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Topic:Immune System

The immune system in horses is a complex network of cells, tissues, and organs that work together to protect the body from pathogens, such as bacteria, viruses, and parasites. This system includes both innate and adaptive immune responses, which function to identify and eliminate foreign invaders. The innate immune response provides an immediate, non-specific defense, while the adaptive immune response involves a more targeted and long-lasting protection through the production of antibodies. Key components of the equine immune system include white blood cells, such as lymphocytes and macrophages, as well as various signaling molecules like cytokines. This page compiles peer-reviewed research studies and scholarly articles that explore the structure, function, and regulation of the immune system in horses, with an emphasis on understanding its role in maintaining equine health and its response to diseases.
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...
Photodynamic therapy with infracyanine green induces keratocyte depopulation in the normal equine cornea.
Equine veterinary journal    March 8, 2026   doi: 10.1002/evj.70159
Rogers CM, Ledbetter EC, Reid AM, Scott EM, Knickelbein KE.Use of photodynamic therapy (PDT) for the treatment of immune-mediated keratitis (IMMK) in horses is becoming common. The safety and morphologic impact on the normal equine cornea have not been investigated, and the mechanism of its efficacy is unknown. Objective: To investigate the morphologic effects and safety of in vivo PDT on healthy equine corneas. Methods: In vivo experiment. Methods: Six university-owned horses underwent unilateral corneal PDT with intrastromal infracyanine green (EmunDo®) and photoactivation with an 810 nm diode laser (500 mW for 2.5 min = 75 Joules). Compl...
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...
The neutrophil-to-lymphocyte ratio is associated with disease severity and infectious etiologies of colitis in horses presenting with acute colitis.
American journal of veterinary research    February 18, 2026   1-9 doi: 10.2460/ajvr.25.12.0447
Samuels AN, Collins N, Albrecht M, Cuming R, Reed S, Gomez D, Toribio R.To evaluate associations between the neutrophil-to-lymphocyte ratio (NLR), nonsurvival, illness severity, and infectious etiologies. Unassigned: This was a retrospective multicenter study that included 100 healthy horses and 444 horses presenting with acute diarrhea to 5 equine referral hospitals. Inclusion criteria were diarrhea duration < 48 hours, complete hemograms, and outcome data. Illness severity was assessed using systemic inflammatory response syndrome. The results of pathogen testing for Salmonella spp, equine coronavirus, Clostridium spp, and Neorickettsia risticii/findlayensis ...
Single-cell atlas of the equine placenta reveals cellular heterogeneity and gestational-stage-associated programs.
Placenta    February 7, 2026   Volume 176 13-21 doi: 10.1016/j.placenta.2026.02.004
Verstraete MH, Norris JK, Loux SC, De Spiegelaere W, Carossino M, Daels P, Dini P.The placenta mediates critical interactions between mother and offspring that guide development and impact long-term health. Despite its importance, the cellular organization of the equine (Equus caballus) placenta remains poorly defined. The equine epitheliochorial placenta, characterized by the absence of trophoblast invasion and prominent endocrine activity, provides a unique comparative model for studying placental cellular composition and development. Methods: We applied single-cell RNA sequencing to chorioallantois tissue collected from first-trimester (n = 1) and term (n = 2) equine...
RNA-seq evaluation of equine alveolar macrophages and monocyte-derived macrophages exposed to an inflammatory stimulus (short communication).
BMC veterinary research    February 6, 2026   Volume 22, Issue 1 161 doi: 10.1186/s12917-026-05322-0
Kang H, Lee GKC, Bienzle D, Hammermüller J, Arroyo LG, Lillie BN, Beeler-Marfisi J.Macrophage populations in the lung, including resident alveolar macrophages (AMs) and recruited monocyte-derived macrophages (MDMs), recognize the inhaled particulates in barn dust that cause severe equine asthma and orchestrate an immune response though the cytokines they produce. Despite their importance, the specific contributions of these macrophage subsets to lower airway inflammation remain poorly understood. This exploratory in vitro study investigated the likely contributions of AMs and MDMs from healthy horses to the early inflammatory response using RNA-seq. If biologically importan...
