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WO2008006095A1 - Method of diagnosing a body weight condition or predisposition in an animal - Google Patents

Method of diagnosing a body weight condition or predisposition in an animal Download PDF

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Publication number
WO2008006095A1
WO2008006095A1 PCT/US2007/073008 US2007073008W WO2008006095A1 WO 2008006095 A1 WO2008006095 A1 WO 2008006095A1 US 2007073008 W US2007073008 W US 2007073008W WO 2008006095 A1 WO2008006095 A1 WO 2008006095A1
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Prior art keywords
animal
body weight
level
predisposition
biomarker
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PCT/US2007/073008
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French (fr)
Inventor
Ryan Michael Yamka
Kim Gene Friesen
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Hills Pet Nutrition Inc
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Hills Pet Nutrition Inc
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/66Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood sugars, e.g. galactose
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/68Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids
    • G01N33/6893Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids related to diseases not provided for elsewhere
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/74Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving hormones or other non-cytokine intercellular protein regulatory factors such as growth factors, including receptors to hormones and growth factors
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2333/00Assays involving biological materials from specific organisms or of a specific nature
    • G01N2333/435Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
    • G01N2333/575Hormones
    • G01N2333/605Glucagons
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00Detection or diagnosis of diseases
    • G01N2800/04Endocrine or metabolic disorders
    • G01N2800/044Hyperlipemia or hypolipemia, e.g. dyslipidaemia, obesity

Definitions

  • the present invention relates to methods of diagnosing a body weight condition or predisposition in an animal.
  • Obesity can be a risk factor for development of a variety of disorders or diseases.
  • Obesity for example, has been linked to heart disease, degenerative joint disease, diabetes and cancer, among other conditions. Further, an overweight animal may experience considerable problems through reduced mobility and decreased overall quality of life. Prevention of an overweight condition can have a lifelong impact and knowledge of the risk factors for development of such a condition can lead to improved prevention and treatment programs that optimize overall health.
  • the invention provides a method for diagnosing a body weight condition or predisposition thereto in an animal.
  • the method comprises determining observed level(s) of at least one biomarker in a tissue or biofluid sample from the animal and comparing the observed level(s) to reference level(s) for the biomarker, wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition.
  • the method comprises (a) diagnosing a body weight condition or predisposition thereto by determining observed level(s) of at least one biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition; and (b) identifying a regimen appropriate to the body weight condition or predisposition diagnosed.
  • the method comprises monitoring at least one biomarker in the animal over a period by determining, at each of a plurality of time points during the period, observed level(s) of the biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein onset is detected if, at any time point, the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition.
  • a method for assessing the efficacy of a regimen for managing a body weight condition or predisposition in an animal comprises monitoring at least one biomarker in the animal over a period during which the regimen is administered, by determining, at each of a plurality of time points during the period, observed level(s) of the biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the efficacy of the regimen in managing the body weight condition or predisposition.
  • a kit comprising:
  • the animal is canine or feline.
  • the animal is up to about one year of age and the observed level(s) relative to the reference level(s) are individually or collectively indicative of predisposition to a body weight condition later in the animal's life.
  • the condition or predisposition is obesity or a propensity to gain weight.
  • the condition or predisposition increases the animal's risk for an overweight- related health disorder.
  • the overweight-related heath disorder is chosen from hyperlipidemia, dyslipidemia, insulin resistance, glucose intolerance, hepatic lipidosis, anesthetic complications, hypoadrenocorticism, hypothyroidism, diabetes mellitus, insulinoma, pituitary chromophobe adenoma, hypopituitarism, hypothalamic lesions, joint stress, musculoskeletal pain, dyspnea, hypertension, dystocia, exercise intolerance, heat intolerance, decreased immune function, degenerative joint and orthopedic diseases, cardiovascular diseases, transitional cell carcinomas, fatigue, sleep disorders, reproductive disorders, and combinations thereof.
  • the biomarker is chosen from glucose, GLP-I, ghrelin, and combinations thereof. Also, there is provided the above use wherein observed level(s) are determined for at least two biomarkers.
  • the tissue or biofluid sample is obtained when the animal is in a fasted state. Additionally, there is provided the above uses, wherein tissue or biofluid samples are obtained at a plurality of time points during a feeding cycle, including at least one preprandial time point and at least one postprandial time point. Also provided are the above uses, wherein the tissue or biofluid is whole blood, blood plasma or blood serum.
  • the above uses also include wherein the observed and reference levels are determined using one or more assays independently chosen from enzyme immunoassays, enzyme- linked immunosorbent assays, immunofluorescent assays, radioimmunoassays, western blot assays, biochemical assays, enzymatic assays, and colorimetric assays.
  • the animal is canine
  • the biomarker comprises glucose in serum
  • the observed body weight-adjusted serum glucose level in a fasted animal is at least about 10% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
  • the animal is canine
  • the biomarker comprises GLP-I in serum
  • the observed body weight-adjusted serum GLP-I level in a fasted animal is at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
  • the animal is canine
  • the biomarker comprises ghrelin in serum
  • the observed body weight-adjusted serum ghrelin level in a fasted animal is at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
  • levels of certain biomarkers in a tissue or biofluid sample from an animal can be surprisingly effective in diagnosis of a body weight condition in the animal.
  • Levels of such biomarkers can fluctuate from a preprandial to a postprandial state.
  • individual animals with different body weight conditions e.g., lean and obese animals, show differences in the form and/or degree of such fluctuation, as well as in absolute levels of the biomarkers when in a fasted state.
  • Profiles of one or more biomarkers therefore, can be indicative of a body weight condition. Further, such profiles are indicative of a predisposition to a body weight condition, even where that condition is not yet expressed.
  • Biomarkers of interest herein are those for which an observed level relative to a reference level is indicative of a body weight condition or predisposition.
  • a reference level can be established from samples obtained from healthy animals of normal body weight, or can be a published value.
  • reference levels are established for animals of the same species and, if possible, breed or breed type. Further, it is generally preferable that reference levels are established for animals of similar age group to the animal. In this case, an observed level substantially different from (e.g., higher or lower than) the reference level can be indicative of a body weight condition or predisposition. Such a difference can be, but is not necessarily, statistically significant.
  • a reference level can be established for animals known to have a particular body weight condition or predisposition; an observed level similar to the reference level can in this case be indicative of the condition or predisposition.
  • the level of a biomarker can provide information about underlying genetic, biochemical or physiological factors, mechanisms or pathways associated with a particular existing body weight condition (e.g., normal weight, overweight, obese), but is not necessarily informative in this way. In some cases, a statistical correlation between a level of a biomarker and an observed body weight condition or predisposition can suffice for practice of the invention. However, where the biomarker provides information of genetic, biochemical or physiological relevance, advantages over traditional methods relying solely on physical measurements related to body weight can be especially great.
  • the animal can be human or non-human. In various embodiments, the animal is a vertebrate, for example a fish, a bird, a reptile or a mammal. Illustratively among mammals, the animal can be a member of the order Can ⁇ vora, including without limitation canine and feline species. In some embodiments, the animal is a mammal.
  • the animal is a companion animal.
  • a "companion animal” herein is an individual animal of any species kept by a human caregiver as a pet, or any individual animal of a variety of species that have been widely domesticated as pets, including dogs (Cams familiaris) and cats (Felis domes ticus), whether or not the individual animal is kept solely or partly for companionship.
  • “companion animals” herein include working dogs, farm cats kept for rodent control, etc., as well as pet dogs and cats.
  • the animal is a canine, hi other embodiments, the animal is a feline.
  • a body weight condition diagnosed according to the invention can be an underweight, normal weight or overweight, including obese, condition.
  • Body weight is generally not simply a matter of weight alone, but is usually associated with quantity or percentage of body fat. See for example Burkholder & Toll (2000) in Hand et al. (eds.), Small Animal Clinical Nutrition, 4th Edition, Chapter 13, pp 402-430.
  • a "body weight predisposition” herein refers to an animal's proneness (i.e., propensity) for gaining, losing, or maintaining body weight and/or undergoing concomitant changes in health or other physiological conditions.
  • body weight predispositions include a propensity, or lack thereof, to gain weight and a predisposition to obesity.
  • a body weight predisposition is diagnosed by a method of the invention while the animal is young, for example, in the case of a canine or feline, up to about one year of age.
  • An overweight or obese condition can be an associative cause or exacerbating factor for a number of diseases and disorders including, for example, metabolic alterations, endocrinopathies, functional alterations, degenerative joint and orthopedic diseases, cardiovascular diseases, cancers, sleep disorders, reproductive disorders, and combinations thereof.
  • An overweight condition also can cause considerable problems through reduced mobility or decreased quality of life.
  • a body weight condition or predisposition diagnosed by practice of the invention is one that increases the animal's risk for an overweight-related health disorder.
  • Such overweight-related heath disorders illustratively include hyperlipidemia, dyslipidemia, insulin resistance, glucose intolerance, hepatic lipidosis, anesthetic complications, hyperadrenocorticism, hypothyroidism, diabetes mellitus, insulinoma, pituitary chromophobe adenoma, hypopituitarism, hypothalamic lesions, joint stress, musculoskeletal pain, dyspnea, hypertension, dystocia, exercise intolerance, heat intolerance, decreased immune function, degenerative joint and orthopedic diseases, cardiovascular diseases, transitional cell carcinomas, fatigue, sleep disorders, reproductive disorders, and combinations thereof.
  • biomarker means a substance that can be quantitatively identified in a tissue or biofluid sample and that provides a correlation to a particular phenotype or physiological condition.
  • a biomarker can be a cytokine, e.g., an inflammatory cytokine; a peptide or protein, e.g., peptide YY, neuropeptide Y, glucagon-like peptide 1 (GLP-I), ghrelin; a nucleic acid, e.g., an mRNA transcript corresponding to a peptide or protein biomarker, a biochemical metabolite, e.g., glucose; a neurotransmitter; an agonist; or an antagonist, hi various embodiments, level(s) of at least one of the following biomarkers are determined: glucose, GLP-I, ghrelin, leptin, adiponectin, resistin, resistinlike molecules, and insulin. Particularly
  • Diagnosis of a body weight condition or predisposition by the method of the invention can involve determination of more than one biomarker.
  • a single biomarker can be indicative of the body weight condition or predisposition; in other cases, a biomarker profile, comprising levels of two or more biomarkers, is collectively indicative of the condition or predisposition.
