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Topic:Infectious Disease

Infectious diseases in horses encompass a range of illnesses caused by bacteria, viruses, fungi, or parasites. These diseases can affect various systems within the equine body, leading to symptoms that range from mild discomfort to severe systemic illness. Common infectious diseases in horses include equine influenza, strangles, equine herpesvirus, and West Nile virus. These diseases can be transmitted through direct contact with infected animals, contaminated surfaces, or vectors such as insects. Understanding the mechanisms of transmission, pathogenesis, and immune response is essential for effective prevention and control. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, diagnosis, treatment, and management of infectious diseases in horses.
[Epidemiological aspects of human and animal rabies in the urban area of Bamako, Mali].
Bulletin de la Societe de pathologie exotique (1990)    September 21, 2006   Volume 99, Issue 3 183-186 
Dao S, Abdillahi AM, Bougoudogo F, Toure K, Simbe C.The district of Bamako is the political and economical capital city of Mali with 1,800,000 inhabitants. The goal of the present retrospective study was to determine the frequency of animal bites, human and animal rabies on the one hand and to determine the frequency and the nature of mad animals on the other hand from January 2000 to December 2003 (4 years). To achieve this goal, we have analysed registers and documents related to rabies in the department of prevention and fight against diseases, the central veterinary laboratory, and also at the lazaret clinic involved in caring for human rab...
Microbial source tracking by DNA sequence analysis of the Escherichia coli malate dehydrogenase gene.
Journal of microbiological methods    September 14, 2006   Volume 67, Issue 3 507-526 doi: 10.1016/j.mimet.2006.04.026
Ivanetich KM, Hsu PH, Wunderlich KM, Messenger E, Walkup WG, Scott TM, Lukasik J, Davis J.Criteria for sub-typing of microbial organisms by DNA sequencing proposed by Olive and Bean were applied to several genes in Escherichia coli to identify targets for the development of microbial source tracking assays. Based on the aforementioned criteria, the icd (isocitrate dehydrogenase), and putP (proline permease) genes were excluded as potential targets due to their high rates of horizontal gene transfer; the rrs (16S rRNA) gene was excluded as a target due to the presence of multiple gene copies, with different sequences in a single genome. Based on the above criteria, the mdh (malate d...
Immunohistochemical identification and pathologic findings in natural cases of equine abortion caused by leptospiral infection.
Veterinary pathology    September 13, 2006   Volume 43, Issue 5 755-761 doi: 10.1354/vp.43-5-755
Szeredi L, Haake DA.The aim of this study was to examine the utility of immunohistochemistry (IHC) in the diagnosis of leptospiral equine abortion and to compare IHC to silver staining and serology of the aborted mares. Ninety-six fetuses from 57 farms were examined using all 3 diagnostic techniques, revealing evidence of leptospiral infection in 3 fetuses (3.1%) from 3 (5.3%) different farms. A new finding in 1 of these confirmed cases of leptospiral abortion was the presence of macroscopic pinpoint grayish-white nodules that had a histologic correlate of hepatic necrosis; other histologic findings were consiste...
Treatment of Coccidioides immitis pneumonia in two horses with fluconazole.
The Veterinary record    September 12, 2006   Volume 159, Issue 11 349-351 doi: 10.1136/vr.159.11.349
Higgins JC, Leith GS, Pappagianis D, Pusterla N.Pulmonary coccidioidomycosis in horses can often lead to severe systemic disease and its treatment has previously been expensive and has carried a poor prognosis. This paper describes the successful treatment of two horses with pulmonary coccidioidomycosis with a fluconazole product produced by a compounding pharmacy.
The crystal structure of the Venezuelan equine encephalitis alphavirus nsP2 protease.
Structure (London, England : 1993)    September 12, 2006   Volume 14, Issue 9 1449-1458 doi: 10.1016/j.str.2006.07.010
Russo AT, White MA, Watowich SJ.Alphavirus replication and propagation is dependent on the protease activity of the viral nsP2 protein, which cleaves the nsP1234 polyprotein replication complex into functional components. Thus, nsP2 is an attractive target for drug discovery efforts to combat highly pathogenic alphaviruses. Unfortunately, antiviral development has been hampered by a lack of structural information for the nsP2 protease. Here, we report the crystal structure of the nsP2 protease (nsP2pro) from Venezuelan equine encephalitis alphavirus determined at 2.45 A resolution. The protease structure consists of two dist...
