Stress, exertion and crush injury are well-documented causes of rhabdomyolysis. However, other major factors contribute to the development of exertion myopathy in wildlife, including procedures that involve long periods of restraint, struggling with unnatural positioning and lengthy pursuit during capture
(Ashraf et al., 2019; Herráez et al., 2007). Diagnosis is based on clinical history, observed symptoms, clinical pathology and gross and microscopic examination of tissues
(Dinesh et al., 2020). In the present study, wild animals suffering from myopathy showed elevated muscle enzyme levels (Table 1). In spotted deer, the median creatine kinase (CK) level was 166.43 IU/L (range: 66.88-406.22 IU/L), the median lactate dehydrogenase (LDH) level was 2205.06 IU/L (range: 1346.86-3011.86 IU/L) and the median aspartate aminotransferase (AST) level was 196.53 IU/L (range: 91.73-386.02 IU/L) (Fig 3). In barking deer, the median CK level was 78.20 IU/L (range: 22.46-168.24 IU/L) (Fig 4), the median LDH level was 1898.64 IU/L (range: 1384.78-2609.58 IU/L) (Fig 5) and the median AST level was 209.96 IU/L (range: 114.08-316.36 IU/L) (Fig 6). The creatine kinase (CK) was significantly elevated in the blood of animals with a history of muscle injury and myopathy in spotted deer (Fig 1) and barking deer (Fig 2). The CK mean values were lower than those of
Baric et al. (2011) observed in red deer (
Cervus elaphus). Although the mean values of CK were lower than the values observed in some of the previous studies,
there was a large variation in our study reflecting overloaded or skeletal muscle injury. It is well known that cervids are very susceptible to stress; therefore, there are several reports about variations in CK concentrations in cervids
(Camargo et al., 2013). Elevation of plasma creatine kinase (CK) levels is considered to be a sensitive and specific index of muscle damage in mammals
(Bailey et al., 1997).
In the present study, lactate dehydrogenase (LDH) concentrations were significantly higher in spotted deer (Fig 3) and insignificantly rose in barking deer (Fig 4). Deer frightened by capture showed markedly raised LDH (
Jones and Price, 1992). Raised LDH in capture myopathy had been reported in different species
(Wobeser et al., 1976; Businga et al., 2007; Paterson et al., 2007). The raised LDH concentration in the present study is in agreement with the previous study of muscle disorders with myonecrosis (
Green-Barber et al., 2017).
Duncan and Prasse (1986) also reported the higher serum levels of CK and AST in muscle damage.
The AST in the present study was found to be insignificantly higher in both spotted deer (Fig 5) and barking deer (Fig 6) in comparison to the reference values of AST in spotted deer 42.88±5.97 IU/L
(Gupta et al., (2007) and barking deer in the present study.
Chapple et al., (1991) also reported elevated concentrations of CK and AST in spotted deer during myopathy. Elevated AST levels have been previously reported during capture myopathy across various species
(Businga et al., 2007; Paterson et al., 2007; Green-Barber et al., 2017). However, because a significant portion of AST originates from mitochondria, a substantial increase is likely to indicate irreversible cellular damage (
Sodikoff, 2001). Serum AST concentrations increase more slowly in comparison to serum CK concentrations after an initial muscles damage. Serum AST has a longer half-life and persists longer at elevated concentrations compared with CK
(Hartup et al., 1999).
Increases in serum enzymes CK, AST and LDH are usually due to an increase in muscular cell permeability and muscular damage resulting from physical stress
(Businga et al., 2007; Montané et al., 2002;
Wallace et al., 1987). Fig 7 and 8 depicts all three muscle injury markers were appreciably increased in concentration in the studied deer with muscle damage. The elevated concentration of CK, LDH and AST was observed in the individual animal indicated that all three markers show a uniform increase with the advent of muscle injury. In the present study, the muscle damage was mainly observed due to chasing by feral dogs, dog bites, improper restraint and transportation. These enzymes appearelevated in many stressed wild ungulates and in those suffering from capture myopathy
(Vassart et al., 1992). Hartup et al., (1999) observed similar degrees AST and CK elevation in translocated otters (
Lutra canadensis).
Fitte (2017) evaluated serum enzymes (CK and AST) in blesbok (
Damaliscuspygargus Phillips) specific to skeletal muscles and observed a higher concentration of these enzymes in chased animals in comparison to a control group of animals. Moreover, as AST, LDH and CK levels tend to increase progressively following muscle injury, a mild elevation in these parameters may be attributed to the time interval between the traumatic event and blood collection. Additionally, physical restraint and the injection procedure using a hand-held syringe can themselves induce stress, potentially contributing to these changes. In this case, a marked increase in AST, along with elevated levels of BUN, LDH and CK, was consistent with the findings typically associated with capture myopathy.
All animals were properly physically restrained for treatment and rehabilitation procedure and samples were also collected during the procedure. On the other hand, biochemical analyses showed increased levels of CK and LDH, which are often related to stress-linked muscle damage
(Stringer et al., 2011). In general, serum CK levels increase rapidly following a stress episode and along with potassium (K+), it is regarded as a critical early indicator of rhabdomyolysis associated with capture operations (
Kaneko, 1997). A value more than four times the normal upper limit of CK was found in the blood of the Corsican red deer (
Cervus elaphus corsicanus) examined, indicating that muscular lesions were active prior to death. The present results indicate that the concentration of all three muscle injury markers in spotted deer and barking deer serum can be used to establish myopathy-related causes. Comparison of these biochemical markers in both species of animals in the present study indicated that the values of AST, LDH and CK are higher in chital as compared to barking deer. The parameters observed in the present work are in agreement with the findings of earlier workers and also support the findings of an increased concentration of muscle injury markers in the serum of affected animals.