title: A "Pedi" Cures All: Toenail Trimming and the Treatment of Ulcerative Dermatitis in Mice.
abstract: Ulcerative Dermatitis (UD) is the most common cause of unplanned euthanasia in mice used in research, with prevalence rates reported between 4 and 21%. UD is characterized by a deep, ulcerative lesion that appears most commonly over the dorsal neck and is attendant with an intense pruritus. The underlying cause of UD is currently unknown, and as a consequence, there are no directed therapies that resolve lesions reliably. However, there is a growing body of evidence that suggests a behavioral component to the onset, maintenance, and progression of UD lesions. Scratching behavior in response to the intense pruritus associated with UD lesions may be an effective target for interventional therapies. We hypothesized that interfering with scratching behavior by trimming the toenails of mice with UD, would resolve UD lesions. To test this hypothesis, we first evaluated the efficacy of toenail trims with a single application of Vetericyn at the time of treatment versus our previous standard of care, topical Tresaderm applied daily. We found that toenail trims were significantly more effective at resolving lesions (n = 39 toenail trims, n = 100 Tresaderm, p<0.0001) with 93.3% of animals healing by 14 days (median time to lesion resolution). Furthermore, dorsal neck lesions did not recur by 42 days after a single toenail trim (n = 54); however, flank lesions did not resolve and the outcome of the two lesion distributions following treatment were significantly different (p<0.0001). Finally, we implemented toenail trims at an institutional level and found similar efficacies (approximately 90%) for toenail trims regardless of one-time topical supplement used (triple antibiotic ointment, Tresaderm, and Vetericyn, n = 55, 58, 18, p = 0.63). This is the first report of a highly effective treatment for one of the most serious welfare issues in laboratory mice.
authors.affiliation: Department of Comparative Medicine, Stanford University, Stanford, California, United States of America.
authors.forename: Sean C
authors.initials: SC
authors.lastname: Adams
authors.affiliation: Department of Comparative Medicine, Stanford University, Stanford, California, United States of America.|(By Courtesy) Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, United States of America.
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Garner
authors.affiliation: Department of Comparative Medicine, Stanford University, Stanford, California, United States of America.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Felt
authors.affiliation: Department of Comparative Medicine, Stanford University, Stanford, California, United States of America.
authors.forename: Jerome T
authors.initials: JT
authors.lastname: Geronimo
authors.affiliation: Department of Comparative Medicine, Stanford University, Stanford, California, United States of America.
authors.forename: David K
authors.initials: DK
authors.lastname: Chu
mesh_terms: D000287:Administration, Topical; D000818:Animals; D003872:Dermatitis / Q000401:mortality / Q000473:pathology* / Q000662:veterinary; D006724:Hoof and Claw / Q000502:physiology*; D053208:Kaplan-Meier Estimate; D016015:Logistic Models; D051379:Mice; D008810:Mice, Inbred C57BL; D012008:Recurrence; D012376:Rodent Diseases / Q000401:mortality / Q000473:pathology; D016896:Treatment Outcome