Acute phase reactants in nondomesticated mammals—a veterinary clinical pathology perspective

Applications for acute phase reactants (APRs) in nondomesticated mammals include identifying inflammatory disease, monitoring the course of specific disease processes and recovery during rehabilitation, detecting preclinical or subclinical disease, being used as bioindicators for monitoring population and ecosystem health, and as markers of stress and animal welfare. Serum amyloid A, haptoglobin, C-reactive protein, fibrinogen, albumin, and iron are most commonly measured. The procedure for evaluating an APR in a nondomesticated mammalian species should follow a stepwise approach beginning with an assessment of analytical performance, followed by an evaluation of overlap performance, clinical performance, and impact on patient outcomes and management. The lack of species-specific standards and antibodies for nondomesticated mammals presents a challenge, and more attention needs to be focused on assessing cross-reactivity and ensuring adequate analytical performance of APR assays. Sample selection for the initial evaluation of APRs should consider preanalytical influences and should originate from animals with confirmed inflammatory disease and healthy animals. Reference intervals should be generated according to published guidelines. Further evaluation should focus on assessing the diagnostic utility of APRs in specific disease scenarios relevant to a species. Greater attention should be paid to assay performance and uniformity of methods when using APRs for population and ecosystem surveillance. Veterinary clinical pathologists should work closely with zoo veterinarians and wildlife researchers to optimize the accuracy and utility of APR measurements in these various conservation medicine scenarios.http://www.wileyonlinelibrary.com/journal/vcphj2022Centre for Veterinary Wildlife StudiesCompanion Animal Clinical Studie

New ZZ Ceti stars from the LAMOST survey

The spectroscopic sky survey carried out by the Large Sky Area Multi-Object Fiber Spectroscopic Telescope (LAMOST) provides the largest stellar spectra library in the world until now. A large number of new DA white dwarfs had been identified based on the LAMOST spectra. The effective temperature ($T_{\rm eff}$) and surface gravity ($\log g$) of most DA white dwarfs were determined and published in the catalogs, e.g. Zhao et al. (2013), Rebassa-Mansergas et al. (2015), Gentile Fusillo et al. (2015) and Guo et al. (2015). We selected ZZ Ceti candidates from the published catalogs by considering whether their $T_{\rm eff}$ are situated in the ZZ Ceti instability strip. The follow-up time-series photometric observations for the candidates were performed in 2015 and 2016. Four stars: LAMOST J004628.31+343319.90, LAMOST J062159.49+252335.9, LAMOST J010302.46+433756.2 and LAMOST J013033.90+273757.9 are finally confirmed to be new ZZ Ceti stars. They show dominant peaks with amplitudes rising above the 99.9% confidence level in the amplitude spectra. As LAMOST J004628.31+343319.90 has an estimated mass of $\sim$ 0.40 $M_{\odot}$ and LAMOST J013033.90+273757.9 has a mass of $\sim$ 0.45 $M_{\odot}$ derived from their $\log g$ values, these two stars are inferred to be potential helium-core white dwarfs.Comment: 15 pages, 8 figures, 3 tables, accepted for publication in Ap

Challenges to establish the diagnosis of aspergillosis in non-laboratory animals: looking for alternatives in veterinary medicine and demonstration of feasibility through two concrete examples in penguins and dolphins

Aspergillosis remains difficult to diagnose in animals. Laboratory-based assays are far less developed than those for human medicine, and only few studies have been completed to validate their utility in routine veterinary diagnostics. To overcome the current limitations, veterinarians and researchers have to propose alternative methods including extrapolating from human diagnostic tools and using innovative technology. In the present overview, two specific examples were complementarily addressed in penguins and dolphins to illustrate how is challenging the diagnosis of aspergillosis in animals. Specific focus will be made on the novel application of simple testing in blood based on serological assays or protein electrophoresis and on the new information garnered from metabolomics/proteomics to discover potential new biomarkers. In conclusion, while the diagnostic approach of aspergillosis in veterinary medicine cannot be directly taken from options developed for human medicine, it can certainly serve as inspiration

