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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Effects of Feeding Frequency Using a Commercial Automated Feeding Device on Gastric Ulceration in Exercised Quarter Horses.
Journal of equine veterinary science    February 16, 2018   Volume 64 96-100 doi: 10.1016/j.jevs.2018.02.005
Bass L, Swain E, Santos H, Hess T, Black J.The objective of this study was to evaluate two feeding regimens: traditional grain feeding (twice a day, traditional fed [TF]) compared with horses fed with an automated feeder programmed to deliver grain in 20 equal aliquots (fractioned fed [FF]) and its effects on gastric ulceration, body weight, and body condition score (BCS). Thirty-one Quarter Horses were maintained in individual stalls during the 60-day experimental period and worked at moderate exercise intensity. Gastroscopies were performed before grain adaptation at 0, 30, and 60ย days. Weight and BCS were evaluated biweekly. There ...
Modeling asthma: Pitfalls, promises, and the road ahead.
Journal of leukocyte biology    February 16, 2018   Volume 104, Issue 1 41-48 doi: 10.1002/JLB.3MR1117-436R
Rosenberg HF, Druey KM.Asthma is a chronic, heterogeneous, and recurring inflammatory disease of the lower airways, with exacerbations that feature airway inflammation and bronchial hyperresponsiveness. Asthma has been modeled extensively via disease induction in both wild-type and genetically manipulated laboratory mice (Mus musculus). Antigen sensitization and challenge strategies have reproduced numerous important features of airway inflammation characteristic of human asthma, notably the critical roles of type 2 T helper cell cytokines. Recent models of disease induction have advanced to include physiologic aero...
Genetic and subunit vaccines based on the stem domain of the equine influenza hemagglutinin provide homosubtypic protection against heterologous strains.
Vaccine    February 15, 2018   Volume 36, Issue 12 1592-1598 doi: 10.1016/j.vaccine.2018.02.019
Ibaรฑez LI, Caldevilla CA, Paredes Rojas Y, Mattion N.H3N8 influenza virus strains have been associated with infectious disease in equine populations throughout the world. Although current vaccines for equine influenza stimulate a protective humoral immune response against the surface glycoproteins, disease in vaccinated horses has been frequently reported, probably due to poor induction of cross-reactive antibodies against non-matching strains. This work describes the performance of a recombinant protein vaccine expressed in prokaryotic cells (ฮ”HAp) and of a genetic vaccine (ฮ”HAe), both based on the conserved stem region of influenza hemagglut...
Multifocal discrete osteolysis in a horse with silicate associated osteoporosis.
Equine veterinary education    February 15, 2018   Volume 31, Issue 10 517-522 doi: 10.1111/eve.12899
Zavodovskaya R, Eckert M, Murphy BG, Stover SM, Kol A, Diab S.Silicate associated osteoporosis (SAO) was diagnosed in an adult horse with the shortest documented exposure to cytotoxic silicates of 2 years. The horse was evaluated for a 6-months history of progressive back tenderness and acute onset of lameness. The horse had a marked (4/5) [American Association of Equine Practitioners scale] left forelimb lameness, moderate (2/5) hindlimb ataxia and weakness, and cervical pain upon palpation. Physical examination did not reveal clinical skeletal deformities or respiratory compromise. Radiographs revealed widespread, discrete, sharply delineated, osteoly...
Species-specific regulation of angiogenesis by glucocorticoids reveals contrasting effects on inflammatory and angiogenic pathways.
PloS one    February 15, 2018   Volume 13, Issue 2 e0192746 doi: 10.1371/journal.pone.0192746
Morgan R, Keen J, Halligan D, O'Callaghan A, Andrew R, Livingstone D, Abernethie A, Maltese G, Walker B, Hadoke P.Glucocorticoids are potent inhibitors of angiogenesis in the rodent in vivo and in vitro but the mechanism by which this occurs has not been determined. Administration of glucocorticoids is used to treat a number of conditions in horses but the angiogenic response of equine vessels to glucocorticoids and, therefore, the potential role of glucocorticoids in pathogenesis and treatment of equine disease, is unknown. This study addressed the hypothesis that glucocorticoids would be angiostatic both in equine and murine blood vessels.The mouse aortic ring model of angiogenesis was adapted to assess...
