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Massetti L, Schnyder M, Wiethoelter A, Brianti E, McDonagh P, Traub R, Colella V. A Taq-Man-based multiplex quantitative PCR for the simultaneous detection and quantification of Angiostrongylus vasorum, Crenosoma vulpis, and species of respiratory capillarids in canids. Int J Parasitol 2024; 54:185-193. [PMID: 38097033 DOI: 10.1016/j.ijpara.2023.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 11/21/2023] [Accepted: 12/08/2023] [Indexed: 12/25/2023]
Abstract
In recent years, Angiostrongylus vasorum, Crenosoma vulpis, Eucoleus aerophilus (syn. Capillaria aerophila) and Eucoleus boehmi (syn. Capillaria boehmi), commonly referred to as canine lungworms, have gained a growing interest worldwide as the result of their geographical expansion. Each of these nematode species differs considerably in its biology and pathogenicity. Despite their impact on dogs' health, these parasites are often underdiagnosed owing to diagnostic challenges. Here, we describe the development and validation of a Taq-Man-based multiplex quantitative PCR (qPCR) for the simultaneous detection of the main species of canine lungworms in faeces of infected dogs. Using 10-fold serial dilutions of synthetic gene block fragments containing individual sequence targets of each lungworm species, the analytical sensitivity of the assay ascertained was 1.84 ng/μl for A. vasorum, 3.08 ng/μl for C. vulpis and 0.79 ng/μl for Eucoleus spp. The sensitivity of the assays and their ability to detect mixed species infections were compared with microscopy-based techniques (faecal floatation and Baermann technique) applied to faecal samples submitted for lungworm testing through an accredited diagnostic laboratory at the Institute of Parasitology, University of Zurich, Switzerland, and from community dogs as part of a research project on canine endoparasites in Cambodia. The multiplex qPCR displayed high diagnostic sensitivity (42/46, 91.3%; 95% Confidence Interval (CI): 79.1-97.1%) and a diagnostic specificity of 100% (45/45, 95% CI: 90.6-100%), and was able to detect 42.9% additional mixed lungworm species infections compared with microscopy-based methods. Kappa statistics showed substantial agreement between the qPCRs and microscopy for mixed infections (κ = 0.72, 95% CI: 0.4-1) and Eucoleus spp. (κ = 0.65, 95% CI: 0.45-0.85) and almost perfect agreement for C. vulpis (κ = 0.85, 95% CI: 0.63-1) and A. vasorum (κ = 0.92, 95% CI: 0.84-1). This multiplex qPCR enables timely, accurate, and sensitive diagnosis of canine lungworm species in faecal samples and can be used to monitor the geographical distribution and emergence of these parasitic species, globally.
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Affiliation(s)
- Luca Massetti
- Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
| | - Manuela Schnyder
- Institute of Parasitology, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 266a, Zürich, 8057, Switzerland
| | - Anke Wiethoelter
- Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
| | - Emanuele Brianti
- Department of Veterinary Sciences, University of Messina, 98168 Messina, Italy
| | - Phillip McDonagh
- Boehringer Ingelheim Animal Health Australia, North Ryde, New South Wales 2113, Australia
| | - Rebecca Traub
- Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
| | - Vito Colella
- Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia.
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Massetti L, Traub RJ, Rae L, Colella V, Marwedel L, McDonagh P, Wiethoelter A. Canine gastrointestinal parasites perceptions, practices, and behaviours: A survey of dog owners in Australia. One Health 2023; 17:100587. [PMID: 37415719 PMCID: PMC10320617 DOI: 10.1016/j.onehlt.2023.100587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 06/15/2023] [Accepted: 06/15/2023] [Indexed: 07/08/2023] Open
Abstract
Many species of canine gastrointestinal (GI) parasites are known to be zoonotic meaning that dog owners' management and practices are key to preventing exposure of humans and dogs as well as contamination of the environment. As Australia has one of the highest rates of pet ownership in the world, we administered an online questionnaire to dog owners across the nation to assess their perceptions, practices, and behaviours towards canine GI parasites. Descriptive analysis was performed to summarise perceptions and management practices. Factors associated with the suitability of parasiticide treatments applied were investigated using uni- and multivariable ordinal regression. Just over a half of dog owners considered parasites as very or extremely important for their dog's health (59%) and less than a half as very or extremely important for human health (46%). Although the majority of dog owners stated that they deworm their dogs (90%), only the 28% followed best practice guidelines, i.e. administered a monthly prophylactic treatment all-year round. A large proportion of respondent dog owners administered prophylactic treatment at an inappropriate frequency (48%) or did not treat for canine GI parasites at all (24%). Attending vet visits at least once a year or once every six months and having a very comfortable or prosperous financial position were significantly associated with following best deworming prophylaxis guidelines. This study demonstrates that a proportion of dog owners in Australia is not complying with best practice regarding the control of canine GI parasites and is potentially exposing themselves and their dogs to the risk of infections. Veterinarians are called to implement dog owner's education, raise their awareness on the threats canine parasitic diseases pose to both dogs and humans and finally, encourage them to follow a monthly prophylactic treatment for canine GI parasites all year round.
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Affiliation(s)
- Luca Massetti
- Melbourne Veterinary School, Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
| | - Rebecca J. Traub
- Melbourne Veterinary School, Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
| | - Louise Rae
- Boehringer Ingelheim Animal Health Australia, North Ryde, New South Wales 2113, Australia
| | - Vito Colella
- Melbourne Veterinary School, Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
| | - Lara Marwedel
- Boehringer Ingelheim Animal Health Australia, North Ryde, New South Wales 2113, Australia
| | - Phillip McDonagh
- Boehringer Ingelheim Animal Health Australia, North Ryde, New South Wales 2113, Australia
| | - Anke Wiethoelter
- Melbourne Veterinary School, Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia
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Teo E, Russell H, Lambert T, Webster R, Yappa A, McDonagh P, Harper G, Barker D, Barker SC. The weather determines the number of cases of tick paralysis in dogs and cats in eastern Australia, caused by Ixodes holocyclus, the eastern paralysis tick. Aust Vet J 2023; 101:479-489. [PMID: 37772326 DOI: 10.1111/avj.13289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 08/28/2023] [Accepted: 09/10/2023] [Indexed: 09/30/2023]
Abstract
We studied over 222,000 cases of emergency veterinary consultations in four regions along the eastern coast of Australia. We found that cases of tick paralysis (TP) caused by the eastern paralysis tick, Ixodes holocyclus, accounted for 7.5% of these cases: >16,000 cases. The season of TP and the number (prevalence) of TP cases varied among regions and over the years. Our study of the association between weather and (i) the start of the season of TP, and (ii) the number of TP cases revealed much about the intricate relationship between the weather and I. holocyclus. We studied the effect of the hypothetical availability of isoxazoline-containing tick-preventative medicines and found that an increase in the availability of these medicines had significantly contributed to the decrease in TP cases. We found that the weather in winter accounted for the time of the year the season of TP starts whereas the weather in summer accounted for the number of TP cases in the TP season. Last, through a study of the effects of shifts in the climate under four hypothetical scenarios (warmer/cooler and drier/wetter than average), we propose that the start of the season of TP depends on how soon the weather in winter becomes suitable for the activity (e.g. host-seeking) and the development of I. holocyclus nymphs, and that the number of TP cases during the TP season depends on how many engorged female ticks and their eggs survive during summer.