Introducing the special issue on acute phase proteins in veterinary medicine

Measurement of acute phase proteins (APPs) has now become part of routine laboratory testing for companion animals in many areas of the world. As useful markers of infectious and inflammatory diseases, APPs have been shown to have value in many areas, including health assessments, prognosis, herd health, and animal welfare. The increased use of all acute phase reactants in domesticated animals has been paralleled by an increase in research detailing the measurement and application in non-domesticated mammals. There are many challenges for future research in this still-developing field.http://wileyonlinelibrary.com/journal/vcp2023-02-26hj2023Centre for Veterinary Wildlife StudiesCompanion Animal Clinical Studie

Assessment of the acute phase response in healthy and injured southern white rhinoceros (Ceratotherium simum simum)

Acute phase reactants (APRs) have not been investigated in white rhinoceros (Ceratotherium simum). This study aimed to identify clinically useful APRs in this species. Reference intervals (RIs) were generated for albumin, fibrinogen, haptoglobin, iron and serum amyloid A (SAA) from 48 free-ranging animals, except for SAA (n = 23). APR concentrations between healthy animals and those with tissue injury (inflammation) (n = 30) were compared. Diagnostic performance was evaluated using receiver-operator characteristic (ROC) curve and logistic regression analyses. RIs were: albumin 18–31 g/L, fibrinogen 1.7–2.9 g/L, haptoglobin 1.0–4.3 g/L, iron 9.7–35.0 μmol/L, SAA <20 mg/L. Iron and albumin were lower and fibrinogen, haptoglobin and SAA higher in injured vs. healthy animals. Iron showed the best diagnostic accuracy followed by fibrinogen, albumin, haptoglobin and SAA. Iron ≤ 15.1 μmol/L and haptoglobin >4.7 g/L were significant predictors of inflammatory status and together correctly predicted the clinical status of 91% of cases. SAA > 20 mg/L had a specificity of 100%. In conclusion, albumin and iron are negative and fibrinogen, haptoglobin and SAA positive APRs in the white rhinoceros. The combination of iron and haptoglobin had an excellent diagnostic accuracy for detecting inflammation.The Health and Welfare Sector Education and Training Authority of South Africa, Tridelta Development Limited, the South African government through the South African Medical Research Council and the National Research Foundation.https://www.frontiersin.org/journals/veterinary-science#am2020Centre for Veterinary Wildlife StudiesCompanion Animal Clinical Studie

Diagnostic agreement between three point-of-care glucose and β-hydroxybutyrate meters and reference laboratory methods in stingrays

Point-of-care (POC) glucose and β-hydroxybutyrate (β-HB) meters can potentially provide rapid insight into an elasmobranch’s metabolic state in clinical and field research settings. This study evaluated the diagnostic agreement of three commercial POC meters against reference laboratory methods for glucose and β-HB concentrations in stingrays. Blood was collected during anesthetized exams from 28 stingrays representing four species: cownose rays (Rhinoptera bonasus), Atlantic stingrays (Hypanus sabina), southern stingrays (Hypanus americanus), and yellow stingrays (Urobatis jamaicensis). Glucose and β-HB concentrations were measured with each POC meter using whole blood and plasma; in parallel, plasma glucose and β-HB concentrations were measured via reference laboratory methods. Agreement between POC meters and reference laboratory methods was assessed using Bland–Altman methods, Passing-Bablok regression, observed total error, percent relative error, and linear mixed effect models. Plasma glucose and β-HB concentrations determined by reference laboratory methods ranged from &lt;20–63 mg/dL to 0.05–5.38 mmol/L, respectively. One human POC meter—the Precision Xtra—showed the greatest agreement with reference laboratory methods when measuring glucose with whole blood [mean bias and 95% CI: 0 (−3–4) mg/dL] and β-HB with plasma [mean bias and 95% CI: 0.1 (−0.04–0.2) mmol/L]. Stingray sex, weight, buffy coat, and packed cell volume did not significantly affect the agreement between POC meters and reference laboratory methods. Across all three POC meters, mean bias and imprecision for plasma β-HB concentrations were relatively small (0–0.1 mmol/L and 0%, respectively). Utilizing POC meters to measure glucose and β-HB in stingrays may be viable when reference methods are unavailable

Fusarium spp. an emerging fungal threat to leatherback (Dermochelys coriacea) eggs and neonates

