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Topic:Disease Treatment
Disease treatment in horses encompasses a range of medical interventions and management strategies aimed at addressing various health conditions affecting equine species. These treatments can include pharmacological approaches, such as the administration of antibiotics, anti-inflammatory drugs, and antiparasitic medications, as well as non-pharmacological methods like physical therapy, dietary adjustments, and surgical procedures. The selection of appropriate treatments depends on the specific disease, its severity, and the individual needs of the horse. This topic brings together peer-reviewed research studies and scholarly articles that explore the efficacy, safety, and advancements in therapeutic options for equine diseases, providing insights into best practices and emerging trends in equine veterinary medicine.
Risk factors and long-term prognosis of catheter-associated thrombophlebitis in neonatal foals. Thrombophlebitis is a possible complication of the use of indwelling catheters in hospitalized neonatal foals. Limited data are available concerning associated risk factors, and long-term prognosis regarding vein patency is currently unknown. Objective: Identify risk factors for catheter-associated thrombophlebitis in neonatal foals and assess long-term prognosis in a small subset. Methods: Two hundred twenty-three foals < 31 days of age, hospitalized in Utrecht University Equine Hospital between 2019 and 2024. Methods: Retrospective review of medical records. Foals that received an indw...
Harnessing the Horse for Human Osteoarthritis: microRNA-181a-5p Antisense Oligonucleotides in Clinically Normal Equine Fetlock Joints Are Safe and Well Tolerated. Horses serve as a translational model for human osteoarthritis (OA) due to their comparable joint size, cartilage thickness, and incidence of naturally occurring disease. Overexpression of microRNA-181a-5p has been implicated in cartilage degradation in OA, and its inhibition using locked nucleic acid antisense oligonucleotides (LNA-miR-181a-5p ASOs) represents a potential therapeutic strategy. This study evaluated the safety of intraarticular (IA) LNA-miR-181a-5p ASO injection in clinically normal horse fetlock joints. Twelve horses were randomized to receive two IA injections, 28 days apart,...
Incidence of omphalitis in foals with different umbilical disinfection protocols. Omphalitis, a common umbilical disorder in foals, can lead to complications and systemic diseases. An adequate disinfection protocol of the umbilical stump after birth is recommended to prevent infection. Objective: Comparison of different disinfection solutions and their efficacy in preventing omphalitis in foals. Methods: A total of 288 clinically healthy foals were included in this prospective, blinded cohort study during the foaling seasons of 2023 and 2024 on one stud farm. Foals were randomly allocated to one of six disinfection groups. The umbilical stump was examined clinically during ...
Medical Therapies for the Treatment of Osteoarthritis in the Horse – 20 years later…. Osteoarthritis (OA) is a debilitating joint disease, characterized by a degenerative catabolic cascade resulting in detrimental changes to all aspects of the joint including the irreversible destruction of articular cartilage. In 2006, a narrative review by Goodrich and Nixon outlined the available treatments for the medical management of OA; however, since that time substantial progress has been made. In recent years the therapeutic options for veterinarians managing horses with OA has increased significantly with a multitude of products available on the market. While many of the conventional...
Proof of Concept for Open Flow Microperfusion for Intratumoural Drug Administration in Equine Cutaneous Neoplasia. Intratumoural drug delivery can achieve high local therapeutic exposure while limiting systemic effects, but heterogeneous distribution may compromise treatment efficacy and precision. This proof-of-concept study investigated open flow microperfusion (OFM) as a novel platform for local delivery of tigilanol tiglate (TT), an intratumoural antineoplastic agent with immunomodulatory and vascular-disrupting effects. Four horses with histologically confirmed cutaneous neoplasia (three sarcoids and one squamous cell carcinoma) underwent OFM using TT concentrations of 0.01-0.04 mg/mL delivered at 9 ...
