The Chromogranin A-Derived Peptides Catestatin and Vasostatin in Dogs
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Höglund et al. Acta Vet Scand (2020) 62:43 https://doi.org/10.1186/s13028-020-00541-3 Acta Veterinaria Scandinavica RESEARCH Open Access The chromogranin A-derived peptides catestatin and vasostatin in dogs with myxomatous mitral valve disease Katja Höglund1* , Jens Häggström2 , Odd Viking Höglund2 , Mats Stridsberg3 , Anna Tidholm2,4 and Ingrid Ljungvall2 Abstract Background: The protein chromogranin A (CgA) is stored and co-released with catecholamines from the stimulated adrenal glands. Increased plasma concentrations of CgA have been shown in people with heart disease. The aim of the study was to investigate whether plasma concentrations of the CgA-derived biologically active peptides catesta- tin and vasostatin were associated with the severity of myxomatous mitral valve disease (MMVD) in dogs and to assess potential associations between these blood variables and dog characteristics, echocardiographic variables, heart rate (HR), blood pressure (BP) and plasma N-terminal-proBNP (NT-proBNP) concentration. Sixty-seven privately owned dogs with or without MMVD were included. The dogs underwent physical examination, blood pressure measurement, blood sample collection, and echocardiographic examination. Plasma concentrations of catestatin and vasostatin were analyzed using radioimmunoassay. Results: Catestatin concentration decreased with increasing left atrial and ventricular size (R 2 0.09, P 0.019), and increased with increasing systolic and diastolic blood pressures (R2 0.08, P 0.038). Regression≤ analyses≤ showed no signifcant associations for vasostatin. No diferences in plasma concentrations≤ ≤ of catestatin or vasostatin were found between the disease severity groups used in the study. Conclusions: In the present dog population, the catestatin concentration showed weak negative associations with left atrial and ventricular sizes, both of which are known to increase with increasing severity of MMVD. Furthermore, the catestatin concentration showed weak positive associations with blood pressure. Keywords: Canine, Catestatin, Heart, Sympathetic nervous system, Vasostatin Background cells of the adrenal medulla. Chromogranin A co-exists Chromogranin A (CgA) is an acidic, soluble secretory in secretory granules with catecholamines, with which protein, belonging to the granin family. Te protein has it is co-released during exocytosis [1–3]. Chromogranin a widespread distribution in neuroendocrine and endo- A is also produced in the human myocardium and has crine tissues as well as in the central and peripheral been found co-localized with B-type natriuretic peptide nervous systems, and is also abundant in the chromafn (BNP) in the myocardium of people with heart disease [4]. Chromogranin A is a precursor of several biologically active peptides, including catestatin and vasostatin [5], *Correspondence: [email protected] which modulate cardiac hemodynamics during adrener- 1 Department of Anatomy, Physiology and Biochemistry, Faculty gic stimulation and seem to protect the cardiovascular of Veterinary Medicine and Animal Science, Swedish University of Agricultural Sciences, 750 07 Uppsala, Sweden system against excessive beta-adrenergic stimulation [6]. Full list of author information is available at the end of the article © The Author(s) 2020. 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The Creative Commons Public Domain Dedication waiver (http://creat iveco mmons .org/publi cdoma in/ zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Höglund et al. Acta Vet Scand (2020) 62:43 Page 2 of 7 In contrast to catecholamines, which degrade rapidly in of cardiac disease. Dogs in need of heart failure therapy plasma [7], CgA has a high stability [8] and is considered were allowed into the study. Dogs with congenital heart a useful marker of sympathetic nervous activation [9, disease, other acquired cardiovascular disorders or signif- 10]. In people, plasma CgA has been shown to increase icant organ-related or systemic diseases were excluded. in situations of pronounced sympathetic stimulation such as in critically ill patients [11]. High plasma CgA Examinations concentrations have been found in people with conges- Dogs underwent physical examination, blood pressure tive heart failure (CHF) due to coronary artery disease, measurement, blood