Utilidade da avaliação sérica e suplementação com vitamina D na clínica de cães e gatos: uma revisão
DOI:
https://doi.org/10.33448/rsd-v11i1.25175Palavras-chave:
Vitamina D; Prognóstico; Suplementação; Colecalciferol.Resumo
A vitamina D é tradicionalmente conhecida por seu papel na regulação da homeostase de cálcio e, consequentemente, manutenção da saúde óssea. No entanto, mais recentemente, têm-se observado que a mesma possui uma série de funções não-canônicas até então desconhecidas, desde sua participação na função do sistema imune até a manutenção da integridade da mucosa intestinal. Ademais, tem-se mostrado associada à progressão ou perpetuação de várias doenças, já que sua concentração sérica se encontra reduzida durante o quadro clínico destas. Por isso, buscamos investigar, por meio de revisão de literatura, a utilidade da mensuração sérica de vitamina D em cães e gatos como fator prognóstico de diferentes doenças sistêmicas, bem como o possível efeito terapêutico da suplementação desta vitamina na correção das enfermidades. De fato, a vitamina mostra-se deficiente em doenças gastroentéricas, como a enteropatia perdedora de proteínas, infecciosas, como a leishmaniose, cardiopatias e nefropatias, dentre outras. No entanto, é necessário que compreendamos mais o papel fisiológico da vitamina D na saúde, para que também o entendamos na doença. Também são escassos os dados que comprovem a utilidade da suplementação como terapia principal ou adjuvante no tratamento destas doenças, mas a mensuração sérica de vitamina D se mostra promissora como preditor prognóstico hospitalar para cães e gatos.
Referências
Abrishami, A., Dalili, N., Mohammadi Torbati, P., Asgari, R., Arab-Ahmadi, M., Behnam, B., & Sanei-Taheri, M. (2021). Possible association of vitamin D status with lung involvement and outcome in patients with COVID-19: A retrospective study. European Journal of Nutrition, 60(4), 2249–2257. https://doi.org/10.1007/s00394-020-02411-0
Allenspach, K., Rizzo, J., Jergens, A. E., & Chang, Y. M. (2017). Hypovitaminosis D is associated with negative outcome in dogs with protein losing enteropathy: A retrospective study of 43 cases. BMC Veterinary Research, 13(1), 96. https://doi.org/10.1186/s12917-017-1022-7
Andress, D. (2007). Nonclassical Aspects of Differential Vitamin D Receptor Activation. Drugs, 67(14), 1999–2012. https://doi.org/10.2165/00003495-200767140-00003
Barber, P. J., & Elliott, J. (1998). Feline chronic renal failure: Calcium homeostasis in 80 cases diagnosed between 1992 and 1995. Journal of Small Animal Practice, 39(3), 108–116. https://doi.org/10.1111/j.1748-5827.1998.tb03613.x
Barko, P. C., & Williams, D. A. (2018). Serum concentrations of lipid-soluble vitamins in dogs with exocrine pancreatic insufficiency treated with pancreatic enzymes. Journal of Veterinary Internal Medicine, 32(5), 1600–1608. https://doi.org/10.1111/jvim.15292
Barnes, A. J., Gates, K., & Kuntz, J. (2020). Fat‐soluble vitamin deficiency and subsequent coagulopathy in a cat with exocrine pancreatic insufficiency. Veterinary Record Case Reports, 8(1). https://doi.org/10.1136/vetreccr-2019-001019
Bass, J. J., Nakhuda, A., Deane, C. S., Brook, M. S., Wilkinson, D. J., Phillips, B. E., Philp, A., Tarum, J., Kadi, F., Andersen, D., Garcia, A. M., Smith, K., Gallagher, I. J., Szewczyk, N. J., Cleasby, M. E., & Atherton, P. J. (2020). Overexpression of the vitamin D receptor (VDR) induces skeletal muscle hypertrophy. Molecular Metabolism, 42, 101059. https://doi.org/10.1016/j.molmet.2020.101059
Bouillon, R., Carmeliet, G., Lieben, L., Watanabe, M., Perino, A., Auwerx, J., Schoonjans, K., & Verstuyf, A. (2014). Vitamin D and energy homeostasis—Of mice and men. Nature Reviews Endocrinology, 10(2), 79–87. https://doi.org/10.1038/nrendo.2013.226
