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Topic:Creatine Kinase

Creatine kinase (CK) is an enzyme found in various tissues of horses, including skeletal muscle, the heart, and the brain. It plays a role in the conversion of creatine and adenosine triphosphate (ATP) to phosphocreatine and adenosine diphosphate (ADP), which is crucial for energy storage and supply in muscle cells. Elevated levels of CK in the blood can indicate muscle damage or stress, making it a valuable biomarker for diagnosing and monitoring conditions such as exertional rhabdomyolysis and other myopathies in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the function, regulation, and clinical implications of creatine kinase in equine health.
Pre-race and race management impacts serum muscle enzyme activity in Australian endurance horses.
Equine veterinary journal    November 8, 2021   Volume 54, Issue 5 895-904 doi: 10.1111/evj.13519
Buckley P, Buckley DJ, Freire R, Hughes KJ.Marked increases in serum muscle enzyme activity can occur in endurance horses but the diagnostic certainty in predicting cases of myopathy is unclear. Improved understanding of horse management effects on serum muscle enzyme activity as markers of muscle health would assist interpretation of serum muscle enzyme activity and guide management to reduce myopathy risk. Objective: To investigate associations between serum muscle enzyme activity and management factors in endurance horses. Methods: Cross-sectional study. Methods: One hundred endurance horses competing in four endurance events (offer...
Equine spinal kinematics derived from different riding positions during asymmetrical bareback riding.
Journal of equine science    September 6, 2021   Volume 32, Issue 3 81-89 doi: 10.1294/jes.32.81
Nuchprayoon N, Ritruechai P, Watchararat K, Limroongruengrat W, Wongtawan T, Arya N.Hippotherapy in patients with neuromuscular dysfunction creates high focal pressure on the pony's back due to bareback riding and an asymmetrical riding position. This study aimed to investigate the acute effect of asymmetrical bareback riding on the pony's spinal kinematics, blood lactate, serum creatine kinase, heart rate, and temperament score. Eight ponies were selected, and they were walked on a treadmill for 45 min on each experimental day, including warm-up (5 min), weight-loading by mannequin (30 min), and cool-down (10 min) sessions. During the weight-loading session, three different ...
Influence of Stretching Exercises, Warm-Up, or Cool-Down on the Physical Performance of Mangalarga Marchador Horses.
Journal of equine veterinary science    July 16, 2021   Volume 106 103714 doi: 10.1016/j.jevs.2021.103714
Farinelli F, de Rezende ASC, Fonseca MG, Lana ÂMQ, Leme FOP, Klein BON, Silva RHP, de Abreu AP, Damazio MJ, Melo MM.The Horse Agribusiness Complex is an important activity in the Brazilian agricultural sector. Mangalarga Marchador (MM) is the most numerous breed of horses in Brazil and its temperament and gait characteristics (4-beat stepping gait) allow for the constant growth of the breed and the performance of vs. equestrian activities. The training management currently adopted with MM horses is based on empiricism, and scientific support is necessary to improve the well-being of horses in competitions and maintain the physical integrity of these athletes. Therefore, this study aimed to verify the effect...
Changes in saliva biomarkers during a standardized increasing intensity field exercise test in endurance horses.
Animal : an international journal of animal bioscience    May 22, 2021   Volume 15, Issue 6 100236 doi: 10.1016/j.animal.2021.100236
Contreras-Aguilar MD, Cerón JJ, Muñoz A, Ayala I.Salivary biomarkers could be useful to evaluate stress, fitness level, and skeletal muscle damage associated to exercise in horses in an easy and non-painful way. Therefore, this study aims to evaluate if cortisol in saliva (sCor), salivary alpha-amylase (sAMY) and butyrylcholinesterase (sBChE) and lactate (sLA) and creatine kinase (sCK) in saliva of horses can show changes during a standardized exercise test, and if they are related to heart rate variability (HRV) parameters related to sympathetic and parasympathetic tone, fitness level or skeletal muscle damage. For this purpose, ten enduran...
Quantifying the Impact of Mounted Load Carrying on Equids: A Review.
