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Molecular genetics and metabolism2010; 101(2-3); 289-291; doi: 10.1016/j.ymgme.2010.06.019

Equine acquired multiple acyl-CoA dehydrogenase deficiency (MADD) in 14 horses associated with ingestion of Maple leaves (Acer pseudoplatanus) covered with European tar spot (Rhytisma acerinum).

Abstract: This case-series describes fourteen horses suspected of equine acquired multiple acyl-CoA dehydrogenase deficiency (MADD) also known as atypical myopathy of which seven cases were confirmed biochemically with all horses having had access to leaves of the Maple tree (Acer pseudoplatanus) covered with European tar spot (Rhytisma acerinum). Assessment of organic acids, glycine conjugates, and acylcarnitines in urine was regarded as gold standard in the biochemical diagnosis of equine acquired multiple acyl-CoA dehydrogenase deficiency.
Publication Date: 2010-07-23 PubMed ID: 20655779DOI: 10.1016/j.ymgme.2010.06.019Google Scholar: Lookup
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  • Journal Article

Summary

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This research investigates a case where fourteen horses were suspected to have equine acquired multiple acyl-CoA dehydrogenase deficiency (MADD) after they had access to maple tree leaves (Acer pseudoplatanus) that were covered with a fungus known as European tar spot (Rhytisma acerinum). Through biochemical tests involving organic acids, glycine conjugates, and acylcarnitines in the urine, seven of these cases were confirmed.

Significance of the Study

  • This research provides valuable insights about a potential health hazard for horses – the ingestion of Maple tree leaves covered with the European tar spot fungus.
  • This research could be instrumental in preventing and treating this potentially fatal illness (MADD) in horses.

About Equine Acquired Multiple Acyl-CoA Dehydrogenase Deficiency (MADD)

  • MADD, also known as atypical myopathy, is a severe metabolic disorder that can occur in horses.
  • Equine MADD is characterized by muscle damage and weakness, and can be potentially fatal if not diagnosed early.

The Role of Maple Leaves and European Tar Spot Fungus

  • The research highlights that the ingestion of certain Maple tree leaves covered with the European tar spot fungus may contribute to the development of MADD in horses.
  • The fungal infection could possibly influence the toxicity of the leaves and therefore make them potentially harmful to horses.

Methodology and Diagnosis

  • The scientific team applied biochemical data analyses relating to the level of specific organic acids, glycine conjugates, and acylcarnitines in the horse urine samples.
  • Analysing these compounds in the urine proved to be an effective method for diagnosing horses with MADD.
  • This methodology was considered the ‘gold standard’ for detecting this disease.

Key Findings

  • Of the fourteen horses that were suspected to have MADD due to exposure to the infected Maple leaves, seven were confirmed through the biochemical testing methodology.
  • The correlation between the ingestion of the fungus-infected leaves and the development of MADD represents a significant finding that could serve to increase awareness and preventative measures for horse owners.

Cite This Article

APA
van der Kolk JH, Wijnberg ID, Westermann CM, Dorland L, de Sain-van der Velden MG, Kranenburg LC, Duran M, Dijkstra JA, van der Lugt JJ, Wanders RJ, Gruys E. (2010). Equine acquired multiple acyl-CoA dehydrogenase deficiency (MADD) in 14 horses associated with ingestion of Maple leaves (Acer pseudoplatanus) covered with European tar spot (Rhytisma acerinum). Mol Genet Metab, 101(2-3), 289-291. https://doi.org/10.1016/j.ymgme.2010.06.019

Publication

ISSN: 1096-7206
NlmUniqueID: 9805456
Country: United States
Language: English
Volume: 101
Issue: 2-3
Pages: 289-291

Researcher Affiliations

van der Kolk, J H
  • Department of Equine Sciences, Medicine Section, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands. j.h.vanderKolk@uu.nl
Wijnberg, I D
    Westermann, C M
      Dorland, L
        de Sain-van der Velden, M G M
          Kranenburg, L C
            Duran, M
              Dijkstra, J A
                van der Lugt, J J
                  Wanders, R J A
                    Gruys, E

