PMID- 35030228 OWN - NLM STAT- MEDLINE DCOM- 20220221 LR - 20220221 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 17 IP - 1 DP - 2022 TI - Comparison of insulin sensitivity between healthy neonatal foals and horses using minimal model analysis. PG - e0262584 LID - 10.1371/journal.pone.0262584 [doi] LID - e0262584 AB - The equine neonate is considered to have impaired glucose tolerance due to delayed maturation of the pancreatic endocrine system. Few studies have investigated insulin sensitivity in newborn foals using dynamic testing methods. The objective of this study was to assess insulin sensitivity by comparing the insulin-modified frequently sampled intravenous glucose tolerance test (I-FSIGTT) between neonatal foals and adult horses. This study was performed on healthy neonatal foals (n = 12), 24 to 60 hours of age, and horses (n = 8), 3 to 14 years of age using dextrose (300 mg/kg IV) and insulin (0.02 IU/kg IV). Insulin sensitivity (SI), acute insulin response to glucose (AIRg), glucose effectiveness (Sg), and disposition index (DI) were calculated using minimal model analysis. Proxy measurements were calculated using fasting insulin and glucose concentrations. Nonparametric statistical methods were used for analysis and reported as median and interquartile range (IQR). SI was significantly higher in foals (18.3 L.min-1. muIU-1 [13.4-28.4]) compared to horses (0.9 L.min-1. muIU-1 [0.5-1.1]); (p < 0.0001). DI was higher in foals (12 x 103 [8 x 103-14 x 103]) compared to horses (4 x 102 [2 x 102-7 x 102]); (p < 0.0001). AIRg and Sg were not different between foals and horses. The modified insulin to glucose ratio (MIRG) was lower in foals (1.72 muIUinsulin2/10.L.mgglucose [1.43-2.68]) compared to horses (3.91 muIU insulin2/10.L.mgglucose [2.57-7.89]); (p = 0.009). The homeostasis model assessment of beta cell function (HOMA-BC%) was higher in horses (78.4% [43-116]) compared to foals (23.2% [17.8-42.2]); (p = 0.0096). Our results suggest that healthy neonatal foals are insulin sensitive in the first days of life, which contradicts current literature regarding the equine neonate. Newborn foals may be more insulin sensitive immediately after birth as an evolutionary adaptation to conserve energy during the transition to extrauterine life. FAU - Kinsella, Hannah M AU - Kinsella HM AUID- ORCID: 0000-0001-7809-6100 AD - College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, United States of America. FAU - Hostnik, Laura D AU - Hostnik LD AUID- ORCID: 0000-0001-5479-588X AD - College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, United States of America. FAU - Snyder, Hailey A AU - Snyder HA AD - College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, United States of America. FAU - Mazur, Sarah E AU - Mazur SE AD - College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, United States of America. FAU - Kamr, Ahmed M AU - Kamr AM AD - College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, United States of America. AD - Faculty of Veterinary Medicine, University of Sadat City, Sadat City, Egypt. FAU - Burns, Teresa A AU - Burns TA AD - College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, United States of America. FAU - Mossbarger, John C AU - Mossbarger JC AD - Midland Acres Inc, Bloomingburg, Ohio, United States of America. FAU - Toribio, Ramiro E AU - Toribio RE AUID- ORCID: 0000-0002-9063-540X AD - College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, United States of America. LA - eng GR - T35 OD010977/OD/NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220114 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Blood Glucose) RN - 0 (Insulin) SB - IM MH - Age Factors MH - Animals MH - Animals, Newborn/*metabolism MH - Blood Glucose/analysis MH - Female MH - Glucose Tolerance Test/methods/veterinary MH - Horses/metabolism/*physiology MH - Insulin/metabolism MH - Insulin Resistance/*genetics MH - Islets of Langerhans/physiology MH - Male MH - Pancreas/metabolism PMC - PMC8759699 COIS- The authors have declared that no competing interests exist. EDAT- 2022/01/15 06:00 MHDA- 2022/02/22 06:00 PMCR- 2022/01/14 CRDT- 2022/01/14 17:17 PHST- 2021/08/21 00:00 [received] PHST- 2021/12/29 00:00 [accepted] PHST- 2022/01/14 17:17 [entrez] PHST- 2022/01/15 06:00 [pubmed] PHST- 2022/02/22 06:00 [medline] PHST- 2022/01/14 00:00 [pmc-release] AID - PONE-D-21-27168 [pii] AID - 10.1371/journal.pone.0262584 [doi] PST - epublish SO - PLoS One. 2022 Jan 14;17(1):e0262584. doi: 10.1371/journal.pone.0262584. eCollection 2022.