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Equine veterinary journal2002; 34(7); 699-704; doi: 10.2746/042516402776250405

Dynamics in serum of the inflammatory markers serum amyloid A (SAA), haptoglobin, fibrinogen and alpha2-globulins during induced noninfectious arthritis in the horse.

Abstract: Despite the importance of noninfectious joint diseases in equine medicine, little is known about the acute phase response which may be elicited if the local inflammatory process of noninfectious arthritis is sufficiently strong, Therefore the aim of this study was to monitor the systemic inflammatory response during experimentally-induced noninfectious arthritis by studying the dynamics in serum of the acute phase proteins serum amyloid A (SAA), haptoglobin, fibrinogen and alpha2-globulins. Twenty-four Standardbred horses, age 3-7 years, found healthy on thorough clinical, radiological, haematological and serum biochemical examination, were injected aseptically into the right midcarpal joint with amphotericin B. Blood samples were drawn before induction of arthritis (0 h), and at 8, 16, 24, 36 and 48 h postinduction and then on Days 3, 4, 5 and 15 postinduction. All horses developed lameness with joint effusion and joint heat as well as increased respiratory rate, heart rate and body temperature. The lameness started to decline after 24-36 h and, in most animals, systemic signs disappeared on Day 2 postinjection. The concentration of the acute phase proteins increased following induction of arthritis. The SAA concentrations were higher than baseline concentrations from 16 h postinduction and were maximal at 36-48 h (227 times baseline concentration). The haptoglobin concentrations were higher than baseline concentrations from 24 h and were maximal at 48-96 h (1.14 times baseline concentration). The maximal concentrations of fibrinogen were seen between 36-72 h postinjection and increased on average 0.87 times from baseline concentrations. The fibrinogen concentrations were higher than baseline concentrations from 24 h postinjection. Alpha2-globulins concentrations showed a minor increase and increased 0.55 times from baseline concentrations. The markers had returned to baseline concentrations by Day 15. Our results demonstrate that amphotericin B-induced arthritis in a single joint gives rise to a systemic acute phase response measurable as increased concentrations in serum SAA, haptoglobin, fibrinogen and alpha2-globulins during the first 2 weeks of the condition and, thereby, that such an increase need not be indicative of infectious arthritis. Further research should be aimed at determining whether chronic noninfectious arthritis in the horse gives rise to increased acute phase protein concentrations in serum.
Publication Date: 2002-11-29 PubMed ID: 12455841DOI: 10.2746/042516402776250405Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The study examines the systemic inflammation response in horses when noninfectious arthritis is artificially induced by closely monitoring the changes in four specific proteins in the serum. The findings suggest that amphotericin B-induced arthritis triggers an acute phase response, highlighted by increased levels of serum amyloid A (SAA), haptoglobin, fibrinogen, and alpha2-globulins.

Research Aim and Methodology

  • The study aims to fill a knowledge gap concerning the acute phase response in horses with noninfectious arthritis. To this end, the researchers monitored the change in the levels of acute phase proteins SAA, haptoglobin, fibrinogen, and alpha2-globulins in the serum of horses.
  • 24 healthy Standardbred horses, aged between 3 and 7, were included in the research. Acute noninfectious arthritis was purposely induced in these horses by injecting amphotericin B into the right midcarpal joint.
  • Blood samples were collected at regular intervals before and after the arthritis induction for up to 15 days, in order to track the changes in protein levels.

Findings

  • Signs of arthritis such as lameness, joint effusion, heat in the joint, fast breathing, increased heart rate, and heightened body temperature were observed in all horses. These symptoms started to decline after 24-36 hours and had nearly disappeared on the second day.
  • Notable increases were found in the concentrations of all four proteins in the serum following the induction of arthritis. SAA concentrations had a particularly high increase, being 227 times the baseline concentrations at peak levels. Haptoglobin, fibrinogen, and alpha2-globulins also showed increases but to a relatively lesser degree.
  • The highest level for each protein concentration was reached at different times post-injection: SAA at 36-48 hours, haptoglobin at 48-96 hours, and fibrinogen at 36-72 hours. Alpha2-globulins showed a minor increase in general.
  • The elevated markers returned to their baseline concentrations by day 15 of the experiment.

