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J. Basic. Appl. Chem., 1(8)65-69, 2011
© 2011, TextRoad Publication
ISSN 2090-424X
Journal of Basic and
Applied Chemistry
www.textroad.com
*Corresponding Author
:
Saad Shousha Ph.D., Department of Physiology, Faculty of Veterinary Medicine, Benha University, 13736
Moshtohor, Egypt.
E
-
mail:physiology2009@yahoo.com
Hematobiochemical Profile of Pregnant and Experimentally Pregnancy
Toxemic Goats
Abd Elghany Hefnawy 1, Saad Shousha 2, *, Seham Youssef 3
1 Department of Internal Medicine, 2 Department of Physiology, 3 Department of Pharmacology, Faculty of
Veterinary Medicine, Benha University, 13736 Moshtohor, Egypt.
ABSTRACT
Hyperketonemia and hypoglycemia are more common obvious biochemical features of pregnancy
toxemia as well as liver and kidney may be involved in the pathogenesis of toxemia. Fifteen pregnant
goats with twins (3-4 years, 20-27 kg body weight and 120-130 days of gestation) were classified into
two groups, control one consists of six goats and experimental group consists of nine goats for
induction of pregnancy toxemia by the stress of fasting with access of water until the symptoms of
pregnancy toxemia were appeared within 72 hours. Serum samples were obtained and analyzed for β-
hydroxybutyrate, glucose, total protein, albumin, globulin, urea, creatinine, AST, ALT, total lipids,
cholesterol, calcium, magnesium, phosphorus, sodium and potassium using kits, while insulin, cortisol,
T3, T4, growth hormone were measured by radioimmunoassay. Hematological profile was investigated
on whole blood samples. β-hydroxybutyrate, AST, ALT, urea, creatinine, cortisol and insulin hormones
were significantly higher in toxemic goats than those of control ones while glucose, sodium, potassium,
calcium, magnesium, T4, total protein, globulin, albumin, cholesterol and total lipids values were
significantly lower in toxemic goats than those of control ones while, there were no significant changes
in phosphorous, T3 and growth hormone. A significant increase in leucocytes, hemoglobin, packed cell
volume and neutrophils and a significant decrease in lymphocytes were observed in pregnancy toxemic
goats than those of control ones. Clinical chemistry of pregnancy toxemia can affect hormonal,
electrolytes and mineral balance as well as immune and hematological picture in goats.
KEY WORDS: Goat, pregnancy, toxemia.
INTRODUCTION
Pregnancy toxemia (gestational ketosis) caused by negative energy balance in late gestation is commonly
observed in ewes and goats [1-4], because during pregnancy, fetuses have a large glucose demand that is satisfied by
the mother. If the fetal demand and the mother supply become imbalanced due to fasting of the mother or the
increased nutritional demands of the rapidly developing fetal placental unit, females suffer from negative energy
balance and resulting in severe hypoglycemia [5, 6]. Ovine pregnancy toxemia frequently develops during the last 4
to 6 weeks of gestation, primarily in pregnancies with more than one fetus, about 60% of fetal growth takes place in
this last gestation period, and during this time approximately 33 to 36% of the circulating glucose is directed into the
fetoplacental unit to satisfy its energetic demands [7]. Hyperketonemia usually develops when, for yet, the capacity
of maternal endogenous glucose production can not cope with the increased demand of glucose, which is present in
the pregnant ewe.
Goats suffering from pregnancy toxemia become anorexic, depressed and recumbent and some affected
animals become constipated, grind their teeth, have acetone smell to their breath and suffering from dystocia.
Neurologic signs include blindness, circling, in-coordination, stargazing, tremors and convulsions. Death can
occurred if the case is left untreated [8]. Hyperketonemia and hypoglycemia are more common obvious biochemical
features. The main ketone bodies in the blood which are normally measured are acetoaectate and β-hydroxybutyrate.
Most of acetoacetate produced b y the liver is reduced to β-hydroxybutyrate by Hydroxybutyrate dehydrogenase
enzyme accounting for the higher blood concentration of β-hydroxybutyrate [9].
In this study, hematological, clinical and biochemical parameters (among others, Hyperketonemia and
hypoglycemia) in pregnant and experimentally pregnancy toxemic goats were investigated and the endocrine
response to short fasting during late pregnancy in goats (changes in the insulin, cortisol, growth hormone, T4 and T3
blood concentration) had been studied as well as changes in electrolytes, some minerals, total lipids, cholesterol,
kidney and liver function tests in pregnancy toxemic goats were investigated.
