Investigation of the myocardial damage due to acute anemia in a rabbit model of acute normovolemic anemia

Myocardial damage and increased circulating cardiac troponin I cTnI concentrations have been shown in various diseases that cause anemia in animals. Whether the acute anemia that occurs during these diseases directly contributes to myocardial damage and to the release of cTnI to the circulation still remains unclear. The objective of this study was to investigate the effect of acute anemia on myocardial damage and serum cTnI concentration using experimentally-induced acute normovolemic anemia. New Zealand rabbits were randomly separated into 2 groups: an acute anemia group AG, n = 8 and a control group CG, n = 6 . To induce acute anemia, repeated jugular phlebotomy was performed. Blood samples were collected before the experiment 0 and at 24, 48, 72, 96, and 120 h. Serum cTnI concentrations were measured using a human specific cTnI assay. After the last blood sample was taken, euthanasia was performed to evaluate the histopathological changes and the cTnI immunolabelling in cardiomyocytes. In the AG, the mean packed cell volume PCV was 13.1 ± 1.4% at 120 h. The median serum cTnI concentrations in the AG and the CG were 0.075 IQR; 0.017?0.077 and 0.015 ng/mL IQR; 0.01?0.02 at the 120-h mark, respectively P

___

  • 1. Jones ML, Allison RW. Evaluation of the ruminant complete blood cell count. The Veterinary Clinics of North America: Food Animal Practice 2007; 23 (3): 377-402. doi: 10.1016/j. cvfa.2007.07.002
  • 2. Bliss S. Anemia and oxygen delivery. The Veterinary Clinics of North America: Small Animal Practice 2015; 45 (5): 917-930. doi: 10.1016/j.cvsm.2015.04.006
  • 3. Thrall M, Weiser G, Allison R, Campbell T. Veterinary Hematology and Clinical Chemistry. 2nd ed. Iowa, USA: John Wiley & Sons; 2012.
  • 4. Van Der Linden P. Acute normovolemic anemia: Physiological and practical concerns. Jurnalul de Chirurgie 2007; 3 (3): 230- 237.
  • 5. Doss DN, Estafanous FG, Ferrario CM, Brum JM, Murray PA. Mechanism of systemic vasodilation during normovolemic hemodilution. Anesthesia & Analgesia 1995; 81 (1): 30-34. doi: 10.1097/00000539-199507000-00006
  • 6. Otsuki D, Fantoni D, Junior J. Impact of acute normovolemic hemodilution in organ and cell structure. In: Kochhar P (Editor). Blood Transfusion in Clinical Practice. 1st ed. Rijeka, Croatia: InTech; 2012. pp. 223-232.
  • 7. Hatcher JD, Chiu LK, Jennings DB. Anemia as a stimulus to aortic and carotid chemoreceptors in the cat. Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology 1978; 44 (5): 696-702. doi: 10.1152/jappl.1978.44.5.696
  • 8. Saffitz J. The heart. In: Rubin R, Strayer D, Rubin E (editors). Rubin’s Pathology: Clinicopathologic Foundations of Medicine. 6th ed. Philadelphia, USA: Wolters Kluver-Lippincott Williams & Wilkins; 2011. pp. 479-536.
  • 9. Lobetti R, Dvir E, Pearson J. Cardiac troponins in canine babesiosis. Journal of Veterinary Internal Medicine 2002; 16 (1): 63-68. doi: 10.1892/0891-6640(2002)0162.3.co;2
  • 10. Diniz PP, de Morais HS, Breitschwerdt EB, Schwartz DS. Serum cardiac troponin I concentration in dogs with ehrlichiosis. Journal of Veterinary Internal Medicine 2008; 22 (5): 1136-1143. doi: 10.1111/j.1939-1676.2008.0145.x
  • 11. Gow DJ, Gow AG, Bell R, Spratt D, Cash R et al. Serum cardiac troponin I in dogs with primary immune-mediated haemolytic anemia. Journal of Small Animal Practice 2011; 52 (5): 259-264. doi: 10.1111/j.1748-5827.2011.01061.x
  • 12. Fartashvand M, Nadalian M, Sakha M, Safi S. Elevated serum cardiac troponin I in cattle with Theileriosis. Journal of Veterinary Internal Medicine 2013; 27 (1): 194-199. doi: 10.1111/jvim.12014
  • 13. Tharwat M, Al-Sobayil F. The effect of tick infestation on the serum concentrations of the cardiac biomarker troponin I, acid-base balance and haematobiochemical profiles in camels (Camelus dromedarius). Tropical Animal Health and Production 2014; 46 (1): 139-144. doi:10.1007/s11250-013-0464-6
