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Topic:Horses

"Horses" is a broad topic that encompasses various aspects of equine biology, behavior, and management. This category includes studies on the anatomy, physiology, and genetics of horses, as well as their behavior, nutrition, and care. Research in this area may also cover the historical and cultural significance of horses, their roles in agriculture, sport, and therapy, and the challenges associated with their conservation and welfare. The page aggregates peer-reviewed research articles and scholarly studies that explore the multifaceted relationships between humans and horses, examining both scientific and socio-economic perspectives.
Pharmacokinetics of Ertugliflozin, a Sodium-Glucose Co-Transporter-2 Inhibitor (SGLT2i) in Horses After Enteral Administration.
Veterinary sciences    May 1, 2026   Volume 13, Issue 5 445 doi: 10.3390/vetsci13050445
Kirkwood NC, Hughes KJ, Lovett AL, Doran GS, Rendle DI, Edwards SH.Ertugliflozin is a sodium-glucose co-transporter-2 inhibitor that has demonstrated promise as a treatment for hyperinsulinaemia in horses. Despite the frequent use of ertugliflozin in equine clinical practice, the pharmacokinetics of this drug in horses has not been established. The aim of the present study was to determine the pharmacokinetics of one supratherapeutic dose (0.25 mg/kg) of ertugliflozin in eight horses. Horses were defined as being healthy by physical examination, haematological, blood biochemical and oral sugar test (OST) results. Plasma concentrations of ertugliflozin were qu...
Retrospective assessment of equine herpesvirus type 1 (EHV-1) genotype-associated clinical disease in Ontario.
The Canadian veterinary journal = La revue veterinaire canadienne    May 1, 2026   Volume 67, Issue 5 499-503 
Espinosa MA, Lack A, Kenney D, Arroyo LG.Equine herpesvirus type 1 (EHV-1) is an important viral pathogen in horses, associated with diverse clinical manifestations including fever, upper and lower respiratory disease, neurological signs, ocular disease, and abortion. Currently, EHV-1 variants (genotypes) are classified based on a single nucleotide polymorphism mutation of the open reading frame 30 (ORF30). Unassigned: The aim of this retrospective study was to evaluate the EHV-1 genotypes present in horses with various clinical presentations, including respiratory disease, abortion, and neurological disease, at a referral center in ...
Influence of Housing and Fecal Egg Count on Cytokine Profiles (IL-4 and IL-13) in Equines.
Journal of equine veterinary science    May 1, 2026   105922 doi: 10.1016/j.jevs.2026.105922
Yalavarthi G, Sabbinen H, Kosuri P, Amalaradjou M, Govoni K, Nadeau J.Strongyles are parasitic roundworms that cause significant gastrointestinal infections in equines, primarily through contact with infected soil. Worldwide, strongylosis affects nearly 90% of horse populations. Objective: The objectives of our study were to determine if there was a relationship between fecal egg count (FEC) and housing types on interleukin IL-4 and IL-13. Methods: Horses (N=25) were separated into two groups based on housing conditions: pasture (housed on pasture 24/7; PS, N=13) and semi-intensive (housed in stalls with turnout overnight; SI, N=12). Within each housing group, t...
Treatment of ventricular arrhythmias with oral sotalol in four horses.
Journal of veterinary internal medicine    April 30, 2026   Volume 40, Issue 2 aalag077 doi: 10.1093/jvimsj/aalag077
Junge HK, Williams Louie EG, Mitchell KJ, Schwarzwald CC.Sustained ventricular arrhythmias (VAs) in horses can require medical intervention. Prompt pharmacological treatment is indicated when the arrhythmia leads to hemodynamic or electrical instability. Established antiarrhythmic treatment of VA in horses includes lidocaine and magnesium, administered parenterally. Other antiarrhythmic agents are used; however, concerns regarding adverse effects, financial restrictions, logistics of administration, and lack of access often limit their use. While anecdotal reports of oral administration of sotalol for treatment of VA in horses exist, sotalol has pri...
The immediate effect of whole-body vibration therapy on mechanical nociceptive thresholds in horses with thoracolumbar pain.