65
Hefnawy et al., 2011
MATERIALS AND METHODS
Animal experiments: Fifteen pregnant goats with twins of 3-4 years old, 20-27 Kg body weight and 120-130-days
of gestation were selected after ultrasound examination and divided into two groups, control group consisted of 6
animals and experimentally pregnancy toxemic group consisted of 9 animals and used for induction of pregnancy
toxemia by short fasting with access to water until the symptoms of pregnancy toxemia appeared and the animals
were examined clinically every 12 hours (pulse, temperature, respiratory rate and ruminal movements). All
investigated animals were fed on 250 grams corn/ head / day, concentrates and barseem ad lib for two weeks before
the beginning of the experiment and NIH guidelines for the care and use of animals have been followed.
Blood sampling and parameters measured: Blood samples were collected from the jugular vein at 72 hours from
the beginning of the induction of pregnancy toxemia where the clinical findings of pregnancy toxemia appeared.
Whole blood samples were taken for hematological investigation while serum samples were prepared and harvested
immediately and stored at +4°C (≤ 48h) until assay of β-hydroxybutyrate and glucose or at -20°C until analysis for
total protein, albumin, globulin, urea, creatinine, AST, ALT, total lipids, cholesterol, total calcium, magnesium,
phosphorus, sodium and potassium using commercially available kits, while insulin, cortisol, T3, T4, and growth
hormone were measured by radioimmunoassay [10].
Statistical analysis: For presentation of results the means and their standard errors means (SEM) were calculated.
The results were subjected to Student’s t-test by using the Statistical Analysis System (SAS) software [11]. Results
were considered statistically significant when p < 0.05.
RESULTS
Induced pregnancy toxemic goats showed the clinical manifestations of caprine ketosis within 72 hours of
fasting in the form of anorexia, dullness, dyspnea, weakness, lateral recumbency, odor of acetone in the breath,
drowsiness, stiffness of the body and nervous signs.
In regard to the biochemical analysis, the values of β-HBA, AST, ALT, urea, creatinine, cortisol and insulin
hormones were significantly higher in induced pregnancy toxemic goats than those of control ones. The values of
glucose, sodium, potassium, calcium, magnesium, T4, total protein, globulin, albumin, cholesterol and total lipids
were significantly lower in induced pregnancy toxemic goats than those of control ones while, the values of
phosphorous, T3 and growth hormone were not significantly different between induced pregnancy toxemic goats
and control ones as shown in table (1).
Table (1): Biochemical parameters (Means ± SEM) in pregnancy toxemic and control goat (n=15) *p< 0.05,
**p < 0.01
Parameters Control Pregnancy toxemic goat s
β
-
Hydroxybutyrate (µmol/l)
326.57±29.77
744.38±24.97**
AST(u/l)
53±4.16
89±2.31**
ALT(u/l) 28.67±0.38 65.83±1.9**
Urea (mmol/l) 4.82±1.53 8.76±0.49**
Createnin (µmol/l) 110.5±5.30 211.28±12.37**
Cortisol (nmol/l) 488.34 ±77.25 1194.92 ± 121.94**
Insulin (pmol/l) 78.2 ± 1.45 118.41 ± 2.84*
Glucose (mmol/l) 2.9±0.14 1.34±0.04***
Sodium (mEq/l)
155.33±3
.48
120±2.97**
Potassium (mEq/l)
4.8±0.34
3.01±0.08*
Calcium (mmol/l) 2.47±0.21 1.63±0.08**
Magnesium (mmol/l) 1.36±0.08 0.74±0.06**
T4 (ng/ml) 11.25 ± 1.33 7.22 ± 0.94**
Total protein (g/l) 63.4±2 31.9±0.5**
Albumin(g/l) 37.6±2.2 16.2±1.4**
Globuli
n(g/l)
24.9±0.8
15.7±1**
Total lipids (mmol/l)
2.99 ± 0.28
1.78 ± 0.02**
Cholesterol (mmol/l) 16.9 ± 1.96 11.09 ± 0.45*
Phosphorous (mmol/l) 2±0.04 1.56±0.0 5 NS
T3 (nmol/l) 17.11 ± 5.01 12.22 ±1.54 NS
Growth hormone (Umol/l) 1.56 ± 0.19 1.68 ± 0.1 NS
66
J. Basic. Appl. Chem., 1(8)65-69, 2011
The values of total leucocytes, hemoglobin, packed cell volume and neutrophils were significantly higher
in the induced pregnancy toxemic goats than those of control ones and the value of lymphocytes was significantly
lower in the induced pregnancy toxemic goats than that of control ones as shown in Figure (1). However, there were
no significant changes in the other measured hematological parameters as shown in Figure (1).
