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Published on: February 2, 2021
Acute kidney injury is associated with decreased platelet function in domestic cats
Matthew R Kornya1, Shauna L Blois1, Anthony C G Abrams-Ogg1
1Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.
Insights
Cats with acute kidney injury (AKI) exhibit platelet dysfunction, as shown by abnormal results on Platelet Function Analyzer-200 (PFA-200) and Multiplate® (MP) assays. This dysfunction may impact clinical procedures in affected felines.
Area of Science:
- Veterinary Medicine
- Nephrology
- Hematology
Background:
- Acute kidney injury (AKI) is linked to platelet dysfunction in various species, but this association is understudied in cats.
- Platelet function analyzers like the Platelet Function Analyzer-200 (PFA-200) and Multiplate® (MP) assess platelet activity through distinct mechanisms.
Purpose of the Study:
- To investigate platelet function in cats diagnosed with AKI using PFA-200 and MP assays.
- To determine if cats with AKI demonstrate impaired platelet function compared to healthy controls.
Main Methods:
- The study included 15 cats with AKI and 15 healthy control cats.
- Platelet function was evaluated using PFA-200 collagen/adenosine diphosphate (Col/ADP) and MP assays (ADP, Col, ASPI).
- Associations between platelet parameters, AKI status, AKI cause, and azotemia severity were analyzed.
Main Results:
- Cats with AKI showed significantly prolonged PFA-200 Col/ADP closure times and reduced MP assay responses (ADP, Col, ASPI) compared to controls.
- Ureteral obstruction in AKI cats was associated with longer PFA-200 closure times but not with MP assay results.
- No correlation was found between the severity of azotemia or urine specific gravity and platelet function parameters in cats with AKI.
Conclusions:
- Cats experiencing AKI exhibit evidence of platelet dysfunction.
- The clinical significance of this platelet dysfunction in cats with AKI is currently unknown.
- Consideration of platelet dysfunction is recommended for cats with AKI undergoing invasive procedures.
Background:
Acute kidney injury (AKI) is associated with platelet dysfunction in several species, but has been minimally investigated in cats. The Platelet Function Analyzer-200 (PFA-200) and Multiplate® (MP) investigate platelet function using different mechanisms.
Hypothesis/Objectives:
Cats with AKI will show evidence of platelet dysfunction on PFA-200 collagen/adenosine diphosphate (Col/ADP) and MP ADP, Col, and arachidonic acid (ASPI) assays.
Animals:
Fifteen cats presented to a tertiary referral hospital with a diagnosis of AKI and 15 control cats.
Methods:
Complete blood count, serum biochemistry panel, PFA-200 Col/ADP, and MP ADP, Col, and ASPI assays were analyzed for associations between platelet count and function and AKI status and cause of AKI. Association between severity of platelet dysfunction and severity of azotemia also was assessed.
Results:
Cats with AKI had higher median PFA-200 Col/ADP closure time (CT) than control cats (109 s vs 56 s; P = .001) and lower median MP area under curve (AUC) in response to ADP (62 vs 108; P = .002), Col (60 vs 98; P = .007), and ASPI (22 vs 46; P = .001). No difference was found between cats with ureteral obstruction vs other causes of AKI in median MP ADP AUC (P = .78); MP ASPI AUC (P = .31), or MP Col AUC (P = .18), but obstructed cats had higher median PFA-200 CT (154 s vs 68 s; P = .02). Among cats with AKI, no association was found between serum urea, creatinine, or phosphorus concentrations, or urine specific gravity, and any platelet parameter.
Conclusions And Clinical Importance:
Cats with AKI have evidence of platelet dysfunction. Although the clinical relevance of this finding is unknown, it should be to considered when undertaking invasive procedures.
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