ABSTRACT. Urinary excretion of N-acetyl-β-D-glucosaminidase (NAG) was examined in healthy dogs and dogs with urinary diseases, and its clinical usefulness as an indicator of urinary diseases was discussed. Twenty-eight healthy dogs and 20 dogs with urinary diseases were used. Urinary NAG activity was measured using p-nitrophenyl N-acetyl-β-D-glucosaminide as substrate, and expressed as units per gram of urinary creatinine (NAG index). Urinary NAG index in urine of healthy dogs was 3.2 ± 2.4 U/g, and NAG index in the dogs with chronic renal failure or lower urinary tract infection accompanied by pyelonephritis was higher than that in healthy dogs. However, the dogs with lower urinary tract infection without pyelonephritis showed normal values of NAG index. Some dogs with diabetic mellitus showed elevated values of NAG index when control of blood sugar was not successful. Increase of NAG index was observed in some dogs with pyometra before increases of BUN and serum creatinine concentration. Therefore, NAG index in urine seems to be a good indicator for urinary diseases in dogs. KEY WORDS: canine, N-acetyl-β-D-glucosaminidase (NAG), urinary disease, urine.J. Vet. Med. Sci. 64(4): 361-365, 2002 N-Acetyl-β-D-glucosaminidase (NAG; EC 3.2.1.30) is a lysosomal enzyme found predominantly in the proximal renal tubular cells. Urinary NAG activity has been reported to increase under conditions of renal pathologic damage in both humans [2,6,[8][9][10]20] and other animals [1,4,15]. Urinary NAG activity also has been proposed as a sensitive marker of the progression of renal diseases [2,6,8,9] and the rejection of renal allografts [13,21]. Its activity increases prior to abnormal changes of other renal function test results [8]. The usefulness of urinary NAG activity values in dogs with drug-induced proximal tubular damage has been reported [4]. We reported the usefulness of measurements of urinary NAG activity in cattle [14,15]. However, there is little information available about the measurement of urinary NAG activity in clinical cases of canine renal diseases.In the present study, to clarify the usefulness of measurements of urinary NAG activity, we evaluated urinary levels of NAG in healthy dogs and dogs with urinary diseases.
MATERIALS AND METHODS
Animals:Twenty-eight healthy dogs (18 males and 10 females, 1-8 years old) and 20 dogs with urinary diseases (10 males and 10 females, 1-17 years old ) were studied. The clinical conditions of the dogs with urinary disease are shown in Table 1, and included chronic renal failure (7 cases), lower urinary tract infection accompanied by pyelonephritis (2 cases), lower urinary tract infection without pyelonephritis (4 cases), diabetes mellitus (3 cases) and pyometra (4 cases). All of these dogs were sexually intact. Clinical diagnoses in diseased dogs were decided based on physical examinations, urinalysis, CBC, serum biochemistry, ultrasonography and radiography (plain and excretory urography).Urine preparation: Untimed, freely caught urine samples were collected from the do...