RESEARCH HIGHLIGHT: Seizures are underreported in human medicine – is this also true for dogs with epilepsy?
Caregiver or patient descriptions are regularly used in both human and veterinary medicine to diagnose seizures. This is known as ‘subjective data.’ On average, human patients document fewer than 50% of their seizures. This underreporting is why electroencephalography (EEG) testing is fairly standard. Via small electrodes placed in/on the scalp, an EEG is the only real-time routine detector of the abnormalities in the electrical activity of the brain that are called seizures. An EEG is a measure of ‘objective data.’
First author, graduate student Dr Masayasu Ukai (MSc), wanted to explore if the seizure underreporting phenomenon also exists in veterinary epileptology. This was a collaborative study amongst five academic and private veterinary referral hospitals, with 33 dogs meeting the study criteria. The number of seizures based on epileptogenic paroxysmal discharges (PDs) on the EEG was compared to the reported seizure frequency described by each dog’s caregiver. There was only a weak correlation (0.39 (95% confidence interval [CI]=0.048-0.64,P=.03)) found between seizure frequency reported by caregivers (subjective) and the actual seizure frequency on the dogs’ EEGs (objective).
While more research is needed, these findings suggest that seizure underreporting also occurs in veterinary medicine. To provide the most accurate diagnosis, EEGs in dogs should be performed to determine seizure frequency, especially when dogs are suspected to manifest myoclonic seizures or behavioral arrest (absences). This is aligned with the International Veterinary Epilepsy Task Force recommendation to use EEG data to increase the accuracy of seizure reporting and diagnosis.
Funding for this research was generously provided by OVC Pet Trust. The full publication can be found here: Seizure frequency discrepancy between subjective and objective ictal electroencephalography data in dogs – Ukai – 2021 – Journal of Veterinary Internal Medicine – Wiley Online Library
RESEARCH HIGHLIGHT: An innovative “seek and destroy” alternative to cancer surgery for people and pets is being tested for the first time this year at the University of Guelph’s Ontario Veterinary College (OVC).
During the trial, researchers aim to refine the novel nanomedicine treatment (Porphysomes) for use in animals and, ultimately, this therapy will be used for treating various types of human cancer as an adjunct or alternative to surgery. The U of G team with Research Chair in Veterinary Medical Innovation, Dr Michelle Oblak (Veterinary Innovation (uoguelph.ca)) is working with UHN researchers, including head and neck surgeon Dr. Jonathan Irish and Dr. Gang Zheng, the inventor of this technology.
Dr Oblak and her team injects the porphysomes into the bloodstream; these nanoparticles collect in the tumour or any spot where the cancer may have spread. The light-activated molecule’s fluorescent glow allows the team to track its location using a special light source. Besides pinpointing the tumour’s whereabouts, the porphysomes make the tissue more vulnerable to damage from laser light. A beam of near-infrared laser light directed through a nano-fibre activates the porphysome, which then destroys cancerous tissue. For the clinical trial, the team is destroying only a portion of the tumour, then taking samples of the tumour and lymph nodes to assess results of the therapy. Patients in the trial still undergo standard-of-care surgery to remove the entire tumour.
More information on this study can be found on our actively recruiting studies page (Canine Clinical Trials With Active Recruitment – OVC Clinical Trials (uoguelph.ca)) and the full news release(s) are linked here: can be found here: OVC Researchers Test ‘Seek and Destroy’ Cancer Treatment – U of G News (uoguelph.ca) and OVC Researchers Test ‘Seek and Destroy’ Cancer Treatment | Ontario Veterinary College (uoguelph.ca) and Ontario Veterinary College researchers test ‘seek and destroy’ cancer treatment (uhn.ca)
RESEARCH HIGHLIGHT: Should a combination of preoperative and intraoperative modalities be used for disease evaluation in dogs with oral tumours?
In veterinary oncology, understanding the spread of disease to lymph nodes is extremely important. In dogs with oral tumours, lymph nodes that are surrounding the oral cavity are most often affected but which lymph node the tumour drains to can be variable. Sentinel lymph node (SLN) mapping helps us to better understand how these tumours drain and ensures the correct lymph nodes(s) are sampled. There are a couple ways to approach SLN mapping, we can perform a specialized computed tomography lymphography (CTL) before surgery or during surgery, we can use a fluorescent dye, Indocyanine green (ICG) with specialized near infra red fluorescence (NIRF) camera and/or methylene blue (MB) dye.
First author, graduate student Dr Jen Wan (DVSc), used both CTL and ICG NIRF +/- MB lymphography (IOL) in 14 client-owned dogs with oral tumours. In these 14 patients, a total of 57 SLNs were identified. When CTL and IOL were combined, the overall SLN identification rate was 100%. ICG NIRF identified a greater proportion of SLNs (91%; 52/57) compared with MB (50.8%; 29/57) and CTL (42.1%; 24/57).
