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Bertolo PHL, Moutinho da Conceição MEBA, Emboaba da Costa RRM, Jacintho APP, Cipriano RS, Moreira PRR, Ferreira MA, Machado GF, de Oliveira Vasconcelos R. Influence of serum progesterone levels on the inflammatory response of female dogs with visceral leishmaniosis. Vet Parasitol 2022; 302:109658. [PMID: 35042095 DOI: 10.1016/j.vetpar.2022.109658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 11/26/2021] [Accepted: 01/12/2022] [Indexed: 11/16/2022]
Abstract
The aim of this study was to evaluate the histopathological changes to the mammary gland that occur in female dogs with visceral leishmaniosis and to correlate the findings with the parasite load, inflammatory cell profile in mammary tissue and serum progesterone levels. For this, 20 adult female dogs that were naturally infected with Leishmania infantum, not spayed, not pregnant and free from mammary tumors were used. They were divided into two groups: G1 (n = 9) with high serum progesterone levels and G2 (n = 11) with low serum progesterone levels. The parasite load and the immunophenotype of leukocytes infiltrated into the mammary tissue (CD3, CD4, CD8 and MCA874) were evaluated using the immunohistochemical technique. In the mammary gland, chronic inflammatory infiltrate was mainly found in G1, sometimes associated with granulomatous inflammation, higher parasite load and higher density of cells immunolabeled for CD3, CD4, CD8 and MCA874. A significant positive correlation (p < 0.05) was observed between the parasite load and the immunolabeled leukocytes. The influence of the serum progesterone level in the mammary gland of infected female dogs can contribute to the maintenance of an immunosuppressive cell profile and favor the persistence of the parasite in this site.
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Affiliation(s)
- Paulo Henrique Leal Bertolo
- School of Agrarian and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, São Paulo, Brazil
| | | | | | - Ana Paula Prudente Jacintho
- School of Agrarian and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, São Paulo, Brazil
| | | | | | - Maricy Apparício Ferreira
- School of Agrarian and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, São Paulo, Brazil
| | - Gisele Fabrino Machado
- School of Veterinary Medicine, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
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de Melo EHM, Câmara DR, Notomi MK, Jabour FF, Garrido RA, Nogueira ACJ, Júnior JCS, de Souza FW. Effectiveness of ovariohysterectomy on feline mammary fibroepithelial hyperplasia treatment. J Feline Med Surg 2021; 23:351-356. [PMID: 32812465 PMCID: PMC10812215 DOI: 10.1177/1098612x20950551] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVES The aim of this study was to evaluate the effectiveness of ovariohysterectomy (OVH) on feline mammary fibroepithelial hyperplasia (FMFH) treatment, as well as the influence of previous injectable progestin on clinical signs and treatment of FMFH. METHODS Seventy-nine female cats diagnosed with FMFH between 2014 and 2018 were included. The animals were distributed as follows: (1) treated only with OVH (TA) or OVH plus antiprogestin (TB); and (2) no administration (G1) or previous administration (G2) of injectable progestin before FMFH diagnosis. Data regarding clinical signs of FMFH, occurrence of persistent mammary growth after OVH, and time until complete remission of FMFH post-surgery were recorded and evaluated. RESULTS Mastectomy was not performed in any cat during the study. TA was adopted in 71/79 (89.9%) cases, with 42/71 (59.2%) from G2 and 29/71 (40.8%) from G1. TB was adopted in 8/79 (10.1%) cats, all from G2. Total remission of FMFH was observed in 73/79 (92.4%) cats, with six animals from G2 having died (n = 6/79 [7.6%]). The time until complete remission of FMFH was higher (P <0.0001) in cats from G2 than from G1. Moreover, animals from G2 had a higher percentage of persistent mammary growth after OVH (P <0.001) and a tendency to higher mortality (P = 0.052) compared with G1. CONCLUSIONS AND RELEVANCE Previous treatment with injectable progestin may result in a more complex clinical presentation of FMFH. Ovariohysterectomy is a good treatment option for FMFH when there is no interest in breeding the queen. Treatment with antiprogestin is recommended, especially if persistent mammary growth is detected after OVH.
