Salivary alpha-amylase activity and cortisol in horses with acute abdominal disease: a pilot study.
Abstract: The aim of this study was to evaluate salivary alpha-amylase (sAA), considered a non-invasive biomarker for sympathetic nervous system (SNS) activity, and salivary cortisol as possible pain-induced stress biomarker, in horses with acute abdominal disease. Therefore, a prospective observational study was performed in which both biomarkers were analyzed in a group of horses with acute abdomen syndrome, and compared with a group of healthy control horses by an unpaired Student's t-test. In addition, the possible relationship between both biomarkers, the score in Equine Acute Abdominal Pain scales version 1 (EAAPS-1 scale), Heart Rate (HR) and Respiratory Rate (RR), plasma lactate, the systemic inflammatory response syndrome (SIRS) score and serum amyloid A (SAA) concentration was assessed by a Spearman correlation test. Results: A total of 30 horses were included in the study, 19 with acute abdominal disease diagnosed as large colon displacements, simple impactions of the pelvic flexure, spasmodic colics and enteritis and 11 healthy ones. sAA activity (24.5 median-fold, P < 0.0001) and salivary cortisol (1.7 median-fold, P < 0.01) were significantly higher in horses with acute abdomen than in healthy horses. sAA activity was significantly correlated with EAAPS-1 scale (r = 0.78, 95% confidence interval [CI] 0.38-0.89, P < 0.001) and SIRS score (r = 0.49, 95% CI 0.03-0.78, P < 0.05). Neither sAA nor salivary cortisol correlated with HR, RR, plasma lactate and SAA. Conclusions: Although this study should be considered as preliminary one, alpha-amylase measurements in saliva could be a biomarker of pain-induced stress in horses with acute abdominal disease.
Publication Date: 2018-05-10 PubMed ID: 29747642PubMed Central: PMC5946548DOI: 10.1186/s12917-018-1482-4Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Observational Study
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article presents a pilot study aimed at evaluating the potential of salivary alpha-amylase and salivary cortisol as non-invasive biomarkers for stress induced by pain in horses with acute abdominal disease.
Objective and Methodology
- The study aimed to assess salivary alpha-amylase (sAA), which is considered a biomarker for the activity of the sympathetic nervous system (SNS), and salivary cortisol as possible biomarkers for stress induced by pain in horses experiencing acute abdominal diseases.
- A prospective observational study was conducted where these two biomarkers were analyzed in a group of horses suffering from acute abdominal syndrome.
- The results were then compared with those of a healthy control group of horses using an unpaired Student’s t-test.
- The correlation between these biomarkers and several other factors—such as the Equine Acute Abdominal Pain scales version 1 (EAAPS-1) score, Heart Rate (HR), Respiratory Rate (RR), plasma lactate, the systemic inflammatory response syndrome (SIRS) score, and serum amyloid A (SAA) concentration—was also assessed using a Spearman correlation test.
Results of the Study
- A total of 30 horses were in the study – 19 diagnosed with acute abdominal diseases such as large colon displacements, simple impactions of the pelvic flexure, spasmodic colics and enteritis, and 11 healthy ones.
- sAA activity and salivary cortisol were found to be significantly higher in horses with acute abdomen compared to healthy ones.
- sAA activity showed significant correlation with EAAPS-1 scale and SIRS score.
- Neither sAA nor salivary cortisol showed correlation with HR, RR, plasma lactate and SAA.
Conclusion
- Although it’s a preliminary study, the results suggest that the measurement of alpha-amylase in saliva could serve as a potential biomarker for stress induced by pain in horses suffering from acute abdominal diseases.
Cite This Article
APA
Contreras-Aguilar MD, Escribano D, Martín-Cuervo M, Tecles F, Cerón JJ.
(2018).
Salivary alpha-amylase activity and cortisol in horses with acute abdominal disease: a pilot study.
BMC Vet Res, 14(1), 156.
https://doi.org/10.1186/s12917-018-1482-4 Publication
Researcher Affiliations
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, 30100, Espinardo, Murcia, Spain.
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, 30100, Espinardo, Murcia, Spain.
- Department of Food and Animal Science, School of Veterinary Medicine, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, Spain.
- Surgery Department, Faculty of Veterinary Medicine, University of Extremadura, 10005, Cáceres, Spain.
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, 30100, Espinardo, Murcia, Spain. ftecles@um.es.
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, 30100, Espinardo, Murcia, Spain.
