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Asymmetric dimethylarginine-A potential cardiac biomarker in horses.

Abstract: Asymmetric dimethylarginine (ADMA) is a cardiac biomarker in humans, symmetric dimethylarginine (SDMA) a renal biomarker in humans, cats, and dogs. The purpose of this prospective study was to investigate if measuring serum ADMA and SDMA concentrations via ELISA allows detection of cardiac disease in horses in a routine laboratory setting. In this context, reference values in horses were established. Methods: Seventy-eight horses with no known medical history were compared to 23 horses with confirmed structural cardiac disease with/or without arrhythmias. Horses underwent physical examination, electrocardiography, echocardiography and venous blood sampling and were staged based on the severity of cardiac disease from 0 to II. Asymmetric dimethylarginine and SDMA were measured via ELISA and crosschecked using liquid chromatograph triple quadrupole mass spectrometry. Reference intervals with 90th percent confidence intervals were evaluated and standard software was used to test for significant differences in ADMA, SDMA, and the l-arginine/ADMA ratio between groups. Results: The reference ranges were 1.7-3.8 μmol/L and 0.3-0.8 μmol/L for ADMA and SDMA, respectively. Serum ADMA was higher in horses with heart disease compared to healthy horses (p < 0.01) and highest in horses with stage II heart disease (p = 0.02). The l-Arginine/ADMA ratio was significantly higher in healthy animals than those with cardiac disease (p = 0.001). Conclusions: Reference values for serum ADMA and SDMA using ELISA methods are presented in horses. This study confirms the association between heart disease and increased serum ADMA concentration as well as a decreased l-Arginine/ADMA ratio in horses.
Publication Date: 2020-11-24 PubMed ID: 33360109DOI: 10.1016/j.jvc.2020.11.002Google Scholar: Lookup
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  • Journal Article

Summary

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This research study investigates the potential of Asymmetric dimethylarginine (ADMA) as a cardiac disease biomarker in horses, utilizing established ELISA detection methods. Highlighting ADMA’s increased presence in horses with heart disease, it suggests that the substance along with the l-Arginine/ADMA ratio could assist in identifying cardiac issues in horses.

Objective and Methods

  • The prime objective of this study was to evaluate whether measuring serum ADMA and symmetric dimethylarginine (SDMA) levels via ELISA (Enzyme-Linked Immunosorbent Assay) could help detect cardiac disease in horses.
  • A total of 101 horses were included in the research. This cohort consisted of 78 healthy horses and 23 horses with confirmed structural heart disease, including some with arrhythmias.
  • The horses were subjected to a physical examination, electrocardiography, echocardiography, and venous blood sampling. They were categorized based on the severity of their cardiac disease, ranging from stage 0 to stage II.
  • The serum concentrations of ADMA and SDMA were authenticated through ELISA. This was cross-verified using a liquid chromatograph triple quadrupole mass spectrometer, a highly accurate tool for detecting chemicals in a sample.

Results and Conclusion

  • The research found that the normal ADMA concentration in healthy horses was between 1.7 and 3.8 µmol/L, while the normal SDMA concentration ranged from 0.3 to 0.8 µmol/L.
  • It was found that serum ADMA concentration was noticeably higher in horses suffering from heart disease compared to healthy horses. Maximum levels were noted in horses with stage II heart disease.
  • The l-Arginine/ADMA ratio was considerably higher in healthy horses than in those afflicted with cardiac disease. This suggests that a lower ratio might be indicative of heart disease in horses.
  • The study concludes by establishing reference values for serum ADMA and SDMA using ELISA methods in horses. It also confirms the correlation between heart disease and an increased level of ADMA and a decreased l-Arginine/ADMA ratio.

Cite This Article

APA
Ertelt A, Stumpff F, Merle R, Kuban S, Bollinger L, Liertz S, Gehlen H. (2020). Asymmetric dimethylarginine-A potential cardiac biomarker in horses. J Vet Cardiol, 33, 43-51. https://doi.org/10.1016/j.jvc.2020.11.002

Publication

ISSN: 1875-0834
NlmUniqueID: 101163270
Country: Netherlands
Language: English
Volume: 33
Pages: 43-51

Researcher Affiliations

Ertelt, A
  • Equine Clinic, Internal Medicine, Freie Universitaet Berlin, Oertzenweg 19b, 14193, Berlin, Germany. Electronic address: antonia.ertelt@fu-berlin.de.
Stumpff, F
  • Institute of Veterinary Physiology, Freie Universitaet Berlin, Oertzenweg 19b, 14163, Berlin, Germany.
Merle, R
  • Institute for Veterinary Epidemiology and Biostatistics, Freie Universitaet Berlin, Koenigsweg 67, 14163, Berlin, Germany.
Kuban, S
  • Equine Clinic, Internal Medicine, Freie Universitaet Berlin, Oertzenweg 19b, 14193, Berlin, Germany.
Bollinger, L
  • Equine Clinic, Internal Medicine, Freie Universitaet Berlin, Oertzenweg 19b, 14193, Berlin, Germany.
Liertz, S
  • Equine Clinic, Internal Medicine, Freie Universitaet Berlin, Oertzenweg 19b, 14193, Berlin, Germany.
Gehlen, H
  • Equine Clinic, Internal Medicine, Freie Universitaet Berlin, Oertzenweg 19b, 14193, Berlin, Germany.

MeSH Terms

  • Animals
  • Arginine / analogs & derivatives
  • Arginine / blood
  • Biomarkers / blood
  • Enzyme-Linked Immunosorbent Assay / veterinary
  • Female
  • Heart Diseases / blood
  • Heart Diseases / diagnostic imaging
  • Heart Diseases / veterinary
  • Horse Diseases / blood
  • Horses
  • Male
  • Prospective Studies
  • Reference Values

Citations

This article has been cited 2 times.
  1. Sala G, Castelli M, Orsetti C, Armenia G, De Marchi L, Meucci V, Sgorbini M, Bonelli F. A Longitudinal Observational Study on Lactation-Associated Changes in Procalcitonin, Protein Carbonyl Content, Asymmetric Dimethylarginine, and Symmetric Dimethylarginine in Dairy Cattle. Vet Sci 2025 Sep 15;12(9).
    doi: 10.3390/vetsci12090895pubmed: 41012820google scholar: lookup
  2. Galen GV, Olsen E, Siwinska N. Biomarkers of Kidney Disease in Horses: A Review of the Current Literature. Animals (Basel) 2022 Oct 5;12(19).
    doi: 10.3390/ani12192678pubmed: 36230418google scholar: lookup