1. Introduction
Unlike high impact sports like flyball and agility, canicross is an endurance dog sport that is becoming increasingly popular in Italy and in other European countries [
1]. The other sport that falls into the endurance category is dog sledding, which has a different impact because it takes place over longer distances and in more severe environmental conditions. In canicross, a dog and a human run together: the dog is attached to the runner’s waist with canicross harness, bungee line or canicross belt. Depending on the equipment used, canicross can be subdivided into other disciplines such as bike joring and scooter joring. Any breeds of dogs may be involved in this activity, but the most commonly used are German Shorthaired Pointer, English Pointer, Belgian Malinois, Border Collie, Beauceron, and mixes such as hounds (crossbred from the Alaskan Husky and a similar-looking pointer), Alaskan Huskies and Greysters (crossbred from the Greyhound and a similar-looking pointer). The distance of canicross races ranges from relatively short “sprint” distances of about 5 km to longer competitive distances of 45 km or more [
1,
2].
A relatively small number of papers have investigated the correct training or the incidence of injuries in dogs competing in this discipline [
1,
2]. In 2018, Lafuente and Whyle [
1], reported that canicross is a quite safe sport for dogs compared to the other most popular canine disciplines (agility and flyball); indeed, the authors reported that only 21.9% of dogs had experienced at least one injury [
1]. The incidence was generally lower than other high impact disciplines: 32–41.7% for agility [
3,
4,
5] and 34–39% for flyball [
6,
7,
8]. The most common injuries reported were: lacerations, abrasions and punctures, most frequently occurring in the footpads of the forelimb [
1]. More recently, in 2022, Erjavec et al. [
2] have investigated the health status of seven trained canicross dogs that were subjected to two acute exercise episodes during the training. For this specific investigation the following parameters were assessed: rectal temperature, hematological and biochemical parameters, as well as blood oxidative stress parameters before and during a two-day canicross training session and after a 24-h rest period [
2]. The hematological parameters showed limited changes, remaining within the reference ranges. No significant differences in oxidative stress parameters were found between any of the sampling times. The authors concluded that the trained canicross dogs included in their study were in a good physical condition and correctly trained [
2]. Indeed, it is commonly assumed that well-trained athlete can be defined as the athlete who performs his/her activity consistently and effectively with the least effort.
The blood parameters useful for assessing the systemic effects of physical exercise are not easily monitored during competition; therefore, it could be very useful to identify a non-invasive biological matrix. Urine is an interesting alternative sample for investigating the health status and pre- and post-exercise changes in athletic and working dogs. Urine has recently been studied in military working dogs and albuminuria was found to be an early biomarker for monitoring renal function during training sessions [
9].
The aim of this prospective study was to investigate the effects of exercise on urinary biochemical parameters and urinary proteins separated using SDS-PAGE electrophoresis in well-trained canicross dogs before and after an Italian national 5-km competition.
2. Materials and Methods
The study was carried out according to European Union Directive 2010/63/EU and was approved by the Animal Welfare Committee of the University of Bologna (Project ID 914). The investigation was conducted during the national competition of 5-km canicross race in Trecenta (RO), Italy. All dog-owners participated to the study on a voluntary basis and signed an informed consent form regarding research participation. All dogs included in the study had regularly participated in national competitions and carried out continuous training. Twelve female dogs were included in this study: five Eurohound dogs, three Weimaraner, one Greyster, one Border Collie, one Siberian Husky and one Alaskan Malamute. The mean age was 5.6 ± 2.1 years: this value has been fixed as cutoff in order to divide dogs in “young adult” (≤5 years, 7 dogs) and “old adult” (>5 years, 5 dogs). The mean age of young adult was of 3.1 ± 1.0 years, while the mean age of old adult was of 6.7 ± 1.5 years. The mean weight was 25.5 ± 4.4 kg for the whole group (25.8 ± 3.1 kg for young adult and 25.0 ± 5.9 for old adult dogs).
Seven females were entire (4 young adult and 3 old adult) and five were spayed (2 young adult and 3 old adult).
The dogs followed different diets set by their handlers, but they were fasted at least 2 h before competition, with the exception of energy supplements administered 1–2 h before the competition for only one dog, previously checked to exclude any influence on results.
