Diabetes and Glucocorticoids in Cats

Lowe, A. D., T. K. Graves, et al. (2009). "A pilot study comparing the diabetogenic effects of dexamethasone and prednisolone in cats." J Amer Anim Hosp Assoc 45(5): 215-224.

One of the most common endocrine diseases in the cat is diabetes mellitus. Glucocorticoids are one of the most prescribed classes of drugs in veterinary medicine and there is little known about the safety profiles of these drugs in cats. Glucocorticoids carry a risk of side effects in most species, although cats have been considered resistant to many of the deleterious effects. This study followed 14 cats that received daily prednisolone (4.4 mg/kg, PO) or dexamethasone (0.55 mg/kg, PO) for 56 days. The doses were considered clinically equipotent. Serum fructosamine and urine glucose were measured on days 0, 28, and 56. In addition, insulin sensitivity, glucose tolerance, and peak insulin secretion were measured in each group before and at the end of the glucocorticoid adminstration. The data suggested that dexamethasone treatment, compared to prednisolone, results in greater fructosamine concentrations, greater decreases in insulin sensitivity, a lesser degree of insulin secretion from pancreatic beta-cells in the face of higher glucose and fructosamine concentrations, and a greater prevalence of glucosuria. These results support the hypothesis that dexamethasone may be a more potent inducer of a pre-diabetic or diabetic state than an equivalent dose of prednisolone. [VT]
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Lowe, A. D., K. L. Campbell, et al. (2008). "Clinical, clinicopathological and histological changes observed in 14 cats treated with glucocorticoids." Vet Rec 162(24): 777-83.
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Lowe, A. D., K. L. Campbell, et al. (2008). "Glucocorticoids in the cat." Vet Dermatol 19(6): 340-7.
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Rabies in Vaccinated Cats

Murray KO, Holmes KC, Hanlon CA: Rabies in vaccinated dogs and cats in the United States, 1997-2001, J Am Vet Med Assoc 235:691, 2009.

Rabies is one of the most well-known and oldest zoonotic diseases. The disease continues to be a major public health concern in the United States. World Rabies Day is recognized annually in the month of September to highlight this concern. Globally, 35,000 to 50,000 human deaths can be attributed to bites from rabid dogs, primarily in Southeast Asia, Africa, Latin American and India. The incidence of rabies in domestic animals in the United States has decreased substantially in the last 50 years, while the incidence in wildlife has increased. This retrospective study contains results from 21 states and indicates that rabies is uncommon in vaccinated dogs and cats but can still occur. Thirty-five laboratory-confirmed cases of rabies out of 1,104 cases involved dogs and cats with a history of rabies vaccination. This information included 2 dogs and 3 cats in which vaccinations were considered current. The clinical signs of rabies most often seen in cats include aggression, paralysis, and lethargy. Other signs include excitability, change in voice, loss of appetite, choking, difficulty swallowing, ataxia, tremors, and anorexia. The study concluded that veterinarians should include rabies in the differential diagnosis for any dog or cat with clinical signs compatible with rabies regardless of vaccination history. [VT]
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Blanton JD, Robertson K, Palmer D et al: Rabies surveillance in the United States during 2008, J Am Vet Med Assoc 235:676, 2009.
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Frymus T, Addie D, Belak S et al: Feline rabies. ABCD guidelines on prevention and management, J Feline Med Surg 11:585, 2009.
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Prevalence of FeLV and FIV in Canada

Little S, Sears W, Lachtara J et al: Seroprevalence of feline leukemia virus and feline immunodeficiency virus infection among cats in Canada, Can Vet J 50:644, 2009.

Feline leukemia virus (FeLV) and feline immunodeficiency virus (FIV) are two of the most important infectious diseases of cats worldwide. Many studies have evaluated the prevalence of FeLV and FIV in North American cats, but very little data has been available for Canada. Veterinary clinics, animal shelters, cat rescue programs, and feral cat programs in Canada were invited to participate in the study. Enrolled participants were requested to submit the results of FeLV and FIV testing performed between Aug. 1 and Nov. 15, 2007. Information collected on each cat tested included location of testing, age, gender, access to outdoors, and whether the cat was ill at the time of testing. A total of 343 vet clinics and 13 shelters/rescue groups representing all Canadian provinces participated. Complete results were received for 11,144 cats of which 4.3% were positive for FIV and 3.4% were positive for FeLV. The seroprevalence of FeLV and FIV in this study was higher than in a recent similar study of predominantly US cats (FIV 2.5%, FeLV 2.3%). [SL]
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Little SE: Feline immunodeficiency virus testing in stray, feral, and client-owned cats of Ottawa, Can Vet J 46:898, 2005.
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Levy JK, Scott HM, Lachtara JL et al: Seroprevalence of feline leukemia virus and feline immunodeficiency virus infection among cats in North America and risk factors for seropositivity, J Am Vet Med Assoc 228:371, 2006.
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Intestinal Lymphoma in Cats

