Tissue Specific Distribution and Activation of Sapindaceae Toxins in Horses Suffering from Atypical Myopathy.
Abstract: Equine atypical myopathy is caused by hypoglycin A (HGA) and methylenecyclopropylglycine (MCPrG), the known protoxins of sycamore maple (Acer pseudoplatanus). Various tissues from five atypical myopathy cases were analyzed but only HGA was found. Whether deamination of MCPrG has already occurred in the intestine as the first stage of metabolization has not been investigated. Activation of the protoxins to methylenecyclopropylacetyl (MCPA)-CoA and methylenecyclopropylformyl (MCPF)-CoA, respectively, occurred mainly in the skeletal muscles, as evidenced by very high concentrations of MCPA-carnitine and MCPF-carnitine in this tissue. Inhibition of the acyl-CoA dehydrogenases of short- and medium-chain as well as branched-chain fatty acids by the toxins led to a strong increase in the corresponding acylcarnitines, again preferentially in skeletal muscles. An accumulation of the long-chain acylcarnitines beyond the level of the control samples could not be detected in the tissues. As a high amount of HGA was always found unmetabolized in the organs, we speculate that targeting the interruption of further metabolization might be a way to stop the progression of intoxication. Inhibition of the mitochondrial branched-chain amino acid aminotransferase, i.e., the first enzyme responsible for the activation of sycamore maple protoxins, could be a therapeutic approach.
Publication Date: 2023-07-26 PubMed ID: 37570219PubMed Central: PMC10417358DOI: 10.3390/ani13152410Google 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
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.
The research investigates the specific locations and activation methods of toxins from the Sapindaceae family in horses suffering from Atypical Myopathy. It suggests that preventing further metabolization of the toxin Hypoglycin A could potentially halt the disease’s progression.
Details of the Research
- The research began by identifying the cause of Equine Atypical Myopathy, a disease in horses. Two toxic substances called Hypoglycin A (HGA) and Methylenecyclopropylglycine (MCPrG) found in the sycamore maple tree were found to be responsible for this disease.
- The paper then explores the tissue distribution and activation of these toxins in five cases of Atypical Myopathy in horses. Of the two toxins, only HGA was found in the various tissues analyzed. However, it was not clearly identified whether MCPrG had already undergone a process called deamination in the intestine, which is the first step of metabolization.
Activation of Protoxins
- The researchers found that the activation of the identified protoxins into their toxic forms (Methylenecyclopropylacetyl (MCPA)-CoA and Methylenecyclopropylformyl (MCPF)-CoA) mainly occurred in the skeletal muscles. This was determined by the high concentrations of their metabolites (MCPA-carnitine and MCPF-carnitine) found in this tissue.
- These toxins were found to interfere (inhibit) with enzymes called acyl-CoA dehydrogenases, which are vital in the metabolism of certain types of fatty acids. This inhibition resulted in an increase of the corresponding acylcarnitines, with the skeletal muscles being most affected. However, an accumulation of these acylcarnitines wasn’t observed in the tissue samples when compared with healthy control samples.
Interruption of Toxin Metabolization
- The study uncovered that a large amount of HGA remains unmetabolized in the organs of the affected horses. This lead to the hypothesis that hindering the metabolization process of this toxin could halt the progression of the disease.
- The paper concludes by suggesting that inhibiting the mitochondrial branched-chain amino acid aminotransferase (the first enzyme responsible for the activation of sycamore maple protoxins) could be a possible therapeutic approach for equine atypical myopathy.
Cite This Article
APA
Sander J, Terhardt M, Janzen N, Renaud B, Kruse CJ, François AC, Wouters CP, Boemer F, Votion DM.
(2023).
Tissue Specific Distribution and Activation of Sapindaceae Toxins in Horses Suffering from Atypical Myopathy.
Animals (Basel), 13(15).
https://doi.org/10.3390/ani13152410 Publication
Researcher Affiliations
- Screening-Labor Hannover, 30952 Ronnenberg, Germany.
- Department of Clinical Chemistry, Hanover Medical School, 30625 Hanover, Germany.
- Screening-Labor Hannover, 30952 Ronnenberg, Germany.
- Screening-Labor Hannover, 30952 Ronnenberg, Germany.
