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Topic:Immune Response

The immune response in horses involves a complex network of cells, tissues, and molecules that work together to protect the animal from pathogens and other harmful agents. This process includes both innate and adaptive immune mechanisms. Innate immunity provides the first line of defense and involves components such as physical barriers, phagocytic cells, and the complement system. Adaptive immunity, on the other hand, is characterized by the activation of lymphocytes and the production of antibodies, which provide a targeted response to specific antigens. Key components of the equine immune system include T cells, B cells, and various cytokines that facilitate communication between immune cells. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, regulation, and implications of immune responses in equine health.
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...
Circulating microRNA profiles as diagnostic and prognostic biomarkers for acute and carrier Theileria equi infection.
Experimental parasitology    April 29, 2026   Volume 285 109144 doi: 10.1016/j.exppara.2026.109144
Attia MM, Mohamed HI.Equine piroplasmosis caused by Theileria equi exhibits a wide clinical spectrum ranging from acute disease to lifelong asymptomatic carriage, posing significant diagnostic and epidemiological challenges. In this cross-sectional case-control study, equines were classified as acutely infected, asymptomatic carriers, or uninfected controls based on clinical examination and quantitative PCR. Hematological and biochemical alterations were assessed, and plasma miRNA profiles were characterized using small RNA sequencing, followed by qRT-PCR validation of selected miRNAs. Cytokine gene expression in ...
Editorial: Biomarker identification and novel therapies in equine medicine.
Frontiers in veterinary science    April 28, 2026   Volume 13 1843968 doi: 10.3389/fvets.2026.1843968
Żak-Bochenek A, Siwińska N.No abstract available
Multiple strategies, one mission: mesenchymal stromal cell-based mechanisms of action in osteoarthritis.
Frontiers in cell and developmental biology    April 20, 2026   Volume 14 1763344 doi: 10.3389/fcell.2026.1763344
Junuzović M, Troillet A, Burk J.Osteoarthritis (OA) is a cross-species, multifactorial joint disease characterized by the progressive degeneration of articular cartilage, morphological remodeling of the subchondral bone, and inflammatory and fibrotic changes of the joint capsule. These alterations arise from chronic, often subclinical, inflammatory processes and dysregulated cellular homeostasis, leading to profound shifts in the cellular and extracellular composition of the joint organ. Although the mechanisms driving persistent inflammation are only partially understood, their impact on all joint-associated tissues is well...
Multivalent Disabled Infectious Single Animal (DISA)-DIVA vaccine for all nine serotypes of African horse sickness virus (AHSV) is broadly protective in IFNAR (-/-) mice.
Veterinary research    April 16, 2026   doi: 10.1186/s13567-026-01753-7
Utrilla-Trigo S, Jiménez-Cabello L, van Gennip RGP, van Rijn PA, Ortego J, Calvo-Pinilla E.African horse sickness (AHS) is a highly severe, midge-borne disease of equids showing a mortality rate of > 90% in naive domestic horses. Outbreaks are caused by AHS virus (AHSV) and result in devastating economic losses in developing countries as equids play a crucial role in the agricultural industry and many households. The AHSV species encompasses nine serotypes showing no or limited cross protection, which is challenging regarding AHS vaccine development. Recently, and like bluetongue virus (BTV), the AHS Disabled Infectious Single Animal (DISA)-DIVA vaccine platform was developed...
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...
Terpenic compounds possess anthelmintic and immunomodulatory properties with potential for controlling equine cyathostomin infections.
International journal for parasitology. Drugs and drug resistance    April 12, 2026   Volume 31 100642 doi: 10.1016/j.ijpddr.2026.100642
Malsa J, Chereau A, Guégnard F, Serreau D, Gesbert A, Reigner F, Chamoin L, Guillot J, Vernudachi A, Mach N, Fleurance G, Lacroix-Lamandé S....The emergence of anthelmintic-resistant parasite isolates necessitates alternative control strategies. The use of dietary additives with anti-parasitic or immunomodulatory activities has been proposed as a solution, but whether such additives can simultaneously exert dual bioactivities within this context has rarely been explored. Here, we evaluated whether selected terpenes could exert dual bioactivities (anti-parasitic and immunomodulatory) with a view to their use as food additives that can limit strongyle infections in horses. In vitro tests with cyathostomin larval development, larval mig...