Lingard AE, Briscoe K, Beatty JA, et al. Low-grade alimentary lymphoma: clinicopathological findings and response to treatment in 17 cases. J Feline Med Surg 2009; 11: 692-700.

Alimentary lymphoma is the most common anatomic form of lymphoma in the cats. Seventeen cats in this study were diagnosed with low-grade alimentary lymphoma (LGAL) by immunological and immunohistochemical evaluation of full-thickness biopsies collected from multiple gastrointestinal sites during exploratory laparotomy. The most common clinical signs were weight loss, inappetence, vomiting or diarrhea, vomiting and diarrhea, lethargy, and polyphagia. Vomiting and/or diarrhea were considered chronic in 11 of 15 cats. Abdominal palpation was abnormal in 12 cats. Mature neutrophilia and anemia were the most common hematological abnormalities. Serum albumin was normal in all cats tested. The most common ultrasonographic finding was normal or increased intestinal wall thickness with preservation of layering. LGAL is typically a diffuse or multifocal disease and the ileum and jejenum were most commonly affected. The cats were put on three chemotherapeutic protocols, the majority being given the oral chemotherapeutic regimen of prednisolone and high-dose pulse chlorambucil. Thirteen of the 17 cats (76%) had complete clinical remission with a median remission time of 18.9 months. Cats that were lethargic were less likely to achieve complete remission. The prognosis for cats with LGAL treated with oral prednisolone in combination with high-dose pulse chlorambucil is good to excellent. [VT]
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Wilson HM. Feline alimentary lymphoma: demystifying the enigma. Top Companion Anim Med 2008; 23: 177-84.
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Waly NE, Gruffydd-Jones TJ, Stokes CR, Day MJ. Immunohistochemical diagnosis of alimentary lymphomas and severe intestinal inflammation in cats. J Comp Pathol 2005; 133: 253-60.
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New Treatment for Feline Herpesvirus

Winn funded research

Wilkes RP, Kania SA. Use of interfering RNAs targeted against feline herpesvirus 1 glycoprotein D for inhibition of feline herpesvirus 1 infection of feline kidney cells. Am J Vet Res 2009; 70: 1018-25.

Feline herpesvirus causes at least 50% of upper respiratory infections in the cat. While vaccines are available, the virus persists in cat populations and spreads readily from infected to naive cats. As well, chronic disease occurs in latently infected cats. Most antiviral medications approved for a similar virus in people are either too toxic for cats or are only minimally effective. Small interfering RNAs (RNAi) are novel therapies that can be used to inhibit expression of genes of interest. This study evaluated the use of RNAi targeted against feline herpesvirus glycoprotein D in order to inhibit herpesvirus infection of cell cultures. Six chemically produced RNAi constructs were evaluated, and two of them proved highly effective in reducing expression of the target glycoprotein. Treatment of cell cultures with RNAi resulted in inhibition of herpesvirus replication. The researchers were able to show that glycoprotein D is essential for the virus to infect cells, and is a potential new target for antiviral treatment. [SL]
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Thiry E, Addie D, Belak S, et al. Feline herpesvirus infection. ABCD guidelines on prevention and management. J Feline Med Surg 2009; 11: 547-55.
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Malik R, Lessels NS, Webb S, et al. Treatment of feline herpesvirus-1 associated disease in cats with famciclovir and related drugs. Journal of Feline Medicine & Surgery 2009; 11: 40-48.
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Risk Factors for Feline Hyperthyroidism

Wakeling J, Everard A, Brodbelt D, Elliott J, Syme H. Risk factors for feline hyperthyroidism in the UK. J Small Anim Pract 2009; 50: 406-14.