Before the competition race, all dogs were submitted to a signalment and physical examination (including pulse rate evaluation) by licensed veterinary doctors to ensure the current healthy status. No dogs received any medication with steroids or non-steroidal anti-inflammatory drugs.
Ten ml of midstream urine was collected by spontaneous voiding into sterile urine cups by a veterinary doctor wearing gloves at three different times: T0 (at rest, before competition, fasting for at least 2 h), T1 (first urinary voiding after competition) and T2 (two hours after activity). Three of the 12 dogs in the study did not return for the T2 check-up.
2.1. Urinalysis
All the urine samples were kept refrigerated (+4 °C) and were processed on a routine basis within 2 h after collection. In particular, the urinalysis consisted of a macroscopic examination evaluating the colour and turbidity. Urine specific gravity (USG) was measured using a manual refractometer (Bormac, Modena, Italy), and the chemical evaluation was carried out using a semi-quantitative dipstick test (Combur10Test, Roche Diagnostic, Mannheim, Germany). After centrifugation at 1500× g for 10 min, urine sediment was observed under both high (400×) and low microscopic fields (100×). Urine supernatants were divided into aliquots and stored in part at −20 °C for a maximum of 7 days for total proteins and creatinine determination, and in part at−80 °C for the subsequent proteomics analysis.
2.2. Urine Protein to Creatinine Ratio
Urine total proteins (uTP) and creatinine (uCr) were measured as reported by Spinella et al. (2023) [
9] using commercial kits (Urinary/CSF Protein, OSR6170, and Creatinine OSR6178, Olympus/Beckman Coulter, Atlanta, GE, USA) on an automated chemistry analyzser (AU 480, Olympus/Beckman Coulter, Atlanta, GE, USA). The urine protein:creatinine ratio (UPC) was calculated using the following formula: UPC = uTP (mg/dL)/uCr (mg/dL).
2.3. One-D-Electrophoresis
After thawing and centrifugation at 3000×
g for 10 min, the urinary proteins in the supernatants were separated using a sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) 4–12% system (NuPAGE, Thermo Fisher Scientific, Waltham, MA, USA) as previously described [
10]. SDS-PAGE is commonly used to obtain high-resolution separation of complex mixtures of proteins. The method initially denatures the proteins which will undergo electrophoresis and then separates them based on their molecular mass. Briefly, three µg of protein were loaded on 4–12% polyacrylamide gel in MOPS buffer with SDS (Thermo Fisher Scientific, Waltham, MA, USA). If the uTP concentration was lower than 0.100 µg/µL, urine was concentrated using spin columns with a molecular mass cut-off of 3 kDa (Vivaspin 500, Sartorius, Goettingen, Germany), following the manufacturer’s instructions. Each gel was also loaded with standard proteins of known molecular mass (Precision Plus Protein Standard, Biorad, Hercules, CA, USA). The gels were stained with Coomassie brilliant blue (PageBlu protein staining solution; Thermo Fisher Scientific, Waltham, MA, USA). After staining, each gel was digitalized (ChemidocMP, BioRad, Hercules, CA, USA), and pherograms were obtained using commercial software (ImageLab 5.2.1, BioRad, Hercules, CA, USA). The concentration of uromodulin and albumin in the respective bands was calculated using an internal standard of quantity as reported in [
11] and their ratios with creatinine (uUC and uAC), were calculated using the following formulas:
To better separate the low molecular mass (LMM) bands, two μg of protein for each sample were also loaded on 12% polyacrylamide gel in MOPS buffer with SDS (Thermo Fisher Scientific, Waltham, MA, USA) and electrophoresis was carried out following the procedure reported previously; gels were stained with silver nitrate (SilverQuest; Thermo Fisher Scientific). After staining, the gels were digitalized (ChemiDoc XRS+ system; Bio-Rad) and the electropherograms were obtained (ImageLab 5.2.1 software; Bio-Rad). As an internal standard, 10 ng of protein obtained from a solution containing 10 ng/µL of lactate dehydrogenase (LDH) (Sigma-Aldrich, Darmstadt, Germany) were added to each sample. Qualitative evaluation of protein profiles was performed by the calculation of the total number of bands in each sample, presenting a volume of the band greater than half the volume of the internal standard.
