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Topic:Renal Health

Renal health in horses encompasses the study of kidney function, disorders, and their management in equine species. The kidneys are vital organs responsible for filtering waste products from the blood, regulating fluid balance, and maintaining electrolyte levels. Renal disorders in horses can arise from various causes, including dehydration, toxins, infections, and congenital abnormalities. Common conditions affecting equine renal health include acute kidney injury and chronic kidney disease. Diagnostic methods often involve blood tests, urinalysis, and imaging techniques to assess kidney function and structure. This page gathers peer-reviewed research studies and scholarly articles that explore the physiology, pathology, and therapeutic approaches related to renal health in horses.
Mucinous hyperplasia in the kidney and ureter of a horse.
Journal of comparative pathology    April 1, 1994   Volume 110, Issue 3 309-312 doi: 10.1016/s0021-9975(08)80284-8
Kim DY, Cho DY, Snider TG.A case of mucinous hyperplasia in the right renal pelvis and ureter is reported in a 23-year-old, male, Quarter horse. The affected right renal pelvis was markedly distended and filled with inspissated yellowish-green mucous material compressing the adjacent cortical and medullary parenchyma. Multiple, similar masses were present protruding from the right urethral mucosa. Histologically, the masses were characterized by a cystic glandular and papillary hyperplasia of the mucosa of the renal pelvis and ureter. This is believed to be the first reported case in an equine species.
Effect of furosemide on plasma atrial natriuretic peptide and aldosterone concentrations and renin activity in running horses.
American journal of veterinary research    February 1, 1994   Volume 55, Issue 2 273-277 
Cooley JL, Hinchcliff KW, McKeever KH, Lamb DR, Muir WW.Effects of furosemide administration on exertion-induced changes in plasma renin activity and plasma concentrations of atrial natriuretic peptide and aldosterone in horses during sustained submaximal exertion were examined. Furosemide (1 mg/kg of body weight) or heparinized saline solution was administered IV to each of 6 mares not conditioned to exercise, either 4 hours or 2 minutes before 60 minutes of sustained submaximal running on a treadmill. Horses ran at a speed that induced heart rate approximately 65% of maximal after saline treatment. After 15 minutes of running, furosemide suppress...
Biochemical and haematological changes following prolonged halothane anaesthesia in horses.
Research in veterinary science    November 1, 1993   Volume 55, Issue 3 338-345 doi: 10.1016/0034-5288(93)90104-n
Steffey EP, Giri SN, Dunlop CI, Cullen LK, Hodgson DS, Willits N.Six healthy horses were anaesthetised with halothane (1.2 times the horse minimal alveolar concentration) in oxygen for more than 12 hours. Serum bilirubin, aspartate aminotransferase, alkaline phosphatase and L-iditol dehydrogenase values were significantly (P < 0.05) increased for up to nine days after anaesthesia. These changes suggest an anaesthesia related liver dysfunction. Creatine kinase increased to an average of more than 1400 IU litre-1 24 hours after anaesthesia and this change is indicative of muscle cell disruption. Renal-associated biochemical results, (that is serum creatinine ...
Renal tubular acidosis in a mare.
The Veterinary record    July 10, 1993   Volume 133, Issue 2 43-44 doi: 10.1136/vr.133.2.43
van der Kolk JH, Kalsbeek HC.No abstract available
Hemodialysis for treatment of oxytetracycline-induced acute renal failure in a neonatal foal.
Journal of the American Veterinary Medical Association    July 1, 1993   Volume 203, Issue 1 105-107 
Vivrette S, Cowgill LD, Pascoe J, Suter C, Becker T.Acute renal failure in a 4-day-old foal secondary to oxytetracycline toxicosis was treated by hemodialysis. Oxytetracycline had been administrered as treatment for forelimb flexor tendon contracture. Conservtive treatment with fluids, furosemide, and dopamine partially alleviated serum electrolyte concentration imbalances, but was ineffective in promoting diuresis or decreasing azotemia. Three hemodialysis treatments over 4 days were administered, after which the clinical appearance of the foal improved, and biochemical and electrolyte values returned to within reference ranges. The nephrotoxi...
Urinary indices of horses after intravenous administration of crystalloid solutions.