From Horses to Zebras, an Update in Small Animal Respiratory Medicine.
The Veterinary clinics of North America. Small animal practice    April 8, 2026   S0195-5616(26)00023-9 doi: 10.1016/j.cvsm.2026.03.002
Dear JD.No abstract available
Successful Use of Vincristine in a Quarter Horse Gelding with Immune-Mediated Thrombocytopenia.
Journal of equine veterinary science    April 8, 2026   105889 doi: 10.1016/j.jevs.2026.105889
Salewski KE, Talavera MA, Gonzalez GA, Waldridge BM, White JM, Williams MJ, Williams ML.This case reports the successful use of vincristine in a Quarter Horse with presumed immune-mediated thrombocytopenia. A 15-year-old Quarter Horse gelding presented for a pinch skin graft procedure on the left forelimb over the cannon bone. On day 10 of hospitalization, the horse developed a fever (102.6°F, RI: 99-101°F), and severe petechiae of the mucous membranes. A complete blood count (CBC) (Advia 2120i) revealed a severe thrombocytopenia (16,000 platelets/μL, RI:100,000-400,000/μL). Diagnostic testing was negative for Anaplasma phagocytophilum by PCR, Theileria equi and Babesia cabal...
Mucosal T cell activation pathways are upregulated by equine herpesvirus type 1 infection.
Veterinary research    April 6, 2026   doi: 10.1186/s13567-026-01741-x
Holmes CM, Babasyan S, Wagner B.Equine herpesvirus type 1 (EHV-1) is a high morbidity and mortality virus that impacts horse populations worldwide. As a respiratory virus, it enters through the upper respiratory tract (URT), where mucosal immunity plays a crucial role in preventing severe disease. In this study, flow cytometry was used to characterize the nasal leukocyte population during EHV-1 infection, and RNA sequencing of nasal secretions was employed to assess transcriptional markers of the mucosal immune response. Horses with distinct immune statuses were compared at four stages: pre-infection, early (day 1 and 3 post...
Evaluation of episcleral silicone matrix cyclosporine implants for presumed equine immune-mediated keratitis: a retrospective study.
Journal of equine veterinary science    April 3, 2026   105880 doi: 10.1016/j.jevs.2026.105880
Bruneel E, Hermange T, Casamatta JM, Pereira A, Pimenta J, Caseiro AR.Immune-mediated keratitis (IMMK) is a chronic inflammatory corneal disease in horses. Long-term topical therapy with cyclosporine is often impractical, highlighting the need for sustained-release alternatives. Objective: To assess clinical response, tolerability, and duration of effect of episcleral silicone matrix cyclosporine implants (ESMC) in horses with presumed IMMK. Methods: Medical records of 12 horses (14 eyes) treated between 2019 and 2023 were retrospectively reviewed. IMMK subtypes were classified as epithelial (n = 3 eyes), anterior stromal (n = 9), or mid-stromal (n =â€...
In Vitro Characterization of an Equinized Anti-PD-L1 Antibody for Cancer Immunotherapy in Horses.
Veterinary sciences    April 1, 2026   Volume 13, Issue 4 343 doi: 10.3390/vetsci13040343
Horikawa T, Maekawa N, Okagawa T, Tiyamanee W, Ganbaatar O, Nakamura H, Ikehata M, Inoue M, Nakanishi T, Tachibana T, Kato Y, Yamamoto K, Suzuki Y....Horses develop spontaneous tumors, typically in old age. Although local tumor control can be achieved using conventional therapies, systemic therapies are required to treat recurrent and/or metastatic tumors. Immune checkpoint inhibitors, such as anti-PD-L1 antibodies, have been approved for the treatment of various tumor types in humans; however, little is known about the immunosuppressive roles of the PD-1/PD-L1 pathway in horses, and the therapeutic potential of these inhibitors remains to be elucidated. Previously, we reported that the rat monoclonal anti-PD-L1 antibody 6C11-3A11 cross-rea...