Cultured equine satellite cells as a model system to assess leucine stimulated protein synthesis in horse muscle.
Journal of animal science    February 15, 2018   Volume 96, Issue 1 143-153 doi: 10.1093/jas/skx028
DeBoer ML, Martinson KM, Pampusch MS, Hansen AM, Wells SM, Ward C, Hathaway M.Leucine has been shown to stimulate the mammalian/mechanistic target of rapamycin (mTOR) signaling pathway which plays numerous key regulatory roles in cell growth, survival, and metabolism including protein synthesis in a number of species. However, previous work with equine satellite cells has suggested distinct species differences in regards to physiological effects and the magnitude of responses to growth factors and regulators. Because there is limited research available regarding the role of leucine in regulating equine skeletal muscle protein synthesis, the objective of this study was t...
Subchondral bone morphology in the metacarpus of racehorses in training changes with distance from the articular surface but not with age.
Journal of anatomy    February 15, 2018   Volume 232, Issue 6 919-930 doi: 10.1111/joa.12794
Martig S, Hitchens PL, Stevenson MA, Whitton RC.The repetitive large loads generated during high-speed training and racing commonly cause subchondral bone injuries in the metacarpal condyles of racehorses. Adaptive bone modelling leads to focal sclerosis at the site of highest loading in the palmar aspect of the metacarpal condyles. Information on whether and how adaptive modelling of subchondral bone changes during the career of a racehorse is sparse. The aim of this cross-sectional study was to describe the changes in subchondral bone micromorphology in the area of highest loading in the palmar aspect of the metacarpal condyle in thorough...
Improved cryosurvival of stallion spermatozoa after colloid centrifugation is independent of the addition of seminal plasma.
Cryobiology    February 15, 2018   Volume 81 145-152 doi: 10.1016/j.cryobiol.2018.01.009
Al-Essawe EM, Johannisson A, Wulf M, Aurich C, Morrell JM.Addition of seminal plasma (SP) prior to cryopreservation may influence stallion sperm cryosurvival. The objective of this study was to investigate the addition of pooled SP from "good" or "bad" freezer stallions to spermatozoa selected by single layer centrifugation (SLC) prior to cryopreservation on post-thaw sperm quality. Semen from 12 stallions was collected; 5โ€ฏmL was frozen as control (C) and the remainder was processed by SLC to remove SP and was divided into three aliquots: i) SLC sample without SP (SLC); ii) SLC plus pooled SP from "good freezer" stallions (SLC-GF); iii) SLC plus po...
Plasma and peritoneal fluid concentrations of ceftriaxone after intravenous and intraperitoneal administration in horses.
Veterinary journal (London, England : 1997)    February 14, 2018   Volume 234 72-76 doi: 10.1016/j.tvjl.2018.02.006
Alonso JM, Peccinini RG, Campos ML, Nitta TY, Akutagawa TYM, Crescencio AP, Alves ALG, Rodrigues CA, Watanabe MJ, Hussni CA.Intraperitoneal (IP) use of antimicrobial agents may lead to therapeutic effects with better clinical results than intravenous (IV) administration. The aim of this study was to compare plasma and peritoneal fluid concentrations of ceftriaxone after IP and IV administration in horses, and to evaluate possible adverse effects. One group of five horses received 25mg/kg ceftriaxone diluted in 1L saline solution by IP catheter once daily for 5 days, while a second group of five horses received 25mg/kg ceftriaxone diluted in 250mL saline solution by IV injection once daily for 5days and 1L saline so...
Enteral/Parenteral Nutrition in Foals and Adult Horses Practical Guidelines for the Practitioner.
The Veterinary clinics of North America. Equine practice    February 14, 2018   Volume 34, Issue 1 169-180 doi: 10.1016/j.cveq.2017.11.012
Carr EA.Nutritional support is an important adjunct to medical therapy in the sick, injured, or debilitated equine patient. What is not clear is the optimal route, composition, or amounts of support. The enteral route should be chosen whenever possible to maximize the benefits to the gastrointestinal tract and the patient as a whole. Complete or partial parenteral nutrition is most useful as a bridge during recovery and transition to enteral feeding in the horse. The reader is encouraged to consider nutritional support whether enteral or parenteral in any anorexic, chronically debilitated, or sick equ...
