Journal article
Clonality testing as complementary tool in the assessment of different patient groups with canine chronic enteropathy.
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Luckschander-Zeller N
Clinic for Internal Medicine, Department of Companion Animals and Horses, University of Veterinary Medicine Vienna, Austria. Electronic address: Nicole.Luckschander@vetmeduni.ac.at.
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Hammer SE
Institute of Immunology, Department of Pathobiology, University of Veterinary Medicine Vienna, Austria.
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Ruetgen BC
Clinical Pathology Platform, Department of Pathobiology, University of Veterinary Medicine Vienna, Austria.
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Tichy A
Bioinformatics and Biostatistics Platform, Department of Biomedical Sciences, University of Veterinary Medicine, Vienna, Austria.
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Thalhammer JG
Clinic for Internal Medicine, Department of Companion Animals and Horses, University of Veterinary Medicine Vienna, Austria.
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Haas E
Clinic for Internal Medicine, Department of Companion Animals and Horses, University of Veterinary Medicine Vienna, Austria.
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Richter B
Institute of Pathology and Forensic Veterinary Medicine, Department of Pathobiology, University of Veterinary Medicine Vienna, Austria.
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Welle M
Institute for Animal Pathology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
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Burgener IA
Clinic for Internal Medicine, Department of Companion Animals and Horses, University of Veterinary Medicine Vienna, Austria.
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Published in:
- Veterinary immunology and immunopathology. - 2019
English
Differentiation between canine chronic enteropathy (CCE) and intestinal lymphoma is a diagnostic challenge as histopathology might fail to yield unequivocal results. Detection of clonal rearrangements of the T-cell-receptor gamma (TCRG) chain and IG heavy chain (IGH) V-J genes offer a useful solution. In this retrospective study, histopathology samples of 35 CCE patients and 7 healthy Beagle dogs underwent clonality testing. Patients suffered either from inflammatory bowel disease (IBD), food responsive diarrhea (FRD) or protein loosing enteropathy secondary to IBD (PLE/IBD). Healthy Beagles served as controls (CO). Canine IBD activity index (CIBDAI) and histopathological WSAVA-grading differed significantly (p<0.001) between groups. CIBDAI improved significantly after appropriate therapy (p < 0.0001). Intestinal biopsies of all CO showed polyclonal patterns for B- and T-cell primers. All samples from CCE patients showed polyclonal patterns for the B-cell primers. Targeting TCRG, 4 patients showed a monoclonal or oligoclonal pattern of the lymphocytic infiltrates in the duodenum and/or colon. Clinical improvement was observed in all dogs. Although a small cell lymphoma cannot be excluded in view of the short follow up duration, a false positive result, in the sense of a canonical rearrangement or unspecific amplification due to a antigenic stimulation in a non-neoplastic inflammatory process is possible.
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Open access status
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closed
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Persistent URL
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https://sonar.ch/global/documents/278890
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