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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.
Social facilitation of trotting: Can horses perceive and adapt to the movement of another horse?
PloS one    August 26, 2024   Volume 19, Issue 8 e0309474 doi: 10.1371/journal.pone.0309474
Bogossian PM, Pereira JS, da Silva NF, Hilgert AR, Seidel SRT, Fülber J, Belli CB, Fernandes WR.Exercise intensity is prone to be self-regulated in horses exercising freely. The main drivers include social, feeding and escape behaviors, as well as the operant conditioning. We hypothesized that self-regulated exercise intensity may increase due to the presence of another horse exercising ahead. Seven horses were assigned to a 2x2 crossover trial following treadmill familiarization. Video images of a trotting horse were displayed on the wall in front of the experimental unit (Visual), which was positioned in the treadmill. Physiological and behavioral markers were further compared with a c...
Studies in vitro of equine intestinal glucagon-like peptide-2 secretion.
Journal of equine veterinary science    August 26, 2024   Volume 142 105179 doi: 10.1016/j.jevs.2024.105179
Sibthorpe PEM, Fitzgerald DM, Sillence MN, de Laat MA.Equine insulin dysregulation (ID) is a significant metabolic problem because the hyperinsulinaemia that develops increases the animal's risk of developing laminitis, a debilitating foot condition. The role of gastrointestinal factors, such as incretin hormones, in the pathogenesis of ID and hyperinsulinaemia in horses is poorly understood, particularly in comparison to other species. Glucagon-like peptide-2 (GLP-2) is an intestinotrophic peptide released from L cells in the gastrointestinal tract and is implicated in metabolic dysfunction in other species. The aim of this study in vitro was to...
Clinical features and outcomes of horses presenting with presumed equine immune mediated keratitis to two veterinary hospitals in the United Kingdom and Finland: 94 cases (2009-2021).
Equine veterinary journal    August 26, 2024   doi: 10.1111/evj.14213
Preston JF, Mustikka MP, Priestnall SL, Dunkel B, Fischer MC.There is limited literature regarding equine immune mediated keratitis (IMMK) in Europe. North America-based publications describe minimal blepharospasm, rare corneal ulceration and no uveitis; clinical impression suggests these are seen in Europe. Objective: Assess the prevalence of blepharospasm, corneal ulceration and uveitis and their impact on outcome in horses diagnosed with IMMK in Europe (UK and Finland). Methods: Retrospective case series. Methods: Clinical records of 94 horses with IMMK were evaluated. The UK and Finland populations were comparable; therefore, descriptive statistics ...
Horse Sector Participants’ Attitudes towards Anthropomorphism and Animal Welfare and Wellbeing.
Animals : an open access journal from MDPI    August 26, 2024   Volume 14, Issue 17 2482 doi: 10.3390/ani14172482
Fiedler JM, Ayre ML, Rosanowski S, Slater JD.Anthropomorphizing can misinform the making of inferences about animal mental experiences. This is a consideration when implementing the Five Domains Model for animal welfare assessment. An online survey run in 2021 captured horse sector participants' perspectives about anthropomorphism and wellbeing in relation to horses. Most respondents, 82.9% ( = 431/520), believed that anthropomorphism could influence horse welfare and wellbeing. These respondents were then asked how, in their opinion, anthropomorphism might relate to horse welfare. A thematic analysis identified two themes: (1) 'Anthropo...
Biomechanical and histological variables differ by site but not by lameness in equine digital cushion samples from forelimbs.
Journal of equine veterinary science    August 23, 2024   Volume 142 105178 doi: 10.1016/j.jevs.2024.105178
Damone J, Bass L, Gadomski B, Rao S, Frank C, Moorman VJ.The equine digital cushion (DC) has been a poorly understood structure regarding its mechanical properties and composition. The objective of this study was to develop a sampling technique and to compare the biomechanical and histologic properties of DC between lame and non-lame forelimbs. Both forefeet from horses with induced carpal lameness were radiographed prior to humane euthanasia. Radiographs were used to guide sample collection of two, post-mortem, midline DC samples, palmar and dorsal, via an 8mm biopsy punch. Samples were subjected to compressive testing to determine elastic modulus....
