PMID- 30451096 OWN - NLM STAT- MEDLINE DCOM- 20190411 LR - 20200225 IS - 1943-4936 (Electronic) IS - 1040-6387 (Print) IS - 1040-6387 (Linking) VI - 31 IP - 1 DP - 2019 Jan TI - Validation of a spectrophotometric method for GGT measurement in canine urine and determination of the urine GGT-to-creatinine ratio reference interval and biological variation in 41 healthy dogs. PG - 33-39 LID - 10.1177/1040638718812927 [doi] AB - The urine gamma-glutamyl transferase (GGT)-to-creatinine ratio has been used to monitor patients at risk of acute renal injury. We validated the spectrophotometric quantification of GGT in urine in a commercial biochemistry analyzer. The assay was precise, accurate, and linear. Intra-assay precision was 3.59% in 4 samples, with GGT concentrations of 47-195 U/L. Inter-assay precision in 3 samples with activities of 11-51 U/L was 7.74%. Accuracy was 97.3%, with an absolute bias of 2.7 U/L. Urine GGT was unaffected by hematuria, hemoglobinuria, or bacteriuria. Urine GGT was stable at 20 degrees C and 4 degrees C for up to 3 d. Storage by freezing at -20 degrees C resulted in a significant reduction in enzyme activity. A pH outside the range of 6.5-8 resulted in reduced GGT activity. The biological variation of urine GGT-to-creatinine ratio provided an index of individuality of 1.6, indicating that a population-based reference interval (RI) can be used. The reference change value was calculated, and an increase in consecutive measurements >43% is required to be regarded as significant. The urine GGT-to-creatinine ratio RI obtained in a population of 41 healthy dogs was 8.5-28.5 U/g. FAU - Ilchyshyn, Nicholas P AU - Ilchyshyn NP AD - Dick White Diagnostics, Dick White Referrals, Six Mile Bottom, Cambridgeshire, UK. FAU - Villiers, Elizabeth AU - Villiers E AD - Dick White Diagnostics, Dick White Referrals, Six Mile Bottom, Cambridgeshire, UK. FAU - Monti, Paola AU - Monti P AD - Dick White Diagnostics, Dick White Referrals, Six Mile Bottom, Cambridgeshire, UK. LA - eng PT - Journal Article PT - Validation Study DEP - 20181118 PL - United States TA - J Vet Diagn Invest JT - Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc JID - 9011490 RN - AYI8EX34EU (Creatinine) RN - EC 2.3.2.2 (gamma-Glutamyltransferase) SB - IM MH - Animals MH - Creatinine/*urine MH - Dogs/*metabolism MH - England MH - Female MH - Male MH - Reference Values MH - Spectrophotometry/methods/*veterinary MH - Urinalysis/methods/*veterinary MH - Urine/chemistry MH - gamma-Glutamyltransferase/*urine PMC - PMC6505752 OTO - NOTNLM OT - Acute kidney injury OT - GGT:creatinine ratio OT - creatinine OT - dogs OT - gamma-glutamyl transferase OT - urine COIS- Declaration of conflicting interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2018/11/20 06:00 MHDA- 2019/04/12 06:00 PMCR- 2019/11/18 CRDT- 2018/11/20 06:00 PHST- 2018/11/20 06:00 [pubmed] PHST- 2019/04/12 06:00 [medline] PHST- 2018/11/20 06:00 [entrez] PHST- 2019/11/18 00:00 [pmc-release] AID - 10.1177_1040638718812927 [pii] AID - 10.1177/1040638718812927 [doi] PST - ppublish SO - J Vet Diagn Invest. 2019 Jan;31(1):33-39. doi: 10.1177/1040638718812927. Epub 2018 Nov 18.