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Topic:Biomarkers

Biomarkers in horses are measurable indicators of biological processes, states, or conditions that can be used to assess health and disease. These biomarkers can be identified in various biological samples such as blood, urine, or tissue. They provide valuable information for diagnosing diseases, monitoring health status, and evaluating treatment responses in equine medicine. Common biomarkers in horses include enzymes, hormones, and metabolites, which may change in response to physiological or pathological conditions. This page compiles peer-reviewed research studies and scholarly articles that explore the identification, quantification, and application of biomarkers in equine health and disease management.
C-terminal telopeptide of type I collagen, osteocalcin, alkaline phosphatase, and parathyroid hormone in healthy and hospitalized foals.
Domestic animal endocrinology    March 6, 2020   Volume 72 106470 doi: 10.1016/j.domaniend.2020.106470
Kamr AM, Dembek KA, Gilsenan W, Bozorgmanesh R, Hassan HY, Rosol TJ, Toribio RE.Hypocalcemia is a common finding in critically ill equine patients. Parathyroid hormone (PTH) helps to maintain calcium homeostasis in hypocalcemic patients by promoting renal calcium reabsorption and bone resorption. Increased serum PTH concentrations have been reported in critically ill people and animals, including horses and foals. It is unknown whether increased secretion of PTH is associated with markers of bone turnover in hospitalized foals. The goals of this study were to measure markers of bone resorption (C-terminal telopeptide of type I collagen [CTX-I]) and bone formation (osteoca...
Label-free Proteomics for Discovering Biomarker Candidates for Controlling Krypton Misuse in Castrated Horses (Geldings).
Journal of proteome research    February 25, 2020   Volume 19, Issue 3 1196-1208 doi: 10.1021/acs.jproteome.9b00724
Wong KS, Cheung HW, Choi TLS, Kwok WH, Curl P, Mechie SC, Prabhu A, Wan TSM, Ho ENM.Recent advances in label-free quantitative proteomics may support its application in identifying and monitoring biomarkers for the purpose of doping control in equine sports. In this study, we developed a workflow of label-free quantitative proteomics to propose plasma protein biomarkers in horses after administration with krypton (Kr), a potential erythropoiesis-stimulating agent. Plasma proteomes were profiled by using nanoliquid chromatography-high-resolution mass spectrometry. An in-house mass spectral library consisting of 1121 proteins was compiled using samples collected from geldings (...
Comparative Transcriptomics Analysis of Testicular miRNA from Cryptorchid and Normal Horses.
Animals : an open access journal from MDPI    February 21, 2020   Volume 10, Issue 2 doi: 10.3390/ani10020338
Han H, Chen Q, Gao Y, Li J, Li W, Dang R, Lei C.In the biological process of testicular spermatogenesis, the expression and interaction of many genes are regulated by microRNAs (miRNAs). However, comparisons of miRNA expression between descended testes (DTs) and undescended testes (UDTs) are rarely done in horses. In this study, we selected two UDTs (CKY2b and GU4b) from Chakouyi (CKY) and Guanzhong (GU) horses and eight DTs (GU1-3, CKY1, CKY3, CKY2a, GU4a, and GU5). Three groups were compared to evaluate expression patterns of testicular miRNA in stallion testes. Group 1 compared normal CKY horses and GU horses (CKY1 and CKY3 vs. GU1-3). G...
Models Based on the Mitscherlich Equation for Describing Typical and Atypical Gas Production Profiles Obtained from In Vitro Digestibility Studies Using Equine Faecal Inoculum.
Animals : an open access journal from MDPI    February 17, 2020   Volume 10, Issue 2 308 doi: 10.3390/ani10020308
Powell CD, Dhanoa MS, Garber A, Murray JMD, López S, Ellis JL, France J.Two models are proposed to describe atypical biphasic gas production profiles obtained from in vitro digestibility studies. The models are extensions of the standard Mitscherlich equation, comprising either two Mitscherlich terms or one Mitscherlich and one linear term. Two models that describe typical monophasic gas production curves, the standard Mitscherlich and the France model [a generalised Mitscherlich (root-) equation], were assessed for comparison. Models were fitted to 25 gas production profiles resulting from incubating feedstuffs with faecal from equines. Seventeen profiles displa...
X chromosome aneuploidy and micronuclei in fertile mares.
