Source: UNIVERSITY OF FLORIDA submitted to NRP
EXERCISE PHYSIOLOGY OF THOROUGHBRED HORSES UNDERGOING ATHLETIC TRAINING AND THE PHARMACOLOGY OF MEDICATIONS ADMINISTERED TO THEM
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
0216084
Grant No.
(N/A)
Cumulative Award Amt.
(N/A)
Proposal No.
(N/A)
Multistate No.
(N/A)
Project Start Date
Aug 1, 2008
Project End Date
Aug 1, 2011
Grant Year
(N/A)
Program Code
[(N/A)]- (N/A)
Recipient Organization
UNIVERSITY OF FLORIDA
G022 MCCARTY HALL
GAINESVILLE,FL 32611
Performing Department
College of Veterinary Medicine
Non Technical Summary
The use of horses almost inevitably involves athletic activity. Despite this little information is available about the effects of exercise, the effects of drugs on exercising horses, or the effects of exercise on the pharmacokinetics of drugs administered to horses. To ensure that the athletic use of horses is as safe as possible for the involved horses and people and fair for all involved in competitive activities, information on these topics. This information is needed to aid veterinarians treating horses and to enable stringent drug testing. In some circumstances, conflicts arise between the stringent testing procedures and the need to medicate horses for injuries or illness. Sometimes exercise itself induces physiological changes that must be considered in designing husbandry and training practices. These and other problems can be resolved by research into exercise and pharmacology. The overarching goal is to prevent serious risk of catastrophic injury to horses and the riders. Over the course of these studies, we will investigate the effect of exercise on immune function, lung function, heart function, and muscle function in horses. Using the information gained on the effect of exercise, we can determine the effects of drugs like bronchodialators, anabolic steroids and the aspirin like drugs called the non-steroidal anti-inflammatory drugs on horses that are exercising intensively. The information we generate will be used to write drug regulations for horses in sanctioned competitions. It can be used by veterinarians in deciding the drug regimens to be used on athletic horses. It may result in the ban of some drugs because of harmful effects. It may demonstrate that some drugs are beneficial or determine the most appropriate use for some drugs. All added information will help make equine athletics human and equine athletic competitions fair. To obtain our objectives we must do our studies on athletically conditioned horses. Out program is designed to maintain fit athletic horses and to subject them to research protocols that do them no harm like treadmill exercise and minimally invasive collection procedures like blood and urine collection, but provide information that is essential to equine athletics.
Animal Health Component
(N/A)
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
3053810102020%
3053810116010%
3053810118020%
3153810102020%
3153810116010%
3153810118020%
Goals / Objectives
The overall objective is to provide information on the physiology of racing age Thoroughbred horses and clearance and effects of specific medications that are used in effective therapeutic regimens for horses engaged in athletic competition. The first objective is to investigate the cardiovascular, immune, and skeletal muscle physiology of horses engaged in intense physical exercise to identify parameters critical to the ability to exercise. The second objective is to determine the pharmacological effects of selected drugs on those physiological parameters in these horses. The third objective is to determine the pharmacological effects of medication on the performance of these horses and correlate that with the pre-selected parameters. The fourth objective is to determine the clearance times of medications, singly and in combination, in athletically conditioned horses.
Project Methods
Thoroughbred horses physically conditioned to gallop 1 mile in 2 minutes and return to normal cardiovascular parameters within 40 minutes will be used. Roughly equal numbers of mares and geldings screened for obvious abnormalities and of racing age, 3 to 10 years, are included in the study. The horses will be provided routine preventative medical care, exercised on a treadmill 3 to 5 days each week, and housed in paddocks. Incremental exercise stress testing which involves exercising at increasing speed and incline until the horse fails to stay in place on the treadmill will be used to impose intense exercise stress and fitness tests which involves galloping for 2 minutes at 13.4 m/sec will be used periodically to determine the efficacy of the training regimen. Oxygen consumption will be measured as will heart rate, speed of the treadmill and time at that speed to detect maximal oxygen consumption during the stress tests. For studies, the horses will be divided into groups and rotated between the treatment regimens to create crossover or Latin square design studies. Appropriate statistical methods including mixed effect linear modeling will be used, to determine the effects of treatments. Individual experiments will be conducted to investigate physiological parameters and for each medication or therapeutic regimen. We will evaluate the effects of exercise and medication regimens on a battery of different parameters including total run time, oxygen consumption, CO2 production, hematological and clinical chemical parameters (electrolytes, blood lactate, cortisol, heart rate, temperature, and serum and urinary creatinine), immune parameters including neutrophil reactive oxygen species and phagocytic ability, pulmonary function parameters and muscle cell proliferation and fusion. We will determine drug and drug metabolite levels in serum and urine by elisa assays obtained from commercial sources specific for each drug or by high-pressure liquid chromatography and mass spectrometry methods. Using these methods we will investigate the effects on exercise including the roll of endotoxin in alterations in immune function following exercise, the effect of non-steroidal anti-inflammatory agents on the post exercise immune system and on the ability of muscle cells to respond to exercise. We will determine the pulmonary function parameters of fit horses and determine the effect of beta agonists on that function. We will determine accurate pharamacokinetic activity of common therapeutic agents by doing drug administrations to our fit horses. All these studies provide heretofore unknown information valuable to veterinarians and supportive of improved health care for horses.

