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J. Anim. Sci. 2003. 81:3130-3140
© 2003 American Society of Animal Science

Effect of the live weight gain of steers during winter grazing on digestibility, acid-base balance, blood flow, and oxygen consumption by splanchnic tissues during adaptation and subsequent feeding of a high-grain diet1,2

M. J. Hersom*, C. R. Krehbiel*,3, G. W. Horn* and J. G. Kirkpatrick{dagger}

* Department of Animal Science and and {dagger} Veterinary Teaching Hospital and Department of VeterinaryClinical Sciences, Oklahoma State University, Stillwater 74078


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Implications
 Literature Cited
 
Ten multicatherized steers were used in a completely random design to determine the effect of previous BW gain on blood flow, acid-base balance, and oxygen consumption across portal-drained viscera and liver of growing beef steers fed a high-grain diet. Treatments were high (1.31 ± 0.09 kg/d) or low (0.68 ± 0.07 kg/d) daily BW gain during an 82-d winter wheat pasture grazing period and a subsequent 37-d transition period. Blood flow, blood gas measurements, and oxygen consumption were determined on d 0, 14, 28, 42, and 64 of a high-grain finishing period. Compensatory growth was evident in low-gain steers; ADG (1.50 vs. 1.11 kg/d, P < 0.05) and gain efficiency (0.221 vs. 0.109 kg/kg, P < 0.01) were greater from d 14 through 28 than for high-gain steers. Arterial base tended (P < 0.12) to be greater in low-gain than in high-gain steers, whereas calculated HCO3- (mmol/L; P < 0.20) did not differ between treatments. Arterial O2 concentration was not different (P < 0.97) between treatments but increased (P < 0.001) with increasing days on feed. Portal blood flow increased with days on feed (P < 0.001) but did not differ (P < 0.34) between treatments. Hepatic blood flow scaled to metabolic BW was 19.7% greater (P < 0.02) in low-gain than in high-gain steers. Across the feeding period, O2 consumption and CO2 flux by PDV, liver, and total splanchnic tissue (TST) did not differ (P < 0.33) between treatments. However, TST O2 consumption (mmol/[h•kg BW0.75]) tended (P < 0.12) to be greater in low- than in high-gain steers. Compensating steers’ arterial blood acid-base measurements did not change with days on feed, indicating that they were not more susceptible to metabolic acidosis than high-gain steers. However, steers that had lower BW gain before high-grain feeding exhibited increased hepatic blood flow and TST O2 consumption (metabolic BW basis) during the finishing period compared with high-gain steers. Greater hepatic blood flow and energy expenditure by TST of previously restricted steers might have facilitated compensatory growth.

Key Words: Acid-Base Equilibrium • Blood Flow • Cattle • Compensatory Growth


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Implications
 Literature Cited
 
Little information is available regarding the effect of previous live BW gain and compensatory growth on total splanchnic tissue (TST) metabolism in beef steers. Compensatory growth has been observed as increased BW gain, increased DMI, and lower ME requirements (Fox et al., 1972Go; Carstens et al., 1991Go). However, these characteristics must have metabolic controls that have not been fully elucidated. Integration of nutrient metabolism into growth characteristics implicates the importance of the gastrointestinal tract and liver in animal production (Eisemann et al., 1996Go). Burrin et al. (1989)Go showed that blood flow and energy expenditure change in response to changes in DMI and splanchnic tissue mass. Conceivably, compensatory growth in cattle might occur because of changes in blood flow and associated oxygen consumption across TST.

The incidence of subacute acidosis is an important consideration in feeding high-grain diets (Elam, 1976Go). Acidosis occurs in conjunction with excessive consumption of fermentable carbohydrates (Slyter, 1976Go) that increase the acid load absorbed from the gastrointestinal tract. Successful adaptation allows the cattle to consume large amounts of high-energy diets, resulting in greater BW gains and gain efficiency. However, Klopfenstein et al. (1999)Go suggested that compensating steers are aggressive eaters, and acidosis might limit their ability to make compensatory gain. Our hypotheses were that 1) improved growth performance by compensating steers might result from differences in blood flow and energy expenditure by TST and 2) acid-base balance by compensating steers might be compromised during adaptation to and subsequent feeding of a high-grain diet. Therefore, the objectives of this experiment were to determine the effect of previous BW gain of steers on total-tract nutrient digestion, blood acid-base balance, blood flow, and oxygen consumption across TST during adaptation to and finishing on a high-grain diet.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Implications
 Literature Cited
 
Animal Management
Ten Angus x Angus-Hereford steers (average initial BW = 205 ± 14 kg, age = 286 ± 11 d) were randomly assigned to one of two treatments. Treatments were high (HG; 1.31 ± 0.09 kg/d) or low (LG; 0.68 ± 0.07 kg/d) daily BW gain while grazing winter wheat pasture (82 d) and during a subsequent transition period (37 d). Stocking density was altered in the LG treatment to maintain the desired BW gain (Hersom et al., 2003a). Following the grazing period, steers were housed in individual, indoor pens (3.5 x 3.5 m) and fed a transition diet (Table 1Go) to maintain their respective BW gains during surgery for placement of chronic indwelling catheters. During the transition period, the average BW of LG or HG steers was used to determine DMI that resulted in ME-allowable ADG similar to daily BW gain during grazing using the Level 1 Model of NRC (1996)Go. Catheters were surgically placed in the portal vein, a hepatic vein, a mesenteric vein, and an adjacent mesenteric artery as described by Ferrell et al. (1991)Go. Catheter patency was maintained by filling catheters with a heparinized-saline solution (1,000 U/mL) between sampling periods. Steers were allowed a minimum of 21 d to recover from surgery before beginning the initial collection period. The Oklahoma State University Institutional Animal Care and Use Committee approved all experimental procedures.


