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Peer-reviewed veterinary case report

Folate levels linked to chronic gut disease signs in dogs

By Ullal, Tarini V et al.·Published in Journal of veterinary internal medicine·2023·Department of Medicine and Epidemiology, United States·View original on PubMed

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Original publication title: Association of folate concentrations with clinical signs and laboratory markers of chronic enteropathy in dogs.

Species:
dog

Plain-English summary

A group of dogs with chronic enteropathy (CE), a condition affecting their intestines, had their serum folate levels tested to see how they compared to dogs without CE. The study found that dogs with CE had higher folate levels but lower cobalamin (another important vitamin) levels than those without CE. While low cobalamin was linked to other health markers, low folate was not a reliable indicator of CE. This suggests that if your dog has CE, monitoring cobalamin levels may be more important than folate levels for understanding their health.

People also search for: dog chronic enteropathy symptoms · low cobalamin in dogs treatment · dog vitamin deficiency signs

Abstract

BACKGROUND: Serum folate is considered a biomarker of chronic enteropathy (CE) in dogs, but few studies have examined associations with markers of CE. HYPOTHESIS/OBJECTIVES: To evaluate serum folate concentrations in dogs with and without CE and associations with sample hemolysis and selected markers of CE. We hypothesized that hypofolatemia would be more common in dogs with CE and associated with hypocobalaminemia, higher CIBDAI, and hypoalbuminemia. ANIMALS: Six hundred seventy-three dogs with available serum folate measurements performed at an academic veterinary hospital between January 2016 and December 2019. METHODS: Medical records were retrospectively reviewed to categorize cases as CE or non-CE and record clinical details and laboratory markers. Relationships between serum folate, cobalamin, and CE variables were assessed using chi-square, Kruskal-Wallis, or Spearman's correlation tests. RESULTS: Of the 673 dogs, 99 CE were compared to 95 non-CE. In the overall cohort, serum folate concentration did not correlate with sample hemolysis (P = .75). In the CE subset, serum folate and cobalamin concentrations were positively associated (rho = 0.34, FDR = 0.02). However, serum folate concentrations (median [25th, 75th percentiles]) were higher (CE: 12.1 (8.9, 16.1), non-CE: 10.4 (7.2, 15.5); P = .04) and cobalamin concentrations were lower (CE: 343 (240, 597), non-CE: 550 (329, 749); P = .001) in the CE vs non-CE group. Serum folate was not associated with markers of CE, but serum cobalamin was associated with albumin (P = .04) and cholesterol (P = .03). CONCLUSIONS AND CLINICAL IMPORTANCE: Hypofolatemia is an inferior biomarker of CE compared to hypocobalaminemia.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36919188/