Felin İnfeksiyöz Peritonitli Kedilerde Adenozin Deaminaz ve C-Reaktif Protein Düzeylerinin Araştırılması

Investigations of Adenosine Deaminase and C-reactive Protein in Cats with Feline Infectious Peritonitis

Çalışmada felin infeksiyöz peritonitli (FİP) kedilerde serum adenozin deaminaz-1 (ADA-1), C-reaktif protein (CRP) ve albümin (A) seviyelerini ölçerek T-lenfosit aracılı immun yanıt ve akut faz yanıtın değerlendirilmesi amaçlanmıştır. Çalışmada 20 FİP’li ve 10 adet klinik olarak sağlıklı kedi kullanıldı. Ayrıca kediler klinik, röntgen ve nekropsi bulguları ışığında yaş form (n=10) ve kuru form (n=10) FİP’li olarak iki gruba ayrıldı. Kedilerin serum ADA-1 ve CRP düzeyleri kedi spesifik ELISA testleri kullanılarak belirlendi. Serum total protein (TP) ve albümin düzeyleri ise fotometrik metodla saptandı. Çalışmada FİP’li kedilerin hem serum hem de peritoneal efuzyonlarındaki ADA-1 (p<0,001) ve CRP (p<0,001) düzeyleri sağlıklı kedilerin düzeylerine göre istatistiksel olarak anlamlı düzeyde yüksek olduğu belirlendi. FİP’li kedilerin serum ADA-1 konsantrasyonu ile CRP konsantrasyonları arasında yüksek düşeyde pozitif korelasyonun olduğu belirlendi (r=0,62, p<0,001). Ayrıca FİP’li kedilerin serum TP (p<0,01) ve globülin (G) (p<0,01) düzeylerinde anlamlı artışlar belirlenirken albümin (p<0,01) düzeyleri ve albümin globülin oranlarında (A/G) ise sağlıklı kedilere göre anlamlı düzeyde düşüşlerin olduğu saptandı. Kuru form FİP’li kedilerin serum TP (p<0,05), ve G (p<0,05) düzeyleri yaş form FİP’li kedilerinkiyle karşılaştırıldığında anlamlı düzeyde yüksek iken ADA-1 p<0,01) aktivitesinin ise anlamlı düzeyde düşük olduğu saptandı. Sonuç olarak, FİP’li kedilerde artan serum ADA-1 aktivitesi T-lenfosit aktivasyonunu ve artan CRP ile düşen albümin ise akut faz yanıtın geliştiğini ortaya koymaktadır. FİP’li kedilerde hem serum hem de peritoneal efüzyonların ADA-1 ve CRP düzeylerinin ölçümünde kullanılabileceği ve bu parametrelerin FİP’li kedilerde T-lenfosit aracılı immun yanıt, yangı ve olası organ hasarlarının değerlendirilmesinde yararlı biyomarkırlar olduğu düşünülmektedir. Anahtar Kelimeler: Adenozin Deaminaz-1 (ADA-1), C-Reaktif Protein (CRP) Felin İnfeksiyöz Peritonitis (FIP), Kedi.

___

  • Addie, D., Belak, S., Boucraut-Baralon, C., Egberink, H., Frymus, T., Gruffydd-Jones, T., Hartmann, K., Hosie, M.J., Lloret, A., Lutz, H., Marsilio, F., Pennisi, M.G., Radford, A.D., Thiry, E., Truyen, U., Horzinek, M.C., 2009. Feline infectious peritonitis. ABCD guidelines on prevention and management. Journal of Feline Medicine and Surgery, 11, 594-604.
  • Afrasiaban, S., Mohsenpour, B., Bagheri, K.H., Sigari, N., Aftabi, K., 2013. Diagnostic value of serum adenosine deaminase level in pulmonary tuberculosis. Journal of Research in Medical Sciences, 18, 252–254.
  • Akhtardanesh, B., Ghalekhani, N., Abshenas, J., Nematollahi, H., Sharifi, H., 2013. Serum adenosine deaminase as a diagnostic marker of chronic infectious disease in dogs. Journal of Veterinary Research, 17, 592-595.