Chacar, F. C., Kogika, M. M., Zafalon, R. V. A., & Brunetto, M. A. (2020). Vitamin D Metabolism and Its Role in Mineral and Bone Disorders in Chronic Kidney Disease in Humans, Dogs and Cats. Metabolites, 10(12), 499. https://doi.org/10.3390/metabo10120499
Corbee, R. J. (2020). Vitamin D in Health and Disease in Dogs and Cats. Advances in Small Animal Care, 1, 265–277. https://doi.org/10.1016/j.yasa.2020.07.017
Cortadellas, O., Fernández del Palacio, M. J., Talavera, J., & Bayón, A. (2010). Calcium and Phosphorus Homeostasis in Dogs with Spontaneous Chronic Kidney Disease at Different Stages of Severity. Journal of Veterinary Internal Medicine, 24(1), 73–79. https://doi.org/10.1111/j.1939-1676.2009.0415.x
Dóro, S. C. O. L., & Amaral, A. V. C. do. (2021). Clinical and hematological evaluation in dogs with myoclonus derived from canine distemper supplemented with vitamin D3. Research, Society and Development, 10(3), e57310313607–e57310313607. https://doi.org/10.33448/rsd-v10i3.13607
Dvir, E., Rosa, C., Mellanby, R. J., Handel, I., & Schoeman, J. P. (2019). Vitamin D status in dogs with babesiosis. Onderstepoort Journal of Veterinary Research, 86(1), 1–5. https://doi.org/10.4102/ojvr.v86i1.1644
Ehrchen, J., Helming, L., Varga, G., Pasche, B., Loser, K., Gunzer, M., Sunderkötter, C., Sorg, C., Roth, J., & Lengeling, A. (2007). Vitamin D receptor signaling contributes to susceptibility to infection with Leishmania major. The FASEB Journal, 21(12), 3208–3218. https://doi.org/10.1096/fj.06-7261com
Feldman, D., Krishnan, A. V., Swami, S., Giovannucci, E., & Feldman, B. J. (2014). The role of vitamin D in reducing cancer risk and progression. Nature Reviews Cancer, 14(5), 342–357. https://doi.org/10.1038/nrc3691
Gow, A. G., Else, R., Evans, H., Berry, J. L., Herrtage, M. E., & Mellanby, R. J. (2011). Hypovitaminosis D in dogs with inflammatory bowel disease and hypoalbuminaemia. Journal of Small Animal Practice, 52(8), 411–418. https://doi.org/10.1111/j.1748-5827.2011.01082.x
Hernandez, F. M. de O., Santos, M. O., Venturin, G. L., Bragato, J. P., Rebech, G. T., Melo, L. M., Costa, S. F., de Freitas, J. H., Siqueira, C. E., Morais, D. A., Júnior, W. T. de S., Júnior, F. B., Lopes, F. L., & de Lima, V. M. F. (2021). Vitamins A and D and Zinc Affect the Leshmanicidal Activity of Canine Spleen Leukocytes. Animals, 11(9), 2556. https://doi.org/10.3390/ani11092556
Holick, M. F., Binkley, N. C., Bischoff-Ferrari, H. A., Gordon, C. M., Hanley, D. A., Heaney, R. P., Murad, M. H., & Weaver, C. M. (2011). Evaluation, Treatment, and Prevention of Vitamin D Deficiency: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology & Metabolism, 96(7), 1911–1930. https://doi.org/10.1210/jc.2011-0385
Hostutler, R. A., DiBartola, S. P., Chew, D. J., Nagode, L. A., Schenck, P. A., Rajala-Schultz, P. J., & Drost, W. T. (2006). Comparison of the Effects of Daily and Intermittent-Dose Calcitriol on Serum Parathyroid Hormone and Ionized Calcium Concentrations in Normal Cats and Cats with Chronic Renal Failure. Journal of Veterinary Internal Medicine, 20(6), 1307–1313. https://doi.org/10.1111/j.1939-1676.2006.tb00743.x
Jaffey, J. A., Amorim, J., & DeClue, A. E. (2018). Effect of calcitriol on in vitro whole blood cytokine production in critically ill dogs. The Veterinary Journal, 236, 31–36. https://doi.org/10.1016/j.tvjl.2018.04.010
Jeon, S.-M., & Shin, E.-A. (2018). Exploring vitamin D metabolism and function in cancer. Experimental & Molecular Medicine, 50(4), 1–14. https://doi.org/10.1038/s12276-018-0038-9
