Evaluation of perinuclear antineutrophilic cytoplasmic antibodies in sera from dogs with inflammatory bowel disease or intestinal lymphoma

Carolina Mancho Department of Animal Medicine and Surgery, College of Veterinary Medicine, Complutense University of Madrid, 28040 Madrid, Spain.

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Ángel Sainz Department of Animal Medicine and Surgery, College of Veterinary Medicine, Complutense University of Madrid, 28040 Madrid, Spain.

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Mercedes García-Sancho Department of Animal Medicine and Surgery, College of Veterinary Medicine, Complutense University of Madrid, 28040 Madrid, Spain.

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Alejandra Villaescusa Department of Animal Medicine and Surgery, College of Veterinary Medicine, Complutense University of Madrid, 28040 Madrid, Spain.

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Fernando Rodríguez-Franco Department of Animal Medicine and Surgery, College of Veterinary Medicine, Complutense University of Madrid, 28040 Madrid, Spain.

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Abstract

Objective—To assess and compare the expression of perinuclear antineutrophilic cytoplasmic antibodies (pANCA) in sera obtained from dogs with inflammatory bowel disease (IBD) and dogs with intestinal lymphoma.

Animals—104 dogs with IBD and 23 dogs with intestinal lymphoma.

Procedures—Each ill dog had persistent gastrointestinal signs (> 3 weeks in duration) and absence of response to diet changes or antimicrobial treatments. Gastrointestinal endoscopy was performed in ill dogs to obtain intestinal biopsy specimens for histologic confirmation of IBD or lymphoma. A serum sample was obtained from each ill dog. Neutrophils were isolated from a blood sample from the healthy dog; neutrophil-bearing slides were incubated with serum from each ill dog and examined for expression of pANCA by use of an indirect immunofluorescence technique. Detection of cells that had a perinuclear fluorescence pattern was considered a positive result.

Results—The 2 groups of dogs did not differ with regard to breed and sex but did differ with regard to age. Expression of pANCA was detected in 38 of the 104 (36.5%) dogs with IBD and 4 of the 23 (17.4%) dogs with intestinal lymphoma. Although the frequency of pANCA expression was higher in dogs with IBD, compared with findings in dogs with intestinal lymphoma, the difference was not significant.

Conclusions and Clinical Relevance—Results indicated that circulating pANCA are present in some dogs with IBD or intestinal lymphoma. However, pANCA detection does not seem to be useful for distinguishing dogs with IBD from dogs with intestinal lymphoma.

Abstract

Objective—To assess and compare the expression of perinuclear antineutrophilic cytoplasmic antibodies (pANCA) in sera obtained from dogs with inflammatory bowel disease (IBD) and dogs with intestinal lymphoma.

Animals—104 dogs with IBD and 23 dogs with intestinal lymphoma.

Procedures—Each ill dog had persistent gastrointestinal signs (> 3 weeks in duration) and absence of response to diet changes or antimicrobial treatments. Gastrointestinal endoscopy was performed in ill dogs to obtain intestinal biopsy specimens for histologic confirmation of IBD or lymphoma. A serum sample was obtained from each ill dog. Neutrophils were isolated from a blood sample from the healthy dog; neutrophil-bearing slides were incubated with serum from each ill dog and examined for expression of pANCA by use of an indirect immunofluorescence technique. Detection of cells that had a perinuclear fluorescence pattern was considered a positive result.

Results—The 2 groups of dogs did not differ with regard to breed and sex but did differ with regard to age. Expression of pANCA was detected in 38 of the 104 (36.5%) dogs with IBD and 4 of the 23 (17.4%) dogs with intestinal lymphoma. Although the frequency of pANCA expression was higher in dogs with IBD, compared with findings in dogs with intestinal lymphoma, the difference was not significant.

Conclusions and Clinical Relevance—Results indicated that circulating pANCA are present in some dogs with IBD or intestinal lymphoma. However, pANCA detection does not seem to be useful for distinguishing dogs with IBD from dogs with intestinal lymphoma.

Contributor Notes

Address correspondence to Dr. García-Sancho (mercgarc@vet.ucm.es).
  • 1.

    Guilford WG. Idiopathic inflammatory bowel disease. In: Strombeck DR, ed. Strombeck's small animal gastroenterology. 3rd ed. Philadelphia: WB Saunders Co, 1996;451486.

    • Search Google Scholar
    • Export Citation
  • 2.

    Hall EJ, German AJ. Diseases of the small intestine. In: Ettinger SJ, Feldman EC, eds. Textbook of veterinary internal medicine. 6th ed. St Louis: Elsevier Saunders, 2005;13321378.

    • Search Google Scholar
    • Export Citation
  • 3.

    Sartor RB. Mechanisms of disease: pathogenesis of Crohn's disease and ulcerative colitis. Nat Clin Pract Gastroenterol Hepatol 2006; 3: 390407.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Jergens AE, Moore FM, Haynes JS, et al. Idiopathic inflammatory bowel disease in dogs and cats: 84 cases (1987–1990). J Am Vet Med Assoc 1992; 201: 16031608.

    • Search Google Scholar
    • Export Citation
  • 5.

    Tams TR. Chronic diseases of the small intestine. In: Tams TR, ed. Handbook of small animal gastroenterology. 2nd ed. St Louis: WB Saunders Co, 2003;211251.

    • Search Google Scholar
    • Export Citation
  • 6.

    Jergens AE. Inflammatory bowel disease. Current perspectives. Vet Clin North Am Small Anim Pract 1999; 29: 501521.

  • 7.

    Tams TR. Canine and feline inflammatory bowel disease. Calif Vet 1992; 46: 2124.

  • 8.

