Are pulmonary hemostasis and fibrinolysis out of balance in equine chronic pneumopathies?

Autor: Ann Kristin Barton, Heidrun Gehlen, Ralf Einspanier, Caroline Wirth, Angelika Bondzio
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Lung Diseases
medicine.medical_specialty
040301 veterinary sciences
medicine.medical_treatment
Fibrinogen
Gastroenterology
0403 veterinary science
Fibrin Fibrinogen Degradation Products
03 medical and health sciences
recurrent airway obstruction
Internal medicine
Fibrinolysis
medicine
Animals
Serum amyloid A
Horses
Respiratory system
Recurrent airway obstruction
inflammatory airway disease
Hemostasis
Serum Amyloid A Protein
General Veterinary
medicine.diagnostic_test
business.industry
chronic interstitial pneumopathy
inflammatory biomarker
04 agricultural and veterinary sciences
medicine.disease
Airway Obstruction
030104 developmental biology
Bronchoalveolar lavage
Coagulation
Original Article
Horse Diseases
business
Bronchoalveolar Lavage Fluid
medicine.drug
Acute-Phase Proteins
Zdroj: Journal of Veterinary Science
ISSN: 1976-555X
1229-845X
Popis: Clinical examination, bronchoalveolar lavage fluid (BALF) cytology, acute- phase protein, and pulmonary hemostasis and fibrinolysis marker (fibrinogen, serum amyloid A [SAA], and D-dimer) results were compared between control and respiratory disease-affected horses. Using a clinical scoring system, horses (n = 58) were classified as respiratory disease-free (Controls, n = 15) or with recurrent airway obstruction (RAO; n = 18), inflammatory airway disease (n = 14) or chronic interstitial pneumopathy (n = 11). There were no significant differences in fibrinogen concentrations among groups, but there was a trend toward a lower value in controls (median 0.0024 g/L) than in horses with chronic pneumopathies (median 0.0052 g/L), in particular, those with RAO (median 0.0062 g/L). Fibrinogen concentration was positively correlated with percentage of neutrophils in BALF (rs = 0.377, p = 0.004). SAA concentrations were low; 65.5% of samples were below the detection limit. D-dimer concentrations were also low and quantifiable concentrations were only obtained after ultrafiltration and only in RAO (median 0.1 mg/L). In conclusion, there was limited evidence of increased coagulatory activity in chronic pneumopathies, apart from RAO. It is uncertain whether fibrinogen and D-dimer concentrations increased due to their role as acute-phase proteins or as a misbalance of coagulation and fibrinolysis.
Databáze: OpenAIRE