Newborn foal with atypical myopathy.
Abstract: The case of atypical myopathy (AM) in newborn Haflinger foal with clinical signs of depression and weakness appearing 6 hours after birth resulting in recumbency 12 hours after birth is described. The foal's dam was diagnosed with AM in the 6th month of gestation based on clinical signs of a myopathy, elevated serum activity of creatine kinase, metabolomic analysis and the presence of methylenecyclopropyl acetyl carnitine (MCPA-carnitine) in the blood. At the time of delivery, the mare was grazing on a pasture near sycamore trees but was free of clinical signs of AM. Metabolomic analysis of the foal's blood revealed increased concentrations of acylcarnitines and MCPA-carnitine consistent with metabolic profiles of blood from AM affected horses. Two theories could explain this observation (a) hypoglycin A or its metabolites accumulated in the mare's placenta with consequent transfer to fetus or (b) these compounds were secreted into mare's milk.
© 2018 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.
Publication Date: 2018-09-14 PubMed ID: 30216546PubMed Central: PMC6189353DOI: 10.1111/jvim.15236Google Scholar: Lookup
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Summary
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This research article details a case of atypical myopathy (AM) in a newborn Haflinger foal whose mother had also been diagnosed with AM during pregnancy. The researchers investigated the possible root causes of the symptoms and suggested two possible theories.
The Case
- The case report focuses on a newborn Haflinger foal that began displaying signs of depression and weakness just 6 hours after birth. These symptoms escalated quickly, with the foal becoming unable to stand 12 hours after birth.
- The foal’s mother was previously diagnosed with Atypical Myopathy (AM) during her sixth month of pregnancy. This diagnosis was based on numerous factors including symptoms of a muscular disorder, a raised serum activity of creatine kinase, metabolic analysis, and the detection of methylenecyclopropyl acetyl carnitine (MCPA-carnitine) in her bloodstream.
Possible Causes
- When the mare gave birth, she was feeding in a pasture nearby sycamore trees. It is important to note that she showed no signs of AM at the time of delivery.
- Upon examination of the foal’s blood – elevated levels of acylcarnitines and MCPA-carnitine were found. Both these compounds are usually found in higher concentrations in the blood of horses affected by AM, thus suggesting the foal had also been affected by the condition.
Potential Theories
- Based on their findings, the researchers proposed two theories in an attempt to explain how the foal may have contracted AM. The first suggests that hypoglycin A or its metabolites—known causes of AM—could have built up in the mare’s placenta before being transferred to the foal.
- The second theory is that these compounds may have been secreted into the mare’s milk, passing to the foal during breastfeeding.
This study provides valuable insight into a rare case of Atypical Myopathy in newborn foals, offering two potential explanations for its transmission. This could aid in the future prevention and treatment of this disease in newborn horses.
Cite This Article
APA
Karlíková R, Široká J, Mech M, Friedecký D, Janečková H, Mádrová L, Hrdinová F, Drábková Z, Dobešová O, Adam T, Jahn P.
(2018).
Newborn foal with atypical myopathy.
J Vet Intern Med, 32(5), 1768-1772.
https://doi.org/10.1111/jvim.15236 Publication
Researcher Affiliations
- Department of Clinical Biochemistry, University Hospital Olomouc, Olomouc, Czech Republic.
- Faculty of Medicine and Dentistry, Palacký University, Institute of Molecular and Translational Medicine, Olomouc, Czech Republic.
- Faculty of Medicine and Dentistry, Palacký University, Institute of Molecular and Translational Medicine, Olomouc, Czech Republic.
- Faculty of Science, Laboratory of Growth Regulators, Centre of the Region Haná for Biotechnological and Agricultural Research, Palacký University and Institute of Experimental Botany ASCR, Olomouc, Czech Republic.
- Private Veterinary Practice, Jistebník, Czech Republic.
- Department of Clinical Biochemistry, University Hospital Olomouc, Olomouc, Czech Republic.
- Faculty of Medicine and Dentistry, Palacký University, Institute of Molecular and Translational Medicine, Olomouc, Czech Republic.
- Laboratory for Inherited Metabolic Disorders, University Hospital, and Palacký University, Olomouc, Czech Republic.
- Faculty of Medicine and Dentistry, Palacký University, Institute of Molecular and Translational Medicine, Olomouc, Czech Republic.
- Laboratory for Inherited Metabolic Disorders, University Hospital, and Palacký University, Olomouc, Czech Republic.
- Department of Clinical Biochemistry, University Hospital Olomouc, Olomouc, Czech Republic.
- Faculty of Medicine and Dentistry, Palacký University, Institute of Molecular and Translational Medicine, Olomouc, Czech Republic.
- Faculty of Veterinary Medicine, Equine Clinic, University of Veterinary and Pharmaceutical Sciences, Brno, Czech Republic.
- Faculty of Veterinary Medicine, Equine Clinic, University of Veterinary and Pharmaceutical Sciences, Brno, Czech Republic.
- Faculty of Veterinary Medicine, Equine Clinic, University of Veterinary and Pharmaceutical Sciences, Brno, Czech Republic.
- Department of Clinical Biochemistry, University Hospital Olomouc, Olomouc, Czech Republic.
- Faculty of Medicine and Dentistry, Palacký University, Institute of Molecular and Translational Medicine, Olomouc, Czech Republic.
- Laboratory for Inherited Metabolic Disorders, University Hospital, and Palacký University, Olomouc, Czech Republic.
- Faculty of Veterinary Medicine, Equine Clinic, University of Veterinary and Pharmaceutical Sciences, Brno, Czech Republic.
