Figures
Fig. 1 Companion animal trials. Shown (highlighted in red) is the proposed role of veterinary clinical trials as predictors of human efficacy studies. Veterinary clinical trials could serve as a bridge between preclinical and clinical studies, with the goal of reducing the failure rates of human clinical trials and accelerating approval of new therapeutics. R&D, research and development.
CREDIT: V. ALTOUNIAN/SCIENCE TRANSLATIONAL MEDICINE
Fig. 2 Clinical specialization in veterinary medicine. The numbers of board-certified veterinary specialists and specialty organizations since 1950 (A) and the current distribution of veterinary specialists (B) are depicted. In 1951, the American College of Veterinary Pathologists was recognized as the first specialty organization. Since then, the American Veterinary Medical Association’s, American Board of Veterinary Specialties has given accreditation to 21 additional specialty organizations. The most recent addition, the American College of Animal Welfare, was accredited in 2012. Congruous with the expansion of recognized specialties, the numbers of board-certified specialists is also on the rise. A small community of 389 veterinary specialists in the year 1967 has increased exponentially throughout the intervening years. At the time of this writing, there are more than 11,000 active board-certified veterinary specialists.
CREDIT: V. ALTOUNIAN/SCIENCE TRANSLATIONAL MEDICINE
Fig. 3 Behaving like animals. Here, we show similar clinical findings in veterinary and human patients with related naturally occurring diseases. Histologic photomicrographs (H&E) from a dog (A) and a human (a) with glioblastoma depict similar morphological features, including vascular proliferation. Close-up images of a dog (B) and a human (b) eye with KCS depict ocular surface changes. A computed tomographic three-dimensional reconstruction image of a dog (C) that received mandibular reconstruction using rh-BMP2 infused in a scaffold and a human (c) who has undergone mandibular reconstruction using autologous bone grafting. An echocardiogram from a cat (D) and a human (d) with hypertrophic cardiomyopathy demonstrates concentric hypertrophy of the left ventricle characterized by thickening of the left ventricular walls with decreased ventricular volume. A colonoscopic image from a dog (E) and a human (e) with inflammatory bowel disease demonstrates colonic inflammation, hemorrhage, and ulceration. A contrast-enhanced magnetic resonance myelogram in a dog (F) and a human (f) with cervical spondylomyelopathy depicts vertebral canal stenosis (white arrows). An arthroscopic image of a torn cranial cruciate ligament in a dog (G) and a torn anterior cruciate ligament in a knee of a human (g) reveals associated arthritic changes. Ultrasonographic images of a superficial digital flexor tendon lesion in a horse (H) and Achilles tendonitis in a human (h) demonstrate similar core lesions.
CREDIT: V. ALTOUNIAN/SCIENCE TRANSLATIONAL MEDICINE
Tables
- Table 1
Human diseases and their parallels in companion animals: A partial summary.
Disease category or organ system Specific disease Species with recognized naturally occurring correlate References Cancer Non-Hodgkin’s lymphoma Dogs, cats (7, 12) Osteosarcoma Mammary carcinoma Melanoma Soft tissue sarcoma Musculoskeletal Chronic osteoarthritis Dogs, horses, rabbits (23, 53, 54) Tendon injuries Horses (55) Cruciate ligament injury Dogs (56) Mandibular reconstruction Dogs (35, 36) Spinal cord injury and disorders Intervertebral disk herniation Dogs (27) Neural tube defects Dogs (29) Genetic Hemophilia Dogs (57) Narcolepsy Dogs (58) SCID X-linked Dogs, horses (59) Cleft palate Dogs (60) Duchenne muscular dystrophy Dogs (61) Lysosomal storage disease Dogs, cats, cows, sheep goats (62) Skeletal disorders Horses (63) Eye Keratoconjunctivitis sicca Dogs (24) Immune or inflammatory Inflammatory bowel disease Dogs, cats (64, 65) Chronic gingivostomatitis Cats (41) Cardiovascular Dilated cardiomyopathy Dog (47) Hypertrophic cardiomyopathy Cats (44) Arythmogenic right ventricular cardiomyopathy Dogs (46)