Characterization of exercise-induced hemolysis in endurance horses.
Abstract: Exercise-induced hemolysis occurs as the result of intense physical exercise and is caused by metabolic and mechanical factors including repeated muscle contractions leading to capillary vessels compression, vasoconstriction of internal organs and foot strike among others. We hypothesized that exercise-induced hemolysis occurred in endurance racehorses and its severity was associated with the intensity of exercise. To provide further insight into the hemolysis of endurance horses, the aim of the study was to deployed a strategy for small molecules (metabolites) profiling, beyond standard molecular methods. The study included 47 Arabian endurance horses competing for either 80, 100, or 120 km distances. Blood plasma was collected before and after the competition and analyzed macroscopically, by ELISA and non-targeted metabolomics with liquid chromatography-mass spectrometry. A significant increase in all hemolysis parameters was observed after the race, and an association was found between the measured parameters, average speed, and distance completed. Levels of hemolysis markers were highest in horses eliminated for metabolic reasons in comparison to finishers and horses eliminated for lameness (gait abnormality), which may suggest a connection between the intensity of exercise, metabolic challenges, and hemolysis. Utilization of omics methods alongside conventional methods revealed a broader insight into the exercise-induced hemolysis process by displaying, apart from commonly measured hemoglobin and haptoglobin, levels of hemoglobin degradation metabolites. Obtained results emphasized the importance of respecting horse limitations in regard to speed and distance which, if underestimated, may lead to severe damages.
Copyright © 2023 Pakula, Halama, Al-Dous, Johnson, Filho, Suhre and Vinardell.
Publication Date: 2023-04-27 PubMed ID: 37180073PubMed Central: PMC10174325DOI: 10.3389/fvets.2023.1115776Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research investigates the occurrence and factors related to exercise-induced hemolysis, a condition resulting from intense exercise, in endurance racehorses. Evidence suggests a link between the severity of this condition and exercise intensity, with possible implications for horse health and performance.
Objective of the Study
- The study aimed to deepen the understanding of exercise-induced hemolysis in endurance horses, exploring the connection between the severity of this condition and the extent of exercise. Specifically, the study intended to profile small molecules, or metabolites, in addition to applying standard molecular methods.
Methodology
- A total of 47 Arabian endurance horses engaged in 80, 100, or 120 km races were included in the research.
- Blood plasma was collected before and after each race to be analyzed via various techniques – namely macroscopic analysis, ELISA, and non-targeted metabolomics with liquid chromatography-mass spectrometry.
Findings
- Following the races, all hemolysis parameters significantly increased, suggesting exercise-induced hemolysis in endurance horses is a reality.
- An association was also observed between the measured parameters of hemolysis, average speed, and distance completed. This finding reinforces the hypothesis that the severity of exercise-induced hemolysis is tied to exercise intensity.
- Compared to finishers and horses disqualified for lameness (gait abnormality), horses removed from the races due to metabolic reasons exhibited the highest levels of hemolysis markers. The data indicated that intense exercise, metabolic challenges, and hemolysis might be interconnected.
- Metabolomic techniques revealed beyond standard measurements (like hemoglobin and haptoglobin), levels of degradation metabolites of hemoglobin, thereby adding to the understanding of exercise-induced hemolysis.
Conclusion and Significance
- The findings stress the crucial importance of taking into account a horse’s limitations in terms of speed and distance. Pushing beyond these limitations may result in substantial harm to the horse, highlighting the potential dangers of intense exercise for these animals.
- The utilization of advanced techniques such as omics along with conventional methodologies has given a more comprehensive insight into the process of exercise-induced hemolysis, which could contribute to better management of equine health and performance.
Cite This Article
APA
Pakula PD, Halama A, Al-Dous EK, Johnson SJ, Filho SA, Suhre K, Vinardell T.
(2023).
Characterization of exercise-induced hemolysis in endurance horses.
