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Equine veterinary journal2015; 48(4); 418-421; doi: 10.1111/evj.12460

Equine atypical myopathy caused by hypoglycin A intoxication associated with ingestion of sycamore maple tree seeds.

Abstract: Evidence suggest there is a link between equine atypical myopathy (EAM) and ingestion of sycamore maple tree seeds. Objective: To further evaluate the hypothesis that the ingestion of hypoglycin A (HGA) containing sycamore maple tree seeds causes acquired multiple acyl-CoA dehydrogenase deficiency and might be associated with the clinical and pathological signs of EAM. Methods: Case report. Methods: Necropsy and histopathology, using hematoxylin and eosin and Sudan III stains, were performed on a 2.5-year-old mare that died following the development of clinical signs of progressive muscle stiffness and recumbency. Prior to death, the animal ingested sycamore maple tree seeds (Acer pseudoplatanus). Detection of metabolites in blood and urine obtained post mortem was performed by rapid ultra-performance liquid chromatography-tandem mass spectrometry. Data from this case were compared with 3 geldings with no clinical history of myopathy. Results: Macroscopic examination revealed fragments of maple tree seeds in the stomach and severe myopathy of several muscle groups including Mm. intercostales, deltoidei and trapezii. Histologically, the affected muscles showed severe, acute rhabdomyolysis with extensive accumulation of finely dispersed fat droplets in the cytoplasm of degenerated skeletal muscle cells not present in controls. Urine and serum concentrations of several acyl carnitines and acyl glycines were increased, and both contained metabolites of HGA, a toxic amino acid present in sycamore maple tree seeds. Conclusions: The study supports the hypothesis that ingestion of HGA-containing maple tree seeds may cause EAM due to acquired multiple acyl-CoA dehydrogenase deficiency.
Publication Date: 2015-07-16 PubMed ID: 25970235DOI: 10.1111/evj.12460Google Scholar: Lookup
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Summary

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The paper discusses a study that links equine atypical myopathy (EAM), a disease in horses, to the consumption of seeds from the sycamore maple tree, which contain the toxin hypoglycin A.

Objective and Methods of the Study

In this study, the researchers aim to examine the hypothesis that equine atypical myopathy (EAM), a muscle disease in horses, is caused by hypoglycin A (HGA) ingestion, which comes from the seeds of the Sycamore maple tree. This toxin, they propose, causes an acquired multiple acyl-CoA dehydrogenase deficiency in the horses, a disruption in their ability to metabolize certain fats and proteins.

  • The researchers used a case study approach. They examined a 2.5-year-old mare that exhibited signs of the disease—muscle stiffness and changes in posture—and had recently consumed Sycamore maple tree seeds.
  • The team performed a necropsy and histopathology (microscopic examination of tissues) on the deceased horse, comparing it to three healthy geldings (castrated male horses).
  • The chemicals in the mare’s blood and urine, post-mortem, were analyzed using a specialized type of liquid chromatography.

Results of the Study

The study yielded several significant findings:

  • The mare’s macroscopic (visible to the naked eye) examination found seed fragments from the Sycamore maple tree in the stomach.
  • There was evidence of severe myopathy (muscle disease), particularly in the rib, deltoid, and trapezius muscle groups.
  • Microscopically, the muscle tissue showed signs of acute rhabdomyolysis — a rapid breakdown of damaged skeletal muscle — with accumulated fat droplets in the damaged muscle cells.
  • Significant increases in certain metabolites were found in the urine and blood, indicating the presence of HGA, the toxic ingredient in Sycamore maple seeds.

Conclusions of the Study

The study’s results back the initial hypothesis: ingestion of hypoglycin A through Sycamore maple tree seeds is likely to be a cause of equine atypical myopathy (EAM) in horses due to the induced multiple acyl-CoA dehydrogenase deficiency. This deficiency interferes with their ability to break down and use certain types of proteins and fats.

The researchers’ findings imply a clear relationship between the consumption of Sycamore maple tree seeds and EAM, drawing attention to a potential intoxication source for horses that could lead to severe muscle disease.

