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Topic:Histopathology

Histopathology in horses involves the microscopic examination of tissue samples to study the manifestations of disease. This field provides insights into the structural and cellular changes that occur in equine tissues as a result of various pathological conditions. Common applications of histopathology in equine medicine include the diagnosis of neoplastic, inflammatory, and degenerative diseases. Techniques such as tissue staining and immunohistochemistry are employed to identify specific cellular components and pathological markers. This page aggregates peer-reviewed research studies and scholarly articles that explore the methodologies, findings, and implications of histopathological investigations in equine health.
Treatment of equine sarcoids: A systematic review.
Equine veterinary journal    March 14, 2023   doi: 10.1111/evj.13935
Offer KS, Dixon CE, Sutton DGM.The sarcoid is the most common equine cutaneous neoplasm. Evidence-based treatment of this condition is often lacking, and selection of treatment modality based on clinical experience or anecdotal evidence. Objective: To assess the quality of the currently available best evidence regarding the treatment of the equine sarcoid. Methods: Systematic review. Methods: In compliance with PRISMA guidelines, literature searches were performed in PUBMED, Web of Science, CAB Abstracts, EMBASE (Ovid) and Scopus in April 2021. Included papers were required to describe an interventional study examining sarc...
Tulathromycin and Diclazuril Lack Efficacy against Theileria haneyi, but Tulathromycin Is Not Associated with Adverse Clinical Effects in Six Treated Adult Horses.
Pathogens (Basel, Switzerland)    March 14, 2023   Volume 12, Issue 3 453 doi: 10.3390/pathogens12030453
Onzere CK, Hulbert M, Sears KP, Williams LBA, Fry LM.Equine theileriosis, caused by and , leads to anemia, exercise intolerance, and occasionally, death. Theileriosis-free countries prohibit the importation of infected horses, resulting in significant costs for the equine industry. Imidocarb dipropionate is the only treatment for in the United States, but lacks efficacy against . The goal of this study was to assess the in vivo efficacy of tulathromycin and diclazuril against . Fourteen -infected horses were utilized. Six were treated with eight weekly 2.5 mg/kg doses of tulathromycin. Three were treated daily for eight weeks with 2.5 mg/kg di...
Correlation of Arthroscopic Grading and Optical Coherence Tomography as Markers of Early Repair and Predictors of Later Healing Evident on MRI and Histomorphometric Assessment of Cartilage Defects Implanted with Chondrocytes Overexpressing IGF-I.
Cartilage    March 2, 2023   Volume 14, Issue 2 210-219 doi: 10.1177/19476035231154508
Ciamillo SA, Pownder SL, Potter HG, Stefanovski D, Nixon AJ, Ortved KF.Injury of articular cartilage is common, and due to the poor intrinsic capabilities of chondrocytes, it can precipitate joint degradation and osteoarthritis (OA). Implantation of autologous chondrocytes into cartilaginous defects has been used to bolster repair. Accurate assessment of the quality of repair tissue remains challenging. This study aimed to investigate the utility of noninvasive imaging modalities, including arthroscopic grading and optical coherence tomography (OCT) for assessment of early cartilage repair (8 weeks), and MRI to determine long-term healing (8 months). Large (15 mm...
Evaluation of a modified subchondroplasty technique in an equine full-thickness cartilage defect model: a pilot study.
American journal of veterinary research    February 27, 2023   Volume 84, Issue 4 ajvr.22.12.0219 doi: 10.2460/ajvr.22.12.0219
Smanik LE, Selberg KT, Mason GL, Brock M, Stewart HL, Goodrich LR, Kawcak CE.To perform a pilot study with the intent of assessing the feasibility of a modified subchondroplasty (mSCP) technique in a validated preclinical equine model of full-thickness articular cartilage loss and evaluate the short-term patient response to the injected materials. Methods: 3 adult horses. Methods: Two 15-mm-diameter full-thickness cartilage defects were created on the medial trochlear ridge of each femur. Defects were treated with microfracture and then filled by 1 of 4 techniques: (1) autologous fibrin graft (FG) via subchondral injection of fibrin glue (FG), (2) autologous fibrin gra...
Case report: Halicephalobus gingivalis in a Tennessee pony.