MeSH Terms
- Abdomen, Acute / enzymology
- Abdomen, Acute / veterinary
- Acute Disease
- Animals
- Biomarkers / metabolism
- Colic / metabolism
- Colic / veterinary
- Colorimetry / veterinary
- Female
- Horse Diseases / enzymology
- Horses
- Hydrocortisone / metabolism
- Male
- Pain / enzymology
- Pain / veterinary
- Pain Measurement / veterinary
- Pilot Projects
- Prospective Studies
- Saliva / enzymology
- Salivary alpha-Amylases / metabolism
Grant Funding
- 19894/GERM/15 / Fundaciu00f3n Su00e9neca
- R- 605/2016 / Universidad de Murcia
Conflict of Interest Statement
ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Written owner’s consent was obtained for all horses participating in this study. The Murcia University Ethics Committee with the number CEEA 288/2017 has approved this project. COMPETING INTERESTS: None of the authors has any financial or personal relationships that could inappropriately influence or bias the content of the paper. PUBLISHER’S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
This article includes 38 references
- VanDierendonck MC, van Loon JP. Monitoring acute equine visceral pain with the Equine Utrecht University Scale for Composite Pain Assessment (EQUUS-COMPASS) and the Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP): A validation study.. Vet J 2016 Oct;216:175-7.
- de Grauw JC, van Loon JP. Systematic pain assessment in horses.. Vet J 2016 Mar;209:14-22.
- Sutton GA, Paltiel O, Soffer M, Turner D. Validation of two behaviour-based pain scales for horses with acute colic.. Vet J 2013 Sep;197(3):646-50.
- Gleerup KB, Lindegaard C. Recognition and quantification of pain in horses: a tutorial review.. Equine Vet Educ 2016;28:47–57.
- Hinchcliff KW, Rush BR, Farris JW. Evaluation of plasma catecholamine and serum cortisol concentrations in horses with colic.. J Am Vet Med Assoc 2005 Jul 15;227(2):276-80.
- Pritchett LC, Ulibarri C, Roberts MC, Schneider RK, Sellon DC. Identification of potential physiological and behavioral indicators of postoperative pain in horses after exploratory celiotomy for colic.. Appl Anim Behav Sci 2003;80:31–43.
- Tsuchiya K, Saidin MY bin, Inoue T, Kajiwara K, Kimura M. Qualitative measurement of pain by analysing the salivary alpha amylase.. Precis Eng 2014;38:257–260.
- Kedzierski W, Strzelec K, Anna C, Kowalik S. Salivary cortisol concentration in exercised thoroughbred horses.. J Equine Vet Sci 2013;33:1106–1109.
- Nater UM, Rohleder N. Salivary alpha-amylase as a non-invasive biomarker for the sympathetic nervous system: current state of research.. Psychoneuroendocrinology 2009 May;34(4):486-96.
- Granger DA, Kivlighan KT, el-Sheikh M, Gordis EB, Stroud LR. Salivary alpha-amylase in biobehavioral research: recent developments and applications.. Ann N Y Acad Sci 2007 Mar;1098:122-44.
- Fuentes-Rubio M, Fuentes F, Otal J, Quiles A, Tecles F, Cerón JJ. Measurements of salivary alpha-amylase in horse: comparison of 2 different assays.. J Vet Behav 2015;10:122–127.
- Roy MF, Kwong GP, Lambert J, Massie S, Lockhart S. Prognostic Value and Development of a Scoring System in Horses With Systemic Inflammatory Response Syndrome.. J Vet Intern Med 2017 Mar;31(2):582-592.
- Sutton GA, Dahan R, Turner D, Paltiel O. A behaviour-based pain scale for horses with acute colic: scale construction.. Vet J 2013 Jun;196(3):394-401.
- . IFCC methods for measurement of catalytic concentration of enzymes. Part 9. IFCC method for alpha-amylase [1,4-alpha-D-glucan 4-glucanohydrolase, EC 3.2.1.1]. International Federation of Clinical Chemistry.. Clin Chim Acta 1999 Mar;281(1-2):S5-39.
- Escribano D, Fuentes-Rubio M, Cerón JJ. Validation of an automated chemiluminescent immunoassay for salivary cortisol measurements in pigs.. J Vet Diagn Invest 2012 Sep;24(5):918-23.
- Rohleder N, Nater UM. Determinants of salivary alpha-amylase in humans and methodological considerations.. Psychoneuroendocrinology 2009 May;34(4):469-85.
- Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences.. Behav Res Methods 2007 May;39(2):175-91.
- Gröschl M, Wagner R, Rauh M, Dörr HG. Stability of salivary steroids: the influences of storage, food and dental care.. Steroids 2001 Oct;66(10):737-41.
- VanDierendonck MC, van Loon JP. Monitoring acute equine visceral pain with the Equine Utrecht University Scale for Composite Pain Assessment (EQUUS-COMPASS) and the Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP): A validation study.. Vet J 2016 Oct;216:175-7.
