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Cortisol secretion after adrenocorticotrophin (ACTH) and Dexamethasone tests in healthy female and male dogs

Paula Pessina1 email, Andrea Fernández-Foren1 email, Enrique Cueto2 email, Luis Delucchi2 email, Victor Castillo3 email and Ana Meikle1 email

Laboratorio de Técnicas Nucleares, Facultad de Veterinaria, Montevideo, Uruguay

Clínica de Pequeños Animales, Facultad de Veterinaria, Lasplaces 1550 Montevideo, Uruguay

Area de Clínica Médica de Pequeños Animales, Hospital Escuela, U. Endocrinología Universidad de Buenos Aires, Argentina

author email corresponding author email

Acta Veterinaria Scandinavica 2009, 51:33doi:10.1186/1751-0147-51-33

Published: 17 August 2009

Abstract

Background

For the conclusive diagnosis of Cushing's Syndrome, a stimulating ACTH test or a low suppressive Dexamethasone test is used. Reports in other species than the dog indicate that plasma cortisol concentration after ACTH administration is affected by gender. We investigated the effect of gender on the cortisol response to ACTH and Dexamethasone tests in dogs.

Methods

Seven healthy adult Cocker Spaniels (4 females and 3 males) were assigned to a two by two factorial design: 4 dogs (2 females and 2 males) received IV Dexamethasone 0.01 mg/kg, while the other 3 dogs received an IV saline solution (control group). Two weeks later the treatments were reversed. After one month, ACTH was given IV (250 μg/animal) to 4 dogs (2 female and 2 males) while the rest was treated with saline solution (control group). Cortisol concentrations were determined by a direct solid-phase radioimmunoassay and cholesterol and triglycerides by commercial kits.

Results and Discussion

No effect of treatment was observed in metabolite concentrations, but females presented higher cholesterol concentrations. ACTH-treated dogs showed an increase in cortisol levels in the first hour after sampling until 3 hours post injection. Cortisol concentrations in Dexamethasone-treated dogs decreased one hour post injection and remained low for 3 hours, thereafter cortisol concentrations increased. The increase in cortisol levels from one to two hours post ACTH injection was significantly higher in females than males. In Dexamethasone-treated males cortisol levels decreased one hour post injection up to 3 hours; in females the decrease was more pronounced and prolonged, up to 5 hours post injection.

Conclusion

We have demonstrated that cortisol response to ACTH and Dexamethasone treatment in dogs differs according to sex.


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