Journal of equine veterinary science    April 30, 2026   105919 doi: 10.1016/j.jevs.2026.105919
Giancola SC, Ellis KL.Treating primary back pain in horses can be challenging and often necessitates a multimodal approach. Whole-body vibration therapy (WBV) has been used in both horses and humans to alleviate pain and strengthen muscles. A recent study showed worsening back pain following a 30-minute session of WBV; however, the immediate effects of WBV were not evaluated. The purpose of this study was to assess the immediate effects of whole-body vibration therapy on horses with back pain after a single session of WBV. Objective: The objective of the current study was to determine the immediate effects on mecha...
miRNA Sequencing and Differential Analysis of Testis in 1-Year-Old and 2-Year-Old Kazakh Horses.
Biology    April 30, 2026   Volume 15, Issue 9 715 doi: 10.3390/biology15090715
Zhou Y, Wen L, Ren W, Wen M, Ming M, Wang J, Meng J, Yao X, Zeng Y.The represents a significant genetic resource within China's population, characterized by notable resilience and an ability to thrive on coarse forage. Nevertheless, a decline in its numbers has been observed recently, making the improvement of its reproductive performance crucial for the preservation of this breed and the advancement of the related industry. In this study, testicular tissues from 1-year-old (pre-pubertal) and 2-year-old (post-pubertal) were analyzed. miRNA sequencing was conducted on tissues from these age groups, followed by bioinformatics analyses to elucidate the functi...
Prepubic Tendon Rupture and Uterine Herniation in a Late-Term Kurdish Mare: A Case Report.
Veterinary medicine and science    April 30, 2026   Volume 12, Issue 3 e70936 doi: 10.1002/vms3.70936
Hernashki H, Samimi AS, Imani M, Oloumi MM.Prepubic tendon rupture (PPTR) is a rare but life-threatening complication in late-term pregnant mares. It results in abdominal wall failure, ventral oedema and a poor prognosis for both the mare and foetus. A 14-year-old multiparous Kurdish mare at approximately 310 days of gestation presented with acute ventral distension, reluctance to walk and cranial displacement of the udder. Clinical evaluation revealed tachycardia, pallor and Grade 3/4 ventral oedema. Haematology indicated leucocytosis and haemoconcentration. Transabdominal ultrasonography showed a viable foetus and severe thinning of ...
Heart rate variability in horses with naturally occurring gastric ulcers: Response to omeprazole and sucralfate treatment.
Open veterinary journal    April 30, 2026   Volume 16, Issue 4 2193-2202 doi: 10.5455/OVJ.2026.v16.i4.21
Cingottini D, Bindi F, Sala G, Sorvillo B, Galiano A, Bonelli F, Sgorbini M.Equine gastric ulcer syndrome (EGUS) is the most common disease affecting the equine stomach. Heart rate variability (HRV) describes and quantifies the variability between consecutive heartbeats due to the neurohormonal regulation of the heart. It has been considered a non-invasive method to detect autonomic tone changes that can be influenced by pain and disease. Unassigned: This study aimed to assess the HRV indices in horses affected by EGUS submitted or not to treatment. Unassigned: A cohort of 45 mares underwent baseline gastroscopy (T0); 24/45 mares diagnosed with Equine Squamous Gastric...
CD8+ T-cells, CD86+ macrophages and TNF-α signalling pathways are correlated with fetlock osteoarthritis in racehorses.
Equine veterinary journal    April 29, 2026   doi: 10.1002/evj.70168
Secor EJ, Chow EN, Thomas M, Johnson L, Siefert A, Wagner B, Engiles JB, Reesink HL.There is emerging evidence for the role of the immune system in osteoarthritis (OA) pathophysiology; however, little is known about how immune cells and the synovial transcriptome are altered in naturally occurring equine OA. Objective: To evaluate synovial fluid (SF) and synovial membrane (SM) immune cell populations and the SM transcriptome in racehorses with fetlock OA. Methods: Cross-sectional cadaver study. Methods: Fetlock joints from racehorses euthanised at NY racetracks were considered for inclusion. SF and SM were analysed by flow cytometry using T-cell (CD3, CD4, CD8) and macrophage...
Rostral hard palate swelling (lampas) in horses: true or fiction?
