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Renal Disease in Cats Infected with Feline Immunodeficiency Virus

Background Feline immunodeficiency virus (FIV) and human immunodeficiency virus (HIV) infection cause similar clinical syndromes of immune dysregulation, opportunistic infections, inflammatory diseases, and neoplasia. Renal disease is the 4th most common cause of death associated with HIV infection....

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Published in:Journal of veterinary internal medicine 2012-03, Vol.26 (2), p.238-243
Main Authors: Baxter, K.J., Levy, J.K., Edinboro, C.H., Vaden, S.L., Tompkins, M.B.
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description Background Feline immunodeficiency virus (FIV) and human immunodeficiency virus (HIV) infection cause similar clinical syndromes of immune dysregulation, opportunistic infections, inflammatory diseases, and neoplasia. Renal disease is the 4th most common cause of death associated with HIV infection. Objective To investigate the association between FIV infection and renal disease in cats. Animals Client‐owned cats (153 FIV‐infected, 306 FIV‐noninfected) and specific‐pathogen‐free (SPF) research colony cats (95 FIV‐infected, 98 FIV‐noninfected). Methods A mixed retrospective/prospective cross‐sectional study. Blood urea nitrogen (BUN), serum creatinine, urine specific gravity (USG), and urine protein:creatinine ratio (UPC) data were compared between FIV‐infected and FIV‐noninfected cats. In FIV‐infected cats, total CD4+ and CD8+ T lymphocytes were measured using flow cytometry, and CD4+:CD8+ T lymphocyte ratio was calculated. Renal azotemia was defined as a serum creatinine ≥ 1.9 mg/dL with USG ≤ 1.035. Proteinuria was defined as a UPC > 0.4 with an inactive urine sediment. Results Among the client‐owned cats, no association was detected between FIV infection and renal azotemia (P = .24); however, a greater proportion of FIV‐infected cats were proteinuric (25.0%, 16 of 64 cats) compared to FIV‐noninfected cats (10.3%, 20 of 195 cats) (P 
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Renal disease is the 4th most common cause of death associated with HIV infection. Objective To investigate the association between FIV infection and renal disease in cats. Animals Client‐owned cats (153 FIV‐infected, 306 FIV‐noninfected) and specific‐pathogen‐free (SPF) research colony cats (95 FIV‐infected, 98 FIV‐noninfected). Methods A mixed retrospective/prospective cross‐sectional study. Blood urea nitrogen (BUN), serum creatinine, urine specific gravity (USG), and urine protein:creatinine ratio (UPC) data were compared between FIV‐infected and FIV‐noninfected cats. In FIV‐infected cats, total CD4+ and CD8+ T lymphocytes were measured using flow cytometry, and CD4+:CD8+ T lymphocyte ratio was calculated. Renal azotemia was defined as a serum creatinine ≥ 1.9 mg/dL with USG ≤ 1.035. Proteinuria was defined as a UPC &gt; 0.4 with an inactive urine sediment. Results Among the client‐owned cats, no association was detected between FIV infection and renal azotemia (P = .24); however, a greater proportion of FIV‐infected cats were proteinuric (25.0%, 16 of 64 cats) compared to FIV‐noninfected cats (10.3%, 20 of 195 cats) (P &lt; .01). Neither neuter status nor health status were risk factors for proteinuria in FIV‐infected cats, but UPC was positively correlated with the CD4+:CD8+ T lymphocyte ratio (Spearman's rho = 0.37, P = .01). Among the SPF research colony cats, no association was detected between FIV infection and renal azotemia (P = .21) or proteinuria (P = .25). Conclusions and Clinical Importance Proteinuria but not azotemia was associated with natural FIV infection.</description><identifier>ISSN: 0891-6640</identifier><identifier>EISSN: 1939-1676</identifier><identifier>DOI: 10.1111/j.1939-1676.2011.00871.x</identifier><identifier>PMID: 22269003</identifier><language>eng</language><publisher>United States</publisher><subject>Animals ; Azotemia ; Blood Urea Nitrogen ; Cats ; CD4-CD8 Ratio - veterinary ; CD4-Positive T-Lymphocytes - immunology ; CD4-Positive T-Lymphocytes - virology ; CD8-Positive T-Lymphocytes - immunology ; CD8-Positive T-Lymphocytes - virology ; Creatinine - blood ; Cross-Sectional Studies ; Feline Acquired Immunodeficiency Syndrome - blood ; Feline Acquired Immunodeficiency Syndrome - complications ; Feline Acquired Immunodeficiency Syndrome - immunology ; Feline Acquired Immunodeficiency Syndrome - virology ; Female ; Glomerulonephropathy ; Human immunodeficiency