- Department of Clinical Chemistry, Hanover Medical School, 30625 Hanover, Germany.
- Department of Functional Sciences, Faculty of Veterinary Medicine, Pharmacology and Toxicology, Fundamental and Applied Research for Animals & Health (FARAH), University of Liège, 4000 Liège, Belgium.
- Department of Functional Sciences, Physiology and Sport Medicine, Faculty of Veterinary Medicine, Fundamental and Applied Research for Animals & Health (FARAH), University of Liège, 4000 Liège, Belgium.
- Department of Functional Sciences, Faculty of Veterinary Medicine, Pharmacology and Toxicology, Fundamental and Applied Research for Animals & Health (FARAH), University of Liège, 4000 Liège, Belgium.
- Department of Functional Sciences, Faculty of Veterinary Medicine, Pharmacology and Toxicology, Fundamental and Applied Research for Animals & Health (FARAH), University of Liège, 4000 Liège, Belgium.
- Biochemical Genetics Laboratory, Human Genetics, CHU Sart Tilman, University of Liège, 4000 Liège, Belgium.
- Department of Functional Sciences, Faculty of Veterinary Medicine, Pharmacology and Toxicology, Fundamental and Applied Research for Animals & Health (FARAH), University of Liège, 4000 Liège, Belgium.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 45 references
- Baise E, Habyarimana JA, Amory H, Boemer F, Douny C, Gustin P, Marcillaud-Pitel C, Patarin F, Weber M, Votion DM. Samaras and seedlings of Acer pseudoplatanus are potential sources of hypoglycin A intoxication in atypical myopathy without necessarily inducing clinical signs.. Equine Vet. J. 2016;48:414–417.
- Unger L, Nicholson A, Jewitt EM, Gerber V, Hegeman A, Sweetman L, Valberg S. Hypoglycin a concentrations in seeds of acer pseudoplatanus trees growing on atypical myopathy-affected and control pastures.. J. Vet. Intern. Med. 2014;28:1289–1293.
- Votion DM, Habyarimana JA, Scippo ML, Richard EA, Marcillaud-Pitel C, Erpicum M, Gustin P. Potential new sources of hypoglycin A poisoning for equids kept at pasture in spring: A field pilot study.. Vet. Rec. 2019;184:740.
- Votion DM, Francois AC, Kruse C, Renaud B, Farinelle A, Bouquieaux MC, Marcillaud-Pitel C, Gustin P. Answers to the Frequently Asked Questions Regarding Horse Feeding and Management Practices to Reduce the Risk of Atypical Myopathy.. Animals 2020;10:365.
- Westermann CM, van Leeuwen R, van Raamsdonk LW, Mol HG. Hypoglycin A Concentrations in Maple Tree Species in the Netherlands and the Occurrence of Atypical Myopathy in Horses.. J. Vet. Intern. Med. 2016;30:880–884.
- Zuraw A, Dietert K, Kuhnel S, Sander J, Klopfleisch R. Equine atypical myopathy caused by hypoglycin A intoxication associated with ingestion of sycamore maple tree seeds.. Equine Vet. J. 2016;48:418–421.
- Renaud B, Kruse CJ, François AC, Grund L, Bunert C, Brisson L, Boemer F, Gault G, Ghislain B, Petitjean T. Acer pseudoplatanus: A Potential Risk of Poisoning for Several Herbivore Species.. Toxins 2022;14:512.
- Bochnia M, Ziemssen E, Sander J, Stief B, Zeyner A. Methylenecyclopropylglycine and hypoglycin A intoxication in three Pere David’s Deers (Elaphurus davidianus) with atypical myopathy.. Vet. Med. Sci. 2021;7:998–1005.
- Hirz M, Gregersen HA, Sander J, Votion DM, Schanzer A, Kohler K, Herden C. Atypical myopathy in 2 Bactrian camels.. J. Vet. Diagn. Investig. 2021;33:961–965.
- Bunert C, Langer S, Votion DM, Boemer F, Muller A, Ternes K, Liesegang A. Atypical myopathy in Pere David’s deer (Elaphurus davidianus) associated with ingestion of hypoglycin A.. J. Anim. Sci. 2018;96:3537–3547.
