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Research| Volume 100, ISSUE 8, P6164-6176, August 2017

Use of milk fatty acids to estimate plasma nonesterified fatty acid concentrations as an indicator of animal energy balance

Open ArchivePublished:May 24, 2017DOI:https://doi.org/10.3168/jds.2016-12466

      ABSTRACT

      Negative energy balance is an important part of the lactation cycle, and measuring the current energy balance of a cow is useful in both applied and research settings. The objectives of this study were (1) to determine if milk fatty acid (FA) proportions were consistently related to plasma nonesterified fatty acids (NEFA); (2) to determine if an individual cow with a measured milk FA profile is above or below a NEFA concentration, (3) to test the universality of the models developed within the University of Wisconsin and US Dairy Forage Research Center cows. Blood samples were collected on the same day as milk sampling from 105 Holstein cows from 3 studies. Plasma NEFA was quantified and a threshold of 600 µEq/L was applied to classify animals above this concentration as having high NEFA (NEFAhigh). Thirty milk FA proportions and 4 milk FA ratios were screened to evaluate their capacity to classify cows with NEFAhigh according to determined milk FA threshold. In addition, 6 linear regression models were created using individual milk FA proportions and ratios. To evaluate the universality of the linear relationship between milk FA and plasma NEFA found in the internal data set, 90 treatment means from 21 papers published in the literature were compiled to test the model predictions. From the 30 screened milk FA, the odd short-chain fatty acids (C7:0, C9:0, C11:0, and C13:0) had sensitivity slightly greater than the other short-chain fatty acids (83.3, 94.8, 80.0, and 85.9%, respectively). The sensitivities for milk FA C6:0, C8:0, C10:0, and C12:0 were 78.8, 85.3, 80.1, and 83.9%, respectively. The threshold values to detect NEFAhigh cows for the last group of milk FA were ≤2.0, ≤0.94, ≤1.4, and ≤1.8 g/100 g of FA, respectively. The milk FA C14:0 and C15:0 had sensitivities of 88.7 and 85.0% and a threshold of ≤6.8 and ≤0.53 g/100 g of FA, respectively. The linear regressions using the milk FA ratios C18:1 to C15:0 and C17:0 to C15:0 presented lower root mean square error (RMSE = 191 and 179 µEq/L, respectively) in comparison with individual milk FA proportions (RMSE = 194 µEq/L), C18:1 to even short-medium-chain fatty acid (C4:0–C12:0) ratio (RMSE = 220 µEq/L), and C18:1 to C14:0 (RMSE = 199 µEq/L). Models using milk FA ratios C18:1 to C15:0 and C17:0 to C15:0 had a better fit with the external data set in comparison with the other models. Plasma NEFA can be predicted by linear regression models using milk FA ratios.

      Key words

      INTRODUCTION

      Negative energy balance (NEB) can lead to a variety of early lactation metabolic disorders, reduced fertility, and ultimately decreased milk production (
      • Collard B.L.
      • Dekkers J.C.M.
      • Petitclerc D.
      • Schaeffer L.R.
      Relationships between energy balance and health traits of dairy cattle in early lactation.
      ). One indicator of NEB related to adipose mobilization is elevated plasma nonesterified fatty acid (NEFA) concentrations (
      • Grummer R.R.
      Etiology of lipid-related metabolic disorders in periparturient dairy cows.
      ). Increased plasma NEFA concentration is correlated with greater prevalence of fatty liver, mastitis, dystocia, retained placenta, and displaced abomasum (
      • van Knegsel A.T.M.
      • van den Brand H.
      • Dijkstra J.
      • Tamminga S.
      • Kemp B.
      Effect of dietary energy source on energy balance, production, metabolic disorders and reproduction in lactating dairy cattle.
      ). In addition to use for monitoring successful adaptation during early lactation, a sudden elevation in plasma NEFA could be an early indicator of reduced feed intake, which may be otherwise unnoticed for individual cows in a group management setting.
      Milk fatty acids (FA) are related to stage of lactation in a manner suggesting they relate to the energy balance of dairy cows.
      • Craninx M.
      • Steen A.
      • Van Laar H.
      • Van Nespen T.
      • Martin-Tereso J.
      • De Baets B.
      • Fievez V.
      Effect of lactation stage on the odd- and branched-chain milk fatty acids of dairy cattle under grazing and indoor conditions.
      reported that as animals increased in DIM, the ratio of milk cis-9 C18:1 to C14:0 and C17:0 to C15:0 decreased. This relationship suggests a negative correlation between these milk FA ratios and improved energy balance that occurs as lactation proceeds. However, neither plasma NEFA concentrations nor actual energy balance were reported.
      Recent studies have proposed the use of milk cis-9 C18:1 proportion of total milk FA as a biomarker to diagnose plasma NEFA above a specific threshold (
      • Jorjong S.
      • van Knegsel A.T.M.
      • Verwaeren J.
      • Lahoz M.V.
      • Bruckmaier R.M.
      • De Baets B.
      • Kemp B.
      • Fievez V.
      Milk fatty acids as possible biomarkers to early diagnose elevated concentrations of blood plasma non-esterified fatty acids in dairy cows.
      ,
      • Jorjong S.
      • van Knegsel A.T.M.
      • Verwaeren J.
      • Bruckmaier R.M.
      • De Baets B.
      • Kemp B.
      • Fievez V.
      Milk fatty acids as possible biomarkers to diagnose hyperketonemia in early lactation.
      ;
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      ) and the use of C18:1 to C15:0 ratio as a potential tool to diagnose hyperketonemia incidence. However, in those studies the thresholds and the relationship between plasma NEFA and milk FA were defined based on single studies. The milk FA were analyzed in samples collected from a single time point: 10 DIM (
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      ), or after the second week postpartum (
      • Jorjong S.
      • van Knegsel A.T.M.
      • Verwaeren J.
      • Lahoz M.V.
      • Bruckmaier R.M.
      • De Baets B.
      • Kemp B.
      • Fievez V.
      Milk fatty acids as possible biomarkers to early diagnose elevated concentrations of blood plasma non-esterified fatty acids in dairy cows.
      ). The use of single studies with the cohorts on the same diet and management practices likely limits the variability of milk fat composition (
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      ) as well as the capacity to generalize the information across herds. Thus, our objectives were (1) to determine if milk FA proportions were consistently related to plasma NEFA across multiple studies and milk sample time points, (2) to determine a milk FA threshold to identify cows with elevated plasma NEFA, and (3) to test the universality of linear models developed within the University of Wisconsin and US Dairy Forage Research Center (USDFRC) in an external data set from other published experiments.

      MATERIALS AND METHODS

      This study was divided into 3 parts. First, we screened 30 milk FA (% total milk FA; C4:0, C5:0, C6:0, C7:0, C8:0, C9:0, C10:0, C11:0, C12:0, C13:0, C14:0, iso-C14:0, cis-9 C14:1, C15:0, iso-C15:0, anteiso-C15:0, C16:0, iso-C16:0, cis-9 C16:1, C17:0, iso-C17:0, anteiso-C17:0, cis-9 C17:1, C18:0, total C18:1, cis-9 cis-12 C18:2, cis-9 trans-11 C18:2, trans-10 cis-12 C18:2, cis-9 cis-12 cis-15 C18:3, and cis-6 cis-9 cis-12 C18:3) and 4 milk FA ratios [C17:0 to C15:0, C18:1 to C15:0, C18:1 to C14:0, and C18:1 to even short-medium-chain fatty acids (eSMCFA)] from 3 short-term experiments (
      • French E.A.
      • Bertics S.J.
      • Armentano L.E.
      Rumen and milk odd and branched-chain fatty acid proportions were minimally influenced by ruminal volatile fatty acid infusions.
      ;
      • Lobos Sandoval N.E.
      ; R. Grummer, emeritus professor, University of Wisconsin, Madison, unpublished data) to evaluate the capacity of those FA proportions to classify cows with elevated plasma NEFA concentration (NEFA ≥600 µEq/L) according to a determined milk FA threshold. The eSMCFA were considered as the sum of milk C4:0, C6:0, C8:0, C10:0, and C12:0. The milk FA thresholds were identified through receiver operating characteristic (ROC) curves when ROC area under the curve (AUC) was ≥0.80. Second, we developed 6 linear regression models using the milk FA selected based on AUC ≥ 0.80. Two models were developed based on individual milk FA proportions, and 4 models were developed using the milk FA ratios. Finally, we assessed if the linear models developed using individual animals from the University of Wisconsin and USDRFC studies fit an external data set from a wider population using treatment means from the literature.

