Copeptin Hormone Concentrations in Dogs with Heart Disease and Relationship with Antidiuretic Hormone

Antidiuretic hormone (ADH) is upregulated in dogs with cardiac disease. However, measurement of ADH is impractical in a clinical setting. Copeptin is co-secreted with ADH, making it a potential biomarker of ADH secretion. We hypothesized that dogs with cardiac disease would upregulate copeptin conce...

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Main Authors: Corine Lavigne, Darcy B. Adin, Courtney Hanner, Alexis Cooper, Rebeca A. Castro, Autumn N. Harris
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Animals
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Online Access:https://www.mdpi.com/2076-2615/15/7/1013
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author Corine Lavigne
Darcy B. Adin
Courtney Hanner
Alexis Cooper
Rebeca A. Castro
Autumn N. Harris
author_facet Corine Lavigne
Darcy B. Adin
Courtney Hanner
Alexis Cooper
Rebeca A. Castro
Autumn N. Harris
author_sort Corine Lavigne
collection DOAJ
description Antidiuretic hormone (ADH) is upregulated in dogs with cardiac disease. However, measurement of ADH is impractical in a clinical setting. Copeptin is co-secreted with ADH, making it a potential biomarker of ADH secretion. We hypothesized that dogs with cardiac disease would upregulate copeptin concentrations and that copeptin would positively correlate with ADH, serum chloride ([Cl<sup>−</sup>]), and degree of mathematical [Cl<sup>−</sup>] correction. The study population comprised 19 healthy, 20 preclinical (Stage B), and 20 congestive heart failure (CHF, Stage C or D) dogs. Groups were compared with Kruskal–Wallis tests. The agreement between ADH and copeptin was assessed with Bland–Altman analysis. Relationships between copeptin and clinical variables were explored using multivariable linear regression. There were no significant differences in copeptin concentrations among healthy (median 54.9 pg/mL; range 0.5–196.1), preclinical (median 43.6 pg/mL; range 0.5–131.4), and CHF (median 60.5 pg/mL; range 0.5–997.8) dogs (<i>p</i> = 0.76). Relative to ADH, copeptin showed a negative proportional bias of −87.8 pg/mL with wide limits of agreement (−421.8 to 246.2). Linear regression showed a significant influence of age on copeptin concentration. Copeptin measured by ELISA does not reflect the ADH concentration in healthy dogs or in dogs with cardiac disease. Copeptin concentrations are, however, inversely associated with age.
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spelling doaj-art-d7d4f6a2bd794d3ab09734e828c5be922025-08-20T03:08:43ZengMDPI AGAnimals2076-26152025-04-01157101310.3390/ani15071013Copeptin Hormone Concentrations in Dogs with Heart Disease and Relationship with Antidiuretic HormoneCorine Lavigne0Darcy B. Adin1Courtney Hanner2Alexis Cooper3Rebeca A. Castro4Autumn N. Harris5Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Ave, Gainesville, FL 32608, USADepartment of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Ave, Gainesville, FL 32608, USADepartment of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Ave, Gainesville, FL 32608, USADepartment of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Ave, Gainesville, FL 32608, USADepartment of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, 1060 William Moore Dr, Raleigh, NC 27606, USADepartment of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Ave, Gainesville, FL 32608, USAAntidiuretic hormone (ADH) is upregulated in dogs with cardiac disease. However, measurement of ADH is impractical in a clinical setting. Copeptin is co-secreted with ADH, making it a potential biomarker of ADH secretion. We hypothesized that dogs with cardiac disease would upregulate copeptin concentrations and that copeptin would positively correlate with ADH, serum chloride ([Cl<sup>−</sup>]), and degree of mathematical [Cl<sup>−</sup>] correction. The study population comprised 19 healthy, 20 preclinical (Stage B), and 20 congestive heart failure (CHF, Stage C or D) dogs. Groups were compared with Kruskal–Wallis tests. The agreement between ADH and copeptin was assessed with Bland–Altman analysis. Relationships between copeptin and clinical variables were explored using multivariable linear regression. There were no significant differences in copeptin concentrations among healthy (median 54.9 pg/mL; range 0.5–196.1), preclinical (median 43.6 pg/mL; range 0.5–131.4), and CHF (median 60.5 pg/mL; range 0.5–997.8) dogs (<i>p</i> = 0.76). Relative to ADH, copeptin showed a negative proportional bias of −87.8 pg/mL with wide limits of agreement (−421.8 to 246.2). Linear regression showed a significant influence of age on copeptin concentration. Copeptin measured by ELISA does not reflect the ADH concentration in healthy dogs or in dogs with cardiac disease. Copeptin concentrations are, however, inversely associated with age.https://www.mdpi.com/2076-2615/15/7/1013caninecardiovascularhypochloremiadiuretic resistance
spellingShingle Corine Lavigne
Darcy B. Adin
Courtney Hanner
Alexis Cooper
Rebeca A. Castro
Autumn N. Harris
Copeptin Hormone Concentrations in Dogs with Heart Disease and Relationship with Antidiuretic Hormone
Animals
canine
cardiovascular
hypochloremia
diuretic resistance
title Copeptin Hormone Concentrations in Dogs with Heart Disease and Relationship with Antidiuretic Hormone
title_full Copeptin Hormone Concentrations in Dogs with Heart Disease and Relationship with Antidiuretic Hormone
title_fullStr Copeptin Hormone Concentrations in Dogs with Heart Disease and Relationship with Antidiuretic Hormone
title_full_unstemmed Copeptin Hormone Concentrations in Dogs with Heart Disease and Relationship with Antidiuretic Hormone
title_short Copeptin Hormone Concentrations in Dogs with Heart Disease and Relationship with Antidiuretic Hormone
title_sort copeptin hormone concentrations in dogs with heart disease and relationship with antidiuretic hormone
topic canine
cardiovascular
hypochloremia
diuretic resistance
url https://www.mdpi.com/2076-2615/15/7/1013
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