Diagnosis and Treatment of Undifferentiated and Infectious Acute Diarrhea in the Adult Horse.
The Veterinary clinics of North America. Equine practice    February 14, 2018   Volume 34, Issue 1 39-53 doi: 10.1016/j.cveq.2017.11.002
Shaw SD, Stรคmpfli H.Acute, infectious, diarrhea in adult horses is a major cause of morbidity and is associated with numerous complications. Common causes include salmonellosis, clostridiosis, Coronavirus, and infection with Neorickettsia risticii (Potomac horse fever). Treatment is empirical and supportive until results of specific diagnostic tests are available. Supportive care is aimed at restoring hydration, correcting electrolyte imbalances, and limiting the systemic inflammatory response. The mainstays of therapy are intravenous fluid therapy, electrolyte supplementation where necessary, nonsteroidal anti-i...
Diagnostics and Treatments in Chronic Diarrhea and Weight Loss in Horses.
The Veterinary clinics of North America. Equine practice    February 14, 2018   Volume 34, Issue 1 69-80 doi: 10.1016/j.cveq.2017.11.011
Oliver-Espinosa O.Chronic diarrhea in the horse is defined as diarrhea present for more than several days with little if any improvement. The diagnosis and treatment of horses with chronic diarrhea usually present a great challenge to the clinician. There are many limitations to treatment of these patients given the limited numbers in which a final diagnosis can be achieved. The lack of knowledge of the alterations of horse microbiota during chronic diarrhea and the multiplicity of causes also make treatment challenging. A poor prognosis is often attached to chronic diarrhea, particularly in cases with neoplasi...
What Is Your Diagnosis? Testicular tumor in a horse.
Veterinary clinical pathology    February 14, 2018   Volume 47, Issue 1 166-167 doi: 10.1111/vcp.12577
Leidinger E, Springler G, Furman E, Wallner A.No abstract available
Variations during ageing in the three-dimensional anatomical arrangement of fascicles within the equine superficial digital flexor tendon.
European cells & materials    February 13, 2018   Volume 35 87-102 doi: 10.22203/eCM.v035a07
Ali OJ, Comerford EJ, Clegg PD, Canty-Laird EG.BiTendons are constructed from collagenous fascicles separated by endotenon/interfascicular matrix (IFM). Tendons may be specialised for precision movement or to store energy during locomotion and for the latter the elasticity of the endotenon/IFM is particularly important. The equine superficial digital flexor tendon (SDFT) is a dedicated energy-storing tendon with a similar function to the human Achilles tendon. Classical anatomical descriptions portray fascicles as longitudinally arranged distinct anatomical structures. In the present study, using three-dimensional reconstruction from whole...
Submaximal exercise training, more than dietary selenium supplementation, improves antioxidant status and ameliorates exercise-induced oxidative damage to skeletal muscle in young equine athletes.
Journal of animal science    February 13, 2018   Volume 95, Issue 2 657-670 doi: 10.2527/jas.2016.1130
White SH, Warren LK.Exercise is associated with increased production of reactive oxygen species (ROS) as metabolism is upregulated to fuel muscle activity. If antioxidant systems become overwhelmed, ROS can negatively affect health and performance. Adaptation to exercise through regular training has been shown to improve defense against oxidative insult. Given selenium's role as an antioxidant, we hypothesized that increased Se intake would further enhance skeletal muscle adaptations to training. Quarter Horse yearlings (18 ยฑ 0.2 mo; 402 ยฑ 10 kg) were randomly assigned to receive either 0.1 or 0.3 mg Se/kg DM a...
Tenotomy of the semitendinosus muscle under standing sedation versus general anesthesia: Outcomes in 20 horses with fibrotic myopathy.
Veterinary surgery : VS    February 13, 2018   Volume 47, Issue 3 350-356 doi: 10.1111/vsu.12767
Suarez-Fuentes DG, Tatarniuk DM, Caston SS, Kersh KD, Gillen AM, Hays AM.To compare outcomes after semitendinosus tenotomy performed under standing sedation versus general anesthesia. Methods: Retrospective case series. Methods: 20 horses with fibrotic myopathy of the semitendinosus muscle. Methods: Medical records (2002-2015) of horses undergoing tenotomy of the semitendinosus muscle for the treatment of fibrotic myopathy were reviewed. Signalment, history, affected muscles, restrain method, surgical procedures, and short-term outcome as well as complications were retrieved from records. Long-term outcome (gait and athletic function) was assessed at least 6 months...