Journal of equine veterinary science    April 29, 2026   105917 doi: 10.1016/j.jevs.2026.105917
Pereira LMA, Schade J, Pereira LMA, Tocheto R, Cristo TG, Casagrande RA, Souza AF, Fonteque JH.This study aimed to determine the occurrence of swellings (lampas) in the rostral portion of the hard palate in young, adult, and elderly horses and to characterize them histologically. One hundred and twenty horses of different ages were evaluated by oral inspection. Horses were classified with lampas when the mucosa of the hard palate extended beyond the occlusal surface of the upper incisors and samples of palatal mucosa were collected. Ten other horses without rostral hard palate alterations, euthanized for unrelated causes, were included as the control group. Histological analysis include...
Comparative analysis of mRNA and circRNA expression profiles and interaction networks in testicular tissues of Mongolian horses before and after sexual maturity.
BMC genomics    April 28, 2026   doi: 10.1186/s12864-026-12868-8
Du M, Liu Y, He Q, Zhang X, Zhao Y, Li B, Bai D, Bou G, Bao T, Wen X, Dugarjaviin M.Mongolian horses, celebrated for their resilience and adaptability, undergo marked physiological transformations during sexual maturation. This study employed whole-transcriptome sequencing to conduct a comparative analysis of mRNA and circular RNA (circRNA) expression profiles, along with their interactive regulatory networks, in testicular tissues of Mongolian horses pre- and post-sexual maturity. Histological examinations using hematoxylin-eosin (H.E.) and 4’,6-diamidino-2-phenylindole (DAPI) staining revealed distinct morphological differences between sexually immature and mature testicu...
Additional Evidence Fails to Associate Variation in KCNE4 With Equine Anhidrosis.
Animal genetics    April 27, 2026   Volume 57, Issue 3 e70109 doi: 10.1002/age.70109
Petersen JL, Finno CJ.A prior genome-wide association (GWA; N = 200) including Thoroughbreds and stock horses implicated chromosome 6 (NC_009149.3) in owner-reported equine anhidrosis. A missense variant in KCNE4 (NC_009149.3:g.11813731A>G) was proposed as a risk allele, although its association with anhidrosis was not reported. Variant annotation and protein modelling in the original study suggested the G allele conferred risk. We reported no association of the G allele with anhidrosis in 50 horses phenotyped by an intradermal terbutaline sweat test (ITST); all horses produced sweat regardless of genotype. ...
The prevalence of Streptococcus equi subsp. equi carriers in the Netherlands.
Equine veterinary journal    April 26, 2026   doi: 10.1002/evj.70177
Houben RMAC, Broens EM, Broekhuizen-Stins MJ, Sloet van Oldruitenborgh-Oosterbaan MM, van Maanen C, Heesterbeek JAP.Streptococcus equi subspecies equi (S. equi) carriers are thought to be important drivers for strangles outbreaks. Limited data are available on the prevalence of carriers in European horse husbandry settings. Objective: To estimate the prevalence of S. equi carriers among apparently healthy adult horses and ponies in the Netherlands. Methods: Cross-sectional survey. Methods: The carrier prevalence in the Netherlands was estimated, detecting carriers by PCR analysis of three repeated nasopharyngeal lavages at weekly intervals. Bayesian methods were used for a true prevalence estimation. Result...
Ertugliflozin decreases the insulin spike in non-insulin dysregulated standardbred horses following intra-articular triamcinolone administration.
Domestic animal endocrinology    April 26, 2026   Volume 96 107016 doi: 10.1016/j.domaniend.2026.107016
Darch C, Hyndman TH, Byrne D, Rendle DI, Fraser B.Horses with equine metabolic syndrome (EMS) are at an increased risk of laminitis following corticosteroid use. Ertugliflozin reduces hyperinsulinemia in horses with EMS, and therefore may be a management option to reduce the insulin spike seen post corticosteroid use. It was hypothesised that oral ertugliflozin, administered before and after intra-articular (IA) triamcinolone acetonide (TA), will significantly lower the insulin response in comparison to placebo. A randomised, blinded, placebo-controlled, crossover design was performed on eight adult standardbred geldings with no history of la...
Assessment of acute and chronic pain in working horses and donkeys in Egypt and the influence of observer training.
