The acute phase protein serum amyloid A (SAA) as an inflammatory marker in equine influenza virus infection.
Abstract: The acute phase protein serum amyloid A (SAA) has proven potentially useful as an inflammatory marker in the horse, but the knowledge of SAA responses in viral diseases is limited. The aim of this study was to evaluate SAA as a marker for acute equine influenza A2 (H3N8) virus infection. This is a highly contagious, serious condition that inflicts suffering on affected horses and predisposes them to secondary bacterial infections and impaired performance. Seventy horses, suffering from equine influenza, as verified by clinical signs and seroconversion, were sampled in the acute (the first 48 h) and convalescent (days 11-22) stages of the disease, and SAA concentrations were determined. Clinical signs and rectal temperature were recorded. Secondary infections, that could have influenced SAA concentrations, were clinically suspected in 4 horses. SAA concentrations were higher in the acute stage than in the convalescent stage, and there was a statistically positive relationship between acute stage SAA concentrations and clinical signs and between acute stage SAA concentrations and maximal rectal temperature. Horses sampled early in the acute stage had lower SAA concentrations than those sampled later, indicating increasing concentrations during the first 48 h. There was a statistically positive relationship between convalescent SAA concentrations and degree of clinical signs during the disease process. The results of this investigation indicate that equine SAA responds to equine influenza infection by increasing in concentration during the first 48 h of clinical signs and returning to baseline within 11-22 days in uncomplicated cases. Akutfasproteinet serum amyloid A (SAA) har visat sig vara potentiell användbart som inflammationsmarkör på häst, men kunskapen om SAA-svaret vid virusinfektioner är begränsad. Syftet med denna studie var att utvärdera SAA som markör för akut infektion med hästinfluensa A2 (H3N8) virus. Detta är en höggradigt smittsam, allvarlig sjukdom som utsätter drabbade hästar för lidande och predisponerar dem för sekundära bakteriella infektioner och nedsatt prestationsförmåga. Blodprov togs i akut- (de första 48 timmarna ) och konvalescensstadium (dag 11–22) på 70 hästar med hästinfluensainfektion och SAA-koncentrationen i proverna bestämdes. Infektionen verifierades med hjälp av kliniska symptom och serokonversion. Kliniska symptom och kroppstemperatur registrerades. Fyra hästar visade kliniska tecken på sekundärinfektioner, som kan ha påverkat SAA-koncentrationerna. SAA-koncentrationerna var högre i det akuta stadiet än i konvalescensstadiet och ett positivt samband kunde påvisas statistiskt mellan SAA i akutstadiet och kliniska symptom samt mellan SAA i akutstadiet och den maximala kroppstemperaturen. Hästar som provtogs tidigt i akutstadiet hade lägre SAA-koncentrationer än de hästar som provtogs senare i akutstadiet, vilket antyder art SAA ökade i koncentration under de första 48 timmarna. Ett positivt statistiskt samband påvisades också mellan SAA-koncentrationer i konvalescensstadiet och graden av kliniska symptom under sjukdomsprocessen. Resultaten av denna undersökning antyder att akut hästinfluensa ger upphov till stigande SAA-koncentrationer i serum under den kliniska sjukdomens första 48 timmar och att koncentrationerna åter är normala inom 11–22 dagar i okomplicerade fall.
Publication Date: 2000-08-05 PubMed ID: 10918902PubMed Central: PMC8043133DOI: 10.1186/BF03547012Google 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
- Research Support
- Non-U.S. Gov't
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.
This research examines the potential efficacy of serum amyloid A (SAA) as an indicator for acute equine influenza A2 (H3N8) virus infection. The results indicated that SAA concentration levels increase during the initial stages of the disease and return to normal within 11-22 days, making it a potential marker for diagnosing and tracking the progression of equine influenza.
Introduction
- The research aims to evaluate the ability of serum amyloid A (SAA) as a potential inflammatory marker for acute equine influenza A2 (H3N8) infection.
- Equine influenza, caused by the Influenza A virus, is highly infectious and can cause severe distress in horses, creating potential for secondary bacterial infections and decreased performance.
