Serum Concentrations of Symmetric Dimethylarginine and Creatinine in Dogs with Naturally Occurring Chronic Kidney Disease

• DOI: 10.1111/jvim.13942
• Publication Date: 2016-04-22T15:24:53Z
• Authors: J.A. Hall; M. Yerramilli; E. Obare; M. Yerramilli; K. Almes; D.E. Jewell
• Keywords: Male; Pet Foods; Endogenous; Veterinary medicine; Pet foods; 04 agricultural and veterinary sciences; Arginine; Canine; 3. Good health; 0403 veterinary science; Dogs; Creatinine; SF600-1100; Azotemia; Animals; Female; SMALL ANIMAL; Dog Diseases; Renal Insufficiency, Chronic; Biomarkers; Predictor; Glomerular Filtration Rate; Retrospective Studies

BackgroundSerum concentrations of symmetric dimethylarginine (SDMA) detected chronic kidney disease (CKD) in cats an average of 17.0 months before serum creatinine (Cr) concentrations increased above the reference interval.ObjectivesTo report on the utility of measuring serum SDMA concentrations in dogs for detection of CKD before diagnosis by measurement of serum Cr.AnimalsCKD dogs (n = 19) included those persistently azotemic for ≥3 months (n = 5), dogs that were azotemic at the time of death (n = 4), and nonazotemic dogs (n = 10). CKD dogs were compared with healthy control dogs (n = 20).MethodsRetrospective study, whereby serum Cr concentrations were determined by enzymatic colorimetry and serum SDMA concentrations were determined by liquid chromatography‐mass spectrometry in dogs with necropsy confirmed CKD.ResultsSerum SDMA increased before serum Cr in 17 of 19 dogs (mean, 9.8 months; range, 2.2–27.0 months). Duration of elevations in serum SDMA concentrations before the dog developed azotemia (N = 1) or before the dog died (N = 1) was not determined. Serum SDMA and Cr concentrations were linearly related (r = 0.84; P < .001). Serum SDMA (r = −0.80) and serum Cr (r = −0.89) concentrations were significantly related to glomerular filtration rate (both P < .001).Conclusion and Clinical ImportanceUsing serum SDMA as a biomarker for CKD allows earlier detection of kidney dysfunction in dogs than does measurement of serum Cr. Earlier detection might be desirable for initiating renoprotective interventions that slow progression of kidney disease.