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Affiliation(s)
- Ejm Teo
- Department of Parasitology, School of Chemistry & Molecular Biosciences, The University of Queensland, Brisbane, Queensland, 4072, Australia
| | - H Russell
- Northside Emergency Veterinary Service, Terrey Hills, New South Wales, 2084, Australia
| | - T Lambert
- Northside Emergency Veterinary Service, Terrey Hills, New South Wales, 2084, Australia
| | - R Webster
- Animal Emergency Australia, Springwood, Queensland, 4127, Australia
| | - A Yappa
- Animal Emergency Australia, Springwood, Queensland, 4127, Australia
| | - P McDonagh
- Boehringer Ingelheim Animal Health Australia, Macquarie Park, New South Wales, 2113, Australia
| | - G Harper
- Boehringer Ingelheim Animal Health Australia, Macquarie Park, New South Wales, 2113, Australia
| | - D Barker
- School of Veterinary Science, The University of Queensland, Gatton, Queensland, 4343, Australia
| | - S C Barker
- Department of Parasitology, School of Chemistry & Molecular Biosciences, The University of Queensland, Brisbane, Queensland, 4072, Australia
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Massetti L, Wiethoelter A, McDonagh P, Rae L, Marwedel L, Beugnet F, Colella V, Traub RJ. Faecal prevalence, distribution and risk factors associated with canine soil-transmitted helminths contaminating urban parks across Australia. Int J Parasitol 2022; 52:637-646. [PMID: 36007621 DOI: 10.1016/j.ijpara.2022.08.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 08/08/2022] [Accepted: 08/15/2022] [Indexed: 11/18/2022]
Abstract
Dog parks provide an ideal urban space where dogs and their owners can exercise, play, and socialize in a safe environment. However, these parks can also increase the risk of exposure to a series of infectious agents including canine soil-transmitted helminths (cSTHs) such as hookworms, roundworms, Strongyloides stercoralis, and Trichuris vulpis, which are endemic to Australia. In this study, we collected 1581 canine faecal samples in 190 urban parks across Australia and subjected these to faecal floatation and multiplex real-time PCRs (qPCR) to detect a range of cSTHs. In total, 44.2% of the parks sampled were contaminated with at least one species of cSTH, with hookworms being the most prevalent parasites (10.2%) followed by Trichuris spp. (1.3%) and Strongyloides spp. (1.2%). This is the first large-scale study investigating the contamination of urban parks with cSTHs in Australia, and the first nation-wide study to demonstrate the occurrence of Strongyloides spp. in canine faecal samples from urban areas in the country. This study reveals a high rate of contamination with cSTHs in dog parks in urban Australia, most of which having proven zoonotic potential. Preventive measures, including awareness-raising educational programs promoting responsible pet ownership, should be encouraged to minimise the health risks associated with cSTHs for both dogs and humans.
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Affiliation(s)
- Luca Massetti
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Parkville, VIC3052, Australia.
| | - Anke Wiethoelter
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Parkville, VIC3052, Australia
| | - Phillip McDonagh
- Boehringer Ingelheim Animal Health Australia, North Ryde, New South Wales 2113, Australia
| | - Louise Rae
- Boehringer Ingelheim Animal Health Australia, North Ryde, New South Wales 2113, Australia
| | - Lara Marwedel
- Boehringer Ingelheim Animal Health Australia, North Ryde, New South Wales 2113, Australia
| | | | - Vito Colella
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Parkville, VIC3052, Australia
| | - Rebecca J Traub
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Parkville, VIC3052, Australia
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Abstract
Objectives Up-to-date information on the current practices and attitudes of
veterinarians in Australia to acute pain management in cats was sought in
2017–2018 in the first nationwide survey in over 20 years. Methods An online survey was created, consisting of 54 questions in four sections,
with 18 feline-specific questions. Veterinarians throughout Australia were
invited to participate in the survey through advertisements in the
veterinary press, electronic and regular mail, and through in-clinic visits
and promotional materials. Results A total of 614 veterinarians completed the survey, with 513 (83.6%)
completing the feline-specific section. The demographics of the respondents
of this survey were an accurate representation of the registered
veterinarians in Australia at the time. Multiple different opioids and
non-steroidal anti-inflammatory drugs (NSAIDs) were widely available in
practices to manage pain, with analgesic efficacy reported as the primary
factor influencing drug selection. Opioids were most commonly used in the
preoperative period and NSAIDs were most commonly used postoperatively.
Despite the wide availability in clinic (>99%), only 55% of respondents
reported regularly using local anaesthetic techniques in cats. Pain
assessment of hospitalised patients was primarily performed by veterinarians
(91.1%); however, 84.7% of respondents did not routinely use a validated
pain scale. Conclusions and relevance Veterinary practitioners in Australia are adequately equipped with analgesic
medication to treat pain in their patients. In the management of acute pain
in cats, they frequently use a multimodal approach and practice a variety of
analgesic protocols. Based on the results of this survey, potential areas
for improvement in feline pain management include an increase in duration of
postoperative analgesia and more routine use of validated pain scales,
performed by nurses and veterinarians alike, to assess individual analgesic
needs.
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Affiliation(s)
- Louise Rae
- Boehringer Ingelheim Animal Health Australia, North Ryde, NSW, Australia
| | | | - Sarah Bidner
- Boehringer Ingelheim Animal Health Australia, North Ryde, NSW, Australia
| | - Cameron Davidson
- Boehringer Ingelheim Vetmedica GmbH, Ingelheim, Rheinland-Pfalz, Germany
| | - Phillip McDonagh
- Boehringer Ingelheim Animal Health Australia, North Ryde, NSW, Australia
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Massetti L, Kamani J, Wiethoelter A, McDonagh P, Colella V, Traub RJ. Field application of a novel multiplex qPCR assay reveals the occurrence of the zoonotic hookworm Ancylostoma braziliense in Nigerian dogs. Acta Trop 2021; 213:105758. [PMID: 33197446 DOI: 10.1016/j.actatropica.2020.105758] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 11/04/2020] [Accepted: 11/08/2020] [Indexed: 12/15/2022]
Abstract
A number of gastrointestinal parasites have been reported to infect dogs in Nigeria, some of which have zoonotic potential. Of these, hookworms are the most prevalent, with both Ancylostoma caninum and Uncinaria stenocephala reported in the country. In this study, we subjected 203 hookworm microscopy-positive samples of the 885 individual faecal samples collected from dogs in Nigeria to a recently developed multiplex qPCR for the detection and characterisation of canine hookworm species. The qPCR demonstrated a diagnostic sensitivity of 98% (95% CI 95-99.4) allowing the detection of A. caninum and A. braziliense in 81.3% (165/203, 95% CI 75.3-86.1) and 51.2% (104/203, 95% CI 44.4-58) of the microscopy-positive faecal samples of dogs from Nigeria, respectively and 34.5% (70/203, 95% CI 28.3-41.3) of mixed infections with both hookworm species. The finding of A. braziliense is particularly worrisome given this is a well-known agent of persistent cutaneous larva migrans, commonly referred to as "creeping eruptions" in humans. Although this parasite has been diagnosed in locals and in people travelling in Nigeria suffering from dermatological illnesses, this represents the first molecular identification of A. braziliense in its canine reservoir in the country. These results update the occurrence and distribution of hookworm species affecting dogs in Nigeria highlighting the suitability of the newly developed multiplex qPCR assay as a high-throughput tool for the surveillance of zoonotic hookworms, globally.