Prevalence of serum neutralising antibody to equine rhinitis A virus (ERAV), equine rhinitis B virus 1 (ERBV1) and ERBV2.
Veterinary microbiology    September 10, 2006   Volume 119, Issue 1 65-71 doi: 10.1016/j.vetmic.2006.08.031
Black WD, Wilcox RS, Stevenson RA, Hartley CA, Ficorilli NP, Gilkerson JR, Studdert MJ.The objective of this study was to determine the incidence of serum neutralising (SN) antibody to ERAV, ERBV1 and ERBV2 in a population of horses from birth to 22 years of age. The prevalences of ERAV, ERBV1 and ERBV2 SN antibodies in 381 sera obtained from 291 horses were 37%, 83% and 66%, respectively. ERAV, ERBV1 and ERBV2 maternal antibody was present in foals 12 h postsuckling but by 10-12 months, ERAV SN antibody was not detected in any of the horses, while ERBV1 and ERBV2 SN antibodies were common (83% and 100%, respectively). Sera were obtained from 44 Thoroughbred horses when they wer...
Passive transfer of naturally acquired specific immunity against West Nile Virus to foals in a semi-feral pony herd.
Journal of veterinary internal medicine    September 8, 2006   Volume 20, Issue 4 1045-1047 doi: 10.1892/0891-6640(2006)20[1045:ptonas]2.0.co;2
Wilkins PA, Glaser AL, McDonnell SM.Horses naturally exposed to West Nile Virus (WNV) or vaccinated against WNV develop humoral immunity thought to be protective against development of clinical disease in exposed or infected animals. No reports evaluate the efficacy of passive transfer of naturally acquired specific WNV humoral immunity from dam to foal. The purpose of this study was to investigate passive transfer of naturally acquired immunity to WNV to foals born in a herd of semi-feral ponies, not vaccinated against WNV, in an endemic area, with many dams having seroconverted because of natural exposure. Microwell serum neut...
Variations in equid SLC11A1 (NRAMP1) genes and associations with Rhodococcus equi pneumonia in horses.
Journal of veterinary internal medicine    September 8, 2006   Volume 20, Issue 4 974-979 doi: 10.1892/0891-6640(2006)20[974:viesng]2.0.co;2
Halbert ND, Cohen ND, Slovis NM, Faircloth J, Martens RJ.Rhodococcus equi is an important intracellular pathogen of horses, most commonly causing chronic, suppurative bronchopneumonia in foals. Although most foals likely are exposed to environmental R. equi within the 1st few days of life, only some develop R. equi pneumonia, and the basis of differences in susceptibility among foals currently is unknown. In this study, we investigated solute carrier family 11 member 1 (SLC11A1) gene sequences in the 5' untranslated region, exon 1, and a portion of intron 1 for variations in 3 equid species (horse, donkey, zebra) and compared variants within 3 indep...
Associations between the ecology of virulent Rhodococcus equi and the epidemiology of R. equi pneumonia on Australian thoroughbred farms.
Applied and environmental microbiology    September 8, 2006   Volume 72, Issue 9 6152-6160 doi: 10.1128/AEM.00495-06
Muscatello G, Anderson GA, Gilkerson JR, Browning GF.The ecology of virulent strains of Rhodococcus equi on horse farms is likely to influence the prevalence and severity of R. equi pneumonia in foals. This study examined the association between the ecology of virulent R. equi and the epidemiology of R. equi pneumonia by collecting air and soil samples over two breeding seasons (28 farm-year combinations) on Thoroughbred breeding farms with different reported prevalences of R. equi pneumonia. Colony blotting and DNA hybridization were used to detect and measure concentrations of virulent R. equi. The prevalence of R. equi pneumonia was associate...
Persistence of serum antibodies to Sarcocystis neurona in horses moved from North America to India.
