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December 26, 2012Journal of Veterinary Internal MedicineOpen Access

Cyclooxygenase Expression and Platelet Function in Healthy Dogs Receiving Low-Dose Aspirin

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Key result

Low-dose aspirin consistently inhibited platelet function in approximately one-third of healthy dogs, despite decreased thromboxane synthesis and increased platelet COX expression.

Why the study?

Does low-dose aspirin inhibit platelet function, decrease thromboxane synthesis, and alter platelet COX expression in healthy dogs?

Population

24 healthy dogs

Comparison

Aspirin 1 mg/kg oral once daily for 10 days vs Baseline (before aspirin administration)

Design

Preclinical

Follow-up

10 days

Authors

ADAlicia A. DudleyDePauw UniversityJTJohn M. ThomasonNOAA National Marine Fisheries ServiceSFStefan FritzHeidelberg University

Discussion

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Implication

Warrants caution extrapolating healthy-dog data to clinical use; leaves open variable aspirin responsiveness in diseased canine populations.

Key Points

  • To evaluate whether low-dose aspirin alters platelet function, suppresses thromboxane production, and changes platelet cyclooxygenase (COX-1 and COX-2) expression in healthy dogs.
  • Enrolled 24 healthy dogs in a repeated-measures study receiving oral low-dose aspirin at 1 mg/kg every 24 hours for 10 days.
  • Assessed platelet function via PFA-100 closure times, quantified platelet COX-1 and COX-2 expression, and measured urinary 11-dehydro-thromboxane B2 (11-dTXB2) before treatment and on Days 3 and 10.
  • Low-dose aspirin increased PFA-100 closure times by 62% by Day 10 (P < .001), with dogs equally distributed across responders (n = 8), nonresponders (n = 8), and inconsistent responders (n = 8).
  • Platelet COX-1 mean fluorescent intensity (MFI) rose by 13% at Day 3 (P = .047) and 72% at Day 10 (P < .001), while platelet COX-2 MFI increased by 34% at Day 3 (P = .003) and 74% at Day 10 (P < .001).
  • Urinary 11-dTXB2 concentrations decreased significantly at Day 3 (P = .005) and Day 10 (P < .001), yet neither COX expression nor thromboxane levels correlated with aspirin responsiveness.

Structured PICO

Does low-dose aspirin inhibit platelet function, decrease thromboxane synthesis, and alter platelet COX expression in healthy dogs?

P
Population
24 healthy dogs
I
Intervention
Aspirin 1 mg/kg oral once daily for 10 days
C
Comparator
Baseline (before aspirin administration)
O
Outcome
Platelet function (PFA-100 closure time, collagen/epinephrine), platelet COX-1 and COX-2 expression, and urine 11-dehydro-thromboxane B(2)surrogate

Main Result

Effect estimate: 62% increase

p-value: p=< .001

Low-dose aspirin consistently inhibits platelet function in only about one-third of healthy dogs, despite decreased thromboxane synthesis and increased platelet COX expression.

Cite This Study

Dudley et al. (2012) studied Healthy dogs (n=24). Low-dose aspirin vs. Baseline (before administration) was evaluated on Platelet function (PFA-100 closure time) (62% increase, p=< .001). Low-dose aspirin consistently inhibited platelet function in approximately one-third of healthy dogs, despite decreased thromboxane synthesis and increased platelet COX expression.

synapsesocial.com/papers/6a11140bcd70b138bf1a28e4https://doi.org/10.1111/jvim.12022
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Platelet Cyclooxygenase Expression in Normal Dogs2011 · 24 citations
  2. 2Platelet function in dogs: breed differences and effect of acetylsalicylic acid administration2007 · 54 citations
  3. 3Inhibition of thromboxane formation in vivo and ex vivo: implications for therapy with platelet inhibitory drugs1987 · 374 citations
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