Urinary phoretograms performed by capillary electrophoresis in dogs with chronic disease with or without Leishmania infantum infection

Relationship between urinary neutrophil gelatinase-associated lipocalin and selected biochemical and urinary parameters in dogs naturally infected with Leishmania infantum

Background and Aim

Leishmania infantum infection in dogs has several clinical manifestations. Glomerulonephritis, caused by circulating immune complexes, may cause proteinuria and progress to kidney failure, which is the primary cause of death in dogs with canine leishmaniasis (CanL). Renal proteinuria can be monitored in dogs with CanL for the early detection of renal involvement. Neutrophil gelatinase-associated lipocalin (NGAL) is a neutrophil-derived protein that is filtered by glomeruli and reabsorbed by proximal tubular cells. Urinary NGAL (uNGAL) is a sensitive marker of acute and chronic kidney disease in dogs. This study aimed to evaluate uNGAL concentrations in dogs naturally affected by CanL, to determine whether uNGAL concentration differs depending on the stage of disease based on the LeishVet and International Renal Interest Society (IRIS) classification systems, to compare uNGAL concentration with selected urinary and biochemical parameters related to kidney function, and to assess the clinicopathological status of dogs affected by CanL.

Materials and Methods

We assessed uNGAL concentrations in 37 privately owned dogs naturally affected by CanL, in which urinary tract infections were excluded based on negative urine culture. No dog exhibited clinical signs related to impaired renal function. uNGAL concentration evaluated in dogs affected by CanL was compared to the one previously analyzed in the control group. Furthermore, the uNGAL concentration was compared between leishmaniasis dogs with biochemical and urinary parameters inside or outside the normal range and between dogs with different clinical stages of leishmaniasis based on the LeishVet clinical staging guidelines and IRIS classification.

Results

The median uNGAL concentration in affected dogs was 50.2 ng/mL, which was significantly higher than that in healthy dogs (9.74 ng/mL [p = 0.0025]). uNGAL concentration was significantly higher in proteinuric leishmaniosis dogs than in non-proteinuric leishmaniosis dogs (p = 0.0001). Dogs classified as LeishVet clinical stage III had a higher mean uNGAL concentration than those classified as stage II (p = 0.0001) and median uNGAL concentration was statistically higher in dogs classified as IRIS stage 1 than in dogs affected by CanL with no clinical and pathological signs of renal disease. The amount of proteinuria and urinary sediment hyaline cast per high-power field of the microscope and total serum protein concentrations were significantly correlated with uNGAL concentration.

Conclusion

To the best of our knowledge, only a few studies have measured uNGAL in dogs naturally affected by CanL. Although limited by the small number of cases, this study highlighted a significant increase in uNGAL levels in affected dogs compared with healthy dogs and confirmed the correlation between proteinuria and urinary excretion of uNGAL in dogs with leishmaniasis. This suggests that uNGAL can be used as a marker of kidney damage in dogs affected by CanL.

Hyperbetaglobulinemia, anaemia and thrombocytopenia in a domestic ferret (Mustela putorius furo) associated to Leishmania infantum

Leishmaniosis in domestic ferrets is a vector-borne disease caused in Europe by the protozoan parasite Leishmania infantum. There is limited information on clinical signs and laboratory abnormalities in ferrets due to leishmaniosis. This clinical case report described a domestic ferret (Mustela putorius furo) with severe hyperbetaglobulinemia, anaemia, thrombocytopenia, and abnormal renal parameters. A good clinical response following an anti-Leishmania infantum treatment protocol was achieved. However, the presence of pain at the site of injection was the main side effect due to meglumine antimoniate administration. Xanthine crystalluria was not observed in urine sediment with no other urine alterations detected by urine analysis during the follow-up. Initially, clinical signs noted in this ferret could not initially be attributed to leishmaniosis. However, no causes were found that could have caused the hyperglobulinemia in this patient. A reduction of the levels of anti-L. infantum serum antibodies and the concentrations of beta-globulin fraction was detected in this patient after anti-Leishmania treatment administered as well as the disappearance of thrombocytopenia. To extent of the knowledge of leishmaniosis in ferrets, this is the fourth case report of leishmaniosis documented in this species.

Urinary Electrophoretograms Performed by Capillary Electrophoresis: Comparison between Dogs and Cats

Electrophoresis of urine to evaluate different urinary proteins has been used in recent years in veterinary medicine, as it can be a useful laboratory tool in the early detection of kidney damage. However, urinary capillary electrophoresis (UCE) has not been reported in healthy cats. In healthy dogs, reference intervals have been established and can be compared with pathological samples as these provide an easily interpretable pattern. The electrophoretogram in this study is divided into five fractions (F1-F5) by serum (albumin; alpha₁-globulin; alpha₂-globulin; beta-globulin; and gamma-globulin). Urine samples from 14 healthy cats were obtained by eco-guided cystocentesis. UCE was run in all samples and compared to 123 dog electrophoretograms from a previously published study. Fraction 2 (alpha₁-globulin) was statistically decreased in cats (G₁) compared to dogs (G₂). Fraction 4 (beta-globulin) was statistically augmented in cats compared to the canine population (G₂). Fraction 5 (gamma-globulin) was statistically decreased in cats (G₁) compared to dogs (G₂). No statistical correlation was found between each cat's serum and urinary fractions. The results of the present study suggest that UCE patterns in cats are similar to the ones described in dogs. UCE can be a non-invasive new diagnostic tool in cats as pathological patterns can be compared to normal ones.