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Domestic animal endocrinology2025; 92; 106946; doi: 10.1016/j.domaniend.2025.106946

The effect of an alpha2-adrenoceptor antagonist on equine carbohydrate metabolism after intravenous glucose load.

Abstract: Vatinoxan is a peripherally acting alpha2-adrenoceptor antagonist used in veterinary medicine to attenuate the side effects of alpha2-adrenoceptor agonists. Vatinoxan also increases insulin response and reduces blood glucose (BG) after intravenous glucose in other species. The aim of this study was to investigate the effects of vatinoxan on BG and insulin concentration in horses after intravenous glucose. The design was an assessor-blind cross-over study. Nine horses were assigned to intravenous vatinoxan (0.2 mg/kg; VAT) or saline (SAL). Horses were administered an intravenous glucose bolus (150 mg/kg) immediately before each treatment. Blood samples were collected until 300 min. Differences between treatments were evaluated with repeated measures analysis of covariance. Change from baseline was used as a response. p < 0.05 was considered significant. After intravenous glucose, BG and insulin increased in all horses. VAT significantly reduced the increase in BG compared with SAL (p = 0.005). Although insulin increased initially significantly more after VAT at 15 min (median 45.7, min-max 20.7-61.6 µIU/mL) compared with SAL (p = 0.04; 28.3, 17.2-44.5 µIU/mL), there was no significant difference in the overall treatment effect. Peak insulin concentration occurred significantly earlier (p = 0.04) after VAT (median T 30, min-max 15-60 min) than SAL (median T 60, 15-60 min). In conclusion, vatinoxan induced an earlier insulin peak than saline and reduced BG increase after intravenous glucose load. Vatinoxan could potentially modify insulin secretion from the pancreas during hyperglycaemia, but more research is warranted.
Publication Date: 2025-04-26 PubMed ID: 40305955DOI: 10.1016/j.domaniend.2025.106946Google Scholar: Lookup
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  • Journal Article

Summary

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The research investigates the impact of vatinoxan, a veterinary medication, on blood glucose levels and insulin concentration in horses after they are given an intravenous glucose dosage. The study reveals that vatinoxan effectively lowers the increase in blood glucose levels and stimulates a quicker peak in insulin after glucose is administered, suggesting that vatinoxan may influence pancreatic insulin production during periods of high blood sugar.

Objective and Research Design

  • The goal of the study was to examine how vatinoxan affects blood glucose (BG) and insulin levels in horses after an intravenous glucose dosage. This is important because vatinoxan is known to increase insulin response and reduce blood sugar levels in other species. If it has similar functions in horses, it could potentially be used to control or manage glucose metabolism in these animals.
  • For the investigation, the researchers used an assessor-blind cross-over design, which is a method that helps reduce bias as the investigators aren’t aware of the test subjects’ assignment to a particular group.

Methodology and Results

  • Nine horses were divided into two groups: one that received intravenous vatinoxan (0.2 mg/kg) and another that was given saline.
  • Immediately before each treatment, the horses were administered an intravenous glucose bolus (150 mg/kg). Blood samples were collected for up to 300 minutes following the treatment.
  • Findings revealed that BG and insulin levels increased in all horses following intravenous glucose. However, the use of vatinoxan significantly reduced the BG increase when compared with saline.
  • Although insulin levels spiked initially more with vatinoxan at 15 minutes, the overall treatment effect did not show considerable difference. The peak of insulin concentration, however, occurred significantly earlier after the use of vatinoxan than after saline.

Conclusion and Implications

  • The study’s results indicate that vatinoxan promotes an earlier peak in insulin than saline and reduces the increase in blood glucose after an intravenous glucose dosage. This suggests that vatinoxan may alter insulin secretion from the pancreas during hyperglycaemia, the condition of having high blood sugar levels.
  • Nevertheless, the team recognizes that more research is needed to fully understand the medication’s effect on glucose metabolism in horses, possibly opening up new avenues of study in veterinary medicine and animal care.

Cite This Article

APA
Hallman IAM, Raekallio MR, Karikoski NP. (2025). The effect of an alpha2-adrenoceptor antagonist on equine carbohydrate metabolism after intravenous glucose load. Domest Anim Endocrinol, 92, 106946. https://doi.org/10.1016/j.domaniend.2025.106946

Publication

ISSN: 1879-0054
NlmUniqueID: 8505191
Country: United States
Language: English
Volume: 92
Pages: 106946
PII: S0739-7240(25)00035-9

Researcher Affiliations

Hallman, I A M
  • Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, PL 57, Helsinki, 00014, Finland. Electronic address: isa.hallman@helsinki.fi.
Raekallio, M R
  • Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, PL 57, Helsinki, 00014, Finland.
Karikoski, N P
  • Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, PL 57, Helsinki, 00014, Finland.

Conflict of Interest Statement

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Hallman IAM reports equipment, drugs, or supplies was provided by Vetcare Oy. Hallman IAM reports financial support and statistical analysis were provided by Finnish Foundation of Veterinary Research. Hallman IAM reports equipment, drugs, or supplies was provided by Rajakoski Foundation, HIPPOS RY. None If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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