Current understanding of insulin dysregulation and its relationship with carbohydrate and protein metabolism in horses.
Abstract: Insulin dysregulation (ID) is a common metabolic disorder in horses, characterized by hyperinsulinemia and/or peripheral insulin resistance. The critical role of hyperinsulinemia in endocrinopathic laminitis has driven research into the insulinotropic effects of dietary nutrients and the reciprocal impact of ID on nutrient metabolism. The relationship between ID and carbohydrate metabolism has been extensively studied; however, the effects of ID on protein metabolism in horses remain largely unexplored. This review begins with an overview of the importance of insulin in the regulation of muscle protein synthesis and degradation and then examines the current understanding of the interplay between ID and protein and carbohydrate metabolism in horses. Horses with ID exhibit altered resting plasma amino acid concentrations and shifts in postprandial amino acid dynamics. Recent work illustrated that ID horses had higher levels of plasma amino acids following a protein meal and delayed postprandial clearance from the blood compared to non-ID horses. The postprandial muscle synthetic response does not seem to be diminished in ID horses, but alterations in key cellular signaling molecules have been reported. ID horses display a pronounced hyperinsulinemic response following the consumption of feeds providing a range of protein, non-structural carbohydrate, starch and water-soluble carbohydrate intakes. Recent studies have shown that ID horses have an increased postprandial incretin response, contributing to the observed hyperinsulinemia. To minimize the postprandial insulin response, thresholds for carbohydrate consumption have recently been proposed. Similar thresholds should be established for protein to aid in the refinement of nutritional strategies to manage ID horses.
Copyright © 2025 Elsevier Inc. All rights reserved.
Publication Date: 2025-03-08 PubMed ID: 40073599DOI: 10.1016/j.domaniend.2025.106940Google Scholar: Lookup
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- Journal Article
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Summary
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The research article explores the uncharted relationship between insulin dysregulation (ID), a metabolic disorder commonly observed in horses, and the metabolism of protein and carbohydrate. The study is focused on the way ID impacts nutrient metabolism and unveils possible effects on protein metabolism which had been largely overlooked previously.
Overview of Insulin Importance in Muscle Protein Regulation
- Insulin plays a vital role in managing the synthesis and degradation of muscle protein. The research delves into the importance of insulin in protein metabolism regulation.
- The study establishes a connection between the existence of Insulin Dysregulation (ID) in horses and how it impacts not just carbohydrate but also protein metabolism.
Insulin Dysregulation Impact on Protein and Carbohydrate Metabolism
- Horses with ID were observed to show variations in their resting plasma amino acid concentrations and post-meal amino acid dynamics.
- The research found that horses with ID appeared to have elevated levels of plasma amino acids after consuming a protein meal and exhibited a slow post-meal clearing rate from the blood when compared to non-ID horses.
- Despite this, it was observed that the post-meal muscle synthetic response of ID horses didn’t seem affected, though changes in important cellular signaling molecules were reported.
Hyperinsulinemic Response in ID Horses
- Horses with ID were observed to display a significant hyperinsulinemic response post-meal when consuming feeds that provide a diverse range of protein, non-structural carbohydrate, starch, and water-soluble carbohydrate intakes.
- Recent studies have observed an increased post-meal incretin response in horses with ID, and this is considered to contribute to the evident hyperinsulinemia.
Nutritional Strategies to Manage ID in Horses
- With the aim of minimizing the post-meal insulin response observed in horses with ID, suggestions are made for established thresholds for carbohydrate consumption.
- The research suggests that similar thresholds for protein consumption should also be determined. This approach may aid in refining nutritional strategies used in managing horses suffering from Insulin Dysregulation.
Cite This Article
APA
Loos CMM, Urschel KL.
(2025).
Current understanding of insulin dysregulation and its relationship with carbohydrate and protein metabolism in horses.
Domest Anim Endocrinol, 92, 106940.
https://doi.org/10.1016/j.domaniend.2025.106940 Publication
Researcher Affiliations
- Versele-Laga, Cavalor Equine Nutrition, Belgium. Electronic address: caroline@cavalor.net.
- University of Kentucky, Department of Animal and Food Sciences, Lexington, KY, USA.
MeSH Terms
- Animals
- Horses / metabolism
- Insulin / metabolism
- Insulin / physiology
- Horse Diseases / metabolism
- Carbohydrate Metabolism / physiology
- Hyperinsulinism / veterinary
- Hyperinsulinism / metabolism
- Insulin Resistance
- Dietary Proteins / metabolism
- Dietary Carbohydrates / metabolism
- Proteins / metabolism
- Muscle Proteins / metabolism
Conflict of Interest Statement
Declaration of competing interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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