Randomized clinical field trial on the effects of butaphosphan-cyanocobalamin and propylene glycol on ketosis resolution and milk production.

The purpose of this study was to determine the effects of a butaphosphan-cyanocobalamin combination product (B+C) and 2 durations of propylene glycol treatment (PG; 3 versus 5 d) on ketosis resolution and early lactation milk yield. Cows from 9 freestall herds (8 in Ontario and 1 in Michigan) were tested at weekly intervals between 3 and 16 d in milk. Ketosis was defined as blood ß-hydroxybutyrate (BHB) ≥1.2 mmol/L. Ketotic cows were randomly assigned to treatment with 25 mL of B+C or 25 mL of saline placebo for 3 d and 3 or 5 d of 300 g of PG orally in a 2 × 2 factorial arrangement. Outcomes evaluated for all farms included ketosis cure (blood BHB <1.2 mmol/L at 1 wk after enrollment), maintenance of ketosis cure (blood BHB <1.2 mmol/L 1 and 2 wk after enrollment), and blood BHB concentrations at 1 and 2 wk after enrollment. Daily milk weights were collected in 3 herds. Poisson regression was used to evaluate cure and maintenance of cure, whereas repeated-measures ANOVA was used to evaluate blood BHB concentrations in the 2 wk after enrollment and average daily milk production in the 30 d after treatment. A total of 594 animals were enrolled in the study with 124 treated with B+C and 5 d of PG, 176 treated with B+C and 3 d of PG, 128 treated with saline and 5 d of PG, and 166 treated with saline and 3 d of PG. Animals with blood BHB >2.4 mmol/L at the time of enrollment were 1.7 times more likely [95% confidence interval (CI): 1.4 to 2.2] to cure and had a decrease of 0.25 ± 0.11 mmol/L blood BHB at 1 wk after enrollment if treated with 5 d of PG compared with 3 d, though this response was not seen in animals with BHB of 1.2 to 2.4 mmol/L at enrollment. Cows with blood glucose concentrations <2.2 mmol/L at enrollment produced 3.1 kg/d (95% CI: 1.3 to 5.0) more milk if treated with B+C and 3.4 kg/d (95% CI: 1.7 to 5.1) more milk if treated with 5 d of PG compared with their respective controls. This response was not seen in animals with blood glucose ≥2.2 mmol/L at enrollment and there was no interaction between treatments. These results indicate that extended PG treatment is beneficial in decreasing blood BHB concentrations in more severely affected animals. Additionally, both B+C treatment and extended PG treatment improved milk yield in animals with low blood glucose at the time of ketosis diagnosis.

Effects of a combination butaphosphan and cyanocobalamin product and insulin on ketosis resolution and milk production.

The objective of this study was to determine the effects of butaphosphan-cyanocobalamin (B+C), glargine insulin, and propylene glycol on resolution of ketosis and average daily milk yield after treatment. Cows from 16 herds in Ontario, Canada, and 1 herd in Michigan were tested at weekly intervals between 3 and 16 DIM. Ketosis was defined as blood ß-hydroxybutyrate (BHB) ≥1.2 mmol/L. All ketotic cows were given a baseline treatment of 3 d of 300 g of propylene glycol orally. Animals were then randomly assigned to treatment with 3 doses of either 25 mL of B+C or 25 mL of saline placebo and 1 dose of either 2 mL (200 IU) of glargine insulin or 2 mL of saline placebo in a 2 × 2 factorial arrangement. Outcomes of interest on all farms were ketosis cure (blood BHB <1.2 mmol/L 1 wk postenrollment), maintenance of ketosis cure (blood BHB <1.2 mmol/L 1 and 2 wk postenrollment), and blood BHB concentrations at 1 and 2 wk postenrollment. Milk weights were collected daily in 1 large freestall herd. Repeated measures ANOVA was used to evaluate blood BHB concentrations 2 wk after treatment and milk production for 30 d after treatment. Poisson regression was used to examine the effect of treatment on cure and maintenance of cure. Due to a regulatory delay causing temporary unavailability of B+C in Canada, data were analyzed in 2 sets of models: one for insulin and the corresponding placebo (n = 620) and one for the full trial (n = 380). Animals with blood glucose concentrations ≤2.2 mmol/L at the time of ketosis diagnosis were 2.1 times more likely (95% CI = 1.2 to 3.7) to be cured if treated with B+C. Animals in lactation 3 or higher that had blood glucose concentrations <2.2 mmol/L at enrollment produced 4.2 kg/d (95% CI = 1.4 to 7.1) more milk if treated with insulin versus placebo and 2.8 kg/d (95% CI = 0.9 to 4.7) more milk if treated with B+C versus placebo. Animals in lactation 3 or higher with blood glucose ≥2.2 mmol/L that were treated with insulin produced 2.3 kg/d (95% CI = 0.3 to 4.4) less milk than untreated controls. No interaction was observed between treatments. This evidence suggests that B+C and insulin may be beneficial for ketosis treatment in animals with blood glucose <2.2 mmol/L at ketosis diagnosis. It also suggests that blood glucose concentration may be an important predictor of success of ketosis treatment.

