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Plasma cytokeratin‐18 concentrations as noninvasive biomarker of early gastrointestinal toxicosis in dogs receiving toceranib

Background No biomarkers for the early detection of gastrointestinal (GI) toxicosis secondary to antineoplastic treatment are recognized in veterinary medicine. Toceranib causes GI toxicosis in dogs. Hypothesis/Objective To assess if changes in plasma cytokeratin 18 (CK18) concentration, measured in...

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Published in:Journal of veterinary internal medicine 2018-11, Vol.32 (6), p.2061-2068
Main Authors: Kovac, Rachel L., Ballash, Gregory, Fenger, Joelle, London, Cheryl, Warry, Emma
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Ballash, Gregory
Fenger, Joelle
London, Cheryl
Warry, Emma
description Background No biomarkers for the early detection of gastrointestinal (GI) toxicosis secondary to antineoplastic treatment are recognized in veterinary medicine. Toceranib causes GI toxicosis in dogs. Hypothesis/Objective To assess if changes in plasma cytokeratin 18 (CK18) concentration, measured in dogs being treated with toceranib phosphate, can predict the onset of GI toxicosis. We hypothesize that an increase in CK18 concentrations will be detected before the development of GI toxicosis in dogs treated with toceranib phosphate. Animals Twenty healthy client‐owned dogs and 25 client‐owned dogs with surgically excised mast cell tumor (MCT). Methods Prospective cohort study. Dogs were treated with toceranib (2.75 mg/kg PO q48h). Plasma was collected weekly for 4 weeks. Plasma CK18 concentration was measured on days 0, 7, 14, 21, and 28. vascular endothelial growth factor was measured on days 0 and 28. Results Mean plasma CK18 concentration on day 0 in dogs with MCT was not significantly different than healthy controls (313.5 ± 592.8 pg/mL, 119.7 ± 76.9 pg/mL, mean ± SD P = 0.27). Mean plasma CK18 concentration decreased by 98.69 pg/mL from day 0 to day 28 (P 
doi_str_mv 10.1111/jvim.15326
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Toceranib causes GI toxicosis in dogs. Hypothesis/Objective To assess if changes in plasma cytokeratin 18 (CK18) concentration, measured in dogs being treated with toceranib phosphate, can predict the onset of GI toxicosis. We hypothesize that an increase in CK18 concentrations will be detected before the development of GI toxicosis in dogs treated with toceranib phosphate. Animals Twenty healthy client‐owned dogs and 25 client‐owned dogs with surgically excised mast cell tumor (MCT). Methods Prospective cohort study. Dogs were treated with toceranib (2.75 mg/kg PO q48h). Plasma was collected weekly for 4 weeks. Plasma CK18 concentration was measured on days 0, 7, 14, 21, and 28. vascular endothelial growth factor was measured on days 0 and 28. Results Mean plasma CK18 concentration on day 0 in dogs with MCT was not significantly different than healthy controls (313.5 ± 592.8 pg/mL, 119.7 ± 76.9 pg/mL, mean ± SD P = 0.27). Mean plasma CK18 concentration decreased by 98.69 pg/mL from day 0 to day 28 (P &lt; 0.001). Plasma CK18 concentration was not a significant predictor of the development of signs of GI toxicosis. Conclusions and Clinical Importance Plasma CK18 concentration was not a clinically useful biomarker for the early detection of GI toxicosis secondary to toceranib administration in dogs with MCTs.