  • Any tissue or biofluid sample can be a source of biomarkers of interest. However, in most cases biofluid samples that can be obtained with minimal invasion are preferred. Biofluids illustratively include whole blood, blood serum, blood plasma, cerebrospinal fluid, crevicular fluid, urine, lymph fluid, intramuscular fluid, nasal secretion and saliva.
  • a level of a biomarker can be determined using assays known in the art.
  • An assay can, but need not, be a commercially available assay.
  • an assay is chosen based on the type of biomarker and the type of sample.
  • a commercially available monoclonal-based immunoassay utilizing monoclonal antibodies reactive to one or more epitopes on polypeptides or a competitive binding assay can be used for determining a blood serum level of a protein biomarker such as, for example, GLP-I or ghrelin; and an assay based on a ferricyanide, hexokinase, or glucose oxidase procedure can be used for determining a blood serum level of glucose.
  • observed and/or reference levels are determined using one or more assays independently chosen from enzyme immunoassays (ElA), enzyme-linked immunosorbent assays (ELISA), immunofluorescent assays (IFA), radioimmunoassays (RIA), western blot assays, biochemical assays, enzymatic assays, and colorimetric assays.
  • assays independently chosen from enzyme immunoassays (ElA), enzyme-linked immunosorbent assays (ELISA), immunofluorescent assays (IFA), radioimmunoassays (RIA), western blot assays, biochemical assays, enzymatic assays, and colorimetric assays.
  • a tissue or biofluid sample can be collected, for example, at a point of care facility, i.e., a place where an animal can be seen by a health care practitioner (e.g., medical doctor, veterinarian, medical assistant, physician's assistant, nurse, etc.) for evaluation and diagnosis.
  • a point of care facility i.e., a place where an animal can be seen by a health care practitioner (e.g., medical doctor, veterinarian, medical assistant, physician's assistant, nurse, etc.) for evaluation and diagnosis.
  • a point of care facility include a hospital, office of a physician or veterinarian, and veterinary clinic.
  • a sample can be collected at the animal's home, farm, stable or barracks where the animal is kept.
  • Analysis of the sample for the one or more biomarkers of interest can be done at the place, e.g., point of care facility, where the sample is taken.
  • a kit as described herein can be used in such analysis.
  • the sample can be sent to a secondary facility.
  • the te ⁇ n "secondary facility" means a laboratory such as a commercial testing laboratory where clinical samples are evaluated, and can be off-site (i.e., at a different location) from a point of care facility.
  • comparing the observed level(s) to reference level(s) of the one or more biomarkers is performed at a point of care facility or a secondary facility.
  • a sample is taken at a single time point, this can be at any stage of the animal's feeding cycle, for example immediately before a meal (preprandial) or at a suitable interval after a meal (postprandial).
  • diagnosis is to be based on a single sample, that such sample be taken when the animal is in a fasting state, for example at a preprandial time point.
  • samples are taken at a plurality of time points during the feeding cycle.
  • at least one (typically just one) preprandial sample and at least one (typically more than one) postprandial sample can be taken.
  • Suitable time points are illustratively 0 (preprandial), 10, 30,
  • Biomarker levels in a sample can be unadjusted, or adjusted for body weight of the animal.
  • Unadjusted levels can be expressed in weight/volume concentration units such as mg/L, ⁇ g/L or ng/L, or molar concentration units such as ⁇ mol/L, nmol/L or pmol/L.
  • Adjusted levels can be expressed in similar units, but with body weight (BW) as a divisor, e.g., mg/L/kg BW, pmol/L/kg BW, etc.
  • the animal is canine and the biomarker comprises glucose in serum.
  • an observed body weight- adjusted serum glucose level in a fasted animal at least about 10% lower than the body weight-adjusted reference level for a canine of normal weight is indicative of a predisposition of the animal to gain weight.
  • the animal is canine and the biomarker comprises GLP- 1 in serum.
  • an observed body weight-adjusted serum GLP-I level in a fasted animal at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight is indicative of a predisposition of the animal to gain weight.
  • the animal is canine and the biomarker comprises ghrelin in serum.
  • the biomarker comprises ghrelin in serum.
  • an observed body weight-adjusted serum ghrelin level in a fasted animal at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight is indicative of a predisposition of the animal to gain weight.
  • a regimen appropriate to the condition or predisposition can be selected.
  • the regimen can be selected by the animal or the animal's caregiver based on information communicated by any suitable communication means, or can be prescribed by a health care professional.
  • the regimen can comprise one or more of diet, exercise, and medication.
  • a regimen comprises a composition for consumption by the animal.
  • a composition can be a nutritional composition, such as a food composition, a supplement, a treat or a toy, it being noted that some, but not all, supplements, treats and toys are themselves food compositions.
  • Food compositions can be, for example, ingested by an animal or administered to an animal by feeding. Where the animal is a companion animal, a food composition useful in the method of the invention is typically one that is nutritionally adapted for feeding to such an animal (referred to herein as a "pet food”) and is appropriate for the body weight condition or predisposition diagnosed.
  • Pet foods can be more particularly adapted to the special nutritional needs of canines or felines, or to certain subpopulatio ⁇ s thereof such as large-breed dogs, puppies or kittens, young dogs or cats, adult dogs or cats, senior dogs or cats, and geriatric dogs or cats.
  • a food composition forming part of a regimen can be one providing a substantially nutritionally complete diet for the animal.
  • a "nutritionally complete diet” is a diet that includes sufficient nutrients for maintenance of normal health of a healthy animal on the diet.
  • the composition can be a supplement, i.e., a composition used with another food composition to improve the nutritive balance or performance of the diet as a whole.
  • Such supplements include food compositions that are fed undiluted as a supplement to other foods, offered free choice with other parts of an animal's ration that are separately available to the animal, or diluted and mixed with an animal's regular food to produce a substantially nutritionally complete diet.
  • Supplements can alternatively be in a form other than a food composition, for example in a pharmaceutical-like dosage form including, for example, powders, liquids, syrups, pills, etc.
  • the composition can be a treat. Treats include, for example, compositions given to an animal as a reward or to entice the animal to eat during a non-mealtime. Treats for dogs that are food compositions having at least some nutritional value include, for example, dog biscuits. Treats can alternatively be substantially non-nutritional.
  • a composition forming part of a regimen can itself form a treat, be coated onto an existing treat, or both.
  • the composition can be a toy adapted for oral use by an animal.
  • Toys include, for example, chewable toys, such as artificial bones for dogs.
  • a composition useful herein can form a coating on the surface of a toy or on the surface of a component of a toy, be incorporated partially or fully throughout the toy, or both.
  • suitable toys is currently marketed, including partially consumable toys (e.g., toys comprising plastic components) and fully consumable toys (e.g., rawhides and various artificial bones).
  • Toys are available for human and non-human use, particularly for companion, farm, and zoo animal use, and more particularly for dog, cat, or bird use.
  • a regimen comprises a form of exercise.
  • Exercise can take any form suitable for the animal and appropriate for the body weight condition or predisposition diagnosed.
  • exercise can include without limitation walking, jogging or running.
  • the regimen can be continued at a frequency or for a period of time as is necessary or appropriate for the body weight condition or predisposition.
  • a regimen can continue for at least about 1 month, at least about 2 months, at least about 6 months, at least about 1 year, or for some other period of time as may be determined necessary or appropriate, for example by a veterinarian or other health care professional.
  • the invention also provides a method for detecting onset of a body weight condition or predisposition in an animal.
  • a method for detecting onset of a body weight condition or predisposition in an animal According to this method, at least one biomarker in the animal is monitored over a period, and onset is detected if. at any time point during that period, the observed level(s) relative to the reference level(s) of the biomarker are individually or collectively indicative of the body weight condition or predisposition.
  • Such a method optionally further comprises monitoring the animal's body weight during at least part of the period.
  • Any appropriate technique for determining body weight can be used, including without limitation weighing, assessment of relative body weight (RBW), assessment of body condition score (BCS), morphometry, and combinations thereof.
  • Additional useful information relating to body weight can optionally be obtained by techniques such as magnetic resonance imaging (MRI), computerized tomography (CT), neutron activation, hydrodensitometry, total body water by isotope dilution, total body potassium, ultrasound, bioelectrical impedance, radiograph, sonograph, dual energy x-ray absorptiometry (DEXA), or combinations thereof.
  • MRI magnetic resonance imaging
  • CT computerized tomography
  • DEXA dual energy x-ray absorptiometry
  • Monitoring of the biomarker, and optionally of body weight and/or other related parameters can be performed at any convenient interval, for example at about hourly, twice daily, daily, twice weekly, weekly, monthly, bimonthly, twice yearly or yearly intervals.
  • Monitoring of the biomarker can also provide a useful method for assessing the efficacy of a regimen for managing a body weight condition or predisposition in an animal. According to this method, the biomarker, and optionally body weight and/or other related parameters, are monitored over a period during which the regimen is administered. The observed level(s) relative to the reference level(s) of the biomarker can be individually or collectively indicative of the efficacy of the regimen in managing the body weight condition or predisposition.
  • kits suitable for use according to any of the methods described herein.
  • a kit comprises one or more reagents for detecting observed level(s) of at least one biomarker in a tissue or biofluid sample from an animal; and one or more user-accessible media carrying information that comprises (i) reference level(s) of the biomarker; and (ii) an algorithm that compares the observed level(s) to the reference level(s).
  • the observed level(s) relative to the reference level(s) are individually or collectively indicative of a body weight condition or predisposition in the animal.
  • "User-accessible" media herein include all media, such as paper, disk, memory chip, card, computer or network, on which instructions, information, an algorithm and/or data can be retrievably contained or stored.
  • the algorithm is typically a software algorithm.
  • the kit is optionally self-contained so as not to require laboratory equipment.
  • the kit further comprises a tissue or biofluid sample collection device.
  • the kit can employ one or more of a variety of assays for determining a level of a biomarker, including the assays listed above. Standards and standard additions can be included and used for calibration in quantifying the level of a biomarker in a sample, using well known techniques.
  • the one or more reagents of the kit comprise a reporter moiety or label.
  • the reporter moiety or label can illustratively comprise biotin, a chromogenic agent, a luminescent or chemiluminescent, a cofactor, an enzyme, a fluorescent agent, an inhibitor, a metal or magnetic particle, a radionuclide, a substrate or a combination thereof, and can be detected using methods known in the art.
  • such methods include without limitation spectroscopic methods used to detect dyes (including, for example, colorimetric detection of products of enzyme reactions), luminescent groups and fluorescent groups; detection of enzyme reporter groups by addition of a substrate, followed by spectroscopic, spectrophotometric or other analysis of reaction products; scintillation counting or autoradiographic methods for radioactive groups; and Raman scattering techniques for metal nanoparticles (e.g., gold nanoparticles).
