Effects of hypertonic solutions on biochemical parameters and endotoxemic calves resuscitation

Authors

1 Department of Internal Medicine, Faculty of Veterinary Medicine, University of Tehran

2 1- Department of Internal Medicine, Faculty of Veterinary Medicine, University of Tehran. 2- Institute of Biomedical research, University of Tehran, Tehran, Iran

3 Quality Control Department, Research and Production Complex, Pasteur Institute of Iran, Tehran, Iran

4 department of Internal Medicine, Faculty of Veterinary Medicine, university of Tehran

5 Department of clinical sciences, Faculty of veterinary medicine, Shahid Chamran University

10.22055/ijrhr.2017.15142

Abstract

Endotoxemia is a common and life threatening inflammatory condition in calves which can lead to shock, multiple organ dysfunction, and immunosuppression and biochemical dyshomeostasis. In order to correct peripheral perfusion and metabolic disturbances, hypertonic fluids are recommended as part of treatment. The aim of the present study was to determine the resuscitating effects of hypertonic solutions (NaCl 7.2% and NaHCo3 8.4%) on endotoxemia-induced biochemical alterations. Nine Holstein male calves were randomly divided into three groups (control; n=3 and two treatment; n=6). All calves were injected bacterial Lipopolysaccharide (LPS) and were monitored for four hours post administration (p.a) at several regular intervals. Biochemmical parameters such as Total protein (TP), Fibrinogen (Fib), Lactate, Cortisol and Adrenocorticotropic hormone (ACTH) were measured as well as Rectal Temperature (RT), Respiratory Rate (RR) and Heart Rate (HR). Approximately, blood biochemistry showed significant change in all parameters following endotoxemia which were corrected by hypertonic solution interventions. The present study demonstrated that hypertonic sodium bicarbonate exerted its resuscitating effects by more abrupt increase of ACTH and Cortisol levels.