  • Antonioli L., Colucci, R., La Motta, C., Tuccori, M., Awwad, O., Da Settimo, F., Blandizzi, C., Fornai, M., 2012. Adenosine deaminase in the modulation of immune system and its potential as a novel target for treatment of inflammatory disorders. , 13, 842-862.
  • Baba, K., Hoosen, A.A., Langeland, N., Dyrhol-Riise, A.M., 2008. Adenosine Deaminase Activity Is a Sensitive Marker for the Diagnosis of Tuberculous Pleuritis in Patients with Very Low CD4 Counts. PLOSone, 3, 1-5.
  • Brigida, I., Sauer, A., Ferrua, F., Giannelli, S., Scaramuzza, S., Pistoia, V., Casiello, M.C., Barendregt, B., Cicalese, M.P., Casiraghi, M., Brombin, C., Puck, J., Muller, K., Notarangelo, L.D., Montin, D., Van Montfrans, J.M., Roncarolo, M.G., Traggiai, E., Van Dongen, J.J.M., Ven Der Brug, M., Aiuti, A., 2014. B-cell development and functions and therapeutic options in adenosine deaminase–deficient patients. Journal of Allergy and Clinical Immunology, 133, 799–806.
  • Castro, J., Nuevo, G.D., Perez-Rodriguez, E., Light, R.W., 2003. Diagnostic value of adenosine deaminase in nontuberculous lymphocytic pleural effusions. European Respiratory Society, 21, 220-224.
  • Chiu, I.M., Huang, L.C., Chen, I.L. Tang, K.S., Huang, Y.H., 2019. Diagnostic values of C-reactive protein andcomplete blood cell to identify invasive bacterial infection in young febrile infants. Pediatrics and Neonatology, 60, 197-200.
  • Climent, N., Martinez-Navio, J.M., Gil, C., Garcia, F., Rovira, C., Hurtado, C., Miralles, L., Gatell, J.M., Gallart, T., Mallol, J., Lluis, C., Franco, R. 2009. Adenosine deaminase enhances T-cell response elicited by dendritic cells loaded with inactivated HIV. Immunology and Cell Biology, 87, 634-9.
  • Clyne, B., Olshaker, J.S., 1999. The C-reactive protein. Journal of Emerging Medicine, 17, 1019-1025.
  • De Sosa Rodrigues, L.F., Olivera, M.E.F., Teixeira, P.P.M., Cavalcante, I.J.M., Vale, M.R., 2012. Adenosine deaminase activity as a biochemical marker of inflammatory response in goats infected by caprine arthritis–encephalitis virus. Small Ruminant Research, 108, 120-126.
  • Decaron, N., Buonavoglia, C., 2011. Canine coronavirus: not only an enteric pathogen. Vet Veterinary Clinics of North America, Small Animal Practice, 41, 1121-1132.
  • Diaz, J.V., Poma, R., 2009. Diagnosis and clinical signs of feline infectious peritonitis in the central nervous system. Canadian Veterinary Journal, 50, 1091-1093.
  • Duthies, S., Eckersall, P.D., Addie, D.D., Lawrence, C.E., Jarret, O., 1997. Value of alpha 1-acid glycoprotein in the diagnosis of feline infectious peritonitis. Veterinary Record, 141, 299-303.
  • Eckersall, P.D., 2008. Proteins, Proteomics, and the Dysproteinemias. In Kaneko, J.J., Harvey, J.W., Bruss, M.L. (eds) Clinical Biochemistry of Domestic Animals, Chapter 5, 6th edition, Academic Press, New York. 117-155.
  • Ehmann, R., Kristen-Burmann, C., Bank-Wolf, B., Konig, M., Herden, C., Haint, T., Heinz-Jurgen, T., Ziebuhr, J., Tekesa, G., 2018. Reverse Genetics for Type I Feline Coronavirus Field Isolate To Study the Molecular Pathogenesis of Feline Infectious Peritonitis. American Society for Microbiology, 9, 1-17.
  • Ellah, M.R.A., Nishimori, K., Goryo, M., Okada, K., Yasuda, J., 2004. Serum adenosine deaminase activity in bovine liver diseases. The Journal of Veterinary Medical Science, 66, 1421-1422. Fehr, A.R., Perlman, S., 2015. Coronaviruses: An Overview of Their Replication and Pathogenesis. Methods in Molecular Biology, 1282, 1–23.