    Wilcock B. Endoscopic biopsy interpretation in canine or feline enterocolitis. Semin Vet Med Surg (Small Anim) 1992; 7: 162171.

  • 9.

    Duerr RH, Targan SR, Landers CJ, et al. Anti-neutrophil cytoplasmic antibodies in ulcerative colitis. Comparison with other colitides/diarrheal illnesses. Gastroenterology 1991; 100: 15901596.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Cambridge G, Rampton DS, Stevens TR, et al. Anti-neutrophil antibodies in inflammatory bowel disease: prevalence and diagnostic role. Gut 1992; 33: 668674.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Seibold F, Weber P, Klein R, et al. Clinical significance of antibodies against neutrophils in patients with inflammatory bowel disease and primary sclerosing cholangitis. Gut 1992; 33: 657662.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Broekroelofs J, Mulder AH, Nelis GF, et al. Anti-neutrophil cytoplasmic antibodies (ANCA) in sera from patients with inflammatory bowel disease (IBD). Relation to disease pattern and disease activity. Dig Dis Sci 1994; 39: 545549.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Vecchi M, Bianchi MB, Sinico RA, et al. Antibodies to neutrophil cytoplasm in Italian patients with ulcerative colitis: sensitivity, specificity and recognition of putative antigens. Digestion 1994; 55: 3439.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Castellino F, Rosina F, Bansi DS, et al. Anti-neutrophil cytoplasmic antibodies in inflammatory bowel disease: do they recognize different subsets of a heterogeneous disease? Eur J Gastroenterol Hepatol 1995; 7: 859864.

    • Search Google Scholar
    • Export Citation
  • 15.

    Hertervig E, Wieslander J, Johansson C, et al. Anti-neutrophil cytoplasmic antibodies in chronic inflammatory bowel disease. Prevalence and diagnostic role. Scand J Gastroenterol 1995; 30: 693698.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Roozendaal C, Pogány K, Hummel EJ, et al. Titres of anti-neutrophil cytoplasmic antibodies in inflammatory bowel disease are not related to disease activity. QJM 1999; 92: 651658.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Saxon A, Shanahan F, Landers C, et al. A distinct subset of anti-neutrophil cytoplasmic antibodies is associated with inflammatory bowel disease. J Allergy Clin Immunol 1990; 86: 202210.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Vasiliauskas EA, Kam LY, Karp LC, et al. Marker antibody expression stratifies Crohn's disease into immunologically homogeneous subgroups with distinct clinical characteristics. Gut 2000; 47: 487496.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Allenspach K, Luckschander N, Styner M, et al. Evaluation of assays for perinuclear antineutrophilic cytoplasmic antibodies and antibodies to Saccharomyces cerevisiae in dogs with inflammatory bowel disease. Am J Vet Res 2004; 65: 12791283.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20.

    Luckschander N, Allenspach K, Hall J, et al. Perinuclear anti-neutrophilic cytoplasmic antibody and response to treatment in diarrheic dogs with food responsive disease or inflammatory bowel disease. J Vet Intern Med 2006; 20: 221227.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Mancho C, Rodríguez-Franco F, García-Sancho M, et al. Detección de anticuerpos anti-citoplasma de neutrófilo (ANCA) en suero de perros con enfermedad inflamatoria intestinal. Clin Vet Peq Anim 2007; 27: 121126.

    • Search Google Scholar
    • Export Citation
  • 22.

    Lee AS, Wiesner O, Gillespie DJ, et al. A 70-year-old man with pulmonary infiltrates and a positive antineutrophil cytoplasmic autoantibody test result. Chest 2005; 127: 10451050.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Watz H, Hammerl P, Matter C, et al. Bronchioloalveolar carcinoma of the lung associated with a highly positive pANCA-titer and clinical signs of microscopic polyangiitis. Pneumologie 2004; 58: 493498.

    • Search Google Scholar
    • Export Citation
  • 24.

    Baschinsky DY, Baker PB, Niemann TH, et al. Pauci-immune ANCA-positive crescentic glomerulonephritis associated with metastatic adenocarcinoma of the lung. Am J Kidney Dis 2000; 36:E24.

    • Search Google Scholar
    • Export Citation
  • 25.

    Hamidou MA, Boumalassa A, Larroche C, et al. Systemic medium-sized vessel vasculitis associated with chronic myelomonocytic leukemia. Semin Arthritis Rheum 2001; 31: 119126.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26.

    Hamidou MA, El Kouri D, Audrain M, et al. Systemic antineutrophil cytoplasmic antibody vasculitis associated with lymphoid neoplasia. Ann Rheum Dis 2001; 60: 293295.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27.

    Savige JA, Chang L, Smith CL, et al. Anti-neutrophil cytoplasmic antibodies (ANCA) in myelodysplasia and other haematological disorders. Aust N Z J Med 1994; 24: 282287.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 28.

    Solans-Laqué R, Bosch-Gil JA, Pérez-Bocanegra C, et al. Paraneoplastic vasculitis in patients with solid tumors: report of 15 cases. J Rheumatol 2008; 35: 294304.

    • Search Google Scholar
    • Export Citation
  • 29.

    Kleinschmidt S, Meneses F, Nolte I, et al. Retrospective study on the diagnostic value of full-thickness biopsies from stomach and intestines of dogs with chronic gastrointestinal disease symptoms. Vet Pathol 2006; 43: 10001003.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Fox PR, Petrie JP, Hohenhaus AE. Peripheral vascular disease. In: Ettinger SJ, Feldman EC, eds. Textbook of veterinary internal medicine. 6th ed. St Louis: Elsevier Saunders, 2005;11451165.

    • Search Google Scholar
    • Export Citation

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