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Equine veterinary journal1999; 31(1); 43-47; doi: 10.1111/j.2042-3306.1999.tb03789.x

Skeletal muscle metabolic response to exercise in horses with ‘tying-up’ due to polysaccharide storage myopathy.

Abstract: Polysaccharide storage myopathy (PSSM) is a distinct cause of exertional rhabdomyolysis in Quarter Horses that results in glycogen and abnormal polysaccharide accumulation. The purpose of this study was to determine if excessive glycogen storage in PSSM is due to a glycolytic defect that impairs utilisation of this substrate during exercise. Muscle biopsies, blood lactates and serum CK were obtained 1) at rest from 5 PSSM Quarter Horses, 4 normal Quarter Horses (QH controls) and 6 Thoroughbreds with recurrent exertional rhabdomyolysis (TB RER) and 2) after a maximal treadmill exercise test in PSSM and QH controls. In addition, 3 PSSM horses performed a submaximal exercise test. At rest, muscle glycogen concentrations were 2.4x and 1.9x higher in PSSM vs. QH controls or TB RER, respectively. Muscle lactates at rest were similar between PSSM and QH controls but significantly higher in PSSM vs. TB RER. Muscle glucose-6-phosphate concentrations were also higher in PSSM horses than controls combined. During maximal exercise, mean muscle glycogen concentrations declined 2.7x more and mean lactate increased 2x more in PSSM vs. QH controls; however, differences were not statistically significant. Blood lactate concentrations after maximal exercise did not reflect generally higher muscle lactate in PSSM vs. QH controls. No change in blood lactate concentrations occurred in PSSM horses with submaximal exercise. Serum CK activity increased significantly 4 h after maximal and submaximal exercise and was significantly higher in PSSM vs. QH controls. These results show that during maximal exercise, PSSM horses utilised muscle glycogen and produce lactic acid via a functional glycolytic pathway and that during submaximal exercise oxidative metabolism was unimpaired. The excessive glycogen storage and formation of abnormal polysaccharide in PSSM horses therefore appear to reflect increased glycogen synthesis rather than decreased utilisation. The specific subset of horses with exertional rhabdomyolysis due to PSSM would likely benefit clinically from a diet low in soluble carbohydrates like grain with fat added as well as gradually increasing daily exercise to reduce excessive glycogen accumulation and enhance utilisation.
Publication Date: 1999-02-10 PubMed ID: 9952328DOI: 10.1111/j.2042-3306.1999.tb03789.xGoogle Scholar: Lookup
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  • Journal Article
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  • Non-U.S. Gov't

Summary

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The research studies the metabolic response of horses’ muscles to exercise, particularly in horses with ‘tying-up’ due to Polysaccharide storage myopathy (PSSM). It finds that the storage of excessive glycogen in PSSM horses is due to an increase in glycogen synthesis, not a decrease in usage, and that horses with this condition could benefit from a specific diet and exercise regimen.

Objective and Methodology

  • This research aimed to understand whether the excessive accumulation of glycogen in horses with Polysaccharide Storage Myopathy (PSSM), a condition causing muscle cramping and stiffness, is due to a metabolic defect obstructing the proper use of glycogen during exercise.
  • The study analyzed muscle biopsies, blood lactate levels, and serum CK values taken from resting and exercising Quarter Horses (both normal and those with PSSM) and Thoroughbreds with recurrent exertional rhabdomyolysis (a muscle disorder).

Results of the Study

  • At rest, muscle glycogen concentrations in PSSM horses were found to be significantly higher than in normal Quarter Horses or Thoroughbreds with recurrent exertional rhabdomyolysis.
  • Muscle lactate levels were similar between PSSM and normal Quarter Horses, but significantly higher in PSSM horses compared to Thoroughbreds.
  • During a maximal exercise test, muscle glycogen concentrations in PSSM horses declined significantly more, and lactate levels increased more than in normal Quarter Horses, indicating that the glycolytic pathway (a metabolic pathway that coverts glucose to lactate) was functional in these horses.
  • Unlike normal Quarter Horses, PSSM horses did not show a significant change in blood lactate levels after exercise, indicating that their oxidative metabolism was unimpeded during submaximal exercise.
  • Additionally, serum CK activity, an indicator of muscle damage, showed a significant increase post-exercise in PSSM horses as compared to normal Quarter Horses.

Conclusions and Implications

  • Despite the common belief that impaired utilization of glycogen could be a reason for its excessive accumulation in PSSM horses, this study found rather that this was due to increased synthesis of glycogen. As such, the PSSM horses were not found to be incapable of effectively utilizing glycogen during exercise.
  • Given these findings, it was suggested that PSSM horses might benefit from a diet low in soluble carbohydrates with added fat and gradually increased daily exercise. This could help in reducing excessive glycogen accumulation and improving its utilization, thereby managing the symptoms of PSSM better.

Cite This Article

APA
Valberg SJ, Macleay JM, Billstrom JA, Hower-Moritz MA, Mickelson JR. (1999). Skeletal muscle metabolic response to exercise in horses with ‘tying-up’ due to polysaccharide storage myopathy. Equine Vet J, 31(1), 43-47. https://doi.org/10.1111/j.2042-3306.1999.tb03789.x

Publication

ISSN: 0425-1644
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 31
Issue: 1
Pages: 43-47

Researcher Affiliations

Valberg, S J
  • Department of Clinical and Population Sciences, University of Minnesota, St Paul 55108, USA.
Macleay, J M
    Billstrom, J A
      Hower-Moritz, M A
        Mickelson, J R

          MeSH Terms

          • Adenosine Triphosphate / metabolism
          • Animals
          • Female
          • Glucose-6-Phosphate / metabolism
          • Glycogen / metabolism
          • Glycogen Storage Disease / complications
          • Glycogen Storage Disease / metabolism
          • Glycogen Storage Disease / veterinary
          • Heart Rate
          • Horse Diseases / etiology
          • Horse Diseases / metabolism
          • Horses
          • Lactates / blood
          • Lactates / metabolism
          • Male
          • Muscle, Skeletal / metabolism
          • Physical Conditioning, Animal / physiology
          • Polysaccharides / metabolism
          • Pyruvic Acid / metabolism
          • Rhabdomyolysis / etiology
          • Rhabdomyolysis / metabolism
          • Rhabdomyolysis / veterinary

          Citations

          This article has been cited 8 times.
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