2.4. Statistical Analysis
The distribution and homoscedasticity of the variables in each group over time were assessed using the Shapiro-Wilk and Levene tests, respectively. If the distribution was not normal, the Friedman test was applied followed by the Nemenyi post-hoc test. Conversely, if the distribution was normal and the data had equal variances, ANOVA for repeated measures was performed. In addition, the Mauchly’s test for sphericity was applied and, if sphericity was not respected, the p-value of ANOVA was corrected using the Greenhouse-Geisser method.
Furthermore, to assess the effect of age on the variables, subjects were split in young adult (A) and old adult (S) dogs (the cut off was set at 5 years of age). T-test and Mann-Whitney test were performed for normal and not-normal distribution, respectively.
For variables related to proteinuria, the missing values at T2 were predicted by linear multiple regression for uromodulin, uTP, uCr and a linear simple regression model for albumin, respectively [
12]. The distribution and homoscedasticity of the residuals were assessed using the Shapiro-Wilk and Breusch-Pagan tests, respectively. In addition, the residuals of each model were evaluated through the visualization of ordinary least squares (OLS) plots visualisation. Multicollinearity was assessed by calculating variance inflation factor (VIF) coefficients. and values <5 were considered suitable for model formulation [
13]. The F-test of overall significance in regression was used to assess whether the linear regression model provided a better fit to the dataset than a model without predictor variables [
12]. Finally, the goodness-of-fit was assessed using R
2 adjusted and R
2 for linear multiple regression and linear simple regression models, respectively [
12]. The analysis and assessment of model characteristics are reported in
Table S1 as
Supplementary Materials.
In order to point out the proportion of albuminuria cases in dogs after training (T1) and after the recovery period (T2), the cumulative incidence was calculated with the following Equation (1) [
14].
A cut-off of uAC (*1000) ≥30 was chosen to detect albuminuria as reported by [
15].
Spearman correlation was used to assess the correlation between variables related to proteinuria (uromodulin, albumin, uTP, uCr, uUC, uAC, UPC) and age expressed in years at each time point [
14].
Statistical analyses were performed using R 4.3.2 (R foundation for statistical computing; Vienna, Austria;
https://www.R-project.org/, accessed on 21 March 2024). A
p-value < 0.05 was considered statistically significant.
4. Discussion
In this study, all included dogs were routinely trained for canicross activity and all recorded physiological parameters excluded any macroscopic alterations, that might allow the exclusion from competition. The mean pre-competition pulse rate was 79 ± 24.4 beats per minute. This parameter is commonly evaluated during the clinical examination and identification of dogs before the competition. Previous papers have reported similar values in working dogs [
16], while pulse rates were slightly lower in agility and sled dogs [
17,
18], probably related to different environmental conditions and types of exercise that results more similar to the condition observed in working dogs. The clinical evaluation was carried out in a quiet environment away from the start or competition area to provide a more objective evaluation, as it has been observed that pulse rate in working and sports dogs could increase in the pre-activity phase due to the anticipatory response to the competition-related excitement [
16,
19,
20].
Our decision to include only female dogs in the study was suggested by previously published results in order to obtain a more homogeneous group and to avoid possible physiological differences in the urinary proteome due to sex [
9,
21]. In particular, the physiological presence of two additional bands at the apparent MM of 18 and 12 kDa, identified as arginine esterase in the urine from entire male dogs [
9] causes an increase in proteinuria measured as UPC and consequently also in the USG compared to neutered male and female dogs. On the other hand, the entire/spayed status of the 12 females included in this study did not show a significant effect on the variables considered, as summarized in
Tables S3 and S4. Similarly, the age variable did not determine a significant difference in the parameters analyzed between the two groups of young adults and old adults at any of the times considered. Furthermore, no significant difference was found between the three time points in the subgroups for any of the parameter analyzed, probably due to the small sample size of subjects included in the subgroups themselves.
