9" c BAE‘!’ E35 .. .I. 52 xx R... . T. ”NW" N. H u. i.‘ “0. 5 o R. i I g 5?. it «Q ‘3‘ $15.51*: "CGXECQQS 35%? £33 2 H ‘tt 5%. (Au “0‘ a e \t n.2- 9": 5 mm a. fi 6 00.; an“ .- 3k 4: . L 3.3.”... a... n C $E'L? 7. h h l.‘ u.- '1 ACTH? _____E:_______gE:_:_____:______:________:__:___ IIIIIIIIIIIIIIIIIIIIIIIIIIIIII 3 1293 00063 9082 *“ _ r) L I B R A R Y Michigan State L1 University LMSU s —__ RETURNING MATERIAE§: P1ace in book drop to remove this checkout from your record. FINES wili be charged if book is returned after the date stamped below. ABSTRACT ACUTE SELENIUM TOXICOSIS IN THE BABY PIG by Robert Max Diener Sodium selenite was fed to 3sweek-old.pigs to determine the symp- toms, hematology and gross and microscopic lesions. One lot was fed a basal ration while in 5 additional lots the basal ration was supple- mented with 0.5, 1.0, 2.0, h.0, and Boo mg. selenium.per lb. body weight, respectively. The two higher levels were lethal in approximately h8 hours, while the lower dosages were progressively less toxic. Signs of anorexia, vomiting, diarrhea, hypothermia, dyspnea, and incoordination were noted. Hemoconcentration was present in the acutely affected animals while serum.glutamic oxalacetic transaminase values were increased.approximately 10 to 20 fold. The most severe lesions were noted in the groups fed the largest amounts of selenium, Gross tissue changes included: fatty livers, con- gested blood vessels; congestive catarrhal gastroenteritis, often with gastric ecchymoses and ulcers; occasional epicardial hemorrhages; and cyanosis. Histopathological manifestations were most severe in the liver, kid- neys, and gastrointestinal tract. Fatty metamorphosis, centrolobular ne- crosis, and congestion were noted in the liver. Degeneration and fatty changes of the renal tubules plus varying degrees of congestion were present in the kidneys. The most evident gastrointestinal lesions in- cluded.ulceration, exfoliation, and.erosion of mucosal epithelium and congestion, hemorrhages and leukocytic infiltration. ACUTE SEIENIUM TOXICOSIS IN THE BABY PIG Robert Mex Diener A THESIS Submitted to the College of veterinary Medicine Michigan State University of Agriculture and.Applied Science in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Department of Veterinary Pathology 1961 6,» .734) / r: I] .I’// 7/59’ ACKNOWLEDGEMENT The author is deeply indebted to Dr. C. K; Whitehair of the Depart- ment of veterinary Pathology for his continual guidance and encouragement during this research; to Dre. C. C. Morrill and R. F. Langham of the De- partment of veterinary Pathology for their suggestions and assistance with the histopathologic aspects of this research; and to Dr. G. H. Conner, Department of Surgery and Medicine, for his aid and constructive criticisms. In addition the invaluable help of Dr. Howard Stowe, in conducting the experimental.work, and Miss Nancy Malik, in.preparing the tissues for examination, is sincerely appreciated. Last but not least the author wishes to express his gratitude to his wife, Deborah.Ann, for her unflagging loyalty and help in the preparation of this thesis. ii TABLE OF CONTENTS I MRODUCT ION O O O O O O O O O O O O O O REVIEWOFLITERATUREoooo...... A. B. c, Acute Selenosis . . . . . . . . Chronic Selenosis . . . . . . . Distribution of Selenium in the D. Factors Preventing Toxicity . . MATERIAISANDMETHODS ........ RESULTS A. B. C. GeneralResults . . . . . . . . Sigs O O O O O O O O O O O O O Patholog........... Liver Kidney . . . . . . . . Gastrointestinal Tract Heart and Lungs . . . Miscellaneous Changes DISCUSS ION O O O O O O O O O O O O O 0 SUNNARYANDCOMIUSIONS . . . . . . . . REFERENCESCITED............ iii 0 O O O Tissues \ONWWU 12 15 15 17 19 19 21+ 27 29 51 35 59 LIST OF TABLES Table Page I Body Weight Changes, Survival Times and Blood Chemical Findings in Pigs Fed Various Amounts of Selenium . . . . 16 II Signs and lesions Resulting from Selenium Ingestion by P138 0 I O O O O O O O O O O O O O O O O O O O O I I O O 18 iv LIST OF FIGURES Figure Page 1. Comparison between a pig fed selenium for 12 days and a control animal . . . . . . . . . . . . . . . . . . 2O 2. Attempted bile duct formation at the periphery of Of a liver lObule O O O O O O O O O O O O O O O O O O O 22 3. Centrolobular destruction and large basophilic regenerating hepatic cells in the liver . . . . . . . . 23 h. Renal degeneration with fatty metamorphosis and necrosis . . . . . . . . . . . . . . . . . . . . . . . . 25 5.. Degeneration of gastric glands . . . . . . . . . . . . . . . 28 6. Denuding of the epithelium from the ileum.. . . . . . . . . . 5O INTRODUCTION The role of selenium in animal and human health has become of major importance in recent years. It has been known for many years to be a toxic substance and recent research has demonstrated it to be a required nutrient for most species of livestock. In addition, contamination of foodstuffs such as cereals is of public health concern. The toxicity of selenium has long been a problem which, despite much research, has defied complete solution. The effects of various toxic doses on laboratory animals has been recorded by many workers. Reports on toxic levels for farm animals are less numerous. Selenosis in sheep, horses, cattle, and swine has been studied but detailed histopathological findings were often limited or lacking entirely. Recently reports have been published demonstrating that selenium is a growth factor for most species of livestock. In New Zealand, the ad- ministration of selenium to lambs suffering from "ill thrift" reduced mortality and improved gains (Drake gt_al., 1960) while Jelly (1960) re- ported improved weight gains in calves fed rations supplemented with se- lenium. It has been shown to reduce the incidence of muscular dystrophy in lambs when fed to pregnant ewes (Muth gt_al., 1959). Subcutaneous in- Jections have also proved beneficial in reducing the incidence of muscu— lar dystrophy in lambs (Lagace, 1961). The