</description><identifier>ISSN: 0891-6640</identifier><identifier>EISSN: 1939-1676</identifier><identifier>DOI: 10.1111/jvim.15326</identifier><identifier>PMID: 30353992</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Animals ; Antineoplastic Agents - adverse effects ; biomarkers ; Biomarkers - blood ; cancer ; canine ; Case-Control Studies ; chemotherapy ; cohort studies ; Dog Diseases - blood ; Dog Diseases - chemically induced ; Dog Diseases - diagnosis ; Dog Diseases - drug therapy ; Dogs ; Female ; Gastrointestinal Diseases - blood ; Gastrointestinal Diseases - chemically induced ; Gastrointestinal Diseases - diagnosis ; Gastrointestinal Diseases - veterinary ; gastrointestinal system ; Indoles - adverse effects ; Keratin-18 - blood ; Male ; mast cell tumor ; mast cells ; Mastocytosis - drug therapy ; Mastocytosis - veterinary ; phosphates ; poisoning ; Prospective Studies ; Pyrroles - adverse effects ; SMALL ANIMAL ; tyrosine kinase inhibitor ; Vascular Endothelial Growth Factor A - blood ; vascular endothelial growth factors ; veterinary medicine</subject><ispartof>Journal of veterinary internal medicine, 2018-11, Vol.32 (6), p.2061-2068</ispartof><rights>2018 The Authors. published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.</rights><rights>2018 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4536-fc9f1df1cbd67f17e532116dfc54a71145d075b64316e28e0e12341e05ef066b3</citedby><cites>FETCH-LOGICAL-c4536-fc9f1df1cbd67f17e532116dfc54a71145d075b64316e28e0e12341e05ef066b3</cites><orcidid>0000-0002-6493-5919</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6271317/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6271317/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,27924,27925,37013,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30353992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kovac, Rachel L.</creatorcontrib><creatorcontrib>Ballash, Gregory</creatorcontrib><creatorcontrib>Fenger, Joelle</creatorcontrib><creatorcontrib>London, Cheryl</creatorcontrib><creatorcontrib>Warry, Emma</creatorcontrib><title>Plasma cytokeratin‐18 concentrations as noninvasive biomarker of early gastrointestinal toxicosis in dogs receiving toceranib</title><title>Journal of veterinary internal medicine</title><addtitle>J Vet Intern Med</addtitle><description>Background No biomarkers for the early detection of gastrointestinal (GI) toxicosis secondary to antineoplastic treatment are recognized in veterinary medicine. Toceranib causes GI toxicosis in dogs. Hypothesis/Objective To assess if changes in plasma cytokeratin 18 (CK18) concentration, measured in dogs being treated with toceranib phosphate, can predict the onset of GI toxicosis. We hypothesize that an increase in CK18 concentrations will be detected before the development of GI toxicosis in dogs treated with toceranib phosphate. Animals Twenty healthy client‐owned dogs and 25 client‐owned dogs with surgically excised mast cell tumor (MCT). Methods Prospective cohort study. Dogs were treated with toceranib (2.75 mg/kg PO q48h). Plasma was collected weekly for 4 weeks. Plasma CK18 concentration was measured on days 0, 7, 14, 21, and 28. vascular endothelial growth factor was measured on days 0 and 28. Results Mean plasma CK18 concentration on day 0 in dogs with MCT was not significantly different than healthy controls (313.5 ± 592.8 pg/mL, 119.7 ± 76.9 pg/mL, mean ± SD P = 0.27). Mean plasma CK18 concentration decreased by 98.69 pg/mL from day 0 to day 28 (P &lt; 0.001). Plasma CK18 concentration was not a significant predictor of the development of signs of GI toxicosis. Conclusions and Clinical Importance Plasma CK18 concentration was not a clinically useful biomarker for the early detection of GI toxicosis secondary to toceranib administration in dogs with MCTs.