Keene, B. W., Atkins, C. E., Bonagura, J. D., Fox, P. R., Häggström, J., Fuentes, V. L., Oyama, M. A., Rush, J. E., Stepien, R., & Uechi, M. (2019). ACVIM consensus guidelines for the diagnosis and treatment of myxomatous mitral valve disease in dogs. Journal of Veterinary Internal Medicine, 33(3), 1127–1140. https://doi.org/10.1111/jvim.15488
Kibler, L., Heinze, C. R., & Webster, C. R. (2020). Serum vitamin D status in sick cats with and without cholestatic liver disease. Journal of Feline Medicine and Surgery, 22(10), 944–952. https://doi.org/10.1177/1098612X19895081
Kim, D.-I., Kim, H., Son, P., Kang, J.-H., Kang, B.-T., & Yang, M.-P. (2017). Serum 25-hydroxyvitamin D concentrations in dogs with suspected acute pancreatitis. Journal of Veterinary Medical Science, 79(8), 1366–1373. https://doi.org/10.1292/jvms.16-0647
Klinger, C. J., Hobi, S., Johansen, C., Koch, H.-J., Weber, K., & Mueller, R. S. (2018). Vitamin D shows in vivo efficacy in a placebo-controlled, double-blinded, randomised clinical trial on canine atopic dermatitis. Veterinary Record, 182(14), 406–406. https://doi.org/10.1136/vr.104492
Kobori, H., Nangaku, M., Navar, L. G., & Nishiyama, A. (2007). The Intrarenal Renin-Angiotensin System: From Physiology to the Pathobiology of Hypertension and Kidney Disease. Pharmacological Reviews, 59(3), 251–287. https://doi.org/10.1124/pr.59.3.3
Kong, J., Zhang, Z., Musch, M. W., Ning, G., Sun, J., Hart, J., Bissonnette, M., & Li, Y. C. (2008). Novel role of the vitamin D receptor in maintaining the integrity of the intestinal mucosal barrier. American Journal of Physiology-Gastrointestinal and Liver Physiology, 294(1), G208–G216. https://doi.org/10.1152/ajpgi.00398.2007
Kovalik, M., Thoday, K. L., Evans, H., Berry, J., van den Broek, A. H. M., & Mellanby, R. J. (2012). Short-term prednisolone therapy has minimal impact on calcium metabolism in dogs with atopic dermatitis. The Veterinary Journal, 193(2), 439–442. https://doi.org/10.1016/j.tvjl.2011.12.003
Kraus, M. S., Rassnick, K. M., Wakshlag, J. J., Gelzer, A. R. M., Waxman, A. S., Struble, A. M., & Refsal, K. (2014). Relation of Vitamin D Status to Congestive Heart Failure and Cardiovascular Events in Dogs. Journal of Veterinary Internal Medicine, 28(1), 109–115. https://doi.org/10.1111/jvim.12239
Lalor, S. M., Mellanby, R. J., Friend, E. J., Bowlt, K. L., Berry, J., & Gunn-Moore, D. (2012). Domesticated Cats with Active Mycobacteria Infections have Low Serum Vitamin D (25(OH)D) Concentrations: Hypovitaminosis D in Cats with Mycobacteriosis. Transboundary and Emerging Diseases, 59(3), 279–281. https://doi.org/10.1111/j.1865-1682.2011.01265.x
Machado, P. de A., Escrivani, D. O., Gomes, D. C. O., Rossi-Bergmann, B., Chaves, S. P., Coimbra, E. S., & de Matos Guedes, H. L. (2020). Vitamin D increases killing of intracellular Leishmania amazonensis in vitro independently of macrophage oxidative mechanisms. Parasitology, 147(14), 1792–1800. https://doi.org/10.1017/S0031182020001791
Malone, E. K., Rassnick, K. M., Wakshlag, J. J., Russell, D. S., Al‐Sarraf, R., Ruslander, D. M., Johnson, C. S., & Trump, D. L. (2010). Calcitriol (1,25-dihydroxycholecalciferol) enhances mast cell tumour chemotherapy and receptor tyrosine kinase inhibitor activity in vitro and has single-agent activity against spontaneously occurring canine mast cell tumours*. Veterinary and Comparative Oncology, 8(3), 209–220. https://doi.org/10.1111/j.1476-5829.2010.00223.x
Medrano, M., Carrillo-Cruz, E., Montero, I., & Perez-Simon, J. A. (2018). Vitamin D: Effect on Haematopoiesis and Immune System and Clinical Applications. International Journal of Molecular Sciences, 19(9), 2663. https://doi.org/10.3390/ijms19092663