Impact of melatonin on inflammatory cytokine profiles in 24-hour cultured equine uterine explants’.
Journal of equine veterinary science    January 7, 2026   Volume 157 105776 doi: 10.1016/j.jevs.2026.105776
Rodrigues MF, Neves AP, Ferreira R, Pessoa GA, Araujo DN, de Souza GV.Melatonin has demonstrated beneficial effects in regulating inflammatory processes in various tissues, but its role in mare uterine physiology remains unclear. Objective: To investigate the effects of melatonin on the gene expression of cytokines (IL-1β, IL-6, IL-8, IL-10, and TNF-α) in equine uterine explants cultured for 6, 12, or 24 hours. Methods: The study was divided into two experiments. Part 1 aimed to evaluate the cytotoxicity of melatonin at concentrations of 0, 0.5, 1, 2, 4, and 8 mM on endometrial cells. Part 2 aimed to determine the expression of inflammatory cytokines in uterin...
The Effect of Training on the Expression of Protein and Metabolites in the Plasma Exosomes of the Yili Horse.
Animals : an open access journal from MDPI    January 6, 2026   Volume 16, Issue 2 158 doi: 10.3390/ani16020158
Yuan X, Yao X, Zeng Y, Wang J, Ren W, Wang T, Li X, Yang L, Yang X, Meng J.The effects of physical exercise on protein expression and metabolites in the plasma exosomes of horses are not yet clear. This study aims to elucidate the effects of exercise training on the expression of plasma extracellular vesicle proteins and metabolites in horses through multi-omics analysis, providing reference indicators for the training and performance evaluation of horses. Methods: Eight healthy 3-year-old horses were selected for the study, with four untrained horses as the control group and four trained horses as the training group. After conducting proteomic and metabolomic an...
Senescence-associated gene pathways are differentially expressed in equine aging-related osteoarthritis.
American journal of veterinary research    December 30, 2025   1-11 doi: 10.2460/ajvr.25.09.0343
Singer J, Chow L, Ammons D, Sabino I, Impastato R, Dow S, Pezzanite LM.Osteoarthritis (OA) is a aging-associated degenerative joint disease. The objective was to determine relative senescence gene expression in joints and leukocytes of OA horses toward considering senotherapeutics to manage OA. Unassigned: To define local (joint) and systemic (peripheral blood mononuclear cells [PBMCs]) senescence burden, synovial fluid cell single-cell RNA sequencing and PBMC mRNA sequencing datasets (n = 65 samples) were examined. Differential analyses were conducted using limma to compare OA versus control. A custom 3,043-gene senescence set curated from published metadata was...
Monitoring Weaning Stress in Fillies and Colts on a Thoroughbred Breeding Farm by Cortisol and Blood Inflammatory Markers: The Benefits of Gradual Separation and Social Support.
Animals : an open access journal from MDPI    December 10, 2025   Volume 15, Issue 24 3551 doi: 10.3390/ani15243551
Deniz Ö, Erol HS, van den Hoven R, Onmaz AC, Aragona F, Fazio F.Weaning represents a major developmental milestone for foals, especially when 4- to 7-month-old foals are abruptly separated from their dams. Studies have shown that the post-weaning period is associated with physiological and psychological stress, which may affect immune function. The present study aimed to describe and analyze the pattern of blood inflammatory biomarkers related to the innate immune system. A gradual foal-dam separation procedure was chosen, which included post-weaning social buffering by a familiar adult horse. Twelve Thoroughbred foals (six fillies, six colts) aged 4-6 mon...
Hippobosca equina: Influences on oxidative stress and immune-regulating cytokine responses in horses.
Medical and veterinary entomology    December 8, 2025   Volume 40, Issue 1 181-189 doi: 10.1111/mve.70041
El-Geneady MA, Ramadan RM, Mahdy OA, Kamel MS, Salem MA.Hippobosca equina, a common ectoparasite of horses, poses a significant challenge to equine health worldwide. This study provides a molecular characterization of H. equina and examines its impact on host immune responses and oxidative stress. Genetic analysis of samples from various regions revealed notable homogeneity, indicating limited genetic variation among populations. Phylogenetic analysis demonstrated close genetic relationships among sequences from Egypt, France, Kazakhstan and Portugal, while also showing comparable but more distant identities to sequences from China, Denmark, Finlan...
