Table 1.
Humans—Perianal Crohn’s Disease | Ref. | Dogs—Anal Furunculosis | Ref. | ||
---|---|---|---|---|---|
Symptoms | Association of perianal disease with bowel inflammation | Established. Only about 5% of patients with perianal CD do not have concurrent luminal form of CD | [1] | Probable. 39% of dogs with diagnosed AF do not present histological symptoms of colitis or endoscopic signs of proctitis | [30] |
Perianal symptoms |
Fissures, skin tags, ulcers, abscesses, true fistulas with two openings, anal strictures |
[37] | Perianal blind sinuses, ulcerations, fistulas communicating with anal sac or anorectum (the incidence of true fistulas with two openings not established) |
[20] | |
Response to pharmacologic therapy | Antibiotics | Proven to reduce drainage of perianal fistulas, not to induce healing, recommended as adjunctive therapy | [37] | Efficacy not proven, sometimes used as adjunctive therapy | [20] |
Cyclosporine (CsA) | Efficacy not proven—not recommended | [2] | Proven efficacy—recommended | [38] | |
Thiopurine derivatives (i.e., azathioprin) |
Moderate efficacy—recommended | [39] | Moderate efficacy based on scant data, sometimes used if CsA therapy is not possible (due to economic reasons or availability problems) | [40] | |
Anti-TNF | Proven efficacy—recommended | [41] | Not tested, caninized anti-TNF not available |
||
Pathogenesis | Genetic factors | The role of genes encoding MHC molecules (generally for CD)—confirmed | [42] | the role of genes encoding MHC molecules (DLA-DRB1)—confirmed | [43] |
The role of SNPs in NOD2 (one of PPRs) (specifically in pCD) - confirmed |
[44] | The role of SNPs in chosen PPRs (including NOD2) failed to be confirmed |
[45] | ||
The role of TNF pathway genes (specifically for pCD)—confirmed | [33] | The role of TNF pathway not confirmed | [46] | ||
The role of other genes associated with cell adhesion, extracelullar matrix, scaffolding proteins or autophagy indicated (specifically for pCD) | [33] | 6 non-synonymous SNPs identified to be related to AF. The most significantly associated genes were ADAMTS16 and CTNND2 | [46] | ||
Intestinal microbiota | Association of gut microbiota with pCD confirmed. Dichotomy of microbiome into dysbiotic and non-dysbiotic reported |
[47] | Association of gut microbiota with AF confirmed. Dichotomy of microbiome into dysbiotic and non-dysbiotic reported | [48] | |
Disturbances in T cell mediated immunity | Association of abnormal T cell response with pCD confirmed. Excessive Th1 response; Excessive Th17 response |
[49] | Association of abnormal T cell response with AF confirmed. Excessive Th1 response; role of Th17 response not studied |
[31] | |
Metallo-proteinases (MMPs) | Elevated expression of MMP-2, MMP-9, and MMP-13 in pCD fistulas | [50] | Elevated expression of MMP9 and MMP13 but not MMP2 in perianal tissue of dogs with AF |
[36] | |
Epithelial-to-mesenchymal transition | The EMT process confirmed to be involved in the formation of CD-related fistulas | [51] | The association of EMT process and AF not studied |