Abstract: Background: Miniature Schnauzers are predisposed to develop pancreatitis, with familial hypertriglyceridemia (HTG) being a potential risk factor. Diagnosing pancreatitis in dogs is currently based on the integration of serum canine specific pancreatic lipase (cPLI) concentration, clinical presentation, and diagnostic imaging findings.
Objective: To investigate markers of systemic inflammation and antiprotease action in dogs with pancreatitis.
Methods: Calprotectin, S100A12, and α1-proteinase (α1PI) concentrations were measured in serum samples. These markers were evaluated for associations with patient characteristics, clinical presentation, risk factors for pancreatitis, and outcome.
Results: Serum calprotectin, S100A12, and α1PI concentrations were increased in 57%, 57%, and 58% of dogs, with moderate to strong correlations among these biomarkers. Dogs with the typical presentation of pancreatitis had significantly higher α1PI concentrations than dogs with an atypical clinical presentation (P=0.0110), and serum α1PI concentrations >1,579 mg/L distinguished both subgroups with 70% sensitivity and 100% specificity. No difference in serum calprotectin or S100A12 concentrations was seen, but presenting with fewer clinical signs was associated with higher serum calprotectin (P=0.0377) and S100A12 concentrations (P=0.0149) in dogs with a typical pancreatitis presentation. No other associations were detected with patient characteristics, risk factors for pancreatitis (e.g., HTG, medications), or outcome.
Conclusions: Biomarkers of systemic inflammation and antiprotease activity are commonly increased in Miniature Schnauzers with pancreatitis. Serum calprotectin and S100A12 have limited utility in differentiating pancreatitis presentations, whereas serum α1PI concentrations might prove to serve as a marker of disease severity.