Veterinary parasitology, regional studies and reports    February 13, 2023   Volume 39 100843 doi: 10.1016/j.vprsr.2023.100843
Baker E, Geick A, Hines M, Gerhold R, Cordero-Aponte C.A 17-year-old female grade pony presented to University of Tennessee Veterinary Medical Center in May of 2021 for evaluation of multifocal, firm, sessile, circular lesions of various diameters on the ventrum and flank. The lesions had been present for two weeks at presentation. An excisional biopsy found numerous adult and larval rhabditid nematodes most consistent with Halicephalobus gingivalis. PCR targeting a portion of the large ribosomal subunit confirmed this diagnosis. The patient was treated with a high dose course of ivermectin followed by fenbendazole. The patient began showing neuro...
Multisystemic eosinophilic epitheliotropic disease in three donkeys.
Journal of comparative pathology    February 13, 2023   Volume 201 105-108 doi: 10.1016/j.jcpa.2023.01.005
Paraschou G, Vogel PE, Lee AM, Trawford RF, Priestnall SL.Multisystemic eosinophilic epitheliotropic disease (MEED) is a rare condition of equids characterized by eosinophilic infiltration of multiple organs. Clinical signs are variable depending on the affected organs. The most common clinical signs include chronic weight loss, diarrhoea and exfoliative dermatitis. Respiratory distress and raised liver enzymes are less frequently seen. The cause is unknown and the pathogenesis is poorly understood. There are less than 50 reported cases of horses with MEED. We now document the lesions in three donkeys with fluctuating or chronic loss of weight, letha...
Histological evidence of superficial inflammation is associated with lower recurrence of equine sarcoids following surgical removal: A follow-up study of 106 tumours in 64 horses.
Veterinary journal (London, England : 1997)    February 11, 2023   Volume 292 105953 doi: 10.1016/j.tvjl.2023.105953
Curnow B, Rich AF, Ireland J, Correa DC, Dunn J, Jenkins D, Carslake H, Ressel L.Although the equine sarcoid is the most common skin neoplasm in domesticated horses, histopathological characteristics have not previously been evaluated for association with recurrence. The aim of this retrospective cohort study was to investigate clinical and histopathological features of excised equine sarcoids and to evaluate their association with recurrence at the original surgical site and at new sites. Clinical records and excisional biopsies from 106 equine sarcoids from 64 horses referred to Leahurst Equine Hospital, University of Liverpool, between March 2010 and February 2015 were ...
Multiple Sex Cord-stromal Tumors in a Standardbred Stallion Testis.
Journal of equine veterinary science    February 10, 2023   Volume 123 104246 doi: 10.1016/j.jevs.2023.104246
Roxon C, Slack J, Bender S, Burns H, Turner R.A 12-year-old Standardbred stallion presented with a 5-month history of a growing mass in the left testis as well as an overall decrease in left testicular size. Palpation and ultrasonography of the left testis revealed a firm, hypoechoic, clearly delineated soft tissue mass in the craniolateral portion of the testis that measured 2.5 × 2.3 × 1.9 cm. Two smaller, hypoechoic regions also were visible ultrasonographically in the left testis, suggesting the presence of multifocal/multicentric neoplasia. The affected testis was very small (testicular volume of 40.3 cm). The right testis was ...
The equine patellar ligaments and the infrapatellar fat pad – a microanatomical study.
BMC veterinary research    January 23, 2023   Volume 19, Issue 1 20 doi: 10.1186/s12917-023-03579-3
Fjordbakk CT, Marques-Smith P.Interpretation of patellar ligament (PL) ultrasonography may be difficult, as hypoechoic or heterogenous echogenicity are common findings. Verifying suspected disease of equine PLs by histopathology is also problematic as descriptions of normal PL vascularity and histology are scarce. The current study describes the PL and infrapatellar fat pad (IFP) vascular pattern from computed tomography scans of barium perfused normal equine specimens (n = 8; age 10 days to 18 years), as well as routine histology to serve as a reference for future investigations into PL pathology and IFP disease. Re...
Equine Melanocytic Tumors: A Narrative Review.
Animals : an open access journal from MDPI    January 10, 2023   Volume 13, Issue 2 doi: 10.3390/ani13020247
Pimenta J, Prada J, Cotovio M.Adult grey horses have a high incidence of melanocytic tumors. This article narratively reviews the role of some genetic features related to melanoma formation in horses, such as STX17 mutation, ASIP or MITF alterations, and the link between the graying process and the development of these tumors. A clear system of clinical and pathological classification of melanocytic tumors in naevus, dermal melanoma, dermal melanomatosis and anaplastic malignant melanoma is provided. Clinical and laboratorial methods of diagnosing are listed, with fine needle aspiration and histopathology being the most re...