Theriogenology    February 10, 2020   Volume 147 34-38 doi: 10.1016/j.theriogenology.2020.02.020
Pieńkowska-Schelling A, Kaul A, Schelling C.Abnormalities of chromosomes are an important and well documented cause of disorders of sexual development, fertility problems and congenital anomalies in mammals. Detection of low-level 63,X/64,XX mosaicism during routine cytogenetic evaluation is a challenge because its clinical significance is not yet fully clear. This study describes the prevalence and levels of 63,X mosaicism for a cohort of fertile mares and compares the results with eight problem mares for which no clinical cause of sub-fertility was found. The study design allowed for the analysis of micronuclei which are biomarkers of...
Synovial fluid lubricin and hyaluronan are altered in equine osteochondral fragmentation, cartilage impact injury, and full-thickness cartilage defect models.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    February 9, 2020   Volume 38, Issue 8 1826-1835 doi: 10.1002/jor.24597
Peal BT, Gagliardi R, Su J, Fortier LA, Delco ML, Nixon AJ, Reesink HL.The objectives of this study were to evaluate temporal changes in lubricin, hyaluronan (HA), and HA molecular weight (MW) distributions in three distinct models of equine joint injury affecting the carpal (wrist), tarsal (ankle), and femoropatellar (knee) joints. To establish ranges for lubricin, HA, and HA MW distributions across multiple joints, we first evaluated clinically healthy, high-motion equine joints. Synovial fluid was collected from high-motion joints in horses without clinical signs of joint disease (n = 11 horses, 102 joints) and from research horses undergoing carpal osteo...
The Sick Adult Horse: Renal Clinical Pathologic Testing and Urinalysis.
The Veterinary clinics of North America. Equine practice    February 6, 2020   Volume 36, Issue 1 121-134 doi: 10.1016/j.cveq.2019.12.003
Schott HC, Esser MM.Clinicopathologic evaluation of renal function and renal disease in sick adult horses remains grounded in detection of azotemia, assessment of serum and urine electrolyte concentrations, and evaluation of urinalysis findings, including specific gravity, reagent strip analysis, and sediment examination. Because increases in serum or plasma urea nitrogen and creatinine concentrations are insensitive indicators of a decreased glomerular filtration rate, there is considerable interest in identifying novel biomarkers of renal function or injury in blood and urine, with serum symmetric dimethylargin...
Equine Inflammatory Markers in the Twenty-First Century: A Focus on Serum Amyloid A.
The Veterinary clinics of North America. Equine practice    January 30, 2020   Volume 36, Issue 1 147-160 doi: 10.1016/j.cveq.2019.12.005
Long A, Nolen-Walston R.Serum amyloid A (SAA) is a marker of inflammation and infection in the horse that can be assessed in the field, with rapid and marked changes seen following initiation of an inflammatory stimulus. This quality of SAA also makes its clinical use challenging, because even small inflammatory conditions can cause large changes in SAA levels. Review of the current literature provides guidelines for responses of SAA to various conditions, which can be applied to specific clinical cases. The practitioner is encouraged to use SAA in conjunction with physical examination and other diagnostic modalities...
Biomarkers for placental disease in mares.
Theriogenology    January 30, 2020   Volume 150 302-307 doi: 10.1016/j.theriogenology.2020.01.073
Canisso IF, Loux SC, Lima FS.Placentitis is an important cause of abortion, stillbirth, and neonatal death in horses. The diagnosis of placentitis is based on occurrence of clinical signs (premature mammary gland development and vulvar discharge) and ultrasonography of the caudal placental pole. However, early and subtle cases can be missed. In the last few years, several studies have provided objective means of diagnosing placentitis in mares with single or serial measurements of blood markers. Among the markers evaluated the steroids produced by the fetoplacental unit have been shown to change in association with placen...
Analysis of the uterine flush fluid proteome of healthy mares and mares with endometritis or fibrotic endometrial degeneration.
Reproduction, fertility, and development    January 29, 2020   Volume 32, Issue 6 572-581 doi: 10.1071/RD19085
Diel de Amorim M, Khan FA, Chenier TS, Scholtz EL, Hayes MA.The objective of this study was to evaluate the differences in the uterine flush fluid proteome between healthy mares and mares with endometritis or fibrotic endometrial degeneration (FED). Uterine flush fluid samples were collected from healthy mares (n=8; oestrus n=5 and dioestrus n=3) and mares with endometritis (n=23; oestrus n=14 and dioestrus n=9) or FED (n=7; oestrus n=6 and dioestrus n=1). Proteomic analysis was performed using label-free liquid chromatography-tandem mass spectrometry. Of 216 proteins identified during oestrus, 127 were common to all three groups, one protein was exclu...
