PMID- 38240346 OWN - NLM STAT- MEDLINE DCOM- 20240315 LR - 20240316 IS - 1939-1676 (Electronic) IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 38 IP - 2 DP - 2024 Mar-Apr TI - Serum symmetric dimethylarginine in older dogs: Reference interval and comparison of a gold standard method with the ELISA. PG - 960-970 LID - 10.1111/jvim.16981 [doi] AB - BACKGROUND: Serum symmetric dimethylarginine (SDMA) is used to screen for renal dysfunction in dogs. The gold standard technique for measuring SDMA, liquid chromatography-tandem mass spectrometry (LC-MS/MS) is not widely available. Age-specific reference intervals for SDMA in older dogs are lacking. OBJECTIVES: Prospective study in older dogs to validate a commercially available LC-MS/MS method for SDMA, compare SDMA concentrations with concentrations measured using ELISA and obtain a reference interval (RI) for older dogs using both methods. ANIMALS: Client-owned older dogs undergoing health screening. METHODS: The LC-MS/MS method was analytically validated (limit of detection, precision, and linearity). Serum was sent cooled overnight for ELISA or was frozen at -80 degrees C until batch analysis using LC-MS/MS. Results of LC-MS/MS and ELISA were compared and RIs for older dogs were calculated according to international guidelines. RESULTS: The LC-MS/MS method showed good linearity (r(2) = .99) and precision (coefficient of variation <10%), with a laboratory RI between 8.0 and 14.0 mug/dL. Paired measurements were available from 118 different dogs. Median SDMA concentration were 9.4 (range, 5.0-21.2) using LC-MS/MS and 12.0 (range, 5.0-22.0) mug/dL using ELISA. Both methods significantly differed with a mean difference of 2.2 mug/dL. The RI for older dogs for LC-MS/MS was 4.4-15.0 mug/dL, and for ELISA was 6.4-17.4 mug/dL. CONCLUSIONS AND CLINICAL IMPORTANCE: The ELISA provided significantly higher SDMA concentrations compared to the validated LC-MS/MS method, indicating the need for device- or assay-specific RI. The obtained age-specific RI for SDMA is considerably higher in older dogs compared to the general laboratory RI. CI - (c) 2024 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. FAU - Marynissen, Sofie AU - Marynissen S AUID- ORCID: 0000-0002-1884-9366 AD - Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium. FAU - Junius, Greet AU - Junius G AD - Sonic Healthcare Benelux, Antwerpen, Belgium. FAU - Van den Steen, Evi AU - Van den Steen E AD - Sonic Healthcare Benelux, Antwerpen, Belgium. FAU - Patteet, Lisbeth AU - Patteet L AD - Sonic Healthcare Benelux, Antwerpen, Belgium. FAU - Duchateau, Luc AU - Duchateau L AD - Biometrics Research Group, Department of Veterinary and Biosciences, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium. FAU - Croubels, Siska AU - Croubels S AD - Department of Pathobiology, Pharmacology and Zoological Medicine, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium. FAU - Daminet, Sylvie AU - Daminet S AUID- ORCID: 0000-0001-6733-7925 AD - Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium. FAU - Paepe, Dominique AU - Paepe D AUID- ORCID: 0000-0003-2919-1712 AD - Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium. LA - eng PT - Journal Article DEP - 20240119 PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 RN - 49787G1ULV (symmetric dimethylarginine) RN - 94ZLA3W45F (Arginine) RN - 0 (Biomarkers) SB - IM MH - Humans MH - Dogs MH - Animals MH - Chromatography, Liquid/veterinary MH - Prospective Studies MH - Tandem Mass Spectrometry/veterinary MH - *Renal Insufficiency, Chronic/veterinary MH - Arginine/*analogs & derivatives MH - Enzyme-Linked Immunosorbent Assay/veterinary MH - Biomarkers MH - *Dog Diseases/diagnosis PMC - PMC10937498 OTO - NOTNLM OT - ELISA OT - SDMA OT - asymmetric dimethylarginine OT - canine COIS- Greet Junius, Evi Van den Steen and Lisbeth Patteet are professionally affiliated with the commercial laboratory (SONIC Healthcare Benelux) that validated and performed the LC-MS/MS analysis. They were not involved in study design, results processing, and statistical analyses of the acquired data. No other authors declare a conflict of interest. EDAT- 2024/01/19 12:44 MHDA- 2024/03/15 06:44 PMCR- 2024/01/19 CRDT- 2024/01/19 08:19 PHST- 2023/04/27 00:00 [received] PHST- 2023/12/15 00:00 [accepted] PHST- 2024/03/15 06:44 [medline] PHST- 2024/01/19 12:44 [pubmed] PHST- 2024/01/19 08:19 [entrez] PHST- 2024/01/19 00:00 [pmc-release] AID - JVIM16981 [pii] AID - 10.1111/jvim.16981 [doi] PST - ppublish SO - J Vet Intern Med. 2024 Mar-Apr;38(2):960-970. doi: 10.1111/jvim.16981. Epub 2024 Jan 19.