A single-cell RNA-seq dataset characterizing cellular diversity in healthy equine skin. The skin serves as the primary barrier tissue in horses and is frequently affected by immune-mediated dermatological conditions, most notably insect bite hypersensitivity (IBH). Yet, the cellular composition and transcriptional landscape of normal equine skin have never been characterized at single-cell resolution. Here, we present a single-cell RNA sequencing dataset of healthy equine skin comprising 85,574 high-quality transcriptomes from two horses, with one skin biopsy collected from each horse, divided into two portions for independent processing via manual or automated tissue dissociatio...
Effect of volume for injection of the 15th to 16th thoracic interspinous space: An ex vivo study. Impinging (overriding) spinous processes (ISPs) are commonly identified in horses with back pain. Diagnostic analgesia is widely used as the clinical reference standard for confirming association with clinical signs of back pain, but the specificity of dorsal spinous region diagnostic analgesia remains poorly understood. Objective: To evaluate the specificity of a midline thoracic interspinous space injection in cadaveric horses using three injectate volumes, assessed by computed tomography (CT) and anatomical dissection. Methods: Ex vivo experimental study. Methods: The T15-T16 interspinous s...
Ursodeoxycholic Acid Oral Pharmacokinetics and Plasma Bile Acid Profile Changes in a Population of Healthy Neonatal Foals. Ursodeoxycholic acid (UDCA) is a secondary bile acid used in humans for the treatment of some cholestatic diseases. Interest in its potential use in equine patients with liver conditions has increased. Pharmacokinetic parameters in adult horses have recently been reported; however, they are not available for foals. The objective of this study was to characterize the pharmacokinetics of UDCA following a single oral dose of 15 mg/kg in six healthy neonatal foals and evaluate associated changes in bile acids (BA) profile. UDCA concentrations were measured using liquid chromatography-tandem mass...
Case Report : Streptococcus equi subspecies zooepidemicus bacteriemia and spondylodiscitis following direct contact with a horse. Streptococcus equi subspecies zooepidemicus is a zoonotic pathogen that commonly colonizes the respiratory tract and oral cavity of horses. Human infections are rare and most frequently present as bacteremia, meningitis, or pneumonia. Methods: We report the case of an 88-year-old patient who developed Streptococcus equi subspecies zooepidemicus spondylodiscitis after direct and exclusive contact with a live horse. Clinical, microbiological, and radiological findings were reviewed. Results: Blood cultures identified Streptococcus equi subspecies zooepidemicus. Magnetic resonance imaging confirm...
Application of digital pathology to assess the effect of hormone treatment on placental histomorphometry in mares with induced ascending placentitis. This study aimed to evaluate the effects of hormonal treatments with altrenogest (ALT) and estradiol cypionate (ECP) on placental histomorphometry in mares with experimentally induced ascending placentitis, using digital pathology as a quantitative tool. Thirty pregnancies from 27 Criollo-type mares were assigned to six groups: healthy controls (n = 5); basic treatment (n = 5), treated with trimethoprim-sulfamethoxazole (TSM), and flunixin meglumine (FM); ALT group (n = 5) + basic treatment; ECP group (n = 5) + basic treatment; ALT + ECP group (n = 5) in addition to basic treat...
Prolyl-Hydroxyproline Promotes Structural Matrix Organization in 3D Equine Tendon Proper and Peritenon Post-Injury Model. Tendinopathy of the superficial digital flexor tendon affects horse health and performance, with slow healing and high re-injury rates due to the formation of mechanically weaker scar tissue. Tendons are rich in Type I collagen and may benefit from supplementation with collagen-derived dipeptide prolyl hydroxyproline (H-Pro-Hyp-OH) which improves collagen regeneration and reduces scarring in murine injury models. However, its effects on equine tenocytes in the tendon proper (TP) and peritenon (PERI) under stress are unknown. Three-dimensional fibrin-based TP and PERI constructs were used to ev...