Journal of veterinary internal medicine    July 1, 1993   Volume 7, Issue 4 241-246 doi: 10.1111/j.1939-1676.1993.tb01014.x
Roussel AJ, Cohen ND, Ruoff WW, Brumbaugh GW, Schmitz DG, Kuesis BS.Saline or glucose solution was infused for approximately 4 hours into six healthy mares in two separate experiments to determine the effect of infusion of crystalloid solutions on fractional excretion (FE) of sodium (Na), chloride (Cl), potassium (K), and phosphorus (P), ratio of urinary creatinine to serum creatinine (UCr/SCr), and ratio of urinary osmolality to serum osmolality (Uosm/Sosm). After intravenous infusion of either saline or glucose solution, FENa, FECl and FEP were significantly increased, whereas UCr/SCr and Uosm/Sosm were significantly decreased. In addition, FEK was significa...
Hypercoagulable state associated with a deficiency of protein C in a thoroughbred colt.
Journal of veterinary internal medicine    May 1, 1993   Volume 7, Issue 3 190-193 doi: 10.1111/j.1939-1676.1993.tb03185.x
Edens LM, Morris DD, Prasse KW, Anver MR.Protein C is a vitamin K-dependent serine protease with anticoagulant and profibrinolytic activity which is synthesized in the liver. Decreased protein C activity was detected in a Thoroughbred colt with clinical and histopathologic evidence of recurrent venous thrombosis. Although protein C activity was reduced, protein C antigen concentration was normal. Consumptive coagulopathies produce a decrease in both the functional and antigenic concentrations of protein C, thus a defect in protein C synthesis was suspected. Inhibition of gamma-carboxylation secondary to vitamin K antagonism results i...
Renal dysplasia in two adult horses: clinical and pathological aspects.
The Veterinary record    March 13, 1993   Volume 132, Issue 11 269-270 doi: 10.1136/vr.132.11.269
Ronen N, van Amstel SR, Nesbit JW, van Rensburg IB.Renal dysplasia is reported in two adult horses in chronic renal failure. Renal dysplasia, complicated by severe interstitial pyelonephritis, was diagnosed on renal biopsy and confirmed on post mortem examination.
Nephrogenic diabetes insipidus in sibling colts.
Journal of veterinary internal medicine    March 1, 1993   Volume 7, Issue 2 68-72 doi: 10.1111/j.1939-1676.1993.tb03172.x
Schott HC, Bayly WM, Reed SM, Brobst DF.Nephrogenic diabetes insipidus was diagnosed in two full sibling Thoroughbred colts. Each colt had a history of excessive urination. Extreme polydipsia (greater than 80 L per day) was documented in both colts. Inability to concentrate urine in response to water deprivation, infusion of hypertonic saline, or exogenous vasopressin administration indicated insensitivity of the collecting duct epithelial cells to vasopressin. A diagnosis of nephrogenic diabetes insipidus was further supported by a normal increase in plasma vasopressin concentration after water deprivation in the one colt in which ...
Comparison of adverse effects of phenylbutazone, flunixin meglumine, and ketoprofen in horses.
Journal of the American Veterinary Medical Association    January 1, 1993   Volume 202, Issue 1 71-77 
MacAllister CG, Morgan SJ, Borne AT, Pollet RA.The relative toxicity of phenylbutazone, flunixin meglumine, and ketoprofen was studied in healthy adult horses. Sixteen horses were randomly assigned to receive 10 ml of physiologic saline solution, or ketoprofen (2.2 mg/kg of body weight), flunixin meglumine (1.1 mg/kg), or phenylbutazone (4.4 mg/kg) IV, every 8 hours, for 12 days. Results of CBC, serum biochemical analyses, and fecal occult blood tests were monitored. On day 13, all horses were euthanatized and complete necropsy examinations were performed. Mean CBC values remained within normal limits for all groups. Phenylbutazone-treated...
[Nephrolithiasis as a cause of colic in horses. Case report].
Tierarztliche Praxis    December 1, 1992   Volume 20, Issue 6 611-614 
Brück I, Hesselholt M.The results of clinical, ultrasonic, post mortem examinations and concrement analysis of a case with nephrolithiasis in a horse are described. Problems of diagnosis, etiology and occurrence of nephroliths in the horse are discussed.
Renal dysfunction associated with infection of Leptospira interrogans in a horse.
Journal of the American Veterinary Medical Association    November 1, 1992   Volume 201, Issue 9 1391-1392 
Divers TJ, Byars TD, Shin SJ.Renal failure associated with infection of Leptospira interrogans was detected in a horse. Fever, leukocytosis, pyuria, isosthenuria, and azotemia were suggestive of an inflammatory urinary tract disease. Despite persistent pyuria, no bacteria were found during routine microscopic examinations or bacteriologic culturing of urine. A fluorescent antibody examination of the urine was positive for L interrogans. Serologic testing during a 6-month period, supported an acute infection with L interrogans serovar pomona. Treatment with intravenously administered fluids and antimicrobials resulted in c...