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Affiliation(s)
- Evelynne HM de Melo
- Department of Veterinary Medicine, Federal University of Alagoas, Viçosa, Alagoas-AL, Brazil
| | - Diogo R Câmara
- Department of Veterinary Medicine, Federal University of Alagoas, Viçosa, Alagoas-AL, Brazil
| | - Marcia K Notomi
- Department of Veterinary Medicine, Federal University of Alagoas, Viçosa, Alagoas-AL, Brazil
| | - Flávia F Jabour
- Department of Veterinary Medicine, University Mauricio de Nassau, Maceió-AL, Brazil
| | - Rita A Garrido
- Department of Veterinary Medicine, Federal University of Alagoas, Viçosa, Alagoas-AL, Brazil
| | | | | | - Fernando W de Souza
- Department of Veterinary Medicine, Federal University of Alagoas, Viçosa, Alagoas-AL, Brazil
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Vilhena H, Tvarijonaviciute A, Cerón JJ, Figueira AC, Miranda S, Ribeiro A, Canadas A, Dias-Pereira P, Rubio CP, Franco L, Tecles F, Cabeças R, Pastor J, Silvestre-Ferreira AC. Acute phase proteins and biomarkers of oxidative status in feline spontaneous malignant mammary tumours. Vet Comp Oncol 2019; 17:394-406. [PMID: 31025532 DOI: 10.1111/vco.12486] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Revised: 04/15/2019] [Accepted: 04/17/2019] [Indexed: 12/27/2022]
Abstract
Acute phase proteins (APP) and biomarkers of oxidative status change in human and canine mammary tumours, however, they have not been studied in feline mammary tumours. The aims of this study were to investigate the APP and antioxidant responses in feline malignant mammary tumours, to evaluate their relation with tumour features, and to assess their prognostic value. Serum amyloid A (SAA), haptoglobin (Hp), albumin, butyrylcholinesterase (BChE), insulin-like growth factor1 (IGF1), paraoxonase1 (PON1), total serum thiols (Thiol), glutathione peroxidase (GPox) and total antioxidant capacity determined by different assays, including trolox equivalent antioxidant capacity assessed by two different methodologies (TEAC1/2), ferric reducing ability of plasma (FRAP), and cupric reducing antioxidant capacity (CUPRAC), were determined in serum of 50 queens with spontaneous mammary carcinomas and of 12 healthy female cats. At diagnosis, diseased queens presented significantly higher SAA and Hp, and lower albumin, BChE, GPox, TEAC1, TEAC2 and CUPRAC than controls. Different tumour features influenced concentrations of APP and antioxidants. Increases in serum Hp, and decreases in albumin, Thiol and FRAP were significantly associated with neoplastic vascular emboli, metastasis in regional lymph nodes and/or in distant organs. Distant metastasis development during the course of the disease was associated with increases in SAA and TEAC1. At diagnosis, decreased albumin was associated with a longer survival, and BChE <1.15 μmoL/mL.minute was associated with a shorter survival time on multivariate analysis. Feline malignant mammary tumours are associated with an APP response and oxidative stress, and different tumour features influence the inflammatory response and the oxidative damage. Furthermore, some of these analytes proved to have prognostic value.