  • the one or more reagents of a kit can comprise at least one antibody, for example a polyclonal or monoclonal antibody.
  • the antibody can be immobilized on a solid support.
  • an ELISA can be utilized to determine a level of a biomarker in a sample.
  • the ELISA can involve coupling an antibody onto a solid support such as a polymer.
  • a sample comprising a biomarker can be introduced and the biomarker allowed to interact with the antibody, whereupon a signal (e.g., chromogenic signal) generating process can be performed to create an optically detectable signal.
  • a signal e.g., chromogenic signal
  • the kit comprises a first antibody that specifically binds to the biomarker in the sample, and a second antibody that specifically binds to the resulting complex of the first antibody and the biomarker.
  • the second antibody can be immobilized to a solid support. For example, upon binding of the second antibody to the first antibody/biomarker complex, the second antibody can trigger a reaction and, for example, result in a detectable color change.
  • a variety of labels and conjugation techniques are known by those skilled in the arts. Techniques for producing labeled hybridization or PCR probes for detection and quantification of nucleic acid sequences include oligo-labeling, nick translation, end-labeling and PCR amplification using a labeled nucleotide.
  • the coding sequence of a biomarker, or any portion thereof may be cloned into a vector for production of an mRNA probe.
  • a vector for production of an mRNA probe Such vectors are known in the art, are commercially available, and can be used to synthesize RNA probes in vitro by addition of an appropriate RNA polymerase such as T7, T3 or SP6, and labeled nucleotides.
  • the kit optionally further comprises means for communicating information comprising one or more of (a) a diagnosis of a body weight condition or predisposition as indicated by the observed level(s) relative to the reference level(s) of the biomarker; and (b) a suggested or prescribed regimen appropriate to the diagnosis.
  • the communicating means can be attached to or enclosed in a package containing other elements of the kit.
  • Any suitable form of communicating means can be employed, for example a document such as a label, brochure, advertisement or package insert, a computer-readable digital or optical medium such as a diskette or CD, an audio presentation, for example on an audiotape or CD, or a visual presentation, for example on a videotape or DVD.
  • the communicating means can refer to further information located elsewhere, such as on a website.
  • Such a communicating means comprising for example a document such as a label, brochure, advertisement or package insert, a computer-readable digital or optical medium such as a diskette or CD, an audio presentation, for example on an audiotape or CD, a visual presentation, for example on a videotape or DVD, and/or one or more pages on a website, is itself a still further embodiment of the invention.
  • Average body weight for lean-prone dogs are 12.06 kg and for obese-prone dogs 16.59 kg.
  • the dogs are fed, once daily for four days, a maintenance food formulated to meet or exceed nutritional requirements for maintenance of body weight (BW).
  • BW body weight
  • blood serum samples are taken prior to feeding (preprandial, time 0), and 10, 60, 120, and 360 minutes after feeding (postprandial).
  • the samples are analyzed for insulin, triglycerides, glucose, GLP-I, and ghrelin concentrations using standard procedures found, for example, in laboratory manuals such as Sambrook et al. (2001) Molecular Cloning: A Laboratory Manual, 3rd ed.
  • serum triglyceride concentrations do not differ substantially between lean-prone and obese-prone dogs (Table 2).
  • Serum concentrations of glucose (Table 3), GLP-I (Table 4), and ghrelin (Table 5) levels differ substantially between lean-prone and obese- prone dogs at most or all of the six sampling times).
  • the data show the utility of biomarkers, in particular serum glucose, GLP-I and ghrelin levels, to differentiate animals having lean and obese predisposition.
  • Serum is analyzed for chemistry screens, obesity markers, thyroid markers and arthritis markers.
  • Chemistry screens are preformed at the Hill's Pet Nutrition Center (Topeka, KS).
  • Insulin analysis is performed by Michigan State University (Lansing, MI).
  • Thyroxine, thyroid stimulating hormone, glucagon like protein-1 , insulin like growth factor-1, ghrelin, leptin, angiotensin I and II, c-reactive protein, high density lipoprotein 1 and 2, low density lipoprotein, very low density lipoprotein, chylomicron, testosterone, estradiol, Cortisol, osteocalcin, amino terminal crosslink protein, type 2 cartilage synthesis and cartilage oligometric protein are performed by MD Biosciences, Inc. (St. Paul, MN).
  • Body Condition Score 2.53 4.70 0.08 ⁇ 0.01 Body Weight, kg 1 1.18 17.26 0.42 ⁇ 0.01 Glucose. mg/dL 84.10 93.20 2.00 ⁇ 0.01 Average Average Lean Overweight Standard Lean vs.
  • Triglycerides mg/dL 91.87 242.77 56.53 0.06
  • Thyroxine ⁇ g/dL 1.71 2.02 0.11 0.05
  • Thyroid Stimulating Hormone ng/mL 0.19 0.21 0.02 NS
  • Non-esterified fatty acids mM 0.75 0.80 0.07 NS
  • Chylomicrons % of total 0.43 0.92 0.20 0.08
  • Triglycerides mg/dL 68.47 251.00 79.95 NS
  • Angiotensin I ng/mL 0.60 0.66 0.07 NS
  • Non-esterified fatty acids mM 0.62 0.73 0.10 NS
  • Chylomicrons (% of Total) 0.20 0.87 0.28 0.09 Female
  • Insulin pmol/L 75.60 146.29 20.14 0.02
  • Triglycerides mg/dL 1 15.27 234.53 79.95 NS
  • Angiotensin I ng/mL 0.62 0.65 0.07 NS
  • Chylomicrons % of total 0.65 0.97 0.28 NS
  • Average body condition scores are 4.7 and 2.5 for the overweight and lean groups, respectively.
  • Average body weights are 11.2 and 17.3 kg for the overweight and lean groups, respectively.
  • Serum is analyzed for chemistry screens, obesity markers, thyroid markers and arthritis markers.
  • EXAMPLE 3 Materials and Methods [0081 ] Thirty lean and thirty overweight cats are identified for this study. Cats with a body condition score (BCS) of 4 or 5 are classified as obese/overweight for purposes of this study (on a scale of 1 through 5 where 1 equals thin and 5 equals obese). Cats with a BCS less than 3 are classified as lean. Animals are weighed, given a body condition score and a blood sample is drawn. Serum is harvested and stored at -20°C in 1 mL aliquots.
  • BCS body condition score
  • Serum is analyzed for chemistry screens, obesity markers, thyroid markers and arthritis markers.
  • Chemistry screens are performed at the Hill's Pet Nutrition Center (Topeka, KS).
  • Insulin analysis is performed by Michigan State University (Lansing, MI).
  • Thyroxine, thyroid stimulating hormone, ghrelin, leptin, angiotensin I and II, osteocalcin, amino terminal crosslink protein, bone-specific alkaline phosphatase and carboxy terminal crosslink telopeptide are performed by MD Biosciences, Inc. (St. Paul, MN).
  • Triglycerides mg/dL 38.8 56.3 6.1 0.05
  • Average body condition scores are 4.2 and 2.5 for the overweight and lean groups, respectively.
  • Average body weights are 5.8 ⁇ 0.2 and 3.2 ⁇ 0.2 kg for the overweight and lean groups, respectively.
  • Serum is analyzed for chemistry screens, obesity markers, thyroid markers and arthritis markers.

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Abstract

A method for diagnosing a body weight condition or predisposition to a body weight condition in an animal by determining observed level(s) of at least one biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition.

Description

METHOD OF DIAGNOSING A BODY WEIGHT CONDITION OR PREDISPOSITION IN AN ANIMAL
CROSS-REFERENCE TO RELATED APPLICATION
[0001] This application claims the benefit of United States Provisional Patent Application No. 60/819,298 filed July 7, 2006.
FIELD OF THE INVENTION
[0002] The present invention relates to methods of diagnosing a body weight condition or predisposition in an animal.
BACKGROUND OF THE INVENTION
[0003[ The prevalence of obesity has increased in both human and non-human populations. Obesity rates in humans are of epidemic proportions. Furthermore, studies show that 25% to 40% of all American household pets are overweight or obese, a trend that is leading to a steady rise in overweight-related pet illnesses and increased veterinary costs.
[0004] Being overweight can be a risk factor for development of a variety of disorders or diseases. Obesity, for example, has been linked to heart disease, degenerative joint disease, diabetes and cancer, among other conditions. Further, an overweight animal may experience considerable problems through reduced mobility and decreased overall quality of life. Prevention of an overweight condition can have a lifelong impact and knowledge of the risk factors for development of such a condition can lead to improved prevention and treatment programs that optimize overall health.
[0005] Various biomarkers, including for example plasma leptin, have been associated with food intake and body fat. Shiiya et al. (2002) J. Clin. Endocrinol. Metab. 87(l):240-244 reported that plasma ghrelin concentrations were lower in obese than in lean humans.
[0006] Despite awareness of the health implications of an overweight condition, treating such a condition remains a challenge due to, among other things, little understanding of the underlying physiological mechanisms or changes that occur in physiological systems that maintain such a condition. Measurement of body weight by traditional techniques is helpful, but the information thus gained is crude and may provide little insight into underlying physiological or biochemical processes associated with a body weight condition such as obesity. Furthermore, such traditional techniques have limited value in detecting or diagnosing a predisposition to obesity or other body weight condition in an animal having normal body weight.
SUMMARY OF THE INVENTION [0007] The invention provides a method for diagnosing a body weight condition or predisposition thereto in an animal. The method comprises determining observed level(s) of at least one biomarker in a tissue or biofluid sample from the animal and comparing the observed level(s) to reference level(s) for the biomarker, wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition. [0008] There is further provided a method for selecting a regimen for an animal. The method comprises (a) diagnosing a body weight condition or predisposition thereto by determining observed level(s) of at least one biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition; and (b) identifying a regimen appropriate to the body weight condition or predisposition diagnosed.
[0009] There is still further provided a method for detecting onset of a body weight condition or predisposition in an animal. The method comprises monitoring at least one biomarker in the animal over a period by determining, at each of a plurality of time points during the period, observed level(s) of the biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein onset is detected if, at any time point, the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition.
