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Topic:Equine Diseases

Equine diseases encompass a wide range of health conditions that can affect horses, including infectious diseases, metabolic disorders, and genetic conditions. These diseases can impact the overall health, performance, and well-being of horses. Common equine diseases include equine influenza, equine herpesvirus, laminitis, and equine metabolic syndrome. Diagnosis and management of these diseases often require a combination of clinical evaluation, laboratory testing, and appropriate treatment strategies. This page gathers peer-reviewed research studies and scholarly articles that explore the etiology, pathophysiology, diagnosis, and treatment options for various equine diseases, providing valuable insights for veterinarians and researchers in the field.
An update on equine post-operative ileus: Definitions, pathophysiology and management.
Equine veterinary journal    January 29, 2018   Volume 50, Issue 3 292-303 doi: 10.1111/evj.12801
Lisowski ZM, Pirie RS, Blikslager AT, Lefebvre D, Hume DA, Hudson NPH.Post-operative ileus (POI) is a serious condition which any horse undergoing abdominal surgery is at risk of developing, leading to increased hospitalisation time and resulting costs. Advances in the understanding of the development of equine POI are mainly based on human and rodent literature, where manipulation-induced inflammation has been identified as a trigger, with activation of resident muscularis externa macrophages playing a crucial role in the pathophysiology. Despite many pharmacological trials in all species, there is no single completely successful treatment for POI, highlighting...
Equine glucagon-like peptide-1 receptor physiology.
PeerJ    January 29, 2018   Volume 6 e4316 doi: 10.7717/peerj.4316
Kheder MH, Bailey SR, Dudley KJ, Sillence MN, de Laat MA.Equine metabolic syndrome (EMS) is associated with insulin dysregulation, which often manifests as post-prandial hyperinsulinemia. Circulating concentrations of the incretin hormone, glucagon-like peptide-1 (GLP-1) correlate with an increased insulin response to carbohydrate intake in animals with EMS. However, little is known about the equine GLP-1 receptor (eGLP-1R), or whether GLP-1 concentrations can be manipulated. The objectives were to determine (1) the tissue localisation of the eGLP-1R, (2) the GLP-1 secretory capacity of equine intestine in response to glucose and (3) whether GLP-1 s...
Use of split-free nano-liquid chromatography-mass spectrometry/high resolution mass spectrometry interface to improve the detection of α-cobratoxin in equine plasma for doping control.
Drug testing and analysis    January 25, 2018   Volume 10, Issue 5 880-885 doi: 10.1002/dta.2348
Bailly-Chouriberry L, Garcia P, Cormant F, Loup B, Popot MA, Bonnaire Y.Cobra (Naja naja kaouthia) venom contains a toxin called α-cobratoxin (α-Cbtx) containing 71 amino acids (MW 7821 Da) with a reported analgesic power greater than morphine. In 2013, the first analytical method for the detection of α-Cbtx in equine plasma was developed by Bailly-Chouriberry et al, allowing the confirmation of the presence of α-Cbtx at low concentrations (1-5 ng/mL or 130-640 fmol/mL) in plasma samples. To increase the method sensitivity and therefore to improve the detection of α-Cbtx in post-administration plasma samples, a nano-liquid chromatography-mass spectrometry/hi...
Increased sclerostin associated with stress fracture of the third metacarpal bone in the Thoroughbred racehorse.
Bone & joint research    January 25, 2018   Volume 7, Issue 1 94-102 doi: 10.1302/2046-3758.71.BJR-2016-0202.R4
Hopper N, Singer E, Henson F.The exact aetiology and pathogenesis of microdamage-induced long bone fractures remain unknown. These fractures are likely to be the result of inadequate bone remodelling in response to damage. This study aims to identify an association of osteocyte apoptosis, the presence of osteocytic osteolysis, and any alterations in sclerostin expression with a fracture of the third metacarpal (Mc-III) bone of Thoroughbred racehorses. Methods: A total of 30 Mc-III bones were obtained; ten bones were fractured during racing, ten were from the contralateral limb, and ten were from control horses. Each Mc-II...