Sequential changes in serum protein profiles in pregnant Spanish purebred mares.
Veterinary research communications    December 8, 2025   Volume 50, Issue 1 65 doi: 10.1007/s11259-025-10972-w
Satué K, Fauci D, Fazio E, Velasco-Martínez MG, Bruschetta G, Medica P.This study investigates sequential changes in serum protein fractions during gestation in 31 pregnant Spanish Purebred mares compared to 15 non-pregnant control. Total serum proteins (TSP) were measured using the Biuret method, while albumin (ALB), total globulins (tGLOB), and their subfractions (α₁, α₂, β₁, β₂, γ-GLOB) were analyzed by agarose gel electrophoresis. Pregnant mares showed significant changes in serum protein profiles throughout gestation. TSP and tGLOB concentrations increased from mid to late pregnancy (months 6-11), while ALB concentrations declined between months...
The Concentration and Duration of Lipopolysaccharide Stimulation Produce Different Cytokine Responses in an Ex Vivo Whole Blood Model in Horses.
Veterinary sciences    November 16, 2025   Volume 12, Issue 11 1090 doi: 10.3390/vetsci12111090
Mitlyng N, Hobbs KJ, Cooper BL, Sheats MK.Lipopolysaccharide (LPS) is frequently used in equine research to model clinical endotoxemia; however, there is no standardized protocol for inducing cytokine production in equine whole blood. To address this knowledge gap, the goal of this study was to compare the cytokine responses elicited by three different LPS stimulation protocols. Whole blood was collected from six healthy horses (aged 5-30 years; mixed breeds and genders) from the North Carolina State University teaching herd (IACUC #23-412). Sixty milliliters of heparinized blood were aseptically drawn and divided into 15 mL aliquots....
Inhibition of interleukin-1 receptor-associated kinase (IRAK)-4 provides partial rescue of interleukin-1 beta induced functional and gene expression changes in equine tenocytes.
Molecular biology reports    November 6, 2025   Volume 53, Issue 1 54 doi: 10.1007/s11033-025-11219-2
Beaumont RE, Flood C, Guest DJ.Interleukin 1 beta (IL-1β) is upregulated following a tendon injury and in vitro studies have shown that it leads to numerous negative effects on tendon cell function and gene expression. IL-1β activates nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) and we hypothesised that inhibiting NF-κB activation would mediate the negative effects of IL-1β on equine tendon cells in 3-dimensional (3D) cultures. Results: Here, we tested three inhibitors of NF-κB signalling (Bortezomib, BAY11-7082 and Wedelolactone) along withTJ-M2010-5, an inhibitor of MyD88, which is a critic...
Characterization of the lambda light chain repertoire and non-coding regions of equine immunoglobulins using the EquCab3 genome.
Molecular immunology    October 29, 2025   Volume 188 1-11 doi: 10.1016/j.molimm.2025.10.008
da Silva GM, Navas C, Carvalho MB, Sampaio Y, Rocha MN, Gomes-Silva A, de Matos Guedes HL, Cunha L, Castilho LR, da Silva JL, Felicori LF.Horse immunoglobulins have been utilized for over a century in serotherapy to treat venomous animal bites and various other conditions. However, molecular-level information about these immunoglobulins remains limited, particularly regarding immunoglobulin lambda light chains (Igλ), which constitute over 90 % of circulating antibodies. Despite the sequencing of the equine genome, the International ImMunoGeneTics information system (IMGT) has not yet annotated Igλ in its database, restricting the analysis of the horse antibody repertoire. In this study, we analyzed the equine Igλ repertoire...
Biological effects of β-D-glucans from natural sources on equine health and performance: A review.