Conclusion and Future Directions

  • The study establishes that amphotericin B-induced arthritis in a single joint can trigger a systemic acute phase response, measurable in terms of increased serum concentrations of SAA, haptoglobin, fibrinogen, and alpha2-globulins. Additionally, this implies that concentration increases may not necessarily indicate infectious arthritis.
  • The results suggest a potential need for further research to discover if chronic noninfectious arthritis in horses also leads to increased acute phase protein concentrations in the serum.

Cite This Article

APA
Hultén C, Grönlund U, Hirvonen J, Tulamo RM, Suominen MM, Marhaug G, Forsberg M. (2002). Dynamics in serum of the inflammatory markers serum amyloid A (SAA), haptoglobin, fibrinogen and alpha2-globulins during induced noninfectious arthritis in the horse. Equine Vet J, 34(7), 699-704. https://doi.org/10.2746/042516402776250405

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 34
Issue: 7
Pages: 699-704

Researcher Affiliations

Hultén, C
  • Department of Clinical Chemistry, Faculty of Veterinary Medicine, Swedish University of Agricultural Sciences, Uppsala.
Grönlund, U
    Hirvonen, J
      Tulamo, R-M
        Suominen, M M
          Marhaug, G
            Forsberg, M

              MeSH Terms

              • Acute-Phase Proteins / analysis
              • Acute-Phase Proteins / immunology
              • Acute-Phase Reaction / blood
              • Acute-Phase Reaction / immunology
              • Acute-Phase Reaction / veterinary
              • Animals
              • Arthritis, Experimental / blood
              • Arthritis, Experimental / immunology
              • Biomarkers / blood
              • Fibrinogen / analysis
              • Fibrinogen / immunology
              • Haptoglobins / analysis
              • Haptoglobins / immunology
              • Horse Diseases / blood
              • Horse Diseases / immunology
              • Horses
              • Immunoassay / methods
              • Immunoassay / veterinary
              • Lameness, Animal / etiology
              • Sensitivity and Specificity
              • Serum Amyloid A Protein / analysis
              • Serum Amyloid A Protein / immunology
              • Time Factors
              • alpha-Macroglobulins / analysis
              • alpha-Macroglobulins / immunology