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Table 1. Composition (% DM basis) of transition, adaptation, and finishing diets fed to steers
 
After the initial bleed (d 0), steers were adapted to the high-grain finishing diet using three adaptation diets in which the transition diet was replaced with increasing amounts of the final diet (Table 1Go). Dietary concentrate:roughage (Transition = 40:60; Step 1 = 60:40; Step 2 = 70:30; Step 3 = 80:20; and Finishing = 90:10) increased with each adaptation diet. Each adaptation diet was fed for 7 d; steers were fed ad libitum after the d-0 collection with the daily ration divided equally between two feedings at 0800 and 1600. Water was provided ad libitum throughout the entire experiment. Body weights of steers were taken at the beginning and end of each sampling period. A 3% pencil shrink was applied to the BW of each steer to calculate shrunk BW, ADG, and gain efficiency. Steers were fed for a total of 64 d.

Sample Collection
Steers were placed in stanchions in a climate-controlled room (23 to 27°C, 15% humidity) 6 d before the initiation of each blood collection. Total fecal collections were weighed daily for 3 d before blood collection. A subsample (10%) of the daily fecal collection was composited for the 72-h fecal collection period. Simultaneous diet samples were also collected. Blood was collected on d -1, 0, 13, 14, 27, 28, 41, 42, 63, and 64 of the experiment. Five steers were sampled during each day of sampling (e.g., three HG and two LG steers were sampled on d -1, and two HG and three LG steers were sampled on d 0).

On the morning of sampling, a priming dose of 20 mL of 7% (wt/vol; d -1, 0, 13, 14, 27, 28) or 10% (wt/vol; d 41, 42, 63, 64) para-aminohippurate (PAH, pH = 7.4) were administered through a 0.45 µm sterile filter (Millipore, Bedford, MA) into the mesenteric vein catheter at 0700. Para-aminohippurate was continuously infused (PHD 2000 Syringe pump; Harvard Apparatus Inc., Holliston, MA) at 0.8 mL/min for 8 h following the priming dose. Blood was collected at hourly intervals from 0800 until 1600. Thirty milliliters of blood was drawn simultaneously from the portal vein, hepatic vein, and mesenteric artery catheters into syringes, and blood was placed into tubes (BD Vacutainer) treated with sodium heparin or potassium oxalate and sodium fluoride. Hourly blood samples were immediately capped and placed on ice for transport to the laboratory. In the laboratory, 90 µL of whole blood was immediately taken for each steer and site for blood gas analysis (1304 pH/Blood Gas Analyzer, Instrumentation Laboratory, Lexington, MA). Calibration of the blood gas analyzer occurred daily using standardized samples (ContrIL Blood gas control #93630, Instrumentation Laboratory) and automated two-point calibration. An additional 40 µL of whole blood was used to determine packed cell volume. Two milliliters of whole blood from each hour within steer and site was used to form a daily whole blood composite. The remaining blood was centrifuged (3,000 x g, 4°C, 20 min) and plasma harvested and frozen (-40°C) for further analysis.

Sample Analysis
Feed and fecal samples were dried in a forced-air oven at 55°C and ground in a Wiley mill to pass a 2-mm screen. Dry matter, ash (AOAC, 1990Go), and N concentration (LECO, St. Joseph, MI) were determined on feed and fecal samples from each sampling period. Hourly plasma samples from each site were used to determine the concentration of PAH (Harvey and Brothers, 1962Go) with standards prepared from the infusion solution from each sampling day. Hemoglobin (Hb) concentration in arterial, portal, and hepatic whole blood samples were determined colorimetrically (Procedure #525, Sigma Diagnostics, St. Louis, MO).

Calculations and Statistical Analysis
Digestible OM intake (DOMI) was calculated by multiplying daily OM intake by OM digestibility and was expressed per unit of metabolic BW. Plasma flows through the hepatic portal vein and hepatic vein were calculated using the Fick principle as outlined by Katz and Bergman (1969)Go: blood flow (BF) = IRPAH/(CVPAH - CAPAH), in which BF represents plasma flow through the portal-drained viscera (PDV) or liver (mL/min), IRPAH is the infusion rate (mg/min) of PAH, and CVPAH and CAPAH are the PAH concentrations (mg/mL) in venous and arterial plasma, respectively. Portal and hepatic plasma flow were calculated directly, whereas hepatic arterial plasma flow was calculated as hepatic BF minus portal BF. Individual plasma flows from any site deviating more than two SD from the mean were deleted and means recalculated (Bohnert et al., 1999). Blood oxygen concentration was calculated as the sum of Hb-bound O2 (O2 saturation, % x 1.34 mL O2/g Hb x g Hb/mL blood) and dissolved O2 (0.023 mL/mL blood x pO2 mm Hg/daily mean barometric pressure, mm Hg). Milliliters of O2 per liter of blood were converted to millimoles per liter by assuming 22.2 mL/mmol O2 (Huntington and Tyrrell, 1985Go). Oxygen consumptions were calculated (Burrin et al., 1989Go) across the PDV, liver, and total splanchnic tissues (TST) using the following equations: PDV consumption = portal BF x (portal[O2] - arterial[O2]); hepatic consumption = portal BF x (hepatic[O2] - portal[O2]) + arterial BF x (hepatic[O2] - arterial[O2]); and TST consumption = PDV consumption + hepatic consumption. Carbon dioxide concentration was calculated using the Henderson-Hasselbach equation (Oddy et al., 1988Go): CO2 (mM) = (10(pH - 6.12) x 0.0314 x pCO2) + (0.0314 x pCO2). Carbon dioxide flux was calculated for the PDV, liver, and TST similar to O2 consumption. Respiratory quotient (RQ) for PDV, liver, and TST were calculated as RQ = CO2 flux/O2 consumption.

