Determinação do teste padrão para o diagnóstico de cães com doença de von willebrand
Data
2007-02-28
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Universidade Estadual Paulista (Unesp)
Resumo
O fator de von Willebrand (FvW) realiza sua função promovendo a adesão plaquetária ao local de injúria vascular e funcionando como um estabilizador funcional para o fator VIII. As células endoteliais são o maior local de síntese e armazenamento do FvW. Também existe produção pelos megacariócitos, porém, as plaquetas caninas praticamente não armazenam o FvW. A doença de von Willebrand (DvW) é o distúrbio hemostático hereditário mais comum em homens e cães. Estudos mostram uma prevalência de 1 a 2% em humanos, sendo o tipo 1 o mais freqüente (60-80%), seguido pelo tipo 2 (15-30%) e pelo tipo 3 (5-10%). Em cães, a DvW já foi diagnosticada em mais de 54 raças, sendo encontrada com alta prevalência em Dobermanns. Os sinais clínicos mais comuns da DvW são sinais de alteração em hemostasia primária. Em cães, a DvW pode ser dividida em três tipos, de acordo com a fisiopatologia. A doença do tipo 1 é definida como uma deficiência parcial quantitativa do FvW. O tipo 2 consiste em perda desproporcional das formas multiméricas de alto peso molecular e o tipo 3 resulta de uma deficiência quantitativa grave do FvW. Os testes diagnósticos mais utilizados para a DvW são tempo de sangria, dosagem do antígeno do FvW, atividade de cofator da ristocetina, agregação plaquetária induzida pela ristocetina e análise multimérica do FvW. O objetivo deste estudo foi determinar e padronizar o teste padrão para diagnóstico de Resumo cães com Doença de von Willebrand. Os testes estudados foram: Tempo de sangria da mucosa oral (TSMO), Agregação plaquetária induzida pela Ristocetina (RIPA) e Antígeno do fator de von Willebrand (FvW:Ag) ELISA...
von Willebrand factor (vWF) perform its function promoting platelet adhesion to the local of vascular injury and is important for the maintenance of FVIII stability and function. Endothelial cells are the major synthesis and storage site. Megakariocytes may also produce vWF, but canine platelets practically don t store vwF. Clinical signs more commonly seen in vWD are associated to primary hemostatic alterations. von Willebrand disease (vWD) is the most common inherited hemostatic disease in human and dogs. Studies had demonstrated a prevalence of 1 to 2% in human beings, being the type I the most common (60-80%), followed by type 2 (15-30%) and type 3 (5-10%). In dogs, vWD had already been diagnosed in more than 54 breeds, with a high prevalence in Dobermann Pinchers. In dogs, vWD may be divided in three types, according to the pathophysiology. Type 1 is defined as a quantitative partial deficiency of vWF. Type 2 consists of a disproportional loss of high molecular weight multimeric forms and type 3 results from a severe quantitative deficiency of vWF. The most used test for the diagnosis of vWD are the buccal mucosa bleeding time, measurement of vWF antigen, ristocetin cofactor activity test, platelet aggregation induced by ristocetin and multimeric analysis of vWF. The purpose of this work was to establish and standardize the gold standard test for screening test of dogs with von Willebrand disease. The following tests were studied: Buccal mucosa bleeding time (BMBT), Ristocetin induced platelet aggregation Abstract (RIPA) and von Willebrand factor Antigen (FvW:Ag) ELISA...(Complete abstract, click electronic address below)
von Willebrand factor (vWF) perform its function promoting platelet adhesion to the local of vascular injury and is important for the maintenance of FVIII stability and function. Endothelial cells are the major synthesis and storage site. Megakariocytes may also produce vWF, but canine platelets practically don t store vwF. Clinical signs more commonly seen in vWD are associated to primary hemostatic alterations. von Willebrand disease (vWD) is the most common inherited hemostatic disease in human and dogs. Studies had demonstrated a prevalence of 1 to 2% in human beings, being the type I the most common (60-80%), followed by type 2 (15-30%) and type 3 (5-10%). In dogs, vWD had already been diagnosed in more than 54 breeds, with a high prevalence in Dobermann Pinchers. In dogs, vWD may be divided in three types, according to the pathophysiology. Type 1 is defined as a quantitative partial deficiency of vWF. Type 2 consists of a disproportional loss of high molecular weight multimeric forms and type 3 results from a severe quantitative deficiency of vWF. The most used test for the diagnosis of vWD are the buccal mucosa bleeding time, measurement of vWF antigen, ristocetin cofactor activity test, platelet aggregation induced by ristocetin and multimeric analysis of vWF. The purpose of this work was to establish and standardize the gold standard test for screening test of dogs with von Willebrand disease. The following tests were studied: Buccal mucosa bleeding time (BMBT), Ristocetin induced platelet aggregation Abstract (RIPA) and von Willebrand factor Antigen (FvW:Ag) ELISA...(Complete abstract, click electronic address below)
Descrição
Palavras-chave
Cão - Doenças, Von Willebrand, Fator de, Hematologia veterinaria, Doença de von Willebrand, Hemostasia, Von Willebrand disease, Veterinary hematology, Dogs - Diseases, Hemostasis, Von Willebrand factor
Como citar
MATTOSO, Cláudio Roberto Scabelo. Determinação do teste padrão para o diagnóstico de cães com doença de von willebrand. 2007. 133 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina Veterinária e Zootecnia, 2007.