public health aspects of selenium poisoning should not be mini- mized. Smith and co-workers (1956) stated that bad teeth, skin disturb- ances, chronic arthritis, and cardio-renal problems were found in 111 families residing on seleniferous Dakota soils. ’Ill health was also prevalent in workers engaged in the processing of selenium, according to Dudley (1956a). The recent findings that selenium is a nutritional as well as a toxic factor emphasizes the need for additional research, especially on the histopathologic aspects of acute toxicosis. IJTERATURE'REVIEW The literature on selenium is so voluminous that only the references pertinent to its toxicity and role in nutrition in animals is reviewed in detail. According to Moxon and Rhian (19h3) the first authentic record of selenium poisoning ("alkali disease") in livestock.was written in 1856 by Madison, an army surgeon stationed at Fort Randall, South Dakota. He reported a fatal disease of cavalry horses. The roles of geological for- mations, vegetation, and weather in selenium toxicity were extensively reviewed by Trelease and Beath (19h9). Selenium toxicosis has been divided into acute and chronic types. Highly toxic or lethal doses produce the acute type, while small repeated doses over long periods of time produce chronic symptoms. Acute Selenosis The minimum lethal dose of selenium for acute toxicosis in the common laboratory animals has been discussed by many researchers and much dis- agreement exists. Frankeiand.Moxon (1936) at the South Dakota Experiment Station reported that intraperitoneal injections of 3.25 to 3.5 mg. of selenite per Kg. of body weight or 5.25 to 5.75 mg. selenate per Kg. body weight was lethal to rats in two days. Smith and co-workers (191.0) at the National Institutes of Health stated that the method of administration did not affect the toxicity of selenium. The minimum lethal dose for rats, rabbits, and cats was given as 1.5 to 3.0 mg. per Kg. body weight. This dosage was confirmed on dogs by Anderson and beon (19h2). However, or- ganic selenium compounds were less toxic than the inorganic, regardless of the route of administration (beon 33 51., 1938). Lethal doses in farm animals have also been studied, although on a limited scale. Miller and.Williams (19h0a) found the minimum lethal dose of sodium selenite to be 1.5 mg. per 1b. body weight in horses, h.5 to 5.0 mg. per lb. in cattle, and 6 to 8 mg. per lb. in swine. Khttler g§_§l. (1961) reported that 80 mg. of sodium selenite per 100 lbs. body weight were lethal and ho mg. per 100 lbs. body weight were toxic to sheep. Among laboratory animals the signs of acute toxicosis are essen- tially identical. Czapek and.Weil, Modica, Jenes, Smith, Anderson and Moxon are cited by Trelease and Beath (l9h9) as having described the following: garlicky breath; signs of nervousness, fear and excitation; vomiting and diarrhea; dyspnea followed by opisthotonos and tetanic and clonic muscle spasms; and finally somnolence and death. Acute signs of toxicosis in South Dakota farm animals were de- scribed by Beath and associates (1935b). Manifestations included a characteristic "tucked.up" stance with abdominal pain and bloating; diarrhea; elevated temperatures; rapid, weak.pulse; labored breathing and.pale or cyanotic mucous membranes.. Prostration occurred shortly before death . Descriptions of the gross and microscopic lesions of acute sele- nium poisoning are extremely limited. Smith (1937a) noted that cats ‘which died in 7 to 11 days from selenium poisoning exhibited fatty de- generation and centrolobular congestion of the liver and fatty degenera- tion of kidney tubules. Focal hemorrhages and edema of the lungs were the only other lesions observed. Gross and microscopic lesions in 10 sheep were recorded by Rosenfeld and Beath (19h6a). These included hemorrhage and congestion of the endocardium, lungs, spleen, kidneys, liver, gall bladder, pancreas, intestines and omasum. Necrosis and de- generative changes were present in the liver, kidney tubules and gastro- intestinal tract. iMuscle atrophy was also noted. Miller and Williams (l9h0a)_made almost identical observations in a pig. Chronic Selenosis Levels of selenium which produce chronic toxicosis vary widely with diet and species. Doses of 10 ppm to 52 ppm in the diet of rats have been reported by Smith (1959) and Frankeand Potter (1935) to pro- duce chronic manifestations. Smith (l9h0) reported that 1h ppm sele- nium in the diet of rabbits produced only moderate liver fibrosis, while 3 to 13 ppm were lethal to a dog after 135 days (Rhian and Moxon, l9h3). In pigs 2h.5 to 392 ppm of sodium selenite in the feed produced death in 10 to 99 days (Miller and Schoening, 1938). Rosenfeld and Beath (19h5) at the Wyoming Experiment Station agreed with Smith (l9h0) that 1.0 to 1.5 mg. of inorganic selenium per Kg. per body weight per day was necessary to produce important pathological changes. Toxic effects of selenium are not restricted to the host animal. MCConnell (l9h8) reported that in rats 2.5 to 9.3% of the selenium is transferred to the young via the mammary glands and that the selenium found in the milk is entirely in the protein fraction as part of an organic complex. Trelease and Beath (l9h9) cited the work of Franks and associates (1936) in which as little as 0.01 mg. of selenium in- Jected into incubating henS' eggs caused deformities in the chick. Yet, in spite of this extreme sensitivity of the chick embryo, young and adult chickens are apparently unaffected by toxic grains. ‘Westfall 33 233 (1938) demonstrated that selenium is transmitted through the‘pla- cents to the fetus in rats and cats, but no deformities were noted. He concluded that the extraordinary susceptibility of the chick embryo to selenium is a species characteristic not shared by mammals. However, more recent work by Wahlstrom and Olson (1959) indicated that sows on a ration containing 10 ppm selenium gave birth to an increased number of dead.pigs. In