All data were analyzed as a completely random design using the Mixed procedure of SAS (SAS Inst. Inc., Cary, NC). The statistical model included treatment, sampling day, and the interaction as fixed effects. The experimental unit was steer, and the random term was steer within treatment. Data was collected repeatedly across experimental days. The spatial power law covariance structure was used (Littell et al., 1996Go) because of unequal spacing of collection days. Because of missing observations, least squares means were calculated. Results were considered significant if P < 0.05. Regression analysis was performed using the Proc REG procedure of SAS to examine the relationship of blood base measurements to DOMI, and the relationship of blood flow to BW, DMI, and DOMI.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Implications
 Literature Cited
 
Animal Performance and Total Tract Digestibility
The number of steers sampled during each period and number of catheters patent at each site are listed in Table 2Go. During transition from grazing to the initiation of the first blood collection (37 d), HG steers had greater (P < 0.002) ADG (1.15 kg/d) compared with LG steers (0.004 kg/d). Average daily gain from the initiation of grazing to the first blood sampling day (d -1) was greater (P < 0.001) for HG than for LG steers (1.31 vs. 0.68 kg/d, respectively).


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Table 2. Number of steers sampled and patent catheters from each site during the experiment
 
High-gain steers had 75 kg greater (P < 0.005) BW than LG steers on d 0 (Table 3Go). Moreover, the BW of HG steers was greater (P < 0.005) than that of LG steers across the 64-d experiment. In contrast, the ADG from d 14 to 28 was 1.05 kg/d greater (P < 0.05) for LG than for HG steers, and across the 64-d feeding period, the ADG of LG steers was 26% greater (P < 0.05) than that of HG steers. Lower DMI by LG than by HG steers on d 0 and 14 and similar DMI from d 28 through 64 resulted in a treatment x day interaction (P < 0.001). Across the finishing period, HG steers had greater (P < 0.007) DMI (kg/d) compared with LG steers. However, when expressed as percentage of BW, DMI was not different (P < 0.87) between treatments. On d 28, the DMI (% of BW) of LG steers was 15.7% greater than HG steers. Overall gain efficiency was 34% greater (P < 0.01) for LG compared with HG steers. Low-gain steers had 82 and 103% greater gain efficiencies than HG steers from d 1 to 14 and d 15 to 28, respectively, of the feeding period.


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Table 3. Incremental finishing performance and nutrient digestibility by steers with different previous BW gains
 
Across the feeding period, OM digestibility (OMD) was not different (average = 79.2%; P < 0.83) between treatments. For both treatments, OMD increased from d 0 to 28 and then generally plateaued (day effect, P < 0.001). Similarly, mean N digestibility was not different (average = 80.0%, P < 0.40) between treatments and followed a trend similar to that of OMD with increasing DOF (P < 0.001). Nitrogen digestibility exhibited a treatment x day effect (P < 0.03) because LG steers had 7.6% greater N digestibility on d 0 than HG steers. Digestible OM intake (kg/[d•BW0.75]) was 28% and 13% greater for HG than LG steers on d 0 and 14, respectively, but was 12% greater for LG than for HG steers on d 28, resulting in a treatment x day interaction (P < 0.004).

Blood Gases
Arterial blood pH was not different between treatments (P < 0.56) but tended (P < 0.10) to differ across sampling days; mean arterial pH was 7.43 during the 64-d experiment (Table 4Go). Arterial partial pressure of carbon dioxide (pCO2) was not different (P < 0.30) between treatments, but exhibited a sampling day effect (P < 0.01). Arterial pCO2 generally decreased as days on feed increased. Calculated bicarbonate levels in arterial blood were not different (average = 28.0 mM, P < 0.20) between treatments. Oxygen saturation of arterial, portal, and hepatic blood averaged = 98.4, 78.9, and 66.8%, respectively, and was not different (P < 0.62) between treatments. Similarly, hemoglobin concentration in arterial blood was not different (P < 0.96) between treatments (average = 9.69 g/100 mL); however, hemoglobin concentrations in arterial blood increased (P < 0.001) by 21% from d 0 to 64. Packed cell volume (PCV) did not differ (P < 0.43) between treatments or with increasing days on feed (P < 0.20). Arterial blood base tended (P < 0.12) to be greater in LG than HG steers, and tended (P < 0.12) to decrease across sampling days until d 42. Similarly, portal blood base exhibited a sharp decrease (sampling day effect, P < 0.004) in HG and LG steers until d 28 and then increased. Hepatic base followed a similar pattern, decreasing until d 28 and then increasing (sampling day effect, P < 0.02).


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Table 4. Arterial blood gas components and arterial, portal, and hepatic blood base in steers with different previous BW gains and increasing days on a high-grain dieta
 
Blood Flow, O2 Consumption, and CO2 Flux
There were no treatment x sampling day interactions (P < 0.20) for blood flow, O2 concentrations, or O2 consumption (Table 5Go). Hepatic arterial BF expressed in units of L/h (P < 0.74) or L/(h•BW0.75) (P < 0.43) was not different between treatments or across the 64-d feeding period (P < 0.46). Similarly, portal BF (L/h or L/[h•BW0.75]) was not different (P < 0.34 and 0.88, respectively) between treatments; however, portal BF increased (sampling day effect, P < 0.001 [L/h] and P < 0.002 [L/(h•BW0.75]) after d 0, peaking on d 64. Hepatic BF expressed as L/h was not different (P < 0.39) between treatments; however, hepatic BF expressed as L/(h•BW0.75) was greater (P < 0.02) in LG than in HG steers. Hepatic BF increased (P < 0.001, L/h; P < 0.01, L/(h•BW0.75) with increasing days on feed. Blood O2 concentrations (mM) of arterial (P < 0.97), portal (P < 0.97), and hepatic (P < 0.80) blood were not different between treatments. However, O2 concentration increased (P < 0.003) with increasing days on feed in all three sites. Peak O2 concentration occurred on d 28 in arterial blood, d 42 in portal blood, and on d 64 in hepatic blood.