[0010] There is still further provided a method for assessing the efficacy of a regimen for managing a body weight condition or predisposition in an animal. The method comprises monitoring at least one biomarker in the animal over a period during which the regimen is administered, by determining, at each of a plurality of time points during the period, observed level(s) of the biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the efficacy of the regimen in managing the body weight condition or predisposition. [0011] There is still further provided a kit comprising:
(a) one or more reagents for detecting observed level(s) of at least one biomarker in a tissue or biofluid sample from an animal; and
(b) one or more user-accessible media carrying information that comprises
(i) reference level(s) of the biomarker; and (ii) an algorithm that compares the observed level(s) to the reference level(s); wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of a body weight condition or predisposition in the animal.
[0012] There is provided the use of at least one determined observed biomarker level in a tissue or biofluid sample from an animal to compare with a reference level of said biomarker, wherein said comparison is indicative of the body weight condition or predisposition of said animal. [0013] Further, there is provided the above use wherein the animal is canine or feline. Further, there is provided the above uses, wherein the animal is up to about one year of age and the observed level(s) relative to the reference level(s) are individually or collectively indicative of predisposition to a body weight condition later in the animal's life. Also provided is the above uses, wherein the condition or predisposition is obesity or a propensity to gain weight. Additionally, provided are the above uses, wherein the condition or predisposition increases the animal's risk for an overweight- related health disorder.
[0014] There is also provided the above use wherein the overweight-related heath disorder is chosen from hyperlipidemia, dyslipidemia, insulin resistance, glucose intolerance, hepatic lipidosis, anesthetic complications, hypoadrenocorticism, hypothyroidism, diabetes mellitus, insulinoma, pituitary chromophobe adenoma, hypopituitarism, hypothalamic lesions, joint stress, musculoskeletal pain, dyspnea, hypertension, dystocia, exercise intolerance, heat intolerance, decreased immune function, degenerative joint and orthopedic diseases, cardiovascular diseases, transitional cell carcinomas, fatigue, sleep disorders, reproductive disorders, and combinations thereof.
[0015] Further, there is provided the above uses wherein the biomarker is chosen from glucose, GLP-I, ghrelin, and combinations thereof. Also, there is provided the above use wherein observed level(s) are determined for at least two biomarkers. There is also provided the above uses, wherein the tissue or biofluid sample is obtained when the animal is in a fasted state. Additionally, there is provided the above uses, wherein tissue or biofluid samples are obtained at a plurality of time points during a feeding cycle, including at least one preprandial time point and at least one postprandial time point. Also provided are the above uses, wherein the tissue or biofluid is whole blood, blood plasma or blood serum. The above uses also include wherein the observed and reference levels are determined using one or more assays independently chosen from enzyme immunoassays, enzyme- linked immunosorbent assays, immunofluorescent assays, radioimmunoassays, western blot assays, biochemical assays, enzymatic assays, and colorimetric assays. [0016] Further, there is provided the above use wherein a) the animal is canine, (b) the biomarker comprises glucose in serum, and (c) when the observed body weight-adjusted serum glucose level in a fasted animal is at least about 10% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed. Also, there is provided the above use wherein (a) the animal is canine, (b) the biomarker comprises GLP-I in serum, and (c) when the observed body weight-adjusted serum GLP-I level in a fasted animal is at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed. Additionally, there is provided the above use wherein (a) the animal is canine, (b) the biomarker comprises ghrelin in serum, and (c) when the observed body weight-adjusted serum ghrelin level in a fasted animal is at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
[0017] Additional objects, features, and advantages of the invention will be apparent to those skilled in the art.
DETAILED DESCRIPTION OF THE INVENTION
[0018] It has been found in accordance with the invention that levels of certain biomarkers in a tissue or biofluid sample from an animal can be surprisingly effective in diagnosis of a body weight condition in the animal. Levels of such biomarkers can fluctuate from a preprandial to a postprandial state. However, individual animals with different body weight conditions, e.g., lean and obese animals, show differences in the form and/or degree of such fluctuation, as well as in absolute levels of the biomarkers when in a fasted state. Profiles of one or more biomarkers, therefore, can be indicative of a body weight condition. Further, such profiles are indicative of a predisposition to a body weight condition, even where that condition is not yet expressed. Such profiles are useful in managing an animal's body weight and health consequences that may be associated with a body weight condition existing in the animal or to which the animal is predisposed. [0019] Biomarkers of interest herein are those for which an observed level relative to a reference level is indicative of a body weight condition or predisposition. According to some embodiments, a reference level can be established from samples obtained from healthy animals of normal body weight, or can be a published value. Typically, reference levels are established for animals of the same species and, if possible, breed or breed type. Further, it is generally preferable that reference levels are established for animals of similar age group to the animal. In this case, an observed level substantially different from (e.g., higher or lower than) the reference level can be indicative of a body weight condition or predisposition. Such a difference can be, but is not necessarily, statistically significant.
[0020] Alternatively, a reference level can be established for animals known to have a particular body weight condition or predisposition; an observed level similar to the reference level can in this case be indicative of the condition or predisposition.
[0021] The level of a biomarker can provide information about underlying genetic, biochemical or physiological factors, mechanisms or pathways associated with a particular existing body weight condition (e.g., normal weight, overweight, obese), but is not necessarily informative in this way. In some cases, a statistical correlation between a level of a biomarker and an observed body weight condition or predisposition can suffice for practice of the invention. However, where the biomarker provides information of genetic, biochemical or physiological relevance, advantages over traditional methods relying solely on physical measurements related to body weight can be especially great. [0022] The animal can be human or non-human. In various embodiments, the animal is a vertebrate, for example a fish, a bird, a reptile or a mammal. Illustratively among mammals, the animal can be a member of the order Canύvora, including without limitation canine and feline species. In some embodiments, the animal is a mammal.
[0023] In an embodiment, the animal is a companion animal. A "companion animal" herein is an individual animal of any species kept by a human caregiver as a pet, or any individual animal of a variety of species that have been widely domesticated as pets, including dogs (Cams familiaris) and cats (Felis domes ticus), whether or not the individual animal is kept solely or partly for companionship. Thus "companion animals" herein include working dogs, farm cats kept for rodent control, etc., as well as pet dogs and cats. In some embodiments, the animal is a canine, hi other embodiments, the animal is a feline.
[0024] A body weight condition diagnosed according to the invention can be an underweight, normal weight or overweight, including obese, condition. Body weight is generally not simply a matter of weight alone, but is usually associated with quantity or percentage of body fat. See for example Burkholder & Toll (2000) in Hand et al. (eds.), Small Animal Clinical Nutrition, 4th Edition, Chapter 13, pp 402-430.
[0025] A "body weight predisposition" herein refers to an animal's proneness (i.e., propensity) for gaining, losing, or maintaining body weight and/or undergoing concomitant changes in health or other physiological conditions. Thus examples of body weight predispositions include a propensity, or lack thereof, to gain weight and a predisposition to obesity. [0026] According to one embodiment, a body weight predisposition is diagnosed by a method of the invention while the animal is young, for example, in the case of a canine or feline, up to about one year of age.
[0027] An overweight or obese condition can be an associative cause or exacerbating factor for a number of diseases and disorders including, for example, metabolic alterations, endocrinopathies, functional alterations, degenerative joint and orthopedic diseases, cardiovascular diseases, cancers, sleep disorders, reproductive disorders, and combinations thereof. An overweight condition also can cause considerable problems through reduced mobility or decreased quality of life. In one embodiment, therefore, a body weight condition or predisposition diagnosed by practice of the invention is one that increases the animal's risk for an overweight-related health disorder. [0028] Such overweight-related heath disorders illustratively include hyperlipidemia, dyslipidemia, insulin resistance, glucose intolerance, hepatic lipidosis, anesthetic complications, hyperadrenocorticism, hypothyroidism, diabetes mellitus, insulinoma, pituitary chromophobe adenoma, hypopituitarism, hypothalamic lesions, joint stress, musculoskeletal pain, dyspnea, hypertension, dystocia, exercise intolerance, heat intolerance, decreased immune function, degenerative joint and orthopedic diseases, cardiovascular diseases, transitional cell carcinomas, fatigue, sleep disorders, reproductive disorders, and combinations thereof.
[0029] The term "biomarker" means a substance that can be quantitatively identified in a tissue or biofluid sample and that provides a correlation to a particular phenotype or physiological condition. Illustratively, a biomarker can be a cytokine, e.g., an inflammatory cytokine; a peptide or protein, e.g., peptide YY, neuropeptide Y, glucagon-like peptide 1 (GLP-I), ghrelin; a nucleic acid, e.g., an mRNA transcript corresponding to a peptide or protein biomarker, a biochemical metabolite, e.g., glucose; a neurotransmitter; an agonist; or an antagonist, hi various embodiments, level(s) of at least one of the following biomarkers are determined: glucose, GLP-I, ghrelin, leptin, adiponectin, resistin, resistinlike molecules, and insulin. Particularly useful biomarkers include glucose, GLP-I and ghrelin.
[0030] Diagnosis of a body weight condition or predisposition by the method of the invention can involve determination of more than one biomarker. In some cases, a single biomarker can be indicative of the body weight condition or predisposition; in other cases, a biomarker profile, comprising levels of two or more biomarkers, is collectively indicative of the condition or predisposition. [0031] Any tissue or biofluid sample can be a source of biomarkers of interest. However, in most cases biofluid samples that can be obtained with minimal invasion are preferred. Biofluids illustratively include whole blood, blood serum, blood plasma, cerebrospinal fluid, crevicular fluid, urine, lymph fluid, intramuscular fluid, nasal secretion and saliva.
[0032] A level of a biomarker can be determined using assays known in the art. An assay can, but need not, be a commercially available assay. Typically, an assay is chosen based on the type of biomarker and the type of sample. For example, a commercially available monoclonal-based immunoassay utilizing monoclonal antibodies reactive to one or more epitopes on polypeptides or a competitive binding assay can be used for determining a blood serum level of a protein biomarker such as, for example, GLP-I or ghrelin; and an assay based on a ferricyanide, hexokinase, or glucose oxidase procedure can be used for determining a blood serum level of glucose.
[0033] In some embodiments, observed and/or reference levels are determined using one or more assays independently chosen from enzyme immunoassays (ElA), enzyme-linked immunosorbent assays (ELISA), immunofluorescent assays (IFA), radioimmunoassays (RIA), western blot assays, biochemical assays, enzymatic assays, and colorimetric assays. A variety of labels and conjugation techniques are known by those skilled in the art and can be used in the various biochemical, nucleic acid and amino acid assays.
