Analyze Diet

Topic:Kidneys

The kidneys in horses are vital organs responsible for filtering waste products from the blood, regulating fluid and electrolyte balance, and maintaining acid-base homeostasis. They perform essential functions in the excretion of metabolic waste, such as urea and creatinine, and play a role in the regulation of blood pressure through the renin-angiotensin-aldosterone system. The kidneys also contribute to erythropoiesis by producing erythropoietin, a hormone that stimulates red blood cell production. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and pathophysiology of equine kidneys, as well as their role in overall equine health and disease management.
Rhabdomyolysis and Acute Renal Failure Associated with Oxytetracycline Administration in Two Neonatal Foals Affected by Flexural Limb Deformity.
Veterinary sciences    October 22, 2020   Volume 7, Issue 4 160 doi: 10.3390/vetsci7040160
Ellero N, Freccero F, Lanci A, Morini M, Castagnetti C, Mariella J.Oxytetracycline (OTC) administration has become a frequent practice in equine neonatology for the treatment of flexural limb deformity. The cause of this condition remains unclear but clinical studies revealed that following IV administration of OTC a relaxation of the metacarpophalangeal joint occurs in foals affected by flexural deformity. Studies concluded that OTC administration in neonatal foals did not adversely affect the kidneys. Other adverse effects of OTC have never been reported. This report presents two cases with different outcomes of 3-day-old foals which presented acute collaps...
Serum symmetric dimethylarginine concentration in healthy horses and horses with acute kidney injury.
BMC veterinary research    October 20, 2020   Volume 16, Issue 1 396 doi: 10.1186/s12917-020-02621-y
Siwinska N, Zak A, Slowikowska M, Niedzwiedz A, Paslawska U.There are limited options to diagnose acute kidney injury (AKI) in horses. Symmetric dimethylarginine (SDMA) is routinely used in human and small animal medicine. The aim of this study was to assess serum SDMA concentrations in healthy horses and horses with AKI. The objective of this study was to evaluate the association of: 1) age, 2) sex, 3) body weight and 4) serum creatinine and urea levels on serum SDMA concentrations. Fifty-three healthy horses, including 17 foals (2-6 months of age) and 36 adult horses (3-29 years of age), and 23 horses with AKI were included in the study based on ...
Evaluation of podocin in urine in horses using qualitative and quantitative methods.
PloS one    October 15, 2020   Volume 15, Issue 10 e0240586 doi: 10.1371/journal.pone.0240586
Siwińska N, Pasławska U, Bąchor R, Szczepankiewicz B, Żak A, Grocholska P, Szewczuk Z.No sensitive method for diagnosing early kidney dysfunction in horses has been identified so far. Many studies carried out in humans and small animals show that podocin can be useful to diagnose various kidney diseases, mainly affecting the glomeruli. The aim of this study was to perform a qualitative and quantitative analysis of podocin in urine samples obtained from healthy horses, horses with clinical kidney dysfunction and horses at risk of acute kidney injury. The study objectives aimed to assess: (1) whether the selected podocin tryptic peptide for LC-MS-MRM allows for podocin detection ...
Expression of Phosphatonin-Related Genes in Sheep, Dog and Horse Kidneys Using Quantitative Reverse Transcriptase PCR.
Animals : an open access journal from MDPI    October 5, 2020   Volume 10, Issue 10 1806 doi: 10.3390/ani10101806
Dittmer KE, Heathcott RW, Marshall JC, Azarpeykan S.The aim of this preliminary study was to determine the relative expression of phosphatonin pathway-related genes in normal dog, sheep and horse kidneys and to explore the relationships between the different genes. Kidneys were collected post-mortem from 10 sheep, 10 horses and 8 dogs. RNA was extracted, followed by reverse transcriptase quantitative polymerase chain reaction for fibroblast growth factor receptor 1 IIIc (), sodium-phosphate co-transporter () 1 (), (), (), parathyroid hormone 1 receptor (), klotho (), vitamin D receptor (), 1a-hydroxylase () and 24-hydroxylase (). was highly ...
Retroperitoneoscopy in the horse: Anatomical study of the retroperitoneal perirenal space and description of a surgical approach.