Research in veterinary science    October 28, 2025   Volume 197 105947 doi: 10.1016/j.rvsc.2025.105947
Piecuch A, Szterk A.This review highlights the role of β-glucans-specifically β(1 → 3), β(1 → 6), and β(1 → 4)-glucans-as water-soluble dietary fibres in animal nutrition and health. Sourced from yeast, plants, seaweed, and mushrooms, β-glucans differ in structure depending on origin, which affects their solubility and biological activity. Recent studies emphasize their therapeutic potential in horses, particularly for managing gastric ulcers, viral infections, immune dysfunction, and poor performance. The review summarizes data on effective dosages, formulations, and sources of β-glucans tailor...
Associations between immunological and hormonal parameters during healthy pregnancy in mares.
Theriogenology    October 22, 2025   Volume 250 117719 doi: 10.1016/j.theriogenology.2025.117719
Feijo LS, Ledeck J, Wolfsdorf K, Ponthier J, Parry S, Felippe MJB.Associations between the immune and endocrine systems during equine pregnancy remain poorly understood. Based on the hypothesis that distinct phases of the equine healthy gestation are characterized by specific associations between circulating immunological and hormonal parameters, contributing to pregnancy maintenance, this investigation aimed to: (i) evaluate how circulating immunological and hormonal parameters change across different phases of pregnancy; (ii) investigate associations between changes in circulating immunological and hormonal parameters; and (iii) propose potential hormonal ...
Early allergen introduction overrides allergy predisposition in offspring of horses with Culicoides hypersensitivity.
Frontiers in immunology    October 21, 2025   Volume 16 1654693 doi: 10.3389/fimmu.2025.1654693
Simonin EM, Torsteinsdóttir S, Svansson V, Björnsdóttir S, Freer H, Tarsillo J, Wagner B.The origins of allergy are both genetic and environmental. We performed a full-sibling study to determine the role of early-in-life or delayed allergen introduction on hypersensitivity development in a cohort with history of an allergic phenotype and Culicoides hypersensitivity. IgE-mediated allergies naturally develop in many mammalian species, and we used a horse model of allergy called hypersensitivity. hypersensitivity is a seasonal, recurrent, IgE-mediated allergy caused by the salivary proteins of biting midges. Unassigned: The study included four cohorts that lived together in the s...
Neutralisation of the Immunoglobulin-Cleaving Activity of Streptococcus equi Subspecies equi IdeE by Blood Sera from Ponies Vaccinated with a Multicomponent Protein Vaccine.
Vaccines    October 17, 2025   Volume 13, Issue 10 1061 doi: 10.3390/vaccines13101061
Righetti F, Hentrich K, Flock M, Frosth S, Jacobsson K, Bjerketorp J, Pathak A, Ido N, Henriques-Normark B, Frykberg L, Paillot R, Guss B, Wood T.... subspecies () is the cause of strangles, one of the most prevalent diseases of horses worldwide. The disease is characterised by fever and the formation of abscesses in the lymph nodes of the head and neck, which can restrict the airway. A multicomponent subunit vaccine, Strangvac, has been shown to effectively reduce clinical signs of strangles and to reduce its incidence. The aim of this study was to determine the immune response against the immunoglobulin-cleaving endopeptidase IdeE, a key protective component within the vaccine and the ability of antibodies to neutralize the proteolytic...
Glycan Signatures on Neutrophils in an Equine Model for Autoimmune Uveitis.
Biomolecules    October 12, 2025   Volume 15, Issue 10 1444 doi: 10.3390/biom15101444
Sprenzel CJ, Amann B, Deeg CA, Degroote RL.Glycosylation of surface proteins is a crucial post-translational modification that reflects the activation status of neutrophils, the predominant leukocyte subset in humans and horses. Neutrophils have emerged as active contributors to diseases mediated by the adaptive immune system, such as equine recurrent uveitis (ERU), a sight-threatening disease in horses and a unique model for studying the pathogenesis of autoimmune uveitis in humans. Since changes in surface glycosylation can impact neutrophil function, we were interested in the surface glycosylation landscape on neutrophils from healt...