addition, conception rate was lowered and the number of services per conception increased. The number of days from weaning to estrus was also increased. The principle signs of chronic poisoning in laboratory animals are reduced appetite, stunted growth, emaciation, and loss of hair (Trelease and Beath, 191.9). Lesions are mainly restricted to the liver. Lillie and Smith (19h0) reported that cirrhotic changes were first noted after 5 weeks in rats on'a seleniferous diet. After 11 to 15 weeks, increas- ing fibrosis replaced the proliferative changes in the liver, while the kidneys and other organs remained essentially normal. Hepatic cell ade- nomas and low grade hepatic cell carcinomas are apparently associated 'with the cirrhotic changes in the livers of these animals, according to Nelson _e__t_ _a_1_._. (1915). Of 53 rats fed 5 to 10 ppm selenide for 18 months, ll.had neoplastic livers, while in a corresponding control group of 350 rats only h tumors appeared. Seifter gt_al, (l9h6) reported the occur- rence of thyroid adenomas in rats fed selenium. In farm animals selenosis is of two types: a fairly acute, often fatal type called "blind staggers" and a milder, more chronic form called."alkali disease." The signs and lesions of the two syndromes are different (Draize and Beath, .1955). Signs of blind staggers in- clude: aimless wandering, anorexia, impaired vision, and finally ab- dominal pain, dyspnea and death (Beath at 31:, 1931.). Alkali disease, on the other hand, is characterized by emaciation, loss of hair, deformation and sloughing of hoofs, and general loss of vitality (Trelease and Beath, 19h9). Signs may be delayed for several months (Beath, 1935a). The lesions of both syndromes have been well documented. There is essential agreement that the morbid changes in blind staggers includes smooth muscle atrophy of the gastrointestinal tract, gall bladder and urinary bladder; congestion of liver and kidneys; areas of focal necro- sis in the liver; mucosal degeneration of the stomach and small intes- tines; and hemorrhages of'the epicardium. The lesions of alkali disease are more chronic. Atrophy of the heart, atrophy and cirrhosis of the liver, degeneration of the kidneys, and erosions of the Joints are most often noted while petechial hemorrhages of the epicardium an; degenera- tive changes in the gastrointestinal tract are uncommon (Draize and Beath, 1935; Miller and Schoening, 1938; Miller and.Williams, l9h0b; Moxon, 1937; Rosenfeld and Beath, 19h6a; and Schoening, 1936). Distribution of Selenium in the Tissues The distribution of selenium in the tissues of the horse, sheep, hog and calf was studied by Dudley (1936b). He reported that in acutely poisoned animals, the liver, kidney, and spleen contained the greatest quantity (h.0 to 25.0 ppm, wet weight) of selenium. Work on dogs by Rhian and beon (19h3) confirmed Dudley's results. McConnell (l9hl) round that the liver and kidneys of rats contained the highest levels of selenium two hours after injection of radioselenium. In chronic toxicosis the distribution of selenium in the body tis- sues differs somewhat from acute cases. Dudley (1936b) reported that in chronic cases the concentration of selenium was much higher in the kidney than in the liver, while in acute cases the reverse was true. Kidneys analyzed by Kuttler 33.5%: (1961) contained at least ten times more selenium than the livers, thus further substantiating the results of Dudley. Rosenfeld and Beath (l9h5) found the largest amounts of se- lenium in the livers and kidneys of sheep, while the brains and muscles contained only minute amounts. Fat was negative for selenium. Amounts of selenium in the blood vary widely. In acute cases Dudley (1936b) found the concentration to range between 7 and 27 ppm, ‘whereas in chronic cases the range was 0.2 to 5 ppm. Most of the sele- nium was present in erythrocytes as part of a protein complex. The serum, plasma and fibrin were negative for selenium. This was generally substantiated in cats by Smith et al. (1937b). McConnell (19hl) re- ported the maximum.concentration in the blood 15 minutes after one sub- cutaneous injection of sodium selenate in rats. The selenium at first ~appearedmore abundantly in the plasma than in the erythrocytes, but this was reversed after 6 hours, apparently because selenium was elimi- nated from the plasma at a faster rate than it was incorporated into the red cells. Minyard and co-workers (1957) at the South Dakota Ex- periment Station determined selenium blood values in a large number of steers and concluded that values of more than 2 ppm indicate probable tissue damage; 1 to 2 ppm, possible damage; 0 to 1 ppm, no tissue dam- age. Blood levels dropped rapidly when selenium was discontinued. Hematological Changes are not restricted to the transportation of selenium, however. .Anderson and Moxon (l9h2) reported.marked increases of hemoglobin and.packed corpuscle volume in dogs injected subcutaneously 'with sodium selenite. Blood phosphorus, non-protein nitrogen, calcium, ascorbic acid, and sugar were decreased. Franke and Potter (1935) noted hemoglobin increases up to 25 gm. per 100 ml. blood during the first 9 to 17 days of selenium ingestion in rats. After this time, anemia de- veloped. In-vitro studies by Rosenfeld and Beath (l9h8) demonstrated that plasma had the'ability to reduce selenate to selenite plus a vola- tile selenium, whereas in erythrocytes no such reduction took place. However, most of the conversion from the selenate to the selenite took place in the liver and the author concluded that toxic reactions are due to the selenite, and that transformation followed this pattern: selenate to selenite to "combined form" to volatile and elemental sele- nium, . Excretion studies have somewhat clarified the metabolism of sele- nium in the body. McConnell (191+2) reported that in rats 5 to 10% of the original subcutaneous dose of selenium was excreted through the lungs in 2h hours. Gortner and Lewis (1939) and.Anderson and Moxon (19hl) indicated that 20 to 50% of the ingested selenium is excreted in the feces, a major part of this being unabsorbed selenium. The kidneys excreted 30% of the absorbed selenium, according to work in sheep by Rosenfeld and Beath (l9h6a). Furthermore, the same authors (l9h5) found that it takes approximately 60 days for sheep to deplete their tissues of selenium, while cats and rats require only two weeks (Smith SE 2&3: 1937b; Anderson and Moxon, 19hl). only small amounts of sele- nium are found in the urine shortly before death, due mainly to the kid- ney damage which prevents excretion and results in larger tissue stor- age (Miller and Williams, 191+0b; Rosenfeld and Beath, 1915). Factors Preventinngoxicity A variety of rations and.supplements have been fed to animals in an effort to prevent or reverse selenium toxicosis. Franke and Potter (1935) demonstrated that alternate feeding of seleniferous corn and 10 rations devoid of selenium gave growth and food consumption curves of rhythmic decreases and increases in rats. Diets high in protein decreased the toxicity of selenium in rats (Smith, 1939; Gortner, 19h0; Lewis et_ 51., 19h0). This was confirmed in sheep by Rosenfeld and Bcath (l9h6b). Fels and Cheldelin (19148) noted that the inhibition of yeast growth by selenate was reversed by the addition of methionine. However, Klug SE Elf (1952) reported that 0.5 to 1% methionine increased weight gain only slightly in rats on a 23 ppm selenium diet, while it did not result in lower selenium content of the livers. He therefore refuted the idea that methionine antagonized or inactivated selenium in 3.1.19. . Olson ‘33. 9.}: (1958) stated that methionine had its greatest effect at the lower selenium levels. Choline and betaine also gave some protection. Attempts to cure selenosis by various chemicals have also been made. Moxon gt_al. (19h0) reported that p-bromobenzene increased the ‘excretion of selenium in dogs and steers. This could not be duplicated by Westfall and Smith (19A1) in rabbits. The recovery rate of steers poisoned with selenium was not increased by the administration of p- bromobenzene (Minyard gt_al,, 1957). Rosenfeld and Beath (l9h7) re- ported that the toxicity of selenium in rats was not altered by the ingestion of increased amounts of ascorbic acid while injections of potassium iodide increased the adverse effects of selenium. Arsenicals have been used repeatedly for prevention of selenium toxicosis. Rhian and Moxon (l9h3) reported that 5 Ppm sodium arsenite prevented weight loss, anorexia, and anemia in dogs, but did not result in lower selenium content of tissues. The theory that arsenic inhibits absorption of selenium could not be confirmed in further work (Moxon st 51., 19h5). Organic arsenicals, viz. 0.01% arsenilic acid and.0.005% 11 3-nitro-h-hydroxypheny1arsonic acid, prevented symptoms and increased the gains in growing pigs fed 7 to 11 ppm sodium selenite in the diet (Wahlstrom gt 21., 1956)' The protective effect is not as pronounced in steers, according to Minyard and associates (1957). In summary, it is evident from the literature that much more de- tailed information is needed on the effects of ingestion of selenium by animals. According to Trelease and Beath (19h9) many unexplained factors enter into the selenium problem. Accurate minimum dosages of the various forms of selenium for each species of animal are still un- known. No investigator has yet reported on the cause of the final col- lapse of animals. Likewise the matter of individual tolerances to se- lenium has not been fully explained. MATERIALS & METHODS General Procedures. A litter of 12 Yorkshire pigs was used to study the effects of feeding various levels of sodium selenite. The litter was farrowed on April 6, 1961. Each animal was injected intra- muscularly with 2 ml. iron dextran (Haver-Lockhart) when one week old to prevent anemia. The litter was weaned 0n.April 23, 17 days after farrowing. A period of acclimation to the experimental environment and ration was instituted after weaning. The animals were placed in individual 21- by 36-inch galvanized.metal metabolism cages equipped with wire floors and individual feed and water crocks to facilitate accurate meas- urement of feed and excreta. On May 1, the animals were divided into six lots of two animals each. Each lot contained a male and a female of approximately equal weight. The control group consisted of two males. Lots 1 through 5‘ ‘were fed sodium selenite at levels of 0.5, 1.0, 2.0, h.0 and 8w0 mg./1b. body weight, respectively, and Lot 6, which served as controls, was fed only the basal ration. Sodium selenite was added to the milk of each animal once daily un- til death or termination of the experiment. Appropriate amounts of se- lenite were pipetted from an aqueous solution containing 10 mg. (Baker's grade) sodium selenite (Na28e03) per ml. In pigs with decreased appe- tites the amount of milk used to dilute the selenium was reduced to in- sure complete ingestion of the selenite. The animals were weighed and their feed crocks washed immediately before each daily feeding of sele- niunu - . l2 15 Ration. Three times daily all animals were fed the basal diet which consisted of 250 m1. homogenized.whole milk and free choice of a starter mash. The starter contained the following ingredients: ground corn, 69.5%; soybean oil meal, 28.0%; limestone, 1.00%; trace mineral salt (high in zinc), 0.50%; dicalcium phosphate,0.80%; and a vitamin-antibio- tic supplement, 0.25%. The supplement included: Bacitracin, h.0 Gms./ 1b.; arsanilic acid, 3.96%; vitamins: A, 600,000 units/1b.; D2, 500,000 units/1b.; E, hoo I.u./lb.; Riboflavin, 800 mg./lb.; Niacin, u,ooo mg./ 1b.; 1312, no mg./1b.; choline chloride, 20,000 mg./lb.; Pantothenic acid, 1,600 mg./1b.; and trace minerals. Fresh water was always avail- able. Signs and Hematological Examinations. Signs were recorded at fre- quent intervals. Daily temperatures were included. Blood