Evaluation of Symmetric Dimethylarginine (SDMA) in Dogs with Acute Pancreatitis

Symmetric dimethylarginine (SDMA) is considered an important biomarker of kidney dysfunction. The aims of the study were to evaluate SDMA in dogs with acute pancreatitis (AP) and its relationship with the presence of kidney injury and mortality. A cohort study including fifty-four dogs with AP diagn...

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Main Authors: Eleonora Gori, Alessio Pierini, Ilaria Lippi, Valentina Meucci, Francesca Perondi, Veronica Marchetti
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/7/2/72
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author Eleonora Gori
Alessio Pierini
Ilaria Lippi
Valentina Meucci
Francesca Perondi
Veronica Marchetti
author_facet Eleonora Gori
Alessio Pierini
Ilaria Lippi
Valentina Meucci
Francesca Perondi
Veronica Marchetti
author_sort Eleonora Gori
collection DOAJ
description Symmetric dimethylarginine (SDMA) is considered an important biomarker of kidney dysfunction. The aims of the study were to evaluate SDMA in dogs with acute pancreatitis (AP) and its relationship with the presence of kidney injury and mortality. A cohort study including fifty-four dogs with AP diagnosed using compatible clinical and laboratory parameters, abnormal SNAP cPL and compatible abdominal ultrasound within 48 h from admission, was conducted. Dogs with history of renal and/or urinary diseases were excluded, along with dogs exposed to nephrotoxic drugs. Serum urea and creatinine and urinary output (UO) were recorded. Acute kidney injury (AKI) was diagnosed and graded using International Renal Interest Society (IRIS) guidelines. SDMA was measured using high performance liquid chromatography. Fifty-four dogs were included and divided in non-AKI (<i>n</i> = 37) and AKI dogs (<i>n</i> = 17). Twenty-three dogs (14 non-AKI) had SDMA > 15 μg/dL. Median SDMA was higher in AKI dogs than non-AKI dogs (25.7 vs. 13.93 μg/dL; <i>p</i> = 0.03). Dogs with normal creatinine (AP and AKI 1 dogs) had SDMA above reference range in 38% and 33% of cases, respectively. In AKI dogs, SDMA and creatinine were positively correlated (<i>p</i> = 0.006 <i>r</i> = 0.7). SDMA was not significantly different between survivors and non-survivors. Although further studies are warranted, SDMA may be a useful tool in canine AP, as a high SDMA may be related to subclinical kidney impairment.
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spelling doaj.art-d672009c1ea14aeab77d7ef0990ec9382023-11-20T02:27:26ZengMDPI AGVeterinary Sciences2306-73812020-06-01727210.3390/vetsci7020072Evaluation of Symmetric Dimethylarginine (SDMA) in Dogs with Acute PancreatitisEleonora Gori0Alessio Pierini1Ilaria Lippi2Valentina Meucci3Francesca Perondi4Veronica Marchetti5Department of Veterinary Sciences, University of Pisa, Via Livornese Lato Monte, 56121 Pisa, ItalyDepartment of Veterinary Sciences, University of Pisa, Via Livornese Lato Monte, 56121 Pisa, ItalyDepartment of Veterinary Sciences, University of Pisa, Via Livornese Lato Monte, 56121 Pisa, ItalyDepartment of Veterinary Sciences, University of Pisa, Via Livornese Lato Monte, 56121 Pisa, ItalyDepartment of Veterinary Sciences, University of Pisa, Via Livornese Lato Monte, 56121 Pisa, ItalyDepartment of Veterinary Sciences, University of Pisa, Via Livornese Lato Monte, 56121 Pisa, ItalySymmetric dimethylarginine (SDMA) is considered an important biomarker of kidney dysfunction. The aims of the study were to evaluate SDMA in dogs with acute pancreatitis (AP) and its relationship with the presence of kidney injury and mortality. A cohort study including fifty-four dogs with AP diagnosed using compatible clinical and laboratory parameters, abnormal SNAP cPL and compatible abdominal ultrasound within 48 h from admission, was conducted. Dogs with history of renal and/or urinary diseases were excluded, along with dogs exposed to nephrotoxic drugs. Serum urea and creatinine and urinary output (UO) were recorded. Acute kidney injury (AKI) was diagnosed and graded using International Renal Interest Society (IRIS) guidelines. SDMA was measured using high performance liquid chromatography. Fifty-four dogs were included and divided in non-AKI (<i>n</i> = 37) and AKI dogs (<i>n</i> = 17). Twenty-three dogs (14 non-AKI) had SDMA > 15 μg/dL. Median SDMA was higher in AKI dogs than non-AKI dogs (25.7 vs. 13.93 μg/dL; <i>p</i> = 0.03). Dogs with normal creatinine (AP and AKI 1 dogs) had SDMA above reference range in 38% and 33% of cases, respectively. In AKI dogs, SDMA and creatinine were positively correlated (<i>p</i> = 0.006 <i>r</i> = 0.7). SDMA was not significantly different between survivors and non-survivors. Although further studies are warranted, SDMA may be a useful tool in canine AP, as a high SDMA may be related to subclinical kidney impairment.https://www.mdpi.com/2306-7381/7/2/72caninepancreasinflammationkidney injury
spellingShingle Eleonora Gori
Alessio Pierini
Ilaria Lippi
Valentina Meucci
Francesca Perondi
Veronica Marchetti
Evaluation of Symmetric Dimethylarginine (SDMA) in Dogs with Acute Pancreatitis
Veterinary Sciences
canine
pancreas
inflammation
kidney injury
title Evaluation of Symmetric Dimethylarginine (SDMA) in Dogs with Acute Pancreatitis
title_full Evaluation of Symmetric Dimethylarginine (SDMA) in Dogs with Acute Pancreatitis
title_fullStr Evaluation of Symmetric Dimethylarginine (SDMA) in Dogs with Acute Pancreatitis
title_full_unstemmed Evaluation of Symmetric Dimethylarginine (SDMA) in Dogs with Acute Pancreatitis
title_short Evaluation of Symmetric Dimethylarginine (SDMA) in Dogs with Acute Pancreatitis
title_sort evaluation of symmetric dimethylarginine sdma in dogs with acute pancreatitis
topic canine
pancreas
inflammation
kidney injury
url https://www.mdpi.com/2306-7381/7/2/72
work_keys_str_mv AT eleonoragori evaluationofsymmetricdimethylargininesdmaindogswithacutepancreatitis
AT alessiopierini evaluationofsymmetricdimethylargininesdmaindogswithacutepancreatitis
AT ilarialippi evaluationofsymmetricdimethylargininesdmaindogswithacutepancreatitis
AT valentinameucci evaluationofsymmetricdimethylargininesdmaindogswithacutepancreatitis
AT francescaperondi evaluationofsymmetricdimethylargininesdmaindogswithacutepancreatitis
AT veronicamarchetti evaluationofsymmetricdimethylargininesdmaindogswithacutepancreatitis