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Topic:Clinical Study

Clinical studies in equine research involve the systematic investigation of health and disease in horses through structured scientific methods. These studies aim to evaluate the safety and efficacy of treatments, understand disease mechanisms, and improve veterinary care practices. Clinical studies can include randomized controlled trials, observational studies, and case-control studies. They may focus on various aspects such as pharmacokinetics, therapeutic interventions, and diagnostic techniques. This page compiles peer-reviewed research studies and scholarly articles that explore the design, implementation, and findings of clinical studies in equine medicine, providing insights into their impact on horse health and veterinary practices.
Vegetative endocarditis in equids (1994–2006).
Journal of veterinary internal medicine    November 13, 2008   Volume 22, Issue 6 1411-1416 doi: 10.1111/j.1939-1676.2008.0192.x
Porter SR, Saegerman C, van Galen G, Sandersen C, Delguste C, Guyot H, Amory H.Endocarditis is a rare heart condition with variable clinical expressions in equids. Risk factors for this disease are incompletely understood. Objective: Describe risk factors for endocarditis in equids. Methods: One hundred and fifty-three equids admitted to Liège University, 9 diagnosed with endocarditis and 144 free from endocarditis but admitted to the hospital with a differential diagnosis including this disease. Methods: Retrospective case-control study. Results: Equids with endocarditis were significantly younger (mean age = 4.84 +/- 5.74 years) than control equids (mean age = 10.8 +/...
Atrial and ventricular electrical and contractile remodeling and reverse remodeling owing to short-term pacing-induced atrial fibrillation in horses.
Journal of veterinary internal medicine    November 13, 2008   Volume 22, Issue 6 1353-1359 doi: 10.1111/j.1939-1676.2008.0202.x
De Clercq D, van Loon G, Tavernier R, Duchateau L, Deprez P.In humans, atrial fibrillation (AF) induces electrical, contractile, and structural remodeling leading to AF stabilization. Little is known about AF-induced atrial remodeling in horses. Objective: Induced AF produces rapid atrial electrical and contractile remodeling in horses. Methods: Six horses, 5 animals completed the study. Methods: Each horse was instrumented with a pulse generator and pacemaker to maintain AF by burst pacing and to study atrial and ventricular electrophysiology (AF cycle length [AFCL], AF duration, and atrial/ventricular effective refractory period [AERP/VERP] at differ...
Liposome-based diclofenac for the treatment of inflammation in an acute synovitis model in horses.
Journal of veterinary pharmacology and therapeutics    November 13, 2008   Volume 31, Issue 6 554-561 doi: 10.1111/j.1365-2885.2008.00994.x
Schleining JA, McClure SR, Evans RB, Hyde WG, Wulf LW, Kind AJ.Lameness as a result of joint disease is a major source of decreased athletic performance in the horse. Most treatment protocols include the administration of nonsteroidal anti-inflammatory drugs (NSAIDs). Phenylbutazone, alone or in combination with other treatments, is the most commonly and widely used NSAID, however it has the potential for serious side effects. The introduction of the liposome-based formulation of the NSAID diclofenac has shown promising effect as a safe and convenient treatment for lameness associated with osteoarthritis. The purpose of this study was to evaluate the effe...
Characterization of the pharmacokinetic disposition of levofloxacin in stallions after intravenous and intramuscular administration.
Journal of veterinary pharmacology and therapeutics    November 13, 2008   Volume 31, Issue 5 399-405 doi: 10.1111/j.1365-2885.2008.00983.x
Goudah A, Abo El-Sooud K, Shim JH, Shin HC, Abd El-Aty AM.The target of the present study was to investigate the plasma disposition kinetics of levofloxacin in stallions (n = 6) following a single intravenous (i.v.) bolus or intramuscular (i.m.) injection at a dose rate of 4 mg/kg bwt, using a two-phase crossover design with 15 days as an interval period. Plasma samples were collected at appropriate times during a 48-h administration interval, and were analyzed using a microbiological assay method. The plasma levofloxacin disposition was best fitted to a two-compartment open model after i.v. dosing. The half-lives of distribution and elimination were...
The use of radial extracorporeal shockwave therapy in the treatment of urethral urolithiasis in the horse: a preliminary study.
