ELISA试剂盒检测犬尿醛固酮浓度的初步评价

A. Savarese, C. Locatelli, V. Borromeo, A. Berrini, A. Galizzi, Martina Crudo, P. Brambilla
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摘要

醛固酮是一种皮质类固醇激素,在水和盐的重吸收、血容量和血压的稳态调节中起关键作用。高血压、慢性和急性充血性心力衰竭(CHF)患者的醛固酮水平可能升高;而诸如ACE抑制剂和抗矿化皮质激素等药物会对其产生不利影响。醛固酮具有脉动性分泌,因此测定血清的指示性不如测定尿液,后者的浓度可与肌酐比值相关联,用于估计24小时醛固酮的排泄。很少有研究评估犬尿患者的醛固酮,也没有通过ELISA。本研究的目的是评估一种用于测定狗尿液中醛固酮的商用ELISA试剂盒。通过免费收集4只狗的尿液。其中两名健康,一名患有慢性肾功能衰竭并每日服用抗矿物质皮质激素,一名患有慢性肾脏疾病(CKD)。尿液离心1250g/ 5min,上清液冷冻(-20℃)。醛固酮的测定采用竞争性ELISA法,该方法之前在狗身上得到了验证。尿液样品在测定前进行24小时酸水解。半对数曲线在2.5 ~ 3.9 ng/mL之间呈线性关系。尖峰回收率、线性稀释和平行度实验显示了测量狗尿液样本中醛固酮的准确性。测定内变异系数重复性好。尿液样本易于收集,本初步研究中使用的ELISA在测定狗尿液中的醛固酮方面似乎很有希望。对于患有急性和慢性CHF的狗来说,它的水平可以有很大的诊断和预后价值,以便评估最佳的治疗策略。这一初步分析之后,将对急性和慢性CHF患者进行进一步研究。
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Preliminary evaluation of an ELISA kit for the detection of Aldosterone concentration in dog’s urine
Aldosterone is a corticosteroid hormone that plays a pivotal role in homeostatic regulation of water and salt reabsorption, blood volume and pressure. Aldosterone levels tent to rise in humans in hypertension, chronic and acute congestive heart failure (CHF); detrimental effects are opposed by drugs like ACE inhibitors and anti-mineralocorticoid. Aldosterone has a pulsatile secretion, so measurement in serum is less indicative than in urine, where concentration can be indexed to creatinine ratio for estimation of the 24-h aldosterone excretion. Few studies have evaluated aldosterone in canine urine patients, and none by ELISA. Aim of the study was to evaluate a commercial ELISA kit for measuring aldosterone in dog’s urine. Urine was collectedby free catchfrom four dogs. Two were healthy, one was affected by CHF and prescribed anti-mineralocorticoiddaily, one was affected by chronic kidney disease (CKD). Urine was centrifuged (1250g/5 min) and supernatant frozen (-20°C). Aldosterone was measured by a competitive ELISA previously validated for dogs. Twenty-four hours acid hydrolysis was performed on urinary samples before assay. The ELISA standard curve in a semi-log plot was linear between 2.5 and 3.9 ng/mL. Spike-and-recovery, linearity-of-dilution and parallelism experiments showed accuracy inmeasuring aldosterone in dog urine samples. The intra-assay coefficient of variation showed good reproducibility of the assay. Urinary samples are easy to collect, and the ELISA used in this preliminary study seems promising in determining aldosterone in dog urine. Its levels can be of great diagnostic and prognostic value for dogs affected by acute and chronic CHF, in order to assess the best therapeutic strategy. This preliminary analysis will be followed by further studies in patients affected by acute and chronic CHF.
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