Figure (1): Hematological parameters (Means ± SEM) of pregnant and pregnancy toxemic goats (n=15). *p < 0.05.
DISCUSSION
Pregnancy toxemia of goats appears to occur when the animal can not meet the glucose demands of the
fetal/placental unit and hypoglycemia and ketonemia develop, and diagnosis of caprine pregnancy toxemia is based
on the stage of gestation, physical signs, hematological and biochemical measures.
Elevation of β-hydroxybutyrate resulted in a significant drop of glucose turnover [12-14], and theoretically
the possible mechanism responsible for the hypoglycemic effects of high concentration of β-hydroxybutyrate is
reduction of food intake and glucose turnover [13], but insulin cannot be involved in this effect, but ketone bodies
have a weak stimulus for insulin secretion in ruminant [14]. In this study, significant increase of insulin
concentrations in the induced pregnancy toxemic goats may refer to the fact that insulin may have an inhibitory role
of ketogenesis [15]
A significant decreased plasma calcium concentration accompanied by an elevated concentration of ketone
bodies observed in sheep during late pregnancy in other studies [1] and this agreed with the results of this study.
During the last trimester of pregnancy, the growing fetus also retains an increasing amount of calcium for the
circulation, which is required for skeletal development [12] and ewes that carry twins are in even greater need of
calcium and are at the same time at a higher risk of developing pregnancy toxemia than ewes with only one
offspring. Ovine pregnancies with more than one fetus are in fact more often accompanied with hypocalcaemia and
pregnancy toxemia than those with one lamb.
The marked drop in serum total protein, globulin, albumin, cholesterol and total lipids with significant
increase in AST and ALT could throw some light on the hepatic origin of caprine pregnancy toxemia which may be
attributed to fat mobilization [16-18] that associated with inadequate dietary intake [17] or due to hepatic damage
[19-21] or hepatic lipidosis [3].
Urea and creatinine concentrations were significantly higher in pregnancy toxemic goats than those of control
ones and these may be considered as indicator to involvement of the kidney in the pathogenesis of caprine pregnancy
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Hefnawy et al., 2011
toxemia and increased catabolism and this expectation agreed with previous studies [17, 18, 20, 22]. It is found that
there was significant negative correlation between blood glucose and urea concentration while the correlation between
β-hydroxybutyrate and urea concentration was significantly positive [23] and this supports the result of this study.
Significant decrease in the serum levels of sodium, potassium, magnesium and calcium as well as
significant increase in the packed cell volume (PCV) and hemoglobin concentration in the pregnancy toxemic goats
indicated that there were disturbances in the electrolytes and some minerals which may be attributed to stress of
starvation, dehydration and involvement of the kidney in the pathogenesis of caprine pregnancy toxemia or also due
to enhanced lipolysis that can induce hypomagnesemia and hypocalcemia [24, 25]. It found that hypokalemia and
hypocalcaemia that are associated with pregnancy toxemic ewes may be attributed to anorexia and metabolic
acidosis, respectively, which are often associated with pregnancy toxemia [2, 3, 21] or inadequate feed intake and
incomplete renotubular absorption of potassium [1].
Studies of the effects of ketosis on the bovine immune system, thus far, have concentrated on the role of
ketones. In vitro responses of lymphocytes from calves with experimentally induced ketonemia compared with
normal calves were suppressed [26] and this agreed with the results of this study where there was significant
decrease in lymphocytes in pregnancy toxemic goats than that of control ones. Many studies indicated that toxic and
subtoxic concentrations of β-hydroxybutyrate and acetoacetate inhibited bovine lymphocytic proliferation [27, 28]
and reduced bovine T-lymphocyte blastogenesis [29]. A direct effect of ketone bodies on specific defenses has
already been reported [29], and the functional activity of neutrophiles- polymorphonuclear leucocytes can also be
affected [27, 30, 31]. Also, it is showed that in vitro concentrations of bovine ketone bodies similar to those of mild
or sever ketosis decreased chemotaxis and uptake of latex particles in sheep neutrophiles and these support the
results of this study and indicated that pregnancy toxemia has immunosuppressive effect in goats [31, 15].