[0034] A tissue or biofluid sample can be collected, for example, at a point of care facility, i.e., a place where an animal can be seen by a health care practitioner (e.g., medical doctor, veterinarian, medical assistant, physician's assistant, nurse, etc.) for evaluation and diagnosis. Non-limiting examples of a point of care facility include a hospital, office of a physician or veterinarian, and veterinary clinic. Alternatively, a sample can be collected at the animal's home, farm, stable or barracks where the animal is kept.
[0035] Analysis of the sample for the one or more biomarkers of interest can be done at the place, e.g., point of care facility, where the sample is taken. A kit as described herein can be used in such analysis. Alternatively, the sample can be sent to a secondary facility. The teπn "secondary facility" means a laboratory such as a commercial testing laboratory where clinical samples are evaluated, and can be off-site (i.e., at a different location) from a point of care facility.
[0036] In some embodiments, comparing the observed level(s) to reference level(s) of the one or more biomarkers is performed at a point of care facility or a secondary facility.
[0037] Where a sample is taken at a single time point, this can be at any stage of the animal's feeding cycle, for example immediately before a meal (preprandial) or at a suitable interval after a meal (postprandial). However, it is generally preferred that when diagnosis is to be based on a single sample, that such sample be taken when the animal is in a fasting state, for example at a preprandial time point.
[0038] Optionally, samples are taken at a plurality of time points during the feeding cycle. In this case, at least one (typically just one) preprandial sample and at least one (typically more than one) postprandial sample can be taken. Suitable time points are illustratively 0 (preprandial), 10, 30,
60, 120 and 360 minutes postprandial.
[0039] Biomarker levels in a sample, for example a serum sample, can be unadjusted, or adjusted for body weight of the animal. Unadjusted levels can be expressed in weight/volume concentration units such as mg/L, μg/L or ng/L, or molar concentration units such as μmol/L, nmol/L or pmol/L. Adjusted levels can be expressed in similar units, but with body weight (BW) as a divisor, e.g., mg/L/kg BW, pmol/L/kg BW, etc.
[0040] In one embodiment, the animal is canine and the biomarker comprises glucose in serum.
According to this embodiment, an observed body weight- adjusted serum glucose level in a fasted animal at least about 10% lower than the body weight-adjusted reference level for a canine of normal weight is indicative of a predisposition of the animal to gain weight.
[0041] In another embodiment, the animal is canine and the biomarker comprises GLP- 1 in serum. According to this embodiment, an observed body weight-adjusted serum GLP-I level in a fasted animal at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight is indicative of a predisposition of the animal to gain weight.
[0042] In yet another embodiment, the animal is canine and the biomarker comprises ghrelin in serum. According to this embodiment, an observed body weight-adjusted serum ghrelin level in a fasted animal at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight is indicative of a predisposition of the animal to gain weight.
[0043] Upon diagnosis of a body weight condition or predisposition as described above, a regimen appropriate to the condition or predisposition can be selected. The regimen can be selected by the animal or the animal's caregiver based on information communicated by any suitable communication means, or can be prescribed by a health care professional. The regimen can comprise one or more of diet, exercise, and medication.
[0044] In some embodiments, a regimen comprises a composition for consumption by the animal. Illustratively, such a composition can be a nutritional composition, such as a food composition, a supplement, a treat or a toy, it being noted that some, but not all, supplements, treats and toys are themselves food compositions. Food compositions can be, for example, ingested by an animal or administered to an animal by feeding. Where the animal is a companion animal, a food composition useful in the method of the invention is typically one that is nutritionally adapted for feeding to such an animal (referred to herein as a "pet food") and is appropriate for the body weight condition or predisposition diagnosed. Pet foods can be more particularly adapted to the special nutritional needs of canines or felines, or to certain subpopulatioπs thereof such as large-breed dogs, puppies or kittens, young dogs or cats, adult dogs or cats, senior dogs or cats, and geriatric dogs or cats.
[0045] A food composition forming part of a regimen can be one providing a substantially nutritionally complete diet for the animal. A "nutritionally complete diet" is a diet that includes sufficient nutrients for maintenance of normal health of a healthy animal on the diet. [0046] Alternatively, the composition can be a supplement, i.e., a composition used with another food composition to improve the nutritive balance or performance of the diet as a whole. Such supplements include food compositions that are fed undiluted as a supplement to other foods, offered free choice with other parts of an animal's ration that are separately available to the animal, or diluted and mixed with an animal's regular food to produce a substantially nutritionally complete diet. Supplements can alternatively be in a form other than a food composition, for example in a pharmaceutical-like dosage form including, for example, powders, liquids, syrups, pills, etc. [0047] The composition can be a treat. Treats include, for example, compositions given to an animal as a reward or to entice the animal to eat during a non-mealtime. Treats for dogs that are food compositions having at least some nutritional value include, for example, dog biscuits. Treats can alternatively be substantially non-nutritional. A composition forming part of a regimen can itself form a treat, be coated onto an existing treat, or both.
[0048] The composition can be a toy adapted for oral use by an animal. Toys include, for example, chewable toys, such as artificial bones for dogs. A composition useful herein can form a coating on the surface of a toy or on the surface of a component of a toy, be incorporated partially or fully throughout the toy, or both. A wide range of suitable toys is currently marketed, including partially consumable toys (e.g., toys comprising plastic components) and fully consumable toys (e.g., rawhides and various artificial bones). Toys are available for human and non-human use, particularly for companion, farm, and zoo animal use, and more particularly for dog, cat, or bird use. [0049] In other embodiments, a regimen comprises a form of exercise. Exercise can take any form suitable for the animal and appropriate for the body weight condition or predisposition diagnosed. Illustratively, exercise can include without limitation walking, jogging or running. [0050] The regimen can be continued at a frequency or for a period of time as is necessary or appropriate for the body weight condition or predisposition. Illustratively, a regimen can continue for at least about 1 month, at least about 2 months, at least about 6 months, at least about 1 year, or for some other period of time as may be determined necessary or appropriate, for example by a veterinarian or other health care professional.
[0051] The invention also provides a method for detecting onset of a body weight condition or predisposition in an animal. According to this method, at least one biomarker in the animal is monitored over a period, and onset is detected if. at any time point during that period, the observed level(s) relative to the reference level(s) of the biomarker are individually or collectively indicative of the body weight condition or predisposition.
[0052] Such a method optionally further comprises monitoring the animal's body weight during at least part of the period. Any appropriate technique for determining body weight can be used, including without limitation weighing, assessment of relative body weight (RBW), assessment of body condition score (BCS), morphometry, and combinations thereof. Additional useful information relating to body weight can optionally be obtained by techniques such as magnetic resonance imaging (MRI), computerized tomography (CT), neutron activation, hydrodensitometry, total body water by isotope dilution, total body potassium, ultrasound, bioelectrical impedance, radiograph, sonograph, dual energy x-ray absorptiometry (DEXA), or combinations thereof. [0053] Monitoring of the biomarker, and optionally of body weight and/or other related parameters, can be performed at any convenient interval, for example at about hourly, twice daily, daily, twice weekly, weekly, monthly, bimonthly, twice yearly or yearly intervals. [0054] Monitoring of the biomarker can also provide a useful method for assessing the efficacy of a regimen for managing a body weight condition or predisposition in an animal. According to this method, the biomarker, and optionally body weight and/or other related parameters, are monitored over a period during which the regimen is administered. The observed level(s) relative to the reference level(s) of the biomarker can be individually or collectively indicative of the efficacy of the regimen in managing the body weight condition or predisposition.
[0055] In another embodiment of the invention, a kit is provided, suitable for use according to any of the methods described herein. Such a kit comprises one or more reagents for detecting observed level(s) of at least one biomarker in a tissue or biofluid sample from an animal; and one or more user-accessible media carrying information that comprises (i) reference level(s) of the biomarker; and (ii) an algorithm that compares the observed level(s) to the reference level(s). As in previous embodiments, the observed level(s) relative to the reference level(s) are individually or collectively indicative of a body weight condition or predisposition in the animal. [0056] "User-accessible" media herein include all media, such as paper, disk, memory chip, card, computer or network, on which instructions, information, an algorithm and/or data can be retrievably contained or stored. The algorithm is typically a software algorithm.
[0057] The kit is optionally self-contained so as not to require laboratory equipment. Optionally, the kit further comprises a tissue or biofluid sample collection device. The kit can employ one or more of a variety of assays for determining a level of a biomarker, including the assays listed above. Standards and standard additions can be included and used for calibration in quantifying the level of a biomarker in a sample, using well known techniques.
[0058] hi some embodiments, the one or more reagents of the kit comprise a reporter moiety or label. The reporter moiety or label can illustratively comprise biotin, a chromogenic agent, a luminescent or chemiluminescent, a cofactor, an enzyme, a fluorescent agent, an inhibitor, a metal or magnetic particle, a radionuclide, a substrate or a combination thereof, and can be detected using methods known in the art. Illustratively, such methods include without limitation spectroscopic methods used to detect dyes (including, for example, colorimetric detection of products of enzyme reactions), luminescent groups and fluorescent groups; detection of enzyme reporter groups by addition of a substrate, followed by spectroscopic, spectrophotometric or other analysis of reaction products; scintillation counting or autoradiographic methods for radioactive groups; and Raman scattering techniques for metal nanoparticles (e.g., gold nanoparticles). [0059] The one or more reagents of a kit can comprise at least one antibody, for example a polyclonal or monoclonal antibody. The antibody can be immobilized on a solid support. For example, an ELISA can be utilized to determine a level of a biomarker in a sample. The ELISA can involve coupling an antibody onto a solid support such as a polymer. A sample comprising a biomarker can be introduced and the biomarker allowed to interact with the antibody, whereupon a signal (e.g., chromogenic signal) generating process can be performed to create an optically detectable signal.
[0060] In one embodiment, the kit comprises a first antibody that specifically binds to the biomarker in the sample, and a second antibody that specifically binds to the resulting complex of the first antibody and the biomarker. The second antibody can be immobilized to a solid support. For example, upon binding of the second antibody to the first antibody/biomarker complex, the second antibody can trigger a reaction and, for example, result in a detectable color change. [0061] A variety of labels and conjugation techniques are known by those skilled in the arts. Techniques for producing labeled hybridization or PCR probes for detection and quantification of nucleic acid sequences include oligo-labeling, nick translation, end-labeling and PCR amplification using a labeled nucleotide. Alternatively, the coding sequence of a biomarker, or any portion thereof, may be cloned into a vector for production of an mRNA probe. Such vectors are known in the art, are commercially available, and can be used to synthesize RNA probes in vitro by addition of an appropriate RNA polymerase such as T7, T3 or SP6, and labeled nucleotides. [0062] The kit optionally further comprises means for communicating information comprising one or more of (a) a diagnosis of a body weight condition or predisposition as indicated by the observed level(s) relative to the reference level(s) of the biomarker; and (b) a suggested or prescribed regimen appropriate to the diagnosis.