Effects of hypoxia and azotaemia on the pharmacokinetics of amikacin in neonatal foals.
Equine veterinary journal    November 1, 1992   Volume 24, Issue 6 475-479 doi: 10.1111/j.2042-3306.1992.tb02880.x
Green SL, Conlon PD, Mama K, Baird JD.The effects of hypoxia and azotaemia on the pharmacokinetics of amikacin were evaluated in 20 full-term neonatal critically ill foals which required 24-h supportive care, antibiotics and dextrose-supplemented polyionic fluids given intravenously, nasal insufflation with oxygen and nutritional supplementation. There was no association between sepsis score or survival and pharmacokinetic parameters. Concurrent hypoxia and azotaemia were associated with significantly decreased clearance and increased peak and trough serum concentrations of amikacin; however, peaks or troughs did not exceed toxic ...
Comparison of standard and radionuclide methods for measurement of glomerular filtration rate and effective renal blood flow in female horses.
American journal of veterinary research    September 1, 1992   Volume 53, Issue 9 1612-1616 
Matthews HK, Andrews FM, Daniel GB, Jacobs WR, Held JP.Comparison of standard and radionuclide methods for measuring glomerular filtration rate (GFR) and effective renal blood flow (ERBF) was performed in 8 healthy female horses. Inulin and p-aminohippurate solutions were administered IV as a bolus, followed by sustained administration. Urine and plasma inulin and p-aminohippurate concentrations and urine volume were measured. Glomerular filtration rate and ERBF were calculated on the basis of these measurements. Glomerular filtration rate and ERBF were measured on the basis of plasma clearance of the radiopharmaceuticals, 99mTc-labeled diethylene...
The development of gluconeogenic enzymes in the liver and kidney of fetal and newborn foals.
Journal of developmental physiology    September 1, 1992   Volume 18, Issue 3 137-142 
Fowden AL, Mijovic J, Ousey JC, McGladdery A, Silver M.The activities of glucose-6-phosphatase (G6P), fructose diphosphatase, phosphoenolpyruvate carboxykinase (PEPCK), aspartate and alanine transferases were measured in liver and kidney of fetal foals between 100-318 days of gestation (term approximately 335 days) and during the immediate postnatal period (0-48 h after birth). All 5 enzymes could be detected in the fetal liver and kidney at the youngest gestational age studied. Mean fetal activities were lower than those observed in their mothers and showed no change with gestational age for the majority of enzymes studied. However, renal PEPCK a...
Chronic renal failure and urolithiasis in a 2-years-old colt.
Australian veterinary journal    August 1, 1992   Volume 69, Issue 8 199-200 doi: 10.1111/j.1751-0813.1992.tb07525.x
Laing JA, Raisis AL, Rawlinson RJ, Small AC.No abstract available
Plasma renin activity and aldosterone and vasopressin concentrations during incremental treadmill exercise in horses.
American journal of veterinary research    August 1, 1992   Volume 53, Issue 8 1290-1293 
McKeever KH, Hinchcliff KW, Schmall LM, Reed SM, Lamb DR, Muir WW.Six untrained mares were subjected to incremental treadmill exercise to examine exercise-induced changes in plasma renin activity (PRA) and plasma aldosterone (ALDO) and plasma arginine vasopressin (AVP) concentrations. Plasma renin activity, ALDO and AVP concentrations, and heart rate (HR) were measured at each step of an incremental maximal exercise test. Mares ran up a 6 degree slope on a treadmill set at an initial speed of 4 m/s. Speed was increased 1 m/s each minute until HR reached a plateau. Plasma obtained was stored at -80 C and later was thawed, extracted, and assayed for PRA and AL...
Equine hyperlipaemia in the United Kingdom: clinical features and blood biochemistry of 18 cases.
The Veterinary record    July 18, 1992   Volume 131, Issue 3 48-51 doi: 10.1136/vr.131.3.48
Watson TD, Murphy D, Love S.The background, clinical signs, blood biochemistry and management of 18 cases of equine hyperlipaemia are described. Eleven of the animals were Shetland ponies, four were Welsh mountain ponies or their crosses, one was a fell pony and two were riding ponies of mixed breeding. Their average age was nine years. Fourteen of the cases were mares, of which nine were in foal and two were lactating; the remainder were geldings. Underlying or concurrent diseases were identified in only six animals, but in one other animal the hyperlipaemia appeared to have been precipitated by stress, and in another b...
