Lit Metabolic, Nutrition Flashcards

1
Q

1) a) What is spexin? b) Where is it expressed & detectable?
3) Spexin is negatively correlated with …. (6 variables) and positively correlated with ….. (1 variable) in dogs.

A

Kolodziejski JVIM 2021
1) a) Peptide hormone that regulates BW, adipose tissue metabolism & food intake. Potential marker for obesity.
b) Spexin mRNA detectable in adipose tissue, liver & pancreas. Expressed in adipose & liver but not pancreas.
2) Negative correlation - BCS, serum insulin concentration, leptin, total cholesterol, NEFA, fructosamine. Positive correlation - adiponectin.

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2
Q

The following dietary exposure factors in puppyhood were associated with …. (higher or lower) risk of atopic dermatitis in adulthood in Finnish dogs?
a) Fruits
b) Raw foods
c) Fish oil supplements
d) Mixed oils
e) Heat processed foods

A

Hemida JVIM 2021
a) Higher, b) lower, c) lower, d) higher, e) higher

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3
Q

What differences in serum TG, chol & lipoprotein profiles were observed between dogs with pancreatitis vs healthy dogs?

A

Xenoulis JVIM 2020
Mild increases in dogs with hyperTG (18%, sig diff vs healthy dogs 7.5%) and/or hyperCHOL (24%, not sig diff vs healthy dogs).
Pancreatitis dogs had higher LDL fractions, lower TG-rich lipoprotein, & lower HDL fractions.

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4
Q

The 3 major uremic toxins produced by colonic bacteria which are associated with disease progression in CKD cats are: ………….

When comparing faecal short-chain fatty acids (SCFA) between CKD & healthy geriatric cats, ……… concentrations were higher in CKD cats especially in …… stages.

Faecal branched-chain fatty acid concentrations correlated with …….(uremic toxin), and were higher in CKD cats with ……….., indicating ……………

A

Summers JVIM 2019
Indoxyl sulfate (IS), p-cresol sulfate (pCS), trimethylamine-N-oxide (TNO)

Late stages (IRIS 3-4)

pCS; muscle wastage; protein malassimilation

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5
Q

What were the differences in faecal microbiota composition between puppies <5-6 weeks old & adult dogs?

A

Blake JVIM 2020
Puppies up to 5-6 weeks of age had increased Dysbiosis Index, increased abundance of C. difficile, and decreased secondary bile acid concentrations associated with decreased abundance of C. hiranonis cf adult dogs.
(Secondary BA likely have regulatory role on clostridial spp. in dogs)

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6
Q

Causes of hypercobalaminemia in dogs & cats?

A

Kather Vet J 2020
Dogs - overall 3% incidence of high B12. DDx chronic GI signs (48%), hypoA (uncommon)
Cats - chronic enteropathy (65%), acute/chronic pancreatitis (24%), cholangiohepatopathy, gastric lymphoma (6%), hyperT (3%).

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7
Q

What risk factors were identified in 2 distinct outbreaks of acquired idiopathic megaO in dogs in Latvia & Australia?

Differences in clinical presentation?

A

Hurley JAVMA 2021
Large breed male dogs (>25kg). 2 brands of commercial adult dog biscuits (no specific toxin identified).

Latvian population - mild to severe peripheral polyneuropathies - laryngeal paralysis, dysphonia, weakness. Histo findings consistent with distal axonopathy.
Aus population - peripheral polyneuropathies not identified. Histo showed local disruption to innervation of oesophagus & pharynx.

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8
Q

What are the clinical consequences of high dietary phosphate intake in cats?

A

JVIM 2019
High P (in particular inorganic P) & low Ca:P ratios have been associated with renal damage in cats.

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9
Q

What inflammatory marker was increased in Mini Schnauzers with hyperlipidemia? Did this respond to diet?

A

Heilmann JVIM 2019
Calprotectin - consistent with subclinical low-grade inflammation in dogs with HL. Calprotectin positively correlated to combined HL & hyperTG but not hyperCHOL alone.

Lipid status improved within 3.5-6.5mths of ultra-low fat diet, but calprotectin did not.

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10
Q

Median % change in thoracic dimension & lung area changes are affected by …… in healthy dogs?

A

Chan JVIM 2017
Body weight.

Fluoroscopy used to measure lung area changes during respiration - must be corrected for BW.

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11
Q

What B vitamin derangements are common in Greyhounds, and how prevalent?

What secondary metabolite increases as a result? What are the potential systemic complications of increase in this secondary metabolite?

A

Heilmann JVIM 2017

Hypofolatemia (B9) - 41% Greyhounds. Often concurrent with hypocobalaminaemia (49% of hypoFOL dogs).

Associated with increases in homocysteine (hyperhomocysteinemia) - as B9 & B12 are required as cofactors for its metabolism.

People - hyperHOMO associated with chronic GI disease, CVS disease, thrombosis, neurodegenerative disease.

HyperHOMO observed in 100% healthy Greyhounds, 70% dogs with chronic D+, 75% with thrombosis.

