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Equine fasting hyperbilirubinemia

L R Engelking1

  • 1Department of Medicine, Tufts University School of Veterinary Medicine, North Grafton, Massachusetts 01536.

Advances in Veterinary Science and Comparative Medicine
|January 1, 1993
PubMed
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Fasting hyperbilirubinemia in horses may involve decreased hepatic uptake and potential substrate depletion for conjugation enzymes. Refeeding rapidly reverses this condition, suggesting feeding plays a key role.

Area of Science:

  • Veterinary Medicine
  • Animal Physiology
  • Biochemistry

Background:

  • Fasting hyperbilirubinemia is observed in various mammals, but the exact mechanisms differ across species.
  • In horses, increased bilirubin production is unlikely; instead, reduced hepatic uptake of bilirubin is a suspected factor.

Purpose of the Study:

  • To investigate the underlying mechanisms of fasting hyperbilirubinemia in horses.
  • To explore the role of hepatic uptake, conjugation, and excretion in this physiological phenomenon.

Main Methods:

  • The study reviews existing literature on equine fasting hyperbilirubinemia, considering factors like hepatic blood flow, carrier-mediated uptake, and intracellular transport.
  • It examines the potential impact of hyperlipidemia and competition with free fatty acids.

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  • It also considers the role of UDP-glucuronosyltransferase (UGT) activity and substrate availability for bilirubin conjugation.
  • Main Results:

    • Hepatic uptake of bilirubin appears reduced in fasting horses, more so than compounds with higher hepatic clearance.
    • While competition with free fatty acids is plausible due to hyperlipidemia, it's not fully supported as the sole cause.
    • Intraduodenal glucose administration effectively reduces hyperbilirubinemia and increases biliary bilirubin excretion, suggesting substrate depletion for conjugation.

    Conclusions:

    • Fasting hyperbilirubinemia in horses likely involves impaired hepatic uptake and potentially reduced substrate availability for bilirubin conjugation.
    • Further research is needed to elucidate the precise mechanisms and the impact of feeding on reversing this condition.