Determination of serum and fecal Zonulin levels in canine gastroenteritis caused by selected infectious and non-infectious diseases

Keywords: Intestinal permeability, intestinal biomarker, diarrhea in dogs, non-invasive markers, leaky gut síndrome

Abstract

This study aimed to simultaneously determine zonulin levels in feces and blood as a reliable biomarker for the detection and severity of intestinal permeability (“leaky gut”), which may develop due to infectious or non-infectious diarrhea of various etiologies in dogs. Fifty-four dogs, 45 with gastroenteritis and 9 healthy controls, were presented to the clinic with a history of diarrhea lasting at least one day and were classified according to etiology based on clinical laboratory analyses. Zonulin levels were measured in blood and fecal samples using enzyme-linked immunosorbent assay. Significant differences in both serum and fecal zonulin levels were found between the healthy group and all diseased groups. Fecal zonulin levels in the diseased dogs differed significantly between the coronavirus group and the giardia and parvovirus groups, while serum zonulin levels also differed significantly in the distemper group. These findings suggest that fecal and serum zonulin levels may serve as non-invasive biomarkers of blood–brain barrier dysfunction in dogs with gastroenteritis.

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References

Candellone A, Cerquetella M, Girolami F, Badino P, Odore R. Acute diarrhea in dogs: Current management and potential role of dietary polyphenols supplementation. Antioxidants. [Internet]. 2020; 9(8):725. doi: https://doi.org/g5sg37

Hubbard K, Skelly B, McKelvie J, Wood J. Risk of vomiting and diarrhoea in dogs. Vet. Rec. [Internet]. 2007; 161(22):755–757. doi: https://doi.org/d3f95s

Lenox CE. Nutritional management for dogs and cats with gastrointestinal diseases. Vet. Clin. North Am. Small. Anim. Pract. [Internet]. 2021; 51(3):669–684. doi: https://doi.org/rcrk

Fasano A. Zonulin, regulation of tight junctions, and autoimmune diseases. Ann. N. Y. Acad. Sci. [Internet]. 2012; 1258(1):25–33. doi: https://doi.org/f36c2p

Sapone A, de Magistris L, Pietzak M, Clemente MG, Tripathi A, Cucca F, Lampis R, Kryszak D, Cartenì M, Generoso M, Iafusco D, Prisco F, Laghi F, Riegler G, Carratu R, Counts D, Fasano A. Zonulin upregulation is associated with increased gut permeability in subjects with type 1 diabetes and their relatives. Diabetes. [Internet]. 2006; 55(5):1443–1449. doi: https://doi.org/b54jwn

Fasano A. Regulation of intercellular tight junctions by zonula occludens toxin and its eukaryotic analogue zonulin. Ann. N. Y. Acad. Sci. [Internet]. 2000; 915(1):214–222. doi: https://doi.org/fr6vj

Tripathi A, Lammers KM, Goldblum S, Shea-Donohue T, Netzel-Arnett S, Buzza MS, Antalis TM, Vogel SN, Zhao A, Yang S, Arrietta MC, Meddings JB, Fasano A. Identification of human zonulin, a physiological modulator of tight junctions, as prehaptoglobin-2. Proc. Natl. Acad. Sci. USA. [Internet]. 2009; 106(39):16799–16804. doi: https://doi.org/dhz4qn

El Asmar R, Panigrahi P, Bamford P, Berti I, Not T, Coppa GV, Catassi C, Fasano A. Host-dependent zonulin secretion causes impairment of the small intestinal barrier function after bacterial exposure. Gastroenterology. [Internet]. 2002; 123(5):1607–1615. doi: https://doi.org/d45fpm

Fasano A. Zonulin and its regulation of intestinal barrier function: The biological door to inflammation, autoimmunity, and cancer. Physiol. Rev. [Internet]. 2011; 91(1):151–175. doi: https://doi.org/d62qsb

Sturgeon C, Fasano A. Zonulin, a regulator of epithelial and endothelial barrier functions, and its involvement in chronic inflammatory diseases. Tissue Barriers. [Internet]. 2016; 4(4):e1251384. doi: https://doi.org/rcrm

