Initial evaluation of canine urinary cystatin C as a marker of renal tubular function

J Small Anim Pract. 2012 May;53(5):254-9. doi: 10.1111/j.1748-5827.2012.01198.x. Epub 2012 Apr 10.

Abstract

Objectives: To evaluate the performance of a particle-enhanced turbidimetric assay for measuring canine urinary cystatin C and to investigate if the urinary cystatin C to creatinine ratio is higher in dogs with renal disease than in non-renal disease dogs.

Methods: Urinary cystatin C was measured by particle-enhanced turbidimetric assay using an avian antihuman cystatin C antibody and the performance of this assay was evaluated. Clinical relevance was tested in 46 dogs that were divided into three groups: healthy dogs (n=14), non-renal disease dogs (n=17) and dogs with renal disease (n=15).

Results: The assay was linear (R(2)=0·99) and precise (mean intra- and inter-assay coefficients of variation were 2·3 and 2·9%, respectively). The recovery was 111·5% and the limit of blank was 0·02 mg/L. Urinary cystatin C and urinary cystatin C to creatinine ratio differed significantly (P<0·001) between the three cohorts of dogs.

Clinical significance: Measurement of cystatin C by particle-enhanced turbidimetric assay performed with high precision and linearity. This assay can be processed on automated clinical chemistry analysers making it widely available to commercial laboratories. Urinary cystatin C to creatinine ratio can differentiate dogs with renal disease from dogs without renal disease. These preliminary results suggest that urinary cystatin C to creatinine ratio is a promising marker for evaluating renal tubular function.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Animals
  • Biomarkers / urine
  • Case-Control Studies
  • Creatinine / urine*
  • Cystatin C / urine*
  • Dog Diseases / diagnosis
  • Dog Diseases / urine*
  • Dogs
  • Female
  • Kidney Diseases / diagnosis
  • Kidney Diseases / urine
  • Kidney Diseases / veterinary*
  • Male
  • Nephelometry and Turbidimetry / methods
  • Nephelometry and Turbidimetry / standards
  • Nephelometry and Turbidimetry / veterinary*
  • Reproducibility of Results

Substances

  • Biomarkers
  • Cystatin C
  • Creatinine