Hyperthyroidism is an important disease of cats, and while risk factors for cats in the USA and New Zealand have been studied, no equivalent study has been done for cats in the UK. These researchers investigated UK risk factors using a case-controlled questionnaire-based protocol. The study included 109 hyperthyroid cats, and 196 normal cats over eight years old as controls. They found that older cats were more likely to be affected with hyperthyroidism, while purebred animals were less likely to suffer hyperthyroidism. There was no difference in risk for males versus female in this study. In the univariate analysis, hyperthyroid cats were more likely to have used a litter box, to be fed wet cat food, to have been fed wet food from a can (as opposed to being fed wet food only from pouches), to be fed all categories of table food including high-fat dairy products, and were more likely to have been exposed to smokers in their environment and to household flea treatments. These findings were similar to those of previous studies. Exposure to food packaged in cans was identified as the major risk factor for the development of hyperthyroidism. [MK]
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Olczak J, Jones BR, Pfeiffer DU, Squires RA, Morris RS, Markwell PJ. Multivariate analysis of risk factors for feline hyperthyroidism in New Zealand. N Z Vet J 2005; 53: 53-8.
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Edinboro C, Scott-Moncrieff J, Janovitz E, al e. Epidemiologic study of relationships between consumption of commercial canned food and risk of hyperthyroidism in cats. J Amer Vet Med Assoc 2004; 224: 879-886.
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Pain Control for Spay Surgery in Cats

Brondani JT, Loureiro Luna SP, Beier SL, Minto BW, Padovani CR. Analgesic efficacy of perioperative use of vedaprofen, tramadol or their combination in cats undergoing ovariohysterectomy. J Feline Med Surg 2009; 11: 420-9.

Veterinarians now recognize that preventive pain control is beneficial for cats undergoing surgery, providing comfort and faster recoveries. One of the most common feline surgeries is the ovariohysterectomy or spay. The researchers investigated the efficacy of two drugs, tramadol and vedaprofen, in 40 female cats undergoing spay surgery. The cats were divided into four treatment groups: vedaprofen only, tramadol only, vedaprofen plus tramadol, and placebo. Medications were administered one hour before surgery and for 72 hours after surgery. Pain scores were evaluated at regular intervals for the first 96 hours and then on day 7 after surgery. Cats with high pain scores were given rescue analgesia with morphine. Cats treated with vedaprofen and tramadol together did not require rescue analgesia and proved to be the most effective option evaluated. Multimodal analgesia is known to be a superior method of pain control and proved effective for cats undergoing spay surgery. The researchers recommended that pain control should be provided for a minimum of three days after spay surgery. [SL]
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Slingsby L, Waterman-Pearson A. Postoperative analgesia in the cat after ovariohysterectomy by use of carprofen, ketoprofen, meloxicam or tolfenamic acid. J Small Anim Pract 2000; 41: 447-450.
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Tobias KM, Harvey RC, Byarlay JM. A comparison of four methods of analgesia in cats following ovariohysterectomy. Vet Anaesth Analg 2006; 33: 390-8.
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Shelter Cats in Australia

Marston, L.C. and P.C. Bennett, Admissions of Cats to Animal Welfare Shelters in Melbourne, Australia. Journal of Applied Animal Welfare Science, 2009. 12(3): p. 189 - 213.

Despite a decreasing pet cat population in Australia, feline entries into animal shelters have not decreased. To investigate this, researchers tracked over 15,000 cat submissions in one large shelter in Melbourne over a one-year period in an effort to develop effective strategies to reduce shelter admissions and euthanasia. The majority of cats were strays (81.6%). In addition, the vast majority were not neutered, even among owner-relinquished cats. The sociability of the strays indicated that these animals may have been “semi-owned”. Shelter intake increased over the summer with an influx of kittens. The authors conclude that there is an oversupply of pet-quality cats in the state of Victoria. Strategies aimed at reducing cat admissions to shelters from feral, semi-owned, and casually owned populations are likely to be quite different but equally important. As most cats admitted to shelters are strays, with no identifiable owner, the introduction of mandatory neutering may have a limited effect on this population. [MK]
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Centonze, L. and J. Levy, Characteristics of free-roaming cats and their caretakers. J Amer Vet Med Assoc, 2002. 220(11): p. 1627-1633.
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Patronek, G., et al., Risk factors for relinquishment of cats to an animal shelter. J Amer Vet Med Assoc, 1996. 209(3): p. 582-588.
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