Comparative analysis of uterine inflammation in jennies and mares after insemination with cryopreserved donkey semen.
Theriogenology    March 30, 2026   Volume 260 117917 doi: 10.1016/j.theriogenology.2026.117917
Sancler-Silva YFR, Costa LML, Freitas MS, Teixeira CS, Albino MV, García HDM, Fiala-Rechsteiner SMDE, Schultz ÉB, da Fonseca LA, Catalán J.The limited fertility of jennies inseminated with frozen donkey semen remains a major challenge for donkey reproduction and conservation, contrasting with the more favorable outcomes observed in mares. Species-specific differences in post-breeding uterine inflammation have been proposed as a key factor underlying this disparity. This study compared the uterine inflammatory response and pregnancy outcomes of jennies and mares inseminated with frozen donkey semen. Twelve jennies and eleven mares were monitored over 48 and 44 estrous cycles, respectively. Artificial insemination (AI) was performe...
Synthetic progestin treatment alters cytokine expression and impairs vaccine response in horses.
Veterinary immunology and immunopathology    March 28, 2026   Volume 296 111111 doi: 10.1016/j.vetimm.2026.111111
Kapadia CL, Crook RA, Coleman S, Unger G, Douglas RH, Fedorka CE.Altrenogest is commonly used in equine veterinary medicine for the control of estrus, behavioral modifications, and maintenance of pregnancy. Recent studies have found that altrenogest may impact aspects of the immune system, including altering cytokine production in circulation and within the reproductive tract. Therefore, we hypothesize that this alteration may lead to a deviated immune response to vaccination. Sixteen mares were divided into two groups, with ten mares (n = 10) receiving long-acting injectable altrenogest (100 mg/mL; IM) administered every 10 days, and six mares (n =...
The 2025 outbreak of equine influenza among draft horses at Obihiro Racecourse, Hokkaido, Japan.
The Journal of veterinary medical science    March 25, 2026   doi: 10.1292/jvms.26-0092
Fukumoto N, Shibata M, Hayashi M, Kawauchi K, Yabuuchi Y, Oue Y, Matsuyama R, Yamamoto T, Mita H, Kawanishi N, Bannai H, Tsujimura K, Yamanaka T....In 2025, an outbreak of equine influenza occurred among draft horses at Obihiro Racecourse in Hokkaido, Japan. The number of horses showing clinical signs increased dramatically in April. The proportion affected was significantly higher in 2-year-olds than in older groups. The proportion that developed fever during the outbreak was significantly higher than that observed among Thoroughbreds during the 2007 outbreak. In non-epidemic periods, the geometric mean hemagglutination inhibition antibody titer of 2-year-old draft horses was significantly lower than that of 2-year-old Thoroughbreds. The...
Serum-free medium modulates the immunomodulatory and anabolic function of equine bone marrow-derived mesenchymal stromal cells.
Experimental cell research    March 25, 2026   Volume 459, Issue 1 115000 doi: 10.1016/j.yexcr.2026.115000
Tehrani AH, Toth K, Osinchuk N, Dufour A, Krawetz R, Sen A, Sparks H.Adult bone marrow-derived mesenchymal stromal cells (BM-MSCs) hold significant therapeutic potential in human and veterinary medicine. Traditionally, BM-MSC cultures use fetal bovine serum (FBS) to promote growth, but this practice introduces batch variability and xenogeneic contamination that complicate clinical translation. While serum-free medium (SFM) alternatives have been optimized for human MSCs, limited options have been explored for alternative or veterinary species. Here, we compared a chemically defined, customizable SFM formulation with conventional serum-containing medium (SCM) fo...
Small Genome-wide association study of insect bite hypersensitivity in Hucul horses.