A retrospective report (2003-2013) of the complications associated with the use of a one-man (head and tail) rope recovery system in horses following general anaesthesia.
Irish veterinary journal    February 13, 2018   Volume 71 6 doi: 10.1186/s13620-018-0117-1
Niimura Del Barrio MC, David F, Hughes JML, Clifford D, Wilderjans H, Bennett R.The mortality rate of horses undergoing general anaesthesia is high when compared to humans or small animal patients. One of the most critical periods during equine anaesthesia is recovery, as the horse attempts to regain a standing position. This study was performed in a private equine practice in Belgium that uses a purpose-designed one-man (head and tail) rope recovery system to assist the horse during the standing process.The main purpose of the retrospective study was to report and analyse complications and the mortality rate in horses during recovery from anaesthesia using the described ...
Surgical repair of propagating condylar fractures of the third metacarpal/metatarsal bones with cortical screws placed in lag fashion in 26 racehorses (2007-2015).
Equine veterinary journal    February 12, 2018   Volume 50, Issue 5 629-635 doi: 10.1111/evj.12811
Moulin N, Franรงois I, Cotรฉ N, Alford C, Cleary O, Desjardins MR.Despite the recommendation of plate fixation for propagating condylar fractures of the third metacarpal (McIII) or third metatarsal bone (MtIII), lag screw fixation can be a viable surgical option. Objective: To evaluate short-term outcome and long-term racing performance of horses that underwent lag screw fixation of long condylar fractures of the McIII/MtIII. Methods: Retrospective case series. Methods: Medical records, post-surgical racing performance and outcome of 26 horses with propagating fractures of the medial and/or lateral condyle of McIII/MtIII were reviewed. Medical information in...
Mouldable, thermoplastic, glue-on frog-supportive shoes change hoof kinetics in normal and obese Shetland ponies.
Equine veterinary journal    February 12, 2018   Volume 50, Issue 5 684-689 doi: 10.1111/evj.12814
Sleutjens J, Serra Braganรงa FM, van Empelen MW, Ten Have RE, de Zwaan J, Roelfsema E, Oosterlinck M, Back W.Obesity and hyperinsulinaemia are frequently encountered in the equine population and risk factors for the development of laminitis. There are many options for hoof support that claim a beneficial effect, but often the scientific evidence is scarce. Objective: To quantify the effect of frog-supportive shoes on hoof kinetics in normal and obese ponies. Methods: Controlled inย vivo trial. Methods: Ten Shetland mares (nย =ย 10) with a normal (nย =ย 5) or obese (nย =ย 5) body condition were led over a dynamically calibrated pressure plate before (T0), immediately after (T1) and 72ย h (T2) after ap...
Abnormal locomotor muscle recruitment activity is present in horses with shivering and Purkinje cell distal axonopathy.
Equine veterinary journal    February 12, 2018   Volume 50, Issue 5 636-643 doi: 10.1111/evj.12813
Aman JE, Valberg SJ, Elangovan N, Nicholson A, Lewis SS, Konczak J.Cerebellar Purkinje cell axonal degeneration has been identified in horses with shivering but its relationship with abnormal hindlimb movement has not been elucidated. Objective: To characterise surface electromyographic (sEMG) hindlimb muscle activity in horses with shivering, correlate with clinical scores and examine horses for Purkinje axonal degeneration. Methods: Descriptive controlled clinical study. Methods: The hindlimb of seven shivering and six control draught horses were clinically scored. Biceps femoris (BF), vastus lateralis (VL), tensor fasciae latae and extensor digitorum longu...
Development of an antigen-capture ELISA for the quantitation of equine arteritis virus in culture supernatant.