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Table 5. Blood flow, oxygen concentration, oxygen consumption, carbon dioxide flux, and respiratory quotient in steers with different previous BW gains and increasing days on a high-grain dieta
 
Oxygen consumption by the PDV expressed as mmol/h (P < 0.88) or mmol/(h•BW0.75) (P < 0.32) was not different between treatments; mean PDV O2 consumption was 397 mmol/h and 4.7 mmol/(h•BW0.75), respectively. Oxygen consumption by the PDV tended (P < 0.12) to increase as days on feed increased; O2 consumption (mmol/h) was twofold greater on d 64 than d 0. Similar to PDV O2 consumption, O2 consumption by the liver (mmol/h and mmol/[h•BW0.75]) did not differ (P < 0.67 and 0.46, respectively) between treatments. Moreover, hepatic O2 consumption did not differ (P < 0.27) across sampling days, but was approximately 2.5-fold greater on d 64 than d 0. Total splanchnic tissue O2 consumption (mmol/h) did not differ (P < 0.25) between treatments, although when scaled to BW0.75, TST O2 consumption tended (P < 0.12) to be greater in LG steers. Similar to PDV and hepatic O2 consumption, TST O2 consumption numerically increased as days on feed increased.

Carbon dioxide flux across the PDV (P < 0.33), liver (P < 0.80), and TST (P < 0.49) did not differ between treatments. Portal-drained visceral CO2 flux did exhibit a day effect (P < 0.02), generally increasing with increasing days on feed. Hepatic (P < 0.80) and TST (P < 0.49) CO2 flux did not differ (P < 0.80 and 0.49) across sampling days. Similarly, RQ of the PDV (2.32; P < 0.76), liver (1.86; P < 0.35), and TST (2.08; P < 0.33) were not different between treatments or across days on feed.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Implications
 Literature Cited
 
Compensatory growth has been defined as a period of faster or more-efficient rate of growth following a period of nutritional restriction (NRC, 1996Go). Generally, compensatory growth is characterized by increased rate of BW gain (Fox et al., 1972Go; Carstens et al., 1991Go; Sainz et al., 1995Go), increased feed intake (Fox et al., 1972Go; Drouillard et al., 1991Go; Sainz et al., 1995Go), and increased efficiency of metabolizable energy used for gain (Fox et al., 1972Go; Carstens et al., 1991Go). In our experiment, LG steers had greater ADG and increased gain efficiency, characteristic of compensatory growth. Unfortunately, DMI by steers in the present experiment was uncharacteristically low for cattle consuming high-energy diets, and most likely influenced our results. Diet evaluations for growing and finishing cattle (NRC, 1996Go) suggest that 325-kg animals consuming diets with 1.1 to 1.6 Mcal/kg of NEg (DM basis) and gaining 1.36 to 1.90 kg/d should consume approximately 2.3 to 2.7% of their BW as DM. Low intakes in the present experiment (1.90% of BW) most likely resulted from problems associated with maintaining intakes by cattle in metabolism stalls, and not a result of ruminal acidosis. Although intakes were low, DMI (% of BW) from d 14 to 28 of the present experiment was 15.7% greater for LG than for HG steers.

Lower diet DM digestibility has been reported (Thomson et al., 1982Go; Hayden et al., 1993Go) in realimented cattle after energy restriction for 154 or 92 d, respectively. Thomson et al. (1982)Go proposed that decreased DM digestibility might result from an increased rate of passage caused by increased DMI by compensating steers. In contrast, mean OM digestibility and DOMI expressed per BW0.75 were similar between treatments in our experiment. The observed treatment x day interaction for DOMI was primarily due to differences on d 0, when LG steers were being restricted in intake.

Because we expected LG steers to undergo compensatory growth and the associated increase in DMI, we hypothesized that LG cattle might have been more susceptible to metabolic acidosis during adaptation to the high-grain diet (Klopfenstein et al., 1999Go). Therefore, measures of blood acid-base balance were of interest. Mean blood pH was 7.43, 7.32, and 7.33 for arterial, portal, and hepatic blood, respectively. Leedle et al. (1995)Go reported mean venous blood pH levels that were similar to those in the present study; however, venous blood pH in their study decreased with increasing days on feed as cows were adapted from 25 to 90% concentrate diets fed at 2% of BW. Partial pressure of CO2 was not different between treatments, but in both treatments pCO2 generally decreased as days on feed increased. In addition, arterial blood base was numerically lower in HG steers than in LG steers. This might suggest that LG steers were supplying the PDV with blood that had a greater buffering capacity compared with HG steers. Differences in the ability of PDV tissues to disperse the metabolic acid load into blood could also be important in controlling cellular metabolism and absorption of nutrients. Simple linear regression analysis indicated that portal blood base was negatively related to DOMI (portal base = -0.65 x DOMI + 4.74, r2 = 0.24, P < 0.001). The lowest portal blood base in HG steers coincided with the greatest DOMI. Similar simple linear regression analysis showed that hepatic blood base was also negatively related to DOMI (hepatic base = -0.49 x DOMI + 4.69, r2 = 0.19, P < 0.005). Decreases in blood base coincided with the adaptation of both HG and LG steers to a finishing diet with greater concentrate levels. The increased concentrate levels would have increased the absorbed acid load from the rumen, which most likely required more buffering. In addition, a shift in the dietary cation-anion difference (DCAD; NRC, 2001Go) could have been a driving force behind changes in blood acid-base parameters associated with increasing concentrate in the present experiment. Dietary cation-anion difference decreased from -36.6 mEq/kg of DM for the transition diet to -94.4 mEq/kg of DM for the finishing diet. Decreasing the DCAD from 203 to -40 to -63 (Vagnoni and Oetzel, 1998Go) or from 150 to -150 (Moore et al., 2000Go) mEq/kg of DM has resulted in decreases in blood bicarbonate and blood base in dry cows, but no difference in blood pH or pCO2.

Hemoconcentration resulting from dehydration has also been identified as an indication of acidotic conditions in cattle (Huntington and Britton, 1979Go; Owens et al., 1998Go; Brown et al., 2000Go). Cattle in acidotic states have been reported to increase PCV (Huntington and Britton, 1979Go; Leedle et al., 1995Go; Brown et al., 2000Go). In the present study, PCV was not affected by treatment. Under the conditions of the present experiment, we conclude that compensating steers are not at any greater risk of experiencing metabolic acidosis than noncompensating steers. However, it should be emphasized that, due to low intakes, steers were most likely not experiencing subacute acidosis in our experiment.