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Affiliation(s)
- Luca Massetti
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Parkville, VIC 3052, Australia
| | - Joshua Kamani
- Parasitology Division, National Veterinary Research Institute (NVRI), PMB 01, Vom, Plateau State, Nigeria
| | - Anke Wiethoelter
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Parkville, VIC 3052, Australia
| | - Phillip McDonagh
- Boehringer Ingelheim Animal Health Australia, North Ryde, New South Wales 2113, Australia
| | - Vito Colella
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Parkville, VIC 3052, Australia.
| | - Rebecca J Traub
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Parkville, VIC 3052, Australia
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O'Connell J, Keohane S, McGreal-Bellone A, McDonagh P, Naimimohasses S, Kennedy U, Dunne C, Hartery K, Larkin J, MacCarthy F, Meaney J, McKiernan S, Norris S, O'Toole D, Kevans D. Characteristics and outcomes of acute colitis diagnosed on cross-sectional imaging presenting via the emergency department in an Irish academic medical centre. Ir J Med Sci 2020; 189:1115-1121. [PMID: 31925651 DOI: 10.1007/s11845-019-02162-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Accepted: 12/03/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND AIMS A significant proportion of patients presenting to the Emergency Department with gastrointestinal symptoms that result in cross-sectional imaging receive a radiological diagnosis of colitis. We aimed to review the characteristics, outcomes, and final diagnoses of new emergency department presentations with colitis diagnosed on cross-sectional imaging. METHODS A radiology database was interrogated to identify patients admitted from the Emergency Department of St James's Hospital whose cross-sectional imaging demonstrated colitis. Baseline demographic data, information on inpatient investigations, final diagnoses, and outcomes were recorded. Adverse outcomes were defined as a requirement for surgery, intensive care unit (ICU) stay, or mortality RESULTS: A total of 118 patients, 67% female, were identified with a median age of 64 years (range 16.9-101.2). Median (range) admission duration was 10 days (1-241). Final colitis diagnoses were infectious (28%), undefined (27%), reactive (18%), inflammatory bowel disease (11%), ischaemic (9%), chemotherapy-associated (3%), diverticular (3%), and medication-associated (1%). Colonic perforation, colectomy, and mortality occurred in 1%, 5%, and 13% of the cohort respectively. On univariate analysis, low haemoglobin, low albumin, high lactate, and male gender were associated with adverse outcomes with the following odds ratios (OR) and 95% confidence intervals (95%CI) were low haemoglobin 1.49 [1.15-1.92] P = 0.002, low albumin 1.16 [1.07-1.25] P = 0.0002, lactate 1.65 [1.13-2.42] P = 0.009, and male gender 3.09 [1.23-7.77] P = 0.019. On multivariate analysis, male gender was associated with adverse outcomes. CONCLUSION Patients presenting to the Emergency Department with a colitis, requiring an abdominal CT are a heterogenous group with a proportion having concomitant intra-abdominal pathology resulting in critical illness. Hence their is a significant morbidity and mortality observed in this cohort which should not be extrapolated to a general population of patients presenting with colitis. In this cohort of patients, anaemia, hypoalbuminaemia, and elevated lactate in patients presenting to the ED with acute colitis are significantly associated with adverse outcomes. Early recognition of these prognostic factors may identify the cohort of patients who are best managed in a high-dependency setting.
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Affiliation(s)
- J O'Connell
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland.
| | - S Keohane
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
| | - A McGreal-Bellone
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
| | - P McDonagh
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
| | - S Naimimohasses
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
| | - U Kennedy
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
| | - C Dunne
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
- Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland
| | - K Hartery
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
- Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland
| | - J Larkin
- Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland
- Department of Diagnostic Imaging, St James's Hospital, Dublin, Ireland
| | - F MacCarthy
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
- Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland
| | - J Meaney
- Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland
| | - S McKiernan
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
- Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland
| | - S Norris
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
- Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland
| | - D O'Toole
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
- Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland
| | - D Kevans
- Department of Gastroenterology, St James's Hospital, Dublin, Ireland
- Department of Colorectal Surgery, St James's Hospital, Dublin, Ireland
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Clark NJ, Seddon JM, Kyaw-Tanner M, Al-Alawneh J, Harper G, McDonagh P, Meers J. Emergence of canine parvovirus subtype 2b (CPV-2b) infections in Australian dogs. Infect Genet Evol 2017; 58:50-55. [PMID: 29253672 DOI: 10.1016/j.meegid.2017.12.013] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2017] [Revised: 12/13/2017] [Accepted: 12/14/2017] [Indexed: 01/29/2023]
Abstract
Tracing the temporal dynamics of pathogens is crucial for developing strategies to detect and limit disease emergence. Canine parvovirus (CPV-2) is an enteric virus causing morbidity and mortality in dogs around the globe. Previous work in Australia reported that the majority of cases were associated with the CPV-2a subtype, an unexpected finding since CPV-2a was rapidly replaced by another subtype (CPV-2b) in many countries. Using a nine-year dataset of CPV-2 infections from 396 dogs sampled across Australia, we assessed the population dynamics and molecular epidemiology of circulating CPV-2 subtypes. Bayesian phylogenetic Skygrid models and logistic regressions were used to trace the temporal dynamics of CPV-2 infections in dogs sampled from 2007 to 2016. Phylogenetic models indicated that CPV-2a likely emerged in Australia between 1973 and 1988, while CPV-2b likely emerged between 1985 and 1998. Sequences from both subtypes were found in dogs across continental Australia and Tasmania, with no apparent effect of climate variability on subtype occurrence. Both variant subtypes exhibited a classical disease emergence pattern of relatively high rates of evolution during early emergence followed by subsequent decreases in evolutionary rates over time. However, the CPV-2b subtype maintained higher mutation rates than CPV-2a and continued to expand, resulting in an increase in the probability that dogs will carry this subtype over time. Ongoing monitoring programs that provide molecular epidemiology surveillance will be necessary to detect emergence of new variants and make informed recommendations to develop reliable detection and vaccine methods.
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Affiliation(s)
- Nicholas J Clark
- School of Veterinary Science, University of Queensland, Gatton, Queensland 4343, Australia.
| | - Jennifer M Seddon
- School of Veterinary Science, University of Queensland, Gatton, Queensland 4343, Australia
| | - Myat Kyaw-Tanner
- School of Veterinary Science, University of Queensland, Gatton, Queensland 4343, Australia
| | - John Al-Alawneh
- School of Veterinary Science, University of Queensland, Gatton, Queensland 4343, Australia
| | - Gavin Harper
- Boehringer Ingelheim Pty Limited, North Ryde, NSW 2113, Australia
| | - Phillip McDonagh
- Boehringer Ingelheim Pty Limited, North Ryde, NSW 2113, Australia
| | - Joanne Meers
- School of Veterinary Science, University of Queensland, Gatton, Queensland 4343, Australia
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Abstract
Objectives The aim of this survey was to provide up-to-date information on the demographics, lifestyle and veterinary care of cats in Australia and New Zealand. Methods An online survey consisting of 19 questions was created using SurveyMonkey. Cat owners were invited to participate through advertisements in veterinary clinics and social media. Results The average number of cats in a household was two. The majority of cats lived in free-standing houses (78%) in the suburbs (66%). The majority of cats were desexed (94% [49% female neutered; 45% male neutered]). A total of 57% of cats had been strays or came from an animal shelter. A total of 40% of owners had intended not to let the cats outside when they first acquired them. A total of 63% of cats were described as indoor–outdoor cats. Although owners described 34% of cats as ‘indoor only’, 58% of those cats had access to the outdoors. The majority of respondents’ cats were vaccinated annually (63%) and visited a vet at least annually (79%). The most common reasons to take a cat to the vet were vaccinations or the cat being unwell. The most common reasons not to regularly take the cat to the vet were that the cat was never unwell, cost or stress for the cat. Conclusions and relevance Consideration of the lifestyle of cats is important to optimise veterinary care. Cats across Australia and New Zealand have a variety of different and changing lifestyles. Therefore, careful owner questioning is required at each visit to maximise healthcare outcomes for cats.