Among the parameters evaluated in urinalysis, the USG and the urine pH directly reflects the hydration status and the ability of the renal tubules to concentrate urine; under physiological conditions, intra- and inter-individual variations of these parameters are influenced by various biological factors such as age, sex, drinking avidity, micturition frequency, dietary moisture content, fasting status and the activity level and by environmental factors such as the temperature and humidity. Variations in USG and pH could represent a response to the stress for renal and muscular function and their monitoring can be considered an important and immediate approach to evaluate health status in athlete dogs. In this scenario, the interpretation of USG for an individual dog could be difficult, as the same values might be indicative of disease or simply due to individual variations; Current guidelines recommend performing USG assessment on urine collected in the morning when the animal is fasting, as this is likely to represent the most concentrated USG for that animal throughout the day [
22]. However, other authors did not find a significant difference in USG between the first morning or afternoon urine, although temporal variations are reported [
23]. The USG value determined in this study at T0 was similar to those reported in the literature for healthy dogs [
22,
23]. The same authors report a decrease in urinary USG in dogs with each increasing year of age [
22,
23]; however, in our study no significant difference in USG at T0 was observed when considering the two subgroups of young and old adults, although USG was slightly lower in the group of older dogs. After the competition, the USG decreased at both T1 and T2 compared to T0. This decrease could be related to the fact that the animals had different watering points after the competition, whereas the urine at T0 was collected in the early morning when the animals were resting and fasting. Furthermore, in their study, Van Vonderen et al. (1997) [
24] observed a significant difference in USG between the first morning urine and the afternoon urine, suggesting consistent temporal differences in USG, regardless of the physical exercise performed and the availability of water to drink.
The urine pH at T0 in all subjects was within the range (5.0–7.5) reported by several authors [
9,
25] for healthy dogs, with little variation between dogs. Despite the dynamic nature of urine pH, the uniformity in urine pH at the three time points was expected, because the dogs enrolled in the study were all healthy based on physical examination and urinalysis, and their owners reported no signs of urinary tract disease in the 6 months before and after the competition. In addition, urine samples were always collected early in the morning, by spontaneous voiding and from fasting animals; samples were also analyzed within 2 h of urination and kept on ice until analysis to limit any pH changes due to sample storage.
The urinary pH measured at T0 was significantly lower compared to T1 and T2, reaching a maximum value of 8.1 ± 0.2 after the competition. The values at each time point were also similar in all subgroups considered, regardless of age and sterilization. The increase in urine pH after physical exercise has also been reported by other authors after a 5 km run at 25 °C [
26] or after a search training session in military dogs [
9]. On the other hand, a decrease in pH to ≤5 after physical activity could indicate lactic acidosis and hypohydration [
27] in dogs that have not been adequately trained for intense exercise. The other urinary analytes determined using a semiquantitative dipstick test did not show any significant differences.
For the biomarkers of proteinuria, the absence of three data at T2 posed a problem because the statistical tests used in this study, such as Friedman’s test and ANOVA for repeated measures, use a listwise deletion, which requires an equal sample size at each time point as an assumption. For these reasons, and considering that the aim of the study was to evaluate possible changes in the urinary proteome after exercise, the authors decided to use simple regression and multiple regression to replace missing values and obtain a complete dataset at T2. As reported by Daniel et al. [
12], one of the main advantages of regression is in the field of prediction, which allows obtaining a prediction equation for a most likely value of Y for the determined values of X [
12]. Considering the strict relationship between the X values and the predicted Y, a complete dataset allows the application of a statistical analysis supported by a larger sample size and, thus, providing results paired with a high statistical accuracy and power.
Regarding proteinuria, numerous differences were found between sampling times for UPC, urinary albumin and uAC and the number of bands, with values at T1 significantly higher than those at T0 and T2; while for urinary uromodulin, values at T0 were significantly higher than those at T2. The assessment of proteinuria by UPC, which correlates with 24-h protein loss, has been reported by authors extensively [
9,
28,
29]. Bitches included in the study were non proteinuric before and after the competition according to the 0.2 cut-off reported by IRIS (International Renal Interest Society) [
30] and also had significantly higher UPCs after the exercise at T1, indicating an increase in proteinuria that was not detected using the dipstick test. Moreover, a positive correlation was found between age and UPC at T0 (
Table S4), which may be due to the fact that older dogs tend to present changes in renal function, as reported by other authors [
29]. The proteinuria post-exercise seems to be influenced by the intensity of the effort [
27]. If moderate exercise could cause an increase in the glomerular filtration, during intense efforts a mixed proteinuria could arise due to excessive glomerular filtration of HMM proteins and a low tubular reabsorption of LMM proteins [
26,
28].