Proteomic profiling of endometrial tissue and plasma from mares with endometrial fibrosis†.
Biology of reproduction    September 27, 2025   Volume 114, Issue 1 158-173 doi: 10.1093/biolre/ioaf217
Muderspach ND, Daucke R, Nielsen MW, Scoggin KE, Fedorka CE, Miller LMJ, May MG, Troedsson MHT, Ferreira-Dias G, Agerholm JS, Schoof EM....Endometrial fibrosis leads to subfertility when periglandular fibrosis impairs endometrial gland function. Identifying distinct protein expressions in mares suffering from this condition is essential for understanding the pathogenesis and developing treatments to delay fibrotic progression. To gain a better understanding of protein dynamics underlying this condition, Data-Independent Acquisition Mass Spectrometry was utilized to comprehensively characterize and compare the equine endometrial and plasma proteome from mares with different severities of endometrial fibrosis. Mares in diestrus wer...
Autologous Cancer Vaccines: A Precision Immunotherapy Strategy for Veterinary Cancer Patients.
Anticancer research    September 27, 2025   Volume 45, Issue 10 4115-4130 doi: 10.21873/anticanres.17766
Greenberg CB, Suckow MA, Clauson RM, Kalinauskas AE, Lucroy MD.Precision medicine is a therapeutic strategy to provide treatment that is tailored to a specific patient based on factors unique to that individual, such as the genetic makeup or the environment. Autologous cancer vaccines (ACVs) are ideal for a precision medicine approach because they incorporate antigens specific to the patient's tumor and provide an elegant solution to identifying and selecting relevant immunogenic neoantigens. ACVs are an appealing option for veterinary medicine because they are cancer-type and species agnostic. Over the past 50 years, many innovative ACVs have been evalua...
Quantification of immune cells in full thickness and mucosal biopsies of the duodenum and rectum in a group of slaughter horses.
Journal of equine veterinary science    September 11, 2025   Volume 154 105701 doi: 10.1016/j.jevs.2025.105701
Robel M, Grest P, Riond B, Zablotski Y, Schoster A.Limited data are available on immune cells in the intestinal wall of healthy horses, hampering interpretation of results in case of disease. Objective: Characterize and quantify the immune cell populations and their distribution in duodenal and rectal biopsies of horses without gastrointestinal disease; compare immune cell counts (ICCTs) between full thickness- and mucosal biopsies. Methods: Twenty horses fit for slaughter, slaughtered for meat production. Methods: Full-thickness and endoscopic forceps obtained mucosal biopsies were taken within 30 min after slaughter from the duodenum and rec...
The potential value of cytokine, cortisol and vitamin D profiles in foals from birth to weaning for respiratory disease prediction on a farm endemic for Rhodococcus equi pneumonia.
Equine veterinary journal    September 9, 2025   Volume 58, Issue 2 359-371 doi: 10.1111/evj.70093
Berghaus LJ, Venner M, Helbig H, Hildebrandt D, Hart K.Rhodococcus equi causes pneumonia in young foals, but disease susceptibility and severity vary. Cortisol and vitamin D modulate immune responses and cytokine production during bacterial infection, and altered concentrations are associated with sepsis in neonatal foals. We hypothesised an age and disease effect on circulating steroid hormone concentrations in foals, and that differences in cytokines and steroid hormone concentrations would predict disease severity in pneumonic foals. Objective: To investigate circulating concentrations of various cytokines, cortisol and vitamin D as predictors ...
PPARγ Agonism Modulates Synovial Macrophage and Cartilage Responses in an Equine Model of Synovial Inflammation-Implications for Joint Therapy.
Biomolecules    September 1, 2025   Volume 15, Issue 9 1267 doi: 10.3390/biom15091267
Chaimbeul SF, Rodrigues NNP, Thurston DD, Scoggin KE, Janes J, Jacobs CA, MacLeod JN, Stone AV, Menarim BC.Synovitis resolution is critical for joint homeostasis and prevents the progression of osteoarthritis (OA). Treatments like NSAIDs and intra-articular corticosteroids relieve symptoms by blocking pro-inflammatory mediators, but also impair the production of pro-resolving mediators, contributing to the likelihood of chronic synovitis. PPARγ signaling is an essential mechanism of synovitis resolution, which is decreased in OA tissues. To evaluate the potential of PPARγ agonists to promote pro-resolving pathways, equine macrophages cultured in autologous, normal, or inflamed synovial fluid ( = ...