Lipomobilization in periparturient dairy cows influences the composition of plasma nonesterified fatty acids and leukocyte phospholipid fatty acids.

The periparturient period is characterized by sudden changes in metabolic and immune cell functions that predispose dairy cows to increased incidence of disease. Metabolic changes include alterations in the energy balance that lead to increased lipomobilization with consequent elevation of plasma nonesterified fatty acids (NEFA) concentrations. The objective of this study was to establish the influence of lipomobilization on fatty acid profiles within plasma lipid fractions and leukocyte phospholipid composition. Blood samples from 10 dairy cows were collected at 14 and 7 d before due date, at calving, and at 7, 14, and 30 d after calving. Total lipids and lipid fractions were extracted from plasma and peripheral blood mononuclear cells. The degree of lipomobilization was characterized by measurement of plasma NEFA concentrations. The fatty acid profile of plasma NEFA, plasma phospholipids, and leukocyte phospholipids differed from the composition of total lipids in plasma, where linoleic acid was the most common fatty acid. Around parturition and during early lactation, the proportion of palmitic acid significantly increased in the plasma NEFA and phospholipid fractions with a concomitant increase in the phospholipid fatty acid profile of leukocytes. In contrast, the phospholipid fraction of long-chain polyunsaturated fatty acids in leukocytes was diminished during the periparturient period, especially during the first 2 wk following parturition. This study showed that the composition of total plasma lipids does not necessarily reflect the NEFA and phospholipid fractions in periparturient dairy cows. These findings are significant because it is the plasma phospholipid fraction that contributes to fatty acid composition of membrane phospholipids. Increased availability of certain saturated fatty acids in the NEFA phospholipid fractions may contribute to altered leukocyte functions during the periparturient period.

Peripartum serum vitamin E, retinol, and beta-carotene in dairy cattle and their associations with disease.

Peripartum decreases in serum concentrations of vitamins A and E may contribute to impaired immune function in dairy cows. The objectives of this study were to describe peripartum serum concentrations of alpha-tocopherol, beta-carotene, and retinol and their associations with disease risk. On 20 farms over 1 yr, blood samples were collected weekly from 1057 cows from 1 wk before expected calving until 1 wk postpartum. Serum concentrations of alpha-tocopherol, beta-carotene, and retinol, as well as several biochemical variables were measured. Their associations with the risk of retained placenta or clinical mastitis were modeled separately with logistic regression, and the factors associated with the concentration of each vitamin were modelled with mixed linear regression. Differences in vitamin concentrations between 2 batches of sera analyzed 6 mo apart required stratification of statistical analyses. Accounting for the effects of parity, season, and twins, an increase in alpha-tocopherol of 1 microg/mL in the last week prepartum reduced the risk of retained placenta by 20%, whereas serum nonesterified fatty acid concentration > or = 0.5 mEq/L tended to increase risk of retained placenta by 80%. In the last week prepartum, a 100 ng/mL increase in serum retinol was associated with a 60% decrease in the risk of early lactation clinical mastitis. There were significant positive associations of peripartum serum concentrations among each of alpha-tocopherol, beta-carotene, and retinol.