Equine veterinary journal    June 24, 2020   Volume 53, Issue 2 364-372 doi: 10.1111/evj.13293
Pujol R, De Fourmestraux C, Symoens A, Branchereau J, Tessier C.Surgical approaches to the kidneys and perirenal structures are uncommonly performed in horses and several complications have been described with the current procedures. Objective: To describe the anatomy of the retroperitoneal perirenal space and investigate a retroperitoneal minimally invasive approach to access the kidney and perirenal structures in horses. Methods: Descriptive, cadaveric study. Methods: Anatomical description of the retroperitoneal space was performed on three equine cadavers and the surgical approach was developed based on these dissections. Ten cadaveric horses underwent...
[Ultrasonography in neonatal foals: Depiction and measurement of the kidneys].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 23, 2020   Volume 48, Issue 2 98-105 doi: 10.1055/a-1115-8326
Nieth J, Krohn J.Aim of the study was to describe the echotexture and dimensions of the kidneys including the renal pelvis in neonatal foals using transabdominal sonography. Methods: In the course of a preliminary examination, sonographic examinations of the kidneys of 10 dead newborn foals were performed in order to determine their localization, measurement parameters, and echotexture. In subsequent necropsies, the kidneys were measured and the obtained values were compared with the sonographic measurements. A high level of agreement between the both measurement values could be demonstrated. In the main exami...
Pharmacokinetics and pharmacodynamics of clodronate disodium evaluated in plasma, synovial fluid and urine.
Equine veterinary journal    February 21, 2020   Volume 52, Issue 5 725-732 doi: 10.1111/evj.13244
Krueger CR, Mitchell CF, Leise BS, Knych HK.Clodronate is a non-nitrogenated bisphosphonate approved for use in horses. There are no peer-reviewed published reports describing the pharmacokinetics or evaluating renal health indices and urinary excretion patterns in conjunction with plasma and synovial fluid concentration following the systemic administration of clodronate to horses. Objective: Describe clodronate concentrations in plasma, urine and synovial fluid and evaluate the effects on renal indices after intramuscular administration to healthy horses. Methods: Experimental study with repeated measures. Methods: Six healthy adult h...
Doppler evaluation of renal resistivity index in healthy conscious horses and donkeys.
PloS one    February 6, 2020   Volume 15, Issue 2 e0228741 doi: 10.1371/journal.pone.0228741
The renal resistive index (RRI) is used as a measurement of downstream resistance in arteries. The aim of this study was to assess the RRI of the arcuate arteries by pulsed-wave Doppler ultrasonography in healthy conscious horses and donkeys, and to verify any differences related to age, breed, bodyweight (BW) or body condition (BCS). Thirty-three healthy conscious horses and nine donkeys had their systolic and diastolic flow velocities at the level of the arcuate arteries estimated by pulsed-wave Doppler ultrasound, and the RRI was calculated. The relationship of RRI with age, breed (Trotters...
Acute kidney injury due to Leptospira interrogans in 4 foals and use of renal replacement therapy with intermittent hemodiafiltration in 1 foal.
Journal of veterinary internal medicine    January 30, 2020   Volume 34, Issue 2 1007-1012 doi: 10.1111/jvim.15713
Fouché N, Graubner C, Lanz S, Schweighauser A, Francey T, Gerber V.Four 2-month-old foals were presented to an equine hospital with acute kidney injury caused by Leptospira interrogans infection. Clinical signs were nonspecific and included lethargy, fever, and unwillingness to nurse. The most important hematologic and clinicopathologic findings were azotemia, anemia, thrombocytopenia, hyponatremia, and hypochloremia. The diagnosis was based on urinary real-time PCR, serology using a microscopic agglutination test, or both. The most important serovars involved were L. interrogans serogroup australis serovar Bratislava and Australis. Treatment consisted of IV ...
Evidence of Leptospiral Presence in the Cumberland Gap Region.
PLoS neglected tropical diseases    December 26, 2019   Volume 13, Issue 12 e0007990 doi: 10.1371/journal.pntd.0007990
Verma A, Beigel B, Smola CC, Kitts-Morgan S, Kish D, Nader P, Morgan J, Roberson J, Christmann U, Gruszynski K, Brandt L, Cho E, Murphy K, Goss R.Leptospirosis is a widespread zoonotic disease that causes reproductive losses and/or hepatorenal failure in a number of animal species. Wild reservoirs of the disease, such as rodents, harbor the causative bacterium, Leptospira spp., in their kidneys and contaminate the environment by excreting infected urine. In this study, we tested small wild mammals, environmental water, and livestock in the Cumberland Gap region of southeastern Appalachia for the presence of pathogenic Leptospira or leptospiral antibodies. Small wild mammals (n = 101) and environmental water samples (n = 89) were screene...