virus – associated nephropathy ; Immunodeficiency Virus, Feline - isolation &amp; purification ; Kidney Diseases - blood ; Kidney Diseases - immunology ; Kidney Diseases - veterinary ; Kidney Diseases - virology ; Male ; Prospective Studies ; Proteinuria ; Proteinuria - veterinary ; Retrospective Studies ; Specific Pathogen-Free Organisms ; Statistics, Nonparametric</subject><ispartof>Journal of veterinary internal medicine, 2012-03, Vol.26 (2), p.238-243</ispartof><rights>Copyright © 2012 by the American College of Veterinary Internal Medicine</rights><rights>Copyright © 2012 by the American College of Veterinary Internal Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4181-7e7d4970629ba4c35491025a8272f9286ff2fda2dd50be46cbb594ec9c6760583</citedby><cites>FETCH-LOGICAL-c4181-7e7d4970629ba4c35491025a8272f9286ff2fda2dd50be46cbb594ec9c6760583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1939-1676.2011.00871.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1939-1676.2011.00871.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,11542,27903,27904,46030,46454</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1939-1676.2011.00871.x$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22269003$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baxter, K.J.</creatorcontrib><creatorcontrib>Levy, J.K.</creatorcontrib><creatorcontrib>Edinboro, C.H.</creatorcontrib><creatorcontrib>Vaden, S.L.</creatorcontrib><creatorcontrib>Tompkins, M.B.</creatorcontrib><title>Renal Disease in Cats Infected with Feline Immunodeficiency Virus</title><title>Journal of veterinary internal medicine</title><addtitle>J Vet Intern Med</addtitle><description>Background Feline immunodeficiency virus (FIV) and human immunodeficiency virus (HIV) infection cause similar clinical syndromes of immune dysregulation, opportunistic infections, inflammatory diseases, and neoplasia. Renal disease is the 4th most common cause of death associated with HIV infection. Objective To investigate the association between FIV infection and renal disease in cats. Animals Client‐owned cats (153 FIV‐infected, 306 FIV‐noninfected) and specific‐pathogen‐free (SPF) research colony cats (95 FIV‐infected, 98 FIV‐noninfected). Methods A mixed retrospective/prospective cross‐sectional study. Blood urea nitrogen (BUN), serum creatinine, urine specific gravity (USG), and urine protein:creatinine ratio (UPC) data were compared between FIV‐infected and FIV‐noninfected cats. In FIV‐infected cats, total CD4+ and CD8+ T lymphocytes were measured using flow cytometry, and CD4+:CD8+ T lymphocyte ratio was calculated. Renal azotemia was defined as a serum creatinine ≥ 1.9 mg/dL with USG ≤ 1.035. Proteinuria was defined as a UPC &gt; 0.4 with an inactive urine sediment. Results Among the client‐owned cats, no association was detected between FIV infection and renal azotemia (P = .24); however, a greater proportion of FIV‐infected cats were proteinuric (25.0%, 16 of 64 cats) compared to FIV‐noninfected cats (10.3%, 20 of 195 cats) (P &lt; .01). Neither neuter status nor health status were risk factors for proteinuria in FIV‐infected cats, but UPC was positively correlated with the CD4+:CD8+ T lymphocyte ratio (Spearman's rho = 0.37, P = .01). Among the SPF research colony cats, no association was detected between FIV infection and renal azotemia (P = .21) or proteinuria (P = .25). 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purification</subject><subject>Kidney Diseases - blood</subject><subject>Kidney Diseases - immunology</subject><subject>Kidney Diseases - veterinary</subject><subject>Kidney Diseases - virology</subject><subject>Male</subject><subject>Prospective Studies</subject><subject>Proteinuria</subject><subject>Proteinuria - veterinary</subject><subject>Retrospective Studies</subject><subject>Specific Pathogen-Free Organisms</subject><subject>Statistics, Nonparametric</subject><issn>0891-6640</issn><issn>1939-1676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNqNkMtOwzAQRS0EoqXwC8g7Vgm2E9vxgkVVKAQVISHo1nKciXCVR4kbtf17ElpYM5sZae6dx0EIUxLSPm5XIVWRCqiQImSE0pCQRNJwd4LGf41TNCaJooEQMRmhC-9XhDDOuTxHI8aYUIREYzR9g9qU-N55MB6wq_HMbDxO6wLsBnK8dZtPPIfS1YDTqurqJofCWQe13eOlazt_ic4KU3q4OuYJ-pg_vM-egsXrYzqbLgIb04QGEmQeK0kEU5mJbcRjRft7TMIkKxRLRFGwIjcszznJIBY2y7iKwSrb_0J4Ek3QzWHuum2-OvAbXTlvoSxNDU3ntYpixqWggzI5KG3beN9Codetq0y715TogZ9e6QGTHjDpgZ_-4ad3vfX6uKTLKsj_jL_AesHdQbB1Jez_PVg_L9OXvoq-AcLdfTc</recordid><startdate>201203</startdate><enddate>201203</enddate><creator>Baxter, K.J.</creator><creator>Levy, J.K.