      Experiment Descriptions

      The first of the 3 Wisconsin studies study was a 4 × 4 Latin square experiment (4 cows, n = 16 observations,
      • French E.A.
      • Bertics S.J.
      • Armentano L.E.
      Rumen and milk odd and branched-chain fatty acid proportions were minimally influenced by ruminal volatile fatty acid infusions.
      ). Four mid-lactation cows averaging 119 DIM were ruminally infused with acetate, propionate, isovalerate, or anteisovalerate while being fed the same TMR. Measurements were taken over 8 d total (four 2-d periods). The infusion of both 3-methylbuyrate (isovalerate) and 2-methylbutyrate (anteisovalerate) markedly decreased DMI in comparison with acetate and propionate, but only 3-methylbuyrate increased plasma NEFA and BHB. In this study (
      • French E.A.
      • Bertics S.J.
      • Armentano L.E.
      Rumen and milk odd and branched-chain fatty acid proportions were minimally influenced by ruminal volatile fatty acid infusions.
      ), some treatments induced high plasma NEFA concentration because the cows used in that trial were mid-lactation animals, and normally those animals would not have high NEFA.
      The second study (60 cows, n = 173 observations used,
      • Lobos Sandoval N.E.
      ) was a transition cow study in completely randomized block design, where cows were fed the same basal ration until 3 wk postpartum. The diet contained (g/kg of DM): 300 corn silage, 200 alfalfa silage, 218 rolled high-moisture shelled corn, 25 alfalfa hay, and 235 concentrate mixture, with supplemental vitamins and minerals. Milk and blood samples were collected weekly over the first 3 wk of lactation for milk FA and plasma NEFA analysis (7, 14, and 21 d postpartum).
      The third study used in the data set was another transition cow study where animals were used in a completely randomized block design (45 cows, n = 15 sampled observations; R. Grummer, emeritus professor, University of Wisconsin, Madison, unpublished data). The 2 different experimental diets fed were (g/kg of DM): 240 corn silage, 240 alfalfa silage, and 520 of a concentrate mixture containing supplemental vitamins and minerals. The difference between the 2 diets was the addition of 20 g/kg of DM calcium salts with different FA profiles. Diet A contained the majority of total diet FA as C16:0 (45.6%) and cis-C18:1 (36.5%). Diet B contained the majority of total diet FA as cis-C18:1 (18.8%) and trans-C18:1 (35.7%). Milk FA and plasma NEFA concentrations were determined over the first 2 wk of lactation (2, 6, and 12 d postpartum).
      In all 3 studies, milk was composited by cow by day based on milk volume produced at each milking. The composited milk samples were centrifuged for collection of fat cake for FA isolation by hexane-isopropanol extraction according to
      • Hara A.
      • Radin N.S.
      Lipid extraction of tissues with a low-toxicity solvent.
      . Isolated milk fat was methylated and prepared for GLC analysis of individual known and unknown milk FA from C4:0 to C24:1 (
      • Chouinard P.Y.
      • Corneau L.
      • Sæbø A.
      • Bauman D.E.
      Milk yield and composition during abomasal infusion of conjugated linoleic acids in dairy cows.
      ). Milk fat samples were analyzed on a PerkinElmer Clarus 500 (Norwalk, CT) using the column and temperature program described in
      • French E.A.
      • Bertics S.J.
      • Armentano L.E.
      Rumen and milk odd and branched-chain fatty acid proportions were minimally influenced by ruminal volatile fatty acid infusions.
      . Plasma NEFA was determined using an HR Series NEFA Number 2 kit (Wako Pure Chemical Industries Ltd., Richmond, VA;
      • Novak M.
      Colorimetric ultramicro method for the determination of free fatty acids.
      ).
      Descriptive statistics for variables included in the analysis from the 3 studies are presented in Table 1.
      Table 1Descriptive statistics for variables used in equation development (n = 204)
      Item
      NEFA = nonesterified fatty acids; eSMCFA = even short-medium-chain fatty acids (sum of C4:0, C6:0, C8:0, C10:0, and C12:0).
      Study 1,
      Study 1 = French et al. (2012), milk and blood samples from cows averaging 119 DIM.
      n = 16
      Study 2,
      Study 2 = Lobos Sandoval (2009), milk and blood samples from cows at 7, 14, and 21 DIM.
      n = 173
      Study 3,
      Study 3 = R. Grummer (emeritus professor, University of Wisconsin, Madison, personal communication), milk and blood samples from cows at 2, 6, and 12 DIM.
      n = 15
      AverageSDAverageSDAverageSD
      NEFA (μEq/L)118.362.5454.1231.0674.7310.2
      Milk fatty acid (g/100 g of FA)
       C4:05.252.275.481.704.720.89
       C6:01.780.452.270.632.310.48
       C7:00.0140.0040.0160.0110.0560.029
       C8:00.750.301.090.411.80.35
       C9:00.0130.0050.0150.0120.0390.019
       C10:01.370.511.850.852.800.51
       C11:00.0140.0060.0230.0190.0620.029
       C12:01.540.572.201.003.000.51
       C13:00.0280.0110.0510.0240.0990.027
       C14:09.620.577.071.896.371.73
       C15:01.210.280.570.140.560.08
       C17:00.470.060.420.100.600.14
       C18:011.461.2614.802.1515.322.27
       C18:123.032.3330.424.9034.463.35
      Milk fatty acid ratio (g/g)
       C18:1 to eSMCFA1.630.562.731.423.261.30
       C18:1 to C14:02.410.364.622.095.312.71
       C18:1 to C15:019.874.2057.4519.0956.0212.65
       C17:0 to C15:00.400.060.780.271.110.35
      1 NEFA = nonesterified fatty acids; eSMCFA = even short-medium-chain fatty acids (sum of C4:0, C6:0, C8:0, C10:0, and C12:0).
      2 Study 1 =
      • French E.A.
      • Bertics S.J.
      • Armentano L.E.
      Rumen and milk odd and branched-chain fatty acid proportions were minimally influenced by ruminal volatile fatty acid infusions.
      , milk and blood samples from cows averaging 119 DIM.
      3 Study 2 =
      • Lobos Sandoval N.E.
      , milk and blood samples from cows at 7, 14, and 21 DIM.
      4 Study 3 = R. Grummer (emeritus professor, University of Wisconsin, Madison, personal communication), milk and blood samples from cows at 2, 6, and 12 DIM.

      Milk Fatty Acid Thresholds

      To determine the milk FA threshold values that would be used to identify individual cows with elevated plasma NEFA concentration (≥600 µEq/L), a univariate logistic regression was performed with binary dependent variables NEFAhigh (≥600 µEq/L) and NEFAlow (≤600 µEq/L), where NEFAhigh was considered as test positive. All individual milk FA proportions and ratios were screened using the statistical software package JMP (v. 12.0, SAS Institute Inc., Cary, NC) for AUC of the ROC curve ≥0.80. An AUC of 0.70 to 0.80 would be considered reasonable, whereas 0.80 to 0.90 AUC is considered good, and an AUC greater than 0.90 is excellent (
      • Dohoo I.
      • Martin W.
      • Stryhn H.
      Screening and diagnostic tests.
      ). The optimal milk FA thresholds were determined based on concentrations that maximized sensitivity and specificity as previously described by
      • Ospina P.A.
      • Nydam D.V.
      • Stokol T.
      • Overton T.R.
      Associations of elevated nonesterified fatty acids and β-hydroxybutyrate concentrations with early lactation reproductive performance and milk production in transition dairy cattle in the northeastern United States.
      . Accuracy, sensitivity, specificity, and 95% confidence intervals were calculated for classification of animals as NEFAhigh/NEFAlow according to the respective threshold values using the IVD Performance Add-In package of JMP. Only milk FA that presented AUC ≥0.80 had those parameters calculated. The plasma NEFA concentration of 600 µEq/L was chosen as the cut point based on the
      • Ospina P.A.
      • Nydam D.V.
      • Stokol T.
      • Overton T.R.
      Associations of elevated nonesterified fatty acids and β-hydroxybutyrate concentrations with early lactation reproductive performance and milk production in transition dairy cattle in the northeastern United States.
      study. Those authors reported that animals with plasma NEFA above 600 µEq/L would have a greater risk of developing metabolic disorders.