The use of blood analyses to evaluate mineral status in livestock.

Animal responses are useful means of evaluating and assessing nutritional status. Blood mineral concentrations can be useful nutritional responses, although there are important limitations. The nutritional value in monitoring blood mineral concentrations varies with the specific mineral, being generally most valuable for those minerals in which homeostasis is regulated primarily by renal excretion, as opposed to regulation by variable absorptive efficiency. Examples of minerals for which blood concentrations are good measures of nutritional intake are selenium and magnesium. Blood mineral concentrations are affected by multiple variability factors. The strategy for use in mineral status assessment is to minimize non-nutritional variation by grouping animals for testing based on physiologic factors that affect, or are likely to affect, the concentration of the mineral or minerals being tested. Care should be taken to use the proper sampling protocol, so as not to cause artifactual variation. Removal of the serum from the clot within 2 hours of sample collection is an important step, among others. Sampling adequate numbers of animals and evaluating the herd mean and SD can minimize the effect of random variation on interpretation.

Ruminant adaptation to negative energy balance. Influences on the etiology of ketosis and fatty liver.

Ketosis and fatty liver occur when physiologic mechanisms for the adaptation to negative energy balance fail. Failure of hepatic gluconeogenesis to supply adequate glucose for lactation and body needs may be one cause of ketosis; however, poor feedback control of nonesterified fatty acid release from adipose tissue is another likely cause of ketosis and fatty liver. The types of ketosis resulting from these two metabolic lesions may require different therapeutic and prophylactic approaches.

Variability characteristics and test selection in herd-level nutritional and metabolic profile testing.

Nutritional assessment based on animal response factors is the basis of essentially all dietary recommendations. Blood concentrations of nutrients, metabolites, and hormones are important animal response factors associated with nutriture, making blood analysis an important nutritional assessment technique. There are, however, numerous sources of variability, other than nutrition, affecting the concentration of blood analytes used in nutritional assessment. Minimizing the effects of non-nutrient sources of variability and maximizing the effects of nutritional variability is the objective in designing strategies for blood sampling and testing for nutritional assessment. Important non-nutrient sources of variability are age, sex, gestation stage, lactation stage and milk yield, and season. When interpreting test results, grouping animals by these characteristics is an important means of minimizing the effects of non-nutritional variability. Within these groups, it is important to take an adequate number of samples, generally starting out with at least seven. Finally, selecting appropriate tests is critical. Tests commonly used for clinicopathologic evaluations are not necessarily the best tests for nutritional assessment. Analytes should be chosen that are likely to have a large portion of their total variability caused by nutritional effects. This generally does not include those metabolites the blood concentrations of which are rigidly controlled by homeostatic forces.

Effect of energy and protein density of prepartum diets on fat and protein metabolism of dairy cattle in the periparturient period.

To determine if increased nutrient density in prepartum diets improves nutrient balance of peripartum cows, we blocked 40 Holstein cows and 40 heifers by expected date of parturition and assigned them randomly within blocks to one of four treatment diets varying in density of net energy for lactation (NEL) and crude protein (CP). Diets were 1.30 Mcal of NEL/kg and 12.2% CP, 1.49 Mcal of NEL/kg and 14.2% CP, 1.61 Mcal of NEL/kg and 15.9% CP, and 1.48 Mcal of NEL/kg and 16.2% CP. These diets were fed ad libitum from 25 d prepartum until parturition, and all cows were fed the same diet after calving. Increased nutrient-density of prepartum diets did not decrease feed intake. Compared to animals fed the lowest density, those fed the highest density consumed more NEL (20 vs. 14 Mcal/d) and gained more body condition, backfat, and body weight. They also had less nonesterified fatty acids in plasma (176 vs. 233 microM) and more insulin-like growth factor-I in plasma (472 vs. 390 ng/ml) during the last 2 wk prepartum and less triglyceride in liver at parturition (0.9 vs. 1.5%, wet tissue basis). Quadratic effects of energy density were not observed, and the addition of protein in the medium energy diet had no effect. Prepartum diets did not alter any variables during lactation. In conclusion, increasing the energy and protein density up to 1.6 Mcal of NEL/kg and 16% CP in diets during the last month before parturition improves nutrient balance of cattle prepartum and decreases hepatic lipid content at parturition.