An assessment of the utility and repeatability of the renal resistive index in horses.
PloS one    December 26, 2019   Volume 14, Issue 12 e0226941 doi: 10.1371/journal.pone.0226941
Siwinska N, Zak A, Slowikowska M, Szczepankiewicz B, Niedzwiedz A, Paslawska U.The aim of this study was to establish the value of the renal resistive index (RI) of intrarenal arteries in healthy warmblood non-racing horses of different ages to assess the influence of physiologic factors and repeatability of measurement. The kidney ultrasonography examination was performed in three age groups: 15 foals, 15 adults and 15 elderly horses. The procedure was performed in unsedated standing animals. RI values were measured using pulsed-wave Doppler at the medial part of each kidney in the intrarenal arteries. To evaluate repeatability, all measurements were repeated two hours ...
Erratum for Estimation of glomerular filtration rate by plasma clearance of iohexol in healthy horses of various ages.
Journal of veterinary internal medicine    December 24, 2019   Volume 34, Issue 1 531 doi: 10.1111/jvim.15682
No abstract available
Prenatal Diagnosis of Megacystitis and Hydronephrosis in an Equine Fetus: How Transabdominal Ultrasonography Can Help to Diagnose Fetal Abnormalities.
Journal of equine veterinary science    November 29, 2019   Volume 85 102877 doi: 10.1016/j.jevs.2019.102877
Denys M, Thomas-Cancian A, Tortereau A, Josson-Schramme A, Buff S.Premature udder development constitutes an alarm signal in pregnant mares. The objective of this clinical case report is to highlight the importance of transabdominal ultrasound examination of the fetus in these cases and to report a unique case of prenatal diagnosis of obstructive uropathy based on the observation of severe fetal hydronephrosis and megacystitis in utero. A 4-year-old French chaser primiparous mare was referred for evaluation of premature udder development during the ninth month of pregnancy. The mare had clinical signs within normal limits, a developed and sensitive udder wit...
Estimation of glomerular filtration rate by plasma clearance of iohexol in healthy horses of various ages.
Journal of veterinary internal medicine    October 30, 2019   Volume 33, Issue 6 2765-2769 doi: 10.1111/jvim.15642
Plasma clearance of iohexol is a reliable method to assess the glomerular filtration rate (GFR). The relationship between aging and GFR in horses is unclear. To compare GFR estimated by iohexol clearance in horses of different ages. Twenty-one clinically healthy horses were enrolled. Prospective study. Groups: (A) composed by 8 young horses (≤14 years old) with serum creatinine <1.5 mg/dL, (B) by 7 aged horses (≥20 years old) with serum creatinine <1.5 mg/dL, and (C) by 6 aged horses (≥20 years old) with serum creatinine ≥1.5 mg/dL. Iohexol was injected (75.5 mg/kg) through...
Epitope Analysis of an Antihorse Podoplanin Monoclonal Antibody PMab-219.
Monoclonal antibodies in immunodiagnosis and immunotherapy    October 22, 2019   Volume 38, Issue 6 266-270 doi: 10.1089/mab.2019.0034
Kato Y, Sayama Y, Sano M, Kaneko MK.Podoplanin (PDPN), which is a mucin-type membrane glycoprotein, is expressed on lymphatic endothelial cells and epithelial cells of many organs. PDPN is also overexpressed in several malignant cancers, and its expression is associated with cancer progression and poor prognosis. Human PDPN possesses three platelet aggregation-stimulating (PLAG) domains and the PLAG-like domain (PLD), which binds to C-type lectin-like receptor-2 (CLEC-2). Previously, we reported a novel antihorse PDPN (horPDPN) monoclonal antibody (mAb), PMab-219, using Cell-Based Immunization and Screening (CBIS) method. PMab-2...
Nephrosplenic space closure significantly decreases recurrent colic in horses: a retrospective analysis.