Vitamin E depletion is associated with subclinical axonal degeneration in juvenile horses.
Equine veterinary journal    January 4, 2023   Volume 55, Issue 5 884-890 doi: 10.1111/evj.13907
Donnelly CG, Finno CJ.Phosphorylated neurofilament heavy, a marker of neuroaxonal damage, is increased in horses with equine neuroaxonal dystrophy. However, the temporal dynamics of this biomarker during the post-natal risk period are not understood. Objective: To measure serum and cerebrospinal fluid phosphorylated neurofilament heavy concentrations in juvenile foals across the post-natal window of susceptibility for equine neuroaxonal dystrophy. Methods: Case-control in vivo experimental study. Methods: Concentrations of phosphorylated neurofilament heavy were measured using frozen serum and cerebrospinal fluid c...
Treponema spp. spirochetes and keratinopathogenic fungi isolated from keratomas in donkeys.
Veterinary pathology    December 24, 2022   Volume 60, Issue 2 190-198 doi: 10.1177/03009858221144730
Paraschou G, Cook JM, Priestnall SL, Evans NJ, Staton GJ, Paterson GK, Winkler B, Whitbread TJ.Keratoma is an aberrant keratin mass thought to originate from epidermal horn-producing cells interposed between the stratum medium of the hoof wall and the underlying third phalanx. The cause is unknown, although the presence of keratomas is frequently associated with chronic irritation, focal infection, or trauma. A total of 167 donkeys with keratomas were presented in this study. The diagnosis of a keratoma was based on clinical signs, radiography, and histopathologic examination. Surgical excision was attempted on all donkeys with lameness unless euthanasia was advised. Histopathologic exa...
Retrospective Evaluation of the Most Frequently Observed Histological Changes in Duodenal and Rectal Mucosal Biopsies in Horses with Recurrent Colic.
Animals : an open access journal from MDPI    December 13, 2022   Volume 12, Issue 24 doi: 10.3390/ani12243527
Siwińska N, Żak-Bochenek A, Paszkowska M, Karczewski M, Długopolska D, Haider W.Colic, a condition affecting the gastrointestinal tract of horses, manifests as severe pain and may be a life-threatening condition. It is possible to distinguish between an acute, disposable process, as well as recurrent colic symptoms (abdominal pain) caused by an ongoing chronic inflammatory process. This paper presents a retrospective analysis of the histopathological findings of duodenal and rectal samples taken from horses with recurrent colic, with the aim to determine the frequency and extent of inflammation. The samples, i.e., duodenal biopsy (60 samples) and rectal biopsy (17 samples...
Disseminated Halicephalobus gingivalis infection in a horse. Pillai VV, Mudd LJ, Sola MF.A 19-y-old American Saddlebred gelding was evaluated for epiphora of the right eye and generalized cachexia. Initial examination revealed anterior uveitis without ulceration, for which treatment was initiated. Despite the initial response to treatment, the signs progressively worsened to blindness. Histologic examination of the enucleated eye revealed granulomatous panuveitis and optic neuritis with intralesional nematode larvae identified as . Over time and despite anthelmintic treatment, blindness developed in the left eye along with neurologic signs, and the horse was euthanized. Disseminat...
A seasonal idiopathic hepatitis syndrome in horses presented to a Midwestern veterinary teaching hospital.
Journal of the American Veterinary Medical Association    December 7, 2022   Volume 261, Issue 2 266-272 doi: 10.2460/javma.22.08.0368
Taylor SD, Kritchevsky JE, Huang P, Olave C, Waxman SJ, Miller MA.To report history, clinical examination findings, clinicopathologic findings, diagnostic test results, treatment, and outcome in horses with a novel idiopathic hepatitis syndrome. 13 client-owned horses. Medical records of horses that were presented with fever and increased blood liver enzyme activity over a 16-month period were reviewed (December 1, 2020, to April 1, 2022). Collected data included signalment, history, clinical and clinicopathologic findings, diagnostic test results, treatment, clinical progression, and short-term outcome. Affected horses were presented between December and Ap...
Cerebellar abiotrophy in an Icelandic horse.