Mellanby, R. J. (2016). Beyond the skeleton: The role of vitamin D in companion animal health. Journal of Small Animal Practice, 57(4), 175–180. https://doi.org/10.1111/jsap.12458
Mick, P. J., Peng, S. A., & Loftus, J. P. (2019). Serum Vitamin D Metabolites and CXCL10 Concentrations Associate With Survival in Dogs With Immune Mediated Disease. Frontiers in Veterinary Science, 6. https://doi.org/10.3389/fvets.2019.00247
Nagpal, S., Na, S., & Rathnachalam, R. (2005). Noncalcemic Actions of Vitamin D Receptor Ligands. Endocrine Reviews, 26(5), 662–687. https://doi.org/10.1210/er.2004-0002
Osuga, T., Nakamura, K., Morita, T., Lim, S. Y., Nisa, K., Yokoyama, N., Sasaki, N., Morishita, K., Ohta, H., & Takiguchi, M. (2015). Vitamin D Status in Different Stages of Disease Severity in Dogs with Chronic Valvular Heart Disease. Journal of Veterinary Internal Medicine, 29(6), 1518–1523. https://doi.org/10.1111/jvim.13606
Parker, V. J., Harjes, L. M., Dembek, K., Young, G. S., Chew, D. J., & Toribio, R. E. (2017). Association of Vitamin D Metabolites with Parathyroid Hormone, Fibroblast Growth Factor-23, Calcium, and Phosphorus in Dogs with Various Stages of Chronic Kidney Disease. Journal of Veterinary Internal Medicine, 31(3), 791–798. https://doi.org/10.1111/jvim.14653
Parker, V. J., Rudinsky, A. J., Benedict, J. A., Beizaei, A., & Chew, D. J. (2020). Effects of calcifediol supplementation on markers of chronic kidney disease-mineral and bone disorder in dogs with chronic kidney disease. Journal of Veterinary Internal Medicine, 34(6), 2497–2506. https://doi.org/10.1111/jvim.15949
Ramos-Martínez, E., Villaseñor-Cardoso, M. I., López-Vancell, M. R., García-Vázquez, F. J., Pérez-Torres, A., Salaiza-Suazo, N., & Pérez-Tamayo, R. (2013). Effect of 1,25(OH)2D3 on BALB/c mice infected with Leishmania mexicana. Experimental Parasitology, 134(4), 413–421. https://doi.org/10.1016/j.exppara.2013.05.009
Rassnick, K. M., Muindi, J. R., Johnson, C. S., Balkman, C. E., Ramnath, N., Yu, W.-D., Engler, K. L., Page, R. L., & Trump, D. L. (2008). In vitro and in vivo evaluation of combined calcitriol and cisplatin in dogs with spontaneously occurring tumors. Cancer Chemotherapy and Pharmacology, 62(5), 881–891. https://doi.org/10.1007/s00280-008-0678-x
Rodriguez-Cortes, A., Martori, C., Martinez-Florez, A., Clop, A., Amills, M., Kubejko, J., Llull, J., Nadal, J. M., & Alberola, J. (2017). Canine Leishmaniasis Progression is Associated with Vitamin D Deficiency. Scientific Reports, 7(1), 3346. https://doi.org/10.1038/s41598-017-03662-4
Selting, K. A., Sharp, C. R., Ringold, R., Thamm, D. H., & Backus, R. (2016). Serum 25‐hydroxyvitamin D concentrations in dogs – correlation with health and cancer risk. Veterinary and Comparative Oncology, 14(3), 295–305. https://doi.org/10.1111/vco.12101
Sharp, C. R., Selting, K. A., & Ringold, R. (2015). The effect of diet on serum 25-hydroxyvitamin D concentrations in dogs. BMC Research Notes, 8(1), 442. https://doi.org/10.1186/s13104-015-1360-0
Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research, 104, 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039
Sprinkle, M. C., Hooper, S. E., & Backus, R. C. (2018). Previously undescribed vitamin D C-3 epimer occurs in substantial amounts in the blood of cats. Journal of Feline Medicine and Surgery, 20(2), 83–90. https://doi.org/10.1177/1098612X17693523
Titmarsh, H. F., Gow, A. G., Kilpatrick, S., Cartwright, J. A., Milne, E. M., Philbey, A. W., Berry, J., Handel, I., & Mellanby, R. J. (2015). Low Vitamin D Status Is Associated with Systemic and Gastrointestinal Inflammation in Dogs with a Chronic Enteropathy. PLOS ONE, 10(9), e0137377. https://doi.org/10.1371/journal.pone.0137377