Blood flow is key to the dispersion and metabolism of absorbed nutrients through splanchnic tissues. Arterial and portal plasma flow were not different between treatments in our experiment, and blood flows were similar to those previously reported (Reynolds and Huntington, 1988Go; Krehbiel et al., 1992Go; Eisemann et al., 1996Go) for growing steers of similar BW, age, and diets. Under steady-state conditions, Huntington et al. (1996)Go predicted decreased PDV and liver blood flow with increasing levels of dietary concentrate. Reynolds et al. (1991)Go also observed decreased PDV and liver blood flow in heifers fed 75% concentrate diets compared with 75% alfalfa diets. In contrast, PDV and liver plasma flow increased with increasing concentrate in the diet in the present experiment. Discrepancies among data might be due to differences in BW, age, and DMI of steers used by Huntington et al. (1996)Go compared with steers used for the present experiment. Our data with growing steers consuming increasing concentrate are confounded with increases in BW and DMI, especially for LG steers.

Variation in blood flow has been shown to occur throughout the day. Whitt et al. (1996)Go reported portal and hepatic plasma flows increased after feeding and varied by as much as 8 to 9% across the day. Many experiments examining blood flow utilize equally spaced feed delivery during the day (Krehbiel et al., 1992Go; Huntington et al., 1996Go; Lapierre et al., 2000Go). Evenly spaced feeding may decrease variation in blood flow because adherence to the Fick principle is more likely (Huntington, 1999Go). Our objective in the feeding management of our steers was to more closely replicate our larger feedlot experiments (Hersom et al., 2004aGo), and more practical feed delivery patterns (i.e., twice daily). As greater variation in blood flow across the day was expected due to the potential lack of steady-state conditions, steers were sampled every hour between the morning and afternoon feedings, and means were computed. Additionally, Huntington (1999)Go reported that the greatest variation in blood flow is attributable to steer. The point of variation in blood flow is important because subtle differences between treatments in concentrations of such things like oxygen can be magnified or diluted depending on blood flow differences between treatments.

In previous experiments, portal and hepatic blood flow has been shown to increase concomitant with increased DMI (Reynolds et al., 1992Go; Eisemann et al., 1996Go) and BW (Eisemann et al., 1996Go). In the present experiment, the relationship of portal plasma flow (L/[h•kg BW0.75]) to BW0.75 (r2 = 0.07), DMI (% of BW0.75; r2 = 0.02), and DOMI (kg/[d•BW0.75]; r2 = 0.005) was generally low, and was similar in HG and LG steers. Figure 1Go shows the relationship of hepatic plasma flow (L/[h•kg BW0.75]) to BW0.75, DMI (% of BW0.75), and DOMI (kg/[d•BW0.75]) for HG and LG steers. Hepatic plasma flow increased as DMI (% of BW0.75; r2 = 0.33, P < 0.06) and DOMI (kg/[d•BW0.75]; r2 = 0.32, P < 0.07) increased in LG steers. As described by the first derivative of the cubic equations, hepatic plasma flow scaled to metabolic body size reached an asymptote when DMI was 7.89% of BW0.75, and when DOMI was 0.070 kg/(d•BW0.75]. In contrast, hepatic plasma flow decreased quadratically (r2 = 0.39; P < 0.03) as DMI (% of BW0.75) increased in HG steers. The differential response in hepatic plasma flow between LG vs. HG steers most likely occurred because HG steers started the experiment with greater DM and DOMI intake compared with LG steers, which had a greater increase in DMI and DOMI during the first 28 d of the experiment. Across the feeding period, hepatic plasma flow was 6.3% (L/h) or 19.7% (L/[h•kg BW0.75]) greater in LG than in HG steers.



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Figure 1. The relationship of hepatic blood flow (L/[h•kg BW0.75]) to a) high-gain (HG) steers metabolic BW (BF = 0.08 BW0.75 + 1.02, r2 = 0.04, P < 0.45); b) low-gain (LG) steers metabolic BW (BF = 0.13 BW0.75 -0.51, r2 = 0.10, P < 0.15); c) HG steers DMI as a percentage of metabolic BW (BF = 0.88 [DMI, % BW0.75]2 x -15.4 DMI, % BW0.75 + 73.2; r2 = 0.39, P < 0.03); d) LG steers DMI as a percentage of metabolic BW (BF = 0.33 [DMI, % BW0.75]3 x -9.4 [DMI, % BW0.75]2 x 86.7 DMI, % BW0.75 - 253.7; r2 = 0.33, P < 0.06); e) HG steers digestible OM intake, kg/(d•BW0.75) (BF = 7,214 [DOMI, kg/(d•BW0.75)]2 x -1,058 DOMI, kg/(d•BW0.75) + 45.6, r2 = 0.14, P < 0.34); f) LG steers digestible OM intake, kg/(d•BW0.75) (BF = 205,674 [DOMI, kg/(d•BW0.75)]3 x -50,670 [DOMI, kg/(d•BW0.75)]2 x 4,071 DOMI, kg/(d•BW0.75) - 96.7; r2 = 0.32, P < 0.07).

 
Differences in energy intake have been shown to affect blood flow and O2 consumption by PDV, hepatic, and TST (Reynolds et al., 1991Go; Krehbiel et al., 1998Go). For example, Reynolds et al. (1992)Go reported that a 44% increase in DMI by growing steers resulted in 30, 39, and 34% increases in PDV, hepatic, and TST O2 consumption. In the present experiment, values for O2 consumption by the PDV were lower than those summarized by Huntington and Reynolds (1987)Go, Reynolds and Huntington (1988)Go, and Reynolds et al. (1992)Go for beef steers and were not different among treatments or across the feeding period. In contrast, Eisemann et al. (1996)Go demonstrated increased PDV O2 consumption as BW of steers increased and steers consumed more DM. In both HG and LG steers in the present experiment, PDV O2 consumption numerically increased during the first 28 d, and thereafter generally plateaued. Similar PDV O2 consumption from d 28 to 64 might be a reflection of the plateau or decrease in DOMI exhibited by steers on both treatments. Freetly et al. (1995)Go predicted that PDV O2 of lambs previously restricted for 80 d would be similar to high-gaining lambs by d 40 of realimentation. Several authors (Burrin et al., 1989Go; Reynolds et al., 1991Go) have suggested that changes in the relative contribution of splanchnic tissues to whole-body energy expenditure in response to level of nutrition reflect changes observed in visceral organ size. Consistent with the lack of response in PDV O2 consumption in the present experiment, gastrointestinal tract tissue mass was 20.4 and 18.9 kg (90.6 and 92.3 g/kg of EBW) in high-gain (1.10 kg/d) and low-gain (0.68 kg/d) wheat pasture steers in a companion experiment (Hersom et al., 2003b).

