Abstract

BackgroundSalivary cortisol collected at home is a useful test to diagnose and monitor Cushing’s syndrome in humans. The main problem in dogs is to retrieve a sufficient amount of saliva. The aim of this study was to evaluate different salivary collection methods and compare their effects on volume, pH and cortisol concentration of saliva. Sixteen healthy Beagles were used in a 4 × 4 randomized crossover study with a washout period of 1 week between each of the following collection methods: 1. Salimetrics® cotton swab dipped in ginger powder (ginger group); 2. beef-flavored Salimetrics® (bouillon group); 3. Salivette® cotton swab with an enclosed treat (treat group); 4. plain Salimetrics® (control group). First, baseline saliva (plain cotton swab, S0) and, 2 min later, experimental saliva (according to group allocation above, SExp) were collected. Saliva was gathered by holding the swabs in the animal’s mouth for 2 min. After the cross-over study, another saliva sample was collected from all dogs by the ginger method, using a 30 s sampling time (30s-ginger method). Cortisol concentrations were measured by liquid chromatography tandem mass spectrometry.ResultsAll three stimulation methods increased saliva production significantly (S0 compared to SExp: ginger p = 0.0005; bouillon p = 0.009; treat p = 0.007). Only ginger stimulation, however, generated a significantly higher amount of saliva (SExp) compared to the control group (p = 0.00001; median (range) amount of saliva for SExp: ginger 1200 ul (600–1700), bouillon 650 ul (200–1900), treat 700 ul (300–1000), control 400 ul (0–1100)). The amount of saliva retrieved by the 30s-ginger method was still higher than that from the control group (p = 0.0004). Bouillon and treat stimulation led to decreased pH values (bouillon, p = 0.0028; treat, 0.0018). Excitement was higher in the ginger group (p = 0.01). Chewing was intensified in the ginger and treat group (ginger, p = 0.003; treat, 0.0009). The cortisol concentration SExp was higher compared to that of S0 in the ginger and treat group (p = 0.02, 0.003). The experimental cortisol concentrations (SExp) were not different between groups.ConclusionsThe 30s-ginger method could prove useful in evaluating or monitoring dogs with Cushing’s syndrome, as sampling at home for 30 s by the owner seems feasible.

Highlights

  • Salivary cortisol collected at home is a useful test to diagnose and monitor Cushing’s syndrome in humans

  • All three stimulation methods increased saliva production significantly (S0 compared to Experimental salivary sample (SExp): ginger p = 0.0005; bouillon p = 0.009; treat p = 0.007)

  • The amount of saliva retrieved by the 30s-ginger method was still higher than that from the control group (p = 0.0004)

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Summary

Introduction

Salivary cortisol collected at home is a useful test to diagnose and monitor Cushing’s syndrome in humans. The aim of this study was to evaluate different salivary collection methods and compare their effects on volume, pH and cortisol concentration of saliva. Salimetrics® cotton swab dipped in ginger powder (ginger group); 2. Baseline saliva (plain cotton swab, S0) and, 2 min later, experimental saliva (according to group allocation above, SExp) were collected. Determination of late-night salivary cortisol (LNSC) is an established screening test for the diagnosis of Cushing’s syndrome in human patients [1, 3]. LNSC is an excellent method for monitoring Cushing’s disease patients post-operatively for surgical failure or recurrence, and was found to perform better than urinary free cortisol or early postsurgical morning plasma cortisol [5, 6]. Saliva collection is a straightforward, minimally invasive procedure in adults; in infants several studies reported difficulties in obtaining a sufficient amount of material [7, 8]

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