Bronchial circulation during prolonged exercise in ponies.
American journal of veterinary research    June 1, 1992   Volume 53, Issue 6 925-929 
Manohar M, Duren SE, Sikkes BP, Day J, Baker JP.Tracheal, bronchial, and renal flow were studied in 8 healthy ponies at rest and during exercise performed on a treadmill at a speed setting of 20.8 km/h and 7% grade (incline) for 30 minutes. Blood flow was determined with 15-microns-diameter radionuclide-labeled microspheres that were injected into the left ventricle when the ponies were at rest, and at 5, 15, and 26 minutes of exertion. Heart rate and mean aortic pressure increased from resting values (40 +/- 2 beats/min and 124 +/- 3 mm of Hg, respectively) to 152 +/- 8 beats/min and 133 +/- 4 mm of Hg at 5 minutes of exercise, to 169 +/- ...
Evaluation of a single injection of 99mTc-labeled diethylenetriaminepentaacetic acid for measuring glomerular filtration rate in horses.
American journal of veterinary research    May 1, 1992   Volume 53, Issue 5 776-780 
Walsh DM, Royal HD.Glomerular filtration rate (GFR) was measured in 12 clinically normal horses, using the standard inulin clearance method, and values were compared with values for 2 methods, using a single rapid IV injection of 99mTc-labeled diethylenetriaminepentaacetic acid (99mTc-DTPA). The first 99mTc-DTPA method used a 2-compartment model to calculate GFR blood clearance of the tracer. The second method used sequential digital gamma camera images of the kidneys to determine fractional accumulation of the total dose of the tracer in the kidneys (percentage of injected dose, gamma camera) from 0 to 10 minut...
Equine glomerulonephritis and renal failure associated with complexes of group-C streptococcal antigen and IgG antibody.
Veterinary immunology and immunopathology    April 1, 1992   Volume 32, Issue 1-2 93-102 doi: 10.1016/0165-2427(92)90071-w
Divers TJ, Timoney JF, Lewis RM, Smith CA.A 12-year-old thoroughbred gelding died from diffuse global glomerulonephritis, 3 months after a lower respiratory infection from which Streptococcus zooepidemicus was isolated. Immunopathological studies (immunofluorescence, immunodiffusion, immunoperoxidase testing and immunoblotting) indicated the presence of an immune reactant renal disease associated with IgG antibody and streptococcal antigens.
Pharmacokinetics and metabolism of intravenous doxapram in horses.
Equine veterinary journal. Supplement    February 1, 1992   Issue 11 45-51 doi: 10.1111/j.2042-3306.1992.tb04772.x
Sams RA, Detra RL, Muir WW.The pharmacokinetics and metabolism of doxapram in horses administered intravenous (iv) doses of 0.275, 0.55 and 1.1 mg doxapram/kg bodyweight (bwt) were investigated. Plasma doxapram concentrations decreased rapidly after drug administration and the disappearance of doxapram from plasma was best described by a polyexponential equation. Median values of total body clearance were 10.9, 10.6 and 10.9 ml/min/kg bwt for the three doses and were independent of dose. The steady-state volume of distribution was approximately 1,200 ml/kg bwt and the median biological half-life ranged from 121 to 178 m...
Urolithiasis in 68 horses.
Veterinary surgery : VS    January 1, 1992   Volume 21, Issue 1 56-62 doi: 10.1111/j.1532-950x.1992.tb00011.x
Laverty S, Pascoe JR, Ling GV, Lavoie JP, Ruby AL.Medical records of 68 horses with urolithiasis were examined. Calculi were in the bladder in 47 horses, urethra in 11 horses, kidneys in 15 horses, and ureter in two horses. They occurred at several sites in six horses. Common clinical signs included hematuria, altered micturition (pollakiuria, dysuria, urinary incontinence), and tenesmus. Weight loss, possibly attributable to chronic renal failure and colic, was associated more commonly with renal and ureteral calculi. Weight loss also occurred in 13% of horses with cystic calculi only. In male horses, most cystic calculi were removed by peri...
Use of nonimaging nuclear medicine techniques to assess the effect of flunixin meglumine on effective renal plasma flow and effective renal blood flow in healthy horses.
American journal of veterinary research    October 1, 1991   Volume 52, Issue 10 1619-1621 
Held JP, Daniel GB.The effect of flunixin meglumine on renal function was studied in 6 healthy horses by use of nonimaging nuclear medicine techniques. Effective renal plasma flow (ERPF) and effective renal blood flow (ERBF) were determined by plasma clearance of 131I-orthoiodohippuric acid before and after administration of flunixin meglumine. Mean ERPF and ERBF was 6.03 ml/min/kg and 10.7 ml/min/kg, respectively, before treatment and was 5.7 ml/min/kg and 9.7 ml/min/kg, respectively, after treatment. Although ERPF and ERBF decreased after flunixin meglumine administration, the difference was not statistically ...
