Evidence map›Paper›PMID 18533921›Full record

ArticleVeterinary clinical pathology2008

Use of albumin quotient and IgG index to differentiate blood- vs brain-derived proteins in the cerebrospinal fluid of cats with feline infectious peritonitis.

Tanja Alexandra Steinberg, Irene Christine Boettcher, Kaspar Matiasek, Katrin Hirschvogel, Katrin Hartmann, Anne Kunz, Anne Kuntz, Andrea Fischer

Erratum issuedAbstract read
In one paragraph

Article in Veterinary clinical pathology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Drug library screen identifies inhibitors of toxic astrogliosis.Multiple sclerosis and related disorders · 2022
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. A review of feline infectious peritonitis virus infection: 1963-2008.Journal of feline medicine and surgery · 2009
    Review
4 · The record

Corrections and comments

  • Erratum issued
  • Erratum issued
    Kuntz, Anne [corrected to Kunz, Anne]
5 · Who and what money

Authors and funding

8 authors.

Tanja Alexandra SteinbergClinic for Small Animal Medicine, College of Veterinary Medicine, Ludwig Maximilian University of Munich, Muncih, Germany. t.steinberg@medizinische-kleintierklinik.de
Irene Christine Boettcher
Kaspar Matiasek
Katrin Hirschvogel
Katrin Hartmann
Anne Kunz
Anne Kuntz
Andrea Fischer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammation of the central nervous system (CNS) is a frequent condition in cats but etiology often remains unsolved. Routine cerebrospinal fluid (CSF) analysis can be extended through the calculation of the albumin quotient (Q(alb)), a marker of the integrity of the blood-brain barrier (BBB), and IgG index, an estimate of intrathecal IgG synthesis.

objectivesThe purpose of this study was to validate nephelometric methods for CSF protein analysis, and to use the Q(alb) and IgG index to discriminate blood- and brain-derived immunoglobulin fractions in cats with feline infectious peritonitis (FIP).

methodsCats presented to our clinic between 2001 and 2005 were included in the study based on clinical and laboratory data and histopathologic findings at necropsy. Cats were grouped as having nonneurologic disease (controls; n=37), brain tumors (n=8), FIP involving the CNS (n=12), and extraneural FIP (n=12). CSF-total protein (TP) was measured and albumin and IgG concentrations were measured in paired CSF/serum samples; Q(alb) and IgG index were calculated. Intraassay and interassay precision of the nephelometric assays were determined using pooled samples.

resultsCoefficients of variation for the nephelometric assays ranged from 2.7% to 7.2%. In control cats, CSF-TP concentration ranged from 0.06 to 0.36 g/L, Q(alb) ranged from 0.6 to 5.7 x 10(-3), and IgG index ranged from 0.3 to 0.6. Q(alb) and IgG index were significantly higher in cats with brain tumors and cats with CNS-FIP compared with other groups. Compared with control cats, pleocytosis was evident in 8 of 12 (67%) cats and CSF-TP was increased in 3 of 12 (25%) cats with CNS-FIP.

conclusionNephelometry is a reliable method for measurement of CSF protein, albumin, and IgG in cats. The Q(alb) and IgG index did not identify a CSF protein pattern specific for BBB dysfunction or intrathecal IgG synthesis in cats with CNS-FIP.

Indexed as

AlbuminsAnimalsBlood ProteinsBrainBrain NeoplasmsCatsCerebrospinal FluidFeline Infectious PeritonitisFemaleImmunoglobulin GMaleAlbuminsBlood ProteinsImmunoglobulin G

Identifiers

PMID18533921
PMCPMC7169305

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.