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Westman ME, Paul A, Malik R, McDonagh P, Ward MP, Hall E, Norris JM. Seroprevalence of feline immunodeficiency virus and feline leukaemia virus in Australia: risk factors for infection and geographical influences (2011-2013). JFMS Open Rep 2016; 2:2055116916646388. [PMID: 28491420 PMCID: PMC5362860 DOI: 10.1177/2055116916646388] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2016] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES Our aim was to: (i) determine the current seroprevalence of feline immunodeficiency virus (FIV) and feline leukaemia virus (FeLV) in three large cohorts of cats from Australia; and (ii) investigate potential risk factors for retroviral infection. METHODS Cohort 1 (n = 2151 for FIV, n = 2241 for FeLV) consisted of cats surrendered to a shelter on the west coast of Australia (Perth, Western Australia [WA]). Cohort 2 (n = 2083 for FIV, n = 2032 for FeLV) consisted of client-owned cats with outdoor access recruited from around Australia through participating veterinary clinics. Cohort 3 (n = 169 for FIV, n = 166 for FeLV) consisted of cats presenting to Murdoch University Veterinary Hospital for a variety of reasons. Fresh whole blood was collected and tested using a commercially available point-of-care lateral flow ELISA kit that detects p27 FeLV antigen and antibodies to FIV antigens (p15 and p24) (cohorts 1 and 2), or one of two lateral flow immunochromatography kits that detect p27 antigen and antibodies to FIV antigen (p24 and/or gp40) (cohort 3). Data recorded for cats in cohort 2 included signalment, presenting complaint and postcode, allowing investigation of risk factors for FIV or FeLV infection, as well as potential geographical 'hot spots' for infection. RESULTS The seroprevalence of FIV was 6% (cohort 1), 15% (cohort 2) and 14% (cohort 3), while the seroprevalence of FeLV was 1%, 2% and 4% in the same respective cohorts. Risk factors for FIV infection among cats in cohort 2 included age (>3 years), sex (male), neutering status (entire males) and location (WA had a significantly higher FIV seroprevalence compared with the Australian Capital Territory, New South Wales and Victoria). Risk factors for FeLV infection among cats in cohort 2 included health status ('sick') and location (WA cats were approximately three times more likely to be FeLV-infected compared with the rest of Australia). No geographical hot spots of FIV infection were identified. CONCLUSIONS AND RELEVANCE Both FIV and FeLV remain important infections among Australian cats. WA has a higher seroprevalence of both feline retroviruses compared with the rest of Australia, which has been noted in previous studies. A lower neutering rate for client-owned male cats is likely responsible for the higher seroprevalence of FIV infection in WA cats, while the reason for the higher seroprevalence of FeLV in WA cats is currently unknown.
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Affiliation(s)
- Mark E Westman
- Faculty of Veterinary Science, The University of Sydney, Camperdown, NSW 2006, Australia
| | - Amanda Paul
- Murdoch University Veterinary Hospital, Murdoch University, WA 6150, Australia
| | - Richard Malik
- Centre for Veterinary Education, The University of Sydney, Camperdown, NSW 2006, Australia
| | | | - Michael P Ward
- Faculty of Veterinary Science, The University of Sydney, Camperdown, NSW 2006, Australia
| | - Evelyn Hall
- Faculty of Veterinary Science, The University of Sydney, Camperdown, NSW 2006, Australia
| | - Jacqueline M Norris
- Faculty of Veterinary Science, The University of Sydney, Camperdown, NSW 2006, Australia
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McDonagh P, Sheehy PA, Fawcett A, Norris JM. In vitro inhibition of field isolates of feline calicivirus with short interfering RNAs (siRNAs). Vet Microbiol 2015; 177:78-86. [PMID: 25770890 DOI: 10.1016/j.vetmic.2015.02.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2014] [Revised: 02/09/2015] [Accepted: 02/13/2015] [Indexed: 12/21/2022]
Abstract
Feline calicivirus (FCV) is a common infection of domestic cats. Most infections are mild and self-limiting; however more severe disease manifestations, such as FCV-associated virulent systemic disease, may be associated with significant morbidity and mortality. There is currently a lack of effective antiviral treatments for these disease manifestations. In this study, a panel of eight siRNAs were designed to target four conserved regions of the FCV genome. siRNAs were screened for in vitro antiviral efficacy against the reference strain FCV F9 by determination of extracellular virus titres and morphological assessment of protection from cytopathic effect. Three of the siRNA (FCV3.7, FCV4.1, and FCV4.2) demonstrated a marked antiviral effect with a greater than 99% reduction in extracellular viral titre. Titration of these effective siRNAs demonstrated a clear concentration-response relationship, with IC50 values of approximately 1 nM, and combination treatment with multiple siRNAs demonstrated additive or synergistic effects. To assess the potential usefulness of the compounds in a clinical setting, siRNAs were screened against a panel of six recent Australian FCV isolates from cats with FCV-related disease. The siRNAs shown to be effective against the reference strain FCV F9 were active against the majority of the isolates tested, although some variability was noted. Taken together these data suggest potential therapeutic application of antiviral RNAi for treating FCV-associated disease in cats.
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Affiliation(s)
- Phillip McDonagh
- Faculty of Veterinary Science, The University of Sydney, Building B14, Sydney, NSW 2006, Australia.
| | - Paul A Sheehy
- Faculty of Veterinary Science, The University of Sydney, Building B19, Sydney, NSW 2006, Australia.
| | - Anne Fawcett
- Faculty of Veterinary Science, The University of Sydney, Building B03, Sydney, NSW 2006, Australia.
| | - Jacqueline M Norris
- Faculty of Veterinary Science, The University of Sydney, Building B14, Sydney, NSW 2006, Australia.
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McDonagh P, Sheehy PA, Fawcett A, Norris JM. Antiviral effect of mefloquine on feline calicivirus in vitro. Vet Microbiol 2015; 176:370-7. [PMID: 25746684 PMCID: PMC7127475 DOI: 10.1016/j.vetmic.2015.02.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Revised: 02/04/2015] [Accepted: 02/05/2015] [Indexed: 01/23/2023]
Abstract
Feline calicivirus (FCV) is an important viral pathogen of domestic cats causing clinical signs ranging from mild to severe oral ulceration or upper respiratory tract disease through to a severe fatal systemic disease. Current therapeutic options are limited, with no direct acting antivirals available for treatment. This study screened a panel of 19 compounds for potential antiviral activity against FCV strain F9 and recent field isolates in vitro. Using a resazurin-based cytopathic effect (CPE) inhibition assay, mefloquine demonstrated a marked inhibitory effect on FCV induced CPE, albeit with a relatively low selectivity index. Orthogonal assays confirmed inhibition of CPE was associated with a significant reduction in viral replication. Mefloquine exhibited a strong inhibitory effect against a panel of seven recent FCV isolates from Australia, with calculated IC50 values for the field isolates approximately 50% lower than against the reference strain FCV F9. In vitro combination therapy with recombinant feline interferon-ω, a biological response modifier currently registered for the treatment of FCV, demonstrated additive effects with a concurrent reduction in the IC50 of mefloquine. These results are the first report of antiviral effects of mefloquine against a calicivirus and support further in vitro and in vivo evaluation of this compound as an antiviral therapeutic for FCV.