      Linear Regression Models

      Two of the 6 developed models were a multiple linear regression built from individual milk FA proportions, and 4 were simple linear regressions built from milk FA ratios. As criteria to include the milk FA proportion in the multiple linear regressions (models 1 and 2), the potentially predictive milk FA were first screened by univariate logistic regression analysis to calculate a respective P-value (chi-squared test of P ≤ 0.15) and an AUC (≥0.80) of the ROC curve. Subsequently, these milk FA were submitted to a forward stepwise selection (P-value ≤0.15 as selection criterion), and finally evaluated for multicollinearity by calculating the variance inflation factor (VIF) for each predictive milk FA in PROC REG of SAS (version 8, SAS Institute Inc.). When VIF was ≥10, multicollinearity was suspected the milk FA was removed and model was rebuilt until the VIF for all variables was <10.
      For the second model (model 2), the milk FA of smaller proportions (C9:0 and C13:0) were excluded due to few reports of these milk FA in the external data set (published papers in the literature). This fact eliminated the possibility of testing model 1 in the external data set, and model 2 became the model with individual milk FA proportions to be tested. The last 4 models consisted of the following milk FA ratios: model 3: C18:1 to eSMCFA, model 4: C18:1 to C14:0, model 5: C18:1 to C15:0, and model 6: C17:0 to C15:0.
      The PROC MIXED procedure of SAS was used to evaluate plasma NEFA and milk FA data combined from all 3 studies (n = 204 observations from 105 cows). The concentration of plasma NEFA was regressed onto individual milk FA proportions and ratios. The models used to develop the equations included the fixed effect of milk FA (ratios or proportions of individual milk FA) and the random effect of diet within study. The covariance structure used for each model was chosen based on the lowest Akaike information criterion (AIC).

      External Data Set

      For model assessment, an external data set was compiled consisting of published papers from the literature. This data set was composed of treatment means for milk FA proportions and plasma NEFA concentration.
      One review across 3 databases [Scielo (http://scielo.org/php/index.php), Web of Science (https://webofknowledge.com/), and Google Scholar (scholar.google.com)] and references in papers, was done to identify studies measuring milk FA and plasma NEFA concentrations. Combinations of the following search terms were used: NEFA, nonesterified fatty acids, milk fatty acids, NEB, transition period, dairy, and reproduction.
      A data set consisting of 90 treatment means from 21 trials reported in 21 papers published between 1997 and 2015 (
      • Griinari J.M.
      • Mc. Guire M.A.
      • Dwyer D.A.
      • Bauman D.E.
      • Palmquist D.L.
      Role of insulin in the regulation of milk fat synthesis in dairy cows.
      ;
      • Baumgard L.H.
      • Corl B.A.
      • Dwyer D.A.
      • Saebo A.
      • Bauman D.E.
      Identification of the conjugated linoleic acid isomer that inhibits milk fat synthesis.
      ;
      • Bernal-Santos G.
      • Perfield II, J.W.
      • Barbano D.M.
      • Bauman D.E.
      • Overton T.R.
      Production responses of dairy cows to dietary supplementation with conjugated linoleic acid (CLA) during the transition period and early lactation.
      ;
      • Mandebvu P.
      • Ballard C.S.
      • Sniffen C.J.
      • Carter M.P.
      • Wolford H.M.
      • Sato T.
      • Yabuuchi Y.
      • Block E.B.
      • Palmquist D.L.
      Effect of feeding calcium salts of long-chain fatty acids, from palm fatty acid distillate or soybean oil, to high producing dairy cows on milk yield and composition, and on selected blood and reproductive parameters.
      ;
      • Moore C.E.
      • Hafliger III, H.C.
      • Mendivil O.B.
      • Sanders S.R.
      • Bauman D.E.
      • Baumgard L.H.
      Increasing amounts of conjugated linoleic acid (CLA) progressively reduces milk fat synthesis immediately postpartum.
      ;
      • Castañeda-Gutiérrez E.
      • Overton T.R.
      • Butler W.R.
      • Bauman D.E.
      Dietary supplements of two doses of calcium salts of conjugated linoleic acid during the transition period and early lactation.
      ;
      • Dann H.M.
      • Morin D.E.
      • Murphy M.R.
      • Bollero G.A.
      • Drackley J.K.
      Prepartum intake, postpartum induction of ketosis, and periparturient disorders affect the metabolic status of dairy cows.
      ;
      • Gonthier C.
      • Mustafa A.F.
      • Ouellet D.R.
      • Chouinard P.Y.
      • Berthiaume R.
      • Petit H.V.
      Feeding micronized and extruded flaxseed to dairy cows: Effects on blood parameters and milk fatty acid composition.
      ;
      • Loor J.J.
      • Ferlay A.
      • Ollier A.
      • Doreau M.
      • Chilliard Y.
      Relationship among trans and conjugated fatty acids and bovine milk fat yield due to dietary concentrate and linseed oil.
      ,
      • Loor J.J.
      • Ferlay A.
      • Ollier A.
      • Ueda K.
      • Doreou M.
      • Chilliard Y.
      High concentrate diet and polyunsaturated oils alter trans and conjugated isomer in bovine rumen, blood and milk.
      ;
      • Kay J.K.
      • Mackle T.R.
      • Bauman D.E.
      • Thomson N.A.
      • Baumgard L.H.
      Effects of a supplement containing trans-10, cis- 12 conjugated linoleic acid on bioenergetic and milk production parameters in grazing dairy cows offered ad libitum or restricted pasture.
      ;
      • Odens L.J.
      • Burgos R.
      • Innocenti M.
      • VanBaale M.J.
      • Baumgard L.H.
      Effects of varying doses of supplemental conjugated linoleic acid on production and energetic variables during the transition period.
      ;
      • Penner G.B.
      • Oba M.
      Increasing dietary sugar concentration may improve dry matter intake, ruminal fermentation, and productivity of dairy cows in the postpartum phase of the transition period.
      ;
      • Petit H.V.
      • Côrtes C.
      Milk production and composition, milk fatty acid profile, and blood composition of dairy cows fed whole or ground flaxseed in the first half of lactation.
      ;
      • Zachut M.
      • Arieli A.
      • Lehrer H.
      • Livshitz L.
      • Yakoby S.
      • Moallem U.
      Effects of increased supplementation of n-3 fatty acids to transition dairy cows on performance and fatty acid profile in plasma, adipose tissue, and milk fat.
      ;
      • Halmemies-Beauchet-Filleau A.
      • Kokkonen T.
      • Lampi A.-M.
      • Toivonen V.
      • Shingfield K.J.
      • Vanhatalo A.
      Effect of plant oils and camelina expeller on milk fatty acid composition in lactating cows fed diets based on red clover silage.
      ;
      • Benchaar C.
      • McAllister T.A.
      • Petit H.
      • Chouinard P.Y.
      Whole flax seed and flax oil supplementation of dairy cows fed high-forage or high-concentrate diets: Effects on digestion, ruminal fermentation characteristics, protozoal populations and milk fatty acid profile.
      ;
      • Lerch S.
      • Pires J.A.A.
      • Delavaud C.
      • Shingfield K.J.
      • Pomiès D.
      • Martin B.
      • Chilliard P.Y.
      • Ferlay A.
      Rapeseed or linseed in dairy cow diets over 2 consecutive lactations: Effects on adipose fatty acid profile and carry-over effects on milk fat composition in subsequent early lactation.
      ;
      • Petit H.V.
      Milk production and composition, milk fatty acid profile, and blood composition of dairy cows fed different proportions of whole flaxseed in the first half of lactation.
      ;
      • Pineda A.
      • Cardoso F.C.
      Effects of rumen-protected choline with calcium salts of long chain fatty acids on milk yield and milk composition of middle and late lactation Holstein cows.
      ;
      • Resende T.L.
      • Kraft J.
      • Soder K.J.
      • Pereira A.B.D.
      • Woitschach D.E.
      • Reis R.B.
      • Brito A.F.
      Incremental amounts of ground flaxseed decrease milk yield but increase n-3 fatty acids and conjugated linoleic acids in dairy cows fed high-forage diets.
      ) was compiled for all milk FA proportions (g/100 g of FA) and plasma NEFA (µEq/L).
      The data set was analyzed using PROC MIXED of SAS. For the continuous independent variable (NEFA), the model included the fixed effects of milk FA (individual proportions or ratios) and the random effect of study. Prior to analysis in the external data set, the observed NEFA values were adjusted for a study as random effect, because the observations come from a multidimensional space (study effects), and they need to be collapsed from the multi-dimensional space into a 2-dimensional space (
      • St-Pierre N.R.
      Integrating quantitative findings from multiple studies using mixed model methodology.
      ). It is important to adjust the observations for the lost dimensions or else the regression may be biased (
      • St-Pierre N.R.
      Integrating quantitative findings from multiple studies using mixed model methodology.
      ). The data were not weighted by standard error of the mean because the high standard error of the mean for plasma NEFA concentration found in studies with transition cows are more related to physiological variation than experimental error. Thus, the data were weighted by the number of observation (n) used.
      Adjusted plasma NEFA concentration (n = 90 treatment means, from 21 studies) was used as the observed mean. Milk FA ratios and the individual milk FA proportions, from the literature, were used to predict plasma NEFA concentration. The plasma NEFA concentration predicted by the developed linear models (University of Wisconsin and USDFRC, internal data set) were compared with the observed plasma NEFA (adjusted treatment means from the literature, external data set). Descriptive statistics for variables compiled from the published papers included in the analysis are presented in Table 2.
      Table 2Descriptive statistics variables compiled from treatment means from studies published in the literature (n = 90 treatment means)
      Item
      NEFA = nonesterified fatty acids; eSMCFA = even short-medium-chain fatty acids (sum of C4:0, C6:0, C8:0, C10:0, C12:0).
      AverageSDMinimumMaximum
      NEFA (μEq/L)330.6258.374.01,569.0
      Fatty acid (g/100 g of FA)
       C4:03.821.481.5110.2
       C6:01.920.470.883.14
       C8:01.010.300.431.72
       C10:02.200.770.734.67
       C12:02.540.930.935.95
       C14:09.012.264.2813.57
       C15:00.910.330.431.83
       C17:00.610.140.321.15
       C18:012.723.143.4919.90
       C18:128.075.3115.2637.73
      Ratio (g/g)
       C18:1 to eSMCFA1.510.520.502.75
       C18:1 to C14:03.451.411.167.69
       C18:1 to C15:036.2015.2711.5081.91
       C17:0 to C15:00.740.310.341.72
      1 NEFA = nonesterified fatty acids; eSMCFA = even short-medium-chain fatty acids (sum of C4:0, C6:0, C8:0, C10:0, C12:0).