Pre- and post-race serum cardiac troponin T concentrations in Standardbred racehorses.
Veterinary journal (London, England : 1997)    January 27, 2020   Volume 256 105433 doi: 10.1016/j.tvjl.2020.105433
Hellings IR, Krontveit R, Øverlie M, Kallmyr A, Holm T, Fintl C.Elevated cardiac troponin T (cTnT) concentrations may provide evidence of myocardial injury but physiological post-exercise release also occurs. Reference intervals are not fully established in horses making interpretation difficult. The aims of this study were to establish an upper reference limit for serum cTnT, compare pre-and post-race serum cTnT concentrations, and to evaluate factors that may influence these in a population of healthy, race-fit Standardbred racehorses. Serum samples were collected pre- (n = 108) and 1-2 h post-racing (n = 101) and analysed using a high sensitivity-cTnT a...
Influence of Metabolic Status and Diet on Early Pregnant Equine Histotroph Proteome: Preliminary Findings.
Journal of equine veterinary science    January 25, 2020   Volume 88 102938 doi: 10.1016/j.jevs.2020.102938
Pennington PM, Splan RK, Jacobs RD, Chen Y, Singh RP, Li Y, Gucek M, Wagner AL, Freeman EW, Pukazhenthi BS.Insulin resistance (IR) is characterized by an increase in biomarkers of systemic inflammation and susceptibility to laminitis in horses. Impacts on reproduction include a lengthened interovulatory period in horses. Dietary omega-3 (docosahexaenoic acid [DHA]) promotes anti-inflammatory processes, has been implicated in health benefits, and can reduce cytokine secretion. This preliminary study investigated the impact of IR as well as the influence of dietary supplementation (DHA) on the uterine fluid proteome in early pregnant horses. Mares were artificially inseminated; uterine fluid and embr...
The role of seminal plasma in the liquid storage of spermatozoa.
Animal reproduction science    January 24, 2020   Volume 220 106290 doi: 10.1016/j.anireprosci.2020.106290
Höfner L, Luther AM, Waberski D.Ongoing progress in proteomic characterization of seminal plasma has stimulated research on the identification of biomarkers for male fertility and sperm preservability. So far, many studies have evaluated the benefits of reconstituting cryopreserved or sex-sorted semen with seminal plasma. Less information is available about the effect of remaining or added seminal plasma in liquid preserved semen. The interaction between seminal plasma and spermatozoa is species -specific, and within species often complex and ambiguous. This article aims to review the action of seminal plasma on sperm functi...
Effect of food contamination and collection material in the measurement of biomarkers in saliva of horses.
Research in veterinary science    January 8, 2020   Volume 129 90-95 doi: 10.1016/j.rvsc.2020.01.006
Contreras-Aguilar MD, Hevia ML, Escribano D, Lamy E, Tecles F, Cerón JJ.This study aims to evaluate the effect of the presence of food and the material used in a panel of biomarkers in saliva of horses. For the food effect study, clean saliva was incubated with a known amount of food consisting of oats, hay or grass. Significant changes were observed when saliva was incubated with oats for total protein (P = .050) and phosphorus (P = .008), with grass for total protein (P = .037), salivary alpha-amylase (sAA, P = .018), total esterase (TEA, P = .018), butyrilcholinesterase (BChE, P = .037), adenosine deaminase (ADA, P = .037), and total bilirubin (P...
Biofluid Markers of Equine Neurological Disorders Reviewed From Human Perspectives.
Journal of equine veterinary science    December 30, 2019   Volume 86 102907 doi: 10.1016/j.jevs.2019.102907
Mayaki AM, Abdul Razak IS, Noraniza MA, Mazlina M, Rasedee A.Neurological disorders (NDs) are often fatal to horses. Thus, symptoms of equine NDs commonly indicate euthanasia. Current diagnostic approaches for equine NDs is based on clinical signs, differential diagnoses, analysis of cerebrospinal fluid (CSF), assessment of histopathological lesions, and imaging. However, advances in biofluid biomarkers in the diagnosis of human neurological diseases can potentially be applied to equine NDs. In this review, we described the established human blood and CSF neurobiomarkers that could potentially be used to diagnose equine NDs.