samples from the anterior vena cava were collected just be- fore the experiment started and four times during the course of the ex- periment. leukocyte counts, hemoglobin, packed cell volume (PCV), serum glutamic oxalacetic transaminase (SGO-T) and serum glutamic pyruvic transaminase (SGP-T) determinations were made and recorded. SGO-T and SGP-T activity was determined by the method of the Sigma Research Labs oratories (1957). The van den Bergh test for total serum bilirubin was determined on pig E5932 11 days after the experiment started. Post-mortem Techniques. Necropsy examinations were performed on all animals as soon after death as possible. Animals which could not be examined immediately after death.were stored in a refrigerator. Con- trol animals, as well as those that were in moribund condition, were killed by electrocution (120-v A.C.). Tissues for microscopic examina- tion included: liver, gall bladder, kidney, urinary bladder, spleen, esophagus, stomach, small intestine, colon, reproductive tract, thyroid, 1h adrenals, pancreas, lung, heart, aorta, hoof, tail, proximal part of tibia and skeletal muscle (cross section of semimembranosds mm.). All tissues except striated muscle were fixed for 2% to 36 hours in Zenker's solution (modified by the exclusion of acetic acid). fter fixation, tissues were washed for 2h hours and then stored in 80% ethyl alcohol. Muscle sections were fixed and stored in 10% acetate-buffered formalin. Bone was decalcified with formic acid and sodium citrate. Sections were cut at 6 microns and stained with Harris' hema- toxylin and eosin. In addition, formalin sections of heart, liver, and kidney were stained for fat with Sudan Iv. All histopathological pro- cedures used are described in the Manual of Histologic and Special Staining Technics of the Armed Forces Institute of Pathology, Washington, D.C. (1957). RESUETS A summary of the general results given in Table I indicates that the toxicosis produced was fairly well correlated with the amount of se- lenium fed. Survival times exhibited marked individual variations, expecially those fed the lower dosages of selenium. The two pigs in Lot 5 died in N6 and 50 hours, respectively. The pigs in Lot h survived only 5h hours. Ihilot 3, one pig died after 3 days, the other after 5 days. Lots 1 and 2, however, were extremely variable. In Lot 2 one pig died after 60 hours while the other survived for 13 days; in Lot 1 only one animal died of selenium poisoning. The other was still alive at the end of the experiment and was placed on a selenium-free diet for 6 days to see if recovery would result.) During this time the animal regained its appe- tite and increased 1.25 lbs. in weight. ReSults from a limited number of hematological tests indicated that, of the examinations performed, only hemoglobin, PCV, and SGOJT values were altered. Samples of blood from pigs E5938 and.E59h0 taken shortly before death indicated a marked increase in hemoglobin and percentage of packed cells. The increase was approximately two-fold over identical tests performed prior to the start of the experiment 3 days previously. However, pigs in Lots 1 and 2 exhibited only moderate increases by the 10th day of the experiment. SGO-T determinations were also highly elevated. Values from 335 to 870 SigmaéFrankel (S-F) units were obtained from the animals tested. Samples collected on these same animals before feeding selenium ranged between 21 and 32 S-F units. 0 15 means somewha1mewam a“ mosam> ommcHsmmcmav capoomamxo oHEdvsaw adhom *ws pcoEHaomxo mop mo cowpmeaaaop map pm oo>a>asm answer one ** county dosage oco mace * l6 1 11 11 Aaemmwu .m.om m.oH - - ops om .nas ms >.H - a.» s.m was o.m Aosmmmv m 1 11 1 Nommmmu .m.mH m.oa - - am an .nhn em w.a - m.» s.m as 0.: Ammmmmv s 11 111 1~emmmmv - e.m - - - mm .no m o.a - m.> e.m me o.m AmmMmmv 1111 Amnmmmv so.oH o.m roam same - o: .se m m.m - m.o o.m o» o.H Asmmmmv m 11 1, 111 Ammmmm im.HH w.e *mms men - mm **.me «H m.a - m.m s.m mm «.0 Amnmmmv H 11 11 Aanmmmv o.HH m.» so are - mm --- e.s + m.nd m.m osoz ocoz Aonmmmv . Honpeoo apaomwmw .mmwpcoo ma\w m\w .mwm Honpeoo ease A.noav Anoav.p3 Anoav.p2 imwwv Ammo soossz Hm>fi>hsm owcmno Hmefia mewpamem whom \93 soon ammops< mwooawosom *kkwmpanp mumv esoum owmho>< .pz.s< owmao>< owmao>< lampoa DH\wsv one 904 Amwswnw commao>mu mwoaomeom .>< . omoa asaeoaom mo upesos< m50whd> com mmwm ea nmsHeSSa Hoossoco oooam one moans assasnsm .nomcsso pawns: atom .H oases 17 Other tests performed included total leukocyte counts, differential leukocyte counts, SGPHT, and the van den Bergh test. The results of these determinations were not significantly different from normal values. alarm Signs and gross lesions observed are summarized in Table II. In general, the severity of the observed signs varied directly with the dosage of selenium fed. Loss of weight was a pronounced and consist- ent manifestation in all selenium-fed animals. From 2.5 to 3h% of the initial body weight was lost by the treated pigs while the two control animals gained A9 and 59%, respectively (Table I). The most consistent weight loss occurred in the two lots fed the highest amounts of selenium. In less than 3 days these animals lost an average of 17.7% of their body weight. Results were more variable with lower dosages of selenium. Pig E5933, which was fed 0.5 mg. selenite per pound body weight for 12 days made steady weight gains immediately after removal of the selenium from the diet. Moderate to complete anorexia was noted in all animals. Almost com- plete anorexia occurred within 2h hours in the three lots fed the highest amounts of selenium. In the two remaining lots, anorexia was delayed sev- eral days and was less severe. Vomiting and diarrhea were pronounced, especially in Lots h and 5. In these lots, diarrhea started approximately 2h hours after the initial ingestion of selenium and continued for 6 to 8 hours. The animals ap- peared.uneasy and in acute distress. Their backs were arched and heads lowered. An initial period of severe vomiting was followed by varying periods of retching and diarrhea. The stool was white and pasty in ap- pearance and became progressively more fluid during the course of the experiment. +4 +m +N 1 +4 +4 1 +n +m +4 +4 +4 +4 N H4 1 m +4 +n +N +a +n +4 1 +N +m +4 +4 +4 +4 N 04 +4 +n. la +N +N +m 1 +N +N +n +4 +4 +4 N mm . 