[0063] The communicating means can be attached to or enclosed in a package containing other elements of the kit. Any suitable form of communicating means can be employed, for example a document such as a label, brochure, advertisement or package insert, a computer-readable digital or optical medium such as a diskette or CD, an audio presentation, for example on an audiotape or CD, or a visual presentation, for example on a videotape or DVD. The communicating means can refer to further information located elsewhere, such as on a website.
[0064] Such a communicating means, comprising for example a document such as a label, brochure, advertisement or package insert, a computer-readable digital or optical medium such as a diskette or CD, an audio presentation, for example on an audiotape or CD, a visual presentation, for example on a videotape or DVD, and/or one or more pages on a website, is itself a still further embodiment of the invention.
[0065] The invention is not limited to the particular methodology, protocols, and reagents described herein because they may vary. Further, the terminology used herein is for the purpose of describing particular embodiments only and is not intended to limit the scope of the present invention. As used herein and in the appended claims, the singular forms "a," "an," and "the" include plural reference unless the context clearly dictates otherwise. Similarly, the words "comprise", "comprises", and "comprising" are to be interpreted inclusively rather than exclusively. [0066] Unless defined otherwise, all technical and scientific terms and any acronyms used herein have the same meanings as commonly understood by one of ordinary skill in the art in the field of the invention. Although any methods and materials similar or equivalent to those described herein can be used in the practice of the present invention, the preferred methods, devices, and materials are described herein.
[0067] All patents, patent applications, and publications mentioned herein are incorporated herein by reference to the extent allowed by law for the purpose of describing and disclosing the compounds, processes, techniques, procedures, technology, articles, and other compositions and methods disclosed therein that might be used with the present invention. However, nothing herein is to be construed as an admission that the invention is not entitled to antedate such disclosure by virtue of prior invention.
EXAMPLES
[0068] The invention can be further illustrated by the following examples of preferred embodiments thereof, although it will be understood that these examples are included merely for purposes of illustration and are not intended to limit the scope of the invention unless otherwise specifically indicated.
EXAMPLE 1
[0069] This example illustrates that levels of certain biomarkers, relative to reference levels, can be indicative of a body weight condition or predisposition in an animal. [0070] Twenty dogs (ten lean and ten obese) are used in a four day study to determine differences in serum metabolites between lean-prone and obese-prone dogs. Placement in the lean or obese group was determined by the following characteristics:
(a) propensity to gain weight (obese-prone) or to maintain weight (lean-prone) when fed ad libitum;
(b) numerical body condition score ranging from 1 to 5 (lean-prone dogs have an average body condition score of about 3, whereas obese-prone dogs have an average body condition score of about 4.1); and
(c) past participation in weight loss studies (obese dogs have previous participation, whereas lean dogs have not).
[0071] Average body weight for lean-prone dogs are 12.06 kg and for obese-prone dogs 16.59 kg. [0072] The dogs are fed, once daily for four days, a maintenance food formulated to meet or exceed nutritional requirements for maintenance of body weight (BW). On the fourth day, blood serum samples are taken prior to feeding (preprandial, time 0), and 10, 60, 120, and 360 minutes after feeding (postprandial). The samples are analyzed for insulin, triglycerides, glucose, GLP-I, and ghrelin concentrations using standard procedures found, for example, in laboratory manuals such as Sambrook et al. (2001) Molecular Cloning: A Laboratory Manual, 3rd ed. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY; Spector et al. (1998) Cells: A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY; and Hampton et al. (1990) Serological Methods: A Laboratory Manual, APS Press, St Paul, MN. Serum concentrations of the biomarkers are adjusted for BW. Results are shown in Tables 1 through 5.
[0073] Postprandial serum insulin concentrations do not differ substantially between lean-prone and obese-prone dogs (Table 1).
Table 1 Serum Insulin Levels
[0074] Also, serum triglyceride concentrations do not differ substantially between lean-prone and obese-prone dogs (Table 2).
Table 2 Serum Triglyceride Levels
Figure imgf000015_0002
[0075] Serum concentrations of glucose (Table 3), GLP-I (Table 4), and ghrelin (Table 5) levels differ substantially between lean-prone and obese- prone dogs at most or all of the six sampling times).
Table 3 Serum Glucose Levels
Figure imgf000016_0001
Table 4 Serum GLP-I Levels
Figure imgf000016_0002
Table 5 Serum Ghrelin Levels
Figure imgf000016_0003
[0076] Referring to the Tables, the data show the utility of biomarkers, in particular serum glucose, GLP-I and ghrelin levels, to differentiate animals having lean and obese predisposition.
EXAMPLE 2 Materials and Methods
[0077] Thirty lean and thirty overweight dogs are identified for this study. Dogs with a body condition score (BCS) of 4 or 5 are classified as overweight for purposes of this study (on a scale of 1 through 5 where 1 equals thin and 5 equals obese/overweight). Dogs with a BCS less than 3 are classified as lean. The dogs are cared for in accordance with Hill's Institutional Animal Care and Use Committee protocols. Fifty percent of the dogs are female (15 lean and 15 overweight) and fifty percent are male (15 lean and 15 overweight) in order to determine if gender plays a role in any marker differences. All animals are spayed or neutered because these groups of animals are more prone to obesity. Animals are weighed, given a body condition score and a blood sample drawn. Serum is harvested and stored at -2O0C in 1 mL aliquots.
Serum Analysis
[0078] Serum is analyzed for chemistry screens, obesity markers, thyroid markers and arthritis markers. Chemistry screens are preformed at the Hill's Pet Nutrition Center (Topeka, KS). Insulin analysis is performed by Michigan State University (Lansing, MI). Thyroxine, thyroid stimulating hormone, glucagon like protein-1 , insulin like growth factor-1, ghrelin, leptin, angiotensin I and II, c-reactive protein, high density lipoprotein 1 and 2, low density lipoprotein, very low density lipoprotein, chylomicron, testosterone, estradiol, Cortisol, osteocalcin, amino terminal crosslink protein, type 2 cartilage synthesis and cartilage oligometric protein are performed by MD Biosciences, Inc. (St. Paul, MN).
Statistical Analysis
[0079] Data are analyzed using General Linear Models procedure of SAS (1989) to determine treatment means. The experimental unit is dog. Differences are considered significant when P < 0.05 and trends are determined when P < 0.10.
Table 2-1
Average Measurements for Lean and Overweight Dogs Average Average
Lean Overweight Standard Lean vs.
Measurement (n=30) (n=30) Error Overweight
Age, years 8.25 6.70 0.65 0.10
Body Condition Score 2.53 4.70 0.08 <0.01 Body Weight, kg 1 1.18 17.26 0.42 <0.01 Glucose. mg/dL 84.10 93.20 2.00 <0.01 Average Average Lean Overweight Standard Lean vs.
Measurement (n=30) (n=30) Error Overweight
Insulin, pmol/L 67.33 126.54 14.1 <0.01
Alanine Amino-transferase, LVL 53.40 55.57 9.71 NS
Alkaline Phosphatase, U/L 1 15.28 191.30 25.17 0.04
Cholesterol, mg/dL 201.93 228.37 9.06 0.04
Triglycerides, mg/dL 91.87 242.77 56.53 0.06
Total Bilirubin, mg/dL 0.40 1.36 0.48 NS
Total Protein, g/dL 6.28 6.97 0.14 <0.01
Creatinine, mg/dL 0.68 0.60 0.02 0.01
Serum Urea Nitrogen, mg/dL 12.45 9.50 0.48 <0.01
Albumin: Globulin 1.20 1.18 0.06 NS
Albumin. g/dL 3.35 3.63 0.06 <0.01
Thyroxine. μg/dL 1.71 2.02 0.11 0.05
Thyroid Stimulating Hormone, ng/mL 0.19 0.21 0.02 NS
Calcium, mg/dL 9.92 10.49 0.13 <0.01
Phosphorous, mg/dL 4.19 4.65 0.15 0.04
Chloride. mmol/L 116.27 113.50 0.45 <0.01
Potassium, mmol/L 4.52 4.43 0.06 NS
Magnesium. mg/dL 2.74 2.83 0.07 NS
Sodium, mmol/L 158.00 157.47 0.51 NS
Sodium:Potassium 35.17 35.73 0.46 NS
Glucagon Like Protein- 1. pM 7.38 13.09 2.31 0.09
Insulin Like Growth Factor- 1, ng/mL 102.0 183.6 17.4 <0.01
Ghrelin, ng/mL 2.60 2.04 0.23 0.09
Leptin, ng/mL 0.96 5.14 0.49 <0.01
Angiotensin I1 ng/mL 0.61 0.66 0.05 NS
Angiotensin II, ng/mL 0.67 1.22 0.33 NS
C-reactive Protein, ng/mL 5.54 2.54 0.62 <0.01
Non-esterified fatty acids, mM 0.75 0.80 0.07 NS
High Density Lipoprotein- 1, % of total 15.4 1 1.5 1.6 0.10
High Density Lipoprotein-2, % of total 68.5 67.0 2.3 NS
Low Density Lipoprotein, % of total 1 1.8 17.4 1.4 <0.01
Very Low Density Lipoprotein, % of total 3.98 3.19 0.70 NS
Chylomicrons, % of total 0.43 0.92 0.20 0.08
Testosterone, pg/mL 82.3 68.7 16.5 NS
Estradiol, pg/mL 5.65 5.22 0.21 NS
Cortisol, μg/dL 4.06 4.62 0.32 NS
Osteocalcin, ng/mL 1.76 2.03 0.35 NS
Amino Terminal Crosslink
Telopeptide. iiM BCE 22.8 23.3 1.4 NS
Type 2 Cartilage Synthesis, μg/mL 617.6 742.7 32.5 <0.01
Cartilage Oligomeric Matrix Protein.
U/L 2.13 2.26 0.09 NS
*NS = Not significant and P > 0.10 Table 2-2 Average Measurements for Female Lean and Overweight Dogs
Female
Female Lean Overweight Standard Lean vs.