Molecular Epidemiology of Western Equine Encephalitis Virus, South America, 2023-2024.
Emerging infectious diseases    August 23, 2024   Volume 30, Issue 9 1834-1840 doi: 10.3201/eid3009.240530
Campos AS, Franco AC, Godinho FM, Huff R, Candido DS, da Cruz Cardoso J, Hua X, Claro IM, Morais P, Franceschina C, de Lima Bermann T, Dos Santos FM....Western equine encephalitis virus (WEEV) is a mosquitoborne virus that reemerged in December 2023 in Argentina and Uruguay, causing a major outbreak. We investigated the outbreak using epidemiologic, entomological, and genomic analyses, focusing on WEEV circulation near the Argentina‒Uruguay border in Rio Grande do Sul state, Brazil. During November 2023‒April 2024, the outbreak in Argentina and Uruguay resulted in 217 human cases, 12 of which were fatal, and 2,548 equine cases. We determined cases on the basis of laboratory and clinical epidemiologic criteria. We characterized 3 fatal equ...
Streptococcus equi subspecies equi from strangles suspected equines: molecular detection, antibiogram profiles and risk factors.
BMC veterinary research    August 23, 2024   Volume 20, Issue 1 377 doi: 10.1186/s12917-024-04236-z
Bekele D, Dessalegn B, Tadesse B, Abey SL.Strangles, caused by Streptococcus equi subspecies equi, is a highly infectious disease of equines causing major health issues and financial losses. The aim of the study was to detect the presence of the SeM gene in Streptococcus equi isolated from equine suspected of having strangles. A cross-sectional study design was conducted from July to December 2022 in five districts of the central Gondar zone, Ethiopia. One-hundred sixty swab samples were taken from animals that had been clinically suspected. The SeM gene was detected using polymerase chain reaction, and the antimicrobial susceptibilit...
Development of an ultrasound-guided radiofrequency ablation technique in the equine cadaveric distal limb: histological findings and potential for treating chronic lameness.
Frontiers in veterinary science    August 23, 2024   Volume 11 1437989 doi: 10.3389/fvets.2024.1437989
Amari M, Rabbogliatti V, Ravasio G, Auletta L, Brioschi FA, Riccaboni P, Dell'Aere S, Roccabianca P.Radiofrequency (RF) relieves chronic pain in humans, but it is unexplored in horses affected by chronic lameness. This study aims to describe the technique and the histological effects of ultrasound (US)-guided radiofrequency ablation (RFA) of palmar digital nerves (PDNs) in horse's fetlock and pastern, . Unassigned: After assessing the US anatomy of lateral and medial PDNs in fetlock and pastern ( = 10 horses; 20 forelimbs), US-guided RFA was performed on these sites in cadaveric forelimbs ( = 10) applying four different settings with increasing invasiveness ( = 40 total treatmen...
Multivariate analysis of morphometric traits of the horse ecotypes reared in highlands of Bale Zone, Ethiopia.
Veterinary and animal science    August 22, 2024   Volume 25 100391 doi: 10.1016/j.vas.2024.100391
Guyo M, Tareke M, Tonamo A, Bediye D, Defar G.This study was conducted to evaluate morphometric traits of horse ecotypes reared in four districts of the Bale highlands, southeastern Ethiopia. Twenty-seven morphometric traits were measured from 500 horses (294 males and 206 females) of both sexes. Data were analyzed using SAS 2012. This study revealed that certain traits, such as head length, loin length, bi-ischial width, and sternum height of horses were similar. However, significant differences ( < 0.0001, < 0.01, < 0.05) were observed in other traits across the districts. All traits were affected by age ( < 0.05) except rump width an...
Farm size and biosecurity measures associated with Strongylus vulgaris infection in horses.
Equine veterinary journal    August 22, 2024   Volume 57, Issue 3 703-711 doi: 10.1111/evj.14212
Hedberg Alm Y, Tydén E, Martin F, Lernå J, Halvarsson P.Selective anthelmintic treatment, advocated due to evolving anthelmintic resistance, has been associated with an increase in Strongylus vulgaris prevalence. Reverting to routine interval anthelmintic treatments is not viable and therefore, identifying other management factors correlated with S. vulgaris infection is vital. Objective: To investigate possible risk factors associated with the presence of S. vulgaris infection in resident horses on Swedish horse establishments. Methods: Internet-based questionnaire survey. Methods: A questionnaire, created using the internet-based survey platform ...
