J.C. Haffner

Effect of a single dose of dexamethasone on glucose homeostasis in healthy horses by using the combined intravenous glucose and insulin test.

Sustained dexamethasone administration to horses results in insulin resistance, which may predispose them to laminitis. A single dose of dexamethasone is commonly used as a diagnostic aid, yet the effect of a single dose of dexamethasone on glucose homeostasis in horses is not well defined. The objective of this study was to characterize the change in glucose dynamics over time in response to a single dose of dexamethasone. A combined glucose-insulin tolerance test (CGIT) was performed on 6 adult geldings before and at 2, 24, and 72 h postdexamethasone (40 microg/kg of BW, i.v.); a minimum of 1 wk of rest was allowed between treatments. Before any treatment, the CGIT resulted in a hyperglycemic phase followed by a hypoglycemic phase. Dexamethasone affected glucose dynamics in 3 ways: 1) at 2 h, dexamethasone shortened the ascending branch of the negative phase (P < 0.001) of the test, indicating moderate insulin resistance; 2) at 24 h, dexamethasone impaired glucose clearance by extending the positive phase and eliminating the negative phase while insulin was elevated before the CGIT, indicating a decreased response to insulin; and 3) at 72 h, dexamethasone caused a deeper nadir value (P < 0.001) compared with predexamethasone, indicating an increased response to insulin. It was concluded that dexamethasone decreased the response to insulin as early as 2 h and maximally at 24 h. At 72 h, dexamethasone caused an increased response to insulin, which was unexpected.

Equine retained placenta: Technique for and tolerance to umbilical artery injections of collagenase

Under laboratory conditions and in clinical experiments, bacterial collagenase has proven to be effective in hydrolyzing placenta and detaching cotyledon from caruncle in the bovine species. Laboratory studies in which placental samples were incubated with collagenase have also demonstrated that collagenase is 3.7 times more effective in hydrolyzing equine placenta than bovine placenta. This led to the hypothesis that collagenase may be a potential treatment for mares with retained placenta. However, that collagenase may hydrolyze the uterine wall and perforate the uterus was a concern. It was the purpose of this study thus to determine any adverse effects of collagenase on the equine uterus and to develop a method for intraplacental injection of collagenase. Three normally expelled intact placentas from Arabian mares, 10 cyclic mixed-breed mares, and 4 mares of various breeds with retained placenta were used. Fluoroscein dye and latex were used to study the placental vasculature and to determine a suitable dose of collagenase; placentas were hydrolyzed by collagenase solution in vitro. Bacterial collagenase solution (40,000 units, 200 ml) was infused into the uterine lumen of each cyclic mare. Uterine biopsies were obtained from the mares before collagenase infusion and again at 16 h and 26 d after infusion. In the mares with retained placenta, each placenta was infused via its umbilical cord vessels with 200,000 units of bacterial collagenase in 1 L of saline. Results showed that none of the uteri from cyclic mares were damaged by collagenase treatment. During a 4-wk period of monitoring (including endoscopy) mares with retained placenta did not show any abnormalities. Retained placentas were expelled in less than 6 h after collagenase treatment. It was concluded that intraplacental injections of collagenase are a safe and potentially effective treatment for retained placenta in mares.

The potential of collagenase as a new therapy for separation of human retained placenta: Hydrolytic potency on human, equine and bovine placentae

The purpose of this study was to determine to what degree bacterial collagenase may digest human placentae compared to equine and bovine placentae. Placenta samples from human, equine and bovine were incubated with bacterial collagenase solution at various concentrations. The degree of hydrolysis and collagen breakdown was measured by the release of total proteins and hydroxyproline into the incubation media. Also, whole placentae were injected via umbilical cord arteries with collagenase solution (200 U/ml, 200 ml total volume in human and 1000 ml in equine) and hydrolysis determined chemically and subjectively. Human and equine placental collagens were the most sensitive to collagenase digestion. Overall mean collagenase activity determined by the release of hydroxyproline from human placenta was 1.6 times and in equine placenta three times greater than in bovine placenta, while the breakdown of non-collagenous proteins remained negligible. When injected into whole placenta, the collagenase digested placentae evenly within 6-12 h. At 24 h, placentae were liquefied, although, umbilical blood vessels resisted collagenase digestion. Bacterial collagenase was highly effective in breaking down human placenta collagen. Intraplacental injections of collagenase via umbilical cord arteries may help to detach retained placenta in women as it does in mares and cows.