Uhl, E. W. (2018). The pathology of vitamin D deficiency in domesticated animals: An evolutionary and comparative overview. International Journal of Paleopathology, 23, 100–109. https://doi.org/10.1016/j.ijpp.2018.03.001
Umar, M., Sastry, K. S., Al Ali, F., Al-Khulaifi, M., Wang, E., & Chouchane, A. I. (2018). Vitamin D and the Pathophysiology of Inflammatory Skin Diseases. Skin Pharmacology and Physiology, 31(2), 74–86. https://doi.org/10.1159/000485132
Vescini, F., Cozzi-Lepri, A., Borderi, M., Re, M. C., Maggiolo, F., De Luca, A., Cassola, G., Vullo, V., Carosi, G., Antinori, A., Tozzi, V., Monforte, A. dArminio, & Group, F. the I. F. S. (2011). Prevalence of Hypovitaminosis D and Factors Associated With Vitamin D Deficiency and Morbidity Among HIV-Infected Patients Enrolled in a Large Italian Cohort. JAIDS Journal of Acquired Immune Deficiency Syndromes, 58(2), 163–172. https://doi.org/10.1097/QAI.0b013e31822e57e9
Wakshlag, J. J., Rassnick, K. M., Malone, E. K., Struble, A. M., Vachhani, P., Trump, D. L., & Tian, L. (2011). Cross-sectional study to investigate the association between vitamin D status and cutaneous mast cell tumours in Labrador retrievers. British Journal of Nutrition, 106(S1), S60–S63. https://doi.org/10.1017/S000711451100211X
Ware, W. A., Freeman, L. M., Rush, J. E., Ward, J. L., Makowski, A. J., & Zhang, M. (2020). Vitamin D status in cats with cardiomyopathy. Journal of Veterinary Internal Medicine, 34(4), 1389–1398. https://doi.org/10.1111/jvim.15833
Weidner, N., & Verbrugghe, A. (2017). Current knowledge of vitamin D in dogs. Critical Reviews in Food Science and Nutrition, 57(18), 3850–3859. https://doi.org/10.1080/10408398.2016.1171202
Wu, C.-C., Liao, M.-T., Hsiao, P.-J., Lu, C.-L., Hsu, Y.-J., Lu, K.-C., & Chu, P. (2020). Antiproteinuria Effect of Calcitriol in Patients With Chronic Kidney Disease and Vitamin D Deficiency: A Randomized Controlled Study. Journal of Renal Nutrition, 30(3), 200–207. https://doi.org/10.1053/j.jrn.2019.09.001
Xiang, W., Kong, J., Chen, S., Cao, L.-P., Qiao, G., Zheng, W., Liu, W., Li, X., Gardner, D. G., & Li, Y. C. (2005). Cardiac hypertrophy in vitamin D receptor knockout mice: Role of the systemic and cardiac renin-angiotensin systems. American Journal of Physiology-Endocrinology and Metabolism, 288(1), E125–E132. https://doi.org/10.1152/ajpendo.00224.2004
Zafalon, R. V. A., Risolia, L. W., Pedrinelli, V., Vendramini, T. H. A., Rodrigues, R. B. A., Amaral, A. R., Kogika, M. M., & Brunetto, M. A. (2020). Vitamin D metabolism in dogs and cats and its relation to diseases not associated with bone metabolism. Journal of Animal Physiology and Animal Nutrition, 104(1), 322–342. https://doi.org/10.1111/jpn.13259
Zafalon, R. V. A., Risolia, L. W., Vendramini, T. H. A., Rodrigues, R. B. A., Pedrinelli, V., Teixeira, F. A., Rentas, M. F., Perini, M. P., Alvarenga, I. C., & Brunetto, M. A. (2020). Nutritional inadequacies in commercial vegan foods for dogs and cats. PLOS ONE, 15(1), e0227046. https://doi.org/10.1371/journal.pone.0227046
Zanuzo, K., Guareschi, Z. M., Detogni, A. C., Huning, L. P., Rodrigues, P. F., Porto, E. M., Grassiolli, S., & Amorim, J. P. A. (2020). Physical exercise associated with vitamin D chronic supplementation reduces kidney injury induced by monosodium glutamate. Anais da Academia Brasileira de Ciências, 92(4), e20201097. https://doi.org/10.1590/0001-3765202020201097
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2022 João da Cruz-Filho; Leandro Branco Rocha; Alessandra de Santana; Gabriel de Araújo Lobão
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
1) Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
2) Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
3) Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.