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Journal of veterinary internal medicine2021; 35(6); 2891-2896; doi: 10.1111/jvim.16295

Symmetric dimethylarginine concentrations in healthy neonatal foals and mares.

Abstract: Symmetric dimethylarginine (SDMA) is a renal biomarker correlated with glomerular filtration rate (GFR). Objective: Describe changes in SDMA in clinically healthy foals and their mares during the first month postfoaling. Methods: Convenience sampling of healthy periparturient Thoroughbred mares and their full-term foals from a population of client-owned horses. Methods: Serum and EDTA whole blood samples were collected from mares in their last month of pregnancy and then from mares and foals at approximately <12 hours, 48 hours, 7 days, and 30 days postbirth. Samples were processed at a commercial reference laboratory for CBC and serum biochemistry, including SDMA concentrations. Results: A total of 125 foals and 104 mares were included. Upper limits for SDMA concentrations in foals were above the adult horse reference interval for the first 20 or more days of life. Median SDMA concentrations decreased from 70 μg/dL (range, 7-100 μg/dL) to 18 μg/dL (range, 6-27 μg/dL) during the first 3 to 4 weeks of life. At birth, the SDMA concentration reference range was established as 0 to 100 μg/dL (upper limit of the assay); 0 to 85 μg/dL for 1 to 4 days old, 0 to 36 μg/dL for 5 to 10 days old, and 0 to 24 μg/dL for 20 to 30 days old. The upper reference limits for SDMA concentrations in mares did not differ from the general reference interval for adult horses. No correlation was identified between mare and foal SDMA concentrations (ρ = .06, P = .58). Conclusions: Foal SDMA concentrations remained higher than the upper limit of the adult reference range and foals require a different reference range dependent on age.
Publication Date: 2021-11-05 PubMed ID: 34738665PubMed Central: PMC8692187DOI: 10.1111/jvim.16295Google Scholar: Lookup
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  • Journal Article

Summary

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The research article presents a study on the changes in concentrations of a renal biomarker (SDMA) in healthy newborn foals and their mares during the first month after birth. The study concludes that newborn foals’ SDMA concentrations are significantly higher than their mothers’ throughout this period, suggesting that foals require a different, age-dependent SDMA reference range.

Study Methods

  • The primary objective of the research was to study the changes occurring in SDMA concentrations in healthy foals and their mares within the first month postfoaling. SDMA is a renal biomarker linked to the glomerular filtration rate, which indicates the functional capacity of the kidneys.
  • A convenience sampling method was used, involving healthy periparturient Thoroughbred mares, in the last month of their pregnancies, and their full-term foals. The subjects were sourced from a population of client-owned horses.
  • Throughout the study period, samples of serum and EDTA whole blood were collected from the mares and foals at specific intervals – less than 12 hours, 48 hours, 7 days, and 30 days postbirth.
  • These samples were then processed at a commercial reference laboratory for complete blood count (CBC) and serum biochemistry, specifically monitoring the SDMA concentrations.

Study Results

  • The study included a total of 125 foals and their 104 respective mares.
  • It was observed that the upper limits of SDMA concentrations in the foals significantly surpassed the adult horse reference interval for the initial 20 days or more after birth.
  • Median SDMA concentrations within the foals dropped from around 70 μg/dL (range, 7-100 μg/dL) to approximately 18 μg/dL (range, 6-27 μg/dL) over the first 3 to 4 weeks of life.
  • The study also established different reference ranges of SDMA concentration based on the age of the foal, while the upper reference limits for SDMA concentrations in mares did not differ from the general adult range.
  • Importantly, there was no correlation found between the SDMA concentrations of the mares and those of their foals, signifying that the renal functions in both groups operate independently of each other.

Conclusion

  • The study concluded that the SDMA concentrations in foals stayed above the adult reference range’s upper limit throughout the first month after birth. This shows that newborn foals require a separate SDMA reference range, dependent on their age.

