Leukocytes and albumin in canine leishmaniasis
Acta sci. vet. (Impr.); 49 (), 2021
Publication year: 2021
Canine Leishmaniasis (CanL) is a multisystemic and chronic inflammatory disease characterized by nonspecific clinical manifestations. In CanL, inflammatory cells and chemical mediators released in response to the parasite play
a role in disease development and progression. Alterations on hematological parameters have been documented in CanL.
These changes can also be assessed in relation to systemic inflammation caused by this disease. The circulating leukocyte
counting, such as neutrophils, as well as the albumin level, are considered direct indicators of an inflammatory host environment. Several studies point to the use of biomarkers on the assistance in diagnosis and prognosis of several canine
pathologies. The present study investigated the Neutrophils to Lymphocyte Ratio (NLR), Albumin to Globulin Ratio (AGR),
and Neutrophils to Albumin Ratio (NAR) on systemic inflammatory response induced by Canine Leishmaniasis (CanL). For this purpose, adult dogs with confirmed diagnosis to CanL were divided into symptomatic
(SD, n = 33) and asymptomatic (AD, n = 20) dogs for L. infantum and control dogs (CD, n = 20). Routine hematological
and biochemical parameters were determined in blood samples using a veterinary automatic hematology and biochemical analyzers. Asymptomatic dogs (AD) had a higher number of white blood cells and neutrophils (16.48 ± 4.93; 13.41
± 3.60, respectively) in relation to symptomatic dogs (SD) (13.54 ± 5.13; 10.42 ± 3.69, respectively) (P = 0.015 and P <
0.0001, respectively). Neutrophils to Lymphocyte Ratio (NLR) was higher in dogs with leishmaniasis (9.45 ± 3.76) than
in healthy dogs (3.39 ± 1.19) (P < 0.0001). Serum total proteins (STP) and globulins increased in CanL, while albumin
and AGR decreased in CanL, when compared to CD and references values to canine species. Neutrophils to Albumin Ratio
(NAR) was higher in AD and SD (5.02 ± 1.14; 4.79 ± 1.07, respectively) when compared to CD (2.36 ± 0.55) (P < 0.0001). As reported in scientific researches, dogs with Leishmaniasis present alterations in circulating cell counts.
Based on these data, we decided to expand this information using the NLR as a parameter in an attempt to better clarify
the changes in these cells in CanL. We observed that NLR was increased on CanL in relation to healthy dogs, which
could be a consequence of relative neutrophilia rather than lymphopenia. Neutrophils to Lymphocyte Ratio (NLR) is a
biomarker that conveys information about inflammatory conditions. An elevated NLR can reflect an upregulated innate
immune response, since neutrophils are effector cells of innate immunity and are involved in several acute and chronic
inflammatory processes. Albumin is an acute phase protein that is considered an immune-inflammatory biomarker, which
can be found reduced systemically in progressive inflammatory response. Serum total proteins (STP) and globulins were
increased in CanL. These data are already well documented in CanL, which serum globulins are mainly associated with
the increase of acute phase proteins, cytokines, and increase of specific antibodies to Leishmania infantum. Our results
showed neutrophilia with hypoalbuminemia in CanL. So, in an attempt to assess the relationship of these two available
markers, we used NAR calculation in order to evaluate the changes induced by CanL. In this study NAR was higher in
CanL when compared to control dogs. Thus, our data indicate that NLR and NAR could be used as biomarkers in veterinary
medical clinics in order to assess inflammatory profile in CanL, mainly in asymptomatic dogs. These parameters obtained
from routine blood tests might be useful as cost-effective, easily accessible and helpful markers in order to distinguish the
inflammatory response intensity in CanL.(AU)