Use of Sildenafil Citrate for the Treatment of Erectile Dysfunction in Stallions: First Case Reports. Pharmacological aids can be useful alternatives to enhance penile erection and/or improve ejaculatory function, thereby prolonging the reproductive life of stallions with ejaculatory disorders. This study aimed to evaluate the effects of sildenafil citrate in the treatment of erectile dysfunction and on semen quality in two aged stallions, a Quarter Horse (18 years) and a Mangalarga Marchador (25 years), presented to the Veterinary Hospital of FMVZ-UNESP, Botucatu, SP, Brazil. The treatment consisted of oral administration of sildenafil citrate at 0.2 mg/kg. Thirty minutes after administ...
Evaluation of tilapia skin (Oreochromis niloticus) frozen, frog skin (Rana catesbeiana), and tilapia skin (Oreochromis niloticus) sterilized with gamma rays dressings, in equine skin wound healing. Skin wounds are common in horses due to species-specific behavioral responses. Equine skin morphology, vascularization, and inflammatory responses to wounds are comparable to those in humans, supporting the translational relevance of equine wound-healing studies. Investigating biomaterials such as tilapia and frog skin may improve wound management. This study demonstrated that sterilized tilapia and frog skin exhibit promising wound-healing properties. Unassigned: Macroscopic, microscopic, and thermographic aspects of second-intention wound healing were compared in six horses with surgically i...
Promises and Perspectives of Mesenchymal Stromal Cells in Companion and Farm Animals. Mesenchymal stromal cells (MSCs) are heterogeneous, multipotent cell populations that have become one of the most extensively investigated cell types in veterinary regenerative medicine. They can be isolated from a wide range of adult and perinatal tissues and have attracted considerable interest because of their immunomodulatory properties, broad secretory activity, and potential to promote tissue repair. However, increasing evidence indicates that MSCs should not be regarded as a uniform therapeutic product, as their biological behaviour is influenced by tissue source, donor characteristics,...
Fatal equine gas gangrene associated with Clostridium septicum in the Brazilian Amazon: clinicopathological and molecular characterization of a 20-case series. Clostridial gas gangrene is an acute necrotizing infection of skeletal muscle characterized by rapid tissue destruction and severe systemic toxemia in horses; however, systematically documented case series from tropical settings remain scarce. Here, we describe a clinicopathological and molecularly confirmed series of 20 fatal equine gas gangrene cases diagnosed in the eastern Brazilian Amazon (Pará State) between 2018 and 2026. Horses presented with abrupt onset of severe lameness, rapidly progressive swelling of a limb or muscle group, and palpable subcutaneous crepitus, frequently followin...
Bacterial Pneumonia in Horses: Insights from a 10-Year European Single-Centre Retrospective Study. Bacterial pneumonia in horses typically occurs secondary to predisposing factors that compromise defence mechanisms. This 10-year retrospective study evaluated bacterial pneumonia in 81 horses treated at the equine clinic of Freie Universität Berlin from January 2015 to December 2024. Horses infected with primary pathogens such as or ssp. were not included in the study. The most common predisposing events were aspiration, mainly following oesophageal obstruction (37.0%), post-anaesthetic disease (27.2%), primary respiratory signs (24.7%), and other conditions (11.1%). Horses with aspiratio...
Use of wooden shoes for the treatment of chronic laminitis in an American quarter horse. An 11-year-old American quarter horse mare with bilateral forelimb lameness was examined at a mixed-animal veterinary clinic. Radiographs revealed rotation and distal displacement of the 3rd phalanx in each front foot, confirming chronic laminitis. Wooden shoes (Steward Clogs) were used successfully to manage the lameness. The findings from this case support the use of wooden shoes as part of the treatment of chronic laminitis in a general veterinary practice setting. Utilisation de sabots pour le traitement de la fourbure chronique chez un quarter horse américainUne jument quarter horse amé...