Azathioprine for treatment of immune-mediated thrombocytopenia in two horses.
Journal of the American Veterinary Medical Association    September 1, 1991   Volume 199, Issue 5 591-594 
Humber KA, Beech J, Cudd TA, Palmer JE, Gardner SY, Sommer MM.Azathioprine, a thiopurine antimetabolite used in the treatment of immune-mediated thrombocytopenia in human beings and dogs, was used in 2 cases of immune-mediated thrombocytopenia in horses that failed to respond to corticosteroid therapy alone. Platelet counts were increased to acceptable values in both horses. One horse returned to a successful racing career, and the other was euthanatized after developing renal disease and mild laminitis.
Contribution of renal medullary mitochondrial density to urinary concentrating ability in mammals.
The American journal of physiology    September 1, 1991   Volume 261, Issue 3 Pt 2 R719-R726 doi: 10.1152/ajpregu.1991.261.3.R719
Abrahams S, Greenwald L, Stetson DL.In mammals, the length of the loops of Henle increases with increasing body size without a concomitant rise in urinary concentrating ability. Because mass-specific metabolic rate falls with increasing body mass, this study sought to determine the extent to which this decline in metabolic rate could explain the low urinary concentrating ability of large mammals with long loops of Henle. Mitochondrial ultrastructural parameters were measured in the medullary thick ascending limbs (mTALs) of a series of nine mammalian genera ranging in body mass from 0.011 kg (bats) to approximately 400 kg (horse...
Renal tubular function in horses during submaximal exercise.
The American journal of physiology    September 1, 1991   Volume 261, Issue 3 Pt 2 R553-R560 doi: 10.1152/ajpregu.1991.261.3.R553
McKeever KH, Hinchcliff KW, Schmall LM, Muir WW.Exercise-induced changes in renal function were examined during steady-state submaximal treadmill exercise in six unfit mares. Horses were randomly assigned to either an exercise or parallel control (no exercise) trial on day 1 and the alternate trial 1 wk later. The mares ran on a treadmill, set at a 6 degrees incline, for 1 h at 55-60% of maximal heart rate. Exercise significantly (P less than 0.05) increased plasma osmolality, plasma [K+], urine flow (+ 45%), Na+ excretion (+ 371%), K+ excretion (+ 57%), osmotic clearance (+ 32%), Na+ clearance (+ 391%), K+ clearance (+ 33%), and fractional...
Effect of diet on gentamicin-induced nephrotoxicosis in horses.
American journal of veterinary research    August 1, 1991   Volume 52, Issue 8 1274-1278 
Schumacher J, Wilson RC, Spano JS, Hammond LS, McGuire J, Duran SH, Kemppainen RJ, Hughes FE.Gentamicin sulfate-induced nephrotoxicosis was compared in 2 groups of horses fed different rations. Four horses were fed only alfalfa hay, and 4 other horses were fed only whole oats. Seven days after initiation of the diet, all horses were given gentamicin IV (5 mg/kg of body weight) every 12 hours for 22 days. Urinary gamma-glutamyl-transferase to urinary creatinine (UGGT:UCr) ratio was calculated daily, and serum concentration of gentamicin was measured at 1 and 12 hours after drug administration. Results indicated that horses fed oats had greater renal tubular damage than did horses fed a...
Pharmacology of furosemide in the horse: a review.
Journal of veterinary internal medicine    July 1, 1991   Volume 5, Issue 4 211-218 doi: 10.1111/j.1939-1676.1991.tb00951.x
Hinchcliff KW, Muir WW.Furosemide, a diuretic, is frequently administered to horses for the prophylaxis of exercise-induced pulmonary hemorrhage and the treatment of a number of clinical conditions, including acute renal failure and congestive heart failure. Furosemide increases the rate of urinary sodium, chloride, and hydrogen ion excretion. Plasma potassium concentration decreases after furosemide administration but urinary potassium excretion in horses is minimally affected. Renal blood flow increases after furosemide administration. Systemically, furosemide increases venous compliance and decreases right atrial...
Differentiation of renal and pre-renal causes of azotemia in large animals.
Journal of veterinary internal medicine    March 1, 1991   Volume 5, Issue 2 105-106 
Hinchcliff KW.No abstract available
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