- Valverde A, Gunkel CI. Pain management in horses and farm animals.. J Vet Emerg Crit Car 2005;15:295–307.
- Wittwer A, Krummenacher P, La Marca R, Ehlert U, Folkers G. Salivary Alpha-Amylase Correlates with Subjective Heat Pain Perception.. Pain Med 2016 Jun;17(6):1131-6.
- Liu H, Dong WY, Wang JB, Wang T, Hu P, Wei SF, Ye L, Wang QW. Association between salivary α-amylase activity and pain relief scale scores in cancer patients with bone metastases treated with radiotherapy.. Chin Med J (Engl) 2013 Dec;126(23):4444-7.
- Shirasaki S, Fujii H, Takahashi M, Sato T, Ebina M, Noto Y, Hirota K. Correlation between salivary alpha-amylase activity and pain scale in patients with chronic pain.. Reg Anesth Pain Med 2007 Mar-Apr;32(2):120-3.
- Mellor DJ, Stafford KJ, Todd SE, Lowe TE, Gregory NG, Bruce RA, Ward RN. A comparison of catecholamine and cortisol responses of young lambs and calves to painful husbandry procedures.. Aust Vet J 2002 Apr;80(4):228-33.
- Price J, Catriona S, Welsh EM, Waran NK. Preliminary evaluation of a behaviour-based system for assessment of post-operative pain in horses following arthroscopic surgery.. Vet Anaesth Analg 2003 Jul;30(3):124-37.
- Raekallio M, Taylor PM, Bennett RC. Preliminary investigations of pain and analgesia assessment in horses administered phenylbutazone or placebo after arthroscopic surgery.. Vet Surg 1997 Mar-Apr;26(2):150-5.
- Dondi F, Lukacs RM, Gentilini F, Rinnovati R, Spadari A, Romagnoli N. Serum amyloid A, haptoglobin, and ferritin in horses with colic: Association with common clinicopathological variables and short-term outcome.. Vet J 2015 Jul;205(1):50-5.
- Bussières G, Jacques C, Lainay O, Beauchamp G, Leblond A, Cadoré JL, Desmaizières LM, Cuvelliez SG, Troncy E. Development of a composite orthopaedic pain scale in horses.. Res Vet Sci 2008 Oct;85(2):294-306.
- Chatterton RT Jr, Vogelsong KM, Lu YC, Ellman AB, Hudgens GA. Salivary alpha-amylase as a measure of endogenous adrenergic activity.. Clin Physiol 1996 Jul;16(4):433-48.
- Nater UM, Rohleder N, Gaab J, Berger S, Jud A, Kirschbaum C, Ehlert U. Human salivary alpha-amylase reactivity in a psychosocial stress paradigm.. Int J Psychophysiol 2005 Mar;55(3):333-42.
- Engert V, Efanov SI, Duchesne A, Vogel S, Corbo V, Pruessner JC. Differentiating anticipatory from reactive cortisol responses to psychosocial stress.. Psychoneuroendocrinology 2013 Aug;38(8):1328-37.
- Sumter SR, Bokhorst CL, Miers AC, Van Pelt J, Westenberg PM. Age and puberty differences in stress responses during a public speaking task: do adolescents grow more sensitive to social evaluation?. Psychoneuroendocrinology 2010 Nov;35(10):1510-6.
- Mair TS, Edwards GB. Chronic and recurrent colic: challenging clinical syndromes.. Equine Vet Educ 2007;19:130.
- Mair TS, Hillyer MH. Chronic colic in the mature horse: a retrospective review of 106 cases.. Equine Vet J 1997 Nov;29(6):415-20.
- Kennedy B, Dillon E, Mills PJ, Ziegler MG. Catecholamines in human saliva.. Life Sci 2001 May 25;69(1):87-99.
- Ashley FH, Waterman-Pearson AE, Whay HR. Behavioural assessment of pain in horses and donkeys: application to clinical practice and future studies.. Equine Vet J 2005 Nov;37(6):565-75.
- Rohleder N, Wolf JM, Maldonado EF, Kirschbaum C. The psychosocial stress-induced increase in salivary alpha-amylase is independent of saliva flow rate.. Psychophysiology 2006 Nov;43(6):645-52.
- Bohák Z, Szabó F, Beckers JF, Melo de Sousa N, Kutasi O, Nagy K, Szenci O. Monitoring the circadian rhythm of serum and salivary cortisol concentrations in the horse.. Domest Anim Endocrinol 2013 Jul;45(1):38-42.
Citations
This article has been cited 14 times.- Marcet-Rius M, Mendonça T, Pageat P, Arroub S, Bienboire-Frosini C, Chabaud C, Teruel E, Cozzi A. Effect of wither application of an analogue of pig appeasing pheromone on encounters between unfamiliar mini-pigs. Porcine Health Manag 2022 Dec 14;8(1):50.