Journal of veterinary internal medicine    September 8, 2006   Volume 20, Issue 4 994-997 doi: 10.1892/0891-6640(2006)20[994:posats]2.0.co;2
Brown CM, Morrow JK, Carleton CL, Ramanathan B, Reddy R, Vaidya V, Karthikeyan SM, Zulfikar AA, Kannadkar VS.The study reported here was undertaken to assess the presence of antibodies to Sarcocystis neurona in the serum of horses of North American origin that had been relocated for 1 year or more to India (ie, outside of the known endemic areas for S. neurona). Objective: The presence or absence of such antibodies should provide information concerning the persistence of such antibodies, or support the presence of chronic infection, or both. Methods: A total of 228 Thoroughbred horses were sampled in India, of which 86 were of North American origin that had been in India between 1 and 13 years, 124 w...
Association between the presence of serum antibodies against Neospora spp. and fetal loss in equines.
Veterinary parasitology    September 7, 2006   Volume 142, Issue 3-4 372-375 doi: 10.1016/j.vetpar.2006.07.016
Villalobos EM, Ueno TE, de Souza SL, Cunha EM, do Carmo Custódio de Souza Hunold Lara M, Gennari SM, Soares RM.A study of the association between the presence of serum antibodies against Neospora spp. and fetal loss was performed using serum samples of horses submitted to the laboratory for the detection of antibodies to Equine Herpesvirus-1 and Equine Infectious Anemia Virus. The sera submitted for equine infectious anemia testing were from horses declared healthy and those submitted for the detection of antibodies to Equine Herpesvirus-1 were from mares with late clinical signs of reproductive disorders or males living in close contact with diseased mares. For the detection of Neospora spp. infection...
Formulation with CpG ODN enhances antibody responses to an equine influenza virus vaccine.
Veterinary immunology and immunopathology    September 6, 2006   Volume 114, Issue 1-2 103-110 doi: 10.1016/j.vetimm.2006.07.013
Lopez AM, Hecker R, Mutwiri G, van Drunen Littel-van den Hurk S, Babiuk LA, Townsend HG.Previous studies have shown that protection against equine influenza virus (EIV) is partially mediated by virus-specific IgGa and IgGb. In this study we tested whether addition of a CpG ODN formulation to a commercial killed virus vaccine would enhance EIV-specific IgGa and IgGb antibody responses, and improve protection against an experimental EIV challenge. Thirty naïve horses were assigned to one of three groups and vaccinated as follows: 10 were given vaccine (Encevac TC4, Intervet Inc.) alone, 10 were given vaccine plus 0.25 mg CpG ODN 2007 formulated with 30% Emulsigen (CpG/Em), and 10 ...
Streptococcus equi meningoencephalomyelitis in a foal.
Journal of the American Veterinary Medical Association    September 5, 2006   Volume 229, Issue 5 721-724 doi: 10.2460/javma.229.5.721
Finno C, Pusterla N, Aleman M, Mohr FC, Price T, George J, Holmberg T.A 4-month-old American Paint Horse colt was evaluated because of acute onset of ataxia, left-sided head tilt, and fever and a recently noticed heart murmur. Upper respiratory tract infection caused by Streptococcus equi subsp equi had been diagnosed at 3 months of age. Results: Hematologic abnormalities included leukocytosis, mature neutrophilia, monocytosis, and mild anemia. Analysis of a CSF sample revealed high total protein concentration and total nucleated cell count; nucleated cells consisted mainly of degenerate neutrophils. Results of a real-time PCR assay were positive for S equi subs...
Genome of horsepox virus.
Journal of virology    August 31, 2006   Volume 80, Issue 18 9244-9258 doi: 10.1128/JVI.00945-06
Tulman ER, Delhon G, Afonso CL, Lu Z, Zsak L, Sandybaev NT, Kerembekova UZ, Zaitsev VL, Kutish GF, Rock DL.Here we present the genomic sequence of horsepox virus (HSPV) isolate MNR-76, an orthopoxvirus (OPV) isolated in 1976 from diseased Mongolian horses. The 212-kbp genome contained 7.5-kbp inverted terminal repeats and lacked extensive terminal tandem repetition. HSPV contained 236 open reading frames (ORFs) with similarity to those in other OPVs, with those in the central 100-kbp region most conserved relative to other OPVs. Phylogenetic analysis of the conserved region indicated that HSPV is closely related to sequenced isolates of vaccinia virus (VACV) and rabbitpox virus, clearly grouping to...
Reverse transcription real-time PCR assays for detection and quantification of Borna disease virus in diseased hosts.