Journal of veterinary internal medicine    November 13, 2008   Volume 22, Issue 6 1449-1451 doi: 10.1111/j.1939-1676.2008.0197.x
Verwilghen D, Ponthier J, Van Galen G, Salciccia A, Sandersen C, Serteyn D, Grulke S.Radial extracorporeal shockwave therapy (ESWT) is widely used in equine practice for the treatment of orthopedic problems. However, its original use as a lithotripsy device in human and canine urology led us to postulate that it could be used as an alternative to the surgical treatment of urethral calculi in horses. Objective: Radial ESWT can easily and safely fragment calculi in the distal urethra of the horse. Methods: Two postmortem cases and 1 live case of obstructive urinary disease admitted at the Veterinary Teaching Hospital of Liege. Methods: A radial shockwave device was directly appl...
Plasma and urinary concentrations of trimetoquinol by LC-MS-MS following intravenous and intra-tracheal administration to horses with heaves.
Journal of veterinary pharmacology and therapeutics    November 13, 2008   Volume 31, Issue 6 501-510 doi: 10.1111/j.1365-2885.2008.00984.x
Camargo FC, Robinson NE, Dirikolu L, Berney C, Eberhart S, Derksen FJ, Lehner AF, May J, Hughes C, Tobin T.Trimetoquinol (TMQ) is a very potent and fast acting bronchodilator in horses with heaves. This study assessed the plasma and urinary concentrations of TMQ in horses with heaves following administration via the intravenous (IV, 0.2 microg/kg) and intra-tracheal (IT, 2 microg/kg) routes. TMQ was administered to six horses affected with heaves (RAO - Recurrent Airway Obstruction, used interchangeably) by the above routes and plasma and urine samples collected and stored at -20 degrees C until analyzed. Solid Phase Extraction (SPE) of TMQ was followed by highly sensitive ESI(+)-LC-MS-MS (ElectroS...
Partial deletion of the LAMA3 gene is responsible for hereditary junctional epidermolysis bullosa in the American Saddlebred Horse.
Animal genetics    November 11, 2008   Volume 40, Issue 1 35-41 doi: 10.1111/j.1365-2052.2008.01795.x
Graves KT, Henney PJ, Ennis RB.Laminin 5 is a heterotrimeric basement membrane protein integral to the structure and function of the dermal-epidermal junction. It consists of three glycoprotein subunits: the alpha3, beta3 and gamma2 chains, which are encoded by the LAMA3, LAMB3 and LAMC2 genes respectively. A mutation in any of these genes results in the condition known as hereditary junctional epidermolysis bullosa (JEB). A 6589-bp deletion spanning exons 24-27 was found in the LAMA3 gene in American Saddlebred foals born with the skin-blistering condition epitheliogenesis imperfecta. The deletion confirms that this autoso...
The role of leukocyte biology in laminitis.
Veterinary immunology and immunopathology    November 11, 2008   Volume 129, Issue 3-4 158-160 doi: 10.1016/j.vetimm.2008.11.014
Lunn DP, Hurley DJ.The underlying pathogenesis of laminitis clearly depends importantly on inflammatory processes that recruit leukocytes at an early stage in disease. The role of leukocytes in the initiation of laminitis, or as an intermediary factor is currently being investigated using a limited array of models, and future studies require both new reagent and model systems if we are to clearly define how leukocytes propagate this disease. The opportunities presented by this type of research could easily include new and powerful treatment and preventative modalities.
15-Ketodihydro-PGF2alpha and cortisol plasma concentrations in newborn foals after spontaneous or oxytocin-induced parturition.
Theriogenology    November 11, 2008   Volume 71, Issue 5 768-774 doi: 10.1016/j.theriogenology.2008.09.053
Panzani S, Villani M, Govoni N, Kindahl H, Faustini M, Romano G, Veronesi MC.Hormonal changes during early neonatal life play a major role in the physiological processes underlying the maturation of several organs. Since prostaglandins and cortisol are associated with fetal organ system maturation, the aim of this study was to evaluate 15-ketodihydro-PGF(2alpha) (PGM) and cortisol plasma concentrations during the first 21 days after birth in foals born by either spontaneous (24 foals) or low-dose oxytocin (OT)-induced parturition performed after at least 320 gestational days (25 foals) since induction is often considered to be a cause of prematurity. After spontaneous ...