Animals : an open access journal from MDPI    May 7, 2021   Volume 11, Issue 5 1333 doi: 10.3390/ani11051333
Bukhari SSUH, McElligott AG, Parkes RSV.There are approximately 112 million working equids in developing countries, many of which are associated with brick kilns. Brick kilns and overloading are associated with welfare problems in working equids. Understanding equids' abilities and influencing factors are important for both effective performance and welfare. Traditionally, measurement of the amount of 'bone' was used, and more recently, gait symmetry has been identified as a potential marker for loading capacity. Assessment of stride parameters and gait kinematics provides insights into adaptations to loading and may help determine ...
The Physical Activity-Dependent Hematological and Biochemical Changes in School Horses in Comparison to Blood Profiles in Endurance and Race Horses.
Animals : an open access journal from MDPI    April 14, 2021   Volume 11, Issue 4 1128 doi: 10.3390/ani11041128
Maśko M, Domino M, Jasiński T, Witkowska-Piłaszewicz O.Blood testing is one of the most important ways to improve performance, facilitate recovery and monitor the training of endurance and race horses. However, little is known about the physical activity-dependent changes of blood parameters in horses used for pleasure and in riding schools. This study aimed to perform routine blood tests for training monitoring of sport horses in three different horse types of use. Then the values of blood indicators were compared between school, endurance and race horses to find similarities in the physical activity-dependent profile. The study was carried out o...
Complexed trace mineral supplementation alters antioxidant activities and expression in response to trailer stress in yearling horses in training.
Scientific reports    April 1, 2021   Volume 11, Issue 1 7352 doi: 10.1038/s41598-021-86478-7
Latham CM, Dickson EC, Owen RN, Larson CK, White-Springer SH.To test the hypothesis that complexed trace mineral supplementation would increase antioxidant capacity and decrease muscle oxidative stress and damage in young horses entering an exercise training program, Quarter Horses (mean [Formula: see text] SD; 9.7 ± 0.7 mo) balanced by age, sex, and BW were assigned to receive complexed (CTM; n = 8) or inorganic (INORG; n = 8) trace minerals at -12 week relative to this study. Blood and muscle samples were collected before (week 0) and after 12 week of light exercise training surrounding a 1.5-h trailer stressor. Muscle glutathione peroxid...
The effect of time of feeding on plasma amino acids during exercise and recovery in horses.
Translational animal science    March 23, 2021   Volume 5, Issue 2 txab045 doi: 10.1093/tas/txab045
Graham-Thiers PM, Bowen LK.Feeding management in horses suggests feeding horses in advance of exercise, particularly the grain portion of the diet. Plasma amino acids () peak at 3 to 6 h postfeeding depending on the AA. The timeframe between feeding and exercise may affect the availability of AA during and after exercise. The purpose of this study was to observe the differences in plasma AA in horses fed prior to exercise or after exercise. Eight light type horses were fed a diet with adequate protein and AA for horses in light to moderate exercise. After an adjustment period, horses completed a standardized exercise te...
Variations in haematological and biochemical parameters in healthy ponies.
BMC veterinary research    January 19, 2021   Volume 17, Issue 1 38 doi: 10.1186/s12917-020-02741-5
Witkowska-Piłaszewicz O, Cywińska A, Michlik-Połczyńska K, Czopowicz M, Strzelec K, Biazik A, Parzeniecka-Jaworska M, Crisman M, Witkowski L.Breed specific reference ranges for selected blood parameters are recommended for proper interpretation of blood tests, but there are only few reports dealing with ponies. The purpose of this study was to investigate if blood parameters differ among ponies' classes and to check if general normal values for equine species are applicable to ponies. Results: All, except total protein concentration, biochemical parameter significantly (p < 0.05) differed among ponies' classes. The most pronounced difference was noted in blood lactate concentrations, higher (p < 0.001) in the sma...
Influence of Milk Thistle (Silybum marianum) Seed Cakes on Biochemical Values of Equine Plasma Subjected to Physical Exertion.