      Model Assessment

      The model evaluation was conducted as described by
      • Tedeschi L.O.
      Assessment of the adequacy of mathematical models.
      . The precision of the developed equations was evaluated using the coefficient of determination between the predicted and observed values. The accuracy was calculated based on the concordance correlation coefficient (CCC), mean bias (MB), root of mean square error prediction (RMSEP).
      Briefly, the CCC is the multiplication of the correlation coefficient between observed and predicted values by the bias correction (Cb), which indicates how far the regression line deviates from the slope of unity. The CCC, correlation coefficient, and Cb statistics vary from 0 to 1 (
      • Lin L.I.
      A concordance correlation coefficient to evaluate reproducibility.
      ).
      The RMSEP equation consists of the square root of mean square error prediction (MSEP), where MSEP is the sum of the squared difference between observed values and model-predicted values divided by the number of data points (n;
      • Bibby J.
      • Toutenburg H.
      ). The MSEP was decomposed into MB, slope bias, and random errors (
      • Theil H.
      Economic forecasts and policy.
      ).
      The decomposition of the MSEP into MB, slope bias, and random error components provides an indication of the adequacy of the model for prediction. The MB represents the error in the central tendency (to assess whether the predicted values are over- or underpredicted), the slope bias represents errors due to regression, and the random component is the unexplained variance that cannot be accounted for by the linear regression (
      • Tedeschi L.O.
      Assessment of the adequacy of mathematical models.
      ). Model evaluations were performed using the software Model Evaluation System (MES, College Station, TX; http://nutritionmodels.tamu.edu/mes.html) as described by
      • Tedeschi L.O.
      Assessment of the adequacy of mathematical models.
      .

