Serum adipokine concentrations in dogs with naturally occurring pituitary-dependent hyperadrenocorticism
Open accessAbstract
Background: An excess of intra-abdominal fat is observed frequently in dogs with hyperadrenocorticism (HAC). Adipokine dysregulation is a possible cause of complications related to visceral obesity, but little information is available on adipokine in dogs with naturally occurring HAC. Objectives: To examine the differences in the circulating adipokines concentrations in overweight dogs with and without pituitary-dependent HAC (PDH). Animals: Thirty healthy dogs and 15 client-owned dogs with PDH. Methods: Case–controlled observational study, which enrolled 15 overweight dogs diagnosed with PDH and 30 otherwise healthy dogs of similar body condition score. Nine of 15 dogs with PDH were treated with low-dose trilostane twice daily and reassessed after treatment. Results: The serum leptin (P < .0001) and insulin (P < .0001) concentrations were significantly higher in the PDH group (leptin, 22.8 ± 8.8 [mean ± SD]; insulin, 9.1 ± 6.1) than the healthy group (leptin, 4.9 ± 3.7; insulin, 1.9 ± 0.9). However, there were no significant differences in the adiponectin, resistin, tumor necrosis factor (TNF)-α, interleukin (IL)-1β, IL-6, IL-10, and IL-18 levels between the 2 groups. In the PDH group, the serum cortisol concentrations had a linear association with the leptin concentrations, and there were significant decreases in the leptin (P = .0039) and insulin (P = .0039) levels after trilostane treatment. However, the leptin and insulin levels remained higher after trilostane treatment than in healthy control dogs with similar body condition score. Conclusions and Clinical Importance: Hypercortisolemia in dogs with PDH might upregulate the circulating leptin levels. However, a large population-based study will be necessary to determine whether the upregulation of leptin is involved directly with the complications caused by HAC.
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Obesity comorbidities include osteoarthritis and endocrine diseases such as hypothyroidism, diabetes mellitus, and hyperadrenocorticism.
“Obesity comorbidities include osteoarthritis and endocrine diseases (e.g., hypothyroidism, diabetes mellitus, hyperadrenocorticism).37–40”
From 2021 AAHA Nutrition and Weight Management Guidelines for Dogs and Cats (2021) · cites this paper as [40]
The introductory passage under Conclusions and Clinical Importance (page unavailable) links visceral adiposity in dogs with diabetes mellitus and hypothyroidism, and describes visceral obesity as a sign of hyperadrenocorticism. It does not address osteoarthritis, and it presents obesity as a consequence of hyperadrenocorticism rather than establishing hyperadrenocorticism as a complication of obesity. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIn some cases, such as feline diabetes mellitus, preventing obesity may help reduce risk of developing the comorbidity; in others, such as hypothyroidism, the underlying condition continues to predispose to obesity unless managed.
“In some cases (e.g., feline diabetes mellitus), preventing obesity may help reduce the risk of developing the comorbidity, whereas in others (e.g., hypothyroidism), the underlying condition will continue to predispose to obesity development unless adequately managed.”
From 2021 AAHA Nutrition and Weight Management Guidelines for Dogs and Cats (2021) · cites this paper as [40]
The paper’s background passage associates increased visceral adiposity with endocrine disorders including hypothyroidism, and its Discussion reports lower body weight after treatment for pituitary-dependent hyperadrenocorticism in dogs. These passages offer limited support for the idea that managing an underlying endocrine condition can affect obesity, but they do not establish that untreated hypothyroidism continues to predispose to obesity. The paper does not address whether preventing obesity reduces the risk of feline diabetes mellitus. (LLM, conf=0.78)
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2021 AAHA Nutrition and Weight Management Guidelines for Dogs and Cats
Cline, M. G., Burns, K. M., Coe, J. B., Downing, R., Durzi, T., Murphy, M., & Parker, V. (2021) · Journal of the American Animal Hospital Association · doi:10.5326/jaaha-ms-7232 · Cited by 107 · see citing works
- Authors
- Cho, K.-D., Paek, J., Kang, J.-H., Chang, D., Na, K.-J., & Yang, M.-P.
- Affiliations
- Chungbuk National University (KR)
- Corresponding author
- Kang, J.-H.
- Venue
- Journal of Veterinary Internal Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-03-01
- Volume
- 28
- Issue
- 2
- Pages
- 429-436
- ISSN
- 0891-6640 (ISSN-L)
- 1939-1676
- PMC
- PMC4857983
- OpenAlex
- W1978888037
- Cited by
- 24
- References
- 1
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 6 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 1
- FWCI
- 2.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Journal of Veterinary Internal Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Research Foundation of Korea
- Ministry of Science, ICT and Future Planning (2013R1A1A1011113)
- Topics
- Health Sciences › Veterinary › Small Animals › Veterinary Medicine and Surgery
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Human-Animal Interaction Studies
- Keywords
- pituitary-dependent hyperadrenocorticism, canine Cushing's disease, adipokines, leptin, insulin, hypercortisolism, trilostane, visceral obesity, adiponectin, resistin
- MeSH terms
- Adrenocortical Hyperfunction, Animals, Dog Diseases, Dogs, Enzyme Inhibitors, Female, Hydrocortisone, Insulin, Male, Dihydrotestosterone, Case-Control Studies, Leptin, Adipokines
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