Journal of equine veterinary science    April 24, 2026   105915 doi: 10.1016/j.jevs.2026.105915
Lap A, Gudden DDM, Lashley MJJO, van Loon JPAM, Naoum E.Pain assessment can support monitoring welfare in working equids. Objective: To assess agreement of structured pain scores before and after training observers and to assess differences in pain scores between working equids with or without acute or chronic pain and to compare them to non-working equids. Methods: In part 1, eleven veterinarians and nine technicians performed pain scores before and after training. Agreement with reference scores was analyzed with Intra Class Correlation (ICC) analysis. In part 2, pain assessments were performed in 96 donkeys (n=40 fit-to-work, n=21 acute pain, n=...
Efficacy of an iron absorption test on assessing iron status in horses.
Journal of equine veterinary science    April 23, 2026   105913 doi: 10.1016/j.jevs.2026.105913
Gluck-Flynn CR, Pratt-Phillips SE.Iron absorption tests (IATs) are used to evaluate iron absorption in humans. However, this testing has not been conducted in horses. Objective: The objective was to assess how a large dose of iron affects blood iron parameters during an IAT. Methods: Mixed-breed geldings (n=12) were offered 2% of their bodyweight (BW) in mixed-grass hay and an iron-free vitamin-mineral supplement. A baseline IAT (Baseline IAT) was performed, where horses received 25 milligrams per kilogram (mg/kg) of BW of iron (ferrous sulfate) orally. Jugular venous samples were taken before the iron dose, and 3-, 6-, 12-, a...
ATAC-seq and RNA-seq reveal key genes and pathways regulating lactation in the mammary gland of Yili horses.
BMC genomics    April 22, 2026   doi: 10.1186/s12864-026-12840-6
Liu L, Chen B, Kong M, Tian Y, Ma H, Cao H, Liu W.BACKGROUND: Mammary gland development and lactation are dynamic biological processes governed by coordinated changes in chromatin accessibility and gene expression. RESULTS: We performed paired ATAC-seq and RNA-seq profiling to characterize stage-associated chromatin accessibility and transcriptional programs in the Yili horse mammary gland. Using a conservative overlap-based integration, we prioritized candidate genes showing concordant changes across both layers as hypothesis-generating signals for future functional studies. We sequenced mammary gland tissues from early lactation (S1) and pe...
Audio-Based Characterization of Gait Parameters in Mangalarga Marchador, Campolina, and Piquira Horses Using Deep Learning.
Animals : an open access journal from MDPI    April 22, 2026   Volume 16, Issue 9 1283 doi: 10.3390/ani16091283
Freire A, Silva AVD, Patterson Rosa L, Guimarães PHS, Araujo BPG, Silva CAF, Borges LRT, Bertechini AG, Meirelles SLC.The evaluation of biomechanical parameters in four-beat gaited horses remains limited by the subjectiveness and complexity of current standard methods. Through a deep learning approach, we aimed to infer dissociation % using only acoustic signals. A total of 268 audio samples were extracted from publicly available videos featuring three Brazilian horse breeds (Mangalarga Marchador, Campolina, and Piquira) performing marcha batida and marcha picada. Acoustic features, including root mean square energy (RMS), zero-crossing rate (ZCR), and 13 Mel-frequency cepstral coefficients (MFCCs), were extr...
Case Report: Physiological Stress Responses to Repeated, Standardized Short-Distance Transport in a Transport-Experienced Horse.
Animals : an open access journal from MDPI    April 22, 2026   Volume 16, Issue 9 1293 doi: 10.3390/ani16091293
Pellens L, Freson L, Buyse J, Driessen B.Transport is a fundamental component of equestrian training and competition. However, even horses with extensive transport experience may exhibit physiological stress responses during routine travel. This case report describes physiological stress responses in a transport-experienced 10-year-old Belgian Warmblood gelding subjected to repeated, standardized short-distance transport. The horse was transported on 17 occasions along a fixed route to a riding school for dressage training using the same vehicle, handler, and protocol to minimize environmental variability. Physiological stress marker...
Search for Equus caballus papillomavirus type 2 in tissues of asymptomatic horses in southern brazil.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    April 22, 2026   Volume 57, Issue 1 113 doi: 10.1007/s42770-026-01930-y
Santi EMT, Pecego JB, Schirmer MFA, Vargas TP, Marcus VB, de Vargas I, Kommers GD, Cocco M, Michelon NF, Flores EF, Flores MM.Equus caballus papillomavirus type 2 (EcPV-2) has been recently associated with the development of genital squamous cell carcinomas in horses. Nevertheless, its circulation among healthy, asymptomatic horses remains poorly understood. This study aimed to investigate the presence of EcPV-2 DNA in asymptomatic horses submitted to necropsy in southern Brazil. A total of 54 horses without clinical or histological evidence of genital lesions were investigated: 40 necropsied animals and penile mucosa specimens collected from 14 horses at a local abattoir. Tissue samples were subjected to histologica...
