Relationship between monensin and sulphur amino acid requirements in broiler chickens

Rhabdomyolysis and hepatotoxicity following accidental monensin ingestion: A report of two cases

BACKGROUND

Monensin is a commonly used veterinary antibiotic with a narrow safety range. Overdose of monensin can cause animal poisoning or even death. Monensin poisoning is rare in humans, and there is no effective detoxification protocol in clinical treatment.

OBJECTIVE

We report here two cases of monensin-induced rhabdomyolysis and hepatotoxicity by oral ingestion. The two patients were a couple and both were admitted to the hospital due to oral ingestion of monensin 5 days prior. Patient 1, with a past history of chronic bronchitis and hypertension, presented with severe rhabdomyolysis, hepatotoxicity, and hypoxemia. After treatment with fluid replacement and alkalinization of urine, his condition deteriorated the next day and irreversible cardiopulmonary arrest occurred. Patient 2 was diabetic and using oral hypoglycemic drugs and had obvious rhabdomyolysis from the fifth day of admission. After treatment with fluid replacement, urine alkalization, and continuous renal replacement therapy (CRRT), the patient recovered and was discharged 1 month later.

DISCUSSION

The ingestion of monensin can lead to life-threatening toxicity, with rhabdomyolysis and hepatotoxicity as the main manifestations. Comprehensive treatment including CRRT in the early stage of rhabdomyolysis may improve the condition and prognosis.

Dietary and monensin effects on activity of hepatic microsomal mixed function oxidase system in chickens

Four experiments were conducted to investigate if the degree of activation of the microsomal mixed-function oxidase (MFO) system was related to the degree of growth depression associated with the addition of monensin to the diet. The experiments were conducted with broiler chicks in battery brooders in which the chicks were fed diets of various composition and containing monensin at 0 to 160 ppm. In all experiments, the activity of the MFO system was estimated by the change in the content of cytochrome P-450 in the hepatic microsomes. Activities of some microsomal enzymes were also measured in some of the experiments. Feeding a diet with 24% protein containing fish meal, alfalfa meal, and torula yeast significantly increased the activity of the MFO system in comparison with feeding an isonitrogenous and isoenergetic corn and soybean diet, but there was no difference between the diets in the toxicity of monensin as measured by growth rate. Supplementing a 16% protein but not a 24% protein diet with monensin significantly reduced growth rate. In none of the four experiments was there a statistically significant change in the hepatic content of cytochrome P-450 as a result of feeding monensin. Thus, variation in the magnitude of growth depression caused by monensin in diets of different protein concentration or ingredient composition does not appear to be explained on the relative degree of the activation of the MFO system.

Influence of dietary electrolyte balance, source of added potassium and anticoccidial agents on the performance of male broilers

1. The performance of 1680 male broiler chickens was measured from one to 42 d of age. They were given diets with three (125, 165 and 205 mEq/kg) electrolyte balances (sodium + potassium - chloride), two sources of added potassium (carbonate or sulphate) and two anticoccidial agents (90 mg/kg of either monensin or lasalocid). 2. The dietary treatments had no significant effects on the growth performance of broiler chickens in the starter phase. 3. In the finisher phase, the chickens given the diets containing lasalocid utilised food less efficiently that those given the diets containing monensin. 4. There were significant interactions between dietary electrolyte balance and source of added potassium on body weight gains and food:gain ratios in the finisher phase. In diets with an electrolyte balance of 205 mEq/kg, the inclusion of potassium sulphate instead of potassium carbonate increased body weight gains by 3.4% and reduced food:gain ratios by 4.6%. 5. The body weight gains of chickens given the finisher diets containing lasalocid and added potassium carbonate were reduced by 2.6% compared to those of chickens given the diets containing monensin or added potassium sulphate. 6. The litter moisture content was higher in pens with chickens on the diets with an electrolyte balance of 205 mEq/kg than on the diets with either 125 or 165 mEq/kg. Both lasalocid and potassium sulphate tended to increase the litter moisture content. 7. It may be concluded that the inclusion of 90 mg/kg of either monensin or lasalocid in broiler diets does not alter the balance of electrolytes required for optimum growth performance of broiler chickens.