MeSH Terms
- Animals
- Animals, Newborn
- Carnitine / analogs & derivatives
- Carnitine / blood
- Genetic Predisposition to Disease
- Horse Diseases / diagnosis
- Horse Diseases / pathology
- Horses
- Muscular Diseases / diagnosis
- Muscular Diseases / veterinary
Grant Funding
- 15-34613L / Czech Science Foundation
- CZ.1.07/2.3.00/30.0004 / European Social Fund Postdoc Project
- 115/2018/FVL / Internal Grant Agency University od Veterinary and Pharmaceutical Sciences Brno
- LO1304 / NPU I
References
This article includes 27 references
- Valberg SJ, Sponseller BT, Hegeman AD. Seasonal pasture myopathy/atypical myopathy in North America associated with ingestion of hypoglycin A within seeds of the box elder tree. Equine Vet J 2013;45:419‐426.
- Votion DM, van Galen G, Sweetman L. Identification of methylenecyclopropyl acetic acid in serum of European horses with atypical myopathy. Equine Vet J 2014;46:146‐149.
- Unger L, Nicholson A, Jewitt EM. Hypoglycin A concentrations in seeds of Acer pseudoplatanus trees growing on atypical myopathy‐affected and control pastures. J Vet Intern Med 2014;28:1289‐1293.
- 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;30:880‐884.
- Lai MT, Li D, Oh E, Liu HW. Inactivation of medium‐chain acyl‐coA dehydrogenase by a metabolite of hypoglycin: Characterization of the major turnover product and evidence suggesting an alternative flavin modification pathway. J Am Chem Soc 1993;115:1619‐1628.
- Wenz A, Thorpe C, Ghisla S. Inactivation of general acyl‐CoA dehydrogenase from pig kidney by a metabolite of hypoglycin A. J Biol Chem 1981;256:9809‐9812.
- Osmundsen H, Billington D, Taylor JR, Sherratt HS. The effects of hypoglycin on glucose metabolism in the rat. A kinetic study in vivo with [U‐14C, 2‐3H] glucose. Biochem J 1978;170:337‐342.
- Hassall CH, Reyle K, Feng P. Hypoglycin A,B. Biologically active polypeptides from Blighia sapida. Nature 1954;173:356‐357.
- Karlíková R, Široká J, Jahn P. Equine atypical myopathy: A metabolic study. Vet J 2016;216:125‐132.
- Westermann CM, Dorland L, Votion DM. Acquired multiple Acyl‐CoA dehydrogenase deficiency in 10 horses with atypical myopathy. Neuromuscul Disord 2008;18:355‐364.
- van Galen G, Marcillaud Pitel C, Saegerman C. European outbreaks of atypical myopathy in grazing equids (2006‐2009): spatiotemporal distribution, history and clinical features. Equine Vet J 2012;44:614‐620.
- Baise E, Habyarimana JA, Amory H. Samaras and seedlings of Acer pseudoplatanus are potential sources of hypoglycin A intoxication in atypical myopathy without necessarily inducing clinical signs. Equine Vet J 2016;48:414‐417.
- Bochnia M, Ziegler J, Sander J. 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:e0136785.
- Bochnia M, Scheidemann W, Ziegler J. Predictive value of hypoglycin A and methylencyclopropylacetic acid conjugates in a horse with atypical myopathy in comparison to its cograzing partners. Equine Vet Educ 2018;30:24‐28.
- Pechova A, Pavlata L, Illek J. Blood and tissue selenium determination by hydride generation atomic absorption spectrophotometry. Acta Vet Brno 2005;74:483‐490.
- Lehotay DC, Hall P, Lepage J, Eichhorst JC, Etter ML, Greenberg CR. LC–MS/MS progress in newborn screening. Clin Biochem 2011;44:21‐31.
- Sander J, Cavalleri JM, Terhardt M. Rapid diagnosis of hypoglycin A intoxication in atypical myopathy of horses. J Vet Diagn Invest 2016;28:98‐104.
- Team RC. A language and environment for statistical computing. .
- Ludvíková E, Pavlata L, Vyskočil M, Jahn P. Selenium status of horses in the Czech Republic. Acta Vet Brno 2005;74:369‐375.
- Schwarz B, Ertl R, Zimmer Y. Estimated prevalence of the GYS‐1 mutation in healthy Austrian Haflingers. Vet Rec 2011;169:583‐586.
- Noto A, Mussap M, Fanos V. Is 1H NMR metabolomics becoming the promising early biomarker for neonatal sepsis and for monitoring the antibiotic toxicity?. J Chemother 2014;26:130‐132.
- Sponseller BT, Valberg SJ, Schultz NE. Equine multiple acyl‐CoA dehydrogenase deficiency (MADD) associated with seasonal pasture myopathy in the Midwestern United States. J Vet Intern Med 2012;26:1012‐1018.
- Solberg R, Enot D, Deigner HP. Metabolomic analyses of plasma reveals new insights into asphyxia and resuscitation in pigs. PLoS One 2010;5:e9606.
- Ward RM, Bates BA, Benitz WE. The transfer of drugs and other chemicals into human milk. Pediatrics 2001;108:776‐789.
- Young M, Allen WR, Deutz NE. Free amino‐acid concentrations in the equine placenta: Relationship to maternal and fetal plasma concentrations. Res Vet Sci 2003;74:279‐281.
- Jansson T. Amino acid transporters in the human placenta. Pediatr Res 2001;49:141‐147.
- Fowden AL, Silver M. Glucose and oxygen metabolism in the fetal foal during late gestation. Am J Physiol 1995;269:R1455‐R1461.
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