Biomarkers for equine joint injury and osteoarthritis.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    January 24, 2018   Volume 36, Issue 3 823-831 doi: 10.1002/jor.23738
McIlwraith CW, Kawcak CE, Frisbie DD, Little CB, Clegg PD, Peffers MJ, Karsdal MA, Ekman S, Laverty S, Slayden RA, Sandell LJ, Lohmander LS, Kraus VB.We report the results of a symposium aimed at identifying validated biomarkers that can be used to complement clinical observations for diagnosis and prognosis of joint injury leading to equine osteoarthritis (OA). Biomarkers might also predict pre-fracture change that could lead to catastrophic bone failure in equine athletes. The workshop was attended by leading scientists in the fields of equine and human musculoskeletal biomarkers to enable cross-disciplinary exchange and improve knowledge in both. Detailed proceedings with strategic planning was written, added to, edited and referenced to...
Modulation of chaperone-like and membranolytic activities of major horse seminal plasma protein HSP-1/2 by L-carnitine.
Journal of biosciences    January 24, 2018   Volume 42, Issue 3 469-479 doi: 10.1007/s12038-017-9693-6
Sudheer Kumar C, Swamy MJ.The major protein of horse seminal plasma, HSP-1/2, exhibits membranolytic and chaperone-like activities and plays a crucial role in regulating sperm capacitation. L-Carnitine is a small polar molecule present in high concentrations in mammalian seminal plasma. The present results demonstrate that L-carnitine binds to HSP-1/2 and increases its thermal stability, enhances cooperativity of its chemical unfolding and decreases both chaperone-like and membranolytic activities of this protein. The HSP-1/2-L-carnitine complex exhibits anti-oxidative behaviour by inhibiting the production of hydroxyl...
Exclusion of adrenoceptor alpha 2 variants in a horse insensitive to medetomidine.
Animal genetics    January 23, 2018   Volume 49, Issue 2 141 doi: 10.1111/age.12636
Schmutz I, Jagannathan V, Diez Bernal S, Lanz S, Kalbfleisch T, Leeb T, Spadavecchia C.No abstract available
Repeatability of gait analysis measurements in Thoroughbreds in training.
Equine veterinary journal    January 22, 2018   Volume 50, Issue 4 513-518 doi: 10.1111/evj.12802
Sepulveda Caviedes MF, Forbes BS, Pfau T.With the view of implementing gait symmetry measurements in Thoroughbreds in training for early detection of injuries, repeatability of inertial measurement unit (IMU) gait parameters needs to be established. Objective: To assess the variation of head and pelvis movement symmetry in Thoroughbreds in training. Methods: Repeated observations in horses in race training. Methods: Daily and weekly repeat gait assessments were conducted in 14 Thoroughbreds equipped with IMUs on poll, sacrum and right (RTC) and left (LTC) tuber coxae. Gait was assessed in trot, in-hand, on a level concrete surface. D...
New Parvovirus Associated with Serum Hepatitis in Horses after Inoculation of Common Biological Product.
Emerging infectious diseases    January 20, 2018   Volume 24, Issue 2 303-310 doi: 10.3201/eid2402.171031
Divers TJ, Tennant BC, Kumar A, McDonough S, Cullen J, Bhuva N, Jain K, Chauhan LS, Scheel TKH, Lipkin WI, Laverack M, Trivedi S, Srinivasa S....Equine serum hepatitis (i.e., Theiler's disease) is a serious and often life-threatening disease of unknown etiology that affects horses. A horse in Nebraska, USA, with serum hepatitis died 65 days after treatment with equine-origin tetanus antitoxin. We identified an unknown parvovirus in serum and liver of the dead horse and in the administered antitoxin. The equine parvovirus-hepatitis (EqPV-H) shares <50% protein identity with its phylogenetic relatives of the genus Copiparvovirus. Next, we experimentally infected 2 horses using a tetanus antitoxin contaminated with EqPV-H. Viremia develop...
Pharmacokinetic evaluation and safety of topical 1% morphine sulfate application on the healthy equine eye.
Veterinary ophthalmology    January 19, 2018   Volume 21, Issue 5 516-523 doi: 10.1111/vop.12541
Gordon E, Stang BV, Heidel J, Poulsen KP, Cebra CK, Schlipf JW.To determine if corneal epithelial cell integrity is detrimentally affected by short-term administration of 1.0% morphine sulfate. Additionally, we sought to determine if topical 1.0% morphine applied to the equine cornea would result in ocular or systemic absorption. Methods: Six healthy horses. Methods: Morphine sulfate (1.0%) was applied topically to one eye every four hours for 72 h before horses were euthanized. Serum samples were collected at varying time points during the study and aqueous and vitreous humor were collected immediately after euthanasia. Morphine quantification in serum, ...