Long-term use of an implantable loop recorder for ECG recording in horses.
Acta veterinaria Hungarica    August 22, 2024   Volume 72, Issue 3 178-185 doi: 10.1556/004.2024.01075
Kovács S, Bodó G, Tóth FZ, Néder L, Bakos Z.Potential arrhythmias recorded by cardiac monitors using the built-in human algorithm are as follows: total number of episodes, ventricular tachycardia, asystole, bradycardia, atrial tachycardia, atrial fibrillation and the percentage of time spent in atrial tachycardia or atrial fibrillation. Long-term use of an insertable cardiac monitor (loop recorder) has been reported in one horse earlier, but its accurate role as a diagnostic tool is still unclear. The aim of the present study was to investigate the long-term applicability of the Reveal XT cardiac monitor for recording cardiac arrhythmia...
A SIRT1-independent mechanism mediates protection against steroid-induced senescence by resveralogues in equine tenocytes.
PloS one    August 22, 2024   Volume 19, Issue 8 e0309301 doi: 10.1371/journal.pone.0309301
Heidari N, Faragher RGA, Pattison G, Dudhia J, Smith RKW.Tendinopathy is a common age-related disease which causes significant morbidity for both human athletes and performance horses. In the latter, the superficial digital flexor tendon is an excellent model for human tendinopathies because it is a functional homologue of the human Achilles tendon and a primary site of injuries with strong similarities to the human disease. Corticosteroids have been previously used clinically to treat tendinopathic inflammation, but they upregulate the p53-p21 axis with concomitant reductions in cell proliferation and collagen synthesis in human tenocytes. This phe...
[Methods for parturition monitoring in the mare – an overview].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    August 22, 2024   Volume 52, Issue 4 210-221 doi: 10.1055/a-2343-5153
Lindinger H, Wehrend A.Various systems are available for birth monitoring in horses, whereby a distinction must be made between methods for more accurate prediction of the date of birth in order to intensify monitoring of the mare in a timely manner as well as methods for detecting individuals that are in labor. Basically, it should be noted that there are almost no studies that compare different methods on the same population of mares. As the time of birth approaches, physiological parameters of mare and fetus change, but their variability is too high to predict the exact parturition time point prospectively. The b...
Exploring the Genetic Landscape of Vitiligo in the Pura Raza Español Horse: A Genomic Perspective.
Animals : an open access journal from MDPI    August 21, 2024   Volume 14, Issue 16 2420 doi: 10.3390/ani14162420
Laseca N, Molina A, Perdomo-González D, Ziadi C, Azor PJ, Valera M.Vitiligo is a depigmentation autoimmune disorder characterized by the progressive loss of melanocytes leading to the appearance of patchy depigmentation of the skin. The presence of vitiligo in horses is greater in those with grey coats. The aim of this study was therefore to perform a genome-wide association study (GWAS) to identify genomic regions and putative candidate loci associated with vitiligo depigmentation and susceptibility in the Pura Raza Español population. For this purpose, we performed a wssGBLUP (weighted single step genomic best linear unbiased prediction) using data from a ...
Platelet-Rich Plasma and Related Orthobiologics for the Treatment of Equine Musculoskeletal Disorders-A Bibliometric Analysis from 2000 to 2024.
Veterinary sciences    August 21, 2024   Volume 11, Issue 8 doi: 10.3390/vetsci11080385
Carmona JU, Carmona-Ramírez LH, López C.(1) Background: There is increasing interest in the use of platelet-rich plasma and related orthobiologics for the treatment of chronic musculoskeletal disorders in horses; however, there is no information on the bibliometric impact of the literature published in this area. (2) Methods: A bibliometric analysis was performed using the bibliometrix R package by analyzing the documents registered in the WOS and Scopus databases from 2000 to 2024. The included registers were evaluated according to the menu of results from the biblioshiny web app (overview, sources, authors, documents, words, trend...
Explainable machine learning for assessing upper respiratory tract of racehorses from endoscopy videos.