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12
Q

In which of the following were canine breed differences in plasma/serum concentrations observed: endothelin-1, cortisol & renin? Which breeds had the highest concentrations of each hormone??

A

Höglund JVIM 2016

All 3.
ET-1: highest in Newfoundlands
Renin: highest in Dachshunds
Cortisol: highest in Finnish Laphunds

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13
Q

Where is the Vitamin D receptor expressed in tissues? Is this affected by chronic enteropathy?

A

Cartwright JVIM 2018
Highest - kidney, duodenum, ileum, spleen, skin.
Weak - colon, heart, LN, liver, lung, ovary.
Absent - gastric & testicular.
No reduction in expression in CE dogs (compared duodenal VDR).

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14
Q

What is the association between calcidiol & iCa in dogs with cancer, and compared to healthy dogs?

What is role of the CYP24A1 gene in vitamin D metabolism?

A

Weidner JVIM 2017

Dogs with cancer had INCREASED calcidiol concentrations with higher iCa - suggesting altered Vit D metabolism.
In contrast healthy dogs had DECREASED calcidiol concentrations with higher iCa.

CYP24A1 gene encodes production of 25-hydroxyvitamin D-24-hydroxylase enzyme which converts 25(OH)D (calcidiol) to 24,25(OH)2D (inactive form) - regulates amt of active vit D in circulation.

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15
Q

What % of Mini Schnauzers with primary hyperTG were proteinuric?
Which biochemical changes were significantly associated with proteinuria in these dogs?

A

Smith JVIM 2017

56% of dogs in the study had primary hyperTG, of which 44% were proteinuric.

Increased serum albumin (NOT hypoalbuminemia), increased ALKP, increased CHOL.
NOT azotemia.
Azotemia & hypoalb not documented on longer FU period of 18mths in this study.
Also no increased risk of hypertension, decreased antithrombin III activity, or cardiac disease noted in these dogs (vs people).

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16
Q

What was the effect of feeding a prescription low-fat diet (18.6g fat/1000kcal) on the lipid profiles of Mini Schnauzers with primary hypertriglyceridemia?

A

Xenoulis JVIM 2020

Diet was effective in reducing serum TG & CHOL concentrations, and correcting lipoprotein profiles (50% of hyperlipidemic dogs had normalisation of lipoprotein profiles after diet).

17
Q

Bezafibrate
- MOA
- Indications
- Efficacy for the indication listed above?
- What biochemical parameter improved in line with therapeutic response to drug?

A

De Marco JVIM 2017

MOA: Peroxisome proliferator-activated receptor-alpha (PPAR-a) agonist.
Increases LPL activity –> increases FFA uptake into hepatocytes, decreases hepatic triglyceride & VLDL production in the liver. Increases GB exertion of hepatic CHO, increases HDL production.

Treatment of hyperTG in dogs. (Note effect on CHOL as well even though not labelled for hyperCHOL).
Normalised TG in 91% of hyperlipidemic dogs, and cholesterol in 66% after 30 days of tx.
(Greater decrease in TG in primary hyperLP dogs vs secondary).

ALT elevation - this decreased significantly after 30 days of treatment.

18
Q

What is the proposed advantage of using Tricor (micronised nanocrystal formulation of fenofibrate) over generic formulations?
What was the efficacy of this formulation in treatment of dogs with primary & secondary hyperlipidemia?

A

Munro JVIM 2021

Fenofibrate is a highly lipophilic drug with poor water solubility & oral bioavailability, needs to be given with food to maximise bioavailability. Tricor allows for more predictable absorption, effective treatment at lower & more precise doses + reduced risk of adverse reactions cf generic fenofibrate.

Over 3-7 weeks, TriCor normalised TG in 100% dogs & decreased serum CHOL in 90% dogs. Also sig reduced ALKP activity. Overall effective & well tolerated. (AE - quiet demeanour, firm stools noted in 1/10 dogs).

19
Q

What amino acid derangements can be observed in PLN dogs?

A

Parker JVIM 2019

Significantly lower:
- Total sum of AAs (essential + non-essential).
- Concentrations of leucine, threonine, histidine, glycine, proline, asparagine, tyrosine, o-hydroxyproline & serine.

20
Q

What conditions apart from acute pancreatitis are associated with hyperlipasemia in dogs?
What clinical factors were predictive of hyperlipasemia?
What is the clinical significance of hyperlipasemia?

A

Prümmer JVIM 2020
Renal & immune-mediated diseases more common in this study; also endocrine & upper airway obstruction.
Of dogs with hyperlipasemia, 17% had AP.
Predictors - hemodialysis, increased plasma BIL & crea, decreased Hct.
DGGR-hyperlipasemia at admission and/or during hospitalisation associated with longer hosp & higher mortality.

21
Q

What is the POMC gene in Labradors associated with?

A

Davison JVIM 2017
Associated with obesity and food motivation. No association found with diabetes

proopiomelanocortin (POMC) =
pituitary precursor of circulating melanocyte stimulating hormone (α-MSH), adrenocorticotropin hormone (ACTH), and β-endorphin

22
Q

What is a deletion in the pro-opiomelanocortin (POMC) gene in Labradors associated with?