sample collection, and echocardio- arterial hypertension, dilated cardiomyopathy (DCM), graphic examination, all performed during the same con- hypertrophic cardiomyopathy and valvular disease [4, sultation. Blood pressure was indirectly measured using 12–14] and plasma CgA concentration has been shown an automated oscillometric device (Vet HDO monitor, to increase with increasing severity of diferent human S + B med Vet GmbH, Babenhausen, Germany). Once cardiac diseases [12]. Furthermore, studies in people reliable consecutive readings were obtained, fve con- with acute myocardial infarction have shown increased secutive blood pressure recordings were performed and catestatin concentrations in plasma [15–17] as well as the mean was calculated. Blood was collected by jugular in serum [18], while one study showed decreased serum venipuncture into EDTA-tubes; plasma was separated by vasostatin-2 concentrations in patients with chronic centrifugation within 30 min of collection, transferred heart failure due to previous myocardial infarction, com- to plastic cryotubes and stored at − 80 °C for batched pared to in healthy controls [19]. analysis. In dogs, myxomatous mitral valve disease (MMVD) Echocardiography, performed by an ultrasonographic is the most common heart disease [20–22]. Te disease unit (iE33, Philips Ultrasound, Bothell, WA, USA), was is characterized by slow progressive degeneration of the used to verify the diagnosis of MMVD and to exclude mitral valve apparatus, leading to mitral regurgitation other cardiac diseases. Assessment of mitral valve struc- (MR). With progressive degeneration of the valve leafets, tures was performed and degree of MR was assessed the regurgitation increases, leading to volume overload by color Doppler. Te MR was subjectively assessed as and subsequent dilation of the left atrium and ventricle, the area of regurgitant jet relative to the area of the left and risk of developing CHF [20, 23]. During progression atrium [29] with slight modifcations [30]. Measurements of the disease, neuroendocrine activation takes place [24, of the left ventricle (fve consecutive cardiac cycles) and 25], and increased plasma norepinephrine concentra- left atrial to aortic root (LA/Ao) ratio (three consecutive tions have been found in dogs with DCM and in dogs cardiac cycles) were performed as previously described with advanced MMVD [26, 27]. [31, 32]. Te mean value for each variable was used in Plasma concentrations of CgA or derived peptides have the statistical analyses. Diagnostic criteria for MMVD not been investigated in dogs with heart disease. A radio- included characteristic 2-dimensional valvular lesions immunoassay (RIA) for measurement of the peptides cat- of the mitral valve apparatus (thickened and/or prolaps- estatin and vasostatin, which both have cardiovascular ing mitral valve leafets) and demonstrated MR by color functions [5], has been validated for canine plasma [28]. Doppler [29, 33]. Estimation of MMVD severity was Hence, the aims of the present study were to investigate based on obtained LA/Ao ratio and MR jet size, and dogs whether plasma concentrations of catestatin and vasosta- were classifed as follows: Healthy (LA/Ao < 1.5 and non tin were associated with severity of MMVD in dogs and to minimal MR jet), mild (LA/Ao ≤ 1.5 and MR jet < 30%), to assess potential associations between plasma concen- moderate (LA/Ao < 1.8 and MR jet ≤ 50%), and severe trations of catestatin and vasostatin and dog characteris- (LA/Ao ≥ 1.8 and MR jet > 50%) MMVD [30, 34, 35]. Val- tics, echocardiographic variables, heart rate (HR), blood ues for percent increases of end-diastolic left ventricular pressure (BP) and plasma N-terminal-proBNP (NT- internal dimension (LVIDdinc) and end-systolic left ven- proBNP) concentration. tricular internal dimension (LVIDsinc) were calculated as previously described [30, 36]. Methods Animals Analyses of catestatin and vasostatin Client-owned dogs were examined at the cardiology Analyses of plasma catestatin and vasostatin concentra- unit at the University Teaching Hospital of the Swed- tions were performed by RIAs specifc for catestatin and ish University of Agricultural Sciences in Uppsala, vasostatin [37, 38], validated for use in dogs [28]. Te Sweden according to a pre-specifed protocol. To be coefcient of variation was 3.6% and 8.8% for catesta- included, dogs had to either have evidence