Short communication: Utilisation of n-alkanes to estimate feed intake in horses fed known amounts of a labelled concentrate supplement.

The assessment of feed intake in stabled horses is a difficult task to accomplish. Faecal markers, namely n-alkanes, have been used successfully for the estimation of this important nutritional parameter. This usually involves the dosing of synthetic n-alkanes via different matrices, a laborious task that may also influence the animal normal foraging behaviour. An experiment was conducted to evaluate a relative simple methodology to quantify feed intake in horses, based on the provision of measured amounts of a concentrate supplement labelled with beeswax and the utilisation of n-alkanes as faecal markers. Four Lusitano horses were used in three consecutive experimental periods. Animals were fed on cereal straw and different proportions of a previously prepared beeswax-labelled concentrate supplement (BLCS; 0.05, 0.10 and 0.20, DM basis). Beeswax labelling was performed to provide a distinct n-alkane profile for the concentrate feed. Prior to feed intake calculations, proportions of labelled concentrate supplement in the diets were estimated using n-alkanes C25 to C33 by least-square optimisation procedures. Results showed that the beeswax labelling resulted in high n-alkane concentrations in the concentrate feed, especially for the odd-chain n-alkanes. Estimates of diet composition did not differ from the measured values, except for the diet with highest BLCS incorporation, with an underestimation of 10%. DM intake was accurately estimated by the "labelled supplement method" in all diets. However, for the lowest BLCS incorporation, DM intake was underestimated by 16% whereas for the higher levels of BLCS in the diet, measured and estimated DM intake values were almost identical with a slight overestimation of only 0.7 and 0.2% (10 and 20% of BLCS, respectively). Results indicate that both diet composition and feed intake can be accurately estimated in horses using the "labelled supplement method", even when very low levels of the labelled concentrate supplement are included in the animals' diet. This method eliminates the need for daily dosing with external synthetic markers, providing advantages in terms of minimising animal management and interference with their normal foraging behaviour.

Assessment of very long-chain fatty acids as complementary or alternative natural fecal markers to n-alkanes for estimating diet composition of goats feeding on mixed diets.

This study aimed to assess the use of very long-chain fatty acids (VLCFA) as an alternative or a complement to n-alkane markers for estimation of diet composition of goats fed 7 different diets, composed of different proportions of herbaceous (Lolium perenne and Trifolium repens) and heathland woody species (Erica umbellata, Erica cinerea, Calluna vulgaris, Erica arborea, and Ulex gallii), in a metabolism study. Diet composition was estimated from VLCFA (i.e., C(22) to C(34)) and alkane (i.e., C(25) to C(33)) concentrations in diet and feces, by least squares procedures. For all plant species VLCFA concentrations were greater than their alkane concentrations, especially for the herbaceous species and U. gallii. In general, fecal recovery of both markers was incomplete and increased in a curvilinear (P < 0.001) fashion with carbon-chain length. The plants comprising the diets had a significant effect (P < 0.001) on fecal recovery of VLCFA and alkanes. Diet composition estimates based on VLCFA alone were less accurate (P = 0.013) than those obtained using alkanes alone. Combination of VLCFA and alkane data resulted in the most accurate (P < 0.05) estimates, indicating an increase on the discriminatory power among plant species. Use of uncorrected fecal marker concentrations provided the poorest estimates of diet composition, and use of individual recovery data and mean fecal recovery data of the dietary treatment yielded the most accurate ones. Results obtained in this study show that VLCFA have potential to be used as diet composition markers along with alkanes.

Clinical efficacy and safety of preseasonal sublingual immunotherapy with grass pollen carbamylated allergoid in rhinitic patients. A double-blind, placebo-controlled study.