  • 14. Kılınç Orunç Ö, Göz Y, Yüksek N, Başbuğan Y, Yılmaz AB et al. Determination of serum cardiac biomarkers and plasma D-dimer levels in anemic sheep with babesiosis. Turkish Journal of Veterinary and Animal Science 2015; 39: 606-610. doi: 10.3906/vet-1501-105
  • 15. Peek SF, Apple FS, Murakami MA, Crump PM, Semrad SD. Cardiac isoenzymes in healthy Holstein calves and calves with experimentally induced endotoxemia. Canadian Journal of Veterinary Research 2008; 72 (4): 356-361.
  • 16. Tümer KÇ, Özdemir H, Eröksüz H. Evaluation of cardiac troponin I in serum and myocardium of rabbits with experimentally induced polymicrobial sepsis. Experimental Animals 2020; 69 (1): 54-61. doi: 10.1538/expanim.19-0046
  • 17. Lalor SM, Gunn-Moore DA, Cash R, Foot A, Reed N et al. Serum cardiac troponin I concentrations in cats with anaemia - a preliminary, single-centre observational study. Journal of Small Animal Practice 2014; 55 (6): 320-322. doi: 10.1111/jsap.12210
  • 18. Cartwright JA, Gow DJ, Gow AG, Handel I, Reed N et al. Serum cardiac troponin I concentrations decrease following treatment of primary immune-mediated haemolytic anaemia. Journal of Small Animal Practice 2015; 56 (8): 516-520. doi: 10.1111/ jsap.12379
  • 19. Spotswood TC, Kirberger RM, Koma LM, Reyers F, Van der Merwe L. A canine model of normovolaemic acute anaemia. The Onderstepoort Journal of Veterinary Research 2005; 72 (2): 135- 143. doi: 10.4102/ojvr.v72i2.209
  • 20. Lichtenberger M. Transfusion medicine in exotic pets. Clinical Techniques in Small Animal Practice 2004; 19 (2): 88-95. doi: 10.1053/j.ctsap.2004.01.006
  • 21. Sellers RS, Pardo I, Hu G, Khan KN, Perry R et al. Inflammatory cell findings in the female rabbit heart and stress-associated exacerbation with handling and procedures used in nonclinical studies. Toxicologic Pathology 2017; 45 (3): 416-426. doi: 10.1177/0192623317700519
  • 22. Rehman S, Rehman A. Physiology, Coronary Circulation. Treasure Island, FL, USA: StatPearls Publishing; 2019.
  • 23. Mihatov N, Januzzi Jr JL, Gaggin HK. Type 2 Myocardial Infarction due to supply-demand mismatch. Trends in Cardiovascular Medicine 2017; 27 (6): 408-417. doi: 10.1016/j. tcm.2017.03.002
  • 24. Murray D. Acute normovolemic hemodilution. European Spine Journal 2004; 13 (1): 72-75. doi: 10.1007/s00586-004- 0755-8
  • 25. Stehling L, Zauder H. Acute normovolemic hemodilution. Transfusion 1991; 31 (9): 857-868. doi: 10.1046/j.1537- 2995.1991.31992094675.x
  • 26. Lobetti RG, Reyers F, Nesbit JW. The comparative role of haemoglobinaemia and hypoxia in the development of canine babesial nephropathy. Journal of the South African Veterinary Association 1996; 67 (4): 188-198.
  • 27. Spotswood TC, Kirberger RM, Koma LM, Thompson PN, Miller DB. Changes in echocardiographic variables of left ventricular size and function in a model of canine normovolemic anemia. Veterinary Radiology and Ultrasound 2006; 47 (4): 358-365. doi: 10.1111/j.1740-8261.2006.00154.x
  • 28. Champion T, Pereira Neto GB, Camacho AA. Effects of acute normovolemic anemia on hemodynamic parameters and acidbase balance in dogs. Veterinary Medicine International 2011; 2011: 829054. doi:10.4061/2011/829054
  • 29. Wells SM, Sleeper M. Cardiac troponins. Journal of Veterinary Emergency and Critical Care 2008; 18 (3): 235-245. doi: 10.1111/j.1476-4431.2008.00307.x
  • 30. Varga A, Schober KE, Holloman CH, Stromberg PC, Lakritz J et al. Correlation of serum cardiac troponin I and myocardial damage in cattle with monensin toxicosis. Journal of Veterinary Internal Medicine 2009; 23 (5): 1108-1116. doi: 10.1111/j.1939- 1676.2009.0355.x
  • 31. Karapinar T, Eroksuz Y, Beytut E, Sozdutmaz I, Eroksuz H et al. Increased plasma cardiac troponin I concentration in lambs with myocarditis. Veterinary Clinical Pathology 2012; 41 (3): 375-381. doi: 10.1111/j.1939-165X.2012.00448.x