- Published: September 17, 2015
 - DOI: 10.1371/journal.pone.0136785
 
Hypoglycin A (HGA) in seeds of Acer spp.
 is suspected to cause seasonal pasture myopathy in North America and 
equine atypical myopathy (AM) in Europe, fatal diseases in horses on 
pasture. In previous studies, this suspicion was substantiated by the 
correlation of seed HGA content with the concentrations of toxic 
metabolites in urine and serum (MCPA-conjugates) of affected horses. 
However, seed sampling was conducted after rather than during an 
outbreak of the disease. The aim of this study was to further confirm 
the causality between HGA occurrence and disease outbreak by seed 
sampling during an outbreak and the determination of i) HGA in seeds and
 of ii) HGA and MCPA-conjugates in urine and serum of diseased horses. 
Furthermore, cograzing healthy horses, which were present on AM affected
 pastures, were also investigated. AM-pastures in Germany were visited 
to identify seeds of Acer pseudoplatanus and serum (n = 8) as 
well as urine (n = 6) from a total of 16 diseased horses were analyzed 
for amino acid composition by LC-ESI-MS/MS, with a special focus on the 
content of HGA. Additionally, the content of its toxic metabolite was 
measured in its conjugated form in body fluids (UPLC-MS/MS). The seeds 
contained 1.7–319.8 μg HGA/g seed. The content of HGA in serum of 
affected horses ranged from 387.8–8493.8 μg/L (controls < 10 μg/L), 
and in urine from 143.8–926.4 μg/L (controls < 10 μg/L), 
respectively. Healthy cograzing horses on AM-pastures showed higher 
serum (108.8 ± 83.76 μg/L) and urine concentrations (26.9 ± 7.39 μg/L) 
compared to control horses, but lower concentrations compared to 
diseased horses. The range of MCPA-carnitine and creatinine 
concentrations found in diseased horses in serum and urine were 
0.17–0.65 mmol/L (controls < 0.01), and 0.34–2.05 μmol/mmoL (controls
 < 0.001), respectively. MCPA-glycine levels in urine of cograzing 
horses were higher compared to controls. Thus, the causal link between 
HGA intoxication and disease outbreak could be further substantiated, 
and the early detection of HGA in cograzing horses, which are clinically
 normal, might be a promising step in prophylaxis.
Figures
Citation: Bochnia M, 
Ziegler J, Sander J, Uhlig A, Schaefer S, Vollstedt S, et al.  (2015) 
Hypoglycin A Content in Blood and Urine Discriminates Horses with 
Atypical Myopathy from Clinically Normal Horses Grazing on the Same 
Pasture. PLoS ONE 10(9):
        e0136785.
        doi:10.1371/journal.pone.0136785
Editor: Ulrike Gertrud Munderloh, University of Minnesota, UNITED STATES
Received: April 17, 2015; Accepted: August 7, 2015; Published: September 17, 2015
Copyright: © 2015 Bochnia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Data Availability: All relevant data are within the paper and its Supporting Information files.
Funding: The authors have no support or funding to report.
Competing interests: The authors have declared that no competing interest exist.
Editor: Ulrike Gertrud Munderloh, University of Minnesota, UNITED STATES
Received: April 17, 2015; Accepted: August 7, 2015; Published: September 17, 2015
Copyright: © 2015 Bochnia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Data Availability: All relevant data are within the paper and its Supporting Information files.
Funding: The authors have no support or funding to report.
Competing interests: The authors have declared that no competing interest exist.