Hepatic O2 consumption increased linearly (r2 = 0.26, P < 0.001) with increasing hepatic plasma flow across all observations (Figure 2Go), but was not different between LG and HG steers across the feeding period. Similar to our results, Freetly et al. (1995)Go reported a positive linear relationship (r2 = 0.52) between liver blood flow and O2 consumption. Reynolds et al. (1991)Go reported a 64% increase in hepatic blood flow and a 92% increase in liver O2 consumption in heifers fed a 75% concentrate diet at 2 vs. 1 x ME intake, respectively. In addition, Freetly et al. (1995)Go reported decreased hepatic O2 consumption in lambs restricted to 70% of their ad libitum intake, and predicted that liver O2 consumption in restricted lambs would be similar to ad libitum-fed lambs by d 38 of realimentation. Freetly et al. (1995)Go suggested that the rate of decrease in hepatic O2 consumption in vivo was most likely similar to the rate of decrease in liver organ mass. In our companion experiment (Hersom et al., 2004bGo), steers that had grazed winter wheat for a low rate of gain had lower absolute liver mass (4.8 vs. 5.6 kg), similar relative liver mass (17.7 vs. 16.6 g/kg of EBW, respectively), and similar in vitro O2 consumption (7.0 vs. 6.2 µL•min-1•g-1) compared with steers that had grazed winter wheat for a high rate of live BW gain. Similar in vivo hepatic O2 consumption in the present experiment compares favorably with our other results.



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Figure 2. The relationship of hepatic oxygen consumption (mmol/[h•kg BW0.75]) to hepatic venous blood flow (L/[h•kg BW0.75]; hepatic O2 consumption = -0.724 L/[h•kg BW0.75] + 2.02; r2 = 0.26, P < 0.001).

 
Although hepatic O2 consumption by LG steers was not different from HG steers in the present experiment, mean hepatic O2 consumption per calculated megacalorie of DE intake was approximately 1.4-fold greater in LG steers, with this difference largely due to differences during the first 28 d. In addition, mean TST O2 consumption expressed on a BW0.75 basis was 37.8% greater (P < 0.12) in LG compared with HG steers. Total splanchnic tissue O2 consumption across days on feed for LG steers was described by a quadratic equation (O2 consumption = 0.253d2 x -21.4d - 470.9; r2 = 0.18, P < 0.15). Calculation of the first derivative estimated maximum TST O2 consumption on d 42 for LG steers. Freetly et al. (1995)Go found that during realimentation of previously restricted lambs, O2 consumption rate by splanchnic tissues increased linearly and therefore did not reach a new steady state. However, the time required for TST O2 consumption to become similar in re-fed and unrestricted lambs was within 1% of the new steady-state O2 consumption rate following feed restriction (25 to 42 d), which compares favorably with the present results. It is important to note that the tendency for increased O2 consumption by TST scaled to metabolic body size was primarily a function of increased blood flow, as venous-arterial concentration differences of O2 were not different between treatments in the present experiment.

Mean PDV CO2 flux of the growing steers in the present experiment was 920 mmol/h, which is lower than values reported by Benson et al. (2002)Go, Reynolds et al. (1988)Go, and Baird et al. (1975)Go for lactating dairy cows. The increase in PDV CO2 flux with increasing days on feed might indicate that increased metabolism occurred by the PDV. However, CO2 flux across the PDV can be influenced by several factors, including gut fermentation, respiratory metabolism in gut tissues, salivary bicarbonate, and VFA absorption (Benson et al., 2002Go). Respiratory quotient for the PDV (2.32) in the current experiment was greater than that observed for lactating dairy cows (Benson et al., 2002Go [0.39] and Reynolds et al., 1988Go [0.56]), but similar to the value of 2.37 calculated from Baird et al. (1975)Go. Liver and TST release of CO2 did not differ between treatments or with increasing days on feed. Hepatic and TST CO2 flux were lower and RQ greater for finishing steers in the present experiment compared with lactating dairy cows (Benson et al., 2002Go; Reynolds et al., 1988Go; Baird et al., 1975Go). Differences in CO2 flux and RQ between the present experiment and limited literature values may underscore the dynamics of different physiological states observed between dairy and feedlot cattle.

The TST are key for converting feed to substrates for animal growth; however, digestion, absorption, and metabolism of nutrients by the TST result in an energetic cost (Reynolds, 2002Go). Whereas one might hypothesize that previously restricted steers must have energy use (i.e., O2 consumption) that is less than unrestricted steers to exhibit compensatory growth, our results suggest that TST O2 consumption scaled to metabolic body size was similar or greater for compensating steers. A rapid increase in energy expenditure by TST early in the feeding period might support an increased rate of growth.


    Implications
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Implications
 Literature Cited
 
Steers restricted in live body weight gain before placement on a high-grain diet can compensate compared with unrestricted steers. Characteristics of compensating steers include greater daily gain and gain efficiency during the finishing period. In addition, when scaled to metabolic body weight, the present data suggest that compensating steers have greater liver blood flow and oxygen consumption by total splanchnic tissues compared with noncompensating steers. Greater energy expenditure by total splanchnic tissues in compensating steers may support an accelerated rate of growth. Under the conditions of the present experiment, compensating steers were not at any greater risk for metabolic acidosis than noncompensating steers; however, a more readily fermentable source of starch, greater intakes, or more aggressive adaptation to a high-grain diet might have altered our results.