4 +m +N +N +N +N +n +N +N +N +n +n +4 +4 N on i a i - .d to - - - i .d A 1a a R m +H +4” +4“ +H +H +n 1 +H 1 +N +N +n +N n on +n +H +.o. .. I +n .. .. .. +m ‘ +m +H +m ma R N +m +N +N +N +N +n +4” 1 1 9 +H +N +N N 4m - - - .. - - .. - - .. - .. i an an a 3 - .. +m +m +4 .. .. 1 J .. .. I 2 momma 1 1 1 1 1 1 1 1 1 1 1 1 1 o w 395:8 o s e x e U. u a I. 0 09 z m cm m. w w. w w u. m w. m m a. mm m .m. m so and 352 s a ilk m 1 m e 0 .A o u o 1 a. mama s S s 0 t. 0 1 s e 1 a a m w. I. x u 1. S I O I D. I. n... D. 9 o I. 1. a a. .1 J I. s I. I. s a. B u 9 a n. I. U. U. s a u s n .1 u e e I e a a I. a B a .1 4 3 S a Tr 8 S 9 O U awoaoapmm mm0m1611 mcwfim 7+4 no a+n a+N at” no dogma. 3293.3 5 commonest avenger 33305 $3 an. eofipmmwcH addendum Son.“ waging 2033 one mcmfim .HH 3me 18 19 These signs were followed by a period of progressive apathy and somnolescence and culminated in coma and death. Gastrointestinal symp- toms were milder in Lots 2 and 3, while Lot 1 was not visibly affected. Deaths in Lots 2 and 3 were delayed. Cyanosis in varying degrees was manifested_in all the treated pigs. The snouts, ears, tails, and hoofs were most severely affected, being cold and bluish in appearance. A sharp horizontal line of demarcation separated the dark, purple, distal half of the hoof wall from the more normal appearing proximal half. This phenomenon was noted on all treated animals and was thought to be due to severe congestion and stasis of blood in the large veins of the laminar corium, although this could not be substantiated histologically. A pronounced dr0p in body temperatures occurred 12 to 28 hours be- fore death in 8 of the 9 pigs killed with selenium. The body tempera- tures of the h pigs in Lots h and 5 averaged 93 F during this time while the range in the less acutely ill animals was 97 to 100.8 F. The low- est reading obtained from the control animals was 101.2 F. Other signs included dyspnea, which was quite prominent in the most severe cases, and occasional nervous manifestations. The latter were restricted mostly to incoordination and usually occurred before the animal entered the comatose stage. However, two of the animals (E5938 and.E593h) suffered from a slight chores of the head and cervical area. No tetanic of clonic spasms were noted. Pathology Liver. The most prominent single gross lesion observed in this study ‘was a pale, yellow-brown, rough, friable liver. There was littIe varia- tion in color. However, the liver in the very acute cases was more 20 Fig. 1. Comparison of control pig E5930 (above) , and pig E5933 from Lot 1 after 12 days (below). 21 yellow and "fatty" whereas in the less acute cases the texture was more granular and crumbly. Pig E5933 was the exception. This animal was fed a selenium-free ration for 6 days and at the termination of the experi- ment the gross appearance of the liver was normal. ‘ Microscopically the liver lesions observed can be divided into an acute group where congestion and centrolobular degeneration prevailed, and a more chronically affected group displaying early regenerative ac- tivity.. Allelivers except those from the controls manifested fatty changes. The acutely 111 group included seven pigs, all of which died during the, first six days. Congestion and acute centrolobular degeneration were especially conspicuous in this group. The congestion was most pronounced in the livers from animals in Lots h and 5, although marked individual variation existed. Areas near the capsule. were most severely affected. Here the central veins and surrounding sinusoids were packed with erythrocytes. The congestion was not always restricted to the center of the lobule, however. In various sections portal veins were filled with blood and the areas around them contained small amounts of serofibrinous exudate and escaping erythrocytes . Degenerative changes were more severe in the centrolobular. areas. Cloudy swelling was widespread and affected a majority of the central parenchymal cells. More advanced changes were evidenced by numerous pyknotic and karyorrhectic/nuclei which were not always restricted to the central portion of the lobule. Increased numbers of Kupffer cells were present in most sections. . Fatty metamorphosis in the liver was widespread and severe.. Only in the liver of pig E593h, which succumbed after ingesting 25.9 mg. of Fig. 2. Attempted bile duct formation at the periphery of a lobule in the liver from pig E5935. H81E stain; X1175. 25 38E stain; Centrolobular destruction and large basophilic regenerating hepatic cells (H) in the liver from pig E5935. x5 70 c Fig. 3. 21+ selenium, was the fat restricted to scattered individual liver cells. . In the rest of the pigs, a few too many fat globules were present in the cytoplasm of albiost. every parenchymal cell which was not in an advanced stage of degeneration. Therefore, under low-power magnification, a lobule stained with Sudan IV appeared as a red, granular disc encircled by a narrow rim of periportal connective tissue and containing a central vein surrounded by a zone of degenerating cells. Accumulation of fat was generally more pronounced in the peripheral third of the lobule. In addition, the size of the intracellular fat globules were much smaller in the acutely 111 animals, whereas in the more chronic cases these globules tended to coalesce until the nucleus was displaced to the border of the cell. However, no "lipodiastaemate" (a large multi- cellular Structure containing a huge central fat droplet) as described by Hartroft (1950) were found. In the three animals which survived more than .10 days, very early regenerative changes were noted. These included slight increases in collagen and early fibroblast proliferation in periportal areas, appar- ent attempts at bile duct proliferation (Figure 2), and the appearance of large, often multinuclear, cells (Figure 3) which are associated with regeneration (Schiff, 1956; Beamsand King,‘19l+2). In the all bladder the most'consistent findings were varying de- grees of mucous degeneration and desquamation of the mucosal epithelium. m. Gross lesions in the kidneys were not observed. Ureters and urethra were apparently normal. The urinary bladders were in various stages of contraction and no gross changes were evident. . Histopathological lesions were present in the kidneys of all the selenium-fed pigs and included: congestion, usually in'the medulla; 25 'Fig. h. Renal degeneration.