Molecular and cellular probes    August 30, 2006   Volume 21, Issue 1 47-55 doi: 10.1016/j.mcp.2006.08.001
Schindler AR, Vögtlin A, Hilbe M, Puorger M, Zlinszky K, Ackermann M, Ehrensperger F.Borna disease is a severe, immunopathological disorder of the central nervous system caused by the infection with the Borna disease virus (BDV). The detection of BDV in diseased animals, mainly sheep and horses, is achieved by histological, immunohistochemical and serological approaches and/or PCR-based technologies. In the present study, reverse transcription, real-time PCR assays were established for the detection of BDV in the brain tissue from sheep and horses, using loci for the p40 (nucleoprotein) and the p24 (phosphoprotein) genes. The PCRs were equally specific and sensitive, detecting...
[Prokaryotic expression of the major antigenic domain of equine arteritis virus GL protein and the establishment of putative indirect ELISA assay].
Wei sheng wu xue bao = Acta microbiologica Sinica    August 29, 2006   Volume 46, Issue 3 436-440 
Liang CZ, Cao RB, Wei JC, Zhu LH, Chen PY.According to the antigenic analysis of equine arteritis virus (EAV) GL protein, one pair of primers were designed, with which the gene fragment coding the high antigenic domain of EAV GL protein was amplified from the EAV genome. The cloned gene was digested with BamH I and Xho I and then inserted into pET-32a and resulted pET-GL1. The pET-GL1 was transformed into the host cell BL21(DE3) and the expression was optimized including cultivation temperature and concentration of IPTG. The aim protein was highly expressed and the obtained recombinant protein manifested well reactiongenicity as was c...
Comparison of two selective media for the recovery, isolation, enumeration and differentiation of Rhodococcus equi.
Veterinary microbiology    August 26, 2006   Volume 119, Issue 2-4 324-329 doi: 10.1016/j.vetmic.2006.08.022
Muscatello G, Gilkerson JR, Browning GF.The use of selective media to facilitate the isolation of Rhodococcus equi from environmental and clinical samples has aided studies of the ecology of R. equi and the epidemiology of disease caused by R. equi. Here, we compared the efficacy of two selective media (NANAT and modified CAZ-NB) for the recovery of six defined strains of R. equi and for the isolation and enumeration of both avirulent and virulent R. equi from 60 paired soil samples from horse farms using colony blotting and DNA hybridisation. No difference was found between the two media in the recoverability of defined strains of ...
Piroplasmids of livestock in Tunisia.
Archives de l'Institut Pasteur de Tunis    August 26, 2006   Volume 81, Issue 1-4 21-25 
Darghouth MA.Several species of piroplasms of livestock are present in Tunisia; some of them are of high veterinary importance. This paper reviews the species already reported in Tunisia on the basis of clinical observations, parasitological routine diagnostic and serological surveys, as well as those considered as potentially present according to epidemiological argumentations. The genus Theileria includes four species reported in Tunisia: T. annulata, T. buffeli, T. ovis, and T. equi. The ovine malignant theileriosis agent, T. lestoquardi, appears to be absent in Tunisia. Five species belonging to the ge...
Long terminal repeats are not the sole determinants of virulence for equine infectious anemia virus.
Archives of virology    August 24, 2006   Volume 152, Issue 1 209-218 doi: 10.1007/s00705-006-0830-z
Tu YB, Zhou T, Yuan XF, Qiu HJ, Xue F, Sun CQ, Wang L, Wu DL, Peng JM, Kong XG, Tong GZ.The long terminal repeats (LTRs) of equine infectious anemia virus donkey leukocyte-attenuated virus (EIAV-DLA) were substituted with those of the wild-type EIAV-L (wt EIAV-L, the parent virus of EIAV-DLA). The resulting chimeric plasmid was designated pOK-LTR DLA/L. Purified pOK-LTR DLA/L was transfected into monocyte-derived macrophage (MDM) cultures prepared from EIAV-negative, heparinized whole blood from a donkey. Eighth-passage cell cultures developed the typical cytopathogenic effects (CPE) of EIAV infection, and virions with typical EIAV profiles were observed with an electron microsco...
Reverse transcriptase-polymerase chain reaction for the detection equine rhinitis B viruses and cell culture isolation of the virus.
