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Antech News
May • 1999
 
GASTROINTESTINAL FUNCTION IN DOGS AND CATS CONT'D
 
Fecal Alpha-1-Protease Inhibitor Activity
 

The fecal alpha-1-protease inhibitor activity test is a newly developed assay to assist in the diagnosis of protein-losing enteropathies (such as IBD, intestinal lymphoma, lymphangiectasia, and histoplasmosis). Alpha-1-protease inhibitor is a serum protein that leaks into the intestinal lumen of animals with protein-losing enteropathies, and can be detected in the feces because it resists degradation by fecal proteases. This test is very sensitive for detecting protein-losing enteropathies, and will detect disease before protein loss is severe enough to cause hypoalbuminemia or panhypoproteinemia. The test is species-specific and is only available for dogs at this time.

 
Interpretation of Serum TLI, Folate and Cobalamin Concentrations
 
TLI Folate Cobalamin Interpretation
N N N Normal TLI concentration rules out EPI. Normal folate and cobalamin concentrations do not rule out small intestinal disease.
D N or D N or D EPI ± SIBO
I N or D N or D Pancreatitis ± small intestinal disease.
N D D Diffuse small intestinal disease ± SIBO.
N D N Disease of the proximal small intestine (duodenum and jejunum).
N N D Disease of the distal small intestine (ileum) ± SIBO.
N I D This pattern of results in dogs indicates SIBO. Disease of the distal part of the small intestine may also be present.
N I N SIBO, dietary folate supplementation, or sample hemolysis.
N I I Dietary folate and cobalamin supplementation.
N = normal   D = decreased   I = increased
 
Sampling Information for Gastrointestinal Disease Function Testing
 
Test Sample Qty. Test Code Number
East & Test Express / West
Comments
Canine TLI Separated serum or spun SST 1 ml 717 / 4024 8–12 hour fast required.
Feline TLI Separated serum or spun SST 1 ml 722 / 16800 8–12 hour fast required.
Folate & Cobalamin Separated serum or spun SST 0.5 ml 959 / 16195 8–12 hour fast required. Avoid hemolysis. TLI should be requested simultaneously.
Fecal alpha-1 protease inhibitor Fecal      
 
 
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