(E5936) with fatty metamorphosis of the proximal convoluted tubules (F), and necrosis of the ascend- ing thick segment of Henle's loop. H&E,stain; X830. 26 cloudy swelling and coagulation necrosis of the proximal convoluted tub- ules; and various degrees of tubular fatty metamorphosis. No distinct relationship could be found between any of the above processes and the amount of selenium fed, although congestive changes were most severe in the acutely ill cases. Generalized congestion .of blood vessels was a predominant feature in the kidneys of, the animals that died during the first three days. The degree of congestion was most severe in the tissues from pigs in Lot 5. In the kidneys of these animals the glomerular capillaries. were distended and engorged with erythrocytes. The interlobar, and arcuate veins, (as well as the capillaries of the medulla, were engorged with erythrocytes. Perivascular edema and occasional interstitial hemor- rhages were also noted. In the bladder, moderate congestion of sub- epithelial capillaries and edema of the muscularis mucosa prevailed.- Degenerative changes varied widely in the kidneys. In the acute cases, the predominant change was cloudy swelling, which was most con- (spicuous in the loops of Henle. The most severe degenerative changes generally occurred in the ascending thick segments of the loop. In these medullary segments pyknotic nuclei and granular, poorly staining cytoplasm were‘especially noticeable (Figure 1+). Fatty metamorphosis, which. was very pronounced. in all but two of the kidneys, affected the convoluted and terminal portions of the proxi- mal tubules almcst exclusively (Figure 1+). Ascending segments, distal . convoluted tubules, and collecting tubules were almost devoid of fat. The urinary bladderwas remarkably free of lesions. Only mild degrees of congestion, edema, and occasional areas of desduamation of . transitional epithelium were noted. 27 Gastrointestinal Tract. At necropsy, the stomachs of the acutely ill animals contained varied quantities of mucus and undigested feed. The mucosa appeared slightly hyperemic and in the fundus small circumscribed brown clots of blood were noted. These areas were present in over half of the animal . The intestines appeared distended with gas, dark red, and highly congested in the acutely affected animals but more nearly normal in the chronically affected cases. The lumina were usually empty and only in the terminal portions of the colon was fecal matter found. The mesenteric vessels were engorged and dark blue in color. Eesenteric lymph nodes were not unduly enlarged and the esophagus and pancreas appeared grossly normal. No ascitic fluid was noted. Microscopically the stomach and small intestines exhibited the more marked lesions. Congestion, hemorrhage, leukocyte infiltrations and erosion or deSQuamation of the epithelial lining were most often found. Lesions in the stomach were quite similar in all cases. The most severe manifestations generally occurred in the animals fed the largest ' aunts of selenium, while the pig which had been on a selenium-free diet for 6 days exhibited no obvious lesions. Congestion in the stomach appeared most severe in the lamina propria. Capillaries were engorged with erythrocytes and often so dis- tended that the whole area appeared hemorrhagic. The mucosal layer was not the only on- affected, however. The larger vessels in the subm - cosa and even in the mesenteries were not infrequently plugged with cells, and thrombi were seen in various vessele. In these areas of severe venous stasis, c .;a often caused some mild separation of con- nective tissue fibers. This was most prevalent in the submucosa. 28 Degeneration of gast;.: glands in pig 35956. of ves. 's ~ . J and thrombus (T). HdE stain; X128. Note congestion 29 U (D ('0. (D :1 (D H ation of the gastric epithelium was common in most of the pigs. The de res and extent of damage varied from isolated areas of mild surface erosions to complete denudation and mucous degeneration of large numbers of gastric glands, leaving only the connective tissue skeleton of the lamina prop ia (Figure 5). Hemorria e and coagulation O H O aseation necrosis were usually evident in these areas and the coagu- lated blood pigments near the surface of the lesion were a vivid yellow- brown.. Generally, however, the lesions were not so severe and consisted mostly of mucous degeneration of the surface cells and neck cells, with some sloughing of the former. Distention or the capillaries and mild infiltration of lymphocytes and plasma cells in the lamina propria com- pleted the usual picture. The lesions found in the small intestine were usually very similar to those found in the stomach. Congestion of blood vessels was pro- nounced in almost all cases and leukocyte infiltrations of the lamina propria were much more conspicuous than in the stomac . Peyer's patches were conga ted and hemorrhagic in the acutely affected animals (Figure /\ 1 -- . - -- - o; and areas of hemorrhage into the lumen OI the intestine were repeat- Denuding of the epithelium of the villi was another common finding in acute toxicosis (Figure 6). In the more chronically affected animals, however, the damage was usually restricted to mucous degeneration and scattered coagulation necrosis with isolated erosions. Lesions in tre colon were relatively mild. They consisted of con- gestion and a small amount of epithelial erosion. Only pig ES9hl demon- V 4. a. " lug—hr , J - seraeed narked ca ene ation. s. Crossly the heart aid lungs exhibited few lesions. No abnormalities of the lungs were observed, while the heart lesions were Fig. 6. enuding of the epithelium from the ileum of p;; 359hl. Note the hemorrhage and congestion in the lamina propria and Peyer's patch. HdE stain; X150. . 