Measurement (n=15) (n=15) Error Overweight*
Age, years 8.42 6.91 0.91 NS
Body Condition Score 2.40 4.47 0.12 <0.01
Body Weight, kg 10.76 15.29 0.60 <0.01
Glucose, mg/dL 84.46 93.07 2.82 0.04
Insulin, pmol/L 59.07 106.80 19.81 0.09
Alanine amino-transferase,
U/L 54.20 53.00 13.74 NS
Alkaline Phosphatase. U/L 116.07 182.27 35.28 NS
Cholesterol, mg/dL 196.13 230.00 12.81 0.07
Triglycerides, mg/dL 68.47 251.00 79.95 NS
Total Bilirubin, mg/dL 0.23 1.09 0.68 NS
Total Protein, g/dL 6.01 5.89 0.20 <0.01
Creatinine, mg/dL 0.68 0.57 0.03 0.01
Serum Urea Nitrogen 12.89 8.92 0.67 <0.01
Albumin:Globulin 1.31 1.24 0.08 NS
Albumin, g/dL 3.35 3.69 0.08 <0.01
Thyroxine, μg/dL 1.71 2.25 0.15 0.01
Thyroid Stimulating
Hormone. ng/mL 0.18 0.21 0.03 NS
Calcium. mg/dL 9.85 10.53 0.19 0.01
Phosphorous, mg/dL 4.34 4.49 0.21 NS
Chloride. mmol/L 116.93 1 13.67 0.63 <0.01
Potassium, mmol/L 4.59 4.41 0.08 NS
Magnesium, mg/dL 2.76 2.93 0.10 NS
Sodium, mmol/L 158.40 157.47 0.72 NS
Sodium:Potassium 34.67 25.80 0.65 NS
Glucagon Like Protein- 1, pM 8.16 15.74 3.26 NS
Insulin Like Growth
Factor- 1, ng/mL 94.7 191.2 24.5 <0.01
Ghrelin, ng/mL 2.39 2.08 0.33 NS
Leptin, ng/mL 1.00 4.16 0.69 <0.01
Angiotensin I, ng/mL 0.60 0.66 0.07 NS
Angiotensin II, ng/mL 0.62 0.84 0.46 NS
C-reactive Protein. ng/mL 4.87 2.89 0.88 NS
Non-esterified fatty acids, mM 0.62 0.73 0.10 NS
High Density Lipoprotein- 1
(% of Total) 12.0 12.2 2.3 NS
High Density Lipoprotein-2
(% of Total) 91.8 65.2 3.3 NS
Low Density Lipoprotein
(% of Total) 1 1 .9 18.6 1.9 0.02
Very Low Density Lipoprotein
(% of Total) 4.03 3.05 0.99 NS
Chylomicrons, (% of Total) 0.20 0.87 0.28 0.09 Female
Female Lean Overweight Standard Lean vs.
Measurement (n=15) (n=15) Error Overweight*
Testosterone, pg/mL 52.1 96.3 23.3 NS
Estradiol, pg/mL 5.72 5.13 0.30 NS
Cortisol, μg/dL 3.90 4.88 0.45 NS
Osteocalcin, ng/mL 1.53 2.00 0.49 NS
Amino Terminal Crosslink
Peptide, nM BCE 23.5 23.9 2.0 NS
Type 2 Cartilage
Synthesis, μg/mL 658.5 741.0 46.0 NS
Cartilage Oligomeric
Matrix Protein, U/L 2.11 2.25 0.13 NS
*NS = Not Significant and P>0.10
Table 2-3
Average Measurements for Male Lean and Overweight Dogs
Male
Male Lean Overweight Standard Lean vs.
Measurement (n=15) (n=15) Error ( Overweight
Age, years 8.07 6.48 0.91 NS
Body Condition Score 2.67 4.93 0.12 <0.01
Body Weight, kg 1 1.60 19.22 0.60 <0.01
Glucose, mg/dL 83.73 93.33 2.82 0.02
Insulin. pmol/L 75.60 146.29 20.14 0.02
Alanine amino-transferase,
U/L 52.60 58.13 13.74 NS
Alkaline Phosphatase. U/L 1 14.5 200.33 35.88 0.10
Cholesterol, mg/dL 207.73 226.73 12.81 NS
Triglycerides, mg/dL 1 15.27 234.53 79.95 NS
Total Bilirubin, mg/dL 0.57 1.63 0.68 NS
Total Protein, g/dL 6.54 7.05 0.20 0.07
Creatinine, mg/dL 0.68 0.63 0.03 NS
Serum Urea Nitrogen 12.01 10.09 0.67 0.05
Albumin: Globulin 1.09 1.13 0.08 NS
Albumin, g/dL 3.34 3.57 0.08 0.04
Thyroxine. μg/dL 1.71 1.79 0.15 NS
Thyroid Stimulating
Hormone, ng/mL 0.20 0.21 0.03 NS
Calcium, mg/dL 10.00 10.46 0.19 0.09
Phosphorous, mg/dL 4.05 4.81 0.21 0.02
Chloride, mmol/L 1 15.60 1 13.33 0.63 0.01
Potassium. mmol/L 4.45 4.45 0.08 NS
Magnesium. mg/dL 2.73 2.72 0.10 NS
Sodium, mmol/L 157.60 157.47 0.72 NS
Sodium:Potassium 35.67 35.67 0.65 NS
Glucagon Like Protein- 1 , pM 6.61 10.44 3.26 NS
Insulin Like Growth Factor- Male
Male Lean Overweight Standard Lean vs.
Measurement (n=15) (n=15) Error Overweight
1 , ng/mL 109.3 176.1 24.5 0.06
Ghrelin, ng/mL 2.81 1.99 0.33 0.08
Leptin, ng/mL 0.91 4.16 0.69 <0.01
Angiotensin I, ng/mL 0.62 0.65 0.07 NS
Angiotensin II, ng/mL 0.71 1.61 0.46 NS
C-reactive Protein, ng/mL 6.21 2.20 0.88 <0.01
Non-esterified fatty acids,
ITiM 0.89 0.87 0.10 NS
High Density Lipoprotein- 1.
% of total 18.7 12.2 2.3 0.02
High Density Lipoprotein-2.
% of total 65.1 68.8 3.3 NS
Low Density Lipoprotein, % of total 11.6 16.3 1.9 0.10
Very Low Density
Lipoprotein, % of total 3.94 3.33 0.99 NS
Chylomicrons, % of total 0.65 0.97 0.28 NS
Testosterone, pg/mL 1 12.5 41.2 23.7 0.04
Estradiol, pg/mL 5.57 5.32 0.30 NS
Cortisol, μg/dL 4.22 4.36 0.45 NS
Osteocalcin, ng/mL 1.99 2.06 0.49 NS
Amino Terminal Crosslink NS
Telopeptide, nM BCE 22.1 22.8 2.0
Type 2 Cartilage Synthesis, μg/mL 576.7 744.4 46.0 0.01
Cartilage Oligomeric Matrix
Protein. IJ/L 2.15 2.27 0.1 3 NS
*NS = Not significant and P > 0.10
[0080] Average body condition scores are 4.7 and 2.5 for the overweight and lean groups, respectively. Average body weights are 11.2 and 17.3 kg for the overweight and lean groups, respectively. Serum is analyzed for chemistry screens, obesity markers, thyroid markers and arthritis markers. The overweight group has higher levels of alkaline phosphatase (P = 0.04), cholesterol (P = 0.04), triglycerides (P = 0.06), total protein (P < 0.01), albumin (P < 0.01), thyroxine (P = 0.05), calcium (P < 0.01), phosphorous (P = 0.04), glucose (P < 0.01), insulin (P < 0.01), insulin like growth factor- 1 (P < 0.01), low density lipoprotein (P < 0.01), leptin (P < 0.01) and type 2 cartilage synthesis (P < 0.01). The overweight group has lower levels of creatinine (P =0.01), serum urea nitrogen (P < 0.01), chloride (P < 0.01) and overweight males has lower levels of testosterone (P = 0.04).
EXAMPLE 3 Materials and Methods [0081 ] Thirty lean and thirty overweight cats are identified for this study. Cats with a body condition score (BCS) of 4 or 5 are classified as obese/overweight for purposes of this study (on a scale of 1 through 5 where 1 equals thin and 5 equals obese). Cats with a BCS less than 3 are classified as lean. Animals are weighed, given a body condition score and a blood sample is drawn. Serum is harvested and stored at -20°C in 1 mL aliquots.
Serum Analysis
[0082] Serum is analyzed for chemistry screens, obesity markers, thyroid markers and arthritis markers. Chemistry screens are performed at the Hill's Pet Nutrition Center (Topeka, KS). Insulin analysis is performed by Michigan State University (Lansing, MI). Thyroxine, thyroid stimulating hormone, ghrelin, leptin, angiotensin I and II, osteocalcin, amino terminal crosslink protein, bone- specific alkaline phosphatase and carboxy terminal crosslink telopeptide are performed by MD Biosciences, Inc. (St. Paul, MN).
Statistical Analysis
[0083] Data are analyzed using General Linear Models procedure of SAS (1989) to determine treatment means. The experimental unit is cat. Differences are considered significant when P < 0.05 and trends are determined when P < 0.10.
Table 3-1 Average Measurements for Lean and Obese Cats
Average
Average Lean Overweight Standard Lean vs.
Metabolite (n=30) (n=30) Error Overweight*
Age. years 6.43 8.43 0.53 0.01
Body Condition Score 2.48 4.23 0.09 < 0.01
Body Weight, kg 3.22 5.83 0.17 < 0.01
General Metabolism Markers
Glucose, mg/dL 79.4 87.0 2.3 0.02
Insulin, pmoL'L 17.4 13.7 2.3 NS
Organ Function Markers
Alanine Amino-transferase, U/L 51.7 51.6 2.5 NS
Alkaline Phosphatase. U/L 35.0 42.0 2.7 0.07
Cholesterol, mg/dL 168.7 174.5 7.9 NS
Triglycerides, mg/dL 38.8 56.3 6.1 0.05
Total Bilirubin, mg/dL 0.22 0.21 0.03 NS
Total Protein, g/dL 7.38 7.78 0.10 < 0.01
Creatinine, mg/dL 1.20 1.19 0.06 NS
Serum Urea Nitrogen. mg/dL 22.3 23.1 0.8 NS
Serum Urea Nitrogen: Creatinine 19.2 20.1 0.7 NS
Albumin:Globulin 0.76 0.79 0.03 NS
Albumin, g/dL 3.15 3.40 0.06 < 0.01 Average
Average Lean Overweight Standard Lean vs.