Dry cow diet, management, and energy balance as risk factors for displaced abomasum in high producing dairy herds.

The objective of this study was to determine prepartum risk factors for displaced abomasum. The design was a prospective study of 1170 multiparous Holstein cows from 67 high producing dairy herds in Michigan. Each farm was visited four times within a 6-wk period. At each visit, data on nutrition and management were collected. All multiparous cows within 35 d of projected calving were assigned a body condition score, and blood was sampled to determine the concentration of nonesterified fatty acids in plasma. A multivariable linear regression model was used to determine risk factors associated with the incidence of displaced abomasum during lactation on a herd basis. A multivariable logistic regression model with random effect was used to determine risk factors for displaced abomasum on an individual cow basis. Significant risk factors for displaced abomasum included a negative energy balance prepartum (as estimated from plasma nonesterified fatty acids), a high body condition score, suboptimal feed bunk management prepartum, prepartum diets containing > 1.65 Mcal of net energy for lactation/kg of dry matter, winter and summer seasons, high genetic merit, and low parity.

Biopsy mineral analysis by inductively coupled plasma-atomic emission spectroscopy with ultrasonic nebulization.

Liver copper concentration is generally considered the best measure of copper nutritional status in cattle. Ultrasonic nebulization in conjunction with inductively coupled plasma-atomic emission spectroscopy (ICP-AES) was investigated as a method to provide adequate sensitivity to allow accurate simultaneous measurement of copper and 14 additional elements from needle biopsy samples. The element concentration frequency distribution profile of 12 elements routinely present in liver was compared to profiles of the elements in fat, muscle, vena cava, kidney, and clotted blood. The profiles could be used to confirm the authenticity of the liver biopsy sample. Element concentrations in biopsy samples taken in triplicate from the five lobes of a bovine liver were compared to those from triplicate wedge sections taken adjacent to the biopsies and analyzed by conventional ICP-AES. Precision between biopsies was equal to or better than precision between wedge samples. Some element concentrations determined by the biopsy procedure differed statistically from those determined by the wedge procedure, but differences were not sufficient to influence clinical interpretation of data.

The association of serum nonesterified fatty acids and cholesterol, management and feeding practices with peripartum disease in dairy cows.

A prospective study was conducted to determine the relationship of serum nonesterified fatty acids (NEFA) and cholesterol concentrations and herd management practices to the occurrence of metritis, mastitis and retained placenta in Holstein cows in Michigan. Serum samples were collected once prepartum and once postpartum from 257 cows. Animals were under observation for disease occurrence from the date of calving until 3 months postpartum. Metabolic variables used were (1) prepartum only; (2) postpartum only; (3) the NEFA/cholesterol ratio for both pre- and postpartum samples. Management variables included maternity management, feed management, and factors such as season and parity. Multivariable logistic models with random-effect terms to account for the herd effect were used for data analysis. Results showed that: (1) metabolic events associated with energy insufficiency-increased fat mobilization and serum lipoprotein metabolism-were related to increased risk of metritis and retained placenta; (2) higher energy consumption during the last weeks of the dry period might reduce disease risk at parturition; (3) serum NEFA and cholesterol concentrations have potential as indicators of disease risk in dairy cows.

Physical, hematologic, biochemical, and immunologic effects of supranutritional supplementation with dietary selenium in Holstein cows.