The Veterinary record    September 16, 2019   Volume 185, Issue 21 657 doi: 10.1136/vr.105458
Arévalo Rodríguez JM, Grulke S, Salciccia A, de la Rebière de Pouyade G.Nephrosplenic space closure is commonly used to reduce relapse of nephrosplenic space entrapment in cases of left dorsal displacement of the left colon (LDDLC). Nevertheless, studies documenting the effectiveness of this surgery are sparse in the literature. The aim of this study was to analyse clinical data of horses presented for LDDLC and evaluate the effect of nephrosplenic space closure on the incidence of colic recurrence. Medical records of 156 horses diagnosed with LDDLC at the Equine Clinic of the University of Liège between 2004 and 2016 were retrieved for analysis. Extracted data i...
Fatal lancehead pit viper (Bothrops spp.) envenomation in horses.
Toxicon : official journal of the International Society on Toxinology    September 6, 2019   Volume 170 41-50 doi: 10.1016/j.toxicon.2019.09.002
Machado M, Wilson TM, Ribeiro de Sousa DE, Lopes Câmara AC, Furlan FH, Silva Almeida E Macêdo JT, Pupin RC, Amaral de Lemos RA, Armién AG....Snake bite envenomations in farm animals are generally overestimated as the cause of mortality in rural areas in Latin America. However, most cases are based only on anecdotal information and assumptions, and lack diagnostic evidence. There are few proven reports of envenomation and death in horses caused by snakebites from members of the Bothrops genus (lancehead pit vipers). This study presents epidemiological and clinical-pathological findings of fatal bothropic envenomation in horses from Central Western Brazil in order to contribute to the correct diagnosis of this condition. A survey of ...
Prevalence of acute kidney injury in a population of hospitalized horses.
Journal of veterinary internal medicine    August 22, 2019   Volume 33, Issue 5 2294-2301 doi: 10.1111/jvim.15569
Savage VL, Marr CM, Bailey M, Smith S.Hospital-acquired acute kidney injury (AKI) in humans and dogs increases morbidity and nonsurvival. Azotemia at presentation has been associated with a poor outcome in horses; however, prevalence and consequences of hospital-acquired AKI are unreported. Objective: To evaluate the prevalence of AKI in hospitalized horses, risk factors associated with AKI, and the effect of AKI on short-term survival. We hypothesized that the prevalence of AKI in horses is similar to that reported in other domestic mammalian species and would be associated with nonsurvival. Methods: Adult horses hospitalized for...
Equine urinary N-acetyl-β-D-glucosaminidase assay validation and correlation with other markers of kidney injury. Bayless RL, Moore AR, Hassel DM, Byer BJ, Landolt GA, Nout-Lomas YS.Detection of equine acute kidney injury (AKI) is hindered by limited markers of early renal damage in horses. N-acetyl-β-D-glucosaminidase (NAG), a lysosomal enzyme in renal tubular epithelium released into urine during tubular insult, has shown promise for early identification of AKI in humans and other species. We validated an assay for NAG in equine urine and measured urinary NAG in 7 azotemic and 7 non-azotemic client-owned adult horses. The enzymatic NAG assay was validated using within- and between-run coefficients of variation (CVs), recovery following standard addition, and linearity ...
Optimization of RNA extraction protocol for long-term archived formalin-fixed paraffin-embedded tissues of horses.
Experimental and molecular pathology    July 23, 2019   Volume 110 104289 doi: 10.1016/j.yexmp.2019.104289
Boos GS, Nobach D, Failing K, Eickmann M, Herden C.A suitable RNA extraction protocol was established to gain high quality RNA from formalin-fixed paraffin-embedded tissues to perform reliable molecular assays either applicable for using FFPE tissue archives or tissues with harsh formalin-fixation. Eighteen FFPE samples from the central nervous system of horses, stored up to 11 years, were used as archive cases. To test the influence of the fixation period, brain, liver, kidney, and skeletal muscle tissue fragments from another horse, were treated either with water or tris-acetate-EDTA buffer after fixation under different timepoints with 10...
Kumiss Supplementation Reduces Oxidative Stress and Activates Sirtuin Deacetylases by Regulating Antioxidant System.