BACKGROUND: The aim of this study was to confirm the clinical efficacy and safety of a preseasonal sublingual immunotherapy (SLIT) in a group of allergic patients with seasonal rhinoconjunctivitis with or without mild intermittent or mild persistent asthma. The immunotherapy was administered through the oral mucosa with a monomeric carbamylated allergoid (allergoid SLIT) for grass pollens. A secondary endpoint was to evaluate the effect of the allergoid SLIT on nasal reactivity. METHODS AND RESULTS: A single-center, randomized, double-blind, placebo-controlled study was performed. Patients were selected and randomly allocated to two groups: one group received active treatment (allergoid SLIT) for 2 years and the other received placebo. Both groups received the necessary drug treatment throughout the trial. Thirty-three outpatients (20 men and 13 women, mean age: 30 years; range: 19-43) attending our center were enrolled in the study. Symptoms and medications were scored on diary cards during the pollen season. An allergen nasal challenge was performed at baseline and after 2 years of SLIT to evaluate nasal reactivity. Because the clinical scores were non-normally distributed, the Mann-Whitney and the Chi-square tests for intergroup comparisons and the Wilcoxon test for intragroup comparisons were used. The results were evaluated after 1 and 2 years of treatment. Between the first and second years of treatment, no changes in the scores for the placebo group were found, while for the active vaccine group significant decreases were found in rhinorrhea (p < 0.03), sneezing (p < 0.03), and conjunctivitis (p < 0.02). Symptom scores after nasal challenge decreased (p < 0.03) after 2 years' treatment. Nasal steroid use significantly decreased in the active treatment group during May and June in both the years of treatment (p < 0.02). Only two mild local adverse events were reported in the active group and none was reported in the placebo group. CONCLUSIONS: The results of this study show that the allergoid SLIT is safe and effective in decreasing symptom scores and drug use in rhinitic patients allergic to grass pollen.

Clinical efficacy and safety of preseasonal sublingual immunotherapy with grass pollen carbamylated allergoid in rhinitic patients. A double-blind, placebo-controlled study / Eficacia clínica y seguridad de la inmunoterapia sublingual preestacional con polen de gramíneas con alergoide carbamilado en pacientes con rinitis alérgica. Estudio a doble ciego controlado por placebo

Background: The aim of this study was to confirm the clinical efficacy and safety of a preseasonal sublingual immunotherapy (SLIT) in a group of allergic patients with seasonal rhinoconjunctivitis with or without mild intermittent or mild persistent asthma. The immunotherapy was administered through the oral mucosa with a monomeric carbamylated allergoid (allergoid SLIT) for grass pollens. A secondary endpoint was to evaluate the effect of the allergoid SLIT on nasal reactivity. Methods and results: A single-center, randomized, double-blind, placebo-controlled study was performed. Patients were selected and randomly allocated to two groups: one group received active treatment (allergoid SLIT) for 2 years and the other received placebo. Both groups received the necessary drug treatment throughout the trial. Thirty-three outpatients (20 men and 13 women, mean age: 30 years; range: 19-43) attending our center were enrolled in the study. Symptoms and medications were scored on diary cards during the pollen season. An allergen nasal challenge was performed at baseline and after 2 years of SLIT to evaluate nasal reactivity. Because the clinical scores were non-normally distributed, the Mann-Whitney and the Chi-square tests for intergroup comparisons and the Wilcoxon test for intragroup comparisons were used. The results were evaluated after 1 and 2 years of treatment. Between the first and second years of treatment, no changes in the scores for the placebo group were found, while for the active vaccine group significant decreases were found in rhinorrhea (p < 0.03), sneezing (p < 0.03), and conjunctivitis (p < 0.02). Symptom scores after nasal challenge decreased (p < 0.03) after 2 years' treatment. Nasal steroid use significantly decreased in the active treatment group during May and June in both the years of treatment (p < 0.02). Only two mild local adverse events were reported in the active group and none was reported in the placebo group. Conclusions: The results of this study show that the allergoid SLIT is safe and effective in decreasing symptom scores and drug use in rhinitic patients allergic to grass pollen