- John T, Das M. Acute encephalitis syndrome in children in Muzaffarpur: Hypothesis of toxic origin.. Curr. Sci. 2014;106:1184–1185.
- Joskow R, Belson M, Vesper H, Backer L, Rubin C. Ackee fruit poisoning: An outbreak investigation in Haiti 2000–2001, and review of the literature.. Clin. Toxicol. 2006;44:267–273.
- Shah AB, John TJ. Recurrent Outbreaks of Hypoglycaemic Encephalopathy in Muzaffarpur, Bihar.. Curr. Sci. 2014;107:570–571.
- Shrivastava A, Kumar A, Thomas JD, Laserson KF, Bhushan G, Carter MD, Chhabra M, Mittal V, Khare S, Sejvar JJ. Association of acute toxic encephalopathy with litchi consumption in an outbreak in Muzaffarpur, India, 2014: A case-control study.. Lancet Glob. Health. 2017;5:e458–e466.
- Fowden L, Pratt HM. Cyclopropylamino acids of the genus Acer: Distribution and biosynthesis.. Phytochemistry 1973;12:1677–1681.
- Melde K, Buettner H, Boschert W, Wolf HP, Ghisla S. Mechanism of hypoglycaemic action of methylenecyclopropylglycine.. Biochem. J. 1989;259:921–924.
- Melde K, Jackson S, Bartlett K, Sherratt HS, Ghisla S. Metabolic consequences of methylenecyclopropylglycine poisoning in rats. Pt 2. Biochem. J. 1991;274:395–400.
- Ghisla S, Melde K, Zeller HD, Boschert W. Mechanisms of enzyme inhibition by hypoglycin, methylenecyclopropylglycine and their metabolites.. Prog. Clin. Biol. Res. 1990;321:185–192.
- Osmundsen H, Sherratt HS. A novel mechanism for inhibition of beta-oxidation by methylenecyclopropylacetyl-CoA, a metabolite of hypoglycin.. FEBS Lett. 1975;55:38–41.
- Adeva-Andany MM, López-Maside L, Donapetry-García C, Fernández-Fernández C, Sixto-Leal C. Enzymes involved in branched-chain amino acid metabolism in humans.. Amino Acids 2017;49:1005–1028.
- Holeček M. Branched-chain amino acids in health and disease: Metabolism, alterations in blood plasma, and as supplements.. Nutr. Metab. 2018;15:33.
- Mann G, Mora S, Madu G, Adegoke OAJ. Branched-chain Amino Acids: Catabolism in Skeletal Muscle and Implications for Muscle and Whole-body Metabolism.. Front. Physiol. 2021;12:702826.
- Brandt K, Hinrichs U, Glitz F, Landes E, Schulze C, Deegen E, Pohlenz J, Coenen M. Atypische Myoglobinurie der Weidepferde.. Pferdeheilkunde 1997;13:27–34.
- Votion D-M, Linden A, Saegerman C, Engels P, Erpicum M, Thiry E, Delguste C, Rouxhet S, Demoulin V, Navet R. History and clinical features of atypical myopathy in horses in Belgium (2000–2005). J. Vet. Intern. Med. 2007;21:1380–1391.
- Fabius LS, Westermann CM. Evidence-based therapy for atypical myopathy in horses.. Equine Vet. Educ. 2018;30:616–622.
- Boemer F, Detilleux J, Cello C, Amory H, Marcillaud-Pitel C, Richard E, van Galen G, van Loon G, Lefere L, Votion DM. Acylcarnitines profile best predicts survival in horses with atypical myopathy.. PLoS ONE 2017;12:e0182761.
- Cassart D, Baise E, Cherel Y, Delguste C, Antoine N, Votion D, Amory H, Rollin F, Linden A, Coignoul F. Morphological alterations in oxidative muscles and mitochondrial structure associated with equine atypical myopathy.. Equine Vet. J. 2007;39:26–32.
- Palencia P, Rivero JL. Atypical myopathy in two grazing horses in northern Spain.. Vet. Rec. 2007;161:346–348.
- Westermann CM, de Sain-van der Velden MG, van der Kolk JH, Berger R, Wijnberg ID, Koeman JP, Wanders RJ, Lenstra JA, Testerink N, Vaandrager AB. Equine biochemical multiple acyl-CoA dehydrogenase deficiency (MADD) as a cause of rhabdomyolysis.. Mol. Genet. Metab. 2007;91:362–369.