Nutrition and cancer    July 8, 2019   Volume 72, Issue 3 495-503 doi: 10.1080/01635581.2019.1635628
Gulmez C, Atakisi O.It was aimed to investigate the effects of kumiss a fermented mare horse beverage on the sirtuin deacetylases in the oxidative stress which had been induced by 1,2-dimethyl hydrazine (DMH). Forty BALB/C male mice were divided into four groups as control, kumiss (2 × 10 cfu/mL), DMH (20 mg/kg), and kumiss + DMH (2 × 10 cfu/mL + 20 mg/kg). At the end of 20-week regimen, SIRT2, SIRT3 protein expressions by western blotting, immunolocalizations, and inhibitory anti-oxidant activity analysis in liver, colon, and kidney tissues were performed. SIRT2 and SIRT3 expressions in DMH g...
Evaluation of phenylephrine and exercise with or without trocarization for treatment of suspected nephrosplenic entrapment in horses.
Journal of the American Veterinary Medical Association    June 1, 2019   Volume 254, Issue 12 1448-1453 doi: 10.2460/javma.254.12.1448
Gillen AM, Munsterman AS, Reid Hanson R. To report the outcomes of horses with suspected nephrosplenic entrapment (NSE) of the large colon treated by IV phenylephrine administration and exercise with and without trocarization (ie, medical management). Retrospective, observational study. 134 horses. Electronic medical records were searched to identify horses that underwent medical management for suspected NSE at a veterinary teaching hospital between 1995 and 2014. Demographic information, physical and ultrasonographic examination findings, treatment information (including the number of times the treatment was performed and patien...
Klossiella equi Infecting Kidneys of Ontario Horses: Life Cycle Features and Multilocus Sequence-Based Genotyping Confirm the Genus Klossiella Belongs In the Adeleorina (Apicomplexa: Coccidia).
The Journal of parasitology    February 27, 2019   Volume 105, Issue 1 29-40 
Léveillé AN, Bland SK, Carlton K, Larouche CB, Kenney DG, Brouwer ER, Lillie BN, Barta JR.Species in the genus Klossiella Smith and Johnson, 1902 are unique among the suborder Adeleorina because they are monoxenous in mammals exclusively, whereas all other reported members of the Adeleorina use invertebrates as definitive hosts. Unlike other coccidia, all members of the Adeleorina undergo syzygy, the association of microgamonts and macrogamonts before maturation to gametes and syngamy. After fertilization, many members of the Adeleorina produce thin-walled polysporocystic oocysts. Despite being biologically similar to other members of the Adeleorina, the phylogenetic placement of t...
Leptospirosis: An important infectious disease in North American horses.
Equine veterinary journal    January 28, 2019   Volume 51, Issue 3 287-292 doi: 10.1111/evj.13069
Divers TJ, Chang YF, Irby NL, Smith JL, Carter CN.North American horses are commonly exposed to Leptospira organisms. Leptospira Bratislava is the most common infecting serovar but this serovar has not been confirmed to cause clinical disease in North American horses. Leptospira Pomona type kennewicki is responsible for most of the clinical diseases (leptospirosis) in North American horses. Leptospirosis is most commonly associated with diseases of the placenta and fetus, the kidneys and the eyes in horses. In-utero infections in pregnant mares may result in abortion, neonatal illness or birth of an antibody positive healthy foal. Acute renal...
Validation of an ELISA for detection of neutrophil gelatinase-associated lipocalin (NGAL) in equine serum.
Veterinary clinical pathology    November 7, 2018   Volume 47, Issue 4 603-607 doi: 10.1111/vcp.12670
Jacobsen S, Berg LC, Tvermose E, Laurberg MB, van Galen G.Neutrophil gelatinase-associated lipocalin (NGAL) has been shown to be a useful marker of kidney injury in people and dogs, but has not been described in horses. Objective: The aim of the study was to validate a commercially available porcine-specific ELISA to measure serum concentrations of equine NGAL. Methods: Intra- and interassay imprecisions were evaluated by multiple measurements on equine serum pools. Assay inaccuracy was determined by the linearity under dilution. Overlapping performance was assessed by measuring NGAL concentrations in horses with normal and elevated serum creatinine ...
Establishment of Monoclonal Antibody PMab-202 Against Horse Podoplanin.