- Current knowledge about SAA responses within viral diseases is limited and this study aims to contribute to this knowledge area.
Methodology
- The study involved a sample size of 70 horses proven to be suffering from equine influenza through clinical signs and seroconversion.
- Blood samples were taken from these horses during the acute phase (initial 48 hours) and the convalescent phase (days 11-22) of the illness.
- Each horse had its clinical signs and rectal temperature recorded. Among the 70 horses, four were suspected to have secondary infections which could potentially influence SAA concentrations.
Findings
- The research found that SAA levels in the horses were higher during the acute stage of the disease than in the convalescent stage.
- A statistically significant relationship was determined between elevated SAA levels during the acute stage and certain clinical signs, as well as between elevated SAA levels and maximum rectal temperature.
- Horses that were sampled earlier in the acute phase displayed lower SAA concentrations than those sampled later, suggesting an increase in SAA concentrations during the initial 48 hours of the disease.
Conclusion
- The research concludes that SAA responds to equine influenza infection by increasing in concentration during the first 48 hours of clinical signs and returning to baseline within 11-22 days in uncomplicated cases.
- This suggests that SAA could serve as a potentially useful diagnostic and prognostic marker in equine influenza.
Cite This Article
APA
Hultén C, Sandgren B, Skiöldebrand E, Klingeborn B, Marhaug G, Forsberg M.
(2000).
The acute phase protein serum amyloid A (SAA) as an inflammatory marker in equine influenza virus infection.
Acta Vet Scand, 40(4), 323-333.
https://doi.org/10.1186/BF03547012 Publication
Researcher Affiliations
- Department of Clinical Chemistry, Faculty of Veterinary Medicine, Swedish University of Agricultural Sciences, Uppsala, Sweden. cecilia.hulten@klke.slu.se
MeSH Terms
- Acute-Phase Proteins / biosynthesis
- Acute-Phase Proteins / immunology
- Age Factors
- Animals
- Antibodies, Viral / analysis
- Antibodies, Viral / blood
- Biomarkers / blood
- Body Temperature
- Female
- Fluorescent Antibody Technique, Indirect / veterinary
- Hemagglutination Inhibition Tests / veterinary
- Horse Diseases / immunology
- Horse Diseases / virology
- Horses
- Immunoenzyme Techniques / veterinary
- Influenza A virus / immunology
- Linear Models
- Male
- Nasal Mucosa / virology
- Orthomyxoviridae Infections / blood
- Orthomyxoviridae Infections / immunology
- Orthomyxoviridae Infections / veterinary
- Orthomyxoviridae Infections / virology
- Random Allocation
- Reference Values
- Serum Amyloid A Protein / biosynthesis
- Serum Amyloid A Protein / immunology
- Sex Factors
References
This article includes 21 references
- Altman DG. Practical statistics for medical research. London: Chapman and Hall; 1991. pp. 15–16.
- Anestad G, Maagaard O. Rapid diagnosis of equine influenza.. Vet Rec 1990 Jun 2;126(22):550-1.
- Chavatte PM, Pepys MB, Roberts B, Ousey JC, McGladdery AJ, Rossdale PD. Measurement of serum amyloid A protein (SAA) as an aid to differential diagnosis of infection in newborn foals. Equine inf. Dis. Vol. VI R and W Publications Ltd, Newmarket, UK, 1991, pp 33–38.
- Hannant D, Mumford JA. Virus infections of equines: Equine influenza. Virus infections of vertebrates 6 Elsevier, Amsterdam, 1996, pp 285–293.
- Hultén C, Tulamo RM, Suominen MM, Burvall K, Marhaug G, Forsberg M. A non-competitive chemiluminescence enzyme immunoassay for the equine acute phase protein serum amyloid A (SAA) -- a clinically useful inflammatory marker in the horse.. Vet Immunol Immunopathol 1999 May;68(2-4):267-81.
- Jensen LE, Whitehead AS. Regulation of serum amyloid A protein expression during the acute-phase response.. Biochem J 1998 Sep 15;334 ( Pt 3)(Pt 3):489-503.
- Kent JE, Goodall J. Assessment of an immunoturbidimetric method for measuring equine serum haptoglobin concentrations.. Equine Vet J 1991 Jan;23(1):59-66.