Validation of an equine serum amyloid A assay with an unusually broad working range.
BMC veterinary research    December 19, 2019   Volume 15, Issue 1 462 doi: 10.1186/s12917-019-2211-3
Jacobsen S, Vinther AM, Kjelgaard-Hansen M, Nielsen LN.Serum amyloid A (SAA) is a major equine acute phase protein and of great value in detection and monitoring of inflammation. A new immunoturbidometric assay based on monoclonal antibodies (VET-SAA, Eiken Chemical Co., Japan) may be useful for SAA measurements in routine diagnostic laboratories. The aim of the study was to validate the VET-SAA immunoturbidometric assay and use it to measure serum SAA concentrations in a variety of clinical cases. Precision was assessed by intra- and interassay coefficients of variation of repeated measurements of serum pools (low, intermediate, high concentratio...
Metabolomic analysis of synovial fluid from Thoroughbred racehorses diagnosed with palmar osteochondral disease using magnetic resonance imaging.
Equine veterinary journal    November 28, 2019   Volume 52, Issue 3 384-390 doi: 10.1111/evj.13199
Graham RJTY, Anderson JR, Phelan MM, Cillan-Garcia E, Bladon BM, Taylor SE.Palmar osteochondral disease (POD) is a common cause of lameness in competition horses. Magnetic resonance imaging (MRI) is the most sensitive diagnostic modality currently available, however it may not be financially or logistically practical for routine screening of POD. There is increasing interest in the use of metabolomics for diagnosis prior to progression to irreversible damage. Objective: To determine metabolite levels in synovial fluid (SF) of horses with a clinical diagnosis of POD based on diagnostic analgesia and MRI, with the hypothesis that metabolomic profiles differ between dis...
Plasma steroid profiles before and after ACTH stimulation test in healthy horses.
Domestic animal endocrinology    November 22, 2019   Volume 72 106419 doi: 10.1016/j.domaniend.2019.106419
Kirchmeier A, van Herwaarden AE, van der Kolk JH, Sauer FJ, Gerber V.This study describes steroid profiles in equine plasma before and after ACTH stimulation. In human medicine, other steroids have been shown to have a more pronounced reaction to an ACTH stimulation test than cortisol. This study aimed to determine if the same was true for the horse. A total of 11 clinically healthy horses were selected for this study. Ethylenediaminetetraacetic acid plasma samples were taken before and 60 min after stimulation with 1 μg/kg BW of synthetic ACTH administered intravenously. The samples were analyzed for cortisol, 11-deoxycortisol, 21-deoxycortisol, cortisone, ...
Bioformation of boldenone and related precursors/metabolites in equine feces and urine, with relevance to doping control.
Drug testing and analysis    November 21, 2019   Volume 12, Issue 2 215-229 doi: 10.1002/dta.2706
Viljanto M, Kicman AT, Walker CJ, Wolff K, Muir T, Hincks P, Biddle S, Scarth J.Boldenone (1-dehydrotestosterone) is an exogenous anabolic-androgenic steroid (AAS) but is also known to be endogenous in the entire male horse and potentially formed by microbes in voided urine, the gastrointestinal tract, or feed resulting in its detection in urine samples. In this study, equine fecal and urine samples were incubated in the presence of selected stable isotope labeled AAS precursors to investigate whether microbial activity could result in 1-dehydrogenation, in particular the formation of boldenone. Fecal matter was initially selected for investigation because of its high mic...
Changes in Saliva Analytes Correlate with Horses’ Behavioural Reactions to An Acute Stressor: A Pilot Study.
Animals : an open access journal from MDPI    November 18, 2019   Volume 9, Issue 11 993 doi: 10.3390/ani9110993
Contreras-Aguilar MD, Henry S, Coste C, Tecles F, Escribano D, Cerón JJ, Hausberger M.Acute stress induces an array of behavioural reactions in horses that vary between individuals. Attempts to relate behavioural patterns and physiological responses have not always given clear-cut results. Here, we measured the changes in a panel of salivary components: salivary alpha-amylase (sAA), lipase, total esterase (TEA), butyrylcholinesterase (BChE), adenosine deaminase (ADA), and cortisol, and their potential link with horses' behaviours after acute stress. Saliva samples were collected in nine riding horses subjected to a test consisting of opening an umbrella. Saliva sampling was obt...