</description><subject>Animals</subject><subject>Antineoplastic Agents - adverse effects</subject><subject>biomarkers</subject><subject>Biomarkers - blood</subject><subject>cancer</subject><subject>canine</subject><subject>Case-Control Studies</subject><subject>chemotherapy</subject><subject>cohort studies</subject><subject>Dog Diseases - blood</subject><subject>Dog Diseases - chemically induced</subject><subject>Dog Diseases - diagnosis</subject><subject>Dog Diseases - drug therapy</subject><subject>Dogs</subject><subject>Female</subject><subject>Gastrointestinal Diseases - blood</subject><subject>Gastrointestinal Diseases - chemically induced</subject><subject>Gastrointestinal Diseases - diagnosis</subject><subject>Gastrointestinal Diseases - veterinary</subject><subject>gastrointestinal system</subject><subject>Indoles - adverse effects</subject><subject>Keratin-18 - blood</subject><subject>Male</subject><subject>mast cell tumor</subject><subject>mast cells</subject><subject>Mastocytosis - drug therapy</subject><subject>Mastocytosis - veterinary</subject><subject>phosphates</subject><subject>poisoning</subject><subject>Prospective Studies</subject><subject>Pyrroles - adverse effects</subject><subject>SMALL ANIMAL</subject><subject>tyrosine kinase inhibitor</subject><subject>Vascular Endothelial Growth Factor A - blood</subject><subject>vascular endothelial growth factors</subject><subject>veterinary medicine</subject><issn>0891-6640</issn><issn>1939-1676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp9kcFu1DAQhq2Kii6FSx8A-YiQ0nri2NlckFBFoahVOQBXy3HGi0tiFzubsid4hD5jn6Re0lZwwRdLns__zD8_IQfADiGfo8vJDYcgeCl3yAIa3hQga_mELNiygULKiu2RZyldMlYKIeqnZI8zLnjTlAvy61Ov06Cp2YzhO0Y9On_7-waW1ARv0I_bl-AT1Yn64J2fdHIT0taFQcf8gQZLUcd-Q1c6jTE4P2LKIrqnY_jpTEguUedpF1aJRjToJudXuWZyM-_a52TX6j7hi_t7n3w5eff5-ENxdvH-9PjtWWEqwWVhTWOhs2DaTtYWasxuAWRnjah0DVCJjtWilRUHieUSGULJK0Am0DIpW75P3sy6V-t2wG621qur6LKPjQraqX8r3n1TqzApWdbAoc4Cr-4FYvixzh7V4JLBvtcewzqpEpaNkCyvNaOvZ9TEkFJE-9gGmNompraJqT-JZfjl34M9og8RZQBm4Nr1uPmPlPr49fR8Fr0DO9Smug</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Kovac, Rachel L.</creator><creator>Ballash, Gregory</creator><creator>Fenger, Joelle</creator><creator>London, Cheryl</creator><creator>Warry, Emma</creator><general>John Wiley &amp; Sons, Inc</general><scope>24P</scope><scope>WIN</scope><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>7S9</scope><scope>L.6</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6493-5919</orcidid></search><sort><creationdate>201811</creationdate><title>Plasma cytokeratin‐18 concentrations as noninvasive biomarker of early gastrointestinal toxicosis in dogs receiving toceranib</title><author>Kovac, Rachel L. ; Ballash, Gregory ; Fenger, Joelle ; London, Cheryl ; Warry, Emma</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4536-fc9f1df1cbd67f17e532116dfc54a71145d075b64316e28e0e12341e05ef066b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Animals</topic><topic>Antineoplastic Agents - adverse effects</topic><topic>biomarkers</topic><topic>Biomarkers - blood</topic><topic>cancer</topic><topic>canine</topic><topic>Case-Control Studies</topic><topic>chemotherapy</topic><topic>cohort studies</topic><topic>Dog Diseases - blood</topic><topic>Dog Diseases - chemically induced</topic><topic>Dog Diseases - diagnosis</topic><topic>Dog Diseases - drug therapy</topic><topic>Dogs</topic><topic>Female</topic><topic>Gastrointestinal Diseases - blood</topic><topic>Gastrointestinal Diseases - chemically induced</topic><topic>Gastrointestinal Diseases - diagnosis</topic><topic>Gastrointestinal Diseases - veterinary</topic><topic>gastrointestinal system</topic><topic>Indoles - adverse effects</topic><topic>Keratin-18 - blood</topic><topic>Male</topic><topic>mast cell tumor</topic><topic>mast cells</topic><topic>Mastocytosis - drug therapy</topic><topic>Mastocytosis - veterinary</topic><topic>phosphates</topic><topic>poisoning</topic><topic>Prospective Studies</topic><topic>Pyrroles - adverse effects</topic><topic>SMALL ANIMAL</topic><topic>tyrosine kinase inhibitor</topic><topic>Vascular Endothelial Growth Factor A - blood</topic><topic>vascular endothelial growth factors</topic><topic>veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kovac, Rachel L.