OBJECTIVE: To measure responses of cows to supplemental Se intake in excess of nutritional requirements, but lower than recognized toxic dosages. ANIMALS: 24 healthy adult Holstein cows. PROCEDURE: Cows were allotted to 4 groups and fed sodium selenite to provide 0, 3, 20, or 50 mg of Se/cow/d for 90 days. Subsequently, the dosage for the group receiving 50 mg/cow/d was increased to 100 mg/cow/d for 28 d. Blood, liver specimens, feces, and urine were obtained at points during the trial. RESULTS: Serum and blood Se concentrations in groups receiving 20 or 50 mg/cow/d increased over time, compared with controls (P < 0.01). Increasing supplemental Se intake to 100 mg/cow/d further increased serum and blood Se concentrations (P < 0.05). Urine, fecal, and liver Se concentrations increased more markedly in response to treatment than did those of serum or blood. No effect of Se treatment was seen on blood cell counts or serum activities of hepatocellular enzymes. Likewise, neither titer response to rabies vaccination nor lymphocyte blastogenic response to nonspecific mitogens was affected by Se treatment. Objective or subjective physical signs of Se toxicosis were not observed at any Se dosage. CONCLUSIONS: Inorganic Se intakes of up to 50 mg/d for 90 days or 100 mg/d for 28 days by adult Holstein cows do not affect the variables measured. CLINICAL RELEVANCE: Intakes of Se as sodium selenite in amounts 10 to 30 times the nutritional requirements are unlikely to cause health problems in adult cows. Urine and feces are good test samples for detection of Se supplementation greater than requirements.

Blood-lipid and lactation-stage factors affecting serum vitamin E concentrations and vitamin E cholesterol ratios in dairy cattle.

The distribution of cholesterol and vitamin E among the various lipoprotein density fractions in bovine blood was measured. The percentage of total plasma vitamin E and cholesterol in the various lipoprotein fractions was very-low-density lipoprotein, 2% and 2%, respectively; low-density lipoprotein, 17% and 22%, respectively, and high-density lipoprotein. 77% and 72%, respectively. Only 3% of plasma vitamin E was not associated with the lipoproteins. Vitamin E cholesterol ratios were not significantly different among lipoprotein fractions (P = 0.3). These results indicate that vitamin E and cholesterol are distributed in equal proportions among lipoprotein fractions. Moreover, the results suggest that variation in the proportions of lipoproteins in the different density fractions would not affect the overall vitamin E cholesterol ratio of plasma. The results further imply that the total plasma vitamin E cholesterol ratio is a valid relative estimator of the vitamin E concentration per lipoprotein particle, regardless of the density distribution of particles. Total serum vitamin E and cholesterol concentrations and their ratio were then determined in commercial diary cattle in various phases of the lactation cycle. There was a significant lactation-stage effect on the serum concentration of each analyte, as well as on their ratio. However, the magnitude of the effect was much less for the ratio than for either vitamin E or cholesterol alone. These results imply that lactation stage affects serum vitamin E concentrations by influencing both the concentration of lipoprotein particles and the concentration of vitamin E within individual particles.

Reduction of bovine plasma cholesterol concentration by partial interruption of enterohepatic circulation of bile salts: a novel hypocholesterolemic model.