The association between collagen and bone biomarkers and radiographic osteoarthritis in the distal tarsal joints of horses.
Equine veterinary journal    November 16, 2019   Volume 52, Issue 3 391-398 doi: 10.1111/evj.13187
Coppelman EB, David FH, Tóth F, Ernst NS, Trumble TN.Osteoarthritis (OA) of the distal intertarsal (DIT) and tarsometatarsal (TMT) joints occurs commonly. Synovial fluid (SF) biomarkers of collagen and bone turnover have potential clinical value. Objective: To measure SF biomarker concentrations from DIT and TMT joints in adult horses and determine if they correlate with radiographic OA severity and are higher in joints with radiographic OA compared to controls. Methods: Cross-sectional. Methods: Radiographic OA of DIT and TMT joints was evaluated from adult horses (5-35 years old). Overall radiographic scores divided horses into those with mil...
The Contribution of Specific and Nonspecific Biomarkers in Diagnosis of Equine Gastric Ulcer Syndrome (EGUS) Under Field Condition.
Journal of equine veterinary science    November 14, 2019   Volume 84 102853 doi: 10.1016/j.jevs.2019.102853
Shawaf T, El-Deeb WM, Elgioushy M.The aim of this study is to investigate the diagnostic efficiency of gastrin, pepsinogen, proinflammatory cytokines (TNF-α, IL-6), and oxidative stress biomarkers in horses with equine gastric ulcer syndrome (EGUS). Thirty horses diagnosed with gastroscopic EGUS and 15 clinically healthy horses were selected for this study. The serum levels of gastrin, pepsinogen showed nonsignificant changes in horses with EGUS when compared with healthy horses. The serum levels of TNF-α, IL-6 revealed a significant increase in horses with EGUS when compared with healthy ones. Oxidative stress is evident in...
The Level of Prolactin, Serum Amyloid A, and Selected Biochemical Markers in Mares Before and After Parturition and Foal Heat.
Journal of equine veterinary science    November 14, 2019   Volume 84 102854 doi: 10.1016/j.jevs.2019.102854
Krakowski L, Brodzki P, Krakowska I, Opielak G, Marczuk J, Piech T.The aim of the study was to determine the level of prolactin (PRL), serum amyloid A (SAA), and selected biochemical markers (T-Chol, AST, TP, Mg, P, and Ca) in the blood of mares during the perinatal period. The study involved 14 mares of the Polish Coldblood Horse breed, which were in the third trimester of pregnancy. Blood was collected for testing 2 weeks before parturition and then 24 hours after delivery and in the foal heat (9 days) and 9 days after ovulation and breeding. The research revealed significant differences in the level of PRL and SAA before and after delivery. The highest...
The equine asthma model of airway remodeling: from a veterinary to a human perspective.
Cell and tissue research    November 12, 2019   Volume 380, Issue 2 223-236 doi: 10.1007/s00441-019-03117-4
Bullone M, Lavoie JP.Human asthma is a complex and heterogeneous disorder characterized by chronic inflammation, bronchospasm and airway remodeling. The latter is a major determinant of the structure-function relationship of the respiratory system and likely contributes to the progressive and accelerated decline in lung function observed in patients over time. Corticosteroids are the cornerstone of asthma treatment. While their action on inflammation and lung function is well characterized, their effect on remodeling remains largely unknown. An important hindrance to the study of airway remodeling as a major focu...
Blood Response to Mercury Exposure in Athletic Horse From Messina, Italy.
Journal of equine veterinary science    November 9, 2019   Volume 84 102837 doi: 10.1016/j.jevs.2019.102837
Fazio F, Cicero N, Piccione G, Giannetto C, Licata P.Mercury (Hg) exists in various chemical forms, and it is different to health effects. The most toxic effects occur in the central nervous system during fetal development with irreversible alterations of the nerve cells of the cerebral cortex and, it is essential to monitor the tissue residues of Hg to protect the animal's health. The present investigation was carried out during May 2019 in 20 horses located in equine sport center near the area of Milazzo, Messina, that is a part of Sicilian territory heavily polluted by many toxic substances. The purpose of this study was to determine the conc...