Archives of virology    February 12, 2018   Volume 163, Issue 6 1469-1478 doi: 10.1007/s00705-018-3746-5
Qi T, Hu Y, Hu Z, Zhao S, Cullinane A, Lyons P, Gildea S, Wang X.Quantitation of virions is one of the important indexes in virological studies. To establish a sensitive and rapid quantitative detection method for equine arteritis virus (EAV), an antigen-capture enzyme-linked immunosorbent assay (AC-ELISA) was developed by using two EAV nucleoprotein monoclonal antibodies (mAbs), 2B9 and 2B3, prepared in this study. After condition optimization, mAb 2B9 was used as the capture antibody, and HRP-labeled 2B3 was chosen as the detecting antibody. The AC-ELISA had a good standard curve when viral particles of the Bucyrus EAV strain were used as a reference stan...
Equine Caregiver Information-Seeking Preferences: Surveys in the Midwest.
Journal of equine veterinary science    February 12, 2018   Volume 64 65-68 doi: 10.1016/j.jevs.2018.02.006
Carroll HK, Bott-Knutson RC, Mastellar SL.Two surveys of equine owners/managers and professionals using convenience sampling via multimodal distribution were conducted on perceptions of equid health and well-being (nย = 142) and equine nutrition and feeding practices (nย = 151). Surveys were distributed in 2014-2015 (health and well-being) and 2016 (nutrition and feeding) to similar email lists and social media sites; both included questions regarding information-seeking preferences. Respondents were mostly female (62% health and well-being, 84% nutrition and feeding) and had over 20ย years of equine ownership/management experience (4...
Detection of prohibited substances in equine hair by ultra-high performance liquid chromatography-triple quadrupole mass spectrometry – application to doping control samples.
Drug testing and analysis    February 12, 2018   doi: 10.1002/dta.2367
Gray B, Viljanto M, Menzies E, Vanhaecke L.The detection of drugs in human hair samples has been performed by laboratories around the world for many years and the matrix is popular in disciplines, such as workplace drug testing. To date, however, hair has not become a routinely utilised matrix in sports drug detection. The analysis of hair samples offers several potential advantages to doping control laboratories, not least of which are the greatly extended detection window and the ease of sample collection and storage. This article describes the development, validation, and utilisation of a sensitive ultra-high performance liquid chro...
Lactoferrin increases sperm membrane functionality of frozen equine semen.
Reproduction in domestic animals = Zuchthygiene    February 12, 2018   Volume 53, Issue 3 617-623 doi: 10.1111/rda.13148
Martins HS, da Silva GC, Cortes SF, Paes FO, Martins Filho OA, Araujo M, Stahlberg R, Lagares MA.During cryopreservation, sperm was submitted to an increase in reactive oxygen species generation. This work aimed to improve the quality of frozen equine sperm after the addition of antioxidants lactoferrin (Lf) and catalase (Cat) to a freezing extender. Semen from six stallions was frozen with the extenders: F1) control, INRA 82 freezing extender, F2) F1ย +ย 500ย ฮผg/ml Lf and F3) F1ย +ย 200 IU/ml Cat. After thawing, sperm motility parameters, membrane functionality and integrity, and acrosome integrity and spontaneous acrosome-reacted sperm were evaluated with a computer-assisted sperm anal...
The Effects of Equine Assisted Therapy on Plasma Cortisol and Oxytocin Concentrations and Heart Rate Variability in Horses and Measures of Symptoms of Post-Traumatic Stress Disorder in Veterans.
Journal of equine veterinary science    February 12, 2018   Volume 64 17-26 doi: 10.1016/j.jevs.2018.01.011
Malinowski K, Yee C, Tevlin JM, Birks EK, Durando MM, Pournajafi-Nazarloo H, Cavaiola AA, McKeever KH.With the increase in the number of horses being used in Equine-Assisted Activities and Therapies (EAAT) programs and with the increasing concern for animal welfare, it is important to understand the impact of such interventions on the stress level and quality of life for the horses involved. The purpose of the present pilot study was to test the hypothesis that participation in EAAT would acutely alter physiological markers of stress and well-being, including plasma cortisol, plasma oxytocin, and heart rate variability (HRV), in horses and that symptoms of posttraumatic stress disorder (PTSD) ...
Chondrogenic Differentiation of Defined Equine Mesenchymal Stem Cells Derived from Umbilical Cord Blood for Use in Cartilage Repair Therapy.