Interruption of enterohepatic circulation (EHC) of bile salts in several species is known to cause a significant decrease in plasma concentrations of low density lipoprotein (LDL) cholesterol, but to have little effect on high density lipoprotein (HDL) cholesterol. The present study, for the first time, demonstrates that partial interruption of EHC dramatically reduces both plasma LDL and HDL cholesterol concentrations in cattle. Five adult Holstein cows were surgically altered to allow controlled portions of bile flow to be diverted from the body. The animals were fed a low-fat, cholesterol-free diet. In two experiments, bile was diverted at 50% and 22% of total flow rates. By day 8 of diversion, both rates reduced mean plasma cholesterol from baseline (85 mg/dl) to about 8 and 18 mg/dl, respectively. Cholesterol was reduced in equal proportions in all lipoprotein fractions. In addition, plasma concentrations of triglycerides and phospholipids were also dramatically reduced. All of these plasma lipids returned to baseline within 1 week after restoration of bile flow. To determine the hepatic response to bile diversion, liver cholesterol concentrations, cholesterol synthesis rates, and LDL receptor-binding activities were determined in biopsy samples. In response to bile diversion, hepatic cholesteryl esters were markedly depleted while hepatic cholesterol synthesis rates were increased by more than 10-fold. Nevertheless, because the basal cholesterol synthesis rate was so low, it was estimated that the increase in synthesis would have supplied no more than 5% of the sterols depleted during bile diversion (1.2 vs. 25 mmol/day). LDL receptor-binding activity was significantly elevated, suggesting an increased uptake of plasma lipoprotein cholesterol by the liver. These results suggest that the unique sensitivity of bovine plasma cholesterol to enterohepatic circulation interruption might occur as a result of the inherently low rate of hepatic cholesterol synthesis in cattle. This hypocholesterolemic model might serve as an interesting tool for the study of factors regulating plasma HDL cholesterol.

Blood serum concentrations of selenium in female llamas (Lama glama) in relationship to feeding practices, region of United States, reproductive stage, and health of offspring.

Serum Se and vitamin E concentrations were determined twice in each of 35 female llamas from a high-Se region and 96 female llamas from a low-Se region of the United States. The first determination was taken at a random time during gestation and the second shortly after parturition. At the time of postpartum sampling, a sample was also taken from the cria. Dietary information was collected from each llama owner and a subjective estimate of strength and vigor was assigned by the owner to each cria studied. The mean blood serum concentrations of Se in llamas during gestation and at parturition were 213 and 203 ng/mL, respectively. The mean serum Se concentration was 113 ng/mL in neonatal cria. Among herds, serum Se means varied for the cria (P < .05) and at both sampling times in the females (P < .01). In adult females, mean serum Se was actually higher during gestation (P = .06) and at parturition (P < .01) for the low-Se region than for the high-Se region, but this effect was removed by covariate adjustment for intake of supplemental Se. Serum Se in females was correlated (P < .05) to supplemental Se consumption. Vigor and (or) viability of the cria were not affected by the Se status of the dams (P > .3) or cria (P > .2). However, there were very few weak or stillborn cria in this study.(ABSTRACT TRUNCATED AT 250 WORDS)

Clinical assessment of selenium status of livestock.

Assessment of the selenium status of livestock is an important aspect of production medicine, but variations in reported values between laboratories and between methods may be > 30%. Reliable interpretations require considerable experience with an assay and an extensive database from field and research case samples of a variety of species. The Michigan State University Animal Health Diagnostic Laboratory (MSU-ADHL) has offered Se analyses by acid-digestion and fluorometric detection since 1982. This laboratory expects serum Se values (nanograms per milliliter) of livestock to increase gradually with age from starting ranges for neonates of 50 to 80 for calves and sheep and 70 to 90 for foals and pigs. Expected or "normal" values for the adults are in the ranges of 70 to 100 for cattle, 120 to 150 for sheep, 130 to 160 for horses, and 180 to 220 for swine. Normal liver Se concentrations are considered to range between 1.2 and 2.0 micrograms/g on a dry weight basis, regardless of the species or age. Based on samples submitted to MSU-AHDL between September 1990 and August 1991, contemporary feeding practices in the Michigan area resulted in mean serum Se values (nanograms per milliliter) of 75 +/- 19 for adult Holsteins, 170 +/- 27 for adult swine (mixed breeds), and 137 +/- 30 for adult race horses. Within that period of time, two field cases of Se toxicity were diagnosed. One involved feeder pigs with a recorded high serum Se value of 1,525 ng/mL due to a commercial premix manufacturing error.(ABSTRACT TRUNCATED AT 250 WORDS)

Malabsorption of vitamin A in preruminating calves infected with Cryptosporidium parvum.