Animals : an open access journal from MDPI    January 16, 2021   Volume 11, Issue 1 210 doi: 10.3390/ani11010210
Dockalova H, Zeman L, Horky P.Veterinarians can recommend milk thistle for the treatment of equine liver disease and laminitis. Milk thistle seed cakes were fed in the range of normal feed doses in this study. The milk thistle seed cakes were fed (twice a day) to the experimental group of the horses ( = 5) and biochemical blood markers (TP, Albumin, ALT (alanine transaminase), AST (aspartate transaminase), ALP (alkaline phosphatase), GGT (gamma-glutamyltransferase), Bilirubin, Cholesterol, HDL (high-density lipoprotein), LDL (low-density lipoprotein), TAG (triacylglycerol), BHB (beta-hydroxybutyric acid), NEFA (non-esterif...
A single bout of high-intensity exercise modulates the expression of vitamin D receptor and vitamin D-metabolising enzymes in horse skeletal muscle.
Equine veterinary journal    September 28, 2020   Volume 53, Issue 4 796-805 doi: 10.1111/evj.13346
Puangthong C, Sukhong P, Saengnual P, Srikuea R, Chanda M.The expressions of vitamin D receptor (VDR) and vitamin D-metabolising enzymes (CYP27B1 and CYP24A1) in skeletal muscle have been reported. However, the regulation of this vitamin D system in horse skeletal muscle after high-intensity exercise has not yet been elucidated. Objective: To investigate the effect of high-intensity exercise on the expression of vitamin D system-related proteins in horse skeletal muscle and its associations with skeletal muscle stem cell (SMSC) activity and serum 25(OH)D level. Methods: Longitudinal study. Methods: Six healthy ponies (5 geldings, 1 mare; age 6.3 ±...
Changes in Salivary Analytes of Horses Due to Circadian Rhythm and Season: A Pilot Study.
Animals : an open access journal from MDPI    August 24, 2020   Volume 10, Issue 9 1486 doi: 10.3390/ani10091486
Contreras-Aguilar MD, Lamy E, Escribano D, Cerón JJ, Tecles F, Quiles AJ, Hevia ML.This study aims to evaluate the circadian and circannual variations in a panel of analytes in horse saliva that have been previously described as biomarkers related to stress and disease, in order to interpret them correctly when they are measured in this species. This panel of analytes integrated cortisol, salivary alpha-amylase (sAA), lipase (Lip), total esterase (TEA), butyrylcholinesterase (BChE), adenosine deaminase (ADA), γ-glutamyl transferase (gGT), creatine kinase (CK), urea, total bilirubin, total protein (TP), and phosphorus. These analytes were measured in saliva obtained from a p...
The metabolic profile of Asinara (albino) and Sardo donkeys (pigmented) (Equus asinus L., 1758) points to unequivocal breed assignment of individuals.
PeerJ    July 8, 2020   Volume 8 e9297 doi: 10.7717/peerj.9297
Cappai MG, Dimauro C, Biggio GP, Cherchi R, Accioni F, Pudda F, Boatto G, Pinna W.This study pointed to explore if variations in circulating levels of metabolites in the blood stream of no. 25 feral donkeys occur in view of the different coat color between specimens of Asinara (albino, no. 8) vs. Sardo (dun-grey, no. 17) breed. All individuals involved in this investigation are living in the nature, at Mediterranean latitudes and roam in the same areas all over the National Park of Capo Caccia, where they feed on spontaneous vegetation sources. The study was conducted during the positive photoperiod of the boreal hemisphere (peak in the month of June, 2019) to maximize the ...
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...
Investigation of biochemical and physiological parameters of the newborn Saiga antelope (Saiga tatarica) in Gansu Province, China.
PloS one    November 26, 2019   Volume 14, Issue 11 e0224822 doi: 10.1371/journal.pone.0224822
Liu X, Mawolo JB, Du X, Zhou Y, Wang H, Liu F, He Z, Marela HA.The Saiga antelope (Saiga tatarica) is a critically endangered species, and there has been limited success in restoring the population by captive breeding. This study assessed the biochemical and physiological parameters of newborn Saiga antelope to provide reference information that can be used to evaluate their health. Comparisons have been made with parameters for horses and closely related members of the Bovidae family but there are no reference values for the newborn Saiga antelope. Biochemical and physiological parameters were measured in 61 animals. An automatic analyzer (Hitachi Ltd. 7...
Dataset concerning haematological and biochemical parameters changes in show jumping horses subjected to exercise and plasmapheresis session.