Postbiotics and Parabiotics in Veterinary Medicine: A Market Overview.
Probiotics and antimicrobial proteins    September 1, 2025   doi: 10.1007/s12602-025-10734-9
Hosseini SH, Sharafi H, Emamjomeh A, Nasri F, Hosseini A, Mardani S, Moradi M.Postbiotics and parabiotics (PP) are innovative concepts in veterinary medicine that have garnered substantial interest owing to their unique properties and potential benefits. PP offers a promising alternative to live bacteria, demonstrating properties such as prebiotic, immunomodulatory, antimicrobial, anti-inflammatory, antioxidant, and anticancer effects, while potentially mitigating some of the common challenges associated with live bacterial applications. PP products are manufactured and commercially employed in livestock, poultry, and pets. Moreover, postbiotic-based commercial products...
Are Immune-Integrative Biomarkers Predictors of Systemic Inflammation in Show Jumping Horses?
Veterinary clinical pathology    August 25, 2025   Volume 54, Issue 3 271-280 doi: 10.1111/vcp.70034
Alves-Junior CDB, Ferreira TC, Nunes-Pinheiro DCS.This study evaluated the dynamics of blood immune-inflammatory biomarkers in response to exercise-induced changes in jumping horses. Methods: For this purpose, adult Brazilian Sport Horses (n = 9), aged 10.1 years, both sexes, underwent a specific training test consisting of warm-up, flatwork, and jumping exercises, and recovery on a 900 m sand track over 40 min. Clinical examinations and blood collections were performed at three time points: before (T0), immediately after (T1), and 1 h after (T2) the final exercise. Hematologic and biochemical parameters, such as total protein, gl...
Anti-IL-5 Vaccination Dampens Allergen-Specific IgE Levels and Modulates IL-4 and IL-5 Th2 Cytokines in Skin Allergy of Mice and Horses.
Allergy    August 21, 2025   Volume 80, Issue 12 3377-3390 doi: 10.1111/all.70020
Jebbawi F, Olomski F, Inversini V, Keller G, Rhiner T, Waldern N, Lam J, Pantelyushin S, Canonica F, Birkmann K, Johansen P, Kündig TM....Skin allergies are among the most frequent types of allergies, where continuous investigation of the pathological immune mechanisms is required for a better understanding and a more effective treatment of the disease. In this study, we aimed to investigate the effect of interleukin (IL)-5 vaccination on allergen-specific IgE antibodies as well as T cell cytokine modulation in skin allergy using a mouse model and a naturally occurring disease in horses. Methods: Ovalbumin (OVA)-sensitized mice, as well as horses affected by equine insect bite hypersensitivity (IBH) were administered an anti-IL-...
Science-in-brief: Report on the 2nd Dorothy Russell Havemeyer Foundation workshop on acute colitis of the adult horse.
Equine veterinary journal    August 6, 2025   doi: 10.1111/evj.14554
Arroyo LG, Whitehead AE, Uzal F.No abstract available
The use of systemic immune inflammatory index as a predictor for nematodes infections in horses.
Parasite epidemiology and control    July 31, 2025   Volume 30 e00453 doi: 10.1016/j.parepi.2025.e00453
Kyari F, Pogu CJ, Mairiga IA, Adamu L.Nematode infections are a significant health concern in horses, causing a range of clinical signs and economic losses. Early detection and diagnosis are crucial for effective treatment and management. Unassigned: Examining the application of the systemic immune Inflammatory index (SII) as a predictor for nematode infections in horses, using platelets count, leucocytes count, and neutrophils count. Unassigned: A cross-sectional study was conducted on 164 horses, consisting of 66 horses with nematode infections and 98 horses without infections. The SII was computed using the platelets count, leu...
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