Metabolite (n=30) (n=30) Error Overweight*
Globulin, g/dL 4.24 4.37 0.11 NS
Thyroxine, μg/dL 2.51 2.77 0.08 0.02
Thyroid Stimulating
Hormone, ng/mL 0.08 0.05 0.01 0.02
Electrolytes
Calcium, mg/dL 9.48 9.82 0.14 0.09
Phosphorous, mg/dL 4.87 4.46 0.16 0.08
Chloride, mmol/L 122.2 122.6 0.5 NS
Potassium, mmol/L 4.48 4.70 0.07 0.03
Magnesium, mg/dL 2.38 2.84 0.07 < 0.01
Sodium, mmol/L 165.7 164.5 0.5 NS
Sodium:Potassium 37.1 35.2 0.5 0.02
Obesity Markers
Ghrelin, ng/mL 1.90 1.63 0.10 0.06
Leptin, ng/mL 4.28 45.30 2.75 < 0.0I
Angiotensin I. ng/mL 7.79 2.38 1.13 NS
Angiotensin II, ng/mL 1.06 1.59 0.36 XS
Arthritis and Bone Markers
Osteocalcin, ng/mL 0.70 0.47 0.12 NS
Amino Terminal Crosslink
Telopeptide, nM BCE 22.5 19.7 1.7 NS
Bone-Specific Alkaline
Phosphatase, ng/mL 8.76 7.85 0.78 NS
Carboxy Terminal Crosslink
Telopeptide, μg/L 9.62 8.21 0.82 NS
*NS = Not significant and P > 0.10
[0084] Average body condition scores are 4.2 and 2.5 for the overweight and lean groups, respectively. Average body weights are 5.8 ± 0.2 and 3.2 ± 0.2 kg for the overweight and lean groups, respectively. Serum is analyzed for chemistry screens, obesity markers, thyroid markers and arthritis markers. The overweight group has higher levels of alkaline phosphatase (P = 0.07), triglycerides (P = 0.05), total protein (P < 0.01), albumin (P < 0.01), potassium (P = 0.03), magnesium (P < 0.01), sodium: potassium (P = 0.02), glucose (P = 0.02), leptin (P < 0.01) and thyroxine (P = 0.02). The overweight group has lower levels of thyroid stimulating hormone (P = 0.02) and ghrelin (P = 0.06).
[0085] In the specification, there have been disclosed typical preferred embodiments of the invention and, although specific terms are employed, they are used in a generic and descriptive sense only and not for purposes of limitation, the scope of the invention being set forth in the claims. Obviously many modifications and variations of the invention are possible in light of the above teachings. It is therefore to be understood that within the scope of the appended claims the invention may be practiced otherwise than as specifically described.

Claims

CLAIMS What is claimed is:
1. A method for diagnosing a body weight condition or predisposition to a body weight condition in an animal comprising determining observed level(s) of at least one biomarker in a tissue or biofluid sample from the animal and comparing the observed level(s) to reference level(s) for the biomarker; wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition.
2. The method of claim 1 wherein the animal is canine or feline.
3. The method of claim 1 or 2, wherein the animal is up to about one year of age and the observed level(s) relative to the reference level(s) are individually or collectively indicative of predisposition to a body weight condition later in the animal's life.
4. The method of any of claims 1 to 3, wherein the condition or predisposition is obesity or a propensity to gain weight.
5. The method of any of claims 1 to 4, wherein the condition or predisposition increases the animal's risk for an overweight-related health disorder.
6. The method of claim 5 wherein the overweight-related heath disorder is chosen from hyperlipidemia, dyslipidemia, insulin resistance, glucose intolerance, hepatic lipidosis, anesthetic complications, hyperadrenocorticism, hypothyroidism, diabetes mellitus, insulinoma, pituitary chromophobe adenoma, hypopituitarism, hypothalamic lesions, joint stress, musculoskeletal pain, dyspnea, hypertension, dystocia, exercise intolerance, heat intolerance, decreased immune function, degenerative joint and orthopedic diseases, cardiovascular diseases, transitional cell carcinomas, fatigue, sleep disorders, reproductive disorders, and combinations thereof.
7. The method of any of claims 1-6 wherein the biomarker is chosen from glucose, GLP- 1, ghrelin, and combinations thereof.
8. The method of claim 1 wherein observed level(s) are determined for at least two biomarkers.
9. The method of any of claims 1 to 8, wherein the tissue or biofluid sample is obtained when the animal is in a fasted state.
10. The method of any of claims 1 to 8, wherein tissue or biofluid samples are obtained at a plurality of time points during a feeding cycle, including at least one preprandial time point and at least one postprandial time point.
11. The method of any of claims 1 to 10, wherein the tissue or biofluid is whole blood, blood plasma or blood serum.
12. The method of any of claims 1 to 11, wherein the observed and reference levels are determined using one or more assays independently chosen from enzyme immunoassays, enzyme- linked immunosorbent assays, immunofluorescent assays, radioimmunoassays, western blot assays, biochemical assays, enzymatic assays, and colorimetric assays.
13. The method of claim 1 wherein (a) the animal is canine, (b) the biomarker comprises glucose in serum, and (c) when the observed body weight-adjusted serum glucose level in a fasted animal is at least about 10% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
14. The method of claim 1 wherein (a) the animal is canine, (b) the biomarker comprises GLP-I in serum, and (c) when the observed body weight-adjusted serum GLP-I level in a fasted animal is at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
15. The method of claim 1 wherein (a) the animal is canine, (b) the biomarker comprises ghrelin in serum, and (c) when the observed body weight-adjusted serum ghrelin level in a fasted animal is at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
16. A method for selecting a regimen for an animal comprising (a) diagnosing a body weight condition or predisposition by determining observed level(s) of al least one biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition; and (b) identifying a regimen appropriate to the body weight condition or predisposition diagnosed.
17. The method of claim 16 wherein the regimen comprises a composition for consumption by the animal.
18. The method of claim 16 wherein the regimen comprises a form of exercise for the animal.
19. A method for detecting onset of a body weight condition or predisposition in an animal comprising monitoring at least one biomarker in the animal over a period by determining, at each of a plurality of time points during the period, observed level(s) of the biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein onset is detected if, at any time point, the observed level(s) relative to the reference level(s) are individually or collectively indicative of the body weight condition or predisposition.
20. The method of claim 19 further comprising monitoring the animal's body weight by a technique chosen from weighing, assessment of relative body weight, assessment of body condition score, morphometry, and combinations thereof.
21. A method for assessing the efficacy of a regimen for managing a body weight condition or predisposition in an animal comprising monitoring at least one biomarker in the animal over a period during which the regimen is administered, by determining, at each of a plurality of time points during the period, observed level(s) of the biomarker in a tissue or biofluid sample from the animal, and comparing the observed level(s) to reference level(s) for the biomarker; wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of the efficacy of the regimen in managing the body weight condition or predisposition.
22. A kit comprising:
(a) one or more reagents for detecting observed level(s) of at least one biomarker in a tissue or biofluid sample from an animal; and
(b) one or more user-accessible media carrying information that comprises (i) reference level(s) of the biomarker; and (ii) an algorithm that compares the observed level(s) to the reference level(s); wherein the observed level(s) relative to the reference level(s) are individually or collectively indicative of a body weight condition or predisposition in the animal.
23. The kit of claim 22 wherein the one or more reagents comprise at least one reporter moiety or label.
24. The kit of claim 22 wherein the one or more reagents comprise at least one antibody.
25. The kit of any of claims 22-24, further comprising means for communicating information that comprises one or more of (a) a diagnosis of a body weight condition or predisposition as indicated by the observed level(s) relative to the reference level(s); and (b) a suggested or prescribed regimen appropriate to the diagnosis.
26. The use of at least one determined observed biomarker level in a tissue or biofluid sample from an animal to compare with a reference level of said biomarker, wherein said comparison is indicative of the body weight condition or predisposition of said animal.
27. The use according to claim 26 wherein the animal is canine or feline.
28. The use according to claim 26 or 27, wherein the animal is up to about one year of age and the observed level(s) relative to the reference level(s) are individually or collectively indicative of predisposition to a body weight condition later in the animal's life.
29. The use according to any of claims 26 to 28, wherein the condition or predisposition is obesity or a propensity to gain weight.
30. The use according to any of claims 26 to 29, wherein the condition or predisposition increases the animal's risk for an overweight-related health disorder.
31. The use according to claim 30 wherein the overweight-related heath disorder is chosen from hyperlipidemia, dyslipidemia, insulin resistance, glucose intolerance, hepatic lipidosis, anesthetic complications, hyperadrenocorticism, hypothyroidism, diabetes mellitus, insulinoma, pituitary chromophobe adenoma, hypopituitarism, hypothalamic lesions, joint stress, musculoskeletal pain, dyspnea, hypertension, dystocia, exercise intolerance, heat intolerance, decreased immune function, degenerative joint and orthopedic diseases, cardiovascular diseases, transitional cell carcinomas, fatigue, sleep disorders, reproductive disorders, and combinations thereof.
32. The use according to any of claims 26-31 wherein the biomarker is chosen from glucose, GLP-I, ghrelin, and combinations thereof.
33. The use according to claim 26 wherein observed level(s) are determined for at least two biomarkers.
34. The use according to any of claims 26 to 33, wherein the tissue or biofluid sample is obtained when the animal is in a fasted state.
35. The use according to any of claims 26 to 33, wherein tissue or biofluid samples are obtained at a plurality of time points during a feeding cycle, including at least one preprandial time point and at least one postprandial time point.
36. The use according to any of claims 26 to 35, wherein the tissue or biofluid is whole blood, blood plasma or blood serum.
37. The use according to any of claims 26 to 36, wherein the observed and reference levels are determined using one or more assays independently chosen from enzyme immunoassays, enzyme-linked immunosorbent assays, immunofliiorescent assays, radioimmunoassays, western blot assays, biochemical assays, enzymatic assays, and colorimetric assays.
38. The use according to claim 26 wherein (a) the animal is canine, (b) the biomarker comprises glucose in serum, and (c) when the observed body weight-adjusted serum glucose level in a fasted animal is at least about 10% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
39. The use according to claim 26 wherein (a) the animal is canine, (b) the biomarker comprises GLP-I in serum, and (c) when the observed body weight-adjusted serum GLP-I level in a fasted animal is at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
40. The use according to claim 26 wherein (a) the animal is canine, (b) the biomarker comprises ghrelin in serum, and (c) when the observed body weight-adjusted serum ghrelin level in a fasted animal is at least about 20% lower than the body weight-adjusted reference level for a canine of normal weight, a predisposition of the animal to gain weight is diagnosed.
PCT/US2007/073008 2006-07-07 2007-07-09 Method of diagnosing a body weight condition or predisposition in an animal Ceased WO2008006095A1 (en)

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