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Affiliation(s)
- Phillip McDonagh
- Faculty of Veterinary Science, Building B14, The University of Sydney, Sydney, NSW 2006, Australia.
| | - Paul A Sheehy
- Faculty of Veterinary Science, Building B19, The University of Sydney, Sydney, NSW 2006, Australia.
| | - Anne Fawcett
- Faculty of Veterinary Science, Building B03, The University of Sydney, Sydney, NSW 2006, Australia.
| | - Jacqueline M Norris
- Faculty of Veterinary Science, Building B14, The University of Sydney, Sydney, NSW 2006, Australia.
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13
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McDonagh P, Sheehy PA, Norris JM. Combination siRNA therapy against feline coronavirus can delay the emergence of antiviral resistance in vitro. Vet Microbiol 2014; 176:10-8. [PMID: 25596968 PMCID: PMC7117502 DOI: 10.1016/j.vetmic.2014.12.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2014] [Revised: 12/08/2014] [Accepted: 12/11/2014] [Indexed: 11/09/2022]
Abstract
Combination siRNA treatment highly effective at inhibiting replication of FCoV in vitro. Antiviral resistance rapidly emerges with single or dual combination siRNA treatment. Combination treatment with three siRNAs significantly delayed the emergence of resistance. Dicer substrate siRNAs provide equivalent or enhanced efficacy compared to canonical siRNAs.
Virulent biotypes of feline coronavirus (FCoV), commonly referred to as feline infectious peritonitis virus (FIPV), can result in the development of feline infectious peritonitis (FIP), a typically fatal immune mediated disease for which there is currently no effective antiviral treatment. We previously reported the successful in vitro inhibition of FIPV replication by synthetic siRNA mediated RNA interference (RNAi) in an immortalised cell line (McDonagh et al., 2011). A major challenge facing the development of any antiviral strategy is that of resistance, a problem which is particularly acute for RNAi based therapeutics due to the exquisite sequence specificity of the targeting mechanism. The development of resistance during treatment can be minimised using combination therapy to raise the genetic barrier or using highly potent compounds which result in a more rapid and pronounced reduction in the viral replication rate, thereby reducing the formation of mutant, and potentially resistant viruses. This study investigated the efficacy of combination siRNA therapy and its ability to delay or prevent viral escape. Virus serially passaged through cells treated with a single or dual siRNAs rapidly acquired resistance, with mutations identified in the siRNA target sites. Combination therapy with three siRNA prevented viral escape over the course of five passages. To identify more potent silencing molecules we also compared the efficacy, in terms of potency and duration of action, of canonical versus Dicer-substrate siRNAs for two previously identified effective viral motifs. Dicer-substrate siRNAs showed equivalent or better potency than canonical siRNAs for the target sites investigated, and may be a more appropriate molecule for in vivo use. Combined, these data inform the potential therapeutic application of antiviral RNAi against FIPV.
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Affiliation(s)
- Phillip McDonagh
- Faculty of Veterinary Science, Building B14, The University of Sydney, Sydney, NSW 2006, Australia
| | - Paul A Sheehy
- Faculty of Veterinary Science, Building B19, The University of Sydney, Sydney, NSW 2006, Australia
| | - Jacqueline M Norris
- Faculty of Veterinary Science, Building B14, The University of Sydney, Sydney, NSW 2006, Australia.
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Worthing KA, Wigney DI, Dhand NK, Fawcett A, McDonagh P, Malik R, Norris JM. Risk factors for feline infectious peritonitis in Australian cats. J Feline Med Surg 2012; 14:405-12. [PMID: 22398460 DOI: 10.1177/1098612x12441875] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The objective of this study was to determine whether patient signalment (age, breed, sex and neuter status) is associated with naturally-occurring feline infectious peritonitis (FIP) in cats in Australia. A retrospective comparison of the signalment between cats with confirmed FIP and the general cat population was designed. The patient signalment of 382 FIP confirmed cases were compared with the Companion Animal Register of NSW and the general cat population of Sydney. Younger cats were significantly over-represented among FIP cases. Domestic crossbred, Persian and Himalayan cats were significantly under-represented in the FIP cohort, while several breeds were over-represented, including British Shorthair, Devon Rex and Abyssinian. A significantly higher proportion of male cats had FIP compared with female cats. This study provides further evidence that FIP is a disease primarily of young cats and that significant breed and sex predilections exist in Australia. This opens further avenues to investigate the role of genetic factors in FIP.
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Affiliation(s)
- Kate A Worthing
- Faculty of Veterinary Science, The University of Sydney, Sydney, Australia
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McDonagh P, Sheehy PA, Norris JM. In vitro inhibition of feline coronavirus replication by small interfering RNAs. Vet Microbiol 2011; 150:220-9. [PMID: 21367541 PMCID: PMC7117188 DOI: 10.1016/j.vetmic.2011.01.023] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2010] [Revised: 01/17/2011] [Accepted: 01/21/2011] [Indexed: 12/11/2022]
Abstract
Infection with virulent biotypes of feline coronavirus (FCoV) can result in the development of feline infectious peritonitis (FIP), a typically fatal immune mediated disease for which there is currently no effective antiviral treatment. In this study we demonstrate the ability of small interfering RNA (siRNA) mediated RNA interference (RNAi) to inhibit the replication of virulent FCoV strain FIPV WSU 79-1146 in an immortalised feline cell line. A panel of eight synthetic siRNAs targeting four different regions of the FCoV genome were tested for antiviral effects. Efficacy was determined by qRT-PCR of intracellular viral genomic and messenger RNA, TCID50 infectivity assay of extracellular virus, and direct IFA for viral protein expression. All siRNAs demonstrated an inhibitory effect on viral replication in vitro. The two most effective siRNAs, targeting the untranslated 5′ leader sequence (L2) and the nucleocapsid gene (N1), resulted in a >95% reduction in extracellular viral titre. Further characterisation of these two siRNAs demonstrated their efficacy when used at low concentrations and in cells challenged with high viral loads. Taken together these findings provide important information for the potential therapeutic application of RNAi in treating FIP.
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Affiliation(s)
- Phillip McDonagh
- Faculty of Veterinary Science, Building B14, The University of Sydney, Sydney, NSW 2006, Australia
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Emerson CR, McDonagh P, McNulty A, Freedman E. 21. GONORRHOEA INFECTION IN SYDNEY WOMEN. Sex Health 2007. [DOI: 10.1071/shv4n4ab21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background: Gonorrhoea is associated with undesirable reproductive health outcomes in women including pelvic inflammatory disease and tubal factor infertility. However there is low prevalence in the general community and some authors have suggested that only those women with risk factors should be tested. But can we predict who will have a positive gonorrhoea result?