      RESULTS AND DISCUSSION

      Milk Fatty Acid Thresholds

      From the 30 milk FA screened by ROC curves, only 10 individual milk FA proportions had AUC ≥0.80 (Table 3). Those milk FA were C6:0, C7:0, C8:0, C9:0, C10:0, C11:0, C12:0, C13:0, C14:0, and C15:0. Most of these milk FA are classified as de novo synthetized milk FA.
      Table 3Sensitivity, specificity, total accuracy, and thresholds for milk fatty acids (FA) screened through receiver operating characteristic curves and selected when area under the curve (AUC) was ≥0.80
      Nonselected milk fatty acids and their respective AUC (≤0.80) were C4:0 = 0.63, C5:0 = 0.25, iso C14:0 = 0.57, cis-9 C14:1 = 0.72, iso C15:0 = 0.66, anteiso C15:0 = 0.60, C16:0 = 0.49, iso C16:0 = 0.55, cis-9 C16:1 = 0.67, C17:0 = 0.66, iso C17:0 = 0.54, anteiso C17:0 = 0.49, cis-9 C17:1 = 0.68, C18:0 = 0.72, total C18:1 = 0.76, cis-9cis-12 C18:2 = 0.68, cis-9trans-11 C18:2 = 0.55, trans-10cis-12 C18:2 = 0.57, cis-9cis-12cis-15 C18:3 = 0.58, cis-6cis-9cis-12 C18:3 = 0.53.
      ItemAUC
      AUC = area under the curve for the positive outcome (nonesterified fatty acids ≥600 μEq/L).
      Threshold (g/100 g of FA)P-valueSensitivity (%; 95% CI)Specificity (%; 95% CI)Accuracy (%; 95% CI)
      Milk FA (g/100 g of FA)
       C6:00.85≤2.00<0.0178.8 (57.9–86.1)80.8 (73.9–86.6)79.4 (73.2–84.7)
       C7:00.86≤0.009<0.0183.3 (61.7–90.1)80.0 (71.9–85.0)78.8 (72.5–84.3)
       C8:00.87≤0.94<0.0185.3 (68.6–93.0)75.3 (67.9–81.7)76.9 (70.5–82.5)
       C9:00.84≤0.011<0.0194.8 (78.1–98.3)63.5 (55.5–71.0)68.8 (61.8–75.2)
       C10:00.86≤1.40<0.0180.1 (60.5–87.9)78.6 (72.5–85.6)78.9 (72.6–84.3)
       C11:00.82≤0.013<0.0180.0 (64.3–90.9)76.6 (64.9–79.4)74.1 (67.4–80.0)
       C12:00.86≤1.80<0.0183.9 (65.8–91.4)74.4 (65.9–80.0)70.0 (68.4–80.7)
       C13:00.90≤0.036<0.0185.9 (67.9–92.8)82.3 (74.4–87.0)81.7 (75.6–86.7)
       C14:00.82≤6.80<0.0188.7 (71.4–94.5)66.4 (57.5–72.7)69.6 (62.8–75.8)
       C15:00.86≤0.53<0.0185 (74.3–96.0)70 (58.8–73.8)71.0 (64.3–77.2)
      Milk FA ratio (g/g)
       C18:1 to eSMCFA
      eSMCFA = even short-medium-chain fatty acids (sum of C4:0, C6:0, C8:0, C10:0, and C12:0).
      0.80≥2.60<0.0180.9 (65.8–91.4)70.5 (60.7–75.5)71.0 (64.3–74.4)
       C18:1 to C14:00.81≥4.7<0.0180.9 (65.8–91.4)70.2 (59.4–74.4)70.0 (63.3–76.3)
       C18:1 to C15:00.86≥62.0<0.0180.9 (65.8–91.4)80.3 (71.2–84.4)79.0 (72.6–84.3)
       C17:0 to C15:00.88≥0.95<0.0172.0 (52.9–82.3)90.2 (82.3–92.8)84.3 (78.9–89.0)
      1 Nonselected milk fatty acids and their respective AUC (≤0.80) were C4:0 = 0.63, C5:0 = 0.25, iso C14:0 = 0.57, cis-9 C14:1 = 0.72, iso C15:0 = 0.66, anteiso C15:0 = 0.60, C16:0 = 0.49, iso C16:0 = 0.55, cis-9 C16:1 = 0.67, C17:0 = 0.66, iso C17:0 = 0.54, anteiso C17:0 = 0.49, cis-9 C17:1 = 0.68, C18:0 = 0.72, total C18:1 = 0.76, cis-9cis-12 C18:2 = 0.68, cis-9trans-11 C18:2 = 0.55, trans-10cis-12 C18:2 = 0.57, cis-9cis-12cis-15 C18:3 = 0.58, cis-6cis-9cis-12 C18:3 = 0.53.
      2 AUC = area under the curve for the positive outcome (nonesterified fatty acids ≥600 μEq/L).
      3 eSMCFA = even short-medium-chain fatty acids (sum of C4:0, C6:0, C8:0, C10:0, and C12:0).
      The odd SCFA such as C7:0, C9:0, C11:0, and C13:0 had sensitivity [i.e., proportion of true positive (NEFAhigh) cows testing positive] slightly greater than the other SCFA. The sensitivities of milk C7:0, C9:0, C11:0, and C13:0 were 83.3, 94.8, 80.0, and 85.9%, respectively. The sensitivities found for milk FA C6:0, C8:0, C10:0, and C12:0 were 78.8, 85.3, 80.1, and 83.9%, respectively. The threshold values to detect NEFAhigh cows for the last group of milk FA were ≤2.0, ≤0.94, ≤1.4, and ≤1.8 g/100 g of FA, respectively.
      According to
      • Craninx M.
      • Steen A.
      • Van Laar H.
      • Van Nespen T.
      • Martin-Tereso J.
      • De Baets B.
      • Fievez V.
      Effect of lactation stage on the odd- and branched-chain milk fatty acids of dairy cattle under grazing and indoor conditions.
      , SMCFA (C4:0–C14:0) are the result of de novo synthesis in the mammary gland, and the proportion of de novo milk FA decreases when plasma NEFA concentration increases. Thus, when the de novo milk FA are below the threshold the animal is classified as NEFAhigh, but when the proportion of these milk FA are above the threshold, the cow is classified as NEFAlow (lower than 600 µEq/L).
      • Craninx M.
      • Steen A.
      • Van Laar H.
      • Van Nespen T.
      • Martin-Tereso J.
      • De Baets B.
      • Fievez V.
      Effect of lactation stage on the odd- and branched-chain milk fatty acids of dairy cattle under grazing and indoor conditions.
      pointed out that SMCFA may suffer from a dilution effect when NEFA are high, but there may also be an inhibitory effect by the preformed FA (preformed, >16 carbons) of mammary synthesis of FA with 10 to 14 carbon atoms (
      • Jenkins T.C.
      Lactation performance and fatty acid composition of milk from Holstein cows fed 0 to 5% oleamide.
      ;
      • Ferlay A.
      • Martin B.
      • Pradel Ph.
      • Coulon J.B.
      • Chilliard Y.
      Influence of grass-based diets on milk fatty acid composition and milk lipolytic system in Tarentaise and Montbéliarde cow breeds.
      ). Additionally, early lactation cows with low levels of feed intake may have the synthesis of de novo milk FA reduced due to a decrease in the rumen acetate to propionate ratio (
      • Craninx M.
      • Steen A.
      • Van Laar H.
      • Van Nespen T.
      • Martin-Tereso J.
      • De Baets B.
      • Fievez V.
      Effect of lactation stage on the odd- and branched-chain milk fatty acids of dairy cattle under grazing and indoor conditions.
      ).
      During the transition period, the cow mobilizes body fat, which increases the proportion of preformed milk FA, such as C18:1 in the milk (
      • Jorjong S.
      • van Knegsel A.T.M.
      • Verwaeren J.
      • Bruckmaier R.M.
      • De Baets B.
      • Kemp B.
      • Fievez V.
      Milk fatty acids as possible biomarkers to diagnose hyperketonemia in early lactation.
      ). Thus, lower SMCFA proportions in the milk during that period might be an indicator of body fat mobilization.
      • Woolpert M.E.
      • Dann H.M.
      • Cotanch K.W.
      • Melilli C.
      • Chase L.E.
      • Grant R.J.
      • Barbano D.M.
      Management, nutrition, and lactation performance are related to bulk tank milk de novo fatty acid concentration on northeastern US dairy farms.
      collected bulk tank milk of 44 commercial farms in New York State and classified the farms based on the proportion of de novo synthesized FA (C4:0-C14:0) in the milk, being high de novo synthesis or low de novo synthesis. Those authors reported that farms with low de novo synthesis (n = 23) bulk tank milk presented animals with lower BCS, suggesting greater body fat mobilization for cows in those farms due to insufficient energy intake.
      The milk C14:0 and C15:0 had sensitivities of 88.7 and 85.0%, and total accuracy of 69.6 and 71.0% (Table 3). Based on the sensitivity values, both milk FA showed high potential to identify cows with plasma NEFA concentrations above 600 µEq/L. The milk FA thresholds for C14:0 and C15:0 were ≤6.8 and ≤0.53 g/100 g of FA, respectively (Table 3).
      • Craninx M.
      • Steen A.
      • Van Laar H.
      • Van Nespen T.
      • Martin-Tereso J.
      • De Baets B.
      • Fievez V.
      Effect of lactation stage on the odd- and branched-chain milk fatty acids of dairy cattle under grazing and indoor conditions.
      reported that milk C15:0 represented a smaller proportion in the milk after calving and it increased as the lactation advanced until reaching a plateau at 10 wk of lactation. The increases in proportion (g/100 g of FA) of this milk FA as DIM progressed is likely partially related to increased feed intake. Intake increases during the first weeks of lactation, and because the bacterial growth, particularly amylolytic bacteria, is expected to increase during that period (
      • Craninx M.
      • Steen A.
      • Van Laar H.
      • Van Nespen T.
      • Martin-Tereso J.
      • De Baets B.
      • Fievez V.
      Effect of lactation stage on the odd- and branched-chain milk fatty acids of dairy cattle under grazing and indoor conditions.
      ), de novo synthesis from propionyl-CoA by rumen bacteria or in the mammary gland might contribute to a greater proportion of C15:0 in the milk (
      • Vlaeminck B.
      • Fievez V.
      • Cabrita A.R.J.
      • Fonseca A.J.M.
      • Dewurst R.J.
      Factors affecting odd- and branched-chain fatty acids in milk: A review.
      ).
      Although the milk FA C18:1 was not selected due to having an AUC lower than 0.80 (AUC = 0.77, data not shown), its relationship with body fat mobilization as well as plasma NEFA concentration is known (
      • Jorjong S.
      • van Knegsel A.T.M.
      • Verwaeren J.
      • Bruckmaier R.M.
      • De Baets B.
      • Kemp B.
      • Fievez V.
      Milk fatty acids as possible biomarkers to diagnose hyperketonemia in early lactation.
      ;
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      ). It is important to highlight that in our data set, the milk FA cis-9 C18:1 was not separated on the GLC; thus, we were not able to compare thresholds across studies in the literature. The milk C18:1 in this present study is the sum of all C18:1, though the major part of the total C18:1 is cis-9 C18:1. The milk C18:1 in our study presented an AUC of 0.77, which is a reasonable value. Considering the strong relationship between milk C18:1 and plasma NEFA concentration (
      • Jorjong S.
      • van Knegsel A.T.M.
      • Verwaeren J.
      • Bruckmaier R.M.
      • De Baets B.
