Liver‐type fatty acid‐binding protein and neutrophil gelatinase‐associated lipocalin in cats with chronic kidney disease and hyperthyroidism

Abstract Background Liver‐type fatty acid‐binding protein (L‐FABP) and neutrophil gelatinase‐associated lipocalin (NGAL) are candidate biomarkers for the detection of early chronic kidney disease (CKD) in cats. Objective To evaluate urinary and serum L‐FABP and NGAL concentrations in CKD cats and in...

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Autores principales: Thirawut Kongtasai, Evelyne Meyer, Dominique Paepe, Sofie Marynissen, Pascale Smets, Femke Mortier, Kristel Demeyere, Eva Vandermeulen, Emmelie Stock, Eva Buresova, Pieter Defauw, Luc Duchateau, Sylvie Daminet
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Publicado: Wiley 2021
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CKD
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spelling oai:doaj.org-article:cb45d94e232b4162b587c0e9dff4fcb12021-11-30T17:01:03ZLiver‐type fatty acid‐binding protein and neutrophil gelatinase‐associated lipocalin in cats with chronic kidney disease and hyperthyroidism1939-16760891-664010.1111/jvim.16074https://doaj.org/article/cb45d94e232b4162b587c0e9dff4fcb12021-05-01T00:00:00Zhttps://doi.org/10.1111/jvim.16074https://doaj.org/toc/0891-6640https://doaj.org/toc/1939-1676Abstract Background Liver‐type fatty acid‐binding protein (L‐FABP) and neutrophil gelatinase‐associated lipocalin (NGAL) are candidate biomarkers for the detection of early chronic kidney disease (CKD) in cats. Objective To evaluate urinary and serum L‐FABP and NGAL concentrations in CKD cats and in hyperthyroid cats before and after radioiodine (131I) treatment. Animals Nine CKD cats, 45 healthy cats and hyperthyroid cats at 3 time points including before (T0, n = 49), 1 month (T1, n = 49), and 11 to 29 months after (T2, n = 26) 131I treatment. Methods Cross‐sectional and longitudinal study. Serum L‐FABP (sL‐FABP), serum NGAL (sNGAL), urinary L‐FABP (uL‐FABP), and urinary NGAL (uNGAL) were compared between the 3 groups and between hyperthyroid cats before and after treatment. Data are reported as median (min‐max). Results CKD cats had significantly higher sL‐FABP (13.50 [3.40‐75.60] ng/ml) and uL‐FABP/Cr (4.90 [0.97‐2139.44] µg/g) than healthy cats (4.25 [1.34‐23.25] ng/ml; P = .01 and 0.46 [0.18‐9.13] µg/g; P < .001, respectively). Hyperthyroid cats at T0 had significantly higher uL‐FABP/Cr (0.94 [0.15‐896.00] µg/g) than healthy cats (P < .001), thereafter uL‐FABP/Cr significantly decreased at T2 (0.54 [0.10‐76.41] µg/g, P = .002). For the detection of CKD, uL‐FABP/Cr had 100% (95% confidence interval [CI], 66.4‐100.0) sensitivity and 93.2% (95% CI, 81.3‐98.6) specificity. There were no significant differences in sNGAL and uNGAL/Cr between the 3 groups. Conclusions and Clinical Importance L‐FABP, but not NGAL, is a potential biomarker for the detection of early CKD in cats. Utility of uL‐FABP to predict azotemia after treatment in hyperthyroid cats remains unknown.Thirawut KongtasaiEvelyne MeyerDominique PaepeSofie MarynissenPascale SmetsFemke MortierKristel DemeyereEva VandermeulenEmmelie StockEva BuresovaPieter DefauwLuc DuchateauSylvie DaminetWileyarticlebiomarkerscatsCKDhyperthyroidL‐FABPNGALVeterinary medicineSF600-1100ENJournal of Veterinary Internal Medicine, Vol 35, Iss 3, Pp 1376-1388 (2021)
institution DOAJ
collection DOAJ
language EN
topic biomarkers
cats
CKD
hyperthyroid
L‐FABP
NGAL
Veterinary medicine
SF600-1100
spellingShingle biomarkers
cats
CKD
hyperthyroid
L‐FABP
NGAL
Veterinary medicine