Acta veterinaria Scandinavica    November 26, 2022   Volume 64, Issue 1 31 doi: 10.1186/s13028-022-00651-0
Hansen S, Olsen E, Raundal M, Agerholm JS.Cerebellar abiotrophy (CA) is an uncommon hereditary neurodegenerative disorder affecting the cerebellar Purkinje cells. Equine CA has been reported in several breeds, but a genetic etiology has only been confirmed in the Arabian breed, where CA is caused by an autosomal recessive mutation. Methods: Clinical and histological findings consistent with CA are reported in an 8.5-month-old Icelandic filly. The filly showed a perceived sudden onset of marked head tremor, incoordination, ataxia, lack of menace response and a broad-based stance. Cerebrospinal fluid, hematological and biochemical findi...
Intracranial medulloblastoma as the cause of progressive ataxia in a 6-month-old draft horse cross gelding.
Journal of veterinary internal medicine    November 25, 2022   Volume 37, Issue 1 361-365 doi: 10.1111/jvim.16592
Palmisano M, Bender S, Johnson AL.We describe the unique clinical presentation of a central nervous system neoplasm in a 6-month-old draft horse cross gelding. Based on the neurologic examination at admission, neurolocalization was most consistent with a mildly asymmetric cervical, multifocal, or diffuse myelopathy. Mild vestibular involvement also was considered, but no cranial nerve deficits were observed. The gelding was negative for Sarcocystis neurona or Neospora hughesi based on paired serum and cerebrospinal fluid (CSF) samples analyzed, with no evidence of cervical compression based on contrast myelography. The horse w...
Pyogenic granuloma of the cornea in a pony: Uncommon complication of corneal wound healing.
Veterinary ophthalmology    November 22, 2022   Volume 26, Issue 1 62-70 doi: 10.1111/vop.13041
Regnier A, Landrevie C, Robin MC, Einsweiler D, Douet JY, Raymond-Letron I.A 6-year-old miniature Shetland pony mare was referred for evaluation of a left corneal mass, which developed from the healing tissue of a corneal traumatic ulceration that had occurred 4 weeks previously. On gross examination, a spherical, smooth-surfaced, and pink-colored lesion of about 1 cm in diameter was protruding from the left palpebral fissure. Ophthalmic examination revealed that it was attached to the scar tissue of the cornea, and that one corpora nigra was adherent to the posterior face of corneal wounded area, without sign of uveitis. The remainder of the ophthalmic examinatio...
From Keratoma to Anaplastic Malignant Melanoma in a Horse’s Hoof.
Animals : an open access journal from MDPI    November 9, 2022   Volume 12, Issue 22 doi: 10.3390/ani12223090
Stefanik E, Górski K, Turek B, Drewnowska-Szczepakowska O, Kliczkowska-Klarowicz K, Stefanik A.Melanomas in horses are most often associated with gray, older horses with an average age of over 16 years. Anaplastic malignant melanoma, however, can very rarely affect non-gray horses. Herein, we report a case of a 16-year-old Wielkopolski gelding with a chronic lameness caused by a mass in the hoof. The first resection of the lesion and histopathological examination confirmed the presence of a keratoma. The regrown mass and persistent lameness resulted in another mass resection. The second histopathological examination result suggested a neoplastic growth of melanocytic origin with a low h...
Equine Stomach Development in the Foetal Period of Prenatal Life-A Histological and Histometric Study.
Animals : an open access journal from MDPI    November 6, 2022   Volume 12, Issue 21 doi: 10.3390/ani12213047
Poradowski D, Chrószcz A.Histological and morphometrical analysis of the stomach wall was performed during the foetal period divided into three age groups (4th-11th month of gestation). The material was taken from non-glandular (the blind ventricular sac) and glandular parts (the plicated edge margin/cardiac part, the body of stomach and the pyloric part) of the stomach. It was preserved and prepared according to the standard protocol. The histological slides were stained (H-E, Masson-Goldner and PAS). The analyses were performed using the light microscope. All measurements were statistically elaborated. The crown-rum...
Eosinophilic Inflammation and Equine Herpesvirus-1 Associated With Haemorrhagic Cystitis in a Horse. Case Report.