- Verheyen T, Decloedt A, De Clercq D, van Loon G. Cardiac changes in horses with atypical myopathy.. J. Vet. Intern. Med. 2012;26:1019–1026.
- Jackson RH, Singer TP. Inactivation of the 2-ketoglutarate and pyruvate dehydrogenase complexes of beef heart by branched chain keto acids.. J. Biol. Chem. 1983;258:1857–1865.
- Entman M, Bressler R. The mechanism of action of hypoglycin on long-chain fatty acid oxidation.. Mol. Pharmacol. 1967;3:333–340.
- Brooks SE, Audretsch JJ. Studies on hypoglycin toxicity in rats. I. Changes in hepatic ultrastructure.. Am. J. Pathol. 1970;59:161–180.
- van Galen G, Marcillaud Pitel C, Saegerman C, Patarin F, Amory H, Baily JD, Cassart D, Gerber V, Hahn C, Harris P. European outbreaks of atypical myopathy in grazing equids (2006–2009): Spatiotemporal distribution, history and clinical features.. Equine Vet. J. 2012;44:614–620.
- Gonzalez-Medina S, Ireland JL, Piercy RJ, Newton JR, Votion DM. Equine Atypical Myopathy in the UK: Epidemiological characteristics of cases reported from 2011 to 2015 and factors associated with survival.. Equine Vet. J. 2017;49:746–752.
- Wimmer-Scherr C, Taminiau B, Renaud B, van Loon G, Palmers K, Votion D, Amory H, Daube G, Cesarini C. Comparison of Fecal Microbiota of Horses Suffering from Atypical Myopathy and Healthy Co-Grazers.. Animals 2021;11:506.
- van Galen G, Saegerman C, Marcillaud Pitel C, Patarin F, Amory H, Baily JD, Cassart D, Gerber V, Hahn C, Harris P. European outbreaks of atypical myopathy in grazing horses (2006-2009): Determination of indicators for risk and prognostic factors.. Equine Vet. J. 2012;44:621–625.
- Sander J, Cavalleri JM, Terhardt M, Bochnia M, Zeyner A, Zuraw A, Sander S, Peter M, Janzen N. Rapid diagnosis of hypoglycin A intoxication in atypical myopathy of horses.. J. Vet. Diagn. Investig. 2016;28:98–104.
- Sander J, Terhardt M, Sander S, Aboling S, Janzen N. A new method for quantifying causative and diagnostic markers of methylenecyclopropylglycine poisoning.. Toxicol. Rep. 2019;6:803–808.
- Sander J, Terhardt M, Sander S, Janzen N. Quantification of Methylenecyclopropyl Compounds and Acyl Conjugates by UPLC-MS/MS in the Study of the Biochemical Effects of the Ingestion of Canned Ackee (Blighia sapida) and Lychee (Litchi chinensis). J. Agric. Food Chem. 2017;65:2603–2608.
- Sander J, Terhardt M, Janzen N. Study on the Metabolic Effects of Repeated Consumption of Canned Ackee.. J. Agric. Food Chem. 2020;68:14603–14609.
- El-Khatib AH, Engel AM, Weigel S. Co-Occurrence of Hypoglycin A and Hypoglycin B in Sycamore and Box Elder Maple Proved by LC-MS/MS and LC-HR-MS.. Toxins 2022;14:608.
- Lieu YK, Hsu BY, Price WA, Corkey BE, Stanley CA. Carnitine effects on coenzyme A profiles in rat liver with hypoglycin inhibition of multiple dehydrogenases.. Am. J. Physiol. 1997;272:E359–E366.
- Gold JR, Grubb TL, Cox S, Malavasi L, Villarino NL. Pharmacokinetics and pharmacodynamics of repeat dosing of gabapentin in adult horses.. J. Vet. Intern. Med. 2022;36:792–797.
- Krageloh T, Cavalleri JMV, Ziegler J, Sander J, Terhardt M, Breves G, Cehak A. Identification of hypoglycin A binding adsorbents as potential preventive measures in co-grazers of atypical myopathy affected horses.. Equine Vet. J. 2018;50:220–227.
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