Combs M D, Edwards S H, Scherpenhuizen J M, Narayan E J, Kessell A E, Piltz J, Raidal S R, Ramsay J, Quinn J C
a School of Animal and Veterinary Sciences , Charles Sturt University , Wagga Wagga , NSW , 2560 , Australia.
b Gribbles Pathology , Adelaide , SA , 5065 , Australia.
N Z Vet J. 2018 Nov;66(6):281-289. doi: 10.1080/00480169.2018.1492986. Epub 2018 Jul 18.
AIMS To develop a clinical model of perennial ryegrass toxicosis (PRGT) based on feeding a known dose of lolitrem B and ergotamine, and to produce a consistent clinical presentation for assessment of disease pathophysiology, neurological changes and neurohistopathology. METHODS Male lambs, aged between 10-12 months, were randomly assigned to either Treatment (n=9) or Control (n=9) groups. Lambs in the Treatment group received feed containing a novel endophyte-infested perennial ryegrass seed, commencing on Day 0 of the Feeding phase with a low induction dose, then increasing after 3 days to provide 0.16 mg/kg live bodywight (LBW)/day of lolitrem B and 0.054 mg/kg LBW/day ergotamine. Lambs were examined daily and when defined signs of PRGT were observed they were transferred to the Testing phase. Neurological examinations, assessment of gait, surface electromyography (EMG) and mechanosensory nociceptive threshold testing were carried out and blood samples collected during both phases of the trial, with a full necropsy, histopathological examination and measurement of faecal cortisol metabolites (FCM) performed on Day 2 of the Testing phase. RESULTS Typical clinical signs of PRGT, including ataxia of vestibulocerebellar origin leading to stumbling, were observed in all Treatment lambs. The median interval from the start of the Feeding phase to entry into the Testing phase was 21 (min 18, max 34) days. Histopathological characterisation of neurological lesions included the presence of Purkinje cell vacuolation, pyknotic granular layer neurons and proximal axonal Purkinje cell spheroids. Lesions were most apparent within the vestibulocerebellum. Mean root-mean-square voltages from triceps EMG increased in Treatment lambs between Feeding phase Day 0 and Testing phase Day 2 (p<0.001). Daily water intake during the Testing phase for the Treatment group was less than in Control group lambs (p=0.002), and concentrations of FCM at necropsy were higher in Treatment compared to Control lambs (p=0.02). CONCLUSIONS AND CLINICAL RELEVANCE Lolitrem B and ergotamine dosing in feed on a live weight basis combined with neurological/gait assessment provides an effective model for investigation of PRGT and potential therapeutics. Assessment of gait changes using defined criteria and RMS voltages from EMG appear to be useful tools for the assessment of the severity of neurological changes.
基于投喂已知剂量的洛替米星B和麦角胺,建立多年生黑麦草中毒(PRGT)的临床模型,并产生一致的临床表现,以评估疾病病理生理学、神经学变化和神经组织病理学。方法:将10 - 12月龄的雄性羔羊随机分为治疗组(n = 9)和对照组(n = 9)。治疗组羔羊从喂养阶段第0天开始,投喂含有新型内生菌感染的多年生黑麦草种子的饲料,起始为低诱导剂量,3天后增加剂量,以提供0.16 mg/kg体重(LBW)/天的洛替米星B和0.054 mg/kg LBW/天的麦角胺。每天对羔羊进行检查,当观察到PRGT的明确体征时,将它们转入测试阶段。在试验的两个阶段都进行了神经学检查、步态评估、表面肌电图(EMG)和机械感觉伤害性阈值测试,并采集了血样,在测试阶段第2天进行了全面尸检、组织病理学检查和粪便皮质醇代谢物(FCM)测量。结果:在所有治疗组羔羊中均观察到PRGT的典型临床体征,包括前庭小脑起源的共济失调导致绊倒。从喂养阶段开始到进入测试阶段的中位间隔为21(最小18,最大34)天。神经病变的组织病理学特征包括浦肯野细胞空泡化、核固缩颗粒层神经元和近端轴突浦肯野细胞球体的存在。病变在前庭小脑中最为明显。治疗组羔羊在喂养阶段第0天到测试阶段第2天期间,肱三头肌EMG的均方根电压升高(p<0.001)。测试阶段治疗组的每日饮水量低于对照组羔羊(p = 0.002),尸检时治疗组的FCM浓度高于对照组羔羊(p = 0.02)。结论及临床意义:基于体重在饲料中添加洛替米星B和麦角胺并结合神经学/步态评估,为PRGT及潜在治疗方法的研究提供了一个有效的模型。使用明确标准评估步态变化和EMG的均方根电压似乎是评估神经学变化严重程度的有用工具。