Journal of equine veterinary science    November 4, 2022   Volume 119 104161 doi: 10.1016/j.jevs.2022.104161
Easther R, Manthorpe E, Woolford L, Kawarizadeh A, Hemmatzadeh F, Ferlini Agne G.Equine idiopathic haemorrhagic cystitis (EIHC) is a recently described form of aseptic cystitis in horses in which there is no discernible underlying cause. This case report describes a 9-year-old Thoroughbred gelding that presented with stranguria, pollakiuria, and haematuria. Cystoscopy revealed ulceration and haemorrhage of the bladder mucosa, diffuse mural hyperaemia and marked urine sedimentation. Histopathological evaluation of the bladder revealed chronic active ulcerative neutrophilic, lymphoplasmacytic, and eosinophilic cystitis. There was no bacterial or fungal growth upon culture bu...
First Description of Fetal Cystic Hygroma Associated With Early Equine Pregnancy Loss.
Journal of equine veterinary science    October 28, 2022   Volume 119 104148 doi: 10.1016/j.jevs.2022.104148
Martinez Zuviria S, Ciurkiewicz M, Wohlsein P, Madariaga G, Zuccolilli G.Cystic hygroma (hygroma cysticum) is a malformation that has not yet been described as a cause of early pregnancy loss in equines. The condition is a congenital anomaly occurring during embryogenesis due to a failure in which the primitive lymphatic sac does not reach the venous system at the jugular vein, resulting in a lymphatic stasis that starts in the neck region and continues to the rest of the body. From 2015 to 2020, a total of 5,730 ultrasound examinations were performed in mares from 43 different horse farms and embryo transfer farms when sexing pregnancies. In 12 pregnant mares, a s...
Identification of an ectopic periorbital lymph node in two horses.
Open veterinary journal    October 12, 2022   Volume 12, Issue 5 768-773 doi: 10.5455/OVJ.2022.v12.i5.23
Narinx F, Monclin S, Sauvage A, Vercruysse E, Heimann M, Alloway E, Vandersmissen M, Grauwels M.To describe the clinical presentation and treatment of an ectopic periorbital lymph node in two young horses. Two warm-blood horses were presented at the equine clinic of the University of Liège with a periorbital non-painful mass. Differential diagnosis included neoplasm (lymphoma), (sterile) abscess, cyst, ectopic lacrimal gland tissue, hematoma, adipose tissue, or ectopic lymphoid tissue. Information collected included physical and ophthalmic examination findings, results of the ocular and periocular ultrasound, surgical procedure, histopathology, and follow-up. Masses of 2 × 2 cm and 3 Ã...
Thoracic and Abdominal Mesothelioma in an Older Horse in Lazio Region.
Animals : an open access journal from MDPI    September 25, 2022   Volume 12, Issue 19 2560 doi: 10.3390/ani12192560
A Quarter Horse, a gelding aged 22, was subjected to a clinical examination for colic syndrome. During admission to the clinic, blood counts and ultrasound examination were performed. Ultrasound revealed abdominal masses and abundant accumulation of pleural (50 L) and abdominal fluid (100 L). Cytology was performed on the aspirated fluid. The patient was euthanized. The autopsy examination revealed abundant effusion and nodular masses on the peritoneum, omentum, lungs, heart, and mediastinum. A diagnosis of epithelioid mesothelioma was made via histopathology and confirmed with immunohistochem...
High-Risk Pregnancy Is Associated With Increased Alpha-Fetoprotein Concentrations in the Amniotic Fluid and Foal Plasma.
Journal of equine veterinary science    September 23, 2022   Volume 119 104124 doi: 10.1016/j.jevs.2022.104124
Lanci A, Mariella J, Ellero N, Canisso IF, Dondi F, Castagnetti C.This study aimed to determine alpha-fetoprotein (AFP) concentrations in amniotic fluid, plasma of mares and respective foals: carrying normal pregnancies and delivering healthy foals (n = 20; Group 1); carrying apparently normal pregnancies and delivering sick foals (n = 15; Group 2); carrying high-risk pregnancies and delivering sick foals (n = 14; Group 3). High-risk pregnancy was defined by a history of premature udder development/lactation or increased of the combined thickness of the uterus and placenta, or vulvar discharge and/or mares' systemic illness. Sick foals were affected by...
Acetogenin-induced fibrotic heart disease from avocado (Persea americana, Lauraceae) poisoning in horses.