Methods: A retrospective, case controlled, study was undertaken in an inner Sydney public Sexual Health clinic between January 2000 and December 2005. Cases were all women with culture proven cervical n.gonorrheoea infection in the time period. These were case matched with subsequent women with a negative gonorrhoea culture test. Variables examined included demographics, sex worker status, country of birth, injecting drug use (IDU) status, presence of symptoms and concurrent STIs.
Results: There were 40 women who were n.gonorrhoea culture positive during the study period and 27 cases and 23 controls reported any genital symptoms. (what were the confidence intervals?) The relative risk of having gonorrhoea if discharge was described was 1.75 (p�<�0.05). The cases had a high rate of concurrent STI including chlamydia.
Conclusions: The only significant predictor of gonorrhoea in this group was the symptom of vaginal discharge. Thus in our clinic population behaviour, demographic data or cannot be used to determine who gets tested for gonorrhoea.
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Bourbon A, Vionnet M, Leprince P, Vaissier E, Copeland J, McDonagh P, Debré P, Gandjbakhch I. The effect of methylprednisolone treatment on the cardiopulmonary bypass-induced systemic inflammatory response. Eur J Cardiothorac Surg 2004; 26:932-8. [PMID: 15519185 DOI: 10.1016/j.ejcts.2004.07.044] [Citation(s) in RCA: 68] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2003] [Revised: 05/18/2004] [Accepted: 07/01/2004] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVE Cardiac surgery with cardiopulmonary bypass (CPB) is associated with an inflammatory response caused by contact of blood with artificial surfaces of the extracorporeal circuit, ischemia-reperfusion injury, and release of endotoxin. The inflammatory reaction involves activation of complement leucocytes, and endothelial cells with secretion of cytokines, proteases, arachidonic acid metabolites, and generation of oxygen derived free radicals (OFR) by polymorphonuclear neutrophils (PMN). Although this inflammatory response to CPB often remains at subclinical levels, it can also lead to major organ dysfunction. A number of studies have demonstrated that treatment of patients with a high-dose (30 mg/kg) of corticosteroids (methylprednisolone) attenuates the CPB-induced SIR and improves the outcome of patients undergoing cardiac surgery. However, large doses of steroids can cause abnormal metabolic responses such as metabolic acidosis and hyperglycemia. In the present study, we examined the efficacy of low doses of methylprednisolone (5 and 10 mg/kg) to attenuate the CPB-induced inflammatory response, during and after heart operations. METHODS Thirty-six adult patients undergoing cardiac surgery, were randomized into three groups: (1) control group: group A; (2) methylprednisolone, 5 mg/kg body weight: group B; and (3) methylprednisolone, 10 mg/kg body weight: group C. Plasma levels of the cytokines interleukin-6 (IL-6) and TNF-alpha were analyzed by enzyme-linked immunosorbent assay, before, during, and after CPB. OFR production was determined by cytofluorometry (FACS) at the same end points. RESULTS No significant differences in age, body weight, CPB time, and cross-clamp time were observed among the three groups. CPB induced a marked increased in cytokine release and OFR generation. Low-dose of methylprednisolone (5 mg/kg) effectively reduced the increase in TNF-alpha and IL-6 secretion (P<0.05 compared to control group) after release of the cross-clamp. However, OFR generation was significantly reduced with a greater dose of methylprednisolone (10 mg/kg). CONCLUSIONS The results indicate that a single low-dose of methylprednisolone (10 mg/kg) reduces the inflammatory reaction during and after CPB, by inhibition of proinflammatory cytokine release and OFR generation after release of the aortic cross-clamp.
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Affiliation(s)
- A Bourbon
- Service de chirurgie thoracique et cardio-vasculaire, Groupe Hospitalier Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013 Paris, France
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McDonagh P, Cerney K, Hokama J, Lai G, Gonzales R, Davis-Gorman G, Copeland J. Perflubron emulsion reduces inflammation during extracorporeal circulation. J Surg Res 2001; 99:7-16. [PMID: 11421598 DOI: 10.1006/jsre.2001.6141] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The recovery from cardiac surgery and cardiopulmonary bypass can be complicated by an acute inflammatory response. Circulating blood through an extracorporeal circuit (ECC) contributes to this complication. Perfluorocarbon-based blood substitutes (PFCs) are under investigation for use as a component of the ECC "prime" solution, because PFCs increase the oxygen-carrying capacity of the diluted blood. Some PFCs may provide the additional benefit of attenuating the ECC-induced inflammatory response. Earlier, we reported that perflubron emulsion (PFE, Alliance Pharmaceutical Corp.) reduced neutrophil (PMN) activation in vivo. However, the potential of PFE to reduce ECC-induced PMN activation has not been investigated. In this study, we used a small-scale ECC model to quantify the extent of PMN activation during circulation and to examine if PFE treatment attenuated PMN activation. ECC circuits were filled with a mixture of blood and Plasmalyte. Two groups were studied: an untreated group containing blood plus PlasmaLyte and a treated group in which some of the Plasmalyte was substituted with PFE (4.5 g/100 ml). Hematology and measures of whole blood PMN activation were made from blood samples taken periodically throughout the 120-min ECC circulation period. We found, for the untreated group, a significant decrease in the number of circulating PMNs and an increase in PMN activation with time. PMN activation was demonstrated as a significant increase in the expression of the PMN adhesion protein CD11b (P < 0.05) and an increase in PMN oxygen free radical production (reactive oxygen species (ROS)). After 120 min of circulation, the PMNs remained capable of a significant response to a second inflammatory stimulus, but PFE treatment significantly attenuated the fMLP-induced increase in PMN ROS at t = 120 min (P < 0.05). These results suggest that PFE may have dual utility in cardiac surgery, to increase oxygen delivery and to serve as an antiinflammatory agent.
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Affiliation(s)
- P McDonagh
- Department of Surgery, Cardiovascular and Thoracic Surgery, Tucson, Arizona 85718, USA.