      • Kemp B.
      • Fievez V.
      Milk fatty acids as possible biomarkers to diagnose hyperketonemia in early lactation.
      ;
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      ), a possible explanation for that value of AUC is the effect of dietary FA as previously described in the experiment 3 (R. Grummer, emeritus professor, University of Wisconsin, Madison, unpublished data). The use of 3 different studies with multiple diets may have resulted in more variation in the relationship between milk C18:1 and plasma NEFA concentration. In addition, reductions in milk fat output due to decreases in de novo milk FA synthesis may increase the proportion of milk C18:1. This fact might result in misinterpretation of the proportion of milk C18:1 because the increases were not due to body fat mobilization. The stearoyl-coenzyme A desaturase (SCD) can also contribute to increase variation in milk C18:1. The SCD is the enzyme responsible for introducing a double bond at the Δ9 location of stearoyl-CoA, and oleic acid (C18:1) is the main product of this reaction. However, the SCD can be highly regulated in the mammary gland by the dietary ingredients, specifically FA sources.
      • Jacobs A.A.A.
      • van Baal J.
      • Smits M.A.
      • Taweel H.Z.H.
      • Hendriks W.H.
      • van Vuuren A.M.
      • Dijkstra J.
      Effects of feeding rapeseed oil, soybean oil, or linseed oil on stearoyl-CoA desaturase expression in the mammary gland of dairy cows.
      reported that mammary SCD1 mRNA expression in dairy cows was significantly downregulated by feeding unprotected soybean oil compared with rapeseed oil or linseed oil. Thus, it is important to highlight that depending on source of dietary FA supplied in dairy cow rations, the use of C18:1 to assess plasma NEFA concentration should be carefully evaluated.
      Some limitations might exist regarding the amount of C18:1 that can be incorporated in milk by cows during the transition period. This fact might increase the variation between plasma NEFA concentration and milk C18:1, especially when the milk FA is used as a ratio, such as C18:1 to C15:0 or other. We could not find studies in the literature to support the statement that this limitation exists or even reporting a threshold where milk C18:1 stop to increase and body fat mobilization still increasing. To elucidate this fact, we fitted milk C18:1 (g/100 g of FA) as exponential function of plasma NEFA concentration (Figure 1). An asymptote of 34.1 g/100 of FA was found in the present study, which means that milk C18:1 increases up to 34.1 g/100 g of FA and does not change above this value, whereas plasma NEFA concentration still increases.
      Figure thumbnail gr1
      Figure 1Relationship between plasma nonesterified fatty acid (NEFA) concentration and milk C18:1. Data are from all 3 studies (
      • French E.A.
      • Bertics S.J.
      • Armentano L.E.
      Rumen and milk odd and branched-chain fatty acid proportions were minimally influenced by ruminal volatile fatty acid infusions.
      ;
      • Lobos Sandoval N.E.
      ; R. Grummer, emeritus professor, University of Wisconsin, Madison, personal communication; n = 204). Nonlinear model was adjusted: milk C18:1 [g/100 of fatty acids (FA) = 34.1 – 16.9 × exp(−0.004×NEFA) (R2 = 0.42 and P < 0.001)], where 34.1 g/100 g of FA is the estimated asymptote in the model. The 95% lower and upper confidence intervals for the asymptote were 32.4 and 35.8 g/100 g of FA, respectively. Observed data (◊), trend line (—).
      The thresholds for the milk FA ratios C18:1 to eSMCFA, C18:1 to C14:0, C18:1 to C15:0, and C17:0 to C15:0 were ≥2.6, ≥4.7, ≥62, and ≥0.95 g/g of FA, respectively. The milk FA ratio C18:1 to eSMCFA, C18:1 to C14:0, and C18:1 to C15:0 presented greater sensitivity (all presented 80.9%), but not total accuracy (71, 70, and 79%, respectively) in comparison with the milk FA ratio C17:0 to C15:0 (sensitivity of 72%, but total accuracy of 84.3%; Table 3). Although the milk FA C17:0 to C15:0 presented greater total accuracy, the ability to identify animals with NEFAhigh was modest.
      It is important to highlight that the milk FA C18:1 to C14:0 is composed of 2 milk FA with large proportions. This fact increases the chances of practical application due to the possibility of accurate predictions through mid-infrared (MIR) analyses (
      • Soyeurt H.
      • Dardenne P.
      • Dehareng F.
      • Lognay G.
      • Veselko D.
      • Marlier M.
      • Bertozzi C.
      • Mayeres P.
      • Gengler N.
      Estimating fatty acid content in cow milk using mid-infrared spectrometry.
      ,
      • Soyeurt H.
      • Dehareng F.
      • Gengler N.
      • McParland S.
      • Wall E.
      • Berry D.P.
      • Coffey M.
      Mid-infrared prediction of bovine milk fatty acids across multiple breeds, production systems, and countries.
      ).
      Nevertheless, these 2 milk FA might be drastically altered by changes in dietary FA profile.
      • de Souza J.
      • Preseault C.L.
      • Lock A.L.
      Short communication: Lactational responses to palmitic acid supplementation when replacing soyhulls or dry ground corn.
      ,
      • de Souza J.
      • Garver L.
      • Preseault C.L.
      • Lock A.L.
      Short communication: Effects of prill size of a palmitic acid–enriched fat supplement on the yield of milk and milk components, and nutrient digestibility of dairy cows.
      reported reduction of de novo milk FA proportions (C6:0, C8:0, C10:0, C12:0, and C14:0) and C18:1 when palmitic acid (C16:0) was fed to lactating dairy cows. These studies suggest that predicting plasma NEFA from milk C18:1 and C14:0 is less reliable when cows are fed enriched FA supplements. Due to this potential shortcoming, we also tested the milk FA ratio C17:0 to C15:0 because this ratio is not generally disturbed by changes in dietary milk FA composition.
      Another important application regarding the use of milk FA to predict plasma NEFA concentration is its applicability in research trials. When gross feed efficiency (milk/DMI) is calculated and there is no indicator of body fat mobilization, the measurement of feed efficiency might be inflated (
      • Vallimont J.E.
      • Dechow C.D.
      • Daubert J.M.
      • Dekleva M.W.
      • Blum J.W.
      • Barlieb C.M.
      • Liu W.
      • Varga G.A.
      • Heinrichs A.J.
      • Baumrucker C.R.
      Heritability of gross feed efficiency and associations with yield, intake, residual intake, body weight, and body condition score in 11 commercial Pennsylvania tie stalls.
      ). Thus, the use of milk FA to assess body fat mobilization could be an important parameter to be added when inferences of gross feed efficiency are made in research trials.
      Recently,
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      addressed the possibility of using milk FA to infer information about plasma NEFA concentration. Those authors screened 22 individual milk FA and 2 milk FA ratios. From these 22 FA, only 3 individual milk FA (C15:0, cis-9 C16:1, and cis-9 C18:1) and 2 milk FA ratios (cis-9 C18:1 to C15:0, and cis-9 C16:1 to C15:0) reached AUC greater than 0.70 (considered as the selection criteria).
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      used a plasma NEFA concentration of 1,000 µEq/L as the cutoff to classify a cow as having high or low NEFA concentration.
      Differently from the study conducted by
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      , we were able to select SMCFA (Table 3), but not to select cis-9 C16:1. Milk C15:0 was selected in both
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      and our study. The threshold for milk C15:0 found by
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      was ≤0.65 g/100 of FA to detect cows with plasma NEFA higher than 1,000 µEq/L. We found the milk C15:0 threshold of ≤0.53 g/100 of FA detected animals with plasma NEFA concentration greater than 600 µEq/L. In
      • Jorjong S.
      • van Knegsel A.T.M.
      • Verwaeren J.
      • Lahoz M.V.
      • Bruckmaier R.M.
      • De Baets B.
      • Kemp B.
      • Fievez V.
      Milk fatty acids as possible biomarkers to early diagnose elevated concentrations of blood plasma non-esterified fatty acids in dairy cows.
      , the threshold defined for milk cis-9 C18:1 was ≥24 g/100 g of FA to detect cows with plasma NEFA greater than 600 µEq/L, whereas
      • Mann S.
      • Nydam D.V.
      • Lock A.L.
      • Overton T.R.
      • McArt J.A.A.
      Short communication: Association of milk fatty acids with early lactation hyperketonemia and elevated concentration of nonesterified fatty acids.
      found a threshold of ≥26 g/100 g of FA to detect cows with plasma NEFA greater than 1,000 µEq/L. In our study the total milk C18:1 presented a threshold of ≥30 g/100 g of FA (data not shown due to AUC ≤0.80).
      The difference found across those studies can be attributed to many factors such as the difference in the cutoff to determine high/low plasma NEFA, milk FA sampling time (once vs. multiples), diets, number of animals, and so on. In this regard, the use of univariate logistic regression to define thresholds of determined milk FA to optimize sensitivity and specificity will result in different values because they will differ from one group of animals to another.
      Linear regression models that predicted plasma NEFA concentration using milk FA do not classify animals as NEFAhigh or NEFAlow based in some threshold, but predict plasma NEFA concentration for a respective milk FA predictor. These predictions allow the users to set their own plasma NEFA cutoff to classify animals as having elevated plasma NEFA concentration.