Toxicon : official journal of the International Society on Toxinology    September 17, 2022   Volume 219 106921 doi: 10.1016/j.toxicon.2022.09.007
Freitas MS, Pereira AHB, Pereira GO, Menezes IS, Lucena AR, Almeida CRF, Pereira EG, Santos LA, Tozin LRS, Alves FM, Macedo AL, Silva DB, Ubiali DG.Poisoning by avocado (Persea americana) has been confirmed in sheep, goats, dogs, rabbits and ostriches. The clinical signs and lesions are attributed to the acetogenin, persin. Little is known regarding the epidemiology, clinical signs, lesions and therapy caused by acetogenin-induced heart damage. During the two-year study, we investigated a horse farm with six horses that often fed themselves with P. americana leaves or mature fruit pulp and skin on the ground. Two horses died, and one underwent necropsy, histopathology, and immunohistochemistry using the anti-cardiac troponin C (cTnC). Gro...
Comparison of anti-Müllerian hormone and inhibin immunolabeling in canine and equine granulosa cell tumors. Nelissen S, Miller AD.Granulosa cell tumors (GCTs) are common ovarian neoplasms in the mare and bitch that can be challenging to diagnose on histopathology. Inhibin has long been the standard immunohistochemical (IHC) marker for GCTs; however, anti-Müllerian hormone (AMH) has not been evaluated widely as an IHC marker in the bitch and mare. We compared the efficacy of AMH and inhibin as IHC markers in canine and equine GCTs. We selected retrospectively 18 equine and 15 canine cases. All equine tumors were dominated by a cystic pattern; canine tumors often had solid patterns. Both inhibin and AMH had similar puncta...
Type 2 polysaccharide storage myopathy in Quarter Horses is a novel glycogen storage disease causing exertional rhabdomyolysis.
Equine veterinary journal    September 14, 2022   Volume 55, Issue 4 618-631 doi: 10.1111/evj.13876
Valberg SJ, Williams ZJ, Finno CJ, Schultz A, Velez-Irizarry D, Henry ML, Gardner K, Petersen JL.Both type 1 (PSSM1) and type 2 polysaccharide storage myopathy (PSSM2) are characterised by aggregates of abnormal polysaccharide in skeletal muscle. Whereas the genetic basis for PSSM1 is known (R309H GYS1), the cause of PSSM2 in Quarter Horses (PSSM2-QH) is unknown and glycogen concentrations not defined. Objective: To characterise the histopathological and biochemical features of PSSM2-QH and determine if an associated monogenic variant exists in genes known to cause glycogenosis. Methods: Retrospective case control. Methods: Sixty-four PSSM2-QH, 30 PSSM1-QH and 185 control-QH were identifi...
Inhibition of experimental autoimmune uveitis by intravitreal AAV-Equine-IL10 gene therapy.
PloS one    August 18, 2022   Volume 17, Issue 8 e0270972 doi: 10.1371/journal.pone.0270972
Crabtree E, Uribe K, Smith SM, Roberts D, Salmon JH, Bower JJ, Song L, Bastola P, Hirsch ML, Gilger BC.Equine recurrent uveitis (ERU) is a spontaneous, painful, and vision threatening disease affecting up to 25% of equine populations worldwide. Current treatments of ERU are non-specific and have many side effects which limits them to short-term use. In order to develop an effective therapy for ERU, we investigated the use of adeno-associated virus (AAV) gene therapy, exploiting a natural immune tolerance mechanism induced by equine interleukin-10 (Equine-IL10). The purpose of this study was to evaluate the therapeutic efficacy of a single intravitreal (IVT) dose of AAV8-Equine-IL10 gene therapy...
Cannabinoid receptors are expressed in equine synovium and upregulated with synovitis.
Equine veterinary journal    August 13, 2022   Volume 55, Issue 4 681-695 doi: 10.1111/evj.13860
Miagkoff L, Girard CA, St-Jean G, Richard H, Beauchamp G, Laverty S.Osteoarthritis (OA) is a major cause of equine lameness. Cannabinoid (CB) receptors are now considered to be promising therapeutic targets in human rheumatology for pain and inflammation, however, little is known about the equine endocannabinoid system. Objective: The primary goal was to assess the presence and expression pattern of CB1 and CB2 in the synovium of healthy joints. A secondary goal was to explore the relationship between the CB expression, degree of synovitis and OA pathology. Methods: Ex vivo experimental study. Methods: Metacarpophalangeal joints (n = 25) from a tissue bank w...