Feline PKD NAG B PKD. Feline PKD PKD, PKD C A PKD PKD PKD. N h acetylh hdhglucosaminidase NAG PKD PKD PKD PKD NAG
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1 PKD h h h X PCRhRFLP PKD PKD C A Cl Na Nhacetylh hdhglucosaminidase NAG NAG B Feline PKD NAG B PKD Feline PKD PKD, Lyons PKD C A PKD PKD PKD, PKD PKD PKD Cl N h acetylh hdhglucosaminidase NAG PKD Feline PKD NAG h h h FAX hh reekos@iwate-u.ac.jp 791
2 WBCl BUN mg dl RBC l Cre mg dl Hb g dl Tp g dl ph ph Ht ThChol PLT l ThBil ALT U l Basl ALP U l Eosl hgtp Stl LDH U l Sl Ca mg dl Lyml ip mg dl Monl Na meq l Cl meq l BUN mg dl K meq l Cre mg dl mg dl mg dl HPF mg dlarkray Japan mg dlarkray Japan HPF X RL X CT pochhiv Diff TBAh FR DrihChem V G NAG PNP NAG NAG NAG DNA 792
3 PKD PCR PCR Mly Fermentas U.S.A. PCR forward TTCT TCCTGGTCAACGACTG reverse CAGG TAGACGGGATAGACGA bp bp PKD PCRhRFLP PKD PCR Mly PCR PCR Mly PCR PCR Mly bp bp. kg BCS BUN. mg/dl Cre. mg/dl ip. mg/dl ph. X RL VD BUN Cre ph. PKD PCR PKD PCR Mly PKD bp bp PKD PKD Feline PKD CT.. cm.. cm.. cm kg BUN Cre. mg/dl. mg/dl mg/dl.. mg/dl BUN. mg/dl Cre. mg/dl kg NAG. U/g. U/g. U/g UPC... mmhgmmhg mmhgmmhg Na meq/l 793
4 Bar m NAG Na meq l K meq l Cl meq l NAGU l A B meq l meq l meq l meq l meq l meq l meq l Na meq l meq l Cl meq l meq l Na meq/lcl meq/l NAG NAG B PKD Feline PKD PKD Feline PKD Cl Na PKD autosomal dominant polycystic kidney disease : ADPKD PKD PKD polycystin PCpolysystin PC PC PC 794
5 ADPKD PC Ca cyclichamp cyclichamp Cl cystic fibrosis transmembrane conductance regulator : CFTR Cl ADPKD Cl PKD Cl CFTR Na CFTR PKD NAG NAG B Sato NAG PNP.. U/g NAG A B NAG B NAG NAG NAG NAG PKD PKD Lyons LA, Biller DS, Erdman CA, Lipinski MJ, Young AE, Roe BA, Qin B, Grahn RA : Feline polycystic kidney disease mutation identified in PKD, J Am Soc Nephrol,, h () DomanjkohPetric A, Cernec C, Cotman M : Polycystic kidney disease : a review and occurrence in Slovenia with comparison between ultrasound and genetic testing, J Feline Medicine and Surgery,, h () Rossetti S, Burton S, Strmecki L, Pond GR, San Millán JL, Zerres K, Barratt TM, Ozen S, Torres VE, Bergstralh EJ, Winearls CG, Harris PC : The position of the polycystic kidney disease (PKD ) gene mutation correlates with the severity of renal disease, J Am Soc Nephrol,, h () Hateboer N, Veldhuisen B, Peters D, Breuning MH, San-Millán JL, Bogdanova N, Coto E, van Dijk MA, Afzal AR, Jeffery S, Saggar-Malik AK, Torra R, Dimitrakov D, Martinez I, de Castro SS, Krawczak M, Ravine D : Location of mutations within the PKD gene influences clinical outcome, Kidney Int,, h () Helps C, Tasker S, Harley R : Correlation of the feline PKD genetic mutation with cases of PKD diagnosed by pathological examination, Exp Mol Pathol,, h () h Sato R, Soeta S, Syuto B, Yamagishi N, Sato J, Naito Y : Urinary excretion of Nhacetylh hdhglucosaminidase and its isoenzymes in cats with urinary disease, J Vet Med Sci,, h () h 795
6 Change of Renal Cystic Fluid in a Cat with Feline Polycystic Kidney Disease Caused by PKD Gene Mutation Reeko SATO, Saori KOBAYASHI, Kazumasu SASAKI, Wakana UTO, Masanobu GORYO, Jun SASAKI, Hiroaki KAMISHINA, Akihiro OISHI and Jun YASUDA Department of Veterinary Medicine, Faculty of Agriculture, Iwate University, Ueda, Morioka-shi, , Japan A four-year-old castrated male mixed-breed cat suspected of hydronephrosis was referred to our Veterinary Teaching Hospital. Abdominal radiography revealed enlarged kidneys, and renal ultrasonography detected anechoic cysts of various sizes in both kidneys. Genetic testing using the PCR RFLP method identified a mutation (3284C A) in the PKD1 gene. The cat was therefore diagnosed with autosomal dominantly inherited polycystic kidney disease. At initial presentation to our Veterinary Teaching Hospital, hematological examination showed azotemia and hyperphosphatemia. The cat received peritoneal dialysis for a short duration. Subsequently, it was treated by fluid therapy and prescription diet for renal disease, and monitored for about one year. An analysis of cystic fluid collected from several cysts of both kidneys showed persistently high concentrations of chloride anion and sodium cation. This finding was observed throughout the follow-up period. In addition, the concentration of N acetyl D glucosaminidase (NAG) and the value of NAG isozyme B tended to increase with the progression of renal failure. Key words : feline polycystic kidney disease (fpkd), N acetyl D glucosaminidase (NAG) isozyme B, PKD1 gene, renal cystic fluid. Correspondence to : Reeko SATO (Department of Veterinary Medicine, Faculty of Agriculture, Iwate University) Ueda, Morioka-shi, , Japan TEL FAX reekos@iwate-u.ac.jp J. Jpn. Vet. Med. Assoc., 796
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