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Ionophores
Scott A Fritz1, Jeffery O Hall2
1Department of Anatomy and Physiology, Kansas State University College of Veterinary Medicine, 1620 Denison Avenue, 228 Coles Hall, Manhattan, KS 66506, USA.
Abstract:
Ionophores are a class of polyether antibiotics that are commonly used as anticoccidial agents and growth promotants in ruminant diets. Ionophores transport ions across lipid membranes and down concentration gradients, which results in mitochondrial destruction, reduced cellular energy production, and ultimately cell death. Cardiomyocytes are the primary target in equine patients when exposed to toxic concentrations and the clinical disease syndrome is related to myocardial damage. Animals can survive acute exposures but can have permanent heart damage that may result in acute death at future time points. Animals that survive a poisoning incident may live productive breeding lives, but physical performance can be greatly impacted. Animals with myocardial damage are at risk of sudden death and pose a risk to riders.
Insights
Ionophores, used in animal feed, can cause severe heart damage in horses by disrupting cell energy. This myocardial damage can lead to sudden death, impacting the animal's health and performance.
Area of Science:
- Veterinary Medicine
- Toxicology
- Animal Science
Background:
- Ionophores are polyether antibiotics utilized as anticoccidial agents and growth promoters in livestock.
- These compounds facilitate ion transport across lipid membranes, disrupting cellular energy production.
- Mitochondrial dysfunction and subsequent cell death are key mechanisms of ionophore toxicity.
Purpose of the Study:
- To describe the toxic effects of ionophores on equine cardiomyocytes.
- To outline the clinical presentation and long-term consequences of ionophore poisoning in horses.
- To highlight the risks associated with myocardial damage in horses.
Main Methods:
- Review of existing literature on ionophore toxicity in animals, with a focus on equine cases.
- Analysis of pathological mechanisms involving ionophore-induced mitochondrial damage.
- Correlation of clinical signs with myocardial damage in affected horses.
Main Results:
- Cardiomyocytes are identified as the primary cellular targets of toxic ionophore concentrations in horses.
- Ionophore exposure leads to myocardial damage, manifesting as a clinical disease syndrome.
- Survivors of acute ionophore poisoning may experience permanent cardiac damage, increasing the risk of future sudden death.
Conclusions:
- Ionophore toxicity in horses results in significant myocardial damage with potentially fatal long-term consequences.
- While horses may survive acute poisoning, permanent cardiac impairment can affect their physical performance and increase the risk of sudden death.
- Understanding ionophore toxicity is crucial for equine health management, particularly concerning breeding and performance animals.
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