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Journal of equine veterinary science2022; 117; 104093; doi: 10.1016/j.jevs.2022.104093

Serum immunoglobulin G concentration after plasma transfusion in neonatal foals with hypogammaglobulinemia in various health status.

Abstract: Due to the time-limited intestinal uptake of colostral immunoglobulins, the suggested treatment of hypogammaglobulinemia in new-born foals is usually plasma transfusion. The aims of this study were twofold: firstly, to investigate the course of serum IgG concentration after plasma transfusion in newborn foals; and secondly, to determine the amount of transfusion required for a significant increase in serum IgG concentration. For this purpose, the IgG concentration was measured in 23 foals at three different points in time: before transfusion, 1 hour after transfusion, and 24 hours after transfusion. There was an increase in IgG concentration in the blood of 18 foals (78.3%). In five foals (21.7%), no increase in serum IgG concentration were detected after plasma transfusion. Transfusion of 1 mg IgG caused an average increase in IgG level of 0.03 mg/dl (0.001-0.268 mg/dl) 1 hour after transfusion. After 24 hours, the same amount of IgG caused a larger increase of 0.05 mg/dl (0.002-0.537 mg/dl). None of the foals demonstrated adverse reactions to the plasma transfusion. These values provide a guidance how much IgG is needed to increase serum IgG concentration to a desired level. However, this study has shown that there is a high variability in serum IgG concentration after plasma transfusion. Which highlights the necessity for monitoring IgG concentration following transfusion.
Publication Date: 2022-08-05 PubMed ID: 35940386DOI: 10.1016/j.jevs.2022.104093Google Scholar: Lookup
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  • Journal Article

Summary

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The study investigates the effect of plasma transfusion on serum immunoglobulin G (IgG) concentration in newborn foals with hypogammaglobulinemia, a condition that causes low levels of immunoglobulins. The research found varying results, highlighting the need to monitor IgG concentration after transfusion.

Study Objectives

  • The primary objectives of this study were to understand changes in serum IgG concentration in neonatal foals following plasma transfusion and to determine the volume of plasma transfusion needed to substantially increase the IgG concentration.

Methodology

  • In this experiment, the researchers measured IgG concentration levels in 23 newborn foals at three intervals: before plasma transfusion, 1 hour after, and 24 hours post-transfusion.

Findings

  • The study found an increase in IgG concentration in the blood of 18 out of the 23 foals (78.3%) after receiving plasma transfusion.
  • Contrarily, in 5 of the foals (21.7%), no elevation in serum IgG concentration was detected following plasma transfusion.
  • The study observed that a transfusion of 1 mg of IgG led to an average increase of 0.03 mg/dl in IgG level 1 hour post-transfusion. After 24 hours, the same amount of IgG caused a larger increase of 0.05 mg/dl.
  • No adverse reactions to plasma transfusions were noted in the foals studied.

Implication and Conclusion

  • The data derived from this study can guide veterinarians and researchers on how much IgG is necessary to enhance serum IgG concentration to an optimal level in newborn foals with hypogammaglobulinemia.
  • However, the research also pointed out a high variability in serum IgG concentration after plasma transfusion between the foals, indicating the importance of monitoring IgG concentration in individual foals post-transfusion.

Cite This Article

APA
Sievert M, Schuler G, Wehrend A. (2022). Serum immunoglobulin G concentration after plasma transfusion in neonatal foals with hypogammaglobulinemia in various health status. J Equine Vet Sci, 117, 104093. https://doi.org/10.1016/j.jevs.2022.104093

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 117
Pages: 104093

Researcher Affiliations

Sievert, Maren
  • Clinic of Obstetrics, Gynecology and Andrology of Large and Small Animals with Ambulatory Service, Faculty of Veterinary Medicine, Justus-Liebig-University, Giessen, Germany. Electronic address: maren.sievert@vetmed.uni-giessen.de.
Schuler, Gerhard
  • Clinic of Obstetrics, Gynecology and Andrology of Large and Small Animals with Ambulatory Service, Faculty of Veterinary Medicine, Justus-Liebig-University, Giessen, Germany.
Wehrend, Axel
  • Clinic of Obstetrics, Gynecology and Andrology of Large and Small Animals with Ambulatory Service, Faculty of Veterinary Medicine, Justus-Liebig-University, Giessen, Germany.

MeSH Terms

  • Agammaglobulinemia / therapy
  • Agammaglobulinemia / veterinary
  • Animals
  • Animals, Newborn
  • Blood Component Transfusion / veterinary
  • Health Status
  • Horse Diseases / therapy
  • Horses
  • Immunoglobulin G
  • Plasma