Cite This Article

APA
Bozorgmanesh R, Thornton J, Snyder J, Fletcher C, Mack R, Coyne M, Murphy R, Hegarty E, Slovis N. (2021). Symmetric dimethylarginine concentrations in healthy neonatal foals and mares. J Vet Intern Med, 35(6), 2891-2896. https://doi.org/10.1111/jvim.16295

Publication

ISSN: 1939-1676
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 35
Issue: 6
Pages: 2891-2896

Researcher Affiliations

Bozorgmanesh, Rana
  • Hagyard Equine Medical Institute, Lexington, Kentucky, USA.
Thornton, Jessica
  • Hagyard Equine Medical Institute, Lexington, Kentucky, USA.
Snyder, Jackie
  • Hagyard Equine Medical Institute, Lexington, Kentucky, USA.
Fletcher, Caitlin
  • Hagyard Equine Medical Institute, Lexington, Kentucky, USA.
Mack, Rebekah
  • IDEXX Laboratories, Inc, Westbrook, Maine, USA.
Coyne, Michael
  • IDEXX Laboratories, Inc, Westbrook, Maine, USA.
Murphy, Rachel
  • IDEXX Laboratories, Inc, Westbrook, Maine, USA.
Hegarty, Evan
  • IDEXX Laboratories, Inc, Westbrook, Maine, USA.
Slovis, Nathan
  • Hagyard Equine Medical Institute, Lexington, Kentucky, USA.

MeSH Terms

  • Animals
  • Arginine / analogs & derivatives
  • Biomarkers
  • Female
  • Glomerular Filtration Rate
  • Horses
  • Parturition
  • Pregnancy

Grant Funding

  • IDEXX Laboratories, Inc

Conflict of Interest Statement

Rebecca Mack, Michael Coyne, Rachel Murphy, Evan Hegarty have an affiliation with the commercial funders of this research as current employees of IDEXX Laboratories, Inc (https://www.idexx.com/en/about-idexx/).