Front Vet Sci, 10, 1115776.
https://doi.org/10.3389/fvets.2023.1115776 Publication
Researcher Affiliations
- Equine Veterinary Medical Center, Qatar Foundation, Doha, Qatar.
- Department of Physiology and Biophysics, Weill Cornell Medicine-Qatar, Doha, Qatar.
- Equine Veterinary Medical Center, Qatar Foundation, Doha, Qatar.
- Equine Veterinary Medical Center, Qatar Foundation, Doha, Qatar.
- Department of Endurance Racing, Al Shaqab, Doha, Qatar.
- Department of Physiology and Biophysics, Weill Cornell Medicine-Qatar, Doha, Qatar.
- Equine Veterinary Medical Center, Qatar Foundation, Doha, Qatar.
- College of Health and Life Sciences, Hamad Bin Khalifa University, Qatar Foundation, Doha, Qatar.
Conflict of Interest Statement
PP, EA-D, SJ, and TV were employed by Qatar Foundation. SF was employed by Al Shaqab. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
This article includes 53 references
- Lippi G, Favaloro EJ. Haemolysis index for the screening of intravascular haemolysis: a novel diagnostic opportunity?. Blood Transfus (2018) 16:433–7.
- Lippi G, Plebani M. Hemolyzed specimens: a major challenge for emergency departments and clinical laboratories. Crit Rev Clin Lab Sci (2011) 48:143–53.
- Lippi G, Plebani M. Interference in coagulation testing: focus on spurious hemolysis, icterus, and lipemia. Semin Thromb Hemost (2013) 39:258–66.
- Mairbäurl H. Red blood cells in sports: effects of exercise and training on oxygen supply by red blood cells. Front Physiol (2013) 12:332.
- Billett HH. Hemoglobin and hematocrit. In: Walker HK, Hall WD, Hurst JW, editors. Clinical methods: The history, physical, and laboratory examinations. 3rd ed (1990).
- Maines MD. Overview of heme degradation pathway. Curr Protoc Toxicol (2001) 9:9.1.
- Kutty RK, Maines MD. Purification and characterization of biliverdin reductase from rat liver. J Biol Chem (1981) 256:3956–62.
- Sadrzadeh SM, Graf E, Panter SS, Hallaway PE, Eaton JW. Hemoglobin. A biologic Fenton reagent. J Biol Chem (1984) 259:14354–6.
- Lim SK. Consequences of haemolysis without haptoglobin. Redox Rep (2001) 6:375–8.
- Ascenzi P, Bocedi A, Visca P, Altruda F, Tolosano E, Beringhelli T. Hemoglobin and heme scavenging. IUBMB Life (2005) 57:749–59.
- Frawley ER, Fang FC. The ins and outs of bacterial iron metabolism. Mol Microbiol (2014) 93:609–16.
- Melvin JD, Watts RG. Severe hypophosphatemia: a rare cause of intravascular hemolysis. Am J Hematol (2002) 69:223–4.
- Said R, Quintanilla A, Levin N, Ivanovich P. Acute hemolysis due to profound hypo-osmolality. A complication of hemodialysis. J Dial (1977) 1:447–52.
- Telford RD, Sly GJ, Hahn AG, Cunningham RB, Bryant C, Smith JA. Footstrike is the major cause of hemolysis during running. J Appl Physiol (2003) 94:38–42.
- Lippi G, Sanchis-Gomar F. Epidemiological, biological and clinical update on exercise-induced hemolysis. Ann Transl Med (2019) 7:270.
- Poortmans JR. Exercise and renal function. Sports Med (1984) 1:125–53.
- Chiocchia G, Motais R. Effect of catecholamines on deformability of red cells from trout: relative roles of cyclic AMP and cell volume. J Physiol (1989) 412:321–32.
- Zouhal H, Jacob C, Delamarche P, Gratas-Delamarche A. Catecholamines and the effects of exercise, training and gender. Sports Med (2008) 38:401–23.