Keywords


References
Albertini, M.C.L., Lafortuna, M.G. & Clement. (2002). Effect of NO synthase inhibition on cardiovascular and pulmonary dysfunction in a porcine shortterm model of endotoxic shock.         Prostaglandins. Leukot.
Essent. Fatty Acids. 67, 365 372.
Angus, D.C. (2011). The search for effective therapy for sepsis: back to the drawing board. J. Am. Med. Assoc.
306, 2614–2615.
Annane, D., Belissant, E. & Cavaillon, J.M. (2005). Septic shock. Lancet. 36.
Bahr, V., Hensen, J., Hader, O. and Oelkers, W.  (1988). Effects of osmotically stimulated endogenous vasopressin on basal and CRH-stimulated ACTH release      in         man.    Acta.
Endocrinologica. 117: 103–108.
Berchtold J.  (1999). Intravenous fluid therapy of calves. Vet. Clin. North.
Am. Food. Anim.Pract. 15, 505–531.
Berchtold J.  (1999). Intravenous fluid therapy of calves. Vet. Clin. North. Am. Food. Anim.Pract. 15, 505–531.
Beutler, B., Hoebe, K., Du, X. & Ulevitch, RJ. (2003).  How we detect microbes and respond to them: the Toll-like receptors and their transducers. J.
Leuk.Biol. 74, 479–85.
Borderas T.F., de PassilléA. M. & Rushen J. (2008). Behavior of dairy calves after a low dose of bacterial endotoxin. J.
Anim. Sci. 86, 2920-2927.
Carroll, J A., Arthingtonj, JD. &. Chase, CC. (2009). Early weaning alters the acute phase reaction to an endotoxin challenge in beef calves. J. Anim. Sci. 87, 4167-4172.
Cohen, J. (2002). The immunopathogenesis of sepsis. Nature 420, 885–891.
Constable, P.D. (2003). Fluid and electrolyte therapy in ruminants. Vet. Clin. Food. Anim. 19, 557–597.
Constable, P.D. (2002). The treatment of the diarrheic calf: An update In: Kaske M, Scholz H, Hoeltershinken M. (Eds.). Recent Developments and Perspectives in Bovine Medicine: Keynote Lectures XXII World Buiatrics Congress. Hildesheim, Germany: HildesheimerDruck- und Verlags-GmbH; 134–142.
Constable, P. D. (1999).  Hypertonic saline. Vet. Clin. North. Amer. Food. Anim. Pract. 15: 559-585.
Cudd, T.A., Purinton, S., Patel, NC. & Wood,
CE. (1998). Cardiovascular, adrenocorticotropin, and cortisol responses to hypertonic saline in euvolemic sheep are altered by prostaglandin synthase inhibition. Shock. 10, 32–36.
Cullor, JS. (1992). Shock attributable to bacteremia and endotoxemia in cattle: Clinical and experimental findings. J.
Am. Vet. Med. Assoc. 200, 18941902.
Dolente, B.A., Lindborg, S., Palmer, J.E., & Wilkins,           P.A.     (2007).             Culturepositive sepsis in neonatal camelids:
21 cases. J. Vet. Inte. Med. 21, 3, 519525.
Elssaser, T.H., Collier, R. & Hartnell, G.F. (1996). Physiological responses to repeated endotoxic challenge. Domes. Anim. Endocrinol. 13, 1, 91-103.
Filkins J.P. (1987). Phases of glucose dyshomeostasis in endotoxicosis.
Circ. Shock. 5, 347-355.
Fong,Y., Marano, A. & Lyle, L. (1990). The Acute Splanchnic and Peripheral Tissue         Metabolic Response         to Endotoxin in Humans. J. Clin.
Invest.85, 1896-1904.
Ganheim, C., C. Hultenz, U. & Carlssons, H. (2003). The acute phase response in calves experimentally infected with bovine   viral     diarrhoea         and/or Mannheimia haemolytica. J. Vet. 
Gerros, T.C., Semrad, S.D. & Proctor, RA. (1995).   Alterations      in         Clinical, Hematological           and Metabolic
Variables in Bovine Neonatal Endotoxemia. Can. J. Vet. Res. 59: 34-39.
Giri, S.N., Emau, P., Cullor, J.S., Stabenfeldt, G.H. & Bruss, ML. (1990). Effects of endotoxin infusion on circulating levels of eicosonides, progesterone, cortisol, glucose and lactic acid and abortion in pregnant cows. Vet.
Microbial. 21, 211-231.
Griel, L.C., Zarkower, A. & Eberhardt, R.J. (1975). Clinical            and      clinicopathological effects of Escherichia coli endotoxin in mature cattle. Can. J. Comp. Med. 39, 1-6.Med. B. 50, 183–190.
Helwig, F.C., Schutz, C.B. & Kuhn, H.P. (1983). Water intoxication: Moribund patient cured by administration of hypertonic salt solution. J.A.M.A.
110, 644–645.
Hüsler, B.R. and Blum. J.W. (2001).
Nitrite/Nitrate responses to endotoxin in calves. J. Vet. Med. Series A. 48, 487–500.
Kline, K., Frey, L.P., Foreman, J.H. & Lyman, J.T. (2005). Effects of Intravenous Sodium Bicarbonate and Sodium Acetate on Equine Acid-Base
Status. J. Equine Vet. Sci. 25, 7, 349354.
Königsson, K., Odensvik, K. & Kindahl H. (2002). Endocrine, metabolic and clinical        effects             of intravenous endotoxin            injection          after     pretreatment with Meloxicam in heifers. J. Vet. Med. A 49, 408-414.
