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Published on: August 17, 2022
Lymphocyte subpopulations and hematologic variables in dogs with congestive heart failure
Andrew E Farabaugh1, Lisa M Freeman, John E Rush
1Tufts University School of Veterinary Medicine, North Grafton, MA, USA.
Insights
Congestive heart failure (CHF) in dogs alters key immune cells and blood counts. Dogs with CHF showed lower CD4+ and CD8+ lymphocytes, hematocrit, and hemoglobin, but higher leukocytes, neutrophils, and platelets compared to healthy dogs.
Area of Science:
- Veterinary Medicine
- Immunology
- Cardiology
Background:
- Heart failure is associated with immune system changes in humans.
- Limited data exists on hematologic and immunologic alterations in dogs with congestive heart failure (CHF).
Purpose of the Study:
- To compare flow cytometric and hematologic variables in dogs with CHF against healthy controls.
- To identify specific alterations in lymphocyte subpopulations and complete blood count parameters in canine CHF.
Main Methods:
- Flow cytometry was used to analyze CD4+ peripheral blood mononuclear cells (PBMC) and CD8+ lymphocytes.
- Complete blood counts determined white blood cell count, platelet count, hematocrit, and hemoglobin.
- Twenty-five dogs with CHF (ISACHC class 2 and 3a) and 13 healthy controls were studied.
Main Results:
- Dogs with CHF exhibited significantly lower percentages of CD4+ PBMC, CD8+ lymphocytes, hematocrit, and hemoglobin.
- Leukocyte, neutrophil, and platelet counts were significantly higher in dogs with CHF compared to controls.
- No significant differences in these variables were observed between dogs with dilated cardiomyopathy and chronic valvular disease.
Conclusions:
- Canine congestive heart failure is associated with significant alterations in CD4+ and CD8+ lymphocyte subpopulations and various blood cell parameters.
- These hematologic and immunologic changes in dogs with CHF warrant further investigation for clinical implications.
Abstract:
Alterations in lymphocyte subpopulations and in other hematologic variables have been documented in people with heart failure. The purpose of the current study was to compare flow cytometric and hematologic variables in dogs with congestive heart failure (CHF) to healthy controls. CD4+ peripheral blood mononuclear cells (PBMC) and CD8+ lymphocytes were analyzed by flow cytometry, and white blood cell count, platelet count, hematocrit, and hemoglobin were determined by a complete blood count. Twenty-five dogs with CHF (International Small Animal Cardiac Health Council [ISACHC] class 2 [n = 12] and ISACHC class 3a [n = 13]) and 13 healthy controls were enrolled in the study. Compared with the controls, dogs with CHF had markedly lower percentages of CD4+ PBMC, CD8+ lymphocytes, hematocrit, and hemoglobin, but markedly higher leukocytes, neutrophils, and platelets. There were no differences in these variables between dogs with dilated cardiomyopathy (n = 6) and those with chronic valvular disease (n = 19). Dogs in ISACHC class 3a had a markedly lower total lymphocyte number, CD4+ and CD8+ cells, and hematocrit, but markedly higher leukocyte and neutrophil numbers relative to the control group. CD4+ and CD8+ subpopulations and other blood cell variables are altered in dogs with CHF. Future studies to determine possible clinical implications of these changes are warranted.
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