Early effects of equine FSH (eFSH) treatment on hormonal and reproductive parameters in mares intended to carry their own pregnancy.
Animal reproduction science    November 11, 2008   Volume 115, Issue 1-4 76-87 doi: 10.1016/j.anireprosci.2008.11.001
Raz T, Gray A, Hunter B, Card C.Superovulatory treatment may potentially increase the embryo recovery rate and the per-cycle pregnancy rate in normal or subfertile mares that are managed properly. However, some studies suggest a possible negative effect of superovulatory treatment on ovarian follicular maturation and embryo viability. Objectives of the present study were to investigate the early effects of eFSH treatment in reproductively normal mares in terms of: folliculogenesis, pregnancy rate, early embryonic development, reproductive tract parameters (tone and edema), and serum estradiol-17beta and progesterone concentr...
Age-related dynamics of follicles and hormones during an induced ovulatory follicular wave in mares.
Theriogenology    November 11, 2008   Volume 71, Issue 5 780-788 doi: 10.1016/j.theriogenology.2008.09.051
Ginther OJ, Gastal MO, Gastal EL, Jacob JC, Beg MA.An ovulatory follicular wave was induced by ablation of follicles > or =6mm and treatment with prostaglandin F2alpha (PGF) on Day 10 (ovulation=Day 0). Follicle and hormone dynamics of the induced waves were compared among three age groups: young (5-6 y, n=14 waves), intermediate (10-14 y, n=16), and old (> or =18, n=15). During the common-growth phase of the induced wave (Days 12-17), diameter of the future ovulatory follicle was not different among ages, but the young group had more (P or =10mm. The number was correlated (r=+0.7; P<0.0001) within mares between consecutive interovula...
Equine laminitis: a journey to the dark side of venous.
Veterinary immunology and immunopathology    November 11, 2008   Volume 129, Issue 3-4 164-166 doi: 10.1016/j.vetimm.2008.11.015
Robertson TP, Bailey SR, Peroni JF.Equine laminitis is a crippling condition that continues to defy repeated efforts to delineate the precise mechanisms involved and develop effective therapeutic strategies for use in the clinic. In this article, the possible role of dysfunction of the laminar vasculature is discussed, with particular emphasis on the venous side of the laminar microvasculature and the possible role(s) that metabolic syndrome and thrombosis may play in the dysfunction observed in the laminar microvasculature during the development of laminitis.
Thromboxane and isoprostanes as inflammatory and vasoactive mediators in black walnut heartwood extract induced equine laminitis.
Veterinary immunology and immunopathology    November 7, 2008   Volume 129, Issue 3-4 200-210 doi: 10.1016/j.vetimm.2008.11.005
Noschka E, Moore JN, Peroni JF, Lewis SJ, Morrow JD, Robertson TP.Inflammation and vascular dysfunction occur concurrently during the prodromal stages of equine laminitis. The aim of this study was to provide insights into the role that thromboxane and isoprostanes may play in the development of black walnut heartwood extract (BWHE)-induced laminitis. Horses were divided into two groups, either control or BWHE-administered horses. Plasma concentrations of thromboxane increased transiently after administration of BWHE and coincided with the nadir in white blood cell counts, whereas plasma concentrations of iso-prostaglandin PGF(2alpha) (iso-PGF(2alpha)) did n...
You say lamellae, I say laminae. Let’s call … An overview of the Havemeyer workshop on laminitis pathophysiology.
Veterinary immunology and immunopathology    November 7, 2008   Volume 129, Issue 3-4 149-150 doi: 10.1016/j.vetimm.2008.11.011
Moore JN, Belknap JK.No abstract available
p38 mitogen-activated kinase (MAPK) is essential for equine neutrophil migration.
Veterinary immunology and immunopathology    November 7, 2008   Volume 129, Issue 3-4 181-191 doi: 10.1016/j.vetimm.2008.11.007
Eckert RE, Sharief Y, Jones SL.Equine laminar tissues do not contain resident neutrophils and have less superoxide dismutase (SOD) activity than other equine tissues, which makes them inherently more vulnerable to damage induced by reactive oxygen species (ROS) produced by neutrophils that enter the tissues. In the advanced clinical stages of acute laminitis, pathologic events in affected feet include a breakdown in the basement membrane, neutrophil infiltration, and platelet-neutrophil aggregates in laminar dermal veins, highlighting the contribution of neutrophils to the pathophysiology of the disease. The aim of this stu...