Archives of virology    August 24, 2006   Volume 152, Issue 1 137-149 doi: 10.1007/s00705-006-0810-3
Black WD, Hartley CA, Ficorilli NP, Studdert MJ.Equine rhinitis B virus (ERBV), genus Erbovirus, family Picornaviridae occurs as two serotypes, ERBV1 and ERBV2. An ERBV-specific nested reverse transcriptase-polymerase chain reaction (RT-PCR) that amplified a product within the 3D(pol) and 3' non-translated region of the viral genome was developed. The RT-PCR detected all 24 available ERBV1 isolates and one available ERBV2 isolate. The limit of detection for the prototype strain ERBV1.1436/71 was 0.1 50% tissue culture infectious doses. The RT-PCR was used to detect viral RNA in six of 17 nasopharyngeal swab samples from horses that had clin...
Detection and quantification of equine herpesvirus-1 viremia and nasal shedding by real-time polymerase chain reaction. Hussey SB, Clark R, Lunn KF, Breathnach C, Soboll G, Whalley JM, Lunn DP.Equine herpesvirus-1 (EHV-1) infection is common in young horses throughout the world, resulting in respiratory disease, epidemic abortion, sporadic myelitis, or latent infections. To improve on conventional diagnostic tests for EHV-1, a real-time polymerase chain reaction (PCR) technique was developed, using primers and probes specific for the EHV-1 gB gene. Amplification efficiencies of 100% +/- 5% were obtained for DNA isolated from a plasmid, infected peripheral blood mononuclear cells (PBMCs), and nasal secretions from infected ponies. The dynamic range of the assay was 8 log10 dilutions,...
IdeE, an IgG-endopeptidase of Streptococcus equi ssp. equi.
FEMS microbiology letters    August 23, 2006   Volume 262, Issue 2 230-235 doi: 10.1111/j.1574-6968.2006.00404.x
Lannergård J, Guss B.Streptococcus equi ssp. equi is the causative agent of strangles, a highly contagious and serious disease in the upper respiratory tract of horses. The present study describes the characterization of IdeE, a homolog of the secreted IgG-specific protease IdeS/Mac of Streptococcus pyogenes. The activity of IdeE is compared with the activity of IdeZ, the corresponding enzyme of the closely related S. equi ssp. zooepidemicus. A study of the proteolytic activity of recombinant IdeE and IdeZ on IgG from a selection of mammals shows that only antibodies containing the substrate site of IdeS/Mac are c...
Laboratory diagnosis of equine rabies and its implications for human postexposure prophylaxis.
Journal of virological methods    August 21, 2006   Volume 138, Issue 1-2 1-9 doi: 10.1016/j.jviromet.2006.07.005
Carrieri ML, Peixoto ZM, Paciencia ML, Kotait I, Germano PM.Laboratory diagnosis is essential to confirm suspected cases of equine rabies and to determine the medical care needed for human postexposure antirabies prophylaxis. Equine rabies transmitted by the vampire bat, Desmodus rotundus, has increased gradually in the State of São Paulo. The present study has several objectives, the most important being the evaluation of fluorescent antibody test (FAT) and virus-isolation laboratory tests performed with different equine nervous system tissues (cortical, hippocampus, cerebellar, brainstem and cervical medullar) to determine the tissue for which the t...
Prevalence of antibodies to Encephalitozoon cuniculi in horses from Brazil.
Veterinary parasitology    August 21, 2006   Volume 142, Issue 3-4 380-382 doi: 10.1016/j.vetpar.2006.07.006
Goodwin D, Gennari SM, Howe DK, Dubey JP, Zajac AM, Lindsay DS.Encephalitozoon cuniculi has been associated with natural cases of abortion and stillbirth in horses. However, little is known about the prevalence of this parasite in horses. We examined sera from 559 horses from Brazil for antibodies to E. cuniculi using the indirect immunofluorescent antibody (IFA) test and the direct agglutination test (DAT). We found that 79 (14.1%) were positive in the IFA test and 70 (12.5%) were positive in the DAT. Compared to the IFA as the "gold standard" the sensitivity of the DAG was 94.0% and the specificity was 96.1%. Our study indicates that horses in Brazil ar...
Oxidants and antioxidants in disease: oxidative stress in farm animals.