    Footnotes
 
1 Approved for publication by the director of the Oklahoma Agric. Exp. Stn. This research was supported by the Oklahoma Agric. Exp. Stn. under project H-2438 and the Cooperative State Research, Education, and Extension Service, U.S. Department of Agriculture, under Agreement Nos. 99-34198-7481 and 2001-34198-10403. Back

2 The authors thank C. Lunsford, D. Perry, and J. Summers for their help with sample analyses; S. Welty and K. Poling for animal care and sample collection; and C. Gibson, C. James, A. Shannon, T. Smith, and J. Reeves for assistance with sample collection. Back

3 Correspondence: 208 Anim. Sci. Bldg. (phone: 405-744-8857; fax: 405-744-7390; E-mail: kclinto{at}okstate.edu).

Received for publication April 2, 2003. Accepted for publication August 26, 2003.


    Literature Cited
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Implications
 Literature Cited
 


AOAC. 1990. Official Methods of Analysis. 15th ed. Assoc. Offic. Anal. Chem., Arlington, VA.

Baird, G. D., H. W. Symonds, and R. Ash. 1975. Some observations on metabolite production and utilization in vivo by the gut and liver of adult dairy cows. J. Agric Sci. 85:281–296.

Benson, J. A., C. K. Reynolds, P. C. Aikman, B. Lupoli, and D. E. Beever. 2002. Effects of abomasal vegetable oil infusion on splanchnic nutrient metabolism in lactating dairy cows. J. Dairy. Sci. 85:1804–1814.[Abstract/Free Full Text]

Bonhert, D. W., G. T. Larson, S. J. Lewis, C. J. Richards, K. C. Swanson, D. L. Harmon, and G. E. Mitchell, Jr. 1999. Net nutrient flux in visceral tissues of lambs fed diets differing in supplemental nitrogen source. J. Anim. Sci. 77:2545–2553.[Abstract/Free Full Text]

Brown, M. S., C. R. Krehbiel, M. L. Galyean, M. D. Remmenga, J. P. Peters, B. Hibbard, J. Robinson, and W. M. Mosely. 2000. Evaluation of models of acute and subacute acidosis on dry matter intake, ruminal fermentation, blood chemistry, and endocrine profiles of beef steers. J. Anim. Sci. 78:3155–3168.[Abstract/Free Full Text]

Burrin, D. G., C. L. Ferrell, J. H. Eisemann, R. A. Britton, and J. A. Neinaber. 1989. Effect of level of nutrition on splanchnic blood flow and oxygen consumption in sheep. Br. J. Nutr. 62:23–34.[Medline]

Carstens, G. E., D. E. Johnson, M. A. Ellenburger, and J. D. Tatum. 1991. Physical and chemical components of the empty body during compensatory growth in beef steers. J. Anim. Sci. 69:3251–3264.[Abstract]

Drouillard, J. S., T. J. Klopfenstein, R. A. Britton, M. L. Bauer, S. M. Gramlich, T. J. Wester, and C. L. Ferrell. 1991. Growth, body composition, and visceral organ mass and metabolism in lambs during and after metabolizable protein or net energy restrictions. J. Anim. Sci. 69:3357–3375.[Abstract]

Eisemann, J. H., G. B. Huntington, and D. R. Catherman. 1996. Patterns of nutrient interchange and oxygen use among portal-drained viscera, liver, and hindquaters of beef steers from 235 to 525 kg body weight. J. Anim. Sci. 74:1812–1831.[Abstract]

Elam, C. J. 1976. Acidosis in feedlot cattle: Practical observations. J. Anim. Sci. 43:898–901.

Ferrell, C. L., R. A. Britton, and H. C. Freetly. 1991. Chronic catheterization of hepatic and portal veins in sheep. P. J. Dziuk and M. Wheeler, ed. Handbook of Methods of Reproductive Physiology in Domestic Animals VIII A&F. University of Illinois Press, Champaign.

Fox, D. G., R. R. Johnson, R. L. Preston, T. R. Dockerty, and E. W. Klosterman. 1972. Protein and energy utilization during compensatory growth in beef cattle. J. Anim. Sci. 34:310–318.[Abstract/Free Full Text]

Freetly, H. C., C. L. Ferrell, T. G. Jenkins, and A. L. Goetsch. 1995. Visceral oxygen consumption during chronic feed restriction and realimentation in sheep. J. Anim. Sci. 73:843–852.[Abstract]

Harvey, R. B., and A. J. Brothers. 1962. Renal extraction of para-aminohippurate and creatinine measured by continuous in vivo sampling of arterial and renal vein blood. Ann. NY Acad. Sci. 102:46–54.

Hayden, J. M., J. E. Williams, and J. J. Collier. 1993. Plasma growth hormone, insulin-like growth factor, insulin, and thyroid hormone association with body protein and fat accretion in steers undergoing compensatory gain after dietary energy restriction. J. Anim. Sci. 71:3327–3338.[Abstract]

Hersom, M. J., G. W. Horn, C. R. Krehbiel, and W. A. Phillips. 2004a. Effect of live weight gain of steers during winter grazing: I. Feedlot performance, carcass characteristics, and body composition of beef steers. J. Anim. Sci. (In press).

Hersom, M. J., C. R. Krehbiel, and G. W. Horn. 2004b. Effect of live weight gain of steers during winter grazing: II. Visceral organ mass, cellularity, and oxygen consumption. J. Anim. Sci. (In press).

Huntington, G. B. 1999. Sources of variation in splanchnic blood flow in steers. J. Anim. Sci. 77:3031–3036.[Abstract/Free Full Text]

Huntington, G. B., and R. A. Britton. 1979. Effect of dietary lactic acid on rumen lactate metabolism and blood acid-base status of lambs switched from low to high concentrate diets. J. Anim. Sci. 49:1569–1576.

Huntington, G. B., and C. K. Reynolds. 1987. Oxygen consumption and metabolite flux of bovine portal-drained viscera and liver. J. Nutr. 117:1167–1173.