Progress 08/01/08 to 08/01/11

Outputs
OUTPUTS: Over the course of this project 45 separate studies of 32 different drugs were administered and samples collected and sent to 5 collaborating laboratories in the US and 2 laboratories overseas. In total, over 46,000 blood samples were collected and 23,000 urine samples were collected. Twenty-five publications in peer-reviewed journals were published by 61 collaborating authors over the course of these studies. PARTICIPANTS: The members of the Racing Medication and Testing Consortium, a collaborative of 25 organizations, and the Florida State Division of Pari-Mutuel Wagering requested that studies be conducted. Seven analytic laboratories in 5 states and 2 foreign countries participated in the analysis of samples collected. Seven doctoral students participated in the program and 5 obtained PhD degrees during the study period. Four masters degree students completed their degrees during the study period. TARGET AUDIENCES: Pari-Mutuel regulatory agencies on the state, national and international levels, horse regulatory agencies and equine veterinarians will all use the information developed to improve the regulation of equine athletic activities and the safety of the equine and human participants in those activities. The pharmacokinetic and pharmacodynamic information will be useful to practicing veterinarians to improve the efficacy and safety of their drug treatment regimens. PROJECT MODIFICATIONS: Not relevant to this project.

Impacts
As a result of these studies, rule changes have been promulgated in Pari-Mutuel racing that have eliminated the use of anabolic steroids and reduced the permitted concentration of non-steroidal anti-inflammatory drugs in horses racing. Pending regulations will likely affect the use of corticosteroids in racing as well and support the elimination of all race day drug administration. Pharmacokinetic and pharmacodynamic information about non-steroidal anti-inflammatory drugs have helped refine the clinical use of these drugs and will help prevent the development toxicities due to these drugs in clinical veterinary practice.

Publications

  • Colahan, P., Jackson, C., Rice, B., Szabo, N. and Jones, J. (2010). The effect of sildenafil citrate administration on selected physiological parameters of exercising Thoroughbred horses. Proceeding of the 8th ICEEP, Equine Vet J 42 Suppl 38:606-612.
  • Moeller, B., Sams, R ., Giunjab, J., Szabo,N., Colahan, P., and Stanley, S. (2011) An inter-laboratory study of the pharmacokinetics of testosterone following intramuscular administration to Thoroughbred horses. J Vet Phramacol and Ther.34(6):588-93.
  • Rumpler, M., Sams, R., and Colahan, P. (2011) Pharmacokinetics of glycopyrrolate following intravenous administration in the horse. J Vet Phramacol Ther 34(6):605-8.
  • Moeller, B., Sams, R., Guingab-Cagmat, J., Szabo, N., Colahan, P., and Stanley, S. (2011). Pharmacokinetics of Stanozolol in Thoroughbred Horses Following Intramuscular Administration. Journal of Veterinary Pharmacology and Therapeutics (In press).
  • Soma, L., Uboh, C., Liu, Y., Li, X., Robinson, M., Boston, R., Broome, T., and Colahan. P. (2011). Pharmacokinetics of intra-articular, intravenous, intramuscular, and oral administrations of dexamethasone sodium phosphate in horses and its effects on endogenous hydrocortisone. Journal of Veterinary Pharmacology and Therapeutics (In press).
  • Rumpler, M., Sams, R., and Colahan, P. (2011) Regulatory control of glycopyrrolate in performance horses using validated UHPL C/MS_MS methods. J. Chromatography B (In press).
  • Rumpler, M., Sams, R., and Colahan, P. (2011) Validation of a LC/MS/MS method for quantification of glycopyrrolate in horse plasma. Journal of Analytical Toxicology (pending).