Data in brief    October 12, 2019   Volume 27 104653 doi: 10.1016/j.dib.2019.104653
Daden R, Chbihi S, Zarhouni FZ, Chakir J, Piro M, Achaaban MR, Ouassat M, El Allali K.This article presents data on the effect of plasmapheresis on clinical, haematological and biochemical parameters in horses following exercise and after a plasmapheresis session. This blood filtration technique was realised on six jumping horses (plasmapheresis group) that underwent three consecutive days of graded physical exercise. The control group (n = 6) went through the same exercise but was not subjected to the plasmapheresis session. Blood was sampled before and after each exercise, also at the beginning and the end of plasmapheresis session. The presented data was obtained by measur...
Acute-phase protein profile in horses subjected to different exercise protocols.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 2, 2019   Volume 83, Issue 4 272-278 
Assunção P, Barbosa T, Yonezawa L, Barbosa L, Watanabe M, Kohayagawa A, Schmidt E.High-intensity exercise can be associated with the occurrence of muscle injury, as well as the induction of an acute-phase response (APR). The present study aims to investigate the synthesis and profile of serum proteins in horses before and after participating in 2 different exercise protocols and to relate this profile to the presence or absence of muscular injury caused by exercise. Ten purebred Arabian (n = 5) and Criollo (n = 5) horses were subjected to 2 different tests on a treadmill, one consisting of short-duration and rapid-acceleration training (TRA) that was mostly anerobic and the...
Plasmapheresis Effect on Hematological and Biochemical Parameters in Athletic Horses Subjected to Exercise.
Journal of equine veterinary science    August 1, 2019   Volume 81 102785 doi: 10.1016/j.jevs.2019.07.006
Daden R, Zarhouni FZ, Chakir J, Piro M, Achaâban MR, Ouassat M, El Allali K.To evaluate the effect of plasmapheresis on clinical, hematological, and biochemical parameters after exercise, a plasmapheresis session was realized on six jumping horses (plasmapheresis group) that underwent three consecutive days of physical graded exercise. The control group (n = 6) went through the same exercise but not subjected to the plasmapheresis session. Seventeen milliliters of plasma/kg of body weight was harvested from each horse. The procedure was well tolerated by the horses. The plasmapheresis leads to a significant increase of the hemoglobin, hematocrit, red blood cell, whit...
Stimulation of Bladder Acupoints by Cloprostenol for Treating Back Soreness in Athletic Horses.
Journal of acupuncture and meridian studies    July 24, 2019   Volume 12, Issue 5 166-171 doi: 10.1016/j.jams.2019.07.001
Sheta E, Farghali H, Ragab S, Hassan N, El-Sherif A.Twenty-five Thoroughbred jumper geldings suffered back soreness with poor performance, and 5 control horses were assessed by archived computer data, clinical examination, and laboratory analyses of complete blood picture, serum enzymes, and cortisol level, before and after cloprostenol-pharmacopuncture. The 25 diseased horses before therapy showed significant increases in aspartate aminotransferase and creatine phosphokinase with clinical pains scored mild in 15 horses, moderate in 9 horses, and severe in one horse, without changes in the hormonal and hematological data. After therapy, they re...
Changes in Serum Amyloid A (SAA) Concentration in Arabian Endurance Horses During First Training Season.
Animals : an open access journal from MDPI    June 8, 2019   Volume 9, Issue 6 330 doi: 10.3390/ani9060330
Witkowska-Piłaszewicz O, Bąska P, Czopowicz M, Żmigrodzka M, Szczepaniak J, Szarska E, Winnicka A, Cywińska A.Sport training leads to adaptation to physical effort that is reflected by the changes in blood parameters. In equine endurance athletes, blood testing is accepted as a support in training, however, only the changes before versus after exercise in creatine phosphokinase activity (CPK) and basic blood parameters are usually measured. This study is the first longitudinal investigation of the changes in routinely measured blood parameters and, additionally, serum amyloid A (SAA), during seven months, in Arabian horses introduced to endurance training and competing in events for young horses. It h...
Changes in saliva analytes in equine acute abdominal disease: a sialochemistry approach.
