Assessment of copper accumulation in archived liver specimens from cats.
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OBJECTIVES: The aim of this study was to assess hepatic copper concentrations and zonal distribution in cat liver specimens. METHODS: For this study, 121 archived, formalin-fixed, paraffin-embedded liver specimens from cats were used. Tissue sections were stained for copper with rhodanine and scored from 0 (no copper accumulation) to 5 (panlobular copper accumulation). The tissue specimens were then deparaffinized and hepatic copper concentrations were measured using flame atomic absorption spectroscopy. RESULTS: Tissue samples were categorized into four groups based on histopathologic findings: (1) no significant histopathologic hepatic changes (n=66); (2) hepatic steatosis (n=18); (3) inflammatory or infectious disease (n=24); and (4) neoplasia (n=13). Of the 121 specimens, 13 (11%) stained positive for copper, with three having a score 3. Thirty-seven specimens (31%) had copper concentrations above the reference interval ([RI] <180g/g dry weight liver). Copper concentrations in cats with hepatic inflammatory or infectious disease were significantly higher than cats with hepatic steatosis (P=0.03). Copper-staining score and concentration were positively correlated (rs=0.46, P <0.001). CONCLUSIONS AND RELEVANCE: Despite the fact that 31% of specimens had copper concentrations above the RI, only 11% showed positive copper staining and only 2.5% had a score 3. Our findings suggest that hepatic copper concentrations greater than the upper limit of the RI are relatively common in cats. Further studies to determine the factors that influence hepatic copper staining in cats and to establish contemporary RIs for hepatic copper in healthy cats are warranted.