International journal of molecular sciences    February 10, 2018   Volume 19, Issue 2 537 doi: 10.3390/ijms19020537
Desancรฉ M, Contentin R, Bertoni L, Gomez-Leduc T, Branly T, Jacquet S, Betsch JM, Batho A, Legendre F, Audigiรฉ F, Galรฉra P, Demoor M.Cartilage engineering is a new strategy for the treatment of cartilage damage due to osteoarthritis or trauma in humans. Racehorses are exposed to the same type of cartilage damage and the anatomical, cellular, and biochemical properties of their cartilage are comparable to those of human cartilage, making the horse an excellent model for the development of cartilage engineering. Human mesenchymal stem cells (MSCs) differentiated into chondrocytes with chondrogenic factors in a biomaterial appears to be a promising therapeutic approach for direct implantation and cartilage repair. Here, we cha...
Use of quantitative real-time PCR to determine viability of Streptococcus equi subspecies equi in respiratory secretions from horses with strangles.
Equine veterinary journal    February 10, 2018   Volume 50, Issue 5 697-700 doi: 10.1111/evj.12809
Pusterla N, Leutenegger CM, Barnum SM, Byrne BA.In recent years, molecular approaches have been able to characterise the viability of equine upper respiratory tract pathogens using absolute molecular quantitation as well as detection of transcripts for virulence genes. Objective: The objective of this study was to investigate molecular surrogates for S.ย equi subspecies equi (S.ย equi) viability in biological samples from horses with strangles. Methods: Retrospective cross-sectional study. Methods: S.ย equi culture-positive and culture-negative upper airway secretions were assessed by qPCR at the genomic (gDNA) and complimentary DNA (cDNA) ...
The relationships between faecal egg counts and gut microbial composition in UK Thoroughbreds infected by cyathostomins.
International journal for parasitology    February 9, 2018   Volume 48, Issue 6 403-412 doi: 10.1016/j.ijpara.2017.11.003
Peachey LE, Molena RA, Jenkins TP, Di Cesare A, Traversa D, Hodgkinson JE, Cantacessi C.A growing body of evidence, particularly in humans and rodents, supports the existence of a complex network of interactions occurring between gastrointestinal (GI) helminth parasites and the gut commensal bacteria, with substantial effects on both host immunity and metabolic potential. However, little is known of the fundamental biology of such interactions in other animal species; nonetheless, given the considerable economic losses associated with GI parasites, particularly in livestock and equines, as well as the global threat of emerging anthelmintic resistance, further explorations of the ...
A 2-Year-Old Filly With Hereditary Equine Regional Dermal Asthenia: The First Case Report From China.
Journal of equine veterinary science    February 9, 2018   Volume 64 1-4 doi: 10.1016/j.jevs.2018.01.010
Li ๆŽ้– J, Liu B, Yu F, Liu T, Peng Y, Fu Y.Hereditary equine regional dermal asthenia (HERDA) is an autosomal recessive inheritable disorder described in the Quarter Horses and related breeds. In this case report, a 2-year-old Quarter Horse filly was diagnosed with HERDA based on clinical findings and genetic testing. The observed clinical signs were stretchy, loose and thin skin, and open wounds on the upper body. Skin biopsy results were consistent with the common findings previously described in the literature. This is the first HERDA case report in China (and in Asia). Genetic testing protocols should be implemented for breeding fa...
Genetic diversity of equine herpesvirus 1 isolated from neurological, abortigenic and respiratory disease outbreaks.
Transboundary and emerging diseases    February 9, 2018   Volume 65, Issue 3 817-832 doi: 10.1111/tbed.12809
Bryant NA, Wilkie GS, Russell CA, Compston L, Grafham D, Clissold L, McLay K, Medcalf L, Newton R, Davison AJ, Elton DM.Equine herpesvirus 1 (EHV-1) causes respiratory disease, abortion, neonatal death and neurological disease in equines and is endemic in most countries. The viral factors that influence EHV-1 disease severity are poorly understood, and this has hampered vaccine development. However, the N752D substitution in the viral DNA polymerase catalytic subunit has been shown statistically to be associated with neurological disease. This has given rise to the term "neuropathic strain," even though strains lacking the polymorphism have been recovered from cases of neurological disease. To broaden understan...