Post exercise hydration responses to an electrolyte, glycerol, and creatine supplement in horses: a preliminary study.
BMC veterinary research    April 20, 2026   doi: 10.1186/s12917-026-05493-w
Peterson R, Dietrich J.Electrolyte supplementation is utilized to support hydration in horses. However, limited data are available on formulations that include osmotically active compounds such as glycerol and creatine. These additional ingredients may enhance fluid retention, yet their physiologic effects in equine athletes have not been evaluated. This preliminary study assessed hematologic responses, body mass recovery, and voluntary water intake following moderate exercise with and without supplementation using a commercially available hydration supplement containing electrolytes, creatine, and glycerol. Six hea...
Trendelenburg positioning with or without norepinephrine infusion for haemodynamic support in anaesthetised hypovolemic horses.
Equine veterinary journal    April 19, 2026   doi: 10.1002/evj.70169
Paranjape VV, Hopster K, Lutvikadic I, Driessen B.Intraoperative haemorrhage during equine anaesthesia is a rare but potentially fatal complication requiring prompt haemodynamic support. Postural manoeuvres such as Trendelenburg (TL) positioning and vasopressor support augment venous return and improve cardiac output (CO), yet their efficacy in anaesthetised hypovolemic horses remains unstudied. Objective: To evaluate haemodynamic effects of TL positioning during normovolemia and acute haemorrhagic hypovolemia, and to determine whether concurrent norepinephrine (NE) infusion enhances cardiovascular stabilisation. Methods: In vivo experiments....
Exploring the relationship between inhibitory control and coping behaviour in horses.
Scientific reports    April 18, 2026   Volume 16, Issue 1 12738 doi: 10.1038/s41598-026-48050-z
von der Tann M, Palme R, König von Borstel U, Brucks D.The ability to flexibly adapt to the demands of a stressful situation is a key factor in successful coping. Appropriate coping is of critical importance in artificial environments, which may include novel and potentially stressful situations. Being able to inhibit immediate but counterproductive reactions, and thus exert inhibitory control, might allow to better adapt to the environment. Horses are required to flexibly adapt to various housing conditions and training techniques; however, not all horses successfully cope as evidenced by the prevalence of stereotypical behaviours. We tested 31 m...
Standing computed tomographic tenography is reliable in identifying soft tissue lesions within the digital flexor tendon sheath in horses.
Veterinary surgery : VS    April 17, 2026   doi: 10.1111/vsu.70110
Aßmann AD, Suàrez Sànchez-Andrade J, Bischofberger AS.To determine the diagnostic performance of standing computed tomographic tenography (CTT) in detecting naturally occurring intrathecal lesions of the superficial digital flexor tendon (SDFT), deep digital flexor tendon (DDFT), manica flexoria (MF), and in identifying palmar/plantar annular ligament (PAL) desmitis and constriction in horses undergoing tenoscopy. Methods: Retrospective observational study. Methods: Client-owned horses of various breeds and use, median age of 12.5 years (range: 6-20 years). Methods: A total of 24 horses with inconclusive ultrasonographic and contrast tenograp...
Abdominal palpation per rectum is highly sensitive for identifying small versus large intestinal lesions in horses presenting for colic.
Journal of the American Veterinary Medical Association    April 17, 2026   1-7 doi: 10.2460/javma.25.12.0837
Hallsten M, Fogle C, Shippy S, Hobbs KJ, Blikslager AT, Elane GL.To describe the sensitivity, specificity, predictive values, and accuracy of abdominal palpation per rectum in horses treated surgically for colic. Unassigned: Medical records were gathered over 5 years (2019 to 2024). Findings of abdominal palpation per rectum were collected and compared to surgical diagnosis, and cases were categorized as true or false positive and negative. Signalment, physical examination parameters, hematologic values, and years of examiner experience were recorded. Unassigned: Records of 453 horses were included. Overall sensitivity and positive predictive value were 86%...