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Affiliation(s)
- Hugo Vilhena
- Department of Veterinary Medicine, Center for Investigation Vasco da Gama (CIVG), Vasco da Gama Universitary School, Coimbra, Portugal.,Baixo Vouga Veterinary Hospital, Águeda, Portugal.,Animal and Veterinary Research Centre (CECAV), University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Asta Tvarijonaviciute
- Interdisciplinary Laboratory of Clinical Analysis of University of Murcia (Interlab-UMU), University of Murcia, Murcia, Spain
| | - José J Cerón
- Interdisciplinary Laboratory of Clinical Analysis of University of Murcia (Interlab-UMU), University of Murcia, Murcia, Spain
| | - Ana C Figueira
- Department of Veterinary Medicine, Center for Investigation Vasco da Gama (CIVG), Vasco da Gama Universitary School, Coimbra, Portugal.,University Veterinary Hospital of Coimbra, Coimbra, Portugal
| | - Sónia Miranda
- Baixo Vouga Veterinary Hospital, Águeda, Portugal.,Animal and Veterinary Research Centre (CECAV), University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Ana Ribeiro
- Veterinary Policlinic of Aveiro, Aveiro, Portugal
| | - Ana Canadas
- Department of Pathology and Molecular Immunology, Institute for the Biomedical Sciences Abel Salazar, Porto University (ICBAS-UP), Porto, Portugal
| | - Patrícia Dias-Pereira
- Department of Pathology and Molecular Immunology, Institute for the Biomedical Sciences Abel Salazar, Porto University (ICBAS-UP), Porto, Portugal
| | - Camila P Rubio
- Interdisciplinary Laboratory of Clinical Analysis of University of Murcia (Interlab-UMU), University of Murcia, Murcia, Spain
| | - Lorena Franco
- Interdisciplinary Laboratory of Clinical Analysis of University of Murcia (Interlab-UMU), University of Murcia, Murcia, Spain
| | - Fernando Tecles
- Interdisciplinary Laboratory of Clinical Analysis of University of Murcia (Interlab-UMU), University of Murcia, Murcia, Spain
| | - Ricardo Cabeças
- Department of Veterinary Medicine, Center for Investigation Vasco da Gama (CIVG), Vasco da Gama Universitary School, Coimbra, Portugal
| | - Josep Pastor
- Department of Animal Medicine and Surgery, Autonomous University of Barcelona, Barcelona, Spain
| | - Ana C Silvestre-Ferreira
- Animal and Veterinary Research Centre (CECAV), University of Trás-os-Montes and Alto Douro, Vila Real, Portugal.,Department of Veterinary Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
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Zappulli V, Rasotto R, Caliari D, Mainenti M, Peña L, Goldschmidt MH, Kiupel M. Prognostic evaluation of feline mammary carcinomas: a review of the literature. Vet Pathol 2014; 52:46-60. [PMID: 24741029 DOI: 10.1177/0300985814528221] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
A large number of studies have investigated feline mammary tumors in an attempt to identify prognostic markers and generate comparative analyses with human breast cancer. Nevertheless, a retrospective base of assessments and the lack of standardization in methodology and study design have caused weakness in study results, making comparison difficult. We examined feline mammary tumor publications and evaluated postulated prognostic parameters according to the recently published "Recommended Guidelines for the Conduct and Evaluation of Prognostic Studies in Veterinary Oncology." Using these criteria, we determined with statistically significant reliability that prognostic parameters for feline mammary tumors are tumor grading and lymph node/lymphovascular invasion. Furthermore, tumor subtype, size, and staging are worthy of further standardized investigation. We present statistical significance for each studied parameter as well as its relevance to disease progression and survival. Our evaluation suggests that marker expression (ie, Ki67, HER2, ER) may provide relevant information applicable for therapeutic predictions; however, consensus efforts and protocol standardization are needed. We identify and discuss major points of concern--such as sample preservation and selection, standardization of immunohistochemical protocols, and evaluation of results--to provide support for subsequent reliable analyses.