A

Davison JVIM 2017
Associated with obesity and food motivation. No association found with susceptibility to DM.
Study developed PCR-based test to detect gene deletion.

23
Q

What differences in metabolic responses were observed after feeding a high-fat mixed meal in lean vs overweight dogs?

A

Söder JVIM 2016
Overall similar post-prandial response as people (increased insulin & glucagon; TG & glucose).
Overweight dogs had higher postprandial triglyceride response & fasting cortisol/creatinine ratio&raquo_space;> possible early signs of metabolic imbalance.

24
Q

What is the risk of death in overweight dogs compared to neutered pet dogs with normal BW?

A

Salt JVIM 2019
HR 1.35-2.86 (varied by breed). Greatest difference in lifespan in Yorkies (13yrs vs 16 yrs), least in GSDs (both 12yrs).

25
Q

Compared to ideal weight controls, obese dogs had the following metabolic derangements:
1. ……. insulin/glucose ratio, indicating ……
2. …….. characterised by ….. cholesterol, TG & HDLP concentrations
3. ….. serum adiponectin concentrations
4. Increased inflammatory markers including ….. (name 2)
5. ……blood pressure

A

Tropf JVIM 2017
1. Increased; insulin resistance
2. Dyslipidemia; increased
3. Decreased
4. IL-8, Keratinocyte-derived chemokine-like inflammatory cytokines
5. No sig diff (study still concluded possible systemic hypertension in this group)

Concluded that above derangements may alter cardiac function (based on echo findings).

26
Q

Why are cats with ileal disease predisposed to taurine deficiency? Were whole blood taurine concentrations lower in cats with intestinal disease, and were there differences depending on which intestinal segment(s) was/were involved?

A

Kathrani JVIM 2017
Taurine = essential AA in cats as lack metabolic pathways to synthesize it from precursors methionine & cysteine. Also cats conjugate bile acids solely with taurine (vs glycine > taurine in dogs) which are absorbed from the terminal ileum, so ileal disease impairs absorption of taurine-conjugated BAs.

Whole blood taurine concentrations were WRI for cats with GI disease, but were sig LOWER in cats with LI signs cf SI/mixed intestinal signs. Alplied to both cats with CIE & intestinal neoplasia.

27
Q

Based on a systemic review, were there differences in short vs long term outcome between feeding an intestinal diet (with proteins from various sources) vs hydrolyzed soy protein diet in dogs with SI D+? What about in cats?

A

Makielski JVIM 2019
Dogs - both diets had similar short term (3mths) clinical response of 88%, but sig higher clinical remission rates in dogs fed hydrolyzed diets (13/14 vs 1/6 with intestinal). Strong evidence
Cats - no sig diff noted, but studies may have been underpowered

Overall review recommended feeding elimination diet to maintain clinical remission in dogs & cats, but not known if novel intact vs hydrolyzed protein diets are more effective.

28
Q

What is the causal gene mutation for Musladin-Lueke Syndrome and which dog breed is affected? What is a classic clinical sign?

A

Packer JVIM 2017
Connective tissue disorder.
ADAMTSL2 gene mutation, autosomal recessive.
Beagles.
Gait abnormalities (walking on tiptoes with all 4 limbs in rigid extension like a ballerina)

29
Q

What lipid derangements were associated with non-survival in ICU hospitalised dogs?

A

Viall JAVMA 2019
Hypocholesterolemia & hypertriglyceridemia (alone or combo) at presentation.

30
Q

What is a potential negative sequelae of feeding dogs a diet with a very low n6: long chain n3 OFA ratio?

A

Delaney VCNA 2018
Coagulopathy (2’ vitamin K deficiency)

31
Q

What is an essential function of the long-chain omega 3 fatty acid DHA?

A

Bauer JAVMA 2016
Development of neural membranes, nervous system development, visual acuity (highly conserved & recycled into retinal pigment, also interacts with rhodopsin)

32
Q

The brain uses ….. as its main energy source. Alternative energy sources include ….. and …..

A

Glucose.
Ketones, MCFAs derived from MCTs.
FA oxidation > ketone bodies > cross the BBB & mitochondrial membrane > generate ATP via TCA cycle & OP. Can provide up to 70% energy during fasting/starvation.

33
Q

What dietary considerations are important for dogs with DM (in term of fat/protein/CHO content)?

A

Rankovic VCNA 2019
Dogs have type 1 DM so CHO intake is not really a risk factor for DM development/insulin resistance (unlike people & cats). But pancreatitis = risk factor (and DM dogs can have subclinical pancreatitis) –> most impt is low-moderate amts of fat, avoid too low CHO (will have to replace with fat) + avoid simple sugars - consistent intake with insulin reqts is key; fibre not essential but beneficial for weight control + GI micrbiome.

34
Q

Neoplastic cells rely on ….. metabolism for energy needs, so simple CHO are converted into ….. and dogs with neoplasia have higher …… concentrations even after remission with chemotherapy.

A

Rankovic VCNA 2019
Anaerobic
Lactate
Insulin & lactate