</creator><creator>Edinboro, C.H.</creator><creator>Vaden, S.L.</creator><creator>Tompkins, M.B.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201203</creationdate><title>Renal Disease in Cats Infected with Feline Immunodeficiency Virus</title><author>Baxter, K.J. ; 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purification</topic><topic>Kidney Diseases - blood</topic><topic>Kidney Diseases - immunology</topic><topic>Kidney Diseases - veterinary</topic><topic>Kidney Diseases - virology</topic><topic>Male</topic><topic>Prospective Studies</topic><topic>Proteinuria</topic><topic>Proteinuria - veterinary</topic><topic>Retrospective Studies</topic><topic>Specific Pathogen-Free Organisms</topic><topic>Statistics, Nonparametric</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baxter, K.J.</creatorcontrib><creatorcontrib>Levy, J.K.</creatorcontrib><creatorcontrib>Edinboro, C.H.</creatorcontrib><creatorcontrib>Vaden, S.L.</creatorcontrib><creatorcontrib>Tompkins, M.B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of veterinary internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Baxter, K.J.</au><au>Levy, J.K.</au><au>Edinboro, C.H.</au><au>Vaden, S.L.</au><au>Tompkins, M.B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal Disease in Cats Infected with Feline Immunodeficiency Virus</atitle><jtitle>Journal of veterinary internal medicine</jtitle><addtitle>J Vet Intern Med</addtitle><date>2012-03</date><risdate>2012</risdate><volume>26</volume><issue>2</issue><spage>238</spage><epage>243</epage><pages>238-243</pages><issn>0891-6640</issn><eissn>1939-1676</eissn><abstract>Background Feline immunodeficiency virus (FIV) and human immunodeficiency virus (HIV) infection cause similar clinical syndromes of immune dysregulation, opportunistic infections, inflammatory diseases, and neoplasia. Renal disease is the 4th most common cause of death associated with HIV infection. Objective To investigate the association between FIV infection and renal disease in cats. Animals Client‐owned cats (153 FIV‐infected, 306 FIV‐noninfected) and specific‐pathogen‐free (SPF) research colony cats (95 FIV‐infected, 98 FIV‐noninfected). Methods A mixed retrospective/prospective cross‐sectional study. Blood urea nitrogen (BUN), serum creatinine, urine specific gravity (USG), and urine protein:creatinine ratio (UPC) data were compared between FIV‐infected and FIV‐noninfected cats. In FIV‐infected cats, total CD4+ and CD8+ T lymphocytes were measured using flow cytometry, and CD4+:CD8+ T lymphocyte ratio was calculated. Renal azotemia was defined as a serum creatinine ≥ 1.9 mg/dL with USG ≤ 1.035. Proteinuria was defined as a UPC &gt; 0.4 with an inactive urine sediment. Results Among the client‐owned cats, no association was detected between FIV infection and renal azotemia (P = .24); however, a greater proportion of FIV‐infected cats were proteinuric (25.0%, 16 of 64 cats) compared to FIV‐noninfected cats (10.3%, 20 of 195 cats) (P &lt; .01). Neither neuter status nor health status were risk factors for proteinuria in FIV‐infected cats, but UPC was positively correlated with the CD4+:CD8+ T lymphocyte ratio (Spearman's rho = 0.37, P = .01). Among the SPF research colony cats, no association was detected between FIV infection and renal azotemia (P = .21) or proteinuria (P = .25). Conclusions and Clinical Importance Proteinuria but not azotemia was associated with natural FIV infection.</abstract><cop>United States</cop><pmid>22269003</pmid><doi>10.1111/j.1939-1676.2011.00871.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Azotemia
Blood Urea Nitrogen
Cats
CD4-CD8 Ratio - veterinary
CD4-Positive T-Lymphocytes - immunology
CD4-Positive T-Lymphocytes - virology
CD8-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - virology
Creatinine - blood
Cross-Sectional Studies
Feline Acquired Immunodeficiency Syndrome - blood
Feline Acquired Immunodeficiency Syndrome - complications
Feline Acquired Immunodeficiency Syndrome - immunology
Feline Acquired Immunodeficiency Syndrome - virology
Female
Glomerulonephropathy
Human immunodeficiency virus – associated nephropathy
Immunodeficiency Virus, Feline - isolation & purification
Kidney Diseases - blood
Kidney Diseases - immunology
Kidney Diseases - veterinary
Kidney Diseases - virology
Male
Prospective Studies
Proteinuria
Proteinuria - veterinary
Retrospective Studies
Specific Pathogen-Free Organisms
Statistics, Nonparametric
title Renal Disease in Cats Infected with Feline Immunodeficiency Virus
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