Retrospective analysis of insulin responses to standard dosed oral glucose tests (OGTs) via naso-gastric tubing towards definition of an objective cut-off value.
Acta veterinaria Scandinavica    January 19, 2018   Volume 60, Issue 1 4 doi: 10.1186/s13028-018-0358-8
Warnken T, Delarocque J, Schumacher S, Huber K, Feige K.Insulin dysregulation (ID) with basal or postprandial hyperinsulinemia is one of the key findings in horses and ponies suffering from the equine metabolic syndrome (EMS). Assessment of ID can easily be performed in clinical settings by the use of oral glucose challenge tests. Oral glucose test (OGT) performed with 1 g/kg bodyweight (BW) glucose administered via naso-gastric tube allows the exact administration of a defined glucose dosage in a short time. However, reliable cut-off values have not been available so far. Therefore, the aim of the study was to describe variations in insulin respo...
Molecular evidence to suggest pigeon-type Chlamydia psittaci in association with an equine foal loss.
Transboundary and emerging diseases    January 19, 2018   Volume 65, Issue 3 911-915 doi: 10.1111/tbed.12817
Jelocnik M, Jenkins C, O'Rourke B, Barnwell J, Polkinghorne A.Chlamydia psittaci is an important avian pathogen with spillover from infected wild and domesticated birds also posing a risk to human health. We recently reported a case of C. psittaci equine placentitis associated with further spillover to humans. Molecular typing of this case revealed it belonged to the 6BC clade of C. psittaci, a globally distributed highly virulent set of strains, typically linked to infection spillover from parrots. Equine chlamydiosis associated with C. psittaci infection has previously been reported elsewhere in countries where parrots are not endemic, however, rais...
Minimally Manipulated Bone Marrow Concentrate Compared with Microfracture Treatment of Full-Thickness Chondral Defects: A One-Year Study in an Equine Model.
The Journal of bone and joint surgery. American volume    January 18, 2018   Volume 100, Issue 2 138-146 doi: 10.2106/JBJS.17.00132
Chu CR, Fortier LA, Williams A, Payne KA, McCarrel TM, Bowers ME, Jaramillo D.Microfracture is commonly performed for cartilage repair but usually results in fibrocartilage. Microfracture augmented by autologous bone marrow concentrate (BMC) was previously shown to yield structurally superior cartilage repairs in an equine model compared with microfracture alone. The current study was performed to test the hypothesis that autologous BMC without concomitant microfracture improves cartilage repair compared with microfracture alone. Methods: Autologous sternal bone marrow aspirate (BMA) was concentrated using a commercial system. Cells from BMC were evaluated for chondroge...
Combination deworming for the control of double-resistant cyathostomin parasites – short and long term consequences.
Veterinary parasitology    January 16, 2018   Volume 251 112-118 doi: 10.1016/j.vetpar.2018.01.010
Scare JA, Lyons ET, Wielgus KM, Nielsen MK.Equine cyathostomin are pervasive gastrointestinal parasites with wide-spread resistance to the benzimidazole and tetrahydropyrimidine drug classes worldwide. Combination deworming has been proposed as a more sustainable parasite control strategy. Simulation studies have found combination deworming to be effective in controlling drug resistant ovine trichostrongylid parasites. One equine study demonstrated an additive effect of a combination of oxibendazole and pyrantel pamoate against cyathostomins. However, this is the only equine study evaluating combination therapy, and the effects of repe...
Inhibition of 5α-reductase alters pregnane metabolism in the late pregnant mare.
Reproduction (Cambridge, England)    January 16, 2018   Volume 155, Issue 3 251-258 doi: 10.1530/REP-17-0380
Wynn MAA, Ball BA, Legacki E, Conley A, Loux S, May J, Esteller-Vico A, Stanley S, Scoggin K, Squires E, Troedsson M.In the latter half of gestation in the mare, progesterone concentrations decline to near undetectable levels while other 5α-reduced pregnanes are elevated. Of these, 5α-dihydroprogesterone and allopregnanolone have been reported to have important roles in either pregnancy maintenance or fetal quiescence. During this time, the placenta is necessary for pregnane metabolism, with the enzyme 5α-reductase being required for the conversion of progesterone to 5α-dihydroprogesterone. The objectives of this study were to assess the effects of a 5α-reductase inhibitor, dutasteride on pregnane metab...
Equine neutrophils and their role in ischemia reperfusion injury and lung inflammation.
Cell and tissue research    January 15, 2018   Volume 371, Issue 3 639-648 doi: 10.1007/s00441-017-2770-1
Anderson SL, Singh B.Horses are susceptible to a multitude of inflammatory conditions that are characterized by a strong neutrophilic response. Here, we review basic equine neutrophil biology and explore the role of neutrophils in inflammatory conditions with emphasis on intestinal ischemia and reperfusion injury and lung inflammation. In addition, unique aspects of equine neutrophil biology have been highlighted. Neutrophils comprise the highest proportion of circulating white blood cells in equine blood. The concentration of circulating equine neutrophils is a primary indicator of systemic inflammation. Addition...
Pharmacokinetics, pharmacodynamics and clinical use of trazodone and its active metabolite m-chlorophenylpiperazine in the horse.
Journal of veterinary pharmacology and therapeutics    January 14, 2018   Volume 41, Issue 3 393-401 doi: 10.1111/jvp.12477
Davis JL, Schirmer J, Medlin E.Trazodone is a serotonin receptor antagonist and reuptake inhibitor used extensively as an anxiolytic in human and small animal veterinary medicine. The aims of this study were to determine the pharmacokinetics of oral trazodone in experimental horses and to evaluate the effect of oral trazodone in clinical horses. Six experimental horses were administered trazodone at 7.5 or 10 mg/kg. Plasma concentrations of trazodone and its metabolite (m-CPP) were determined via UPLC-MS/MS. Noncompartmental pharmacokinetic analysis, sedation and ataxia scores were determined. Trazodone was rapidly absorbe...
Parasite infections and their risk factors in foals and young horses in Finland.
Veterinary parasitology, regional studies and reports    January 12, 2018   Volume 12 35-38 doi: 10.1016/j.vprsr.2018.01.006
Aromaa M, Hautala K, Oksanen A, Sukura A, Näreaho A.One-hundred-and-thirty-nine fecal samples were examined to assess the prevalence of Parascaris spp. and strongyle infections in two-year-old or younger horses in Finland. The owners of the horses were asked to answer an online questionnaire about the horses' environment and the management practices of the stable. The results of fecal examination and the survey were analyzed to evaluate the effect of different risk factors as ascertained by the survey on parasite prevalence. The prevalence of Parascaris spp. infections at 11.5% was lower than expected based on previous research and the strongyl...
Risk factor analysis associated with Theileria equi infected equines in semi-arid and sub-humid ecological enzootic zones of India.
Veterinary parasitology, regional studies and reports    January 12, 2018   Volume 12 17-21 doi: 10.1016/j.vprsr.2018.01.005
Dahiya R, Salar RK, Mandal KD, Kumar R, Tripathi BN, Pal Y, Kumar S.Equine piroplasmosis is a haemoprtozoan disease of equines and enzootic in tropical and subtropical countries. A cross-sectional study on sero-prevalence of Theileria equi, the causative agent of EP, was performed in semi-arid and sub-humid ecological endemic zones of India including Rajasthan, Haryana and Gujarat states, in order to evaluate the enzootic status/level of exposure to equine population due to this infection and addressed associated risk factors. Serum samples were collected from a total of 1021 equids that comprised of 792 horses, 168 donkeys and 61 mules and evaluated for T. eq...
Development of a novel equine influenza virus live-attenuated vaccine.
Virology    January 11, 2018   Volume 516 76-85 doi: 10.1016/j.virol.2018.01.005
Rodriguez L, Reedy S, Nogales A, Murcia PR, Chambers TM, Martinez-Sobrido L.H3N8 equine influenza virus (EIV) is an important and significant respiratory pathogen of horses. EIV is enzootic in Europe and North America, mainly due to the suboptimal efficacy of current vaccines. We describe, for the first time, the generation of a temperature sensitive (ts) H3N8 EIV live-attenuated influenza vaccine (LAIV) using reverse-genetics approaches. Our EIV LAIV was attenuated (att) in vivo and able to induce, upon a single intranasal administration, protection against H3N8 EIV wild-type (WT) challenge in both a mouse model and the natural host, the horse. Notably, since our EIV...
Molecular Characteristics of the Equine Periodontal Ligament.
Frontiers in veterinary science    January 11, 2018   Volume 4 235 doi: 10.3389/fvets.2017.00235
Pöschke A, Krähling B, Failing K, Staszyk C.The equine periodontal ligament (PDL) is a fibrous connective tissue that covers the intra-alveolar parts of the tooth and anchors it to the alveolar bone-it, therefore, provides a similar function to a tendinous structure. While several studies have considered the formation and structure of tendons, there is insufficient information particularly on the molecular composition of the PDL. Especially for the equine PDL, there is limited knowledge concerning the expression of genes commonly regarded as typical for tendon tissue. In this study, the gene expression of, e.g., (, and fibrocartilage m...
Epidemiological survey of equine influenza in Andalusia, Spain.
Preventive veterinary medicine    January 11, 2018   Volume 151 52-56 doi: 10.1016/j.prevetmed.2018.01.003
Jurado-Tarifa E, Daly JM, Pérez-Écija A, Barba-Recreo M, Mendoza FJ, Al-Shuwaikh AM, García-Bocanegra I.Equine influenza is a highly contagious respiratory disease considered the most important respiratory disease in equids. Although influenza A virus (IAV) has caused outbreaks in equids worldwide, surveillance in these species in Spain has not been conducted. A cross-sectional study was carried out to determine the individual and herd prevalence of antibodies against H3N8 and H7N7 IAV in equids in Andalusia (southern Spain). Antibodies againsts IAV were measured by the single radial haemolysis assay. A spatial scan statistical analysis was carried out using a Bernoulli model. Risk factors assoc...
Seasonal variation in the prevalence of equine tapeworms using coprological diagnosis during a seven-year period in Denmark.
Veterinary parasitology, regional studies and reports    January 11, 2018   Volume 12 22-25 doi: 10.1016/j.vprsr.2018.01.002
Engell-Sørensen K, Pall A, Damgaard C, Holmstrup M.We investigated the prevalence of equine tapeworms, Anoplocephala spp., in Danish horses during a seven-year period assessed by coprological analysis. The data material included >11,000 observations distributed over the period 2009-2015, and four major geographic regions in Denmark representing sandy soils and clayey moraine soils, respectively. This allowed us to test for possible differences between regions (or soil types) and seasons. For a sub-set of the data (about 1200 observations) age of horses was also known, and it was shown that prevalence was highest in the age group 1-5years and t...
Seroprevalence and Risk Factors for Theileria equi Infection in Equines from Khyber Pakhtunkhwa Province, Pakistan.
Iranian journal of parasitology    January 11, 2018   Volume 12, Issue 4 597-605 
Afridi MJK, Mian AH, Saqib M, Abbas G, Ali J, Mansoor MK, Sial AUR, Rasheed I, Hussain MH. is a tick borne protozoan parasite which causes piroplasmosis among equines worldwide. The present study was aimed to determine seroprevalence of in donkeys, horses, and mules from two equine populated districts (Peshawar and Charsadda) of Khyber Pakhtunkhwa (KPK), Pakistan. Methods: A total of 393 equine (195 horses, 194 donkeys and 4 mules) serum samples were collected from five and four randomly selected localities in Charsadda (n = 193) and Peshawar (n = 200), respectively. The presence of antibodies to was determined using a commercially available competitive enzyme-linked immunosorben...
Phylogenetic Analysis and Characterization of a Sporadic Isolate of Equine Influenza A H3N8 from an Unvaccinated Horse in 2015.
Viruses    January 11, 2018   Volume 10, Issue 1 31 doi: 10.3390/v10010031
Sreenivasan CC, Jandhyala SS, Luo S, Hause BM, Thomas M, Knudsen DEB, Leslie-Steen P, Clement T, Reedy SE, Chambers TM, Christopher-Hennings J....Equine influenza, caused by the H3N8 subtype, is a highly contagious respiratory disease affecting equid populations worldwide and has led to serious epidemics and transboundary pandemics. This study describes the phylogenetic characterization and replication kinetics of recently-isolated H3N8 virus from a nasal swab obtained from a sporadic case of natural infection in an unvaccinated horse from Montana, USA. The nasal swab tested positive for equine influenza by Real-Time Quantitative Reverse Transcription Polymerase Chain Reaction (RT-PCR). Further, the whole genome sequencing of the virus ...
Survey on basal blood plasma catecholamine concentrations in Martina Franca donkey (Equus asinus).
Equine veterinary journal    January 10, 2018   Volume 50, Issue 4 493-497 doi: 10.1111/evj.12799
Catecholamines are among the most frequently investigated parameters for studying sympathoadrenal activity in response to stress conditions. Objective: To evaluate basal plasma concentrations of catecholamines (adrenaline, noradrenaline and dopamine) in healthy donkeys. Methods: Cross-sectional study. Methods: Catecholamine concentrations from 440 Martina Franca donkeys were determined: 269 females and 171 entire males, aged from 4 months to 24 years. Animals were subdivided into four age categories: under 12 months old (64 males and 54 females), from 13 to 36 months (56 males and 75 females),...
A Pilot Qualitative Investigation of Stakeholders’ Experiences and Opinions of Equine Insect Bite Hypersensitivity in England.
Veterinary sciences    January 9, 2018   Volume 5, Issue 1 3 doi: 10.3390/vetsci5010003
Lomas HR, Robinson PA.Equine insect bite hypersensitivity (IBH), commonly known as sweet itch or summer eczema, is a frustrating recurrent skin disease in the equine industry involving an immune reaction to the bites of spp. midges. To investigate the impact of IBH in the field, an exploratory pilot study was conducted with equine stakeholders in one region of central England. Nine semi-structured, face-to-face interviews were conducted with horse owners and an equine veterinarian. The aim was to gain an understanding of experiences with IBH, and to gauge opinions on the value of the various management strategies ...
First confirmed case of nasal pythiosis in a horse in Thailand.
JMM case reports    January 9, 2018   Volume 5, Issue 1 e005136 doi: 10.1099/jmmcr.0.005136
Tonpitak W, Pathomsakulwong W, Sornklien C, Krajaejun T, Wutthiwithayaphong S.Pythiosis is caused by , a fungus-like organism in the class . It can infect humans and a variety of animal species in tropical, subtropical and some temperate regions. Cases of animal pythiosis have occurred predominantly in horses in the skin and subcutaneous tissue at the limbs and in the ventral portion of thoracoabdominal wall - lesions in the nasal region are rarely reported. Moreover, although many human pythiosis cases have been reported in Thailand, no cases of animal pythiosis in Thailand have been reported. Methods: We report a case of pythiosis in a horse infected at the nasal cavi...
Maintenance of equine anaesthesia over the last 50 years: Controlled inhalation of volatile anaesthetics and pulmonary ventilation.
Equine veterinary journal    January 8, 2018   Volume 50, Issue 3 282-291 doi: 10.1111/evj.12793
Mosing M, Senior JM.In the first edition of this journal, Barbara Weaver wrote a review titled 'Equine Anaesthesia', stating that, at that time, it was quickly becoming accepted practice that many horses were being anaesthetised 'by essentially similar procedures, i.e. premedication, induction and then maintenance by controlled inhalation'. To celebrate the 50th anniversary of the first edition of this journal, this review covers the development of understanding and practice of inhalational anaesthesia and controlled ventilation in horses over the last 50 years. We review how the perceived benefits of halothane ...
Excessive Endoplasmic Reticulum Stress Correlates with Impaired Mitochondrial Dynamics, Mitophagy and Apoptosis, in Liver and Adipose Tissue, but Not in Muscles in EMS Horses.
International journal of molecular sciences    January 6, 2018   Volume 19, Issue 1 165 doi: 10.3390/ijms19010165
Marycz K, Kornicka K, Szlapka-Kosarzewska J, Weiss C.Nowadays, endocrine disorders have become more frequent in both human and veterinary medicine. In horses, reduced physical activity combined with carbohydrate and sugar overload may result in the development of the so-called equine metabolic syndrome (EMS). EMS is characterized by insulin resistance, hyperinsulinemia, elevated blood triglyceride concentrations and usually obesity. Although the phenotypic features of EMS individuals are well known, the molecular mechanism underlying disease development remains elusive. Therefore, in the present study, we analyzed insulin-sensitive tissues, i.e....