  • Flinn, A.M., Gennry, A., 2018. Adenosine deaminase deficiency: a review. Orphanet Journal of Rare Diseases, 13, 1-7.
  • Giordano, A., Spagnolo, V., Colombo, A., Paltrinieri, S., 2004. Changes in some acute phase protein and immunoglobulin concentrations in cats affected by feline infectious peritonitis or exposed to feline coronavirus infection. Veterinary Journal, 167, 38-44.
  • Gökce, H.I., Bozukluhan, K., 2009. Çiftlik Hayvanlarında Önemli Akut Faz Proteinleri ve Bunların Veteriner Hekimlikte Alanındaki Kullanımı. Dicle University Journal of The Faculty of Veterinary Medicine, 1, 1-14.
  • Haran, J.P., Beaudoin, F.L., Suner, S., Lu S., 2013. C-reactive protein as predictor of bacterial infection among patients with an influenza-like illness. American Journal of Emergency Medicine, 31, 137–144.
  • Hartmann, K., Binder, C., Hirschberger, J., Cole, D., Reinacher, M., Schroo, S., Frost, J., Egberink, H., Lutz, H., Hermanns, W., 2003. Comparison of different tests to diagnose feline infectious peritonitis. Journal of Veterinary Internal Medicine, 17, 781-790.
  • Hazuchova, K., Held, S., Neiger, R., 2017. Usefulness of acute phase proteins in differentiating between feline infectious peritonitis and other diseases in cats with body cavity effusions. Journal of Feline Medicine and Surgery, 19, 809-816.
  • Jeffery, U., Deitz, K., Hostetter, S., 2012. Positive predictive value of albumin: globulin ratio for feline infectious peritonitis in a mid-western referral hospital population. Journal of Feline Medicine and Surgery, 14, 903-905.
  • Kaneko, J.J., Harvey, J.W., Bruss, M.L., 2008. Clinical Biochemistry of Domestic Animals, Chapter 5, 6th edition, Academic Press, New York. 117-155.
  • Kapisyzi, P., Argjiri, D., Byrazeri, G., Mitre, A., Beli, J., Vabeflliu, Y., Kore, R., Shehu, E., Light, R., 2009. Use of pleural fluid C reactive protein levels as diagnostic marker for pleural effusions. Chest, 136, 30-36.
  • Kim, J.W., Yang, I.A., Oh, A.E., Rhyoo, Y.G., Jang, Y.H., 1988. C reactive protein, sialic acid and adenosine deaminase levels in serum and pleural fluid from patients with pleural effusion. The Korean Journal of Internal Medicine, 3, 122-127.
  • Kipar, A., Meli, M.L., Baptiste, K.E., Bowker, L.J., Lutz, H., 2010. Sites of feline coronavirus persistence in healthy cats. Journal of General Virology, 91, 1698–1707.
  • Li, F., Zhang, W., Hu, H., Zhang, Y., Huang, D., 2019. Diagnostic value of procalcitonin, C-reactive protein and lactate dehydrogenase in paediatric malignant solid tumour concurrent with infection and tumour progression. Scientific Reports, 9, 5903.
  • Martinez-Navio, M., Casanova, V., Pacheco, R., Naval-Macabuhay, I., Climent, N., Garcia, F., Gatell, J.M., Mallol, J., Gallart, T., Lluis, C., Franco, R., 2011. Adenosine deaminase potentiates the generation of effector, memory, and regulatory CD4 T cells. Journal of Leukocyte Biology, 89, 127-136.
  • Nagayasu, A., Kubo, S., Nakano, K., Nakayamada, S., Iwata, S., Miyagawa, I., Fukuyo, S., Saito, K., Tanaka, Y., 2018. IgG4-related Pleuritis with Elevated Adenosine Deaminase in Pleural Effusion. Internal Medicine, 57, 2251-2257.
  • Nalasnik, M., Nicolic, J.M., Jandrics, S., 2011. Adenosine deaminase and C-reactive protein in diagnosing and monitoring of rheumatoid arthritis. Medicinski Glasnik, (Zenica), 8, 163-168.