Indices of inflammation in the lung and liver in the early stages of the black walnut extract model of equine laminitis.
Veterinary immunology and immunopathology    November 7, 2008   Volume 129, Issue 3-4 254-260 doi: 10.1016/j.vetimm.2008.11.001
Stewart AJ, Pettigrew A, Cochran AM, Belknap JK.The liver and lung are not only described as "target organs" in sepsis in most species, but are purported to be sources of circulating inflammatory mediators central to the systemic inflammatory response syndrome (SIRS). As we have recently reported an inflammatory response in the laminar tissue in laminitis similar to that described in "target organs" in human sepsis, we investigated the inflammatory response of the lung and liver in the black walnut extract (BWE) model of equine laminitis to determine (1) if a similar systemic inflammatory response occurs in this laminitis model as described...
Temporal aspects of laminar gene expression during the developmental stages of equine laminitis.
Veterinary immunology and immunopathology    November 7, 2008   Volume 129, Issue 3-4 242-253 doi: 10.1016/j.vetimm.2008.11.002
Noschka E, Vandenplas ML, Hurley DJ, Moore JN.The results of recent studies indicate that inflammatory responses occurring in the early stages of equine laminitis lead to downstream events that eventually result in failure of the bond between the hoof wall and the distal phalanx. In order to gain further insights into the molecular mechanisms involved in the development of laminitis, an equine-specific cDNA microarray consisting of transcripts for more that 3000 genes was used to assess temporal changes in gene expression in laminar tissues at 1.5, 3 and 12 h after administration of either a laminitis-inducing agent (black walnut heartwoo...
Inflammatory and redox status of ponies with a history of pasture-associated laminitis.
Veterinary immunology and immunopathology    November 7, 2008   Volume 129, Issue 3-4 216-220 doi: 10.1016/j.vetimm.2008.11.004
Treiber K, Carter R, Gay L, Williams C, Geor R.Inflammatory and redox signals could render lamellar tissue susceptible to damage and contribute to higher risk for laminitis in obese or insulin resistant ponies just as these factors contribute to health risks in humans with metabolic syndrome. This study evaluated circulating markers of inflammatory and redox status in ponies that had a history of recurrent bouts of pasture-associated laminitis (PL, n = 42) or had never developed clinical laminitis (NL, n = 34) under the current management conditions. There were no differences (P > 0.05) between PL and NL ponies for markers of antioxidan...
Leukocyte-derived and endogenous matrix metalloproteinases in the lamellae of horses with naturally acquired and experimentally induced laminitis.
Veterinary immunology and immunopathology    November 7, 2008   Volume 129, Issue 3-4 221-230 doi: 10.1016/j.vetimm.2008.11.003
Loftus JP, Johnson PJ, Belknap JK, Pettigrew A, Black SJ.Inflammation and dysregulation of endogenous matrix metalloproteinase (MMP) production are implicated in the development of equine laminitis. In this study, we examine quantitative relationships among levels of leukocyte-derived proMMP-9 and MMP-9, lamellar proMMP-2 and MMP-2, and expression of proMMP-2 processing enzymes, MT1-MMP/PACE4, as steps towards determining whether inflammation and dysregulation of endogenous MMP production are independent or co-dependent processes. Methods: Archived samples of lamellae from horses with naturally acquired laminitis (n = 12), and from horses administer...
Cyclooxygenase-2 expression in equine tumors.
Veterinary pathology    November 6, 2008   Volume 45, Issue 6 825-828 doi: 10.1354/vp.45-6-825
Thamm DH, Ehrhart EJ, Charles JB, Elce YA.The enzyme cyclooxygenase-2 (COX-2) is expressed in some tumor and stromal tissues, and catalyzes production of prostaglandins with growth stimulatory, antiapoptotic, proangiogenic, and immunosuppressive properties. Pharmacologic inhibition of COX-2 is associated with antitumor activity in various human and canine malignancies. The purpose of this study was to assess COX-2 expression in a series of equine sarcoids, melanomas, and squamous-cell carcinomas (SCC). COX-2 expression was assessed in formalin-fixed paraffin-embedded tissues from 14 sarcoids, 11 melanomas, and 37 SCC that represent va...
