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      Assessment of calcium, phosphorus, magnesium, vitamin D and PTH levels in sera of lame horses

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          Abstract

          Background

          Minerals play vital roles in physiologic processes. Calcium, phosphorus and magnesium are common minerals. Secretion, absorption and homeostasis of these minerals are affected by associations between the active vitamin D and parathyroid hormone (PTH).

          Objective

          The aim of this study was to assess concentrations of vitamin D, PTH and minerals, such as calcium, phosphorus and magnesium in horse sera, as well as associations of these values with lameness in horses. In the references, the reasons for lameness can be deficiency and imbalance of minerals, and clinical observations also confirm this and there is still not enough information regarding the relationship between mineral imbalance and lameness of horses. The prominent forms of lameness include navicular syndrome, back pain, splints, ring bone, side bone, non‐infectious arthritis and bucked shins. Deficiency and inadequacy of calcium, phosphorous and magnesium have been regarded as predisposing and aggravating factors of the aforementioned diseases.

          Materials and methods

          This cross‐sectional study was carried out on 60 horses, including 30 lame and 30 healthy adult horses, summer to fall 2021. Levels of calcium, phosphorus, magnesium, vitamin D and PTH were assessed in sera using automatic analyser, atomic absorption spectroscopy and commercially available kits.

          Results

          The average level of calcium was higher healthy horses than lame horses in the two seasons ( p < 0.001). The average level of inorganic phosphorus in horses was higher in summer than autumn ( p < 0.001). The mean magnesium concentration in healthy horses was greater than lame horses in the two seasons ( p < 0.01). In this study, the mean PTH concentration in healthy horses was lower in fall than summer ( p < 0.05).

          Conclusion

          The low average levels of calcium and magnesium in lame horses in the two seasons indicate critical roles of calcium and magnesium in the normal function of the horse musculoskeletal system as well as prevention of lameness.

          Abstract

          Low average calcium and magnesium levels in lame in horses in both seasons indicate the crucial role of calcium and magnesium in the normal functioning horse locomotor system and the prevention of lameness. Based on the assessed parameters,it seems that calcium and magnesium deficiency are important factors in the development of diseases of the locomotor system and the consequence of lameness in horses.

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          Most cited references44

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          Resurrection of vitamin D deficiency and rickets.

          The epidemic scourge of rickets in the 19th century was caused by vitamin D deficiency due to inadequate sun exposure and resulted in growth retardation, muscle weakness, skeletal deformities, hypocalcemia, tetany, and seizures. The encouragement of sensible sun exposure and the fortification of milk with vitamin D resulted in almost complete eradication of the disease. Vitamin D (where D represents D2 or D3) is biologically inert and metabolized in the liver to 25-hydroxyvitamin D [25(OH)D], the major circulating form of vitamin D that is used to determine vitamin D status. 25(OH)D is activated in the kidneys to 1,25-dihydroxyvitamin D [1,25(OH)2D], which regulates calcium, phosphorus, and bone metabolism. Vitamin D deficiency has again become an epidemic in children, and rickets has become a global health issue. In addition to vitamin D deficiency, calcium deficiency and acquired and inherited disorders of vitamin D, calcium, and phosphorus metabolism cause rickets. This review summarizes the role of vitamin D in the prevention of rickets and its importance in the overall health and welfare of infants and children.
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            Relationship between serum parathyroid hormone levels, vitamin D sufficiency, and calcium intake.