- Richieri GV, Mel HC. Temperature effects on osmotic fragility, and the erythrocyte membrane. Biochim Biophys Acta (1985) 813:41–50.
- Rasmussen H, Lake W, Allen JE. The effect of catecholamines and prostaglandins upon human and rat erythrocytes. Biochim Biophys Acta (1975) 411:63–73.
- Hiro T. Studies on the osmotic fragility of erythrocytes influenced by a metabolic acidosis. Jpn J Phys Fitness Sports Med (1982) 31:279–90.
- Smith JA, Kolbuch-Braddon M, Gillam I, Telford RD, Weidemann MJ. Changes in the susceptibility of red blood cells to oxidative and osmotic stress following submaximal exercise. Eur J Appl Physiol Occup Physiol (1995) 70:427–36.
- Paraiso LF, Gonçalves-e-Oliveira AFM, Cunha LM, de Almeida Neto OP, Pacheco AG, Araújo KBG. Effects of acute and chronic exercise on the osmotic stability of erythrocyte membrane of competitive swimmers. PLoS One (2017) 12:01713–8.
- Bunn HF, Forget BG. Hemoglobin-molecular, genetic, and clinical aspects. Philadelphia: W.B. Saunders Co; (1986).
- Rifkind JM, Mohanty JG, Nagababu E. The pathophysiology of extracellular hemoglobin associated with enhanced oxidative reactions. Front Physiol (2015) 5:500.
- National Center for Biotechnology Information. PubChem compound summary for CID 145068, nitric oxide. Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Nitric-oxide. (2022). (Accessed 22 September 2022).
- Reiter CD, Wang X, Tanus-Santos JE, Hogg N, Cannon RO, III, Schechter AN. Cell-free hemoglobin limits nitric oxide bioavailability in sickle-cell disease. Nat Med (2002) 8:1383–9.
- Rother RP, Bell L, Hillmen P, Gladwin MT. The clinical sequelae of intravascular hemolysis and extracellular plasma hemoglobin: a novel mechanism of human disease. JAMA (2005) 293:1653–62.
- Wagener FA, Eggert A, Boerman OC, Oyen WJG, Verhofstad A, Abraham NG. Heme is a potent inducer of inflammation in mice and is counteracted by heme oxygenase. Blood (2001) 98:1802–11.
- Karsten E, Herbert BR. The emerging role of red blood cells in cytokine signalling and modulating immune cells. Blood Rev (2020) 41:100644.
- Karsten E, Breen E, Herbert BR. Red blood cells are dynamic reservoirs of cytokines. Sci Rep (2018) 8:3101.
- Cywinska A, Szarska E, Kowalska A, Ostaszewski P, Schollenberger A. Gender differences in exercise-induced intravascular haemolysis during race training in thoroughbred horses. Res Vet Sci (2011) 90:133–7.
- Masini A, Tedeschi D, Baragli P, Sighieri C, Lubas G. Exercise-induced intravascular haemolysis in standardbred horses. Comp Clin Pathol (2003) 12:45–8.
- Bazzano M, Rizzo M, Arfuso F, Giannetto C, Fazio F, Piccione G. Increase in erythrocyte osmotic resistance following polyunsaturated fatty acids (PUFA) supplementation in show jumper horses. Livest Sci (2015) 181:236–41.
- Hanzawa K, Kai M, Hiraga A, Watanabe S. Fragility of red cells during exercise is affected by blood pH and temperature. Equine Vet J (1999) 31:610–1.
- Nagy A, Murray JK, Dyson S. Elimination from elite endurance rides in nine countries: a preliminary study. Equine Vet J Suppl (2010) 42:637–43.
- Foreman JH. The exhausted horse syndrome. Vet Clin North Am Equine Pract (1998) 14:205–19.
