PMID- 36951591 OWN - NLM STAT- MEDLINE DCOM- 20230331 LR - 20230401 IS - 1939-1676 (Electronic) IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 37 IP - 2 DP - 2023 Mar TI - Circulating neutrophil extracellular traps in cats with hypertrophic cardiomyopathy and cardiogenic arterial thromboembolism. PG - 490-502 LID - 10.1111/jvim.16676 [doi] AB - BACKGROUND: Cats with hypertrophic cardiomyopathy (HCM) are at risk of cardiogenic arterial thromboembolism (CATE). Neutrophil extracellular traps (NETs) may be a potential biomarker and therapeutic target for cardiomyopathy in cats. HYPOTHESIS/OBJECTIVES: Characterize NETs in cats with HCM or CATE. We hypothesized that circulating NETs assessed in the form of cell-free DNA (cfDNA) and citrullinated histone H3 (citH3) are increased in cats with HCM and CATE and associated with reported predisposing factors for thrombus formation. ANIMALS: Eighty-five cats including client-owned cats with HCM and CATE and staff- and student-owned clinically healthy cats without HCM. METHODS: After echocardiographic evaluations, NETs were measured as cfDNA and citH3. RESULTS: Cats with CATE had significant increases in cfDNA (11.2 ng/muL; interquartile range [IQR], 8.1 to 29.6) compared to those without HCM (8.2 ng/muL; IQR, 5.7 to 11.7 muL; P = .01) and were responsible for 75% to 83% of cases with cfDNA fragments sized 100 to 2000 base pairs. Citrullinated histone 3, detected in 52% of cats with HCM (31.1 ng/mL; IQR, 16.9 to 29.8), was significantly lower than in those with CATE (48.2 ng/mL; IQR, 34.2 to 60.2; P = .007). The citH3 concentrations correlated significantly with reported risk factors of CATE, such as left atrial auricular velocity. CONCLUSIONS AND CLINICAL IMPORTANCE: Neutrophil extracellualr traps, especially citH3, are increased in cats with HCM and CATE. They may serve as a novel therapeutic target and biomarker of thrombosis in cats with HCM. CI - (c) 2023 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. FAU - Li, Ronald H L AU - Li RHL AUID- ORCID: 0000-0002-3325-2744 AD - Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, California, USA. FAU - Fabella, Arianne AU - Fabella A AD - Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, Davis, California, USA. FAU - Nguyen, Nghi AU - Nguyen N AD - Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, California, USA. FAU - Kaplan, Joanna L AU - Kaplan JL AD - Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, Davis, California, USA. FAU - Ontiveros, Eric AU - Ontiveros E AD - Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, Davis, California, USA. FAU - Stern, Joshua A AU - Stern JA AD - Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, Davis, California, USA. LA - eng GR - D20FE-805/Morris Animal Foundation/ PT - Journal Article DEP - 20230323 PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 RN - 0 (Histones) RN - 0 (Biomarkers) SB - IM MH - Cats MH - Animals MH - *Extracellular Traps MH - Neutrophils MH - Histones MH - Biomarkers MH - *Cardiomyopathy, Hypertrophic/veterinary MH - *Thromboembolism/veterinary MH - *Cat Diseases PMC - PMC10061180 OTO - NOTNLM OT - NETosis OT - cell-free DNA OT - fragment size OT - peptidyl arginine deiminase 4 COIS- Johaua A Stern serves as Associate Editor for the Journal of Veterinary Internal Medicine. He was not involved in review of this manuscript. No other authors declare a conflict of interest. EDAT- 2023/03/24 06:00 MHDA- 2023/03/31 06:42 PMCR- 2023/03/23 CRDT- 2023/03/23 10:07 PHST- 2022/04/04 00:00 [received] PHST- 2023/02/14 00:00 [accepted] PHST- 2023/03/31 06:42 [medline] PHST- 2023/03/24 06:00 [pubmed] PHST- 2023/03/23 10:07 [entrez] PHST- 2023/03/23 00:00 [pmc-release] AID - JVIM16676 [pii] AID - 10.1111/jvim.16676 [doi] PST - ppublish SO - J Vet Intern Med. 2023 Mar;37(2):490-502. doi: 10.1111/jvim.16676. Epub 2023 Mar 23.