                      MeSH Terms

                      • Acer
                      • Animals
                      • Ascomycota
                      • Carboxylic Acids / urine
                      • Carnitine / analogs & derivatives
                      • Carnitine / urine
                      • Female
                      • Foodborne Diseases / veterinary
                      • Glycine / urine
                      • Horse Diseases / enzymology
                      • Horse Diseases / urine
                      • Horses
                      • Male
                      • Multiple Acyl Coenzyme A Dehydrogenase Deficiency / veterinary
                      • Plant Diseases / microbiology
                      • Plant Leaves

                      Citations

                      This article has been cited 8 times.
                      1. François AC, Cesarini C, Taminiau B, Renaud B, Kruse CJ, Boemer F, van Loon G, Palmers K, Daube G, Wouters CP, Lecoq L, Gustin P, Votion DM. Unravelling Faecal Microbiota Variations in Equine Atypical Myopathy: Correlation with Blood Markers and Contribution of Microbiome. Animals (Basel) 2025 Jan 26;15(3).
                        doi: 10.3390/ani15030354pubmed: 39943124google scholar: lookup
                      2. González-Medina S, Hyde C, Chang YM, Piercy RJ. Assessment of tree-associated atypical myopathy risk factors in Acer pseudoplatanus (sycamore) seeds and leaves. Equine Vet J 2025 Nov;57(6):1656-1665.
                        doi: 10.1111/evj.14475pubmed: 39865342google scholar: lookup
                      3. Mathis D, Sass JO, Graubner C, Schoster A. Diagnosis of atypical myopathy based on organic acid and acylcarnitine profiles and evolution of biomarkers in surviving horses. Mol Genet Metab Rep 2021 Dec;29:100827.
                        doi: 10.1016/j.ymgmr.2021.100827pubmed: 34900597google scholar: lookup
                      4. Westermann CM, van Leeuwen R, van Raamsdonk LW, Mol HG. Hypoglycin A Concentrations in Maple Tree Species in the Netherlands and the Occurrence of Atypical Myopathy in Horses. J Vet Intern Med 2016 May;30(3):880-4.
                        doi: 10.1111/jvim.13927pubmed: 26995161google scholar: lookup
                      5. Bochnia M, Ziegler J, Sander J, Uhlig A, Schaefer S, Vollstedt S, Glatter M, Abel S, Recknagel S, Schusser GF, Wensch-Dorendorf M, Zeyner A. Hypoglycin A Content in Blood and Urine Discriminates Horses with Atypical Myopathy from Clinically Normal Horses Grazing on the Same Pasture. PLoS One 2015;10(9):e0136785.
                        doi: 10.1371/journal.pone.0136785pubmed: 26378918google scholar: lookup
                      6. Unger L, Nicholson A, Jewitt EM, Gerber V, Hegeman A, Sweetman L, Valberg S. Hypoglycin A concentrations in seeds of Acer pseudoplatanus trees growing on atypical myopathy-affected and control pastures. J Vet Intern Med 2014 Jul-Aug;28(4):1289-93.
                        doi: 10.1111/jvim.12367pubmed: 24863395google scholar: lookup
                      7. Wakitani S, Torisu S, Yoshino T, Hattanda K, Yamato O, Tasaki R, Fujita H, Nishino K. Multiple Acyl-CoA Dehydrogenation Deficiency (Glutaric Aciduria Type II) with a Novel Mutation of Electron Transfer Flavoprotein-Dehydrogenase in a Cat. JIMD Rep 2014;13:43-51.
                        doi: 10.1007/8904_2013_268pubmed: 24142280google scholar: lookup
                      8. Votion DM. The story of equine atypical myopathy: a review from the beginning to a possible end. ISRN Vet Sci 2012;2012:281018.
                        doi: 10.5402/2012/281018pubmed: 23762581google scholar: lookup