A long-term study of apicoectomy and endodontic treatment of apically infected cheek teeth in 12 horses.
Veterinary journal (London, England : 1997)    November 6, 2008   Volume 178, Issue 3 411-418 doi: 10.1016/j.tvjl.2008.09.016
Simhofer H, Stoian C, Zetner K.The aim of this study was to evaluate the long-term results of apicoectomy and retrograde endodontic treatment in 12 horses with apical cheek teeth infections. The affected apices were removed using a diamond bur mounted on a dental drill, and after pulp removal the root canals were filed with Hedstrøm files and then alternately flushed with sodium hypochlorite, hydrogen peroxide and alcohol. The pulp canals were dried and filled with endodontic cement and gutta-percha points. An undercut was made in the apical aspect of the root canals that were then sealed with self-curing glass ionomer cem...
Pathophysiologic effects of phenylbutazone on the right dorsal colon in horses.
American journal of veterinary research    November 5, 2008   Volume 69, Issue 11 1496-1505 doi: 10.2460/ajvr.69.11.1496
McConnico RS, Morgan TW, Williams CC, Hubert JD, Moore RM.To determine pathophysiologic effects of phenylbutazone on the equine right dorsal colon (RDC). Methods: 12 healthy adult horses. Methods: A controlled crossover observational study was conducted. Clinical and serum variables, colonic inflammation (histologic grading), and measurement of myeloperoxidase (MPO) activity, malondialdehyde (MDA) and prostaglandin E(2) (PGE(2)) concentrations, ingesta volatile fatty acid (VFA) content, and arterial blood flow in the RDC were evaluated for a 21-day period in horses administered phenylbutazone (8.8 mg/kg, PO, q 24 h) or a control substance. Results: D...
Pharmacokinetics of firocoxib after administration of multiple consecutive daily doses to horses.
American journal of veterinary research    November 5, 2008   Volume 69, Issue 11 1399-1405 doi: 10.2460/ajvr.69.11.1399
Letendre LT, Tessman RK, McClure SR, Kvaternick VJ, Fischer JB, Hanson PD.To determine pharmacokinetic parameters and variables, firocoxib concentrations in urine and plasma, urine-to-plasma ratios, and the urine depletion profile of firocoxib and to evaluate whether the pharmacokinetic behavior of firocoxib was governed by linear processes after multiple doses of firocoxib were administered IV and orally. Methods: 6 healthy female horses (5 Paint horses and 1 Quarter Horse) in experiment 1 and 12 healthy male and female horses in experiment 2. Methods: In experiment 1, 6 horses were orally administered firocoxib paste once daily for 12 consecutive days, and plasma ...
Structural characterization of subchondral bone in the distal aspect of third metacarpal bones from Thoroughbred racehorses via micro–computed tomography.
American journal of veterinary research    November 5, 2008   Volume 69, Issue 11 1413-1422 doi: 10.2460/ajvr.69.11.1413
Rubio-Martínez LM, Cruz AM, Gordon K, Hurtig MB.To characterize the microstructure of subchondral bone (SCB) plate and trabecular bone (TBB) of the distopalmar aspect of the condyles of third metacarpal bones (MC3s) from Thoroughbred racehorses at 2 different stages of SCB disease via micro-computed tomography (CT). Methods: 12 pairs of MC3s from Thoroughbred racehorses euthanized for various reasons. Methods: MC3s were collected from horses with mild (n = 6) or severe (6) SCB disease, as determined via micro-CT. Cubic (6 x 6 x 6-cm) specimens of SCB plate and TBB were cut from the palmar aspect of condyles and sagittal ridges and examined ...
Assessment of platelet growth factors in supernatants from rehydrated freeze-dried equine platelets and their effects on fibroblasts in vitro.
American journal of veterinary research    November 5, 2008   Volume 69, Issue 11 1512-1519 doi: 10.2460/ajvr.69.11.1512
Tablin F, Walker NJ, Hogle SE, Pratt SM, Norris JW.To determine whether platelet growth factors are preserved in supernatants obtained from rehydrated trehalose-stabilized, freeze-dried (lyophilized) equine platelets and whether those growth factors stimulate fibroblast proliferation and migration and enhance fibroblast-associated contraction in a collagen gel assay. Methods: 6 clinically normal adult horses. Methods: Blood samples were obtained from 6 horses, and washed platelets were prepared via differential centrifugation. Washed platelets were freeze-dried in a physiologic buffer with a mixture of trehalose and polyethylene glycol 4000. R...