Computers in biology and medicine    August 21, 2024   Volume 181 109030 doi: 10.1016/j.compbiomed.2024.109030
Tahir AM, Guo L, Ward RK, Yu X, Rideout A, Hore M, Wang ZJ.Laryngeal hemiplegia (LH) is a major upper respiratory tract (URT) complication in racehorses. Endoscopy imaging of horse throat is a gold standard for URT assessment. However, current manual assessment faces several challenges, stemming from the poor quality of endoscopy videos and subjectivity of manual grading. To overcome such limitations, we propose an explainable machine learning (ML)-based solution for efficient URT assessment. Specifically, a cascaded YOLOv8 architecture is utilized to segment the key semantic regions and landmarks per frame. Several spatiotemporal features are then ex...
Steamed hay and alfalfa pellets for the management of severe equine asthma.
Equine veterinary journal    August 20, 2024   doi: 10.1111/evj.14209
Symoens A, Westerfeld R, Vives BM, André V, Moulon L, Collomb M, Richard H, Juette T, Bédard C, Leclère M.Steaming hay significantly reduces respirable particles and provides a palatable alternative to dry hay for horses with asthma, but there are few prospective studies demonstrating the clinical efficacy of steamed hay. Objective: To compare the efficacy of alfalfa pellets and steamed hay in improving lung function and inflammation of horses with severe asthma (SEA). Methods: Controlled crossover study. Methods: Ten horses with SEA were enrolled and nine completed the study. Horses were housed indoors and fed hay. Once in exacerbation, they were fed pellets and steamed hay for 4 weeks, in a cr...
2D Kinematic Analysis of the Esbarrada and Volta Sobre Patas Manoeuvres of Criollo Breed Horses Competing in Freio de Ouro.
Animals : an open access journal from MDPI    August 20, 2024   Volume 14, Issue 16 doi: 10.3390/ani14162410
Bonilla Lemos Pizzi GL, Holz K, Kowalski ÉA, Fonseca Ribeiro P, Blake R, Ferreira Martins C.The esbarrada and volta sobre patas manoeuvres are critical in Criollo horse equestrian activities, yet their kinematics remain largely unexplored. This observational study aimed to kinematically describe the manoeuvres in Criollo breed horses and explore the relationship between static goniometry and dynamics. A 2D kinematic analysis was conducted on 31 Criollo horses performing the manoeuvres using high-speed cameras. Joint angles were measured using static goniometry and analysed in relation to dynamic performance. The esbarrada covered a distance of 4.28 ± 0.99 m in 1.15 ± 0.11 s at a ve...
Spontaneous eye blinks in horses (Equus caballus) are modulated by attention.
Scientific reports    August 20, 2024   Volume 14, Issue 1 19336 doi: 10.1038/s41598-024-70141-y
Tomberg C, Petagna M, de Selliers de Moranville LA.Spontaneous eye blinks are brief closures of both eyelids. The spontaneous eye blink rate (SEBR) exceeds physiological corneal needs and is modulated by emotions and cognitive states, including vigilance and attention, in humans. In several animal species, the SEBR is modulated by stress and antipredator vigilance, which may limit the loss of visual information due to spontaneous eye closing. Here, we investigated whether the SEBR is modulated by attention in the domestic horse (Equus caballus). Our data supported previous studies indicating a tonic SEBR specific to each individual. We also fo...
Paraneoplastic Syndromes in Horses.
The Veterinary clinics of North America. Equine practice    August 20, 2024   S0749-0739(24)00074-9 doi: 10.1016/j.cveq.2024.07.015
Johns I.This article discusses the reported paraneoplastic syndromes (PNSs) in horses, including the possible pathogenesis, diagnostic methods, and any treatment options. The more commonly reported PNSs in horses include cancer anorexia and cachexia, fever and increased acute phase protein concentrations, and hypercalcemia and monoclonal gammopathy. As these conditions can often be more commonly diagnosed in non-neoplastic conditions, the diagnosis of a PNS and the accompanying neoplasia can be challenging. As signs of a PNS may precede signs of the underlying neoplasia, it is important that the clini...
Genetic and antigenic characterization of two diarrhoeicdominant rotavirus A genotypes G3P[12] and G14P[12] circulating in the global equine population.