This research confirms that both preoperative and intraoperative techniques for SLN mapping are simple and feasible to perform. The combination (CTL and IOL) may greatly improve the ability to accurately detect the SLN in dogs with oral tumours.
Funding for this research was generously provided by OVC Pet Trust. The full publication can be found here: Determining agreement between preoperative computed tomography lymphography and indocyanine green near infrared fluorescence intraoperative imaging for sentinel lymph node mapping in dogs with oral tumours – Wan – 2021 – Veterinary and Comparative Oncology – Wiley Online Library
RESEARCH HIGHLIGHT: Can a dog’s own immune system be used to treat bladder cancer?
Urothelial carcinoma (UC) is the most common urinary tumor in dogs and it behaves, looks, and genetically appears to be similar to muscle-invasive urothelial carcinoma (MIUC) in people. This makes UC in dogs an excellent model for the disease in humans! In humans, the use of immunotherapy (using the patient’s own immune system to target the cancer) has shown promise as a therapy for patients with MIUC and is being incorporated into the standard-of-care.
Immune checkpoint molecules are a normal part of the immune system and help to ensure that our immune response is not sent into overdrive against our own normal cells. Some cancers will take advantage of this system to “turn off” the immune system against themselves, allowing the tumour to continue to grow… think of putting your foot on the brakes of a car. By using immunotherapies that lift your foot off the brakes, we effectively turn the immune system back against the cancer cells and can lead to better outcomes in cancer patients.
The programmed death ligand-1 (PD-L1) and its receptor, programmed death receptor 1 (PD-1) is a well-described immune checkpoint in several human cancers, including UC and MIUC. Typically, the receptor (PD-1) is housed on immune cells, and PD-L1 resides on other cells (cancer cells, stromal cells).
First author, graduate student Dr Christopher Pinard (DVSc) with assistance from members of Drs Hocker and Mutsaers research teams, evaluated the expression of PD-L1 and PD-1 in canine UC cell lines via flow cytometry, western blot analysis, reverse transcription PCR (RT-PCR) and fluorescence microscopy. Excitingly, this study provides the first evidence of cell-intrinsic PD-1 expression in canine UC. The team also demonstrated that canine UC cell lines have protein and gene expression of PD-1 and PD-L1, meaning that these immune checkpoints could be attractive targets for immunotherapy for the treatment of UC in dogs.
The full publication can be found here: Evaluation of PD-1 and PD-L1 expression in canine urothelial carcinoma cell lines – ScienceDirect
RESEARCH HIGHLIGHT: Second opinion histopathology – should it be used in veterinary medicine?
In human medicine, it’s common practice to have surgically-removed tissues reviewed histologically (under a microscope) by more than one pathologist (whose area of expertise is body tissues and body fluids) before pursuing cancer treatment. This second opinion is used to confirm the original diagnosis or identify discrepancies, which could alter the course of disease, cost of treatment, patient management or prognosis.
First author, graduate student Dr Sarah Laliberte (DVSc), retrospectively explored the major factors which influence the decision to pursue a second opinion histopathology in veterinary oncology patients and when used, if there was disagreement between the opinions. Most commonly, a second opinion was sought when the tumour was either atypical/poorly differentiated (31%) or the results of a biopsy did not fit with the symptoms and signs of the disease in the pet (25%). Major disagreement (a change in diagnosis between both opinions, that resulted in the alteration of treatment recommendations) occurred in 39% of cases. While second opinion may not be routinely practiced in veterinary medicine, it could have a beneficial role to optimize disease therapy and better predict patient outcomes.
The full publication can be found here: A retrospective comparison of first and second opinion histopathology with patient outcomes in veterinary oncology cases (2011–2019) – Laliberté – 2022 – Veterinary and Comparative Oncology – Wiley Online Library
RESEARCH HIGHLIGHT: Are you a Cat Whisperer?
Cats are notoriously mysterious with moods and expressions that are difficult to decipher. Inspired by their own pets, researchers Drs. Georgia Mason and Lee Niel conducted an online survey to explore how well we can judge the facial expressions of cats.
Out of thousands of participants, only 13% received an excellent score, accurately identifying ‘positive’ and ‘negative’ expressions. Women, young millennials or veterinary professional were more likely to score higher. This study may allow for the development of tools that would help both veterinary professionals and pet owners better understand their feline friends!
Read the full story about this research on the OVC Pet Trust site: Am I A Cat Whisperer? | OVC Pet Trust (uoguelph.ca) and find out how you’d score in the survey: http://uoguel.ph/catfacequiz