The significant decrease in T4 in pregnancy toxemic goats may be attributed to excessive secretion of
cortisol as there is a negative correlation between free T4 and cortisol as concluded in early study [32, 33]. The
response to fasting (negative energy balance) incorporates hormonal signals which initiate energy preservation.
Insulin, T4 and T3 are important hormones in the regulation of energy homeostasis. The decreases in T4 in
experimental pregnancy toxemic goats in the present study were similar to that recorded in ewes [4] and ferret [34]
with pregnancy toxemia.
In Conclusion, we can conclude that, kidney and liver are involved in the pathogenesis of caprine
pregnancy toxemia as well as pregnancy toxemia can affect the hormonal, electrolytes and minerals balance, as well
as hematological and immune status in goats.
REFERENCES
1. Henz P., K. Bickhardt, H. Fuhrman and H.P. Sallmann, 1998. Spontaneous pregnancy toxemia (ketosis) in sheep
and the role of insulin. Journal of Veterinary Medical Association, 45: 255–266.
2. Rook J.S., 2000. Pregnancy toxemia of ewes, does, and beef cows. Veterinary Clinical North American Food
Animal Practice, 16: 293–317.
3. Van Saun R.J., 2000. Pregnancy toxemia in a flock of sheep. Journal of the American Veterinary Medical
Association, 217: 1536–1539.
4. Kulcsar M., G. Danko, C. Delavaud, C. Mircu, A.J. Nikolic, A. Gaspardy, H. Cernescu, Y. Chilliard, S. Cseh, P.
Rudas and G. Huszenicza, 2006. Endocrine characteristics of late pregnant hyperketonaemic ewes and their
reproductive performance following the induction of ovarian cyclicity out of the breeding season. Acta
Veterinaria Hungarica, 54: 235–249.
5. Batchelder M.A., J.A. Bell, S.E. Erdman, R.P. Marini, J.C. Murphy and J.C. Fox, 1999. Pregnancy toxemia in
the European ferret (Mustela putorius furo). Laboratory Animal Science, 49: 372–379.
6. Dalrymple E.F., 2004. Pregnancy toxemia in a ferret. The Canadian Veterinary Journal, 45: 150–152.
7. Hay W.W., J.W. Sparks, R.B. Wilkening, F.C. Battaglia and G. Meschia, 1983. Partition of maternal glucose
production between conceptus and maternal tissues in sheep. American Journal of Physiology, 245: E347–350.
8. Pough, D G. 2002. Sheep and Goat Medicine. 1st. Ed.
9. GrohnY., L.A. Linderg, M.L. Bruss and T.B. Farver, 1983. Fatty infiltration of liver in spontaneously ketosis in
dairy cows. Journal of Dairy Science, 66: 2320-2328.
10. Reuter A.M., J.M. Ketelslegers, J.C. Hendrick and P. Franchimont, 1978. Radioimmunoassay of protein
hormones: principles and methodology. Hormone and Research, 9 (6): 404–421.
11. SAS Institute Inc., 1985. SAS User’s Guide: Statistics, ver., 5th ed. SAS Institute, Cary, NC.
12. Schlumbohm C. and J. Harmeyer, 2003. Hypocalcaemia reduces endogenous glucose production in
hyperketonemic sheep. Journal of Dairy Science, 68: 1953–1962.
68
J. Basic. Appl. Chem., 1(8)65-69, 2011
13. Schlumbohm C. and J. Harmeyer, 2004. Hyperketonemia impairs glucose metabolism in pregnant and non-
pregnant ewes. Journal of Dairy Science, 87:350–358.
14. Heitmann R.N. and J.M. Fernandez, 1986. Autoregulation of alimentary and hepatic ketogenesis in sheep.
Journal of Dairy Science, 69: 1270–1281.
15. Abd-Elghany H., Y. Seham and S. Shousha, 2010. Some Immunohormonal Changes in Experimentally Pregnant
Toxemic Goats. Veterinary Medicine International, Article ID 768438, 5 pages.
