Cardiac Troponin I Concentrations in Ponies Challenged with Equine Influenza Virus

Journal of Veterinary Internal Medicine - Tập 25 Số 2 - Trang 339-344 - 2011
M M Durando1, Eric K. Birks, Stephen B. Hussey, D.P. Lunn
1Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, PA, USA. [email protected]

Tóm tắt

Background: Myocarditis is thought to occur secondary to equine influenza virus (EIV) infections in horses, but there is a lack of published evidence.Hypothesis/Objectives: We proposed that EIV challenge infection in ponies would cause myocardial damage, detectable by increases in plasma cardiac troponin I (cTnI) concentrations.Animals: Twenty‐nine influenza‐naïve yearling ponies: 23 were part of an influenza vaccine study (11 unvaccinated and 12 vaccinated), and were challenged with 108 EID50 EIV A/eq/Kentucky/91 6 months after vaccination. Six age‐matched healthy and unvaccinated ponies concurrently housed in a separate facility not exposed to influenza served as controls.Methods: Heparinized blood was collected before and over 28 days after infection and cTnI determined. Repeated measures analysis of variance, chi‐square, or clustered regression analyses were used to identify relationships between each group and cTnI.Results: All EIV‐infected ponies developed clinical signs and viral shedding, with the unvaccinated group displaying severe signs. One vaccinated pony and 2 unvaccinated ponies had cTnI greater than the reference range at 1 time point. At all other times, cTnI was <0.05 ng/mL. All control ponies had normal cTnI. There were no significant associations between cTnI and either clinical signs or experimental groups. When separated into abnormal versus normal cTnI, there were no significant differences among groups.Conclusions and Clinical Importance: This study demonstrated no evidence of severe myocardial necrosis secondary to EIV challenge with 108 EID50 EIV A/eq/Kentucky/91 in these sedentary ponies, but transient increases in cTnI suggest that mild myocardial damage may occur.

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Tài liệu tham khảo

10.1016/S0749-0739(17)30514-X

10.1016/S0749-0739(17)30395-4

Landolt G., 2007, Equine Infectious Diseases, 124, 10.1016/B978-1-4160-2406-4.50017-X

10.1177/030098589403100609

10.1016/S0021-9975(97)80054-0

10.1354/vp.37-4-287

10.1056/NEJM200011093431908

10.2169/internalmedicine1962.28.416

Pauschinger M, 2004, Viral heart disease, molecular diagnosis, clinical prognosis, and treatment strategies, 193, 65

Wheeler DS, 2003, A formidable challenge, The diagnosis and treatment of viral myocarditis in children, 19, 365

10.1016/0033-0620(84)90002-1

10.1161/01.CIR.95.1.163

vanLoon G DeClercq D DeprezP.Technique for serial right atrial biopsy in the standing horse. In Proceedings of the BEVA Congress 170 2009.

AdamsJEIII BodorGS Davila‐RomanVG et al.Cardiac troponin I. A marker with high specificity for cardiac injury. Circulation1993;88 101–106.

O'Brien PJ, 1997, Differential reactivity of cardiac and skeletal muscle from various species in a cardiac troponin I immunoassay, Clin Chem, 43, 2333, 10.1093/clinchem/43.12.2333

10.1007/s002460010090

10.1016/S0735-1097(97)00317-3

10.1038/emm.2005.7

10.1177/104063870501700611

10.1111/j.1939-1676.2003.tb02464.x

10.2460/javma.2000.217.231

10.1177/104063870902100305

10.1016/S1053-2498(00)00120-0

10.1016/j.vetimm.2009.11.007

10.1017/S1478061506703048

10.1111/j.2042-3306.2006.tb05508.x

10.2460/javma.2000.216.545

10.1111/j.2042-3306.1998.tb04524.x

10.1056/NEJM200011093431908

Uhl TL., 2008, Viral myocarditis in children, Crit Care Nurse, 28, 42, 10.4037/ccn2008.28.1.42

10.1016/S0735-1097(03)00648-X

Ellis CR, 2007, Myocarditis, Basic and clinical aspects, 15, 170

Pauschinger M, 2004, Myocardial remodeling in viral heart disease, Possible interactions between inflammatory mediators and MMP-TIMP system, 9, 21

Kishimoto C, 1985, Clinical findings in acute viral myocarditis with special attention to experimental and immunological evidence, Herz, 10, 15

Kawai C., 1999, From myocarditis to cardiomyopathy, Learning from the past for the future, 99, 1091

10.1161/CIRCULATIONAHA.105.548156

Mumford JA., 1990, The diagnosis and control of equine influenza, Proc Am Assoc Equine Pract, 36, 377

Ilback NG, 1984, Sequential metabolic alterations in the myocardium during influenza and tularemia in mice, Infect Immunol, 45, 491, 10.1128/iai.45.2.491-497.1984

10.1016/0009-8981(95)06168-1

10.2460/javma.2002.221.381