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Sunkin SM, McDonagh P, Cunningham ML, Beverley SM, Stuart K, Myler PJ. Conservation of the LD1 region in Leishmania includes DNA implicated in LD1 amplification. Mol Biochem Parasitol 2001; 113:315-21. [PMID: 11295186 DOI: 10.1016/s0166-6851(01)00215-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- S M Sunkin
- Seattle Biomedical Research Institute, 4 Nickerson Street, Seattle 98109-1651, USA
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Leprince P, Diven C, Cimetta A, Davis-Gorman G, L'Italian A, Hokama J, McDonagh P, Copeland J. Cold cardioplegic preservation aggravates alloantibody mediated cardiac dysfunction due to an increase in vascular resistance. Transplant Proc 1999; 31:116-7. [PMID: 10083036 DOI: 10.1016/s0041-1345(98)01466-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- P Leprince
- Section of Cardiovascular and Thoracic Surgery, University of Arizona Health Sciences Center, Tucson 85724, USA
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McDonagh P, Dupuis JY, Curran M, Kitts J, Wynands JE. Pharmacodynamics of doxacurium during cardiac surgery with hypothermic cardiopulmonary bypass. Can J Anaesth 1996; 43:134-40. [PMID: 8825538 DOI: 10.1007/bf03011254] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
PURPOSE To determine the characteristics of neuromuscular block produced by two and three times the 95% effective dose (ED95) of doxacurium in patients undergoing coronary artery surgery with hypothermic cardiopulmonary bypass. METHODS In a prospective non randomized study, ten patients received doxacurium 0.05 mg.kg-1 (Group 1) and ten others received 0.075 mg.kg-1 (Group 2) with midazolam and sufentanil. The mechanomyographic response of the adductor pollicis muscle after supramaximal train-of-four (TOF) stimulation of the ulnar nerve was recorded intraoperatively and postoperatively. Additional doxacurium (10% of the initial dose) was administered until sternal closure whenever the first twitch (T1) had recovered to 25% of control. RESULTS The onset time (time to maximal T1 depression) of doxacurium was 390 +/- 148 sec in Group 1 and 370 +/- 74 sec in Group 2 (P = 0.71). The clinical duration of neuromuscular block (time to 25% T1 recovery) was 165 +/- 90 min in Group 1 and 258 +/- 86 in Group 2 (P = 0.03). On arrival to recovery room the mean T1 was 57 +/- 23% in Group 1 and 24 +/- 21% in Group 2 (P = 0.003); the mean T4/T1 ratio was 0.25 +/- 0.15 for five patients of Group 1 with four responses to TOF stimulation and 0.10 for the only patient of Group 2 with four twitches. CONCLUSION In contrast with findings in patients without cardiac disease, this study shows comparable onset times of doxacurium with doses of two and three times ED95. The clinical duration of doxacurium is 60 to 100% longer than previously reported in noncardiac surgery.
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Affiliation(s)
- P McDonagh
- Department of Anaesthesia, University of Ottawa Heart Institute, Ontario, Canada
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Abstract
Twenty-three low risk coronary artery bypass graft patients underwent a controlled study of the effects of prophylactic perioperative dopexamine hydrochloride on haemodynamic indices and peripheral perfusion. The infusion commenced following induction of anaesthesia and continued for 24 h postoperatively. The study demonstrated that dopexamine significantly increased cardiac index compared with the control group (P < 0.05) and that this effect was mediated through an increase in both left ventricular stroke volume index and heart rate (P < 0.05). This was associated with a significantly lower systemic vascular resistance (P < 0.05), without an increase in left ventricular stroke work index in the dopexamine group. Despite normal pre-operative left ventricular function, both groups exhibited a fall in pH (P < 0.05) relative to baseline levels. This fall in pH began prior to cardiopulmonary bypass and persisted in the early postoperative period in both groups, suggestive of tissue hypoperfusion and oxygen deficiency. These indices normalized more rapidly in the dopexamine group, suggesting a more rapid reversal of an intra-operative oxygen debt in this group. The study demonstrates the mechanism of action of dopexamine on cardiac function and peripheral perfusion during cardiac surgery and shows that the inodilator properties during cardiac surgery are useful haemodynamically and facilitate early reversal of tissue hypoperfusion and oxygen debt in this environment.
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Affiliation(s)
- J Hurley
- Department of Cardiothoracic Surgery, Mater Hospital, Dublin, Ireland
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Walsh PN, Conliffe C, Abdulkadir AS, Kelehan P, Conroy R, Foley M, Lenehan P, Murphy JF, Stronge J, Cantwell B, Wright C, Millward M, Carpenter M, Lennard T, Wilson R, Home C, Corbett AR, O’Sullivan G, Collins JK, Doran M, McDermott EWM, Mercer P, Smyth P, O’Higgins NJ, Duffy MJ, Reilly D, McDermott E, Faul C, Fennelly JJ, O’Higgins N, Lowry S, Russell H, Atkinson R, Hickey I, O’Brien F, O’Mahony A, O’Donoghue M, Pomeroy M, Prosser ES, Barker F, Casey M, Carroll K, Davis M, Duffy G, O’Kennedy R, Smyth PPA, O’Carroll D, Hetherton AM, Coveney E, McAlister V, Murray MJ, Brayden DJ, O’Hora A, Street J, O’Leary J, Pollock AM, Crowley M, Healy I, Murphy J, Landers R, Burke L, O’Brien D, Annis P, Hogan J, Kealy W, Lewis FA, Doyle CT, Callaghan M, Whelan A, Feighery C, Bresnihan B, Kelleher D, Reams G, Murphy A, Hall N, Casey EB, Mulherin D, Doherty E, Yanni G, Wallace E, Jackson J, Bennett M, Tighe O, Mulcahy H, O’Donoghue D, Croke DT, Cahill RJ, Beattie S, Hamilton H, O’Morain C, Corridan B, Collins RA, O’Morain CA, Fitzgerald E, Gilvarry JM, Leader M, Fielding JF, Johnson BT, Lewis SA, Love AHG, Johnston BT, Collins JSA, McFarland RJ, Johnston PW, Collins BJ, Kilgallen CM, Murphy GM, Markey GM, McCormack JA, Curry RC, Morris TCM, Alexander HD, Edgar S, Treacy M, O’Connell MA, Weir DG, Sheehan J, O’Loughlin G, Traynor O, Walsh N, Xia HX, Daw MA, Keane CT, Dupont C, Gibson G, McGinnity E, Walshe J, Carmody M, Donohoe J, McGrath P, O’Moore R, Kieran E, Rogers S, McKenna KE, Walsh M, Bingham EA, Hughes AE, Nevin NC, Todd DJ, Stanford CF, Callender ME, Burrows D, Paige DG, Allen GE, O’Brien DP, Gough