Gene expression markers in horse articular chondrocytes: Chondrogenic differentiaton IN VITRO depends on the proliferative potential and ageing. Implication for tissue engineering of cartilage.
Research in veterinary science    November 6, 2019   Volume 128 107-117 doi: 10.1016/j.rvsc.2019.10.024
De Angelis E, Cacchioli A, Ravanetti F, Bileti R, Cavalli V, Martelli P, Borghetti P.Chondrocyte dedifferentiation is a key limitation in therapies based on autologous chondrocyte implantation for cartilage repair. Articular chondrocytes, obtained from (metacarpophalangeal and metatarsophalangeal) joints of different aged horses, were cultured in monolayer for several passages (P0 to P8). Cumulative Populations Doublings Levels (PDL) and gene expression of relevant chondrocyte phenotypic markers were analysed during culturing. Overall data confirmed that, during proliferation in vitro, horse chondrocytes undergo marked morphological and phenotypic alterations of their differen...
Antigen array for serological diagnosis and novel allergen identification in severe equine asthma.
Scientific reports    October 23, 2019   Volume 9, Issue 1 15170 doi: 10.1038/s41598-019-51820-7
White SJ, Moore-Colyer M, Marti E, Hannant D, Gerber V, Coüetil L, Richard EA, Alcocer M.Severe equine asthma (sEA), which closely resembles human asthma, is a debilitating and performance-limiting allergic respiratory disorder which affects 14% of horses in the Northern Hemisphere and is associated with increased allergen-specific immunoglobulin E (IgE) against a range of environmental proteins. A comprehensive microarray platform was developed to enable the simultaneous detection of allergen-specific equine IgE in serum against a wide range of putative allergenic proteins. The microarray revealed a plethora of novel pollen, bacteria, mould and arthropod proteins significant in t...
Telomere regulation: lessons learnt from mice and men, potential opportunities in horses.
Animal genetics    October 21, 2019   Volume 51, Issue 1 3-13 doi: 10.1111/age.12870
Denham J.Telomeres are genetically conserved nucleoprotein complexes located at the ends of chromosomes that preserve genomic stability. In large mammals, somatic cell telomeres shorten with age, owing to the end replication problem and lack of telomere-lengthening events (e.g. telomerase and ALT activity). Therefore, telomere length reflects cellular replicative reserve and mitotic potential. Environmental insults can accelerate telomere attrition in response to cell division and DNA damage. As such, telomere shortening is considered one of the major hallmarks of ageing. Much effort has been dedicate...
Influence of Obesity on Serum Concentrations of Acute-Phase Proteins in Horses.
Journal of equine veterinary science    October 18, 2019   Volume 83 102810 doi: 10.1016/j.jevs.2019.102810
Girardi FM, da Fonseca LA, Ribeiro Filho JD, Souto PC, Ferreira DAC, Dornelas LRSM, Bento LD, de Carvalho Filho WP.Obesity in human and veterinary medicine is one of the most complex challenges within emerging diseases in the context of health. The problem of obesity in horses results in severe comorbidities; therefore, acute-phase proteins should be investigated for fluctuations increasing or decreasing by at least 25% in response to inflammation; these are candidates for future biomarkers and might provide new perspectives on early diagnosis and prognosis. Serum samples were analyzed in nine healthy animals (C) and nine obese animals (O). The proteins were separated by sodium dodecyl sulfate-polyacrylami...
Inflammatory mediators are potential biomarkers for extracorporeal shockwave therapy in horses.
Equine veterinary journal    October 16, 2019   Volume 52, Issue 3 449-454 doi: 10.1111/evj.13183
Chen JW, Stefanovski D, Haughan J, Jiang Z, Boston R, Soma LR, Robinson MA.Extracorporeal shockwave therapy (ESWT) can potentially mask painful injuries in equine athletes. Tests to detect whether a horse has received ESWT prior to competition are needed. Extracorporeal shockwave therapy is known to affect inflammatory mediators in other species, and if these mediators are altered in the horse, these could serve as biomarkers of ESWT. Objective: To test the hypothesis that a single application of ESWT will alter the circulating protein concentrations of 10 inflammatory mediators in horse plasma. Methods: Prospective repeated measures experimental study. Methods: Elev...
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