In this study, SDS-PAGE electrophoresis was used for the qualitative and quantitative analysis of proteinuria. This electrophoretic method has some important advantages, including the fact that no antibodies are used and the possibility of analysing the concentration of different proteins in the same analytical session, resulting in lower analytical costs. In addition, the method is easy to perform and does not require specialized equipment, so it could be included in the clinical analytical routine. Urine albumin and uAC showed a similar trend over time. The calculation of uAC, based on urine creatinine levels, could be influenced by muscular mass and strength, in addition to renal function. Furthermore, in our study albumin and uAC were always significantly correlated and showed the same significant differences between the sampling times. For this reason, we believe that the dogs included in the study could be considered adequately trained for the competition as there are no variations in urinary creatinine concentration due to the effort, without affecting the calculation of albuminuria as uAC. Albuminuria is rarely used as a diagnostic marker to determine renal function in dogs and is usually measured by an immunoturbidimetric method based on monoclonal antibodies against human albumin [
28,
29,
31] and is therefore not species specific for species of veterinary interest.
Falus et al. (2022) [
31] reported a reference interval for UAC of 0.019 in clinically healthy dogs, with no differences due to age, breed, sex or body weight. In healthy humans the upper physiological reference limit for uAC is slightly higher at 0.03, and this value has been accepted in dogs by several authors [
15,
28]. This threshold was used in our study to calculate the cumulative incidence (
Figure 2) of subjects exceeding the threshold at T1 (50%) and at T2 (8%). This result clearly indicates that moderate endurance activity such as the described canicross competition, can induce transient proteinuria, that resolves spontaneously after one hour. The mechanisms reported by other authors to explain transient proteinuria after exercise are diverse and include hemodynamic changes in kidney vessel with an increase in glomerular permeability and a mild degree of inflammation and hypoxia [
9,
11,
15,
26]. However, in a meta-analysis study of the effects of exercise training on proteinuria in humans, Yang et al. (2020) [
32] found that exercise does not worsen proteinuria in adult CKD patients, although a beneficial effect is uncertain and limited to a narrow time interval comparing proteinuria before and after exercise. In dogs, uAC is a more sensitive marker of reduced renal function than serum creatinine or UPC [
29]. In our study, we also found a positive correlation between UPC and urinary albumin and uAC immediately after exercise at T1, but UPC was below the threshold value of 0.2 for healthy dogs, while uAC was found in the range of 0.03 and 0.3, which is considered indicative of microalbuminuria and similar to that reported in military dogs after a training session of search activity [
9]. These data confirm that physical exercise induces a transient reduction in renal function resulting in proteinuria, mainly characterized by albuminuria. Furthermore, with the more sensitive silver nitrate staining (
Figure 3), we observed at T1, a significantly higher number of bands, suggesting that the proteinuria after exercise is due to urinary of other proteins than albumin. Further studies are needed to identify the LMM proteins in urine after exercise.
SDS-PAGE electrophoresis also allowed us to measure the concentration of urinary uromodulin. Uromodulin is the most abundant urinary protein under physiological conditions in dogs and humans [
11,
33], produced by renal tubular epithelial cells, released into the lumen by a proteolytic cleavage and excreted in the urine [
34]. Low concentrations of uromodulin can also be measured in serum and its decrease in serum or urine is considered a promising marker of CKD [
11,
35]. In urine, uromodulin tends to form large aggregates and the determination of its concentration by ELISA is subject to serious bias [
34]. In contrast, the determination of urinary uromodulin concentration using SDS-PAGE electrophoresis does not present any difficulties and provides additional information on renal function without using invasive samples such as blood. In our study, urinary uromodulin showed values similar to those reported in dogs by Spinella et al. (2023) [
9], but after the competition a significantly lower concentration was found with respect to T0, suggesting the presence of a transient tubular impairment affecting the release of uromodulin in the urine. Moreover, uUC was negatively correlated with age at both T0 and at T2, while at T1 was positively correlated with UPC. The decrease in urinary uromodulin has also been previously observed in non-proteinuric stage 1 CKD dogs [
11]. The results of our study suggest that the urinary concentration of this protein could be considered as an early biomarker of renal impairment.