Evaluation of Protein Carbonyl Content in Healthy and Sick Hospitalized Horses

Literature on the protein carbonyl content (PCC) evaluation in horses is scarce, thus the aims were to evaluate the PCC in healthy and SIRS (Systemic Inflammatory Response Syndrome) horses and to investigate the performances of PCC in terms of sensitivity, specificity, and likelihood ratio in identi...

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Main Authors: Irene Nocera, Francesca Bonelli, Valentina Meucci, Riccardo Rinnovati, Alessandro Spadari, Luigi Intorre, Carlo Pretti, Micaela Sgorbini
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2020.582886/full
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author Irene Nocera
Francesca Bonelli
Valentina Meucci
Riccardo Rinnovati
Alessandro Spadari
Luigi Intorre
Carlo Pretti
Micaela Sgorbini
author_facet Irene Nocera
Francesca Bonelli
Valentina Meucci
Riccardo Rinnovati
Alessandro Spadari
Luigi Intorre
Carlo Pretti
Micaela Sgorbini
author_sort Irene Nocera
collection DOAJ
description Literature on the protein carbonyl content (PCC) evaluation in horses is scarce, thus the aims were to evaluate the PCC in healthy and SIRS (Systemic Inflammatory Response Syndrome) horses and to investigate the performances of PCC in terms of sensitivity, specificity, and likelihood ratio in identifying SIRS positive and negative horses. A total of 72 adult horses were included. All the horses underwent to a complete physical examination, blood analysis, and were evaluated for the SIRS status. Blood samples were collected once in healthy horses and at admission time, then 24, 48, 72, and 96 h after admission in sick animals. PCC was evaluated using a method previously described. Data were statistically analyzed to verify differences in PCC between healthy vs. SIRS positive or SIRS negative horses at all sampling time. The receiver operating characteristic (ROC) curve was performed to verify sensitivity and specificity of PCC in the diagnosis of SIRS-positive and SIRS negative horses. The healthy horses were standardbred mares with a median age of 8.5 years. The sick horses were 31/54 females, 16/54 geldings, and 7/54 stallions of different breeds and with a median age of 12 years old. Eight out of 54 sick horses were SIRS negative, while 46/54 were SIRS positive. Statistically significant differences were obtained between healthy and SIRS positive horses, while no differences were observed between healthy and SIRS negative horses at any sampling time. The best cutoff value of PCC to discriminate between SIRS positive, SIRS negative, and healthy horses, the sensitivity and specificity of cutoff point, the area under receiver operating characteristic curve, the 95% confidence intervals, and the likelihood ratio were reported. We found higher PCC values in sick SIRS-positive horses vs. healthy ones with a decrement over time, while no differences at admission, nor during the observational period, were obtained in sick but SIRS-negative horses. The value of 0.049 nmol/ml/mg is reported as a potential cutoff for the diagnosis of SIRS positivity vs. healthy horses with a sensibility of 74.5% and a specificity of 72.2%. In conclusion, PCC seems to be a sensitive and specific marker for SIRS in horses.
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spelling doaj.art-5913200670f346099ff95041aa4583b92022-12-22T03:53:54ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692020-10-01710.3389/fvets.2020.582886582886Evaluation of Protein Carbonyl Content in Healthy and Sick Hospitalized HorsesIrene Nocera0Francesca Bonelli1Valentina Meucci2Riccardo Rinnovati3Alessandro Spadari4Luigi Intorre5Carlo Pretti6Micaela Sgorbini7Department of Veterinary Science, Veterinary Teaching Hospital, University of Pisa, Pisa, ItalyDepartment of Veterinary Science, Veterinary Teaching Hospital, University of Pisa, Pisa, ItalyDepartment of Veterinary Science, Veterinary Teaching Hospital, University of Pisa, Pisa, ItalyDepartment of Veterinary Medical Sciences, Ozzano Dell'Emilia, Bologna, ItalyDepartment of Veterinary Medical Sciences, Ozzano Dell'Emilia, Bologna, ItalyDepartment of Veterinary Science, Veterinary Teaching Hospital, University of Pisa, Pisa, ItalyDepartment of Veterinary Science, Veterinary Teaching Hospital, University of Pisa, Pisa, ItalyDepartment of Veterinary Science, Veterinary Teaching Hospital, University of Pisa, Pisa, ItalyLiterature on the protein carbonyl content (PCC) evaluation in horses is scarce, thus the aims were to evaluate the PCC in healthy and SIRS (Systemic Inflammatory Response Syndrome) horses and to investigate the performances of PCC in terms of sensitivity, specificity, and likelihood ratio in identifying SIRS positive and negative horses. A total of 72 adult horses were included. All the horses underwent to a complete physical examination, blood analysis, and were evaluated for the SIRS status. Blood samples were collected once in healthy horses and at admission time, then 24, 48, 72, and 96 h after admission in sick animals. PCC was evaluated using a method previously described. Data were statistically analyzed to verify differences in PCC between healthy vs. SIRS positive or SIRS negative horses at all sampling time. The receiver operating characteristic (ROC) curve was performed to verify sensitivity and specificity of PCC in the diagnosis of SIRS-positive and SIRS negative horses. The healthy horses were standardbred mares with a median age of 8.5 years. The sick horses were 31/54 females, 16/54 geldings, and 7/54 stallions of different breeds and with a median age of 12 years old. Eight out of 54 sick horses were SIRS negative, while 46/54 were SIRS positive. Statistically significant differences were obtained between healthy and SIRS positive horses, while no differences were observed between healthy and SIRS negative horses at any sampling time. The best cutoff value of PCC to discriminate between SIRS positive, SIRS negative, and healthy horses, the sensitivity and specificity of cutoff point, the area under receiver operating characteristic curve, the 95% confidence intervals, and the likelihood ratio were reported. We found higher PCC values in sick SIRS-positive horses vs. healthy ones with a decrement over time, while no differences at admission, nor during the observational period, were obtained in sick but SIRS-negative horses. The value of 0.049 nmol/ml/mg is reported as a potential cutoff for the diagnosis of SIRS positivity vs. healthy horses with a sensibility of 74.5% and a specificity of 72.2%. In conclusion, PCC seems to be a sensitive and specific marker for SIRS in horses.https://www.frontiersin.org/articles/10.3389/fvets.2020.582886/fullhorsesystemic inflammatory response syndromeprotein carbonyl contentendotoxemiabiomarker
spellingShingle Irene Nocera
Francesca Bonelli
Valentina Meucci
Riccardo Rinnovati
Alessandro Spadari
Luigi Intorre
Carlo Pretti
Micaela Sgorbini
Evaluation of Protein Carbonyl Content in Healthy and Sick Hospitalized Horses
Frontiers in Veterinary Science
horse
systemic inflammatory response syndrome
protein carbonyl content
endotoxemia
biomarker
title Evaluation of Protein Carbonyl Content in Healthy and Sick Hospitalized Horses
title_full Evaluation of Protein Carbonyl Content in Healthy and Sick Hospitalized Horses
title_fullStr Evaluation of Protein Carbonyl Content in Healthy and Sick Hospitalized Horses
title_full_unstemmed Evaluation of Protein Carbonyl Content in Healthy and Sick Hospitalized Horses
title_short Evaluation of Protein Carbonyl Content in Healthy and Sick Hospitalized Horses
title_sort evaluation of protein carbonyl content in healthy and sick hospitalized horses
topic horse
systemic inflammatory response syndrome
protein carbonyl content
endotoxemia
biomarker
url https://www.frontiersin.org/articles/10.3389/fvets.2020.582886/full
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