Journal of equine veterinary science    March 20, 2026   105857 doi: 10.1016/j.jevs.2026.105857
Błaszczak A, Olczak K, Stefaniuk-Szmukier M, Tomczyk-Wrona I, Musiał AD, Grzegorczyk J, Długosz B, Szmatoła T, Ropka-Molik K.Insect bite hypersensitivity (IBH) is a prevalent allergic skin disease in horses that significantly affects animal welfare and shows evidence of genetic predisposition. Objective: Understanding the genetic basis of IBH can improve management and breeding strategies. The Equine80K BeadChip microarray was used to identify genomic regions associated with the occurrence of IBH in Hucul horses. Methods: Hair samples were collected from 127 Hucul horses, including both affected individuals and controls. DNA was extracted and genotyped. A genome-wide association study (GWAS) was performed to identif...
Effects of Exercise Intensity and Duration on Acute-Phase Proteins in Thoroughbred Racehorses.
Animals : an open access journal from MDPI    March 20, 2026   Volume 16, Issue 6 977 doi: 10.3390/ani16060977
Physical exercise represents a physiological stressor capable of activating the acute-phase response (APR) in horses. However, the relative contribution of exercise intensity duration to acute-phase protein (APP) dynamics remains incompletely defined. This study compared the effects of short, high-intensity gallop exercise (2400 m flat race; = 12) and prolonged, low-intensity endurance exercise (40 km; = 13) on serum amyloid A (SAA), haptoglobin (Hp), and ceruloplasmin (Cp) in Thoroughbred racehorses. Blood samples were collected before exercise and at defined post-exercise time points. Bet...
Postmortem characterization of cranial nuchal bursa and ligament in healthy horses reveals subclinical gross and histopathologic abnormalities.
American journal of veterinary research    March 16, 2026   1-9 doi: 10.2460/ajvr.25.12.0442
Sfraga H, Demeter EA, Pinn-Woodcock T, Guarino C, Young R, Cronk B, Cercone M.To investigate the presence of subclinical cranial nuchal bursitis and characterize its histopathologic features and association with Borrelia burgdorferi. Unassigned: This was a prospective descriptive cadaver study on a convenience population of horses in a B burgdorferi-endemic region (15 horses: 5 geldings and 10 mares of various breeds; 4 to 29 years old). Horses without history or clinical signs of cranial nuchal bursitis underwent euthanasia and tissue donation. Cranial nuchal bursa, synovial fluid, and nuchal ligament were collected postmortem. The bursa and ligament were evaluated via...
Plasmidial virulence of Rhodococcus equi and its implications of livestock infections for human health: a possible foodborne pathogen?
Revista do Instituto de Medicina Tropical de Sao Paulo    March 13, 2026   Volume 68 e23 doi: 10.1590/S1678-9946202668023
Ribeiro MG, Barbosa AN, Pereira JG, Possebon FS, Pinto JPAN, Portilho FVR, Bello TS, Paz PJL, Arabe Filho MF, Panegossi LC, Reznik AU, Zeferino LO....Rhodococcus equi, a versatile and adapted opportunistic in nature bacterium, infects animals and humans. This soil-borne microorganism widely occurs in farms. Its dissemination occurs by feces from domestic animals (particularly horses, cattle, and pigs). In the last decades, bacterial virulence has been strongly attributed to plasmid-encoded virulence-associated proteins (VAPs). To date, three virulence plasmid types have been recognized: pVAPA, pVAPB, and pVAPN, which are considered host- or livestock-adapted. The pVAPA type is related to equine isolates (horse-type), the pVAPB type is assoc...
Spontaneous regression of equine sarcoids is an exceptional event.
Equine veterinary journal    March 11, 2026   doi: 10.1002/evj.70158
Brandt S.Sarcoids are benign, yet locally aggressive skin tumours that commonly affect horses and other equid species. The lesions are induced by bovine papillomavirus types 1, 2, and probably 13 in conjunction with other factors including trauma and a genetic predisposition. Although sarcoids have a substantial impact on the health and welfare of affected equids, information on the immune response to bovine papillomavirus infection and resulting sarcoids is limited. However, there is evidence that sarcoid disease is associated with an impaired immune response to bovine papillomavirus infection. This o...