Application of the sodium dilution principle to calculate extracellular fluid volume changes in horses during dehydration and rehydration.
American journal of veterinary research    November 5, 2008   Volume 69, Issue 11 1506-1511 doi: 10.2460/ajvr.69.11.1506
Fielding CL, Magdesian KG, Carlson GP, Rhodes DM, Ruby RE.To apply the principle of sodium dilution to calculate the changes in the extracellular fluid (ECF) volume (ECFV) and intracellular fluid volume (ICFV) that occur during dehydration and rehydration in horses. Methods: 8 healthy horses of various breeds. Methods: Horses were dehydrated over 4 hours by withholding water and administering furosemide. Saline (0.9% NaCl) solution was administered IV during the next 2 hours (20 mL/kg/h; total 40 mL/kg). Horses were monitored for an additional hour following IV fluid administration. Initial ECFV was determined by use of multifrequency bioelectrical i...
Factors associated with survival of neonatal foals with bacteremia and racing performance of surviving Thoroughbreds: 423 cases (1982-2007).
Journal of the American Veterinary Medical Association    November 5, 2008   Volume 233, Issue 9 1446-1452 doi: 10.2460/javma.233.9.1446
Sanchez LC, Giguère S, Lester GD.To identify factors associated with short-term survival in bacteremic neonatal foals, evaluate the racing performance of Thoroughbred survivors, and evaluate changes in causative organisms and their antimicrobial susceptibility. Methods: Retrospective case series. Methods: 423 bacteremic foals. Methods: Medical records of foals that were hospitalized in 1982 through 2007 were reviewed, and those with bacteremia were included in the study. Data retrieved included signalment, physical examination and clinicopathologic findings at admission, localized infections, concurrent illnesses, duration of...
Associations of sex, breed, and age with cervical vertebral compressive myelopathy in horses: 811 cases (1974-2007).
Journal of the American Veterinary Medical Association    November 5, 2008   Volume 233, Issue 9 1453-1458 doi: 10.2460/javma.233.9.1453
Levine JM, Ngheim PP, Levine GJ, Cohen ND.To determine sex, breed, and age distributions in a population of horses with cervical vertebral compressive myelopathy (CVCM), compared with contemporaneous control horses. Methods: Retrospective case-control study. Methods: 811 horses with CVCM and 805 control horses. Methods: The Veterinary Medical Database was searched to identify horses with CVCM and contemporaneous control horses registered between July 1974 and August 2007. Admission date, admitting institution, sex, breed, age at the time of registration in the database, weight, and discharge status (alive, died, or euthanized) were re...
Antimicrobial resistance in companion animals.
Animal health research reviews    November 5, 2008   Volume 9, Issue 2 169-176 doi: 10.1017/S1466252308001485
Scott Weese J.Antimicrobial resistance (AMR) is an emerging problem in companion animals, because of difficult-to-treat infections, possible pressure to use antimicrobials that are important in human medicine, and potential zoonotic transmission. The extent and importance of AMR in companion animals are poorly understood, in part because of limited surveillance; however, it is clear that resistance is problematic in many pathogens and commensals, including staphylococci, enterococci, Escherichia coli and Salmonella.
The effect of a topical insecticide containing permethrin on the number of Culicoides midges caught near horses with and without insect bite hypersensitivity in the Netherlands.
Tijdschrift voor diergeneeskunde    November 4, 2008   Volume 133, Issue 20 838-842 
de Raat IJ, van den Boom R, van Poppel M, van Oldruitenborgh-Oosterbaan MM.Insect bite hypersensitivity (IBH) in horses is most likely caused by Culicoides species, although other insects may also play a role. Until now no effective cure has been found for this condition, although numerous therapeutic and preventive measures have been used to control insect hypersensitivity. One such method is to apply a topical insecticide to horses. In this study, the effect of a topical insecticide containing permethrin (3.6%) was examined in seven pairs of horses. The horses were placed inside a tent trap to collect Culicoides spp. and other insects attracted to the horses on two...