  • Niraula, A.,Thapa, S., Kunwar, S., Lamsal, M., Baral, N., Maskey, R., 2018. Adenosine deaminase activity in type 2 diabetes mellitus: does it have any role? BMC Endocrine Disorders, 18, 1-5.
  • Oğuzoğlu, T.C., Sahna, K.C., Ataseven, V.S., Muz, D., 2010. Prevalence of feline coronavirus (FCoV) and feline leukemia virus (FeLV) in Turkish cats. Veterinary Journal of Ankara University, 57, 271-274.
  • Osman, R., L’allier, P.L., Elgharib, N., Tardif, J.C., 2006. Critical appraisal of C-reactive protein throughout the spectrum of cardiovascular disease. Vascular Health and Risk Management, 2, 221-237.
  • Pedersen, N.C., 2014. An overview of feline enteric coronavirus and infectious peritonitis virus infections. Feline Practice, 23, 7-19.
  • Poursharifi, P., Saghiri, R., Ebrahimi-Rad, M., Nazem, H., Pourpak, Z., Moin, M., Shams, S., 2009. Adenosine deaminase in patients with primary immunodeficiency syndromes: The analysis of serum ADA 1 and ADA 2 activities. Clinical Biochemistry, 42, 1438–1443.
  • Ridker, P.M., Rifai, N., Rose, L., Buring, J.E., Cook, N.R., 2002. Comparison of C-reactive protein and low-density lipoprotein cholesterol levels in the prediction of first cardiovascular events. The New England Journal of Medicine, 14, 1557-1565.
  • Ruiz Gonzalez, A., Utrillo, L., Bielsa, S., Falguera, M., Porcel, J.M., 2016. The Diagnostic Value of Serum C-Reactive Protein for Identifying Pneumonia in Hospitalized Patients with Acute Respiratory Symptoms. Journal of Biomarkers, 2016, 1-5.
  • Sasaki, K., Fujita, I., Hamasaki, Y., Miyazaki, S., 2002. Differentiating between bacterial and viral infection by measuring both C-reactive protein and 2'-5'-oligoadenylate synthetase as inflammatory markers. Journal of Infection and Chemotherarpy, 8, 76-80.
  • Sauer, A.V., Brigida, I., Carrıglion, N., Aiuti, A., 2012. Autoimmune dysregulation and purine metabolism in adenosine deaminase deficiency. Frontier in Immunology, 3, 2-19.
  • Sharif, S., Arshas, S.S., Hair-Bejo, M., Omar, A.R., Zeenathul, N.A., Hafidz, M.A., 2009. Prevalence of feline coronavirus in two cat populations in Malaysia. Journal of Feline Medicine and Surgery, 11, 1031-1034.
  • Sproston, NR., Ashworth, J.J., 2018. Role of C-Reactive Protein at Sites of inflammation and infection. Frontiers in Immunology, 9, 1-11.
  • Sridevi, V., Chandrakanth, Vinita, A., 2018. Evaluation of Adenosine deaminase, Serum C-reactive protein and alkaline phosphatase activity in Rheumatoid Arthritis patients in Shivamogga district, South India. International Journal of Clinical Biochemistry and Research, 5, 138-142.
  • Vogel, L., Van Der Lubben, M., Te Lintelo, E.G., Bekkert, C.P., Greets, T., Schuijff, L.S., Grinwis, G.C., Egberink, H.F., Rottier, P.J., 2010. Pathogenic characteristics of persistent feline enteric coronavirus infection in cats. Veterinary Research, 41, 71-82.
  • Worthing, K., Wigney, D., Dhand, N., Fawcett, Q.A., Mcdonagh, P., Malik, K.R., Norris, S J., 2012. Risk factors for feline infectious peritonitis in Australian cats. Journal of Feline Medicine and Surgery, 14, 405–412.
  • Xu, L., Li Q., Mo Z., You P., 2016. Diagnostic value of C-reactive protein in neonatal sepsis: A meta-analysis, European Journal of Inflammation, 14, 100–108.
  • Tasker S., 2018. Diagnosis of feline infectious peritonitis: Update on evidence supporting available tests. Journal of Feline Medicine and Surgery, 20, 228-243.