Antecedentes: El objetivo de este estudio fue confirmar, en un grupo de pacientes alérgicos con rinoconjuntivitis estacional con y sin asma leve intermitente o leve persistente, la eficacia clínica y la seguridad de una inmunoterapia (IT) sublingual preestacional a través de la mucosa bucal realizada con un alergoide monomérico carbamilado (alergoide SLIT) para el tratamiento de la alergia al polen de las gramíneas. El fin secundario era evaluar el efecto que el alergoide SLIT tiene en la reactividad de la mucosa nasal. Métodos y Resultados. Se trató de un estudio comparativo doble ciego, aleatorio, controlado con placebo, realizado en un único centro. Los pacientes fueron seleccionados y asignados al azar en dos grupos: a un grupo se le administró el tratamiento activo (alergoide SLIT) durante dos años y al otro se le administró placebo. Ambos grupos recibieron el tratamiento farmacológico necesario durante todo el estudio. Se inscribieron en el estudio treinta y tres pacientes externos (20 hombres y 13 mujeres, edad promedio 30 años; entre 19-43) que asistían a nuestro centro. Durante la estación polínica, se registraron en el diario de los pacientes los síntomas y la medicación. Se expuso a los pacientes al alergeno al inicio del estudio y también al cabo de dos años de la IT para evaluar la reactividad de la mucosa nasal. Debido a que los resultados clínicos no estaban distribuidos de manera normal, se utilizaron las pruebas de Mann Whitney y de Chi cuadrado para comparar los grupos entre sí y la prueba de Wilcoxon para la comparación intragrupal. Los resultados se evaluaron después de uno y de dos años de tratamiento. Entre el primer y segundo año de tratamiento no hubo cambios en los resultados del grupo tratado con placebo, mientras que en el grupo que recibió la vacuna activa disminuyeron significativamente la rinorrea (p<0.03), los estornudos (p<0.03) y la conjuntivitis (p<0.02). Los resultados de los pacientes sintomáticos disminuyeron (p<0.03) luego de la prueba nasal después de dos años de tratamiento. El uso de esteroides nasales disminuyó significativamente en el grupo activo durante los meses de mayo y junio en los dos años de tratamiento (p<0.02). Se informaron únicamente dos casos de efectos adversos locales leves en el grupo activo y ninguno en el grupo placebo. Conclusiones: los resultados del estudio muestran que el alergoide SLIT es seguro y efectivo para disminuir no sólo los síntomas en pacientes riníticos alérgicos al polen de las gramíneas sino también el uso de medicamentos por parte de estos pacientes

Monoid sublingual immunotherapy.

Sublingual monoid immunotherapy with monomeric allergoids has been largely used in Europe in the last few years. An open trial of allergoid in tablets has been done in rhinitic patients allergic to house dust mites, grass pollens and Parietaria with clear improvement in clinics and drug consumption scores. In a second phase a double blind placebo controlled trial of grass pollens allergoids have been done in hay fever patients with significant decrease on the scores of rhinorrea, sneezing and conjunctivitis nasal steroid consumption and clinical score after serial nasal challenges. Monomeric allergoids are an efficace and safe immunotherapy in allergic rhinitis.

Short-term efficacy of nasal immunotherapy.

The purpose of this study was to evaluate the efficacy of nasal immunotherapy in the management of allergic rhinitis. Sixteen patients (10 Female; 6 Male) aged 15-60 years (mean age--31.9) were selected on the bases of clinical history, skin prick tests and RAST positivity. Allergen extract is a "macronized" powder form (Allerkin), it was supplied by Laboratorio Farmaceutico Lofarma (Milano Italy) and administered for 12 months to 8 patients with perennial rhinitis (Dermatophagoides extract) and for 6 months to 8 patients with seasonal rhinitis (grass or Parietaria pollens extract). This treatment was carried out by self administration in two phases: the first one (3 months) consisted of administration of increasing doses; the second phase (maintenance period) was carried out 3 months in seasonal rhinitis and 9 months in perennial rhinitis. All the patients were evaluated before and after immunotherapy and scores from 0 to 3 were attributed according to the symptoms presented and need of drugs for symptomatic relief. Scores before and after immunotherapy were compared using the Wilcoxon Matched-Pairs Signed-Ranks Test and a significant decrease was observed for every symptom in seasonal and perennial rhinitis (p < 0.05). In conclusion, this trial shows that nasal immunotherapy in powder form can be a valuable short-term option in patients with allergic rhinitis.