Proof of concept for low dose and delayed release of tigilanol tiglate in the treatment of equine sarcoids. Intra-tumoural administration of tigilanol tiglate has been shown effective in local treatment of cutaneous equine neoplasias. The drug causes rapid oncolysis and tumour slough, but may also be associated with comorbidities in sensitive and/or intricate anatomical sites due to its initial pro-inflammatory mode of action. Here we describe two approaches to optimise and further de-risk treatment of equine sarcoids with tigilanol tiglate, especially in difficult locations. Firstly, we provide preliminary clinical and observational data on the efficacy of low dose administration of tigilanol tigla...
Selective oncolytic activity of newcastle disease virus in equine sarcoid primary cells: a preclinical investigation. Equine sarcoids are the most common skin tumors in horses and are characterized by local invasiveness, high recurrence rates, and inconsistent responses to current therapies. Oncolytic virotherapy represents a promising alternative approach that exploits defects in antiviral signaling pathways in tumor cells. Newcastle disease virus (NDV), an avian paramyxovirus that is nonpathogenic in mammals, has demonstrated tumor-selective activity in several species; however, its effects on equine sarcoids have not been previously investigated. In this study, primary cell cultures derived from equine sar...
Non-coding RNA profiles associated with equine osteoarthritis: a systematic review. Non-coding RNAs (ncRNAs) play a role in the pathogenesis of osteoarthritis (OA) by regulating gene expression related to inflammation, chondrocyte apoptosis, and extracellular matrix degradation. In horses, OA is a leading cause of lameness and poor performance, with no current treatments halting disease progression and no clear biomarker available. Although some studies have investigated expression profiles of ncRNAs in equine OA, there is a need to systematically review previous efforts and synthesize information to identify potential ncRNAs to target in future research. Unassigned: The sear...
Challenges for interpreting results of antimicrobial susceptibility testing for treating infections of foals with Rhodococcus equi. Rhodococcus equi is a facultative intracellular pathogen and a major cause of pneumonia in foals worldwide. The standard treatment for affected foals is a combination of a macrolide with rifampicin. The widespread use of this combination has led to the emergence of multidrug-resistant (MDR) strains of R. equi. Consequently, antimicrobial susceptibility testing is essential for guiding treatment of rhodococcal pneumonia. Unfortunately, clinical breakpoints for macrolides and other antimicrobials against R. equi for foals are lacking, thereby complicating clinical interpretation of in vitro resu...
Mesenchymal stem cells in veterinary clinical practice: Evidence from naturally occurring diseases. Over the past two decades, the use of mesenchymal stem cells (MSCs) in veterinary medicine has expanded rapidly, although the clinical evidence remains in its early stages. This review discusses clinical studies involving client-owned animals with naturally occurring diseases in which MSCs or MSC-derived extracellular vesicles (EVs) were used as treatments. It covers musculoskeletal disorders, including osteoarthritis, tendon and ligament injuries, and bone diseases; soft-tissue and oral mucosal conditions; neurological disorders; ophthalmic diseases; and internal medicine disorders, such as i...
Alpha-2-Macroglobulin-Enriched Plasma Modulates Inflammatory and Proteolytic Pathways in Experimental Equine Musculoskeletal Models. Joint inflammation and extracellular matrix degradation are major contributors to the development of equine osteoarthritis and reduced athletic performance. Alpha-2-macroglobulin is a naturally occurring broad-spectrum inhibitor of proteases and inflammatory mediators that has emerged as a promising orthobiologic therapy. This study investigated the anti-inflammatory and matrix-protective effects of alpha-2-macroglobulin-enriched plasma in complementary in vitro and ex vivo equine models. Primary equine chondrocytes and synoviocytes isolated from healthy horses were stimulated with interleukin...
Administration of the Postbiotic Substance 412 to Slovak Warm-Blooded Horses: A Pilot Experiment. Antimicrobial proteinaceous postbiotic substances (PS) and/or bacteriocins can beneficially influence animal health, as previously shown with enterocins from non-autochthonous enterococcal strains. Therefore, the effectiveness of PS 412, produced by our beneficial autochthonous strain EF 412, was assessed in horses. In the pilot experiment, PS 412 was administered to 12 horses of various ages and breeds for 21 days via a small feed ball. Sampling was performed on days 0/1, 21, and 42 (after a 3-week cessation of PS 412). The horses served as their own controls. Although the number of horses w...