The Journal of general virology    August 20, 2024   Volume 105, Issue 8 002016 doi: 10.1099/jgv.0.002016
Uprety T, Soni S, Sreenivasan C, Hause BM, Naveed A, Ni S, Graves AJ, Morrow JK, Meade N, Mellits KH, Adam E, Kennedy MA, Wang D, Li F.Equine rotavirus species A (ERVA) G3P[12] and G14P[12] are two dominant genotypes that cause foal diarrhoea with a significant economic impact on the global equine industry. ERVA can also serve as a source of novel (equine-like) rotavirus species A (RVA) reassortants with zoonotic potential as those identified previously in 2013-2019 when equine G3-like RVA was responsible for worldwide outbreaks of severe gastroenteritis and hospitalizations in children. One hurdle to ERVA research is that the standard cell culture system optimized for human rotavirus replication is not efficient for isolatin...
Evaluation of circulating miRNAs in mares approaching parturition.
Domestic animal endocrinology    August 19, 2024   Volume 89 106879 doi: 10.1016/j.domaniend.2024.106879
Kikuchi M, Murase H, Urata K, Ishige T, Nagata SI, Tozaki T, Kakoi H, Ishiguro-Oonuma T, Kizaki K.Circulating microRNAs (miRNAs) are stable in body fluids and can serve as biomarkers for various diseases and physiological states. Although pregnancy-related miRNAs have been identified in various mammals, studies on parturition-related circulating miRNAs in mares are limited. Therefore, this study aimed to identify parturition-related miRNAs and examine their potential applications in the prediction of parturition date. miRNAs were extracted from the plasma of Thoroughbred mares 30 days (295-326 days pregnant) and 5 (323-352 days pregnant) - 0 (328-357 days pregnant) days before parturition,...
Prevalence and antimicrobial susceptibility of Streptococcus equi isolated from horses in Santa Catarina state, Southern Brazil.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    August 19, 2024   Volume 55, Issue 4 4147-4155 doi: 10.1007/s42770-024-01479-8
Veiga RF, Clarindo LN, Fensterseifer AL, Pompelli LH, Sfaciotte RAP, Schwarz DGG, Eloy LR, Ferraz SM.The objective of this study was to determine the prevalence of Streptococcus equi (S. equi subsp equi and S. equi subsp zooepidemicus) in the state of Santa Catarina and evaluate the antimicrobial susceptibility of the isolates. For this, 420 nasal swab samples were collected from randomly selected horses. Isolation and phenotypic characterization of the bacteria were performed by sowing on 5% sheep blood agar, followed by analysis of morphotinctorial characteristics and biochemical analysis. To differentiate the main beta-hemolytic Streptococcus in horses, the fermentation profiles of the sug...
Morphological and immunohistochemical characteristics of diffuse seminoma in horses: A case report.
Reproduction in domestic animals = Zuchthygiene    August 19, 2024   Volume 59, Issue 8 e14706 doi: 10.1111/rda.14706
Batista LAS, de Alencar Santos Júnior D, Rodrigues AS, Menezes AA, do Nascimento MJR, de Galiza GJN, de Medeiros Dantas AF, Frade MTS.The present study describes the morphological and immunohistochemical characteristics of a case of diffuse seminoma in a 16-year-old male mixed-breed horse. According to the owner, the animal's left testicle had been gradually increasing in size over a period of 2 months. On palpation, the testicle had a firm consistency, with no sensitivity to digital pressure, was adhered to the scrotum and measuring 16 cm × 8 cm. In the ultrasound examination, it presented a heterogeneous texture and areas of hypoechogenic echogenicity without visualization of the mediastinum. Therefore, the bila...
Gut Microbiota Profiling as a Promising Tool to Detect Equine Inflammatory Bowel Disease (IBD).
Animals : an open access journal from MDPI    August 18, 2024   Volume 14, Issue 16 doi: 10.3390/ani14162396
Sävilammi T, Alakangas RR, Häyrynen T, Uusi-Heikkilä S.Gastrointestinal disorders are common and debilitating in horses, but their diagnosis is often difficult and invasive. Fecal samples offer a non-invasive alternative to assessing the gastrointestinal health of horses by providing information about the gut microbiota and inflammation. In this study, we used 16S sequencing to compare the fecal bacterial diversity and composition of 27 healthy horses and 49 horses diagnosed with inflammatory bowel disease (IBD). We also measured fecal calprotectin concentration, a marker of intestinal inflammation, in healthy horses and horses with IBD. We found ...
