Pharmacokinetics and efficacy of orally administered acetaminophen (paracetamol) in adult horses with experimentally induced endotoxemia

BACKGROUND

Acetaminophen has been evaluated in horses for treatment of musculoskeletal pain but not as an antipyretic.

OBJECTIVES

To determine the pharmacokinetics and efficacy of acetaminophen compared to placebo and flunixin meglumine in adult horses with experimentally induced endotoxemia.

ANIMALS

Eight university owned research horses with experimentally induced endotoxemia.

METHODS

Randomized placebo controlled crossover study. Horses were treated with acetaminophen (30 mg/kg PO; APAP), flunixin meglumine (1.1 mg/kg, PO; FLU), and placebo (PO; PLAC) 2 hours after administration of LPS. Plasma APAP was analyzed via LC-MS/MS. Serial CBC, lactate, serum amyloid A, heart rate and rectal temperature were evaluated. Serum IL-1β, IL-6, IL-8, IL-10, and TNF-α were evaluated by an equine-specific multiplex assay.

RESULTS

Mean maximum plasma APAP concentration was 13.97 ± 2.74 μg/mL within 0.6 ± 0.3 hour after administration. At 4 and 6 hours after treatment, both APAP (P = <.001, P = .03, respectively) and FLU (P = .0045 and P < .001, respectively) had a significantly greater decrease in rectal temperature compared to placebo. FLU caused greater heart rate reduction than APAP at 4 and 6 hours (P = .004 and P = .04), and PLAC at 4 hours (P = .05) after treatment.

CONCLUSIONS AND CLINICAL IMPORTANCE

The pharmacokinetics of acetaminophen in endotoxemic horses differ from those reported by previous studies in healthy horses. Acetaminophen is an option for antipyresis in clinical cases, particularly when administration of traditional NSAIDs is contraindicated.

Does road transport influence plasma leptin concentrations in horses? Preliminary study

Transport is one of the most common stressors for horses leading to an increase in cortisol secretion. Cortisol promotes leptin synthesis and release. The aim of the study was to evaluate the effect of short transport on circulating leptin and cortisol concentrations. A total of 16 crossbred naïve horses (7 geldings, 9 mares) aged 2-11 years, and weighing 530-680 kg were included in the study. The horses were transported in a commercial horse-truck to an unknown holding pen for temporary housing. To measure plasma leptin and cortisol concentrations, three blood samples were collected from each horse: before transport, immediately after unloading from the truck, and nine hours after transport at the arrival point. Transport caused a significant increase in mean plasma cortisol concentration determined at unloading, and after nine hours of unloading, in comparison to values obtained before loading. Plasma leptin concentrations did not change during the study. In conclusion, transportation procedures did not influence plasma leptin concentration in horses, despite significantly increased cortisol release.

Effects of equine metabolic syndrome on inflammatory responses of horses to intravenous lipopolysaccharide infusion

OBJECTIVE

To test the hypothesis that inflammatory responses to endotoxemia differ between healthy horses and horses with equine metabolic syndrome (EMS). Animals-6 healthy horses and 6 horses with EMS.

PROCEDURES

Each horse randomly received an IV infusion of lipopolysaccharide (20 ng/kg [in 60 mL of sterile saline {0.9% NaCl} solution]) or saline solution, followed by the other treatment after a 7-day washout period. Baseline data were obtained 30 minutes before each infusion. After infusion, a physical examination was performed hourly for 9 hours and at 15 and 21 hours; a whole blood sample was collected at 30, 60, 90, 120, 180, and 240 minutes for assessment of inflammatory cytokine gene expression. Liver biopsy was performed between 240 and 360 minutes after infusion. Results-Following lipopolysaccharide infusion in healthy horses and horses with EMS, mean rectal temperature, heart rate, and respiratory rate increased, compared with baseline findings, as did whole blood gene expression of interleukin (IL)-1β, IL-6, IL-8, IL-10, and tumor necrosis factor-α. The magnitude of blood cytokine responses did not differ between groups, but increased expression of IL-6, IL-8, IL-10, and tumor necrosis factor-α persisted for longer periods in EMS-affected horses. Lipopolysaccharide infusion increased liver tissue gene expressions of IL-6 in healthy horses and IL-8 in both healthy and EMS-affected horses, but these gene expressions did not differ between groups.

