Vasopressin in dehydrated and rehydrated ponies

Polyuria and Polydipsia in Horses

Polyuria and polydipsia are rare, but significant, manifestations of several different diseases of horses. Causes can be endocrine, iatrogenic, psychogenic, infectious, or toxic in nature and can also be due to primary renal disease or diseases of other organs, such as the liver. Although numerous causes of polyuria and polydipsia in horses exist, the most common conditions include chronic kidney disease, pituitary pars intermedia dysfunction, and psychogenic polydipsia with secondary polyuria. Additional testing is dictated by history, other clinical signs, and the results of blood work and/or urinalysis. Prognosis for horses with polyuria and/or polydipsia varies significantly based on the underlying cause.

Water homeostasis and diabetes insipidus in horses

Diabetes insipidus (DI) is a rare disorder of horses characterized by profound polyuria and polydipsia (PU/PD), which can be caused by loss of production of arginine vasopressin (AVP). This condition is termed neurogenic or central DI. DI may also develop with absence or loss of AVP receptors or activity on the basolateral membrane of collecting-duct epithelial cells. This condition is termed nephrogenic DI. Equine clinicians may differentiate true DI from more common causes of PU/PD by a systematic diagnostic approach. DI may not be a correctable disorder, and supportive care of affected horses requires an adequate water source.

Validity of indicators of dehydration in working horses: a longitudinal study of changes in skin tent duration, mucous membrane dryness and drinking behaviour

REASONS FOR PERFORMING STUDY

Dehydration is a serious welfare concern in horses working in developing countries. Identification of a valid and practical indicator of dehydration would enable more rapid treatment and prevention.

OBJECTIVES

To examine changes in bodyweight, clinical and blood parameters during rehydration of working horses, identify a 'gold standard' criterion for dehydration and use this to validate a standardised skin tent test, drinking behaviour and mucous membrane dryness as potential field indicators.

METHODS

Fifty horses with a positive skin tent test, working in environmental temperatures of 30-44 degrees C in Pakistan, were rested and offered water to drink ad libitum. Bodyweight, clinical and blood parameters, mucous membrane dryness, drinking behaviour and skin tent duration at 6 anatomical locations were measured at 0, 30, 60, 120, 180, 240 and 300 min.

RESULTS

Skin tent duration was affected by side of animal (P = 0.008), anatomical location and coat moisture (both P < 0.001). Younger animals had shorter skin tents at all time points (P = 0.007). There was no significant association between plasma osmolality (P(osm)) or water intake and skin tent duration. Horses with a higher P(osm) drank significantly more water (P < 0.001), and had longer (P < 0.001) and more frequent (P = 0.001) drinking bouts. Neither P(osm) nor water intake affected qualitative and semi-quantitative measurements of mucous membrane dryness significantly.

CONCLUSIONS AND POTENTIAL RELEVANCE

The standardised skin tent test and measures of mucous membrane dryness investigated in this study were not valid or repeatable indicators of dehydration when compared with P(osm) as a 'gold standard' criterion. The volume of water consumed and the number and duration of drinking bouts were the most reliable guide to hydration status currently available for mature working horses. Offering palatable water to drink ad libitum provides both the diagnosis and the remedy for dehydration in working horses.

Effects of dehydration and rehydration on plasma vasopressin and aldosterone in horses

We have investigated the change in plasma vasopressin and aldosterone concentrations in Namib (desert-adapted) and in control horses from a subtropical region, during an acute 12% dehydration and during rehydration, while food was available. During dehydration, vasopressin concentrations increased significantly in both groups of horses, but the increase was significantly greater in Namib horses than in control horses. During rehydration, vasopressin levels fell, but fell significantly less in Namib horses. The change in vasopressin concentration correlated significantly with plasma osmolality (r = 0.88, p < 0.001), and the relationship between these two variables was the same for both groups of horses during the dehydrated and rehydrated states. Aldosterone concentrations fell up to 48-h dehydration in both groups, but decreased significantly more in desert horses. From 48-h dehydration and during rehydration, aldosterone concentrations increased and the increase was sustained longer in Namib than in control horses. Changes in plasma osmolality did not correlate significantly with changes in aldosterone concentration. There were significant correlations between faecal moisture (%) and both vasopressin and aldosterone concentrations (r = -0.72, p < 0.008; r = 0.80, p < 0.002, respectively). During the 12% dehydration, the Namib horses sustained higher plasma osmolalities and consequently vasopressin levels than the control horses. We conclude that plasma osmolality in conjunction with these two hormones plays a significant role in water homeostasis in horses.

Nephrogenic diabetes insipidus in sibling colts

Nephrogenic diabetes insipidus was diagnosed in two full sibling Thoroughbred colts. Each colt had a history of excessive urination. Extreme polydipsia (greater than 80 L per day) was documented in both colts. Inability to concentrate urine in response to water deprivation, infusion of hypertonic saline, or exogenous vasopressin administration indicated insensitivity of the collecting duct epithelial cells to vasopressin. A diagnosis of nephrogenic diabetes insipidus was further supported by a normal increase in plasma vasopressin concentration after water deprivation in the one colt in which such testing was pursued.