BMC veterinary research    June 6, 2019   Volume 15, Issue 1 187 doi: 10.1186/s12917-019-1933-6
Contreras-Aguilar MD, Escribano D, Martínez-Subiela S, Martín-Cuervo M, Lamy E, Tecles F, Cerón JJ.The biochemical components of saliva can change in certain pathologies in horses, for example in acute abdominal disease. The aim of this study was (1) to evaluate if a panel of biochemical analytes usually used in serum can be measured in saliva of horses and (2) to study the possible changes of these biochemical analytes in saliva of horses affected by acute abdominal disease. A panel of 23 analytes was analytically validated in saliva of horses and possible changes in these analytes in a pilot study with six healthy horses and six horses with acute abdominal disease were evaluated. The anal...
Exercise-induced changes in skin temperature and blood parameters in horses.
Archives animal breeding    April 16, 2019   Volume 62, Issue 1 205-213 doi: 10.5194/aab-62-205-2019
Soroko M, Śpitalniak-Bajerska K, Zaborski D, Poźniak B, Dudek K, Janczarek I.The aim of the study was to assess the effects of training on haematological and biochemical blood parameters as well as on the changes in body surface temperature in horses. In order to identify the predictive value of surface temperature measurements as a marker of animal's performance, their correlations with blood parameters were investigated. The study was carried out on nine horses divided into two groups: routinely ridden and never ridden. Infrared thermography was used to assess surface temperature changes before (BT) and just after training (JAT) on a treadmill. Seven regions of int...
Predictive value of plasma and peritoneal creatine kinase in horses with strangulating intestinal lesions.
Veterinary surgery : VS    December 26, 2018   Volume 48, Issue 2 152-158 doi: 10.1111/vsu.13147
Kilcoyne I, Nieto JE, Dechant JE.To determine the ability of plasma and peritoneal creatine kinase (CK) to predict the presence of a strangulating lesion in horses presented for colic. Methods: Prospective clinical study. Methods: Ten healthy control horses and 61 clinical colic cases. Methods: Creatine kinase activity was measured in peritoneal fluid and plasma of 10 healthy horses and 61 horses presenting for colic (40 horses with nonstrangulating lesions and 21 horses with strangulating lesions). Information on other blood and peritoneal fluid variables, signalment, results from the physical examination, outcome, requireme...
Eye Surface Temperature as a Potential Indicator of Physical Fitness in Ranch Horses.
Journal of equine veterinary science    December 21, 2018   Volume 75 1-8 doi: 10.1016/j.jevs.2018.11.015
Esteves Trindade PH, de Camargo Ferraz G, Pereira Lima ML, Negrão JA, Paranhos da Costa MJR.This study aimed to investigate the use of maximum eye surface temperature (EST), recorded by infrared thermography, as an indicator of physical fitness in ranch horses. Data collection was carried out with 16 horses by recording six physical fitness biomarkers (EST, respiratory rate, creatine kinase activity [CK], and concentrations of total serum protein, plasmatic cortisol, and lactate) before and after a regular working day. We also recorded heart rate during the exercise, exercise duration, average velocity, distance traveled, and air temperature and humidity. The variation between the sa...
Effect of racing on blood variables in Standardbred horses.
Veterinary clinical pathology    November 13, 2018   Volume 47, Issue 4 625-628 doi: 10.1111/vcp.12666
Bos A, Compagnie E, Lindner A.Blood is collected for hematologic and biochemical analyses when racehorses perform poorly. However, racing affects most analyte levels; therefore, the timing of blood sampling can affect analyte levels and interpretations. Objective: This study aimed to determine if the blood variable levels returned to pre-racing levels 2 and 3 days post-racing. Methods: Blood was sampled from 17 healthy racehorses pre- and post-racing. The variables measured from plasma were albumin, cholesterol, creatinine, calcium (Ca), phosphorus (P), magnesium (Mg), sodium (Na), potassium (K), creatine phosphokinase (C...
The Effects of Various Levels of Docosahexaenoic Acid on Inflammatory Markers in Conditioned Horses During Lactate Threshold Tests.