IntroductionFungal diseases are a rising health problem globally, in humans, nonhuman animals, and plants. Emerging fungal diseases have been associated with mass mortality events. A recent example of fungal disease pathogenicity is sea turtle egg fusariosis (STEF). The pathogenicity of STEF has been linked to fungi within the Fusarium solani species complex (FSSC). This complex is composed of over 45 phylogenetically identifiable species commonly found in the environment. Species within the FSSC lineage have been isolated from the nests of multiple sea turtle species and are linked to decreased hatching success in all 7 of the extant sea turtle species. Fungi within this lineage are also known to cause cutaneous and subcutaneous infections. These fungi are not only a threat to sea turtles but also to other animals, including humans, that use coastal waters and beaches inhabited by Fusarium spp. The presence of Fusarium spp., in the context of sea turtle health, has not been investigated on southeastern Florida beaches which are fundamentally important for at least three sea turtle species that nest there in large numbers.MethodsWe performed a retrospective assessment of necropsy reports from dead captive leatherback neonates from 2010 to 2022 to assess the most common microscopic diagnoses and the presence of skin lesions associated with mycotic dermatitis. Additionally, live captive leatherbacks and dead-in-nest samples from the 2022 hatching season were used to assess the presence and effect of mycotic dermatitis in Juno Beach and Boca Raton, Florida, USA. This was accomplished by observing gross lesions, fungal cultures, and blood values.ResultsThe retrospective analysis of dead captive neonates revealed that the diagnosis of mycotic dermatitis on histopathology has significantly increased since 2010. The assessment of gross skin lesions associated with mycotic dermatitis in dead and live captive leatherback neonates also revealed a similar increase. Investigations in live captive leatherbacks revealed fungal cultures positive for Fusarium spp. and significant differences in blood values at emergence between healthy turtles and those that later developed mycotic dermatitis.DiscussionPositive dead-in-nest culture results suggest that Fusarium spp. are likely present in leatherback sea turtle nests in Boca Raton and Juno Beach, Florida, USA. Additionally, the occurrence of mycotic dermatitis in dead and live captive leatherback neonates suggests that the presence of Fusarium spp. in the nest likely affects leatherback neonates even after emergence

Protein electrophoresis of non‐traditional species: A review

EPH has been demonstrated to be a useful tool in companion animals while providing an opportunity to characterize globulinemias, including paraproteinemia. In EPH of non‐traditional species, these same applications are important, but the primary use is to gauge the acute‐phase and humoral immune responses. This includes the valid quantitation of albumin as well as the examination of fractions reflective of increases in acute‐phase reactants and immunoglobulins. Agarose gel EPH and, more recently, capillary zone EPH have been applied to samples from these species. Performing these analyses provides special challenges in the placement of fraction delimits, generation of RIs, and interpretation of results. Recommended as part of routine bloodwork, EPH can also provide key results that are helpful in clinical and field‐based health assessments as well as in prognostication

Infectious and Zoonotic Disease Testing in Pet Birds

Pet bird ownership and the veterinary diagnostic market for avian and exotic species testing have grown markedly during the past 20 years. Birds present with both unique infectious diseases and other diseases that are known to the human medical community, including aspergillosis, mycobacteriosis, chlamydophilosis, and bornavirus infection, some of which have clear zoonotic implications. Although diagnostic testing for these avian infectious diseases has grown considerably and includes the newer technology of polymerase chain reaction as well as traditional serologic testing, guidelines for the use and interpretation of these tests and standardization of tests among veterinary laboratories remains an unmet challenge

Biomarkers of Inflammation in Exotic Pets

The acute phase response (APR) is a key part of the innate immune system and acute phase proteins (APPs) represent the core of the early response to stimuli such as trauma, infection, stress, neoplasia, and autoimmune disease. These biomarkers have a different timeline and magnitude of expression vs traditional means of examining inflammation (e.g., total white blood count and albumin/globulin (A/G) ratio). Extensive studies conducted in companion and large animals have demonstrated many clinical applications for inflammatory biomarkers including diagnosis, prognosis, detection of subclinical disease and chronic inflammation, and monitoring stress. This article provides information regarding the APR and the uses of APP quantitation, as well as the growing body of information on APPSs in exotic animals