Serum retinol, retinyl palmitate, and total vitamin A concentrations, and jejunoileal morphology were examined in neonatal calves infected with Cryptosporidium parvum. Group-1 calves served as noninfected controls and, after an adjustment period, were given 50 ml of saline solution i.v. every 12 hours for 6 days. Group-2 calves were inoculated with 10(7) C parvum oocysts and, after the onset of diarrhea, were given 50 ml of saline solution i.v. every 12 hours for 6 days. Group-3 calves were inoculated with 10(7) C parvum oocysts and, after the onset of diarrhea, were treated with difluoromethylornithine (DFMO, 200 mg/kg of body weight i.v., q 12 h) for 6 days. Group-4 calves were naturally infected with C parvum. Jejunoileal biopsy specimens were excised from calves of groups 1-3 at 3 and again at 15 to 16 days of age. During the course of diarrhea and 3 days after saline or DFMO administration, water-miscible retinyl palmitate was administered orally (2,750 micrograms/kg) to each calf in each group. Cryptosporidium parvum infection was associated with significant (P < or = 0.05) reduction in postadministration serum retinol, retinyl palmitate, and total vitamin A concentrations in calves of groups 2, 3, and 4. Cryptosporidium parvum infection caused significant (P < or = 0.05) reduction in villus height. Decreased villus height, villus blunting and fusion, and attenuation of the intestinal mucosa were associated with reduced absorption of vitamin A, as indicated by lower peak postadministration retinyl palmitate concentration in C parvum-infected calves. Intravenous administration of DFMO to group-3 calves did not improve retinol absorption.(ABSTRACT TRUNCATED AT 250 WORDS)

Metabolism of long chain fatty acids by ruminant liver.

The primary source of fatty acids processed by ruminant liver is nonesterified fatty acids (NEFA) from blood. Uptake is regulated by concentration of NEFA and blood flow. Blood NEFA concentration increases with negative energy balance. Blood flow increases with energy intake. Uptake and secretion of triacylglycerol between blood and the liver is limited. The reason for limited hepatic secretion of triacylglycerol-rich lipoprotein is unclear but probably involves the secretory process, not synthesis of triacylglycerol or apolipoprotein. Oxidation of fatty acids and ketogenesis are inhibited by malonyl-CoA and propionic acid. The stress of late gestation and early lactation increases NEFA supply to the liver, where they cause deposition of fat. Ketogenesis and oxidation in the liver increase but not sufficiently to prevent an accumulation of fat, which may contribute to decreased feed intake in the peripartum period.

Therapy of diseases of ruminant intermediary metabolism.

Diseases of intermediary metabolism include ketosis and fatty liver of dairy cattle and pregnancy toxemia of ewes. These conditions occur when there is a failure of the homeostatic mechanisms regulating the mobilization of fats and the conservation of carbohydrates. The therapeutic approach is to reestablish the normal homeostatic patterns of fuel utilization. Suppression of excessive ketogenesis is the most important factor in reestablishing homeostasis. Ketogenesis can be suppressed by a number of therapeutic agents that act either by suppressing the mobilization of fatty acids or by inhibiting the transport of fatty acids into the hepatic mitochondria, the site at which fatty acids are converted to ketone bodies. Useful therapies include bolus glucose infusions, glucose precursors, and glucocorticoids.

Lipid nutrition.

Cows in early lactation or producing more than 80 lb of milk per day need supplemental fat and can benefit from it. Fat should be added to the diet over a period of several weeks to allow the cows to become accustomed to it. Feed intake should be monitored because additional fat may decrease feed intake and offset the benefit of the fat. Supplemental fat should not exceed 4 to 5% of the dry matter intake. The first 2% of added fat should be supplied by oilseeds under most circumstances. The next 1 or 2% can come from commodity fat if availability and handling ability permits its use. If the last increment of fat is needed, it should be supplied by specialty fats that have been processed to improve ruminal inertness. Extra calcium, magnesium, and ruminally undegraded protein should be added to the diet when fat is added. Fat is a more expensive source of energy than feed grains in most of the world and should not be used beyond needs.