Kopp, F., Kupsch, S. & Schrom, B. (2016). Lipopolysaccharide-binding protein is bound and internalized by host cells and colocalizes with LPS in the cytoplasm: Implications for a role of LBP in intracellular LPS-signaling.
Biochimicaet. Biophysica.
Acta.1863, 660–672.
Kumar, R. & Kumar Malik. J. (2001). Effects of multiple injections of Escherichia coli endotoxin on the pharmacokinetics and dosage regimens of a long-acting formulation of oxytetracycline (OTC-LA) in cross-breed calves. Vet. SKI. ARHIV. 71, 5, 245-263.
Luthman, J., Kindahl, H., Jacobsson, S.O. & Thunberg, L. (1988). Local and General        Effects            of Salmonella typhimurium Endotoxin in Calves. J. Vet. Med. (A). 35, 586-595.
Mauricto, R.G.S. (1997). Hypertonic saline resuscitation:     a          new concept.Baillikre. Clin. Anaesthesiol. 11, 1, 127-142.
Mizock,           B.A.    (1995).             Alterations      in Carbohydrate          Metabolism     during Stress: A Review of the Literature. Am. J. Med., 98, 75-84.
Mokhber Dezfouli, M.R., Lotfollahzadeh, S., Heidari Sureshjani, M., Dehghan, M.M., Nikbakht, Gh.R., Eftekhari, Z, Tavanaeimanesh,            H.,       Sadeghian
Chaleshtori, S., Jani, M., Arab Yarmohammadi, M. (2017). Changes in clinical signs after treatment in calves with experimental colisepticemia with Escherichia coli J. Vet. Res. 72,1:63-71.
Moore, J.N., Garner, H. E. & Shapland, JE. (1980). Lactic acidosis and arterial hypoxemia            during sublethalendotoxemia in conscious ponies. Am. J. Vet. Res. 41: 16961698.
Morris D.D., Cullor, J.S., Wickstrom, M., Whitlock, R.H. & Corbeiln, LB. (1986). Endotoxemia in neonatal calves given antiserum to a mutant Escherichia coli (J-5). Am. J. Vet.
Res. 47, 2554-2565.
Naylor,J., Zello, G.A. & Abeysekara, S. (2006).Advances    in         oral      and intravenous fluid therapy of calves with gastrointestinal disease. World Buiatrics Congress Nice, France.
Prigent, H., Maxime, V. & Annane, D. (2004). Science review: mechanisms of impaired adrenal function in sepsis and        molecular         actions             of
glucocorticoids. Critic. Care. 8, 243– 252.
Radostits, O.M., Gay, C.C., Hinchcliff, K.W. & Constable, P.D. (2007). Veterinary medicine: a textbook of the diseases of cattle, sheep, pigs, goats and horses: Elsevier Saunders.
Raff, H., Skelton. M.M., & Cowley, A.W. (1989).    Feedback         control             of vasopressin and corticotropin secretion in conscious dogs: Effect of hypertonic saline. J. Endocr. 122, 41-
48.
Ritmaster, R.S. Cutler, G.B. & Gold, P.W. (1987). The relationship of salineinduced changes in vassopressin secretion to basal and corticotropinreleasing hormone-stimulated aderno-corticotropin and cortisol secretion in man. J. Clin. Endocrinal.
Metab.64, 371-376.
Schroeder, N.W.J. & Schumann, R.R.  (2005). Non-LPS targets and actions of LPS binding protein (LBP). J. Endotoxin. Res. 11, 237–242.
Schumann, R.R., Leong, S.R., Flaggs, G.W., Gray, P.W., Wright, S.D., Mathison, J.C., Tobias, P.S. & Ulevitch, R.J. (1990). Structure and function of lipopolysaccharide binding protein. Science. 249, 1429–1431.
Semrad, S.D. (1993). Comparative efficiency of flunixin, ketoprofen and ketorolac for treating     endotoxemine neo-natal calves. Am. J. Vet. Res. 54, 15111516.
Singh, D.V., Singh, R.V. & Sodhi, S.P.S.
(2002) Effect of HSS on haemodynamics of endotoxemic buffalo calves. Indian. J. Anim. Sci. 72, 1083- 1086.
Smith, BP. (2015). Large Animal Internal Medicine, 5thedtion, 712-724.
Templeton, C.B., Bottoms, G.D., Fessler, J.F. & Turek, JJ. (1988). Hemodynamics, plasma eicosanoid concentrations, and plasma biochemical changes in calves given multiple injections of Escherichia coli endotoxin. Am. J.
Vet. Res. 49, 90-95.
Tennant, B., Harrold, D. & Reinaguerra, M. (1972). Physiologic and metabolic factors in the pathogenesis of neonatal enteric infections in calves. J. Am. Vet. Med. Assoc. 161, 993-1007.
Tollofsrud, S., Elgjo, D.S., Prough, C.A., Wlliams, D.L. & Kramer, G.C.  (2001). The dynamics of vascular volume and fluid shifts of lactated ringer’s solution and hypertonicsaline dextran solutions infused in normovolemic sheep. Anesth. Analg. 93, 823-831.
Wray, C. & Thomlinson, JR. (1972). The effects of Escherichia coli endotoxin incalves. Res. Vet .Sci. 13, 546-553.