CONCLUSIONS AND CLINICAL RELEVANCE

Results supported the hypothesis that EMS affects horses' inflammatory responses to endotoxin by prolonging cytokine expression in circulating leukocytes. These findings are relevant to the association between obesity and laminitis in horses with EMS.

Differential acute phase immune responses by Angus and Romosinuano steers following an endotoxin challenge

Our primary objective of this experiment was to evaluate potential genetic differences between two diverse Bos taurus breeds [Angus (AG) and Romosinuano (RO)] in response to an endotoxin challenge. Eighteen steers (n = 9 steers/breed; 299.4 ± 5.2 kg BW) were acclimated to environmentally controlled chambers maintained at thermoneutrality (19.7 °C) and then fitted with indwelling jugular catheters and rectal temperature (RT) recording devices 1 d before the endotoxin challenge. The next day, blood samples were collected at 30-min intervals from -2 to 8 h, and RT was measured continuously at 1-min intervals throughout the study. At time 0, all steers received an intravenous bolus injection of lipopolysaccharide (LPS; 2.5 μg/kg BW). Serum samples were stored at -80 °C until analyzed for cortisol, proinflammatory cytokines [tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β), IL-6, and interferon gamma (IFN-γ)], and acute phase proteins (serum amyloid A, acid soluble protein, ceruloplasmin, and α-acid glycoprotein). Rectal temperatures increased in both breeds within 1 h after LPS, with RO producing a greater increase in RT than AG steers (P < 0.001). Serum cortisol and TNF-α increased (P < 0.01) in both breeds within 1 h after the LPS challenge. For cortisol, an overall breed effect (P < 0.02) was detected, such that AG steers had a higher cortisol response than RO steers. A breed × time interaction (P < 0.01) was observed for TNF-α, such that the response was delayed and extended in the RO steers compared with the AG steers. At 2 and 2.5 h after LPS, TNF-α concentrations were greater (P < 0.03) in RO steers than in AG steers. For IL-1β, a breed × time interaction (P < 0.04) was also observed. At 3 h after LPS, IL-1β concentrations were greater (P < 0.01) in RO steers than in AG steers. Serum IL-6 and IFN-γ increased (P < 0.01) in a similar manner in both groups after the LPS challenge. These data show differences in the innate immune response between two diverse Bos taurus breeds which may provide insight about differences observed in productivity, heat tolerance, disease resistance, and longevity among cattle breeds.

Plasma leptin level in hyperlipidemic mares and their newborn foals

The aim of this study was to evaluate the relationship between plasma leptin and lipid levels in breeding mares and their newborn foals. The study was conducted on 17 Polish cold-blood mares and their newborn foals. The mares were divided into two groups, according to the course of delivery. These groups were seven mares which had a normal delivery and 10 mares which had required veterinary intervention during their delivery. Blood samples were taken from the jugular vein of both the mares and their foals. The blood samples were taken within 30 min after delivery, as well as on four successive mornings directly afterwards. In obtained plasma samples, the leptin, triacylglycerols (TG) and free fatty acid (FFA) concentrations were measured. The leptin and TG levels in the plasma sampled on the day of delivery and the two following days were significantly higher in mares which received veterinary intervention during the delivery, when compared to the results obtained from the plasma of mares which had normal delivery. The results obtained from foals did not show any statistical differences. In conclusion, the conducted tests have shown that post-parturient hyperlipidemia and hyperleptinemia in mares did not influence the lipid status and plasma leptin level in newborn foals.

Endocrine dysregulation in critically ill foals and horses

Critical illness challenges many endocrine homeostatic systems to overcome diseases, stress, and hostile conditions that threaten survival. Coordinated and consecutive responses by the autonomic nervous system, endocrine metabolic adaptations to mobilize and conserve energy and electrolytes, cardiovascular adjustments to maintain organ perfusion, and immunomodulation to overcome infections and inflammation are required. Because most admissions to equine intensive care units are related to horses with gastrointestinal disease and septic foals, most endocrine information during critical disease are generated from these populations. This article presents an overview on endocrine responses to critical illness in horses and foals and also some comparative information.