Monoclonal antibodies in immunodiagnosis and immunotherapy    October 27, 2018   Volume 37, Issue 5 233-237 doi: 10.1089/mab.2018.0030
Furusawa Y, Yamada S, Itai S, Sano M, Nakamura T, Yanaka M, Handa S, Mizuno T, Maeda K, Fukui M, Harada H, Kaneko MK, Kato Y.Podoplanin (PDPN), a type I transmembrane glycoprotein, is expressed in several body tissues, including podocytes of renal glomerulus, type I alveolar cells of lung, and lymphatic endothelial cells. PDPN activates platelet aggregation by binding to C-type lectin-like receptor-2 (CLEC-2) presented on platelets. Monoclonal antibodies (mAbs) against human-, mouse-, rat-, rabbit-, dog-, bovine-, and cat-PDPN have already been established. However, anti-horse PDPN mAbs have not yet been developed. In this study, we immunized mice with synthetic horse PDPN peptides and developed anti-horse PDPN mAbs...
Klossiella equi infection in a Cheval Canadien Mare.
Veterinary clinical pathology    October 15, 2018   Volume 47, Issue 4 654-659 doi: 10.1111/vcp.12660
Baker RE, Schlipf JW, Brady JV, Gorman ME.A 6-year-old Cheval Canadien mare was presented for clinical signs related to acute kidney injury after receiving a course of nonsteroidal anti-inflammatory therapy. Cytologic examination of concentrated urine revealed small protozoal organisms that were later identified as Klossiella equi. Both sporocysts and free-floating sporozoites were identified in the urine, which has not been previously documented. The mare responded well to intravenous fluid therapy, and as she regained tubular function, the presence of the protozoa in the urine also abated. The mare was discharged from the hospital a...
Ultrasonographic Reference Values of Kidney Dimensions and Clinicopathological Findings Associating the Transcutaneous Ultrasound-Guided Renal Biopsy in Donkeys (Equus asinus).
Journal of equine veterinary science    April 21, 2018   Volume 68 1-11 doi: 10.1016/j.jevs.2018.04.001
Hussein HA, Ibrahim A, Ali MF.This study aimed to establish normal ultrasonographic reference values of kidney dimensions in donkeys (Equus asinus) and to describe and evaluate the clinicopathological variations associated with ultrasound-guided renal biopsy. The ultrasonographic dimensions of the right and left kidneys were conducted on 16 donkeys, which were then divided into two groups; eight each for biopsy of the right kidney (RK) and left kidney (LK). Three ultrasonographic cineloops were obtained at 17th intercostal space daily for 3 consecutive days. Renal length, width, and dimensions of the cortex, medulla, and p...
Equine renal hemangiosarcoma: clinical presentation, pathologic features, and pSTAT3 expression. Hughes K, Scott VHL, Blanck M, Barnett TP, Spanner Kristiansen J, Foote AK.Hemangiosarcoma is an uncommon tumor in horses. We characterized 3 cases of equine renal hemangiosarcoma, focusing on clinical and pathologic features, and describe occurrence of the epithelioid variant of hemangiosarcoma in one of these cases. Nuclear expression of phosphorylated STAT3 (pSTAT3) was assessed to analyze potential inappropriate STAT3 activation as a component of tumor pathogenesis. Clinical signs in the 3 horses included insidious weight loss, followed in one case by serosanguineous nasal discharge and terminal epistaxis, and nonspecific signs of abdominal pain. Two of the heman...
Effects of body condition score (BCS) on steroid- and eicosanoid-metabolizing enzyme activity in various mare tissues during winter anoestrus.
Reproduction in domestic animals = Zuchthygiene    November 8, 2017   Volume 53, Issue 2 296-303 doi: 10.1111/rda.13104
Owen M, Ferjak EN, Cavinder CA, McCarty KJ, Yankey KC, Hart CG, Burnett DD, Dinh T, Lemley CO.The objective of this study was to determine the activity of steroid- and eicosanoid-metabolizing enzymes in horses with varying BCSs. The BCSs of twenty non-pregnant, anoestrous mares were determined prior to euthanasia, and tissue samples were collected from the liver, kidney, adrenal gland, ovary and endometrium. Cytochrome P450 1A (CYP1A), 2C (CYP2C), 3A (CYP3A) and uridine 5'-diphospho-glucuronosyltransferase (UGT) activities were determined using luminogenic substrates. The MIXED procedure of SAS was used to test the effect of BCS on enzyme activity and differences between tissues. Activ...