Differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytology

Abstract Background Nonbronchoscopic bronchoalveolar lavage (nBAL) is routinely performed in calves, and airway cytology has great potential in airway disease diagnostics. A good reference framework for nBAL cytology is lacking. Objectives To distinguish different cytological profiles in nBAL from g...

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Main Authors: Justine Clinquart, Katharina vanLeenen, Jade Bokma, Bart Pardon
Format: Article
Language:English
Published: Wiley 2023-11-01
Series:Journal of Veterinary Internal Medicine
Subjects:
Online Access:https://doi.org/10.1111/jvim.16855
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author Justine Clinquart
Katharina vanLeenen
Jade Bokma
Bart Pardon
author_facet Justine Clinquart
Katharina vanLeenen
Jade Bokma
Bart Pardon
author_sort Justine Clinquart
collection DOAJ
description Abstract Background Nonbronchoscopic bronchoalveolar lavage (nBAL) is routinely performed in calves, and airway cytology has great potential in airway disease diagnostics. A good reference framework for nBAL cytology is lacking. Objectives To distinguish different cytological profiles in nBAL from grouped housed calves using cluster analysis, and characterize these profiles on individual and herd levels. Animals Three hundred thirty‐eight group‐housed calves from 60 herds (mainly dairy and beef ). Methods Cross‐sectional study. Differential counts of white blood cells were determined on nBAL fluid, followed by differentiation of cytological profiles by K‐means‐based cluster analysis. These profiles were characterized by reference values, decision tree analysis, and associations with clinical, ultrasonographic, bacteriological, and cytological features. Results A normal (55.9%), a neutrophilic (41.1%), and an eosinophilic profile (3.0%) were identified. The normal profile was characterized by reference values of 2.3% to 47.4% neutrophils, 35.1% to 95.1% macrophages, 0.4 to 22.9% lymphocytes, and 0.0% to 0.9% eosinophils. The neutrophilic profile was characterized by ≥44.5% neutrophils, <1.6% eosinophils, and <11.5% lymphocytes. This profile was associated with the isolation of Pasteurella multocida, the presence of neutrophils with toxic granulation, and the presence of phagocytosed bacteria in neutrophils. The eosinophilic profile was characterized by eosinophils ≥1.6% (neutrophilia present) or ≥2.4% (neutrophilia absent), and associated with the presence of mast cells. On herd level, the neutrophilic and eosinophilic profiles were present in 85.0% and 15.0% of the herds, respectively. Conclusions and Clinical Importance This study provides a first step in the development of cytological guidelines, aiding the assessment of airway health and inflammation in calves through nBAL fluid cytology.
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spelling doaj.art-6a9b39173e8c427f83cf54e2c0cfcc3e2024-03-23T17:56:17ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762023-11-013762610262210.1111/jvim.16855Differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytologyJustine Clinquart0Katharina vanLeenen1Jade Bokma2Bart Pardon3Department of Internal Medicine, Reproduction and Population Medicine Ghent University Merelbeke BelgiumDepartment of Internal Medicine, Reproduction and Population Medicine Ghent University Merelbeke BelgiumDepartment of Internal Medicine, Reproduction and Population Medicine Ghent University Merelbeke BelgiumDepartment of Internal Medicine, Reproduction and Population Medicine Ghent University Merelbeke BelgiumAbstract Background Nonbronchoscopic bronchoalveolar lavage (nBAL) is routinely performed in calves, and airway cytology has great potential in airway disease diagnostics. A good reference framework for nBAL cytology is lacking. Objectives To distinguish different cytological profiles in nBAL from grouped housed calves using cluster analysis, and characterize these profiles on individual and herd levels. Animals Three hundred thirty‐eight group‐housed calves from 60 herds (mainly dairy and beef ). Methods Cross‐sectional study. Differential counts of white blood cells were determined on nBAL fluid, followed by differentiation of cytological profiles by K‐means‐based cluster analysis. These profiles were characterized by reference values, decision tree analysis, and associations with clinical, ultrasonographic, bacteriological, and cytological features. Results A normal (55.9%), a neutrophilic (41.1%), and an eosinophilic profile (3.0%) were identified. The normal profile was characterized by reference values of 2.3% to 47.4% neutrophils, 35.1% to 95.1% macrophages, 0.4 to 22.9% lymphocytes, and 0.0% to 0.9% eosinophils. The neutrophilic profile was characterized by ≥44.5% neutrophils, <1.6% eosinophils, and <11.5% lymphocytes. This profile was associated with the isolation of Pasteurella multocida, the presence of neutrophils with toxic granulation, and the presence of phagocytosed bacteria in neutrophils. The eosinophilic profile was characterized by eosinophils ≥1.6% (neutrophilia present) or ≥2.4% (neutrophilia absent), and associated with the presence of mast cells. On herd level, the neutrophilic and eosinophilic profiles were present in 85.0% and 15.0% of the herds, respectively. Conclusions and Clinical Importance This study provides a first step in the development of cytological guidelines, aiding the assessment of airway health and inflammation in calves through nBAL fluid cytology.https://doi.org/10.1111/jvim.16855bovine respiratory disease complexcytologynonbronchoscopic bronchoalveolar lavagereference ranges
spellingShingle Justine Clinquart
Katharina vanLeenen
Jade Bokma
Bart Pardon
Differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytology
Journal of Veterinary Internal Medicine
bovine respiratory disease complex
cytology
nonbronchoscopic bronchoalveolar lavage
reference ranges
title Differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytology
title_full Differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytology
title_fullStr Differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytology
title_full_unstemmed Differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytology
title_short Differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytology
title_sort differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytology
topic bovine respiratory disease complex
cytology
nonbronchoscopic bronchoalveolar lavage
reference ranges
url https://doi.org/10.1111/jvim.16855
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AT jadebokma differentiatingairwayinflammationincalvesbasedonclusteranalysisofbronchoalveolarlavagefluidcytology
AT bartpardon differentiatingairwayinflammationincalvesbasedonclusteranalysisofbronchoalveolarlavagefluidcytology