            Adequate vitamin D status for optimum bone health has received increased recognition in recent years; however, the ideal intake is not known. Serum 25-hydroxyvitamin D is the generally accepted indicator of vitamin D status, but no universal reference level has been reached. To investigate the relative importance of high calcium intake and serum 25-hydroxyvitamin D for calcium homeostasis, as determined by serum intact parathyroid hormone (PTH). Cross-sectional study of 2310 healthy Icelandic adults who were divided equally into 3 age groups (30-45 years, 50-65 years, or 70-85 years) and recruited from February 2001 to January 2003. They were administered a semi-quantitative food frequency questionnaire, which assessed vitamin D and calcium intake. Participants were further divided into groups according to calcium intake ( 1200 mg/d) and serum 25-hydroxyvitamin D level ( 18 ng/mL). Serum intact PTH as determined by calcium intake and vitamin D. A total of 944 healthy participants completed all parts of the study. After adjusting for relevant factors, serum PTH was lowest in the group with a serum 25-hydroxyvitamin D level of more than 18 ng/mL but highest in the group with a serum 25-hydroxyvitamin D level of less than 10 ng/mL. At the low serum 25-hydroxyvitamin D level (<10 ng/mL), calcium intake of less than 800 mg/d vs more than 1200 mg/d was significantly associated with higher serum PTH (P = .04); and at a calcium intake of more than 1200 mg/d, there was a significant difference between the lowest and highest vitamin D groups (P = .04). As long as vitamin D status is ensured, calcium intake levels of more than 800 mg/d may be unnecessary for maintaining calcium metabolism. Vitamin D supplements are necessary for adequate vitamin D status in northern climates.
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              Assessment of the free fraction of 25-hydroxyvitamin D in serum and its regulation by albumin and the vitamin D-binding protein.

              We measured the free fraction of 25-hydroxyvitamin D (25OHD) in human serum and determined that 25OHD bound to a component with an affinity constant of 7 X 10(8) M-1 and a concentration of 4.5 X 10(-6) M. This concentration was equal to that of the vitamin D-binding protein (DBP) in the same serum sample. We removed DBP from the serum using actin affinity columns and found that the affinity for 25OHD of the remaining serum components was equivalent to that of human serum albumin (6 X 10(5) M-1). We then measured the free fractions of 25OHD, DBP, and albumin in normal and cirrhotic subjects. We calculated that 88 +/- 3% (+/- SD) and 83 +/- 8% of the 25OHD were bound to DBP in the serum of normal and cirrhotic subjects, respectively. We compared previously reported data for the free fraction and the free concentration of 1,25-dihydroxyvitamin D in these subjects with the current data for the free fraction and free concentration of 25OHD. The total concentrations and free fractions of both metabolites correlated to each other and to the DBP and albumin concentrations in these subjects, but the free concentrations of these metabolites did not. We conclude that 25OHD, like 1,25-dihydroxyvitamin D, is transported in blood bound primarily to DBP and albumin. Changes in the concentrations of DBP and albumin affected the total and free fractions of 25OHD in serum, but the actual free concentration of 25OHD was independent of such changes.
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                Author and article information

                Contributors
                t-naeini@shirazu.ac.ir
                Journal
                Vet Med Sci
                Vet Med Sci
                10.1002/(ISSN)2053-1095
                VMS3
                Veterinary Medicine and Science
                John Wiley and Sons Inc. (Hoboken )
                2053-1095
                19 July 2023
                September 2023
                : 9
                : 5 ( doiID: 10.1002/vms3.v9.5 )
                : 2070-2077
                Affiliations
                [ 1 ] Department of Surgery and Radiology School of Veterinary Medicine Shiraz University Shiraz Iran
                [ 2 ] Department of Biochemistry School of Veterinary Medicine Shiraz University Shiraz Iran
                Author notes
                [*] [* ] Correspondence

                Aboutorab Tabatabaei Naeini, Department of Surgery and Radiology, School of Veterinary Medicine, Shiraz University, P.O. Box 1731‐71345, Shiraz, Iran.

                Email: t-naeini@ 123456shirazu.ac.ir

                Author information
                https://orcid.org/0000-0002-9596-2047
                Article
                VMS31198
                10.1002/vms3.1198
                10508493
                37466035
                feae3bc2-8623-4980-871b-ae2e10acdb74
                © 2023 The Authors. Veterinary Medicine and Science published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 05 May 2023
                : 10 February 2023
                : 23 June 2023
                Page count
                Figures: 1, Tables: 3, Pages: 8, Words: 5938
                Funding
                Funded by: Shiraz University , doi 10.13039/501100005071;
                Award ID: 1399‐G
                Categories
                Original Article
                EQUINE
                Original Articles
                Custom metadata
                2.0
                September 2023
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.3.4 mode:remove_FC converted:19.09.2023

                horse,lameness,minerals,pth,vitamin d
                horse, lameness, minerals, pth, vitamin d

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