Molecular detection of Chlamydia abortus in endometrial biopsies of mares from western Canada. Ricard RM, Wobeser B. is a reported cause of infertility and endometritis in sheep, cattle, and pigs; however, the association between uterine disease and is poorly understood in horses. Recently, a high prevalence of in equine aborted chorioallantoises was reported in horses in western Canada. Based on this high prevalence, investigation into the effects of on infertility and endometritis in western Canadian mares is prudent. We examined 98 formalin-fixed, paraffin-embedded endometrial biopsies from western Canada submitted between 2014 and 2022 using a -specific 16S rRNA PCR test; 40 samples tested positive f...
Chemotherapeutics in Equine Practice.
The Veterinary clinics of North America. Equine practice    August 17, 2024   Volume 40, Issue 3 387-395 doi: 10.1016/j.cveq.2024.07.004
Malalana F.Chemotherapy is the treatment of cancerous cells through the use of cytotoxic drugs. Whilst the use of systemic (intravenous) chemotherapy in equine practice is generally limited to the management of lymphoma, cytotoxic drugs are commonly used in the treatment of accessible skin tumors, either by topical application in the form of ointments or injected intralesionally. These drugs should be employed with caution due to the risk of serious adverse effects. In addition, extreme caution should be followed when preparing, handling, administering, and disposing them, due to their carcinogenic, muta...
Effect of circle, surface type and stride duration on vertical head and pelvis movement in riding horses with pre-existing movement asymmetries in trot.
PloS one    August 16, 2024   Volume 19, Issue 8 e0308996 doi: 10.1371/journal.pone.0308996
Marunova E, Hernlund E, Persson-Sjödin E.Head and pelvis vertical movement asymmetries in horses are often evaluated under different conditions yet better understanding is required of how these asymmetries are altered by factors such as surface type or circle size. This study investigated how stride duration, surface and lungeing in circles of different sizes influenced objectively measured head and pelvis movement asymmetries in riding horses in full training. Movement asymmetries were recorded with body mounted accelerometers and were based on the differences between the two vertical displacement minima or maxima of head (HDmin, HD...
Use of a new aiming compression device and technique for the repair of navicular bone fractures in horses: A cadaveric study.
Veterinary surgery : VS    August 16, 2024   Volume 54, Issue 1 98-106 doi: 10.1111/vsu.14152
Pudert T, Fries GF, Lotz H, Röcken M, Cruz AM.To assess the use of a newly developed aiming compression device (ACD) for screw insertion in non-fractured navicular bones (NB) in cadavers. Methods: Cadaveric study. Methods: A total of 10 cadaveric front limbs of adult horses. Methods: Placement of a 3.5 mm cortical screw in non-fractured NB under radiographic guidance was performed in 10 cadaver limbs in a standing position. An ACD was used to stabilize the NB and to guide the drilling process. Preparation and surgical time as well as the number of radiographic images were noted. A postoperative scoring system was used to assess screw pl...
Platelet lysate does not have an anti-inflammatory effect on monoiodoacetic acid-induced equine persistent synovitis.
American journal of veterinary research    August 16, 2024   1-8 doi: 10.2460/ajvr.24.03.0090
Fukuda K, Mita H, Kuroda T, Tamura N, Kuwano A, Sato F, Takahashi T.To clarify the anti-inflammatory effect of platelet lysate (PL) on equine persistent synovitis by using a model of synovitis induced by monoiodoacetic acid (MIA). Methods: Nonseptic synovitis was induced by administering MIA into both antebrachiocarpal joints of 6 clinically healthy horses on day 0. On days 23, 30, and 37, carpal circumference measurement and synovial fluid collection for assays (leucocytes, LDH, tumor necrosis factor-α, and TGF-β1) were performed, after which PL was injected into 1 antebrachiocarpal joint and saline into the contralateral joint. Synovium and synovial fluid ...