Miranda-Ribera A, Ennamorati M, Serena G, Cetinbas M, Lan J, Sadreyev RI, Jain N, Fasano A, Fiorentino M. Exploiting the zonulin mouse model to establish the role of primary impaired gut barrier function on microbiota composition and immune profiles. Front. Immunol. [Internet]. 2019; 10:2233. doi: https://doi.org/gk8btd

Szymanska E, Wierzbicka A, Dadalski M, Kierkus J. Fecal zonulin as a noninvasive biomarker of intestinal permeability in pediatric patients with inflammatory bowel diseases—correlation with disease activity and fecal calprotectin. J. Clin. Med. [Internet]. 2021; 10(17):3905. doi: https://doi.org/rcrp

Caviglia GP, Dughera F, Ribaldone DG, Rosso C, Abate ML, Pellicano R, Smedile A, Saracco M, Astegiano M. Serum zonulin in patients with inflammatory bowel disease: A pilot study. Minerva Med. [Internet]. 2019; 110(2):95–100. doi: https://doi.org/gh8tcd

Vanuytsel T, Vermeire S, Cleynen I. The role of haptoglobin and its related protein, zonulin, in inflammatory bowel disease. Tissue Barriers. [Internet]. 2013; 1(5):e27321. doi: https://doi.org/rcrq

Malícková K, Francová I, Lukáš M, Kolár M, Králíková E, Bortlík M, Duricová D, Štepánková L, Zvolská K, Pánková A, Zima T. Fecal zonulin is elevated in Crohn’s disease and in cigarette smokers. Pract. Lab. Med. [Internet]. 2017; 9:39–44. doi: https://doi.org/gb4wgj

Dinesh N, Slovak JE, Kogan C, Kopper JJ. Preliminary evaluation of serum zonulin in canine chronic enteropathies. J. Small Anim. Pract. [Internet]. 2022; 63(9):679–685. doi: https://doi.org/rcrs

Rossi G, Gavazza A, Vincenzetti S, Mangiaterra S, Galosi L, Marchegiani A, Pengo G, Sagratini G, Ricciutelli M, Cerquetella M. Clinicopathological and fecal proteome evaluations in dogs with chronic diarrhea associated with lymphangiectasia. Vet. Sci. [Internet]. 2021; 8(10):242. doi: https://doi.org/rcrt

Giron LB, Dweep H, Yin X, Wang H, Damra M, Goldman AR, Gorman N, Palmer CS, Tang HY, Shaikh MW, Forsyth CB, Balk RA, Zilberstein NF, Liu Q, Kossenkov A, Keshavarzian A, Landay A, Abdel-Mohsen M. Plasma markers of disrupted gut permeability in severe COVID-19 patients. Front. Immunol. [Internet]. 2021; 12:686240. doi: https://doi.org/gkgzg8

Oliva A, Cammisotto V, Cangemi R, Ferro D, Miele MC, De Angelis M, Cancelli F, Pignatelli P, Venditti M, Pugliese F, Mastroianni CM, Violi F. Low-grade endotoxemia and thrombosis in COVID-19. Clin. Transl. Gastroenterol. [Internet]. 2021; 12(6):e00348. doi: https://doi.org/gkfz9r

Çöllü EM, Özalp T, Erdogan S, Ural K, Erdogan H. Investigation of zonulin levels in dogs infected with canine distemper virus. Bozok. Vet. Sci. [Internet]. 2024; 5(2):55–61. doi: https://doi.org/rcrv

Fasano A. Physiological, pathological, and therapeutic implications of zonulin-mediated intestinal barrier modulation: Living life on the edge of the wall. Am. J. Pathol. [Internet]. 2008; 173(5):1243–1252. doi: https://doi.org/b5bwnr

Published
2026-06-28
How to Cite
1.
Şardağ D, Ural K, Alic-Ural D, Pasa S, Erdogan H, Erdogan S. Determination of serum and fecal Zonulin levels in canine gastroenteritis caused by selected infectious and non-infectious diseases. Rev. Cient. FCV-LUZ [Internet]. 2026Jun.28 [cited 2026Jun.28];36(3):5. Available from: https://produccioncientificaluz.org/index.php/cientifica/article/view/45774
Section
Veterinary Medicine