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Affiliation(s)
- V Zappulli
- Department of Comparative Biomedicine and Food Science, University of Padua, Italy
| | | | - D Caliari
- Department of Comparative Biomedicine and Food Science, University of Padua, Italy
| | - M Mainenti
- Department of Comparative Biomedicine and Food Science, University of Padua, Italy
| | - L Peña
- Department of Animal Medicine, Surgery, and Pathology, Complutense University of Madrid, Spain
| | - M H Goldschmidt
- Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, PA, USA
| | - M Kiupel
- Department of Pathobiology and Diagnostic Investigation, College of Veterinary Medicine, Michigan State University, East Lansing, MI, USA
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Sontas BH, Turna O, Ucmak M, Ekici H. What is your diagnosis? Feline mammary fibroepithelial hyperplasia. J Small Anim Pract 2008; 49:545-7. [PMID: 18844825 DOI: 10.1111/j.1748-5827.2008.00637.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- B H Sontas
- Department of Obstetrics and Gynaecology, Faculty of Veterinary Medicine, Istanbul University, 34320 Istanbul, Turkey
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Queiroga FL, Pérez-Alenza MD, Silvan G, Peña L, Lopes CS, Illera JC. Crosstalk between GH/IGF-I axis and steroid hormones (progesterone, 17beta-estradiol) in canine mammary tumours. J Steroid Biochem Mol Biol 2008; 110:76-82. [PMID: 18367392 DOI: 10.1016/j.jsbmb.2008.02.005] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2007] [Revised: 02/07/2008] [Accepted: 02/07/2008] [Indexed: 11/19/2022]
Abstract
Growth hormone (GH), insulin-like growth factor I (IGF-I), progesterone (P4) and 17beta-estradiol (17-E2) concentrations have been studied in 84 mammary tumours (44 dysplasias and benign tumours and 40 malignant neoplasias) from 33 female dogs. Thirteen normal mammary glands from 80 healthy female dogs were also analysed as controls. GH concentrations were determined in mammary homogenates by radio-immunoassay. IGF-I, P4 and 17-E2 tissue levels were determined by enzyme-immunoassay (EIA) techniques. The potential correlations between GH/IGF-I concentrations and P4 and 17-E2 mammary tissue levels were investigated. Tissue GH (p<0.01) and IGF-I concentrations (p<0.01) were significantly higher in malignant tumours than in benign neoplasms. Likewise, malignant tumours were the mammary lesions that displayed the highest P4 and 17-E2 tissue levels. Strong correlations between GH/IGF-I (n=84; r=0.436; p<0.001), P4/GH (n=84; r=0.562; p<0.001) and 17-E2/IGF-I (n=84; r=0.638; p<0.001) were observed in tumoral tissue homogenates. Our study provides evidence that P4 might increase autocrine GH production which might directly stimulate local or systemic IGF-I secretion. Additionally, the IGF-I effect might be influenced by local levels of 17-E2. These results suggest that all these hormones and factors might act as local growth factors stimulating the development and/or maintenance of canine mammary tumours in an autocrine/paracrine manner.
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Affiliation(s)
- Felisbina L Queiroga
- CECAV, Department of Veterinary Sciences, Universidade de Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal.
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Loretti AP, Ilha MRDS, Ordás J, Martín de las Mulas J. Clinical, pathological and immunohistochemical study of feline mammary fibroepithelial hyperplasia following a single injection of depot medroxyprogesterone acetate. J Feline Med Surg 2005; 7:43-52. [PMID: 15686973 PMCID: PMC10911546 DOI: 10.1016/j.jfms.2004.05.002] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2004] [Indexed: 11/19/2022]
Abstract
Feline mammary fibroepithelial hyperplasia (FMFH) following a single injection of depot medroxyprogesterone acetate (MPA) was observed in eight intact young queens. The repository compound is marketed as a veterinary product by a local pharmaceutical company with an indication for contraception in cats. The drug was administered according to the recommended doses and injection frequencies. Serum hormone assays performed immediately before neutering and 3 weeks after neutering detected persistently high levels of progesterone suggesting that depot MPA was still exerting its influence. No corpora lutea were found in those cases ruling out ovaries as the main site of progesterone. Immunohistochemistry performed on the hyperplastic mammary glands detected progesterone receptors in the nuclei of ductal cells, and growth hormone (GH) and insulin-like growth factor-I (IGF-I) in the cytoplasm of ductal epithelium. Overdosing should be considered here as the animals received at least 10 mg/kg of depot MPA in a single injection. Progestin-induced local synthesis of GH and IGF-I in mammary epithelial cells is suggested as one of the pathogenic mechanisms involved in the development of FMFH.
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Affiliation(s)
- Alexandre Paulino Loretti
- Section of Veterinary Pathology, Department of Veterinary Clinical Pathology, Faculty of Veterinary Medicine, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
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