DB, Phelan C, Given HF, Kamal SZ, Kehoe S, Coldicott S, Luesley D, Ward K, MacDonnell HF, Mullins S, Gordon I, Norris LA, Devitt M, Bonnar J, Sharma SC, Sheppard BL, Fitzsimons R, Kingston S, Garvey M, Hoey HMCV, Glasgow JFT, Moore R, Robinson PH, Murphy E, Murphy JFA, Wood AE, Sweeney P, Neligan M, MacLeod D, Cunnane G, Kelly P, Corcoran P, Clancy L, Drury RM, Drury MI, Powell D, Firth RGR, Jones T, Ferris BF, O’Flynn W, O’Donnell J, Kingston SM, Cunningham F, Hinds GME, McCluskey DR, Howell F, O’Mahony M, Devlin J, O’Reilly O, Buttanshaw C, Jennings S, Keane ER, Foley-Nolan C, Ryan FM, Taylor M, Lyons RA, O’Kelly F, Mason J, Carroll D, Doherty K, Flynn M, O’Dwyer R, Gilmartin JJ, McCarthy CF, Armstrong C, Mannion D, Feely T, Fitzpatrick G, Cooney CM, Aleong JC, Rooney R, Lyons J, Phelan DM, Joshi GP, McCarroll SM, Blunnie WP, O’Brien TM, Moriarty DC, Brangan J, Kelly CP, Kenny P, Gallagher H, McGovern E, Luke D, Lowe D, Rice T, Phelan D, Lyons JB, Lyons FM, McCoy DM, McGinley J, Hurley J, McDonagh P, Crowley JJ, Donnelly SM, Tobin M, Fitzgerald O, Maurer BJ, Quigley PJ, King G, Duly EB, Trinick TR, Boyle D, Wisdom GB, Geoghegan F, Collins PB, Goss C, Younger K, Mathias P, Graham I, MacGowan SW, Sidhu P, McEneaney DJ, Cochrane DJ, Adgey AAJ, Anderson JM, Moriarty J, Fahy C, Lavender A, Lynch L, McGovern C, Nugent AM, Neely D, Young I, McDowell I, O’Kane M, Nicholls DP, McEneaney D, Nichols DP, Campbell NPS, Campbell GC, Halliday MI, O’Donnell AF, Lonergan M, Ahearne T, O’Neill J, Keaveny TV, Ramsbottom D, Boucher-Hayes D, Sheahan R, Garadaha MT, Kidney D, Freyne P, Gearty G, Crean P, Singh HP, Hargrove M, Subareddy K, Hurley JP, O’Rourke W, O’Connor C, FitzGerald MX, McDonnell TJ, Chan R, Stinson J, Hemeryck L, Feely J, Chopra MP, Sivner A, Sadiq SM, Abernathy E, Plant L, Bredin CP, Hickey P, Slevin G, McCrory K, Long M, Conlon P, Walker F, Fitzgerald P, O’Neill SJ, O’Connor CM, Quigley C, Donnelly S, Southey A, Healy E, Mulcahy F, Lyons DJ, Keating J, O’Mahony C, Roy D, Shattock AG, Hillary IB, Waiz A, Hossain R, Chakraborthy B, Clancy LP, O’Reilly L, Byrne C, Costello E, O’Shaughnessy E, Cryan B, Farrell J, Walshe JJ, Mellotte GJ, Ho CA, Morgan SH, Bending MR, Bonner J. Inaugural national scientific medical meeting. Ir J Med Sci 1993. [PMCID: PMC7101915 DOI: 10.1007/bf02942100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Coulter J, Molloy RG, Moran KT, Waldron R, Kirwan WO, O’Suilleabhain C, Horgan A, Mealy K, Burke P, Hyland J, Horgan AF, Sheehan M, Browne RM, Austin O, Clery AP, Deasy JM, Sulaiman-Shoaib S, Soeda J, O’Briain DS, Puri P, Coveney EC, McAllister V, McDermott EWM, O’Higgins NJ, Maher M, Caldwell MTP, Murchan P, Beesley W, Feeley TM, Tanner WA, Keane FBV, Abbasakoor F, Attwood SEA, McGrath LP, Stephens RB, O’Broin E, Davies MG, McGinley J, Mannion C, Gupta S, Shine MF, Lennon F, Ninan G, Fitzgerald RJ, Guiney EJ, O’Donnell B, O’Donnell AF, Luke D, Wood AE, Murphy PG, Walsh TN, Hill ADK, Li H, Hennessy TPJ, Noonan N, Breslin B, Keeling PWN, Curran AJ, Gough DB, Davidson IR, Keeling P, O’Leary DP, Smythe A, Bird NC, Johnson AG, Nicholson P, Traynor O, Dawson K, Aitken J, Cooke BA, Parbhoo SP, N.Williams N, Daly JM, Herlyn M, Bouchier-Hayes D, Stuart RC, Allen MJ, Thompson WD, Peel ALG, Hehir DT, Cronin K, McCann A, Dervan PA, Heffernan SJ, Hederman WP, Galea MH, Dilks B, Gilmour A, Ellis LO, Elston CW, Blarney RW, O’Rourke S, Mookens A, Carter R, Parkin D, Couse NF, Delaney CP, Horgan PG, Fitzpatrick JM, Gorey TF, O’Byrne JM, McCabe JP, Stephens M, McManus F, L.Mangan J, Barr DA, Mulvenna GJ, Maginn P, Kernohan WG, Mollan RAB, O’Flanagan SJ, Stack JP, Dervan P, Hurson B, Tierney S, Fitzgerald P, O’Sullivan T, Grace P, Wyatt JP, Evans RJ, Cusack SP, McGowan S, McGovem E, Schwaitzberg SD, Connolly RJ, Sullivan RP, Mortimer G, Geraghty JG, O’Dwyer PJ, McGlone BS, O’Brien DP, Younis HA, Given HF, Phelan C, Byrne J, Barry K, Gough D, Hanrahan L, Given F, Sweeney JP, Korebrits AM, Reynolds JV, Gorey TF, O’Hanlon DM, Stokes MA, Redmond HP, McCarthy J, Daly JM, Losty P, Murphy M, Butler PEM, Grace PG, Novell JR, Hobbs SK, Smith O, Hazlehurst G, Brozovic B, Rolles K, Burroughs A, Mallett S, Mehta A, Buckley D, Waldron D, O’Brien D, Curran C, Given F, Grey L, Leahy A, Darzi A, Leader D, Broe P, Geoghegan JG, Cheng CA, Lawson DC, Pappas TN, O’Sullivan D, Lieber MM, Colby TV, Barrett DM, Rogers E, Greally J, Bredin HC, Corcoran MO, Kenny M, Horgan P, Headon D, Grace A, Grace PA, Bouchier-Hayes D, Cross S, Hehir D, O’Briain S, Hartigan P, Colgan MP, Moore D, Shanik G, Zaidi SZ, Hehir DJ, Cross KS, Colgan MP, Moore DJ, Shanik DG, Lacy P, Cross S, Hehir D, Moore D, Shanik G, Coleman JE, McEnroe CS, Gelfand JA, O’Donnell TF, Callow AD, Buckley DJ, O’Riordain DS, O’Donnell JA, Meagher P, Boos K, Gillen P, Corrigan T, Vashisht R, Sian M, Sharp EJ, O’Malley MK, Kerin MJ, Wilkinson D, Parkin A, Kester RC, Maher MM, Waldron RP, Waldron DJ, Brady MP, Allen M, Lyncy TH, Waymont B, Emtage L, Blackledge GR, Hughes MA, Wallace DMA, O’Sullivan D, Mynderse L, Barrett DM, Rogers E, Grimes H, Chambers F, Lowe D, Bredin HC, Corcoran MO, Waldron DJ, Prasad B, O’Sullivan DC, Gillen MBP, McNicholas M, Traynor O, Bredin H, O’Dowd TH, Corcoran M, O’Donoghue JM, Corcoran M, McGuire M, McNamara A, Creagh T, Grainger R, McDermott TBD, Butler MR, Gleeson M, Creagh T, Grainger R, McDermott TED, Hurley JP, Hone R, Neligan M, Hurley J, White M, McDonagh P, Phelan D, McGovern E, Quinn F, Breatnach F, O’Meara A, McGrath JP, McCann SR, Gaffney EF, Hennessy A, Leader M, Taleb FS, McKiernan MV, Leyden PJ, McCann JJ, Coleman J, Quereshi A, Ajayi N, McEntee G, Osborne H, Bouchier-Hayes DJ, Johnston S, O’Malley K, Smyth E, Bouchier-Hayes DL, Darzi A, Quereshi A, McEntee G, O’Connell PR, Gorey T, McAnena OJ, Reed MW, Duncan JL, Reilly CS, McGibney C, Lawlor P, Lawless B, McGuinness E, Leahy S. Sixteenth sir peter freyer memorial lecture and surgical symposium September 13th & 14th, 1991 Session I. Ir J Med Sci 1992. [DOI: 10.1007/bf02942125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Murnaghan MF, Ostwald M, Barwin BN, Brennan DM, McCalden TA, Owens PDA, MacConaill MA, McDonagh P, Lavelle SM, Nunan TO, Sheehan JD, Loh HS, Watters K, Wilson CWM. Section of Biological Sciences. Ir J Med Sci 1973. [DOI: 10.1007/bf02950013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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