Cite This Article

APA
Żuraw A, Dietert K, Kühnel S, Sander J, Klopfleisch R. (2015). Equine atypical myopathy caused by hypoglycin A intoxication associated with ingestion of sycamore maple tree seeds. Equine Vet J, 48(4), 418-421. https://doi.org/10.1111/evj.12460

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 48
Issue: 4
Pages: 418-421

Researcher Affiliations

Żuraw, A
  • Department of Veterinary Pathology, Freie Universität Berlin, Germany.
Dietert, K
  • Department of Veterinary Pathology, Freie Universität Berlin, Germany.
Kühnel, S
  • Tierärztliche Klinik für Pferde, Dallgow-Döberitz OT Seeburg, Germany.
Sander, J
  • Screening-Labor Hannover, Ronnenberg, Germany.
Klopfleisch, R
  • Department of Veterinary Pathology, Freie Universität Berlin, Germany.

MeSH Terms

  • Acer / chemistry
  • Animals
  • Fatal Outcome
  • Female
  • Horse Diseases / chemically induced
  • Horses
  • Hypoglycins / chemistry
  • Hypoglycins / toxicity
  • Muscular Diseases / chemically induced
  • Muscular Diseases / veterinary
  • Seeds / chemistry

Citations

This article has been cited 10 times.
  1. Sander J, Terhardt M, Janzen N, Renaud B, Kruse CJ, François AC, Wouters CP, Boemer F, Votion DM. Tissue Specific Distribution and Activation of Sapindaceae Toxins in Horses Suffering from Atypical Myopathy. Animals (Basel) 2023 Jul 26;13(15).
    doi: 10.3390/ani13152410pubmed: 37570219google scholar: lookup
  2. El-Khatib AH, Engel AM, Weigel S. Co-Occurrence of Hypoglycin A and Hypoglycin B in Sycamore and Box Elder Maple Proved by LC-MS/MS and LC-HR-MS. Toxins (Basel) 2022 Sep 1;14(9).
    doi: 10.3390/toxins14090608pubmed: 36136546google scholar: lookup
  3. Hirz M, Gregersen HA, Sander J, Votion DM, Schänzer A, Köhler K, Herden C. Atypical myopathy in 2 Bactrian camels. J Vet Diagn Invest 2021 Sep;33(5):961-965.
    doi: 10.1177/10406387211020721pubmed: 34092152google scholar: lookup
  4. Bochnia M, Ziemssen E, Sander J, Stief B, Zeyner A. Methylenecyclopropylglycine and hypoglycin A intoxication in three Pére David's Deers (Elaphurus davidianus) with atypical myopathy. Vet Med Sci 2021 May;7(3):998-1005.
    doi: 10.1002/vms3.406pubmed: 33314647google scholar: lookup
  5. Votion DM, François AC, Kruse C, Renaud B, Farinelle A, Bouquieaux MC, Marcillaud-Pitel C, Gustin P. Answers to the Frequently Asked Questions Regarding Horse Feeding and Management Practices to Reduce the Risk of Atypical Myopathy. Animals (Basel) 2020 Feb 24;10(2).
    doi: 10.3390/ani10020365pubmed: 32102384google scholar: lookup
  6. Bochnia M, Sander J, Ziegler J, Terhardt M, Sander S, Janzen N, Cavalleri JV, Zuraw A, Wensch-Dorendorf M, Zeyner A. Detection of MCPG metabolites in horses with atypical myopathy. PLoS One 2019;14(2):e0211698.
    doi: 10.1371/journal.pone.0211698pubmed: 30721263google scholar: lookup
  7. González Medina S, Hyde C, Lovera I, Piercy RJ. Detection of equine atypical myopathy-associated hypoglycin A in plant material: Optimisation and validation of a novel LC-MS based method without derivatisation. PLoS One 2018;13(7):e0199521.
    doi: 10.1371/journal.pone.0199521pubmed: 29969503google scholar: lookup
  8. Bunert C, Langer S, Votion DM, Boemer F, Müller A, Ternes K, Liesegang A. Atypical myopathy in Père David's deer (Elaphurus davidianus) associated with ingestion of hypoglycin A. J Anim Sci 2018 Jul 28;96(8):3537-3547.
    doi: 10.1093/jas/sky200pubmed: 29762728google scholar: lookup
  9. Engel AM, El-Khatib AH, Bachmann M, Wensch-Dorendorf M, Klevenhusen F, Weigel S, Pieper R, Zeyner A. Release of Hypoglycin A from Hypoglycin B and Decrease of Hypoglycin A and Methylene Cyclopropyl Glycine Concentrations in Ruminal Fluid Batch Cultures. Toxins (Basel) 2025 Jan 21;17(2).
    doi: 10.3390/toxins17020046pubmed: 39998064google scholar: lookup
  10. 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