- Klingeborn B, Rockborn G, Dinter Z. Significant antigenic drift within the influenza equi 2 subtype in Sweden.. Vet Rec 1980 Apr 19;106(16):363-4.
- Kushner I, Mackiewicz A. The acute phase response: an overview. The Acute Phase Proteins. Molecular Biology, Biochemistry and Clinical Applications CRC Press, Boca Raton, USA, 1993, pp 3–19.
- Malle E, De Beer FC. Human serum amyloid A (SAA) protein: a prominent acute-phase reactant for clinical practice.. Eur J Clin Invest 1996 Jun;26(6):427-35.
- Miwata H, Yamada T, Okada M, Kudo T, Kimura H, Morishima T. Serum amyloid A protein in acute viral infections.. Arch Dis Child 1993 Feb;68(2):210-4.
- Mumford EL, Traub-Dargatz JL, Salman MD, Collins JK, Getzy DM, Carman J. Monitoring and detection of acute viral respiratory tract disease in horses.. J Am Vet Med Assoc 1998 Aug 1;213(3):385-90.
- Mumford JA, Rossdale PD. Virus and its relationship to the "poor performance" syndrome.. Equine Vet J 1980 Jan;12(1):3-9.
- Nakayama T, Sonoda S, Urano T, Yamada T, Okada M. Monitoring both serum amyloid protein A and C-reactive protein as inflammatory markers in infectious diseases.. Clin Chem 1993 Feb;39(2):293-7.
- Nunokawa Y, Fujinaga T, Taira T, Okumura M, Yamashita K, Tsunoda N, Hagio M. Evaluation of serum amyloid A protein as an acute-phase reactive protein in horses.. J Vet Med Sci 1993 Dec;55(6):1011-6.
- Oxburgh L, Akerblom L, Fridberger T, Klingeborn B, Linné T. Identification of two antigenically and genetically distinct lineages of H3N8 equine influenza virus in Sweden.. Epidemiol Infect 1998 Feb;120(1):61-70.
- Pepys MB, Baltz ML, Tennent GA, Kent J, Ousey J, Rossdale PD. Serum amyloid A protein (SAA) in horses: objective measurement of the acute phase response.. Equine Vet J 1989 Mar;21(2):106-9.
- Satoh M, Fujinaga T, Okumura M, Hagio M. Sandwich enzyme-linked immunosorbent assay for quantitative measurement of serum amyloid A protein in horses.. Am J Vet Res 1995 Oct;56(10):1286-91.
- Whicher JT, Banks RE, Thompson D, Evans SW. The measurement of acute phase proteins as disease markers. The Acute Phase Proteins. Molecular Biology, Biochemistry and Clinical Applications CRC Press, Boca Raton, USA, 1993, pp 633–650.
- Whicher JT, Chambers RE, Higginson J, Nashef L, Higgins PG. Acute phase response of serum amyloid A protein and C reactive protein to the common cold and influenza.. J Clin Pathol 1985 Mar;38(3):312-6.
- Wilson WD. Equine influenza.. Vet Clin North Am Equine Pract 1993 Aug;9(2):257-82.
Citations
This article has been cited 21 times.- Hassanpour A, Moghaddam S. Evaluation of serum concentration of acute-phase proteins (haptoglobin and serum amyloid A) in the affected Arabian foals with rhodococcosis.. Vet Med Sci 2023 Jan;9(1):144-149.
- Thurston CC, Stefanovski D, MacKinnon MC, Chapman HS, Richardson DW, Levine DG. Serum amyloid A and fibrinogen as markers for early detection of surgical site infection associated with internal fixation in the horse.. Front Vet Sci 2022;9:960865.
- Karagianni AE, Kurian D, Cillán-Garcia E, Eaton SL, Wishart TM, Pirie RS. Training associated alterations in equine respiratory immunity using a multiomics comparative approach.. Sci Rep 2022 Jan 10;12(1):427.
- Taylor S. A review of equine sepsis.. Equine Vet Educ 2015 Feb;27(2):99-109.