Intestinal absorption of glucose and amino acids in chickens administered monensin

Effects of the ionophoric anticoccidial agent monensin on glucose and amino acid absorption were investigated in young broiler chickens. Chicks housed in cages with wire floors were fed a practical diet containing 0 or 121 ppm monensin for 2 to 3 weeks prior to measurement of nutrient absorption. Chicks were anesthetized with halothane, and the intestine was accessed through an incision in the abdominal wall. A 10-cm segment of the intestine immediately anterior to Meckel's diverticulum was rinsed free of digesta and used for measurement of absorption in situ. One milliliter of saline solution containing 2 mM of glucose or a mixture of amino acids was injected into the lumen of the ligated segment, and recovery of glucose and amino acids in the lumen was determined after 4- and 5-min intervals, respectively. In one glucose study, the solution contained 0, 1, 10, or 80 micrograms/ml of monensin. In one amino acid study, the solution contained 0, 5, or 80 micrograms/ml of monensin; in subsequent studies, monensin was not included in the solution. Results show that neither dietary monensin nor monensin in the saline solution affected glucose absorption. Dietary monensin tended to depress lysine absorption but increased the absorption of tryptophan and arginine, the latter amino acid being markedly affected by monensin. Dietary monensin alone had no effect on absorption of cystine, isoleucine, methionine, or threonine. Inclusion of monensin in the saline solution depressed methionine absorption but only when birds also had been fed the diet containing monensin. Monensin in the saline solution depressed isoleucine absorption irrespective of dietary treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

Effects of coccidiostats and dietary protein on performance and water consumption in broiler chickens

Two, 7-week floor pen experiments were conducted consecutively with male broilers and then female broilers to determine the effects of feeding salinomycin (60 ppm), monensin (99 ppm), or lasalocid (125 ppm) at the following three levels of dietary protein: 1) that which meets National Research Council specifications (NRC, 1977), 2) that level deficient in sulfur amino acids (SAA), or 3) that deficient in protein. Group body weights, feed intake, and water consumption were noted at 28 and 49 days of age with feed efficiency and overall mortalities determined. Reducing SAA resulted in depressed (P less than .05) body weights at 7 weeks in both experiments, whereas deficient protein reduced (P less than .05) growth, feed efficiency, and water consumption. Generally, inclusion of coccidiostats in the diet did not significantly hinder growth or feed efficiency. Feeding of coccidiostats in combination with the low protein diet did not produce additional anorexigenic effects. Although a significant lasalocid SAA-sparing effect was not observed, diet X coccidiostat interactions (P less than .05) were apparent and attributable to an apparent "protein-sparing" effect upon body weight gain when salinomycin was fed in combination with the low protein diet. Lasalocid increased water consumption (P less than .05) relative to monensin in the female broilers.

The effect of polyether, ionophorous anticoccidial drugs on feather growth in genetically slow-feathering broilers

The rate of feather growth was measured in Hubbard X Hubbard broilers given monensin, salinomycin, or lasalocid for 8 weeks in floor pens. Chicks were given a nutritionally adequate diet. Feathers on male chicks were shorter at 10 days of age but grew faster than those on female chicks. Male chicks had longer feathers than female chicks after 31 days of age. Back feather scores were similar in male and female chicks at 52 days of age. Dietary ionophores had no effect on the rate of feather growth or the back feather coverage under the condition of this study.

A comparison of methionine sources for broiler chickens fed corn-soybean meal diets under simulated commercial grow-out conditions

Two experiments, involving 5,760 birds each, were conducted under simulated commercial grow-out conditions to determine the relative response of broiler chicks to two supplemental levels each of DL-methionine (DL-MET), L-methionine (L-MET), and methionine hydroxy analogue-free acid (MHA-FA) fed on an equimolar basis in corn-soybean meal diets. MHA-FA was shown to support 49-day weight gains comparable to those of chicks fed DL-MET, and both sources were superior to L-MET in this regard. However, there were no significant differences due to MET sources in the efficiency of feed utilization. When compared to basal-fed chicks, birds fed supplemental L-MET, DL-MET, or MHA-FA had elevated plasma free MET levels, whereas cyst(e)ine and taurine concentrations were not affected by dietary treatment. There were no effects of diet on either mortality or the incidence of leg abnormalities. The results of these studies suggest that MHA-FA is an acceptable source of MET for broiler chicks fed corn-soybean meal diets from day-old to market weight.