References

This article includes 23 references
  1. Kakimoto Y, Akazawa S. Isolation and identification of N-G,N-G- and N-G,N'-G-dimethyl-arginine, N-epsilon-mono-, di-, and trimethyllysine, and glucosylgalactosyl- and galactosyl-delta-hydroxylysine from human urine.. J Biol Chem 1970 Nov 10;245(21):5751-8.
    pubmed: 5472370
  2. Fleck C, Schweitzer F, Karge E, Busch M, Stein G. Serum concentrations of asymmetric (ADMA) and symmetric (SDMA) dimethylarginine in patients with chronic kidney diseases.. Clin Chim Acta 2003 Oct;336(1-2):1-12.
    pubmed: 14500028doi: 10.1016/s0009-8981(03)00338-3google scholar: lookup
  3. Kielstein JT, Salpeter SR, Bode-Boeger SM, Cooke JP, Fliser D. Symmetric dimethylarginine (SDMA) as endogenous marker of renal function--a meta-analysis.. Nephrol Dial Transplant 2006 Sep;21(9):2446-51.
    pubmed: 16766542doi: 10.1093/ndt/gfl292google scholar: lookup
  4. Hall JA, Yerramilli M, Obare E, Yerramilli M, Jewell DE. Comparison of serum concentrations of symmetric dimethylarginine and creatinine as kidney function biomarkers in cats with chronic kidney disease.. J Vet Intern Med 2014 Nov-Dec;28(6):1676-83.
    pmc: PMC4895610pubmed: 25231385doi: 10.1111/jvim.12445google scholar: lookup
  5. Hall JA, Yerramilli M, Obare E, Yerramilli M, Almes K, Jewell DE. Serum Concentrations of Symmetric Dimethylarginine and Creatinine in Dogs with Naturally Occurring Chronic Kidney Disease.. J Vet Intern Med 2016 May;30(3):794-802.
    pmc: PMC4913574pubmed: 27103204doi: 10.1111/jvim.13942google scholar: lookup
  6. Hall JA, Yerramilli M, Obare E, Yerramilli M, Yu S, Jewell DE. Comparison of serum concentrations of symmetric dimethylarginine and creatinine as kidney function biomarkers in healthy geriatric cats fed reduced protein foods enriched with fish oil, L-carnitine, and medium-chain triglycerides.. Vet J 2014 Dec;202(3):588-96.
    pubmed: 25458884doi: 10.1016/j.tvjl.2014.10.021google scholar: lookup
  7. Yerramilli M, Yerramilli M, Obare E, Jewell DE, Hall JA. Prognostic value of symmetric dimethylarginine (SDMA) to creatinine ratio in dogs and cats with chronic kidney disease (CKD).. J Vet Intern Med 2015;29(4):1274.
  8. Hall JA, Yerramilli M, Obare E, Yerramilli M, Melendez LD, Jewell DE. Relationship between lean body mass and serum renal biomarkers in healthy dogs.. J Vet Intern Med 2015 May-Jun;29(3):808-14.
    pmc: PMC4895404pubmed: 25913398doi: 10.1111/jvim.12607google scholar: lookup
  9. Szlosek D, Robertson J, Quimby J, Mack R, Ogeer J, Clements C, McCrann DJ, Coyne MJ. A retrospective evaluation of the relationship between symmetric dimethylarginine, creatinine and body weight in hyperthyroid cats.. PLoS One 2020;15(1):e0227964.
  10. Relford R, Robertson J, Clements C. Symmetric Dimethylarginine: Improving the Diagnosis and Staging of Chronic Kidney Disease in Small Animals.. Vet Clin North Am Small Anim Pract 2016 Nov;46(6):941-60.
    pubmed: 27499007doi: 10.1016/j.cvsm.2016.06.010google scholar: lookup
  11. Patch D, Obare E, Prusevich P. High throughput immunoassay for kidney function biomarker symmetric dimethylarginine (SDMA) [abstract].. Clin Chem 2015;16:S135.
  12. Prusevich P, Patch D, Obare E. Validation of a novel high throughput immunoassay for the quantitation of symmetric dimethylarginine (SDMA) [abstract].. Clin Chem 2015;16:S135.
  13. Nabity MB, Lees GE, Boggess MM, Yerramilli M, Obare E, Yerramilli M, Rakitin A, Aguiar J, Relford R. Symmetric Dimethylarginine Assay Validation, Stability, and Evaluation as a Marker for the Early Detection of Chronic Kidney Disease in Dogs.. J Vet Intern Med 2015 Jul-Aug;29(4):1036-44.
    pmc: PMC4895368pubmed: 26079532doi: 10.1111/jvim.12835google scholar: lookup
  14. Schott HC 2nd, Gallant LR, Coyne M, Murphy R, Cross J, Strong-Townsend M, Szlosek D, Yerramilli M, Li J. Symmetric dimethylarginine and creatinine concentrations in serum of healthy draft horses.. J Vet Intern Med 2021 Mar;35(2):1147-1154.
    pmc: PMC7995414pubmed: 33543506doi: 10.1111/jvim.16042google scholar: lookup
  15. Horowitz GL. Defining, Establishing, and Verifying Reference Intervals in the Clinical Laboratory: Approved Guideline.. Wayne, PA: Clinical and Laboratory Standards Institute; 2010.
  16. . nSDMA Test Available for Equine Patientsn. IDEXX US .
  17. Siwinska N, Zak A, Slowikowska M, Niedzwiedz A, Paslawska U. Serum symmetric dimethylarginine concentration in healthy horses and horses with acute kidney injury.. BMC Vet Res 2020 Oct 20;16(1):396.
    pmc: PMC7576750pubmed: 33081772doi: 10.1186/s12917-020-02621-ygoogle scholar: lookup
  18. Edwards DJ, Brownlow MA, Hutchins DR. Indices of renal function: values in eight normal foals from birth to 56 days.. Aust Vet J 1990 Jul;67(7):251-4.
  19. Chaney KP, Holcombe SJ, Schott HC 2nd, Barr BS. Spurious hypercreatininemia: 28 neonatal foals (2000-2008).. J Vet Emerg Crit Care (San Antonio) 2010 Apr 1;20(2):244-9.
  20. R Core Team. R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2017.
  21. Ozarda Y. Reference intervals: current status, recent developments and future considerations.. Biochem Med (Zagreb) 2016;26(1):5-16.
    pmc: PMC4783089pubmed: 26981015doi: 10.11613/bm.2016.001google scholar: lookup
  22. Holdstock NB, Ousey JC, Rossdale PD. Glomerular filtration rate, effective renal plasma flow, blood pressure and pulse rate in the equine neonate during the first 10 days post partum.. Equine Vet J 1998 Jul;30(4):335-43.
  23. . nPediatric reference interval for IDEXX SDMA Testn. IDEXX Canada .

Citations

This article has been cited 1 times.
  1. Galen GV, Olsen E, Siwinska N. Biomarkers of Kidney Disease in Horses: A Review of the Current Literature.. Animals (Basel) 2022 Oct 5;12(19).
    doi: 10.3390/ani12192678pubmed: 36230418google scholar: lookup