Progress 10/01/09 to 09/30/10

Outputs
OUTPUTS: Activities: Fifteen studies of 14 drugs were conducted during the 2009 to 2010 fiscal year. Pharmacokinetic studies of fluphenazine, glycopyrrolate, acepromazine, pyrilamine, lidocaine, and methocarbamol were conducted. Elimination studies of fluphenazine, ketoprofen, flunixin meglumine, phenylbutazone, and methocarbamol were conducted. Bioavailability studies were conducted for albuterol, xylazine and hydroxyzine and its metabolite, cetirizine. Samples form these studies were shipped to the cooperating analytic laboratories. Abstracts were submitted and accepted to 2 international meetings, the International Conference of Racing Analysts and Veterinarians (ICRAV) and the International Conference of Equine Exercise Physiology (ICEEP). An abstract was accepted to the ICRAV and 3 abstracts were accepted to the ICEEP. Events: An oral presentation and an abstract were presented at the ICRAV in New Zealand. Two manuscripts were submitted and accepted for publication, one each to the ICRAV and ICEEP. Four quarterly reports were sent to each of the funding agencies, the Racing Medication and Testing Consortium and the Florida State Division of Pari-Mutuel Wagering. PARTICIPANTS: Nothing significant to report during this reporting period. TARGET AUDIENCES: Nothing significant to report during this reporting period. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.

Impacts
During the 2009-2010 period date developed form the studies conducted lead to the promulgation of racing regulations forbidding the administration of anabolic steroids to racing horses and provided requirement for the elimination time needed for horses that had treated with anabolic steroids.

Publications

  • P Colahan, C Chou, M Johnson, B Rice, P Kubilis, and R Sams 2010 The combined effects of prednisolone sodium succinate administration on selected hematologic and hormonal parameters in athletically conditioned in Thoroughbred horses. In the Abstracts of the 18th International Conference of Racing Analysts and Veterinarians, Queenstown, NZ, , R and W Communications, New Market, UK, p78.


Progress 10/01/08 to 09/30/09

Outputs
OUTPUTS: Studies of boldenone, testosterone, stanozolol, nadrolone, methacarbomol, buthorphanol, pyrillamine, glycopyrrolate, detomidine, acepromazine, firocoxib, lidocaine, mepivacaine, and clenbuterone in Thoroughbred horses completed sample collection and moved to sample assay. Assays of the anabolic steroids, stanozolol, testosterone, boldenone and nandrolone, were completed. Sample collection and assay of samples taken from Standardbred horses following the administration of boldenone were also completed. Comparison of the pharmacokinetic behavior of boldenone in the two breeds indicated that the elimination of boldenone in Standardbred horses was considerably shorter (approximately 60%) that in Thoroughbred horses. Because the same guidelines for withdrawal from treatment are applied to all breeds participating in Pari-Mutuel competitions, such a discrepancy is of tremendous importance. The obvious implication is that medication rules for different breeds cannot necessarily be uniform. However, needed the drug pharmacokinetics information for different horse breeds is totally absent from the literature. The pharmacokinetic behavior of different drugs in different breeds must be investigated to determine those differences that are of medical and legal significance and enable appropriate rule making. Determination of the duration of effect of COX inhibition following the administration of a therapeutic regimen of the COX 2 selective inhibitor, firocoxib was completed. It was demonstrated that the COX 2 inhibitory effect persisted for 4 days after the last firocoxib administration. This prolonged duration of effect has implications for pre-competition examinations performed to determine if horses are sufficiently sound and healthy to compete. The validity of those examinations may be compromised if prolonged anti-inflammatory or pain relieving effects obscure the clinical parameters evaluated in those examinations. Study of different non-steroidal anti-inflammatory drugs and different dose rates are needed to insure the safety of horses and their riders during athletic competitions. Studies of the effects of acupuncture on the pulmonary function of athletic horses were completed. Horse suffer inflammatory lower airway disease and reduced athletic performance and long term debilation due to this condition. The analysis of the pulmonary data is underway to determine if this debilitating condition can be treated by methods that do not involve medication. PARTICIPANTS: Nothing significant to report during this reporting period. TARGET AUDIENCES: Target audiences for this information are horse trainers and veterinarians and people that participate in equine sports. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.

Impacts
The findings of the pharmacokinetic studies conducted over this year indicate that considerable further study must be undertaken to provide adequate information on the use of medications in competing horses. Differences between breeds must delineated so that appropriate treatment regimens can be established and so that the rules concerning the use of drugs in competing horse are appropriate. The prolonged duration of effects of some pain relieving and anti-inflammatory medication also require further investigation. These drugs are known to be toxic so that dosing at unnecessarily frequent intervals increases the potential for toxicity. Also medication rules for athletic competitions must be adequate to ensure the efficacy of pre-performance examinations and subsequently the safely of human and equine participants.

Publications

  • Tangjitjaroen W, Huisheng X, and Colahan P*: The therapeutic actions of traditional Chinese herbal medicine used for the treatment of equine respiratory diseses. AM J Trad Chinese Med 4(1):7- 21, 2009.