Huntington, G. B., and H. F. Tyrrell. 1985. Oxygen consumption by portal-drained viscera of cattle: Comparison of analytical methods and relationship to whole body oxygen consumption. J. Dairy Sci. 68:2727–2731.

Huntington, G. B., E. J. Zetina, J. M. Whitt, and W. Potts. 1996. Effects of dietary concentrate level on nutrient absorption, liver metabolism, and urea kinetics of beef steers fed isonitrogenous and isoenergetic diets. J. Anim. Sci. 74:908–916.[Abstract]

Katz, M. L., and E. N. Bergman. 1969. Simultaneous measurements of hepatic and portal venous blood flow in the sheep and dog. Am. J. Physiol. 216:946–952.[Free Full Text]

Klopfenstein, T., R. Cooper, D. J. Jordon, D. Shain, T. Milton, C. Calkins, and C. Rossi. 1999. Effects of backgrounding and growing programs on beef carcass quality and yield. Available: http://www.asas.org/jas/symposia/proceedings/0942.pdf. Accessed February 27, 2003.

Krehbiel, C. R., C. L. Ferrell, and H. C. Freetly. 1998. Effects of frequency of supplementation on dry matter intake and net portal and hepatic flux of nutrients in mature ewes that consume low-quality forage. J. Anim. Sci. 76:2464–2473.[Abstract/Free Full Text]

Krehbiel, C. R., D. L. Harmon, and J. E. Schnieder. 1992. Effect of increasing ruminal butyrate on portal and hepatic nutrient flux in steers. J. Anim. Sci. 70:904–914.[Abstract]

Lapierre, H., J. F. Bernier, P. Dubreuil, C. K. Reynolds, C. Farmer, D. R. Ouellet, and G. E. Lobley. 2000. The effect of feed intake level on splanchnic metabolism in growing beef steers. J. Anim. Sci. 78:1084–1099.[Abstract/Free Full Text]

Leedle, J. A. Z., M. L. Coe, and R. A. Frey. 1995. Evaluation of health and ruminal variables during adaptation to grain-based diets in beef cattle. Am. J. Vet. Res. 56:885–892.[Medline]

Littell, R. C., G. A. Milliken, W. W. Stomp, and R. D. Wolfinger. 1996. SAS system for mixed models. SAS Institute Inc., Cary, NC.

Moore, S. J., M. J. VandeHaar, B. K. Sharma, T. E. Pilbeam, D. K. Beede, H. F. Bucholtz, J. S. Liesman, R. L. Horst, and J. P. Goff. 2000. Effects of altering dietary cation-anion difference on calcium and energy metabolism in peripartum cows. J. Dairy Sci. 83:2095–2104.[Abstract]

NRC. 1996. Page 11 in Nutrient Requirements of Beef Cattle. 7th rev. ed. Natl. Acad. Press, Washington, DC.

NRC. 2001. Page 192 in Nutrient Requirements of Dairy Cattle. 7th rev. ed. Natl. Acad. Press, Washington, DC.

Oddy, V. H., D. B. Lindsay, and I. R. Fleet. 1988. Protein synthesis and degradation in the mammary gland of lactating goats. J. Dairy Res. 55:143–154.[Medline]

Owens, F. N., D. S. Secrist, W. J. Hill, and D. R. Gill. 1998. Acidosis in cattle: A review. J. Anim. Sci. 76:276–286.

Reynolds, C. K., and G. B. Huntington. 1988. Partition of portal-drained visceral net flux in beef steers 1. Blood flow and net flux of oxygen, glucose and nitrogenous compounds across stomach and post-stomach tissues. Br. J. Nutr. 60:539–551.[Medline]

Reynolds, C. K. 2002. Economics of visceral energy metabolism in ruminants: Toll keeping or internal revenue service? J. Anim. Sci. 80(E. Suppl. 2):E74–E84. Online. Available: http://www.asas.org/symposia/esupp2/default.asp. Accessed Sept. 15, 2003.[Abstract/Free Full Text]

Reynolds, C. K., G. B. Huntington, H. F. Tyrrell, and P. J. Reynolds. 1988. Net metabolism of volatile fatty acids, D-ß-hydroxybutyrate, nonesterified fatty acids, and blood gasses by portal-drained viscera and liver of lactating Holstein cows. J. Dairy Sci. 71:2395–2405.

Reynolds, C. K., H. Lapierre, H. F. Tyrrell, T. H. Elsasser, R. C. Staples, P. Gaudreau, and P. Brazeau. 1992. Effects of growth hormone-releasing factor and feed intake on energy metabolism in growing beef steers: Net nutrient metabolism by portal-drained viscera and liver. J. Anim. Sci. 70:752–763.[Abstract]

Reynolds, C. K., H. F. Tyrrell, and P. J. Reynolds. 1991. Effects of diet forage-to-concentrate ratio and intake on energy metabolism in growing beef heifers: Whole body energy and nitrogen balance and visceral heat production. J. Nutr. 121:994–1003.

Sainz, R. D., F. Del Torra, and J. W. Oltjen. 1995. Compensatory growth and carcass quality in growth-restricted and refed beef steers. J. Anim. Sci. 73:2971–2979.[Abstract]

Slyter, L. L. 1976. Influence of acidosis on rumen function. J. Anim. Sci. 43:910–929.

Thomson, E. F., H. Bickel, and A. Schürch. 1982. Growth performance and metabolic changes in lambs and steers after mild nutritional restriction. J. Agric Sci. 98:183–194.

Vagnoni, D. B., and G. R. Oetzel. 1998. Effects of dietary cation-anion difference on the acid-base status of dry cows. J. Dairy Sci. 81:1643–1652.[Abstract]

Whitt, J. G. Huntington, E. Zetina, E. Casse, K. Taniguchi, and W. Potts. 1996. Plasma flow and net nutrient flux across gut and liver of cattle fed twice daily. J. Anim. Sci. 74:2450–2461.[Abstract]


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