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Urine N-telopeptide excretion in dogs with appendicular osteosarcoma
Hugues Lacoste1, Timothy M Fan, Louis-Philippe de Lorimier
1Department of Veterinary Clinical Medicine, Veterinary Teaching Hospital, University of Illinois, Urbana 61802-4714, USA. hlacoste@uiuc.edu
Journal of Veterinary Internal Medicine
|April 6, 2006
Summary
Urinary N-terminal telopeptide (NTx) is elevated in dogs with appendicular osteosarcoma (OSA), indicating increased bone resorption. Treatment for OSA led to decreased NTx levels, suggesting this marker
Area of Science:
- Veterinary Oncology
- Biochemistry
- Bone Metabolism
Background:
- Canine appendicular osteosarcoma (OSA) is a common bone cancer.
- OSA can cause pathological bone remodeling.
- Markers of bone metabolism can aid in managing bone malignancies.
Purpose of the Study:
- To evaluate urinary N-terminal telopeptide (NTx) as a marker of bone resorption in dogs with appendicular OSA.
- To assess changes in urinary NTx excretion following treatment for OSA.
Main Methods:
- Compared urinary NTx excretion in 63 dogs with appendicular OSA to 29 healthy controls.
- Correlated baseline urinary NTx with serum bone alkaline phosphatase (bALP) and tumor length.
- Monitored urinary NTx in 17 dogs with OSA undergoing amputation or palliative therapy.
Main Results:
- Dogs with OSA exhibited significantly higher baseline urinary NTx excretion than controls (P < .0001).
- Urinary NTx excretion decreased significantly after treatment in dogs with OSA.
- No significant correlation was found between baseline urinary NTx and bALP or tumor length.
Conclusions:
- Elevated urinary NTx may support the diagnosis of focal skeletal osteolysis in dogs with OSA.
- Reduced urinary NTx after treatment suggests a decrease in pathological bone resorption.
- Urinary NTx shows potential as a diagnostic and therapeutic monitoring tool for canine osteosarcoma.