Journal of equine veterinary science    October 24, 2018   Volume 72 64-71 doi: 10.1016/j.jevs.2018.10.005
Hess T, Braun S, Herkelman K.Exercise stimulates the release of inflammatory cytokines and supplementation with n-3 fatty acids reduces inflammation. The effects of different doses of docosahexaenoic acid (DHA) on inflammation in polo horses submitted to field lactate threshold tests (LT) were analyzed. We hypothesized that higher doses of DHA would reduce postexercise inflammation. Twenty polo horses were assigned to different treatments: control group fed (n = 5) grain and hay, 3 treatment groups (n = 5) fed 10, 20, or 50 g/day of DHA with grain and free choice hay during 60 days. Horses underwent LT tests before st...
Newborn foal with atypical myopathy.
Journal of veterinary internal medicine    September 14, 2018   Volume 32, Issue 5 1768-1772 doi: 10.1111/jvim.15236
Karlíková R, Široká J, Mech M, Friedecký D, Janečková H, Mádrová L, Hrdinová F, Drábková Z, Dobešová O, Adam T, Jahn P.The case of atypical myopathy (AM) in newborn Haflinger foal with clinical signs of depression and weakness appearing 6 hours after birth resulting in recumbency 12 hours after birth is described. The foal's dam was diagnosed with AM in the 6th month of gestation based on clinical signs of a myopathy, elevated serum activity of creatine kinase, metabolomic analysis and the presence of methylenecyclopropyl acetyl carnitine (MCPA-carnitine) in the blood. At the time of delivery, the mare was grazing on a pasture near sycamore trees but was free of clinical signs of AM. Metabolomic analysis of th...
Validity of an established metabolic disorder index as a predictor for metabolic eliminations in endurance horses.
International journal of veterinary science and medicine    August 20, 2018   Volume 6, Issue 2 227-232 doi: 10.1016/j.ijvsm.2018.08.002
Izzati MRNZ, Noraniza MA, Adamu L, Rasedee A.Endurance horses are usually eliminated from the race due to lameness, metabolic ailments or technical reasons. The purpose of the study was to determine the validity and reliability of the metabolic disorder index (MDI) in predicting metabolic eliminations in endurance horses during an endurance race. Fifty-four endurance horses competing on two local endurance tracks were involved in the study. Blood samples were collected a day prior to the event to determine packed cell volume (PCV), chloride (Cl), interleukin-6 (IL-6), creatine kinase (CK) and glutathione reductase (GR) concentrations fro...
Evaluation of potential predictor variables for PCR assay diagnosis of Anaplasma phagocytophilum infection in equids in Northern California.
American journal of veterinary research    August 8, 2018   Volume 79, Issue 6 637-642 doi: 10.2460/ajvr.79.6.637
Fielding CL, Rhodes DM, Howard EJ, Mayer JR.OBJECTIVE To identify clinical or clinicopathologic variables that can be used to predict a positive PCR assay result for Anaplasma phagocytophilum infection in equids. ANIMALS 162 equids. PROCEDURES Medical records were reviewed to identify equids that underwent testing for evidence of A phagocytophilum infection by PCR assay between June 1, 2007, and December 31, 2015. For each equid that tested positive (case equid), 2 time-matched equids that tested negative for the organism (control equids) were identified. Data collected included age, sex, breed, geographic location (residence at the tim...
Clinical characteristics and muscle glycogen concentrations in warmblood horses with polysaccharide storage myopathy.
American journal of veterinary research    October 28, 2017   Volume 78, Issue 11 1305-1312 doi: 10.2460/ajvr.78.11.1305
Lewis SS, Nicholson AM, Williams ZJ, Valberg SJ.OBJECTIVE To characterize clinical findings for polysaccharide storage myopathy (PSSM) in warmblood horses with type 1 PSSM (PSSM1; caused by mutation of the glycogen synthase 1 gene) and type 2 PSSM (PSSM2; unknown etiology). SAMPLE Database with 3,615 clinical muscle biopsy submissions. PROCEDURES Reported clinical signs and serum creatine kinase (CK) and aspartate aminotransferase (AST) activities were retrospectively analyzed for horses with PSSM1 (16 warmblood and 430 nonwarmblood), horses with PSSM2 (188 warmblood and 646 nonwarmblood), and warmblood horses without PSSM (278). Lameness e...