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==Consequences of Taurine Deficiency==
 
==Consequences of Taurine Deficiency==
[[Image:174223 Right4.jpg|right|200px|thumb|There is an area of tapetal hyperreflectivity surrounded by hyporeflectivity in the lateral tapetal fundus located at the area centralis.]]
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[[Image:174223 Right4.jpg|right|300px|thumb|There is an area of tapetal hyperreflectivity surrounded by hyporeflectivity in the lateral tapetal fundus located at the area centralis.]]
[[File:Taurine-deficient cat.jpg|right|200px|thumb|A 2D echocardiography image of taurine deficiency related dilated cardiomyopathy.]]
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[[File:Taurine-deficient cat.jpg|right|300px|thumb|A 2D echocardiography image of taurine deficiency related dilated cardiomyopathy.]]
[[File:Kitty barty LVtxt.jpg|right|200px|thumb|An M-mode echocardiography image from the same cat as above.]]
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[[File:Kitty barty LVtxt.jpg|right|300px|thumb|An M-mode echocardiography image from the same cat as above.]]
 
===Dog:===  
 
===Dog:===  
 
Taurine-deficient DCM has been reported in dogs<ref name="Fascetti">Fascetti AJ, et al. Taurine deficiency in dogs with dilated cardiomyopathy: 12 cases (1997-2001). JAVMA 2003;223:1137-1141.</ref><ref name="Belanger">Belanger MC, et al. Taurine-deficient dilated cardiomyopathy in a family of golden retrievers. JAAHA 2005;41:284-91.</ref><ref name="Kittleson">Kittleson MD, et al. Results of the multicenter spaniel trial (MUST): taurine- and carnitine-responsive dilated cardiomyopathy in American cocker spaniels with decreased plasma taurine concentration. JVIM 1997;11:204-211.</ref><ref name="Backus">Backus RC, et al. Low Plasma Taurine Concentration in Newfoundland Dogs is Associated with Low Plasma Methionine and Cyst(e)ine Concentrations and Low Taurine Synthesis. J Nutr 2006;136:2525-2533.</ref>. This can occur despite being fed commercial diets labelled as complete and balanced when the diet provides inadequate supply of sulphur amino acids without additional taurine supplementation; contains poorly digestibly proteins<ref name="Torres">Torres CL, et al. Taurine status in normal dogs fed a commercial diet associated with taurine deficiency and dilated cardiomyopathy. JAPAN(Berl) 2003;87:359-72.</ref>; contains a higher fibre content that promotes a high faecal losses of bile salts<ref>Delaney SJ, et al. Plasma and whole blood taurine in normal dogs of varying size fed commercially prepared food. JAPAN(Berl) 2003 Jun;87(5-6):236-44.</ref>; or is fed to a large breed dog with a low capacity for synthesis of taurine<ref name="Backus"/><ref>Ko KS, et al. Differences in taurine synthesis rate among dogs relate to differences in their maintenance energy requirement J Nutr 2007;137:1171–1175.</ref>. Regardless of cause, taurine supplementation in these dogs appears to reverse some of the changes in cardiac function<ref name="Fascetti"/><ref name="Belanger"/><ref name="Kittleson"/>. Taurine supplementation is recommended for all dogs presenting with DCM until taurine deficiency has been ruled out.  
 
Taurine-deficient DCM has been reported in dogs<ref name="Fascetti">Fascetti AJ, et al. Taurine deficiency in dogs with dilated cardiomyopathy: 12 cases (1997-2001). JAVMA 2003;223:1137-1141.</ref><ref name="Belanger">Belanger MC, et al. Taurine-deficient dilated cardiomyopathy in a family of golden retrievers. JAAHA 2005;41:284-91.</ref><ref name="Kittleson">Kittleson MD, et al. Results of the multicenter spaniel trial (MUST): taurine- and carnitine-responsive dilated cardiomyopathy in American cocker spaniels with decreased plasma taurine concentration. JVIM 1997;11:204-211.</ref><ref name="Backus">Backus RC, et al. Low Plasma Taurine Concentration in Newfoundland Dogs is Associated with Low Plasma Methionine and Cyst(e)ine Concentrations and Low Taurine Synthesis. J Nutr 2006;136:2525-2533.</ref>. This can occur despite being fed commercial diets labelled as complete and balanced when the diet provides inadequate supply of sulphur amino acids without additional taurine supplementation; contains poorly digestibly proteins<ref name="Torres">Torres CL, et al. Taurine status in normal dogs fed a commercial diet associated with taurine deficiency and dilated cardiomyopathy. JAPAN(Berl) 2003;87:359-72.</ref>; contains a higher fibre content that promotes a high faecal losses of bile salts<ref>Delaney SJ, et al. Plasma and whole blood taurine in normal dogs of varying size fed commercially prepared food. JAPAN(Berl) 2003 Jun;87(5-6):236-44.</ref>; or is fed to a large breed dog with a low capacity for synthesis of taurine<ref name="Backus"/><ref>Ko KS, et al. Differences in taurine synthesis rate among dogs relate to differences in their maintenance energy requirement J Nutr 2007;137:1171–1175.</ref>. Regardless of cause, taurine supplementation in these dogs appears to reverse some of the changes in cardiac function<ref name="Fascetti"/><ref name="Belanger"/><ref name="Kittleson"/>. Taurine supplementation is recommended for all dogs presenting with DCM until taurine deficiency has been ruled out.  
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