51 usually restricted to epicardial petechial hemorrh: as present in the region of the coronary groove. Pig 35952 was the only animal demonstrat- ing any abno-lal amount of pericardial fluid. About 5 cc. of clear fluid was seen in this case. Endocardial hemorrhages were absent. Fluid was - ~. - v“ .- ‘» ° I A. 1 -‘~~—- 11‘ 4- never osserved in the thoracic cavi cy in denon straoie amounts at autopsy. [.1 Histoj ashological changes in the hear were restricted to capi lary congestion, a few myocardial and epicardial hemorrhages and a moderate “mount 0: fatty metamorphosis. The hemorrha- as were usually localized in the neriva scular fat of the coronary vessels and were probably due to diapedesis. Evidence of fatty etauorphosis could not be detected in the sections stained with hematoxylin and eosin, but the sections stained with Su Jn IV reveale d numerous small to medium fat sp herules dispersed throughout the myocardial muscle fibers. Thelsp she rules often appeared in small clustersa ound the nuclei of muscle fibers but otherwise were appare ent ly evenly distributed throughout the myocardium. All pigs ex- cept the control animals were affected. More advanced degenerative changes could not be demonstrated. Various degrees of capillary congestion were the only persistent CFC-“ZQQ ’\ c- round in the lungs. Mild interstitial thickening was noted in T~seallemons Ti‘0 -11 - "f vr -, 4. T 7:. r. v- ;-, .--- -. ....- A ,, - .7 _ . . Fraile, a. u., —:d Pot er, J. A.: n ”eJ -oIichu- cccarring Later- ‘ . _'.. n,--.--.A - .1! ’1". ' *3 ,T_ I;..._‘:'-..'\‘ - ~ .. ‘| Al": 89.1.1.7 J.-. DC:— uwln 8:432;- .2183 OJ. P;.L~n-C 2 COM... vvu... :2 s U - -.'--u: 0 J LO ’ (153/ ): f" If f‘: dL/‘¢/9° T‘L. .. 1 7r ? . . JV, .21 -‘-‘- 3r' '7 ..I 7'1 -- IL L‘w-n--e J IX. PIT . , an EEO“:O‘Y1){ A . L ' : VA ‘pa rison O- Dita 3311,11.an : aval Mllu ,Ars . - v, 2‘ .- ~ 'r enic aid Vanadium. U. 94.-“ ...: .—1:;o {2-13:3 $58, (1922,63 : LE‘L} _L§9. '34 - 32 5- A-Z Chronic Seleniux Poisoninv of D"s .\ h I“ ‘ . v I A ‘- ‘ r’ ." b4 gloo;-j :ro;ein. J. hucr,, 19’ (1990/: 103- id. Gortner, n. A., and Lewis, H. 3.: The Retettion and Excre Selenium after the nosinlstra*io. Sodiu u. Sele J. Pharmacol. andE tl. Therap., 67, (1939): 558-56h. ha-troft, W. S.: ‘ccumulation of Fat in Lever Cells and aste;:ata Pre eding Xteriment Dietary Cirrhosis. Anat. (;;,o): 61-87. .mento eJ Ze ala and the Effect of A Preliminary Ti eri e f nVet. J., 8, ( Calves. Klug, H. L., Harshfield, R. 3., Pengra, R. M., and I.oxon acthioaine ad Selenium Toxicity. J. Kutr., #8, (1952): “uttic-, n. L., Liarble, D. W., ano Blincoe, C.: Scrum a ncsidics T llowing Se lenium Injections in Sheep. Ar. J. 422-L'r28. Legace, A.: Effect of Jo-Ao‘vlol'ivo’ 158) (1961): lenium on White Muscle Disease 188-190. Lewis, E B., Schultz, J., and Gortner, R. 5.. s;etary Pratein and the Toxicity of ma Seler -ite in the White Rat. J. Iharracol. and Expt . Theiap., 68, (l9h0): 292-299. Lillie, R. D., and Smith, M. 1.: His to nes of Hepatic Cirr4031s in Cnronic Fo od Mlen sis. Am. J. Path., l6, (1920): 223-228. vr ., ,4 o AX. . o LcConnell, Distribution an Excretion Studies in after a Sitgle Subtoxic Succutaneous Injection of Sodiu; J. 3;-3mac 01 0 tion of ite to White Rats. in Lipodi- Selenium 1900): 13. ,A.L.. #09- #20. t-e Pat 3' -lte 1+2P{-L+37 o tcConnell, K. P.: Respiratory Em retion cf SelCLium Sosdied'vish RéiiOuCElvo Isotope. J. Biol. Chem., 1&5, (1942): 55-60. McCo-nell, K. P.: Passage of Selenium Thrc-;- the - macry Glands of the Shite Rat and the Dl--leuEiCZ of SElLHQLfi in the Milk Pro- tCiJS After Subcutaneous Inuectio; of Sodiam Selenate. J. Biol. Chem., 173, {19A8); 655-657. —r / O U: [\3 \N 4:- o \" U1 0 \N O\ 0 L0. L1. 3" 7 r“ : c 1 - '7 v r: ' :4... “C? C.:" ' “1;: +- 11llor, k. 5., anC 121031113, 1. 1.. 1011C1CJ CL 1C1e.1u* -CC Co / ’x‘._--‘_ o ‘ '1 ‘- ‘ ‘1‘: _. A” _- TT‘ 1", 5111“ 1n tne Fo-1 o: Soo1Cm SCLC11CC. J. nor1o. 1CC., bo, (lypc) Qz" T'v U/J." ‘72. 1"'\ F!" V'.' ‘ ,._-- ‘Yf (3" "f .'.....C - T' C 1 11Ller, J. 1., and ”LLliams, n. 1.: 111L1M " 1C-.; Lose of Co1e- m1“. L. .. . ~~- CLLC 1: '1 .C ..-:. ,r. ,2 Q ' J- W1u4, as SoC11m bc1anLCe, 1o- gosCCo, 11LCC, CflCC1C C11 QW1ne. . /' -. ‘ \ " .. . , , ' “1‘ , 1‘ r1 ' m: ‘7 OH.’ fact P193.) } (cl-9.1 M): le-mzj. ‘ - r? r‘ .A 1.. fr: “ " -' ‘rr {*1 “Hutu ,-.-I- :9 -~.. 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ERR/4': n J AL 0 L D ) P937171 81" ) C O R o ) 8.1-3. ‘FM'V!’ rs n . A. 0 T‘», J. a A 1- ' ° ,J. 4.: . :- . 4 131C; 1 1111n1sCraCLon on DeCox1cat ion of Baler “» . .1 v1 ‘ T1 1 l’" J. Enormac01. a1a 11;tl. 11eGC., EL ,(1945): Hoxon, A. L. , and Rhian, M.: 25, (1W ): 305-537. :‘.1~A-Lh, O. HO J Olfi-F‘ieli’ J. E. ’ SC.11AU art, J. R. ’ White L1SC 13 Disease (Myopothy) in GLbs Seleniug 311 Vitamin E on cubs. A1. J. VeC. * 251-254. ~~ - f. I“ '.'- .. ‘ . -,. fl «- Ln'v --aorl, I... I5. FlUZhMS:1, O. GO , L1" \1 Cfl‘vfi‘ 5 f- H. “1 " I — (1: I» .—..' . f" ”, . .. ‘ 4,. 101 oJ'1L CLr 1 CL CCused by 831C1LC L1 1CCC. 1 - .. - T .» A '-L-: Y‘I ’~ — .: '. 0. JR, 0. 1., Carlson, C. h., CndT :1C13, 1.: LCihLon1ne and T:- ‘ -'-- : n ,‘ v- ‘1 M- L .z.‘ 1‘ 1.- - -LCcC CoLpounds a1a SeLe1L m Poisor11ng. SogCn 1C13Ca A1r1c. Expe C'-- r'.- J.‘ '21 —- = QUJ—o , .LCLaslo 811A“)... 20 I ’ (493C) 0 “3‘ I: , ’ 3 c A _o v' a . t‘AN ‘ 11131, 1., anC oxon, 1. 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