Blood steroid concentrations in domestic Mongolian horses.

Traditionally, analysis of blood cortisol alone has been used to evaluate adrenal function. Currently, multisteroid analyses are considered more informative than analysis of a single hormone to assess adrenal function. The objective of the present research was to create a database for steroid reference values for domestic Mongolian horses. Seven adrenal steroid levels were determined in the blood of 18 colts, 34 stallions, 25 geldings, 17 fillies, and 29 mares. Results were as follows (lowest and highest group median, in nanograms per milliliter): progesterone: <0.030 (fillies), 4.30 (mares), and 0.070 (all horses); 17-OH-progesterone: 0.070 (colts), 0.520 (mares), and 0.110 (all horses); androstenedione: 0.101 (colts), 0.256 (stallions), and 0.181 (all horses); testosterone: <0.040 (mares, stallions, and fillies), 0.040 (geldings and colts), and <0.40 (all horses); estradiol: 0.066 (stallions), 0.093 (fillies), and 0.085 (all horses); cortisol: 23.040 (colts), 70.210 (geldings), and 50.770 (all horses); and aldosterone: 0.018 (colts), 0.297 (geldings), and 0.191 (all horses). Overall medians indicate that cortisol (98.70%) is the predominant steroid, followed by aldosterone (0.37%), androstenedione (0.35%), 17-OH-progesterone (0.21%), estradiol (0.17%), progesterone (0.14%), and testosterone (0.06%). This information provides adrenal and gonadal steroid reference concentrations to assist in physiological characterization and diagnosis of endocrine disorders in domestic Mongolian horses.

The Application of the Self-Adjusting Palmar Angle Shoe for the Promotion of Sole Growth in Horse Feet

Abstract The objective of this case study was to determine if applying a self-adjusting palmar angle shoe (SAPAS) influenced sole thickness in horses as compared to using flat shoes or leaving horses unshod. Eighteen horses were allocated into 3 groups of 6 horses each. The front feet of the horses in 2 groups were shod with either a SAPAS or flat shoe in a 2 x 2 factorial crossover design with 5-wk periods. The third group remained unshod for the study. At the beginning and end of each period, the horses’ front feet were radiographed to measure the sole thickness, as determined to be the distance between the sole and the distal tip of the third phalanx, and its change over time. The sole thickness of the horses shod with either shoe increased more than the sole thickness of the unshod horses (P = 0.003). Sole thickness increased when a SAPAS was applied after the flat shoe (P = 0.003), and sole thickness decreased when a flat shoe was applied after a SAPAS (P = 0.003).

Lower Motor Neuronopathy in a Dutch Belted-Sembra Bull

the urogenital system.1 The natural reservoir of streptococcal strains pathogenic for cats is unknown, as is the prevalence of this organism in the cat population. Although group G streptococci are considered part of the normal flora of skin, pharynx, upper respiratory tract, vagina, and prepuce in cats,2 the source of the outbreak described here could not be determined. A common route of infection for pyothorax is via trauma to the thoracic cavity; however, no visible evidence of thoracic injury was found in either of the animals. Bacterial organisms causing pyothorax include Pasteurella multocida and Nocardia asteroides. These infections are often secondary to primary viral infections, e.g., with feline herpesvirus and calicivirus. Group G streptococcal tonsilitis and cervical lymphadenitis with resultant pulmonary thromboembolism and infarct has been described in juvenile cats,2 but tonsilitis, cervical lymphadenitis, and pulmonary thromboembolism and infarct were not seen in the 2 cats examined. Nevertheless, infection of cervical lymph nodes with group G streptococci and subsequent lymphatic spread, resulting in pyothorax, pleuritis, and pneumonia, could not be completely ruled out. Because infections with Lancefield group G streptococci have been reported in humans,6 all personnel working in the cat colony were asked to submit throat swabs for bacterial culture. No beta-hemolytic group G streptococci were recovered from those swab cultures. Acknowledgements. We thank Bonita Vera, Sharon Young, Nancy Kanitz, Paula Kulma, Kim Greenfield, Beverly Coleman, and Mary Faderan for their technical assistance in isolating group G streptcocci.