Wound healing of experimental cutaneous wounds in horses: comparison between a topical formulation containing powdered coconut water and an antimicrobial ointment. Skin wounds in horses often present prolonged healing, stimulating the search for alternative topical therapies. To date, there are no experimental studies in horses evaluating topical formulations containing powdered coconut water. Objective: To compare the early macroscopic and morphometric wound-healing outcomes and the histopathological findings at day 14 in experimental cutaneous wounds in horses treated with a topical formulation containing powdered coconut water versus a reference antimicrobial ointment. Methods: Eight clinically healthy horses received two standardized circular skin wo...
Endocrinopathic Laminitis. Endocrinopathic laminitis is a consequence of persistent hyperinsulinemia, therefore insulin control is the key to prevention and effective treatment. This form of laminitis is commonly subclinical and therefore early diagnosis requires metabolic screening to establish risk and radiographic screening to detect early laminitic changes that may not yet be clinically apparent. Management changes can be used in conjunction with medication to control insulin and effectively prevent and treat endocrinopathic laminitis.
Efficiency of a Combination of Polyethylene Glycol and Psyllium on the Evacuation of Sand Compared to Established Treatment Regimes in Sand Enteropathy of the Horse. The accumulation of sand in the abdomen is a rising risk for colic in horses. Sand mainly accumulates in the ascending colon in the cranioventral abdomen. Evacuation of sand is facilitated by the application of psyllium supported with a laxative via nasogastric intubation. Laxatives currently used are either sodium sulfate/magnesium sulfate or mineral oil. The aim of this study was to compare the efficiency of polyethylene glycol, a laxative already used in human medicine for chronic constipation, with that of the above-described, established therapy options. Therefore, 44 horses diagnosed wit...
Failure of Passive Transfer in neonatal foals – a review. Failure of passive transfer (FPT) is a major contributor to morbidity and mortality in neonatal foals worldwide. Adequate ingestion and intestinal absorption of colostral immunoglobulin G (IgG) during the first hours of life are essential to ensure protection against early-life infections, such as diarrhoea and pneumonia, frequently with fatal outcome. This review summarizes current knowledge on the physiology of passive immunization, risk factors for inadequate IgG absorption, diagnostic methods, therapeutic strategies, and evidence-based preventive measures. Recent research highlights the im...
Cord blood mesenchymal stromal cells combined with hyaluronic acid show symptom-modifying and potential disease-modifying effects in an equine osteoarthritis fetlock chip model. Osteoarthritis (OA) is a major cause of lameness in horses, and current therapies largely address clinical signs rather than disease progression. Mesenchymal stromal cells (MSCs) have shown promise as disease-modifying biologics, but their effects on joint structure and immunologic phenotype remain incompletely characterized. Unassigned: To evaluate the safety and efficacy of pooled cryopreserved equine umbilical cord blood-derived MSCs (eCB-MSCs) combined with hyaluronic acid (HA) for surgically induced fetlock OA in horses, using integrated clinical, imaging, and synovial biomarker outcomes....
Risk Factors for Disease in Military Working Equines. Diseases can impact Military Working Equids (MWEs) readiness and limit days in service. The objectives of this study are to categorize diseases in MWEs and evaluate potential risk factors for disease. Methods: Pathology reports from MWEs from 2005 to 2025 were retrieved from the Joint Pathology Center archives. Disease processes with ≥5 cases were evaluated for potential risk factors, including MWE breed, sex, neuter status, geographic location, and age at sampling. Results: Diagnoses included inflammation (n = 30), neoplasia/proliferation (n = 24), within normal limits (n = 12),...