      Linear Regression Models—Individual Cow (Internal Data Set)

      From the first milk FA screen using univariate logistic regression, 6 linear regression models were developed (Table 4). The forward stepwise selection of individual milk FA resulted in model 1, which presented the lowest RMSE and AIC (169 µEq/L and 2,473). Another model also using individual milk FA was developed (model 2). Model 2 was developed from model 1 but had the milk C9:0 and C13:0 excluded from the model as previously explained.
      Table 4Models to predict plasma nonesterified fatty acid (NEFA) concentration from individual milk fatty acids (g/100 g of total fatty acids; n = 204) and ratios of milk fatty acids (g/g; n = 204)
      SE = standard error of the regression coefficient; RMSE = root mean squared error; AIC = Akaike's information criterion; eSMCFA = even short-medium-chain fatty acids (sum of C4:0, C6:0, C8:0, C10:0, and C12:0).
      NEFA (μEq/L)InterceptLinear coefficientRMSEAIC
      EstimateSEP-valueVariableEstimateSEP-value
      Model 11,631256<0.001C6:0−81.438.50.0361692,473
      C9:0−729.71,720.30.672
      C13:02,226.7615.8<0.001
      C14:0−79.614.3<0.001
      C15:0−396.6104.2<0.001
      C18:1−10.05.00.048
      Model 2
      Model 1 modified. The milk fatty acids C9:0 and C13:0 were excluded from model 1 because most of the compiled papers on the literature did not report C9:0 and C13:0; thus, it would not be possible to assess model 1 using the external data set.
      1,520270<0.001C6:0−91.040.70.0261942,672
      C14:0−68.314.8<0.001
      C15:0−47.610.5<0.001
      C18:1−9.005.70.116
      Model 3207.978.90.030C18:1 to eSMCFA77.110.7<0.0012202,742
      Model 4131.467.10.085C18:1 to C14:067.66.6<0.0011992,705
      Model 571.168.040.326C18:1 to C15:08.870.67<0.0011912,694
      Model 6−29.058.70.670C17:0 to C15:0607.945.2<0.0011792,681
      1 SE = standard error of the regression coefficient; RMSE = root mean squared error; AIC = Akaike's information criterion; eSMCFA = even short-medium-chain fatty acids (sum of C4:0, C6:0, C8:0, C10:0, and C12:0).
      2 Model 1 modified. The milk fatty acids C9:0 and C13:0 were excluded from model 1 because most of the compiled papers on the literature did not report C9:0 and C13:0; thus, it would not be possible to assess model 1 using the external data set.
      The RMSE and AIC of model 2 increased after excluding the milk FA C9:0 and C13:0 (194 µEq/L and 2,672). Although these milk FA might improve the models, their proportions in the milk are very small and most published papers did not report them. Greater RMSE (220 and 205 µEq/L) and AIC (2,742 and 2,723) were found for the milk FA ratios C18:1 to eSMCFA and C18:1 to C14:0 (models 3 and 4, respectively) in comparison to the other ratios. The milk FA used in the 2 last ratios (C18:1, C14:0, and eSMCFA) can be highly influenced by dietary FA (
      • Kalscheur K.F.
      • Teter B.B.
      • Piperova L.S.
      • Erdman R.A.
      Effect of fat source on duodenal flow of trans-C18:1 fatty acids and milk fat production in dairy cows.
      ). The variation associated with milk C18:1 might be explained through the multiple origins of C18:1 including C18:0 desaturation in the mammary gland, adipose tissue, and diet (
      • Loften J.R.
      • Linn J.G.
      • Drackley J.K.
      • Jenkins T.C.
      • Soderholm C.G.
      • Kertz A.F.
      Invited review: Palmitic and steric acid metabolism in lactating dairy cows.
      ). The relationship between plasma NEFA concentration and those milk FA might be compromised if animals are being fed high-fat diets, but in our study even with 2 groups of cows from experiment 3 receiving greater amounts of dietary FA, the correlation was significant (Figure 2). Models 5 and 6 also presented good correlation with plasma NEFA concentration (Figure 2) in comparison with other models using milk FA ratios (model 3: R2 = 0.21, model 4: R2 = 0.40, model 5: R2 = 0.55, and model 6: R2 = 0.53).
      Figure thumbnail gr2
      Figure 2Model development (data set of individual cows from University of Wisconsin and US Dairy Forage Research Center). Linear regression between plasma nonesterified fatty acid (NEFA) concentration (µEq/L) and milk fatty acid ratios [panel A: C18:1 to even short-medium-chain fatty acids (eSMCFA); panel B: C18:1 to C14:0; panel C: C18:1 to C15:0; and panel D: C17:0 to C15:0; n = 204 observations from 105 cows]. For panels A, B, C, and D, the regression equation and R2 were ŷ = 207.9 + 77.1x, with R2 of 0.21 and P < 0.001; ŷ = 67.6x, with R2 of 0.40 and P < 0.001; ŷ = 8.87x, with R2 of 0.55 and P < 0.001; and ŷ = 607.9x, with R2 of 0.53 and P < 0.001. Observed data (○), trend line (—).
      Milk C18:1 and C17:0 are correlated with plasma NEFA concentrations. Both are present in the adipose tissue and therefore in the large amount of NEFA released during fat mobilization that can be transferred to milk. According to
      • Rukkwamsuk T.
      • Wensin T.
      • Geelen M.J.H.
      Effect of overfeeding during the dry period on the rate of esterification in adipose tissue of dairy cows during the periparturient period.
      , about 44% of the total FA in the adipose tissue is C18:1, and 16% is C18:0. Approximately 52% of C18:0 uptake in the mammary gland is desaturated into cis-9 C18:1 (
      • Enjalbert F.
      • Nicot M.-C.
      • Bayourthe C.
      • Moncoulon R.
      Duodenal infusions of palmitic, stearic or oleic acids differently affect mammary gland metabolism of fatty acids in lactating dairy cows.
      ). Thus, there is a large contribution of C18:1 from the adipose to the total milk C18:1. A greater proportion of milk C18:1 was identified as a valuable early warning biomarker for subclinical ketosis (
      • Jorjong S.
      • van Knegsel A.T.M.
      • Verwaeren J.
      • Lahoz M.V.
      • Bruckmaier R.M.
      • De Baets B.
      • Kemp B.
      • Fievez V.
      Milk fatty acids as possible biomarkers to early diagnose elevated concentrations of blood plasma non-esterified fatty acids in dairy cows.
      ,
      • Jorjong S.
      • van Knegsel A.T.M.
      • Verwaeren J.
      • Bruckmaier R.M.
      • De Baets B.
      • Kemp B.
      • Fievez V.
      Milk fatty acids as possible biomarkers to diagnose hyperketonemia in early lactation.
      ), which supports the high correlation between milk FA ratios using C18:1 and plasma NEFA concentrations (Figure 2).
      Linear odd-chain FA, C15:0 and C17:0, are mainly produced by the bacterial population in the rumen (
      • Vlaeminck B.
      • Fievez V.
      • Cabrita A.R.J.
      • Fonseca A.J.M.
      • Dewurst R.J.
      Factors affecting odd- and branched-chain fatty acids in milk: A review.
      ). They can also be synthetized from propionate in the adipose tissue, and the mammary gland (
      • Vlaeminck B.
      • Fievez V.
      • Cabrita A.R.J.
      • Fonseca A.J.M.
      • Dewurst R.J.
      Factors affecting odd- and branched-chain fatty acids in milk: A review.
      ). The contribution of de novo synthesis by the mammary gland as a proportion of the individual FA total seemed to be greater for C15:0 than for C17:0 when propionic acid was infused into the rumen (
      • Rigout S.
      • Hurtaud C.
      • Lemosquet S.
      • Bach A.
      • Rulquin H.
      Lactational effect of propionic acid and duodenal glucose in cows.
      ). The synthesis of C17:0 in the adipose tissue is considered preferential in comparison with synthesis of chain lengths of 14 and 15 carbon atoms (
      • Craninx M.
      • Steen A.
      • Van Laar H.
      • Van Nespen T.
      • Martin-Tereso J.
      • De Baets B.
      • Fievez V.
      Effect of lactation stage on the odd- and branched-chain milk fatty acids of dairy cattle under grazing and indoor conditions.
      ). Thus, the ratio between C17:0 and C15:0 in the adipose tissue is approximately 3:1 in cattle (
      • Raes K.
      • De Smet S.
      • Demeyer D.
      Effect of dietary fatty acids on incorporation of long chain polyunsaturated fatty acids and conjugated linoleic acid in lamb, beef and pork meat: A review.
      ), but 1:2 in the milk, suggesting that increases in C17:0 to C15:0 ratio could be related to increased fat mobilization.