Veterinary journal (London, England : 1997)    August 17, 2006   Volume 173, Issue 3 502-511 doi: 10.1016/j.tvjl.2006.06.005
Lykkesfeldt J, Svendsen O.Important infectious diseases in farm animals, such as pneumonia and enteritis, are thought to be associated with the so-called oxidative stress, i.e. a chemical phenomenon involving an imbalance in the redox status of the individual animal. The specifics of oxidative stress and how it may result in disease or be prevented are complex questions with no simple answers. However, the considerable literature on the subject suggests that many researchers consider oxidative stress-related mechanisms to be important early events in disease development. A particularly intriguing aspect is that, at lea...
Cholesterol oxidase (ChoE) is not important in the virulence of Rhodococcus equi.
Veterinary microbiology    August 14, 2006   Volume 118, Issue 3-4 240-246 doi: 10.1016/j.vetmic.2006.08.006
Pei Y, Dupont C, Sydor T, Haas A, Prescott JF.To analyze further the role in virulence of the prominent cholesterol oxidase (ChoE) of Rhodococcus equi, an allelic exchange choE mutant from strain 103+ was constructed and assessed for virulence in macrophages, in mice, and in foals. There was no difference between the mutant and parent strain in cytotoxic activity for macrophages or in intra-macrophage multiplication. No evidence of attenuation was obtained in macrophages and in mice, but there was slight attenuation apparent in four intra-bronchially infected foals compared to infection of four foals with the virulent parent strain, based...
Equine disease surveillance, January to March 2006.
The Veterinary record    August 11, 2006   Volume 159, Issue 4 99-102 doi: 10.1136/vr.159.4.99
No abstract available
Diagnostic and epidemiological features of Lawsonia intracellularis enteropathy in 2 foals.
The Canadian veterinary journal = La revue veterinaire canadienne    August 11, 2006   Volume 47, Issue 7 689-691 
Dauvillier J, Picandet V, Harel J, Gottschalk M, Desrosiers R, Jean D, Lavoie JP.Two clinical cases of equine proliferative enteropathy are described. Both foals had a positive fecal polymerase chain reaction, but shedding of the bacterium stopped <4 days after therapy was initiated. One foal was serologically positive 3 days after onset of clinical signs and remained positive for more than 6 months. Diagnostic et aspects épidémiologiques d’une entéropathie à Lawsonia intracellularis chez 2 poulains. L’article décrit 2 cas cliniques d’entéropathie proliférative équine. Les 2 poulains étaient positifs à un test fécal d’amplification en chaîne par polymé...
Prevalence of equine herpesvirus type 2 (EHV-2) DNA in ocular swabs and its cell tropism in equine conjunctiva.
Veterinary microbiology    August 11, 2006   Volume 118, Issue 3-4 260-266 doi: 10.1016/j.vetmic.2006.07.024
Borchers K, Ebert M, Fetsch A, Hammond T, Sterner-Kock A.Equine herpes virus 2 (EHV-2), a gamma(2)-herpesvirus, is common in horses of all ages. Its role as a primary pathogen is unclear but there is an association between EHV-2, respiratory disease and keratoconjunctivitis. The purpose of this study was to gain more information on the prevalence of EHV-2 DNA in conjunctival swabs from horses with and without ocular disease and to define the anatomical site and cell type harbouring viral genome or antigen. By polymerase chain reaction (PCR) 22 out of 77 (28.6%) ocular swabs of clinically healthy and only 4 out of 48 (8.3%) samples from diseased hors...
A molecular approach to the identification of cytotoxic T-lymphocyte epitopes within equine herpesvirus 1.
The Journal of general virology    August 9, 2006   Volume 87, Issue Pt 9 2507-2515 doi: 10.1099/vir.0.82070-0
Kydd JH, Davis-Poynter NJ, Birch J, Hannant D, Minke J, Audonnet JC, Antczak DF, Ellis SA.Equine herpesvirus 1 (EHV-1) causes respiratory and neurological disease and abortion in horses. Animals with high frequencies of cytotoxic T lymphocytes (CTL) show reduced severity of respiratory disease and frequency of abortion, probably by CTL-mediated control of cell-associated viraemia. This study aimed to identify CTL epitopes restricted by selected major histocompatibility complex (MHC) class I alleles expressed in the equine leukocyte antigen (ELA) A3 haplotype. Effector CTL were induced from EHV-1-primed ponies and thoroughbreds with characterized MHC class I haplotypes and screened ...