C-reactive protein and high mobility group box 1 in dogs with gastric dilatation and volvulus.
J Vet Emerg Crit Care (San Antonio) 2015;
25:488-94. [PMID:
26088834 DOI:
10.1111/vec.12324]
[Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2012] [Accepted: 03/24/2015] [Indexed: 01/01/2023]
Abstract
OBJECTIVE
To (1) measure C-reactive protein (CRP) and high mobility group box 1 (HMGB1) and (2) evaluate their prognostic value and relationship to severity of systemic inflammatory response syndrome, routine hematological and acid-base parameters in dogs with gastric dilatation volvulus (GDV).
DESIGN
Prospective observational study from September 2010 to June 2012.
SETTING
Veterinary teaching hospital.
ANIMALS
Forty-one client-owned dogs with GDV.
INTERVENTIONS
None.
MEASUREMENTS AND MAIN RESULTS
Blood was collected before surgery (baseline), postsurgery, 6-10 hours postsurgery, and 18-22 hours postsurgery. CRP and HMGB1 were measured in all samples, and routine hematological, biochemical, and acid-base analyses were performed. Only baseline and postsurgery samples were used from nonsurvivors (n = 10). CRP increased significantly from postsurgery sampling to 18-22 hours postsurgery, while HMGB1 did not change over time. There was a significant difference in HMGB1 between survivors and nonsurvivors over time. Both proteins correlated with systemic inflammatory response syndrome severity, total leukocyte, segmented neutrophils, and band counts. HMGB1 correlated also with acid-base parameters (pH, bicarbonate, base excess).
CONCLUSION
HMGB1 and CRP behaved differently in regards to their kinetic patterns, with HMGB1 appearing to better reflect the severity of tissue injury in dogs with GDV than CRP.
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