              Citations

              This article has been cited 19 times.
              1. Hassanpour A, Moghaddam S. Evaluation of serum concentration of acute-phase proteins (haptoglobin and serum amyloid A) in the affected Arabian foals with rhodococcosis.. Vet Med Sci 2023 Jan;9(1):144-149.
                doi: 10.1002/vms3.1005pubmed: 36423204google scholar: lookup
              2. Przewoźny M, Senderska-Płonowska M, Rząsa A, Wierzbicki H, Borkowski J, Swagemakers JH, Żak-Bochenek A, Stefaniak T. Usefulness of Selected Acute-Phase Proteins in the Postsurgical Monitoring of Arthroscopy and Splint Bone Removal in Horses.. Animals (Basel) 2021 Oct 13;11(10).
                doi: 10.3390/ani11102952pubmed: 34679973google scholar: lookup
              3. Taylor S. A review of equine sepsis.. Equine Vet Educ 2015 Feb;27(2):99-109.
                doi: 10.1111/eve.12290pubmed: 32313390google scholar: lookup
              4. Canisso IF, Segabinazzi LGTM, Fedorka CE. Persistent Breeding-Induced Endometritis in Mares - a Multifaceted Challenge: From Clinical Aspects to Immunopathogenesis and Pathobiology.. Int J Mol Sci 2020 Feb 20;21(4).
                doi: 10.3390/ijms21041432pubmed: 32093296google scholar: lookup
              5. Starzonek J, Roscher K, Blüher M, Blaue D, Schedlbauer C, Hirz M, Raila J, Vervuert I. Effects of a blend of green tea and curcuma extract supplementation on lipopolysaccharide-induced inflammation in horses and ponies.. PeerJ 2019;7:e8053.
                doi: 10.7717/peerj.8053pubmed: 31741800google scholar: lookup
              6. Stack JD, Cousty M, Steele E, Handel I, Lechartier A, Vinardell T, David F. Comparison of Serum Amyloid A Measurements in Equine Synovial Fluid With Routine Diagnostic Methods to Detect Synovial Infection in a Clinical Environment.. Front Vet Sci 2019;6:325.
                doi: 10.3389/fvets.2019.00325pubmed: 31632987google scholar: lookup
              7. Gy C, Leclere M, Vargas A, Grimes C, Lavoie JP. Investigation of blood biomarkers for the diagnosis of mild to moderate asthma in horses.. J Vet Intern Med 2019 Jul;33(4):1789-1795.
                doi: 10.1111/jvim.15505pubmed: 31099114google scholar: lookup
              8. Barrachina L, Remacha AR, Romero A, Vitoria A, Albareda J, Prades M, Roca M, Zaragoza P, Vázquez FJ, Rodellar C. Assessment of effectiveness and safety of repeat administration of proinflammatory primed allogeneic mesenchymal stem cells in an equine model of chemically induced osteoarthritis.. BMC Vet Res 2018 Aug 17;14(1):241.
                doi: 10.1186/s12917-018-1556-3pubmed: 30119668google scholar: lookup
              9. Junkkari R, Simojoki H, Heiskanen ML, Pelkonen S, Sankari S, Tulamo RM, Mykkänen A. A comparison of unheated loose housing with stables on the respiratory health of weaned-foals in cold winter conditions: an observational field-study.. Acta Vet Scand 2017 Oct 26;59(1):73.
                doi: 10.1186/s13028-017-0339-3pubmed: 29073941google scholar: lookup
              10. Andreassen SM, Vinther AML, Nielsen SS, Andersen PH, Tnibar A, Kristensen AT, Jacobsen S. Changes in concentrations of haemostatic and inflammatory biomarkers in synovial fluid after intra-articular injection of lipopolysaccharide in horses.. BMC Vet Res 2017 Jun 19;13(1):182.
                doi: 10.1186/s12917-017-1089-1pubmed: 28629364google scholar: lookup
              11. Vinther AM, Heegaard PM, Skovgaard K, Buhl R, Andreassen SM, Andersen PH. Characterization and differentiation of equine experimental local and early systemic inflammation by expression responses of inflammation-related genes in peripheral blood leukocytes.. BMC Vet Res 2016 Jun 1;12:83.
                doi: 10.1186/s12917-016-0706-8pubmed: 27250718google scholar: lookup
              12. Aoki T, Kimura Y, Oya A, Chiba A, Ishii M, Nambo Y. Hematological and biochemical features of postpartum fever in the heavy draft mare.. J Equine Sci 2016;27(1):13-6.
                doi: 10.1294/jes.27.13pubmed: 27073331google scholar: lookup
              13. Turło A, Cywińska A, Czopowicz M, Witkowski L, Niedźwiedź A, Słowikowska M, Borowicz H, Jaśkiewicz A, Winnicka A. The Effect of Different Types of Musculoskeletal Injuries on Blood Concentration of Serum Amyloid A in Thoroughbred Racehorses.. PLoS One 2015;10(10):e0140673.
                doi: 10.1371/journal.pone.0140673pubmed: 26466121google scholar: lookup
              14. Pihl TH, Scheepers E, Sanz M, Goddard A, Page P, Toft N, Andersen PH, Jacobsen S. Influence of disease process and duration on acute phase proteins in serum and peritoneal fluid of horses with colic.. J Vet Intern Med 2015 Mar-Apr;29(2):651-8.
                doi: 10.1111/jvim.12542pubmed: 25644457google scholar: lookup
              15. Bundgaard L, Jacobsen S, Sørensen MA, Sun Z, Deutsch EW, Moritz RL, Bendixen E. The Equine PeptideAtlas: a resource for developing proteomics-based veterinary research.. Proteomics 2014 Mar;14(6):763-73.
                doi: 10.1002/pmic.201300398pubmed: 24436130google scholar: lookup
              16. Cywinska A, Witkowski L, Szarska E, Schollenberger A, Winnicka A. Serum amyloid A (SAA) concentration after training sessions in Arabian race and endurance horses.. BMC Vet Res 2013 May 1;9:91.
                doi: 10.1186/1746-6148-9-91pubmed: 23634727google scholar: lookup
              17. Cray C. Acute phase proteins in animals.. Prog Mol Biol Transl Sci 2012;105:113-50.
              18. Hillström A, Tvedten H, Lilliehöök I. Evaluation of an in-clinic Serum Amyloid A (SAA) assay and assessment of the effects of storage on SAA samples.. Acta Vet Scand 2010 Feb 2;52(1):8.
                doi: 10.1186/1751-0147-52-8pubmed: 20122257google scholar: lookup
              19. Cray C, Zaias J, Altman NH. Acute phase response in animals: a review.. Comp Med 2009 Dec;59(6):517-26.
                pubmed: 20034426