- Canisso IF, Segabinazzi LGTM, Fedorka CE. Persistent Breeding-Induced Endometritis in Mares - a Multifaceted Challenge: From Clinical Aspects to Immunopathogenesis and Pathobiology.. Int J Mol Sci 2020 Feb 20;21(4).
- Long A, Nolen-Walston R. Equine Inflammatory Markers in the Twenty-First Century: A Focus on Serum Amyloid A.. Vet Clin North Am Equine Pract 2020 Apr;36(1):147-160.
- Perez L. Acute phase protein response to viral infection and vaccination.. Arch Biochem Biophys 2019 Aug 15;671:196-202.
- Li W, Mao L, Shu X, Liu R, Hao F, Li J, Liu M, Yang L, Zhang W, Sun M, Zhong C, Jiang J. Transcriptome analysis reveals differential immune related genes expression in bovine viral diarrhea virus-2 infected goat peripheral blood mononuclear cells (PBMCs).. BMC Genomics 2019 Jun 21;20(1):516.
- Todorov I, Gospodinova M, Bocheva Y, Popcheva G. Serum amyloid A protein in the course of infectious mononucleosis.. Ther Adv Infect Dis 2019 Jan-Dec;6:2049936118811208.
- Junkkari R, Simojoki H, Heiskanen ML, Pelkonen S, Sankari S, Tulamo RM, Mykkänen A. A comparison of unheated loose housing with stables on the respiratory health of weaned-foals in cold winter conditions: an observational field-study.. Acta Vet Scand 2017 Oct 26;59(1):73.
- Sikora M, Król J, Nowak M, Stefaniak T, Aubertsson G, Kozdrowski R. The usefulness of uterine lavage and acute phase protein levels as a diagnostic tool for subclinical endometritis in Icelandic mares.. Acta Vet Scand 2016 Sep 7;58(1):50.
- Vollmer AH, Gebre MS, Barnard DL. Serum amyloid A (SAA) is an early biomarker of influenza virus disease in BALB/c, C57BL/2, Swiss-Webster, and DBA.2 mice.. Antiviral Res 2016 Sep;133:196-207.
- Back H, Penell J, Pringle J, Isaksson M, Ronéus N, Treiberg Berndtsson L, Ståhl K. A longitudinal study of poor performance and subclinical respiratory viral activity in Standardbred trotters.. Vet Rec Open 2015;2(1):e000107.
- Leclere M, Lavoie-Lamoureux A, Lavoie JP. Acute phase proteins in racehorses with inflammatory airway disease.. J Vet Intern Med 2015 May-Jun;29(3):940-5.
- Pomorska-Mól M, Markowska-Daniel I, Kwit K, Czyżewska E, Dors A, Rachubik J, Pejsak Z. Immune and inflammatory response in pigs during acute influenza caused by H1N1 swine influenza virus.. Arch Virol 2014 Oct;159(10):2605-14.
- Pomorska-Mól M, Kwit K, Pejsak Z, Markowska-Daniel I. Analysis of the acute-phase protein response in pigs to clinical and subclinical infection with H3N2 swine influenza virus.. Influenza Other Respir Viruses 2014 Mar;8(2):228-34.
- Cywinska A, Witkowski L, Szarska E, Schollenberger A, Winnicka A. Serum amyloid A (SAA) concentration after training sessions in Arabian race and endurance horses.. BMC Vet Res 2013 May 1;9:91.
- Cray C. Acute phase proteins in animals.. Prog Mol Biol Transl Sci 2012;105:113-50.
- Hillström A, Tvedten H, Lilliehöök I. Evaluation of an in-clinic Serum Amyloid A (SAA) assay and assessment of the effects of storage on SAA samples.. Acta Vet Scand 2010 Feb 2;52(1):8.
- Barbé F, Atanasova K, Van Reeth K. Cytokines and acute phase proteins associated with acute swine influenza infection in pigs.. Vet J 2011 Jan;187(1):48-53.
- Gruys E, Toussaint MJ, Niewold TA, Koopmans SJ. Acute phase reaction and acute phase proteins.. J Zhejiang Univ Sci B 2005 Nov;6(11):1045-56.
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