Transcriptomic signatures reveal systemic adaptations and immune modulation in response to training and competitive racing in horses.
Equine veterinary journal    March 7, 2026   doi: 10.1002/evj.70154
Dąbrowska I, Grzędzicka-Agko J, Kiełbik P, Trela M, Witkowska-Piłaszewicz O.The molecular mechanisms underlying adaptation to physical exertion and racing stress in horses remain incompletely understood. Peripheral blood transcriptomics offers a minimally invasive method to monitor systemic responses to exercise and identify biomarkers of adaptation or overload. Objective: To evaluate transcriptomic changes in peripheral blood of racehorses during different phases of training and competition and to identify molecular markers of physiological adaptation and race-induced stress. Methods: Prospective transcriptomic profiling of trained racehorses across three exercise co...
Sequential measurement of serum amyloid A concentrations in ill hospitalized neonatal foals.
Journal of veterinary internal medicine    March 6, 2026   Volume 40, Issue 2 aalag035 doi: 10.1093/jvimsj/aalag035
van den Brom-Spierenburg AJ, Siegers EW, Westermann CM, Vernooij JCM, Sloet van Oldruitenborgh-Oosterbaan MM, Theelen MJP.In hospitalized foals, limited data are available on the utility of sequential measurement of SAA concentrations and the value of these data in a clinical setting. Objective: To determine serum amyloid A (SAA) concentrations in ill neonatal foals at multiple timepoints during hospitalization, and to evaluate a potential association with systemic inflammatory response syndrome (SIRS) status, blood culture (BC) result, and survival. Methods: Hospitalized ill foals (n = 90, ≤ 14 days). Methods: In this retrospective study, foals were classified based on SIRS criteria: "SIRS" or "NonSIRS," ...
Equine neorickettsiosis: A global perspective of the natural habitat of the bacteria and clinical disease.
Veterinary microbiology    March 6, 2026   Volume 316 110963 doi: 10.1016/j.vetmic.2026.110963
Arroyo LG, Borges AS, Baird JD, Perry BD, Rikihisa Y, Greiman SE.Equine neorickettsiosis (EN) is an infectious, non-contagious systemic disease of horses caused by the closely related obligatory intracellular bacterial species Neorickettsia risticii and N. findlayensis. Clinical cases are considered endemic in multiple regions across the United States and Canada, as well as in parts of South America, including Uruguay and Brazil. Neorickettsia spp. are obligate endosymbionts of digenean trematodes, which have complex life cycles involving a molluscan first intermediate host, a wide range of invertebrate or vertebrate second intermediate hosts, and a vertebr...
Analysis of lipid mediator profiles in the blood of horses with equine asthma using UPLC-MS/MS.
Prostaglandins, leukotrienes, and essential fatty acids    March 5, 2026   Volume 209 102735 doi: 10.1016/j.plefa.2026.102735
Dörsam K, Nischang V, Büttner K, Fey K, Werz O, Jordan PM.Equine asthma (EA) is a chronic inflammatory disease of the lower respiratory tract in horses, which is mainly triggered by dusty hay. EA is becoming increasingly acknowledged as a valuable animal model for studying human asthma. Research on the pathogenesis of EA has primarily focused on the associated cells and cytokines involved. However, the role of inflammation-related lipid mediators (LM) in the development and progression of equine asthma remains elusive. LMs are categorized into pro-inflammatory arachidonic acid (AA)-derived leukotrienes (LTs) and prostaglandins (PGs), as well as infla...
Targeting Toll-like Receptor 2: synthetic diacylated lipopeptides polarize equine macrophages towards a pro-inflammatory phenotype.
