PMID- 23647320 OWN - NLM STAT- MEDLINE DCOM- 20150403 LR - 20191210 IS - 1939-165X (Electronic) IS - 0275-6382 (Linking) VI - 42 IP - 2 DP - 2013 Jun TI - Serum alpha1-proteinase inhibitor concentrations in healthy dogs--method validation and determination of reference interval and intra-individual variation. PG - 190-5 LID - 10.1111/vcp.12039 [doi] AB - BACKGROUND: A chronic loss of canine alpha1 -proteinase inhibitor (calpha1 -PI) into the gastrointestinal (GI) tract could change the systemic proteinase-proteinase inhibitor balance. Serum calpha1 -PI concentrations have not been studied in dogs with well-defined GI diseases. OBJECTIVES: To further evaluate serum calpha1 -PI concentrations in dogs with GI diseases, the objectives of this study were to (1) analytically validate a previously developed fecal calpha1 -PI immunoassay to determine serum concentrations, (2) determine a population-based reference interval (RI) and assess the clinical utility, (3) determine stability of serum calpha1 -PI, (4) determine the intra-individual variation in healthy dogs, and (5) determine the clinically relevant magnitude of change of serum calpha1 -PI. METHODS: Prestudy validation of the (125) I-calpha1 -PI immunoassay included linearity, spiking recovery, and intra- and inter-assay precision. A RI was calculated with samples of healthy dogs. Stability at -20 degrees C was tested on 36 samples. Intra-individual variation was assessed using samples collected from 11 healthy dogs over a 12-week period. RESULTS: The calpha1 -PI radioimmunoassay (RIA) was linear, accurate, precise, and reproducible. Serum calpha1 -PI decreased by 11% after one year at -20 degrees C. Analytical, intra-individual, inter-individual, and total variation were 6.4, 9.9, 9.0, and 25.3%, respectively. The RI for serum calpha1 -PI was 732-1802 mg/L (n = 87); there were no differences between sex and age groups. The index of individuality was 1.31. As analytical variation was > (1/2) inter-individual variation, the minimum critical difference was not determined. CONCLUSIONS: The results of this study provide the basis for further evaluating serum calpha1 -PI in dogs with GI disease. Using a population-based RI for serum calpha1 -PI appears to be appropriate. CI - (c) 2013 American Society for Veterinary Clinical Pathology. FAU - Heilmann, Romy M AU - Heilmann RM AD - Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Gastrointestinal Laboratory, Texas A&M University, College Station, TX 77843-4474, USA. rheilmann@cvm.tamu.edu FAU - Ruaux, Craig G AU - Ruaux CG FAU - Burgener, Iwan A AU - Burgener IA FAU - Hern, Jennifer D AU - Hern JD FAU - Suchodolski, Jan S AU - Suchodolski JS FAU - Steiner, Jorg M AU - Steiner JM LA - eng PT - Journal Article PT - Validation Study DEP - 20130423 PL - United States TA - Vet Clin Pathol JT - Veterinary clinical pathology JID - 9880575 RN - 0 (Iodine Radioisotopes) RN - 0 (alpha 1-Antitrypsin) SB - IM MH - Animals MH - Dog Diseases/blood/enzymology MH - Dogs/*blood MH - Female MH - Gastrointestinal Diseases/blood/veterinary MH - Iodine Radioisotopes MH - Male MH - Radioimmunoassay/standards/*veterinary MH - Reference Values MH - Reproducibility of Results MH - alpha 1-Antitrypsin/*blood/standards EDAT- 2013/05/08 06:00 MHDA- 2015/04/04 06:00 CRDT- 2013/05/08 06:00 PHST- 2013/05/08 06:00 [entrez] PHST- 2013/05/08 06:00 [pubmed] PHST- 2015/04/04 06:00 [medline] AID - 10.1111/vcp.12039 [doi] PST - ppublish SO - Vet Clin Pathol. 2013 Jun;42(2):190-5. doi: 10.1111/vcp.12039. Epub 2013 Apr 23.