SF600-1100
Thirawut Kongtasai
Evelyne Meyer
Dominique Paepe
Sofie Marynissen
Pascale Smets
Femke Mortier
Kristel Demeyere
Eva Vandermeulen
Emmelie Stock
Eva Buresova
Pieter Defauw
Luc Duchateau
Sylvie Daminet
Liver‐type fatty acid‐binding protein and neutrophil gelatinase‐associated lipocalin in cats with chronic kidney disease and hyperthyroidism
description Abstract Background Liver‐type fatty acid‐binding protein (L‐FABP) and neutrophil gelatinase‐associated lipocalin (NGAL) are candidate biomarkers for the detection of early chronic kidney disease (CKD) in cats. Objective To evaluate urinary and serum L‐FABP and NGAL concentrations in CKD cats and in hyperthyroid cats before and after radioiodine (131I) treatment. Animals Nine CKD cats, 45 healthy cats and hyperthyroid cats at 3 time points including before (T0, n = 49), 1 month (T1, n = 49), and 11 to 29 months after (T2, n = 26) 131I treatment. Methods Cross‐sectional and longitudinal study. Serum L‐FABP (sL‐FABP), serum NGAL (sNGAL), urinary L‐FABP (uL‐FABP), and urinary NGAL (uNGAL) were compared between the 3 groups and between hyperthyroid cats before and after treatment. Data are reported as median (min‐max). Results CKD cats had significantly higher sL‐FABP (13.50 [3.40‐75.60] ng/ml) and uL‐FABP/Cr (4.90 [0.97‐2139.44] µg/g) than healthy cats (4.25 [1.34‐23.25] ng/ml; P = .01 and 0.46 [0.18‐9.13] µg/g; P < .001, respectively). Hyperthyroid cats at T0 had significantly higher uL‐FABP/Cr (0.94 [0.15‐896.00] µg/g) than healthy cats (P < .001), thereafter uL‐FABP/Cr significantly decreased at T2 (0.54 [0.10‐76.41] µg/g, P = .002). For the detection of CKD, uL‐FABP/Cr had 100% (95% confidence interval [CI], 66.4‐100.0) sensitivity and 93.2% (95% CI, 81.3‐98.6) specificity. There were no significant differences in sNGAL and uNGAL/Cr between the 3 groups. Conclusions and Clinical Importance L‐FABP, but not NGAL, is a potential biomarker for the detection of early CKD in cats. Utility of uL‐FABP to predict azotemia after treatment in hyperthyroid cats remains unknown.
format article
author Thirawut Kongtasai
Evelyne Meyer
Dominique Paepe
Sofie Marynissen
Pascale Smets
Femke Mortier
Kristel Demeyere
Eva Vandermeulen
Emmelie Stock
Eva Buresova
Pieter Defauw
Luc Duchateau
Sylvie Daminet
author_facet Thirawut Kongtasai
Evelyne Meyer
Dominique Paepe
Sofie Marynissen
Pascale Smets
Femke Mortier
Kristel Demeyere
Eva Vandermeulen
Emmelie Stock
Eva Buresova
Pieter Defauw
Luc Duchateau
Sylvie Daminet
author_sort Thirawut Kongtasai
title Liver‐type fatty acid‐binding protein and neutrophil gelatinase‐associated lipocalin in cats with chronic kidney disease and hyperthyroidism
title_short Liver‐type fatty acid‐binding protein and neutrophil gelatinase‐associated lipocalin in cats with chronic kidney disease and hyperthyroidism
title_full Liver‐type fatty acid‐binding protein and neutrophil gelatinase‐associated lipocalin in cats with chronic kidney disease and hyperthyroidism
title_fullStr Liver‐type fatty acid‐binding protein and neutrophil gelatinase‐associated lipocalin in cats with chronic kidney disease and hyperthyroidism
title_full_unstemmed Liver‐type fatty acid‐binding protein and neutrophil gelatinase‐associated lipocalin in cats with chronic kidney disease and hyperthyroidism
title_sort liver‐type fatty acid‐binding protein and neutrophil gelatinase‐associated lipocalin in cats with chronic kidney disease and hyperthyroidism
publisher Wiley
publishDate 2021
url https://doaj.org/article/cb45d94e232b4162b587c0e9dff4fcb1
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