</creatorcontrib><creatorcontrib>Ballash, Gregory</creatorcontrib><creatorcontrib>Fenger, Joelle</creatorcontrib><creatorcontrib>London, Cheryl</creatorcontrib><creatorcontrib>Warry, Emma</creatorcontrib><collection>Wiley Open Access</collection><collection>Wiley Online Library Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of veterinary internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kovac, Rachel L.</au><au>Ballash, Gregory</au><au>Fenger, Joelle</au><au>London, Cheryl</au><au>Warry, Emma</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plasma cytokeratin‐18 concentrations as noninvasive biomarker of early gastrointestinal toxicosis in dogs receiving toceranib</atitle><jtitle>Journal of veterinary internal medicine</jtitle><addtitle>J Vet Intern Med</addtitle><date>2018-11</date><risdate>2018</risdate><volume>32</volume><issue>6</issue><spage>2061</spage><epage>2068</epage><pages>2061-2068</pages><issn>0891-6640</issn><eissn>1939-1676</eissn><abstract>Background No biomarkers for the early detection of gastrointestinal (GI) toxicosis secondary to antineoplastic treatment are recognized in veterinary medicine. Toceranib causes GI toxicosis in dogs. Hypothesis/Objective To assess if changes in plasma cytokeratin 18 (CK18) concentration, measured in dogs being treated with toceranib phosphate, can predict the onset of GI toxicosis. We hypothesize that an increase in CK18 concentrations will be detected before the development of GI toxicosis in dogs treated with toceranib phosphate. Animals Twenty healthy client‐owned dogs and 25 client‐owned dogs with surgically excised mast cell tumor (MCT). Methods Prospective cohort study. Dogs were treated with toceranib (2.75 mg/kg PO q48h). Plasma was collected weekly for 4 weeks. Plasma CK18 concentration was measured on days 0, 7, 14, 21, and 28. vascular endothelial growth factor was measured on days 0 and 28. Results Mean plasma CK18 concentration on day 0 in dogs with MCT was not significantly different than healthy controls (313.5 ± 592.8 pg/mL, 119.7 ± 76.9 pg/mL, mean ± SD P = 0.27). Mean plasma CK18 concentration decreased by 98.69 pg/mL from day 0 to day 28 (P &lt; 0.001). Plasma CK18 concentration was not a significant predictor of the development of signs of GI toxicosis. Conclusions and Clinical Importance Plasma CK18 concentration was not a clinically useful biomarker for the early detection of GI toxicosis secondary to toceranib administration in dogs with MCTs.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>30353992</pmid><doi>10.1111/jvim.15326</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6493-5919</orcidid><oa>free_for_read</oa></addata></record>
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subjects Animals
Antineoplastic Agents - adverse effects
biomarkers
Biomarkers - blood
cancer
canine
Case-Control Studies
chemotherapy
cohort studies
Dog Diseases - blood
Dog Diseases - chemically induced
Dog Diseases - diagnosis
Dog Diseases - drug therapy
Dogs
Female
Gastrointestinal Diseases - blood
Gastrointestinal Diseases - chemically induced
Gastrointestinal Diseases - diagnosis
Gastrointestinal Diseases - veterinary
gastrointestinal system
Indoles - adverse effects
Keratin-18 - blood
Male
mast cell tumor
mast cells
Mastocytosis - drug therapy
Mastocytosis - veterinary
phosphates
poisoning
Prospective Studies
Pyrroles - adverse effects
SMALL ANIMAL
tyrosine kinase inhibitor
Vascular Endothelial Growth Factor A - blood
vascular endothelial growth factors
veterinary medicine
title Plasma cytokeratin‐18 concentrations as noninvasive biomarker of early gastrointestinal toxicosis in dogs receiving toceranib
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