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Journal of equine veterinary science2026; 105886; doi: 10.1016/j.jevs.2026.105886

Hematological and Biochemical Profiles in Mule and Horse Neonates from Birth to 30 Days of Age: A Comparative Study with Clinical Perspectives.

Abstract: Few studies have evaluated hematological and biochemical parameters in mule foals, and neonatal reference data remain limited. Objective: To compare hematological and biochemical parameters in mule and horse neonates up to 30 days of life. Methods: Mule (n=15) and horse (n=16) neonates were evaluated at birth, 12 and 24h, and at 7 and 30d of age. Results: Mules had higher mean corpuscular hemoglobin concentration (g/dL; 33.85 ± 0.18; P=0.04), platelets (× 10³/µL; 342,179 ± 15,691; P=0.0051), albumin (g/dL; 3.24 ± 0.05; P=0.0039), calcium (mg/dL; 12.27 ± 0.14; P=0.03), chloride (mmol/L; 100.78 ± 0.52; P=0.03), and magnesium (mmol/L; 0.82 ± 0.01; P=0.02). Iron (µg/dL; 35.01 ± 2.48; P=0.04), total leukocytes (× 10³/µL; 6,311 ± 260; P=0.0014), segmented neutrophils (cells/µL; 3,784 ± 193; P=0.0013), lymphocytes (cells/µL; 2,221.88 ± 94.11; P=0.0014), neutrophil:lymphocyte ratio (1.74 ± 0.10; P<0.0001), fibrinogen (mg/dL; 152.38 ± 10.81; P=0.01), total/direct/indirect bilirubin (mg/dL; 1.28 ± 0.10, 1.09 ± 0.10, and 0.19 ± 0.01; P<0.05), cholesterol (mg/dL; 141.65 ± 4.98; P=0.0095), and creatine phosphokinase (CK; U/L; 65.39 ± 3.66; P=0.03) were lower in mules. Group x time showed lower red blood cells, hematocrit, hemoglobin in mules at 12-24h, lower total leukocytes and segmented neutrophils in mules at birth, 12h, 7 and 30d, lower glucose in mules at birth, but higher at 12-24h, higher urea in mules at 7d, lower triglycerides in mules at 12h and 7d, lower CK and iron in mules at 12-24h. Conclusions: Hematological and biochemical profiles differ between mule and horse neonates during the first month of life.
Publication Date: 2026-04-07 PubMed ID: 41956328DOI: 10.1016/j.jevs.2026.105886Google Scholar: Lookup
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Summary

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Overview

  • This study compares blood and biochemical parameters between mule and horse newborns from birth to 30 days old to establish differences and provide reference data for clinical use.

Background and Objective

  • There is a scarcity of studies evaluating hematological (blood cell-related) and biochemical values specifically in mule foals.
  • Existing neonatal reference data are limited, making clinical assessments challenging.
  • The main goal was to compare these blood and biochemical parameters over the first month of life between mule and horse neonates to identify differences and aid veterinary clinical assessments.

Methods

  • The study sample included 15 mule and 16 horse neonates (newborns).
  • Blood samples were collected at several key time points: immediately at birth, 12 and 24 hours after birth, then at 7 and 30 days old.
  • Various hematological parameters (like red and white blood cells, hemoglobin, platelets) and biochemical markers (such as albumin, calcium, electrolytes, iron, liver enzymes, glucose, cholesterol, and others) were measured.

Key Findings – Parameters Higher in Mule Neonates

  • Mean Corpuscular Hemoglobin Concentration (MCHC): Higher in mules, indicating a greater concentration of hemoglobin in red blood cells.
  • Platelet count: Mules showed significantly more platelets, important for blood clotting.
  • Albumin: Higher in mules, a protein important for blood volume and pressure maintenance.
  • Electrolytes: Calcium, chloride, and magnesium levels were elevated in mule foals, which are critical for muscle function, nerve conduction, and cellular processes.

Key Findings – Parameters Lower in Mule Neonates

  • Iron: Lower in mules, essential for red blood cell production and oxygen transport.
  • Total leukocytes (white blood cells): Lower counts indicate possible differences in immune cell populations.
  • Segmented neutrophils & lymphocytes: Specific white blood cell types that were lower in mules, suggesting variations in immune response or development.
  • Neutrophil:lymphocyte ratio: Lower in mules, a marker often related to stress or inflammation differences.
  • Fibrinogen: Lower levels, a protein involved in blood clotting.
  • Bilirubin (total, direct, indirect): All lower in mule foals, indicating differences in red blood cell breakdown or liver function.
  • Cholesterol: Lower, which could influence cellular membrane composition or hormone production.
  • Creatine phosphokinase (CK): Lower enzyme levels involved in muscle metabolism.

Group × Time Interaction Effects

  • Differences in parameters changed depending on the age/time point:
  • Lower red blood cells, hematocrit (proportion of blood occupied by red cells), and hemoglobin in mules at 12–24 hours.
  • Lower total leukocytes and segmented neutrophils in mules consistently at birth, 12 hours, 7 days, and 30 days.
  • Glucose was lower in mules at birth but increased relative to horses at 12–24 hours.
  • Urea, a marker of protein metabolism and kidney function, was higher in mules at 7 days.
  • Triglycerides, important energy stores, were lower in mules at 12 hours and 7 days.
  • CK and iron remained lower in mules specifically at 12–24 hours.

Conclusions and Clinical Implications

  • Neonatal mule foals have distinct hematological and biochemical profiles compared to horse foals during their first month.
  • These differences highlight the need for species-specific reference values rather than using horse norms when assessing the health of mule neonates.
  • Understanding these differences can aid veterinarians in diagnosing and managing health issues more accurately in mule foals.
  • The study provides valuable baseline data for clinical veterinary medicine, improving neonatal care for mules.

Cite This Article

APA
Alonso MA, Boakari YL, Riccio AV, McLean A, Belli CB, Fernandes CB. (2026). Hematological and Biochemical Profiles in Mule and Horse Neonates from Birth to 30 Days of Age: A Comparative Study with Clinical Perspectives. J Equine Vet Sci, 105886. https://doi.org/10.1016/j.jevs.2026.105886

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Pages: 105886
PII: S0737-0806(26)00122-X

Researcher Affiliations

Alonso, M A
  • Department of Animal Reproduction, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Orlando Marques de Paiva, 87, São Paulo, SP, Brazil, 05508-270.
Boakari, Y L
  • Department of Large Animal Clinical Sciences, School of Veterinary Medicine & Biomedical Sciences, Texas A & M University, 4475 TAMU, College Station, Texas, USA, 77843-4475.
Riccio, A V
  • Department of Animal Reproduction, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Orlando Marques de Paiva, 87, São Paulo, SP, Brazil, 05508-270.
McLean, A
  • Department of Animal Science, University of California-Davis, Davis, CA 95616, USA.
Belli, C B
  • Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, Av Orlando Marques de Paiva, 87, São Paulo, SP, Brazil, 05508-270.
Fernandes, C B
  • Department of Animal Reproduction, School of Veterinary Medicine and Animal Science, University of São Paulo, Av. Orlando Marques de Paiva, 87, São Paulo, SP, Brazil, 05508-270. Electronic address: fernandescb@usp.br.

Conflict of Interest Statement

Declaration of competing interest All authors have read and approved the submitted version of the manuscript and have no conflicts of interest to declare. Thank you for considering our manuscript. We appreciate your time and look forward to your response.

Citations

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