- Halama A, Oliveira JM, Filho SA, Qasim M, Achkar IW, Johnson S. Metabolic predictors of equine performance in endurance racing. Meta (2021) 11:82.
- Langloic C, Robert C. Épidémiologie des troubles métaboliques chez les chevaux d’endurance. Prat. Vét. Équine (2008) 40:51.
- Murakami M. Hemolysis observed in continuous long distance running exercise in horses. Exp Rep Equine Health Lab (1974) 1974:120–7.
- Van Vlierberghe H, Langlois M, Delanghe J. Haptoglobin polymorphisms and iron homeostasis in health and in disease. Clin Chim Acta (2004) 345:35–42.
- Hasin-Brumshtein Y, Seldin M, Lusis A. Multi-omics approaches to disease. Genome Biol (2017) 18:83.
- Schneider MV, Orchard S. Omics technologies, data and bioinformatics principles. Methods Mol Biol (2011) 719:3–30.
- Evans AM, Bridgewater BR, Liu Q, Mitchell MW, Robinson RJ, Dai H. High resolution mass spectrometry improves data quantity and quality as compared to unit mass resolution mass spectrometry in high-throughput profiling metabolomics. Metabolomics (2014) 4:2.
- DeHaven CD, Evans AM, Dai H, Lawton KA. Organization of GC/MS and LC/MS metabolomics data into chemical libraries. J Cheminform (2010) 2:9.
- Fielding CL, Dechant JE. Colic in competing endurance horses presenting to referral centres: 36 cases. Equine Vet J (2012) 44:472–5.
- Kumar S, Bandyopadhyay U. Free heme toxicity and its detoxification systems in human. Toxicol Lett (2005) 157:175–88.
- Soto Conti CP. Bilirubin: the toxic mechanisms of an antioxidant molecule. Arch Argent Pediatr (2021) 119:18–25.
- Najem MY, Couturaud F, Lemarié CA. Cytokine and chemokine regulation of venous thromboembolism. J Thromb Haemost (2020) 18:1009–19.
- Weiss DJ, Geor RJ, Johnston G, Trent AM. Microvascular thrombosis associated with onset of acute laminitis in ponies. Am J Vet Res (1994) 55:606–12.
- Fonseca A.S., Turner S.P.. Treatment of an endurance horse with laminitis in all limbs with TCVM and conventional medicine. In: 16th International Conference of Traditional Chinese Veterinary Medicine. Chi Institute of Chinese Medicine. (2014). Taipei, Taiwan..
- Paris A, Beccati F, Pepe M. Prevalence, and risk factors for the development of orthopedic injuries in endurance horses during training and competition. J Am Vet Med Assoc (2021) 258:1109–18.
- Nagy A, Dyson SJ, Murray JK. A veterinary review of endurance riding as an international competitive sport. Vet J (2012) 194:288–93.
Citations
This article has been cited 4 times.- Mecocci S, Porzio E, Chiaradia E, Pepe M, Paris A, Bergagna S, Pietrucci D, Chillemi G, Beccati F, Cappelli K. Omic technology to monitoring resilience and adaptation to exercise and heat stress in endurance horses. Front Vet Sci 2025;12:1734969.
- Kiełbik P, Witkowska-Piłaszewicz O. Iron Status in Sport Horses: Is It Important for Equine Athletes?. Int J Mol Sci 2025 Jun 12;26(12).
- Chang X, Zhang Z, Yao X, Meng J, Ren W, Zeng Y. Lipidomics and biochemical profiling of adult Yili horses in a 26 km endurance race: exploring metabolic adaptations. Front Vet Sci 2025;12:1597739.
- Muniz-Santos R, Bassini A, Falcão J, Prado E, Martin L 3rd, Chandran V, Jurisica I, Cameron LC. Sportomics Analyses of the Exercise-Induced Impact on Amino Acid Metabolism and Acute-Phase Protein Kinetics in Female Olympic Athletes. Nutrients 2024 Oct 18;16(20).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists