Topic:Bilirubin
Bilirubin is a yellow compound that is a byproduct of the normal breakdown of red blood cells in horses. It is processed by the liver and excreted in bile. In equine medicine, bilirubin is an important parameter for assessing liver function and diagnosing conditions such as jaundice, liver disease, or hemolytic anemia. There are two primary forms of bilirubin measured in horses: unconjugated (indirect) and conjugated (direct) bilirubin. Elevated levels of bilirubin can indicate liver dysfunction or increased red blood cell destruction. This page compiles peer-reviewed research studies and scholarly articles that investigate the metabolism, diagnostic value, and clinical implications of bilirubin in equine health.
Alterations in selected serum biochemical constituents in equids after induced hepatic disease. Effects of induced cholestasis and hepatocellular necrosis and of fasting on serum biochemical constituents including bile acids, IgA, bilirubin, alkaline phosphatase, gamma-glutamyltransferase (GGT), arginase, and the clearance of sodium sulfobromophthalein were studied in 4 groups of equids. The reference value for serum bile acids, as determined by an enzymatic colorimetric procedure for horses and ponies was 5.94 +/- 2.72 mumol/L, there being no statistical difference for horses and ponies. Sample collection at time of feeding had no effect on serum bile acid concentration. Seemingly, seru...
Effects of plasma sample storage on blood ammonia, bilirubin, and urea nitrogen concentrations: cats and horses. Ten horses, a pony, and 13 cats were used to evaluate base-line blood ammonia, bilirubin, and urea nitrogen concentrations and to determine The effects of prolonged cold storage (-20 degrees C) before assay. Base-line plasma ammonia concentrations in cats (0.992 +/- 0.083 [SE] micrograms/ml) did not change significantly after 48 hours of storage (0.871 +/- 0.073 micrograms/ml); however, they were increased 4.2- and 13-fold after 168 and 216 hours of storage, respectively. In contrast to base-line plasma-ammonia values in cats, those of horses were significantly (0.265 +/- 0.044 micrograms/ml) ...
Hepatobiliary transport of indocyanine green and sulfobromophthalein in fed and fasted horses. Fasting is associated with unconjugated hyperbilirubinemia in several species, including the horse. Studies in ponies showed that a 3-day fast decreased plasma clearance of bilirubin, cholic acid, and sulfobromophthalein (BSP). Since these organic anions are conjugated with different substrates, it is possible that observed differences in plasma clearance result from a general decrease in hepatic conjugating capacity during the animals' fasting. To test this hypothesis, the effects of a 3-day fast on plasma clearance of IV injected BSP (4.4 to 5.1 mg/kg), which is conjugated to glutathione, an...
Enhanced biliary bilirubin excretion after heparin-induced erythrocyte mass depletion. The effect of large-dose heparin therapy on erythrocyte mass depletion in ponies was investigated to determine whether stimulation of reticuloendothelial cell activity and catabolic function would be evidenced by enhanced catabolism of heme to bilirubin. Ponies with chronic external biliary fistula were used to examine biliary excretion of bilirubin both before and after heparin loading (107 U/kg, IV, plus 320 U/kg, subcutaneously) and at maintenance dosages of 320 U/kg given (subcutaneously) at 12 and 24 hours after initial loading with heparin. Results indicated that by 48 hours after ponies...
Choledocholithotripsy in a mare. Obstructive choledocholithiasis in a 12-year-old mare was corrected surgically by choledocholithotripsy. The mare had a history of chronic weight loss, intermittent fever, partial anorexia, jaundice, recurrent abdominal pain, and an abdominal mass palpable per rectum. Values for alkaline phosphatase, bilirubin, gamma-glutamyl transferase, sorbitol dehydrogenase, and bromsulpthalein half-life were increased and bilirubinuria was evident before surgery. Two liver biopsies revealed periportal and portal fibrosis, bile duct proliferation, cholestasis, and variable amounts of hepatocellular necrosi...
Effects of isoflurane anesthesia on equine liver function. The acute 2-hour effects of isoflurane anesthesia on liver function and biliary excretion were examined in 2 ponies prepared surgically with chronic external biliary fistulas (T-tubes). Studies were conducted 2 to 8 months postoperatively with the enterohepatic circulation held intact between studies. Bile acid infusion IV (8.1 to 8.8 mumol/min) helped maintain bile flow and bile acid and bilirubin excretion during complete biliary diversion throughout each study. Following 3-hour control periods, anesthesia was induced and maintained at 1.3 to 1.5 minimal alveolar concentration plus O2 (spont...
Automated serum chemical analysis in the foal. Blood was collected from healthy Quarter Horse and Appaloosa foals at birth and at intervals until 18 weeks of age and then was processed in an automated system for serum chemical analysis, grouping the results by age. The test values were markedly different from those normally expected in adult horses. The greatest differences were in alkaline phosphatase, lactate dehydrogenase, glucose, and total bilirubin measurements. It was concluded that serum biochemical test results be compared with age-specific normal values before diagnoses are made in cases of illness.
Changes in plasma biochemistry in horses competing in a 160 km endurance ride. Plasma biochemical values were measured in 14 horses, before a 160 km endurance ride, immediately after 85 km, immediately after 160 km, after 30 min recovery period and the day after the ride. For statistical analysis, a group of 7 horses that completed the ride at a mean speed of 234 metres per min (m/min) (Fast Group) was compared with 7 horses that completed the ride at a mean speed of 144 m/min (Slow Group). Estimations were made of sodium, potassium, chloride, bicarbonate, glucose, creatinine, urea, bilirubin, iron, total protein, albumin, calcium, phosphate, cholesterol, alkaline phosph...
Effect of glucose administration on equine fasting hyperbilirubinemia. The effects of several treatments and their routes of administration on the reduction of hyperbilirubinemia in 9 pony mares after a 3-day fast were studied. Treatments were as follows: glucose given at doses of 1.2, 2.4, and 3.7 mg/min/kg of body weight; refeeding the base-line diet; feeding straw; and IV administration of taurocholic acid at a dosage of 0.07 mumol/min/kg. The 3 glucose dosages were each given by 3 different routes: IV, intraduodenal, and intragastric. The smallest dosage of glucose given by IV route reduced the plasma bilirubin concentration only 7%, even though other measure...
Haematological and plasma biochemical parameters in endurance horses during training. Eleven horses were studied throughout a 12 week training schedule. Serial blood samples were taken for haematological analysis and an extensive biochemical profile, including the following parameters: sodium, potassium, chloride, bicarbonate, glucose, creatinine, urea, bilirubin, iron, total protein, albumin, alkaline phosphatase, aspartate aminotransferase, creatine kinase, gamma glutamyl transferase, calcium phosphate and cholesterol. There were few significant changes detected and it was concluded that routine haematological and biochemical screening has no useful role in assessing the fitn...
Further studies on the metabolic effects of long distance riding: Golden Horseshoe Ride 1979. Blood samples were taken before and immediately after 80 km and 40 km rides held on consecutive days and analysed for haematocrit, blood glucose and lactate, plasma sodium, potassium, calcium, albumin, free fatty acids (FFA), glycerol, bicarbonate, insulin, cortisol, glucagon, urea, creatinine, uric acid, bilirubin and alkaline phosphatase. Unusually hot weather probably contributed to haemoconcentration with a significant (P < 0.001) increase in haematocrit and plasma albumin. A fall in blood glucose, with a rise in FFA and glycerol were consistent with long distance riding and were associ...
Effect of dehydrocholic, chenodeoxycholic, and taurocholic acids on the excretion of bilirubin. The effects of IV bile acid infusion (at approx 20% of normal excretion rate) on the biliary excretion of 3-alpha-hydroxy bile acids and bilirubin were investigated in ponies prepared surgically with chronic external biliary fistulas. Endogenous bile acid excretion (approx 45 mumol/min) decreased to the hepatic synthesis rate (approx 1.5 mumol/min) during the initial 4 to 5 hours of bile drainage. In type 1 studies, both chenodeoxycholic and taurocholic acid infusion (8 to 9 mumol/min) increased bilirubin excretion by 58% to 82% following 5 hours of biliary diversion. During type 2 studies, 3-...
Direct measurement of biliary bilirubin excretion in ponies during fasting. Biliary excretion of bilirubin, including the conjugate composition, was studied during feeding and during a 2.5-day fast of three pony mares with chronic external biliary (T-tube) fistulas. Fasting bilirubin excretion (1.96 +/- 0.74 microgram/min/kg of body weight), after establishing a new steady state, was not different from excretion during feeding (1.99 +/- 0.45 microgram/min/kg). Hyperbilirubinemia of fasting resulted from a reduced removal of plasma bilirubin rather than from an increased input of bilirubin into the plasma. Relative plasma excretion of the individual conjugate fractions...
Hematological and biochemical values of thoroughbred foals in the first six months of life. Hematological and biochemical parameters in five Thoroughbred foals during the first six months of life are reported. The samples were analyzed for red blood cell, packed cell volume, hemoglobin, platelet, white blood cell, absolute number for leukocytes, and erythrocyte fragility and serum calcium, inorganic phosphorus, sodium, potassium, chloride, magnesium, alkaline phosphatase, icterus index unit, bilirubin, blood urea nitrogen, nonprotein nitrogen, blood glucose, lacticdehydrogenase, glutamic pyruvic transaminase, glutamic oxalacetic transaminase, total protein, albumin, globulin, and A/G...
Plasma biochemistry alterations in horses during an endurance ride. The effects of prolonged strenous exercise on the plasma concentrations of sodium, potassium, calcium, chloride, bicarbonate, phosphate, albumin, cholesterol, glucose, creatinine, bilirubin, alkaline phosphatase, creatine phosphokinase, lactic dehydrogenase and asparate amino transferase were studied in a group of 26 horses competing in an endurance ride. There were significant changes in most parameters, when control values were compared with those taken immediately after the ride. There was also a significant correlation between several biochemical parameters and heart rate taken 30 minutes ...
Effect of bile acid on hepatic excretion and storage of bilirubin in ponies. Endogenous bilirubin uptake from plasma and biliary bilirubin excretion were determined in ponies with chronic biliary T-tube fistulas. Excreted bile was quantitatively recovered. Uptake was calculated from the plasma disappearance of 14C-labeled bilirubin. Biliary bilirubin excretion was determined directly in excreted bile. When bile acid excretion was low (during continuous drainage without bile acid replacment), bilirubin excretion was 37% less than uptake. Uptake and excretion were essentially identical when taurocholic acid was infused to replace bile acids. After depletion of the bile a...
Levels of some chemical constituents in normal horse sera. THE chemical analyses reported in this paper arc the result of an investigation on the sera of thirty normal horses from a heavy draught horse stable in Glasgow. Determinations have been made of scrum proteins (albumin and total globulin), alkaline phosphatase, bilirubin, calcium, magnesium, inorganic phosphate and urea. Estimations of some of these constituents have already been carried out by a number of workers, but in the majority of cases the investigation has been confined to one or two constituents relevant to the problem being studied, and many of the data available are a by-product of...