An evaluation of the effect of clotting on the relationship between copper and caeruloplasmin in bovine blood

The ratio of caeruloplasmin activity to copper concentration (CP:Cu) has been suggested as a more accurate determinant of the requirement for additional copper than plasma or liver copper concentrations. Although this test has no peer-reviewed evidence of efficacy, it has been used by a large number of UK veterinarians. However, the available test uses a serum caeruloplasmin (sCP) activity to plasma copper (pCu) concentration ratio which, because of the preferential loss of caeruloplasmin during clotting, is likely to underestimate the true CP:Cu, although it has been suggested that the marginal range accounts for this. This study was undertaken to evaluate the effect of using serum copper (sCu) rather than pCu concentrations in calculating CP:Cu. Using sCu rather than pCu increased CP:Cu by more than was accounted for by the marginal range. Of 48 cattle which were reported as ‘low’ using sCP:pCu, 22 were ‘normal’ when sCu was used instead of pCu. All herds with ‘marginal’ or ‘low’ mean CP:Cu when the sCP:pCu concentration ratio was used had ‘normal’ ratios when sCu was used instead of pCu.