Frontiers in immunology    March 3, 2026   Volume 17 1720816 doi: 10.3389/fimmu.2026.1720816
De Ciucis CG, Fruscione F, Dell'Anno F, Zinellu S, Giaconi E, Loi S, Columbano N, Franzoni G, Razzuoli E.Toll-like receptors (TLRs) are a group of pattern recognition receptors (PRRs), that play critical roles in initiating host immune defenses. TLR-2 agonists can activate innate immune cells and thus are attracting increasing attention as prophylactic and/or therapeutic agents against infectious diseases or in cancer immunotherapy. In this work, the impact of three synthetic diacylated lipopeptides (Mag-Pam2Cys_P48, MagPam2Cys_P80, and Mag-Pam2Cys_MAG1000) on equine monocyte-derived macrophages (moMΦ) phenotype and functionality was thoroughly investigated. MoMΦ were generated from circulatin...
How Inflamed Is the Horse in Training? Insights into Exercise-Induced Acute Phase Response in Endurance Horses.
International journal of molecular sciences    March 2, 2026   Volume 27, Issue 5 2328 doi: 10.3390/ijms27052328
Rakowska A, Biazik A, Sobuś M, Cywińska A.The article aimed to review the current literature analysing the complexity of an exercise-induced acute phase response in athletic horses undergoing intense training and endurance competitions. Since the endurance discipline demands physical fitness, exceptional health and excellent adaptation to an increasing workload, diagnostic methods of assessing the factors mentioned above are highly required. Athletic horses in endurance training undergo numerous metabolic but also immune adaptations, including changes in pro-inflammatory and anti-inflammatory cytokine levels. The inflammatory reaction...
Horse immune response of recombinant Lawsonia intracellularis vaccine: Assessing the immunomodulatory impact of probiotic supplementation.
Research in veterinary science    March 2, 2026   Volume 204 106132 doi: 10.1016/j.rvsc.2026.106132
Conrad NL, Mazzoleni I, Abreu MC, Costa AV, Di Giácomo CP, Zorzi VSG, Leite FPL.Equine proliferative enteropathy (EPE), caused by Lawsonia intracellularis induces intestinal epithelial hyperplasia, resulting in malabsorption, weight loss, colic, and diarrhea. Despite its clinical and economic importance, no equine-specific vaccine is commercially available. Recombinant subunit vaccines are a safe and scalable alternative; however, their immunogenicity often requires improvement. Probiotic supplementation with Bacillus toyonensis may act as an immunomodulatory strategy to potentiate vaccine efficacy. This study aimed to evaluate the immunogenicity of a recombinant protein ...
Antibodies in plasma and blood cells of horses.
Open veterinary journal    February 28, 2026   Volume 16, Issue 2 1171-1177 doi: 10.5455/OVJ.2026.v16.i2.35
Demchenko G, Berdikulov M, Sansyzbay A, Abdreshov S, Koibasova L, Khusainov D, Lessova Z.Understanding the distribution of antibodies in the bloodstream is critical for advancing diagnostic and therapeutic approaches in veterinary medicine and comparative immunology. While most studies have focused on plasma antibodies, the presence and role of membrane-bound immunoglobulins remain underexplored, particularly in equine species such as the Jabe horse. Unassigned: This study aimed to analyze the amount of antibodies in the plasma and blood cells of Jabe horses for their potential future use. Unassigned: Blood samples were collected from Jabe horses and separated into plasma and cell...
The efficacy of psyllium combined with aloe vera in treating sand accumulation in equine intestines.
Open veterinary journal    February 28, 2026   Volume 16, Issue 2 802-808 doi: 10.5455/OVJ.2026.v16.i2.3
Borashid N, Hakami B, Alyousef Z, Ballan H, Alsalman M, Alwabari A, Shawaf T.Sandy enteropathy is more common in horses living in sandy environments, such as those in Saudi Arabia. Sand accumulation in the intestines can be eliminated and prevented by administering psyllium husk. Unassigned: This study focuses on the combination of psyllium and aloe vera extract, known for its protective and anti-inflammatory properties. Unassigned: Fourteen Arabian horses with naturally acquired sand accumulation were randomly assigned to two groups: the psyllium group (PG, = 7) and the psyllium and aloe vera group (PAG, = 7), both of which were treated daily for 7 days. Efficacy wa...