Plasma Activin A concentrations are not a useful biomarker for detecting insulin dysregulation and predicting laminitis risk in ponies.
Abstract: Circulating insulin concentrations are used to quantify risk of laminitis in currently non-laminitic ponies. Basal serum activin A (AA) concentration has previously been positively correlated with serum insulin concentrations 60 minutes (T60) following an oral sugar test (OST) in ponies with equine metabolic syndrome. Therefore, circulating AA might be a useful marker for insulin dysregulation (ID) and laminitis risk. Objective: To explore the relationship between circulating AA concentrations at baseline (T0) and T60 in ponies that developed laminitis within six months and non-laminitic ponies. Methods: Case-control study. Forty-three ponies that developed laminitis (PLP) during a four-year surveillance period were selected from a larger cohort; 43 ponies from the same cohort that remained non-laminitic (NLP) were selected as controls. Plasma AA concentrations were measured using a validated ELISA at T0 and T60 and compared between groups at both time points using a Wilcoxon signed ranks test. Correlations with other previously measured metabolic markers were investigated using 's rank correlation coefficients. Results: There was a significant difference between T0 plasma AA (median 8.8; interquartile range [6.2, 13.1]ng/mL) and T60 (13.1; [8.8, 20.1]ng/mL) within the NLP group (P= <0.001) and between plasma AA at T0 (7.4 [5.5, 12.4]ng/mL) and T60 (12.3 [6.9, 16.6]ng/ml) in the PLP group (P= <0.001). There were no significant correlations between plasma AA (T0 or T60) and any other measured metabolic marker. Single timepoints and retrospective analysis were the main limitations. Conclusions: Plasma AA concentration is not a useful marker for ID or predicting laminitis development in ponies.
Copyright © 2025. Published by Elsevier Inc.
Publication Date: 2025-07-29 PubMed ID: 40744128DOI: 10.1016/j.jevs.2025.105660Google Scholar: Lookup
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Summary
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This study researched the potential use of the plasma Activin A (AA) concentration as a marker for insulin dysregulation and risk prediction of laminitis in ponies, but found no strong correlation that would make it useful in practice.
Study Objectives and Methods
- The research was aimed at understanding the relationship between the baseline and 60-minute post oral sugar test (OST) plasma Activin A concentrations in ponies, and whether or not these could be used as a predictor for laminitis development within a period of six months.
- The study used a case-control method, involving 43 ponies that developed laminitis within a four-year period and an equivalent number of ponies that did not develop the condition, as controls.
- The plasma Activin A concentrations were measured at the baseline time (T0) and 60-minutes post-test (T60) using a validated Enzyme-Linkage Immunosorbent Assay (ELISA). Results were compared between the two groups at both points in time.
- The study also investigated possible correlations between the plasma Activin A concentrations and other previously measured metabolic markers using Spearman’s rank correlation coefficients.
Study Findings
- The findings showed a significant difference in plasma Activin A concentrations at T0 and T60 within both the laminitic and non-laminitic pony groups. However, no significant association was found between plasma Activin A (at either T0 or T60) and any other measured metabolic markers.
- The study acknowledges limitations in the sole reliance on single timepoints and retrospective analysis. This restricts the measures placed on temporal changes or fluctuations that might occur in the plasma Activin A concentrations.
Conclusions
- The conclusion of the research was that the plasma Activin A concentration is not a useful marker for insulin dysregulation or for predicting laminitis development in ponies.
- This research provides valuable insight, indicating that alternative markers or methods may need to be sought for predicting laminitis development in ponies.
Cite This Article
APA
McGuire CJ, Knowles EJ, Harris PA, Menzies-Gow NJ.
(2025).
Plasma Activin A concentrations are not a useful biomarker for detecting insulin dysregulation and predicting laminitis risk in ponies.
J Equine Vet Sci, 105660.
https://doi.org/10.1016/j.jevs.2025.105660 Publication
Researcher Affiliations
- Department of Clinical Science and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Herts. AL9 7TA. Electronic address: cmcguire21@rvc.ac.uk.
- Department of Clinical Science and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Herts. AL9 7TA.
- Waltham Petcare Science Institute, Freeby Lane, Waltham-on-the-Wolds, Leics UK.
- Department of Clinical Science and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Herts. AL9 7TA.
Conflict of Interest Statement
Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Edward J. Knowles reports a relationship with Boehringer Ingelheim Ltd that includes: speaking and lecture fees. Edward J. Knowles reports a relationship with CVS UK Limited that includes: employment. Patricia A. Harris reports a relationship with Waltham Petcare Science Institute that includes: employment. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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