Epidemiological and genetic study of exertional rhabdomyolysis in a Warmblood horse family in Switzerland.
Abstract: Exertional rhabdomyolysis (ER) and its familial basis in Warmblood horses is incompletely understood. Objective: To describe the case details, clinical signs and management of ER-affected Warmblood horses from a family with a high prevalence of ER, to determine if histopathological signs of polysaccharide storage myopathy (PSSM) and the glycogen synthase (GYS1) mutation are associated with ER in this family, and to investigate potential risk factors for development of ER. Methods: A family consisting of a sire with ER and 71 of his descendants was investigated. History of episodes of ER, husbandry, feeding and use was assessed by interviewing horse owners using a standardised questionnaire. All horses were genotyped for GYS1. In 10 ER-affected horses, muscle histopathology was evaluated. Results: Signs of ER were reported in 39% of horses and 51% of the entire family possessed the GYS1 mutation. Horses possessing the GYS1 mutation had a 7.1-times increased risk for developing ER compared to those with the normal genotype (95% confidence interval [CI] 2.37-21.23, P = 0.0005). All muscle samples from horses in the family with ER showed polysaccharide accumulation typical for PSSM, amylase-resistant in 9/10 cases. There was evidence (odds ratio 5.6, CI 1.00-31.32, P = 0.05) that fat or oil feeding improved clinical signs of ER. No other effects of environmental factors associated with clinical signs of ER were identified. Conclusions: PSSM associated with the GYS1 mutation is one identifiable cause of ER in Warmblood horses. Signs of ER are not always manifest in GYS1 positive horses and there are also other causes for ER in Warmblood horses. Breeding animals with the GYS1 mutation results in a high prevalence of ER due to its dominant mode of inheritance.
Publication Date: PubMed ID: 21592222
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Summary
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This research paper investigates the prevalence and potential causes of exertional rhabdomyolysis, a muscle disorder resulting from severe exercise, in a family of Warmblood horses. The study revealed that horses with the glycogen synthase mutation (GYS1) had an increased risk of developing this condition, and that polysaccharide storage myopathy and genetic inheritance also played a factor in the family line.
Research Goals and Methods
- The research aimed to understand the symptoms, management and clinical signs of exertional rhabdomyolysis (ER) in Warmblood horses from a family with a high prevalence of the condition.
- The team also wanted to see if there was a correlation between ER, the presence of polysaccharide storage myopathy (PSSM), and the glycogen synthase (GYS1) mutation.
- The family under study consisted of a sire (male parent) with ER and 71 of his offspring.
- Information on episodes of ER, husbandry practices, feeding, and use were collected using a standardised questionnaire for the owners.
- All horses were also genetically tested for the GYS1 mutation, while 10 ER-affected horses underwent muscle histopathology evaluation.
Results and Findings
- ER signs were observed in 39% of the horses, and 51% of the entire family exhibited the GYS1 mutation.
- Horses with the GYS1 mutation were found to be 7.1 times more likely to develop ER compared to those without it.
- All muscle samples from ER-affected horses in the family displayed polysaccharide accumulation typical for PSSM.
- The study also suggested that the inclusion of fat or oil in the horse’s diet could improve the clinical signs of ER, but no other environmental factors seemed to have a significant effect on the ER symptoms.
Conclusions and Implications
- The research concluded that PSSM linked with the GYS1 mutation is a notable cause of ER in Warmblood horses.
- However, not all GYS1 positive horses manifest ER symptoms, pointing to other unknown causes of ER in this horse breed.
- The breeding of animals with the GYS1 mutation results in a high prevalence of ER due to the dominant mode of inheritance of this mutation.
- The findings of this research could be significant in devising strategic breeding and dietary plans to minimize the occurrence of ER in Warmblood horses.
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Epidemiological and genetic study of exertional rhabdomyolysis in a Warmblood horse family in Switzerland.
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