      Model Validation—External Data Set

      Models developed using the individual animal data set (experiments from University of Wisconsin and USDFRC) were compared with models developed from the literature data set (treatment means) to evaluate the goodness of fit between predicted plasma NEFA. Our main objective in this model evaluation was to test if the relationship found in our internal data set was a local correlation or if it can be generalized across a wider population.
      The model prediction using individual milk FA proportions (model 2) presented a coefficient of determination value of 0.75 with observed data, but also a large amount of prediction error due to MB. The MB and RMSEP were −153.8 and 213.7 µEq/L, respectively, and approximately 52% of the RMSEP came from MB in model 2 (Table 5). This high MB and RMSEP seems to be related to variation on eSMCFA, because the model using the milk FA ratio C18:1 to eSMCFA (model 3) presented greater MB (66.8 µEq/L) and RMSEP (97.4 µEq/L) in comparison to models 4, 5, and 6 even though model 3 presented a good correlation between predicted and observed (R2 = 0.81).
      Table 5Parameters evaluation of plasma nonesterified fatty acid (NEFA) predictions from different models using milk fatty acids
      CCC = concordance correlation coefficient; RMSEP = root mean squared errors of prediction; MSEP = mean squared errors of prediction. Adjusted = data set from the literature adjusted for a random effect of study; nonadjusted = data set from the literature nonadjusted for random effect of study (raw data).
      Model
      Model 2 = individual milk fatty acids proportions C6:0, C14:0, C15:0, and C18:1; model 3 = C18:1 to even short-medium-chain fatty acids (eSMCFA); model 4 = C18:1 to C14:0; model 5 = C18:1 to C15:0; and model 6 = C17:0 to C15:0.
      R2Mean biasCCCRMSEP (μEq/L)MSEP decomposition (%)
      Mean biasSlope biasRandom errors
      Model 2Adjusted0.75−153.80.59213.751.812.036.2
      Nonadjusted0.38−113.90.46234.423.60.476.0
      Model 3Adjusted0.8166.80.7197.447.213.339.5
      Nonadjusted0.10111.80.15273.216.70.682.7
      Model 4Adjusted0.8548.70.8172.245.610.344.1
      Nonadjusted0.5397.00.42222.319.017.463.6
      Model 5Adjusted0.9011.30.9351.44.84.390.9
      Nonadjusted0.6687.80.60201.419.019.461.6
      Model 6Adjusted0.90−18.80.9463.38.80.291.0
      Nonadjusted0.71−111.80.71182.537.63.459.0
      1 CCC = concordance correlation coefficient; RMSEP = root mean squared errors of prediction; MSEP = mean squared errors of prediction. Adjusted = data set from the literature adjusted for a random effect of study; nonadjusted = data set from the literature nonadjusted for random effect of study (raw data).
      2 Model 2 = individual milk fatty acids proportions C6:0, C14:0, C15:0, and C18:1; model 3 = C18:1 to even short-medium-chain fatty acids (eSMCFA); model 4 = C18:1 to C14:0; model 5 = C18:1 to C15:0; and model 6 = C17:0 to C15:0.
      Models 4, 5, and 6 presented greater precision (R2 = 0.85, 0.90, and 0.90, respectively), and lower MB (48.7, 11.3, and −18.8 µEq/L) and RMSEP (72.2, 51.4, and 63.3 µEq/L) in comparison with models 2 and 3. The model using the milk FA ratio C18:1 to C14:0 as a predictor variable fit the external data set slightly more poorly than model 5 and 6. This result was expected because a greater variation of milk C18:1 and C14:0 would be expected because they can come from multiple origins (
      • Loften J.R.
      • Linn J.G.
      • Drackley J.K.
      • Jenkins T.C.
      • Soderholm C.G.
      • Kertz A.F.
      Invited review: Palmitic and steric acid metabolism in lactating dairy cows.
      ) as previously discussed. However, it is important to recognize that these FA represent large proportions in the milk, and their determination using GLC might present lower coefficient of variation in comparison with smaller milk FA such as the short-chain fatty acids (
      • Bannon C.D.
      • Craske J.D.
      • Hilliker A.E.
      Analysis of fatty acid methyl esters with high accuracy and reliability. Fats with fatty acids containing four or more carbon atoms.
      ). The 3 experiments used to develop the models had C14:0 values of 9.6, 7.1, and 6.3 g/100 of FA, and C18:1 values of 23.0, 30.4, and 34.4 g/100 g of FA, respectively. The sum of these 2 milk FA represents approximately 32, 37, and 40% of the total FA in the milk.
      Equations created from the literature data set for models 5 and 6 were NEFA (µEq/L) = 9.37 (±2.18) × C18:1 to C15:0 (R2 = 0.88) and NEFA (µEq/L) = 593.9 (±103.4) × C17:0 to C15:0 (R2 = 0.90) respectively. The intercepts of these equations were not significantly different from 0 (P = 0.48, and P = 0.16, respectively). The slopes were close to the previous model developed using individual animals (Model 5 = 8.87 × C18:1 to C15:0, and model 6 = 607.9 × C17:0 to C15:0, Table 4), which can explain the good fit of models at the individual animal level (internal data set) with treatment mean level (external data set). The equations developed using treatment means might be useful for predicting the mean of a group of cows in specific cohorts (i.e., pens with cows in transition period) or bulk tank milk samples. The recent study conducted by
      • Woolpert M.E.
      • Dann H.M.
      • Cotanch K.W.
      • Melilli C.
      • Chase L.E.
      • Grant R.J.
      • Barbano D.M.
      Management, nutrition, and lactation performance are related to bulk tank milk de novo fatty acid concentration on northeastern US dairy farms.
      showed that the analyses of FA from bulk tank milk samples might exhibit the farm profile in terms of management factors such as feeding frequency, dietary ether extract concentration, BCS, and stocking density.
      The possibility of using MIR techniques to predict milk FA has been widely discussed (
      • Soyeurt H.
      • Dardenne P.
      • Dehareng F.
      • Lognay G.
      • Veselko D.
      • Marlier M.
      • Bertozzi C.
      • Mayeres P.
      • Gengler N.
      Estimating fatty acid content in cow milk using mid-infrared spectrometry.
      ;
      • Ferrand-Calmels M.
      • Palhière I.
      • Brochard M.
      • Leray O.
      • Astruc J.M.
      • Aurel M.R.
      • Barbey S.
      • Bouvier F.
      • Brunschwig P.
      • Caillat H.
      • Douguet M.
      • Facuon-Lahalle F.
      • Gele M.
      • Thomas G.
      • Thrommenschlager J.M.
      • Larroque H.
      Prediction of fatty acid profiles in cow, ewe, and goat milk by mid-infrared spectrometry.
      ;
      • Woolpert M.E.
      • Dann H.M.
      • Cotanch K.W.
      • Melilli C.
      • Chase L.E.
      • Grant R.J.
      • Barbano D.M.
      Management, nutrition, and lactation performance are related to bulk tank milk de novo fatty acid concentration on northeastern US dairy farms.
      ) during the last 10 yr and may become as common as fat, protein, and lactose milk analyses in the future. Thus, precise and accurate predictions of milk FA such as C18:1, C14:0, and eSMCFA from MIR could be useful in assessing adipose tissue mobilization in lactating dairy cows.
      Fatty acids present in large proportions in the milk fat, such as C18:1, C18:0, C16:0, C14:0, and eSMCFA, have been reported to be precisely predicted by MIR (
      • Soyeurt H.
      • Dardenne P.
      • Dehareng F.
      • Lognay G.
      • Veselko D.
      • Marlier M.
      • Bertozzi C.
      • Mayeres P.
      • Gengler N.
      Estimating fatty acid content in cow milk using mid-infrared spectrometry.
      ,
      • Soyeurt H.
      • Dehareng F.
      • Gengler N.
      • McParland S.
      • Wall E.
      • Berry D.P.
      • Coffey M.
      Mid-infrared prediction of bovine milk fatty acids across multiple breeds, production systems, and countries.
      ;
      • Woolpert M.E.
      • Dann H.M.
      • Cotanch K.W.
      • Melilli C.
      • Chase L.E.
      • Grant R.J.
      • Barbano D.M.
      Management, nutrition, and lactation performance are related to bulk tank milk de novo fatty acid concentration on northeastern US dairy farms.
      ). The reported MIR predictions for C17:0 and C15:0 are not as good (cross-validation R2 = 0.47 and 0.53, respectively) as for milk FA presented in large proportions such as cis-9 C18:1 and C16:0 (cross-validation R2 = 0.95 and 0.91, respectively;
      • Soyeurt H.
      • Dardenne P.
      • Dehareng F.
      • Lognay G.
      • Veselko D.
      • Marlier M.
      • Bertozzi C.
      • Mayeres P.
      • Gengler N.
      Estimating fatty acid content in cow milk using mid-infrared spectrometry.
      ,
      • Soyeurt H.
      • Dehareng F.
      • Gengler N.
      • McParland S.
      • Wall E.
      • Berry D.P.
      • Coffey M.
      Mid-infrared prediction of bovine milk fatty acids across multiple breeds, production systems, and countries.
      ). Although a good relationship was found in the present study regarding the milk FA ratio using C15:0 and C17:0, the poor predictions by MIR reported in the literature might limit the use of those milk FA as an indicator of NEB in the future.

      CONCLUSIONS

      The results of this study indicated that milk FA determined by GLC are related to plasma NEFA concentration, and its selection by univariate logistic regression can be used to identify animals with plasma NEFA above 600 µEq/L. Plasma NEFA concentration can also be predicted by linear regression models using milk FA ratios. The linear regressions allowed the user to define their plasma NEFA cutoff to classify cows as having high or low NEFA. The developed linear regressions using the milk FA ratios C18:1 to C15:0 and C17:0 to C15:0 were consistently related to plasma NEFA concentration and had a better fit with the external data set in comparison with the use of individual milk FA proportions, milk FA ratio C18:1 to eSMCFA, and C18:1 to C14:0. This fact suggests that those models had not just a local relationship (within internal data set), but a good fit in an independent data set (external data set from the literature).

      ACKNOWLEDGMENTS

      Thanks are extended to Michel A. Wattiaux (University of Wisconsin, Madison) for permission to use data from the second study (Lobos Sandoval, 2009), and to Ric Grummer (University of Wisconsin, Madison) and Silvia Onetti (Vita Plus Corporation, Madison, WI) for permission to use data from the third study. Thanks are also extended to Sandy Bertics (University of Wisconsin, Madison) for analyzing the milk fatty acids, and Kristina Weld (University of Wisconsin, Madison) for the technical advice. The authors thank the Brazilian National Council for Scientific and Technological Development (CNPq, Brasilia-DF, Brazil) for providing part of the financial support for J. R. R. Dórea.

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