r = 0.47, P = 0.04;
diastolic pressure r = 0.4, P > 0.05). Systolic pressure agreement analysis demonstrated
a bias of 22.3 mmHg and LAO 49.4 to −4.9. Diastolic pressure agreement analysis demonstrated
a bias of 9.1 mmHg and LAO 42.0 to −23.9. Correlation between HDO‐WBP agreement and
limb circumference (r = −0.46, P = 0.047) was moderate.
In this study, we compared HDO with a human oscillometric device and found a lack
of agreement between the 2 methods. In the authors’ opinion, WBP monitor underestimates
BP because of an inadequate size of the cuff. However, the authors believe that the
lack of giant breeds and the small number of cases included in this study represents
a great limit of their study.
Disclosures
No disclosures to report.