Toll-like receptor 3-activated allogeneic umbilical cord blood-derived mesenchymal stromal cells as an adjunct for the treatment of synovial sepsis in 3 horses.
Journal of the American Veterinary Medical Association    April 17, 2026   1-9 doi: 10.2460/javma.25.12.0821
Barton CK, Koch TG, Russell KA, Moorhead R, Mehrpouyan S, Alizadeh AH, Dow S, Pezzanite LM, Goodrich LR.To describe the case presentation, treatment, and outcome of horses treated with Toll-like receptor 3 (TLR-3)-activated allogeneic umbilical cord blood-derived mesenchymal stromal cells (CB-MSCs). Unassigned: 3 horses presenting with chronic or antimicrobial-resistant (AMR) septic synovitis. Unassigned: All horses presented with clinical signs associated with septic synovitis including marked grade 4/5 lameness, joint effusion, heat/swelling of the limb, and synovial fluid parameters consistent with sepsis. Case 1 presented 3 weeks following the onset of clinical signs. Cases 2 and 3 developed...
Antibacterial use in Norwegian horses: a nationwide registry-based cross-sectional study.
BMC veterinary research    April 16, 2026   doi: 10.1186/s12917-026-05474-z
Löfling LL, Haadem CS, Reiersen A, Börjesson S, Helgesen KO.BACKGROUND: Antibacterials are essential for treating infections in horses, but the use contributes to antimicrobial resistance (AMR), which threatens animal and human health. Despite these concerns, antibacterial use in horses has not been systematically studied and described in Norway, and nationwide registry-based analyses in other countries are scarce. The aim of this study is to describe antibacterial use in Norwegian horses, 2022–2024, by analysing nationwide registry data, with a particular emphasis on gynecological and obstetrical conditions. In addition, we will evaluate the data qu...
Erythrocyte sequestration of metformin in horses: impact on matrix-specific pharmacokinetics and detection windows.
BMC veterinary research    April 16, 2026   doi: 10.1186/s12917-026-05449-0
Jacobs ME, Blea J, Hardy M, McKemie DS, Traynham M, Knych HK.BACKGROUND: Metformin is used for the treatment of type 2 diabetes and is one of the most prescribed medications in human medicine. It is less commonly prescribed in equine medicine, and its use is tightly regulated in several performance horse disciplines. In horseracing, it is considered a banned substance. A previous pharmacokinetic study of metformin in horses demonstrated a prolonged, unpredictable elimination phase. In the current study it was hypothesized that this was due to sequestration of metformin in a “deep” compartment, specifically red blood cells. This could result in pharm...
Influence of riders’ physical activity on improving seat balance in the context of horse welfare – A pilot study.
PloS one    April 15, 2026   Volume 21, Issue 4 e0344969 doi: 10.1371/journal.pone.0344969
Zeliszewska-Duk P, Skowerska-Wiśniewska A, Wilk I, Nowicka B, Duk M, Strzelec K.This study aimed to investigate the impact of gym exercises for riders on their posture and the subsequent effect on reducing discomfort for their horses during training, using electronic pressure sensors. The study involved 20 warmblood horses aged 5-10 years, regularly ridden under saddle, and four riders of similar height and body weight. The study group was divided into a control group (10 horses) and an experimental group (10 horses). The horses were trained 5 days a week for 60 days in total. Riders trained three times a week for approximately 60 minutes. The exercises were designed to i...
Persistence of Sarcocystis neurona and histopathology in horses with equine protozoal myeloencephalitis.
Frontiers in veterinary science    April 15, 2026   Volume 13 1787994 doi: 10.3389/fvets.2026.1787994
Helber L, Wagner B, Leeth CM, LeRoith T, Cecere TE, Lahmers KK, Andrews FM, Hay AN, Werre SR, Johnson AL, Clark CK, Pusterla N, Reed SM, Lindsay DS....Currently, little is known about the exact role of immunopathology in equine protozoal myeloencephalitis (EPM), including the ability to persist after anti-protozoal treatment. The main objectives of this study were to determine whether is present in the CNS in horses with EPM, including previously treated cases, and to evaluate the associated histopathology and immune response. For this study, control ( = 10) and horses with EPM ( = 9) were confirmed based on our inclusion criteria. Based on our preliminary data, we classified horses with EPM and clinical signs for >6 months as...