- Vincent A, Peth-Pierce RM, Morrissey MA, Acri MC, Guo F, Seibel L, Hoagwood KE. Evaluation of a Modified Bit Device to Obtain Saliva Samples from Horses. Vet Sci 2021 Oct 15;8(10).
- Muñoz-Prieto A, Escribano D, Contreras-Aguilar MD, Horvatić A, Guillemin N, Jacobsen S, Cerón JJ, Mrljak V. Tandem Mass Tag (TMT) Proteomic Analysis of Saliva in Horses with Acute Abdominal Disease. Animals (Basel) 2021 Apr 30;11(5).
- Contreras-Aguilar MD, Vallejo-Mateo PJ, Želvytė R, Tecles F, Rubio CP. Changes in Saliva Analytes Associated with Lameness in Cows: A Pilot Study. Animals (Basel) 2020 Nov 9;10(11).
- Contreras-Aguilar MD, Lamy E, Escribano D, Cerón JJ, Tecles F, Quiles AJ, Hevia ML. Changes in Salivary Analytes of Horses Due to Circadian Rhythm and Season: A Pilot Study. Animals (Basel) 2020 Aug 24;10(9).
- Bazzano M, Laghi L, Zhu C, Lotito E, Sgariglia S, Tesei B, Laus F. Exercise Induced Changes in Salivary and Serum Metabolome in Trained Standardbred, Assessed by (1)H-NMR. Metabolites 2020 Jul 21;10(7).
- Sobas EM, Vázquez A, Videla S, Reinoso R, Fernández I, Garcia-Vazquez C, Maldonado MJ, Pastor JC. Evaluation of Potential Pain Biomarkers in Saliva and Pain Perception After Corneal Advanced Surface Ablation Surgery. Clin Ophthalmol 2020;14:613-623.
- Contreras-Aguilar MD, Henry S, Coste C, Tecles F, Escribano D, Cerón JJ, Hausberger M. Changes in Saliva Analytes Correlate with Horses' Behavioural Reactions to An Acute Stressor: A Pilot Study. Animals (Basel) 2019 Nov 18;9(11).
- Contreras-Aguilar MD, Escribano D, Martínez-Subiela S, Martín-Cuervo M, Lamy E, Tecles F, Cerón JJ. Changes in saliva analytes in equine acute abdominal disease: a sialochemistry approach. BMC Vet Res 2019 Jun 6;15(1):187.
- Contreras-Aguilar MD, Escribano D, Martínez-Subiela S, Martínez-Miró S, Cerón JJ, Tecles F. Changes in alpha-amylase activity, concentration and isoforms in pigs after an experimental acute stress model: an exploratory study. BMC Vet Res 2018 Aug 29;14(1):256.
- Bolesławska-Szubartowska J, Kucharczuk M, Skrabska A, Zbysław A, Adamowicz J, Alszko A, Domagalska-Stomska K, Durska M, Dziekcierów A, Janiszewska Z, Korzeniowska R, Kraujutowicz K, Kulesza K, Marciniak P, Pacyna Z, Przeborowska J, Siwek Z, Leonard M, Rapacz-Leonard A. Introducing an Innovative Pain Scale for Assessing Postpartum Pain in Mares: Preliminary Clinical Evaluation. Animals (Basel) 2025 Nov 30;15(23).
- Cañadas-Vidal E, Muñoz-Prieto A, García-Martínez JD, Ceron JJ, Pardo-Marín L, Tvarijonaviciute A. Alpha-Amylase Activity in Feline Saliva: An Analytical Validation of an Automated Assay for Its Measurement and a Pilot Study on Its Changes Following Acute Stress and Due to Urinary Tract Pathologies. Animals (Basel) 2025 Jul 14;15(14).
- Zimoch M, Grau-Roma L, Liniger M, Donzé N, Godel A, Escribano D, Trüeb BS, Pramateftaki P, Torres-Puig S, Cerón JJ, Thiel V, Jores J, Summerfield A, Ruggli N, Benarafa C, García-Nicolás O. Mosquito-independent milk-associated transmission of zoonotic Wesselsbron virus in sheep. PLoS Pathog 2024 Dec;20(12):e1012751.
- Villalba-Orero M, Contreras-Aguilar MD, Cerón JJ, Fuentes-Romero B, Valero-González M, Martín-Cuervo M. Association between Eosinophil Count and Cortisol Concentrations in Equids Admitted in the Emergency Unit with Abdominal Pain. Animals (Basel) 2024 Jan 4;14(1).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists