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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.
Molecular Survey and Genetic Characterization of Tetratrichomonas buttreyi and Pentatrichomonas hominis in Horses in Shanxi Province, Northern China.
Animals : an open access journal from MDPI    August 31, 2026   Volume 16, Issue 17 2699 doi: 10.3390/ani16172699
Wang DY, Su N, Li W, Zhang ZD, Liu XZ, Gao WW.Trichomonads include species of veterinary and zoonotic importance, yet infections with trichomonads in horses remain uncharacterized in Shanxi Province, Northern China. In the present study, we conducted a molecular survey of and using 631 horse fecal samples collected from Datong, Taiyuan, and Yuncheng cities in Shanxi Province between March and June 2023. Nested PCR assays targeting the small subunit ribosomal RNA (SSU rRNA) gene were used to detect the two trichomonad species. The overall molecular prevalences were 3.7% (23/631; 95% CI, 2.5-5.5%) for and 0.8% (5/631; 95% CI, 0.3-1.9%) f...
Equine influenza virus at 70: What horses taught us about flu.
PLoS pathogens    August 28, 2026   Volume 22, Issue 8 e1014551 doi: 10.1371/journal.ppat.1014551
Mojsiejczuk L, Chambers TM, Murcia PR.No abstract available
Proof of concept for low dose and delayed release of tigilanol tiglate in the treatment of equine sarcoids.
Frontiers in veterinary science    August 28, 2026   Volume 13 1807796 doi: 10.3389/fvets.2026.1807796
Stemmet GP, Parsons P, Johns J, Reddell P, Labens R.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...
Seizures and blindness onset zone in 7 horses undergoing radiographic myelography in lateral recumbency under inhalation anesthesia.
Journal of veterinary internal medicine    August 27, 2026   Volume 40, Issue 4 aalag181 doi: 10.1093/jvimsj/aalag181
Aleman M, Estell K, Spriet M, Cenani A, Magdesian KG.Seizures and blindness are potential complications associated with myelography. Objective: Describe, classify, and determine onset zone of seizures and blindness in horses undergoing radiographic myelography in lateral recumbency. Methods: Seven young adult horses. Methods: Retrospective study. Horses with seizures or blindness associated with myelography were included. Results: Three horses with general proprioceptive ataxia and 4 neurologically normal horses (Warmblood = 4, Thoroughbred = 3), ages 9 (range, 3-16) years old. Iohexol (300 mg I/mL) from 50 to 60 mL (0.09-0.1 mL/kg) were ...
Phylogenetic and phylogeographic analysis of equine influenza in Colombia.
Equine veterinary journal    August 26, 2026   doi: 10.1002/evj.70314
Gonzalez-Obando J, Carrillo M, Diaz FJ, Garvey M, Usuga J, Moreno I, Hernandez-Ortiz JP, Forero JE, Diaz A, Rojas-Arbeláez C, Cullinane A....In 2022, Colombia experienced an outbreak of equine influenza (EI) that primarily affected competition horses. Despite the epidemiological relevance of equine influenza virus (EIV) in the country, no previous phylogenetic or phylogeographic analyses based on complete genomes have been reported. Objective: To perform phylogenetic and phylogeographic analyses of complete EIV genomes obtained from horses with clinical signs in two Colombian regions between 2020 and 2023. Methods: Molecular epidemiological study based on whole-genome sequencing and evolutionary analyses. Methods: Nasopharyngeal sa...
Association between cytology and endoscopy of guttural pouches: a prospective study on 173 horses.
Journal of veterinary internal medicine    August 26, 2026   Volume 40, Issue 4 aalag179 doi: 10.1093/jvimsj/aalag179
Barbazanges P, Richard EA, Debonnaire C, Le Digarcher G, Lemonnier LC, Toquet MP, Couroucé A.Guttural pouch (GP) disorders are clinically important in horses, yet the relationship between endoscopic findings and GP cytology remains poorly defined. Objective: To establish reference cytological values for GP lavage fluid in horses and to investigate associations between inflammatory cytology and endoscopic findings. Methods: Asymptomatic racing horses sampled in the field and horses referred for investigation of respiratory disorders. Methods: Prospective cross-sectional study. Horses underwent clinical examination, upper airway endoscopy, and bilateral transendoscopic GP lavage. A GP i...
Evaluating ex vivo toll-like receptor agonist response as a potential biomarker in equine gastric ulcer syndrome.
Veterinary journal (London, England : 1997)    August 26, 2026   Volume 320 106851 doi: 10.1016/j.tvjl.2026.106851
Ferlini Agne G, Barratt DT, May BE, Hutchinson MR, Holmes J, Steel C, Simon O, Evans SG, Somogyi AA, Sykes BW, Franklin S.Equine gastric ulcer syndrome (EGUS) is highly prevalent in horses. Despite its presumed painful nature, evaluation of objective biomarkers associated with EGUS presence and severity remains limited. The objective of this study was to investigate the potential of interleukin-1 beta (IL-1β) release by peripheral blood mononuclear cells (PBMCs) following ex vivo stimulation of toll-like receptors 2 and 4 (TLR2 and TLR4) as a potential biomarker for EGUS status, with gastric lesions used as a proxy for presumed EGUS-associated pain. Venous blood was collected from 77 horses, PBMCs were isolated ...
Circulating Cell-Free RNA Reflects Immune-Associated and Airway Remodeling Signatures in Equine Asthma.
Journal of immunology research    August 26, 2026   Volume 2026, Issue 1 e5310284 doi: 10.1155/jimr/5310284
Zhang B, Agdour H, Riihimäki M, Hansen S, Raine A.Circulating cell-free RNA (cfRNA) has emerged as a promising minimally invasive biomarker capable of capturing transcripts originating from multiple tissues and cell types, but its utility in chronic inflammatory airway diseases remains poorly understood. Equine asthma (EA), a naturally occurring respiratory disease that shares key clinical and immunopathological features with human asthma, provides a valuable comparative model for evaluating plasma cfRNA in this context. We performed transcriptomic profiling of plasma cfRNA from horses with EA and healthy controls and compared these findings ...
Magnesium Dysregulation.
The Veterinary clinics of North America. Equine practice    August 26, 2026   S0749-0739(26)00054-4 doi: 10.1016/j.cveq.2026.07.007
Quattrini C.Magnesium (Mg) is a critical intracellular cation involved in energy metabolism, neuromuscular and cardiac stability, and endocrine regulation of calcium and potassium. In horses, Mg dysregulation is common in gastrointestinal disease, systemic inflammation and critical illness, yet often remains underdiagnosed. Hypomagnesemia contributes to ileus, cardiac arrhythmias, and refractory hypocalcemia or hypokalemia, whereas hypermagnesemia is rarely reported and typically iatrogenic. This review summarizes Mg physiology, regulation, clinical manifestations of Mg dysregulation, diagnostic approache...
No evidence of H5N1 avian influenza virus infection in Japanese horses in 2025.
Journal of equine veterinary science    August 26, 2026   Volume 167 106131 doi: 10.1016/j.jevs.2026.106131
Kawanishi N, Hiono T, Kambayashi Y, Bannai H, Tsujimura K, Yamanaka T, Isoda N, Sakoda Y, Nemoto M.The global spillover of clade 2.3.4.4b H5N1 highly pathogenic avian influenza virus into mammalian hosts has become a concern for public health as well as for the equine industry. However, previous reports on H5N1 natural infection and the presence of specific antibodies in horses remain limited. Therefore, we conducted a serosurveillance study to assess the prevalence of H5N1 antibodies in serum samples collected from 400 horses in Japan. Samples were screened using competitive ELISA (cELISA) and hemagglutination inhibition (HI) tests against H5-recombinant protein and H5N1 viral antigen, res...
Selective oncolytic activity of newcastle disease virus in equine sarcoid primary cells: a preclinical investigation.
In vitro cellular & developmental biology. Animal    August 26, 2026   doi: 10.1007/s11626-026-01231-6
Rosim DF, Rochetti AL, Xavier PLP, Qazi TJ, Pimentel ECC, da Matta Santos A, Strefezzi RF, Massoco CO, Dória RGS, Fukumasu H.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...
Correction: Epidemiological study of strongyle infections in equines in Egypt: prevalence and risk factors.
Frontiers in veterinary science    August 26, 2026   Volume 13 1974891 doi: 10.3389/fvets.2026.1974891
[This corrects the article DOI: 10.3389/fvets.2026.1901312.].
Non-coding RNA profiles associated with equine osteoarthritis: a systematic review.
Frontiers in veterinary science    August 26, 2026   Volume 13 1917722 doi: 10.3389/fvets.2026.1917722
Khaliji E, Wong TS, Barker CM, Chen S, Cassano JM.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...
Surgical Management of Unilateral Maxillary Molar Teeth Impaction in a Horse.
Journal of veterinary dentistry    August 24, 2026   8987564261478738 doi: 10.1177/08987564261478738
Clarysse M, Korsos S, Cuypers C, Raes E, Vlaminck L.Impaction of equine permanent cheek teeth is most commonly reported in the mandible, whereas maxillary involvement is rare. This report describes an uncommon presentation of congenital impaction of 3 successive maxillary molar teeth in a 4-year-old mare. Computed tomography revealed complex spatial relationships between the impacted teeth, the sinus floor and adjacent structures, which were not fully appreciated on conventional radiography and were essential for surgical planning. Surgical extraction via a maxillary sinus bone flap permitted controlled sectioning and subsequent removal of all ...
Isolation of Moraxella spp. strains in horses.
Veterinaria italiana    August 24, 2026   Volume 62, Issue 3 doi: 10.12834/VetIt.4010.40914.2
Grassi L, De Zan G, Deotto S, Costa F, Lanzi P, Genero N, Clapiz L, Ustulin M, Cocchi M.Two species of Moraxella were isolated from swabs obtained from two symptomatic horses suffering from conjunctivitis and rhinitis. The isolates were identified via MALDI-TOF as Moraxella osloensis and Moraxella equi respectively, with a good genus identification and a probable species identification score. The first one was also confirmed by BLAST sequence analysis with a high homology (99%). Antimicrobial susceptibility testing obtained by minimum inhibitory concentration method showed that the two isolates were sensitive to all the tested molecules. The therapeutic protocols applied had an e...
Allele frequencies of 7 inherited disorders in performance and random cohorts of American Quarter Horses (2020-2024).
Journal of the American Veterinary Medical Association    August 21, 2026   1-7 doi: 10.2460/javma.26.04.0256
Brown BN, Hughes S, Le TM, Tatar NP, Grahn JC, Carrillo-Alvarez M, Bellone RR, Finno CJ.To estimate allele frequencies for genetic diseases in the American Quarter Horse (QH), including hyperkalemic periodic paralysis (HYPP), type 1 polysaccharide storage myopathy (PSSM1), malignant hyperthermia (MH), myosin-heavy chain myopathy (MYHM), glycogen branching enzyme deficiency (GBED), hereditary equine regional dermal asthenia (HERDA), and equine juvenile spinocerebellar ataxia (EJSCA), and to compare these frequencies over time among elite performance subgroups and a random cohort of registered horses. Unassigned: In this prospective genetic survey, DNA was extracted from 300 elite ...
Microbiological, Molecular Diagnosis and Antimicrobial Resistance of Bordetella bronchiseptica in the Equine Reproductive Tract in Brazil.
Veterinary medicine and science    August 21, 2026   Volume 12, Issue 5 e71146 doi: 10.1002/vms3.71146
Gallo SSM, Bernardino MLA, Júnior LASDM, Oliveira FCR, Barreto MAP, Folly MM.The genus Bordetella comprises 16 species of aerobic Gram-negative bacteria, with the most notable being B. pertussis, B. parapertussis and B. bronchiseptica. The latter stands out for its ability to infect various hosts, causing both respiratory and reproductive issues, such as endometritis and infertility in mares. These infections impair reproductive efficiency and facilitate the spread of the pathogen among susceptible animals. Objective: The present study aimed to report the isolation and molecular diagnosis of B. bronchiseptica associated with endometritis and infertility in mares in Bra...
Ostium-specific equine pulmonary vein myocardial sleeve gross anatomy and structural evidence of interatrial myocardial continuity with potential implications for ablation strategies.
Equine veterinary journal    August 20, 2026   doi: 10.1002/evj.70309
Ibrahim L, Van Hooydonk I, Cornillie P, van Loon G.Pulmonary vein (PV) myocardial sleeves (MSs) harbour an arrhythmogenic substrate for atrial fibrillation. However, equine-specific data on MS distribution and wall thickness are limited yet essential for developing ablation strategies. In humans, posterior interatrial connections can compromise right-sided PV isolation. Objective: To study equine PV MS distribution, quantify ostial/branch diameters, antral lengths, characterise MS distal edge morphology, measure wall thickness and explore an interatrial myocardial continuity between the MSs of caudal branches draining through ostium III (PV II...
Alpha-2-Macroglobulin-Enriched Plasma Modulates Inflammatory and Proteolytic Pathways in Experimental Equine Musculoskeletal Models.
Animals : an open access journal from MDPI    August 19, 2026   Volume 16, Issue 16 2595 doi: 10.3390/ani16162595
Gugliandolo E, Franco GA, Biondi V, De Luca M, Van Reusel Y, Tosto F, Inferrera F, Catone G, Spaas JH.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...
Genetic variants of EcPV2 E6 and E7 in equine genital and oronasal squamous cell carcinoma.
Equine veterinary journal    August 19, 2026   doi: 10.1002/evj.70311
Jenner M, Brandt S.Since its discovery in 2008, equine papillomavirus type 2 (EcPV2) has been detected in up to 100% of equine genital and up to 40% of equine oronasal squamous cell carcinomas (SCCs). Preliminary sequence data point to the existence of EcPV2 E6 and E7 oncogene variants compared to the British reference sequence from 2008. Objective: To Identify E6 and E7 sequence variations in EcPV2-positive tumours of horses from Continental Europe and Iceland. Methods: Cross-sectional study. Methods: EcPV2 E6 and E7 were amplified from DNA of 60 EcPV2-positive SCCs/SCC precursor lesions. Amplicons were gel-pur...
From Diet to Disease: The Role of the Gut Microbiome and Microbial Metabolites in Horses.
Veterinary sciences    August 18, 2026   Volume 13, Issue 8 823 doi: 10.3390/vetsci13080823
Wu Y, Ma Y, Zan Y, Bai X, Li J, Li H.The equine gastrointestinal microbiome plays an essential role in digestion, energy metabolism, immune regulation, and maintenance of intestinal homeostasis. Increasing evidence suggests that microbial-derived metabolites provide a functional link between diet, the microbiome, and host physiology. This narrative review summarizes current knowledge on how dietary factors, including structural carbohydrates, non-structural carbohydrates, protein, and lipids, influence microbial function and metabolite production in horses. Relevant publications available up to June 2026 were identified through s...
An experimental multiplex PCR/RT-PCR for detection of the main viruses associated with equine neurological disease.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    August 18, 2026   Volume 57, Issue 1 241 doi: 10.1007/s42770-026-02065-w
Scherer SO, Silva Júnior JVJ, Pedroso NH, Dionisio IF, Weiblen R, Flores EF.Viral neurological infections are important causes of morbidity and mortality in horses worldwide. Herein, we describe an end-point multiplex PCR/RT-PCR for simultaneous and differential detection of major equine encephalitis-related agents: rabies virus (RABV), equine herpesvirus type 1 (EHV-1), alphaviruses [Venezuelan equine encephalitis virus (VEEV), Eastern equine encephalitis virus (EEEV), Western equine encephalitis virus (WEEV) and Madariaga virus (MADV)] and flaviviruses [West Nile virus (WNV), Saint Louis encephalitis virus (SLEV), Rocio virus (ROCV) and Japanese encephalitis virus (...
Equine Fungal Keratitis due to Cladorrhinum bulbillosum.
Veterinary ophthalmology    August 17, 2026   Volume 29, Issue 5 e70249 doi: 10.1111/vop.70249
Hamilton A, Lacy L, Scherrer N.To describe the case details and treatment of an equine fungal keratitis case caused by Cladorrhinum bulbillosum. Methods: A 14-year-old Bashkir Curly gelding with a complicated corneal ulcer of the left eye. Methods: Corneal cytology was performed, and intraoperative samples were collected for polymerase chain reaction and for aerobic and mycologic cultures. Under general anesthesia, an inferior eyelid subpalpebral lavage system (SPL) was placed to facilitate postoperative therapy. Anterior stromal keratectomy was performed followed by cryotherapy of the keratectomy bed. A biological scaffold...
Leishmania spp. infection in horses in an endemic area of canine leishmaniosis (north-western Algeria).
Research in veterinary science    August 17, 2026   Volume 211 106365 doi: 10.1016/j.rvsc.2026.106365
Bia T, Marteles-Aragüés D, Sánchez C, Bernardo L, Carrillo E, Solana JC, Manseur H, Zait H, Lafri I, Villanueva-Saz S, Moreno J.Leishmaniosis is a parasitic disease caused by obligate intracellular protozoa of the genus Leishmania. It affects humans, canids, and rodents in endemic areas and is transmitted through the bites of infected sand flies. This study aimed to estimate the prevalence of equine leishmaniosis in horses from Tiaret Province, northwestern Algeria, an area endemic for canine leishmaniosis, and to identify the main risk factors associated with infection. The study included 75 local Barb horses and employed molecular and serological techniques for the detection of Leishmania infection. Among the sampled...
Prevalence, distribution, and associated risk factors of major equine endoparasitic infections in South Gondar Zone, Northwest Ethiopia.
Veterinary and animal science    August 17, 2026   Volume 34 100821 doi: 10.1016/j.vas.2026.100821
Alemayehu H, Alemneh T, Birhan M, Seyoum Z, Baylie M.Endoparasites remain major constraints on equine health and productivity in Ethiopia; however, epidemiological data from northwestern regions are limited. This study investigated the occurrence, parasite diversity, infection intensity, and risk factors associated with endoparasite infections in equines in northwestern Ethiopia. A cross-sectional study was conducted using coprological examinations complemented by postmortem inspections. Standard parasitological techniques were employed, and multivariable logistic regression analysis was used to identify predictors of infection. Data were analyz...
Equine Sarcoid: From BPV-Driven Oncogenesis to Host-Sustained Tumor Persistence.
Pathogens (Basel, Switzerland)    August 14, 2026   Volume 15, Issue 8 847 doi: 10.3390/pathogens15080847
Dell'Anno F, Trebino C, Fruscione F, De Ciucis CG, De Paolis L, Cappelli K, Razzuoli E.Equine sarcoid is the most common cutaneous neoplasm of equids and represents a distinctive model of virus-associated tumor persistence. Although bovine papillomaviruses, particularly BPV-1 and BPV-2, are recognized as the main etiological agents, viral infection alone does not fully explain the clinical heterogeneity, frequent recurrence, and limited spontaneous regression of these lesions. This review summarizes current evidence on the molecular and cellular mechanisms underlying equine sarcoid pathogenesis, with emphasis on the interaction between BPV infection, host signaling pathways, tum...
Evaluation of a commercial multiplex immunoassay for assessing uterine inflammation in mares susceptible to persistent breeding-induced endometritis.
Veterinary immunology and immunopathology    August 14, 2026   Volume 299 111194 doi: 10.1016/j.vetimm.2026.111194
Fedorka CE, Funes JA, Razquin P, Roussel DA, Denison G, Burden CA, Hatzel JN, Sones JL, McCue PM.Persistent breeding-induced endometritis (PBIE) is characterized by a prolonged and dysregulated uterine inflammatory response following breeding. Although inflammatory cytokines are central to the post-breeding immune response, their assessment in the equine uterus has historically relied largely on gene expression analyses. Multiplex immunoassays provide an opportunity to simultaneously quantify multiple cytokine proteins within uterine secretions; however, the application of equine-specific multiplex immunoassays utilizing the Luminex platform to low-volume uterine lavage (LVL) fluid remain...
Effects of omeprazole therapy administered via different routes on urinary parameters and selected interleukins in horses with equine gastric ulcer syndrome.
Journal of equine veterinary science    August 13, 2026   106127 doi: 10.1016/j.jevs.2026.106127
Siwińska N, Żak-Bochenek A, Trodd H, Czekaj Z, Kumiega E, Niedźwiedź A, Hewetson M.Equine gastric ulcer syndrome (EGUS) is commonly treated with proton pump inhibitors such as omeprazole, administered orally or by injection. In humans, omeprazole has been associated with acute interstitial nephritis (AIN) and acute kidney injury (AKI), potentially linked to oxidative stress, and urinary interleukins may serve as early non-invasive markers. However, this association has not been established in horses. Objective: To evaluate the effects of oral and injectable omeprazole on basic urinary parameters and selected interleukin levels, with particular emphasis on the potential risk ...
Intratracheal Leiomyosarcoma in a 13-Year-Old German Riding Pony Mare.
Veterinary sciences    August 13, 2026   Volume 13, Issue 8 800 doi: 10.3390/vetsci13080800
Hiekel J, Kühnle C, Blaszczyk KZ.A 13-year-old German Riding Pony mare was referred for evaluation of progressive respiratory noise and mixed dyspnoea, which rapidly deteriorated to respiratory distress. Clinical examination revealed marked rattling inspiratory and expiratory tracheal sounds and severe, rattling, vesicular lung sounds. Arterial blood gas analysis demonstrated moderate hypoxaemia (partial pressure of arterial oxygen 76 mmHg at rest). Upper airway endoscopy identified a pink, cauliflower-like pedunculated mass originating from the dorsal tracheal wall approximately 15 cm cranial to the tracheal bifurcation, cau...
Serum Osteocalcin and CTX-I in Fit-to-Race Thoroughbred Racehorses: Reference Intervals and Associations with Demographic, Training, and Lameness-Related Factors.
Animals : an open access journal from MDPI    August 12, 2026   Volume 16, Issue 16 2514 doi: 10.3390/ani16162514
Tually P, Meadows J, Hathway M, Currie G.Musculoskeletal injury remains a major welfare and performance concern in Thoroughbred racing, and biomarkers for early risk stratification are of scientific interest. This multicentre observational cohort study characterised serum concentrations of two bone turnover markers, osteocalcin/BGLAP (OC) and C-terminal telopeptide of type I collagen (CTX-I), in 1359 fit-to-race Thoroughbred racehorses sampled across New South Wales, Victoria, and Western Australia. Biomarker distributions, population-wide percentile ranges, demographic and training-related associations, and short-term soundness outc...