16. Ceròn J.J., P. Garcia Partida, J. Sotillo, A. Bayon and C. Gutierrez Panizo, 1994. Serum protein and protein
electrophoretic pattern variations in goats with ketosis during various stages of reproduction. Proceedings 18th.
world Buiatrics congress: 26th. congress of the Italian Association of Buiatrics, Bolonga, Italy, 2: 1309–1312.
17. ElSebaie A., 1995. Caprine ketosis”pregnancy toxemia in does”. 3rd. Sci. Cong, Egyptian Society for cattle
diseases. 3-5 Dec. Assiut- Egypt.
18. Marteniuk J.V. and T.H. Herdt, 1988. Pregnancy toxemia and ketosis of ewes and does. Veterinary Clinical
North American Food Animal Practice, 4 (2): 307–315.
19. Vihan V.S. and P. Rai, 1987. Certain hematological and biochemical attributes during pregnancy, parturition and
post-parturition in sheep and goats. Indian Journal of Animal Science, 57:1200–1204.
20. Nagamani P., C. Suryanarayana and D.S.T. Rao, 1996. Biochemical and therapeutic studies on pregnancy
toxemia in ewes. Indian Veterinary Journal, 73: 963–965.
21. Radostits O.M., C.C. Gay, D.C. Blood and K.W. Hinchcliff, (2000). Veterinary medicine: A textbook of the
diseases of cattle, sheep, pigs, goats & horses. 9. London, Baillière Tindall.
22. Ramin A.G., S. Asri and R. Majdani, 2005. Correlations among serum glucose, beta-hydroxybutyrate and urea
concentrations in non-pregnant ewes. Small Ruminant Research, 57 (2-3): 265–269.
23. Bani Ismail, Z.; A. Al-Majali, F. Amireh, and O. Al-Rawashdeh, 2008. Metabolic profiles in goat does in late
pregnancy with and without subclinical pregnancy toxemia. Veterinary Clinical Pathology, 37 (4): 434–437.
24. Jopp A.J. and T.D. Quinlivan, 1981. Ovine post-parturient hypomagnesemic ketosis. New Zealand Veterinary
Journal, 29 (3): 37–38.
25. Judith V.M. and H.H. Thomas, 1988. Pregnancy toxemia and ketosis in ewes and does. Veterinary Clinics of
North America: Food Animal Practice, 4 (2): 307–315.
26. Targowski S.P., W. Klucinski, E.T. Littledike and D.A. Hoy, 1985. Suppresion of mitogenic response of bovine
lymphocytes during experimental ketosis in calves. American Journal of Veterinary Research, 46: 1378.
27. Klucinski W., E. Miernik-Degorska, A. Degorski, S. Targowski and A. Winnicka, 1988. Effect of ketone bodies
on the mitogenic response of bovine milk lymphocytes. Journal of Veterinary Medicine, 35: 626–639.
28. Targowski S.P. and W. Klucinski, 1983. Reduction in mitogenic response of bovine lymphocytes by ketone
bodies. American Journal of Veterinary Research, 44: 828–830.
29. Franklin S.T. and J.W. Young, 1991. Effects of ketones, acetate, butyrate and glucose on bovine lymphocyte
proliferation. Journal of Dairy Science, 74: 2507–2514.
30. Tater D., B. Tepaut, J.P. Bercovici and P. Youinou, 1987. Polymorphonuclear cell derangement in type I
diabetes. Hormone and Metabolic Research, 19: 642–647.
31. Sartorelli P., S. Paltrinieri and F. Anges, 1999. Non-specific immunity and ketone bodies. I: In vitro studies on
chemotaxis and phagocytosis of bovine neutrophiles. Journal of Veterinary Medicine, A 46: 613–619.
32. Sartorelli P., S. Paltrinieri and S. Commazzi, 2000. Non-Specific immunity and ketone bodies. II: In vitro studies
on adherence and superoxide anion production in ovine neutrophiles. Journal of Veterinary Medicine, A47: 1–8.
33. Hackney A.C. and J.D. Dobridge, 2009. Thyroid hormones and interrelationships of cortisol and prolactine:
influence of prolonged exhaustive exercise. Endokrynologia Polska, 60: 252– 257.
34. Prohaczik A., M. Kulcsar and G. Huszenicza, 2009. Metabolic and endocrine characteristics of pregnancy
toxemia in the ferret. Veterinary Medicine, 54: 75–80.
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